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  3. Mask then classify: multi-instance segmentation for surgical instruments.

Mask then classify: multi-instance segmentation for surgical instruments.

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DOI
10.48350/159566
Publisher DOI
10.1007/s11548-021-02404-2
PubMed ID
34143374
Abstract
PURPOSE

The detection and segmentation of surgical instruments has been a vital step for many applications in minimally invasive surgical robotics. Previously, the problem was tackled from a semantic segmentation perspective, yet these methods fail to provide good segmentation maps of instrument types and do not contain any information on the instance affiliation of each pixel. We propose to overcome this limitation by using a novel instance segmentation method which first masks instruments and then classifies them into their respective type.

METHODS

We introduce a novel method for instance segmentation where a pixel-wise mask of each instance is found prior to classification. An encoder-decoder network is used to extract instrument instances, which are then separately classified using the features of the previous stages. Furthermore, we present a method to incorporate instrument priors from surgical robots.

RESULTS

Experiments are performed on the robotic instrument segmentation dataset of the 2017 endoscopic vision challenge. We perform a fourfold cross-validation and show an improvement of over 18% to the previous state-of-the-art. Furthermore, we perform an ablation study which highlights the importance of certain design choices and observe an increase of 10% over semantic segmentation methods.

CONCLUSIONS

We have presented a novel instance segmentation method for surgical instruments which outperforms previous semantic segmentation-based methods. Our method further provides a more informative output of instance level information, while retaining a precise segmentation mask. Finally, we have shown that robotic instrument priors can be used to further increase the performance.
Date Issued
2021-07
Publication Type
Article
Subject(s)
500 Science > 570 Life sciences; biology
600 Technology > 610 Medicine & health
Subjects
Deep learning Instance segmentation Surgical robotics
Language(s)
en
Author(s)
Kurmann, Thomas Kevin  
ARTORG Center - Ophthalmic Technology Lab  
ARTORG Center for Biomedical Engineering Research  
ARTORG Center - Artificial Intelligence in Medical Image Computing  
Márquez Neila, Pablo  
ARTORG Center - Artificial Intelligence in Medical Image Computing  
ARTORG Center for Biomedical Engineering Research  
Allan, Max
Wolf, Sebastian  
Universitätsklinik für Augenheilkunde  
Sznitman, Raphael  
ARTORG Center - Artificial Intelligence in Medical Image Computing  
Additional Credits
ARTORG Center for Biomedical Engineering Research  
ARTORG Center - Ophthalmic Technology Lab  
ARTORG Center - Artificial Intelligence in Medical Image Computing  
Universitätsklinik für Augenheilkunde  
Journal
International journal of computer assisted radiology and surgery
Publisher
Springer
ISSN
1861-6429
Access(Rights)
open.access
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