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Published in: International Journal of Computer Assisted Radiology and Surgery 12/2018

01-12-2018 | Original Article

Deep learning with convolutional neural network for objective skill evaluation in robot-assisted surgery

Authors: Ziheng Wang, Ann Majewicz Fey

Published in: International Journal of Computer Assisted Radiology and Surgery | Issue 12/2018

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Abstract

Purpose

With the advent of robot-assisted surgery, the role of data-driven approaches to integrate statistics and machine learning is growing rapidly with prominent interests in objective surgical skill assessment. However, most existing work requires translating robot motion kinematics into intermediate features or gesture segments that are expensive to extract, lack efficiency, and require significant domain-specific knowledge.

Methods

We propose an analytical deep learning framework for skill assessment in surgical training. A deep convolutional neural network is implemented to map multivariate time series data of the motion kinematics to individual skill levels.

Results

We perform experiments on the public minimally invasive surgical robotic dataset, JHU-ISI Gesture and Skill Assessment Working Set (JIGSAWS). Our proposed learning model achieved competitive accuracies of 92.5%, 95.4%, and 91.3%, in the standard training tasks: Suturing, Needle-passing, and Knot-tying, respectively. Without the need of engineered features or carefully tuned gesture segmentation, our model can successfully decode skill information from raw motion profiles via end-to-end learning. Meanwhile, the proposed model is able to reliably interpret skills within a 1–3 second window, without needing an observation of entire training trial.

