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Artificial Intelligence-Based Hazard Detection in Robotic-Assisted Single-Incision Oncologic Surgery.

Gabriela Rus1, Iulia Andras2, Calin Vaida1

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Summary

This study introduces an AI and AR system for real-time detection of intraoperative bleeding during surgery. The system accurately identifies bleeding and displays alerts on a Hololens 2 device, enhancing surgical safety.

Keywords:
AI agentsHololens 2YOLOv5machine learningmaster–slave systemparallel robotic systemrobotic-assisted single-incision surgerysurgical oncology

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Area of Science:

  • Surgical Technology
  • Artificial Intelligence
  • Augmented Reality

Background:

  • Single-incision surgery presents unique challenges, with intraoperative hemorrhage being a significant complication, particularly in cancer patients.
  • Robotic assistance has improved surgical outcomes, but real-time hazard detection remains an area for advancement.

Purpose of the Study:

  • To develop and evaluate an Artificial Intelligence (AI) and Augmented Reality (AR) based hazard detection system for real-time identification of intraoperative bleeding.
  • To integrate this system with a Hololens 2 device for immediate visual feedback to surgeons.

Main Methods:

  • Exploration of real-time processing techniques, identifying YOLOv5 as a promising algorithm for bleeding detection.
  • Development of an innovative real-time bleeding detection system using YOLOv5 and Hololens 2.
  • Evaluation of the system across various surgical procedures and configurations to optimize prediction time and accuracy.

Main Results:

  • The system successfully detected intraoperative bleeding in multiple surgical procedures with high accuracy.
  • Detected bleeding areas were highlighted with bounding boxes and displayed on the Hololens 2.
  • The system effectively differentiated bleeding from irrigation, minimizing false-negative and false-positive results.

Conclusions:

  • Current AI and AR technologies are capable of developing effective real-time hazard detection systems.
  • Such systems can serve as valuable assistance tools for surgeons, particularly in high-risk surgical interventions.