Structured recording of intraoperative surgical workflows

T. Neumuth; N. Durstewitz; M. Fischer; G. Strauss M.D.; A. Dietz M.D.; J. Meixensberger M.D.; P. Jannin; K. Cleary; H. U. Lemke; O. Burgert

doi:10.1117/12.653462

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16 March 2006 Structured recording of intraoperative surgical workflows

T. Neumuth; N. Durstewitz; M. Fischer; G. Strauss M.D.; A. Dietz M.D.; J. Meixensberger M.D.; P. Jannin; K. Cleary; H. U. Lemke; O. Burgert

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Proceedings Volume 6145, Medical Imaging 2006: PACS and Imaging Informatics; 61450A (2006) https://doi.org/10.1117/12.653462
Event: Medical Imaging, 2006, San Diego, California, United States

Abstract

Surgical Workflows are used for the methodical and scientific analysis of surgical interventions. The approach described here is a step towards developing surgical assist systems based on Surgical Workflows and integrated control systems for the operating room of the future. This paper describes concepts and technologies for the acquisition of Surgical Workflows by monitoring surgical interventions and their presentation. Establishing systems which support the Surgical Workflow in operating rooms requires a multi-staged development process beginning with the description of these workflows. A formalized description of surgical interventions is needed to create a Surgical Workflow. This description can be used to analyze and evaluate surgical interventions in detail. We discuss the subdivision of surgical interventions into work steps regarding different levels of granularity and propose a recording scheme for the acquisition of manual surgical work steps from running interventions. To support the recording process during the intervention, we introduce a new software architecture. Core of the architecture is our Surgical Workflow editor that is intended to deal with the manifold, complex and concurrent relations during an intervention. Furthermore, a method for an automatic generation of graphs is shown which is able to display the recorded surgical work steps of the interventions. Finally we conclude with considerations about extensions of our recording scheme to close the gap to S-PACS systems. The approach was used to record 83 surgical interventions from 6 intervention types from 3 different surgical disciplines: ENT surgery, neurosurgery and interventional radiology. The interventions were recorded at the University Hospital Leipzig, Germany and at the Georgetown University Hospital, Washington, D.C., USA.

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T. Neumuth, N. Durstewitz, M. Fischer, G. Strauss M.D., A. Dietz M.D., J. Meixensberger M.D., P. Jannin, K. Cleary, H. U. Lemke, and O. Burgert "Structured recording of intraoperative surgical workflows", Proc. SPIE 6145, Medical Imaging 2006: PACS and Imaging Informatics, 61450A (16 March 2006); https://doi.org/10.1117/12.653462

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