Surgical tool segmentation in endoscopic videos is an important component of computer assisted interventions systems. Recent success of image-based solutions using fully-supervised deep learning approaches can be attributed to the collection of big labeled datasets. However, the annotation of a big dataset of real videos can be prohibitively expensive and time consuming. Computer simulations could alleviate the manual labeling problem, however, models trained on simulated data do not generalize to real data. This work proposes a consistency-based framework for joint learning of simulated and real (unlabeled) endoscopic data to bridge this performance generalization issue. Empirical results on two data sets (15 videos of the Cholec80 and EndoVis'15 dataset) highlight the effectiveness of the proposed \emph{Endo-Sim2Real} method for instrument segmentation. We compare the segmentation of the proposed approach with state-of-the-art solutions and show that our method improves segmentation both in terms of quality and quantity.
This paper proposes a method for domain adaptation that extends the maximum margin domain transfer (MMDT) proposed by Hoffman et al., by introducing L2 distance constraints between samples of different domains; thus, our method is denoted as MMDTL2. Motivated by the differences between the images taken by narrow band imaging (NBI) endoscopic devices, we utilize different NBI devices as different domains and estimate the transformations between samples of different domains, i.e., image samples taken by different NBI endoscope systems. We first formulate the problem in the primal form, and then …
Zuse Institute Berlin (ZIB)（柏林祖斯研究所）；TU Darmstadt（达姆施塔特工业大学）
Purpose: Segmentation of surgical instruments in endoscopic videos is essential for automated surgical scene understanding and process modeling. However, relying on fully supervised deep learning for this task is challenging because manual annotation occupies valuable time of the clinical experts. Methods: We introduce a teacher-student learning approach that learns jointly from annotated simulation data and unlabeled real data to tackle the erroneous learning problem of the current consistency-based unsupervised domain adaptation framework. Results: Empirical results on three datasets highlig…
Institute for Infocomm Research, A*STAR（新加坡科技研究局资讯通信研究院）；School of Electrical and Electronic Engineering, NTU（南洋理工大学电气与电子工程学院）
To enable video models to be applied seamlessly across video tasks in different environments, various Video Unsupervised Domain Adaptation (VUDA) methods have been proposed to improve the robustness and transferability of video models. Despite improvements made in model robustness, these VUDA methods require access to both source data and source model parameters for adaptation, raising serious data privacy and model portability issues. To cope with the above concerns, this paper firstly formulates Black-box Video Domain Adaptation (BVDA) as a more realistic yet challenging scenario where the s…
University of Chinese Academy of Sciences（中国科学院大学）；Huaqiao University（华侨大学）；University of Arkansas at Little Rock（阿肯色大学小石城分校）
Unsupervised domain adaptation has attracted growing research attention on semantic segmentation. However, 1) most existing models cannot be directly applied into lesions transfer of medical images, due to the diverse appearances of same lesion among different datasets; 2) equal attention has been paid into all semantic representations instead of neglecting irrelevant knowledge, which leads to negative transfer of untransferable knowledge. To address these challenges, we develop a new unsupervised semantic transfer model including two complementary modules (i.e., T_D and T_F ) for endoscopic l…
ICube（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）；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（法国消化外科研究所）；Fondazione Policlinico Universitario Agostino Gemelli IRCCS（阿戈斯蒂诺·杰梅利大学综合医院基金会IRCCS）
