Tong Yu

Kun Yuan, Vinkle Srivastav, Tong Yu et al.

Recent advancements in surgical computer vision applications have been driven by vision-only models, which do not explicitly integrate the rich semantics of language into their design. These methods rely on manually annotated surgical videos to predict a fixed set of object categories, limiting their generalizability to unseen surgical procedures and downstream tasks. In this work, we put forward the idea that the surgical video lectures available through open surgical e-learning platforms can provide effective vision and language supervisory signals for multi-modal representation learning without relying on manual annotations. We address the surgery-specific linguistic challenges present in surgical video lectures by employing multiple complementary automatic speech recognition systems to generate text transcriptions. We then present a novel method, SurgVLP - Surgical Vision Language Pre-training, for multi-modal representation learning. Extensive experiments across diverse surgical procedures and tasks demonstrate that the multi-modal representations learned by SurgVLP exhibit strong transferability and adaptability in surgical video analysis. Furthermore, our zero-shot evaluations highlight SurgVLP's potential as a general-purpose foundation model for surgical workflow analysis, reducing the reliance on extensive manual annotations for downstream tasks, and facilitating adaptation methods such as few-shot learning to build a scalable and data-efficient solution for various downstream surgical applications. The [training code](https://github.com/CAMMA-public/PeskaVLP) and [weights](https://github.com/CAMMA-public/SurgVLP) are public.

Qiucheng Wu, Yujian Liu, Handong Zhao et al.

Generative models have been widely studied in computer vision. Recently, diffusion models have drawn substantial attention due to the high quality of their generated images. A key desired property of image generative models is the ability to disentangle different attributes, which should enable modification towards a style without changing the semantic content, and the modification parameters should generalize to different images. Previous studies have found that generative adversarial networks (GANs) are inherently endowed with such disentanglement capability, so they can perform disentangled image editing without re-training or fine-tuning the network. In this work, we explore whether diffusion models are also inherently equipped with such a capability. Our finding is that for stable diffusion models, by partially changing the input text embedding from a neutral description (e.g., "a photo of person") to one with style (e.g., "a photo of person with smile") while fixing all the Gaussian random noises introduced during the denoising process, the generated images can be modified towards the target style without changing the semantic content. Based on this finding, we further propose a simple, light-weight image editing algorithm where the mixing weights of the two text embeddings are optimized for style matching and content preservation. This entire process only involves optimizing over around 50 parameters and does not fine-tune the diffusion model itself. Experiments show that the proposed method can modify a wide range of attributes, with the performance outperforming diffusion-model-based image-editing algorithms that require fine-tuning. The optimized weights generalize well to different images. Our code is publicly available at https://github.com/UCSB-NLP-Chang/DiffusionDisentanglement.

Sanat Ramesh, Vinkle Srivastav, Deepak Alapatt et al.

The field of surgical computer vision has undergone considerable breakthroughs in recent years with the rising popularity of deep neural network-based methods. However, standard fully-supervised approaches for training such models require vast amounts of annotated data, imposing a prohibitively high cost; especially in the clinical domain. Self-Supervised Learning (SSL) methods, which have begun to gain traction in the general computer vision community, represent a potential solution to these annotation costs, allowing to learn useful representations from only unlabeled data. Still, the effectiveness of SSL methods in more complex and impactful domains, such as medicine and surgery, remains limited and unexplored. In this work, we address this critical need by investigating four state-of-the-art SSL methods (MoCo v2, SimCLR, DINO, SwAV) in the context of surgical computer vision. We present an extensive analysis of the performance of these methods on the Cholec80 dataset for two fundamental and popular tasks in surgical context understanding, phase recognition and tool presence detection. We examine their parameterization, then their behavior with respect to training data quantities in semi-supervised settings. Correct transfer of these methods to surgery, as described and conducted in this work, leads to substantial performance gains over generic uses of SSL - up to 7.4% on phase recognition and 20% on tool presence detection - as well as state-of-the-art semi-supervised phase recognition approaches by up to 14%. Further results obtained on a highly diverse selection of surgical datasets exhibit strong generalization properties. The code is available at https://github.com/CAMMA-public/SelfSupSurg.

Tong Yu, Pietro Mascagni, Juan Verde et al.

Searching through large volumes of medical data to retrieve relevant information is a challenging yet crucial task for clinical care. However the primitive and most common approach to retrieval, involving text in the form of keywords, is severely limited when dealing with complex media formats. Content-based retrieval offers a way to overcome this limitation, by using rich media as the query itself. Surgical video-to-video retrieval in particular is a new and largely unexplored research problem with high clinical value, especially in the real-time case: using real-time video hashing, search can be achieved directly inside of the operating room. Indeed, the process of hashing converts large data entries into compact binary arrays or hashes, enabling large-scale search operations at a very fast rate. However, due to fluctuations over the course of a video, not all bits in a given hash are equally reliable. In this work, we propose a method capable of mitigating this uncertainty while maintaining a light computational footprint. We present superior retrieval results (3-4 % top 10 mean average precision) on a multi-task evaluation protocol for surgery, using cholecystectomy phases, bypass phases, and coming from an entirely new dataset introduced here, critical events across six different surgery types. Success on this multi-task benchmark shows the generalizability of our approach for surgical video retrieval.

Sanat Ramesh, Diego Dall'Alba, Cristians Gonzalez et al.

