Minimally Trained Analysts Can Perform Fast, Objective Assessment of Orthopedic Technical Skill from Fluoroscopic Images.
Minimally Trained Analysts Can Perform Fast, Objective Assessment of Orthopedic Technical Skill from Fluoroscopic Images.
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经过最低限度培训的分析师可以根据透视图像对骨科技术技能进行快速、客观的评估。
DOI：
10.1080/24725579.2022.2035022
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发表时间：
2022
影响因子：
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通讯作者：
Anderson,DonaldD
中科院分区：
文献类型：
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作者：
Mattioli,DominikD;Thomas,GebW;Long,StevenA;Tatum,Marcus;Anderson,DonaldD
骨科的技能评估传统上依赖于指导外科医生的主观印象。来自这些工具的反馈可能会受到偏见和实际问题的限制。术中透视图像的客观分析提供了一种廉价且易于重复的无偏见评估策略。尽管有这些优点，但由于其他实际限制，外科医生导师通常不会使用手术过程中获得的图像分数来评估表演者的技术技能。设计了一种新的系统，使用最低限度训练的分析人员快速促进透视客观分析。四名专家和四名新手分析师分别使用定制分析软件和商业替代软件独立测量了骨科技术技能的一个客观指标。使用定制软件的新手分析人员比使用商业软件的专家产生测量结果的速度快三倍，而且在注释错误方面没有实际差异。专家分析人员利用定制软件自动化特性来进一步改进他们的度量。这些结果表明，设计良好的透视分析系统可以促进对骨科技术技能进行定期、实用和客观的评估。
Skill assessment in orthopedics has traditionally relied on subjective impressions from a supervising surgeon. The feedback derived from these tools may be limited by bias and practical issues. Objective analysis of intraoperative fluoroscopic images offers an inexpensive and easily repeatable assessment strategy without bias. Despite the advantages, surgeon mentors generally refrain from using the scores of images obtained throughout an operation to evaluate a performer’s technical skill because of other practical constraints. A new system was designed to rapidly facilitate objective analysis of fluoroscopy using minimally trained analysts. Four expert and four novice analysts independently measured one objective metric of orthopedic technical skill using both a custom analysis software and a commercial alternative. Novice analysts using the custom software produced measurements three times faster than experts using the commercial software without a practical difference in annotation error. Expert analysts leveraged the custom software automation features to further improve their measurements. These results suggest that a well-designed fluoroscopy analysis system can facilitate regular, practical, and objective assessment of orthopedic technical skill.