Robust Surgical Tools Detection in Endoscopic Videos with Noisy Data

Over the past few years, surgical data science has attracted substantial interest from the machine learning (ML) community. Various studies have demonstrated the efficacy of emerging ML techniques in analysing surgical data, particularly recordings of procedures, for digitizing clinical and non-clinical functions like preoperative planning, context-aware decision-making, and operating skill assessment. However, this field is still in its infancy and lacks representative, well-annotated datasets for training robust models in intermediate ML tasks. Also, existing datasets suffer from inaccurate labels, hindering the development of reliable models. In this paper, we propose a systematic methodology for developing robust models for surgical tool detection using noisy data. Our methodology introduces two key innovations: (1) an intelligent active learning strategy for minimal dataset identification and label correction by human experts; and (2) an assembling strategy for a student-teacher model-based self-training framework to achieve the robust classification of 14 surgical tools in a semi-supervised fashion. Furthermore, we employ weighted data loaders to handle difficult class labels and address class imbalance issues. The proposed methodology achieves an average F1-score of 85.88\% for the ensemble model-based self-training with class weights, and 80.88\% without class weights for noisy labels. Also, our proposed method significantly outperforms existing approaches, which effectively demonstrates its effectiveness.

Can We Revitalize Interventional Healthcare with AI-XR Surgical Metaverses?

Recent advancements in technology, particularly in machine learning (ML), deep learning (DL), and the metaverse, offer great potential for revolutionizing surgical science. The combination of artificial intelligence and extended reality (AI-XR) technologies has the potential to create a surgical metaverse, a virtual environment where surgeries can be planned and performed. This paper aims to provide insight into the various potential applications of an AI-XR surgical metaverse and the challenges that must be addressed to bring its full potential to fruition. It is important for the community to focus on these challenges to fully realize the potential of the AI-XR surgical metaverses. Furthermore, to emphasize the need for secure and robust AI-XR surgical metaverses and to demonstrate the real-world implications of security threats to the AI-XR surgical metaverses, we present a case study in which the ``an immersive surgical attack'' on incision point localization is performed in the context of preoperative planning in a surgical metaverse.