Evidence map›Paper›PMID 37370585›Full record

ArticleBioengineering (Basel, Switzerland)2023

Surgical Phase Recognition in Inguinal Hernia Repair-AI-Based Confirmatory Baseline and Exploration of Competitive Models.

Chengbo Zang, Mehmet Kerem Turkcan, Sanjeev Narasimhan, Yuqing Cao, Kaan Yarali, Zixuan Xiang, Skyler Szot, Feroz Ahmad, Sarah Choksi, Daniel P Bitner and 2 more

Abstract read
In one paragraph

Article in Bioengineering (Basel, Switzerland), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 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

12 citing papers in PubMed, 1 synthesis or guideline pooled it.

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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

12 authors.

Chengbo ZangDepartment of Electrical Engineering, Columbia University, New York, NY 10027, USA.
Mehmet Kerem TurkcanDepartment of Electrical Engineering, Columbia University, New York, NY 10027, USA.
Sanjeev NarasimhanDepartment of Computer Science, Columbia University, New York, NY 10027, USA.ORCID 0009-0004-9253-8859
Yuqing CaoDepartment of Electrical Engineering, Columbia University, New York, NY 10027, USA.
Kaan YaraliDepartment of Electrical Engineering, Columbia University, New York, NY 10027, USA.
Zixuan XiangDepartment of Electrical Engineering, Columbia University, New York, NY 10027, USA.
Skyler SzotDepartment of Electrical Engineering, Columbia University, New York, NY 10027, USA.
Feroz AhmadDepartment of Computer Science, Columbia University, New York, NY 10027, USA.ORCID 0000-0002-0191-2891
Sarah ChoksiIntraoperative Performance Analytics Laboratory (IPAL), Lenox Hill Hospital, New York, NY 10021, USA.ORCID 0009-0004-2549-7647
Daniel P BitnerIntraoperative Performance Analytics Laboratory (IPAL), Lenox Hill Hospital, New York, NY 10021, USA.ORCID 0000-0003-0776-3118
Filippo FilicoriIntraoperative Performance Analytics Laboratory (IPAL), Lenox Hill Hospital, New York, NY 10021, USA.
Zoran KosticDepartment of Electrical Engineering, Columbia University, New York, NY 10027, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Video-recorded robotic-assisted surgeries allow the use of automated computer vision and artificial intelligence/deep learning methods for quality assessment and workflow analysis in surgical phase recognition. We considered a dataset of 209 videos of robotic-assisted laparoscopic inguinal hernia repair (RALIHR) collected from 8 surgeons, defined rigorous ground-truth annotation rules, then pre-processed and annotated the videos. We deployed seven deep learning models to establish the baseline accuracy for surgical phase recognition and explored four advanced architectures. For rapid execution of the studies, we initially engaged three dozen MS-level engineering students in a competitive classroom setting, followed by focused research. We unified the data processing pipeline in a confirmatory study, and explored a number of scenarios which differ in how the DL networks were trained and evaluated. For the scenario with 21 validation videos of all surgeons, the Video Swin Transformer model achieved ~0.85 validation accuracy, and the Perceiver IO model achieved ~0.84. Our studies affirm the necessity of close collaborative research between medical experts and engineers for developing automated surgical phase recognition models deployable in clinical settings.

Indexed as

AIcomputer visionconvolutional neural networkdeep learninginguinal hernia repairrobotic-assisted laparoscopic surgerysurgical phase recognitiontransformers

Identifiers

PMID37370585
PMCPMC10295003

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.