Neuroimaging Guided Transcranial Electrical Stimulation in Enhancing Surgical Skill Acquisition. Comment on Hung et al. The Efficacy of Transcranial Direct Current Stimulation in Enhancing Surgical Skill Acquisition: A Preliminary Meta-Analysis of Randomized Controlled Trials. <i>Brain Sci.</i> 2021, <i>11</i>, 707
Surgical skill acquisition may be facilitated with a safe application of transcranial direct current stimulation (tDCS). A preliminary meta-analysis of randomized control trials showed that tDCS was associated with significantly better improvement in surgical performance than the sham control; howev...
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| Format: | Article |
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MDPI AG
2021-08-01
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| Series: | Brain Sciences |
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| Online Access: | https://www.mdpi.com/2076-3425/11/8/1078 |
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| author | Pushpinder Walia Kavya Narendra Kumar Anirban Dutta |
| author_facet | Pushpinder Walia Kavya Narendra Kumar Anirban Dutta |
| author_sort | Pushpinder Walia |
| collection | DOAJ |
| description | Surgical skill acquisition may be facilitated with a safe application of transcranial direct current stimulation (tDCS). A preliminary meta-analysis of randomized control trials showed that tDCS was associated with significantly better improvement in surgical performance than the sham control; however, meta-analysis does not address the mechanistic understanding. It is known from skill learning studies that the hierarchy of cognitive control shows a rostrocaudal axis in the frontal lobe where a shift from posterior to anterior is postulated to mediate progressively abstract, higher-order control. Therefore, optimizing the transcranial electrical stimulation to target surgical task-related brain activation at different stages of motor learning may provide the causal link to the learning behavior. This comment paper presents the computational approach for neuroimaging guided tDCS based on open-source software pipelines and an open-data of functional near-infrared spectroscopy (fNIRS) for complex motor tasks. We performed an fNIRS-based cortical activation analysis using AtlasViewer software that was used as the target for tDCS of the motor complexity-related brain regions using ROAST software. For future studies on surgical skill training, it is postulated that the higher complexity laparoscopic suturing with intracorporeal knot tying task may result in more robust activation of the motor complexity-related brain areas when compared to the lower complexity laparoscopic tasks. |
| first_indexed | 2024-03-10T08:57:31Z |
| format | Article |
| id | doaj.art-6d956ef8719c4c12862ac168f35c7994 |
| institution | Directory Open Access Journal |
| issn | 2076-3425 |
| language | English |
| last_indexed | 2024-03-10T08:57:31Z |
| publishDate | 2021-08-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Brain Sciences |
| spelling | doaj.art-6d956ef8719c4c12862ac168f35c79942023-11-22T06:59:47ZengMDPI AGBrain Sciences2076-34252021-08-01118107810.3390/brainsci11081078Neuroimaging Guided Transcranial Electrical Stimulation in Enhancing Surgical Skill Acquisition. Comment on Hung et al. The Efficacy of Transcranial Direct Current Stimulation in Enhancing Surgical Skill Acquisition: A Preliminary Meta-Analysis of Randomized Controlled Trials. <i>Brain Sci.</i> 2021, <i>11</i>, 707Pushpinder Walia0Kavya Narendra Kumar1Anirban Dutta2Department of Mechanical and Aerospace Engineering, University at Buffalo, Buffalo, NY 14260, USADepartment of Biomedical Engineering, University at Buffalo, Buffalo, NY 14260, USADepartment of Biomedical Engineering, University at Buffalo, Buffalo, NY 14260, USASurgical skill acquisition may be facilitated with a safe application of transcranial direct current stimulation (tDCS). A preliminary meta-analysis of randomized control trials showed that tDCS was associated with significantly better improvement in surgical performance than the sham