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International Journal of Computer Assisted Radiology and Surgery
Article . 2018 . Peer-reviewed
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“Deep-Onto” network for surgical workflow and context recognition

Authors: Nakawala, Hirenkumar; Bianchi, Roberto; Pescatori, Laura Erica; De Cobelli, Ottavio; Ferrigno, Giancarlo; De Momi, Elena;

“Deep-Onto” network for surgical workflow and context recognition

Abstract

Surgical workflow recognition and context-aware systems could allow better decision making and surgical planning by providing the focused information, which may eventually enhance surgical outcomes. While current developments in computer-assisted surgical systems are mostly focused on recognizing surgical phases, they lack recognition of surgical workflow sequence and other contextual element, e.g., "Instruments." Our study proposes a hybrid approach, i.e., using deep learning and knowledge representation, to facilitate recognition of the surgical workflow.We implemented "Deep-Onto" network, which is an ensemble of deep learning models and knowledge management tools, ontology and production rules. As a prototypical scenario, we chose robot-assisted partial nephrectomy (RAPN). We annotated RAPN videos with surgical entities, e.g., "Step" and so forth. We performed different experiments, including the inter-subject variability, to recognize surgical steps. The corresponding subsequent steps along with other surgical contexts, i.e., "Actions," "Phase" and "Instruments," were also recognized.The system was able to recognize 10 RAPN steps with the prevalence-weighted macro-average (PWMA) recall of 0.83, PWMA precision of 0.74, PWMA F1 score of 0.76, and the accuracy of 74.29% on 9 videos of RAPN.We found that the combined use of deep learning and knowledge representation techniques is a promising approach for the multi-level recognition of RAPN surgical workflow.

Keywords

Deep learning; Knowledge representation; Robot-assisted partial nephrectomy; Surgical workflow; Surgery; Biomedical Engineering; Radiology, Nuclear Medicine and Imaging; 1707; Health Informatics; Computer Science Applications1707 Computer Vision and Pattern Recognition; Computer Graphics and Computer-Aided Design, Deep Learning, Robotic Surgical Procedures, Deep learning; Knowledge representation; Robot-assisted partial nephrectomy; Surgical workflow; Surgery; Biomedical Engineering; Radiology, Nuclear Medicine and Imaging; 1707; Health Informatics; Computer Science Applications; 1707; Computer Vision and Pattern Recognition; Computer Graphics and Computer-Aided Design, Humans, Nephrectomy, Kidney Neoplasms, Workflow

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    popularity
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    influence
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    impulse
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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
61
Top 1%
Top 10%
Top 10%
Green