Recognition of surgical activity is an essential component to develop context-aware decision support for the operating room. In this work, we tackle the recognition of fine-grained activities, modeled as action triplets <instrument, verb, target> representing the tool activity. To this end, we introduce a new laparoscopic dataset, CholecT40, consisting of 40 videos from the public dataset Cholec80 in which all frames have been annotated using 128 triplet classes. Furthermore, we present an approach to recognize these triplets directly from the video data. It relies on a module called Class Act…
SimulaMet；UIT The Arctic University of Norway（挪威北极大学）；University of Oxford（牛津大学）；Simula Research Laboratory（Simula研究实验室）；Oslo Metropolitan University（奥斯陆城市大学）；Sintef Digital（SINTEF数字研究所）；Augere Medical AS（Augere Medical公司）；Sahlgrenska University Hospital-Mölndal（萨尔格伦斯卡大学医院-默恩达尔）；Bærum Hospital（贝鲁姆医院）；Karolinska University Hospital（卡罗林斯卡大学医院）
Gastrointestinal (GI) pathologies are periodically screened, biopsied, and resected using surgical tools. Usually the procedures and the treated or resected areas are not specifically tracked or analysed during or after colonoscopies. Information regarding disease borders, development and amount and size of the resected area get lost. This can lead to poor follow-up and bothersome reassessment difficulties post-treatment. To improve the current standard and also to foster more research on the topic we have released the ``Kvasir-Instrument'' dataset which consists of $590$ annotated frames cont…
Tecnológico de Monterrey（蒙特雷理工学院）；CHU Nancy（南锡大学中心医院）；CHU Pellegrin（佩勒格兰大学中心医院）；Centro de Investigación y de Estudios Avanzados del Instituto Politécnico Nacional（国立理工学院高级研究中心）；Université de Lorraine（洛林大学）
Deep learning has shown great promise in diverse areas of computer vision, such as image classification, object detection and semantic segmentation, among many others. However, as it has been repeatedly demonstrated, deep learning methods trained on a dataset do not generalize well to datasets from other domains or even to similar datasets, due to data distribution shifts. In this work, we propose the use of a meta-learning based few-shot learning approach to alleviate these problems. In order to demonstrate its efficacy, we use two datasets of kidney stones samples acquired with different end…
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）；Politecnico di Milano（米兰理工大学）
Automatic surgical instrument segmentation of endoscopic images is a crucial building block of many computer-assistance applications for minimally invasive surgery. So far, state-of-the-art approaches completely rely on the availability of a ground-truth supervision signal, obtained via manual annotation, thus expensive to collect at large scale. In this paper, we present FUN-SIS, a Fully-UNsupervised approach for binary Surgical Instrument Segmentation. FUN-SIS trains a per-frame segmentation model on completely unlabelled endoscopic videos, by solely relying on implicit motion information an…
University of Oxford（牛津大学）；NIHR Oxford Biomedical Research Centre（NIHR牛津生物医学研究中心）；Oxford University Hospitals NHS Foundation Trust（牛津大学医院NHS基金会信托）；John Radcliffe Hospital（约翰·拉德克利夫医院）
Barrett's oesophagus (BE) is one of the early indicators of esophageal cancer. Patients with BE are monitored and undergo ablation therapies to minimise the risk, thereby making it eminent to identify the BE area precisely. Automated segmentation can help clinical endoscopists to assess and treat BE area more accurately. Endoscopy imaging of BE can include multiple modalities in addition to the conventional white light (WL) modality. Supervised models require large amount of manual annotations incorporating all data variability in the training data. However, it becomes cumbersome, tedious and …
Machine learning in remote sensing has matured alongside a proliferation in availability and resolution of geospatial imagery, but its utility is bottlenecked by the need for labeled data. What's more, many labeled geospatial datasets are specific to certain regions, instruments, or extreme weather events. We investigate the application of modern domain-adaptation to multiple proposed geospatial benchmarks, uncovering unique challenges and proposing solutions to them.
