Surgical gesture recognition is important for surgical data science and computer-aided intervention. Even with robotic kinematic information, automatically segmenting surgical steps presents numerous challenges because surgical demonstrations are characterized by high variability in style, duration and order of actions. In order to extract discriminative features from the kinematic signals and boost recognition accuracy, we propose a multi-task recurrent neural network for simultaneous recognition of surgical gestures and estimation of a novel formulation of surgical task progress. To show the effectiveness of the presented approach, we evaluate its application on the JIGSAWS dataset, that is currently the only publicly available dataset for surgical gesture recognition featuring robot kinematic data. We demonstrate that recognition performance improves in multi-task frameworks with progress estimation without any additional manual labelling and training.
Recognition of surgical gesture is crucial for surgical skill assessment and efficient surgery training. Prior works on this task are based on either variant graphical models such as HMMs and CRFs, or deep learning models such as Recurrent Neural Networks and Temporal Convolutional Networks. Most of the current approaches usually suffer from over-segmentation and therefore low segment-level edit scores. In contrast, we present an essentially different methodology by modeling the task as a sequential decision-making process. An intelligent agent is trained using reinforcement learning with hier…
University of Rennes 1（雷恩第一大学）；INSERM（法国国家健康与医学研究院）；Gazi University（加齐大学）
Modeling and recognition of surgical activities poses an interesting research problem. Although a number of recent works studied automatic recognition of surgical activities, generalizability of these works across different tasks and different datasets remains a challenge. We introduce a modality that is robust to scene variation, and that is able to infer part information such as orientational and relative spatial relationships. The proposed modality is based on spatial temporal graph representations of surgical tools in videos, for surgical activity recognition. To explore its effectiveness,…
The Chinese University of Hong Kong（香港中文大学）；Imsight Medical Technology, Co, Ltd（Imsight医疗科技有限公司）；The Hong Kong Polytechnic University（香港理工大学）
Surgical tool presence detection and surgical phase recognition are two fundamental yet challenging tasks in surgical video analysis and also very essential components in various applications in modern operating rooms. While these two analysis tasks are highly correlated in clinical practice as the surgical process is well-defined, most previous methods tackled them separately, without making full use of their relatedness. In this paper, we present a novel method by developing a multi-task recurrent convolutional network with correlation loss (MTRCNet-CL) to exploit their relatedness to simult…
Argonne National Laboratory（阿贡国家实验室）；University of Illinois at Chicago（伊利诺伊大学芝加哥分校）
Robot-assisted minimally invasive surgery is improving surgeon performance and patient outcomes. This innovation is also turning what has been a subjective practice into motion sequences that can be precisely measured. A growing number of studies have used machine learning to analyze video and kinematic data captured from surgical robots. In these studies, models are typically trained on benchmark datasets for representative surgical tasks to assess surgeon skill levels. While they have shown that novices and experts can be accurately classified, it is not clear whether machine learning can se…
The Chinese University of Hong Kong（香港中文大学）；The Hong Kong Polytechnic University（香港理工大学）
Automated surgical gesture recognition is of great importance in robot-assisted minimally invasive surgery. However, existing methods assume that training and testing data are from the same domain, which suffers from severe performance degradation when a domain gap exists, such as the simulator and real robot. In this paper, we propose a novel unsupervised domain adaptation framework which can simultaneously transfer multi-modality knowledge, i.e., both kinematic and visual data, from simulator to real robot. It remedies the domain gap with enhanced transferable features by using temporal cues…
Datasets are an essential component for training effective machine learning models. In particular, surgical robotic datasets have been key to many advances in semi-autonomous surgeries, skill assessment, and training. Simulated surgical environments can enhance the data collection process by making it faster, simpler and cheaper than real systems. In addition, combining data from multiple robotic domains can provide rich and diverse training data for transfer learning algorithms. In this paper, we present the DESK (Dexterous Surgical Skill) dataset. It comprises a set of surgical robotic skill…
