Evidence map›Paper›PMID 35266049›Full record

ArticleSurgical endoscopy2022

Artificial intelligence software available for medical devices: surgical phase recognition in laparoscopic cholecystectomy.

Ken'ichi Shinozuka, Sayaka Turuda, Atsuro Fujinaga, Hiroaki Nakanuma, Masahiro Kawamura, Yusuke Matsunobu, Yuki Tanaka, Toshiya Kamiyama, Kohei Ebe, Yuichi Endo and 3 more

Abstract read
In one paragraph

Article in Surgical endoscopy, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
–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

22 citing papers in PubMed.

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  18. Automatic surgical phase recognition-based skill assessment in laparoscopic distal gastrectomy using multicenter videos.Gastric cancer : official journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association · 2024
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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

13 authors.

Ken'ichi ShinozukaFaculty of Information Engineering, Department of Information and Systems Engineering, Fukuoka Institute of Technology, 1-30-1 Wajiro higashi, Higashi-ku, Fukuoka, Fukuoka, 811-0295, Japan.
Sayaka TurudaFaculty of Information Engineering, Department of Information and Systems Engineering, Fukuoka Institute of Technology, 1-30-1 Wajiro higashi, Higashi-ku, Fukuoka, Fukuoka, 811-0295, Japan.
Atsuro FujinagaFaculty of Medicine, Department of Gastroenterological and Pediatric Surgery, Oita University, Oita, Japan.
Hiroaki NakanumaFaculty of Medicine, Department of Gastroenterological and Pediatric Surgery, Oita University, Oita, Japan.
Masahiro KawamuraFaculty of Medicine, Department of Gastroenterological and Pediatric Surgery, Oita University, Oita, Japan.
Yusuke MatsunobuFaculty of Information Engineering, Department of Information and Systems Engineering, Fukuoka Institute of Technology, 1-30-1 Wajiro higashi, Higashi-ku, Fukuoka, Fukuoka, 811-0295, Japan.
Yuki TanakaCustomer Solutions Development, Platform Technology, Olympus Technologies Asia, Olympus Corporation, Tokyo, Japan.
Toshiya KamiyamaCustomer Solutions Development, Platform Technology, Olympus Technologies Asia, Olympus Corporation, Tokyo, Japan.
Kohei EbeCustomer Solutions Development, Platform Technology, Olympus Technologies Asia, Olympus Corporation, Tokyo, Japan.
Yuichi EndoFaculty of Medicine, Department of Gastroenterological and Pediatric Surgery, Oita University, Oita, Japan.
Tsuyoshi EtohFaculty of Medicine, Department of Gastroenterological and Pediatric Surgery, Oita University, Oita, Japan.
Masafumi InomataFaculty of Medicine, Department of Gastroenterological and Pediatric Surgery, Oita University, Oita, Japan.
Tatsushi TokuyasuFaculty of Information Engineering, Department of Information and Systems Engineering, Fukuoka Institute of Technology, 1-30-1 Wajiro higashi, Higashi-ku, Fukuoka, Fukuoka, 811-0295, Japan. tokuyasu@fit.ac.jp.ORCID http://orcid.org/0000-0002-7805-2463

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSurgical process modeling automatically identifies surgical phases, and further improvement in recognition accuracy is expected with deep learning. Surgical tool or time series information has been used to improve the recognition accuracy of a model. However, it is difficult to collect this information continuously intraoperatively. The present study aimed to develop a deep convolution neural network (CNN) model that correctly identifies the surgical phase during laparoscopic cholecystectomy (LC).

methodsWe divided LC into six surgical phases (P1-P6) and one redundant phase (P0). We prepared 115 LC videos and converted them to image frames at 3 fps. Three experienced doctors labeled the surgical phases in all image frames. Our deep CNN model was trained with 106 of the 115 annotation datasets and was evaluated with the remaining datasets. By depending on both the prediction probability and frequency for a certain period, we aimed for highly accurate surgical phase recognition in the operation room.

resultsNine full LC videos were converted into image frames and were fed to our deep CNN model. The average accuracy, precision, and recall were 0.970, 0.855, and 0.863, respectively.

conclusionThe deep learning CNN model in this study successfully identified both the six surgical phases and the redundant phase, P0, which may increase the versatility of the surgical process recognition model for clinical use. We believe that this model can be used in artificial intelligence for medical devices. The degree of recognition accuracy is expected to improve with developments in advanced deep learning algorithms.

Indexed as

Artificial IntelligenceCholecystectomy, LaparoscopicAlgorithmsHumansNeural Networks, ComputerSoftwareArtificial intelligenceDeep learningImage classificationLaparoscopic cholecystectomyPhase recognitionSurgical data science

Identifiers

PMID35266049
PMCPMC9485170

What OpenQuestion holds

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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.