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[Lecture Notes in Computational Vision and Biomechanics] Computer Aided Intervention and Diagnostics in Clinical and Medical Images Volume 31 || Deep Neural Architecture for Localization and Tracking of Surgical Tools in Cataract Surgery

DOI:10.1007/978-3-030-04061-1_4 出版年份:2019 更新时间:2025-09-23 15:23:52
摘要: Over the last couple of decades, the quality of surgical interventions has improved owing to the use of computer vision and robotic assistance. One such application of computer vision, namely, detection of surgical tools in videos is gaining attention of the medical image processing community. The main motivation for detection, localization, and annotation of surgical tools is to develop applications for surgical workflow analysis. Such an analysis can aid in report generation, real-time decision support, etc. Cataract surgery is one of the common surgical procedure where surgeons do have direct visual access to the surgical site. Extremely small tools are used for this procedure and the surgeons observe the surgical site through a surgical microscope. In such cases, detecting the presence of tools can act an additional aid to the surgeon as well as other surgical staffs. We propose a framework consisting of a Convolutional Neural Network (CNN) which learns to distinguish and detect the presence of various surgical tools by learning robust features from the frames of a surgical video. Various deep neural architectures are hence evaluated for the task of detecting tools. The baseline models used for the purpose are pretrained on Imagenet dataset and they render upto 50% prediction accuracy. All the experiments have been validated on the dataset released as part of the Cataracts Grand Challenge. A framework for localization and detection of tools has also been proposed, which is capable of extracting visual features from glimpses of an image, by adaptively selecting and processing only the selected regions at high resolution.
作者: Neha Banerjee,Rachana Sathish,Debdoot Sheet
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To develop a deep learning-based framework for the detection, localization, and tracking of surgical tools in cataract surgery videos to aid in surgical workflow analysis, report generation, and real-time decision support.

The proposed deep learning framework effectively detects and localizes surgical tools in cataract surgery videos, with the tool counter achieving 84% accuracy and the CNN achieving 82% mean AUC. This can enhance surgical workflow analysis and support real-time decision-making. Future work should focus on online evaluation in operating rooms and extending to surgical phase prediction for smart context-aware environments.

The framework is tested offline on prerecorded videos; online integration in operating rooms is not yet implemented. Class imbalance in the dataset requires extensive balancing and augmentation, which may not generalize to all surgical scenarios. Some tools are exclusively present in specific videos, limiting training set diversity. The method relies on pre-trained models, which may not fully capture domain-specific features.

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