Portable neuroimaging differentiates novices from those with experience for the Fundamentals of Laparoscopic Surgery (FLS) suturing with intracorporeal knot tying task

Pushpinder Walia; Yaoyu Fu; Steven D. Schwaitzberg; Xavier Intes; Suvranu De; Anirban Dutta; Lora Cavuoto

doi:10.1007/s00464-022-09727-4

Portable neuroimaging differentiates novices from those with experience for the Fundamentals of Laparoscopic Surgery (FLS) suturing with intracorporeal knot tying task

Pushpinder Walia
, Yaoyu Fu
, Steven D. Schwaitzberg
, Xavier Intes
, Suvranu De
, Anirban Dutta
, Lora Cavuoto

SUNY Buffalo
Rensselaer Polytechnic Institute

Research output: Contribution to journal › Article › peer-review

9 Scopus citations

Abstract

Background: The goal of this study was to compare the brain activation patterns of experienced and novice individuals when performing the Fundamentals of Laparoscopic Surgery (FLS) suture with intracorporeal knot tying task, which requires bimanual motor control. Methods: Twelve experienced and fourteen novice participants completed this cross-sectional observational study. Participants performed three repetitions of the FLS suture with intracorporeal knot tying task in a standard box trainer. Functional near infrared spectroscopy (fNIRS) data was recorded using an optode montage that covered the prefrontal and sensorimotor brain areas throughout the task. Data processing was conducted using the HOMER3 and AtlasViewer toolboxes to determine the oxy-hemoglobin (HbO) and deoxyhemoglobin (HbR) concentrations. The hemodynamic response function based on HbO changes during the task relative to the resting state was averaged for each repetition and by participant. Group-level differences were evaluated using a general linear model of the HbO changes with significance set at p < 0.05. Results: The average performance score for the experienced group was significantly higher than the novice group (p < 0.01). There were significant cortical activations (p < 0.05) in the prefrontal and sensorimotor areas for the experienced and novice groups. Areas of statistically significant differences in activation included the right dorsolateral prefrontal cortex (PFC), the right precentral gyrus, and the right postcentral gyrus. Conclusions: Portable neuroimaging allowed for the differentiation of brain regions activated by experienced and novice participants for a complex surgical motor task. This information can be used to support the objective evaluation of expertise during surgical skills training and assessment. Graphical abstract: [Figure not available: see fulltext.].

Original language	English
Pages (from-to)	5576-5582
Number of pages	7
Journal	Surgical Endoscopy
Volume	37
Issue number	7
DOIs	https://doi.org/10.1007/s00464-022-09727-4
State	Published - Jul 2023

Keywords

Functional near-infrared spectroscopy (fNIRS)
Objective metrics
Skill assessment
Suture

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10.1007/s00464-022-09727-4

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@article{422fe4571f524b5aaa065cefd06244f0,

title = "Portable neuroimaging differentiates novices from those with experience for the Fundamentals of Laparoscopic Surgery (FLS) suturing with intracorporeal knot tying task",

abstract = "Background: The goal of this study was to compare the brain activation patterns of experienced and novice individuals when performing the Fundamentals of Laparoscopic Surgery (FLS) suture with intracorporeal knot tying task, which requires bimanual motor control. Methods: Twelve experienced and fourteen novice participants completed this cross-sectional observational study. Participants performed three repetitions of the FLS suture with intracorporeal knot tying task in a standard box trainer. Functional near infrared spectroscopy (fNIRS) data was recorded using an optode montage that covered the prefrontal and sensorimotor brain areas throughout the task. Data processing was conducted using the HOMER3 and AtlasViewer toolboxes to determine the oxy-hemoglobin (HbO) and deoxyhemoglobin (HbR) concentrations. The hemodynamic response function based on HbO changes during the task relative to the resting state was averaged for each repetition and by participant. Group-level differences were evaluated using a general linear model of the HbO changes with significance set at p < 0.05. Results: The average performance score for the experienced group was significantly higher than the novice group (p < 0.01). There were significant cortical activations (p < 0.05) in the prefrontal and sensorimotor areas for the experienced and novice groups. Areas of statistically significant differences in activation included the right dorsolateral prefrontal cortex (PFC), the right precentral gyrus, and the right postcentral gyrus. Conclusions: Portable neuroimaging allowed for the differentiation of brain regions activated by experienced and novice participants for a complex surgical motor task. This information can be used to support the objective evaluation of expertise during surgical skills training and assessment. Graphical abstract: [Figure not available: see fulltext.].",

keywords = "Functional near-infrared spectroscopy (fNIRS), Objective metrics, Skill assessment, Suture",

author = "Pushpinder Walia and Yaoyu Fu and Schwaitzberg, \{Steven D.\} and Xavier Intes and Suvranu De and Anirban Dutta and Lora Cavuoto",

note = "Publisher Copyright: {\textcopyright} 2022, The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.",

year = "2023",

month = jul,

doi = "10.1007/s00464-022-09727-4",

language = "English",

volume = "37",

pages = "5576--5582",

journal = "Surgical Endoscopy",

issn = "0930-2794",

publisher = "Springer",

number = "7",

}

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T1 - Portable neuroimaging differentiates novices from those with experience for the Fundamentals of Laparoscopic Surgery (FLS) suturing with intracorporeal knot tying task

