Visual Tracking in Robotic Minimally Invasive Surgery

Intra-operative imaging and robotics are some of the technologies driving forward better and more effective minimally invasive surgical procedures. To advance surgical practice and capabilities further, one of the key requirements for computationally enhanced interventions is to know how instruments and tissues move during the operation. While endoscopic video captures motion, the complex appearance dynamic effects of surgical scenes are challenging for computer vision algorithms to handle with robustness. Tackling both tissue and instrument motion estimation, this thesis proposes a combined non-rigid surface deformation estimation method to track tissue surfaces robustly and in conditions with poor illumination. For instrument tracking, a keypoint based 2D tracker that relies on the Generalized Hough Transform is developed to initialize a 3D tracker in order to robustly track surgical instruments through long sequences that contain complex motions. To handle appearance changes and occlusion a patch-based adaptive weighting with segmentation and scale tracking framework is developed. It takes a tracking-by-detection approach and a segmentation model is used to assigns weights to template patches in order to suppress back- ground information. The performance of the method is thoroughly evaluated showing that without any offline-training, the tracker works well even in complex environments. Finally, the thesis proposes a novel 2D articulated instrument pose estimation framework, which includes detection-regression fully convolutional network and a multiple instrument parsing component. The framework achieves compelling performance and illustrates interesting properties includ- ing transfer between different instrument types and between ex vivo and in vivo data. In summary, the thesis advances the state-of-the art in visual tracking for surgical applications for both tissue and instrument motion estimation. It contributes to developing the technological capability of full surgical scene understanding from endoscopic video

A comprehensive survey on recent deep learning-based methods applied to surgical data

Minimally invasive surgery is highly operator dependant with a lengthy procedural time causing fatigue to surgeon and risks to patients such as injury to organs, infection, bleeding, and complications of anesthesia. To mitigate such risks, real-time systems are desired to be developed that can provide intra-operative guidance to surgeons. For example, an automated system for tool localization, tool (or tissue) tracking, and depth estimation can enable a clear understanding of surgical scenes preventing miscalculations during surgical procedures. In this work, we present a systematic review of recent machine learning-based approaches including surgical tool localization, segmentation, tracking, and 3D scene perception. Furthermore, we provide a detailed overview of publicly available benchmark datasets widely used for surgical navigation tasks. While recent deep learning architectures have shown promising results, there are still several open research problems such as a lack of annotated datasets, the presence of artifacts in surgical scenes, and non-textured surfaces that hinder 3D reconstruction of the anatomical structures. Based on our comprehensive review, we present a discussion on current gaps and needed steps to improve the adaptation of technology in surgery.Comment: This paper is to be submitted to International journal of computer visio

Towards real-time multiple surgical tool tracking

Surgical tool tracking is an essential building block for computer-assisted interventions (CAI) and applications like video summarisation, workflow analysis and surgical navigation. Vision-based instrument tracking in laparoscopic surgical data faces significant challenges such as fast instrument motion, multiple simultaneous instruments and re-initialisation due to out-of-view conditions or instrument occlusions. In this paper, we propose a real-time multiple object tracking framework for whole laparoscopic tools, which extends an existing single object tracker. We introduce a geometric object descriptor, which helps with overlapping bounding box disambiguation, fast motion and optimal assignment between existing trajectories and new hypotheses. We achieve 99.51% and 75.64% average accuracy on ex-vivo robotic data and in-vivo laparoscopic sequences respectively from the Endovis’15 Instrument Tracking Dataset. The proposed geometric descriptor increased the performance on laparoscopic data by 32%, significantly reducing identity switches, false negatives and false positives. Overall, the proposed pipeline can successfully recover trajectories over long-sequences and it runs in real-time at approximately 25–29 fps

Exploring Intra- and Inter-Video Relation for Surgical Semantic Scene Segmentation

