TUNeS: A Temporal U-Net With Self-Attention for Video-Based Surgical Phase Recognition

Publikation: Beitrag in FachzeitschriftForschungsartikelBeigetragenBegutachtung

Beitragende

Abstract

Objective: To enable context-aware computer assistance in the operating room of the future, cognitive systems need to understand automatically which surgical phase is being performed by the medical team. The primary source of information for surgical phase recognition is typically video, which presents two challenges: extracting meaningful features from the video stream and effectively modeling temporal information in the sequence of visual features. Methods: For temporal modeling, attention mechanisms have gained popularity due to their ability to capture long-range dependencies. In this paper, we explore design choices for attention in existing temporal models for surgical phase recognition and propose a novel approach that uses attention more effectively and does not require hand-crafted constraints: TUNeS, an efficient and simple temporal model that incorporates self-attention at the core of a convolutional U-Net structure. In addition, we propose to train the feature extractor, a standard CNN, together with an LSTM on preferably long video segments, i.e., with long temporal context. Results: In our experiments, almost all temporal models performed better on top of feature extractors that were trained with longer temporal context. On these contextualized features, TUNeS achieves state-of-the-art results on the Cholec80 dataset. Conclusion: This study offers new insights on how to use attention mechanisms to build accurate and efficient temporal models for surgical phase recognition. Significance: Implementing automatic surgical phase recognition is essential to automate the analysis and optimization of surgical workflows and to enable context-aware computer assistance during surgery, thus ultimately improving patient care.

Details

OriginalspracheEnglisch
Seiten (von - bis)2105-2119
Seitenumfang15
FachzeitschriftIEEE transactions on biomedical engineering
Jahrgang72
Ausgabenummer7
PublikationsstatusElektronische Veröffentlichung vor Drucklegung - 28 Jan. 2025
Peer-Review-StatusJa

Externe IDs

ORCID /0000-0002-4590-1908/work/178384776

Schlagworte

ASJC Scopus Sachgebiete

Schlagwörter

  • Cholec80, action segmentation, attention, sequence modeling, surgical phase, surgical workflow