arXiv subjects

Suvranu De

Publications and source records attributed to Suvranu De.

At least 19 recordsLinked to original sources

arXiv2026

Integrating Virtual Reality and Large Language Models for Team-Based Non-Technical Skills Training and Evaluation in the Operating Room

Although effective teamwork and communication are critical to surgical safety, structured training for non-technical skills (NTS) remains limited compared with technical simulation. The ACS/APDS Phase III Team-Based Skills Curriculum calls for scalable tools that both teach and objectively assess these competencies during laparoscopic emergencies. We introduce the Virtual Operating Room Team Experience (VORTeX), a multi-user virtual reality (VR) platform that integrates immersive team simulation with large language model (LLM) analytics to train and evaluate communication, decision-making, teamwork, and leadership. Team dialogue is analyzed using structured prompts derived from the Non-Technical Skills for Surgeons (NOTSS) framework, enabling automated classification of behaviors and generation of directed interaction graphs that quantify communication structure and hierarchy. Two laparoscopic emergency scenarios, pneumothorax and intra-abdominal bleeding, were implemented to elicit realistic stress and collaboration. Twelve surgical professionals completed pilot sessions at the 2024 SAGES conference, rating VORTeX as intuitive, immersive, and valuable for developing teamwork and communication. The LLM consistently produced interpretable communication networks reflecting expected operative hierarchies, with surgeons as central integrators, nurses as initiators, and anesthesiologists as balanced intermediaries. By integrating immersive VR with LLM-driven behavioral analytics, VORTeX provides a scalable, privacy-compliant framework for objective assessment and automated, data-informed debriefing across distributed training environments.

cs.HC↗

arXiv2025

Airway Skill Assessment with Spatiotemporal Attention Mechanisms Using Human Gaze

Airway management skills are critical in emergency medicine and are typically assessed through subjective evaluation, often failing to gauge competency in real-world scenarios. This paper proposes a machine learning-based approach for assessing airway skills, specifically endotracheal intubation (ETI), using human gaze data and video recordings. The proposed system leverages an attention mechanism guided by the human gaze to enhance the recognition of successful and unsuccessful ETI procedures. Visual masks were created from gaze points to guide the model in focusing on task-relevant areas, reducing irrelevant features. An autoencoder network extracts features from the videos, while an attention module generates attention from the visual masks, and a classifier outputs a classification score. This method, the first to use human gaze for ETI, demonstrates improved accuracy and efficiency over traditional methods. The integration of human gaze data not only enhances model performance but also offers a robust, objective assessment tool for clinical skills, particularly in high-stress environments such as military settings. The results show improvements in prediction accuracy, sensitivity, and trustworthiness, highlighting the potential for this approach to improve clinical training and patient outcomes in emergency medicine.

cs.CV↗

arXiv2025

End-to-End Deep Learning for Real-Time Neuroimaging-Based Assessment of Bimanual Motor Skills

The real-time assessment of complex motor skills presents a challenge in fields such as surgical training and rehabilitation. Recent advancements in neuroimaging, particularly functional near-infrared spectroscopy (fNIRS), have enabled objective assessment of such skills with high accuracy. However, these techniques are hindered by extensive preprocessing requirements to extract neural biomarkers. This study presents a novel end-to-end deep learning framework that processes raw fNIRS signals directly, eliminating the need for intermediate preprocessing steps. The model was evaluated on datasets from three distinct bimanual motor tasks--suturing, pattern cutting, and endotracheal intubation (ETI)--using performance metrics derived from both training and retention datasets. It achieved a mean classification accuracy of 93.9% (SD 4.4) and a generalization accuracy of 92.6% (SD 1.9) on unseen skill retention datasets, with a leave-one-subject-out cross-validation yielding an accuracy of 94.1% (SD 3.6). Contralateral prefrontal cortex activations exhibited task-specific discriminative power, while motor cortex activations consistently contributed to accurate classification. The model also demonstrated resilience to neurovascular coupling saturation caused by extended task sessions, maintaining robust performance across trials. Comparative analysis confirms that the end-to-end model performs on par with or surpasses baseline models optimized for fully processed fNIRS data, with statistically similar (p<0.05) or improved prediction accuracies. By eliminating the need for extensive signal preprocessing, this work provides a foundation for real-time, non-invasive assessment of bimanual motor skills in medical training environments, with potential applications in robotics, rehabilitation, and sports.

