A Combined Learning and Optimization Framework to Transfer Human Whole-body Loco-manipulation Skills to Mobile Manipulators

Humans' ability to smoothly switch between locomotion and manipulation is a remarkable feature of sensorimotor coordination. Leaning and replication of such human-like strategies can lead to the development of more sophisticated robots capable of performing complex whole-body tasks in real-world environments. To this end, this paper proposes a combined learning and optimization framework for transferring human's loco-manipulation soft-switching skills to mobile manipulators. The methodology departs from data collection of human demonstrations for a locomotion-integrated manipulation task through a vision system. Next, the wrist and pelvis motions are mapped to mobile manipulators' End-Effector (EE) and mobile base. A kernelized movement primitive algorithm learns the wrist and pelvis trajectories and generalizes to new desired points according to task requirements. Next, the reference trajectories are sent to a hierarchical quadratic programming controller, where the EE and the mobile base reference trajectories are provided as the first and second priority tasks, generating the feasible and optimal joint level commands. A locomotion-integrated pick-and-place task is executed to validate the proposed approach. After a human demonstrates the task, a mobile manipulator executes the task with the same and new settings, grasping a bottle at non-zero velocity. The results showed that the proposed approach successfully transfers the human loco-manipulation skills to mobile manipulators, even with different geometry.

Robust Path Planning via Learning from Demonstrations for Robotic Catheters in Deformable Environments

Navigation through tortuous and deformable vessels using catheters with limited steering capability underscores the need for reliable path planning. State-of-the-art path planners do not fully account for the deformable nature of the environment. This work proposes a robust path planner via a learning from demonstrations method, named Curriculum Generative Adversarial Imitation Learning (C-GAIL). This path planning framework takes into account the interaction between steerable catheters and vessel walls and the deformable property of vessels. In-silico comparative experiments show that the proposed network achieves smaller targeting errors, and a higher success rate, compared to a state-of-the-art approach based on GAIL. The in-vitro validation experiments demonstrate that the path generated by the proposed C-GAIL path planner aligns better with the actual steering capability of the pneumatic artificial muscle-driven catheter utilized in this study. Therefore, the proposed approach can provide enhanced support to the user in navigating the catheter towards the target with greater precision, in contrast to the conventional centerline-following technique. The targeting and tracking errors are 1.26$\pm$0.55mm and 5.18$\pm$3.48mm, respectively. The proposed path planning framework exhibits superior performance in managing uncertainty associated with vessel deformation, thereby resulting in lower tracking errors.

Augmented Reality and Human-Robot Collaboration Framework for Percutaneous Nephrolithotomy

During Percutaneous Nephrolithotomy (PCNL) operations, the surgeon is required to define the incision point on the patient's back, align the needle to a pre-planned path, and perform puncture operations afterward. The procedure is currently performed manually using ultrasound or fluoroscopy imaging for needle orientation, which, however, implies limited accuracy and low reproducibility. This work incorporates Augmented Reality (AR) visualization with an optical see-through head-mounted display (OST-HMD) and Human-Robot Collaboration (HRC) framework to empower the surgeon's task completion performance. In detail, Eye-to-Hand calibration, system registration, and hologram model registration are performed to realize visual guidance. A Cartesian impedance controller is used to guide the operator during the needle puncture task execution. Experiments are conducted to verify the system performance compared with conventional manual puncture procedures and a 2D monitor-based visualisation interface. The results showed that the proposed framework achieves the lowest median and standard deviation error across all the experimental groups, respectively. Furthermore, the NASA-TLX user evaluation results indicate that the proposed framework requires the lowest workload score for task completion compared to other experimental setups. The proposed framework exhibits significant potential for clinical application in the PCNL task, as it enhances the surgeon's perception capability, facilitates collision-free needle insertion path planning, and minimises errors in task completion.

