Automatic alignment of surgical videos using kinematic data

Over the past one hundred years, the classic teaching methodology of "see one, do one, teach one" has governed the surgical education systems worldwide. With the advent of Operation Room 2.0, recording video, kinematic and many other types of data during the surgery became an easy task, thus allowing artificial intelligence systems to be deployed and used in surgical and medical practice. Recently, surgical videos has been shown to provide a structure for peer coaching enabling novice trainees to learn from experienced surgeons by replaying those videos. However, the high inter-operator variability in surgical gesture duration and execution renders learning from comparing novice to expert surgical videos a very difficult task. In this paper, we propose a novel technique to align multiple videos based on the alignment of their corresponding kinematic multivariate time series data. By leveraging the Dynamic Time Warping measure, our algorithm synchronizes a set of videos in order to show the same gesture being performed at different speed. We believe that the proposed approach is a valuable addition to the existing learning tools for surgery.Comment: Accepted at AIME 201

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

Deep learning for time series classification

Time series analysis is a field of data science which is interested in analyzing sequences of numerical values ordered in time. Time series are particularly interesting because they allow us to visualize and understand the evolution of a process over time. Their analysis can reveal trends, relationships and similarities across the data. There exists numerous fields containing data in the form of time series: health care (electrocardiogram, blood sugar, etc.), activity recognition, remote sensing, finance (stock market price), industry (sensors), etc. Time series classification consists of constructing algorithms dedicated to automatically label time series data. The sequential aspect of time series data requires the development of algorithms that are able to harness this temporal property, thus making the existing off-the-shelf machine learning models for traditional tabular data suboptimal for solving the underlying task. In this context, deep learning has emerged in recent years as one of the most effective methods for tackling the supervised classification task, particularly in the field of computer vision. The main objective of this thesis was to study and develop deep neural networks specifically constructed for the classification of time series data. We thus carried out the first large scale experimental study allowing us to compare the existing deep methods and to position them compared other non-deep learning based state-of-the-art methods. Subsequently, we made numerous contributions in this area, notably in the context of transfer learning, data augmentation, ensembling and adversarial attacks. Finally, we have also proposed a novel architecture, based on the famous Inception network (Google), which ranks among the most efficient to date.Comment: PhD thesi

Non-Linear Temporal Scaling of Surgical Processes

International audienceObjective : Surgery is one of the riskiest and most important medical acts that is performed today. Understanding the ways in which surgeries are similar or different from each other is of major interest. Desires to improve patient outcomes and surgeon training, and to reduce the costs of surgery, all motivate a better understanding of surgical practices. To facilitate this, surgeons have started recording the activities that are performed during surgery. New methods have to be developed to be able to make the most of this extremely rich and complex data. The objective of this work is to enable the simultaneous comparison of a set of surgeries, in order to be able to extract high-level information about surgical practices. Material and Method : We introduce non-linear temporal scaling (NLTS): a method that finds a multiple alignment of a set of surgeries. Experiments are carried out on a set of lumbar disc neurosurgeries. We assess our method both on a highly standardised phase of the surgery (closure) and on the whole surgery.Results : Experiments show that NLTS makes it possible to consistently derive standards of surgical practice and to understand differences between groups of surgeries. We take the training of surgeons as the common theme for the evaluation of the results and highlight, for example, the main differences between the practices of junior and senior surgeons in the removal of a lumbar disc herniation. Conclusions : NLTS is an effective and efficient method to find a multiple alignment of a set of surgeries. NLTS realigns a set of sequences along their intrinsic timeline, which makes it possible to extract standards of surgical practices

Non-Linear Temporal Scaling of Surgical Processes

International audienceObjective : Surgery is one of the riskiest and most important medical acts that is performed today. Understanding the ways in which surgeries are similar or different from each other is of major interest. Desires to improve patient outcomes and surgeon training, and to reduce the costs of surgery, all motivate a better understanding of surgical practices. To facilitate this, surgeons have started recording the activities that are performed during surgery. New methods have to be developed to be able to make the most of this extremely rich and complex data. The objective of this work is to enable the simultaneous comparison of a set of surgeries, in order to be able to extract high-level information about surgical practices. Material and Method : We introduce non-linear temporal scaling (NLTS): a method that finds a multiple alignment of a set of surgeries. Experiments are carried out on a set of lumbar disc neurosurgeries. We assess our method both on a highly standardised phase of the surgery (closure) and on the whole surgery.Results : Experiments show that NLTS makes it possible to consistently derive standards of surgical practice and to understand differences between groups of surgeries. We take the training of surgeons as the common theme for the evaluation of the results and highlight, for example, the main differences between the practices of junior and senior surgeons in the removal of a lumbar disc herniation. Conclusions : NLTS is an effective and efficient method to find a multiple alignment of a set of surgeries. NLTS realigns a set of sequences along their intrinsic timeline, which makes it possible to extract standards of surgical practices