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Directed information flow during laparoscopic surgical skill acquisition dissociated skill level and medical simulation technology
Virtual reality (VR) simulator has emerged as a laparoscopic surgical skill training tool that needs validation using brain–behavior analysis. Therefore, brain network and skilled behavior relationship were evaluated using functional near-infrared spectroscopy (fNIRS) from seven experienced right-ha...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Nature Publishing Group UK
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9411170/ https://www.ncbi.nlm.nih.gov/pubmed/36008451 http://dx.doi.org/10.1038/s41539-022-00138-7 |
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author | Kamat, Anil Makled, Basiel Norfleet, Jack Schwaitzberg, Steven D. Intes, Xavier De, Suvranu Dutta, Anirban |
author_facet | Kamat, Anil Makled, Basiel Norfleet, Jack Schwaitzberg, Steven D. Intes, Xavier De, Suvranu Dutta, Anirban |
author_sort | Kamat, Anil |
collection | PubMed |
description | Virtual reality (VR) simulator has emerged as a laparoscopic surgical skill training tool that needs validation using brain–behavior analysis. Therefore, brain network and skilled behavior relationship were evaluated using functional near-infrared spectroscopy (fNIRS) from seven experienced right-handed surgeons and six right-handed medical students during the performance of Fundamentals of Laparoscopic Surgery (FLS) pattern of cutting tasks in a physical and a VR simulator. Multiple regression and path analysis (MRPA) found that the FLS performance score was statistically significantly related to the interregional directed functional connectivity from the right prefrontal cortex to the supplementary motor area with F (2, 114) = 9, p < 0.001, and R(2) = 0.136. Additionally, a two-way multivariate analysis of variance (MANOVA) found a statistically significant effect of the simulator technology on the interregional directed functional connectivity from the right prefrontal cortex to the left primary motor cortex (F (1, 15) = 6.002, p = 0.027; partial η(2) = 0.286) that can be related to differential right-lateralized executive control of attention. Then, MRPA found that the coefficient of variation (CoV) of the FLS performance score was statistically significantly associated with the CoV of the interregionally directed functional connectivity from the right primary motor cortex to the left primary motor cortex and the left primary motor cortex to the left prefrontal cortex with F (2, 22) = 3.912, p = 0.035, and R(2) = 0.262. This highlighted the importance of the efference copy information from the motor cortices to the prefrontal cortex for postulated left-lateralized perceptual decision-making to reduce behavioral variability. |
format | Online Article Text |
id | pubmed-9411170 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Nature Publishing Group UK |
record_format | MEDLINE/PubMed |
spelling | pubmed-94111702022-08-27 Directed information flow during laparoscopic surgical skill acquisition dissociated skill level and medical simulation technology Kamat, Anil Makled, Basiel Norfleet, Jack Schwaitzberg, Steven D. Intes, Xavier De, Suvranu Dutta, Anirban NPJ Sci Learn Article Virtual reality (VR) simulator has emerged as a laparoscopic surgical skill training tool that needs validation using brain–behavior analysis. Therefore, brain network and skilled behavior relationship were evaluated using functional near-infrared spectroscopy (fNIRS) from seven experienced right-handed surgeons and six right-handed medical students during the performance of Fundamentals of Laparoscopic Surgery (FLS) pattern of cutting tasks in a physical and a VR simulator. Multiple regression and path analysis (MRPA) found that the FLS performance score was statistically significantly related to the interregional directed functional connectivity from the right prefrontal cortex to the supplementary motor area with F (2, 114) = 9, p < 0.001, and R(2) = 0.136. Additionally, a two-way multivariate analysis of variance (MANOVA) found a statistically significant effect of the simulator technology on the interregional directed functional connectivity from the right prefrontal cortex to the left primary motor cortex (F (1, 15) = 6.002, p = 0.027; partial η(2) = 0.286) that can be related to differential right-lateralized executive control of attention. Then, MRPA found that the coefficient of variation (CoV) of the FLS performance score was statistically significantly associated with the CoV of the interregionally directed functional connectivity from the right primary motor cortex to the left primary motor cortex and the left primary motor cortex to the left prefrontal cortex with F (2, 22) = 3.912, p = 0.035, and R(2) = 0.262. This highlighted the importance of the efference copy information from the motor cortices to the prefrontal cortex for postulated left-lateralized perceptual decision-making to reduce behavioral variability. Nature Publishing Group UK 2022-08-25 /pmc/articles/PMC9411170/ /pubmed/36008451 http://dx.doi.org/10.1038/s41539-022-00138-7 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons license, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons license and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . |
spellingShingle | Article Kamat, Anil Makled, Basiel Norfleet, Jack Schwaitzberg, Steven D. Intes, Xavier De, Suvranu Dutta, Anirban Directed information flow during laparoscopic surgical skill acquisition dissociated skill level and medical simulation technology |
title | Directed information flow during laparoscopic surgical skill acquisition dissociated skill level and medical simulation technology |
title_full | Directed information flow during laparoscopic surgical skill acquisition dissociated skill level and medical simulation technology |
title_fullStr | Directed information flow during laparoscopic surgical skill acquisition dissociated skill level and medical simulation technology |
title_full_unstemmed | Directed information flow during laparoscopic surgical skill acquisition dissociated skill level and medical simulation technology |
title_short | Directed information flow during laparoscopic surgical skill acquisition dissociated skill level and medical simulation technology |
title_sort | directed information flow during laparoscopic surgical skill acquisition dissociated skill level and medical simulation technology |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9411170/ https://www.ncbi.nlm.nih.gov/pubmed/36008451 http://dx.doi.org/10.1038/s41539-022-00138-7 |
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