Evidence map›Paper›PMID 34165672›Full record

ArticleInternational journal of computer assisted radiology and surgery2021

Real-time deep learning semantic segmentation during intra-operative surgery for 3D augmented reality assistance.

Leonardo Tanzi, Pietro Piazzolla, Francesco Porpiglia, Enrico Vezzetti

Abstract read
In one paragraph

Article in International journal of computer assisted radiology and surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
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  3. Article
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  6. Artificial intelligence in urology training Enhancing annotation, feedback, and evaluation in robotic, laparoscopic, and endoscopic surgery.Canadian Urological Association journal = Journal de l'Association des urologues du Canada · 2026
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  7. Article
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  12. An augmented reality overlay for navigated prostatectomy using fiducial-free 2D-3D registration.International journal of computer assisted radiology and surgery · 2025
    Article
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  15. A Self-Configuring Deep Learning Network for Segmentation of Temporal Bone Anatomy in Cone-Beam CT Imaging.Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery · 2023
    Article
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  18. A deep learning framework for real-time 3D model registration in robot-assisted laparoscopic surgery.The international journal of medical robotics + computer assisted surgery : MRCAS · 2022
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  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Leonardo TanziDepartment of Management, Production and Design Engineering, Polytechnic University of Turin, Turin, Italy. leonardo.tanzi@polito.it.ORCID http://orcid.org/0000-0002-8813-6388
Pietro PiazzollaDepartment of Management, Production and Design Engineering, Polytechnic University of Turin, Turin, Italy.
Francesco PorpigliaDivision of Urology, Department of Oncology, School of Medicine, University of Turin, Turin, Italy.
Enrico VezzettiDepartment of Management, Production and Design Engineering, Polytechnic University of Turin, Turin, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe current study aimed to propose a Deep Learning (DL) and Augmented Reality (AR) based solution for a in-vivo robot-assisted radical prostatectomy (RARP), to improve the precision of a published work from our group. We implemented a two-steps automatic system to align a 3D virtual ad-hoc model of a patient's organ with its 2D endoscopic image, to assist surgeons during the procedure.

methodsThis approach was carried out using a Convolutional Neural Network (CNN) based structure for semantic segmentation and a subsequent elaboration of the obtained output, which produced the needed parameters for attaching the 3D model. We used a dataset obtained from 5 endoscopic videos (A, B, C, D, E), selected and tagged by our team's specialists. We then evaluated the most performing couple of segmentation architecture and neural network and tested the overlay performances.

resultsU-Net stood out as the most effecting architectures for segmentation. ResNet and MobileNet obtained similar Intersection over Unit (IoU) results but MobileNet was able to elaborate almost twice operations per seconds. This segmentation technique outperformed the results from the former work, obtaining an average IoU for the catheter of 0.894 (σ = 0.076) compared to 0.339 (σ = 0.195). This modifications lead to an improvement also in the 3D overlay performances, in particular in the Euclidean Distance between the predicted and actual model's anchor point, from 12.569 (σ= 4.456) to 4.160 (σ = 1.448) and in the Geodesic Distance between the predicted and actual model's rotations, from 0.266 (σ = 0.131) to 0.169 (σ = 0.073).

conclusionThis work is a further step through the adoption of DL and AR in the surgery domain. In future works, we will overcome the limits of this approach and finally improve every step of the surgical procedure.

Indexed as

Augmented RealityDeep LearningHumansImage Processing, Computer-AssistedMaleNeural Networks, ComputerSemanticsDeep learningIntra-operativeNeural networkSemantic segmentation

Identifiers

PMID34165672
PMCPMC8354939

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.