Box-supervised polyp segmentation attracts increasing attention for its cost-effective potential. Existing solutions often rely on learning-free methods or pretrained models to laboriously generate pseudo masks, triggering Dice constraint subsequently. In this paper, we found that a model guided by the simplest box-filled masks can accurately predict polyp locations/sizes, but suffers from shape collapsing. In response, we propose two innovative learning fashions, Improved Box-dice (IBox) and Contrastive Latent-Anchors (CLA), and combine them to train a robust box-supervised model IBoxCLA. The core idea behind IBoxCLA is to decouple the learning of location/size and shape, allowing for focused constraints on each of them. Specifically, IBox transforms the segmentation map into a proxy map using shape decoupling and confusion-region swapping sequentially. Within the proxy map, shapes are disentangled, while locations/sizes are encoded as box-like responses. By constraining the proxy map instead of the raw prediction, the box-filled mask can well supervise IBoxCLA without misleading its shape learning. Furthermore, CLA contributes to shape learning by generating two types of latent anchors, which are learned and updated using momentum and segmented polyps to steadily represent polyp and background features. The latent anchors facilitate IBoxCLA to capture discriminative features within and outside boxes in a contrastive manner, yielding clearer boundaries. We benchmark IBoxCLA on five public polyp datasets. The experimental results demonstrate the competitive performance of IBoxCLA compared to recent fully-supervised polyp segmentation methods, and its superiority over other box-supervised state-of-the-arts with a relative increase of overall mDice and mIoU by at least 6.5% and 7.5%, respectively.
This paper introduces the "SurgT: Surgical Tracking" challenge which was organised in conjunction with the 25th International Conference on Medical Image Computing and Computer-Assisted Intervention (MICCAI 2022). There were two purposes for the creation of this challenge: (1) the establishment of the first standardised benchmark for the research community to assess soft-tissue trackers; and (2) to encourage the development of unsupervised deep learning methods, given the lack of annotated data in surgery. A dataset of 157 stereo endoscopic videos from 20 clinical cases, along with stereo camera calibration parameters, have been provided. The participants were tasked with the development of algorithms to track a bounding box on stereo endoscopic videos. At the end of the challenge, the developed methods were assessed on a previously hidden test subset. This assessment uses benchmarking metrics that were purposely developed for this challenge and are now available online. The teams were ranked according to their Expected Average Overlap (EAO) score, which is a weighted average of the Intersection over Union (IoU) scores. The performance evaluation study verifies the efficacy of unsupervised deep learning algorithms in tracking soft-tissue. The best-performing method achieved an EAO score of 0.583 in the test subset. The dataset and benchmarking tool created for this challenge have been made publicly available. This challenge is expected to contribute to the development of autonomous robotic surgery and other digital surgical technologies.
This paper introduces the SurgT MICCAI 2022 challenge and its first results. There were two purposes for the creation of this challenge: (1) the establishment of the first standardised benchmark for the research community to assess soft-tissue trackers; and (2) to encourage the development of unsupervised deep learning methods, given the lack of annotated data in surgery. A dataset of 157 stereo endoscopic videos from 20 clinical cases, along with stereo camera calibration parameters, are provided. The participants were tasked with the development of algorithms to track a bounding box on each stereo endoscopic video. At the end of the challenge, the developed methods were assessed on a previously hidden test subset. This assessment uses benchmarking metrics that were purposely developed for this challenge and are now available online. The teams were ranked according to their Expected Average Overlap (EAO) score, which is a weighted average of Intersection over Union (IoU) scores. The top team achieved an EAO score of 0.583 in the test subset. Tracking soft-tissue using unsupervised algorithms was found to be achievable. The dataset and benchmarking tool have been successfully created and made publicly available online. This challenge is expected to contribute to the development of autonomous robotic surgery, and other digital surgical technologies.
In minimally invasive surgery, surgical workflow segmentation from video analysis is a well studied topic. The conventional approach defines it as a multi-class classification problem, where individual video frames are attributed a surgical phase label. We introduce a novel reinforcement learning formulation for offline phase transition retrieval. Instead of attempting to classify every video frame, we identify the timestamp of each phase transition. By construction, our model does not produce spurious and noisy phase transitions, but contiguous phase blocks. We investigate two different configurations of this model. The first does not require processing all frames in a video (only <60% and <20% of frames in 2 different applications), while producing results slightly under the state-of-the-art accuracy. The second configuration processes all video frames, and outperforms the state-of-the art at a comparable computational cost. We compare our method against the recent top-performing frame-based approaches TeCNO and Trans-SVNet on the public dataset Cholec80 and also on an in-house dataset of laparoscopic sacrocolpopexy. We perform both a frame-based (accuracy, precision, recall and F1-score) and an event-based (event ratio) evaluation of our algorithms.
Neural network based end-to-end Text-to-Speech (TTS) has greatly improved the quality of synthesized speech. While how to use massive spontaneous speech without transcription efficiently still remains an open problem. In this paper, we propose MHTTS, a fast multi-speaker TTS system that is robust to transcription errors and speaking style speech data. Specifically, we introduce a multi-head model and transfer text information from high-quality corpus with manual transcription to spontaneous speech with imperfectly recognized transcription by jointly training them. MHTTS has three advantages: 1) Our system synthesizes better quality multi-speaker voice with faster inference speed. 2) Our system is capable of transferring correct text information to data with imperfect transcription, simulated using corruption, or provided by an Automatic Speech Recogniser (ASR). 3) Our system can utilize massive real spontaneous speech with imperfect transcription and synthesize expressive voice.