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\(\textsf{GLSFormer}\): Gated - Long, Short Sequence Transformer for Step Recognition in Surgical Videos

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Medical Image Computing and Computer Assisted Intervention – MICCAI 2023 (MICCAI 2023)

Part of the book series: Lecture Notes in Computer Science ((LNCS,volume 14228))

Abstract

Automated surgical step recognition is an important task that can significantly improve patient safety and decision-making during surgeries. Existing state-of-the-art methods for surgical step recognition either rely on separate, multi-stage modeling of spatial and temporal information or operate on short-range temporal resolution when learned jointly. However, the benefits of joint modeling of spatio-temporal features and long-range information are not taken in account. In this paper, we propose a vision transformer-based approach to jointly learn spatio-temporal features directly from sequence of frame-level patches. Our method incorporates a gated-temporal attention mechanism that intelligently combines short-term and long-term spatio-temporal feature representations. We extensively evaluate our approach on two cataract surgery video datasets, namely Cataract-101 and D99, and demonstrate superior performance compared to various state-of-the-art methods. These results validate the suitability of our proposed approach for automated surgical step recognition. Our code is released at: https://github.com/nisargshah1999/GLSFormer.

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References

  1. Arnab, A., Dehghani, M., Heigold, G., Sun, C., Lučić, M., Schmid, C.: Vivit: a video vision transformer. In: Proceedings of the IEEE/CVF International Conference on Computer Vision, pp. 6836–6846 (2021)

    Google Scholar 

  2. Bertasius, G., Wang, H., Torresani, L.: Is space-time attention all you need for video understanding? In: ICML, vol. 2, p. 4 (2021)

    Google Scholar 

  3. Blum, T., Feußner, H., Navab, N.: Modeling and segmentation of surgical workflow from laparoscopic video. In: Jiang, T., Navab, N., Pluim, J.P.W., Viergever, M.A. (eds.) MICCAI 2010. LNCS, vol. 6363, pp. 400–407. Springer, Heidelberg (2010). https://doi.org/10.1007/978-3-642-15711-0_50

    Chapter  Google Scholar 

  4. Bricon-Souf, N., Newman, C.R.: Context awareness in health care: a review. Int. J. Med. Inform. 76(1), 2–12 (2007)

    Google Scholar 

  5. Czempiel, T., et al.: TeCNO: surgical phase recognition with multi-stage temporal convolutional networks. In: Martel, A.L., et al. (eds.) MICCAI 2020. LNCS, vol. 12263, pp. 343–352. Springer, Cham (2020). https://doi.org/10.1007/978-3-030-59716-0_33

    Chapter  Google Scholar 

  6. Dergachyova, O., Bouget, D., Huaulmé, A., Morandi, X., Jannin, P.: Automatic data-driven real-time segmentation and recognition of surgical workflow. Int. J. Comput. Assist. Radiol. Surg. 11(6), 1081–1089 (2016). https://doi.org/10.1007/s11548-016-1371-x

    Article  Google Scholar 

  7. Devlin, J., Chang, M.W., Lee, K., Toutanova, K.: Bert: Pre-training of deep bidirectional transformers for language understanding. arXiv preprint arXiv:1810.04805 (2018)

  8. Dosovitskiy, A., et al.: An image is worth \(16 \times 16\) words: transformers for image recognition at scale. arXiv preprint arXiv:2010.11929 (2020)

  9. Feichtenhofer, C., Fan, H., Malik, J., He, K.: Slowfast networks for video recognition. In: Proceedings of the IEEE/CVF International Conference on Computer Vision, pp. 6202–6211 (2019)

    Google Scholar 

  10. Funke, I., Bodenstedt, S., Oehme, F., von Bechtolsheim, F., Weitz, J., Speidel, S.: Using 3D convolutional neural networks to learn spatiotemporal features for automatic surgical gesture recognition in video. In: Shen, D., et al. (eds.) MICCAI 2019. LNCS, vol. 11768, pp. 467–475. Springer, Cham (2019). https://doi.org/10.1007/978-3-030-32254-0_52

    Chapter  Google Scholar 

  11. Funke, I., Mees, S.T., Weitz, J., Speidel, S.: Video-based surgical skill assessment using 3D convolutional neural networks. Int. J. Comput. Assist. Radiol. Surg. 14, 1217–1225 (2019)

    Article  Google Scholar 

  12. Gao, X., Jin, Y., Long, Y., Dou, Q., Heng, P.-A.: Trans-SVNet: accurate phase recognition from surgical videos via hybrid embedding aggregation transformer. In: de Bruijne, M., et al. (eds.) MICCAI 2021. LNCS, vol. 12904, pp. 593–603. Springer, Cham (2021). https://doi.org/10.1007/978-3-030-87202-1_57

    Chapter  Google Scholar 

  13. He, K., Zhang, X., Ren, S., Sun, J.: Deep residual learning for image recognition. In: Proceedings of the IEEE Conference on Computer Vision and Pattern Recognition, pp. 770–778 (2016)

