A Graphical Tool for Parsing and Inspecting
Surgical Robotic Datasets
D´ avid El-Saig
*
, Ren´ ata Nagyn´ e Elek
*
and Tam´ as Haidegger
*†
*
Antal Bejczy Center for Intelligent Robotics, University Research, Innovation and Service Center (EKIK)
´
Obuda University, Budapest, Hungary
†
Austrian Center for Medical Innovation and Technology (ACMIT), Wiener Neustadt, Austria
Email: {david.elsaig, renata.elek, haidegger}@irob.uni-obuda.hu
Abstract—Skill and practice of surgeons greatly affect the
outcome of surgical procedures, thus surgical skill assessment
is exceptionally important. In the clinical practice, even today,
the standard is peer assessment of the capabilities. In the case
of robotic surgery, the observable motion of the laparoscopic
tools can hide the expertise level of the operator. JIGSAWS
is a database containing kinematic and video data of surgeons
training with the da Vinci Surgical System. The JIGSAWS can be
an extremely powerful tool in surgical skill assessment research,
but due to its data-storage it is not user-friendly. In this paper,
we propose a graphical tool for the JIGSAWS, which can ease
the usage of this annotated surgical dataset.
Index Terms—surgical robotics, surgical skill assessment, JIG-
SAWS, annotated surgical database, surgical data science
I. I NTRODUCTION
Surgical robotics in our days is a widely used technique
in the field of Minimally Invasive Surgeries due to its ac-
curacy, advanced vision system and ergonomics. With the
da Vinci Surgical System (Intuitive Surgical Inc., Sunnyvale,
CA)—which is currently the most successful surgical robot—
clinicians perform nearly a million interventions annually [1].
While, surgical robotics has advantages for the patient and the
surgeon as well, it requires training and extensive skills from
the operator.
“Human motion is stochastic in nature” [2], and many
believe that skills are hidden in the motion, and somehow
it can be determined based on the data analysis of a task
execution. This task can be a surgical procedure: knot-tying,
suturing, dissection, etc. Nowadays there are no standard
objective assessment methods of surgical skills in the clinical
practice. This would be crucial for quality assurance reasons,
and for direct feedback to the clinician. Peer assessment
(when an expert scores the clinician during the procedure
based on a known metric) is relatively easy to implement,
but it requires a senior clinician during the intervention, and it
can be subjective [3]. Automated skill assessment techniques
are harder to apply, yet they can provide an objective and
universal solution to surgical skill estimation. For automated
skill assessment, we have to examine annotated surgical data
to construct a theory. Surgical robotics provides an exceptional
opportunity to study human motion due to the recordable
kinematic and video data.
Robot-Assisted Minimally Invasive Surgery (RAMIS) data
collection can be done with different tools. The da Vinci
Research Kit (DVRK) is a hardware and software platform
for the da Vinci providing complete read and write access
to the robot’s arms [4]. Virtual reality simulators (dVSS,
dV-Trainer, RoSS, etc.) can also be platforms for surgical
data collection [5]. According to our knowledge, JIGSAWS
(JHU–ISI Gesture and Skill Assessment Working Set) is the
only publicly available annotated database for RAMIS skill
assessment. JIGSAWS contains eight surgeons’ data, who have
different levels of expertise and they are rated using a Global
Rating Score derived from a modified version of the OSATS
system. Kinematic and video data were captured during the
execution of three surgical tasks [6] (Fig. 1):
a suturing
b knot-tying
c needle-passing.
The manual annotations of the surgical gestures and the
expertise levels were also determined. However, JIGSAWS
database is a unique tool to work with surgical data, but it is
not easy to process the information in it due to the complicated
metadata storage.
In this paper, we propose a graphical interface tool for
parsing and inspecting the JIGSAWS dataset. This software
provides a user-friendly environment for processing the JIG-
SAWS database. It can separate and save the different types of
data, furthermore it visualizes the captured information. It can
be downloaded for free from its GitHub page, with detailed
instructions on its wiki: https://github.com/DAud-IcI/staej/.
Our aim is to use our tool for examine surgical data, and
automated skill assessment method development for RAMIS.
In the near future we plan to extend our tool to handle not
just reading out the information, but writing in and visualize
DVRK data as well.
Fig. 1. Surgical tasks captured in the JIGSAWS database (a) suturing, b)
knot-tying, c) needle-passing) [6]
CINTI 2018 • 18th IEEE International Symposium on Computational Intelligence and Informatics • Nov. 21-22, 2018, • Budapest, Hungary
978-1-7281-1117-9/18/$31.00 ©2018 IEEE
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