Abstract:Indexing endoscopic surgical videos is vital in surgical data science, forming the basis for systematic retrospective analysis and clinical performance evaluation. Despite its significance, current video analytics rely on manual indexing, a time-consuming process. Advances in computer vision, particularly deep learning, offer automation potential, yet progress is limited by the lack of publicly available, densely annotated surgical datasets. To address this, we present TEMSET-24K, an open-source dataset comprising 24,306 trans-anal endoscopic microsurgery (TEMS) video micro-clips. Each clip is meticulously annotated by clinical experts using a novel hierarchical labeling taxonomy encompassing phase, task, and action triplets, capturing intricate surgical workflows. To validate this dataset, we benchmarked deep learning models, including transformer-based architectures. Our in silico evaluation demonstrates high accuracy (up to 0.99) and F1 scores (up to 0.99) for key phases like Setup and Suturing. The STALNet model, tested with ConvNeXt, ViT, and SWIN V2 encoders, consistently segmented well-represented phases. TEMSET-24K provides a critical benchmark, propelling state-of-the-art solutions in surgical data science.
Abstract:Chest radiography has been a recommended procedure for patient triaging and resource management in intensive care units (ICUs) throughout the COVID-19 pandemic. The machine learning efforts to augment this workflow have been long challenged due to deficiencies in reporting, model evaluation, and failure mode analysis. To address some of those shortcomings, we model radiological features with a human-interpretable class hierarchy that aligns with the radiological decision process. Also, we propose the use of a data-driven error analysis methodology to uncover the blind spots of our model, providing further transparency on its clinical utility. For example, our experiments show that model failures highly correlate with ICU imaging conditions and with the inherent difficulty in distinguishing certain types of radiological features. Also, our hierarchical interpretation and analysis facilitates the comparison with respect to radiologists' findings and inter-variability, which in return helps us to better assess the clinical applicability of models.