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Deep Reinforcement Learning (DRL) is a viable solution for automating repetitive surgical subtasks due to its ability to learn complex behaviours in a dynamic environment. This task automation could lead to reduced surgeons cognitive workload, increased precision in critical aspects of the surgery, and fewer patient-related complications. However, current DRL methods do not guarantee any safety criteria as they maximise cumulative rewards without considering the risks associated with the actions performed. Due to this limitation, the application of DRL in the safety-critical paradigm of robot-assisted Minimally Invasive Surgery (MIS) has been constrained. In this work, we introduce a Safe-DRL framework that incorporates safety constraints for the automation of surgical subtasks via DRL training. We validate our approach in a virtual scene that replicates a tissue retraction task commonly occurring in multiple phases of an MIS. Furthermore, to evaluate the safe behaviour of the robotic arms, we formulate a formal verification tool for DRL methods that provides the probability of unsafe configurations. Our results indicate that a formal analysis guarantees safety with high confidence such that the robotic instruments operate within the safe workspace and avoid hazardous interaction with other anatomical structures.
Autonomous robotic surgery has the potential to provide efficacy, safety, and consistency independent of individual surgeons skill and experience. Autonomous soft-tissue surgery in unstructured and deformable environments is especially challenging as it necessitates intricate imaging, tissue tracking and surgical planning techniques, as well as a precise execution via highly adaptable control strategies. In the laparoscopic setting, soft-tissue surgery is even more challenging due to the need for high maneuverability and repeatability under motion and vision constraints. We demonstrate the first robotic laparoscopic soft tissue surgery with a level of autonomy of 3 out of 5, which allows the operator to select among autonomously generated surgical plans while the robot executes a wide range of tasks independently. We also demonstrate the first in vivo autonomous robotic laparoscopic surgery via intestinal anastomosis on porcine models. We compared the criteria including needle placement corrections, suture spacing, suture bite size, completion time, lumen patency, and leak pressure between the developed system, manual laparoscopic surgery, and robot-assisted surgery (RAS). The ex vivo results indicate that our system outperforms expert surgeons and RAS techniques in terms of consistency and accuracy, and it leads to a remarkable anastomosis quality in living pigs. These results demonstrate that surgical robots exhibiting high levels of autonomy have the potential to improve consistency, patient outcomes, and access to a standard surgical technique.
The last half-decade has seen a steep rise in the number of contributions on safe learning methods for real-world robotic deployments from both the control and reinforcement learning communities. This article provides a concise but holistic review of the recent advances made in using machine learning to achieve safe decision making under uncertainties, with a focus on unifying the language and frameworks used in control theory and reinforcement learning research. Our review includes: learning-based control approaches that safely improve performance by learning the uncertain dynamics, reinforcement learning approaches that encourage safety or robustness, and methods that can formally certify the safety of a learned control policy. As data- and learning-based robot control methods continue to gain traction, researchers must understand when and how to best leverage them in real-world scenarios where safety is imperative, such as when operating in close proximity to humans. We highlight some of the open challenges that will drive the field of robot learning in the coming years, and emphasize the need for realistic physics-based benchmarks to facilitate fair comparisons between control and reinforcement learning approaches.
Purpose Surgical simulations play an increasingly important role in surgeon education and developing algorithms that enable robots to perform surgical subtasks. To model anatomy, Finite Element Method (FEM) simulations have been held as the gold standard for calculating accurate soft-tissue deformation. Unfortunately, their accuracy is highly dependent on the simulation parameters, which can be difficult to obtain. Methods In this work, we investigate how live data acquired during any robotic endoscopic surgical procedure may be used to correct for inaccurate FEM simulation results. Since FEMs are calculated from initial parameters and cannot directly incorporate observations, we propose to add a correction factor that accounts for the discrepancy between simulation and observations. We train a network to predict this correction factor. Results To evaluate our method, we use an open-source da Vinci Surgical System to probe a soft-tissue phantom and replay the interaction in simulation. We train the network to correct for the difference between the predicted mesh position and the measured point cloud. This results in 15-30% improvement in the mean distance, demonstrating the effectiveness of our approach across a large range of simulation parameters. Conclusion We show a first step towards a framework that synergistically combines the benefits of model-based simulation and real-time observations. It corrects discrepancies between simulation and the scene that results from inaccurate modeling parameters. This can provide a more accurate simulation environment for surgeons and better data with which to train algorithms.
A technological revolution is occurring in the field of robotics with the data-driven deep learning technology. However, building datasets for each local robot is laborious. Meanwhile, data islands between local robots make data unable to be utilized collaboratively. To address this issue, the work presents Peer-Assisted Robotic Learning (PARL) in robotics, which is inspired by the peer-assisted learning in cognitive psychology and pedagogy. PARL implements data collaboration with the framework of cloud robotic systems. Both data and models are shared by robots to the cloud after semantic computing and training locally. The cloud converges the data and performs augmentation, integration, and transferring. Finally, fine tune this larger shared dataset in the cloud to local robots. Furthermore, we propose the DAT Network (Data Augmentation and Transferring Network) to implement the data processing in PARL. DAT Network can realize the augmentation of data from multi-local robots. We conduct experiments on a simplified self-driving task for robots (cars). DAT Network has a significant improvement in the augmentation in self-driving scenarios. Along with this, the self-driving experimental results also demonstrate that PARL is capable of improving learning effects with data collaboration of local robots.
Model-free Reinforcement Learning (RL) offers an attractive approach to learn control policies for high-dimensional systems, but its relatively poor sample complexity often forces training in simulated environments. Even in simulation, goal-directed tasks whose natural reward function is sparse remain intractable for state-of-the-art model-free algorithms for continuous control. The bottleneck in these tasks is the prohibitive amount of exploration required to obtain a learning signal from the initial state of the system. In this work, we leverage physical priors in the form of an approximate system dynamics model to design a curriculum scheme for a model-free policy optimization algorithm. Our Backward Reachability Curriculum (BaRC) begins policy training from states that require a small number of actions to accomplish the task, and expands the initial state distribution backwards in a dynamically-consistent manner once the policy optimization algorithm demonstrates sufficient performance. BaRC is general, in that it can accelerate training of any model-free RL algorithm on a broad class of goal-directed continuous control MDPs. Its curriculum strategy is physically intuitive, easy-to-tune, and allows incorporating physical priors to accelerate training without hindering the performance, flexibility, and applicability of the model-free RL algorithm. We evaluate our approach on two representative dynamic robotic learning problems and find substantial performance improvement relative to previous curriculum generation techniques and naive exploration strategies.