AU - Walia, Pushpinder

AU - Fu, Yaoyu

AU - Schwaitzberg, Steven D.

AU - Intes, Xavier

AU - De, Suvranu

AU - Dutta, Anirban

AU - Cavuoto, Lora

PY - 2023/7

Y1 - 2023/7

N2 - Background: The goal of this study was to compare the brain activation patterns of experienced and novice individuals when performing the Fundamentals of Laparoscopic Surgery (FLS) suture with intracorporeal knot tying task, which requires bimanual motor control. Methods: Twelve experienced and fourteen novice participants completed this cross-sectional observational study. Participants performed three repetitions of the FLS suture with intracorporeal knot tying task in a standard box trainer. Functional near infrared spectroscopy (fNIRS) data was recorded using an optode montage that covered the prefrontal and sensorimotor brain areas throughout the task. Data processing was conducted using the HOMER3 and AtlasViewer toolboxes to determine the oxy-hemoglobin (HbO) and deoxyhemoglobin (HbR) concentrations. The hemodynamic response function based on HbO changes during the task relative to the resting state was averaged for each repetition and by participant. Group-level differences were evaluated using a general linear model of the HbO changes with significance set at p < 0.05. Results: The average performance score for the experienced group was significantly higher than the novice group (p < 0.01). There were significant cortical activations (p < 0.05) in the prefrontal and sensorimotor areas for the experienced and novice groups. Areas of statistically significant differences in activation included the right dorsolateral prefrontal cortex (PFC), the right precentral gyrus, and the right postcentral gyrus. Conclusions: Portable neuroimaging allowed for the differentiation of brain regions activated by experienced and novice participants for a complex surgical motor task. This information can be used to support the objective evaluation of expertise during surgical skills training and assessment. Graphical abstract: [Figure not available: see fulltext.].

AB - Background: The goal of this study was to compare the brain activation patterns of experienced and novice individuals when performing the Fundamentals of Laparoscopic Surgery (FLS) suture with intracorporeal knot tying task, which requires bimanual motor control. Methods: Twelve experienced and fourteen novice participants completed this cross-sectional observational study. Participants performed three repetitions of the FLS suture with intracorporeal knot tying task in a standard box trainer. Functional near infrared spectroscopy (fNIRS) data was recorded using an optode montage that covered the prefrontal and sensorimotor brain areas throughout the task. Data processing was conducted using the HOMER3 and AtlasViewer toolboxes to determine the oxy-hemoglobin (HbO) and deoxyhemoglobin (HbR) concentrations. The hemodynamic response function based on HbO changes during the task relative to the resting state was averaged for each repetition and by participant. Group-level differences were evaluated using a general linear model of the HbO changes with significance set at p < 0.05. Results: The average performance score for the experienced group was significantly higher than the novice group (p < 0.01). There were significant cortical activations (p < 0.05) in the prefrontal and sensorimotor areas for the experienced and novice groups. Areas of statistically significant differences in activation included the right dorsolateral prefrontal cortex (PFC), the right precentral gyrus, and the right postcentral gyrus. Conclusions: Portable neuroimaging allowed for the differentiation of brain regions activated by experienced and novice participants for a complex surgical motor task. This information can be used to support the objective evaluation of expertise during surgical skills training and assessment. Graphical abstract: [Figure not available: see fulltext.].

KW - Functional near-infrared spectroscopy (fNIRS)

KW - Objective metrics

KW - Skill assessment

KW - Suture

UR - https://www.scopus.com/pages/publications/85140968679

U2 - 10.1007/s00464-022-09727-4

DO - 10.1007/s00464-022-09727-4

M3 - Article

C2 - 36316582

AN - SCOPUS:85140968679

SN - 0930-2794

VL - 37

SP - 5576

EP - 5582

JO - Surgical Endoscopy

JF - Surgical Endoscopy

IS - 7

ER -

Portable neuroimaging differentiates novices from those with experience for the Fundamentals of Laparoscopic Surgery (FLS) suturing with intracorporeal knot tying task

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Keywords

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