Cited by 182Surgical Simulation and TrainingVideo Analysis and SummarizationImage Retrieval and Classification Techniques

Learning laparoscopic video shot classification for gynecological surgery

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Petscharnig, Stefan, Schöffmann, Klaus·2018·Multimedia Tools and Applications

Abstract

Videos of endoscopic surgery are used for education of medical experts, analysis in medical research, and documentation for everyday clinical life. Hand-crafted image descriptors lack the capabilities of a semantic classification of surgical actions and video shots of anatomical structures. In this work, we investigate how well single-frame convolutional neural networks (CNN) for semantic shot classification in gynecologic surgery work. Together with medical experts, we manually annotate hours of raw endoscopic gynecologic surgery videos showing endometriosis treatment and myoma resection of over 100 patients. The cleaned ground truth dataset comprises 9 h of annotated video material (from 111 different recordings). We use the well-known CNN architectures AlexNet and GoogLeNet and train these architectures for both, surgical actions and anatomy, from scratch. Furthermore, we extract high-level features from AlexNet with weights from a pre-trained model from the Caffe model zoo and feed them to an SVM classifier. Our evaluation shows that we reach an average recall of .697 and .515 for classification of anatomical structures and surgical actions respectively using off-the-shelf CNN features. Using GoogLeNet, we achieve a mean recall of .782 and .617 for classification of anatomical structures and surgical actions respectively. With AlexNet the achieved recall is .615 for anatomical structures and .469 for surgical action classification respectively. The main conclusion of our work is that advances in general image classification methods transfer to the domain of endoscopic surgery videos in gynecology. This is relevant as this domain is different from natural images, e.g. it is distinguished by smoke, reflections, or a limited amount of colors.

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  • A group at Alpen-Adria Universität Klagenfurt uses surgery videos as training material to identify a specific intervention made by the surgeon; the algorithm recognizes the likelihood of the intervention and the specific region in the body.

    “An example of this is a group at the Institute of Information Technology at the Alpen-Adria Universität Klagenfurt that uses surgery videos as training material in order to identify a specific intervention made by the surgeon. For example, when an act of dissection or cutting is performed on the patient’s tissues or organs, the algorithm recognizes the likelihood of the intervention as well as the”

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  1. Stefan Petscharnig started his studies of computer science in 2010 at AAU Klagenfurt. He received his bachelor's degree in 2014 and his master's degree in 2015 from AAU Klagenfurt. In his master's thesis he investigated the impact of asynchronism on the Quality of Experience in social TV like scenarios using methods from Crowdsourcing, Human Computation, and Gamification. He was occupied as student research assisstant and after graduation as project assistant for the AdvUHD-DASH project in 2015. Since 2016, he works in the KISMET research project with a focus on the analysis of endoscopic video data using machine learning.
  2. Dr. Klaus Schöffmann is an Associate Professor in the distributed multimedia systems research group at the Institute of Information Technology (ITEC) at Klagenfurt University, Austria. He received his Ph.D. in 2009 and his Habilitation (venia docendi) in 2015, both in Computer Science and from Klagenfurt Uni- versity. His research focuses on human-computer interaction with multimedia data (e.g., video browsing), multimedia content analysis, and multimedia systems (particularly in the mobile and medical domain). He has co-authored more than 80 publications on various topics in multimedia and he has co-organized interna- tional conferences, special sessions and workshops (e.g., MMM 2012, CBMI 2013, VisHMC 2014, MMC 2014, MMC 2015, and MMC 2016). He is co-founder of the Video Browser Showdown (VBS), an editorial board member of the Springer International Journal on Multimedia Tools and Applications (MTAP), Springer International Journal on Multimedia Systems, and a steering committee member of the International Confer- ence on MultiMedia Modelling (MMM). Additionally, he is member of the IEEE and the ACM and a regular reviewer for international conferences and journals in the field of multimedia. Prof. Schoeffmann teaches various courses in computer science, including mobile app development (interactive multimedia applica- tions), video retrieval, media technology, distributed systems, distributed multimedia systems, and operating systems.

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Authors
Petscharnig, S., & Schöffmann, K.
Affiliations
University of Klagenfurt (AT)
Corresponding author
Petscharnig, Stefan
Venue
Multimedia Tools and Applications
Published
2017-04-22
Volume
77
Issue
7
Pages
8061-8079
ISSN
  • 1380-7501 (ISSN-L)
  • 1573-7721
OpenAlex
W2606308270
Cited by
182
References
32
Citations by year
2026: 2 · 2025: 7 · 2024: 3 · 2023: 7 · 2022: 9 · 2021: 28 · 2020: 34 · 2019: 55 · 2018: 31 · 2017: 6
FWCI
35.41
Type
journal article
Language
en
Open access
Locations
Multimedia Tools and Applications (publishedVersion, cc-by)
Funders
University of Klagenfurt
Topics
  • Health Sciences › Medicine › Surgery › Surgical Simulation and Training
  • Physical Sciences › Computer Science › Computer Vision and Pattern Recognition › Video Analysis and Summarization
  • Physical Sciences › Computer Science › Computer Vision and Pattern Recognition › Image Retrieval and Classification Techniques
Keywords
laparoscopic video, gynecologic surgery, endometriosis treatment, medical image annotation, transfer learning, AlexNet, GoogLeNet, support vector machine classification

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