Comprehension of surgical workflow is the foundation upon which computers build the understanding of surgery. In this work, we moved beyond just the identification of surgical phases to predict future surgical phases and the transitions between them. We used a novel GAN formulation that sampled the future surgical phases trajectory conditioned, on past laparoscopic video frames, and compared it to state-of-the-art approaches for surgical video analysis and alternative prediction methods. We demonstrated its effectiveness in inferring and predicting the progress of laparoscopic cholecystectomy videos. We quantified the horizon-accuracy trade-off and explored average performance as well as the performance on the more difficult, and clinically important, transitions between phases. Lastly, we surveyed surgeons to evaluate the plausibility of these predicted trajectories.
翻译:外科工作流程的解读是计算机了解外科手术的基础。 在这项工作中,我们超越了外科手术阶段的识别,预测了未来的外科手术阶段和两者之间的过渡。我们使用了一种新型的GAN配方,对未来的外科手术阶段的轨迹进行了抽样抽样,以过去腹腔镜视频框架为基础,并将它与最先进的外科视频分析和替代预测方法进行比较。我们展示了它在推断和预测腹腔细胞切除录象的进展方面的有效性。我们量化了地平线-精准取舍,并探讨了平均性能以及不同阶段之间更为困难和临床重要性的转变。最后,我们调查了外科医生,以评估这些预测轨迹的可视性。