Stefanie Krell

Isabel Funke, Dominik Rivoir, Stefanie Krell et al.

Objective: To enable context-aware computer assistance in the operating room of the future, cognitive systems need to understand automatically which surgical phase is being performed by the medical team. The primary source of information for surgical phase recognition is typically video, which presents two challenges: extracting meaningful features from the video stream and effectively modeling temporal information in the sequence of visual features. Methods: For temporal modeling, attention mechanisms have gained popularity due to their ability to capture long-range dependencies. In this paper, we explore design choices for attention in existing temporal models for surgical phase recognition and propose a novel approach that uses attention more effectively and does not require hand-crafted constraints: TUNeS, an efficient and simple temporal model that incorporates self-attention at the core of a convolutional U-Net structure. In addition, we propose to train the feature extractor, a standard CNN, together with an LSTM on preferably long video segments, i.e., with long temporal context. Results: In our experiments, almost all temporal models performed better on top of feature extractors that were trained with longer temporal context. On these contextualized features, TUNeS achieves state-of-the-art results on the Cholec80 dataset. Conclusion: This study offers new insights on how to use attention mechanisms to build accurate and efficient temporal models for surgical phase recognition. Significance: Implementing automatic surgical phase recognition is essential to automate the analysis and optimization of surgical workflows and to enable context-aware computer assistance during surgery, thus ultimately improving patient care.

Dimitrios Psychogyios, Emanuele Colleoni, Beatrice Van Amsterdam et al.

Surgical tool segmentation and action recognition are fundamental building blocks in many computer-assisted intervention applications, ranging from surgical skills assessment to decision support systems. Nowadays, learning-based action recognition and segmentation approaches outperform classical methods, relying, however, on large, annotated datasets. Furthermore, action recognition and tool segmentation algorithms are often trained and make predictions in isolation from each other, without exploiting potential cross-task relationships. With the EndoVis 2022 SAR-RARP50 challenge, we release the first multimodal, publicly available, in-vivo, dataset for surgical action recognition and semantic instrumentation segmentation, containing 50 suturing video segments of Robotic Assisted Radical Prostatectomy (RARP). The aim of the challenge is twofold. First, to enable researchers to leverage the scale of the provided dataset and develop robust and highly accurate single-task action recognition and tool segmentation approaches in the surgical domain. Second, to further explore the potential of multitask-based learning approaches and determine their comparative advantage against their single-task counterparts. A total of 12 teams participated in the challenge, contributing 7 action recognition methods, 9 instrument segmentation techniques, and 4 multitask approaches that integrated both action recognition and instrument segmentation. The complete SAR-RARP50 dataset is available at: https://rdr.ucl.ac.uk/projects/SARRARP50_Segmentation_of_surgical_instrumentation_and_Action_Recognition_on_Robot-Assisted_Radical_Prostatectomy_Challenge/191091