Key result
Trans-SVNet achieved a Jaccard index of 79.3% on the Cholec80 dataset, significantly outperforming the TeCNO model (75.1%) for real-time surgical phase recognition at 91 fps.
Why the study?
Previous surgical phase recognition architectures did not consider the supportive benefits of intermediate spatial features or the complementary effects of spatial and temporal features.
Absolute Event Rate: 79.3% vs 75.1%
p-value: p=2e-7
Trans-SVNet introduces a Transformer-based architecture for real-time surgical phase recognition that achieves high accuracy and inference speed.
May aid real-time OR phase recognition; leaves open prospective validation before clinical use.
Real-time surgical phase recognition is a fundamental task in modern operating rooms. Previous works tackle this task relying on architectures arranged in spatio-temporal order, however, the supportive benefits of intermediate spatial features are not considered. In this paper, we introduce, for the first time in surgical workflow analysis, Transformer to reconsider the ignored complementary effects of spatial and temporal features for accurate surgical phase recognition. Our hybrid embedding aggregation Transformer fuses cleverly designed spatial and temporal embeddings by allowing for active queries based on spatial information from temporal embedding sequences. More importantly, our framework processes the hybrid embeddings in parallel to achieve a high inference speed. Our method is thoroughly validated on two large surgical video datasets, i.e., Cholec80 and M2CAI16 Challenge datasets, and outperforms the state-of-the-art approaches at a processing speed of 91 fps.
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Gao et al. (2021) studied cholecystectomy procedures (n=121). Trans-SVNet vs. TeCNO and other state-of-the-art models was evaluated on Jaccard index on Cholec80 dataset (p=2e-7). Trans-SVNet achieved a Jaccard index of 79.3% on the Cholec80 dataset, significantly outperforming the TeCNO model (75.1%) for real-time surgical phase recognition at 91 fps.
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