Knowledge transfer for surgical activity prediction

PurposeLack of annotated training data hinders automatic recognition and prediction of surgical activities necessary for situation-aware operating rooms. We propose using knowledge transfer to compensate for data deficit and improve prediction.MethodsWe used two approaches to extract and transfer surgical process knowledge. First, we encoded semantic information about surgical terms using word embedding. Secondly, we passed knowledge between different clinical datasets of neurosurgical procedures using transfer learning.ResultsThe combination of two methods provided 22% improvement of activity prediction. We also made several pertinent observations about surgical practices based on the results of the performed transfer.ConclusionWord embedding boosts learning process. Transfer learning was shown to be more effective than a simple combination of data, especially for less similar procedures.

[1]  Fei-Fei Li,et al.  Large-Scale Video Classification with Convolutional Neural Networks , 2014, 2014 IEEE Conference on Computer Vision and Pattern Recognition.

[2]  Ivan Laptev,et al.  Learning and Transferring Mid-level Image Representations Using Convolutional Neural Networks , 2014, 2014 IEEE Conference on Computer Vision and Pattern Recognition.

[3]  Jeffrey Dean,et al.  Efficient Estimation of Word Representations in Vector Space , 2013, ICLR.

[4]  Ronald M. Summers,et al.  Deep Convolutional Neural Networks for Computer-Aided Detection: CNN Architectures, Dataset Characteristics and Transfer Learning , 2016, IEEE Transactions on Medical Imaging.

[5]  Germain Forestier,et al.  Automatic matching of surgeries to predict surgeons' next actions , 2017, Artif. Intell. Medicine.

[6]  Andru Putra Twinanda,et al.  EndoNet: A Deep Architecture for Recognition Tasks on Laparoscopic Videos , 2016, IEEE Transactions on Medical Imaging.

[7]  Jürgen Schmidhuber,et al.  Long Short-Term Memory , 1997, Neural Computation.

[8]  Pierre Jannin,et al.  Automatic knowledge-based recognition of low-level tasks in ophthalmological procedures , 2012, International Journal of Computer Assisted Radiology and Surgery.

[9]  Alex Graves,et al.  Supervised Sequence Labelling with Recurrent Neural Networks , 2012, Studies in Computational Intelligence.

[10]  D. Louis Collins,et al.  Multi-site study of surgical practice in neurosurgery based on surgical process models , 2013, J. Biomed. Informatics.

[11]  Qiang Yang,et al.  Boosting for transfer learning , 2007, ICML '07.

[12]  Thomas Neumuth,et al.  Sensor-based surgical activity recognition in unconstrained environments , 2014, Minimally invasive therapy & allied technologies : MITAT : official journal of the Society for Minimally Invasive Therapy.

[13]  Pierre Jannin,et al.  Automatic Phases Recognition in Pituitary Surgeries by Microscope Images Classification , 2010, IPCAI.

[14]  T. Neumuth,et al.  Recording of Surgical Processes: A Study Comparing Senior and Junior Neurosurgeons During Lumbar Disc Herniation Surgery , 2010, Neurosurgery.

[15]  Jeffrey Pennington,et al.  GloVe: Global Vectors for Word Representation , 2014, EMNLP.

[16]  Germain Forestier,et al.  Unsupervised Trajectory Segmentation for Surgical Gesture Recognition in Robotic Training , 2016, IEEE Transactions on Biomedical Engineering.

[17]  Yifan Gong,et al.  Cross-language knowledge transfer using multilingual deep neural network with shared hidden layers , 2013, 2013 IEEE International Conference on Acoustics, Speech and Signal Processing.

[18]  Nassir Navab,et al.  Motif Discovery in OR Sensor Data with Application to Surgical Workflow Analysis and Activity Detection , 2009 .