SPRMamba: Surgical Phase Recognition for Endoscopic Submucosal Dissection with Mamba

Endoscopic Submucosal Dissection (ESD) is a minimally invasive procedure initially designed for the treatment of early gastric cancer but is now widely used for various gastrointestinal lesions. Computer-assisted Surgery systems have played a crucial role in improving the precision and safety of ESD procedures, however, their effectiveness is limited by the accurate recognition of surgical phases. The intricate nature of ESD, with different lesion characteristics and tissue structures, presents challenges for real-time surgical phase recognition algorithms. Existing surgical phase recognition algorithms struggle to efficiently capture temporal contexts in video-based scenarios, leading to insufficient performance. To address these issues, we propose SPRMamba, a novel Mamba-based framework for ESD surgical phase recognition. SPRMamba leverages the strengths of Mamba for long-term temporal modeling while introducing the Scaled Residual TranMamba block to enhance the capture of fine-grained details, overcoming the limitations of traditional temporal models like Temporal Convolutional Networks and Transformers. Moreover, a Temporal Sample Strategy is introduced to accelerate the processing, which is essential for real-time phase recognition in clinical settings. Extensive testing on the ESD385 dataset and the cholecystectomy Cholec80 dataset demonstrates that SPRMamba surpasses existing state-of-the-art methods and exhibits greater robustness across various surgical phase recognition tasks.

Real-time automatic polyp detection in colonoscopy using feature enhancement module and spatiotemporal similarity correlation unit

Automatic detection of polyps is challenging because different polyps vary greatly, while the changes between polyps and their analogues are small. The state-of-the-art methods are based on convolutional neural networks (CNNs). However, they may fail due to lack of training data, resulting in high rates of missed detection and false positives (FPs). In order to solve these problems, our method combines the two-dimensional (2-D) CNN-based real-time object detector network with spatiotemporal information. Firstly, we use a 2-D detector network to detect static images and frames, and based on the detector network, we propose two feature enhancement modules-the FP Relearning Module (FPRM) to make the detector network learning more about the features of FPs for higher precision, and the Image Style Transfer Module (ISTM) to enhance the features of polyps for sensitivity improvement. In video detection, we integrate spatiotemporal information, which uses Structural Similarity (SSIM) to measure the similarity between video frames. Finally, we propose the Inter-frame Similarity Correlation Unit (ISCU) to combine the results obtained by the detector network and frame similarity to make the final decision. We verify our method on both private databases and publicly available databases. Experimental results show that these modules and units provide a performance improvement compared with the baseline method. Comparison with the state-of-the-art methods shows that the proposed method outperforms the existing ones which can meet real-time constraints. It's demonstrated that our method provides a performance improvement in sensitivity, precision and specificity, and has great potential to be applied in clinical colonoscopy.