Segmentation of surgical instruments is an important problem in robot-assisted surgery: it is a crucial step towards full instrument pose estimation and is directly used for masking of augmented reality overlays during surgical procedures. Most applications rely on accurate real-time segmentation of high-resolution surgical images. While previous research focused primarily on methods that deliver high accuracy segmentation masks, majority of them can not be used for real-time applications due to their computational cost. In this work, we design a light-weight and highly-efficient deep residual architecture which is tuned to perform real-time inference of high-resolution images. To account for reduced accuracy of the discovered light-weight deep residual network and avoid adding any additional computational burden, we perform a differentiable search over dilation rates for residual units of our network. We test our discovered architecture on the EndoVis 2017 Robotic Instruments dataset and verify that our model is the state-of-the-art in terms of speed and accuracy tradeoff with a speed of up to 125 FPS on high resolution images.
Technische Universität München（慕尼黑工业大学）；Johns Hopkins University（约翰斯·霍普金斯大学）；Intuitive Surgical Inc.（直观医疗公司）
Detection, tracking, and pose estimation of surgical instruments are crucial tasks for computer assistance during minimally invasive robotic surgery. In the majority of cases, the first step is the automatic segmentation of surgical tools. Prior work has focused on binary segmentation, where the objective is to label every pixel in an image as tool or background. We improve upon previous work in two major ways. First, we leverage recent techniques such as deep residual learning and dilated convolutions to advance binary-segmentation performance. Second, we extend the approach to multi-class se…
The Chinese University of Hong Kong（香港中文大学）；Shenzhen Institute of Advanced Technology, Chinese Academy of Sciences（中国科学院深圳先进技术研究院）；University College London（伦敦大学学院）
Surgical instrument segmentation -- in general a pixel classification task -- is fundamentally crucial for promoting cognitive intelligence in robot-assisted surgery (RAS). However, previous methods are struggling with discriminating instrument types and instances. To address the above issues, we explore a mask classification paradigm that produces per-segment predictions. We propose TraSeTR, a novel Track-to-Segment Transformer that wisely exploits tracking cues to assist surgical instrument segmentation. TraSeTR jointly reasons about the instrument type, location, and identity with instance-…
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…
National University of Singapore（新加坡国立大学）；Imperial College London（伦敦帝国学院）；Singapore General Hospital（新加坡中央医院）
Learning to infer graph representations and performing spatial reasoning in a complex surgical environment can play a vital role in surgical scene understanding in robotic surgery. For this purpose, we develop an approach to generate the scene graph and predict surgical interactions between instruments and surgical region of interest (ROI) during robot-assisted surgery. We design an attention link function and integrate with a graph parsing network to recognize the surgical interactions. To embed each node with corresponding neighbouring node features, we further incorporate SageConv into the …
Robotic-assisted surgeries benefit both surgeons and patients, however, surgeons frequently need to adjust the endoscopic camera to achieve good viewpoints. Simultaneously controlling the camera and the surgical instruments is impossible, and consequentially, these camera adjustments repeatedly interrupt the surgery. Autonomous camera control could help overcome this challenge, but most existing systems are reactive, e.g., by having the camera follow the surgical instruments. We propose a predictive approach for anticipating when camera movements will occur using artificial neural networks. We…
Personalizing Federated Instrument Segmentation with Visual Trait Priors in Robotic Surgery