Conclusion

This study highlights the potential of deep architectures for efficient online skill assessment in modern surgical training.
Literature
1.
go back to reference Roberts KE, Bell RL, Duffy AJ (2006) Evolution of surgical skills training. World J Gastroenterol WJG 12(20):3219CrossRef Roberts KE, Bell RL, Duffy AJ (2006) Evolution of surgical skills training. World J Gastroenterol WJG 12(20):3219CrossRef
2.
go back to reference Reznick RK, MacRae H (2006) Teaching surgical skills changes in the wind. N Engl J Med 355(25):2664–2669CrossRef Reznick RK, MacRae H (2006) Teaching surgical skills changes in the wind. N Engl J Med 355(25):2664–2669CrossRef
3.
go back to reference Aggarwal R, Mytton OT, Derbrew M, Hananel D, Heydenburg M, Issenberg B, MacAulay C, Mancini ME, Morimoto T, Soper N, Ziv A, Reznick R (2010) Training and simulation for patient safety. BMJ Qual Saf 19(Suppl 2):i34–i43CrossRef Aggarwal R, Mytton OT, Derbrew M, Hananel D, Heydenburg M, Issenberg B, MacAulay C, Mancini ME, Morimoto T, Soper N, Ziv A, Reznick R (2010) Training and simulation for patient safety. BMJ Qual Saf 19(Suppl 2):i34–i43CrossRef
4.
go back to reference Birkmeyer JD, Finks JF, O’reilly A, Oerline M, Carlin AM, Nunn AR, Dimick J, Banerjee M, Birkmeyer NJ, (2013) Surgical skill and complication rates after bariatric surgery. N Engl J Med 369(15):1434–1442CrossRef Birkmeyer JD, Finks JF, O’reilly A, Oerline M, Carlin AM, Nunn AR, Dimick J, Banerjee M, Birkmeyer NJ, (2013) Surgical skill and complication rates after bariatric surgery. N Engl J Med 369(15):1434–1442CrossRef
5.
go back to reference Darzi A, Mackay S (2001) Assessment of surgical competence. BMJ Qual Saf 10(suppl 2):ii64–ii69CrossRef Darzi A, Mackay S (2001) Assessment of surgical competence. BMJ Qual Saf 10(suppl 2):ii64–ii69CrossRef
6.
go back to reference Bridgewater B, Grayson AD, Jackson M, Brooks N, Grotte GJ, Keenan DJ, Millner R, Fabri BM, Mark J (2003) Surgeon specific mortality in adult cardiac surgery: comparison between crude and risk stratified data. Br Med J 327(7405):13–17CrossRef Bridgewater B, Grayson AD, Jackson M, Brooks N, Grotte GJ, Keenan DJ, Millner R, Fabri BM, Mark J (2003) Surgeon specific mortality in adult cardiac surgery: comparison between crude and risk stratified data. Br Med J 327(7405):13–17CrossRef
7.
go back to reference Goh AC, Goldfarb DW, Sander JC, Miles BJ, Dunkin BJ (2012) Global evaluative assessment of robotic skills: validation of a clinical assessment tool to measure robotic surgical skills. J Urol 187(1):247–252CrossRef Goh AC, Goldfarb DW, Sander JC, Miles BJ, Dunkin BJ (2012) Global evaluative assessment of robotic skills: validation of a clinical assessment tool to measure robotic surgical skills. J Urol 187(1):247–252CrossRef
8.
go back to reference Aghazadeh MA, Jayaratna IS, Hung AJ, Pan MM, Desai MM, Gill IS, Goh AC (2015) External validation of global evaluative assessment of robotic skills (gears). Surg Endosc 29(11):3261–3266CrossRef Aghazadeh MA, Jayaratna IS, Hung AJ, Pan MM, Desai MM, Gill IS, Goh AC (2015) External validation of global evaluative assessment of robotic skills (gears). Surg Endosc 29(11):3261–3266CrossRef
9.
go back to reference Niitsu H, Hirabayashi N, Yoshimitsu M, Mimura T, Taomoto J, Sugiyama Y, Murakami S, Saeki S, Mukaida H, Takiyama W (2013) Using the objective structured assessment of technical skills (osats) global rating scale to evaluate the skills of surgical trainees in the operating room. Surg Today 43(3):271–275CrossRef Niitsu H, Hirabayashi N, Yoshimitsu M, Mimura T, Taomoto J, Sugiyama Y, Murakami S, Saeki S, Mukaida H, Takiyama W (2013) Using the objective structured assessment of technical skills (osats) global rating scale to evaluate the skills of surgical trainees in the operating room. Surg Today 43(3):271–275CrossRef
10.
go back to reference Reiley CE, Lin HC, Yuh DD, Hager GD (2011) Review of methods for objective surgical skill evaluation. Surg Endosc 25(2):356–366CrossRef Reiley CE, Lin HC, Yuh DD, Hager GD (2011) Review of methods for objective surgical skill evaluation. Surg Endosc 25(2):356–366CrossRef
11.
go back to reference Vedula SS, Ishii M, Hager GD (2017) Objective assessment of surgical technical skill and competency in the operating room. Ann Rev Biomed Eng 19:301–325CrossRef Vedula SS, Ishii M, Hager GD (2017) Objective assessment of surgical technical skill and competency in the operating room. Ann Rev Biomed Eng 19:301–325CrossRef
