Accurate semantic image segmentation from medical imaging can enable intelligent vision-based assistance in robot-assisted minimally invasive surgery. The human body and surgical procedures are highly dynamic. While machine-vision presents a promising approach, sufficiently large training image sets for robust performance are either costly or unavailable. This work examines three novel generative adversarial network (GAN) methods of providing usable synthetic tool images using only surgical background images and a few real tool images. The best of these three novel approaches generates realistic tool textures while preserving local background content by incorporating both a style preservation and a content loss component into the proposed multi-level loss function. The approach is quantitatively evaluated, and results suggest that the synthetically generated training tool images enhance UNet tool segmentation performance. More specifically, with a random set of 100 cadaver and live endoscopic images from the University of Washington Sinus Dataset, the UNet trained with synthetically generated images using the presented method resulted in 35.7% and 30.6% improvement over using purely real images in mean Dice coefficient and Intersection over Union scores, respectively. This study is promising towards the use of more widely available and routine screening endoscopy to preoperatively generate synthetic training tool images for intraoperative UNet tool segmentation.

This paper presents a tool-pose-informed variable center morphological polar transform to enhance segmentation of endoscopic images. The representation, while not loss-less, transforms rigid tool shapes into morphologies consistently more rectangular that may be more amenable to image segmentation networks. The proposed method was evaluated using the U-Net convolutional neural network, and the input images from endoscopy were represented in one of the four different coordinate formats (1) the original rectangular image representation, (2) the morphological polar coordinate transform, (3) the proposed variable center transform about the tool-tip pixel and (4) the proposed variable center transform about the tool vanishing point pixel. Previous work relied on the observations that endoscopic images typically exhibit unused border regions with content in the shape of a circle (since the image sensor is designed to be larger than the image circle to maximize available visual information in the constrained environment) and that the region of interest (ROI) was most ideally near the endoscopic image center. That work sought an intelligent method for, given an input image, carefully selecting between methods (1) and (2) for best image segmentation prediction. In this extension, the image center reference constraint for polar transformation in method (2) is relaxed via the development of a variable center morphological transformation. Transform center selection leads to different spatial distributions of image loss, and the transform-center location can be informed by robot kinematic model and endoscopic image data. In particular, this work is examined using the tool-tip and tool vanishing point on the image plane as candidate centers. The experiments were conducted for each of the four image representations using a data set of 8360 endoscopic images from real sinus surgery. The segmentation performance was evaluated with standard metrics, and some insight about loss and tool location effects on performance are provided. Overall, the results are promising, showing that selecting a transform center based on tool shape features using the proposed method can improve segmentation performance.

No abstract

No abstract

No abstract