eess.SP↗

arXiv2025

Beyond Performance Scores: Directed Functional Connectivity as a Brain-Based Biomarker for Motor Skill Learning and Retention

Motor skill acquisition in fields like surgery, robotics, and sports involves learning complex task sequences through extensive training. Traditional performance metrics, like execution time and error rates, offer limited insight as they fail to capture the neural mechanisms underlying skill learning and retention. This study introduces directed functional connectivity (dFC), derived from electroencephalography (EEG), as a novel brain-based biomarker for assessing motor skill learning and retention. For the first time, dFC is applied as a biomarker to map the stages of the Fitts and Posner motor learning model, offering new insights into the neural mechanisms underlying skill acquisition and retention. Unlike traditional measures, it captures both the strength and direction of neural information flow, providing a comprehensive understanding of neural adaptations across different learning stages. The analysis demonstrates that dFC can effectively identify and track the progression through various stages of the Fitts and Posner model. Furthermore, its stability over a six-week washout period highlights its utility in monitoring long-term retention. No significant changes in dFC were observed in a control group, confirming that the observed neural adaptations were specific to training and not due to external factors. By offering a granular view of the learning process at the group and individual levels, dFC facilitates the development of personalized, targeted training protocols aimed at enhancing outcomes in fields where precision and long-term retention are critical, such as surgical education. These findings underscore the value of dFC as a robust biomarker that complements traditional performance metrics, providing a deeper understanding of motor skill learning and retention.

q-bio.NC↗

arXiv2025

Dynamic directed functional connectivity as a neural biomarker for objective motor skill assessment

Objective motor skill assessment plays a critical role in fields such as surgery, where proficiency is vital for certification and patient safety. Existing assessment methods, however, rely heavily on subjective human judgment, which introduces bias and limits reproducibility. While recent efforts have leveraged kinematic data and neural imaging to provide more objective evaluations, these approaches often overlook the dynamic neural mechanisms that differentiate expert and novice performance. This study proposes a novel method for motor skill assessment based on dynamic directed functional connectivity (dFC) as a neural biomarker. By using electroencephalography (EEG) to capture brain dynamics and employing an attention-based Long Short-Term Memory (LSTM) model for non-linear Granger causality analysis, we compute dFC among key brain regions involved in psychomotor tasks. Coupled with hierarchical task analysis (HTA), our approach enables subtask-level evaluation of motor skills, offering detailed insights into neural coordination that underpins expert proficiency. A convolutional neural network (CNN) is then used to classify skill levels, achieving greater accuracy and specificity than established performance metrics in laparoscopic surgery. This methodology provides a reliable, objective framework for assessing motor skills, contributing to the development of tailored training protocols and enhancing the certification process.

q-bio.NC↗

arXiv2024

A Review of Quantum Scientific Computing Algorithms for Engineering Problems

Quantum computing, leveraging quantum phenomena like superposition and entanglement, is emerging as a transformative force in computing technology, promising unparalleled computational speed and efficiency crucial for engineering applications. This advancement presents both opportunities and challenges, requiring engineers to familiarize themselves with quantum principles, applications, and complexities. This paper systematically explores the foundational concepts of quantum mechanics and their implications for computational advancements, emphasizing the superiority of quantum algorithms in solving engineering problems. It identifies areas where gate-based quantum computing has the potential to outperform classical methods despite facing scalability and coherence issues. By offering clear examples with minimal reliance on in-depth quantum physics or hardware specifics, the aim is to make quantum computing accessible to engineers, addressing the steep learning curve and fostering its practical adoption for complex problem-solving and technological advancement as quantum hardware becomes more robust and reliable.

quant-ph↗

arXiv2024

Fracture Characteristics of Rare-earth Phosphate under Molten Calcium Magnesium Aluminosilicate Corrosion

