{"id":"https://openalex.org/W4399528853","doi":"https://doi.org/10.1038/s41746-024-01143-3","title":"Capturing relationships between suturing sub-skills to improve automatic suturing assessment","display_name":"Capturing relationships between suturing sub-skills to improve automatic suturing assessment","publication_year":2024,"publication_date":"2024-06-11","ids":{"openalex":"https://openalex.org/W4399528853","doi":"https://doi.org/10.1038/s41746-024-01143-3","pmid":"https://pubmed.ncbi.nlm.nih.gov/38862627"},"language":"en","primary_location":{"id":"doi:10.1038/s41746-024-01143-3","is_oa":true,"landing_page_url":"https://doi.org/10.1038/s41746-024-01143-3","pdf_url":"https://www.nature.com/articles/s41746-024-01143-3.pdf","source":{"id":"https://openalex.org/S4210195431","display_name":"npj Digital Medicine","issn_l":"2398-6352","issn":["2398-6352"],"is_oa":true,"is_in_doaj":true,"is_core":true,"host_organization":"https://openalex.org/P4310319908","host_organization_name":"Nature Portfolio","host_organization_lineage":["https://openalex.org/P4310319908","https://openalex.org/P4310319965"],"host_organization_lineage_names":["Nature Portfolio","Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"npj Digital Medicine","raw_type":"journal-article"},"type":"article","indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://www.nature.com/articles/s41746-024-01143-3.pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5038674626","display_name":"Zijun Cui","orcid":"https://orcid.org/0000-0002-4362-197X"},"institutions":[{"id":"https://openalex.org/I1174212","display_name":"University of Southern California","ror":"https://ror.org/03taz7m60","country_code":"US","type":"education","lineage":["https://openalex.org/I1174212"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Zijun Cui","raw_affiliation_strings":["University of Southern California, Los Angeles, CA, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"University of Southern California, Los Angeles, CA, USA","institution_ids":["https://openalex.org/I1174212"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5073157502","display_name":"Runzhuo Ma","orcid":"https://orcid.org/0000-0001-6381-2661"},"institutions":[{"id":"https://openalex.org/I1282927834","display_name":"Cedars-Sinai Medical Center","ror":"https://ror.org/02pammg90","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1282927834"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Runzhuo Ma","raw_affiliation_strings":["Department of Urology, Cedars-Sinai Medical Center, Los Angeles, CA, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Urology, Cedars-Sinai Medical Center, Los Angeles, CA, USA","institution_ids":["https://openalex.org/I1282927834"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5042002882","display_name":"Cherine H. Yang","orcid":null},"institutions":[{"id":"https://openalex.org/I1282927834","display_name":"Cedars-Sinai Medical Center","ror":"https://ror.org/02pammg90","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1282927834"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Cherine H. Yang","raw_affiliation_strings":["Department of Urology, Cedars-Sinai Medical Center, Los Angeles, CA, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Urology, Cedars-Sinai Medical Center, Los Angeles, CA, USA","institution_ids":["https://openalex.org/I1282927834"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5017694496","display_name":"Anand Malpani","orcid":"https://orcid.org/0000-0001-9477-9403"},"institutions":[{"id":"https://openalex.org/I4210165834","display_name":"SPI Surgical (United States)","ror":"https://ror.org/05ttq4j04","country_code":"US","type":"company","lineage":["https://openalex.org/I4210165834"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Anand Malpani","raw_affiliation_strings":["Surgical Science, Seattle, WA, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Surgical Science, Seattle, WA, USA","institution_ids":["https://openalex.org/I4210165834"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5028986243","display_name":"Timothy N. Chu","orcid":null},"institutions":[{"id":"https://openalex.org/I1174212","display_name":"University of Southern California","ror":"https://ror.org/03taz7m60","country_code":"US","type":"education","lineage":["https://openalex.org/I1174212"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Timothy N. Chu","raw_affiliation_strings":["University of Southern California, Los Angeles, CA, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"University