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

Fuente: arXiv
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Main Authors: Kamat, Anil, Rahul, Rahul, Dutta, Anirban, Cavuoto, Lora, Kruger, Uwe, Burke, Harry, Hackett, Matthew, Norfleet, Jack, Schwaitzberg, Steven, De, Suvranu
Format: Preprint
Published: 2025
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author Kamat, Anil
Rahul, Rahul
Dutta, Anirban
Cavuoto, Lora
Kruger, Uwe
Burke, Harry
Hackett, Matthew
Norfleet, Jack
Schwaitzberg, Steven
De, Suvranu
author_facet Kamat, Anil
Rahul, Rahul
Dutta, Anirban
Cavuoto, Lora
Kruger, Uwe
Burke, Harry
Hackett, Matthew
Norfleet, Jack
Schwaitzberg, Steven
De, Suvranu
contents 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.
format Preprint
id arxiv_https___arxiv_org_abs_2502_13362
institution arXiv
publishDate 2025
record_format arxiv
spellingShingle Dynamic directed functional connectivity as a neural biomarker for objective motor skill assessment
Kamat, Anil
Rahul, Rahul
Dutta, Anirban
Cavuoto, Lora
Kruger, Uwe
Burke, Harry
Hackett, Matthew
Norfleet, Jack
Schwaitzberg, Steven
De, Suvranu
Neurons and Cognition
Machine Learning
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.
title Dynamic directed functional connectivity as a neural biomarker for objective motor skill assessment
topic Neurons and Cognition
Machine Learning
url https://arxiv.org/abs/2502.13362