The IDEAL framework for surgical robotics: development, comparative evaluation and long-term monitoring

IDEAL Robotics Colloquium; Hani J Marcus; Pedro T Ramirez; Danyal Z Khan; Hugo Layard Horsfall; John G Hanrahan; Simon C Williams; David J Beard; Rani Bhat; Ken Catchpole; Andrew Cook; Katrina Hutchison; Janet Martin; Tom Melvin; Danail Stoyanov; Maroeska Rovers; Nicholas Raison; Prokar Dasgupta; David Noonan; Deborah Stocken; Georgia Sturt; Anne Vanhoestenberghe; Baptiste Vasey; Peter McCulloch

doi:10.1038/s41591-023-02732-7

The IDEAL framework for surgical robotics: development, comparative evaluation and long-term monitoring

IDEAL Robotics Colloquium, Hani J Marcus, Pedro T Ramirez, Danyal Z Khan, Hugo Layard Horsfall, John G Hanrahan, Simon C Williams, David J Beard, Rani Bhat, Ken Catchpole, Andrew Cook, Katrina Hutchison, Janet Martin, Tom Melvin, Danail Stoyanov, Maroeska Rovers, Nicholas Raison, Prokar Dasgupta, David Noonan, Deborah StockenGeorgia Sturt, Anne Vanhoestenberghe, Baptiste Vasey, Peter McCulloch

National Hospital of Neurology and Neurosurgery
Houston Methodist Hospital Neal Cancer Center
Oxford Autoimmune Neurology Group, Nuffield Department of Clinical Neurosciences, University of Oxford, Oxford, UK.; Department of Neurology, Oxford University Hospitals NHS Foundation Trust, Oxford, UK.
Apollo Specialty Hospital
Department of Regenerative Medicine and Cell Biology Medical University of South Carolina Charleston South Carolina USA
University of Southampton Faculty of Medicine, Southampton University Hospitals NHS Trust, Southampton, United Kingdom.
Department of Philosophy, Macquarie University, Sydney, NSW 2000, Australia.
University of Western Ontario Department of Epidemiology and Biostatistics, Schulich School of Medicine & Dentistry, , London, ON, Canada; Schulich School of Medicine & Dentistry, University of Western Ontario Schulich Interfaculty Program in Public Health, , London, ON, Canada
Trinity College Dublin
Wellcome/Engineering and Physical Sciences Research Council (EPSRC) Centre for Interventional and Surgical Sciences (WEISS)
Department of Medical Imaging
Department of Imaging Sciences and Biomedical Engineering
1Department of Hepatology, Imperial College London, London, UK. 2Institute of Liver Studies at King's College School of Medicine at King's College Hospital, London, UK. 3Institute of Human Health and Performance, University College London, London, UK. 4Department of Asthma Allergy and Lung Biology, King's College London, London, UK. 5Division of Critical Care Medicine, University of Alberta, Edmonton, Canada.
Academic Department of Vascular Surgery, Cardiovascular Division, King's College London, BHF Centre of Research Excellence & NIHR Biomedical Research Centre at King's Health Partners, St Thomas' Hospital, London, UK.
Moon Surgical
University of Leeds
Bowel and Cancer Research
School of Biomedical Engineering and Imaging Sciences
Geneva University Hospitals

Research output: Contribution to journal › Review article › peer-review

22 Citations (Scopus)

Abstract

The next generation of surgical robotics is poised to disrupt healthcare systems worldwide, requiring new frameworks for evaluation. However, evaluation during a surgical robot's development is challenging due to their complex evolving nature, potential for wider system disruption and integration with complementary technologies like artificial intelligence. Comparative clinical studies require attention to intervention context, learning curves and standardized outcomes. Long-term monitoring needs to transition toward collaborative, transparent and inclusive consortiums for real-world data collection. Here, the Idea, Development, Exploration, Assessment and Long-term monitoring (IDEAL) Robotics Colloquium proposes recommendations for evaluation during development, comparative study and clinical monitoring of surgical robots-providing practical recommendations for developers, clinicians, patients and healthcare systems. Multiple perspectives are considered, including economics, surgical training, human factors, ethics, patient perspectives and sustainability. Further work is needed on standardized metrics, health economic assessment models and global applicability of recommendations.

