EndoNet: A Deep Architecture for Recognition Tasks on Laparoscopic Videos
TL;DR: In this article, the authors proposed a novel method for phase recognition that uses a convolutional neural network (CNN) to automatically learn features from cholecystectomy videos and that relies uniquely on visual information.
Abstract: Surgical workflow recognition has numerous potential medical applications, such as the automatic indexing of surgical video databases and the optimization of real-time operating room scheduling, among others. As a result, surgical phase recognition has been studied in the context of several kinds of surgeries, such as cataract, neurological, and laparoscopic surgeries. In the literature, two types of features are typically used to perform this task: visual features and tool usage signals. However, the used visual features are mostly handcrafted. Furthermore, the tool usage signals are usually collected via a manual annotation process or by using additional equipment. In this paper, we propose a novel method for phase recognition that uses a convolutional neural network (CNN) to automatically learn features from cholecystectomy videos and that relies uniquely on visual information. In previous studies, it has been shown that the tool usage signals can provide valuable information in performing the phase recognition task. Thus, we present a novel CNN architecture, called EndoNet, that is designed to carry out the phase recognition and tool presence detection tasks in a multi-task manner. To the best of our knowledge, this is the first work proposing to use a CNN for multiple recognition tasks on laparoscopic videos. Experimental comparisons to other methods show that EndoNet yields state-of-the-art results for both tasks.
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TL;DR: This paper reviews the major deep learning concepts pertinent to medical image analysis and summarizes over 300 contributions to the field, most of which appeared in the last year, to survey the use of deep learning for image classification, object detection, segmentation, registration, and other tasks.
8,730 citations
08 Jan 2021
TL;DR: In this paper, the authors survey recent progress in the development of modern computer vision techniques-powered by deep learning-for medical applications, focusing on medical imaging, medical video, and clinical deployment.
Abstract: A decade of unprecedented progress in artificial intelligence (AI) has demonstrated the potential for many fields-including medicine-to benefit from the insights that AI techniques can extract from data. Here we survey recent progress in the development of modern computer vision techniques-powered by deep learning-for medical applications, focusing on medical imaging, medical video, and clinical deployment. We start by briefly summarizing a decade of progress in convolutional neural networks, including the vision tasks they enable, in the context of healthcare. Next, we discuss several example medical imaging applications that stand to benefit-including cardiology, pathology, dermatology, ophthalmology-and propose new avenues for continued work. We then expand into general medical video, highlighting ways in which clinical workflows can integrate computer vision to enhance care. Finally, we discuss the challenges and hurdles required for real-world clinical deployment of these technologies.
296 citations
TL;DR: Based on the phase transition-sensitive predictions from the SV-RCNet, a simple yet effective inference scheme, namely the prior knowledge inference (PKI), by leveraging the natural characteristic of surgical video is proposed, which improves the consistency of results and largely boosts the recognition performance.
Abstract: We propose an analysis of surgical videos that is based on a novel recurrent convolutional network (SV-RCNet), specifically for automatic workflow recognition from surgical videos online, which is a key component for developing the context-aware computer-assisted intervention systems. Different from previous methods which harness visual and temporal information separately, the proposed SV-RCNet seamlessly integrates a convolutional neural network (CNN) and a recurrent neural network (RNN) to form a novel recurrent convolutional architecture in order to take full advantages of the complementary information of visual and temporal features learned from surgical videos. We effectively train the SV-RCNet in an end-to-end manner so that the visual representations and sequential dynamics can be jointly optimized in the learning process. In order to produce more discriminative spatio-temporal features, we exploit a deep residual network (ResNet) and a long short term memory (LSTM) network, to extract visual features and temporal dependencies, respectively, and integrate them into the SV-RCNet. Moreover, based on the phase transition-sensitive predictions from the SV-RCNet, we propose a simple yet effective inference scheme, namely the prior knowledge inference (PKI), by leveraging the natural characteristic of surgical video. Such a strategy further improves the consistency of results and largely boosts the recognition performance. Extensive experiments have been conducted with the MICCAI 2016 Modeling and Monitoring of Computer Assisted Interventions Workflow Challenge dataset and Cholec80 dataset to validate SV-RCNet. Our approach not only achieves superior performance on these two datasets but also outperforms the state-of-the-art methods by a significant margin.
