arXivDaily arXiv每日学术速递 周一至周五更新
arXiv 2008.11954cs.CV
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基于体内临床数据的手术野清晰度评价

Surgical Skill Assessment on In-Vivo Clinical Data via the Clearness of Operating Field

Peking University(北京大学);Peng Cheng Lab(鹏城实验室);Deepwise AI Lab(深睿医疗人工智能实验室);Peking University Cancer Hospital(北京大学肿瘤医院)

Daochang Liu, Tingting Jiang, Yizhou Wang, Rulin Miao, Fei Shan, Ziyu Li

摘要:

手术技能考核是手术培训和质量控制的重要环节。关于此任务的先前工作主要集中在基本的手术任务上,例如在模拟设置中执行的缝合和打结。与此相反,手术技能评估在本文中研究了一个真正的临床数据集,其中包括57个体内腹腔镜手术和相应的技能评分由6名外科医生注释。根据对该数据集的分析,手术野(COF)的清晰度被确定为整体手术技能的良好代表,因为其与整体技能的强相关性和注释者间的高度一致性。然后提出了一个基于神经网络的客观自动化框架,通过COF的代理来预测手术技能。该神经网络使用监督回归损失和非监督秩损失联合训练。在实验中,所提出的方法实现了0.55斯皮尔曼的相关性与地面真相的整体技术技能,这甚至是与人类的表现初级外科医生。

英文摘要:

Surgical skill assessment is important for surgery training and quality control. Prior works on this task largely focus on basic surgical tasks such as suturing and knot tying performed in simulation settings. In contrast, surgical skill assessment is studied in this paper on a real clinical dataset, which consists of fifty-seven in-vivo laparoscopic surgeries and corresponding skill scores annotated by six surgeons. From analyses on this dataset, the clearness of operating field (COF) is identified as a good proxy for overall surgical skills, given its strong correlation with overall skills and high inter-annotator consistency. Then an objective and automated framework based on neural network is proposed to predict surgical skills through the proxy of COF. The neural network is jointly trained with a supervised regression loss and an unsupervised rank loss. In experiments, the proposed method achieves 0.55 Spearman's correlation with the ground truth of overall technical skill, which is even comparable with the human performance of junior surgeons.

机构、总结、中文摘要均由AI分析而来,可能存在错误,请以论文正文为准。

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