Title
Point detection through multi-instance deep heatmap regression for sutures in endoscopy
Abstract
Purpose: Mitral valve repair is a complex minimally invasive surgery of the heart valve. In this context, suture detection from endoscopic images is a highly relevant task that provides quantitative information to analyse suturing patterns, assess prosthetic configurations and produce augmented reality visualisations. Facial or anatomical landmark detection tasks typically contain a fixed number of landmarks, and use regression or fixed heatmap-based approaches to localize the landmarks. However in endoscopy, there are a varying number of sutures in every image, and the sutures may occur at any location in the annulus, as they are not semantically unique. Method: In this work, we formulate the suture detection task as a multi-instance deep heatmap regression problem, to identify entry and exit points of sutures. We extend our previous work, and introduce the novel use of a 2D Gaussian layer followed by a differentiable 2D spatial Soft-Argmax layer to function as a local non-maximum suppression. Results: We present extensive experiments with multiple heatmap distribution functions and two variants of the proposed model. In the intra-operative domain, Variant 1 showed a mean F-1 of +0.0422 over the baseline. Similarly, in the simulator domain, Variant 1 showed a mean F-1 of +0.0865 over the baseline. Conclusion: The proposed model shows an improvement over the baseline in the intra-operative and the simulator domains. The data is made publicly available within the scope of the MICCAI AdaptOR2021 Challenge https://adaptor2021.github.io/, and the code at https://github.com/Cardio-AI/suture-detection-pytorch/.
Year
DOI
Venue
2021
10.1007/s11548-021-02523-w
INTERNATIONAL JOURNAL OF COMPUTER ASSISTED RADIOLOGY AND SURGERY
Keywords
DocType
Volume
Point detection, Mitral valve repair, Endoscopy
Journal
16
Issue
ISSN
Citations 
12
1861-6410
0
PageRank 
References 
Authors
0.34
0
7
Name
Order
Citations
PageRank
Lalith Sharan132.13
Gabriele Romano200.34
Julian Brand300.34
Halvar Kelm400.34
Matthias Karck5146.97
Raffaele De Simone64117.95
Sandy Engelhardt72913.14