Great to see #video review in #surgery capturing attention of @statnews. There's a lot of potentially valuable data in #OR video - accessing it safely & ethically w/ good intentions will be key to unlocking that potential 1/ https://twitter.com/statnews/status/1385307423498510340
. @langermology & @TGrantcharovMD have 1 of the best pieces on this in @AnnalsofSurgery from 4 yrs ago! Lots to learn from this great perspective & it's just as relevant today
https://journals.lww.com/annalsofsurgery/Fulltext/2017/12000/Are_We_Ready_for_Our_Close_up___Why_and_How_We.7.aspx
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https://journals.lww.com/annalsofsurgery/Fulltext/2017/12000/Are_We_Ready_for_Our_Close_up___Why_and_How_We.7.aspx
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I had the privilege to review some of the literature on #videobasedassessment with @CarlaPughMDPhD @jimkorndorffer in @AmJSurgery, and many of us have seen announcement from @AmBdSurg's upcoming pilot on video-based review
https://www.americanjournalofsurgery.com/article/S0002-9610(20)30380-9/fulltext
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https://www.americanjournalofsurgery.com/article/S0002-9610(20)30380-9/fulltext
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There's been a couple recent reviews in @AnnalsofSurgery & @SurgEndosc on the work done with #AI for automated review of video - though mostly on phase recognition. Great work from @doctor_felix @SpeidelStefanie @RoiAnteby
https://journals.lww.com/annalsofsurgery/Fulltext/2021/04000/Machine_Learning_for_Surgical_Phase_Recognition__A.11.aspx
https://link.springer.com/article/10.1007/s00464-020-08168-1
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https://journals.lww.com/annalsofsurgery/Fulltext/2021/04000/Machine_Learning_for_Surgical_Phase_Recognition__A.11.aspx
https://link.springer.com/article/10.1007/s00464-020-08168-1
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. @CammaLab @IrcadFrance @IHUStrasbourg @p_masca published their work in @AnnalsofSurgery on using some #ML & #CV to help find relevant parts of video for review & documentation -- such as for CVS in lap chole. A great early application
https://journals.lww.com/annalsofsurgery/Abstract/9000/A_Computer_Vision_Platform_to_Automatically_Locate.93788.aspx
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https://journals.lww.com/annalsofsurgery/Abstract/9000/A_Computer_Vision_Platform_to_Automatically_Locate.93788.aspx
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In my commentary, I highlight that a big issue is lack of cultural, #regulatory, #legal environment allow #surgeons to record video in a manner that address need for representative, diverse datasets to achieve #AI goals
https://journals.lww.com/annalsofsurgery/Citation/9000/Surgeons_and_Machines_can_Learn_from_Operative.93596.aspx
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https://journals.lww.com/annalsofsurgery/Citation/9000/Surgeons_and_Machines_can_Learn_from_Operative.93596.aspx
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Important survey from @UMichSurgery @drlauramazer @allie_schulman highlights the perceived benefits & barriers that @SAGES_Updates members perceived re: video recording in the OR, including cultural & regulatory factors
https://link.springer.com/article/10.1007%2Fs00464-021-08375-4
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https://link.springer.com/article/10.1007%2Fs00464-021-08375-4
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Another question is would assessment even work? What matters to patients' outcomes? Do we just want to see what quartile you fall in & assume patients will do better or do we want to be able to give specific, actionable feedback for #deliberatepractice?
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I think the @SAGES_Updates approach advocating for life long learning from @lianefeldman @AuroraPryor @AimeeGthePHD @briandunkinmd @ematt_ritter is the way forward w/ rigorous, evidence-based assessment
https://link.springer.com/article/10.1007%2Fs00464-020-07628-y
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https://link.springer.com/article/10.1007%2Fs00464-020-07628-y
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There's also a lot of potential in the fascinating work that @AjhungMD @Urology_AI are doing around #automatedperformancemetrics from kinematics to understand how intraop movements correlate w/ patient outcome, including #PROMs
https://pubmed.ncbi.nlm.nih.gov/33858811/
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https://pubmed.ncbi.nlm.nih.gov/33858811/
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It's an exciting time to be in the field! If you're not, it's a great time to follow along! Better yet, collaborate with us! Societies like @SAGES_Updates @MICCAI_Society are helping to push the field forward through collaboration, & we need all the help we can get!
Thanks @mariojoze & @statnews for highlighting this field!