AI-Generated Video Feedback to Improve Technical Skills in Coronary Artery Bypass Grafting
Ориентир для пациента и семьи
Простыми словами
Автоматическая сводка по структурированным данным реестра. Она помогает сориентироваться, но не заменяет официальный протокол или оценку врача.
- Что изучают
- В протоколе указаны: AI-Guided Video Feedback Intervention.
- Кому может быть актуально
- Состояния в реестре: Cardiac, Surgery (Cardiac), Education, Artificial Intelligence (AI). Базовые параметры: Без ограничений · Все.
- Что важно проверить
- Возраст, диагноз и пол — только базовые ориентиры. Предыдущее лечение, анализы и другие обязательные условия указаны ниже в критериях участия.
- Где проводится
- Китай
- Следующий шаг
- Сохраните исследование, покажите его лечащему врачу и уточните актуальный статус у исследовательского центра. Расходы, документы и поездка →
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Обзор
This study aims to evaluate whether targeted video feedback generated by an artificial intelligence (AI)-based surgical performance assessment model can support improvement in technical skills among cardiac surgeons performing coronary artery bypass grafting (CABG). This is a single-group, self-controlled, pre-post interventional study. Participating surgeons will submit a baseline CABG surgical video, which will be assessed by both an AI model and blinded human expert raters using standardized scoring criteria. Based on the AI assessment, surgeons will receive personalized video feedback highlighting operative steps associated with lower technical performance. After a one-month self-directed review period, a follow-up CABG surgical video will be submitted and evaluated using the same process. Changes in human-rated technical skill scores between baseline and follow-up will be used to assess the potential educational impact of AI-generated video feedback.
Подробное описание
Coronary artery bypass grafting (CABG) is a complex surgical procedure that requires a high level of technical skill from cardiac surgeons. Variability in surgical technique may influence procedural quality and patient outcomes. Recent advances in artificial intelligence (AI) have enabled automated assessment of surgical performance using operative video data, creating new opportunities for objective feedback and surgical education.
This study aims to evaluate whether targeted video feedback generated by an AI-based surgical performance assessment model can help cardiac surgeons improve their technical skills in CABG procedures. Participating surgeons whose baseline technical performance ranked in the lower half of the AI scoring system will receive personalized video feedback highlighting operative steps and maneuvers associated with lower performance scores.
In this single-group, self-controlled study, each participating surgeon will submit a baseline CABG surgical video, which will be independently evaluated by both the AI model and a panel of experienced cardiac surgeons using standardized scoring criteria. After receiving AI-generated video feedback, surgeons will be given one month to review and reflect on the feedback without additional formal training or coaching. A follow-up CABG surgical video will then be submitted and assessed using the same evaluation process.
The primary outcome of the study is the change in technical skill scores assigned by human expert raters between the baseline and follow-up videos. Secondary outcomes include surgeons' self-assessments of AI-identified performance deficits, agreement between AI-generated feedback and human expert feedback, and selected patient postoperative in-hospital outcomes. The findings of this study may inform the role of AI-assisted video feedback as a scalable educational tool for surgical skill development.
Вмешательства
- Поведенческое AI-Guided Video Feedback Intervention
Participants in this study will receive a personalized educational intervention consisting of AI-generated video feedback based on their baseline coronary artery bypass grafting (CABG) surgical videos. The AI model analyzes surgical performance and identifies specific operative steps with lower technical skill scores. Curated video clips highlighting these areas are provided to the surgeons for self-review and reflection. No additional formal training or coaching is given during the one-month in
Первичные конечные точки
- Change in Human Expert-Rated Technical Skill Score Between Baseline and Follow-Up CABG Videos [Срок оценки: Baseline, 1 month]
Вторичные конечные точки (12)
- Surgeon self-assessments of the AI feedback [Срок оценки: 1 month]
- Consistency between AI feedback and human expert feedback. [Срок оценки: Baseline, 1 month]
- Postoperative in-hospital outcomes: the icidence of major complications [Срок оценки: Baseline, 1 month]
- Postoperative in-hospital outcomes: the incidence of death [Срок оценки: Baseline, 1 month]
- Postoperative in-hospital outcomes: the incidence of acute kidney injury [Срок оценки: Baseline, 1 month]
- Postoperative in-hospital outcomes: the incidence of myocardial infarction [Срок оценки: Baseline, 1 month]
- Postoperative in-hospital outcomes: the incidence of stroke [Срок оценки: Baseline, 1 month]
- Postoperative in-hospital outcomes: the incidence of secondary thoracotomy [Срок оценки: Baseline, 1 month]
- Postoperative in-hospital outcomes: the incidence of IABP implantation [Срок оценки: Baseline, 1 month]
- Postoperative in-hospital outcomes: the incidence of ECMO implantation [Срок оценки: Baseline, 1 month]
- Postoperative in-hospital outcomes: the incidence of bedside hemofiltration [Срок оценки: Baseline, 1 month]
- Postoperative in-hospital outcomes: the incidence of peritoneal dialysis [Срок оценки: Baseline, 1 month]
Критерии участия
Критерии включения
- Baseline AI-assessed technical performance ranked in the lower 50% within the scoring system in CAMERA study (NCT06739005)
Критерии исключения
- Unwilling to attend
Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.
Здоровые добровольцы: Да
Дизайн исследования
- Распределение
- Не применимо
- Модель
- Одна группа
- Маскирование
- Открытое
- Основная цель
- Другое
Центры проведения
Китай · 1 центр
- Fuwai Hospital — Пекин
Идентификаторы
NCT: NCT07400172 · FW-HSS