{"id":"https://openalex.org/W4220847090","doi":"https://doi.org/10.1117/12.2613222","title":"Tissue segmentation for workflow recognition in open inguinal hernia repair training","display_name":"Tissue segmentation for workflow recognition in open inguinal hernia repair training","publication_year":2022,"publication_date":"2022-04-01","ids":{"openalex":"https://openalex.org/W4220847090","doi":"https://doi.org/10.1117/12.2613222"},"language":"en","primary_location":{"id":"doi:10.1117/12.2613222","is_oa":false,"landing_page_url":"https://doi.org/10.1117/12.2613222","pdf_url":null,"source":null,"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Medical Imaging 2022: Image-Guided Procedures, Robotic Interventions, and Modeling","raw_type":"proceedings-article"},"type":"article","indexed_in":["crossref"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5071426246","display_name":"Elizabeth H. Klosa","orcid":null},"institutions":[{"id":"https://openalex.org/I204722609","display_name":"Queen's University","ror":"https://ror.org/02y72wh86","country_code":"CA","type":"education","lineage":["https://openalex.org/I204722609"]}],"countries":["CA"],"is_corresponding":false,"raw_author_name":"Elizabeth H. Klosa","raw_affiliation_strings":["Queen's Univ. (Canada)"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Queen's Univ. (Canada)","institution_ids":["https://openalex.org/I204722609"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5084593138","display_name":"Rebecca Hisey","orcid":"https://orcid.org/0000-0002-1036-5789"},"institutions":[{"id":"https://openalex.org/I204722609","display_name":"Queen's University","ror":"https://ror.org/02y72wh86","country_code":"CA","type":"education","lineage":["https://openalex.org/I204722609"]}],"countries":["CA"],"is_corresponding":false,"raw_author_name":"Rebecca Hisey","raw_affiliation_strings":["Queen's Univ. (Canada)"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Queen's Univ. (Canada)","institution_ids":["https://openalex.org/I204722609"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5036979379","display_name":"T. Nazari","orcid":"https://orcid.org/0000-0002-0350-412X"},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Tahmina Nazari","raw_affiliation_strings":["Erasmus Univ. Medical Ctr. (Netherlands)"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Erasmus Univ. Medical Ctr. (Netherlands)","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5103009110","display_name":"Theo Wiggers","orcid":"https://orcid.org/0000-0002-6891-3290"},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Theo Wiggers","raw_affiliation_strings":["Incision Academy (Netherlands)"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Incision Academy (Netherlands)","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5028691312","display_name":"Boris Zevin","orcid":"https://orcid.org/0000-0003-0316-8952"},"institutions":[{"id":"https://openalex.org/I204722609","display_name":"Queen's University","ror":"https://ror.org/02y72wh86","country_code":"CA","type":"education","lineage":["https://openalex.org/I204722609"]}],"countries":["CA"],"is_corresponding":false,"raw_author_name":"Boris Zevin","raw_affiliation_strings":["Queen's Univ. (Canada)"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Queen's Univ. (Canada)","institution_ids":["https://openalex.org/I204722609"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5027063944","display_name":"Tam\u00e1s Ungi","orcid":"https://orcid.org/0000-0003-4743-0609"},"institutions":[{"id":"https://openalex.org/I204722609","display_name":"Queen's University","ror":"https://ror.org/02y72wh86","country_code":"CA","type":"education","lineage":["https://openalex.org/I204722609"]}],"countries":["CA"],"is_corresponding":false,"raw_author_name":"Tamas Ungi","raw_affiliation_strings":["Queen's Univ. (Canada)"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Queen's Univ. (Canada)","institution_ids":["https://openalex.org/I204722609"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5084753910","display_name":"G\u00e1bor Fichtinger","orcid":"https://orcid.org/0000-0002-6354-262X"},"institutions":[{"id":"https://openalex.org/I204722609","display_name":"Queen's University","ror":"https://ror.org/02y72wh86","country_code":"CA","type":"education","lineage":["https://openalex.org/I204722609"]}],"countries":["CA"],"is_corresponding":false,"raw_author_name":"Gabor Fichtinger","raw_affiliation_strings":["Queen's Univ. (Canada)"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Queen's