Self-supervised, multi-modal learning has been successful in holistic representation of complex scenarios. This can be useful to consolidate information from multiple modalities which have multiple, versatile uses. Its application in surgical robotics can lead to simultaneously developing a generalised machine understanding of the surgical process and reduce the dependency on quality, expert annotations which are generally difficult to obtain. We develop a self-supervised, multi-modal representation learning paradigm that learns representations for surgical gestures from video and kinematics. …
Intuitive Surgical Inc.（直觉外科公司）；California Institute of Technology（加州理工学院）；University of California, Los Angeles（加利福尼亚大学洛杉矶分校）
Many tasks in robot-assisted surgeries (RAS) can be represented by finite-state machines (FSMs), where each state represents either an action (such as picking up a needle) or an observation (such as bleeding). A crucial step towards the automation of such surgical tasks is the temporal perception of the current surgical scene, which requires a real-time estimation of the states in the FSMs. The objective of this work is to estimate the current state of the surgical task based on the actions performed or events occurred as the task progresses. We propose Fusion-KVE, a unified surgical state est…
Manual labeling of gestures in robot-assisted surgery is labor intensive, prone to errors, and requires expertise or training. We propose a method for automated and explainable generation of gesture transcripts that leverages the abundance of data for image segmentation. Surgical context is detected using segmentation masks by examining the distances and intersections between the tools and objects. Next, context labels are translated into gesture transcripts using knowledge-based Finite State Machine (FSM) and data-driven Long Short Term Memory (LSTM) models. We evaluate the performance of eac…
Minimally invasive surgery mainly consists of a series of sub-tasks, which can be decomposed into basic gestures or contexts. As a prerequisite of autonomic operation, surgical gesture recognition can assist motion planning and decision-making, and build up context-aware knowledge to improve the surgical robot control quality. In this work, we aim to develop an effective surgical gesture recognition approach with an explainable feature extraction process. A Bidirectional Multi-Layer independently RNN (BML-indRNN) model is proposed in this paper, while spatial feature extraction is implemented …
National Center for Tumor Diseases (NCT)（国家肿瘤疾病中心）；University Hospital Carl Gustav Carus（卡尔·古斯塔夫·卡鲁斯大学医院）；TU Dresden（德累斯顿工业大学）；Centre for Tactile Internet with Human-in-the-Loop (CeTI)（人在环触觉互联网中心）
Automatically recognizing surgical gestures is a crucial step towards a thorough understanding of surgical skill. Possible areas of application include automatic skill assessment, intra-operative monitoring of critical surgical steps, and semi-automation of surgical tasks. Solutions that rely only on the laparoscopic video and do not require additional sensor hardware are especially attractive as they can be implemented at low cost in many scenarios. However, surgical gesture recognition based only on video is a challenging problem that requires effective means to extract both visual and tempo…
University of Rennes 1（雷恩第一大学）；Inserm（法国国家健康与医学研究院）
In this paper, we address the open research problem of surgical gesture recognition using motion cues from video data only. We adapt Optical flow ConvNets initially proposed by Simonyan et al.. While Simonyan uses both RGB frames and dense optical flow, we use only dense optical flow representations as input to emphasize the role of motion in surgical gesture recognition, and present it as a robust alternative to kinematic data. We also overcome one of the limitations of Optical flow ConvNets by initializing our model with cross modality pre-training. A large number of promising studies that a…
UCL（伦敦大学学院）；Università di Verona（维罗纳大学）；Politecnico di Milano（米兰理工大学）
Kinematic trajectories recorded from surgical robots contain information about surgical gestures and potentially encode cues about surgeon's skill levels. Automatic segmentation of these trajectories into meaningful action units could help to develop new metrics for surgical skill assessment as well as to simplify surgical automation. State-of-the-art methods for action recognition relied on manual labelling of large datasets, which is time consuming and error prone. Unsupervised methods have been developed to overcome these limitations. However, they often rely on tedious parameter tuning and…
SUNY Buffalo（纽约州立大学布法罗分校）；Roswell Park Cancer Institute（罗斯韦尔公园癌症研究所）；University of Michigan（密歇根大学）
We propose a novel multi-modal and multi-task architecture for simultaneous low level gesture and surgical task classification in Robot Assisted Surgery (RAS) videos.Our end-to-end architecture is based on the principles of a long short-term memory network (LSTM) that jointly learns temporal dynamics on rich representations of visual and motion features, while simultaneously classifying activities of low-level gestures and surgical tasks. Our experimental results show that our approach is superior compared to an ar- chitecture that classifies the gestures and surgical tasks separately on visua…
Think Step by Step: Chain-of-Gesture Prompting for Error Detection in Robotic Surgical Videos
