Model-based formalization of medical knowledge for context-aware assistance in laparoscopic surgery
Darko Katić, Anna-Laura Wekerle, Fabian Gärtner, Hannes Goetz Kenngott, Beat Peter Müller-Stich, Rüdiger Dillmann, Stefanie Speidel · Proceedings of SPIE, the International Society for Optical Engineering/Proceedings of SPIE · 2014
The increase of technological complexity in surgery has created a need for novel man-machine interaction techniques. Specifically, context-aware systems which automatically adapt themselves to the current circumstances in the OR have great potential in this regard. To create such systems, models of surgical procedures are vital, as they allow analyzing the current situation and assessing the context. For this purpose, we have developed a Surgical Process Model based on Description Logics. It incorporates general medical background knowledge as well as intraoperatively observed situational knowledge. The representation consists of three parts: the Background Knowledge Model, the Preoperative Process Model and the Integrated Intraoperative Process Model. All models depend on each other and create a concise view on the surgery. As a proof of concept, we applied the system to a specific intervention, the laparoscopic distal pancreatectomy.