Feasibility of an AI-Based Measure of the Hand Motions of Expert and Novice Surgeons.

Journal: Computational and mathematical methods in medicine
Published Date:

Abstract

This study investigated whether parameters derived from hand motions of expert and novice surgeons accurately and objectively reflect laparoscopic surgical skill levels using an artificial intelligence system consisting of a three-layer chaos neural network. Sixty-seven surgeons (23 experts and 44 novices) performed a laparoscopic skill assessment task while their hand motions were recorded using a magnetic tracking sensor. Eight parameters evaluated as measures of skill in a previous study were used as inputs to the neural network. Optimization of the neural network was achieved after seven trials with a training dataset of 38 surgeons, with a correct judgment ratio of 0.99. The neural network that prospectively worked with the remaining 29 surgeons had a correct judgment rate of 79% for distinguishing between expert and novice surgeons. In conclusion, our artificial intelligence system distinguished between expert and novice surgeons among surgeons with unknown skill levels.

Authors

  • Munenori Uemura
    Department of Advanced Medical Initiatives, Faculty of Medical Sciences, Kyushu University, Fukuoka, Japan.
  • Morimasa Tomikawa
    Department of Advanced Medical Initiatives, Faculty of Medical Sciences, Kyushu University, Fukuoka, Japan.
  • Tiejun Miao
    TAOS Institute, Tokyo, Japan.
  • Ryota Souzaki
    Department of Advanced Medicine and Innovative Technology, Kyushu University Hospital, Fukuoka, Japan.
  • Satoshi Ieiri
    Department of Advanced Medicine and Innovative Technology, Kyushu University Hospital, Fukuoka, Japan.
  • Tomohiko Akahoshi
    Department of Advanced Medical Initiatives, Faculty of Medical Sciences, Kyushu University, Fukuoka, Japan.
  • Alan K Lefor
    Department of Advanced Medical Initiatives, Faculty of Medical Sciences, Kyushu University, Fukuoka, Japan.
  • Makoto Hashizume