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DOE OSTI2023

CholecTriplet2021: A benchmark challenge for surgical action triplet recognition

Context-aware decision support in the operating room can foster surgical safety and efficiency by leveraging real-time feedback from surgical workflow analysis. Most existing works recognize surgical activities at a coarse-grained level, such as phases, steps or events, leaving out fine-grained interaction details about the surgical activity; yet those are needed for more helpful AI assistance in the operating room. Recognizing surgical actions as triplets of ‹ instrument, verb, target › combination delivers more comprehensive details about the activities taking place in surgical videos. This paper presents CholecTriplet2021: an endoscopic vision challenge organized at MICCAI 2021 for the recognition of surgical action triplets in laparoscopic videos. Here, the challenge granted private access to the large-scale CholecT50 dataset, which is annotated with action triplet information. In this paper, we present the challenge setup and the assessment of the state-of-the-art deep learning methods proposed by the participants during the challenge. Here, a total of 4 baseline methods from the challenge organizers and 19 new deep learning algorithms from the competing teams are presented to recognize surgical action triplets directly from surgical videos, achieving mean average precision (mAP) ranging from 4.2% to 38.1%. This study also analyzes the significance of the results obtained by the presented approaches, performs a thorough methodological comparison between them, in-depth result analysis, and proposes a novel ensemble method for enhanced recognition. Our analysis shows that surgical workflow analysis is not yet solved, and also highlights interesting directions for future research on fine-grained surgical activity recognition which is of utmost importance for the development of AI in surgery.

60 APPLIED LIFE SCIENCES↗

NASA NTRS1996

Long-term modifications of synaptic efficacy in the human inferior and middle temporal cortex

The primate temporal cortex has been demonstrated to play an important role in visual memory and pattern recognition. It is of particular interest to investigate whether activity-dependent modification of synaptic efficacy, a presumptive mechanism for learning and memory, is present in this cortical region. Here we address this issue by examining the induction of synaptic plasticity in surgically resected human inferior and middle temporal cortex. The results show that synaptic strength in the human temporal cortex could undergo bidirectional modifications, depending on the pattern of conditioning stimulation. High frequency stimulation (100 or 40 Hz) in layer IV induced long-term potentiation (LTP) of both intracellular excitatory postsynaptic potentials and evoked field potentials in layers II/III. The LTP induced by 100 Hz tetanus was blocked by 50-100 microM DL-2-amino-5-phosphonovaleric acid, suggesting that N-methyl-D-aspartate receptors were responsible for its induction. Long-term depression (LTD) was elicited by prolonged low frequency stimulation (1 Hz, 15 min). It was reduced, but not completely blocked, by DL-2-amino-5-phosphonovaleric acid, implying that some other mechanisms in addition to N-methyl-DL-aspartate receptors were involved in LTD induction. LTD was input-specific, i.e., low frequency stimulation of one pathway produced LTD of synaptic transmission in that pathway only. Finally, the LTP and LTD could reverse each other, suggesting that they can act cooperatively to modify the functional state of cortical network. These results suggest that LTP and LTD are possible mechanisms for the visual memory and pattern recognition functions performed in the human temporal cortex.

NASA Discipline Neuroscience↗

NASA NTRS2002

Confronting Models with Data: The GEWEX Cloud Systems Study

The GEWEX Cloud System Study (GCSS; GEWEX is the Global Energy and Water Cycle Experiment) was organized to promote development of improved parameterizations of cloud systems for use in climate and numerical weather prediction models, with an emphasis on the climate applications. The strategy of GCSS is to use two distinct kinds of models to analyze and understand observations of the behavior of several different types of clouds systems. Cloud-system-resolving models (CSRMs) have high enough spatial and temporal resolutions to represent individual cloud elements, but cover a wide enough range of space and time scales to permit statistical analysis of simulated cloud systems. Results from CSRMs are compared with detailed observations, representing specific cases based on field experiments, and also with statistical composites obtained from satellite and meteorological analyses. Single-column models (SCMs) are the surgically extracted column physics of atmospheric general circulation models. SCMs are used to test cloud parameterizations in an un-coupled mode, by comparison with field data and statistical composites. In the original GCSS strategy, data is collected in various field programs and provided to the CSRM Community, which uses the data to "certify" the CSRMs as reliable tools for the simulation of particular cloud regimes, and then uses the CSRMs to develop parameterizations, which are provided to the GCM Community. We report here the results of a re-thinking of the scientific strategy of GCSS, which takes into account the practical issues that arise in confronting models with data. The main elements of the proposed new strategy are a more active role for the large-scale modeling community, and an explicit recognition of the importance of data integration.

Randall, David↗