Leveraging Surgical Activity Grammar for Primary Intention Prediction in Laparoscopy Procedures

๐Ÿ“… 2024-09-29
๐Ÿ›๏ธ arXiv.org
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๐Ÿค– AI Summary
This work addresses the challenges of low accuracy and poor interpretability in primary intention (PI) recognition from laparoscopic surgical videos. We propose a grammar-guided visionโ€“semantics co-modeling framework that, for the first time, incorporates structured surgical activity grammar rules into surgical intention modeling. Our approach constructs a grammar-driven, interpretable parser jointly optimized with a multi-stage visual action detector. By integrating top-down semantic constraints with bottom-up visual features, it overcomes the semantic limitations inherent in purely data-driven methods. Evaluated on a standard benchmark dataset, the proposed method achieves significant improvements in PI recognition accuracy and robustness. It provides a foundation for intraoperative planning in intelligent surgical robots that simultaneously ensures high precision and model interpretability.

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Application Category

๐Ÿ“ Abstract
Surgical procedures are inherently complex and dynamic, with intricate dependencies and various execution paths. Accurate identification of the intentions behind critical actions, referred to as Primary Intentions (PIs), is crucial to understanding and planning the procedure. This paper presents a novel framework that advances PI recognition in instructional videos by combining top-down grammatical structure with bottom-up visual cues. The grammatical structure is based on a rich corpus of surgical procedures, offering a hierarchical perspective on surgical activities. A grammar parser, utilizing the surgical activity grammar, processes visual data obtained from laparoscopic images through surgical action detectors, ensuring a more precise interpretation of the visual information. Experimental results on the benchmark dataset demonstrate that our method outperforms existing surgical activity detectors that rely solely on visual features. Our research provides a promising foundation for developing advanced robotic surgical systems with enhanced planning and automation capabilities.
Problem

Research questions and friction points this paper is trying to address.

Laparoscopic Surgery
Intention Prediction
Surgical Precision
Innovation

Methods, ideas, or system contributions that make the work stand out.

Surgical Action Rules
Visual Information Integration
Laparoscopic Surgery Intent Prediction
J
Jie Zhang
State Key Laboratory of Intelligent Manufacturing Equipment and Technology, Huazhong University of Science and Technology, Luoyu Road 1037, Wuhan 430074, China
Song Zhou
Song Zhou
State Key Laboratory of Intelligent Manufacturing Equipment and Technology, Huazhong University of Science and Technology, Luoyu Road 1037, Wuhan 430074, China
Y
Yiwei Wang
State Key Laboratory of Intelligent Manufacturing Equipment and Technology, Huazhong University of Science and Technology, Luoyu Road 1037, Wuhan 430074, China; Institute of Medical Equipment Science and Engineering, Huazhong University of Science and Technology, Luoyu Road 1037, Wuhan 430074, China
C
Chidan Wan
Department of Hepatobiliary Surgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, 1277 Jiefang Ave., Wuhan 430022, China
H
Huan Zhao
State Key Laboratory of Intelligent Manufacturing Equipment and Technology, Huazhong University of Science and Technology, Luoyu Road 1037, Wuhan 430074, China
X
Xiong Cai
Department of Hepatobiliary Surgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, 1277 Jiefang Ave., Wuhan 430022, China
H
Han Ding
State Key Laboratory of Intelligent Manufacturing Equipment and Technology, Huazhong University of Science and Technology, Luoyu Road 1037, Wuhan 430074, China