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Enhancing open-surgery gesture recognition using 3D pose estimation.

Ori Meiraz1, Shlomi Laufer2, Robert Spector2

  • 1Faculty of Data and Decision Sciences, Technion - Israel Institute of Technology, Technion City, 32000, Haifa, Israel. ori.meiraz@campus.technion.ac.il.

International Journal of Computer Assisted Radiology and Surgery
|January 14, 2026
PubMed
Summary
This summary is machine-generated.

This study enhances surgical gesture recognition using multimodal data, combining video, hand, and tool poses for open surgery. Pose-only models offer a privacy-preserving alternative with comparable accuracy to video-based methods.

Keywords:
Action recognitionGesture recognitionOpen surgeryPose estimation

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Area of Science:

  • Medical Robotics
  • Computer Vision
  • Surgical Data Science

Background:

  • Surgical gesture recognition is crucial for analyzing surgical procedures.
  • Existing methods often use simulations or minimally invasive data, not reflecting open surgery complexities.
  • Open surgery datasets are limited, hindering progress in gesture recognition.

Purpose of the Study:

  • To introduce and utilize a novel open surgery dataset for gesture recognition.
  • To improve surgical gesture recognition accuracy by integrating tool and hand pose estimation.
  • To evaluate multimodal approaches for enhanced performance in open surgery contexts.

Main Methods:

  • Developed a new open surgery dataset for saphenous vein harvesting incision closure.
  • Employed MS-TCN++ and LTContext models for gesture recognition.
  • Utilized an ensemble of models combining video, tool pose, and hand pose data.

Main Results:

  • Ensemble models integrating all three modalities significantly outperformed video-only approaches.
  • Models relying solely on hand and tool poses achieved comparable performance to video-based methods.
  • Pose-only models demonstrated statistically significant or comparable results to video-only methods.

Conclusions:

  • Integrating multimodal data (video, hand pose, tool pose) enhances surgical gesture recognition accuracy and robustness.
  • Pose-only models present a viable, privacy-preserving alternative for surgical data analysis.
  • This research advances automated analysis of open surgical procedures.