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Surgical Gesture Recognition in Robot-Assisted Surgery Using Machine Learning Methods on Kinematic Data
Alexandros Dimitriadis1, George Moustris2, Costas Tzafestas1,2
1National Technical University of Athens (NTUA), School of Electrical and Computer Engineering.
Studies in Health Technology and Informatics
|February 23, 2026
Summary
This study enhances real-time surgical gesture recognition using machine learning models trained on kinematic data. Hybrid approaches, particularly attention-based models, significantly improved accuracy in robot-assisted surgery tasks.
Area of Science:
- Robotics
- Machine Learning
- Surgical Technology
Background:
- Robot-assisted surgery offers precision but lacks real-time intraoperative feedback.
- Accurate recognition of surgical gestures is crucial for developing intelligent surgical tools.
- Current methods often rely on visual data, limiting real-time kinematic analysis.
Purpose of the Study:
- To develop and evaluate machine learning models for real-time surgical gesture recognition.
- To utilize exclusively kinematic data from patient-side robotic manipulators.
- To improve upon existing state-of-the-art recognition rates for surgical tasks.
Main Methods:
- Training various neural network architectures, including a Long Short-Term Memory (LSTM) baseline.
- Proposing and testing two hybrid models: LSTM with Conditional Random Field (CRF) and LSTM with an attention layer.
- Evaluating model performance on the JIGSAWS dataset, focusing on suturing tasks.
Main Results:
- The proposed hybrid approaches outperformed the baseline LSTM model.
- The LSTM model combined with an attention layer achieved the highest accuracy at 81.56%.
- Comparative analysis identified specific areas for further performance optimization.
Conclusions:
- Hybrid machine learning models, especially attention-based ones, show significant promise for real-time surgical gesture recognition.
- Kinematic data alone is sufficient for effective gesture recognition in robot-assisted surgery.
- This research provides a foundation for developing intraoperative monitoring and assistance tools for surgeons.
Keywords:
Attention MechanismCRFHybrid ModelJIGSAWSKinematic DataLSTMMachine LearningReal-timeRobotic SurgerySelf AttentionSurgical Gesture Recognition
