Model selection and real-time skill assessment for suturing in robotic surgery

Automated feedback systems have the potential to provide objective skill assessment for training and evaluation in robot-assisted surgery. In this study, we examine methods to achieve real-time prediction of surgical skill level in real-time based on Objective Structured Assessment of Technical Skills (OSATS) scores. Using data acquired from the da Vinci Surgical System, we carry out three main analyses, focusing on model design, their real-time performance, and their skill-level-based cross-validation training. For the model design, we evaluate the effectiveness of multimodal deep learning models for predicting surgical skill levels using synchronized kinematic and vision data. Our models include separate unimodal baselines and fusion architectures that integrate features from both modalities and are evaluated using mean Spearman's correlation coefficients, demonstrating that the fusion model consistently outperforms unimodal models for real-time predictions. For the real-time performance, we observe the prediction's trend over time and highlight correlation with the surgeon's gestures. For the skill-level-based cross-validation, we separately trained models on surgeons with different skill levels, which showed that high-skill demonstrations allow for better performance than those trained on low-skilled ones and generalize well to similarly skilled participants. Our findings show that multimodal learning allows more stable fine-grained evaluation of surgical performance and highlights the value of expert-level training data for model generalization.

Confidence-based Intent Prediction for Teleoperation in Bimanual Robotic Suturing

Robotic-assisted procedures offer enhanced precision, but while fully autonomous systems are limited in task knowledge, difficulties in modeling unstructured environments, and generalisation abilities, fully manual teleoperated systems also face challenges such as delay, stability, and reduced sensory information. To address these, we developed an interactive control strategy that assists the human operator by predicting their motion plan at both high and low levels. At the high level, a surgeme recognition system is employed through a Transformer-based real-time gesture classification model to dynamically adapt to the operator's actions, while at the low level, a Confidence-based Intention Assimilation Controller adjusts robot actions based on user intent and shared control paradigms. The system is built around a robotic suturing task, supported by sensors that capture the kinematics of the robot and task dynamics. Experiments across users with varying skill levels demonstrated the effectiveness of the proposed approach, showing statistically significant improvements in task completion time and user satisfaction compared to traditional teleoperation.

Hybrid Deep Reinforcement Learning for Radio Tracer Localisation in Robotic-assisted Radioguided Surgery

Radioguided surgery, such as sentinel lymph node biopsy, relies on the precise localization of radioactive targets by non-imaging gamma/beta detectors. Manual radioactive target detection based on visual display or audible indication of gamma level is highly dependent on the ability of the surgeon to track and interpret the spatial information. This paper presents a learning-based method to realize the autonomous radiotracer detection in robot-assisted surgeries by navigating the probe to the radioactive target. We proposed novel hybrid approach that combines deep reinforcement learning (DRL) with adaptive robotic scanning. The adaptive grid-based scanning could provide initial direction estimation while the DRL-based agent could efficiently navigate to the target utilising historical data. Simulation experiments demonstrate a 95% success rate, and improved efficiency and robustness compared to conventional techniques. Real-world evaluation on the da Vinci Research Kit (dVRK) further confirms the feasibility of the approach, achieving an 80% success rate in radiotracer detection. This method has the potential to enhance consistency, reduce operator dependency, and improve procedural accuracy in radioguided surgeries.

When and Where to Step: Terrain-Aware Real-Time Footstep Location and Timing Optimization for Bipedal Robots

Online footstep planning is essential for bipedal walking robots, allowing them to walk in the presence of disturbances and sensory noise. Most of the literature on the topic has focused on optimizing the footstep placement while keeping the step timing constant. In this work, we introduce a footstep planner capable of optimizing footstep placement and step time online. The proposed planner, consisting of an Interior Point Optimizer (IPOPT) and an optimizer based on Augmented Lagrangian (AL) method with analytical gradient descent, solves the full dynamics of the Linear Inverted Pendulum (LIP) model in real time to optimize for footstep location as well as step timing at the rate of 200~Hz. We show that such asynchronous real-time optimization with the AL method (ARTO-AL) provides the required robustness and speed for successful online footstep planning. Furthermore, ARTO-AL can be extended to plan footsteps in 3D, allowing terrain-aware footstep planning on uneven terrains. Compared to an algorithm with no footstep time adaptation, our proposed ARTO-AL demonstrates increased stability in simulated walking experiments as it can resist pushes on flat ground and on a $10^{\circ}$ ramp up to 120 N and 100 N respectively. For the video, see https://youtu.be/ABdnvPqCUu4. For code, see https://github.com/WangKeAlchemist/ARTO-AL/tree/master.