Preliminary stage in the development of an artificial intelligence algorithm: variations between 100 surgeons in phase annotation in a video of internal fixation of distal radius fracture - Archive ouverte HAL
Article Dans Une Revue Orthopaedics & Traumatology: Surgery & Research Année : 2023

Preliminary stage in the development of an artificial intelligence algorithm: variations between 100 surgeons in phase annotation in a video of internal fixation of distal radius fracture

Résumé

Introduction: In order to be used naturally and widely, an artificial intelligence algorithm of phase detection in surgical videos presupposes an expert consensus defining phases. Objectives: The aim of the present study was to seek consensus in defining the various phases of a surgical technique in wrist traumatology. Methods: Three thousand two hundred and twenty-nine surgeons were sent a video showing anterior plate fixation of the distal radius and a questionnaire on the number of phases they distinguished and the visual cues signaling the beginning of each phase. Three experimenters predefined the number of phases (5: installation, approach, fixation, verification, closure) and sub-phases (3a: introduction of plate; 3b: positioning distal screws; 3c: positioning proximal screws) and the cues signaling the beginning of each. The numbers of the responses per item were collected. Results: Only 216 (6.7%) surgeons opened the questionnaire, and 100 answered all questions (3.1%). Most respondents claimed 5/5 expertise. Number of phases identified ranged between 3 and 10. More than two-thirds of respondents identified the same phase cue as defined by the 3 experimenters in most cases, except for "verification" and "positioning proximal screws". Discussion: Surgical procedures comprise a succession of phases, the beginning or end of which can be defined by a precise visual cue on video, either beginning with the appearance of the cue or the disappearance of the cue defining the preceding phase. Conclusion: These cues need to be defined very precisely before attempting manual annotation of surgical videos in order to develop an artificial intelligence algorithm.
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Dates et versions

hal-03976175 , version 1 (15-07-2024)

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Camille Graëff, Audrey Daiss, Thomas Lampert, Nicolas Padoy, Antoine Martins, et al.. Preliminary stage in the development of an artificial intelligence algorithm: variations between 100 surgeons in phase annotation in a video of internal fixation of distal radius fracture. Orthopaedics & Traumatology: Surgery & Research, 2023, 109 (6), pp.103564. ⟨10.1016/j.otsr.2023.103564⟩. ⟨hal-03976175⟩
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