An Asynchronous Simulation Framework for Multi-User Interactive Collaboration: Application to Robot-Assisted Surgery

The field of surgery is continually evolving as there is always room for improvement in the post-operative health of the patient as well as the comfort of the Operating Room (OR) team. While the success of surgery is contingent upon the skills of the surgeon and the OR team, the use of specialized robots has shown to improve surgery-related outcomes in some cases. These outcomes are currently measured using a wide variety of metrics that include patient pain and recovery, surgeon’s comfort, duration of the operation and the cost of the procedure. There is a need for additional research to better understand the optimal criteria for benchmarking surgical performance. Presently, surgeons are trained to perform robot-assisted surgeries using interactive simulators. However, in the absence of well-defined performance standards, these simulators focus primarily on the simulation of the operative scene and not the complexities associated with multiple inputs to a real-world surgical procedure. Because interactive simulators are typically designed for specific robots that perform a small number of tasks controlled by a single user, they are inflexible in terms of their portability to different robots and the inclusion of multiple operators (e.g., nurses, medical assistants). Additionally, while most simulators provide high-quality visuals, simplification techniques are often employed to avoid stability issues for physics computation, contact dynamics and multi-manual interaction. This study addresses the limitations of existing simulators by outlining various specifications required to develop techniques that mimic real-world interactions and collaboration. Moreover, this study focuses on the inclusion of distributed control, shared task allocation and assistive feedback -- through machine learning, secondary and tertiary operators -- alongside the primary human operator

Learning Deep Nets for Gravitational Dynamics with Unknown Disturbance through Physical Knowledge Distillation: Initial Feasibility Study

Learning high-performance deep neural networks for dynamic modeling of high Degree-Of-Freedom (DOF) robots remains challenging due to the sampling complexity. Typical unknown system disturbance caused by unmodeled dynamics (such as internal compliance, cables) further exacerbates the problem. In this paper, a novel framework characterized by both high data efficiency and disturbance-adapting capability is proposed to address the problem of modeling gravitational dynamics using deep nets in feedforward gravity compensation control for high-DOF master manipulators with unknown disturbance. In particular, Feedforward Deep Neural Networks (FDNNs) are learned from both prior knowledge of an existing analytical model and observation of the robot system by Knowledge Distillation (KD). Through extensive experiments in high-DOF master manipulators with significant disturbance, we show that our method surpasses a standard Learning-from-Scratch (LfS) approach in terms of data efficiency and disturbance adaptation. Our initial feasibility study has demonstrated the potential of outperforming the analytical teacher model as the training data increases

Toward Force Estimation in Robot-Assisted Surgery using Deep Learning with Vision and Robot State

Knowledge of interaction forces during teleoperated robot-assisted surgery could be used to enable force feedback to human operators and evaluate tissue handling skill. However, direct force sensing at the end-effector is challenging because it requires biocompatible, sterilizable, and cost-effective sensors. Vision-based deep learning using convolutional neural networks is a promising approach for providing useful force estimates, though questions remain about generalization to new scenarios and real-time inference. We present a force estimation neural network that uses RGB images and robot state as inputs. Using a self-collected dataset, we compared the network to variants that included only a single input type, and evaluated how they generalized to new viewpoints, workspace positions, materials, and tools. We found that vision-based networks were sensitive to shifts in viewpoints, while state-only networks were robust to changes in workspace. The network with both state and vision inputs had the highest accuracy for an unseen tool, and was moderately robust to changes in viewpoints. Through feature removal studies, we found that using only position features produced better accuracy than using only force features as input. The network with both state and vision inputs outperformed a physics-based baseline model in accuracy. It showed comparable accuracy but faster computation times than a baseline recurrent neural network, making it better suited for real-time applications.Comment: 7 pages, 6 figures, submitted to ICRA 202

Accelerating Surgical Robotics Research: A Review of 10 Years With the da Vinci Research Kit

Robotic-assisted surgery is now well-established in clinical practice and has become the gold standard clinical treatment option for several clinical indications. The field of robotic-assisted surgery is expected to grow substantially in the next decade with a range of new robotic devices emerging to address unmet clinical needs across different specialities. A vibrant surgical robotics research community is pivotal for conceptualizing such new systems as well as for developing and training the engineers and scientists to translate them into practice. The da Vinci Research Kit (dVRK), an academic and industry collaborative effort to re-purpose decommissioned da Vinci surgical systems (Intuitive Surgical Inc, CA, USA) as a research platform for surgical robotics research, has been a key initiative for addressing a barrier to entry for new research groups in surgical robotics. In this paper, we present an extensive review of the publications that have been facilitated by the dVRK over the past decade. We classify research efforts into different categories and outline some of the major challenges and needs for the robotics community to maintain this initiative and build upon it

Using High-Level Processing of Low-Level Signals to Actively Assist Surgeons with Intelligent Surgical Robots

