记录18名医学生6个月机器人手术训练,发现技能持续提升但存在遗忘和疲劳影响。
Dataset and Analysis of Long-Term Skill Acquisition in Robot-Assisted Minimally Invasive Surgery
- 每月3次训练,跨26小时值班期,完成3项干式手术任务。
- 共收集972次试验数据,所有任务表现均持续进步。
- 揭示了长间隔训练中学习与遗忘规律,适合训练优化研究者参考。
目标:研究外科住院医师在机器人辅助微创手术中的长期技能习得过程,以及训练间隔和疲劳对表现的影响。方法:在六个月内,外科住院医师每月参加三次训练,围绕一次26小时的医院轮班进行。每次轮班中,他们在班前、班中和班后各完成一次训练。每次训练包括三个干式实验室任务:环塔转移、打结和缝合。我们采集了全面的数据集,包含同步视频与运动学数据、活动追踪以及缝合垫扫描图像。结果:共收集了18名不同专业背景住院医师完成的972次试验数据。参与者在所有任务中均表现出持续的性能提升。此外,我们观察到不同任务间歇性学习与遗忘存在差异,并发现疲劳可能产生的影响迹象。结论:本研究首次分析揭示了长时间间隔训练和不同疲劳水平下机器人手术技能的学习机制。意义:为未来优化培训方案和推动手术中AI应用奠定了基础,有助于提升患者预后。数据集将在论文录用后公开。
原文摘要 · Abstract (English)
Objective: We aim to investigate long-term robotic surgical skill acquisition among surgical residents and the effects of training intervals and fatigue on performance. Methods: For six months, surgical residents participated in three training sessions once a month, surrounding a single 26-hour hospital shift. In each shift, they participated in training sessions scheduled before, during, and after the shift. In each training session, they performed three dry-lab training tasks: Ring Tower Transfer, Knot-Tying, and Suturing. We collected a comprehensive dataset, including videos synchronized with kinematic data, activity tracking, and scans of the suturing pads. Results: We collected a dataset of 972 trials performed by 18 residents of different surgical specializations. Participants demonstrated consistent performance improvement across all tasks. In addition, we found variations in between-shift learning and forgetting across metrics and tasks, and hints for possible effects of fatigue. Conclusion: The findings from our first analysis shed light on the long-term learning processes of robotic surgical skills with extended intervals and varying levels of fatigue. Significance: This study lays the groundwork for future research aimed at optimizing training protocols and enhancing AI applications in surgery, ultimately contributing to improved patient outcomes. The dataset will be made available upon acceptance of our journal submission.
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