Automatic surgical scene segmentation is fundamental for facilitating cognitive intelligence in the modern operating theatre. Previous works rely on conventional aggregation modules (e.g., dilated convolution, convolutional LSTM), which only make use of the local context. In this paper, we propose a novel framework STswinCL that explores the complementary intra- and inter-video relations to boost segmentation performance, by progressively capturing the global context. We firstly develop a hierarchy Transformer to capture intra-video relation that includes richer spatial and temporal cues from neighbor pixels and previous frames. A joint space-time window shift scheme is proposed to efficiently aggregate these two cues into each pixel embedding. Then, we explore inter-video relation via pixel-to-pixel contrastive learning, which well structures the global embedding space. A multi-source contrast training objective is developed to group the pixel embeddings across videos with the ground-truth guidance, which is crucial for learning the global property of the whole data. We extensively validate our approach on two public surgical video benchmarks, including EndoVis18 Challenge and CaDIS dataset. Experimental results demonstrate the promising performance of our method, which consistently exceeds previous state-of-the-art approaches. Code will be available at https://github.com/YuemingJin/STswinCL

Deep Retinal Optical Flow: From Synthetic Dataset Generation to Framework Creation and Evaluation

Sustained delivery of regenerative retinal therapies by robotic systems requires intra-operative tracking of the retinal fundus. This thesis presents a supervised convolutional neural network to densely predict optical flow of the retinal fundus, using semantic segmentation as an auxiliary task. Retinal flow information missing due to occlusion by surgical tools or other effects is implicitly inpainted, allowing for the robust tracking of surgical targets. As manual annotation of optical flow is infeasible, a flexible algorithm for the generation of large synthetic training datasets on the basis of given intra-operative retinal images and tool templates is developed. The compositing of synthetic images is approached as a layer-wise operation implementing a number of transforms at every level which can be extended as required, mimicking the various phenomena visible in real data. Optical flow ground truth is calculated from motion transforms with the help of oflib, an open-source optical flow library available from the Python Package Index. It enables the user to manipulate, evaluate, and combine flow fields. The PyTorch version of oflib is fully differentiable and therefore suitable for use in deep learning methods requiring back-propagation. The optical flow estimation from the network trained on synthetic data is evaluated using three performance metrics obtained from tracking a grid and sparsely annotated ground truth points. The evaluation benchmark consists of a series of challenging real intra-operative clips obtained from an extensive internally acquired dataset encompassing representative surgical cases. The deep learning approach clearly outperforms variational baseline methods and is shown to generalise well to real data showing scenarios routinely observed during vitreoretinal procedures. This indicates complex synthetic training datasets can be used to specifically guide optical flow estimation, laying the foundation for a robust system which can assist with intra-operative tracking of moving surgical targets even when occluded

Tracking and Mapping in Medical Computer Vision: A Review

As computer vision algorithms are becoming more capable, their applications in clinical systems will become more pervasive. These applications include diagnostics such as colonoscopy and bronchoscopy, guiding biopsies and minimally invasive interventions and surgery, automating instrument motion and providing image guidance using pre-operative scans. Many of these applications depend on the specific visual nature of medical scenes and require designing and applying algorithms to perform in this environment. In this review, we provide an update to the field of camera-based tracking and scene mapping in surgery and diagnostics in medical computer vision. We begin with describing our review process, which results in a final list of 515 papers that we cover. We then give a high-level summary of the state of the art and provide relevant background for those who need tracking and mapping for their clinical applications. We then review datasets provided in the field and the clinical needs therein. Then, we delve in depth into the algorithmic side, and summarize recent developments, which should be especially useful for algorithm designers and to those looking to understand the capability of off-the-shelf methods. We focus on algorithms for deformable environments while also reviewing the essential building blocks in rigid tracking and mapping since there is a large amount of crossover in methods. Finally, we discuss the current state of the tracking and mapping methods along with needs for future algorithms, needs for quantification, and the viability of clinical applications in the field. We conclude that new methods need to be designed or combined to support clinical applications in deformable environments, and more focus needs to be put into collecting datasets for training and evaluation.Comment: 31 pages, 17 figure