Weakly Supervised Convolutional LSTM Approach for Tool Tracking in Laparoscopic Videos
University Hospital of Strasbourg（斯特拉斯堡大学医院）；IRCAD（法国消化外科研究所）；IHU Strasbourg（斯特拉斯堡大学医院研究所）；ICube（斯特拉斯堡计算机与图像科学实验室）；University of Strasbourg（斯特拉斯堡大学）；CNRS（法国国家科学研究中心）
Chinedu Innocent Nwoye, Didier Mutter, Jacques Marescaux, Nicolas Padoy
Purpose: Real-time surgical tool tracking is a core component of the future intelligent operating room (OR), because it is highly instrumental to analyze and understand the surgical activities. Current methods for surgical tool tracking in videos need to be trained on data in which the spatial positions of the tools are manually annotated. Generating such training data is difficult and time-consuming. Instead, we propose to use solely binary presence annotations to train a tool tracker for laparoscopic videos.
Methods: The proposed approach is composed of a CNN + Convolutional LSTM (ConvLSTM) neural network trained end-to-end, but weakly supervised on tool binary presence labels only. We use the ConvLSTM to model the temporal dependencies in the motion of the surgical tools and leverage its spatio-temporal ability to smooth the class peak activations in the localization heat maps (Lh-maps).
Results: We build a baseline tracker on top of the CNN model and demonstrate that our approach based on the ConvLSTM outperforms the baseline in tool presence detection, spatial localization, and motion tracking by over 5.0%, 13.9%, and 12.6%, respectively.
Conclusions: In this paper, we demonstrate that binary presence labels are sufficient for training a deep learning tracking model using our proposed method. We also show that the ConvLSTM can leverage the spatio-temporal coherence of consecutive image frames across a surgical video to improve tool presence detection, spatial localization, and motion tracking.
keywords: Surgical workflow analysis, tool tracking, weak supervision, spatio-temporal coherence, ConvLSTM, endoscopic videos
ICube, University of Strasbourg, CNRS, IHU Strasbourg（斯特拉斯堡大学ICube研究所、法国国家科学研究中心、斯特拉斯堡大学医院研究所）；University Hospital of Strasbourg, IRCAD, IHU Strasbourg（斯特拉斯堡大学医院、斯特拉斯堡 IRCAD 研究所、斯特拉斯堡大学医院研究所）
Real-time algorithms for automatically recognizing surgical phases are needed to develop systems that can provide assistance to surgeons, enable better management of operating room (OR) resources and consequently improve safety within the OR. State-of-the-art surgical phase recognition algorithms using laparoscopic videos are based on fully supervised training. This limits their potential for widespread application, since creation of manual annotations is an expensive process considering the numerous types of existing surgeries and the vast amount of laparoscopic videos available. In this work…
ICube, University of Strasbourg, CNRS, IHU Strasbourg（斯特拉斯堡大学ICube、法国国家科学研究中心、斯特拉斯堡大学医院研究所）；University Hospital of Strasbourg（斯特拉斯堡大学医院）；IRCAD（消化癌症外科研究所）；IHU Strasbourg（斯特拉斯堡大学医院研究所）
This work presents a novel approach for the early recognition of the type of a laparoscopic surgery from its video. Early recognition algorithms can be beneficial to the development of 'smart' OR systems that can provide automatic context-aware assistance, and also enable quick database indexing. The task is however ridden with challenges specific to videos belonging to the domain of laparoscopy, such as high visual similarity across surgeries and large variations in video durations. To capture the spatio-temporal dependencies in these videos, we choose as our model a combination of a Convolut…
SLAM assisted 3D tracking system for laparoscopic surgery
United Imaging Research Institute of Intelligent Imaging（联影智能影像研究院）；University of Michigan（密歇根大学）；United Imaging（联影医疗）；United Imaging of Surgery（联影外科研究院）
Computer Science and Artificial Intelligence Laboratory（计算机科学与人工智能实验室）；Massachusetts General Hospital（麻省总医院）；Toyota Research Institute（丰田研究院）；Olympus Corporation（奥林巴斯公司）
Analyzing surgical workflow is crucial for surgical assistance robots to understand surgeries. With the understanding of the complete surgical workflow, the robots are able to assist the surgeons in intra-operative events, such as by giving a warning when the surgeon is entering specific keys or high-risk phases. Deep learning techniques have recently been widely applied to recognizing surgical workflows. Many of the existing temporal neural network models are limited in their capability to handle long-term dependencies in the data, instead, relying upon the strong performance of the underlyin…
