Title
Modeling surgical processes: a four-level translational approach.
Abstract
The precise and formal specification of surgical interventions is a necessary requirement for many applications in surgery, including teaching and learning, quality assessment and evaluation, and computer-assisted surgery. Currently, surgical processes are modeled by following various approaches. This diversity lacks a commonly agreed-upon conceptual foundation and thus impedes the comparability, the interoperability, and the uniform interpretation of process data.However, it would be beneficial if scientific models, in the same context, shared a coherent conceptual and formal mathematical basis. Such a uniform foundation would simplify the acquisition and exchange of data, the transition and interpretation of study results, and the transfer and adaptation of methods and tools. Therefore, we propose a generic, formal framework for specifying surgical processes, which is presented together with its design methodology.The methodology follows a four-level translational approach and comprises an ontological foundation for the formal level that orients itself by linguistic theories.A unifying framework for modeling surgical processes that is ontologically founded and formally and mathematically precise was developed. The expressive power and the unifying capacity of the presented framework are demonstrated by applying it to four contemporary approaches for surgical process modeling by using the common underlying formalization.The presented four-level approach allows for capturing the knowledge of the surgical intervention formally. Natural language terms are consistently translated to an implementation level to support research fields where users express their expert knowledge about processes in natural language, but, in contrast to this, statistical analysis or data mining need to be performed based on mathematically formalized data sets. The availability of such a translational approach is a valuable extension for research regarding the operating room of the future.
Year
DOI
Venue
2011
10.1016/j.artmed.2010.12.003
Artificial Intelligence In Medicine
Keywords
Field
DocType
workflow,process model,operative surgical procedures,surgical process,surgical intervention,four-level translational approach,formalized data set,process data,surgical process modeling,linguistics,formal level,theoretical models,data mining,formal mathematical basis,concept formation,formal framework,practice guideline,formal specification
Ontology,Interoperability,Computer science,Process modeling,Concept learning,Scientific modelling,Formal specification,Natural language,Artificial intelligence,Workflow,Management science,Machine learning
Journal
Volume
Issue
ISSN
51
3
1873-2860
Citations 
PageRank 
References 
23
1.15
29
Authors
4
Name
Order
Citations
PageRank
Dayana Neumuth1231.15
Frank Loebe223717.93
Heinrich Herre352759.57
Thomas Neumuth422829.47