12.
go back to reference Moustris GP, Hiridis SC, Deliparaschos KM, Konstantinidis KM (2011) Evolution of autonomous and semi-autonomous robotic surgical systems: a review of the literature. Int J Med Rob Comput Assist Surg 7(4):375–392CrossRef Moustris GP, Hiridis SC, Deliparaschos KM, Konstantinidis KM (2011) Evolution of autonomous and semi-autonomous robotic surgical systems: a review of the literature. Int J Med Rob Comput Assist Surg 7(4):375–392CrossRef
13.
go back to reference Cheng C, Sa-Ngasoongsong A, Beyca O, Le T, Yang H, Kong Z, Bukkapatnam ST (2015) Time series forecasting for nonlinear and non-stationary processes: a review and comparative study. IIE Trans 47(10):1053–1071CrossRef Cheng C, Sa-Ngasoongsong A, Beyca O, Le T, Yang H, Kong Z, Bukkapatnam ST (2015) Time series forecasting for nonlinear and non-stationary processes: a review and comparative study. IIE Trans 47(10):1053–1071CrossRef
14.
go back to reference Klonowski W (2009) Everything you wanted to ask about eeg but were afraid to get the right answer. Nonlinear Biomed Phys 3(1):2CrossRef Klonowski W (2009) Everything you wanted to ask about eeg but were afraid to get the right answer. Nonlinear Biomed Phys 3(1):2CrossRef
15.
go back to reference Reiley CE, Hager GD (2009) Task versus subtask surgical skill evaluation of robotic minimally invasive surgery. In: International conference on medical image computing and computer-assisted intervention. Springer, pp 435–442 Reiley CE, Hager GD (2009) Task versus subtask surgical skill evaluation of robotic minimally invasive surgery. In: International conference on medical image computing and computer-assisted intervention. Springer, pp 435–442
16.
go back to reference Kassahun Y, Yu B, Tibebu AT, Stoyanov D, Giannarou S, Metzen JH, Vander Poorten E (2016) Surgical robotics beyond enhanced dexterity instrumentation: a survey of machine learning techniques and their role in intelligent and autonomous surgical actions. Int J Comput Assist Radiol Surg 11(4):553–568CrossRef Kassahun Y, Yu B, Tibebu AT, Stoyanov D, Giannarou S, Metzen JH, Vander Poorten E (2016) Surgical robotics beyond enhanced dexterity instrumentation: a survey of machine learning techniques and their role in intelligent and autonomous surgical actions. Int J Comput Assist Radiol Surg 11(4):553–568CrossRef
17.
go back to reference Judkins TN, Oleynikov D, Stergiou N (2009) Objective evaluation of expert and novice performance during robotic surgical training tasks. Surg Endosc 23(3):590CrossRef Judkins TN, Oleynikov D, Stergiou N (2009) Objective evaluation of expert and novice performance during robotic surgical training tasks. Surg Endosc 23(3):590CrossRef
19.
go back to reference Trejos AL, Patel RV, Malthaner RA, Schlachta CM (2014) Development of force-based metrics for skills assessment in minimally invasive surgery. Surg Endosc 28(7):2106–2119CrossRef Trejos AL, Patel RV, Malthaner RA, Schlachta CM (2014) Development of force-based metrics for skills assessment in minimally invasive surgery. Surg Endosc 28(7):2106–2119CrossRef
20.
go back to reference Poursartip B, LeBel M-E, Patel R, Naish M, Trejos AL (2017) Analysis of energy-based metrics for laparoscopic skills assessment. IEEE Trans Biomed Eng 65(7):1532–1542CrossRef Poursartip B, LeBel M-E, Patel R, Naish M, Trejos AL (2017) Analysis of energy-based metrics for laparoscopic skills assessment. IEEE Trans Biomed Eng 65(7):1532–1542CrossRef
21.
go back to reference Ershad M, Koesters Z, Rege R, Majewicz A (2016) Meaningful assessment of surgical expertise: semantic labeling with data and crowds. In: International conference on medical image computing and computer-assisted intervention. Springer, pp 508–515 Ershad M, Koesters Z, Rege R, Majewicz A (2016) Meaningful assessment of surgical expertise: semantic labeling with data and crowds. In: International conference on medical image computing and computer-assisted intervention. Springer, pp 508–515
22.
go back to reference Sharon Y, Lendvay TS, Nisky I (2017) Instrument orientation-based metrics for surgical skill evaluation in robot-assisted and open needle driving. arXiv preprint arXiv:1709.09452 Sharon Y, Lendvay TS, Nisky I (2017) Instrument orientation-based metrics for surgical skill evaluation in robot-assisted and open needle driving. arXiv preprint arXiv:​1709.​09452
