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外科手术中的计算机视觉:从潜力到临床价值。

Computer vision in surgery: from potential to clinical value.

作者信息

Mascagni Pietro, Alapatt Deepak, Sestini Luca, Altieri Maria S, Madani Amin, Watanabe Yusuke, Alseidi Adnan, Redan Jay A, Alfieri Sergio, Costamagna Guido, Boškoski Ivo, Padoy Nicolas, Hashimoto Daniel A

机构信息

Gemelli Hospital, Catholic University of the Sacred Heart, Rome, Italy.

IHU-Strasbourg, Institute of Image-Guided Surgery, Strasbourg, France.

出版信息

NPJ Digit Med. 2022 Oct 28;5(1):163. doi: 10.1038/s41746-022-00707-5.


DOI:10.1038/s41746-022-00707-5
PMID:36307544
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9616906/
Abstract

Hundreds of millions of operations are performed worldwide each year, and the rising uptake in minimally invasive surgery has enabled fiber optic cameras and robots to become both important tools to conduct surgery and sensors from which to capture information about surgery. Computer vision (CV), the application of algorithms to analyze and interpret visual data, has become a critical technology through which to study the intraoperative phase of care with the goals of augmenting surgeons' decision-making processes, supporting safer surgery, and expanding access to surgical care. While much work has been performed on potential use cases, there are currently no CV tools widely used for diagnostic or therapeutic applications in surgery. Using laparoscopic cholecystectomy as an example, we reviewed current CV techniques that have been applied to minimally invasive surgery and their clinical applications. Finally, we discuss the challenges and obstacles that remain to be overcome for broader implementation and adoption of CV in surgery.

摘要

全球每年进行数亿次手术,随着微创手术的日益普及,光纤摄像头和机器人已成为手术的重要工具以及获取手术信息的传感器。计算机视觉(CV),即将算法应用于分析和解释视觉数据,已成为一项关键技术,通过它可以研究术中护理阶段,旨在增强外科医生的决策过程、支持更安全的手术并扩大手术护理的可及性。虽然已经针对潜在用例开展了大量工作,但目前尚无广泛用于手术诊断或治疗应用的CV工具。以腹腔镜胆囊切除术为例,我们回顾了目前已应用于微创手术的CV技术及其临床应用。最后,我们讨论了在手术中更广泛地实施和采用CV仍需克服的挑战和障碍。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/69d1/9616906/758b06d92035/41746_2022_707_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/69d1/9616906/168e8ebc3fff/41746_2022_707_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/69d1/9616906/3869555663ca/41746_2022_707_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/69d1/9616906/758b06d92035/41746_2022_707_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/69d1/9616906/168e8ebc3fff/41746_2022_707_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/69d1/9616906/3869555663ca/41746_2022_707_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/69d1/9616906/758b06d92035/41746_2022_707_Fig3_HTML.jpg

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Computer vision in surgery: from potential to clinical value.

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[10]
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本文引用的文献

[1]
Live laparoscopic video retrieval with compressed uncertainty.

Med Image Anal. 2023-8

[2]
Federated Cycling (FedCy): Semi-Supervised Federated Learning of Surgical Phases.

IEEE Trans Med Imaging. 2023-7

[3]
Surgical reporting for laparoscopic cholecystectomy based on phase annotation by a convolutional neural network (CNN) and the phenomenon of phase flickering: a proof of concept.

Int J Comput Assist Radiol Surg. 2022-11

[4]
AI recognition of patient race in medical imaging: a modelling study.

Lancet Digit Health. 2022-6

[5]
The association between video-based assessment of intraoperative technical performance and patient outcomes: a systematic review.

Surg Endosc. 2022-11

[6]
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Med Image Anal. 2022-5

[7]
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Lancet Digit Health. 2022-5

[8]
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Surg Endosc. 2022-11

[9]
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Int J Comput Assist Radiol Surg. 2022-3

[10]
Artificial intelligence prediction of cholecystectomy operative course from automated identification of gallbladder inflammation.

Surg Endosc. 2022-9

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