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Changes in functional neuroimaging measures as novices gain proficiency on the fundamentals of laparoscopic surgery suturing task

SIGNIFICANCE: As trainees practice fundamental surgical skills, they typically rely on performance measures such as time and errors, which are limited in their sensitivity. AIM: The goal of our study was to evaluate the use of portable neuroimaging measures to map the neural processes associated wit...

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Autores principales: Fu, Yaoyu, Walia, Pushpinder, Schwaitzberg, Steven D., Intes, Xavier, De, Suvranu, Dutta, Anirban, Cavuoto, Lora
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Society of Photo-Optical Instrumentation Engineers 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10160767/
https://www.ncbi.nlm.nih.gov/pubmed/37152356
http://dx.doi.org/10.1117/1.NPh.10.2.023521
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author Fu, Yaoyu
Walia, Pushpinder
Schwaitzberg, Steven D.
Intes, Xavier
De, Suvranu
Dutta, Anirban
Cavuoto, Lora
author_facet Fu, Yaoyu
Walia, Pushpinder
Schwaitzberg, Steven D.
Intes, Xavier
De, Suvranu
Dutta, Anirban
Cavuoto, Lora
author_sort Fu, Yaoyu
collection PubMed
description SIGNIFICANCE: As trainees practice fundamental surgical skills, they typically rely on performance measures such as time and errors, which are limited in their sensitivity. AIM: The goal of our study was to evaluate the use of portable neuroimaging measures to map the neural processes associated with learning basic surgical skills. APPROACH: Twenty-one subjects completed 15 sessions of training on the fundamentals of laparoscopic surgery (FLS) suture with intracorporeal knot-tying task in a box trainer. Functional near infrared spectroscopy data were recorded using an optode montage that covered the prefrontal and sensorimotor brain areas throughout the task. Average oxy-hemoglobin (HbO) changes were determined for repetitions performed during the first week of training compared with the third week of training. Statistical differences between the time periods were evaluated using a general linear model of the HbO changes. RESULTS: Average performance scores across task repetitions increased significantly from the first day to the last day of training ([Formula: see text]). During the first day of training, there was significant lateral prefrontal cortex (PFC) activation. On the final day, significant activation was observed in the PFC, as well as the sensorimotor areas. When comparing the two periods, significant differences in activation ([Formula: see text]) were found for the right medial PFC and the right inferior parietal gyrus. While gaining proficiency, trainees activated the perception-action cycle to build a perceptual model and then apply the model to improve task execution. CONCLUSIONS: Learners engaged the sensorimotor areas more substantially as they developed skill on the FLS suturing task. These findings are consistent with findings for the FLS pattern cutting task and contribute to the development of objective metrics for skill evaluation.
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spelling pubmed-101607672023-05-06 Changes in functional neuroimaging measures as novices gain proficiency on the fundamentals of laparoscopic surgery suturing task Fu, Yaoyu Walia, Pushpinder Schwaitzberg, Steven D. Intes, Xavier De, Suvranu Dutta, Anirban Cavuoto, Lora Neurophotonics Special Section Celebrating 30 Years of Functional Near Infrared Spectroscopy (Part II) SIGNIFICANCE: As trainees practice fundamental surgical skills, they typically rely on performance measures such as time and errors, which are limited in their sensitivity. AIM: The goal of our study was to evaluate the use of portable neuroimaging measures to map the neural processes associated with learning basic surgical skills. APPROACH: Twenty-one subjects completed 15 sessions of training on the fundamentals of laparoscopic surgery (FLS) suture with intracorporeal knot-tying task in a box trainer. Functional near infrared spectroscopy data were recorded using an optode montage that covered the prefrontal and sensorimotor brain areas throughout the task. Average oxy-hemoglobin (HbO) changes were determined for repetitions performed during the first week of training compared with the third week of training. Statistical differences between the time periods were evaluated using a general linear model of the HbO changes. RESULTS: Average performance scores across task repetitions increased significantly from the first day to the last day of training ([Formula: see text]). During the first day of training, there was significant lateral prefrontal cortex (PFC) activation. On the final day, significant activation was observed in the PFC, as well as the sensorimotor areas. When comparing the two periods, significant differences in activation ([Formula: see text]) were found for the right medial PFC and the right inferior parietal gyrus. While gaining proficiency, trainees activated the perception-action cycle to build a perceptual model and then apply the model to improve task execution. CONCLUSIONS: Learners engaged the sensorimotor areas more substantially as they developed skill on the FLS suturing task. These findings are consistent with findings for the FLS pattern cutting task and contribute to the development of objective metrics for skill evaluation. Society of Photo-Optical Instrumentation Engineers 2023-05-05 2023-04 /pmc/articles/PMC10160767/ /pubmed/37152356 http://dx.doi.org/10.1117/1.NPh.10.2.023521 Text en © 2023 The Authors https://creativecommons.org/licenses/by/4.0/Published by SPIE under a Creative Commons Attribution 4.0 International License. Distribution or reproduction of this work in whole or in part requires full attribution of the original publication, including its DOI.
spellingShingle Special Section Celebrating 30 Years of Functional Near Infrared Spectroscopy (Part II)
Fu, Yaoyu
Walia, Pushpinder
Schwaitzberg, Steven D.
Intes, Xavier
De, Suvranu
Dutta, Anirban
Cavuoto, Lora
Changes in functional neuroimaging measures as novices gain proficiency on the fundamentals of laparoscopic surgery suturing task
title Changes in functional neuroimaging measures as novices gain proficiency on the fundamentals of laparoscopic surgery suturing task
title_full Changes in functional neuroimaging measures as novices gain proficiency on the fundamentals of laparoscopic surgery suturing task
title_fullStr Changes in functional neuroimaging measures as novices gain proficiency on the fundamentals of laparoscopic surgery suturing task
title_full_unstemmed Changes in functional neuroimaging measures as novices gain proficiency on the fundamentals of laparoscopic surgery suturing task
title_short Changes in functional neuroimaging measures as novices gain proficiency on the fundamentals of laparoscopic surgery suturing task
title_sort changes in functional neuroimaging measures as novices gain proficiency on the fundamentals of laparoscopic surgery suturing task
topic Special Section Celebrating 30 Years of Functional Near Infrared Spectroscopy (Part II)
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10160767/
https://www.ncbi.nlm.nih.gov/pubmed/37152356
http://dx.doi.org/10.1117/1.NPh.10.2.023521
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