Tsinghua University（清华大学）；National University of Singapore（新加坡国立大学）；University College London（伦敦大学学院）；Wellcome/EPSRC Centre for Interventional and Surgical Sciences（Wellcome/EPSRC介入与外科科学中心）
Bournemouth University（伯恩茅斯大学）；Communication University of China（中国传媒大学）
Automatic surgical gesture recognition is a prerequisite of intra-operative computer assistance and objective surgical skill assessment. Prior works either require additional sensors to collect kinematics data or have limitations on capturing temporal information from long and untrimmed surgical videos. To tackle these challenges, we propose a novel temporal convolutional architecture to automatically detect and segment surgical gestures with corresponding boundaries only using RGB videos. We devise our method with a symmetric dilation structure bridged by a self-attention module to encode and…
Wellcome/EPSRC Centre for Interventional and Surgical Sciences (WEISS)（惠康/工程与物理科学研究委员会介入与外科科学中心（WEISS））；University College London（伦敦大学学院）
Objective: Surgical activity recognition is a fundamental step in computer-assisted interventions. This paper reviews the state-of-the-art in methods for automatic recognition of fine-grained gestures in robotic surgery focusing on recent data-driven approaches and outlines the open questions and future research directions. Methods: An article search was performed on 5 bibliographic databases with the following search terms: robotic, robot-assisted, JIGSAWS, surgery, surgical, gesture, fine-grained, surgeme, action, trajectory, segmentation, recognition, parsing. Selected articles were classif…
Despite significant developments in the design of surgical robots and automated techniques for objective evaluation of surgical skills, there are still challenges in ensuring safety in robot-assisted minimally-invasive surgery (RMIS). This paper presents a runtime monitoring system for the detection of executional errors during surgical tasks through the analysis of kinematic data. The proposed system incorporates dual Siamese neural networks and knowledge of surgical context, including surgical tasks and gestures, their distributional similarities, and common error modes, to learn the differe…
University of Toronto（多伦多大学）；Sunnybrook Health Sciences Centre（桑尼布鲁克健康科学中心）；Sunnybrook Research Institute（桑尼布鲁克研究所）
We present SurgeonAssist-Net: a lightweight framework making action-and-workflow-driven virtual assistance, for a set of predefined surgical tasks, accessible to commercially available optical see-through head-mounted displays (OST-HMDs). On a widely used benchmark dataset for laparoscopic surgical workflow, our implementation competes with state-of-the-art approaches in prediction accuracy for automated task recognition, and yet requires 7.4x fewer parameters, 10.2x fewer floating point operations per second (FLOPS), is 7.0x faster for inference on a CPU, and is capable of near real-time perf…
We apply recurrent neural networks to the task of recognizing surgical activities from robot kinematics. Prior work in this area focuses on recognizing short, low-level activities, or gestures, and has been based on variants of hidden Markov models and conditional random fields. In contrast, we work on recognizing both gestures and longer, higher-level activites, or maneuvers, and we model the mapping from kinematics to gestures/maneuvers with recurrent neural networks. To our knowledge, we are the first to apply recurrent neural networks to this task. Using a single model and a single set of …
The Chinese University of Hong Kong（香港中文大学）；Johns Hopkins University（约翰斯·霍普金斯大学）
Automatic surgical gesture recognition is fundamentally important to enable intelligent cognitive assistance in robotic surgery. With recent advancement in robot-assisted minimally invasive surgery, rich information including surgical videos and robotic kinematics can be recorded, which provide complementary knowledge for understanding surgical gestures. However, existing methods either solely adopt uni-modal data or directly concatenate multi-modal representations, which can not sufficiently exploit the informative correlations inherent in visual and kinematics data to boost gesture recogniti…
Gesture recognition is a very essential technology for many wearable devices. While previous algorithms are mostly based on statistical methods including the hidden Markov model, we develop two dynamic hand gesture recognition techniques using low complexity recurrent neural network (RNN) algorithms. One is based on video signal and employs a combined structure of a convolutional neural network (CNN) and an RNN. The other uses accelerometer data and only requires an RNN. Fixed-point optimization that quantizes most of the weights into two bits is conducted to optimize the amount of memory size…
Slot-BERT: Self-supervised Object Discovery in Surgical Video
Outcomes Laboratory, Department of Surgery, University of Pennsylvania, Philadelphia, PA, USA.；Department of Computer；Information Science, University of Pennsylvania, Philadelphia, PA, USA.；Division of Thoracic Surgery, Toronto General Hospital, University Health Network, Toronto, Ontario, Canada.；Surgical Artificial Intelligence Research Academy, University Health Network, Toronto, ON, Canada.
