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SAGES consensus recommendations on an annotation framework for surgical video.

Ozanan R Meireles1, Guy Rosman2,3, Maria S Altieri4

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Standardized surgical video annotation is crucial for machine learning. This study establishes consensus recommendations for a general framework, enabling better algorithm assessment and collaboration.

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AnnotationArtificial intelligenceComputer visionConsensusMinimally invasive surgerySurgical video

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Area of Science:

  • Medical Informatics
  • Computer Vision in Surgery
  • Machine Learning for Healthcare

Background:

  • Growing interest in machine learning for surgical video analysis highlights a lack of standardized annotation methods.
  • Current annotation practices hinder algorithm assessment and multi-institutional collaboration in surgical research.

Purpose of the Study:

  • To establish consensus-based recommendations for surgical video data annotation.
  • To create a foundational framework for standardizing surgical video annotation.

Main Methods:

  • Formation of four working groups (temporal models, actions/tasks, anatomy, software/data structure) comprising clinicians, engineers, and data scientists.
  • Utilized a modified Delphi process to develop a consensus survey based on group recommendations.
  • Conducted three rounds of Delphi to achieve consensus on annotation recommendations.

Main Results:

  • Consensus was reached on recommendations for surgical video annotation across all domains.
  • A hierarchical framework for annotating temporal events in surgical procedures was established.

Conclusions:

  • The presented consensus recommendations provide a foundational framework for standardizing surgical video annotation.
  • Standardization is critical for developing diverse datasets, performance benchmarks, and fostering collaboration in surgical machine learning research.