of Southern California, Los Angeles, CA, USA","institution_ids":["https://openalex.org/I1174212"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5000568474","display_name":"Ahmed Ghazi","orcid":"https://orcid.org/0000-0002-4325-1446"},"institutions":[{"id":"https://openalex.org/I145311948","display_name":"Johns Hopkins University","ror":"https://ror.org/00za53h95","country_code":"US","type":"education","lineage":["https://openalex.org/I145311948"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Ahmed Ghazi","raw_affiliation_strings":["Johns Hopkins University, Baltimore, MD, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Johns Hopkins University, Baltimore, MD, USA","institution_ids":["https://openalex.org/I145311948"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5101619070","display_name":"John W. Davis","orcid":"https://orcid.org/0000-0003-3491-7194"},"institutions":[{"id":"https://openalex.org/I1343551460","display_name":"The University of Texas MD Anderson Cancer Center","ror":"https://ror.org/04twxam07","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1343551460"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"John W. Davis","raw_affiliation_strings":["University of Texas MD Anderson Cancer Center, Houston, TX, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"University of Texas MD Anderson Cancer Center, Houston, TX, USA","institution_ids":["https://openalex.org/I1343551460"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5073982399","display_name":"Brian J. Miles","orcid":"https://orcid.org/0000-0001-7927-9873"},"institutions":[{"id":"https://openalex.org/I1295876152","display_name":"Houston Methodist","ror":"https://ror.org/027zt9171","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1295876152"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Brian J. Miles","raw_affiliation_strings":["Houston Methodist, Houston, TX, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Houston Methodist, Houston, TX, USA","institution_ids":["https://openalex.org/I1295876152"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5104089610","display_name":"Clayton Lau","orcid":null},"institutions":[{"id":"https://openalex.org/I4210110459","display_name":"City of Hope","ror":"https://ror.org/01z1vct10","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1301076528","https://openalex.org/I4210110459"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Clayton Lau","raw_affiliation_strings":["City of Hope, Duarte, CA, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"City of Hope, Duarte, CA, USA","institution_ids":["https://openalex.org/I4210110459"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5100351175","display_name":"Yan Liu","orcid":"https://orcid.org/0000-0003-4242-4840"},"institutions":[{"id":"https://openalex.org/I1174212","display_name":"University of Southern California","ror":"https://ror.org/03taz7m60","country_code":"US","type":"education","lineage":["https://openalex.org/I1174212"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Yan Liu","raw_affiliation_strings":["University of Southern California, Los Angeles, CA, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"University of Southern California, Los Angeles, CA, USA","institution_ids":["https://openalex.org/I1174212"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5079456405","display_name":"Andrew J. Hung","orcid":"https://orcid.org/0000-0002-7201-6736"},"institutions":[{"id":"https://openalex.org/I1282927834","display_name":"Cedars-Sinai Medical Center","ror":"https://ror.org/02pammg90","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1282927834"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Andrew J. Hung","raw_affiliation_strings":["Department of Urology, Cedars-Sinai Medical Center, Los Angeles, CA, USA. andrew.hung@cshs.org","Department of Urology, Cedars-Sinai Medical Center, Los Angeles, CA, USA"],"raw_orcid":"https://orcid.org/0000-0002-7201-6736","affiliations":[{"raw_affiliation_string":"Department of Urology, Cedars-Sinai Medical Center, Los Angeles, CA, USA. andrew.hung@cshs.org","institution_ids":["https://openalex.org/I1282927834"]},{"raw_affiliation_string":"Department of Urology, Cedars-Sinai Medical Center, Los