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机器人手术技能中的手术难度和多任务要求的生理指标。

Physiological Metrics of Surgical Difficulty and Multi-Task Requirement during Robotic Surgery Skills.

机构信息

School of Industrial Engineering, Purdue University, West Lafayette, IN 47907, USA.

School of Medicine, Indiana University, Indianapolis, IN 46202, USA.

出版信息

Sensors (Basel). 2023 Apr 28;23(9):4354. doi: 10.3390/s23094354.

Abstract

Previous studies in robotic-assisted surgery (RAS) have studied cognitive workload by modulating surgical task difficulty, and many of these studies have relied on self-reported workload measurements. However, contributors to and their effects on cognitive workload are complex and may not be sufficiently summarized by changes in task difficulty alone. This study aims to understand how multi-task requirement contributes to the prediction of cognitive load in RAS under different task difficulties. Multimodal physiological signals (EEG, eye-tracking, HRV) were collected as university students performed simulated RAS tasks consisting of two types of surgical task difficulty under three different multi-task requirement levels. EEG spectral analysis was sensitive enough to distinguish the degree of cognitive workload under both surgical conditions (surgical task difficulty/multi-task requirement). In addition, eye-tracking measurements showed differences under both conditions, but significant differences of HRV were observed in only multi-task requirement conditions. Multimodal-based neural network models have achieved up to 79% accuracy for both surgical conditions.

摘要

先前在机器人辅助手术 (RAS) 中的研究通过调节手术任务难度来研究认知工作量,其中许多研究依赖于自我报告的工作量测量。然而,认知工作量的贡献因素及其影响非常复杂,仅凭任务难度的变化可能无法充分总结。本研究旨在了解在不同任务难度下,多任务要求如何有助于预测 RAS 中的认知负荷。当大学生在三种不同的多任务要求水平下执行由两种类型的手术任务难度组成的模拟 RAS 任务时,收集了多模态生理信号(EEG、眼动追踪、HRV)。EEG 频谱分析足够灵敏,可以区分两种手术条件下(手术任务难度/多任务要求)的认知工作负荷程度。此外,在两种情况下都观察到眼动追踪测量的差异,但仅在多任务要求条件下观察到 HRV 的显著差异。基于多模态的神经网络模型在两种手术条件下的准确率高达 79%。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7c44/10181544/136fa1d5d326/sensors-23-04354-g001.jpg

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