{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,5]],"date-time":"2026-05-05T01:07:11Z","timestamp":1777943231228,"version":"3.51.4"},"reference-count":15,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2017,4,15]],"date-time":"2017-04-15T00:00:00Z","timestamp":1492214400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"NIH T32","award":["T32DC000018"],"award-info":[{"award-number":["T32DC000018"]}]},{"name":"NIH R21","award":["5R21EB016122-02"],"award-info":[{"award-number":["5R21EB016122-02"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Surg Innov"],"published-print":{"date-parts":[[2017,8]]},"abstract":"<jats:p>Objective: To develop a method to measure intraoperative surgical instrument motion. This model will be applicable to the study of surgical instrument kinematics including surgical training, skill verification, and the development of surgical warning systems that detect aberrant instrument motion that may result in patient injury. Design: We developed an algorithm to automate derivation of surgical instrument kinematics in an endoscopic endonasal skull base surgery model. Surgical instrument motion was recorded during a cadaveric endoscopic transnasal approach to the pituitary using a navigation system modified to record intraoperative time-stamped Euclidian coordinates and Euler angles. Microdebrider tip coordinates and angles were referenced to the cadaver\u2019s preoperative computed tomography scan allowing us to assess surgical instrument kinematics over time. A representative cadaveric endoscopic endonasal approach to the pituitary was performed to demonstrate feasibility of our algorithm for deriving surgical instrument kinematics. Conclusions: Technical feasibility of automatically measuring intraoperative surgical instrument motion and deriving kinematics measurements was demonstrated using standard navigation equipment.<\/jats:p>","DOI":"10.1177\/1553350617702307","type":"journal-article","created":{"date-parts":[[2017,4,15]],"date-time":"2017-04-15T03:22:29Z","timestamp":1492226549000},"page":"405-410","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Quantitative Analysis of Transnasal Anterior Skull Base Approach: Report of Technology for Intraoperative Assessment of Instrument Motion"],"prefix":"10.1177","volume":"24","author":[{"given":"Angelique M.","family":"Berens","sequence":"first","affiliation":[{"name":"Department of Otolaryngology - Head and Neck Surgery, University of Washington, Seattle, WA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Richard Alex","family":"Harbison","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology - Head and Neck Surgery, University of Washington, Seattle, WA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yangming","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Electrical Engineering, University of Washington, Seattle, WA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Randall A.","family":"Bly","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, Seattle Children\u2019s Hospital, Seattle, WA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nava","family":"Aghdasi","sequence":"additional","affiliation":[{"name":"Department of Electrical Engineering, University of Washington, Seattle, WA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"suffix":"Jr","given":"Manuel","family":"Ferreira","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, University of Washington, Seattle, WA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Blake","family":"Hannaford","sequence":"additional","affiliation":[{"name":"Department of Electrical Engineering, University of Washington, Seattle, WA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kris S.","family":"Moe","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology - Head and Neck Surgery, University of Washington, Seattle, WA, USA"},{"name":"Department of Neurosurgery, University of Washington, Seattle, WA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2017,4,15]]},"reference":[{"key":"bibr1-1553350617702307","doi-asserted-by":"publisher","DOI":"10.1001\/jamaophthalmol.2015.0706"},{"key":"bibr2-1553350617702307","doi-asserted-by":"publisher","DOI":"10.1002\/lary.24401"},{"key":"bibr3-1553350617702307","doi-asserted-by":"publisher","DOI":"10.3171\/2010.10.JNS09406"},{"key":"bibr4-1553350617702307","doi-asserted-by":"publisher","DOI":"10.1002\/hed.20166"},{"key":"bibr5-1553350617702307","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMsa1300625"},{"key":"bibr6-1553350617702307","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMsa1300625"},{"key":"bibr7-1553350617702307","doi-asserted-by":"publisher","DOI":"10.1002\/alr.21053"},{"key":"bibr8-1553350617702307","first-page":"417","volume":"81","author":"Rosen J","year":"2001","journal-title":"Stud Health Technol Inform"},{"key":"bibr9-1553350617702307","doi-asserted-by":"publisher","DOI":"10.3109\/10929080209146016"},{"key":"bibr10-1553350617702307","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.7115"},{"key":"bibr11-1553350617702307","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-010-1190-z"},{"key":"bibr12-1553350617702307","doi-asserted-by":"publisher","DOI":"10.1007\/s11548-015-1194-1"},{"key":"bibr13-1553350617702307","doi-asserted-by":"publisher","DOI":"10.1016\/j.mri.2012.05.001"},{"key":"bibr14-1553350617702307","doi-asserted-by":"publisher","DOI":"10.2500\/ajra.2009.23.3275"},{"key":"bibr15-1553350617702307","first-page":"279","volume":"70","author":"Rosen J","year":"2000","journal-title":"Stud Health Technol Inform"}],"container-title":["Surgical Innovation"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1553350617702307","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/1553350617702307","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1553350617702307","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T07:19:53Z","timestamp":1777706393000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/1553350617702307"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,4,15]]},"references-count":15,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2017,8]]}},"alternative-id":["10.1177\/1553350617702307"],"URL":"https:\/\/doi.org\/10.1177\/1553350617702307","relation":{},"ISSN":["1553-3506","1553-3514"],"issn-type":[{"value":"1553-3506","type":"print"},{"value":"1553-3514","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,4,15]]}}}