Andrew Lewis

Homa Alemzadeh, Daniel Chen, Andrew Lewis et al.

Robotic telesurgical systems are one of the most complex medical cyber-physical systems on the market, and have been used in over 1.75 million procedures during the last decade. Despite significant improvements in design of robotic surgical systems through the years, there have been ongoing occurrences of safety incidents during procedures that negatively impact patients. This paper presents an approach for systems-theoretic safety assessment of robotic telesurgical systems using software-implemented fault-injection. We used a systemstheoretic hazard analysis technique (STPA) to identify the potential safety hazard scenarios and their contributing causes in RAVEN II robot, an open-source robotic surgical platform. We integrated the robot control software with a softwareimplemented fault-injection engine which measures the resilience of the system to the identified safety hazard scenarios by automatically inserting faults into different parts of the robot control software. Representative hazard scenarios from real robotic surgery incidents reported to the U.S. Food and Drug Administration (FDA) MAUDE database were used to demonstrate the feasibility of the proposed approach for safety-based design of robotic telesurgical systems.

Ugochukwu Ejike Akpudo, Yongsheng Gao, Jun Zhou et al.

Convolutional neural networks (CNNs) have succeeded remarkably in various computer vision tasks. However, they are not intrinsically explainable. While the feature-level understanding of CNNs reveals where the models looked, concept-based explainability methods provide insights into what the models saw. However, their assumption of linear reconstructability of image activations fails to capture the intricate relationships within these activations. Their Fidelity-only approach to evaluating global explanations also presents a new concern. For the first time, we address these limitations with the novel Transformative Nonlinear Concept Explainer (TraNCE) for CNNs. Unlike linear reconstruction assumptions made by existing methods, TraNCE captures the intricate relationships within the activations. This study presents three original contributions to the CNN explainability literature: (i) An automatic concept discovery mechanism based on variational autoencoders (VAEs). This transformative concept discovery process enhances the identification of meaningful concepts from image activations. (ii) A visualization module that leverages the Bessel function to create a smooth transition between prototypical image pixels, revealing not only what the CNN saw but also what the CNN avoided, thereby mitigating the challenges of concept duplication as documented in previous works. (iii) A new metric, the Faith score, integrates both Coherence and Fidelity for a comprehensive evaluation of explainer faithfulness and consistency.