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Video analysis in basic skills training: a way to expand the value and use of BlackBox training?
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Medicinska och farmaceutiska vetenskapsområdet, centrumbildningar mm, Centrum för klinisk forskning i Sörmland (CKFD). Karolinska Univ Hosp, CAMST, Stockholm.; Karolinska Inst, Div Surg, Dept Clin ScienceIntervent & Technol CLINTEC, Stockholm.
Univ Athens, Sch Med, Med Phys Lab, Simulat Ctr, Athens.
Karolinska Univ Hosp, CAMST, Stockholm.; Karolinska Inst, Div Surg, Dept Clin ScienceIntervent & Technol CLINTEC, Stockholm.
Univ Athens, Sch Med, Med Phys Lab, Simulat Ctr, Athens.
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2018 (English)In: Surgical Endoscopy, ISSN 0930-2794, E-ISSN 1432-2218, Vol. 32, no 1, p. 87-95Article in journal (Refereed) Published
Abstract [en]

Background

Basic skills training in laparoscopic high-fidelity simulators (LHFS) improves laparoscopic skills. However, since LHFS are expensive, their availability is limited. The aim of this study was to assess whether automated video analysis of low-cost BlackBox laparoscopic training could provide an alternative to LHFS in basic skills training.

Methods

Medical students volunteered to participate during their surgical semester at the Karolinska University Hospital. After written informed consent, they performed two laparoscopic tasks (PEG-transfer and precision-cutting) on a BlackBox trainer. All tasks were videotaped and sent to MPLSC for automated video analysis, generating two parameters (Pl and Prtcl_tot) that assess the total motion activity. The students then carried out final tests on the MIST-VR simulator. This study was a European collaboration among two simulation centers, located in Sweden and Greece, within the framework of ACS-AEI.

Results

31 students (19 females and 12 males), mean age of 26.2 ± 0.8 years, participated in the study. However, since two of the students completed only one of the three MIST-VR tasks, they were excluded. The three MIST-VR scores showed significant positive correlations to both the Pl variable in the automated video analysis of the PEG-transfer (RSquare 0.48, P < 0.0001; 0.34, P = 0.0009; 0.45, P < 0.0001, respectively) as well as to the Prtcl_tot variable in that same exercise (RSquare 0.42, P = 0.0002; 0.29, P = 0.0024; 0.45, P < 0.0001). However, the correlations were exclusively shown in the group with less PC gaming experience as well as in the female group.

Conclusions

Automated video analysis provides accurate results in line with those of the validated MIST-VR. We believe that a more frequent use of automated video analysis could provide an extended value to cost-efficient laparoscopic BlackBox training. However, since there are gender-specific as well as PC gaming experience differences, this should be taken in account regarding the value of automated video analysis.

Place, publisher, year, edition, pages
2018. Vol. 32, no 1, p. 87-95
Keywords [en]
BlackBox trainer, MIST-VR simulation, Video analysis, Virtual reality
National Category
Surgery Urology and Nephrology
Identifiers
URN: urn:nbn:se:uu:diva-332694DOI: 10.1007/s00464-017-5641-7ISI: 000422854700009PubMedID: 28664435OAI: oai:DiVA.org:uu-332694DiVA, id: diva2:1153782
Funder
AFA InsuranceAvailable from: 2017-10-31 Created: 2017-10-31 Last updated: 2018-03-23Bibliographically approved

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