Mansoor Ali

Mansoor Ali, Gilberto Ochoa-Ruiz, Sharib Ali

Surgical tool detection in minimally invasive surgery is an essential part of computer-assisted interventions. Current approaches are mostly based on supervised methods which require large fully labeled data to train supervised models and suffer from pseudo label bias because of class imbalance issues. However large image datasets with bounding box annotations are often scarcely available. Semi-supervised learning (SSL) has recently emerged as a means for training large models using only a modest amount of annotated data; apart from reducing the annotation cost. SSL has also shown promise to produce models that are more robust and generalizable. Therefore, in this paper we introduce a semi-supervised learning (SSL) framework in surgical tool detection paradigm which aims to mitigate the scarcity of training data and the data imbalance through a knowledge distillation approach. In the proposed work, we train a model with labeled data which initialises the Teacher-Student joint learning, where the Student is trained on Teacher-generated pseudo labels from unlabeled data. We propose a multi-class distance with a margin based classification loss function in the region-of-interest head of the detector to effectively segregate foreground classes from background region. Our results on m2cai16-tool-locations dataset indicate the superiority of our approach on different supervised data settings (1%, 2%, 5%, 10% of annotated data) where our model achieves overall improvements of 8%, 12% and 27% in mAP (on 1% labeled data) over the state-of-the-art SSL methods and a fully supervised baseline, respectively. The code is available at https://github.com/Mansoor-at/Semi-supervised-surgical-tool-det

Mansoor Ali, Faisal Naeem, Muhammad Tariq et al.

Recent advances in electronic devices and communication infrastructure have revolutionized the traditional healthcare system into a smart healthcare system by using IoMT devices. However, due to the centralized training approach of artificial intelligence (AI), the use of mobile and wearable IoMT devices raises privacy concerns with respect to the information that has been communicated between hospitals and end users. The information conveyed by the IoMT devices is highly confidential and can be exposed to adversaries. In this regard, federated learning (FL), a distributive AI paradigm has opened up new opportunities for privacy-preservation in IoMT without accessing the confidential data of the participants. Further, FL provides privacy to end users as only gradients are shared during training. For these specific properties of FL, in this paper we present privacy related issues in IoMT. Afterwards, we present the role of FL in IoMT networks for privacy preservation and introduce some advanced FL architectures incorporating deep reinforcement learning (DRL), digital twin, and generative adversarial networks (GANs) for detecting privacy threats. Subsequently, we present some practical opportunities of FL in smart healthcare systems. At the end, we conclude this survey by providing open research challenges for FL that can be used in future smart healthcare systems

Mansoor Ali, Rafael Martinez Garcia Pena, Gilberto Ochoa Ruiz et al.

Minimally invasive surgery is highly operator dependant with a lengthy procedural time causing fatigue to surgeon and risks to patients such as injury to organs, infection, bleeding, and complications of anesthesia. To mitigate such risks, real-time systems are desired to be developed that can provide intra-operative guidance to surgeons. For example, an automated system for tool localization, tool (or tissue) tracking, and depth estimation can enable a clear understanding of surgical scenes preventing miscalculations during surgical procedures. In this work, we present a systematic review of recent machine learning-based approaches including surgical tool localization, segmentation, tracking, and 3D scene perception. Furthermore, we provide a detailed overview of publicly available benchmark datasets widely used for surgical navigation tasks. While recent deep learning architectures have shown promising results, there are still several open research problems such as a lack of annotated datasets, the presence of artifacts in surgical scenes, and non-textured surfaces that hinder 3D reconstruction of the anatomical structures. Based on our comprehensive review, we present a discussion on current gaps and needed steps to improve the adaptation of technology in surgery.