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      Acquisition and usage of robotic surgical data for machine learning analysis

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          Abstract

          Background

          The increasing use of robot-assisted surgery (RAS) has led to the need for new methods of assessing whether new surgeons are qualified to perform RAS, without the resource-demanding process of having expert surgeons do the assessment.

          Computer-based automation and artificial intelligence (AI) are seen as promising alternatives to expert-based surgical assessment. However, no standard protocols or methods for preparing data and implementing AI are available for clinicians. This may be among the reasons for the impediment to the use of AI in the clinical setting.

          Method

          We tested our method on porcine models with both the da Vinci Si and the da Vinci Xi. We sought to capture raw video data from the surgical robots and 3D movement data from the surgeons and prepared the data for the use in AI by a structured guide to acquire and prepare video data using the following steps: ‘Capturing image data from the surgical robot’, ‘Extracting event data’, ‘Capturing movement data of the surgeon’, ‘Annotation of image data’.

          Results

          15 participant (11 novices and 4 experienced) performed 10 different intraabdominal RAS procedures. Using this method we captured 188 videos (94 from the surgical robot, and 94 corresponding movement videos of the surgeons’ arms and hands). Event data, movement data, and labels were extracted from the raw material and prepared for use in AI.

          Conclusion

          With our described methods, we could collect, prepare, and annotate images, events, and motion data from surgical robotic systems in preparation for its use in AI.

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          Most cited references35

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          BORIS: a free, versatile open-source event-logging software for video/audio coding and live observations

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            Review of emerging surgical robotic technology.

            The use of laparoscopic and robotic procedures has increased in general surgery. Minimally invasive robotic surgery has made tremendous progress in a relatively short period of time, realizing improvements for both the patient and surgeon. This has led to an increase in the use and development of robotic devices and platforms for general surgery. The purpose of this review is to explore current and emerging surgical robotic technologies in a growing and dynamic environment of research and development.
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              The coming of age of artificial intelligence in medicine.

              This paper is based on a panel discussion held at the Artificial Intelligence in Medicine Europe (AIME) conference in Amsterdam, The Netherlands, in July 2007. It had been more than 15 years since Edward Shortliffe gave a talk at AIME in which he characterized artificial intelligence (AI) in medicine as being in its "adolescence" (Shortliffe EH. The adolescence of AI in medicine: will the field come of age in the '90s? Artificial Intelligence in Medicine 1993;5:93-106). In this article, the discussants reflect on medical AI research during the subsequent years and characterize the maturity and influence that has been achieved to date. Participants focus on their personal areas of expertise, ranging from clinical decision-making, reasoning under uncertainty, and knowledge representation to systems integration, translational bioinformatics, and cognitive issues in both the modeling of expertise and the creation of acceptable systems.
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                Author and article information

                Contributors
                nasseh.hashemi@gmail.com
                Journal
                Surg Endosc
                Surg Endosc
                Surgical Endoscopy
                Springer US (New York )
                0930-2794
                1432-2218
                30 June 2023
                30 June 2023
                2023
                : 37
                : 8
                : 6588-6601
                Affiliations
                [1 ]GRID grid.27530.33, ISNI 0000 0004 0646 7349, Department of Clinical Medicine, , Aalborg University Hospital, ; Aalborg, Denmark
                [2 ]Nordsim—Centre for Skills Training and Simulation, Aalborg, Denmark
                [3 ]GRID grid.27530.33, ISNI 0000 0004 0646 7349, ROCnord—Robot Centre, , Aalborg University Hospital, ; Aalborg, Denmark
                [4 ]GRID grid.489450.4, Copenhagen Academy for Medical Education and Simulation, Center for Human Resources and Education, ; Copenhagen, Denmark
                [5 ]GRID grid.5254.6, ISNI 0000 0001 0674 042X, Department of Computer Science, , University of Copenhagen, ; Copenhagen, Denmark
                [6 ]GRID grid.4973.9, ISNI 0000 0004 0646 7373, Department of Gastrointestinal and Hepatic Diseases, , Copenhagen University Hospital - Herlev and Gentofte, ; Herlev, Denmark
                [7 ]GRID grid.27530.33, ISNI 0000 0004 0646 7349, Department of Urology, , Aalborg University Hospital, ; Aalborg, Denmark
                Author information
                http://orcid.org/0000-0001-9775-2919
                Article
                10214
                10.1007/s00464-023-10214-7
                10338401
                37389741
                68cc3b90-81dd-4ed4-8502-1437560bf37b
                © The Author(s) 2023

                Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.

                History
                : 19 February 2023
                : 12 June 2023
                Funding
                Funded by: FundRef http://dx.doi.org/10.13039/501100006304, Aalborg Universitetshospital;
                Funded by: Aalborg University Hospital
                Categories
                New Technology
                Custom metadata
                © Springer Science+Business Media, LLC, part of Springer Nature 2023

                Surgery
                robotic surgery,artificial intelligence,data acquisition
                Surgery
                robotic surgery, artificial intelligence, data acquisition

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