Qualitative and Quantitative Assessment of Technical Skills in Percutaneous Coronary Intervention: In Vivo Porcine Studies
文献类型:期刊论文
作者 | Zhou, Xiao-Hu1,2; Bian, Gui-Bin2; Xie, Xiao-Liang2; Hou, Zeng-Guang1,2; Li, Rui-Qi1,2; Zhou, Yan-Jie1,2 |
刊名 | IEEE TRANSACTIONS ON BIOMEDICAL ENGINEERING |
出版日期 | 2020-02-01 |
卷号 | 67期号:2页码:353-364 |
ISSN号 | 0018-9294 |
关键词 | Natural behaviors percutaneous coronary intervention assessment framework qualitative and quantitative assessment in vivo porcine studies |
DOI | 10.1109/TBME.2019.2913431 |
通讯作者 | Hou, Zeng-Guang(zengguang.hou@ia.ac.cn) |
英文摘要 | Objective: Technical skill assessment plays an important role in the professional development of an interventionalist in percutaneous coronary intervention (PCI). However, most of the traditional assessment methods are time consuming and subjective. This paper aims to develop objective assessment techniques. Methods: In this study, a natural-behavior-based assessment framework is proposed to qualitatively and quantitatively assess technical skills in PCI. In vivo porcine studies were conducted to deliver a medical guidewire to two target coronaries of left circumflex arteries by six novice and four expert interventionalists. Simultaneously, four types of natural behaviors (i.e., hand motion, proximal force, muscle activity, and finger motion) were acquired from the subjects' dominant hand and arm. The features extracted from the behaviors of different skill-level groups were compared using the Mann-Whitney U-test for effective behavior selection. The effective ones were further applied in the Gaussian-mixture-model-based qualitative assessment and Mahalanobis-distance-based quantitative assessment. Results: The qualitative assessment achieves an accuracy of 92& x0025; to distinguish the novice and expert attempts, which is significantly higher than that of using single guidewire motions. Furthermore, the quantitative assessment can assign objective and effective scores for all attempts, indicating high correlation ($R$ $=$ 0.9225) to those obtained by traditional methods. Conclusion: The objective, effective, and comprehensive assessment of technical skills can be provided by qualitatively and quantitatively analyzing interventionalists' natural behaviors in PCI. Significance: This paper suggests a novel approach for the technical skill assessment and the promising results demonstrate the great importance and effectiveness of the proposed method for promoting the development of objective assessment techniques. |
WOS关键词 | SURFACE ELECTROMYOGRAPHY ; SIMULATOR ; CLASSIFICATION ; SURGERY ; VALIDATION |
资助项目 | National Natural Science Foundation of China[61533016] ; National Natural Science Foundation of China[61720106012] ; National Natural Science Foundation of China[61611130217] ; National Natural Science Foundation of China[61603386] ; National Natural Science Foundation of China[61421004] ; Beijing Natural Science Foundation[L172050] ; Strategic Priority Research Program of CAS[XDBS01040100] |
WOS研究方向 | Engineering |
语种 | 英语 |
出版者 | IEEE-INST ELECTRICAL ELECTRONICS ENGINEERS INC |
WOS记录号 | WOS:000510903800003 |
资助机构 | National Natural Science Foundation of China ; Beijing Natural Science Foundation ; Strategic Priority Research Program of CAS |
源URL | [http://ir.ia.ac.cn/handle/173211/28590] |
专题 | 自动化研究所_复杂系统管理与控制国家重点实验室_先进机器人控制团队 |
通讯作者 | Hou, Zeng-Guang |
作者单位 | 1.Univ Chinese Acad Sci, Sch Artificial Intelligence, Beijing 100049, Peoples R China 2.Chinese Acad Sci, State Key Lab Management & Control Complex Syst, Inst Automat, Beijing 100190, Peoples R China 3.Chinese Acad Sci, Ctr Excellence Brain Sci & Intelligence Technol, Beijing 100190, Peoples R China |
推荐引用方式 GB/T 7714 | Zhou, Xiao-Hu,Bian, Gui-Bin,Xie, Xiao-Liang,et al. Qualitative and Quantitative Assessment of Technical Skills in Percutaneous Coronary Intervention: In Vivo Porcine Studies[J]. IEEE TRANSACTIONS ON BIOMEDICAL ENGINEERING,2020,67(2):353-364. |
APA | Zhou, Xiao-Hu,Bian, Gui-Bin,Xie, Xiao-Liang,Hou, Zeng-Guang,Li, Rui-Qi,&Zhou, Yan-Jie.(2020).Qualitative and Quantitative Assessment of Technical Skills in Percutaneous Coronary Intervention: In Vivo Porcine Studies.IEEE TRANSACTIONS ON BIOMEDICAL ENGINEERING,67(2),353-364. |
MLA | Zhou, Xiao-Hu,et al."Qualitative and Quantitative Assessment of Technical Skills in Percutaneous Coronary Intervention: In Vivo Porcine Studies".IEEE TRANSACTIONS ON BIOMEDICAL ENGINEERING 67.2(2020):353-364. |
入库方式: OAI收割
来源:自动化研究所
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