Shenyang Institute of Automation, Chinese Academy of Sciences（中国科学院沈阳自动化研究所）；Institutes for Robotics and Intelligent Manufacturing, Chinese Academy of Sciences（中国科学院机器人与智能制造创新研究院）；University of Chinese Academy of Sciences（中国科学院大学）；Chinese PLA General Hospital（中国人民解放军总医院）；University of Arkansas at Little Rock（阿肯色大学小石城分校）；Indiana University-Purdue University Indianapolis（印第安纳大学-普渡大学印第安纳波利斯分校）
Weakly-supervised learning has attracted growing research attention on medical lesions segmentation due to significant saving in pixel-level annotation cost. However, 1) most existing methods require effective prior and constraints to explore the intrinsic lesions characterization, which only generates incorrect and rough prediction; 2) they neglect the underlying semantic dependencies among weakly-labeled target enteroscopy diseases and fully-annotated source gastroscope lesions, while forcefully utilizing untransferable dependencies leads to the negative performance. To tackle above issues, …
Investigating a domain adaptation approach for integrating different measurement instruments in a longitudinal clinical registry
University of Freiburg（弗赖堡大学）；Freiburg Center for Data Analysis and Modeling, University of Freiburg（弗赖堡大学弗莱堡数据分析与建模中心）；Centre for Integrative Biological Signalling Studies (CIBSS), University of Freiburg（弗赖堡大学整合生物信号研究中心）
ICube, University of Strasbourg, CNRS（斯特拉斯堡大学ICube研究所，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）；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 France（法国消化癌症研究研究所）
Out of all existing frameworks for surgical workflow analysis in endoscopic videos, action triplet recognition stands out as the only one aiming to provide truly fine-grained and comprehensive information on surgical activities. This information, presented as <instrument, verb, target> combinations, is highly challenging to be accurately identified. Triplet components can be difficult to recognize individually; in this task, it requires not only performing recognition simultaneously for all three triplet components, but also correctly establishing the data association between them. To achieve …
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）
Intuitive, Inc.（直观医疗公司）；Konica Minolta, Inc.（柯尼卡美能达公司）；University College London（伦敦大学学院）；University of Genoa（热那亚大学）；University of Burgundy（勃艮第大学）；German Cancer Research Center (DKFZ)（德国癌症研究中心）；National Center for Tumor Diseases (NCT)（国家肿瘤疾病中心）
Surgical data science is revolutionizing minimally invasive surgery by enabling context-aware applications. However, many challenges exist around surgical data (and health data, more generally) needed to develop context-aware models. This work - presented as part of the Endoscopic Vision (EndoVis) challenge at the Medical Image Computing and Computer Assisted Intervention (MICCAI) 2020 conference - seeks to explore the potential for visual domain adaptation in surgery to overcome data privacy concerns. In particular, we propose to use video from virtual reality (VR) simulations of surgical exe…
The Chinese University of Hong Kong（香港中文大学）；Imperial College London（帝国理工学院）；National University of Singapore（新加坡国立大学）；Shun Hing Institute of Advanced Engineering（信兴高等工程研究所）
Data diversity and volume are crucial to the success of training deep learning models, while in the medical imaging field, the difficulty and cost of data collection and annotation are especially huge. Specifically in robotic surgery, data scarcity and imbalance have heavily affected the model accuracy and limited the design and deployment of deep learning-based surgical applications such as surgical instrument segmentation. Considering this, we rethink the surgical instrument segmentation task and propose a one-to-many data generation solution that gets rid of the complicated and expensive pr…
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）
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 …
German Cancer Research Center (DKFZ)（德国癌症研究中心）；University of Heidelberg（海德堡大学）
Segmentation of endoscopic images is an essential processing step for computer and robotics-assisted interventions. The Robust-MIS challenge provides the largest dataset of annotated endoscopic images to date, with 5983 manually annotated images. Here we describe OR-UNet, our optimized robust residual 2D U-Net for endoscopic image segmentation. As the name implies, the network makes use of residual connections in the encoder. It is trained with the sum of Dice and cross-entropy loss and deep supervision. During training, extensive data augmentation is used to increase the robustness. In an 8-f…
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-…
