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OperA: Attention-Regularized Transformers for Surgical Phase Recognition

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 Added by Tobias Czempiel
 Publication date 2021
and research's language is English




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In this paper we introduce OperA, a transformer-based model that accurately predicts surgical phases from long video sequences. A novel attention regularization loss encourages the model to focus on high-quality frames during training. Moreover, the attention weights are utilized to identify characteristic high attention frames for each surgical phase, which could further be used for surgery summarization. OperA is thoroughly evaluated on two datasets of laparoscopic cholecystectomy videos, outperforming various state-of-the-art temporal refinement approaches.

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We present BoTNet, a conceptually simple yet powerful backbone architecture that incorporates self-attention for multiple computer vision tasks including image classification, object detection and instance segmentation. By just replacing the spatial convolutions with global self-attention in the final three bottleneck blocks of a ResNet and no other changes, our approach improves upon the baselines significantly on instance segmentation and object detection while also reducing the parameters, with minimal overhead in latency. Through the design of BoTNet, we also point out how ResNet bottleneck blocks with self-attention can be viewed as Transformer blocks. Without any bells and whistles, BoTNet achieves 44.4% Mask AP and 49.7% Box AP on the COCO Instance Segmentation benchmark using the Mask R-CNN framework; surpassing the previous best published single model and single scale results of ResNeSt evaluated on the COCO validation set. Finally, we present a simple adaptation of the BoTNet design for image classification, resulting in models that achieve a strong performance of 84.7% top-1 accuracy on the ImageNet benchmark while being up to 1.64x faster in compute time than the popular EfficientNet models on TPU-v3 hardware. We hope our simple and effective approach will serve as a strong baseline for future research in self-attention models for vision
Surgical phase recognition is of particular interest to computer assisted surgery systems, in which the goal is to predict what phase is occurring at each frame for a surgery video. Networks with multi-stage architecture have been widely applied in many computer vision tasks with rich patterns, where a predictor stage first outputs initial predictions and an additional refinement stage operates on the initial predictions to perform further refinement. Existing works show that surgical video contents are well ordered and contain rich temporal patterns, making the multi-stage architecture well suited for the surgical phase recognition task. However, we observe that when simply applying the multi-stage architecture to the surgical phase recognition task, the end-to-end training manner will make the refinement ability fall short of its wishes. To address the problem, we propose a new non end-to-end training strategy and explore different designs of multi-stage architecture for surgical phase recognition task. For the non end-to-end training strategy, the refinement stage is trained separately with proposed two types of disturbed sequences. Meanwhile, we evaluate three different choices of refinement models to show that our analysis and solution are robust to the choices of specific multi-stage models. We conduct experiments on two public benchmarks, the M2CAI16 Workflow Challenge, and the Cholec80 dataset. Results show that multi-stage architecture trained with our strategy largely boosts the performance of the current state-of-the-art single-stage model. Code is available at url{https://github.com/ChinaYi/casual_tcn}.
Automatic surgical workflow recognition is a key component for developing context-aware computer-assisted systems in the operating theatre. Previous works either jointly modeled the spatial features with short fixed-range temporal information, or separately learned visual and long temporal cues. In this paper, we propose a novel end-to-end temporal memory relation network (TMRNet) for relating long-range and multi-scale temporal patterns to augment the present features. We establish a long-range memory bank to serve as a memory cell storing the rich supportive information. Through our designed temporal variation layer, the supportive cues are further enhanced by multi-scale temporal-only convolutions. To effectively incorporate the two types of cues without disturbing the joint learning of spatio-temporal features, we introduce a non-local bank operator to attentively relate the past to the present. In this regard, our TMRNet enables the current feature to view the long-range temporal dependency, as well as tolerate complex temporal extents. We have extensively validated our approach on two benchmark surgical video datasets, M2CAI challenge dataset and Cholec80 dataset. Experimental results demonstrate the outstanding performance of our method, consistently exceeding the state-of-the-art methods by a large margin (e.g., 67.0% v.s. 78.9% Jaccard on Cholec80 dataset).
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