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Tool-tissue force segmentation and pattern recognition for evaluating neurosurgical performance.

Amir Baghdadi1, Sanju Lama1, Rahul Singh1

  • 1Project neuroArm, Department of Clinical Neurosciences, Hotchkiss Brain Institute University of Calgary, Calgary, AB, Canada.

Scientific Reports
|June 13, 2023
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Summary
This summary is machine-generated.

Machine learning models analyze surgical tool-tissue interaction forces from sensorized forceps to objectively evaluate surgeon performance. This AI-powered system provides real-time feedback for personalized surgical skill assessment and task recognition.

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Area of Science:

  • Neurosurgery
  • Artificial Intelligence
  • Surgical Analytics

Background:

  • Surgical performance evaluation traditionally relies on subjective assessments.
  • Objective quantification of surgical skills is crucial for personalized training and improved patient outcomes.
  • Artificial intelligence offers a novel approach to analyze complex surgical data.

Purpose of the Study:

  • To develop and implement machine learning models for analyzing surgical finesse using tool-tissue interaction force data.
  • To enable objective, personalized performance evaluation for surgeons through a virtual surgical assist.
  • To create an end-to-end platform for intraoperative surgical performance monitoring.

Main Methods:

  • Utilized force data from sensorized bipolar forceps (SmartForceps System) during 50 neurosurgery procedures.
  • Developed T-U-Net for force profile segmentation and FTFIT deep learning architectures for skill and task classification.
  • Collected over 161 hours of operating room data from 13 surgeons of varying experience levels.

Main Results:

  • Achieved high accuracy in force profile segmentation (Weighted F1-score=0.95, AUC=0.99) using T-U-Net.
  • Demonstrated effective surgical skill classification (Weighted F1-score=0.71, AUC=0.81) and task recognition (Weighted F1-score=0.82, AUC=0.89).
  • Developed a cloud-based module providing a dashboard with performance metrics compared to expert levels.

Conclusions:

  • A novel machine learning module enables real-time, data-driven surgical performance monitoring and evaluation.
  • The AI platform facilitates personalized feedback and learning for surgeons.
  • This approach establishes a paradigm for objective assessment in surgical practice.