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.

CuVLER: Enhanced Unsupervised Object Discoveries through Exhaustive Self-Supervised Transformers

In this paper, we introduce VoteCut, an innovative method for unsupervised object discovery that leverages feature representations from multiple self-supervised models. VoteCut employs normalized-cut based graph partitioning, clustering and a pixel voting approach. Additionally, We present CuVLER (Cut-Vote-and-LEaRn), a zero-shot model, trained using pseudo-labels, generated by VoteCut, and a novel soft target loss to refine segmentation accuracy. Through rigorous evaluations across multiple datasets and several unsupervised setups, our methods demonstrate significant improvements in comparison to previous state-of-the-art models. Our ablation studies further highlight the contributions of each component, revealing the robustness and efficacy of our approach. Collectively, VoteCut and CuVLER pave the way for future advancements in image segmentation.

More Than Meets the Eye: Analyzing Anesthesiologists' Visual Attention in the Operating Room Using Deep Learning Models

Patient's vital signs, which are displayed on monitors, make the anesthesiologist's visual attention (VA) a key component in the safe management of patients under general anesthesia; moreover, the distribution of said VA and the ability to acquire specific cues throughout the anesthetic, may have a direct impact on patient's outcome. Currently, most studies employ wearable eye-tracking technologies to analyze anesthesiologists' visual patterns. Albeit being able to produce meticulous data, wearable devices are not a sustainable solution for large-scale or long-term use for data collection in the operating room (OR). Thus, by utilizing a novel eye-tracking method in the form of deep learning models that process monitor-mounted webcams, we collected continuous behavioral data and gained insight into the anesthesiologist's VA distribution with minimal disturbance to their natural workflow. In this study, we collected OR video recordings using the proposed framework and compared different visual behavioral patterns. We distinguished between baseline VA distribution during uneventful periods to patterns associated with active phases or during critical, unanticipated incidents. In the future, such a platform may serve as a crucial component of context-aware assistive technologies in the OR.