Abstract
Purpose
Advances in deep learning have resulted in effective models for surgical video analysis; however, these models often fail to generalize across medical centers due to domain shift caused by variations in surgical workflow, camera setups, and patient demographics. Recently, object-centric learning has emerged as a promising approach for improved surgical scene understanding, capturing and disentangling visual and semantic properties of surgical tools and anatomy to improve downstream task performance. In this work, we conduct a multicentric performance benchmark of object-centric approaches, focusing on critical view of safety assessment in laparoscopic cholecystectomy, then propose an improved approach for unseen domain generalization.
Methods
We evaluate four object-centric approaches for domain generalization, establishing baseline performance. Next, leveraging the disentangled nature of object-centric representations, we dissect one of these methods through a series of ablations (e.g., ignoring either visual or semantic features for downstream classification). Finally, based on the results of these ablations, we develop an optimized method specifically tailored for domain generalization, LG-DG, that includes a novel disentanglement loss function.
Results
Our optimized approach, LG-DG, achieves an improvement of 9.28% over the best baseline approach. More broadly, we show that object-centric approaches are highly effective for domain generalization thanks to their modular approach to representation learning.
Conclusion
We investigate the use of object-centric methods for unseen domain generalization, identify method-agnostic factors critical for performance, and present an optimized approach that substantially outperforms existing methods.
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Code Availability
The source code will be made publicly available at https://github.com/CAMMA-public/SurgLatentGraph.
Notes
This setting represents a very realistic scenario as collecting dense bounding box or segmentation labels is orders of magnitude more expensive than image-level annotations for classification tasks like CVS.
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Acknowledgements
This work was supported by French state funds managed by the ANR within the National AI Chair program under Grant ANR-20-CHIA-0029-01 (Chair AI4ORSafety). This work was granted access to the HPC resources of IDRIS under the allocation AD011013523R1 made by GENCI.
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Satyanaik, S., Murali, A., Alapatt, D. et al. Optimizing latent graph representations of surgical scenes for unseen domain generalization. Int J CARS 19, 1243–1250 (2024). https://doi.org/10.1007/s11548-024-03121-2
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DOI: https://doi.org/10.1007/s11548-024-03121-2