End to End AI System for Surgical Gesture Sequence Recognition and Clinical Outcome Prediction
Department of Computational Biomedicine, Center for Artificial Intelligence Research and Education（计算生物医学系，人工智能研究与教育中心）；Cedars Sinai Medical Center（Cedars Sinai 医疗中心）
Technion – Israel Institute of Technology（以色列理工学院）；Stanford University（斯坦福大学）
In recent times there is a growing development of video based applications for surgical purposes. Part of these applications can work offline after the end of the procedure, other applications must react immediately. However, there are cases where the response should be done during the procedure but some delay is acceptable. In the literature, the online-offline performance gap is known. Our goal in this study was to learn the performance-delay trade-off and design an MS-TCN++-based algorithm that can utilize this trade-off. To this aim, we used our open surgery simulation data-set containing …
Dynamic hand gesture recognition has attracted increasing interests because of its importance for human computer interaction. In this paper, we propose a new motion feature augmented recurrent neural network for skeleton-based dynamic hand gesture recognition. Finger motion features are extracted to describe finger movements and global motion features are utilized to represent the global movement of hand skeleton. These motion features are then fed into a bidirectional recurrent neural network (RNN) along with the skeleton sequence, which can augment the motion features for RNN and improve the…
Monash University（莫纳什大学）；University of Haute-Alsace（上阿尔萨斯大学）
Over the past one hundred years, the classic teaching methodology of "see one, do one, teach one" has governed the surgical education systems worldwide. With the advent of Operation Room 2.0, recording video, kinematic and many other types of data during the surgery became an easy task, thus allowing artificial intelligence systems to be deployed and used in surgical and medical practice. Recently, surgical videos has been shown to provide a structure for peer coaching enabling novice trainees to learn from experienced surgeons by replaying those videos. However, the high inter-operator variab…
UC Berkeley（加州大学伯克利分校）；UCSF East Bay（加州大学旧金山分校东湾）；SRI International（斯坦福国际研究院）
Automation of surgical subtasks using cable-driven robotic surgical assistants (RSAs) such as Intuitive Surgical's da Vinci Research Kit (dVRK) is challenging due to imprecision in control from cable-related effects such as cable stretching and hysteresis. We propose a novel approach to efficiently calibrate such robots by placing a 3D printed fiducial coordinate frames on the arm and end-effector that is tracked using RGBD sensing. To measure the coupling and history-dependent effects between joints, we analyze data from sampled trajectories and consider 13 approaches to modeling. These model…
Intuitive Surgical Inc.（直觉外科公司）；California Institute of Technology（加州理工学院）
This paper presents a technique to concurrently and jointly predict the future trajectories of surgical instruments and the future state(s) of surgical subtasks in robot-assisted surgeries (RAS) using multiple input sources. Such predictions are a necessary first step towards shared control and supervised autonomy of surgical subtasks. Minute-long surgical subtasks, such as suturing or ultrasound scanning, often have distinguishable tool kinematics and visual features, and can be described as a series of fine-grained states with transition schematics. We propose daVinciNet - an end-to-end dual…
The University of Texas at Dallas（得克萨斯大学达拉斯分校）；UT Southwestern Medical Center（得克萨斯大学西南医学中心）
With the advent of robot-assisted surgery, the role of data-driven approaches to integrate statistics and machine learning is growing rapidly with prominent interests in objective surgical skill assessment. However, most existing work requires translating robot motion kinematics into intermediate features or gesture segments that are expensive to extract, lack efficiency, and require significant domain-specific knowledge. We propose an analytical deep learning framework for skill assessment in surgical training. A deep convolutional neural network is implemented to map multivariate time series…
