Jean-Paul Mazellier

Pietro Mascagni, Deepak Alapatt, Alfonso Lapergola et al.

Artificial intelligence is set to be deployed in operating rooms to improve surgical care. This early-stage clinical evaluation shows the feasibility of concurrently attaining real-time, high-quality predictions from several deep neural networks for endoscopic video analysis deployed for assistance during three laparoscopic cholecystectomies.

Jean-Paul Mazellier, Méline Bour-Lang, Sabrina Bourouis et al.

This technical report presents Indexity 1.4.0, a web-based tool designed for medical video annotation in surgical data science projects. We describe the main features available for the management of videos, annotations, ontology and users, as well as the global software architecture.

Jean-Paul Mazellier, Antoine Boujon, Méline Bour-Lang et al.

This technical report presents MOSaiC 3.6.2, a web-based collaborative platform designed for the annotation and evaluation of medical videos. MOSaiC is engineered to facilitate video-based assessment and accelerate surgical data science projects. We provide an overview of MOSaiC's key functionalities, encompassing group and video management, annotation tools, ontologies, assessment capabilities, and user administration. Finally, we briefly describe several medical data science studies where MOSaiC has been instrumental in the dataset development.

Meyer Adrien, Mazellier Jean-Paul, Jeremy Dana et al.

Purpose: In medical research, deep learning models rely on high-quality annotated data, a process often laborious and timeconsuming. This is particularly true for detection tasks where bounding box annotations are required. The need to adjust two corners makes the process inherently frame-by-frame. Given the scarcity of experts' time, efficient annotation methods suitable for clinicians are needed. Methods: We propose an on-the-fly method for live video annotation to enhance the annotation efficiency. In this approach, a continuous single-point annotation is maintained by keeping the cursor on the object in a live video, mitigating the need for tedious pausing and repetitive navigation inherent in traditional annotation methods. This novel annotation paradigm inherits the point annotation's ability to generate pseudo-labels using a point-to-box teacher model. We empirically evaluate this approach by developing a dataset and comparing on-the-fly annotation time against traditional annotation method. Results: Using our method, annotation speed was 3.2x faster than the traditional annotation technique. We achieved a mean improvement of 6.51 +- 0.98 AP@50 over conventional method at equivalent annotation budgets on the developed dataset. Conclusion: Without bells and whistles, our approach offers a significant speed-up in annotation tasks. It can be easily implemented on any annotation platform to accelerate the integration of deep learning in video-based medical research.

Deepak Alapatt, Jennifer Eckhoff, Zhiliang Lyu et al.

Advances in artificial intelligence (AI) for surgical quality assessment promise to democratize access to expertise, with applications in training, guidance, and accreditation. This study presents the SAGES Critical View of Safety (CVS) Challenge, the first AI competition organized by a surgical society, using the CVS in laparoscopic cholecystectomy, a universally recommended yet inconsistently performed safety step, as an exemplar of surgical quality assessment. A global collaboration across 54 institutions in 24 countries engaged hundreds of clinicians and engineers to curate 1,000 videos annotated by 20 surgical experts according to a consensus-validated protocol. The challenge addressed key barriers to real-world deployment in surgery, including achieving high performance, capturing uncertainty in subjective assessment, and ensuring robustness to clinical variability. To enable this scale of effort, we developed EndoGlacier, a framework for managing large, heterogeneous surgical video and multi-annotator workflows. Thirteen international teams participated, achieving up to a 17\% relative gain in assessment performance, over 80\% reduction in calibration error, and a 17\% relative improvement in robustness over the state-of-the-art. Analysis of results highlighted methodological trends linked to model performance, providing guidance for future research toward robust, clinically deployable AI for surgical quality assessment.