Wellcome/EPSRC Centre for Interventional and Surgical Sciences（Wellcome/EPSRC介入与外科科学中心）；University College London（伦敦大学学院）；Xiamen University（厦门大学）；The University of Hong Kong（香港大学）；National University of Singapore（新加坡国立大学）
Dynamic Interactive Relation Capturing via Scene Graph Learning for Robotic Surgical Report Generation
The Hong Kong University of Science and Technology (Guangzhou)（香港科技大学（广州））；University College London（伦敦大学学院）；The Hong Kong University of Science and Technology（香港科技大学）
Autonomous suturing has been a long-sought-after goal for surgical robotics. Outside of staged environments, accurate localization of suture needles is a critical foundation for automating various suture needle manipulation tasks in the real world. When localizing a needle held by a gripper, previous work usually tracks them separately without considering their relationship. Because of the significant errors that can arise in the stereo-triangulation of objects and instruments, their reconstructions may often not be consistent. This can lead to unrealistic tool-needle grasp reconstructions tha…
Wellcome/EPSRC Centre for Interventional and Surgical Sciences (WEISS), University College London（伦敦大学学院威康/EPSRC介入与外科科学中心）；Department of Computer Science, University College London（伦敦大学学院计算机科学系）
Semantic tool segmentation in surgical videos is important for surgical scene understanding and computer-assisted interventions as well as for the development of robotic automation. The problem is challenging because different illumination conditions, bleeding, smoke and occlusions can reduce algorithm robustness. At present labelled data for training deep learning models is still lacking for semantic surgical instrument segmentation and in this paper we show that it may be possible to use robot kinematic data coupled with laparoscopic images to alleviate the labelling problem. We propose a ne…
German Center for Neuro-degenerative Diseases（德国神经退行性疾病中心）；Technischer Universität Darmstadt（达姆施塔特工业大学）；University Düsseldorf（杜塞尔多夫大学）
Purpose: Accurate estimation of the position and orientation (pose) of surgical instruments is crucial for delicate minimally invasive temporal bone surgery. Current techniques lack in accuracy and/or line-of-sight constraints (conventional tracking systems) or expose the patient to prohibitive ionizing radiation (intra-operative CT). A possible solution is to capture the instrument with a c-arm at irregular intervals and recover the pose from the image. Methods: i3PosNet infers the position and orientation of instruments from images using a pose estimation network. Said framework considers lo…
Universitat Politècnica de Catalunya（加泰罗尼亚理工大学）；Fraunhofer Heinrich Hertz Institute（弗劳恩霍夫海因里希·赫兹研究所）
Providing force feedback as relevant information in current Robot-Assisted Minimally Invasive Surgery systems constitutes a technological challenge due to the constraints imposed by the surgical environment. In this context, Sensorless Force Estimation techniques represent a potential solution, enabling to sense the interaction forces between the surgical instruments and soft-tissues. Specifically, if visual feedback is available for observing soft-tissues' deformation, this feedback can be used to estimate the forces applied to these tissues. To this end, a force estimation model, based on Co…
Massachusetts Institute of Technology（麻省理工学院）；Neuromation OU；University of Michigan（密歇根大学）；Lyft Inc.（来福公司）
Semantic segmentation of robotic instruments is an important problem for the robot-assisted surgery. One of the main challenges is to correctly detect an instrument's position for the tracking and pose estimation in the vicinity of surgical scenes. Accurate pixel-wise instrument segmentation is needed to address this challenge. In this paper we describe our winning solution for MICCAI 2017 Endoscopic Vision SubChallenge: Robotic Instrument Segmentation. Our approach demonstrates an improvement over the state-of-the-art results using several novel deep neural network architectures. It addressed…
Asan Medical Center（峨山医疗中心）；Johns Hopkins University（约翰斯·霍普金斯大学）；Chungnam National University School of Medicine（忠南大学医学院）
