Skip to main content

Robotics as a Tool for Training and Assessment of Surgical Skill

  • Chapter
  • First Online:
Computational Surgery and Dual Training

Abstract

Technological advances have enabled new paradigms for skill training using virtual reality and robotics. We present three recent research advances in the field of virtual reality and human–robot interaction (HRI) for training. First, skill assessment in these systems is discussed, with an emphasis on the derivation of meaningful and objective quantitative performance metrics from motion data acquired through sensors on the robotic devices. We show how such quantitative measures derived for the robotic stroke rehabilitation domain correlate strongly with clinical measures of motor impairment. For virtual reality-based task training, we present task analysis and motion-based performance metrics for a manual control task. Lastly, we describe specific challenges in the surgical domain, with a focus on the development of tasks for skills assessment in surgical robotics.

An erratum to this chapter is available at http://dx.doi.org/10.1007/978-1-4614-8648-0_26

An erratum to this chapter can be found at http://dx.doi.org/10.1007/978-1-4614-8648-0_26

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 129.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 169.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 169.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Kozak JJ, Hancock PA, Arthur EJ, Chrysler ST (1993) Transfer of training from virtual reality. Ergonomics 36(1):777–784

    Article  Google Scholar 

  2. Lintern G (1991) An informational perspective on skill transfer in human-machine systems. Hum Factors 33(3):251–266

    Google Scholar 

  3. Lintern G, Roscoe SN (1980) Visual cue augmentation in contact flight simulation. In: Roscoe SN (ed) Aviation psychology. Iowa State University Press, Ames

    Google Scholar 

  4. Gamberini L (2000) Virtual reality as a new research tool for the study of human memory. Cyberpsychol Behav 3(3):337–342

    Article  Google Scholar 

  5. O’Malley MK, Gupta A, Gen M, Li Y (2006) Shared control in haptic systems for performance enhancement and training. ASME J Dyn Syst Meas Control 128(1):75–85

    Article  Google Scholar 

  6. Li Y, Huegel JC, Patoglu V, O’Malley, MK (2009) Progressive shared control for training in virtual environments. EuroHaptics conference, 2009 and Symposium on Haptic Interfaces for Virtual Environment and Teleoperator Systems. World Haptics, Third Joint, pp 332–337. doi: 10.1109/WHC.

    Google Scholar 

  7. Li Y, Patoglu V, O’Malley MK (2009) Negative efficacy of fixed gain error reducing shared control for training in virtual environments. ACM Trans Appl Percept 6(1):3-1–3-21

    Google Scholar 

  8. Huegel JC, O’Malley MK (2009) Visual versus haptic progressive guidance for training in a virtual dynamic task. EuroHaptics conference, 2009 and Symposium on Haptic Interfaces for Virtual Environment and Teleoperator Systems. World Haptics, Third Joint, pp 399–400. doi: 10.1109/WHC.2009.4810914

    Google Scholar 

  9. Waller D, Hunt E, Knapp D (1998) The transfer of spatial knowledge in virtual environment training. Presence Teleoper Virtual Environ 7(2):129–143

    Article  Google Scholar 

  10. Rose FD, Attree EA, Brooks BM, Parslow DM, Penn PR, Ambihaipahan N (2000) Training in virtual environments: transfer to real world tasks and equivalence to real task training. Ergonomics 43(4):494–511

    Article  Google Scholar 

  11. Tendick F, Downes M, Goktekin T, Cavusoglu MC, Feygin D, Wu X, Eyal R, Hegarty M, Way LW (2000) A virtual environment tested for training laparoscopic surgical skills. Presence Teleoper Virtual Environ 9(3):236–255

    Article  Google Scholar 

  12. Basdogan C, Ho C-H, Srinivasan MA (2001) Virtual environments for medical training: graphical and haptic simulation of laparoscopic common bile duct exploration. IEEE/ASME Trans Mechatronics 6(3):269–285

    Article  Google Scholar 

  13. Li Y, Patoglu V, O’Malley MK (2006) Shared control for training in virtual environments: learning through demonstration? In: Proceedings of EuroHaptics, pp 93–99. http://lsc.univ-evry.fr/∼eurohaptics/upload/cd/papers/f108.pdf

