Simulated outcomes for durotomy repair in minimally invasive spine surgery.

Journal: Scientific data
PMID: 38200013

Abstract

Minimally invasive spine surgery (MISS) is increasingly performed using endoscopic and microscopic visualization, and the captured video can be used for surgical education and development of predictive artificial intelligence (AI) models. Video datasets depicting adverse event management are also valuable, as predictive models not exposed to adverse events may exhibit poor performance when these occur. Given that no dedicated spine surgery video datasets for AI model development are publicly available, we introduce Simulated Outcomes for Durotomy Repair in Minimally Invasive Spine Surgery (SOSpine). A validated MISS cadaveric dural repair simulator was used to educate neurosurgery residents, and surgical microscope video recordings were paired with outcome data. Objects including durotomy, needle, grasper, needle driver, and nerve hook were then annotated. Altogether, SOSpine contains 15,698 frames with 53,238 annotations and associated durotomy repair outcomes. For validation, an AI model was fine-tuned on SOSpine video and detected surgical instruments with a mean average precision of 0.77. In summary, SOSpine depicts spine surgeons managing a common complication, providing opportunities to develop surgical AI models.

Authors

  • Alan Balu
    Department of Neurosurgery, Georgetown University School of Medicine, Washington , District of Columbia, USA.
  • Guillaume Kugener
    Department of Neurosurgery, Keck School of Medicine, University of Southern California, Los Angeles, California, USA.
  • Dhiraj J Pangal
    Department of Neurosurgery, Keck School of Medicine, University of Southern California, Los Angeles, California, USA. Electronic address: pangal@usc.edu.
  • Heewon Lee
    Department of Computer Science and Engineering, Korea University, Seongbuk-gu, Seoul, Republic of Korea.
  • Sasha Lasky
    University of Southern California, 3709 Trousdale Pkwy., Los Angeles, CA, 90089, USA.
  • Jane Han
    University of Southern California, 3709 Trousdale Pkwy., Los Angeles, CA, 90089, USA.
  • Ian Buchanan
    Department of Neurological Surgery, Keck School of Medicine of University of Southern California, 1200 North State St., Suite 3300, Los Angeles, CA, 90033, USA.
  • John Liu
    Department of Neurological Surgery, Keck School of Medicine of University of Southern California, 1200 North State St., Suite 3300, Los Angeles, CA, 90033, USA.
  • Gabriel Zada
    Department of Neurological Surgery, Keck School of Medicine, University of Southern California, Los Angeles, CA, United States of America.
  • Daniel A Donoho
    Department of Neurosurgery, Keck School of Medicine, University of Southern California, Los Angeles, California, USA; Division of Neurosurgery, Department of Surgery, Texas Children's Hospital, Baylor College of Medicine, Houston, Texas, USA.

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