Some endoscopic surgeries require a surgeon to hold the endoscope with one hand and the surgical instruments with the other hand to perform the actual surgery with correct vision. Recent technical advances in deep learning as well as in robotics can introduce robotics to these endoscopic surgeries. This can have numerous advantages by freeing one hand of the surgeon, which will allow the surgeon to use both hands and to use more intricate and sophisticated techniques. Recently, deep learning with convolutional neural network achieves state-of-the-art results in computer vision. Therefore, the …
Surgical scene understanding and multi-tasking learning are crucial for image-guided robotic surgery. Training a real-time robotic system for the detection and segmentation of high-resolution images provides a challenging problem with the limited computational resource. The perception drawn can be applied in effective real-time feedback, surgical skill assessment, and human-robot collaborative surgeries to enhance surgical outcomes. For this purpose, we develop a novel end-to-end trainable real-time Multi-Task Learning (MTL) model with weight-shared encoder and task-aware detection and segment…
NUS Graduate School for Integrative Sciences and Engineering (NGS)（新加坡国立大学综合科学与工程研究生院（NGS））；National University of Singapore（新加坡国立大学）；University of Moratuwa（莫拉图瓦大学）；NIT Trichy（印度国立理工学院蒂鲁吉拉伯利分校）
Robot-assisted surgery is an emerging technology which has undergone rapid growth with the development of robotics and imaging systems. Innovations in vision, haptics and accurate movements of robot arms have enabled surgeons to perform precise minimally invasive surgeries. Real-time semantic segmentation of the robotic instruments and tissues is a crucial step in robot-assisted surgery. Accurate and efficient segmentation of the surgical scene not only aids in the identification and tracking of instruments but also provided contextual information about the different tissues and instruments be…
University of Michigan（密歇根大学）；United Imaging Research Institute of Intelligent Imaging（联影智能影像研究院）；Imperial College London（伦敦帝国理工学院）
This paper reports a CPU-level real-time stereo matching method for surgical images (10 Hz on 640 * 480 image with a single core of i5-9400). The proposed method is built on the fast ''dense inverse searching'' algorithm, which estimates the disparity of the stereo images. The overlapping image patches (arbitrary squared image segment) from the images at different scales are aligned based on the photometric consistency presumption. We propose a Bayesian framework to evaluate the probability of the optimized patch disparity at different scales. Moreover, we introduce a spatial Gaussian mixed pr…
Can DeepSeek Reason Like a Surgeon? An Empirical Evaluation for Vision-Language Understanding in Robotic-Assisted Surgery
The Chinese University of Hong Kong（香港中文大学）；University of Strasbourg（斯特拉斯堡大学）；CNRS（法国国家科学研究中心）；INSERM（法国国家健康与医学研究院）；ICube（ICube实验室）；IHU Strasbourg（斯特拉斯堡大学医院研究所）
Inserm, UMR 1101（法国国家健康与医学研究院）；Univ Bretagne Occidentale（西布列塔尼大学）；INSTITUT TELECOM（法国电信学院；布雷斯特电信学院）；TELECOM Bretagne（布雷斯特大学医院）；CHRU Brest
The amount of surgical data, recorded during video-monitored surgeries, has extremely increased. This paper aims at improving existing solutions for the automated analysis of cataract surgeries in real time. Through the analysis of a video recording the operating table, it is possible to know which instruments exit or enter the operating table, and therefore which ones are likely being used by the surgeon. Combining these observations with observations from the microscope video should enhance the overall performance of the systems. To this end, the proposed solution is divided into two main pa…
University of Bern（伯尔尼大学）；École Polytechnique Fédérale de Lausanne（洛桑联邦理工学院）；University College London（伦敦大学学院）；Bern University Hospital（伯尔尼大学医院）
Detection of surgical instruments plays a key role in ensuring patient safety in minimally invasive surgery. In this paper, we present a novel method for 2D vision-based recognition and pose estimation of surgical instruments that generalizes to different surgical applications. At its core, we propose a novel scene model in order to simultaneously recognize multiple instruments as well as their parts. We use a Convolutional Neural Network architecture to embody our model and show that the cross-entropy loss is well suited to optimize its parameters which can be trained in an end-to-end fashion…
