发表机构
Karlsruhe Institute of Technology; LMU Munich; University Medical Center Freiburg; IPAI Foundation gGmbH（卡尔斯鲁厄理工学院; 慕尼黑大学; 弗赖堡大学医学中心; IPAI基金会有限公司）
机构由 AI 辅助整理，请以论文原文为准。AI 中文总结
本研究提出NeuroClick，一种利用耳戴式设备牙齿点击实现神经外科免提控制的系统，在模拟手术中达到98.6%的F1分数，并保留外科医生自主性。
AI 中文摘要
神经外科医生在手术室（OR）中频繁与医疗技术交互，而无菌环境和双手被占用限制了其控制能力。我们引入耳戴式设备作为神经外科中一种直接的、免提的控制平台，采用牙齿点击输入。形成性手术室观察和对10位领域专家的访谈为设计提供了基础。利用来自12名参与者的OpenEarable 2.0数据，我们开发了一个实时识别流水线，其分类器在留一受试者交叉验证下实现了98.6%的中位宏F1分数。我们在神经外科手术室的模拟切除任务中，对20名神经外科医生评估了该技术。参与者报告了较少的注意力转移，并对耳戴式设备在工作流整合和感知安全性方面给予好评。自主显微镜控制方面，耳戴式设备的评分显著高于委托控制，而在持续助手可用的情况下，委托控制实现了更快的任务完成。工作负荷、可用性和任务错误方面无显著差异。偏好取决于训练、可靠性、情境和助手可用性。因此，耳戴式设备为在既有工作流中控制选定功能提供了一种直接的、免提的选项。
英文摘要
Neurosurgeons frequently interact with operating room (OR) technologies while sterility and occupied hands constrain control. We introduce earables as a direct, hands-free control platform for neurosurgery using tooth-click input. Formative OR observations and interviews with 10 domain experts grounded the design. Using OpenEarable 2.0 data from 12 participants, we developed a real-time recognition pipeline whose classifier achieved a median macro F1-score of 98.6% under leave-one-subject-out cross-validation. We evaluated the technique with 20 neurosurgeons during a simulated resection task in a neurosurgical OR. Participants reported few focus shifts and rated Earable favorably for workflow integration and perceived safety. Autonomous microscope control was rated significantly higher with Earable than Delegation, whereas Delegation enabled faster task completion under continuous assistant availability. Workload, usability, and task errors showed no significant differences. Preferences depended on training, reliability, context, and assistant availability. Earables thus add a direct, hands-free option for controlling selected functions alongside established workflows.
