Automatic Detection of Out-of-body Frames in Surgical Videos for Privacy Protection Using Self-supervised Learning and Minimal Labels

Endoscopic video recordings are widely used in minimally invasive robot-assisted surgery, but when the endoscope is outside the patient's body, it can capture irrelevant segments that may contain sensitive information. To address this, we propose a framework that accurately detects out-of-body frames in surgical videos by leveraging self-supervision with minimal data labels. We use a massive amount of unlabeled endoscopic images to learn meaningful representations in a self-supervised manner. Our approach, which involves pre-training on an auxiliary task and fine-tuning with limited supervision, outperforms previous methods for detecting out-of-body frames in surgical videos captured from da Vinci X and Xi surgical systems. The average F1 scores range from 96.00 to 98.02. Remarkably, using only 5% of the training labels, our approach still maintains an average F1 score performance above 97, outperforming fully-supervised methods with 95% fewer labels. These results demonstrate the potential of our framework to facilitate the safe handling of surgical video recordings and enhance data privacy protection in minimally invasive surgery.

Coordinate Ascent for Off-Policy RL with Global Convergence Guarantees

We revisit the domain of off-policy policy optimization in RL from the perspective of coordinate ascent. One commonly-used approach is to leverage the off-policy policy gradient to optimize a surrogate objective -- the total discounted in expectation return of the target policy with respect to the state distribution of the behavior policy. However, this approach has been shown to suffer from the distribution mismatch issue, and therefore significant efforts are needed for correcting this mismatch either via state distribution correction or a counterfactual method. In this paper, we rethink off-policy learning via Coordinate Ascent Policy Optimization (CAPO), an off-policy actor-critic algorithm that decouples policy improvement from the state distribution of the behavior policy without using the policy gradient. This design obviates the need for distribution correction or importance sampling in the policy improvement step of off-policy policy gradient. We establish the global convergence of CAPO with general coordinate selection and then further quantify the convergence rates of several instances of CAPO with popular coordinate selection rules, including the cyclic and the randomized variants of CAPO. We then extend CAPO to neural policies for a more practical implementation. Through experiments, we demonstrate that CAPO provides a competitive approach to RL in practice.

Objective Surgical Skills Assessment and Tool Localization: Results from the MICCAI 2021 SimSurgSkill Challenge

Timely and effective feedback within surgical training plays a critical role in developing the skills required to perform safe and efficient surgery. Feedback from expert surgeons, while especially valuable in this regard, is challenging to acquire due to their typically busy schedules, and may be subject to biases. Formal assessment procedures like OSATS and GEARS attempt to provide objective measures of skill, but remain time-consuming. With advances in machine learning there is an opportunity for fast and objective automated feedback on technical skills. The SimSurgSkill 2021 challenge (hosted as a sub-challenge of EndoVis at MICCAI 2021) aimed to promote and foster work in this endeavor. Using virtual reality (VR) surgical tasks, competitors were tasked with localizing instruments and predicting surgical skill. Here we summarize the winning approaches and how they performed. Using this publicly available dataset and results as a springboard, future work may enable more efficient training of surgeons with advances in surgical data science. The dataset can be accessed from https://console.cloud.google.com/storage/browser/isi-simsurgskill-2021.

Q-Pensieve: Boosting Sample Efficiency of Multi-Objective RL Through Memory Sharing of Q-Snapshots

Many real-world continuous control problems are in the dilemma of weighing the pros and cons, multi-objective reinforcement learning (MORL) serves as a generic framework of learning control policies for different preferences over objectives. However, the existing MORL methods either rely on multiple passes of explicit search for finding the Pareto front and therefore are not sample-efficient, or utilizes a shared policy network for coarse knowledge sharing among policies. To boost the sample efficiency of MORL, we propose Q-Pensieve, a policy improvement scheme that stores a collection of Q-snapshots to jointly determine the policy update direction and thereby enables data sharing at the policy level. We show that Q-Pensieve can be naturally integrated with soft policy iteration with convergence guarantee. To substantiate this concept, we propose the technique of Q replay buffer, which stores the learned Q-networks from the past iterations, and arrive at a practical actor-critic implementation. Through extensive experiments and an ablation study, we demonstrate that with much fewer samples, the proposed algorithm can outperform the benchmark MORL methods on a variety of MORL benchmark tasks.

DHEN: A Deep and Hierarchical Ensemble Network for Large-Scale Click-Through Rate Prediction

Learning feature interactions is important to the model performance of online advertising services. As a result, extensive efforts have been devoted to designing effective architectures to learn feature interactions. However, we observe that the practical performance of those designs can vary from dataset to dataset, even when the order of interactions claimed to be captured is the same. That indicates different designs may have different advantages and the interactions captured by them have non-overlapping information. Motivated by this observation, we propose DHEN - a deep and hierarchical ensemble architecture that can leverage strengths of heterogeneous interaction modules and learn a hierarchy of the interactions under different orders. To overcome the challenge brought by DHEN's deeper and multi-layer structure in training, we propose a novel co-designed training system that can further improve the training efficiency of DHEN. Experiments of DHEN on large-scale dataset from CTR prediction tasks attained 0.27\% improvement on the Normalized Entropy (NE) of prediction and 1.2x better training throughput than state-of-the-art baseline, demonstrating their effectiveness in practice.