    Google Scholar 

  14. Morris D, Tan H, Barbagli F, Chang T, Salisbury K (2007) Haptic feedback enhances force skill learning. EuroHaptics Conference, and Symposium on Haptic Interfaces for Virtual Environment and Teleoperator Systems. World Haptics 2007. Second Joint, pp 21–26. doi: 10.1109/WHC.2007.65

    Google Scholar 

  15. Huang FC, Gillespie RB, Kuo AD (2007) Visual and haptic feedback contribute to tuning and online control during object manipulation. J Mot Behav 39(3):179–193

    Article  Google Scholar 

  16. Israr A, Kapson H, Patoglu V, O’Malley MK (2009) Effects of magnitude and phase cues on human motor adaptation. EuroHaptics conference, 2009 and Symposium on Haptic Interfaces for Virtual Environment and Teleoperator Systems. World Haptics. Third Joint, pp 344–349. doi: 10.1109/WHC.2009.4810870

    Google Scholar 

  17. Flash T, Hogan N (1985) The coordination of arm movements: an experimentally confirmed mathematical model. J Neurosci 5(7):1688–1703

    Google Scholar 

  18. Svinin M, Goncharenko I, Zhi-Wei L, Hosoe S (2006) Reaching movements in dynamic environments: how do we move flexible objects? IEEE Trans Robotics 22(4):724–739

    Article  Google Scholar 

  19. Celik O, O’Malley MK, Boake C, Levin H, Yozbatiran N, Reistetter T (2010) Normalized movement quality measures for therapeutic robots strongly correlate with clinical motor impairment measures. IEEE Trans Neural Syst Rehabil Eng 18(4):433–444

    Article  Google Scholar 

  20. Huegel J, Celik O, Israr A, O'Malley MK (2009) Expertise- based performance measures in a virtual training environment. Presence Teleoper Virtual Environ 18(6):449–467

    Article  Google Scholar 

  21. Cronenwett JL (2006) Vascular surgery training: is there enough case material? Semin Vasc Surg 19(4):187–190

    Article  Google Scholar 

  22. Schanzer A, Steppacher R, Eslami M, Arous E, Messina L, Belkin M (2009) Vascular surgery training trends from 2001–2007: a substantial increase in total procedure volume is driven by escalating endovascular procedure volume and stable open procedure volume. J Vasc Surg 49(5):1339–1344

    Article  Google Scholar 

  23. Bismuth J, Donovan MA, O’Malley MK, El Sayed HF, Naoum JJ, Peden EK, Davies MG, Lumsden AB (2010) Incorporating simulation in vascular surgery. J Vasc Surg 52(4): 1072–1080

    Article  Google Scholar 

  24. Lepor H (2009) Status of radical prostatectomy in 2009: is there medical evidence to justify the robotic approach? Rev Urol 11:61–70

    Google Scholar 

  25. Samadi D, Levinson A, Hakimi A, Shabsigh R, Benson MC (2007) From proficiency to expert, when does the learning curve for robotic-assisted prostatectomies plateau? The Columbia University experience. World J Urol 25(1):105–110

    Article  Google Scholar 

  26. Judkins TN, Oleynikov D, Stergiou N (2009) Objective evaluation of expert and novice performance during robotic surgical training tasks. Surg Endosc 23(3):590–597

    Article  Google Scholar 

  27. Narazaki K, Oleynikov D, Stergiou N (2007) Objective assessment of proficiency with bimanual inanimate tasks in robotic laparoscopy. J Laparoendosc Adv Surg Tech A 17(1): 47–52

    Article  Google Scholar 

Download references

Acknowledgments

Portions of this work have been support in part by grants from the National Science Foundation (IIS-0448341 and IIS-0812569) and Mission Connect, a project of the TIRR Foundation.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Marcia K. O’Malley .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2014 Springer New York

About this chapter

Cite this chapter

O’Malley, M.K. et al. (2014). Robotics as a Tool for Training and Assessment of Surgical Skill. In: Garbey, M., Bass, B., Berceli, S., Collet, C., Cerveri, P. (eds) Computational Surgery and Dual Training. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-8648-0_24

Download citation

  • DOI: https://doi.org/10.1007/978-1-4614-8648-0_24

  • Published:

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4614-8647-3

  • Online ISBN: 978-1-4614-8648-0

  • eBook Packages: EngineeringEngineering (R0)

Publish with us

Policies and ethics