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A parallel network utilizing local features and global representations for segmentation of surgical instruments.

Xinan Sun1,2, Yuelin Zou1,2, Shuxin Wang1,2

  • 1Key Laboratory of Mechanism Theory and Equipment Design of Ministry of Education, Tianjin University, 135 Yaguan Road, Tianjin, 300350, China.

International Journal of Computer Assisted Radiology and Surgery
|June 10, 2022
PubMed
Summary

This study introduces a new Mask R-CNN based method for segmenting surgical instruments in robot-assisted surgery. The approach enhances surgeon awareness by accurately identifying instrument types and parts, improving automation potential.

Keywords:
Global attentionRobot-assisted surgerySurgical instrumentSurgical instrument segmentationSwin-transformer

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Area of Science:

  • Medical Robotics
  • Computer Vision
  • Surgical Technology

Background:

  • Accurate segmentation of surgical instruments is crucial for enhancing surgeon awareness in robot-assisted minimally invasive surgery.
  • Existing methods may lack the ability to effectively capture both local details and global context of instruments.

Purpose of the Study:

  • To propose a novel instance segmentation method for surgical instruments using Mask R-CNN.
  • To improve the accuracy and generalization ability of surgical instrument segmentation.

Main Methods:

  • A new feature extraction backbone combining convolutional neural network (CNN) and Swin-Transformer branches was developed.
  • Skip fusions were implemented in the backbone to integrate local and global features effectively.
  • The method was evaluated on the MICCAI 2017 EndoVis Challenge dataset.

Main Results:

  • The proposed method achieved state-of-the-art performance, with mean Intersection over Union (mIoU) scores of 0.5873 for type segmentation and 0.7408 for part segmentation.
  • Ablation studies indicated that the novel backbone improved mIoU by at least 17%.
  • The method demonstrated precise segmentation of surgical instrument contours, particularly at the end tips.

Conclusions:

  • The novel method effectively extracts both local and global features for improved surgical instrument segmentation accuracy.
  • Enhanced segmentation precision contributes to more accurate localization and pose estimation of surgical instruments.
  • This advancement supports the further automation of robot-assisted minimally invasive surgery.