Original language	English
Pages (from-to)	61-75
Number of pages	15
Journal	Nature Medicine
Volume	30
Issue number	1
DOIs	https://doi.org/10.1038/s41591-023-02732-7
Publication status	Published - 1 Jan 2024

Keywords

Humans
Artificial Intelligence
Robotics
Robotic Surgical Procedures

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IDEAL Robotics Colloquium, Marcus, H. J., Ramirez, P. T., Khan, D. Z., Layard Horsfall, H., Hanrahan, J. G., Williams, S. C., Beard, D. J., Bhat, R., Catchpole, K., Cook, A., Hutchison, K., Martin, J., Melvin, T., Stoyanov, D., Rovers, M., Raison, N., Dasgupta, P., Noonan, D., ... McCulloch, P. (2024). The IDEAL framework for surgical robotics: development, comparative evaluation and long-term monitoring. Nature Medicine, 30(1), 61-75. https://doi.org/10.1038/s41591-023-02732-7

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title = "The IDEAL framework for surgical robotics: development, comparative evaluation and long-term monitoring",

abstract = "The next generation of surgical robotics is poised to disrupt healthcare systems worldwide, requiring new frameworks for evaluation. However, evaluation during a surgical robot's development is challenging due to their complex evolving nature, potential for wider system disruption and integration with complementary technologies like artificial intelligence. Comparative clinical studies require attention to intervention context, learning curves and standardized outcomes. Long-term monitoring needs to transition toward collaborative, transparent and inclusive consortiums for real-world data collection. Here, the Idea, Development, Exploration, Assessment and Long-term monitoring (IDEAL) Robotics Colloquium proposes recommendations for evaluation during development, comparative study and clinical monitoring of surgical robots-providing practical recommendations for developers, clinicians, patients and healthcare systems. Multiple perspectives are considered, including economics, surgical training, human factors, ethics, patient perspectives and sustainability. Further work is needed on standardized metrics, health economic assessment models and global applicability of recommendations.",

keywords = "Humans, Artificial Intelligence, Robotics, Robotic Surgical Procedures",

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note = "Funding Information: We thank all colloquium panel members and experts who took part in the semistructured meetings to devise this framework. This work was supported by the IDEAL Collaboration. Publisher Copyright: {\textcopyright} 2024, The Author(s), under exclusive licence to Springer Nature America, Inc.",

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doi = "10.1038/s41591-023-02732-7",

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IDEAL Robotics Colloquium, Marcus, HJ, Ramirez, PT, Khan, DZ, Layard Horsfall, H, Hanrahan, JG, Williams, SC, Beard, DJ, Bhat, R, Catchpole, K, Cook, A, Hutchison, K, Martin, J, Melvin, T, Stoyanov, D, Rovers, M, Raison, N , Dasgupta, P, Noonan, D, Stocken, D, Sturt, G, Vanhoestenberghe, A, Vasey, B & McCulloch, P 2024, 'The IDEAL framework for surgical robotics: development, comparative evaluation and long-term monitoring', Nature Medicine, vol. 30, no. 1, pp. 61-75. https://doi.org/10.1038/s41591-023-02732-7

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AU - Vanhoestenberghe, Anne

AU - Vasey, Baptiste

AU - McCulloch, Peter

N1 - Funding Information: We thank all colloquium panel members and experts who took part in the semistructured meetings to devise this framework. This work was supported by the IDEAL Collaboration. Publisher Copyright: © 2024, The Author(s), under exclusive licence to Springer Nature America, Inc.

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DO - 10.1038/s41591-023-02732-7

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VL - 30

SP - 61

EP - 75

JO - Nature Medicine

JF - Nature Medicine

IS - 1

ER -

The IDEAL framework for surgical robotics: development, comparative evaluation and long-term monitoring

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Keywords

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