23.
go back to reference Shackelford S, Bowyer M (2017) Modern metrics for evaluating surgical technical skills. Curr Surg Rep 5(10):24CrossRef Shackelford S, Bowyer M (2017) Modern metrics for evaluating surgical technical skills. Curr Surg Rep 5(10):24CrossRef
25.
go back to reference Stefanidis D, Scott DJ, Korndorffer JR Jr (2009) Do metrics matter? Time versus motion tracking for performance assessment of proficiency-based laparoscopic skills training. Simul Healthc 4(2):104–108CrossRef Stefanidis D, Scott DJ, Korndorffer JR Jr (2009) Do metrics matter? Time versus motion tracking for performance assessment of proficiency-based laparoscopic skills training. Simul Healthc 4(2):104–108CrossRef
26.
go back to reference Chmarra MK, Klein S, de Winter JC, Jansen F-W, Dankelman J (2010) Objective classification of residents based on their psychomotor laparoscopic skills. Surg Endosc 24(5):1031–1039CrossRef Chmarra MK, Klein S, de Winter JC, Jansen F-W, Dankelman J (2010) Objective classification of residents based on their psychomotor laparoscopic skills. Surg Endosc 24(5):1031–1039CrossRef
27.
go back to reference Vedula SS, Malpani A, Ahmidi N, Khudanpur S, Hager G, Chen CCG (2016) Task-level vs. segment-level quantitative metrics for surgical skill assessment. J Surg Educ 73(3):482–489CrossRef Vedula SS, Malpani A, Ahmidi N, Khudanpur S, Hager G, Chen CCG (2016) Task-level vs. segment-level quantitative metrics for surgical skill assessment. J Surg Educ 73(3):482–489CrossRef
28.
go back to reference Poursartip B, LeBel M-E, McCracken LC, Escoto A, Patel RV, Naish MD, Trejos AL (2017) Energy-based metrics for arthroscopic skills assessment. Sensors 17(8):1808CrossRef Poursartip B, LeBel M-E, McCracken LC, Escoto A, Patel RV, Naish MD, Trejos AL (2017) Energy-based metrics for arthroscopic skills assessment. Sensors 17(8):1808CrossRef
29.
go back to reference Forestier G, Petitjean F, Senin P, Despinoy F, Jannin P (2017) Discovering discriminative and interpretable patterns for surgical motion analysis. In: Conference on artificial intelligence in medicine in Europe. Springer, pp 136–145 Forestier G, Petitjean F, Senin P, Despinoy F, Jannin P (2017) Discovering discriminative and interpretable patterns for surgical motion analysis. In: Conference on artificial intelligence in medicine in Europe. Springer, pp 136–145
30.
go back to reference Brown JD, OBrien CE, Leung SC, Dumon KR, Lee DI, Kuchenbecker KJ, (2017) Using contact forces and robot arm accelerations to automatically rate surgeon skill at peg transfer. IEEE Trans Biomed Eng 64(9):2263–2275CrossRef Brown JD, OBrien CE, Leung SC, Dumon KR, Lee DI, Kuchenbecker KJ, (2017) Using contact forces and robot arm accelerations to automatically rate surgeon skill at peg transfer. IEEE Trans Biomed Eng 64(9):2263–2275CrossRef
32.
go back to reference Tao L, Elhamifar E, Khudanpur S, Hager GD, Vidal R (2012) Sparse hidden markov models for surgical gesture classification and skill evaluation. In: IPCAI. Springer, pp 167–177 Tao L, Elhamifar E, Khudanpur S, Hager GD, Vidal R (2012) Sparse hidden markov models for surgical gesture classification and skill evaluation. In: IPCAI. Springer, pp 167–177
33.
go back to reference LeCun Y, Bengio Y, Hinton G (2015) Deep learning. Nature 521(7553):436–444CrossRef LeCun Y, Bengio Y, Hinton G (2015) Deep learning. Nature 521(7553):436–444CrossRef
34.
go back to reference Schmidhuber J (2015) Deep learning in neural networks: an overview. Neural Netw 61:85–117CrossRef Schmidhuber J (2015) Deep learning in neural networks: an overview. Neural Netw 61:85–117CrossRef
35.
go back to reference Silver D, Huang A, Maddison CJ, Guez A, Sifre L, van den Driessche G, Schrittwieser J, Antonoglou I, Panneershelvam V, Lanctot M, Dieleman S, Grewe D, Nham J, Kalchbrenner N, Sutskever I, Lillicrap T, Leach M, Kavukcuoglu K, Graepel T, Hassabis D (2016) Mastering the game of go with deep neural networks and tree search. Nature 529(7587):484–489CrossRef Silver D, Huang A, Maddison CJ, Guez A, Sifre L, van den Driessche G, Schrittwieser J, Antonoglou I, Panneershelvam V, Lanctot M, Dieleman S, Grewe D, Nham J, Kalchbrenner N, Sutskever I, Lillicrap T, Leach M, Kavukcuoglu K, Graepel T, Hassabis D (2016) Mastering the game of go with deep neural networks and tree search. Nature 529(7587):484–489CrossRef
