Bridging the gap between formal and experience-based knowledge for context-aware laparoscopy

Research output: Contribution to journalResearch articleContributedpeer-review

Contributors

  • Darko Katić - , Karlsruhe Institute of Technology (Author)
  • Jürgen Schuck - , Karlsruhe Institute of Technology (Author)
  • Anna Laura Wekerle - , Heidelberg University  (Author)
  • Hannes Kenngott - , Heidelberg University  (Author)
  • Beat Peter Müller-Stich - , Heidelberg University  (Author)
  • Rüdiger Dillmann - , Karlsruhe Institute of Technology (Author)
  • Stefanie Speidel - , Karlsruhe Institute of Technology (Author)

Abstract

Purpose: Computer assistance is increasingly common in surgery. However, the amount of information is bound to overload processing abilities of surgeons. We propose methods to recognize the current phase of a surgery for context-aware information filtering. The purpose is to select the most suitable subset of information for surgical situations which require special assistance. Methods: We combine formal knowledge, represented by an ontology, and experience-based knowledge, represented by training samples, to recognize phases. For this purpose, we have developed two different methods. Firstly, we use formal knowledge about possible phase transitions to create a composition of random forests. Secondly, we propose a method based on cultural optimization to infer formal rules from experience to recognize phases. Results: The proposed methods are compared with a purely formal knowledge-based approach using rules and a purely experience-based one using regular random forests. The comparative evaluation on laparoscopic pancreas resections and adrenalectomies employs a consistent set of quality criteria on clean and noisy input. The rule-based approaches proved best with noisefree data. The random forest-based ones were more robust in the presence of noise. Conclusion: Formal and experience-based knowledge can be successfully combined for robust phase recognition.

Details

Original languageEnglish
Pages (from-to)881-888
Number of pages8
JournalInternational journal of computer assisted radiology and surgery
Volume11
Issue number6
Publication statusPublished - 1 Jun 2016
Peer-reviewedYes
Externally publishedYes

External IDs

PubMed 27025604
ORCID /0000-0002-4590-1908/work/163294038