NUS Graduate School for Integrative Sciences and Engineering (NGS), National University of Singapore（新加坡国立大学NUS综合科学与工程研究生院（NGS））；National University of Singapore（新加坡国立大学）；University of Michigan-Joint Institute, Shanghai Jiao Tong University（上海交通大学密歇根联合学院）
Directing of the task-specific attention while tracking instrument in surgery holds great potential in robot-assisted intervention. For this purpose, we propose an end-to-end trainable multitask learning (MTL) model for real-time surgical instrument segmentation and attention prediction. Our model is designed with a weight-shared encoder and two task-oriented decoders and optimized for the joint tasks. We introduce batch-Wasserstein (bW) loss and construct a soft attention module to refine the distinctive visual region for efficient saliency learning. For multitask optimization, it is always c…
hutom；Yonsei University College of Medicine（延世大学医学院）
Automated surgical instrument localization is an important technology to understand the surgical process and in order to analyze them to provide meaningful guidance during surgery or surgical index after surgery to the surgeon. We introduce a new dataset that reflects the kinematic characteristics of surgical instruments for automated surgical instrument localization of surgical videos. The hSDB(hutom Surgery DataBase)-instrument dataset consists of instrument localization information from 24 cases of laparoscopic cholecystecomy and 24 cases of robotic gastrectomy. Localization information for…
The Chinese University of Hong Kong（香港中文大学）；Imperial College London（帝国理工学院）
Automatic instrument segmentation in video is an essentially fundamental yet challenging problem for robot-assisted minimally invasive surgery. In this paper, we propose a novel framework to leverage instrument motion information, by incorporating a derived temporal prior to an attention pyramid network for accurate segmentation. Our inferred prior can provide reliable indication of the instrument location and shape, which is propagated from the previous frame to the current frame according to inter-frame motion flow. This prior is injected to the middle of an encoder-decoder segmentation netw…
National Center for Tumor Diseases (NCT)（国家肿瘤疾病中心（NCT））；Intuitive Surgical（直觉外科公司）；Université Grenoble Alpes（格勒诺布尔阿尔卑斯大学）；CNRS（法国国家科学研究中心）；CHU Grenoble Alpes（格勒诺布尔阿尔卑斯大学医院）；Grenoble INP（格勒诺布尔综合理工学院）；TIMC-IMAG（TIMC-IMAG实验室）；Centre for Medical Image Computing（医学影像计算中心）；University College London（伦敦大学学院）；Department of General, Visceral and Transplant Surgery, University of Heidelberg（海德堡大学普通、内脏和移植外科系）；ARTORG Center, University of Bern（伯尔尼大学ARTORG中心）；Computer Aided Medical Procedures, Johns Hopkins University（约翰霍普金斯大学计算机辅助医疗程序）；Institute for Anthropomatics and Robotics, Karlsruhe Institute of Technology (KIT)（卡尔斯鲁厄理工学院（KIT）人机工程与机器人研究所）
Intraoperative segmentation and tracking of minimally invasive instruments is a prerequisite for computer- and robotic-assisted surgery. Since additional hardware like tracking systems or the robot encoders are cumbersome and lack accuracy, surgical vision is evolving as promising techniques to segment and track the instruments using only the endoscopic images. However, what is missing so far are common image data sets for consistent evaluation and benchmarking of algorithms against each other. The paper presents a comparative validation study of different vision-based methods for instrument s…
Video-Instrument Synergistic Network for Referring Video Instrument Segmentation in Robotic Surgery
Hong Kong University of Science and Technology (Guangzhou)（香港科技大学（广州））；Imperial College London（帝国理工学院）；Hong Kong University of Science and Technology（香港科技大学）；The General Hospital of Southern Theatre Command of PLA（中国人民解放军南部战区总医院）；National University of Singapore（新加坡国立大学）
Karlsruhe Institute of Technology（卡尔斯鲁厄理工学院）；University of Heidelberg（海德堡大学）
