Surgeons normally need surgical scissors and tissue grippers to cut through a deformable surgical tissue. The cutting accuracy depends on the skills to manipulate these two tools. Such skills are part of basic surgical skills training as in the Fundamentals of Laparoscopic Surgery. The gripper is used to pinch a point …
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48 results for “surgical simulation”
Automated surgical workflow analysis and understanding can assist surgeons to standardize procedures and enhance post-surgical assessment and indexing, as well as, interventional monitoring. Computer-assisted interventional (CAI) systems based on video can perform workflow estimation through surgical instruments' recog…
Objective: A median of 14.4% of patient undergone at least one adverse event during surgery and a third of them are preventable. The occurrence of adverse events forces surgeons to implement corrective strategies and, thus, deviate from the standard surgical process. Therefore, it is clear that the automatic identifica…
Paper proposes an active learning method for surgical workflow recognition using long-range temporal dependency.
problem Challenges in automatic surgical workflow recognition due to lack of large-scale labelled datasets.
method NL-RCNet with non-local block for capturing long-range temporal dependency and intra-clip dependency score for selection.
result Our approach outperforms state-of-the-art methods by selecting only 50% of samples for training.
Over the past one hundred years, the classic teaching methodology of "see one, do one, teach one" has governed the surgical education systems worldwide. With the advent of Operation Room 2.0, recording video, kinematic and many other types of data during the surgery became an easy task, thus allowing artificial intelli…
Purpose: Manual feedback from senior surgeons observing less experienced trainees is a laborious task that is very expensive, time-consuming and prone to subjectivity. With the number of surgical procedures increasing annually, there is an unprecedented need to provide an accurate, objective and automatic evaluation of…
The paper uses facial keypoints to estimate post-surgical pain intensity.
problem Accurately assessing pain levels from self-reported ratings is challenging.
method The approach analyzes 2D and 3D facial keypoints to estimate pain intensity.
result The pain estimation model uses multiple instance learning.
Paper introduces OTR for efficient offline RL in surgical robotics.
problem Lack of annotated datasets for offline RL in surgical robotics.
method OTR algorithm using Optimal Transport to assign rewards to unlabeled trajectories.
result OTR enables efficient policy learning from large datasets without handcrafted rewards.
PHASE predicts surgical complications from physiological signals.
problem Predicting adverse surgical outcomes from physiological signals.
method Self-supervised transfer learning for physiological signals.
result PHASE outperforms other approaches in predicting five surgical complications.
We aim to create a framework for transfer learning using latent factor models to learn the dependence structure between a larger source dataset and a target dataset. The methodology is motivated by our goal of building a risk-assessment model for surgery patients, using both institutional and national surgical outcomes…
Vision algorithms capable of interpreting scenes from a real-time video stream are necessary for computer-assisted surgery systems to achieve context-aware behavior. In laparoscopic procedures one particular algorithm needed for such systems is the identification of surgical phases, for which the current state of the a…
Evaluating surgeon skill has predominantly been a subjective task. Development of objective methods for surgical skill assessment are of increased interest. Recently, with technological advances such as robotic-assisted minimally invasive surgery (RMIS), new opportunities for objective and automated assessment framewor…
We give a criterion under which a solution g(t) of the Kahler-Ricci flow contracts exceptional divisors on a compact manifold and can be uniquely continued on a new manifold. As t tends to the singular time T from each direction, we prove convergence of g(t) in the sense of Gromov-Hausdorff and smooth convergence away …
Despite spectacular advances in defining invariants for simply connected smooth and symplectic 4-dimensional manifolds and the discovery of effective surgical techniques, we still have been unable to classify simply connected smooth manifolds up to diffeomorphism. In these notes, adapted from six lectures given at the …
Ultrasound (US) is one of the most commonly used imaging modalities in both diagnosis and surgical interventions due to its low-cost, safety, and non-invasive characteristic. US image segmentation is currently a unique challenge because of the presence of speckle noise. As manual segmentation requires considerable effo…
A large fraction of the electronic health records consists of clinical measurements collected over time, such as blood tests, which provide important information about the health status of a patient. These sequences of clinical measurements are naturally represented as time series, characterized by multiple variables a…
The study uses transfer learning to compare surgical outcomes across racial/ethnic subgroups.
problem Difficulty in comparing surgical outcomes due to racial/ethnic and geographic differences.
method Causal inference framework and transfer learning to incorporate data from multiple populations.
result Racial and ethnic differences in surgical outcomes are found, with non-Hispanic Black patients experiencing wide variability.
