Touchless Interfaces in the Operating Room: A Study in Gesture Preferences

Touchless interfaces allow surgeons to control medical imaging systems autonomously while maintaining total asepsis in the Operating Room. This is specially relevant as it applies to the recent outbreak of COVID-19 disease. The choice of best gestures/commands for such interfaces is a critical step that determines the overall efficiency of surgeon-computer interaction. In this regard, usability metrics such as task completion time, memorability and error rate have a long-standing as potential entities in determining the best gestures. In addition, previous works concerned with this problem utilized qualitative measures to identify the best gestures. In this work, we hypothesize that there is a correlation between gestures’ qualitative properties and their usability metrics. In this regard, we conducted a user experiment with language experts to quantify gestures’ properties (v). Next, we developed a gesture-based system that facilitates surgeons to control the medical imaging software in a touchless manner. Next, a usability study was conducted with neurosurgeons and the standard usability metrics (u) were measured in a systematic manner. Lastly, multi-variate correlation analysis was used to find the relations between u and v. Statistical analysis showed that the v scores were significantly correlated with the usability metrics with an $R^2\approx 0.40$ and p < 0.05. Once the correlation is established, we can utilize either gestures’ qualitative properties or usability metrics to identify the best set of gestures.