During laparoscopic surgery, context-aware assistance systems aim to alleviate some of the difficulties the surgeon faces. To ensure that the right information is provided at the right time, the current phase of the intervention has to be known. Real-time locating and classification the surgical tools currently in use are key components of both an activity-based phase recognition and assistance generation. In this paper, we present an image-based approach that detects and classifies tools during laparoscopic interventions in real-time. First, potential instrument bounding boxes are detected us…
Surgical-DeSAM: Decoupling SAM for Instrument Segmentation in Robotic Surgery
Wellcome/EPSRC Centre for Interventional and Surgical Sciences (WEISS)（Wellcome/EPSRC介入与外科科学中心（WEISS））；University College London（伦敦大学学院）；Dept. of Computer Science, University College London（伦敦大学学院计算机科学系）
Video Dataset for Surgical Phase, Keypoint, and Instrument Recognition in Laparoscopic Surgery (PhaKIR)
Regensburg Medical Image Computing (ReMIC), OTH Regensburg（雷根斯堡医学影像计算中心（ReMIC））；Regensburg Center of Biomedical Engineering (RCBE), OTH Regensburg（雷根斯堡生物医学工程中心（RCBE））；Regensburg University（雷根斯堡大学）；Regensburg Center of Health Sciences（雷根斯堡健康科学中心）；Technical University of Munich (TUM)（慕尼黑技术大学）；TUM University Hospital（慕尼黑技术大学医院）；Biomedical Image Analysis Group, Department of Computing, Imperial College London（生物医学影像分析组，计算部门，伦敦帝国学院）；Research Group MITI, TUM University Hospital, School of Medicine（MITI研究组，慕尼黑技术大学医院，医学学院）；Department of Surgery, TUM University Hospital, School of Medicine（外科部门，慕尼黑技术大学医院，医学学院）
SAM Meets Robotic Surgery: An Empirical Study on Generalization, Robustness and Adaptation
University College London（伦敦大学学院）；National University of Singapore（新加坡国立大学）；Hubei University of Technology（湖北工业大学）；The Chinese University of Hong Kong（香港中文大学）
本文在 EndoVis 2017/2018 上实证评估 SAM 的手术器械零样本分割、扰动鲁棒性与提示表现，并通过 LoRA 微调提出无需提示的 SurgicalSAM。
SAM Meets Robotic Surgery: An Empirical Study in Robustness Perspective
The Chinese University of Hong Kong（香港中文大学）；University College London（伦敦大学学院）；National University of Singapore（新加坡国立大学）；Hubei University of Technology（湖北工业大学）
Instrument-tissue Interaction Detection Framework for Surgical Video Understanding
National University of Singapore（新加坡国立大学）；Research Institute of Trustworthy Autonomous Systems（可信自主系统研究院）；Southern University of Science and Technology（南方科技大学）；Agency for Science, Technology, and Research（新加坡科技研究局）；Osaka University Graduate School of Medicine（大阪大学医学部）
PitVis-2023 Challenge: Workflow Recognition in videos of Endoscopic Pituitary Surgery
University College London（伦敦大学学院）；National Hospital for Neurology and Neurosurgery（国立神经学与神经外科医院）；Centre for AI and Robotics (CAIR) HKISI, CAS（中国科学院香港创新研究院人工智能与机器人中心）；Shanghai Jiao Tong University（上海交通大学）
SimulaMet（西穆拉大都会实验室）；UiT The Arctic University of Norway（挪威北极大学）；Oslo Metropolitan University（奥斯陆城市大学）；University of Oxford（牛津大学）；NIHR Oxford Biomedical Research Centre（英国国家健康研究所牛津生物医学研究中心）
Minimally invasive surgery is a surgical intervention used to examine the organs inside the abdomen and has been widely used due to its effectiveness over open surgery. Due to the hardware improvements such as high definition cameras, this procedure has significantly improved and new software methods have demonstrated potential for computer-assisted procedures. However, there exists challenges and requirements to improve detection and tracking of the position of the instruments during these surgical procedures. To this end, we evaluate and compare some popular deep learning methods that can be…
Privacy-Preserving Synthetic Continual Semantic Segmentation for Robotic Surgery
National University of Singapore（新加坡国立大学）；NUSRI Suzhou（新加坡国立大学苏州研究院）；University College London（伦敦大学学院）；The Chinese University of Hong Kong（香港中文大学）；Shun Hing Institute of Advanced Engineering（信兴高等工程研究院）
Rochester Institute of Technology（罗切斯特理工学院）；Center for Imaging Science（影像科学中心）；Biomedical Engineering（生物医学工程）
