Development of a synchronous motion-tracking and video capture tool for flexible ureteroscopy.

INTRODUCTION: Hand/instrument motion-tracking in surgical simulation provides valuable data to improve psychomotor skills and can serve as a formative evaluation tool. Motion analysis has been well-studied in laparoscopic surgery; however, there are essentially no studies looking at motion-tracking...

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Publicado en:Canadian Urological Association Journal Vol. 18; no. 4; pp. 103 - 125
Autores principales: Trac, Jessica, Jonguk Lee, Kai-Ho Fok, Carrillo, Brian, Farcas, Monica
Formato: pictorial research tables/charts Journal Article
Publicado: Canadian Urological Association Apr2024
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Apr2024
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      pub: Canadian Urological Association
      place: Dorval, Quebec
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        10.5489/cuaj.8530
        176378737
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        atl: Development of a synchronous motion-tracking and video capture tool for flexible ureteroscopy.
      aug:
        au:
          Trac, Jessica
          Jonguk Lee
          Kai-Ho Fok
          Carrillo, Brian
          Farcas, Monica
        affil: Department of Otolaryngology-Head & Neck Surgery, University of Toronto, Toronto, ON, Canada
      sug:
        subj:
          Motion Analysis Systems Equipment and Supplies
          Videorecording Equipment and Supplies
          Product Development
          Ureteroscopy Methods
          Ureteroscopy Education
          Surgery, Operative Education
          Computer Simulation
          Psychomotor Performance
          Skill Acquisition
          Human
          Equipment Reliability Evaluation
          Validation Studies
          Sensitivity and Specificity
          Descriptive Statistics
          Precision
          Ureteroscopy Equipment and Supplies
          Hand Physiology
          Agility
          Professional Knowledge
          Funding Source
      ab: INTRODUCTION: Hand/instrument motion-tracking in surgical simulation provides valuable data to improve psychomotor skills and can serve as a formative evaluation tool. Motion analysis has been well-studied in laparoscopic surgery; however, there are essentially no studies looking at motion-tracking for flexible ureteroscopy (fURS), a common surgical procedure requiring hand dexterity and 3D spatial awareness. We aimed to design a synchronized motion-tracking and video capture system for fURS capable of collecting objective metrics for use in surgical skills training. METHODS: Motion tracking of the ureteroscope was performed using a motion-tracking platform, inertial measurement units (IMUs), and an optical sensor. Position (x, y, z) and orientation (roll, pitch, yaw) of the ureteroscope handle, lever deflection, and translation of the scope insertion point were collected. Video capture of the operator's hands was collected with a Raspberry Pi camera. All peripherals were controlled on a Raspberry Pi 4 and synchronized to its system clock. RESULTS: Our system demonstrated good accuracy in detecting translation of the ureteroscope in the x- and y-axes, and yaw, pitch and roll of the ureteroscope at discrete orientations of 0, ±30, ±60, and ±90 degrees. Unique to fURS, deflection of the lever was captured by the difference in IMU static accelerations with good accuracy. The optical sensor detected translation of the ureteroscope at the insertion point with good precision and an average error of 5.51%. CONCLUSIONS: We successfully developed a motion-tracking and video-capture system capable of collecting motion-analysis parameters unique to fURS. Future studies will focus on establishing the construct validity of this tool.
      pubtype: Academic Journal
      doctype:
        pictorial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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