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71
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Introduction
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September 2008 - present
Publications
Publications (71)
Background
heart rate variability (HRV) is an important part of cardiovascular response to stress. Literature about the utility of HRV to predict intubation and invasive mechanical ventilation (IMV) need in Covid-19 patients is scarce. We analysed if HRV metrics could be used to identify, in the first 24 hours from admission in the intensive care u...
Objective:
The aim of this study was to evaluate the effect of three training methodologies on the acquisition of psychomotor skills for laparoendoscopic single-site surgery (LESS), using straight and articulating instruments.
Methods:
A prospective study was conducted with subjects randomly divided into three groups, who performed a specific tr...
PURPOSE: cardiovascular response to stress (such as hypoxemia) is mediated by the autonomic nervous system (ANS) and heart rate variability is an important part of it. Neurotropism is an important feature of SARS-CoV-2 infection and clinical dissociation between hypoxemia and the cardiovascular response has been reported. We proposed that HRV could...
Introduction
Training tools should follow a thorough validation process that assure their value before their wider use. In this regard, three online modules for laparoscopic cholecystectomy, lumbar punction and knee arthroscopy have been created for an integrative Learning Management System (LMS) that connects external assets, therefore allowing tr...
Automatic surgical workflow analysis (SWA) plays an important role in the modelling of surgical processes. Current automatic approaches for SWA use videos (with accuracies varying from 0.8 and 0.9), but they do not incorporate speech (inherently linked to the ongoing cognitive process). The approach followed in this study uses both video and speech...
Background
The effects of stress on surgical residents and how stress management training can prepare residents to effectively manage stressful situations is a relevant topic. This systematic review aimed to analyze the literature regarding (1) the current stress monitoring tools and their use in surgical environments, (2) the current methods in su...
The Objective Structured Clinical Exam (OSCE) is an assessment tool used as a reliable method for clinical competence evaluation of students. This paper presents an investigation focused on the chain of survival, its related exploration, management, and technical skills, and how Virtual Reality (VR) can be used for the creation of immersive environ...
Modern surgical education is focused on making use of the available technologies in order to train and assess surgical skill acquisition. Innovative technologies for the automatic, objective assessment of nontechnical skills are currently under research. The main aim of this study is to determine whether personal resourcefulness can be assessed by...
Surgeons’ procedural skills and intraoperative decision making are key elements of clinical practice. However, the objective assessment of these skills remains a challenge to this day. Surgical workflow analysis (SWA) is emerging as a powerful tool to solve this issue in surgical educational environments in real time. Typically, SWA makes use of vi...
Introduction: Effectiveness of e-learning diminishes without the support of a pedagogical model to guide its use. In minimally invasive surgery (MIS), this has been reported as a limitation when technology is used to deliver contents without a sound pedagogical background.
Material and methods: We describe how a generic pedagogical model, the 3D pe...
MIS-SIM is a virtual reality (VR) environment designed and developed for the creation of virtual scenarios that can be used to train and acquire basic and advance laparoscopic skills. The environment is composed by a task editor where a content creator design and develop tasks for the simulator to play. Once they are completed, objective metrics ar...
VR P300-based BCI has proven to be a suitable method for training social attention skills in youngsters with autism spectrum disorder (ASD). In this study, we present a method that could be used in such an application to identify which object the user is paying attention to in a virtual environment by means of EEG recordings only. Temporal and time...
Background
The determination of surgeons’ psychomotor skills in minimally invasive surgery techniques is one of the major concerns of the programs of surgical training in several hospitals. Therefore, it is important to assess and classify objectively the level of experience of surgeons and residents during their training process. The aim of this s...
Brain health refers to the preservation of brain integrity and function optimized for an individual’s biological age. Several studies have demonstrated that our lifestyles habits impact our brain health and our cognitive and mental wellbeing. Monitoring such lifestyles is thus critical and mobile technologies are essential to enable such a goal. Th...
Introduction:
Motion analysis is a valuable tool for assessment of psychomotor skills in laparoscopy. Nonetheless, it requires technologies for tracking the activity of the laparoscopic instruments during training. This paper presents a sensor-free system to track the movements of laparoscopic instruments based on an orthogonal camera system and v...
