Title | ||
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Point detection through multi-instance deep heatmap regression for sutures in endoscopy |
Abstract | ||
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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 |
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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 Sharan | 1 | 3 | 2.13 |
Gabriele Romano | 2 | 0 | 0.34 |
Julian Brand | 3 | 0 | 0.34 |
Halvar Kelm | 4 | 0 | 0.34 |
Matthias Karck | 5 | 14 | 6.97 |
Raffaele De Simone | 6 | 41 | 17.95 |
Sandy Engelhardt | 7 | 29 | 13.14 |