ABSTRACT
BACKGROUND: The primary surgical approach for removing adrenal masses is minimally invasive adrenalectomy. Recognition of anatomical landmarks during surgery is critical for minimizing complications. Artificial intelligence-based tools can be utilized to create real-time navigation systems during laparoscopic and robotic right adrenalectomy. In this study, we aimed to develop deep learning models that can identify critical anatomical structures during minimally invasive right adrenalectomy. METHODS: In this experimental feasibility study, intraoperative videos of 20 patients who underwent minimally invasive right adrenalectomy in a tertiary care center between 2011 and 2023 were analyzed and used to develop an artificial intelligence-based anatomical landmark recognition system. Semantic segmentation of the liver, the inferior vena cava (IVC), and the right adrenal gland were performed. Fifty random images per patient during the dissection phase were extracted from videos. The experiments on the annotated images were performed on two state-of-the-art segmentation models named SwinUNETR and MedNeXt, which are transformer and convolutional neural network (CNN)-based segmentation architectures, respectively. Two loss function combinations, Dice-Cross Entropy and Dice-Focal Loss were experimented with for both of the models. The dataset was split into training and validation subsets with an 80:20 distribution on a patient basis in a 5-fold cross-validation approach. To introduce a sample variability to the dataset, strong-augmentation techniques were performed using intensity modifications and perspective transformations to represent different surgery environment scenarios. The models were evaluated by Dice Similarity Coefficient (DSC) and Intersection over Union (IoU) which are widely used segmentation metrics. For pixelwise classification performance, accuracy, sensitivity and specificity metrics were calculated on the validation subset. RESULTS: Out of 20 videos, 1000 images were extracted, and the anatomical landmarks (liver, IVC, and right adrenal gland) were annotated. Randomly distributed 800 images and 200 images were selected for the training and validation subsets, respectively. Our benchmark results show that the utilization of Dice-Cross Entropy Loss with the transformer-based SwinUNETR model achieved 78.37%, whereas the CNN-based MedNeXt model reached a 77.09% mDSC score. Conversely, MedNeXt reaches a higher mIoU score of 63.71% than SwinUNETR by 62.10% on a three-region prediction task. CONCLUSION: Artificial intelligence-based systems can predict anatomical landmarks with high performance in minimally invasive right adrenalectomy. Such tools can later be used to create real-time navigation systems during surgery in the near future.
ABSTRACT
The emergence of COVID-19 has had a global and profound impact, not only on society as a whole, but also on the lives of individuals. Various prevention measures were introduced around the world to limit the transmission of the disease, including face masks, mandates for social distancing and regular disinfection in public spaces, and the use of screening applications. These developments also triggered the need for novel and improved computer vision techniques capable of ( i ) providing support to the prevention measures through an automated analysis of visual data, on the one hand, and ( ii ) facilitating normal operation of existing vision-based services, such as biometric authentication schemes, on the other. Especially important here, are computer vision techniques that focus on the analysis of people and faces in visual data and have been affected the most by the partial occlusions introduced by the mandates for facial masks. Such computer vision based human analysis techniques include face and face-mask detection approaches, face recognition techniques, crowd counting solutions, age and expression estimation procedures, models for detecting face-hand interactions and many others, and have seen considerable attention over recent years. The goal of this survey is to provide an introduction to the problems induced by COVID-19 into such research and to present a comprehensive review of the work done in the computer vision based human analysis field. Particular attention is paid to the impact of facial masks on the performance of various methods and recent solutions to mitigate this problem. Additionally, a detailed review of existing datasets useful for the development and evaluation of methods for COVID-19 related applications is also provided. Finally, to help advance the field further, a discussion on the main open challenges and future research direction is given at the end of the survey. This work is intended to have a broad appeal and be useful not only for computer vision researchers but also the general public.
ABSTRACT
Health organizations advise social distancing, wearing face mask, and avoiding touching face to prevent the spread of coronavirus. Based on these protective measures, we developed a computer vision system to help prevent the transmission of COVID-19. Specifically, the developed system performs face mask detection, face-hand interaction detection, and measures social distance. To train and evaluate the developed system, we collected and annotated images that represent face mask usage and face-hand interaction in the real world. Besides assessing the performance of the developed system on our own datasets, we also tested it on existing datasets in the literature without performing any adaptation on them. In addition, we proposed a module to track social distance between people. Experimental results indicate that our datasets represent the real-world's diversity well. The proposed system achieved very high performance and generalization capacity for face mask usage detection, face-hand interaction detection, and measuring social distance in a real-world scenario on unseen data. The datasets are available at https://github.com/iremeyiokur/COVID-19-Preventions-Control-System.
ABSTRACT
Anomalies are ubiquitous in all scientific fields and can express an unexpected event due to incomplete knowledge about the data distribution or an unknown process that suddenly comes into play and distorts the observations. Usually, due to such events' rarity, to train deep learning (DL) models on the anomaly detection (AD) task, scientists only rely on "normal" data, i.e., nonanomalous samples. Thus, letting the neural network infer the distribution beneath the input data. In such a context, we propose a novel framework, named multilayer one-class classification (MOCCA), to train and test DL models on the AD task. Specifically, we applied our approach to autoencoders. A key novelty in our work stems from the explicit optimization of the intermediate representations for the task at hand. Indeed, differently from commonly used approaches that consider a neural network as a single computational block, i.e., using the output of the last layer only, MOCCA explicitly leverages the multilayer structure of deep architectures. Each layer's feature space is optimized for AD during training, while in the test phase, the deep representations extracted from the trained layers are combined to detect anomalies. With MOCCA, we split the training process into two steps. First, the autoencoder is trained on the reconstruction task only. Then, we only retain the encoder tasked with minimizing the L2 distance between the output representation and a reference point, the anomaly-free training data centroid, at each considered layer. Subsequently, we combine the deep features extracted at the various trained layers of the encoder model to detect anomalies at inference time. To assess the performance of the models trained with MOCCA, we conduct extensive experiments on publicly available datasets, namely CIFAR10, MVTec AD, and ShanghaiTech. We show that our proposed method reaches comparable or superior performance to state-of-the-art approaches available in the literature. Finally, we provide a model analysis to give insights regarding the benefits of our training procedure.
