Title
Surgical assistance for instruments' power control based on navigation and neuromonitoring.
Abstract
In order to prevent nerve injuries during ear-nose-throat (ENT) and skull base surgery, the method Navigated Control Functional is presented. Thereby, the power of active instruments is controlled based on position information, provided by a surgical navigation system, and nerve activity information, provided by a neurophysiologic monitoring system. Electrical stimulation is usually required for the extraction of distance information from neurophysiologic signals (e.g., Electromyography (EMG)). However, this article presents an experiment to investigate a possible relationship between EMG signals and the nerve-instrument distance without additional electrical stimulation. The EMG signals and position information were recorded intra-operatively during ear surgery. An off-line statistical analysis with Spearman's rank correlation coefficient was accomplished. The results show that there is occasionally some correlation at a statistically significant level of 5%. They highly depend on time range, the selected threshold value and time window. Moreover, all the observed correlations are positive against an expected negative correlation.
Year
DOI
Venue
2011
10.1109/IEMBS.2011.6090394
EMBC
Keywords
Field
DocType
position information,nerve injuries,medical control systems,surgical assistance,skull base surgery,neurophysiology,statistical analysis,spearman rank correlation coefficient,neurophysiologic monitoring system,ear-nose-throat surgery,patient monitoring,surgical navigation system,time window,instrument power control,neurophysiologic signals,nerve-instrument distance,off-line statistical analysis,nerve activity information,electrical stimulation,electromyography,threshold value and,medical diagnostic computing,neuromonitoring,surgery,navigated control functional method,rank correlation,power control,statistical significance,correlation,navigation
Biomedical engineering,Remote patient monitoring,Computer science,Power control,Threshold limit value,Artificial intelligence,Physical medicine and rehabilitation,Rank correlation,Computer vision,Neurophysiology,Navigation system,Electromyography,Correlation
Conference
Volume
ISSN
ISBN
2011
1557-170X
978-1-4244-4122-8
Citations 
PageRank 
References 
1
0.41
2
Authors
4
Name
Order
Citations
PageRank
Shi, Jiaxi120.79
Gero Strauss2395.95
Sebastian Heininger310.41
Tim C. Lueth44310.43