22,151 research outputs found
Automatic phase prediction from low-level surgical activities
Purpose:
Analyzing surgical activities has received a growing interest in recent years. Several methods have been proposed to identify surgical activities and surgical phases from data acquired in operating rooms. These context-aware systems have multiple applications including: supporting the surgical team during the intervention, improving the automatic monitoring, designing new teaching paradigms.
Methods:
In this paper, we use low-level recordings of the activities that are performed by a surgeon to automatically predict the current (high-level) phase of the surgery. We augment a decision tree algorithm with the ability to consider the local context of the surgical activities and a hierarchical clustering algorithm.
Results:
Experiments were performed on 22 surgeries of lumbar disk herniation. We obtained an overall precision of 0.843 in detecting phases of 51,489 single activities. We also assess the robustness of the method with regard to noise.
Conclusion:
We show that using the local context allows us to improve the results compared with methods only considering single activity. Experiments show that the use of the local context makes our method very robust to noise and that clustering the input data first improves the predictions
Evaluating surgical skills from kinematic data using convolutional neural networks
The need for automatic surgical skills assessment is increasing, especially
because manual feedback from senior surgeons observing junior surgeons is prone
to subjectivity and time consuming. Thus, automating surgical skills evaluation
is a very important step towards improving surgical practice. In this paper, we
designed a Convolutional Neural Network (CNN) to evaluate surgeon skills by
extracting patterns in the surgeon motions performed in robotic surgery. The
proposed method is validated on the JIGSAWS dataset and achieved very
competitive results with 100% accuracy on the suturing and needle passing
tasks. While we leveraged from the CNNs efficiency, we also managed to mitigate
its black-box effect using class activation map. This feature allows our method
to automatically highlight which parts of the surgical task influenced the
skill prediction and can be used to explain the classification and to provide
personalized feedback to the trainee.Comment: Accepted at MICCAI 201
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