Tao Rong

Chinedu Innocent Nwoye, Deepak Alapatt, Tong Yu et al.

Context-aware decision support in the operating room can foster surgical safety and efficiency by leveraging real-time feedback from surgical workflow analysis. Most existing works recognize surgical activities at a coarse-grained level, such as phases, steps or events, leaving out fine-grained interaction details about the surgical activity; yet those are needed for more helpful AI assistance in the operating room. Recognizing surgical actions as triplets of <instrument, verb, target> combination delivers comprehensive details about the activities taking place in surgical videos. This paper presents CholecTriplet2021: an endoscopic vision challenge organized at MICCAI 2021 for the recognition of surgical action triplets in laparoscopic videos. The challenge granted private access to the large-scale CholecT50 dataset, which is annotated with action triplet information. In this paper, we present the challenge setup and assessment of the state-of-the-art deep learning methods proposed by the participants during the challenge. A total of 4 baseline methods from the challenge organizers and 19 new deep learning algorithms by competing teams are presented to recognize surgical action triplets directly from surgical videos, achieving mean average precision (mAP) ranging from 4.2% to 38.1%. This study also analyzes the significance of the results obtained by the presented approaches, performs a thorough methodological comparison between them, in-depth result analysis, and proposes a novel ensemble method for enhanced recognition. Our analysis shows that surgical workflow analysis is not yet solved, and also highlights interesting directions for future research on fine-grained surgical activity recognition which is of utmost importance for the development of AI in surgery.

Xiaoyang Zou, Wenyong Liu, Junchen Wang et al.

Phase recognition plays an essential role for surgical workflow analysis in computer assisted intervention. Transformer, originally proposed for sequential data modeling in natural language processing, has been successfully applied to surgical phase recognition. Existing works based on transformer mainly focus on modeling attention dependency, without introducing auto-regression. In this work, an Auto-Regressive Surgical Transformer, referred as ARST, is first proposed for on-line surgical phase recognition from laparoscopic videos, modeling the inter-phase correlation implicitly by conditional probability distribution. To reduce inference bias and to enhance phase consistency, we further develop a consistency constraint inference strategy based on auto-regression. We conduct comprehensive validations on a well-known public dataset Cholec80. Experimental results show that our method outperforms the state-of-the-art methods both quantitatively and qualitatively, and achieves an inference rate of 66 frames per second (fps).

Zhanke Zhou, Rong Tao, Jianing Zhu et al.

This paper investigates an under-explored challenge in large language models (LLMs): chain-of-thought prompting with noisy rationales, which include irrelevant or inaccurate reasoning thoughts within examples used for in-context learning. We construct NoRa dataset that is tailored to evaluate the robustness of reasoning in the presence of noisy rationales. Our findings on NoRa dataset reveal a prevalent vulnerability to such noise among current LLMs, with existing robust methods like self-correction and self-consistency showing limited efficacy. Notably, compared to prompting with clean rationales, base LLM drops by 1.4%-19.8% in accuracy with irrelevant thoughts and more drastically by 2.2%-40.4% with inaccurate thoughts. Addressing this challenge necessitates external supervision that should be accessible in practice. Here, we propose the method of contrastive denoising with noisy chain-of-thought (CD-CoT). It enhances LLMs' denoising-reasoning capabilities by contrasting noisy rationales with only one clean rationale, which can be the minimal requirement for denoising-purpose prompting. This method follows a principle of exploration and exploitation: (1) rephrasing and selecting rationales in the input space to achieve explicit denoising and (2) exploring diverse reasoning paths and voting on answers in the output space. Empirically, CD-CoT demonstrates an average improvement of 17.8% in accuracy over the base model and shows significantly stronger denoising capabilities than baseline methods. The source code is publicly available at: https://github.com/tmlr-group/NoisyRationales.