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        <identifier>oai:figshare.com:article/33925600</identifier>
        <datestamp>2026-09-18T08:51:09Z</datestamp>
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          <dc:title>Supplementary Material for: Motion Capture of Bronchoscopist Kinematics Using a Spatial Computing Device: A Methodological Proof-of-Concept Study</dc:title>
          <dc:creator>figshare admin karger (2628495)</dc:creator>
          <dc:creator>Shotaro Okachi (16000373)</dc:creator>
          <dc:creator>Tomoya Horiguchi (11481801)</dc:creator>
          <dc:creator>Yasuhiro Goto (2361685)</dc:creator>
          <dc:creator>Michitaka Fujiwara (4176772)</dc:creator>
          <dc:creator>Kazuyoshi Imaizumi (488891)</dc:creator>
          <dc:creator>Naozumi Hashimoto (351558)</dc:creator>
          <dc:subject>Medicine</dc:subject>
          <dc:subject>medicine</dc:subject>
          <dc:description>&lt;p dir="ltr"&gt;&lt;b&gt;&lt;i&gt;Introduction&lt;/i&gt;&lt;/b&gt;: Bronchoscopy is physically demanding, and studies of ergonomics and objective skill assessment require accurate, segment-resolved capture of the bronchoscopist’s hand and head movements. However, existing motion capture approaches typically rely on specialized laboratory infrastructure or wearable sensor arrays, limiting their routine use.&lt;/p&gt;&lt;p dir="ltr"&gt;&lt;b&gt;&lt;i&gt;Methods:&lt;/i&gt;&lt;/b&gt; A board-certified pulmonologist performed 10 systematic bronchoscopies across the 18 named segments using an airway simulator and a single-use bronchoscope. Procedures alternated between conditions without and with engagement of the bronchoscope’s insertion-tube rotation mechanism. A custom visionOS application running on Apple Vision Pro captured bilateral hand and head poses at 30 Hz, with synchronized voice-cue annotations for each segment.&lt;/p&gt;&lt;p dir="ltr"&gt;&lt;b&gt;&lt;i&gt;Results&lt;/i&gt;&lt;/b&gt;&lt;b&gt;&lt;i&gt;:&lt;/i&gt;&lt;/b&gt; All 180 expected segment insertions were recorded (94.4% via voice cues; 5.6% recovered through tracking-derived hold detection and excluded from per-insertion analyses). Intermittent tracking-freezing artifacts, in which a static pose was retained under a valid tracking flag, were detected by frame-to-frame immobility and excluded from the affected analyses. The mean per-insertion peak left-wrist rotation across all segments was 107.9° without and 72.6° with the rotation mechanism. The mean left-thumb path length within the wrist’s local reference frame was 3.82 ± 0.48 m per bronchoscopy, and the estimated number of bronchoscope lever operation cycles was 64.8 ± 7.9 per procedure.&lt;/p&gt;&lt;p dir="ltr"&gt;&lt;b&gt;&lt;i&gt;Conclusion:&lt;/i&gt;&lt;/b&gt; In this proof-of-concept study, a single off-the-shelf head-mounted device enabled multi-channel capture of bronchoscopist kinematics during simulated bronchoscopy. This approach provides a practical methodological foundation for future studies on bronchoscopy ergonomics, skill assessment, and AI-driven training data generation.&lt;/p&gt;</dc:description>
          <dc:date>2026-09-18T08:51:09Z</dc:date>
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          <dc:identifier>10.6084/m9.figshare.33925600.v1</dc:identifier>
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          <dc:rights>CC BY 4.0</dc:rights>
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