ICube（ICube研究所）；University of Strasbourg（斯特拉斯堡大学）；CNRS（法国国家科学研究中心）；IHU Strasbourg（斯特拉斯堡大学医院研究所）；University Hospital of Strasbourg（斯特拉斯堡大学医院）；IRCAD（消化癌症研究与治疗研究所）
Surgical tool localization is an essential task for the automatic analysis of endoscopic videos. In the literature, existing methods for tool localization, tracking and segmentation require training data that is fully annotated, thereby limiting the size of the datasets that can be used and the generalization of the approaches. In this work, we propose to circumvent the lack of annotated data with weak supervision. We propose a deep architecture, trained solely on image level annotations, that can be used for both tool presence detection and localization in surgical videos. Our architecture re…
Xiamen University（厦门大学）；Tsinghua University（清华大学）；Xiamen University of Technology（厦门理工学院）；Queen’s University Belfast（贝尔法斯特女王大学）
In recent years, deep learning based visual tracking methods have obtained great success owing to the powerful feature representation ability of Convolutional Neural Networks (CNNs). Among these methods, classification-based tracking methods exhibit excellent performance while their speeds are heavily limited by the expensive computation for massive proposal feature extraction. In contrast, matching-based tracking methods (such as Siamese networks) possess remarkable speed superiority. However, the absence of online updating renders these methods unadaptable to significant object appearance va…
Visual object tracking task is constantly gaining importance in several fields of application as traffic monitoring, robotics, and surveillance, to name a few. Dealing with changes in the appearance of the tracked object is paramount to achieve high tracking accuracy, and is usually achieved by continually learning features. Recently, deep learning-based trackers based on LSTMs (Long Short-Term Memory) recurrent neural networks have emerged as a powerful alternative, bypassing the need to retrain the feature extraction in an online fashion. Inspired by the success of residual and dense network…
Collaborative robots working on a common task are necessary for many applications. One of the challenges for achieving collaboration in a team of robots is mutual tracking and identification. We present a novel pipeline for online visionbased detection, tracking and identification of robots with a known and identical appearance. Our method runs in realtime on the limited hardware of the observer robot. Unlike previous works addressing robot tracking and identification, we use a data-driven approach based on recurrent neural networks to learn relations between sequential inputs and outputs. We …
KU Leuven（鲁汶大学）；ETH Zurich（苏黎世联邦理工学院）；TRACE vzw（TRACE非营利组织）
3D object tracking is a critical task in autonomous driving systems. It plays an essential role for the system's awareness about the surrounding environment. At the same time there is an increasing interest in algorithms for autonomous cars that solely rely on inexpensive sensors, such as cameras. In this paper we investigate the use of triplet embeddings in combination with motion representations for 3D object tracking. We start from an off-the-shelf 3D object detector, and apply a tracking mechanism where objects are matched by an affinity score computed on local object feature embeddings an…
A 4D Representation for Training-Free Agentic Reasoning from Monocular Laparoscopic Video
Computer Aided Medical Procedures, TU Munich（慕尼黑工业大学计算机辅助医疗程序研究所）；Hospital of the LMU Munich, Ludwig-Maximilians-Universität (LMU)（慕尼黑大学医院）；Munich Center for Machine Learning（慕尼黑机器学习中心）
German Cancer Research Center (DKFZ)（德国癌症研究中心）；Heidelberg University Hospital（海德堡大学医院）；University of Heidelberg（海德堡大学）；National Center for Tumor Diseases, Partner Site Dresden（国家肿瘤疾病中心德累斯顿分中心）；HIDSS4Health – Helmholtz Information and Data Science School for Health（亥姆霍兹健康信息与数据科学学院）；University of Calabria（卡拉布里亚大学）；understandAI GmbH（understandAI 有限公司）；University of Tübingen（蒂宾根大学）；BMW Group（宝马集团）；KARL STORZ SE & Co. KG（卡尔史托斯公司）；TU Dresden（德累斯顿工业大学）
