Title | ||
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Surgical assistance for instruments' power control based on navigation and neuromonitoring. |
Abstract | ||
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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 |
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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, Jiaxi | 1 | 2 | 0.79 |
Gero Strauss | 2 | 39 | 5.95 |
Sebastian Heininger | 3 | 1 | 0.41 |
Tim C. Lueth | 4 | 43 | 10.43 |