Using deep learning to identify the recurrent laryngeal nerve during thyroidectomy

Surgeons must visually distinguish soft-tissues, such as nerves, from surrounding anatomy to prevent complications and optimize patient outcomes. An accurate nerve segmentation and analysis tool could provide useful insight for surgical decision-making. Here, we present an end-to-end, automatic deep learning computer vision algorithm to segment and measure nerves. Unlike traditional medical imaging, our unconstrained setup with accessible handheld digital cameras, along with the unstructured open surgery scene, makes this task uniquely challenging. We investigate one common procedure, thyroidectomy, during which surgeons must avoid damaging the recurrent laryngeal nerve (RLN), which is responsible for human speech. We evaluate our segmentation algorithm on a diverse dataset across varied and challenging settings of operating room image capture, and show strong segmentation performance in the optimal image capture condition. This work lays the foundation for future research in real-time tissue discrimination and integration of accessible, intelligent tools into open surgery to provide actionable insights.ope

Spatiotemporal Event Graphs for Dynamic Scene Understanding

Dynamic scene understanding is the ability of a computer system to interpret and make sense of the visual information present in a video of a real-world scene. In this thesis, we present a series of frameworks for dynamic scene understanding starting from road event detection from an autonomous driving perspective to complex video activity detection, followed by continual learning approaches for the life-long learning of the models. Firstly, we introduce the ROad event Awareness Dataset (ROAD) for Autonomous Driving, to our knowledge the first of its kind. Due to the lack of datasets equipped with formally specified logical requirements, we also introduce the ROad event Awareness Dataset with logical Requirements (ROAD-R), the first publicly available dataset for autonomous driving with requirements expressed as logical constraints, as a tool for driving neurosymbolic research in the area. Next, we extend event detection to holistic scene understanding by proposing two complex activity detection methods. In the first method, we present a deformable, spatiotemporal scene graph approach, consisting of three main building blocks: action tube detection, a 3D deformable RoI pooling layer designed for learning the flexible, deformable geometry of the constituent action tubes, and a scene graph constructed by considering all parts as nodes and connecting them based on different semantics. In a second approach evolving from the first, we propose a hybrid graph neural network that combines attention applied to a graph encoding of the local (short-term) dynamic scene with a temporal graph modelling the overall long-duration activity. Finally, the last part of the thesis is about presenting a new continual semi-supervised learning (CSSL) paradigm.Comment: PhD thesis, Oxford Brookes University, Examiners: Prof. Dima Damen and Dr. Matthias Rolf, 183 page

Spatiotemporal Event Graphs for Dynamic Scene Understanding

Dynamic scene understanding is the ability of a computer system to interpret and make sense of the visual information present in a video of a real-world scene. In this thesis, we present a series of frameworks for dynamic scene understanding starting from road event detection from an autonomous driving perspective to complex video activity detection, followed by continual learning approaches for the life-long learning of the models. Firstly, we introduce the ROad event Awareness Dataset (ROAD) for Autonomous Driving, to our knowledge the first of its kind. ROAD is designed to test an autonomous vehicle’s ability to detect road events, defined as triplets composed by an active agent, the action(s) it performs and the corresponding scene locations. Due to the lack of datasets equipped with formally specified logical requirements, we also introduce the ROad event Awareness Dataset with logical Requirements (ROAD-R), the first publicly available dataset for autonomous driving with requirements expressed as logical constraints, as a tool for driving neurosymbolic research in the area. Next, we extend event detection to holistic scene understanding by proposing two complex activity detection methods. In the first method, we present a deformable, spatiotemporal scene graph approach, consisting of three main building blocks: action tube detection, a 3D deformable RoI pooling layer designed for learning the flexible, deformable geometry of the constituent action tubes, and a scene graph constructed by considering all parts as nodes and connecting them based on different semantics. In a second approach evolving from the first, we propose a hybrid graph neural network that combines attention applied to a graph encoding of the local (short-term) dynamic scene with a temporal graph modelling the overall long-duration activity. Our contribution is threefold: i) a feature extraction technique; ii) a method for constructing a local scene graph followed by graph attention, and iii) a graph for temporally connecting all the local dynamic scene graphs. Finally, the last part of the thesis is about presenting a new continual semi-supervised learning (CSSL) paradigm, proposed to the attention of the machine learning community. We also propose to formulate the continual semi-supervised learning problem as a latent-variable