In human interactions, hands are a powerful way of expressing information that, in some cases, can be used as a valid substitute for voice, as it happens in Sign Language. Hand gesture recognition has always been an interesting topic in the areas of computer vision and multimedia. These gestures can be represented as sets of feature vectors that change over time. Recurrent Neural Networks (RNNs) are suited to analyse this type of sets thanks to their ability to model the long term contextual information of temporal sequences. In this paper, a RNN is trained by using as features the angles form…
The use of sensors has pervaded everyday life in several applications including human activity monitoring, healthcare, and social networks. In this study, we focus on the use of smartwatch sensors to recognize smoking activity. More specifically, we have reformulated the previous work in detection of smoking to include in-context recognition of smoking. Our presented reformulation of the smoking gesture as a state-transition model that consists of the mini-gestures hand-to-lip, hand-on-lip, and hand-off-lip, has demonstrated improvement in detection rates nearing 100% using conventional neural…
University of Texas at Arlington（德克萨斯大学阿灵顿分校）；Baylor University Medical Center（贝勒大学医学中心）
We propose a new multilabel classifier, called LapTool-Net to detect the presence of surgical tools in each frame of a laparoscopic video. The novelty of LapTool-Net is the exploitation of the correlation among the usage of different tools and, the tools and tasks - namely, the context of the tools' usage. Towards this goal, the pattern in the co-occurrence of the tools is utilized for designing a decision policy for a multilabel classifier based on a Recurrent Convolutional Neural Network (RCNN) architecture to simultaneously extract the spatio-temporal features. In contrast to the previous m…
Purpose: This paper focuses on an automated analysis of surgical motion profiles for objective skill assessment and task recognition in robot-assisted surgery. Existing techniques heavily rely on conventional statistic measures or shallow modelings based on hand-engineered features and gesture segmentation. Such developments require significant expert knowledge, are prone to errors, and are less efficient in online adaptive training systems. Methods: In this work, we present an efficient analytic framework with a parallel deep learning architecture, SATR-DL, to assess trainee expertise and rec…
Powder AI Research（Powder AI 研究院）；Université Paris-Est, LISSI, UPEC（巴黎东大学 LISSI 实验室 / 巴黎东克雷泰伊大学）
Emotional expressions are the behaviors that communicate our emotional state or attitude to others. They are expressed through verbal and non-verbal communication. Complex human behavior can be understood by studying physical features from multiple modalities; mainly facial, vocal and physical gestures. Recently, spontaneous multi-modal emotion recognition has been extensively studied for human behavior analysis. In this paper, we propose a new deep learning-based approach for audio-visual emotion recognition. Our approach leverages recent advances in deep learning like knowledge distillation …
Digital Surgery, Kinosis, Ltd（Kinosis有限公司数字外科）；University College London（伦敦大学学院）
Automated surgical workflow analysis and understanding can assist surgeons to standardize procedures and enhance post-surgical assessment and indexing, as well as, interventional monitoring. Computer-assisted interventional (CAI) systems based on video can perform workflow estimation through surgical instruments' recognition while linking them to an ontology of procedural phases. In this work, we adopt a deep learning paradigm to detect surgical instruments in cataract surgery videos which in turn feed a surgical phase inference recurrent network that encodes temporal aspects of phase steps wi…
Beihang University（北京航空航天大学）；China University of Mining and Technology（中国矿业大学）；University of Central Florida（中佛罗里达大学）；Nortumbria Univesity（诺森比亚大学）
Gesture recognition is a challenging problem in the field of biometrics. In this paper, we integrate Fisher criterion into Bidirectional Long-Short Term Memory (BLSTM) network and Bidirectional Gated Recurrent Unit (BGRU),thus leading to two new deep models termed as F-BLSTM and F-BGRU. BothFisher discriminative deep models can effectively classify the gesture based on analyzing the acceleration and angular velocity data of the human gestures. Moreover, we collect a large Mobile Gesture Database (MGD) based on the accelerations and angular velocities containing 5547 sequences of 12 gestures. E…
