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1.
NPJ Digit Med ; 7(1): 152, 2024 Jun 11.
Article in English | MEDLINE | ID: mdl-38862627

ABSTRACT

Suturing skill scores have demonstrated strong predictive capabilities for patient functional recovery. The suturing can be broken down into several substep components, including needle repositioning, needle entry angle, etc. Artificial intelligence (AI) systems have been explored to automate suturing skill scoring. Traditional approaches to skill assessment typically focus on evaluating individual sub-skills required for particular substeps in isolation. However, surgical procedures require the integration and coordination of multiple sub-skills to achieve successful outcomes. Significant associations among the technical sub-skill have been established by existing studies. In this paper, we propose a framework for joint skill assessment that takes into account the interconnected nature of sub-skills required in surgery. The prior known relationships among sub-skills are firstly identified. Our proposed AI system is then empowered by the prior known relationships to perform the suturing skill scoring for each sub-skill domain simultaneously. Our approach can effectively improve skill assessment performance through the prior known relationships among sub-skills. Through the proposed approach to joint skill assessment, we aspire to enhance the evaluation of surgical proficiency and ultimately improve patient outcomes in surgery.

2.
Article in English | MEDLINE | ID: mdl-38090869

ABSTRACT

Deep learning models, though having achieved great success in many different fields over the past years, are usually data-hungry, fail to perform well on unseen samples, and lack interpretability. Different kinds of prior knowledge often exists in the target domain, and their use can alleviate the deficiencies with deep learning. To better mimic the behavior of human brains, different advanced methods have been proposed to identify domain knowledge and integrate it into deep models for data-efficient, generalizable, and interpretable deep learning, which we refer to as knowledge-augmented deep learning (KADL). In this survey, we define the concept of KADL and introduce its three major tasks, i.e., knowledge identification, knowledge representation, and knowledge integration. Different from existing surveys that are focused on a specific type of knowledge, we provide a broad and complete taxonomy of domain knowledge and its representations. Based on our taxonomy, we provide a systematic review of existing techniques, different from existing works that survey integration approaches agnostic to the taxonomy of knowledge. This survey subsumes existing works and offers a bird's-eye view of research in the general area of KADL. The thorough and critical reviews of numerous papers help not only understand current progress but also identify future directions for the research on KADL.

3.
AMIA Annu Symp Proc ; 2023: 550-558, 2023.
Article in English | MEDLINE | ID: mdl-38222355

ABSTRACT

Ovarian cancer, a potentially life-threatening disease, is often difficult to treat. There is a critical need for innovations that can assist in improved therapy selection. Although deep learning models are showing promising results, they are employed as a "black-box" and require enormous amounts of data. Therefore, we explore the transferable and interpretable prediction of treatment effectiveness for ovarian cancer patients. Unlike existing works focusing on histopathology images, we propose a multimodal deep learning framework which takes into account not only large histopathology images, but also clinical variables to increase the scope of the data. The results demonstrate that the proposed models achieve high prediction accuracy and interpretability, and can also be transferred to other cancer datasets without significant loss of performance.


Subject(s)
Deep Learning , Ovarian Neoplasms , Humans , Female , Treatment Outcome , Ovarian Neoplasms/diagnosis , Ovarian Neoplasms/therapy
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