Automatic recognition of fine-grained surgical activities, called steps, is a challenging but crucial task for intelligent intra-operative computer assistance. The development of current vision-based activity recognition methods relies heavily on a high volume of manually annotated data. This data is difficult and time-consuming to generate and requires domain-specific knowledge. In this work, we propose to use coarser and easier-to-annotate activity labels, namely phases, as weak supervision to learn step recognition with fewer step annotated videos. We introduce a step-phase dependency loss to exploit the weak supervision signal. We then employ a Single-Stage Temporal Convolutional Network (SS-TCN) with a ResNet-50 backbone, trained in an end-to-end fashion from weakly annotated videos, for temporal activity segmentation and recognition. We extensively evaluate and show the effectiveness of the proposed method on a large video dataset consisting of 40 laparoscopic gastric bypass procedures and the public benchmark CATARACTS containing 50 cataract surgeries.

Jinhang Zuo, Songwen Hu, Tong Yu et al.

The recent advances of conversational recommendations provide a promising way to efficiently elicit users' preferences via conversational interactions. To achieve this, the recommender system conducts conversations with users, asking their preferences for different items or item categories. Most existing conversational recommender systems for cold-start users utilize a multi-armed bandit framework to learn users' preference in an online manner. However, they rely on a pre-defined conversation frequency for asking about item categories instead of individual items, which may incur excessive conversational interactions that hurt user experience. To enable more flexible questioning about key-terms, we formulate a new conversational bandit problem that allows the recommender system to choose either a key-term or an item to recommend at each round and explicitly models the rewards of these actions. This motivates us to handle a new exploration-exploitation (EE) trade-off between key-term asking and item recommendation, which requires us to accurately model the relationship between key-term and item rewards. We conduct a survey and analyze a real-world dataset to find that, unlike assumptions made in prior works, key-term rewards are mainly affected by rewards of representative items. We propose two bandit algorithms, Hier-UCB and Hier-LinUCB, that leverage this observed relationship and the hierarchical structure between key-terms and items to efficiently learn which items to recommend. We theoretically prove that our algorithm can reduce the regret bound's dependency on the total number of items from previous work. We validate our proposed algorithms and regret bound on both synthetic and real-world data.

Reuben Luera, Ryan A. Rossi, Alexa Siu et al.

The applications of generative AI have become extremely impressive, and the interplay between users and AI is even more so. Current human-AI interaction literature has taken a broad look at how humans interact with generative AI, but it lacks specificity regarding the user interface designs and patterns used to create these applications. Therefore, we present a survey that comprehensively presents taxonomies of how a human interacts with AI and the user interaction patterns designed to meet the needs of a variety of relevant use cases. We focus primarily on user-guided interactions, surveying interactions that are initiated by the user and do not include any implicit signals given by the user. With this survey, we aim to create a compendium of different user-interaction patterns that can be used as a reference for designers and developers alike. In doing so, we also strive to lower the entry barrier for those attempting to learn more about the design of generative AI applications.

Lei Cheng, Ruslan Khalitov, Tong Yu et al.

Classification of long sequential data is an important Machine Learning task and appears in many application scenarios. Recurrent Neural Networks, Transformers, and Convolutional Neural Networks are three major techniques for learning from sequential data. Among these methods, Temporal Convolutional Networks (TCNs) which are scalable to very long sequences have achieved remarkable progress in time series regression. However, the performance of TCNs for sequence classification is not satisfactory because they use a skewed connection protocol and output classes at the last position. Such asymmetry restricts their performance for classification which depends on the whole sequence. In this work, we propose a symmetric multi-scale architecture called Circular Dilated Convolutional Neural Network (CDIL-CNN), where every position has an equal chance to receive information from other positions at the previous layers. Our model gives classification logits in all positions, and we can apply a simple ensemble learning to achieve a better decision. We have tested CDIL-CNN on various long sequential datasets. The experimental results show that our method has superior performance over many state-of-the-art approaches.

Martin Wagner, Beat-Peter Müller-Stich, Anna Kisilenko et al.

PURPOSE: Surgical workflow and skill analysis are key technologies for the next generation of cognitive surgical assistance systems. These systems could increase the safety of the operation through context-sensitive warnings and semi-autonomous robotic assistance or improve training of surgeons via data-driven feedback. In surgical workflow analysis up to 91% average precision has been reported for phase recognition on an open data single-center dataset. In this work we investigated the generalizability of phase recognition algorithms in a multi-center setting including more difficult recognition tasks such as surgical action and surgical skill. METHODS: To achieve this goal, a dataset with 33 laparoscopic cholecystectomy videos from three surgical centers with a total operation time of 22 hours was created. Labels included annotation of seven surgical phases with 250 phase transitions, 5514 occurences of four surgical actions, 6980 occurences of 21 surgical instruments from seven instrument categories and 495 skill classifications in five skill dimensions. The dataset was used in the 2019 Endoscopic Vision challenge, sub-challenge for surgical workflow and skill analysis. Here, 12 teams submitted their machine learning algorithms for recognition of phase, action, instrument and/or skill assessment. RESULTS: F1-scores were achieved for phase recognition between 23.9% and 67.7% (n=9 teams), for instrument presence detection between 38.5% and 63.8% (n=8 teams), but for action recognition only between 21.8% and 23.3% (n=5 teams). The average absolute error for skill assessment was 0.78 (n=1 team). CONCLUSION: Surgical workflow and skill analysis are promising technologies to support the surgical team, but are not solved yet, as shown by our comparison of algorithms. This novel benchmark can be used for comparable evaluation and validation of future work.