Automatic laminectomy cutting plane planning based on artificial intelligence in robot assisted laminectomy surgery

Objective: This study aims to use artificial intelligence to realize the automatic planning of laminectomy, and verify the method. Methods: We propose a two-stage approach for automatic laminectomy cutting plane planning. The first stage was the identification of key points. 7 key points were manually marked on each CT image. The Spatial Pyramid Upsampling Network (SPU-Net) algorithm developed by us was used to accurately locate the 7 key points. In the second stage, based on the identification of key points, a personalized coordinate system was generated for each vertebra. Finally, the transverse and longitudinal cutting planes of laminectomy were generated under the coordinate system. The overall effect of planning was evaluated. Results: In the first stage, the average localization error of the SPU-Net algorithm for the seven key points was 0.65mm. In the second stage, a total of 320 transverse cutting planes and 640 longitudinal cutting planes were planned by the algorithm. Among them, the number of horizontal plane planning effects of grade A, B, and C were 318(99.38%), 1(0.31%), and 1(0.31%), respectively. The longitudinal planning effects of grade A, B, and C were 622(97.18%), 1(0.16%), and 17(2.66%), respectively. Conclusions: In this study, we propose a method for automatic surgical path planning of laminectomy based on the localization of key points in CT images. The results showed that the method achieved satisfactory results. More studies are needed to confirm the reliability of this approach in the future.

Deep Model Fusion: A Survey

Deep model fusion/merging is an emerging technique that merges the parameters or predictions of multiple deep learning models into a single one. It combines the abilities of different models to make up for the biases and errors of a single model to achieve better performance. However, deep model fusion on large-scale deep learning models (e.g., LLMs and foundation models) faces several challenges, including high computational cost, high-dimensional parameter space, interference between different heterogeneous models, etc. Although model fusion has attracted widespread attention due to its potential to solve complex real-world tasks, there is still a lack of complete and detailed survey research on this technique. Accordingly, in order to understand the model fusion method better and promote its development, we present a comprehensive survey to summarize the recent progress. Specifically, we categorize existing deep model fusion methods as four-fold: (1) "Mode connectivity", which connects the solutions in weight space via a path of non-increasing loss, in order to obtain better initialization for model fusion; (2) "Alignment" matches units between neural networks to create better conditions for fusion; (3) "Weight average", a classical model fusion method, averages the weights of multiple models to obtain more accurate results closer to the optimal solution; (4) "Ensemble learning" combines the outputs of diverse models, which is a foundational technique for improving the accuracy and robustness of the final model. In addition, we analyze the challenges faced by deep model fusion and propose possible research directions for model fusion in the future. Our review is helpful in deeply understanding the correlation between different model fusion methods and practical application methods, which can enlighten the research in the field of deep model fusion.