Centre for Mechanical Engineering, Materials and Processes, University of Coimbra（科英布拉大学机械工程、材料与过程中心）
Human gesture recognition has assumed a capital role in industrial applications, such as Human-Machine Interaction. We propose an approach for segmentation and classification of dynamic gestures based on a set of handcrafted features, which are drawn from the skeleton data provided by the Kinect sensor. The module for gesture detection relies on a feedforward neural network which performs framewise binary classification. The method for gesture recognition applies a sliding window, which extracts information from both the spatial and temporal dimensions. Then we combine windows of varying durat…
Natural interaction with virtual objects in AR/VR environments makes for a smooth user experience. Gestures are a natural extension from real world to augmented space to achieve these interactions. Finding discriminating spatio-temporal features relevant to gestures and hands in ego-view is the primary challenge for recognising egocentric gestures. In this work we propose a data driven end-to-end deep learning approach to address the problem of egocentric gesture recognition, which combines an ego-hand encoder network to find ego-hand features, and a recurrent neural network to discern tempora…
A car driver knows how to react on the gestures of the traffic officers. Clearly, this is not the case for the autonomous vehicle, unless it has road traffic control gesture recognition functionalities. In this work, we address the limitation of the existing autonomous driving datasets to provide learning data for traffic control gesture recognition. We introduce a dataset that is based on 3D body skeleton input to perform traffic control gesture classification on every time step. Our dataset consists of 250 sequences from several actors, ranging from 16 to 90 seconds per sequence. To evaluate…
Recent studies have demonstrated the power of recurrent neural networks for machine translation, image captioning and speech recognition. For the task of capturing temporal structure in video, however, there still remain numerous open research questions. Current research suggests using a simple temporal feature pooling strategy to take into account the temporal aspect of video. We demonstrate that this method is not sufficient for gesture recognition, where temporal information is more discriminative compared to general video classification tasks. We explore deep architectures for gesture reco…
Human activity and gesture recognition is an important component of rapidly growing domain of ambient intelligence, in particular in assisting living and smart homes. In this paper, we propose to combine the power of two deep learning techniques, the convolutional neural networks (CNN) and the recurrent neural networks (RNN), for automated hand gesture recognition using both depth and skeleton data. Each of these types of data can be used separately to train neural networks to recognize hand gestures. While RNN were reported previously to perform well in recognition of sequences of movement fo…
Automatic surgical workflow recognition in video is an essentially fundamental yet challenging problem for developing computer-assisted and robotic-assisted surgery. Existing approaches with deep learning have achieved remarkable performance on analysis of surgical videos, however, heavily relying on large-scale labelled datasets. Unfortunately, the annotation is not often available in abundance, because it requires the domain knowledge of surgeons. In this paper, we propose a novel active learning method for cost-effective surgical video analysis. Specifically, we propose a non-local recurren…
North University of China（中北大学）；Shandong University（山东大学）；University of Electronic Science and Technology of China（电子科技大学）；University of Wollongong（伍伦贡大学）
Pose based hand gesture recognition has been widely studied in the recent years. Compared with full body action recognition, hand gesture involves joints that are more spatially closely distributed with stronger collaboration. This nature requires a different approach from action recognition to capturing the complex spatial features. Many gesture categories, such as "Grab" and "Pinch", have very similar motion or temporal patterns posing a challenge on temporal processing. To address these challenges, this paper proposes a two-stream neural network with one stream being a self-attention based …
