“Train one, Classify one, Teach one” - Cross-surgery transfer learning for surgical step recognition

Daniel Neimark, Omri Bar, Maya Zohar, Gregory D. Hager, Dotan Asselmann
Proceedings of the Fourth Conference on Medical Imaging with Deep Learning, PMLR 143:532-544, 2021.

Abstract

Prior work demonstrated the ability of machine learning to automatically recognize surgical workflow steps from videos. However, these studies focused on only a single type of procedure. In this work, we analyze, for the first time, surgical step recognition on four different laparoscopic surgeries: Cholecystectomy, Right Hemicolectomy, Sleeve Gastrectomy, and Appendectomy. Inspired by the traditional apprenticeship model, in which surgical training is based on the Halstedian method, we paraphrase the “see one, do one, teach one” approach for the surgical intelligence domain as “train one, classify one, teach one”. In machine learning, this approach is often referred to as transfer learning. To analyze the impact of transfer learning across different laparoscopic procedures, we explore various time-series architectures and examine their performance on each target domain. We introduce a new architecture, the Time-Series Adaptation Network (TSAN), an architecture optimized for transfer learning of surgical step recognition, and we show how TSAN can be pre-trained using self-supervised learning on a Sequence Sorting task. Such pre-training enables TSAN to learn workflow steps of a new laparoscopic procedure type from only a small number of labeled samples from the target procedure. Our proposed architecture leads to better performance compared to other possible architectures, reaching over 90% accuracy when transferring from laparoscopic Cholecystectomy to the other three procedure types.

Cite this Paper

BibTeX
@InProceedings{pmlr-v143-neimark21a, title = {{“}Train one, Classify one, Teach one{”} - Cross-surgery transfer learning for surgical step recognition}, author = {Neimark, Daniel and Bar, Omri and Zohar, Maya and Hager, Gregory D. and Asselmann, Dotan}, booktitle = {Proceedings of the Fourth Conference on Medical Imaging with Deep Learning}, pages = {532--544}, year = {2021}, editor = {Heinrich, Mattias and Dou, Qi and de Bruijne, Marleen and Lellmann, Jan and Schläfer, Alexander and Ernst, Floris}, volume = {143}, series = {Proceedings of Machine Learning Research}, month = {07--09 Jul}, publisher = {PMLR}, pdf = {https://proceedings.mlr.press/v143/neimark21a/neimark21a.pdf}, url = {https://proceedings.mlr.press/v143/neimark21a.html}, abstract = {Prior work demonstrated the ability of machine learning to automatically recognize surgical workflow steps from videos. However, these studies focused on only a single type of procedure. In this work, we analyze, for the first time, surgical step recognition on four different laparoscopic surgeries: Cholecystectomy, Right Hemicolectomy, Sleeve Gastrectomy, and Appendectomy. Inspired by the traditional apprenticeship model, in which surgical training is based on the Halstedian method, we paraphrase the “see one, do one, teach one” approach for the surgical intelligence domain as “train one, classify one, teach one”. In machine learning, this approach is often referred to as transfer learning. To analyze the impact of transfer learning across different laparoscopic procedures, we explore various time-series architectures and examine their performance on each target domain. We introduce a new architecture, the Time-Series Adaptation Network (TSAN), an architecture optimized for transfer learning of surgical step recognition, and we show how TSAN can be pre-trained using self-supervised learning on a Sequence Sorting task. Such pre-training enables TSAN to learn workflow steps of a new laparoscopic procedure type from only a small number of labeled samples from the target procedure. Our proposed architecture leads to better performance compared to other possible architectures, reaching over 90% accuracy when transferring from laparoscopic Cholecystectomy to the other three procedure types.} }
Endnote
%0 Conference Paper %T “Train one, Classify one, Teach one” - Cross-surgery transfer learning for surgical step recognition %A Daniel Neimark %A Omri Bar %A Maya Zohar %A Gregory D. Hager %A Dotan Asselmann %B Proceedings of the Fourth Conference on Medical Imaging with Deep Learning %C Proceedings of Machine Learning Research %D 2021 %E Mattias Heinrich %E Qi Dou %E Marleen de Bruijne %E Jan Lellmann %E Alexander Schläfer %E Floris Ernst %F pmlr-v143-neimark21a %I PMLR %P 532--544 %U https://proceedings.mlr.press/v143/neimark21a.html %V 143 %X Prior work demonstrated the ability of machine learning to automatically recognize surgical workflow steps from videos. However, these studies focused on only a single type of procedure. In this work, we analyze, for the first time, surgical step recognition on four different laparoscopic surgeries: Cholecystectomy, Right Hemicolectomy, Sleeve Gastrectomy, and Appendectomy. Inspired by the traditional apprenticeship model, in which surgical training is based on the Halstedian method, we paraphrase the “see one, do one, teach one” approach for the surgical intelligence domain as “train one, classify one, teach one”. In machine learning, this approach is often referred to as transfer learning. To analyze the impact of transfer learning across different laparoscopic procedures, we explore various time-series architectures and examine their performance on each target domain. We introduce a new architecture, the Time-Series Adaptation Network (TSAN), an architecture optimized for transfer learning of surgical step recognition, and we show how TSAN can be pre-trained using self-supervised learning on a Sequence Sorting task. Such pre-training enables TSAN to learn workflow steps of a new laparoscopic procedure type from only a small number of labeled samples from the target procedure. Our proposed architecture leads to better performance compared to other possible architectures, reaching over 90% accuracy when transferring from laparoscopic Cholecystectomy to the other three procedure types.
APA
Neimark, D., Bar, O., Zohar, M., Hager, G.D. & Asselmann, D.. (2021). “Train one, Classify one, Teach one” - Cross-surgery transfer learning for surgical step recognition. Proceedings of the Fourth Conference on Medical Imaging with Deep Learning, in Proceedings of Machine Learning Research 143:532-544 Available from https://proceedings.mlr.press/v143/neimark21a.html.

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