Reducing the incidence of surgical site infections (SSIs) is one of the objectives of the French nosocomial infection control program. Manual monitoring of SSIs is carried out each year by the hospital hygiene team and surgeons at the University Hospital of Bordeaux. Our goal was to develop an automatic detection algor…
We augment linear Support Vector Machine (SVM) classifiers by adding three important features: (i) we introduce a regularization constraint to induce a sparse classifier; (ii) we devise a method that partitions the positive class into clusters and selects a sparse SVM classifier for each cluster; and (iii) we develop a…
It is well-known that any pair of closed orientable 3-manifolds are related by a finite sequence of Dehn surgeries on knots. Furthermore Kawauchi showed that such knots can be taken to be hyperbolic. In this article, we consider the minimal length of such sequences connecting a pair of 3-manifolds, in particular, a pai…
Bayesian models can be tricked into believing false data.
problem Vulnerability of Bayesian inference to data poisoning attacks.
method Developed attacks to manipulate Bayesian posterior through deletion and replication of data.
result Demonstrated that Bayesian inference can be steered to target distributions.
We prove that a general complex Monge-Ampère flow on a Hermitian manifold can be run from an arbitrary initial condition with zero Lelong number at all points. Using this property, we confirm a conjecture of Tosatti-Weinkove: the Chern-Ricci flow performs a canonical surgical contraction. Finally, we study a generaliza…
The premorbid geometry of the mandible is of significant relevance in jaw reconstructive surgeries and occasionally unknown to the surgical team. In this paper, an optimization framework is introduced to train deep models for completion (reconstruction) of the missing segments of the bone based on the remaining healthy…
The morphometry of a kidney tumor revealed by contrast-enhanced Computed Tomography (CT) imaging is an important factor in clinical decision making surrounding the lesion's diagnosis and treatment. Quantitative study of the relationship between kidney tumor morphology and clinical outcomes is difficult due to data scar…
We prove a monotonicity formula for mean curvature flow with surgery. This formula differs from Huisken's monotonicity formula by an extra term involving the mean curvature. As a consequence, we show that a surgically modified flow which is sufficiently close to a smooth flow in the sense of geometric measure theory is…
Machine Learning Distinguishes Neurosurgical Skill Levels in a Virtual Reality Tumor Resection Taskcs.LG
Background: Virtual reality simulators and machine learning have the potential to augment understanding, assessment and training of psychomotor performance in neurosurgery residents. Objective: This study outlines the first application of machine learning to distinguish "skilled" and "novice" psychomotor performance du…
Deep learning models predict postoperative complications more accurately than random forests.
problem Predicting postoperative complications to inform patient care decisions.
method Multi-task deep neural networks integrating intraoperative physiological data.
result Deep learning models improved prediction accuracy and provided interpretable risk factors.
3D U-Net improves kidney and tumor segmentation from CT scans.
problem Manual segmentation by clinicians is laborious and error-prone.
method Multi-scale supervised 3D U-Net with deep supervision and post-processing.
result MSS U-Net achieves high Dice coefficients (0.969 for kidney, 0.805 for tumor) on KiTS19 dataset.
Neural network Kalman filtering improves 3D ultrasound object tracking.
problem Accurate and robust 3D positional estimation from 2D ultrasound data.
method Neural network training for out-of-plane offset estimation, combined with Kalman filtering.
result Mean error of 0.1mm for simulated data, 0.2mm for experimental data.
In causal inference, a variety of causal effect estimands have been studied, including the sample, uncensored, target, conditional, optimal subpopulation, and optimal weighted average treatment effects. Ad-hoc methods have been developed for each estimand based on inverse probability weighting (IPW) and on outcome regr…
Flowing with Confidencestat.ML
Generative models need per-sample confidence scores to improve quality and stability.
problem Generative models produce unreliable outputs and lack confidence measures.
method Flow Matching with Confidence (FMwC) injects noise and integrates it through the network, providing per-sample confidence scores.
result The confidence score correlates with the velocity field's divergence, offering insights into generative processes.
We propose a flexible method for estimating value functions in reinforcement learning without parametric assumptions.
problem Lack of interpretability in reinforcement learning models, especially in healthcare applications.
method Nonparametric additive model using local kernel regression and basis expansion.
result Personalized, adaptive recommendations for postoperative recovery.