Angeles, CA, USA","institution_ids":["https://openalex.org/I1282927834"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":11,"corresponding_author_ids":["https://openalex.org/A5079456405"],"corresponding_institution_ids":["https://openalex.org/I1282927834"],"apc_list":{"value":3060,"currency":"USD","value_usd":3060},"apc_paid":{"value":3060,"currency":"USD","value_usd":3060},"fwci":5.4131,"has_fulltext":true,"cited_by_count":11,"citation_normalized_percentile":{"value":0.96197025,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":90,"max":99},"biblio":{"volume":"7","issue":"1","first_page":"152","last_page":"152"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10916","display_name":"Surgical Simulation and Training","score":0.9944999814033508,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10916","display_name":"Surgical Simulation and Training","score":0.9944999814033508,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10630","display_name":"Orthopedic Surgery and Rehabilitation","score":0.9779999852180481,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11930","display_name":"Cardiac, Anesthesia and Surgical Outcomes","score":0.9754999876022339,"subfield":{"id":"https://openalex.org/subfields/2705","display_name":"Cardiology and Cardiovascular Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/computer-science","display_name":"Computer science","score":0.6184375286102295},{"id":"https://openalex.org/keywords/domain","display_name":"Domain (mathematical analysis)","score":0.48762503266334534},{"id":"https://openalex.org/keywords/artificial-intelligence","display_name":"Artificial intelligence","score":0.38687294721603394},{"id":"https://openalex.org/keywords/medical-physics","display_name":"Medical physics","score":0.3366996645927429},{"id":"https://openalex.org/keywords/medicine","display_name":"Medicine","score":0.1389792263507843}],"concepts":[{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.6184375286102295},{"id":"https://openalex.org/C36503486","wikidata":"https://www.wikidata.org/wiki/Q11235244","display_name":"Domain (mathematical analysis)","level":2,"score":0.48762503266334534},{"id":"https://openalex.org/C154945302","wikidata":"https://www.wikidata.org/wiki/Q11660","display_name":"Artificial intelligence","level":1,"score":0.38687294721603394},{"id":"https://openalex.org/C19527891","wikidata":"https://www.wikidata.org/wiki/Q1120908","display_name":"Medical physics","level":1,"score":0.3366996645927429},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.1389792263507843},{"id":"https://openalex.org/C33923547","wikidata":"https://www.wikidata.org/wiki/Q395","display_name":"Mathematics","level":0,"score":0.0},{"id":"https://openalex.org/C134306372","wikidata":"https://www.wikidata.org/wiki/Q7754","display_name":"Mathematical analysis","level":1,"score":0.0}],"mesh":[],"locations_count":4,"locations":[{"id":"doi:10.1038/s41746-024-01143-3","is_oa":true,"landing_page_url":"https://doi.org/10.1038/s41746-024-01143-3","pdf_url":"https://www.nature.com/articles/s41746-024-01143-3.pdf","source":{"id":"https://openalex.org/S4210195431","display_name":"npj Digital Medicine","issn_l":"2398-6352","issn":["2398-6352"],"is_oa":true,"is_in_doaj":true,"is_core":true,"host_organization":"https://openalex.org/P4310319908","host_organization_name":"Nature Portfolio","host_organization_lineage":["https://openalex.org/P4310319908","https://openalex.org/P4310319965"],"host_organization_lineage_names":["Nature Portfolio","Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"npj Digital Medicine","raw_type":"journal-article"},{"id":"pmid:38862627","is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/38862627","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"NPJ digital medicine","raw_type":null},{"id":"pmh:oai:pubmedcentral.nih.gov:11167055","is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/11167055","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC11167055/pdf/41746_2024_Article_1143.pdf","source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"NPJ Digit Med","raw_type":"Text"},{"id":"pmh:oai:doaj.org/article:f396a06c87404161a26476824f99b623","is_oa":true,"landing_page_url":"https://doaj.org/article/f396a06c87404161a26476824f99b623","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-sa","license_id":"https://openalex.org/licenses/cc-by-sa","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"npj Digital Medicine, Vol 7, Iss 1, Pp 1-10 (2024)","raw_type":"article"}],"best_oa_location":{"id":"doi:10.1038/s41746-024-01143-3","is_oa":true,"landing_page_url":"https://doi.org/10.1038/s41746-024-01143-3","pdf_url":"https://www.nature.com/articles/s41746-024-01143-3.pdf","source":{"id":"https://openalex.org/S4210195431","display_name":"npj