Yicheng Hu

Baoru Huang, Yicheng Hu, Anh Nguyen et al.

In surgical oncology, it is challenging for surgeons to identify lymph nodes and completely resect cancer even with pre-operative imaging systems like PET and CT, because of the lack of reliable intraoperative visualization tools. Endoscopic radio-guided cancer detection and resection has recently been evaluated whereby a novel tethered laparoscopic gamma detector is used to localize a preoperatively injected radiotracer. This can both enhance the endoscopic imaging and complement preoperative nuclear imaging data. However, gamma activity visualization is challenging to present to the operator because the probe is non-imaging and it does not visibly indicate the activity origination on the tissue surface. Initial failed attempts used segmentation or geometric methods, but led to the discovery that it could be resolved by leveraging high-dimensional image features and probe position information. To demonstrate the effectiveness of this solution, we designed and implemented a simple regression network that successfully addressed the problem. To further validate the proposed solution, we acquired and publicly released two datasets captured using a custom-designed, portable stereo laparoscope system. Through intensive experimentation, we demonstrated that our method can successfully and effectively detect the sensing area, establishing a new performance benchmark. Code and data are available at https://github.com/br0202/Sensing_area_detection.git

Songyu Xu, Yicheng Hu, Jionglong Su et al.

Purpose: Drop-in gamma probes are widely used in robotic-assisted minimally invasive surgery (RAMIS) for lymph node detection. However, these devices only provide audio feedback on signal intensity, lacking the visual feedback necessary for precise localisation. Previous work attempted to predict the sensing area location using laparoscopic images, but the prediction accuracy was unsatisfactory. Improvements are needed in the deep learning-based regression approach. Methods: We introduce a three-branch deep learning framework to predict the sensing area of the probe. Specifically, we utilise the stereo laparoscopic images as input for the main branch and develop a Nested ResNet architecture. The framework also incorporates depth estimation via transfer learning and orientation guidance through probe axis sampling. The combined features from each branch enhanced the accuracy of the prediction. Results: Our approach has been evaluated on a publicly available dataset, demonstrating superior performance over previous methods. In particular, our method resulted in a 22.10\% decrease in 2D mean error and a 41.67\% reduction in 3D mean error. Additionally, qualitative comparisons further demonstrated the improved precision of our approach. Conclusion: With extensive evaluation, our solution significantly enhances the accuracy and reliability of sensing area predictions. This advancement enables visual feedback during the use of the drop-in gamma probe in surgery, providing surgeons with more accurate and reliable localisation.}