The fracture characteristics of LuPO4 rare-earth phosphate environmental barrier coating (EBC) material under molten calcium-magnesium aluminosilicate (CMAS) corrosion is quantified. EBCs are crucial for protecting SiC-based ceramic matrix composite components in the hot section of gas turbine engines. Recent research has highlighted the potential of rare-earth phosphates as better EBC materials than third-generation rare-earth silicates for CMAS corrosion resistance. However, the fracture of EBCs under CMAS corrosion during service remains a significant concern. This work investigates the fracture behavior of LuPO4 using mesoscale simulation and experiments. The model uses micrographs taken from fabricated EBC samples for mesoscale fracture simulations. The simulation results are compared with experimental fracture toughness data and validated using statistical tests (p<0.01). The simulation results and experimental observations demonstrate that LuPO4 may exhibit higher fracture resistance than Lu2SiO5 rare-earth silicate under similar CMAS corrosion conditions, offering potential insights for future EBC design and development.

cond-mat.mtrl-sci↗

arXiv2024

Deep Learning for Video-Based Assessment of Endotracheal Intubation Skills

Endotracheal intubation (ETI) is an emergency procedure performed in civilian and combat casualty care settings to establish an airway. Objective and automated assessment of ETI skills is essential for the training and certification of healthcare providers. However, the current approach is based on manual feedback by an expert, which is subjective, time- and resource-intensive, and is prone to poor inter-rater reliability and halo effects. This work proposes a framework to evaluate ETI skills using single and multi-view videos. The framework consists of two stages. First, a 2D convolutional autoencoder (AE) and a pre-trained self-supervision network extract features from videos. Second, a 1D convolutional enhanced with a cross-view attention module takes the features from the AE as input and outputs predictions for skill evaluation. The ETI datasets were collected in two phases. In the first phase, ETI is performed by two subject cohorts: Experts and Novices. In the second phase, novice subjects perform ETI under time pressure, and the outcome is either Successful or Unsuccessful. A third dataset of videos from a single head-mounted camera for Experts and Novices is also analyzed. The study achieved an accuracy of 100% in identifying Expert/Novice trials in the initial phase. In the second phase, the model showed 85% accuracy in classifying Successful/Unsuccessful procedures. Using head-mounted cameras alone, the model showed a 96% accuracy on Expert and Novice classification while maintaining an accuracy of 85% on classifying successful and unsuccessful. In addition, GradCAMs are presented to explain the differences between Expert and Novice behavior and Successful and Unsuccessful trials. The approach offers a reliable and objective method for automated assessment of ETI skills.

cs.CV↗

arXiv2024

Cognitive-Motor Integration in Assessing Bimanual Motor Skills

Accurate assessment of bimanual motor skills is essential across various professions, yet, traditional methods often rely on subjective assessments or focus solely on motor actions, overlooking the integral role of cognitive processes. This study introduces a novel approach by leveraging deep neural networks (DNNs) to analyze and integrate both cognitive decision-making and motor execution. We tested this methodology by assessing laparoscopic surgery skills within the Fundamentals of Laparoscopic Surgery program, which is a prerequisite for general surgery certification. Utilizing video capture of motor actions and non-invasive functional near-infrared spectroscopy (fNIRS) for measuring neural activations, our approach precisely classifies subjects by expertise level and predicts FLS behavioral performance scores, significantly surpassing traditional single-modality assessments.

cs.AI↗

arXiv2024

Quantum Multigrid Algorithm for Finite Element Problems

Quantum linear system algorithms (QLSAs) can provide exponential speedups for the solution of linear systems, but the growth of the condition number for finite element problems can eliminate the exponential speedup. QLSAs are also incapable of using an initial guess of a solution to improve upon it. To circumvent these issues, we present a Quantum Multigrid Algorithm (qMG) for the iterative solution of linear systems by applying the sequence of multigrid operations on a quantum state. Given an initial guess with error e_0, qMG can produce a vector encoding the entire sequence of multigrid iterates with the final iterate having a relative error e'=e/e_0, as a subspace of the final quantum state, with exponential advantage in O( poly log (N/e') ) time using O( poly log (N/e') ) qubits. Although extracting the final iterate from the sequence is efficient, extracting the sequence of iterates from the final quantum state can be inefficient. We provide an analysis of the complexity of the method along with numerical analysis.