Univ. (Canada)","institution_ids":["https://openalex.org/I204722609"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":7,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.2452,"has_fulltext":false,"cited_by_count":3,"citation_normalized_percentile":{"value":0.45436413,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":90,"max":96},"biblio":{"volume":null,"issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11984","display_name":"Anatomy and Medical Technology","score":0.9642000198364258,"subfield":{"id":"https://openalex.org/subfields/2204","display_name":"Biomedical Engineering"},"field":{"id":"https://openalex.org/fields/22","display_name":"Engineering"},"domain":{"id":"https://openalex.org/domains/3","display_name":"Physical Sciences"}},"topics":[{"id":"https://openalex.org/T11984","display_name":"Anatomy and Medical Technology","score":0.9642000198364258,"subfield":{"id":"https://openalex.org/subfields/2204","display_name":"Biomedical Engineering"},"field":{"id":"https://openalex.org/fields/22","display_name":"Engineering"},"domain":{"id":"https://openalex.org/domains/3","display_name":"Physical Sciences"}},{"id":"https://openalex.org/T10916","display_name":"Surgical Simulation and Training","score":0.9593999981880188,"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/T12574","display_name":"Clinical Reasoning and Diagnostic Skills","score":0.9470999836921692,"subfield":{"id":"https://openalex.org/subfields/2714","display_name":"Family Practice"},"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/inguinal-hernia","display_name":"Inguinal hernia","score":0.6434266567230225},{"id":"https://openalex.org/keywords/workflow","display_name":"Workflow","score":0.5834149718284607},{"id":"https://openalex.org/keywords/segmentation","display_name":"Segmentation","score":0.5644088983535767},{"id":"https://openalex.org/keywords/imaging-phantom","display_name":"Imaging phantom","score":0.5258113741874695},{"id":"https://openalex.org/keywords/computer-science","display_name":"Computer science","score":0.5033013224601746},{"id":"https://openalex.org/keywords/artificial-intelligence","display_name":"Artificial intelligence","score":0.49302026629447937},{"id":"https://openalex.org/keywords/medicine","display_name":"Medicine","score":0.3834160566329956},{"id":"https://openalex.org/keywords/hernia","display_name":"Hernia","score":0.3780365586280823},{"id":"https://openalex.org/keywords/surgery","display_name":"Surgery","score":0.2743561267852783},{"id":"https://openalex.org/keywords/radiology","display_name":"Radiology","score":0.2637108862400055}],"concepts":[{"id":"https://openalex.org/C2781132756","wikidata":"https://www.wikidata.org/wiki/Q1144039","display_name":"Inguinal hernia","level":3,"score":0.6434266567230225},{"id":"https://openalex.org/C177212765","wikidata":"https://www.wikidata.org/wiki/Q627335","display_name":"Workflow","level":2,"score":0.5834149718284607},{"id":"https://openalex.org/C89600930","wikidata":"https://www.wikidata.org/wiki/Q1423946","display_name":"Segmentation","level":2,"score":0.5644088983535767},{"id":"https://openalex.org/C104293457","wikidata":"https://www.wikidata.org/wiki/Q28324852","display_name":"Imaging phantom","level":2,"score":0.5258113741874695},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.5033013224601746},{"id":"https://openalex.org/C154945302","wikidata":"https://www.wikidata.org/wiki/Q11660","display_name":"Artificial intelligence","level":1,"score":0.49302026629447937},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.3834160566329956},{"id":"https://openalex.org/C2779096551","wikidata":"https://www.wikidata.org/wiki/Q133076","display_name":"Hernia","level":2,"score":0.3780365586280823},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.2743561267852783},{"id":"https://openalex.org/C126838900","wikidata":"https://www.wikidata.org/wiki/Q77604","display_name":"Radiology","level":1,"score":0.2637108862400055},{"id":"https://openalex.org/C77088390","wikidata":"https://www.wikidata.org/wiki/Q8513","display_name":"Database","level":1,"score":0.0}],"mesh":[],"locations_count":2,"locations":[{"id":"doi:10.1117/12.2613222","is_oa":false,"landing_page_url":"https://doi.org/10.1117/12.2613222","pdf_url":null,"source":null,"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Medical Imaging 2022: Image-Guided Procedures, Robotic Interventions, and Modeling","raw_type":"proceedings-article"},{"id":"pmh:oai:pure.eur.nl:openaire_cris_publications/fa67e510-3329-4256-8906-64d2247467f5","is_oa":false,"landing_page_url":"https://pure.eur.nl/en/publications/fa67e510-3329-4256-8906-64d2247467f5","pdf_url":null,"source":{"id":"https://openalex.org/S4306401266","display_name":"EUR Research Repository (Erasmus University Rotterdam)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"host_organization":"https://openalex.org/I913958620","host_organization_name":"Erasmus