Background:
Motion analysis parameters (MAPs) have been extensively validated for assessment of minimally invasive surgical skills. However, there are discrepancies on how specific MAPs, tasks, and skills match with each other, reflecting that motion analysis cannot be generalized independently of the learning outcomes of a task. Additionally, the...
We propose a fully automated methodology for hexahedral meshing of patient-specific structures of the human knee obtained from magnetic resonance images, i.e. femoral/tibial cartilages and menisci. We select eight patients from the Osteoarthritis Initiative and validate our methodology using MATLAB on a laptop computer. We obtain the patient-specif...
Purpose
The aim of this study is to present the construct and concurrent validity of a motion-tracking method of laparoscopic instruments based on an optical pose tracker and determine its feasibility as an objective assessment tool of psychomotor skills during laparoscopic suturing.
Methods
A group of novice (\({<}10\) laparoscopic procedures), in...
Due to limitations in conventional medical imaging and the restrictions imposed by both the anatomy and the surgical approach in pancreatic cancer, there is a need for methods to support intraoperative imaging in order to improve their accurate anatomical localization and the characterization of their nature. Laparoscopic ultrasounds (LUS) images a...
Motion analysis is employed to assess minimally invasive surgical psychomotor skills in box trainers. Tracking of laparoscopic instruments requires sensor-based systems that can be expensive, limit movements and modify their ergonomic properties. We evaluate the feasibility of using Leap Motion as a cheap, unobtrusive alternative. Four experiments...
Introduction: The MISTELA project defines a European pedagogical framework
to determine didactic criteria for effective and efficient minimally invasive
surgery (MIS) training in e-learning environments. This work shows a case study
of contents developed using this framework for laparoscopic Nissen fundoplication
(LNF).
Methods and Results: Based o...
Background:
The aim of this study is to present face, content, and constructs validity of the endoscopic orthogonal video system (EndoViS) training system and determines its efficiency as a training and objective assessment tool of the surgeons' psychomotor skills.
Methods:
Thirty-five surgeons and medical students participated in this study: 11...
Introduction:
The objective of this study is to assess the usefulness of an evaluation system of surgical skills based on motion analysis of laparoscopic instruments.
Method:
This system consists of a physical laparoscopic simulator and a tracking and assessment system of technical skills in laparoscopy. Six surgeons with intermediate experience...
Introduction
The objective of this study is to assess the usefulness of an evaluation system of surgical skills based on motion analysis of laparoscopic instruments.
Method
This system consists of a physical laparoscopic simulator and a tracking and assessment system of technical skills in laparoscopy. Six surgeons with intermediate experience (be...
Abstract Minimally invasive surgery is a highly demanding surgical approach regarding technical requirements for the surgeon, who must be trained in order to perform a safe surgical intervention. Traditional surgical education in minimally invasive surgery is commonly based on subjective criteria to quantify and evaluate surgical abilities, which c...
The present work covers the first validation efforts of the EVA Tracking System for the assessment of minimally invasive surgery (MIS) psychomotor skills. Instrument movements were recorded for 42 surgeons (4 expert, 22 residents, 16 novice medical students) and analyzed for a box trainer peg transfer task. Construct validation was established for...
Laparoscopic instrument tracking systems are a key element in image-guided interventions, which requires high accuracy to be used in a real surgical scenario. In addition, these systems are a suitable option for objective assessment of laparoscopic technical skills based on instrument motion analysis. This study presents a new approach that improve...
Objective assessment of psychomotor skills has become an important challenge in the training of minimally invasive surgical (MIS) techniques. Currently, no gold standard defining surgical competence exists for classifying residents according to their surgical skills. Supervised classification has been proposed as a means for objectively establishin...
Analysis of minimally invasive surgical videos is a powerful tool to drive new solutions for achieving reproducible training programs, objective and transparent assessment systems and navigation tools to assist surgeons and improve patient safety. This paper presents how video analysis contributes to the development of new cognitive and motor train...