Image-based tracking of medical instruments is an integral part of surgical data science applications. Previous research has addressed the tasks of detecting, segmenting and tracking medical instruments based on laparoscopic video data. However, the proposed methods still tend to fail when applied to challenging images and do not generalize well to data they have not been trained on. This paper introduces the Heidelberg Colorectal (HeiCo) data set - the first publicly available data set enabling comprehensive benchmarking of medical instrument detection and segmentation algorithms with a speci…
Open, or non-laparoscopic surgery, represents the vast majority of all operating room procedures, but few tools exist to objectively evaluate these techniques at scale. Current efforts involve human expert-based visual assessment. We leverage advances in computer vision to introduce an automated approach to video analysis of surgical execution. A state-of-the-art convolutional neural network architecture for object detection was used to detect operating hands in open surgery videos. Automated assessment was expanded by combining model predictions with a fast object tracker to enable surgeon-sp…
Recent advances in AI and robotics have claimed many incredible results with deep learning, yet no work to date has applied deep learning to the problem of liquid perception and reasoning. In this paper, we apply fully-convolutional deep neural networks to the tasks of detecting and tracking liquids. We evaluate three models: a single-frame network, multi-frame network, and a LSTM recurrent network. Our results show that the best liquid detection results are achieved when aggregating data over multiple frames, in contrast to standard image segmentation. They also show that the LSTM network out…
Technische Universität München（慕尼黑工业大学）；Johns Hopkins University（约翰斯·霍普金斯大学）
Automatic surgical phase recognition is a challenging and crucial task with the potential to improve patient safety and become an integral part of intra-operative decision-support systems. In this paper, we propose, for the first time in workflow analysis, a Multi-Stage Temporal Convolutional Network (MS-TCN) that performs hierarchical prediction refinement for surgical phase recognition. Causal, dilated convolutions allow for a large receptive field and online inference with smooth predictions even during ambiguous transitions. Our method is thoroughly evaluated on two datasets of laparoscopi…
Tracking Any Point Methods for Markerless 3D Tissue Tracking in Endoscopic Stereo Images
Institute of Medical Technology and Intelligent Systems, Hamburg University of Technology（医学技术与智能系统研究所，汉堡技术大学）；Department of Otorhinolaryngology, Head and Neck Surgery and Oncology, University Medical Center Hamburg-Eppendorf（耳鼻喉头颈外科与肿瘤学部，汉堡艾本多夫大学医学中心）；Martini-Klinik Prostate Cancer Center, University Medical Center Hamburg-Eppendorf（马尔廷诊所前列腺癌中心，汉堡艾本多夫大学医学中心）；Department of Urology, University Medical Center Hamburg-Eppendorf（泌尿外科，汉堡艾本多夫大学医学中心）
本文提出一种利用2D Tracking Any Point网络结合两个CoTracker模型实现内窥镜立体图像无标记3D组织追踪的新方法，实验验证了其在复杂手术场景中的准确性与潜力。
University Hospital of Strasbourg（斯特拉斯堡大学医院）；IRCAD（斯特拉斯堡 IRCAD 研究所）；IHU Strasbourg（斯特拉斯堡大学医院研究所）；ICube（斯特拉斯堡大学 ICube 实验室）；University of Strasbourg（斯特拉斯堡大学）；CNRS（法国国家科学研究中心）
Vision algorithms capable of interpreting scenes from a real-time video stream are necessary for computer-assisted surgery systems to achieve context-aware behavior. In laparoscopic procedures one particular algorithm needed for such systems is the identification of surgical phases, for which the current state of the art is a model based on a CNN-LSTM. A number of previous works using models of this kind have trained them in a fully supervised manner, requiring a fully annotated dataset. Instead, our work confronts the problem of learning surgical phase recognition in scenarios presenting scar…
When Tracking Fails: Analyzing Failure Modes of SAM2 for Point-Based Tracking in Surgical Videos
Center for Biosystems；Biotech Data Science, Ghent University Global Campus, Incheon, Republic of Korea Department of Human Structure；Repair, Ghent University, Ghent, Belgium Department of HPB Surgery \& Liver Transplantation, Ghent University Hospital, Ghent, Belgium IDLab, Department of Electronics；Information Systems, Ghent University, Ghent, Belgium ( )
Psychological studies have found that human visual tracking system involves learning, memory, and planning. Despite recent successes, not many works have focused on memory and planning in deep learning based tracking. We are thus interested in memory augmented network, where an external memory remembers the evolving appearance of the target (foreground) object without backpropagation for updating weights. Our Dual Augmented Memory Network (DAWN) is unique in remembering both target and background, and using an improved attention LSTM memory to guide the focus on memorized features. DAWN is eff…
