A gaze-contingent framework for perceptually-enabled applications in healthcare

Patient safety and quality of care remain the focus of the smart operating room of the future. Some of the most influential factors with a detrimental effect are related to suboptimal communication among the staff, poor flow of information, staff workload and fatigue, ergonomics and sterility in the operating room. While technological developments constantly transform the operating room layout and the interaction between surgical staff and machinery, a vast array of opportunities arise for the design of systems and approaches, that can enhance patient safety and improve workflow and efficiency. The aim of this research is to develop a real-time gaze-contingent framework towards a "smart" operating suite, that will enhance operator's ergonomics by allowing perceptually-enabled, touchless and natural interaction with the environment. The main feature of the proposed framework is the ability to acquire and utilise the plethora of information provided by the human visual system to allow touchless interaction with medical devices in the operating room. In this thesis, a gaze-guided robotic scrub nurse, a gaze-controlled robotised flexible endoscope and a gaze-guided assistive robotic system are proposed. Firstly, the gaze-guided robotic scrub nurse is presented; surgical teams performed a simulated surgical task with the assistance of a robot scrub nurse, which complements the human scrub nurse in delivery of surgical instruments, following gaze selection by the surgeon. Then, the gaze-controlled robotised flexible endoscope is introduced; experienced endoscopists and novice users performed a simulated examination of the upper gastrointestinal tract using predominately their natural gaze. Finally, a gaze-guided assistive robotic system is presented, which aims to facilitate activities of daily living. The results of this work provide valuable insights into the feasibility of integrating the developed gaze-contingent framework into clinical practice without significant workflow disruptions.Open Acces

Predicting gaze direction from head pose yaw and pitch

Abstract - Socially assistive robots (SARs) must be able to interpret non-verbal communication from a human. A person’s gaze direction informs the observer where the visual attention is directed to. Therefore it is useful if a robot can interpret the gaze direction, so that it can assess whether a person is looking at it or some object in the environment. Gazing is a combination of head and eye movement, but detecting eye orientation from a distance is difficult in real life environments. Instead a robot can measure the head pose and infer the gaze direction. In this paper, we show that both the yaw and pitch of a human’s gaze can be inferred from the measured yaw and pitch of the human’s head pose with simple linear equations

Stochastic Methods for Fine-Grained Image Segmentation and Uncertainty Estimation in Computer Vision

In this dissertation, we exploit concepts of probability theory, stochastic methods and machine learning to address three existing limitations of deep learning-based models for image understanding. First, although convolutional neural networks (CNN) have substantially improved the state of the art in image understanding, conventional CNNs provide segmentation masks that poorly adhere to object boundaries, a critical limitation for many potential applications. Second, training deep learning models requires large amounts of carefully selected and annotated data, but large-scale annotation of image segmentation datasets is often prohibitively expensive. And third, conventional deep learning models also lack the capability of uncertainty estimation, which compromises both decision making and model interpretability. To address these limitations, we introduce the Region Growing Refinement (RGR) algorithm, an unsupervised post-processing algorithm that exploits Monte Carlo sampling and pixel similarities to propagate high-confidence labels into regions of low-confidence classification. The probabilistic Region Growing Refinement (pRGR) provides RGR with a rigorous mathematical foundation that exploits concepts of Bayesian estimation and variance reduction techniques. Experiments demonstrate both the effectiveness of (p)RGR for the refinement of segmentation predictions, as well as its suitability for uncertainty estimation, since its variance estimates obtained in the Monte Carlo iterations are highly correlated with segmentation accuracy. We also introduce FreeLabel, an intuitive open-source web interface that exploits RGR to allow users to obtain high-quality segmentation masks with just a few freehand scribbles, in a matter of seconds. Designed to benefit the computer vision community, FreeLabel can be used for both crowdsourced or private annotation and has a modular structure that can be easily adapted for any image dataset. The practical relevance of methods developed in this dissertation are illustrated through applications on agricultural and healthcare-related domains. We have combined RGR and modern CNNs for fine segmentation of fruit flowers, motivated by the importance of automated bloom intensity estimation for optimization of fruit orchard management and, possibly, automatizing procedures such as flower thinning and pollination. We also exploited an early version of FreeLabel to annotate novel datasets for segmentation of fruit flowers, which are currently publicly available. Finally, this dissertation also describes works on fine segmentation and gaze estimation for images collected from assisted living environments, with the ultimate goal of assisting geriatricians in evaluating health status of patients in such facilities

Recognition of Activities of Daily Living with Egocentric Vision: A Review.

Video-based recognition of activities of daily living (ADLs) is being used in ambient assisted living systems in order to support the independent living of older people. However, current systems based on cameras located in the environment present a number of problems, such as occlusions and a limited field of view. Recently, wearable cameras have begun to be exploited. This paper presents a review of the state of the art of egocentric vision systems for the recognition of ADLs following a hierarchical structure: motion, action and activity levels, where each level provides higher semantic information and involves a longer time frame. The current egocentric vision literature suggests that ADLs recognition is mainly driven by the objects present in the scene, especially those associated with specific tasks. However, although object-based approaches have proven popular, object recognition remains a challenge due to the intra-class variations found in unconstrained scenarios. As a consequence, the performance of current systems is far from satisfactory

Technology assisted screening and balance training systems for stroke patients

by Deepesh KumarPh.D