    Google Scholar 

  14. Huaulmé, A., Jannin, P., Reche, F., Faucheron, J.L., Moreau-Gaudry, A., Voros, S.: Offline identification of surgical deviations in laparoscopic rectopexy. Artif. Intell. Med. 104, 101837 (2020)

    Article  Google Scholar 

  15. Jin, Y., et al.: SV-RCNet: workflow recognition from surgical videos using recurrent convolutional network. IEEE Trans. Med. Imaging 37(5), 1114–1126 (2017)

    Article  Google Scholar 

  16. Jin, Y., Long, Y., Chen, C., Zhao, Z., Dou, Q., Heng, P.A.: Temporal memory relation network for workflow recognition from surgical video. IEEE Trans. Med. Imaging 40(7), 1911–1923 (2021)

    Article  Google Scholar 

  17. Kay, W., et al.: The kinetics human action video dataset. arXiv preprint arXiv:1705.06950 (2017)

  18. Lalys, F., Bouget, D., Riffaud, L., Jannin, P.: Automatic knowledge-based recognition of low-level tasks in ophthalmological procedures. Int. J. Comput. Assist. Radiol. Surg. 8, 39–49 (2013)

    Article  Google Scholar 

  19. Lea, C., Hager, G.D., Vidal, R.: An improved model for segmentation and recognition of fine-grained activities with application to surgical training tasks. In: 2015 IEEE Winter Conference on Applications of Computer Vision, pp. 1123–1129. IEEE (2015)

    Google Scholar 

  20. Lecuyer, G., Ragot, M., Martin, N., Launay, L., Jannin, P.: Assisted phase and step annotation for surgical videos. Int. J. Comput. Assist. Radiol. Surg. 15(4), 673–680 (2020). https://doi.org/10.1007/s11548-019-02108-8

    Article  Google Scholar 

  21. Padoy, N.: Machine and deep learning for workflow recognition during surgery. Minim. Invasive Therapy Allied Technol. 28(2), 82–90 (2019)

    Article  Google Scholar 

  22. Schoeffmann, K., Taschwer, M., Sarny, S., Münzer, B., Primus, M.J., Putzgruber, D.: Cataract-101: video dataset of 101 cataract surgeries. In: Proceedings of the 9th ACM Multimedia Systems Conference, pp. 421–425 (2018)

    Google Scholar 

  23. Tao, L., Zappella, L., Hager, G.D., Vidal, R.: Surgical gesture segmentation and recognition. In: Mori, K., Sakuma, I., Sato, Y., Barillot, C., Navab, N. (eds.) MICCAI 2013. LNCS, vol. 8151, pp. 339–346. Springer, Heidelberg (2013). https://doi.org/10.1007/978-3-642-40760-4_43

    Chapter  Google Scholar 

  24. Twinanda, A.P., Shehata, S., Mutter, D., Marescaux, J., De Mathelin, M., Padoy, N.: EndoNet: a deep architecture for recognition tasks on laparoscopic videos. IEEE Trans. Med. Imaging 36(1), 86–97 (2016)

    Article  Google Scholar 

  25. Yi, F., Jiang, T.: Hard frame detection and online mapping for surgical phase recognition. In: Shen, D., et al. (eds.) MICCAI 2019. LNCS, vol. 11768, pp. 449–457. Springer, Cham (2019). https://doi.org/10.1007/978-3-030-32254-0_50

    Chapter  Google Scholar 

  26. Yu, F., et al.: Assessment of automated identification of phases in videos of cataract surgery using machine learning and deep learning techniques. JAMA Netw. Open 2(4), e191860–e191860 (2019)

    Article  Google Scholar 

  27. Zhang, J., et al.: Symmetric dilated convolution for surgical gesture recognition. In: Martel, A.L., et al. (eds.) MICCAI 2020. LNCS, vol. 12263, pp. 409–418. Springer, Cham (2020). https://doi.org/10.1007/978-3-030-59716-0_39

    Chapter  Google Scholar 

  28. Zisimopoulos, O., et al.: DeepPhase: surgical phase recognition in CATARACTS videos. In: Frangi, A.F., Schnabel, J.A., Davatzikos, C., Alberola-López, C., Fichtinger, G. (eds.) MICCAI 2018. LNCS, vol. 11073, pp. 265–272. Springer, Cham (2018). https://doi.org/10.1007/978-3-030-00937-3_31

    Chapter  Google Scholar 

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Acknowledgements

This work was supported by a grant from the National Institutes of Health, USA; R01EY033065. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health.

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Correspondence to Nisarg A. Shah .

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Shah, N.A., Sikder, S., Vedula, S.S., Patel, V.M. (2023). \(\textsf{GLSFormer}\): Gated - Long, Short Sequence Transformer for Step Recognition in Surgical Videos. In: Greenspan, H., et al. Medical Image Computing and Computer Assisted Intervention – MICCAI 2023. MICCAI 2023. Lecture Notes in Computer Science, vol 14228. Springer, Cham. https://doi.org/10.1007/978-3-031-43996-4_37

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  • DOI: https://doi.org/10.1007/978-3-031-43996-4_37

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