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A Survey on the Current Status and Future Challenges Towards Objective Skills Assessment in Endovascular Surgery

Mazomenos, EB; Chang, P-L; Rolls, A; Hawkes, DJ; Bicknell, CD; Poorten, EV; Riga, CV; ... Stoyanov, D; + view all (2016) A Survey on the Current Status and Future Challenges Towards Objective Skills Assessment in Endovascular Surgery. Journal of Medical Robotics Research , 1 (3) , Article 1640010. 10.1142/S2424905X16400109. Green open access

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Abstract

Minimally-invasive endovascular interventions have evolved rapidly over the past decade, facilitated by breakthroughs in medical imaging and sensing, instrumentation and most recently robotics. Catheter based operations are potentially safer and applicable to a wider patient population due to the reduced comorbidity. As a result endovascular surgery has become the preferred treatment option for conditions previously treated with open surgery and as such the number of patients undergoing endovascular interventions is increasing every year. This fact coupled with a proclivity for reduced working hours, results in a requirement for efficient training and assessment of new surgeons, that deviates from the “see one, do one, teach one” model introduced by William Halsted, so that trainees obtain operational expertise in a shorter period. Developing more objective assessment tools based on quantitative metrics is now a recognised need in interventional training and this manuscript reports the current literature for endovascular skills assessment and the associated emerging technologies. A systematic search was performed on PubMed (MEDLINE), Google Scholar, IEEXplore and known journals using the keywords, “endovascular surgery”, “surgical skills”, “endovascular skills”, “surgical training endovascular” and “catheter skills”. Focusing explicitly on endovascular surgical skills, we group related works into three categories based on the metrics used; structured scales and checklists, simulation-based and motion-based metrics. This review highlights the key findings in each category and also provides suggestions for new research opportunities towards fully objective and automated surgical assessment solutions.

Type: Article
Title: A Survey on the Current Status and Future Challenges Towards Objective Skills Assessment in Endovascular Surgery
Open access status: An open access version is available from UCL Discovery
DOI: 10.1142/S2424905X16400109
Publisher version: http://www.worldscientific.com/doi/10.1142/S242490...
Language: English
Additional information: Electronic version of an article published as Journal of Medical Robotics Research, September 2016, Vol. 01, No. 03, http://dx.doi.org/10.1142/S2424905X16400109. © World Scientific Publishing Company [http://www.worldscientific.com/worldscinet/jmrr]
Keywords: Endovascular surgical skills; surgical training; minimally invasive surgery; surgical robotics; medical imaging
UCL classification: UCL
UCL > Provost and Vice Provost Offices > UCL BEAMS
UCL > Provost and Vice Provost Offices > UCL BEAMS > Faculty of Engineering Science
UCL > Provost and Vice Provost Offices > UCL BEAMS > Faculty of Engineering Science > Dept of Computer Science
UCL > Provost and Vice Provost Offices > UCL BEAMS > Faculty of Engineering Science > Dept of Med Phys and Biomedical Eng
URI: https://discovery.ucl.ac.uk/id/eprint/1514517
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