Toward Personalized Training and Skill Assessment in Robotic Minimally Invasive Surgery
This work addresses the need for objective and autonomous skill assessment in robotic-assisted surgery, offering a personalized training framework with online feedback.
The paper tackled the problem of subjective skill assessment in robotic minimally invasive surgery by developing a shape-based framework for automated skill evaluation and personalized training, achieving accuracies of 82% for suturing, 70% for needle passing, and 85% for knot tying.
Despite the immense technology advancement in the surgeries the criteria of assessing the surgical skills still remains based on subjective standards. With the advent of robotic-assisted surgery, new opportunities for objective and autonomous skill assessment is introduced. Previous works in this area are mostly based on structured-based method such as Hidden Markov Model (HMM) which need enormous pre-processing. In this study, in contrast with them, we develop a new shaped-based framework for automatically skill assessment and personalized surgical training with minimum parameter tuning. Our work has addressed main aspects of skill evaluation; develop gesture recognition model directly on temporal kinematic signal of robotic-assisted surgery, and build automated personalized RMIS gesture training framework which . We showed that our method, with an average accuracy of 82% for suturing, 70% for needle passing and 85% for knot tying, performs better or equal than the state-of-the-art methods, while simultaneously needs minimum pre-processing, parameter tuning and provides surgeons with online feedback for their performance during training.