Robotic surgical systems are increasingly used for minimally-invasive surgeries. As such, there is opportunity for these systems to fundamentally change the way surgeries are performed by becoming intelligent assistants rather than simply acting as the extension of surgeons' arms. As a step towards intelligent assistance, this thesis looks at ways to represent different aspects of robot-assisted surgery (RAS). We identify three main components: the robot, the surgeon actions, and the patient scene dynamics. Traditional learning algorithms in these domains are predominantly supervised methods. This has several drawbacks. First many of these domains are non-categorical, like how soft-tissue deforms. This makes labeling difficult. Second, surgeries vary greatly. Estimation of the robot state may be affected by how the robot is docked and cable tensions in the instruments. Estimation of the patient anatomy and its dynamics are often inaccurate, and in any case, may change throughout a surgery. To obtain the most accurate information, these aspects must be learned during the procedure. This limits the amount of labeling that could be done. On the surgeon side, different surgeons may perform the same procedure differently and the algorithm should provide personalized estimations for surgeons. All of these considerations motivated the use of self-supervised learning throughout this thesis. We first build a representation of the robot system. In particular, we looked at learning the dynamics model of the robot. We evaluate the model by using it to estimate forces. Once we can estimate forces in free space, we extend the algorithm to take into account patient-specific interactions, namely with the trocar and the cannula seal. Accounting for surgery-specific interactions is possible because our method does not require additional sensors and can be trained in less than five minutes, including time for data collection. Next, we use cross-modal training to understand surgeon actions by looking at the bottleneck layer when mapping video to kinematics. This should contain information about the latent space of surgeon-actions, while discarding some medium-specific information about either the video or the kinematics. Lastly, to understand the patient scene, we start with modeling interactions between a robot instrument and a soft-tissue phantom. Models are often inaccurate due to imprecise material parameters and boundary conditions, particularly in clinical scenarios. Therefore, we add a depth camera to observe deformations to correct the results of simulations. We also introduce a network that learns to simulate soft-tissue deformation from physics simulators in order to speed up the estimation. We demonstrate that self-supervised learning can be used for understanding each part of RAS. The representations it learns contain information about signals that are not directly measurable. The self-supervised nature of the methods presented in this thesis lends itself well to learning throughout a surgery. With such frameworks, we can overcome some of the main barriers to adopting learning methods in the operating room: the variety in surgery and the difficulty in labeling enough training data for each case

Robot Assisted Object Manipulation for Minimally Invasive Surgery

Robotic systems have an increasingly important role in facilitating minimally invasive surgical treatments. In robot-assisted minimally invasive surgery, surgeons remotely control instruments from a console to perform operations inside the patient. However, despite the advanced technological status of surgical robots, fully autonomous systems, with decision-making capabilities, are not yet available. In 2017, a structure to classify the research efforts toward autonomy achievable with surgical robots was proposed by Yang et al. Six different levels were identified: no autonomy, robot assistance, task autonomy, conditional autonomy, high autonomy, and full autonomy. All the commercially available platforms in robot-assisted surgery is still in level 0 (no autonomy). Despite increasing the level of autonomy remains an open challenge, its adoption could potentially introduce multiple benefits, such as decreasing surgeons’ workload and fatigue and pursuing a consistent quality of procedures. Ultimately, allowing the surgeons to interpret the ample and intelligent information from the system will enhance the surgical outcome and positively reflect both on patients and society. Three main aspects are required to introduce automation into surgery: the surgical robot must move with high precision, have motion planning capabilities and understand the surgical scene. Besides these main factors, depending on the type of surgery, there could be other aspects that might play a fundamental role, to name some compliance, stiffness, etc. This thesis addresses three technological challenges encountered when trying to achieve the aforementioned goals, in the specific case of robot-object interaction. First, how to overcome the inaccuracy of cable-driven systems when executing fine and precise movements. Second, planning different tasks in dynamically changing environments. Lastly, how the understanding of a surgical scene can be used to solve more than one manipulation task. To address the first challenge, a control scheme relying on accurate calibration is implemented to execute the pick-up of a surgical needle. Regarding the planning of surgical tasks, two approaches are explored: one is learning from demonstration to pick and place a surgical object, and the second is using a gradient-based approach to trigger a smoother object repositioning phase during intraoperative procedures. Finally, to improve scene understanding, this thesis focuses on developing a simulation environment where multiple tasks can be learned based on the surgical scene and then transferred to the real robot. Experiments proved that automation of the pick and place task of different surgical objects is possible. The robot was successfully able to autonomously pick up a suturing needle, position a surgical device for intraoperative ultrasound scanning and manipulate soft tissue for intraoperative organ retraction. Despite automation of surgical subtasks has been demonstrated in this work, several challenges remain open, such as the capabilities of the generated algorithm to generalise over different environment conditions and different patients

Artificial Intelligence Technology

This open access book aims to give our readers a basic outline of today’s research and technology developments on artificial intelligence (AI), help them to have a general understanding of this trend, and familiarize them with the current research hotspots, as well as part of the fundamental and common theories and methodologies that are widely accepted in AI research and application. This book is written in comprehensible and plain language, featuring clearly explained theories and concepts and extensive analysis and examples. Some of the traditional findings are skipped in narration on the premise of a relatively comprehensive introduction to the evolution of artificial intelligence technology. The book provides a detailed elaboration of the basic concepts of AI, machine learning, as well as other relevant topics, including deep learning, deep learning framework, Huawei MindSpore AI development framework, Huawei Atlas computing platform, Huawei AI open platform for smart terminals, and Huawei CLOUD Enterprise Intelligence application platform. As the world’s leading provider of ICT (information and communication technology) infrastructure and smart terminals, Huawei’s products range from digital data communication, cyber security, wireless technology, data storage, cloud computing, and smart computing to artificial intelligence