control; however, meta-analysis does not address the mechanistic understanding. It is known from skill learning studies that the hierarchy of cognitive control shows a rostrocaudal axis in the frontal lobe where a shift from posterior to anterior is postulated to mediate progressively abstract, higher-order control. Therefore, optimizing the transcranial electrical stimulation to target surgical task-related brain activation at different stages of motor learning may provide the causal link to the learning behavior. This comment paper presents the computational approach for neuroimaging guided tDCS based on open-source software pipelines and an open-data of functional near-infrared spectroscopy (fNIRS) for complex motor tasks. We performed an fNIRS-based cortical activation analysis using AtlasViewer software that was used as the target for tDCS of the motor complexity-related brain regions using ROAST software. For future studies on surgical skill training, it is postulated that the higher complexity laparoscopic suturing with intracorporeal knot tying task may result in more robust activation of the motor complexity-related brain areas when compared to the lower complexity laparoscopic tasks.https://www.mdpi.com/2076-3425/11/8/1078surgical skill acquisitionportable neuroimagingfunctional near-infrared spectroscopytranscranial electrical stimulation |
| spellingShingle | Pushpinder Walia Kavya Narendra Kumar Anirban Dutta Neuroimaging Guided Transcranial Electrical Stimulation in Enhancing Surgical Skill Acquisition. Comment on Hung et al. The Efficacy of Transcranial Direct Current Stimulation in Enhancing Surgical Skill Acquisition: A Preliminary Meta-Analysis of Randomized Controlled Trials. <i>Brain Sci.</i> 2021, <i>11</i>, 707 Brain Sciences surgical skill acquisition portable neuroimaging functional near-infrared spectroscopy transcranial electrical stimulation |
| title | Neuroimaging Guided Transcranial Electrical Stimulation in Enhancing Surgical Skill Acquisition. Comment on Hung et al. The Efficacy of Transcranial Direct Current Stimulation in Enhancing Surgical Skill Acquisition: A Preliminary Meta-Analysis of Randomized Controlled Trials. <i>Brain Sci.</i> 2021, <i>11</i>, 707 |
| title_full | Neuroimaging Guided Transcranial Electrical Stimulation in Enhancing Surgical Skill Acquisition. Comment on Hung et al. The Efficacy of Transcranial Direct Current Stimulation in Enhancing Surgical Skill Acquisition: A Preliminary Meta-Analysis of Randomized Controlled Trials. <i>Brain Sci.</i> 2021, <i>11</i>, 707 |
| title_fullStr | Neuroimaging Guided Transcranial Electrical Stimulation in Enhancing Surgical Skill Acquisition. Comment on Hung et al. The Efficacy of Transcranial Direct Current Stimulation in Enhancing Surgical Skill Acquisition: A Preliminary Meta-Analysis of Randomized Controlled Trials. <i>Brain Sci.</i> 2021, <i>11</i>, 707 |
| title_full_unstemmed | Neuroimaging Guided Transcranial Electrical Stimulation in Enhancing Surgical Skill Acquisition. Comment on Hung et al. The Efficacy of Transcranial Direct Current Stimulation in Enhancing Surgical Skill Acquisition: A Preliminary Meta-Analysis of Randomized Controlled Trials. <i>Brain Sci.</i> 2021, <i>11</i>, 707 |
| title_short | Neuroimaging Guided Transcranial Electrical Stimulation in Enhancing Surgical Skill Acquisition. Comment on Hung et al. The Efficacy of Transcranial Direct Current Stimulation in Enhancing Surgical Skill Acquisition: A Preliminary Meta-Analysis of Randomized Controlled Trials. <i>Brain Sci.</i> 2021, <i>11</i>, 707 |
| title_sort | neuroimaging guided transcranial electrical stimulation in enhancing surgical skill acquisition comment on hung et al the efficacy of transcranial direct current stimulation in enhancing surgical skill acquisition a preliminary meta analysis of randomized controlled trials i brain sci i 2021 i 11 i 707 |
| topic | surgical skill acquisition portable neuroimaging functional near-infrared spectroscopy transcranial electrical stimulation |
| url | https://www.mdpi.com/2076-3425/11/8/1078 |
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