206 citations
12 Mar 2018
TL;DR: This work introduces an approach to automatically assess surgeon performance by tracking and analyzing tool movements in surgical videos, leveraging region-based convolutional neural networks, and is the first to not only detect presence but also spatially localize surgical tools in real-world laparoscopic surgical videos.
Abstract: Five billion people in the world lack access to quality surgical care. Surgeon skill varies dramatically, and many surgical patients suffer complications and avoidable harm. Improving surgical training and feedback would help to reduce the rate of complications—half of which have been shown to be preventable. To do this, it is essential to assess operative skill, a process that currently requires experts and is manual, time consuming, and subjective. In this work, we introduce an approach to automatically assess surgeon performance by tracking and analyzing tool movements in surgical videos, leveraging region-based convolutional neural networks. In order to study this problem, we also introduce a new dataset, m2cai16-tool-locations, which extends the m2cai16-tool dataset with spatial bounds of tools. While previous methods have addressed tool presence detection, ours is the first to not only detect presence but also spatially localize surgical tools in real-world laparoscopic surgical videos. We show that our method both effectively detects the spatial bounds of tools as well as significantly outperforms existing methods on tool presence detection. We further demonstrate the ability of our method to assess surgical quality through analysis of tool usage patterns, movement range, and economy of motion.
203 citations
TL;DR: The main conclusion of this work is that advances in general image classification methods transfer to the domain of endoscopic surgery videos in gynecology, relevant as this domain is different from natural images, e.g. it is distinguished by smoke, reflections, or a limited amount of colors.
Abstract: Videos of endoscopic surgery are used for education of medical experts, analysis in medical research, and documentation for everyday clinical life. Hand-crafted image descriptors lack the capabilities of a semantic classification of surgical actions and video shots of anatomical structures. In this work, we investigate how well single-frame convolutional neural networks (CNN) for semantic shot classification in gynecologic surgery work. Together with medical experts, we manually annotate hours of raw endoscopic gynecologic surgery videos showing endometriosis treatment and myoma resection of over 100 patients. The cleaned ground truth dataset comprises 9 h of annotated video material (from 111 different recordings). We use the well-known CNN architectures AlexNet and GoogLeNet and train these architectures for both, surgical actions and anatomy, from scratch. Furthermore, we extract high-level features from AlexNet with weights from a pre-trained model from the Caffe model zoo and feed them to an SVM classifier. Our evaluation shows that we reach an average recall of .697 and .515 for classification of anatomical structures and surgical actions respectively using off-the-shelf CNN features. Using GoogLeNet, we achieve a mean recall of .782 and .617 for classification of anatomical structures and surgical actions respectively. With AlexNet the achieved recall is .615 for anatomical structures and .469 for surgical action classification respectively. The main conclusion of our work is that advances in general image classification methods transfer to the domain of endoscopic surgery videos in gynecology. This is relevant as this domain is different from natural images, e.g. it is distinguished by smoke, reflections, or a limited amount of colors.
171 citations
References
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Proceedings Article•
03 Dec 2012TL;DR: The state-of-the-art performance of CNNs was achieved by Deep Convolutional Neural Networks (DCNNs) as discussed by the authors, which consists of five convolutional layers, some of which are followed by max-pooling layers, and three fully-connected layers with a final 1000-way softmax.
Abstract: We trained a large, deep convolutional neural network to classify the 1.2 million high-resolution images in the ImageNet LSVRC-2010 contest into the 1000 different classes. On the test data, we achieved top-1 and top-5 error rates of 37.5% and 17.0% which is considerably better than the previous state-of-the-art. The neural network, which has 60 million parameters and 650,000 neurons, consists of five convolutional layers, some of which are followed by max-pooling layers, and three fully-connected layers with a final 1000-way softmax. To make training faster, we used non-saturating neurons and a very efficient GPU implementation of the convolution operation. To reduce overriding in the fully-connected layers we employed a recently-developed regularization method called "dropout" that proved to be very effective. We also entered a variant of this model in the ILSVRC-2012 competition and achieved a winning top-5 test error rate of 15.3%, compared to 26.2% achieved by the second-best entry.
73,978 citations
TL;DR: The ImageNet Large Scale Visual Recognition Challenge (ILSVRC) as mentioned in this paper is a benchmark in object category classification and detection on hundreds of object categories and millions of images, which has been run annually from 2010 to present, attracting participation from more than fifty institutions.