Towards Safer Robot-Assisted Surgery: A Markerless Augmented Reality Framework

Robot-assisted surgery is rapidly developing in the medical field, and the integration of augmented reality shows the potential of improving the surgeons' operation performance by providing more visual information. In this paper, we proposed a markerless augmented reality framework to enhance safety by avoiding intra-operative bleeding which is a high risk caused by the collision between the surgical instruments and the blood vessel. Advanced stereo reconstruction and segmentation networks are compared to find out the best combination to reconstruct the intra-operative blood vessel in the 3D space for the registration of the pre-operative model, and the minimum distance detection between the instruments and the blood vessel is implemented. A robot-assisted lymphadenectomy is simulated on the da Vinci Research Kit in a dry lab, and ten human subjects performed this operation to explore the usability of the proposed framework. The result shows that the augmented reality framework can help the users to avoid the dangerous collision between the instruments and the blood vessel while not introducing an extra load. It provides a flexible framework that integrates augmented reality into the medical robot platform to enhance safety during the operation.

SAF-IS: a Spatial Annotation Free Framework for Instance Segmentation of Surgical Tools

Instance segmentation of surgical instruments is a long-standing research problem, crucial for the development of many applications for computer-assisted surgery. This problem is commonly tackled via fully-supervised training of deep learning models, requiring expensive pixel-level annotations to train. In this work, we develop a framework for instance segmentation not relying on spatial annotations for training. Instead, our solution only requires binary tool masks, obtainable using recent unsupervised approaches, and binary tool presence labels, freely obtainable in robot-assisted surgery. Based on the binary mask information, our solution learns to extract individual tool instances from single frames, and to encode each instance into a compact vector representation, capturing its semantic features. Such representations guide the automatic selection of a tiny number of instances (8 only in our experiments), displayed to a human operator for tool-type labelling. The gathered information is finally used to match each training instance with a binary tool presence label, providing an effective supervision signal to train a tool instance classifier. We validate our framework on the EndoVis 2017 and 2018 segmentation datasets. We provide results using binary masks obtained either by manual annotation or as predictions of an unsupervised binary segmentation model. The latter solution yields an instance segmentation approach completely free from spatial annotations, outperforming several state-of-the-art fully-supervised segmentation approaches.

Maximising Coefficiency of Human-Robot Handovers through Reinforcement Learning

Handing objects to humans is an essential capability for collaborative robots. Previous research works on human-robot handovers focus on facilitating the performance of the human partner and possibly minimising the physical effort needed to grasp the object. However, altruistic robot behaviours may result in protracted and awkward robot motions, contributing to unpleasant sensations by the human partner and affecting perceived safety and social acceptance. This paper investigates whether transferring the cognitive science principle that "humans act coefficiently as a group" (i.e. simultaneously maximising the benefits of all agents involved) to human-robot cooperative tasks promotes a more seamless and natural interaction. Human-robot coefficiency is first modelled by identifying implicit indicators of human comfort and discomfort as well as calculating the robot energy consumption in performing the desired trajectory. We then present a reinforcement learning approach that uses the human-robot coefficiency score as reward to adapt and learn online the combination of robot interaction parameters that maximises such coefficiency. Results proved that by acting coefficiently the robot could meet the individual preferences of most subjects involved in the experiments, improve the human perceived comfort, and foster trust in the robotic partner.

Autonomous Navigation for Robot-assisted Intraluminal and Endovascular Procedures: A Systematic Review

Increased demand for less invasive procedures has accelerated the adoption of Intraluminal Procedures (IP) and Endovascular Interventions (EI) performed through body lumens and vessels. As navigation through lumens and vessels is quite complex, interest grows to establish autonomous navigation techniques for IP and EI for reaching the target area. Current research efforts are directed toward increasing the Level of Autonomy (LoA) during the navigation phase. One key ingredient for autonomous navigation is Motion Planning (MP) techniques. This paper provides an overview of MP techniques categorizing them based on LoA. Our analysis investigates advances for the different clinical scenarios. Through a systematic literature analysis using the PRISMA method, the study summarizes relevant works and investigates the clinical aim, LoA, adopted MP techniques, and validation types. We identify the limitations of the corresponding MP methods and provide directions to improve the robustness of the algorithms in dynamic intraluminal environments. MP for IP and EI can be classified into four subgroups: node, sampling, optimization, and learning-based techniques, with a notable rise in learning-based approaches in recent years. One of the review's contributions is the identification of the limiting factors in IP and EI robotic systems hindering higher levels of autonomous navigation. In the future, navigation is bound to become more autonomous, placing the clinician in a supervisory position to improve control precision and reduce workload.

