Accurate tool tracking is essential for the success of computer-assisted intervention. Previous efforts often modeled tool trajectories rigidly, overlooking the dynamic nature of surgical procedures, especially tracking scenarios like out-of-body and out-of-camera views. Addressing this limitation, the new CholecTrack20 dataset provides detailed labels that account for multiple tool trajectories in three perspectives: (1) intraoperative, (2) intracorporeal, and (3) visibility, representing the different types of temporal duration of tool tracks. These fine-grained labels enhance tracking flexibility but also increase the task complexity. Re-identifying tools after occlusion or re-insertion into the body remains challenging due to high visual similarity, especially among tools of the same category. This work recognizes the critical role of the tool operators in distinguishing tool track instances, especially those belonging to the same tool category. The operators' information are however not explicitly captured in surgical videos. We therefore propose SurgiTrack, a novel deep learning method that leverages YOLOv7 for precise tool detection and employs an attention mechanism to model the originating direction of the tools, as a proxy to their operators, for tool re-identification. To handle diverse tool trajectory perspectives, SurgiTrack employs a harmonizing bipartite matching graph, minimizing conflicts and ensuring accurate tool identity association. Experimental results on CholecTrack20 demonstrate SurgiTrack's effectiveness, outperforming baselines and state-of-the-art methods with real-time inference capability. This work sets a new standard in surgical tool tracking, providing dynamic trajectories for more adaptable and precise assistance in minimally invasive surgeries.
Tool tracking in surgical videos is vital in computer-assisted intervention for tasks like surgeon skill assessment, safety zone estimation, and human-machine collaboration during minimally invasive procedures. The lack of large-scale datasets hampers Artificial Intelligence implementation in this domain. Current datasets exhibit overly generic tracking formalization, often lacking surgical context: a deficiency that becomes evident when tools move out of the camera's scope, resulting in rigid trajectories that hinder realistic surgical representation. This paper addresses the need for a more precise and adaptable tracking formalization tailored to the intricacies of endoscopic procedures by introducing CholecTrack20, an extensive dataset meticulously annotated for multi-class multi-tool tracking across three perspectives representing the various ways of considering the temporal duration of a tool trajectory: (1) intraoperative, (2) intracorporeal, and (3) visibility within the camera's scope. The dataset comprises 20 laparoscopic videos with over 35,000 frames and 65,000 annotated tool instances with details on spatial location, category, identity, operator, phase, and surgical visual conditions. This detailed dataset caters to the evolving assistive requirements within a procedure.
Intraoperative tracking of laparoscopic instruments is often a prerequisite for computer and robotic-assisted interventions. While numerous methods for detecting, segmenting and tracking of medical instruments based on endoscopic video images have been proposed in the literature, key limitations remain to be addressed: Firstly, robustness, that is, the reliable performance of state-of-the-art methods when run on challenging images (e.g. in the presence of blood, smoke or motion artifacts). Secondly, generalization; algorithms trained for a specific intervention in a specific hospital should generalize to other interventions or institutions. In an effort to promote solutions for these limitations, we organized the Robust Medical Instrument Segmentation (ROBUST-MIS) challenge as an international benchmarking competition with a specific focus on the robustness and generalization capabilities of algorithms. For the first time in the field of endoscopic image processing, our challenge included a task on binary segmentation and also addressed multi-instance detection and segmentation. The challenge was based on a surgical data set comprising 10,040 annotated images acquired from a total of 30 surgical procedures from three different types of surgery. The validation of the competing methods for the three tasks (binary segmentation, multi-instance detection and multi-instance segmentation) was performed in three different stages with an increasing domain gap between the training and the test data. The results confirm the initial hypothesis, namely that algorithm performance degrades with an increasing domain gap. While the average detection and segmentation quality of the best-performing algorithms is high, future research should concentrate on detection and segmentation of small, crossing, moving and transparent instrument(s) (parts).