Qualitative and Quantitative Assessment of Technical Skills in Percutaneous Coronary Intervention: In Vivo Porcine Studies

doi:10.1109/TBME.2019.2913431

	Qualitative and Quantitative Assessment of Technical Skills in Percutaneous Coronary Intervention: In Vivo Porcine Studies
	Zhou, Xiao-Hu1,2 ; Bian, Gui-Bin1 ; Xie, Xiao-Liang1 ; Hou, Zeng-Guang1,2 ; Li, Rui-Qi1,2 ; Zhou, Yan-Jie1,2
发表期刊	IEEE TRANSACTIONS ON BIOMEDICAL ENGINEERING
ISSN	0018-9294
	2020-02-01
卷号	67 期号:2 页码:353-364
通讯作者	Hou, Zeng-Guang(zengguang.hou@ia.ac.cn)
摘要	Objective: Technical skill assessment plays an important role in the professional development of an interventionalist in percutaneous coronary intervention (PCI). However, most of the traditional assessment methods are time consuming and subjective. This paper aims to develop objective assessment techniques. Methods: In this study, a natural-behavior-based assessment framework is proposed to qualitatively and quantitatively assess technical skills in PCI. In vivo porcine studies were conducted to deliver a medical guidewire to two target coronaries of left circumflex arteries by six novice and four expert interventionalists. Simultaneously, four types of natural behaviors (i.e., hand motion, proximal force, muscle activity, and finger motion) were acquired from the subjects' dominant hand and arm. The features extracted from the behaviors of different skill-level groups were compared using the Mann-Whitney U-test for effective behavior selection. The effective ones were further applied in the Gaussian-mixture-model-based qualitative assessment and Mahalanobis-distance-based quantitative assessment. Results: The qualitative assessment achieves an accuracy of 92& x0025; to distinguish the novice and expert attempts, which is significantly higher than that of using single guidewire motions. Furthermore, the quantitative assessment can assign objective and effective scores for all attempts, indicating high correlation ($R$ $=$ 0.9225) to those obtained by traditional methods. Conclusion: The objective, effective, and comprehensive assessment of technical skills can be provided by qualitatively and quantitatively analyzing interventionalists' natural behaviors in PCI. Significance: This paper suggests a novel approach for the technical skill assessment and the promising results demonstrate the great importance and effectiveness of the proposed method for promoting the development of objective assessment techniques.
关键词	Natural behaviors percutaneous coronary intervention assessment framework qualitative and quantitative assessment in vivo porcine studies
DOI	10.1109/TBME.2019.2913431
关键词[WOS]	SURFACE ELECTROMYOGRAPHY ; SIMULATOR ; CLASSIFICATION ; SURGERY ; VALIDATION
收录类别	SCI
语种	英语
资助项目	National Natural Science Foundation of China[61533016] ; National Natural Science Foundation of China[61720106012] ; National Natural Science Foundation of China[61611130217] ; National Natural Science Foundation of China[61603386] ; National Natural Science Foundation of China[61421004] ; Beijing Natural Science Foundation[L172050] ; Strategic Priority Research Program of CAS[XDBS01040100] ; National Natural Science Foundation of China[61533016] ; National Natural Science Foundation of China[61720106012] ; National Natural Science Foundation of China[61611130217] ; National Natural Science Foundation of China[61603386] ; National Natural Science Foundation of China[61421004] ; Beijing Natural Science Foundation[L172050] ; Strategic Priority Research Program of CAS[XDBS01040100]
项目资助者	National Natural Science Foundation of China ; Beijing Natural Science Foundation ; Strategic Priority Research Program of CAS
WOS研究方向	Engineering
WOS类目	Engineering, Biomedical
WOS记录号	WOS:000510903800003
出版者	IEEE-INST ELECTRICAL ELECTRONICS ENGINEERS INC
七大方向——子方向分类	多模态智能
引用统计	被引频次：24[WOS] [WOS记录] [WOS相关记录]
文献类型	期刊论文
条目标识符	http://ir.ia.ac.cn/handle/173211/28591
专题	复杂系统认知与决策实验室_先进机器人
通讯作者	Hou, Zeng-Guang
作者单位	1.Chinese Acad Sci, State Key Lab Management & Control Complex Syst, Inst Automat, Beijing 100190, Peoples R China 2.Univ Chinese Acad Sci, Sch Artificial Intelligence, Beijing 100049, Peoples R China 3.Chinese Acad Sci, Ctr Excellence Brain Sci & Intelligence Technol, Beijing 100190, Peoples R China
第一作者单位	中国科学院自动化研究所
通讯作者单位	中国科学院自动化研究所
推荐引用方式 GB/T 7714	Zhou, Xiao-Hu,Bian, Gui-Bin,Xie, Xiao-Liang,et al. Qualitative and Quantitative Assessment of Technical Skills in Percutaneous Coronary Intervention: In Vivo Porcine Studies[J]. IEEE TRANSACTIONS ON BIOMEDICAL ENGINEERING,2020,67(2):353-364.
APA	Zhou, Xiao-Hu,Bian, Gui-Bin,Xie, Xiao-Liang,Hou, Zeng-Guang,Li, Rui-Qi,&Zhou, Yan-Jie.(2020).Qualitative and Quantitative Assessment of Technical Skills in Percutaneous Coronary Intervention: In Vivo Porcine Studies.IEEE TRANSACTIONS ON BIOMEDICAL ENGINEERING,67(2),353-364.
MLA	Zhou, Xiao-Hu,et al."Qualitative and Quantitative Assessment of Technical Skills in Percutaneous Coronary Intervention: In Vivo Porcine Studies".IEEE TRANSACTIONS ON BIOMEDICAL ENGINEERING 67.2(2020):353-364.