Surgical Action Triplet Detection by Mixed Supervised Learning of Instrument-Tissue Interactions

Surgical action triplets describe instrument-tissue interactions as (instrument, verb, target) combinations, thereby supporting a detailed analysis of surgical scene activities and workflow. This work focuses on surgical action triplet detection, which is challenging but more precise than the traditional triplet recognition task as it consists of joint (1) localization of surgical instruments and (2) recognition of the surgical action triplet associated with every localized instrument. Triplet detection is highly complex due to the lack of spatial triplet annotation. We analyze how the amount of instrument spatial annotations affects triplet detection and observe that accurate instrument localization does not guarantee better triplet detection due to the risk of erroneous associations with the verbs and targets. To solve the two tasks, we propose MCIT-IG, a two-stage network, that stands for Multi-Class Instrument-aware Transformer-Interaction Graph. The MCIT stage of our network models per class embedding of the targets as additional features to reduce the risk of misassociating triplets. Furthermore, the IG stage constructs a bipartite dynamic graph to model the interaction between the instruments and targets, cast as the verbs. We utilize a mixed-supervised learning strategy that combines weak target presence labels for MCIT and pseudo triplet labels for IG to train our network. We observed that complementing minimal instrument spatial annotations with target embeddings results in better triplet detection. We evaluate our model on the CholecT50 dataset and show improved performance on both instrument localization and triplet detection, topping the leaderboard of the CholecTriplet challenge in MICCAI 2022.

CholecTriplet2022: Show me a tool and tell me the triplet -- an endoscopic vision challenge for surgical action triplet detection

Formalizing surgical activities as triplets of the used instruments, actions performed, and target anatomies is becoming a gold standard approach for surgical activity modeling. The benefit is that this formalization helps to obtain a more detailed understanding of tool-tissue interaction which can be used to develop better Artificial Intelligence assistance for image-guided surgery. Earlier efforts and the CholecTriplet challenge introduced in 2021 have put together techniques aimed at recognizing these triplets from surgical footage. Estimating also the spatial locations of the triplets would offer a more precise intraoperative context-aware decision support for computer-assisted intervention. This paper presents the CholecTriplet2022 challenge, which extends surgical action triplet modeling from recognition to detection. It includes weakly-supervised bounding box localization of every visible surgical instrument (or tool), as the key actors, and the modeling of each tool-activity in the form of <instrument, verb, target> triplet. The paper describes a baseline method and 10 new deep learning algorithms presented at the challenge to solve the task. It also provides thorough methodological comparisons of the methods, an in-depth analysis of the obtained results, their significance, and useful insights for future research directions and applications in surgery.

Rendezvous in Time: An Attention-based Temporal Fusion approach for Surgical Triplet Recognition

One of the recent advances in surgical AI is the recognition of surgical activities as triplets of (instrument, verb, target). Albeit providing detailed information for computer-assisted intervention, current triplet recognition approaches rely only on single frame features. Exploiting the temporal cues from earlier frames would improve the recognition of surgical action triplets from videos. In this paper, we propose Rendezvous in Time (RiT) - a deep learning model that extends the state-of-the-art model, Rendezvous, with temporal modeling. Focusing more on the verbs, our RiT explores the connectedness of current and past frames to learn temporal attention-based features for enhanced triplet recognition. We validate our proposal on the challenging surgical triplet dataset, CholecT45, demonstrating an improved recognition of the verb and triplet along with other interactions involving the verb such as (instrument, verb). Qualitative results show that the RiT produces smoother predictions for most triplet instances than the state-of-the-arts. We present a novel attention-based approach that leverages the temporal fusion of video frames to model the evolution of surgical actions and exploit their benefits for surgical triplet recognition.

Toyota Smarthome Untrimmed: Real-World Untrimmed Videos for Activity Detection

This work aims at building a large scale dataset with daily-living activities performed in a natural manner. Activities performed in a spontaneous manner lead to many real-world challenges that are often ignored by the vision community. This includes low inter-class due to the presence of similar activities and high intra-class variance, low camera framing, low resolution, long-tail distribution of activities, and occlusions. To this end, we propose the Toyota Smarthome Untrimmed (TSU) dataset, which provides spontaneous activities with rich and dense annotations to address the detection of complex activities in real-world scenarios.

VPN: Learning Video-Pose Embedding for Activities of Daily Living

In this paper, we focus on the spatio-temporal aspect of recognizing Activities of Daily Living (ADL). ADL have two specific properties (i) subtle spatio-temporal patterns and (ii) similar visual patterns varying with time. Therefore, ADL may look very similar and often necessitate to look at their fine-grained details to distinguish them. Because the recent spatio-temporal 3D ConvNets are too rigid to capture the subtle visual patterns across an action, we propose a novel Video-Pose Network: VPN. The 2 key components of this VPN are a spatial embedding and an attention network. The spatial embedding projects the 3D poses and RGB cues in a common semantic space. This enables the action recognition framework to learn better spatio-temporal features exploiting both modalities. In order to discriminate similar actions, the attention network provides two functionalities - (i) an end-to-end learnable pose backbone exploiting the topology of human body, and (ii) a coupler to provide joint spatio-temporal attention weights across a video. Experiments show that VPN outperforms the state-of-the-art results for action classification on a large scale human activity dataset: NTU-RGB+D 120, its subset NTU-RGB+D 60, a real-world challenging human activity dataset: Toyota Smarthome and a small scale human-object interaction dataset Northwestern UCLA.