Ben-Gurion University（本-古里安大学）；The Kreitman School of Advanced Graduate Studies（克雷特曼高级研究生学院）
Live cell microscopy sequences exhibit complex spatial structures and complicated temporal behaviour, making their analysis a challenging task. Considering cell segmentation problem, which plays a significant role in the analysis, the spatial properties of the data can be captured using Convolutional Neural Networks (CNNs). Recent approaches show promising segmentation results using convolutional encoder-decoders such as the U-Net. Nevertheless, these methods are limited by their inability to incorporate temporal information, that can facilitate segmentation of individual touching cells or of …
City University of Hong Kong（香港城市大学）；The Chinese University of Hong Kong（香港中文大学）；Soochow University（苏州大学）
Objective: The computation of anatomical information and laparoscope position is a fundamental block of surgical navigation in Minimally Invasive Surgery (MIS). Recovering a dense 3D structure of surgical scene using visual cues remains a challenge, and the online laparoscopic tracking primarily relies on external sensors, which increases system complexity. Methods: Here, we propose a learning-driven framework, in which an image-guided laparoscopic localization with 3D reconstructions of complex anatomical structures is obtained. To reconstruct the 3D structure of the whole surgical environmen…
Institute of Automation, Chinese Academy of Sciences（中国科学院自动化研究所）；University of Chinese Academy of Sciences（中国科学院大学）；Beijing Innovation Center for Engineering Science and Advanced Technology, Peking University（北京大学工程科学与先进技术北京创新中心）
Temporal object detection has attracted significant attention, but most popular detection methods cannot leverage rich temporal information in videos. Very recently, many algorithms have been developed for video detection task, yet very few approaches can achieve \emph{real-time online} object detection in videos. In this paper, based on attention mechanism and convolutional long short-term memory (ConvLSTM), we propose a temporal single-shot detector (TSSD) for real-world detection. Distinct from previous methods, we take aim at temporally integrating pyramidal feature hierarchy using ConvLST…
University of Maryland（马里兰大学）；NVIDIA Research（英伟达研究院）
Learning from spatio-temporal data has numerous applications such as human-behavior analysis, object tracking, video compression, and physics simulation.However, existing methods still perform poorly on challenging video tasks such as long-term forecasting. This is because these kinds of challenging tasks require learning long-term spatio-temporal correlations in the video sequence. In this paper, we propose a higher-order convolutional LSTM model that can efficiently learn these correlations, along with a succinct representations of the history. This is accomplished through a novel tensor tra…
Emory University（埃默里大学）；University of Chicago（芝加哥大学）；Georgia Institute of Technology（佐治亚理工学院）；Emory University School of Medicine（埃默里大学医学院）
This study proposed a deep learning-based tracking method for ultrasound (US) image-guided radiation therapy. The proposed cascade deep learning model is composed of an attention network, a mask region-based convolutional neural network (mask R-CNN), and a long short-term memory (LSTM) network. The attention network learns a mapping from a US image to a suspected area of landmark motion in order to reduce the search region. The mask R-CNN then produces multiple region-of-interest (ROI) proposals in the reduced region and identifies the proposed landmark via three network heads: bounding box re…
University of Missouri（密苏里大学）；TCL Research America（TCL美国研究院）
In this paper, we develop a new approach of spatially supervised recurrent convolutional neural networks for visual object tracking. Our recurrent convolutional network exploits the history of locations as well as the distinctive visual features learned by the deep neural networks. Inspired by recent bounding box regression methods for object detection, we study the regression capability of Long Short-Term Memory (LSTM) in the temporal domain, and propose to concatenate high-level visual features produced by convolutional networks with region information. In contrast to existing deep learning …
