RoHan: Robust Hand Detection in Operation Room

Hand-specific localization has garnered significant interest within the computer vision community. Although there are numerous datasets with hand annotations from various angles and settings, domain transfer techniques frequently struggle in surgical environments. This is mainly due to the limited availability of gloved hand instances and the unique challenges of operating rooms (ORs). Thus, hand-detection models tailored to OR settings require extensive training and expensive annotation processes. To overcome these challenges, we present "RoHan" - a novel approach for robust hand detection in the OR, leveraging advanced semi-supervised domain adaptation techniques to tackle the challenges of varying recording conditions, diverse glove colors, and occlusions common in surgical settings. Our methodology encompasses two main stages: (1) data augmentation strategy that utilizes "Artificial Gloves," a method for augmenting publicly available hand datasets with synthetic images of hands-wearing gloves; (2) semi-supervised domain adaptation pipeline that improves detection performance in real-world OR settings through iterative prediction refinement and efficient frame filtering. We evaluate our method using two datasets: simulated enterotomy repair and saphenous vein graft harvesting. "RoHan" substantially reduces the need for extensive labeling and model training, paving the way for the practical implementation of hand detection technologies in medical settings.

Monocular pose estimation of articulated surgical instruments in open surgery

This work presents a novel approach to monocular 6D pose estimation of surgical instruments in open surgery, addressing challenges such as object articulations, symmetries, occlusions, and lack of annotated real-world data. The method leverages synthetic data generation and domain adaptation techniques to overcome these obstacles. The proposed approach consists of three main components: (1) synthetic data generation using 3D modeling of surgical tools with articulation rigging and physically-based rendering; (2) a tailored pose estimation framework combining object detection with pose estimation and a hybrid geometric fusion strategy; and (3) a training strategy that utilizes both synthetic and real unannotated data, employing domain adaptation on real video data using automatically generated pseudo-labels. Evaluations conducted on videos of open surgery demonstrate the good performance and real-world applicability of the proposed method, highlighting its potential for integration into medical augmented reality and robotic systems. The approach eliminates the need for extensive manual annotation of real surgical data.