Surgical Phase Recognition: From Public Datasets to Real-World Data

Automated recognition of surgical phases is a prerequisite for computer-assisted analysis of surgeries. The research on phase recognition has been mostly driven by publicly available datasets of laparoscopic cholecystectomy (Lap Chole) videos. Yet, videos observed in real-world settings might contai...

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Main Authors: Kadir Kirtac, Nizamettin Aydin, Joël L. Lavanchy, Guido Beldi, Marco Smit, Michael S. Woods, Florian Aspart
Format: Article
Language:English
Published: MDPI AG 2022-08-01
Series:Applied Sciences
Subjects:
Online Access:https://www.mdpi.com/2076-3417/12/17/8746
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author Kadir Kirtac
Nizamettin Aydin
Joël L. Lavanchy
Guido Beldi
Marco Smit
Michael S. Woods
Florian Aspart
author_facet Kadir Kirtac
Nizamettin Aydin
Joël L. Lavanchy
Guido Beldi
Marco Smit
Michael S. Woods
Florian Aspart
author_sort Kadir Kirtac
collection DOAJ
description Automated recognition of surgical phases is a prerequisite for computer-assisted analysis of surgeries. The research on phase recognition has been mostly driven by publicly available datasets of laparoscopic cholecystectomy (Lap Chole) videos. Yet, videos observed in real-world settings might contain challenges, such as additional phases and longer videos, which may be missing in curated public datasets. In this work, we study (i) the possible data distribution discrepancy between videos observed in a given medical center and videos from existing public datasets, and (ii) the potential impact of this distribution difference on model development. To this end, we gathered a large, private dataset of 384 Lap Chole videos. Our dataset contained all videos, including emergency surgeries and teaching cases, recorded in a continuous time frame of five years. We observed strong differences between our dataset and the most commonly used public dataset for surgical phase recognition, Cholec80. For instance, our videos were much longer, included additional phases, and had more complex transitions between phases. We further trained and compared several state-of-the-art phase recognition models on our dataset. The models’ performances greatly varied across surgical phases and videos. In particular, our results highlighted the challenge of recognizing extremely under-represented phases (usually missing in public datasets); the major phases were recognized with at least 76 percent recall. Overall, our results highlighted the need to better understand the distribution of the video data phase recognition models are trained on.
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spelling doaj.art-cd638bc34c2e4ce48acc163351c30dac2023-11-23T12:46:08ZengMDPI AGApplied Sciences2076-34172022-08-011217874610.3390/app12178746Surgical Phase Recognition: From Public Datasets to Real-World DataKadir Kirtac0Nizamettin Aydin1Joël L. Lavanchy2Guido Beldi3Marco Smit4Michael S. Woods5Florian Aspart6Caresyntax GmbH, Komturstr. 18A, 12099 Berlin, GermanyComputer Engineering Department, Yildiz Technical University, Istanbul 34220, TurkeyDepartment of Visceral Surgery and Medicine, Inselspital, Bern University Hospital, University of Bern, 3010 Bern, SwitzerlandDepartment of Visceral Surgery and Medicine, Inselspital, Bern University Hospital, University of Bern, 3010 Bern, SwitzerlandCaresyntax GmbH, Komturstr. 18A, 12099 Berlin, GermanyCaresyntax GmbH, Komturstr. 18A, 12099 Berlin, GermanyCaresyntax GmbH, Komturstr. 18A, 12099 Berlin, GermanyAutomated recognition of surgical phases is a prerequisite for computer-assisted analysis of surgeries. The research on phase recognition has been mostly driven by publicly available datasets of laparoscopic cholecystectomy (Lap Chole) videos. Yet, videos observed in real-world settings might contain challenges, such as additional phases and longer videos, which may be missing in curated public datasets. In this work, we study (i) the possible data distribution discrepancy between videos observed in a given medical center and videos from existing public datasets, and (ii) the potential impact of this distribution difference on model development. To this end, we gathered a large, private dataset of 384 Lap Chole videos. Our dataset contained all videos, including emergency surgeries and teaching cases, recorded in a continuous time frame of five years. We observed strong differences between our dataset and the most commonly used public dataset for surgical phase recognition, Cholec80. For instance, our videos were much longer, included additional phases, and had more complex transitions between phases. We further trained and compared several state-of-the-art phase recognition models on our dataset. The models’ performances greatly varied across surgical phases and videos. In particular, our results highlighted the challenge of recognizing extremely under-represented phases (usually missing in public datasets); the major phases were recognized with at least 76 percent recall. Overall, our results highlighted the need to better understand the distribution of the video data phase recognition models are trained on.https://www.mdpi.com/2076-3417/12/17/8746Laparoscopic videoscholecystectomydeep learningconvolutional neural networkphase recognitionsurgical data science
spellingShingle Kadir Kirtac
Nizamettin Aydin
Joël L. Lavanchy
Guido Beldi
Marco Smit
Michael S. Woods
Florian Aspart
Surgical Phase Recognition: From Public Datasets to Real-World Data
Applied Sciences
Laparoscopic videos
cholecystectomy
deep learning
convolutional neural network
phase recognition
surgical data science
title Surgical Phase Recognition: From Public Datasets to Real-World Data
title_full Surgical Phase Recognition: From Public Datasets to Real-World Data
title_fullStr Surgical Phase Recognition: From Public Datasets to Real-World Data
title_full_unstemmed Surgical Phase Recognition: From Public Datasets to Real-World Data
title_short Surgical Phase Recognition: From Public Datasets to Real-World Data
title_sort surgical phase recognition from public datasets to real world data
topic Laparoscopic videos
cholecystectomy
deep learning
convolutional neural network
phase recognition
surgical data science
url https://www.mdpi.com/2076-3417/12/17/8746
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AT nizamettinaydin surgicalphaserecognitionfrompublicdatasetstorealworlddata
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AT guidobeldi surgicalphaserecognitionfrompublicdatasetstorealworlddata
AT marcosmit surgicalphaserecognitionfrompublicdatasetstorealworlddata
AT michaelswoods surgicalphaserecognitionfrompublicdatasetstorealworlddata
AT florianaspart surgicalphaserecognitionfrompublicdatasetstorealworlddata