title: Smart Sensor-Based Motion Detection System for Hand Movement Training in Open Surgery.
abstract: We introduce a smart sensor-based motion detection technique for objective measurement and assessment of surgical dexterity among users at different experience levels. The goal is to allow trainees to evaluate their performance based on a reference model shared through communication technology, e.g., the Internet, without the physical presence of an evaluating surgeon. While in the current implementation we used a Leap Motion Controller to obtain motion data for analysis, our technique can be applied to motion data captured by other smart sensors, e.g., OptiTrack. To differentiate motions captured from different participants, measurement and assessment in our approach are achieved using two strategies: (1) low level descriptive statistical analysis, and (2) Hidden Markov Model (HMM) classification. Based on our surgical knot tying task experiment, we can conclude that finger motions generated from users with different surgical dexterity, e.g., expert and novice performers, display differences in path length, number of movements and task completion time. In order to validate the discriminatory ability of HMM for classifying different movement patterns, a non-surgical task was included in our analysis. Experimental results demonstrate that our approach had 100 % accuracy in discriminating between expert and novice performances. Our proposed motion analysis technique applied to open surgical procedures is a promising step towards the development of objective computer-assisted assessment and training systems.
authors.affiliation: Multimedia Research Center, Department of Computing Science, University of Alberta, Edmonton, AB, Canada.
authors.forename: Xinyao
authors.initials: X
authors.lastname: Sun
authors.affiliation: Surgical Simulation Research Lab, Department of Surgery, University of Alberta, Edmonton, AB, Canada.
authors.forename: Simon
authors.initials: S
authors.lastname: Byrns
authors.affiliation: Multimedia Research Center, Department of Computing Science, University of Alberta, Edmonton, AB, Canada. locheng@ualberta.ca.
authors.forename: Irene
authors.initials: I
authors.lastname: Cheng
authors.affiliation: Surgical Simulation Research Lab, Department of Surgery, University of Alberta, Edmonton, AB, Canada.
authors.forename: Bin
authors.initials: B
authors.lastname: Zheng
authors.affiliation: Multimedia Research Center, Department of Computing Science, University of Alberta, Edmonton, AB, Canada.
authors.forename: Anup
authors.initials: A
authors.lastname: Basu
mesh_terms: D002983:Clinical Competence; D003194:Computer-Assisted Instruction / Q000295:instrumentation / Q000379:methods*; D005385:Fingers; D000068156:Formative Feedback; D006801:Humans; D008390:Markov Chains; D009068:Movement; D013514:Surgical Procedures, Operative / Q000193:education*
keywords: Hidden Markov Model; Leap Motion Controller; Smart sensor detection; Surgical dexterity; Training performance evaluation