Navigating the Synthetic Realm: Harnessing Diffusion-based Models for Laparoscopic Text-to-Image Generation

Recent advances in synthetic imaging open up opportunities for obtaining additional data in the field of surgical imaging. This data can provide reliable supplements supporting surgical applications and decision-making through computer vision. Particularly the field of image-guided surgery, such as laparoscopic and robotic-assisted surgery, benefits strongly from synthetic image datasets and virtual surgical training methods. Our study presents an intuitive approach for generating synthetic laparoscopic images from short text prompts using diffusion-based generative models. We demonstrate the usage of state-of-the-art text-to-image architectures in the context of laparoscopic imaging with regard to the surgical removal of the gallbladder as an example. Results on fidelity and diversity demonstrate that diffusion-based models can acquire knowledge about the style and semantics in the field of image-guided surgery. A validation study with a human assessment survey underlines the realistic nature of our synthetic data, as medical personnel detects actual images in a pool with generated images causing a false-positive rate of 66%. In addition, the investigation of a state-of-the-art machine learning model to recognize surgical actions indicates enhanced results when trained with additional generated images of up to 5.20%. Overall, the achieved image quality contributes to the usage of computer-generated images in surgical applications and enhances its path to maturity.

Redefining the Laparoscopic Spatial Sense: AI-based Intra- and Postoperative Measurement from Stereoimages

A significant challenge in image-guided surgery is the accurate measurement task of relevant structures such as vessel segments, resection margins, or bowel lengths. While this task is an essential component of many surgeries, it involves substantial human effort and is prone to inaccuracies. In this paper, we develop a novel human-AI-based method for laparoscopic measurements utilizing stereo vision that has been guided by practicing surgeons. Based on a holistic qualitative requirements analysis, this work proposes a comprehensive measurement method, which comprises state-of-the-art machine learning architectures, such as RAFT-Stereo and YOLOv8. The developed method is assessed in various realistic experimental evaluation environments. Our results outline the potential of our method achieving high accuracies in distance measurements with errors below 1 mm. Furthermore, on-surface measurements demonstrate robustness when applied in challenging environments with textureless regions. Overall, by addressing the inherent challenges of image-guided surgery, we lay the foundation for a more robust and accurate solution for intra- and postoperative measurements, enabling more precise, safe, and efficient surgical procedures.

Suppress with a Patch: Revisiting Universal Adversarial Patch Attacks against Object Detection

Adversarial patch-based attacks aim to fool a neural network with an intentionally generated noise, which is concentrated in a particular region of an input image. In this work, we perform an in-depth analysis of different patch generation parameters, including initialization, patch size, and especially positioning a patch in an image during training. We focus on the object vanishing attack and run experiments with YOLOv3 as a model under attack in a white-box setting and use images from the COCO dataset. Our experiments have shown, that inserting a patch inside a window of increasing size during training leads to a significant increase in attack strength compared to a fixed position. The best results were obtained when a patch was positioned randomly during training, while patch position additionally varied within a batch.

Provident Vehicle Detection at Night: The PVDN Dataset

For advanced driver assistance systems, it is crucial to have information about oncoming vehicles as early as possible. At night, this task is especially difficult due to poor lighting conditions. For that, during nighttime, every vehicle uses headlamps to improve sight and therefore ensure safe driving. As humans, we intuitively assume oncoming vehicles before the vehicles are actually physically visible by detecting light reflections caused by their headlamps. In this paper, we present a novel dataset containing 59746 annotated grayscale images out of 346 different scenes in a rural environment at night. In these images, all oncoming vehicles, their corresponding light objects (e.g., headlamps), and their respective light reflections (e.g., light reflections on guardrails) are labeled. This is accompanied by an in-depth analysis of the dataset characteristics. With that, we are providing the first open-source dataset with comprehensive ground truth data to enable research into new methods of detecting oncoming vehicles based on the light reflections they cause, long before they are directly visible. We consider this as an essential step to further close the performance gap between current advanced driver assistance systems and human behavior.