Human/robotic interaction: vision limits performance in simulated vitreoretinal surgery
| العنوان: | Human/robotic interaction: vision limits performance in simulated vitreoretinal surgery |
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| المؤلفون: | Nicky de Jonge, Eric van Oosterhout, Thijs C. M. Meenink, Danilo Iannetta, Maarten Beelen, Gerrit Naus, Marco Mura, Marc D. de Smet, Koorosh Faridpooya |
| المساهمون: | Clinical Informatics |
| المصدر: | Acta Ophthalmologica, 97(7), 672-678 Università degli studi di Ferrara-IRIS Acta Ophthalmologica, 97(7), 672-678. Wiley-Blackwell |
| سنة النشر: | 2019 |
| مصطلحات موضوعية: | Accuracy and precision, Microscope, Ophthalmology/education, Computer science, Video Recording, NO, Education, law.invention, 03 medical and health sciences, 0302 clinical medicine, telemanipulation, Retinal Diseases, accuracy, depth perception, precision, robotics, simulation, telemanipulation, vitreoretinal surgery, law, Medical, Telemedicine/methods, Humans, Robotics/education, Computer vision, Micromanipulator, depth perception, robotics, accuracy, business.industry, Reproducibility of Results, Education, Medical, Graduate/methods, Robotics, General Medicine, Vitreoretinal surgery, Human control, simulation, vitreoretinal surgery, Telemedicine, Visualization, Ophthalmology, Education, Medical, Graduate, Graduate/methods, Retinal Diseases/surgery, Vitreoretinal Surgery/education, 030221 ophthalmology & optometry, precision, Clinical Competence, Artificial intelligence, Depth perception, business, 030217 neurology & neurosurgery |
| الوصف: | Purpose: Compare accuracy and precision in XYZ of stationary and dynamic tasks performed by surgeons with and without the use of a tele-operated robotic micromanipulator in a simulated vitreoretinal environment. The tasks were performed using a surgical microscope or while observing a video monitor. Method: Two experienced and two novice surgeons performed tracking and static tasks at a fixed depth with hand-held instruments on a Preceyes Surgical System R0.4. Visualization was through a standard microscope or a video display. The distances between the instrument tip and the targets (in μm) determined tracking errors in accuracy and precision. Results: Using a microscope, dynamic or static accuracy and precision in XY (planar) movements were similar among test subjects. In Z (depth) movements, experience lead to more precision in both dynamic and static tasks (dynamic 35 ± 14 versus 60 ± 37 μm; static 27 ± 8 versus 36 ± 10 μm), and more accuracy in dynamic tasks (58 ± 35 versus 109 ± 79 μm). Robotic assistance improved both precision and accuracy in Z (1–3 ± 1 μm) in both groups. Using a video screen in combination with robotic assistance improved all performance measurements and reduced any differences due to experience. Conclusions: Robotics increases precision and accuracy, with greater benefit observed in less experienced surgeons. However, human control was a limiting factor in the achieved improvement. A major limitation was visualization of the target surface, in particular in depth. To maximize the benefit of robotic assistance, visualization must be optimized. |
| اللغة: | English |
| تدمد: | 1755-375X |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::af871b910bad8473c16dad7409acb523 https://hdl.handle.net/1887/121083 |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi.dedup.....af871b910bad8473c16dad7409acb523 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 1755375X |
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