João Carvalho

Hanna Hoffmann, Setareh Bady, Claas de Boer et al.

Achieving high levels of surgical skill through effective training is essential for optimal patient outcomes. Automated, data-driven skill assessment holds significant potential to improve surgical training. While machine learning-based methods are increasingly popular for assessing skills in minimally invasive surgery, their application to open surgery remains limited. We present the results of a dedicated MICCAI challenge designed to benchmark and advance vision-based skill assessment in open surgery. The challenge dataset comprises videos of an open suturing training task recorded with a static GoPro camera in a dry-lab setting, with instrument trajectories available in addition to the primary video modality. The OSS Challenge was hosted over two consecutive years, comprising two and three independent tasks, respectively: (1) classifying skill level into four classes, (2) predicting the full Objective Structured Assessment of Technical Skills across eight categories, and (3) tracking hands and surgical tools. Participants submitted diverse solutions including deep learning-based video models, tracking-driven methods, and hybrid approaches. General-purpose spatiotemporal video models consistently achieved the strongest performance, though conceptually diverse approaches reached competitive levels when well-executed. Predicting fine-grained OSATS scores remains challenging but benefits substantially from increased training data. Keypoint tracking proves difficult given frequent occlusions and out-of-frame instances, limiting current applicability for motion-based skill analysis. This work benchmarks innovative and diverse solutions for surgical skill assessment, highlighting both the promise and current limitations of video-based evaluation in open surgery and identifying critical directions for advancing automated skill assessment toward clinical impact.

Magnus Dierking, Joao Carvalho, An Thai Le et al.

Sampling-based Model Predictive Control (SMPC) is a promising strategy for contact-rich robotic manipulation, combining gradient-free optimization with massively parallel GPU simulation. Yet, most prior work relies on simplified dynamics or remains confined to simulation. We present an MPC framework that leverages JAX for large-scale parallelization and efficient computation, coupled with the high-fidelity MuJoCo MJX simulator, and deploy it on a Franka Research 3 executing the Push-T manipulation task through a complete real-to-sim-to-real pipeline. The MTP variant with structured global sampling outperforms unimodal baselines such as CEM, MPPI, and PS across tasks that require mode switching, both in simulation and on hardware. Furthermore, we evaluate online domain randomization within the MPC sample budget, showing that contact-initiation parameters yield interpretable adaptation signals, whereas global physics parameters provide feedback that is too weak for reliable exploitation at typical replanning frequencies. These findings highlight key challenges for sampling-based MPC in contact-rich manipulation-contact sensitivity, tight compute budgets, and the difficulty of obtaining informative domain-randomization signals in real time.