{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T12:32:49Z","timestamp":1787142769234,"version":"build-2736575974"},"reference-count":12,"publisher":"Springer Science and Business Media LLC","license":[{"start":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T00:00:00Z","timestamp":1787097600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"},{"start":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T00:00:00Z","timestamp":1787097600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Int J CARS"],"DOI":"10.1007\/s11548-026-03770-5","type":"journal-article","created":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T12:18:52Z","timestamp":1787141932000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Assessment of open surgery suturing skills via markerless hand tracking: a multistage approach using 3D hand skeleton and kinematic metrics"],"prefix":"10.1007","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-0285-230X","authenticated-orcid":false,"given":"No\u00e9","family":"Constans","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mihai","family":"Mitrea","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicole","family":"Neumann","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nabil","family":"Chakfe","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,8,19]]},"reference":[{"key":"3770_CR1","doi-asserted-by":"publisher","DOI":"10.1007\/s11548-018-1704-z","author":"A Zia","year":"2018","unstructured":"Zia A, Sharma Y, Bettadapura V, Sarin E, Essa I (2018) Video and accelerometer-based motion analysis for automated surgical skills assessment. Int J Comput Assist Radiol Surg. https:\/\/doi.org\/10.1007\/s11548-018-1704-z","journal-title":"Int J Comput Assist Radiol Surg"},{"key":"3770_CR2","doi-asserted-by":"crossref","unstructured":"C. E. Reiley, E. Plaku and G. D. Hager, \u201cMotion generation of robotic surgical tasks: learning from expert demonstrations,\u201d in Annual International Conference of the IEEE Engineering in Medicine and Biology Society, 2010.","DOI":"10.1109\/IEMBS.2010.5627594"},{"key":"3770_CR3","doi-asserted-by":"publisher","first-page":"1217","DOI":"10.1007\/s11548-019-01995-1","volume":"14","author":"I Funke","year":"2019","unstructured":"Funke I, Mees ST, Weitz J, Speidel S (2019) Video-based surgical skill assessment using 3D convolutional neural networks. Int J Comput Assist Radiol Surg 14:1217\u20131225","journal-title":"Int J Comput Assist Radiol Surg"},{"key":"3770_CR4","doi-asserted-by":"publisher","first-page":"42","DOI":"10.1038\/s43856-023-00263-3","volume":"3","author":"D Kiyasseh","year":"2023","unstructured":"Kiyasseh D, Laca J, Haque TF (2023) A multi-institutional study using artificial intelligence to provide reliable and fair feedback to surgeons. Commun Med 3:42","journal-title":"Commun Med"},{"key":"3770_CR5","doi-asserted-by":"publisher","first-page":"574","DOI":"10.1097\/SLA.0000000000002478","volume":"269","author":"DP Azari","year":"2019","unstructured":"Azari DP, Frasier LL, Pavuluri Quamme SR (2019) Modeling surgical technical skill using expert assessment for automated computer rating. Ann Surg 269:574\u2013581","journal-title":"Ann Surg"},{"key":"3770_CR6","unstructured":"M. Zhang, X. Cheng and D. Copeland, \"Using computer vision to automate hand detection and tracking of surgeon movements in videos of open surgery, \u201cin AMIA Annual Symposium Proceedings, 2021."},{"key":"3770_CR7","unstructured":"C. Lugaresi, J. Tang and H. Nash, \u201cMediaPipe: a framework for building perception pipelines,\u201d arXiv preprint, p. arXiv:1906.08172, 2019."},{"key":"3770_CR8","doi-asserted-by":"publisher","first-page":"15","DOI":"10.3390\/jimaging7020015","volume":"7","author":"T Shimizu","year":"2021","unstructured":"Shimizu T, Hachiuma R, Kajita H, Takatsume Y, Saito H (2021) Hand motion-aware surgical tool localization and classification from an egocentric camera. J Imaging 7:15","journal-title":"J Imaging"},{"key":"3770_CR9","doi-asserted-by":"publisher","first-page":"437","DOI":"10.1007\/s11548-022-02559-6","volume":"17","author":"A Goldbraikh","year":"2022","unstructured":"Goldbraikh A, D\u2019Angelo AL, Pugh CM, Laufer S (2022) Video-based fully automatic assessment of open surgery suturing skills. Int J Comput Assist Radiol Surg 17:437\u2013448","journal-title":"Int J Comput Assist Radiol Surg"},{"key":"3770_CR10","doi-asserted-by":"publisher","first-page":"645","DOI":"10.1016\/j.amjsurg.2014.12.013","volume":"209","author":"ALD D\u2019Angelo","year":"2015","unstructured":"D\u2019Angelo ALD, Rutherford DN, Ray RD (2015) Idle time: an underdeveloped performance metric for assessing surgical skill. Am J Surg 209:645\u2013651","journal-title":"Am J Surg"},{"key":"3770_CR11","doi-asserted-by":"publisher","first-page":"445","DOI":"10.1016\/j.amjsurg.2015.10.005","volume":"211","author":"ALD D\u2019Angelo","year":"2016","unstructured":"D\u2019Angelo ALD, Rutherford DN, Ray RD, Laufer S, Mason A, Pugh CM (2016) Working volume: validity evidence for a motion-based metric of surgical efficiency. American J Surg 211:445\u2013450","journal-title":"American J Surg"},{"key":"3770_CR12","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-024-77176-1","volume":"14","author":"B Wan","year":"2024","unstructured":"Wan B, Peven M, Hager G, Sikder S, Vedula SS (2024) Spatial-temporal attention for video-based assessment of intraoperative surgical skill. Sci Rep 14:26912","journal-title":"Sci Rep"}],"container-title":["International Journal of Computer Assisted Radiology and Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s11548-026-03770-5.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s11548-026-03770-5","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s11548-026-03770-5.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T12:18:53Z","timestamp":1787141933000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s11548-026-03770-5"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,19]]},"references-count":12,"alternative-id":["3770"],"URL":"https:\/\/doi.org\/10.1007\/s11548-026-03770-5","relation":{},"ISSN":["1861-6429"],"issn-type":[{"value":"1861-6429","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8,19]]},"assertion":[{"value":"12 January 2026","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"21 July 2026","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"19 August 2026","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"The authors have no relevant financial or non-financial interests to disclose.","order":1,"name":"Ethics","label":"Conflict of interest","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Informed consent for participation and publication was obtained from all participants.","order":2,"name":"Ethics","label":"Informed consent","group":{"name":"EthicsHeading","label":"Declarations"}}]}}