Uncertainty-aware Self-supervised Learning for Cross-domain Technical Skill Assessment in Robot-assisted Surgery

Objective technical skill assessment is crucial for effective training of new surgeons in robot-assisted surgery. With advancements in surgical training programs in both physical and virtual environments, it is imperative to develop generalizable methods for automatically assessing skills. In this paper, we propose a novel approach for skill assessment by transferring domain knowledge from labeled kinematic data to unlabeled data. Our approach leverages labeled data from common surgical training tasks such as Suturing, Needle Passing, and Knot Tying to jointly train a model with both labeled and unlabeled data. Pseudo labels are generated for the unlabeled data through an iterative manner that incorporates uncertainty estimation to ensure accurate labeling. We evaluate our method on a virtual reality simulated training task (Ring Transfer) using data from the da Vinci Research Kit (dVRK). The results show that trainees with robotic assistance have significantly higher expert probability compared to these without any assistance, p < 0.05, which aligns with previous studies showing the benefits of robotic assistance in improving training proficiency. Our method offers a significant advantage over other existing works as it does not require manual labeling or prior knowledge of the surgical training task for robot-assisted surgery.

A Comprehensive Architecture for Dynamic Role Allocation and Collaborative Task Planning in Mixed Human-Robot Teams

The growing deployment of human-robot collaborative processes in several industrial applications, such as handling, welding, and assembly, unfolds the pursuit of systems which are able to manage large heterogeneous teams and, at the same time, monitor the execution of complex tasks. In this paper, we present a novel architecture for dynamic role allocation and collaborative task planning in a mixed human-robot team of arbitrary size. The architecture capitalizes on a centralized reactive and modular task-agnostic planning method based on Behavior Trees (BTs), in charge of actions scheduling, while the allocation problem is formulated through a Mixed-Integer Linear Program (MILP), that assigns dynamically individual roles or collaborations to the agents of the team. Different metrics used as MILP cost allow the architecture to favor various aspects of the collaboration (e.g. makespan, ergonomics, human preferences). Human preference are identified through a negotiation phase, in which, an human agent can accept/refuse to execute the assigned task.In addition, bilateral communication between humans and the system is achieved through an Augmented Reality (AR) custom user interface that provides intuitive functionalities to assist and coordinate workers in different action phases. The computational complexity of the proposed methodology outperforms literature approaches in industrial sized jobs and teams (problems up to 50 actions and 20 agents in the team with collaborations are solved within 1\;s). The different allocated roles, as the cost functions change, highlights the flexibility of the architecture to several production requirements. Finally, the subjective evaluation demonstrating the high usability level and the suitability for the targeted scenario.

Semi-supervised GAN for Bladder Tissue Classification in Multi-Domain Endoscopic Images

Objective: Accurate visual classification of bladder tissue during Trans-Urethral Resection of Bladder Tumor (TURBT) procedures is essential to improve early cancer diagnosis and treatment. During TURBT interventions, White Light Imaging (WLI) and Narrow Band Imaging (NBI) techniques are used for lesion detection. Each imaging technique provides diverse visual information that allows clinicians to identify and classify cancerous lesions. Computer vision methods that use both imaging techniques could improve endoscopic diagnosis. We address the challenge of tissue classification when annotations are available only in one domain, in our case WLI, and the endoscopic images correspond to an unpaired dataset, i.e. there is no exact equivalent for every image in both NBI and WLI domains. Method: We propose a semi-surprised Generative Adversarial Network (GAN)-based method composed of three main components: a teacher network trained on the labeled WLI data; a cycle-consistency GAN to perform unpaired image-to-image translation, and a multi-input student network. To ensure the quality of the synthetic images generated by the proposed GAN we perform a detailed quantitative, and qualitative analysis with the help of specialists. Conclusion: The overall average classification accuracy, precision, and recall obtained with the proposed method for tissue classification are 0.90, 0.88, and 0.89 respectively, while the same metrics obtained in the unlabeled domain (NBI) are 0.92, 0.64, and 0.94 respectively. The quality of the generated images is reliable enough to deceive specialists. Significance: This study shows the potential of using semi-supervised GAN-based classification to improve bladder tissue classification when annotations are limited in multi-domain data.