36.
go back to reference Graves A, Mohamed A-R, Hinton G (2013) Speech recognition with deep recurrent neural networks. In: 2013 IEEE international conference on acoustics, speech and signal processing (ICASSP). IEEE, pp 6645–6649 Graves A, Mohamed A-R, Hinton G (2013) Speech recognition with deep recurrent neural networks. In: 2013 IEEE international conference on acoustics, speech and signal processing (ICASSP). IEEE, pp 6645–6649
37.
go back to reference Esteva A, Kuprel B, Novoa RA, Ko J, Swetter SM, Blau HM, Thrun S (2017) Dermatologist-level classification of skin cancer with deep neural networks. Nature 542(7639):115–118CrossRef Esteva A, Kuprel B, Novoa RA, Ko J, Swetter SM, Blau HM, Thrun S (2017) Dermatologist-level classification of skin cancer with deep neural networks. Nature 542(7639):115–118CrossRef
38.
go back to reference Rajpurkar P, Hannun AY, Haghpanahi M, Bourn C, Ng AY (2017) Cardiologist-level arrhythmia detection with convolutional neural networks. arXiv preprint arXiv:1707.01836 Rajpurkar P, Hannun AY, Haghpanahi M, Bourn C, Ng AY (2017) Cardiologist-level arrhythmia detection with convolutional neural networks. arXiv preprint arXiv:​1707.​01836
39.
go back to reference DiPietro R, Lea C, Malpani A, Ahmidi N, Vedula SS, Lee GI, Lee MR, Hager GD (2016) Recognizing surgical activities with recurrent neural networks. In: International conference on medical image computing and computer-assisted intervention. Springer, pp 551–558 DiPietro R, Lea C, Malpani A, Ahmidi N, Vedula SS, Lee GI, Lee MR, Hager GD (2016) Recognizing surgical activities with recurrent neural networks. In: International conference on medical image computing and computer-assisted intervention. Springer, pp 551–558
40.
go back to reference Gao Y, Vedula SS, Reiley CE, Ahmidi N, Varadarajan B, Lin HC, Tao L, Zappella L, Béjar B, Yuh DD, Chen CCG, Vidal R, Khudanpur S, Hager GD (2014) JHU-ISI gesture and skill assessment working set (JIGSAWS): a surgical activity dataset for human motion modeling. In: MICCAI workshop: M2CAI, vol 3, p 3 Gao Y, Vedula SS, Reiley CE, Ahmidi N, Varadarajan B, Lin HC, Tao L, Zappella L, Béjar B, Yuh DD, Chen CCG, Vidal R, Khudanpur S, Hager GD (2014) JHU-ISI gesture and skill assessment working set (JIGSAWS): a surgical activity dataset for human motion modeling. In: MICCAI workshop: M2CAI, vol 3, p 3
41.
go back to reference Längkvist M, Karlsson L, Loutfi A (2014) A review of unsupervised feature learning and deep learning for time-series modeling. Pattern Recognit Lett 42:11–24CrossRef Längkvist M, Karlsson L, Loutfi A (2014) A review of unsupervised feature learning and deep learning for time-series modeling. Pattern Recognit Lett 42:11–24CrossRef
43.
go back to reference Nair V, Hinton GE (2010) Rectified linear units improve restricted Boltzmann machines. In: Proceedings of the 27th international conference on machine learning (ICML-10), pp 807–814 Nair V, Hinton GE (2010) Rectified linear units improve restricted Boltzmann machines. In: Proceedings of the 27th international conference on machine learning (ICML-10), pp 807–814
45.
go back to reference Li M, Zhang T, Chen Y, Smola AJ (2014) Efficient mini-batch training for stochastic optimization. In: Proceedings of the 20th ACM SIGKDD international conference on knowledge discovery and data mining. ACM, pp 661–670 Li M, Zhang T, Chen Y, Smola AJ (2014) Efficient mini-batch training for stochastic optimization. In: Proceedings of the 20th ACM SIGKDD international conference on knowledge discovery and data mining. ACM, pp 661–670
47.
go back to reference Srivastava N, Hinton G, Krizhevsky A, Sutskever I, Salakhutdinov R (2014) Dropout: a simple way to prevent neural networks from overfitting. J Mach Learn Res 15(1):1929–1958 Srivastava N, Hinton G, Krizhevsky A, Sutskever I, Salakhutdinov R (2014) Dropout: a simple way to prevent neural networks from overfitting. J Mach Learn Res 15(1):1929–1958
48.
go back to reference Wu H, Gu X (2015) Max-pooling dropout for regularization of convolutional neural networks. In: International conference on neural information processing. Springer, pp 46–54 Wu H, Gu X (2015) Max-pooling dropout for regularization of convolutional neural networks. In: International conference on neural information processing. Springer, pp 46–54
49.
