You Pang

Adrito Das, Danyal Z. Khan, Dimitrios Psychogyios et al.

The field of computer vision applied to videos of minimally invasive surgery is ever-growing. Workflow recognition pertains to the automated recognition of various aspects of a surgery: including which surgical steps are performed; and which surgical instruments are used. This information can later be used to assist clinicians when learning the surgery; during live surgery; and when writing operation notes. The Pituitary Vision (PitVis) 2023 Challenge tasks the community to step and instrument recognition in videos of endoscopic pituitary surgery. This is a unique task when compared to other minimally invasive surgeries due to the smaller working space, which limits and distorts vision; and higher frequency of instrument and step switching, which requires more precise model predictions. Participants were provided with 25-videos, with results presented at the MICCAI-2023 conference as part of the Endoscopic Vision 2023 Challenge in Vancouver, Canada, on 08-Oct-2023. There were 18-submissions from 9-teams across 6-countries, using a variety of deep learning models. A commonality between the top performing models was incorporating spatio-temporal and multi-task methods, with greater than 50% and 10% macro-F1-score improvement over purely spacial single-task models in step and instrument recognition respectively. The PitVis-2023 Challenge therefore demonstrates state-of-the-art computer vision models in minimally invasive surgery are transferable to a new dataset, with surgery specific techniques used to enhance performance, progressing the field further. Benchmark results are provided in the paper, and the dataset is publicly available at: https://doi.org/10.5522/04/26531686.

Xingjian Luo, You Pang, Zhen Chen et al.

Surgical phase recognition is crucial to providing surgery understanding in smart operating rooms. Despite great progress in automatic surgical phase recognition, most existing methods are still restricted by two problems. First, these methods cannot capture discriminative visual features for each frame and motion information with simple 2D networks. Second, the frame-by-frame recognition paradigm degrades the performance due to unstable predictions within each phase, termed as phase shaking. To address these two challenges, we propose a Surgical Phase LocAlization Network, named SurgPLAN, to facilitate a more accurate and stable surgical phase recognition with the principle of temporal detection. Specifically, we first devise a Pyramid SlowFast (PSF) architecture to serve as the visual backbone to capture multi-scale spatial and temporal features by two branches with different frame sampling rates. Moreover, we propose a Temporal Phase Localization (TPL) module to generate the phase prediction based on temporal region proposals, which ensures accurate and consistent predictions within each surgical phase. Extensive experiments confirm the significant advantages of our SurgPLAN over frame-by-frame approaches in terms of both accuracy and stability.

Aneeq Zia, Max Berniker, Rogerio Garcia Nespolo et al.

Robotic assisted (RA) surgery promises to transform surgical intervention. Intuitive Surgical is committed to fostering these changes and the machine learning models and algorithms that will enable them. With these goals in mind we have invited the surgical data science community to participate in a yearly competition hosted through the Medical Imaging Computing and Computer Assisted Interventions (MICCAI) conference. With varying changes from year to year, we have challenged the community to solve difficult machine learning problems in the context of advanced RA applications. Here we document the results of these challenges, focusing on surgical tool localization (SurgToolLoc). The publicly released dataset that accompanies these challenges is detailed in a separate paper arXiv:2501.09209 [1].