Reinforcement learning (RL) for robotics is challenging due to the difficulty in hand-engineering a dense cost function, which can lead to unintended behavior, and dynamical uncertainty, which makes exploration and constraint satisfaction challenging. We address these issues with a new model-based reinforcement learnin…
Regshock visualizes financial risks to help regulators manage systemic shocks.
problem Managing systemic risks in financial networks.
method Risk-island visualization algorithm and regshock visual exploration approach.
result Demonstrated improved risk management and control capabilities.
Decision forests (Forests), in particular random forests and gradient boosting trees, have demonstrated state-of-the-art accuracy compared to other methods in many supervised learning scenarios. In particular, Forests dominate other methods in tabular data, that is, when the feature space is unstructured, so that the s…
Quantum neural networks improve causal inference in biomedical studies, especially for small samples.
problem Addressing selection bias in comparing surgical techniques using observational data.
method Developed QNN-based propensity score models focusing on four key covariates (Age, Sex, Stage, BMI). Employed a linear ZFeatureMap for data encoding, SummedPaulis for predictions, and CMA-ES for optimization. Integrated noise modeling to enhance predictive stability.
result QNNs, particularly with noise-aware strategies, outperformed classical models in small samples, achieving AUC up to 0.750 for n=100.
We use a deep learning model trained only on a patient's blood oxygenation data (measurable with an inexpensive fingertip sensor) to predict impending hypoxemia (low blood oxygen) more accurately than trained anesthesiologists with access to all the data recorded in a modern operating room. We also provide a simple way…
We show that quasi-alternating links arise naturally when considering surgery on a strongly invertible L-space knot (that is, a knot that yields an L-space for some Dehn surgery). In particular, we show that for many known classes of L-space knots, every sufficiently large surgery may be realized as the two-fold branch…
POSCMs extend SCMs for causal modeling with latent contexts.
problem Causal modeling with latent contexts and endogenous mechanisms.
method Kolmogorov-Arnold-Sprecher edge-functional decomposition for explicit parametrization.
result Identifiability of structure and mechanisms under latent context.
In many safety-critical applications such as autonomous driving and surgical robots, it is desirable to obtain prediction uncertainties from object detection modules to help support safe decision-making. Specifically, such modules need to estimate the probability of each predicted object in a given region and the confi…
We develop a novel algorithm to predict the occurrence of major abdominal surgery within 5 years following Crohn's disease diagnosis using a panel of 29 baseline covariates from the Swedish population registers. We model pseudo-observations based on the Aalen-Johansen estimator of the cause-specific cumulative incidenc…
A benchmark evaluates ioUS-to-MR synthesis methods for brain tumor surgery.
problem Difficult interpretation of ioUS images for brain tumor surgery.
method Six generators trained under four inference regimes and two targets on public data.
result SynDiff-2.5D best preserved downstream segmentation (U_Dice=0.55).
Comprehensive surgical planning require complex patient-specific anatomical models. For instance, functional muskuloskeletal simulations necessitate all relevant structures to be segmented, which could be performed in real-time using deep neural networks given sufficient annotated samples. Such large datasets of multip…
Joint replacement is the most common inpatient surgical treatment in the US. We investigate the clinical pathway optimization for knee replacement, which is a sequential decision process from onset to recovery. Based on episodic claims from previous cases, we view the pathway optimization as an intelligence crowdsourci…
Clinical measurements collected over time are naturally represented as multivariate time series (MTS), which often contain missing data. An autoencoder can learn low dimensional vectorial representations of MTS that preserve important data characteristics, but cannot deal explicitly with missing data. In this work, we …
The paper solves a 5-manifold foliation problem using a Sasaki-Ricci flow.
problem Solving foliation singularities on Sasakian 5-manifolds.
method Applying the Sasaki-Ricci flow to resolve cyclic quotient foliation singularities.
result Proves a Sasaki analogue of the analytic minimal model program.
Hybrid method improves accuracy and speed of breast model parameter estimation.
problem Accurate estimation of breast mechanical parameters for surgical simulations.
method Combines deep learning (MNN) with iterative solvers to ensure accuracy and speed.
result Hybrid method achieves both real-time performance and reliability.
In healthcare applications, temporal variables that encode movement, health status and longitudinal patient evolution are often accompanied by rich structured information such as demographics, diagnostics and medical exam data. However, current methods do not jointly optimize over structured covariates and time series …