Imperial College London

Mr Colin D Bicknell BM MD FRCS

Faculty of MedicineDepartment of Surgery & Cancer

Clinical Reader in Vascular Surgery
 
 
 
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Contact

 

+44 (0)20 3312 6428colin.bicknell

 
 
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Location

 

1020Queen Elizabeth the Queen Mother Wing (QEQM)St Mary's Campus

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Summary

 

Publications

Citation

BibTex format

@article{Rafii-Tari:2017:10.1007/s10439-017-1791-y,
author = {Rafii-Tari, H and Payne, CJ and Bicknell, C and Kwok, K-W and Cheshire, NJW and Riga, C and Yang, G-Z},
doi = {10.1007/s10439-017-1791-y},
journal = {ANNALS OF BIOMEDICAL ENGINEERING},
pages = {1315--1327},
title = {Objective Assessment of Endovascular Navigation Skills with Force Sensing},
url = {http://dx.doi.org/10.1007/s10439-017-1791-y},
volume = {45},
year = {2017}
}

RIS format (EndNote, RefMan)

TY  - JOUR
AB - Despite the increasing popularity of endovascular intervention in clinical practice, there remains a lack of objective and quantitative metrics for skill evaluation of endovascular techniques. Data relating to the forces exerted during endovascular procedures and the behavioral patterns of endovascular clinicians is currently limited. This research proposes two platforms for measuring tool forces applied by operators and contact forces resulting from catheter–tissue interactions, as a means of providing accurate, objective metrics of operator skill within a realistic simulation environment. Operator manipulation patterns are compared across different experience levels performing various complex catheterization tasks, and different performance metrics relating to tool forces, catheter motion dynamics, and forces exerted on the vasculature are extracted. The results depict significant differences between the two experience groups in their force and motion patterns across different phases of the procedures, with support vector machine (SVM) classification showing cross-validation accuracies as high as 90% between the two skill levels. This is the first robust study, validated across a large pool of endovascular specialists, to present objective measures of endovascular skill based on exerted forces. The study also provides significant insights into the design of optimized metrics for improved training and performance assessment of catheterization tasks.
AU - Rafii-Tari,H
AU - Payne,CJ
AU - Bicknell,C
AU - Kwok,K-W
AU - Cheshire,NJW
AU - Riga,C
AU - Yang,G-Z
DO - 10.1007/s10439-017-1791-y
EP - 1327
PY - 2017///
SN - 0090-6964
SP - 1315
TI - Objective Assessment of Endovascular Navigation Skills with Force Sensing
T2 - ANNALS OF BIOMEDICAL ENGINEERING
UR - http://dx.doi.org/10.1007/s10439-017-1791-y
UR - http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000399805600015&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=1ba7043ffcc86c417c072aa74d649202
UR - http://hdl.handle.net/10044/1/48688
VL - 45
ER -