Learning from Small Samples: Transformation-Invariant SVMs with Composition and Locality at Multiple Scales

Motivated by the problem of learning when the number of training samples is small, this paper shows how to incorporate into support-vector machines (SVMs) those properties that have made convolutional neural networks (CNNs) successful. Particularly important is the ability to incorporate domain knowledge of invariances, e.g., translational invariance of images. Kernels based on the \textit{minimum} distance over a group of transformations, which corresponds to defining similarity as the \textit{best} over the possible transformations, are not generally positive definite. Perhaps it is for this reason that they have neither previously been experimentally tested for their performance nor studied theoretically. Instead, previous attempts have employed kernels based on the \textit{average} distance over a group of transformations, which are trivially positive definite, but which generally yield both poor margins as well as poor performance, as we show. We address this lacuna and show that positive definiteness indeed holds \textit{with high probability} for kernels based on the minimum distance in the small training sample set regime of interest, and that they do yield the best results in that regime. Another important property of CNNs is their ability to incorporate local features at multiple spatial scales, e.g., through max pooling. A third important property is their ability to provide the benefits of composition through the architecture of multiple layers. We show how these additional properties can also be embedded into SVMs. We verify through experiments on widely available image sets that the resulting SVMs do provide superior accuracy in comparison to well-established deep neural network (DNN) benchmarks for small sample sizes.

A Dense Siamese U-Net trained with Edge Enhanced 3D IOU Loss for Image Co-segmentation

Image co-segmentation has attracted a lot of attentions in computer vision community. In this paper, we propose a new approach to image co-segmentation through introducing the dense connections into the decoder path of Siamese U-net and presenting a new edge enhanced 3D IOU loss measured over distance maps. Considering the rigorous mapping between the signed normalized distance map (SNDM) and the binary segmentation mask, we estimate the SNDMs directly from original images and use them to determine the segmentation results. We apply the Siamese U-net for solving this problem and improve its effectiveness by densely connecting each layer with subsequent layers in the decoder path. Furthermore, a new learning loss is designed to measure the 3D intersection over union (IOU) between the generated SNDMs and the labeled SNDMs. The experimental results on commonly used datasets for image co-segmentation demonstrate the effectiveness of our presented dense structure and edge enhanced 3D IOU loss of SNDM. To our best knowledge, they lead to the state-of-the-art performance on the Internet and iCoseg datasets.

Reinforced Few-Shot Acquisition Function Learning for Bayesian Optimization

Bayesian optimization (BO) conventionally relies on handcrafted acquisition functions (AFs) to sequentially determine the sample points. However, it has been widely observed in practice that the best-performing AF in terms of regret can vary significantly under different types of black-box functions. It has remained a challenge to design one AF that can attain the best performance over a wide variety of black-box functions. This paper aims to attack this challenge through the perspective of reinforced few-shot AF learning (FSAF). Specifically, we first connect the notion of AFs with Q-functions and view a deep Q-network (DQN) as a surrogate differentiable AF. While it serves as a natural idea to combine DQN and an existing few-shot learning method, we identify that such a direct combination does not perform well due to severe overfitting, which is particularly critical in BO due to the need of a versatile sampling policy. To address this, we present a Bayesian variant of DQN with the following three features: (i) It learns a distribution of Q-networks as AFs based on the Kullback-Leibler regularization framework. This inherently provides the uncertainty required in sampling for BO and mitigates overfitting. (ii) For the prior of the Bayesian DQN, we propose to use a demo policy induced by an off-the-shelf AF for better training stability. (iii) On the meta-level, we leverage the meta-loss of Bayesian model-agnostic meta-learning, which serves as a natural companion to the proposed FSAF. Moreover, with the proper design of the Q-networks, FSAF is general-purpose in that it is agnostic to the dimension and the cardinality of the input domain. Through extensive experiments, we demonstrate that the FSAF achieves comparable or better regrets than the state-of-the-art benchmarks on a wide variety of synthetic and real-world test functions.

Surgical Visual Domain Adaptation: Results from the MICCAI 2020 SurgVisDom Challenge

Surgical data science is revolutionizing minimally invasive surgery by enabling context-aware applications. However, many challenges exist around surgical data (and health data, more generally) needed to develop context-aware models. This work - presented as part of the Endoscopic Vision (EndoVis) challenge at the Medical Image Computing and Computer Assisted Intervention (MICCAI) 2020 conference - seeks to explore the potential for visual domain adaptation in surgery to overcome data privacy concerns. In particular, we propose to use video from virtual reality (VR) simulations of surgical exercises in robotic-assisted surgery to develop algorithms to recognize tasks in a clinical-like setting. We present the performance of the different approaches to solve visual domain adaptation developed by challenge participants. Our analysis shows that the presented models were unable to learn meaningful motion based features form VR data alone, but did significantly better when small amount of clinical-like data was also made available. Based on these results, we discuss promising methods and further work to address the problem of visual domain adaptation in surgical data science. We also release the challenge dataset publicly at https://www.synapse.org/surgvisdom2020.

Escaping from Zero Gradient: Revisiting Action-Constrained Reinforcement Learning via Frank-Wolfe Policy Optimization

Action-constrained reinforcement learning (RL) is a widely-used approach in various real-world applications, such as scheduling in networked systems with resource constraints and control of a robot with kinematic constraints. While the existing projection-based approaches ensure zero constraint violation, they could suffer from the zero-gradient problem due to the tight coupling of the policy gradient and the projection, which results in sample-inefficient training and slow convergence. To tackle this issue, we propose a learning algorithm that decouples the action constraints from the policy parameter update by leveraging state-wise Frank-Wolfe and a regression-based policy update scheme. Moreover, we show that the proposed algorithm enjoys convergence and policy improvement properties in the tabular case as well as generalizes the popular DDPG algorithm for action-constrained RL in the general case. Through experiments, we demonstrate that the proposed algorithm significantly outperforms the benchmark methods on a variety of control tasks.