quant-ph↗

arXiv2023

Quantum Relaxation for Linear Systems in Finite Element Analysis

Quantum linear system algorithms (QLSAs) for gate-based quantum computing can provide exponential speedups for solving linear systems but face challenges when applied to finite element problems due to the growth of the condition number with problem size. Furthermore, QLSAs cannot use an approximate solution or initial guess to output an improved solution. Here, we present Quantum Relaxation for Linear System (qRLS), as an iterative approach for gate-based quantum computers by embedding linear stationary iterations into a larger block linear system. The condition number of the block linear system scales linearly with the number of iterations independent of the size and condition number of the original system. The well-conditioned system enables a practical iterative solution of finite element problems using the state-of-the-art Quantum Signal Processing (QSP) variant of QLSAs, for which we provide numerical results using a quantum computer simulator. The iteration complexity demonstrates favorable scaling relative to classical architectures, as the solution time is independent of system size and requires O(log(N)) qubits. This represents an exponential efficiency gain, offering a new approach for iterative finite element problem-solving on quantum hardware.

quant-ph↗

arXiv2022

One-shot skill assessment in high-stakes domains with limited data via meta learning

Deep Learning (DL) has achieved robust competency assessment in various high-stakes fields. However, the applicability of DL models is often hampered by their substantial data requirements and confinement to specific training domains. This prevents them from transitioning to new tasks where data is scarce. Therefore, domain adaptation emerges as a critical element for the practical implementation of DL in real-world scenarios. Herein, we introduce A-VBANet, a novel meta-learning model capable of delivering domain-agnostic skill assessment via one-shot learning. Our methodology has been tested by assessing surgical skills on five laparoscopic and robotic simulators and real-life laparoscopic cholecystectomy. Our model successfully adapted with accuracies up to 99.5% in one-shot and 99.9% in few-shot settings for simulated tasks and 89.7% for laparoscopic cholecystectomy. This study marks the first instance of a domain-agnostic methodology for skill assessment in critical fields setting a precedent for the broad application of DL across diverse real-life domains with limited data.

cs.CV↗

arXiv2022

Deep Learning in fNIRS: A review

Significance: Optical neuroimaging has become a well-established clinical and research tool to monitor cortical activations in the human brain. It is notable that outcomes of functional Near-InfraRed Spectroscopy (fNIRS) studies depend heavily on the data processing pipeline and classification model employed. Recently, Deep Learning (DL) methodologies have demonstrated fast and accurate performances in data processing and classification tasks across many biomedical fields. Aim: We aim to review the emerging DL applications in fNIRS studies. Approach: We first introduce some of the commonly used DL techniques. Then the review summarizes current DL work in some of the most active areas of this field, including brain-computer interface, neuro-impairment diagnosis, and neuroscience discovery. Results: Of the 63 papers considered in this review, 32 report a comparative study of deep learning techniques to traditional machine learning techniques where 26 have been shown outperforming the latter in terms of classification accuracy. Additionally, 8 studies also utilize deep learning to reduce the amount of preprocessing typically done with fNIRS data or increase the amount of data via data augmentation. Conclusions: The application of DL techniques to fNIRS studies has shown to mitigate many of the hurdles present in fNIRS studies such as lengthy data preprocessing or small sample sizes while achieving comparable or improved classification accuracy.

q-bio.NC↗

arXiv2022

FEqa: Finite Element Computations on Quantum Annealers

The solution of physical problems discretized using the finite element methods using quantum computers remains relatively unexplored. Here, we present a unified formulation (FEqa) to solve such problems using quantum annealers. FEqa is a hybrid technique in which the finite element problem is formulated on a classical computer, and the residual is minimized using a quantum annealer. The advantages of FEqa include utilizing a single qubit per degree of freedom, enforcing Dirichlet boundary conditions a priori, reaching arbitrary solution precision, and eliminating the possibility of the annealer generating invalid results. FEqa is scalable on the classical portion of the algorithm due to its Single Program Multiple Data (SPMD) nature and does not rely on ground state solutions from the annealer. The exponentially large number of collocation points used in quantum annealing are investigated for their cosine measures, and new iterative techniques are developed to exploit their properties. The quantum annealer has clear advantages in computational time over simulated annealing, for the example problems presented in this paper solved on the D-Wave machine. The presented work provides a pathway to solving physical problems using quantum annealers.