University Rotterdam","host_organization_lineage":["https://openalex.org/I913958620"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Klosa, E, Hisey, R, Nazari, T, Wiggers, T, Zevin, B, Ungi, T & Fichtinger, G 2022, Tissue segmentation for workflow recognition in open inguinal hernia repair training. in C A Linte & J H Siewerdsen (eds), Medical Imaging 2022 : Image-Guided Procedures, Robotic Interventions, and Modeling., 120341K, SPIE, Progress in Biomedical Optics and Imaging - Proceedings of SPIE, vol. 12034, Medical Imaging 2022: Image-Guided Procedures, Robotic Interventions, and Modeling, Virtual, Online, 21/03/22. https://doi.org/10.1117/12.2613222","raw_type":"info:eu-repo/semantics/publishedVersion"}],"best_oa_location":null,"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/4","score":0.5199999809265137,"display_name":"Quality Education"}],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":9,"referenced_works":["https://openalex.org/W1901129140","https://openalex.org/W2203819196","https://openalex.org/W2884283140","https://openalex.org/W2952213476","https://openalex.org/W2991244315","https://openalex.org/W3083307750","https://openalex.org/W4255359938","https://openalex.org/W6639824700","https://openalex.org/W6999455222"],"related_works":["https://openalex.org/W5918217","https://openalex.org/W7649915","https://openalex.org/W553262","https://openalex.org/W4632594","https://openalex.org/W1594201","https://openalex.org/W8815345","https://openalex.org/W3513520","https://openalex.org/W5053613","https://openalex.org/W692962","https://openalex.org/W4500673"],"abstract_inverted_index":{"PURPOSE:":[0],"As":[1],"medical":[2],"education":[3],"adopts":[4],"a":[5,28,62,72,79],"competency-based":[6],"training":[7,30],"method,":[8],"experts":[9],"are":[10],"spending":[11],"substantial":[12],"amounts":[13],"of":[14,38,226],"time":[15],"instructing":[16],"and":[17,36,128,145,149,161,178,196],"assessing":[18],"trainees\u2019":[19],"competence.":[20],"In":[21],"this":[22],"study,":[23],"we":[24,59,83,216,244],"look":[25],"to":[26,64,70,137,201],"develop":[27],"computer-assisted":[29],"platform":[31],"that":[32,58,190],"can":[33],"provide":[34],"instruction":[35],"assessment":[37],"open":[39,108],"inguinal":[40,109,228],"hernia":[41,110,157,229],"repairs":[42,111],"without":[43],"needing":[44],"an":[45,227],"expert":[46],"observer.":[47],"We":[48],"recognize":[49,202],"workflow":[50,209,247],"tasks":[51],"based":[52],"on":[53,112],"the":[54,87,139,155,170,224],"tool-tissue":[55,88],"interactions,":[56],"suggesting":[57],"first":[60],"need":[61],"method":[63],"identify":[65],"tissues.":[66],"This":[67],"study":[68],"aims":[69],"train":[71],"neural":[73],"network":[74],"in":[75,78,187,194,222],"identifying":[76,86],"tissues":[77,97,189,204,225],"low-cost":[80],"phantom":[81],"as":[82,243],"work":[84,245],"towards":[85,246],"interactions":[89],"needed":[90],"for":[91,134,154,169],"task":[92],"recognition.":[93,248],"METHODS:":[94],"Eight":[95],"simulated":[96],"were":[98,132,152,167,191],"segmented":[99],"throughout":[100],"five":[101],"videos":[102],"from":[103],"experienced":[104],"surgeons":[105],"who":[106],"performed":[107,185],"phantoms.":[113],"A":[114],"U-Net":[115,184,219,239],"was":[116],"trained":[117],"using":[118],"leave-one-user-out":[119],"cross":[120],"validation.":[121],"The":[122,183],"average":[123],"F-score,":[124],"false":[125,129,147],"positive":[126,150],"rate":[127,131],"negative":[130,148],"calculated":[133],"each":[135],"tissue":[136],"evaluate":[138],"U-Net\u2019s":[140],"performance.":[141],"RESULTS:":[142],"Higher":[143],"F-scores":[144],"lower":[146,165],"rates":[151],"recorded":[153,168],"skin,":[156],"sac,":[158],"spermatic":[159],"cord,":[160],"nerves,":[162],"while":[163,199],"slightly":[164],"metrics":[166],"subcutaneous":[171],"tissue,":[172],"Scarpa\u2019s":[173],"fascia,":[174],"external":[175],"oblique":[176],"aponeurosis":[177],"superficial":[179],"epigastric":[180],"vessels.":[181],"CONCLUSION:":[182],"better":[186],"recognizing":[188,223],"relatively":[192],"larger":[193],"size":[195],"more":[197],"prevalent,":[198],"struggling":[200],"smaller":[203],"only":[205],"briefly":[206],"visible.":[207],"Since":[208],"recognition":[210],"does":[211],"not":[212],"require":[213],"perfect":[214],"segmentation,":[215],"believe":[217],"our":[218,237],"is":[220],"sufficient":[221],"repair":[230],"phantom.":[231],"Future":[232],"studies":[233],"will":[234],"explore":[235],"combining":[236],"segmentation":[238],"with":[240],"tool":[241],"detection":[242]},"counts_by_year":[{"year":2024,"cited_by_count":1},{"year":2023,"cited_by_count":2}],"updated_date":"2026-06-11T09:08:48.828518","created_date":"2025-10-10T00:00:00"}