Skip to main content

Ranking Robot-Assisted Surgery Skills Using Kinematic Sensors

  • Conference paper
  • First Online:

Part of the book series: Lecture Notes in Computer Science ((LNISA,volume 11912))

Abstract

Assessing surgical skills is an essential part of medical performance evaluation and expert training. Since it is typically conducted as a subjective task by individuals, it may lead to misinterpretations of the skill performance and hence lead to suboptimal training and organization of the surgical activities. Therefore, objective assessment of surgical skills using computational intelligence techniques via sensory data has received attention from researchers in recent years. So far, the problem has been approached by employing a classification model where a query action for surgery is assigned to a predefined category that determines the level of expertise. In this study, we consider the skill assessment problem as a pairwise ranking task where we compare two input actions to identify better surgical performance. To this end, we propose a hybrid Siamese network that takes two kinematic motion data acquired from robot-assisted surgery sensors and report the probability of the first sample having a better skill than the second one. Experiments on annotated real surgery data reveals that the proposed framework has high accuracy and seems sufficiently accurate for use in practice. This approach may overcome the limitations of having consistent annotations to define skill levels and provide a more interpretable means for objective skill assessment.

This is a preview of subscription content, log in via an institution.

Buying options

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   39.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD   54.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

References

  1. Burges, C.J., Shaked, T., Renshaw, E., et al.: Learning to rank using gradient descent. In: International Conference on Machine Learning, pp. 89–96 (2005)

    Google Scholar 

  2. Doughty, H., Damen, D., Mayol-Cuevas, W.: Who’s better? Who’s best? Pairwise deep ranking for skill determination. In: IEEE Conference on Computer Vision and Pattern Recognition (2018)

    Google Scholar 

  3. Fard, M.J., Ameri, S., Darin, E.R., et al.: Automated robot-assisted surgical skill evaluation: predictive analytics approach. Int. J. Med. Robot. Comput. Assist. Surg. 14(1), e1850 (2018)

    Article  Google Scholar 

  4. Ismail Fawaz, H., Forestier, G., Weber, J., Idoumghar, L., Muller, P.-A.: Evaluating surgical skills from kinematic data using convolutional neural networks. In: Frangi, A.F., Schnabel, J.A., Davatzikos, C., Alberola-López, C., Fichtinger, G. (eds.) MICCAI 2018. LNCS, vol. 11073, pp. 214–221. Springer, Cham (2018). https://doi.org/10.1007/978-3-030-00937-3_25

    Chapter  Google Scholar 

  5. Funke, I., Mees, S.T., Weitz, J., Speidel, S.: Video-based surgical skill assessment using 3D convolutional neural networks. arXiv preprint arXiv:1903.02306 (2019)

  6. Gao, Y., Vedula, S.S., Reiley, C.E., et al.: JHU-ISI gesture and skill assessment working set (JIGSAWS): a surgical activity dataset for human motion modelling. In: MICCAI Workshop (2014)

    Google Scholar 

  7. Grantcharov, T.P., Bardram, L., Funch-Jensen, P., et al.: Assessment of technical surgical skills. Eur. J. Surg. 168, 139–144 (2002)

    Article  Google Scholar 

  8. Graves, A., Fernández, S., Schmidhuber, J.: Bidirectional LSTM networks for improved phoneme classification and recognition. In: Duch, W., Kacprzyk, J., Oja, E., Zadrożny, S. (eds.) ICANN 2005. LNCS, vol. 3697, pp. 799–804. Springer, Heidelberg (2005). https://doi.org/10.1007/11550907_126

    Chapter  Google Scholar 

  9. Hochreiter, S., Schmidhuber, J.: Long short-term memory. Neural Comput. 9, 1735–1780 (1997)

    Article  Google Scholar 

  10. Li, Z., Huang, Y., Cai, M., Sato, Y.: Manipulation-skill assessment from videos with spatial attention network. arXiv preprint arXiv:1901.02579 (2019)

  11. Martin, J., Regehr, G., Reznick, R., et al.: Objective structured assessment of technical skill (OSATS) for surgical residents. Br. J. Surg. 84, 273–278 (1997)

    Article  Google Scholar 

  12. Peters, B.S., Armijo, P.R., Krause, C., et al.: Review of emerging surgical robotic technology. Surg. Endosc. 32(4), 1636–1655 (2018)

    Article  Google Scholar 

  13. Wang, Z., Fey, A.I.: SATR-DL: improving surgical skill assessment and task recognition in robot-assisted surgery with deep neural networks. In: IEEE Conference of the Engineering in Medicine and Biology Society, pp. 1793–1796 (2018)

    Google Scholar 

  14. Wang, Z., Fey, A.M.: Deep learning with convolutional neural network for objective skill evaluation in robot-assisted surgery. Int. J. Comput. Assist. Radiol. Surg. 13, 1959–1970 (2018)

    Article  Google Scholar 

  15. Zia, A., Essa, I.: Automated surgical skill assessment in RMIS training. Int. J. Comput. Assist. Radiol. Surg. 13, 731–739 (2018)

    Article  Google Scholar 

Download references

Acknowledgments

Burçin Buket Oğul was financially supported by the Scientific and Technological Research Council of Turkey (TUBITAK) under 2214-A program.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Burçin Buket Oğul .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2019 Springer Nature Switzerland AG

About this paper

Check for updates. Verify currency and authenticity via CrossMark

Cite this paper

Oğul, B.B., Gilgien, M.F., Şahin, P.D. (2019). Ranking Robot-Assisted Surgery Skills Using Kinematic Sensors. In: Chatzigiannakis, I., De Ruyter, B., Mavrommati, I. (eds) Ambient Intelligence. AmI 2019. Lecture Notes in Computer Science(), vol 11912. Springer, Cham. https://doi.org/10.1007/978-3-030-34255-5_24

Download citation

  • DOI: https://doi.org/10.1007/978-3-030-34255-5_24

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-34254-8

  • Online ISBN: 978-3-030-34255-5

  • eBook Packages: Computer ScienceComputer Science (R0)

Publish with us

Policies and ethics