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实现在手术室中操作桌互动的自动量化.

Rick M Butler1, Anne M Schouten2,3, Anne C van der Eijk2,3

  • 1Delft University of Technology, Delft, the Netherlands. r.m.butler@tudelft.nl.

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概括

机器人辅助手术 (RAS) 与开放式手术 (OS) 和微创手术 (MIS) 相比,显著减少了工作人员与手术台和患者的互动. 这种技术转变影响工作流程,需要客观测量以支持设计.

关键词:
摄像机监控监控摄像机的监控人类姿势跟踪追踪器经手术过程中的过程.机器人辅助手术是一种机器人辅助的手术.手术工作流程手术工作流程工作负载的工作负载.

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科学领域:

  • 手术技术 手术技术
  • 人与计算机的交互
  • 操作室工作流分析工作流分析

背景情况:

  • 全球围绕操作的员工短缺需要高效和激励的工作环境.
  • 越来越复杂的手术室技术正在将工作人员的注意力从患者转移到技术上.
  • 对这一转变的客观测量对于设计支持技术和优化高科技程序至关重要.

研究的目的:

  • 客观地衡量在手术期间员工互动从患者转向技术的转变.
  • 为了比较不同手术技术水平的员工互动水平:开放式手术 (OS),微创手术 (MIS) 和机器人辅助手术 (RAS).
  • 评估基于工作人员的姿势和运动来检测操作台互动的算法潜力.

主要方法:

  • 在OS,MIS和RAS记录了35次妇科手术.
  • 有注释的员工-病人和员工-手术台的互动.
  • 开发并提出了一种算法,可以从工作人员的姿势和运动数据中检测操作台的相互作用.

主要成果:

  • 该算法测量了在70.4% (OS),70.3% (MIS) 和30.1% (RAS) 的操作桌相互作用.
  • 患者相互作用的百分比为37.6% (OS),38.3% (MIS) 和24.6% (RAS).
  • 与异常事件或工作流阶段过渡相关的交互峰值.

结论:

  • 与OS和MIS相比,机器人辅助手术 (RAS) 的操作台和患者相互作用显著减少.
  • 拟议的算法显示了与手动注释类似的趋势,表明了工作流阶段检测的潜力.
  • 由于手术室的复杂性,姿势跟踪的挑战可能会影响算法输入质量.