Digital Medicine","issn_l":"2398-6352","issn":["2398-6352"],"is_oa":true,"is_in_doaj":true,"is_core":true,"host_organization":"https://openalex.org/P4310319908","host_organization_name":"Nature Portfolio","host_organization_lineage":["https://openalex.org/P4310319908","https://openalex.org/P4310319965"],"host_organization_lineage_names":["Nature Portfolio","Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"npj Digital Medicine","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/4","score":0.7200000286102295,"display_name":"Quality Education"}],"awards":[{"id":"https://openalex.org/G3464964249","display_name":null,"funder_award_id":"R01CA251579","funder_id":"https://openalex.org/F4320337351","funder_display_name":"National Cancer Institute"}],"funders":[{"id":"https://openalex.org/F4320337351","display_name":"National Cancer Institute","ror":"https://ror.org/040gcmg81"}],"has_content":{"grobid_xml":false,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W4399528853.pdf"},"referenced_works_count":22,"referenced_works":["https://openalex.org/W1758566279","https://openalex.org/W2064675550","https://openalex.org/W2509181515","https://openalex.org/W2568518337","https://openalex.org/W2789876780","https://openalex.org/W2808316254","https://openalex.org/W2884953785","https://openalex.org/W2907492528","https://openalex.org/W2916629625","https://openalex.org/W2964331270","https://openalex.org/W3091747220","https://openalex.org/W3121087702","https://openalex.org/W3152893301","https://openalex.org/W3156751451","https://openalex.org/W3168997536","https://openalex.org/W3196971551","https://openalex.org/W3211529527","https://openalex.org/W4210257598","https://openalex.org/W4280523199","https://openalex.org/W4280602833","https://openalex.org/W4327772895","https://openalex.org/W4362458937"],"related_works":["https://openalex.org/W4391375266","https://openalex.org/W2748952813","https://openalex.org/W2390279801","https://openalex.org/W2358668433","https://openalex.org/W4396701345","https://openalex.org/W2376932109","https://openalex.org/W2001405890","https://openalex.org/W4396696052","https://openalex.org/W2382290278","https://openalex.org/W4395014643"],"abstract_inverted_index":{"Suturing":[0],"skill":[1,39,44,94,133,145,161],"scores":[2],"have":[3,33,79],"demonstrated":[4],"strong":[5],"predictive":[6],"capabilities":[7],"for":[8,53,92,135],"patient":[9,175],"functional":[10],"recovery.":[11],"The":[12,108],"suturing":[13,38,132],"can":[14,142],"be":[15],"broken":[16],"down":[17],"into":[18,98],"several":[19],"substep":[20],"components,":[21],"including":[22],"needle":[23,25],"repositioning,":[24],"entry":[26],"angle,":[27],"etc.":[28],"Artificial":[29],"intelligence":[30],"(AI)":[31],"systems":[32],"been":[34,80],"explored":[35],"to":[36,43,69,129,159,165],"automate":[37],"scoring.":[40],"Traditional":[41],"approaches":[42],"assessment":[45,95,146],"typically":[46],"focus":[47],"on":[48],"evaluating":[49],"individual":[50],"sub-skills":[51,68,104,113],"required":[52,105],"particular":[54],"substeps":[55],"in":[56,106,177],"isolation.":[57],"However,":[58],"surgical":[59,170],"procedures":[60],"require":[61],"the":[62,76,100,125,131,149,156,167],"integration":[63],"and":[64,172],"coordination":[65],"of":[66,103,169],"multiple":[67],"achieve":[70],"successful":[71],"outcomes.":[72],"Significant":[73],"associations":[74],"among":[75,112,153],"technical":[77],"sub-skill":[78,137],"established":[81],"by":[82,124],"existing":[83],"studies.":[84],"In":[85],"this":[86],"paper,":[87],"we":[88,163],"propose":[89],"a":[90],"framework":[91],"joint":[93,160],"that":[96],"takes":[97],"account":[99],"interconnected":[101],"nature":[102],"surgery.":[107,178],"prior":[109,126,150],"known":[110,127,151],"relationships":[111,128,152],"are":[114],"firstly":[115],"identified.":[116],"Our":[117,140],"proposed":[118,157],"AI":[119],"system":[120],"is":[121],"then":[122],"empowered":[123],"perform":[130],"scoring":[134],"each":[136],"domain":[138],"simultaneously.":[139],"approach":[141,158],"effectively":[143],"improve":[144,174],"performance":[147],"through":[148],"sub-skills.":[154],"Through":[155],"assessment,":[162],"aspire":[164],"enhance":[166],"evaluation":[168],"proficiency":[171],"ultimately":[173],"outcomes":[176]},"counts_by_year":[{"year":2026,"cited_by_count":2},{"year":2025,"cited_by_count":8},{"year":2024,"cited_by_count":1}],"updated_date":"2026-06-13T06:13:01.061226","created_date":"2025-10-10T00:00:00"}