Computer-vision based analysis of the neurosurgical scene – A systematic review

Introduction: With increasing use of robotic surgical adjuncts, artificial intelligence and augmented reality in neurosurgery, the automated analysis of digital images and videos acquired over various procedures becomes a subject of increased interest. While several computer vision (CV) methods have...

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Main Authors: Félix Buyck, Jef Vandemeulebroucke, Jakub Ceranka, Frederick Van Gestel, Jan Frederick Cornelius, Johnny Duerinck, Michaël Bruneau
Format: Article
Language:English
Published: Elsevier 2023-01-01
Series:Brain and Spine
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2772529423009943
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author Félix Buyck
Jef Vandemeulebroucke
Jakub Ceranka
Frederick Van Gestel
Jan Frederick Cornelius
Johnny Duerinck
Michaël Bruneau
author_facet Félix Buyck
Jef Vandemeulebroucke
Jakub Ceranka
Frederick Van Gestel
Jan Frederick Cornelius
Johnny Duerinck
Michaël Bruneau
author_sort Félix Buyck
collection DOAJ
description Introduction: With increasing use of robotic surgical adjuncts, artificial intelligence and augmented reality in neurosurgery, the automated analysis of digital images and videos acquired over various procedures becomes a subject of increased interest. While several computer vision (CV) methods have been developed and implemented for analyzing surgical scenes, few studies have been dedicated to neurosurgery. Research question: In this work, we present a systematic literature review focusing on CV methodologies specifically applied to the analysis of neurosurgical procedures based on intra-operative images and videos. Additionally, we provide recommendations for the future developments of CV models in neurosurgery. Material and methods: We conducted a systematic literature search in multiple databases until January 17, 2023, including Web of Science, PubMed, IEEE Xplore, Embase, and SpringerLink. Results: We identified 17 studies employing CV algorithms on neurosurgical videos/images. The most common applications of CV were tool and neuroanatomical structure detection or characterization, and to a lesser extent, surgical workflow analysis. Convolutional neural networks (CNN) were the most frequently utilized architecture for CV models (65%), demonstrating superior performances in tool detection and segmentation. In particular, mask recurrent-CNN manifested most robust performance outcomes across different modalities. Discussion and conclusion: Our systematic review demonstrates that CV models have been reported that can effectively detect and differentiate tools, surgical phases, neuroanatomical structures, as well as critical events in complex neurosurgical scenes with accuracies above 95%. Automated tool recognition contributes to objective characterization and assessment of surgical performance, with potential applications in neurosurgical training and intra-operative safety management.
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spelling doaj.art-38035d8f8a5044bab3e5e62b94d63d9d2023-12-09T06:09:18ZengElsevierBrain and Spine2772-52942023-01-013102706Computer-vision based analysis of the neurosurgical scene – A systematic reviewFélix Buyck0Jef Vandemeulebroucke1Jakub Ceranka2Frederick Van Gestel3Jan Frederick Cornelius4Johnny Duerinck5Michaël Bruneau6Department of Neurosurgery, Universitair Ziekenhuis Brussel (UZ Brussel), 1090, Brussels, Belgium; Vrije Universiteit Brussel (VUB), Research group Center For Neurosciences (C4N-NEUR), 1090, Brussels, Belgium; Corresponding author. Department of Neurosurgery, Universitair Ziekenhuis Brussel (UZ Brussel), Laerbeeklaan 101, 1090, Brussels, Belgium.Vrije Universiteit Brussel (VUB), Department of Electronics and Informatics (ETRO), 1050, Brussels, Belgium; Department of Radiology, Universitair Ziekenhuis Brussel (UZ Brussel), 1090, Brussels, Belgium; imec, 3001, Leuven, BelgiumVrije Universiteit Brussel (VUB), Department of Electronics and Informatics (ETRO), 1050, Brussels, Belgium; imec, 3001, Leuven, BelgiumDepartment of Neurosurgery, Universitair Ziekenhuis Brussel (UZ Brussel), 1090, Brussels, Belgium; Vrije Universiteit Brussel (VUB), Research group Center For Neurosciences (C4N-NEUR), 1090, Brussels, BelgiumDepartment of Neurosurgery, Medical Faculty, Heinrich-Heine-University, 40225, Düsseldorf, GermanyDepartment of Neurosurgery, Universitair Ziekenhuis Brussel (UZ Brussel), 1090, Brussels, Belgium; Vrije Universiteit Brussel (VUB), Research group Center For Neurosciences (C4N-NEUR), 1090, Brussels, BelgiumDepartment of Neurosurgery, Universitair Ziekenhuis Brussel (UZ Brussel), 1090, Brussels, Belgium; Vrije Universiteit Brussel (VUB), Research group Center For Neurosciences (C4N-NEUR), 1090, Brussels, BelgiumIntroduction: With increasing use of robotic surgical adjuncts, artificial intelligence and augmented reality in neurosurgery, the automated analysis of digital images and videos acquired over various procedures becomes a subject of increased interest. While several computer vision (CV) methods have been developed and implemented for analyzing surgical scenes, few studies have been dedicated to neurosurgery. Research question: In this work, we present a systematic literature review focusing on CV methodologies specifically applied to the analysis of neurosurgical procedures based on intra-operative images and videos. Additionally, we provide recommendations for the future developments of CV models in neurosurgery. Material and methods: We conducted a systematic literature search in multiple databases until January 17, 2023, including Web of Science, PubMed, IEEE Xplore, Embase, and SpringerLink. Results: We identified 17 studies employing CV algorithms on neurosurgical videos/images. The most common applications of CV were tool and neuroanatomical structure detection or characterization, and to a lesser extent, surgical workflow analysis. Convolutional neural networks (CNN) were the most frequently utilized architecture for CV models (65%), demonstrating superior performances in tool detection and segmentation. In particular, mask recurrent-CNN manifested most robust performance outcomes across different modalities. Discussion and conclusion: Our systematic review demonstrates that CV models have been reported that can effectively detect and differentiate tools, surgical phases, neuroanatomical structures, as well as critical events in complex neurosurgical scenes with accuracies above 95%. Automated tool recognition contributes to objective characterization and assessment of surgical performance, with potential applications in neurosurgical training and intra-operative safety management.http://www.sciencedirect.com/science/article/pii/S2772529423009943computer visionSurgical videosAutomated detectionSurgical instrumentsSurgical phase recognitionNeuroanatomy
spellingShingle Félix Buyck
Jef Vandemeulebroucke
Jakub Ceranka
Frederick Van Gestel
Jan Frederick Cornelius
Johnny Duerinck
Michaël Bruneau
Computer-vision based analysis of the neurosurgical scene – A systematic review
Brain and Spine
computer vision
Surgical videos
Automated detection
Surgical instruments
Surgical phase recognition
Neuroanatomy
title Computer-vision based analysis of the neurosurgical scene – A systematic review
title_full Computer-vision based analysis of the neurosurgical scene – A systematic review
title_fullStr Computer-vision based analysis of the neurosurgical scene – A systematic review
title_full_unstemmed Computer-vision based analysis of the neurosurgical scene – A systematic review
title_short Computer-vision based analysis of the neurosurgical scene – A systematic review
title_sort computer vision based analysis of the neurosurgical scene a systematic review
topic computer vision
Surgical videos
Automated detection
Surgical instruments
Surgical phase recognition
Neuroanatomy
url http://www.sciencedirect.com/science/article/pii/S2772529423009943
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