Reference tool kinematics-kinetics and tissue surface strain data during fundamental surgical acts

Schimmoeller, Tyler; Neumann, Erica E.; Nagle, Tara F.; Erdemir, Ahmet

doi:10.1038/s41597-020-0359-0

Cited by 4 publications

(4 citation statements)

References 21 publications

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“…One of the expected targets is computer-aided surgical devices, such as robots and virtual reality simulators that incorporate artificial intelligence for real-time monitoring. 31,32 A normative data catalog could be an important source of information for the development of such devices. Furthermore, these data sets could allow for the implementation of a warning system 3,33 such that operation staff and surgeons are warned when the safety threshold of tissue acceleration is violated.…”

Section: Perspectivesmentioning

confidence: 99%

Tissue Acceleration as a Novel Metric for Surgical Performance During Carotid Endarterectomy

Sugiyama

Ito

Sugimori

et al. 2023

Operative Neurosurgery

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BACKGROUND AND OBJECTIVES: Gentle tissue handling to avoid excessive motion of affected fragile vessels during surgical dissection is essential for both surgeon proficiency and patient safety during carotid endarterectomy (CEA). However, a void remains in the quantification of these aspects during surgery. The video-based measurement of tissue acceleration is presented as a novel metric for the objective assessment of surgical performance. This study aimed to evaluate whether such metrics correlate with both surgeons' skill proficiency and adverse events during CEA. METHODS: In a retrospective study including 117 patients who underwent CEA, acceleration of the carotid artery was measured during exposure through a video-based analysis. Tissue acceleration values and threshold violation error frequencies were analyzed and compared among the surgeon groups with different surgical experience (3 groups: novice, intermediate, and expert). Multiple patient-related variables, surgeon groups, and video-based surgical performance parameters were compared between the patients with and without adverse events during CEA. RESULTS: Eleven patients (9.4%) experienced adverse events after CEA, and the rate of adverse events significantly correlated with the surgeon group. The mean maximum tissue acceleration and number of errors during surgical tasks significantly decreased from novice, to intermediate, to expert surgeons, and stepwise discriminant analysis showed that the combined use of surgical performance factors could accurately discriminate between surgeon groups. The multivariate logistic regression analysis revealed that the number of errors and vulnerable carotid plaques were associated with adverse events. CONCLUSION: Tissue acceleration profiles can be a novel metric for the objective assessment of surgical performance and the prediction of adverse events during surgery. Thus, this concept can be introduced into futuristic computer-aided surgeries for both surgical education and patient safety.

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Section: Perspectivesmentioning

confidence: 99%

Tissue Acceleration as a Novel Metric for Surgical Performance During Carotid Endarterectomy

Sugiyama

Ito

Sugimori

et al. 2023

Operative Neurosurgery

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“…Usually, these experiments are performed on cadaveric (ex vivo) or animal tissues (in vivo or ex vivo). However, in vivo data are difficult to obtain and ex vivo tissues cannot reliably replicate life-like conditions as in in vivo tissues [48,49]. Moreover, the accuracy of mechanical properties from cadaveric samples would be hindered by freezing and thawing [32].…”

Section: Constitutive Models Representing Specific Tissues and Parame...mentioning

confidence: 99%

“…Measuring devices usually rely on 6 DoF force sensors and means to track positions during insertions. The measurement apparatus can either be handheld by an expert surgeon [13,14,49] or be robotically inserted through tissues [14,51]. To improve the reliability of insertion tests into ex vivo tissues, Li et al developed a test platform that would record forces during needle insertion while simulating movements due to respiration [14].…”

Section: Constitutive Models Representing Specific Tissues and Parame...mentioning

confidence: 99%

Review on Needle Insertion Haptic Simulation

et al. 2022

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This short review updates an exhaustive one written by Correa et al in 2019 about haptic training simulation on needle insertion in the medical field. b) Recent findings: Latest works refine wellknown models and enhance setups and methods to facilitate generically getting experimental data. c) Summary:We provide a complementary focus on device specifications and recent models to render this specific haptic feedback on Computer-Based Simulators. Assessment approaches and the issues encountered when introducing such simulators into curricula are also discussed. FEM-based approaches still do not permit real-time computation but hybrid approaches as proposed by [1] may become a good compromise. Nonetheless, psychophysical studies should be performed to determine the haptic fidelity of the various approaches found in the literature, and embed them efficiently in medical curricula. This would permit to delay the necessary final hands-on training on patients that raises ethical issues.

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“…A related dataset 8,9 examined surgical tool kinetics and kinematics as well as surface strain measurements using the same specimens from the study presented in this data descriptor. Briefly, three instrumented surgical tools, including a scalpel, retractor and forceps, as well as an indenter, were used to perform seventeen different surgical acts on the skin, fat, and muscle layers of cadaveric legs.…”

Section: Background and Summarymentioning

confidence: 99%

Reference data on in vitro anatomy and indentation response of tissue layers of musculoskeletal extremities

et al. 2020

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The skin, fat, and muscle of the musculoskeletal system provide essential support and protection to the human body. The interaction between individual layers and their composite structure dictate the body’s response during mechanical loading of extremity surfaces. Quantifying such interactions may improve surgical outcomes by enhancing surgical simulations with lifelike tissue characteristics. Recently, a comprehensive tissue thickness and anthropometric database of in vivo extremities was acquired using a load sensing instrumented ultrasound to enhance the fidelity of advancing surgical simulations. However detailed anatomy of tissue layers of musculoskeletal extremities was not captured. This study aims to supplement that database with an enhanced dataset of in vitro specimens that includes ultrasound imaging supported by motion tracking of the ultrasound probe and two additional full field imaging modalities (magnetic resonance and computed tomography). The additional imaging datasets can be used in conjunction with the ultrasound/force data for more comprehensive modeling of soft tissue mechanics. Researchers can also use the image modalities in isolation if anatomy of legs and arms is needed.

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Reference tool kinematics-kinetics and tissue surface strain data during fundamental surgical acts

Abstract: These data may be used in conjunction with the data presented in this study for a more complete description of the anatomical features for each cadaveric leg specimen.

Cited by 4 publications

References 21 publications

Tissue Acceleration as a Novel Metric for Surgical Performance During Carotid Endarterectomy

Tissue Acceleration as a Novel Metric for Surgical Performance During Carotid Endarterectomy

Review on Needle Insertion Haptic Simulation

Reference data on in vitro anatomy and indentation response of tissue layers of musculoskeletal extremities

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