Abstract: The ImageNet Large Scale Visual Recognition Challenge is a benchmark in object category classification and detection on hundreds of object categories and millions of images. The challenge has been run annually from 2010 to present, attracting participation from more than fifty institutions. This paper describes the creation of this benchmark dataset and the advances in object recognition that have been possible as a result. We discuss the challenges of collecting large-scale ground truth annotation, highlight key breakthroughs in categorical object recognition, provide a detailed analysis of the current state of the field of large-scale image classification and object detection, and compare the state-of-the-art computer vision accuracy with human accuracy. We conclude with lessons learned in the 5 years of the challenge, and propose future directions and improvements.
30,811 citations
23 Jun 2014
TL;DR: RCNN as discussed by the authors combines CNNs with bottom-up region proposals to localize and segment objects, and when labeled training data is scarce, supervised pre-training for an auxiliary task, followed by domain-specific fine-tuning, yields a significant performance boost.
Abstract: Object detection performance, as measured on the canonical PASCAL VOC dataset, has plateaued in the last few years. The best-performing methods are complex ensemble systems that typically combine multiple low-level image features with high-level context. In this paper, we propose a simple and scalable detection algorithm that improves mean average precision (mAP) by more than 30% relative to the previous best result on VOC 2012 -- achieving a mAP of 53.3%. Our approach combines two key insights: (1) one can apply high-capacity convolutional neural networks (CNNs) to bottom-up region proposals in order to localize and segment objects and (2) when labeled training data is scarce, supervised pre-training for an auxiliary task, followed by domain-specific fine-tuning, yields a significant performance boost. Since we combine region proposals with CNNs, we call our method R-CNN: Regions with CNN features. We also present experiments that provide insight into what the network learns, revealing a rich hierarchy of image features. Source code for the complete system is available at http://www.cs.berkeley.edu/~rbg/rcnn.
21,729 citations
Posted Content•
TL;DR: This paper proposes a simple and scalable detection algorithm that improves mean average precision (mAP) by more than 30% relative to the previous best result on VOC 2012 -- achieving a mAP of 53.3%.
Abstract: Object detection performance, as measured on the canonical PASCAL VOC dataset, has plateaued in the last few years. The best-performing methods are complex ensemble systems that typically combine multiple low-level image features with high-level context. In this paper, we propose a simple and scalable detection algorithm that improves mean average precision (mAP) by more than 30% relative to the previous best result on VOC 2012---achieving a mAP of 53.3%. Our approach combines two key insights: (1) one can apply high-capacity convolutional neural networks (CNNs) to bottom-up region proposals in order to localize and segment objects and (2) when labeled training data is scarce, supervised pre-training for an auxiliary task, followed by domain-specific fine-tuning, yields a significant performance boost. Since we combine region proposals with CNNs, we call our method R-CNN: Regions with CNN features. We also compare R-CNN to OverFeat, a recently proposed sliding-window detector based on a similar CNN architecture. We find that R-CNN outperforms OverFeat by a large margin on the 200-class ILSVRC2013 detection dataset. Source code for the complete system is available at this http URL.
13,081 citations
Posted Content•
TL;DR: Caffe as discussed by the authors is a BSD-licensed C++ library with Python and MATLAB bindings for training and deploying general-purpose convolutional neural networks and other deep models efficiently on commodity architectures.
Abstract: Caffe provides multimedia scientists and practitioners with a clean and modifiable framework for state-of-the-art deep learning algorithms and a collection of reference models. The framework is a BSD-licensed C++ library with Python and MATLAB bindings for training and deploying general-purpose convolutional neural networks and other deep models efficiently on commodity architectures. Caffe fits industry and internet-scale media needs by CUDA GPU computation, processing over 40 million images a day on a single K40 or Titan GPU ($\approx$ 2.5 ms per image). By separating model representation from actual implementation, Caffe allows experimentation and seamless switching among platforms for ease of development and deployment from prototyping machines to cloud environments. Caffe is maintained and developed by the Berkeley Vision and Learning Center (BVLC) with the help of an active community of contributors on GitHub. It powers ongoing research projects, large-scale industrial applications, and startup prototypes in vision, speech, and multimedia.
12,531 citations