Over the past few years, deep neural networks (DNNs) have exhibited great success in predicting the saliency of images. However, there are few works that apply DNNs to predict the saliency of generic videos. In this paper, we propose a novel DNN-based video saliency prediction method. Specifically, we establish a large-scale eye-tracking database of videos (LEDOV), which provides sufficient data to train the DNN models for predicting video saliency. Through the statistical analysis of our LEDOV database, we find that human attention is normally attracted by objects, particularly moving objects…
Recognizing the phases of a laparoscopic surgery (LS) operation form its video constitutes a fundamental step for efficient content representation, indexing and retrieval in surgical video databases. In the literature, most techniques focus on phase segmentation of the entire LS video using hand-crafted visual features, instrument usage signals, and recently convolutional neural networks (CNNs). In this paper we address the problem of phase recognition of short video shots (10s) of the operation, without utilizing information about the preceding/forthcoming video frames, their phase labels or …
Five billion people in the world lack access to quality surgical care. Surgeon skill varies dramatically, and many surgical patients suffer complications and avoidable harm. Improving surgical training and feedback would help to reduce the rate of complications, half of which have been shown to be preventable. To do this, it is essential to assess operative skill, a process that currently requires experts and is manual, time consuming, and subjective. In this work, we introduce an approach to automatically assess surgeon performance by tracking and analyzing tool movements in surgical videos, …
University Hospital of Strasbourg（斯特拉斯堡大学医院）；IHU Strasbourg（斯特拉斯堡大学医院研究所）；Fondazione Policlinico Universitario Agostino Gemelli IRCCS（阿戈斯蒂诺·杰梅利大学综合医院基金会IRCCS）；IRCAD（斯特拉斯堡消化癌症研究所）；University of Verona（维罗纳大学）；ICube（斯特拉斯堡大学工程、计算机科学、成像与数学实验室）；University of Strasbourg（斯特拉斯堡大学）；CNRS（法国国家科学研究中心）
Purpose: Automatic segmentation and classification of surgical activity is crucial for providing advanced support in computer-assisted interventions and autonomous functionalities in robot-assisted surgeries. Prior works have focused on recognizing either coarse activities, such as phases, or fine-grained activities, such as gestures. This work aims at jointly recognizing two complementary levels of granularity directly from videos, namely phases and steps. Method: We introduce two correlated surgical activities, phases and steps, for the laparoscopic gastric bypass procedure. We propose a Mul…
We propose a novel deep supervised neural network for the task of action recognition in videos, which implicitly takes advantage of visual tracking and shares the robustness of both deep Convolutional Neural Network (CNN) and Recurrent Neural Network (RNN). In our method, a multi-branch model is proposed to suppress noise from background jitters. Specifically, we firstly extract multi-level deep features from deep CNNs and feed them into 3d-convolutional network. After that we feed those feature cubes into our novel joint LSTM module to predict labels and to generate attention regularization. …
NUS Graduate School for Integrative Sciences and Engineering (NGS), National University of Singapore（新加坡国立大学综合科学与工程研究生院）；Dept. of Biomedical Engineering, National University of Singapore（新加坡国立大学生物医学工程系）；Dept. of Instrumentation and Control Engineering, NIT Trichy（印度国立理工学院蒂鲁奇拉帕利分校仪器与控制工程系）；Dept. of Otolaryngology, Singapore General Hospital（新加坡中央医院耳鼻喉科）
Representation learning of the task-oriented attention while tracking instrument holds vast potential in image-guided robotic surgery. Incorporating cognitive ability to automate the camera control enables the surgeon to concentrate more on dealing with surgical instruments. The objective is to reduce the operation time and facilitate the surgery for both surgeons and patients. We propose an end-to-end trainable Spatio-Temporal Multi-Task Learning (ST-MTL) model with a shared encoder and spatio-temporal decoders for the real-time surgical instrument segmentation and task-oriented saliency dete…
