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arXiv 2508.08028cs.CV

利用几何信息缓解手术室中的偏差

Mitigating Biases in Surgical Operating Rooms with Geometry

Computer Aided Medical Procedures, TU Munich, Germany(图宾根大学医学辅助技术部);Munich Center for Machine Learning, Germany(慕尼黑机器学习中心);UCL Hawkes Institute, Dept. Computer Science, University College London(伦敦大学学院霍克斯研究所);Minimally Invasive Surgery, University Hospital of Munich (LMU), Germany(慕尼黑大学医院微创外科)

Tony Danjun Wang, Tobias Czempiel, Nassir Navab, Lennart Bastian

AI总结:

本文针对手术室标准化着装导致CNN依赖外观捷径产生偏差的问题,提出将人员编码为3D点云序列以解耦身份相关形状与运动特征,实验证明几何表示在真实临床环境中比RGB模型更稳健,准确率高出12%。

摘要:

深度神经网络容易学习虚假相关性,利用数据集特定的伪影而非有意义的特征进行预测。在手术室(OR)中,这些虚假相关性表现为手术服和手术衣的标准化,它们掩盖了稳健的识别标志,从而在建模手术室人员相关任务时引入模型偏差。通过在两个公开手术室数据集上进行基于梯度的显著性分析,我们揭示了CNN模型会屈服于此类捷径,将注意力集中在偶然的视觉线索上,例如手术衣下方的鞋类、具有辨识度的眼镜或其他角色特定标识。避免此类偏差对于下一代手术室智能辅助系统至关重要,这些系统应能准确识别个性化工作流特征,例如手术技能水平或与其他工作人员的协调情况。我们通过将人员编码为3D点云序列来解决这一问题,将与身份相关的形状和运动模式与基于外观的混淆因素解耦。我们的实验表明,虽然RGB和几何方法在具有明显模拟伪影的数据集上取得了可比的性能,但在视觉多样性因标准化而降低的现实临床环境中,RGB模型的准确率下降了12%。这一性能差距证实了几何表示能够捕获更有意义的生物特征,为开发在手术室中对人员进行稳健建模的方法提供了一条途径。

英文摘要:

Deep neural networks are prone to learning spurious correlations, exploiting dataset-specific artifacts rather than meaningful features for prediction. In surgical operating rooms (OR), these manifest through the standardization of smocks and gowns that obscure robust identifying landmarks, introducing model bias for tasks related to modeling OR personnel. Through gradient-based saliency analysis on two public OR datasets, we reveal that CNN models succumb to such shortcuts, fixating on incidental visual cues such as footwear beneath surgical gowns, distinctive eyewear, or other role-specific identifiers. Avoiding such biases is essential for the next generation of intelligent assistance systems in the OR, which should accurately recognize personalized workflow traits, such as surgical skill level or coordination with other staff members. We address this problem by encoding personnel as 3D point cloud sequences, disentangling identity-relevant shape and motion patterns from appearance-based confounders. Our experiments demonstrate that while RGB and geometric methods achieve comparable performance on datasets with apparent simulation artifacts, RGB models suffer a 12% accuracy drop in realistic clinical settings with decreased visual diversity due to standardizations. This performance gap confirms that geometric representations capture more meaningful biometric features, providing an avenue to developing robust methods of modeling humans in the OR.

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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