University of Strasbourg（斯特拉斯堡大学）；CNRS（法国国家科学研究中心）
Background. Flexible bendable instruments are key tools for performing surgical endoscopy. Being able to measure the 3D position of such instruments can be useful for various tasks, such as controlling automatically robotized instruments and analyzing motions. Methods. We propose an automatic method to infer the 3D pose of a single bending section instrument, using only the images provided by a monocular camera embedded at the tip of the endoscope. The proposed method relies on colored markers attached onto the bending section. The image of the instrument is segmented using a graph-based metho…
Surgical robots are used to perform minimally invasive surgery and alleviate much of the burden imposed on surgeons. Our group has developed a surgical robot to aid in the removal of tumors at the base of the skull via access through the nostrils. To avoid injuring the patients, a collision-avoidance algorithm that depends on having an accurate model for the poses of the instruments' shafts is used. Given that the model's parameters can change over time owing to interactions between instruments and other disturbances, the online estimation of the poses of the instrument's shaft is essential. I…
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…
Tecnológico de Monterrey（蒙特雷科技大学）；University of Oxford（牛津大学）
Image-based tracking of laparoscopic instruments plays a fundamental role in computer and robotic-assisted surgeries by aiding surgeons and increasing patient safety. Computer vision contests, such as the Robust Medical Instrument Segmentation (ROBUST-MIS) Challenge, seek to encourage the development of robust models for such purposes, providing large, diverse, and annotated datasets. To date, most of the existing models for instance segmentation of medical instruments were based on two-stage detectors, which provide robust results but are nowhere near to the real-time (5 frames-per-second (fp…
University of Washington（华盛顿大学）；Institute of Automation, Chinese Academy of Sciences（中国科学院自动化研究所）
Deep learning-based methods have achieved promising results on surgical instrument segmentation. However, the high computation cost may limit the application of deep models to time-sensitive tasks such as online surgical video analysis for robotic-assisted surgery. Moreover, current methods may still suffer from challenging conditions in surgical images such as various lighting conditions and the presence of blood. We propose a novel Multi-frame Feature Aggregation (MFFA) module to aggregate video frame features temporally and spatially in a recurrent mode. By distributing the computation load…
The Chinese University of Hong Kong（香港中文大学）；T stone Robotics Institute（T石头机器人研究所）；Guangdong-Hong Kong-Macao Joint Laboratory of Human-Machine Intelligence-Synergy Systems（粤港澳人机协同智能系统联合实验室）；Shenzhen Institutes of Advanced Technology, Chinese Academy of Sciences（中国科学院深圳先进技术研究院）
Surgical instrument segmentation in robot-assisted surgery (RAS) - especially that using learning-based models - relies on the assumption that training and testing videos are sampled from the same domain. However, it is impractical and expensive to collect and annotate sufficient data from every new domain. To greatly increase the label efficiency, we explore a new problem, i.e., adaptive instrument segmentation, which is to effectively adapt one source model to new robotic surgical videos from multiple target domains, only given the annotated instruments in the first frame. We propose MDAL, a…
Nagoya University（名古屋大学）；Kyoto Second Red Cross Hospital（京都第二红十字医院）；Sapporo-Minami-Sanjo Hospital（札幌南三条医院）；Sapporo-Kosei General Hospital（札幌厚生综合医院）；Keiwakai Nishioka Hospital（惠和会西冈医院）；National Institute of Informatics（国立信息学研究所）
We propose a depth estimation method from a single-shot monocular endoscopic image using Lambertian surface translation by domain adaptation and depth estimation using multi-scale edge loss. We employ a two-step estimation process including Lambertian surface translation from unpaired data and depth estimation. The texture and specular reflection on the surface of an organ reduce the accuracy of depth estimations. We apply Lambertian surface translation to an endoscopic image to remove these texture and reflections. Then, we estimate the depth by using a fully convolutional network (FCN). Duri…
Minimally invasive surgeries and related applications demand surgical tool classification and segmentation at the instance level. Surgical tools are similar in appearance and are long, thin, and handled at an angle. The fine-tuning of state-of-the-art (SOTA) instance segmentation models trained on natural images for instrument segmentation has difficulty discriminating instrument classes. Our research demonstrates that while the bounding box and segmentation mask are often accurate, the classification head mis-classifies the class label of the surgical instrument. We present a new neural netwo…