go back to reference Ahmidi N, Tao L, Sefati S, Gao Y, Lea C, Haro BB, Zappella L, Khudanpur S, Vidal R, Hager GD (2017) A dataset and benchmarks for segmentation and recognition of gestures in robotic surgery. IEEE Trans Biomed Eng 64(9):2025–2041CrossRef Ahmidi N, Tao L, Sefati S, Gao Y, Lea C, Haro BB, Zappella L, Khudanpur S, Vidal R, Hager GD (2017) A dataset and benchmarks for segmentation and recognition of gestures in robotic surgery. IEEE Trans Biomed Eng 64(9):2025–2041CrossRef
50.
go back to reference Krizhevsky A, Sutskever I, Hinton GE (2012) Imagenet classication with deep convolutional neural networks. In: Proceedings of the 25th international conference on neural information processing systems. Curran Associates Inc., NIPS, vol 1, pp 1097–1105 Krizhevsky A, Sutskever I, Hinton GE (2012) Imagenet classication with deep convolutional neural networks. In: Proceedings of the 25th international conference on neural information processing systems. Curran Associates Inc., NIPS, vol 1, pp 1097–1105
51.
go back to reference He K, Zhang X, Ren S, Sun J (2016) Deep residual learning for image recognition. In: Proceedings of the IEEE conference on computer vision and pattern recognition, pp 770–778 He K, Zhang X, Ren S, Sun J (2016) Deep residual learning for image recognition. In: Proceedings of the IEEE conference on computer vision and pattern recognition, pp 770–778
52.
53.
go back to reference Le Guennec A, Malinowski S, Tavenard R (2016) Data augmentation for time series classification using convolutional neural networks. In: ECML/PKDD workshop on advanced analytics and learning on temporal data Le Guennec A, Malinowski S, Tavenard R (2016) Data augmentation for time series classification using convolutional neural networks. In: ECML/PKDD workshop on advanced analytics and learning on temporal data
54.
go back to reference Um TT, Pfister FM, Pichler D, Endo S, Lang M, Hirche S, Fietzek U, Kulić D (2017) Data augmentation of wearable sensor data for Parkinsons disease monitoring using convolutional neural networks. In: Proceedings of the 19th ACM international conference on multimodal interaction. ACM, pp 216–220 Um TT, Pfister FM, Pichler D, Endo S, Lang M, Hirche S, Fietzek U, Kulić D (2017) Data augmentation of wearable sensor data for Parkinsons disease monitoring using convolutional neural networks. In: Proceedings of the 19th ACM international conference on multimodal interaction. ACM, pp 216–220
55.
go back to reference Sammut C, Webb GI (2011) Encycl Mach Learn. Springer, Berlin Sammut C, Webb GI (2011) Encycl Mach Learn. Springer, Berlin
56.
go back to reference Kumar R, Jog A, Malpani A, Vagvolgyi B, Yuh D, Nguyen H, Hager G, Chen CCG (2012) Assessing system operation skills in robotic surgery trainees. Int J Med Rob Comput Assist Surg 8(1):118–124CrossRef Kumar R, Jog A, Malpani A, Vagvolgyi B, Yuh D, Nguyen H, Hager G, Chen CCG (2012) Assessing system operation skills in robotic surgery trainees. Int J Med Rob Comput Assist Surg 8(1):118–124CrossRef
57.
go back to reference Sun C, Shrivastava A, Singh S, Gupta A (2017) Revisiting unreasonable effectiveness of data in deep learning era. In: 2017 IEEE international conference on computer vision (ICCV). IEEE, pp 843–852 Sun C, Shrivastava A, Singh S, Gupta A (2017) Revisiting unreasonable effectiveness of data in deep learning era. In: 2017 IEEE international conference on computer vision (ICCV). IEEE, pp 843–852
58.
go back to reference Dockter RL, Lendvay TS, Sweet RM, Kowalewski TM (2017) The minimally acceptable classification criterion for surgical skill: intent vectors and separability of raw motion data. Int J Comput Assist Radiol Surg 12(7):1151–1159CrossRef Dockter RL, Lendvay TS, Sweet RM, Kowalewski TM (2017) The minimally acceptable classification criterion for surgical skill: intent vectors and separability of raw motion data. Int J Comput Assist Radiol Surg 12(7):1151–1159CrossRef
Metadata
Title
Deep learning with convolutional neural network for objective skill evaluation in robot-assisted surgery
Authors
Ziheng Wang
Ann Majewicz Fey
Publication date
01-12-2018
Publisher
Springer International Publishing
Published in
International Journal of Computer Assisted Radiology and Surgery / Issue 12/2018
Print ISSN: 1861-6410
Electronic ISSN: 1861-6429
DOI
https://doi.org/10.1007/s11548-018-1860-1

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