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利用脑电图地形图特征区分腹腔镜手术专家和新手。

Distinguishing Laparoscopic Surgery Experts from Novices Using EEG Topographic Features.

作者信息

Manabe Takahiro, Rahul F N U, Fu Yaoyu, Intes Xavier, Schwaitzberg Steven D, De Suvranu, Cavuoto Lora, Dutta Anirban

机构信息

School of Engineering, University of Lincoln, Lincoln LN6 7TS, UK.

Centre for Modeling, Simulation, and Imaging in Medicine, Rensselaer Polytechnic Institute, Troy, MI 12180, USA.

出版信息

Brain Sci. 2023 Dec 11;13(12):1706. doi: 10.3390/brainsci13121706.

DOI:10.3390/brainsci13121706
PMID:38137154
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10742221/
Abstract

The study aimed to differentiate experts from novices in laparoscopic surgery tasks using electroencephalogram (EEG) topographic features. A microstate-based common spatial pattern (CSP) analysis with linear discriminant analysis (LDA) was compared to a topography-preserving convolutional neural network (CNN) approach. Expert surgeons (N = 10) and novice medical residents (N = 13) performed laparoscopic suturing tasks, and EEG data from 8 experts and 13 novices were analysed. Microstate-based CSP with LDA revealed distinct spatial patterns in the frontal and parietal cortices for experts, while novices showed frontal cortex involvement. The 3D CNN model (ESNet) demonstrated a superior classification performance (accuracy > 98%, sensitivity 99.30%, specificity 99.70%, F1 score 98.51%, MCC 97.56%) compared to the microstate based CSP analysis with LDA (accuracy ~90%). Combining spatial and temporal information in the 3D CNN model enhanced classifier accuracy and highlighted the importance of the parietal-temporal-occipital association region in differentiating experts and novices.

摘要

该研究旨在利用脑电图(EEG)地形特征区分腹腔镜手术任务中的专家和新手。将基于微状态的共同空间模式(CSP)分析与线性判别分析(LDA)与一种保留地形的卷积神经网络(CNN)方法进行了比较。专家外科医生(N = 10)和新手住院医生(N = 13)进行了腹腔镜缝合任务,并对8名专家和13名新手的EEG数据进行了分析。基于微状态的CSP与LDA显示,专家在额叶和顶叶皮质有明显的空间模式,而新手则表现为额叶皮质参与。与基于微状态的CSP分析与LDA(准确率约90%)相比,3D CNN模型(ESNet)表现出卓越的分类性能(准确率> 98%,灵敏度99.30%,特异性99.70%,F1分数98.51%,MCC 97.56%)。在3D CNN模型中结合空间和时间信息提高了分类器的准确率,并突出了顶叶 - 颞叶 - 枕叶联合区域在区分专家和新手方面的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f48/10742221/7ffcf541172c/brainsci-13-01706-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f48/10742221/a0289fd87b3c/brainsci-13-01706-g001a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f48/10742221/bacb3d1be786/brainsci-13-01706-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f48/10742221/f686e513fb00/brainsci-13-01706-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f48/10742221/e8866dec87bd/brainsci-13-01706-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f48/10742221/bd3f2da50908/brainsci-13-01706-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f48/10742221/cc2e15924766/brainsci-13-01706-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f48/10742221/da2518ce4a49/brainsci-13-01706-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f48/10742221/7ffcf541172c/brainsci-13-01706-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f48/10742221/a0289fd87b3c/brainsci-13-01706-g001a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f48/10742221/bacb3d1be786/brainsci-13-01706-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f48/10742221/f686e513fb00/brainsci-13-01706-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f48/10742221/e8866dec87bd/brainsci-13-01706-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f48/10742221/bd3f2da50908/brainsci-13-01706-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f48/10742221/cc2e15924766/brainsci-13-01706-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f48/10742221/da2518ce4a49/brainsci-13-01706-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f48/10742221/7ffcf541172c/brainsci-13-01706-g008.jpg

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本文引用的文献

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Brain-behavior analysis of transcranial direct current stimulation effects on a complex surgical motor task.经颅直流电刺激对复杂外科手术运动任务影响的脑-行为分析
Front Neuroergon. 2024 Jan 9;4:1135729. doi: 10.3389/fnrgo.2023.1135729. eCollection 2023.
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Changes in functional neuroimaging measures as novices gain proficiency on the fundamentals of laparoscopic surgery suturing task.随着新手在腹腔镜手术缝合任务的基本操作上逐渐熟练,功能性神经影像学测量指标的变化。
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Perspective: Disentangling the effects of tES on neurovascular unit.
观点:解析经颅电刺激对神经血管单元的影响。
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Error-related brain state analysis using electroencephalography in conjunction with functional near-infrared spectroscopy during a complex surgical motor task.在复杂的外科手术运动任务中,结合功能近红外光谱技术使用脑电图进行与错误相关的脑状态分析。
Brain Inform. 2022 Dec 9;9(1):29. doi: 10.1186/s40708-022-00179-z.
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Portable neuroimaging differentiates novices from those with experience for the Fundamentals of Laparoscopic Surgery (FLS) suturing with intracorporeal knot tying task.便携式神经影像学可区分腹腔镜手术基础缝合(FLS)中经体内打结任务的新手和有经验者。
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