Conventional therapy approaches limit surgeons' dexterity control due to limited field-of-view. With the advent of robot-assisted surgery, there has been a paradigm shift in medical technology for minimally invasive surgery. However, it is very challenging to track the position of the surgical instruments in a surgical scene, and accurate detection & identification of surgical tools is paramount. Deep learning-based semantic segmentation in frames of surgery videos has the potential to facilitate this task. In this work, we modify the U-Net architecture named U-NetPlus, by introducing a pre-tr…
Surgical tool segmentation in endoscopic images is an important problem: it is a crucial step towards full instrument pose estimation and it is used for integration of pre- and intra-operative images into the endoscopic view. While many recent approaches based on convolutional neural networks have shown great results, a key barrier to progress lies in the acquisition of a large number of manually-annotated images which is necessary for an algorithm to generalize and work well in diverse surgical scenarios. Unlike the surgical image data itself, annotations are difficult to acquire and may be o…
National Center for Tumor Diseases (NCT)（国家肿瘤疾病中心）
Intra-operative anticipation of instrument usage is a necessary component for context-aware assistance in surgery, e.g. for instrument preparation or semi-automation of robotic tasks. However, the sparsity of instrument occurrences in long videos poses a challenge. Current approaches are limited as they assume knowledge on the timing of future actions or require dense temporal segmentations during training and inference. We propose a novel learning task for anticipation of instrument usage in laparoscopic videos that overcomes these limitations. During training, only sparse instrument annotati…
Imperial College London（伦敦帝国理工学院）；Tsinghua University（清华大学）；NYU Abu Dhabi（纽约大学阿布扎比分校）；Wuhan University（武汉大学）；University College London（伦敦大学学院）；University of Liverpool（利物浦大学）
Digital Surgery Ltd, Medtronic（美敦力数字外科有限公司）；ICube, University of Strasbourg, CNRS, IHU Strasbourg（斯特拉斯堡大学ICube实验室、法国国家科学研究中心、斯特拉斯堡大学医院）；Institute of Automation, Chinese Academy of Sciences（中国科学院自动化研究所）；Hutom（Hutom公司）；Xiamen University（厦门大学）；University of Electronic Science and Technology of China（电子科技大学）；National University of Singapore（新加坡国立大学）；National Institute of Technology, Raipur（赖布尔国家理工学院）；King’s College London（伦敦国王学院）；University College London（伦敦大学学院）
Surgical scene segmentation is essential for anatomy and instrument localization which can be further used to assess tissue-instrument interactions during a surgical procedure. In 2017, the Challenge on Automatic Tool Annotation for cataRACT Surgery (CATARACTS) released 50 cataract surgery videos accompanied by instrument usage annotations. These annotations included frame-level instrument presence information. In 2020, we released pixel-wise semantic annotations for anatomy and instruments for 4670 images sampled from 25 videos of the CATARACTS training set. The 2020 CATARACTS Semantic Segmen…
University of Washington (UW)（华盛顿大学）；Rochester Institute of Technology（罗切斯特理工学院）
Accurate and real-time surgical instrument segmentation is important in the endoscopic vision of robot-assisted surgery, and significant challenges are posed by frequent instrument-tissue contacts and continuous change of observation perspective. For these challenging tasks more and more deep neural networks (DNN) models are designed in recent years. We are motivated to propose a general embeddable approach to improve these current DNN segmentation models without increasing the model parameter number. Firstly, observing the limited rotation-invariance performance of DNN, we proposed the Multi-…
Surgical instrument tracking is an active research area that can provide surgeons feedback about the location of their tools relative to anatomy. Recent tracking methods are mainly divided into two parts: segmentation and object detection. However, both can only predict 2D information, which is limiting for application to real-world surgery. An accurate 3D surgical instrument model is a prerequisite for precise predictions of the pose and depth of the instrument. Recent single-view 3D reconstruction methods are only used in natural object reconstruction and do not achieve satisfying reconstruc…