This paper presents the AMELIE Authoring Tool for e-health applications. AMELIE provides the means for creating video-based contents with a focus on e-learning and telerehabilitation processes. The main core of AMELIE lies in the efficient exploitation of raw multimedia resources, which may be already available at clinical centers or recorded ad ho...
Laparoscopic instrument tracking systems are an essential component in image-guided interventions and offer new possibilities to improve and automate objective assessment methods of surgical skills. In this study we present our system design to apply a third generation optical pose tracker (Micron- Tracker®) to laparoscopic practice. A technical ev...
Introduction:
The EVA (Endoscopic Video Analysis) tracking system is a new system for extracting motions of laparoscopic instruments based on nonobtrusive video tracking. The feasibility of using EVA in laparoscopic settings has been tested in a box trainer setup.
Methods:
EVA makes use of an algorithm that employs information of the laparoscopi...
Introduction:
Motion metrics have become an important source of information when addressing the assessment of surgical expertise. However, their direct relationship with the different surgical skills has not been fully explored. The purpose of this study is to investigate the relevance of motion-related metrics in the evaluation processes of basic...
Background:
Cognitive skills training for minimally invasive surgery has traditionally relied upon diverse tools, such as seminars or lectures. Web technologies for e-learning have been adopted to provide ubiquitous training and serve as structured repositories for the vast amount of laparoscopic video sources available. However, these technologie...
One of the most important revolutions in the past few decades in clinical practice has been motivated by the introduction of Minimally Invasive Surgery (MIS) techniques, which have spread amongst almost all surgical specialities. MIS training is a principal component of the education of new surgical residents, with an increasing demand for knowledg...
Automatic analysis of Minimally Invasive Surgical video has the potential to drive new solutions for alleviating needs of safe and reproducible training programs, objective and transparent evaluation systems and navigation tools to assist surgeons and improve patient safety. Surgical video is an always available source of information, which can be...
Training and assessment paradigms for laparoscopic surgical skills are evolving from traditional mentor-trainee tutorship towards structured, more objective and safer programs. Accreditation of surgeons requires reaching a consensus on metrics and tasks used to assess surgeons' psychomotor skills. Ongoing development of tracking systems and softwar...
Minimally invasive surgical (MIS) techniques are getting introduced into surgical routine. They bring important advantages to the patients, but also the challenge for the physician to acquire all necessary skills and to accommodate to the reduced workspace. There is a crescent pressure to have transparent training programs, with objective metrics o...
Resumen Los sistemas de navegación quirúrgica ayudan a solventar las limitaciones de las técnicas quirúrgicas de mínima invasión, dotando al cirujano de una orientación intuitiva y cómoda. El análisis del vídeo laparoscópico es una solución novedosa para llevar a cabo el seguimiento del instrumental quirúrgico, la reconstrucción de la información d...
Minimally Invasive Surgery (MIS) has drawn forth two main necessities, training and assessment of surgical skills, and new
tools and systems to extent surgeon’s capabilities. Video endoscopic images can be a rich and always available source of information.
Its analysis can be used for objective assessment of motor skills, 3D reconstruction and imag...
Video-endoscopic image analysis is an important source of information for extracting relevant 3D information of the surgical
scene in minimally invasive surgery. This work proposes a new approach for getting depth information and relative position
between instruments and organs based on video image analysis. The proposed image analysis extracts inf...
Resumen La localización del instrumental quirúrgico es de gran interés en Cirugía Mínimamente Invasiva (CMI). Determinar su posición con precisión es fundamental para el desarrollo de futuras aplicaciones tanto en la formación y evaluación de cirujanos como en el desarrollo de nuevos sistemas de navegación que asistan al cirujano durante la propia...
Questions
Question (1)
Hi everyone,
We are planning on conducting research on deep brain stimulation signal analysis, but the system the hospital uses in surgeries (INOMED ISIS MER) outputs its data in an unreadable format for software such as MATLAB. However, from what we have seen in the literature, this should be possible. Can anybody help us with this matter?
Thanks in advance!