Comparative validation of surgical phase recognition, instrument keypoint estimation, and instrument instance segmentation in endoscopy: Results of the PhaKIR 2024 challenge
Regensburg Medical Image Computing (ReMIC), OTH Regensburg（雷根萨大学医学影像计算中心）；Research Group MITI, TUM University Hospital, School of Medicine and Health（技术大学慕尼黑大学医院MITI研究组）；Regensburg Center of Biomedical Engineering (RCBE), OTH Regensburg（雷根萨生物医学工程研究中心）；Regensburg University（雷根萨大学）；Regensburg Center of Health Sciences and Technology (RCHST), OTH Regensburg（雷根萨健康科学与技术研究中心）；AI Centre of Excellence, Medtronic Ltd.（医学影像人工智能卓越中心）；Engineering Sciences, University College London（伦敦大学学院工程科学系）；Augmented Intelligence Lab, Kyung Hee University（庆熙大学增强智能实验室）；University of Minho, Braga（明霍大学）；Jmees Inc.（Jmees公司）；School of Sciences, São Paulo State University (UNESP), Bauru（圣保罗州立大学科学学院）；KIST HARILAB, Center for Humanoid Research, Artificial Intelligence and Robot Institute, Korea Institute of Science and Technology (KIST)（韩国科学技术院HARILAB中心）；King's College London（伦敦国王学院）；The Chinese University of Hong Kong（香港中文大学）；Division of Intelligent Medical Systems, German Cancer Research Center (DKFZ)（德国癌症研究中心智能医疗系统部门）；Muroran Institute of Technology, Hokkaido（北海道Muroran技术学院）；Niigata University of Health and Welfare（Niigata医疗福利大学）；Konica Minolta, Inc.（东宝株式会社）；Department of Computer Science and Engineering, The Hong Kong University of Science and Technology（香港科技大学计算机科学与工程系）；Department of Chemical and Biological Engineering, The Hong Kong University of Science and Technology（香港科技大学化学与生物工程系）；HKUST Shenzhen-Hong Kong Collaborative Innovation Research Institute, Shenzhen（香港科技大学深圳-香港协同创新研究院）；Center for Research and Formation in Artificial Intelligence (CinfonIA), Los Andes University, Bogota（安第斯大学人工智能研究与培养中心）；Department of Biomedical Engineering, Medical Image Analysis Group, Eindhoven University of Technology（埃因霍温理工大学生物医学工程系）；Institute of Information Technology (ITEC), Klagenfurt University（克雷格夫大学信息技术研究所）；Center for Tactile Internet with Human-in-the-loop (CeTI), TU Dresden（德累斯顿技术大学触觉互联网中心）
From Generalist to Specialist: A Context-Fusion Framework for Endoscopic Polyp Reporting with a Frozen VLM
Zhejiang University（浙江大学）；Shanghai Institute for Advanced Study, Zhejiang University（浙江大学上海高等研究院）；Shanghai Key Laboratory of MICCAI（上海市MICCAI重点实验室）；Digital Medical Research Center, School of Basic Medical Sciences, Fudan University（复旦大学基础医学院数字医学研究中心）；Endoscopy Center and Endoscopy Research Institute, Zhongshan Hospital, Fudan University（复旦大学附属中山医院内镜中心及内镜研究所）；Shanghai Collaborative Innovation Center of Endoscopy（上海市内镜协同创新中心）；Alliance Manchester Business School, The University of Manchester（曼彻斯特大学联盟曼彻斯特商学院）
SegCol Challenge: Semantic Segmentation for Tools and Fold Edges in Colonoscopy data
UCL Hawkes Institute, University College London（伦敦大学学院霍克斯学院）；Department of Computer Science, University College London（伦敦大学学院计算机科学系）；Medtronic（美敦力）；Department of Computer Science, University Liverpool（利物浦大学计算机科学系）
Surgical-DINO: Adapter Learning of Foundation Models for Depth Estimation in Endoscopic Surgery
The Chinese University of Hong Kong（香港中文大学）；Wellcome/EPSRC Centre for Interventional and Surgical Sciences (WEISS), University College London（伦敦大学学院惠康/工程与物理科学研究委员会介入与外科科学中心）；National University of Singapore（新加坡国立大学）
DARES: Depth Anything in Robotic Endoscopic Surgery with Self-supervised Vector-LoRA of the Foundation Model
Wellcome/EPSRC Centre for Interventional and Surgical Sciences (WEISS)（惠康/英国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）；Politecnico di Milano（米兰理工大学）；Centre for Medical Image Computing（医学影像计算中心）
National University of Sciences and Technology（国家科技大学）；National Center for Artificial Intelligence（国家人工智能中心）
Autonomous surgical procedures, in particular minimal invasive surgeries, are the next frontier for Artificial Intelligence research. However, the existing challenges include precise identification of the human anatomy and the surgical settings, and modeling the environment for training of an autonomous agent. To address the identification of human anatomy and the surgical settings, we propose a deep learning based semantic segmentation algorithm to identify and label the tissues and organs in the endoscopic video feed of the human torso region. We present an annotated dataset, m2caiSeg, creat…
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）