quant-ph↗

arXiv2022

A deep learning model for burn depth classification using ultrasound imaging

Identification of burn depth with sufficient accuracy is a challenging problem. This paper presents a deep convolutional neural network to classify burn depth based on altered tissue morphology of burned skin manifested as texture patterns in the ultrasound images. The network first learns a low-dimensional manifold of the unburned skin images using an encoder-decoder architecture that reconstructs it from ultrasound images of burned skin. The encoder is then re-trained to classify burn depths. The encoder-decoder network is trained using a dataset comprised of B-mode ultrasound images of unburned and burned ex vivo porcine skin samples. The classifier is developed using B-mode images of burned in situ skin samples obtained from freshly euthanized postmortem pigs. The performance metrics obtained from 20-fold cross-validation show that the model can identify deep-partial thickness burns, which is the most difficult to diagnose clinically, with 99% accuracy, 98% sensitivity, and 100% specificity. The diagnostic accuracy of the classifier is further illustrated by the high area under the curve values of 0.99 and 0.95, respectively, for the receiver operating characteristic and precision-recall curves. A post hoc explanation indicates that the classifier activates the discriminative textural features in the B-mode images for burn classification. The proposed model has the potential for clinical utility in assisting the clinical assessment of burn depths using a widely available clinical imaging device.

eess.IV↗

arXiv2022

Video-based Formative and Summative Assessment of Surgical Tasks using Deep Learning

To ensure satisfactory clinical outcomes, surgical skill assessment must be objective, time-efficient, and preferentially automated - none of which is currently achievable. Video-based assessment (VBA) is being deployed in intraoperative and simulation settings to evaluate technical skill execution. However, VBA remains manually- and time-intensive and prone to subjective interpretation and poor inter-rater reliability. Herein, we propose a deep learning (DL) model that can automatically and objectively provide a high-stakes summative assessment of surgical skill execution based on video feeds and low-stakes formative assessment to guide surgical skill acquisition. Formative assessment is generated using heatmaps of visual features that correlate with surgical performance. Hence, the DL model paves the way to the quantitative and reproducible evaluation of surgical tasks from videos with the potential for broad dissemination in surgical training, certification, and credentialing.

cs.CV↗

arXiv2021

Deep Neural Networks for the Assessment of Surgical Skills: A Systematic Review

Surgical training in medical school residency programs has followed the apprenticeship model. The learning and assessment process is inherently subjective and time-consuming. Thus, there is a need for objective methods to assess surgical skills. Here, we use the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines to systematically survey the literature on the use of Deep Neural Networks for automated and objective surgical skill assessment, with a focus on kinematic data as putative markers of surgical competency. There is considerable recent interest in deep neural networks (DNN) due to the availability of powerful algorithms, multiple datasets, some of which are publicly available, as well as efficient computational hardware to train and host them. We have reviewed 530 papers, of which we selected 25 for this systematic review. Based on this review, we concluded that DNNs are powerful tools for automated, objective surgical skill assessment using both kinematic and video data. The field would benefit from large, publicly available, annotated datasets that are representative of the surgical trainee and expert demographics and multimodal data beyond kinematics and videos.

cs.CV↗

arXiv2020

Decreasing the Surgical Errors by Neurostimulation of Primary Motor Cortex and the Associated Brain Activation via Neuroimaging

Acquisition of fine motor skills is a time-consuming process as it requires frequent repetitions. Transcranial electrical stimulation is a promising means of enhancing simple motor skill development via neuromodulatory mechanisms. Here, we report that non-invasive neurostimulation facilitates the learning of complex fine bimanual motor skills associated with a surgical task. During the training of 17 medical students on the Fundamentals of Laparoscopic Surgery (FLS) pattern cutting task over a period of 12 days, we observed that transcranial direct current stimulation (tDCS) decreased the error level and the variability in performance, compared to the Sham group. By concurrently monitoring the cortical activations of the subjects via functional near-infrared spectroscopy (fNIRS), our study showed that the cortical activation significantly stimulated by tDCS. The lowered performance error and the increased brain activation were retained after one-month post-training. This work supports the use of tDCS to enhance performance accuracy in fine bimanual motor tasks.

physics.med-ph↗