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Surgical Skill Assessment on In-Vivo Clinical Data via the Clearness of Operating Field

  • Daochang Liu
  • , Tingting Jiang
  • , Yizhou Wang
  • , Rulin Miao
  • , Fei Shan
  • , Ziyu Li

Research output: Chapter in Book/Conference paperConference paperpeer-review

Abstract

Surgical skill assessment is important for surgery training and quality control. Prior works on this task largely focus on basic surgical tasks such as suturing and knot tying performed in simulation settings. In contrast, surgical skill assessment is studied in this paper on a real clinical dataset, which consists of fifty-seven in-vivo laparoscopic surgeries and corresponding skill scores annotated by six surgeons. From analyses on this dataset, the clearness of operating field (COF) is identified as a good proxy for overall surgical skills, given its strong correlation with overall skills and high inter-annotator consistency. Then an objective and automated framework based on neural network is proposed to predict surgical skills through the proxy of COF. The neural network is jointly trained with a supervised regression loss and an unsupervised rank loss. In experiments, the proposed method achieves 0.55 Spearman’s correlation with the ground truth of overall technical skill, which is even comparable with the human performance of junior surgeons.

Original languageEnglish
Title of host publicationMedical Image Computing and Computer Assisted Intervention – MICCAI 2019 - 22nd International Conference, Proceedings
EditorsDinggang Shen, Pew-Thian Yap, Tianming Liu, Terry M. Peters, Ali Khan, Lawrence H. Staib, Caroline Essert, Sean Zhou
PublisherSpringer Nature
Pages476-484
Number of pages9
DOIs
Publication statusPublished - 10 Oct 2019
Externally publishedYes
Event22nd International Conference on Medical Image Computing and Computer-Assisted Intervention - Shenzhen, China
Duration: 13 Oct 201917 Oct 2019

Publication series

NameLecture Notes in Computer Science (including subseries Lecture Notes in Artificial Intelligence and Lecture Notes in Bioinformatics)
Volume11768 LNCS
ISSN (Print)0302-9743
ISSN (Electronic)1611-3349

Conference

Conference22nd International Conference on Medical Image Computing and Computer-Assisted Intervention
Abbreviated titleMICCAI 2019
Country/TerritoryChina
CityShenzhen
Period13/10/1917/10/19

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