Medical Visualisation

Interpretation of data that appears in the form of either an image or a video can be an onerous task. Experts in the field have to go through extensive training for many years to attain the ability to configure medical data and on top of that have to actively keep up-to-date with new information as more research emerges. However, the demand is ever increasing and there is a significant shortage of experts in the field. There is therefore a need for a technological approach and AI promises to be the tool to be used to fill this demand gap.

Machine Vision for Diagnosis and Surgery

Computer vision involves the interpretation of images and videos by machines at or above human-level capabilities including object and scene recognition. Areas where computer vision is making an important impact include image-based diagnosis and image-guided surgery.

Computer Vision for Diagnosis and Surgery

Computer vision has mainly been based on statistical signal processing but is now shifting more toward application of artificial neural networks as the choice for learning method. Here, DL is used to engineer computer vision algorithms for classifying images of lesions in skin and other tissues. Video data is estimated to contain 25 times the amount of data from high-resolution diagnostic images such as CT and could thus provide a higher data value based on resolution over time. Video analysis is still premature but has great potential for clinical decision support. As an example, a video analysis of a laparoscopic procedure in real time has resulted in 92.8% accuracy in identification of all the steps of the procedure and surprisingly, the detection of missing or unexpected steps.

A notable application of AI and computer vision within surgery technology is to augment certain features and skills within surgery such as suturing and knot-tying. The smart tissue autonomous robot (STAR) from the Johns Hopkins University has demonstrated that it can outperform human surgeons in some surgical procedures such as bowel anastomosis in animals. A fully autonomous robotic surgeon remains a concept for the not so near future but augmenting different aspects of surgery using AI is of interest to researchers. An example of this is a group at the Institute of Information Technology at the Alpen-Adria Universität Klagenfurt that uses surgery videos as training material in order to identify a specific intervention made by the surgeon.

For example, when an act of dissection or cutting is performed on the patient’s tissues or organs, the algorithm recognises the likelihood of the intervention as well as the specific region in the body. Such algorithms are naturally based on the training on many videos and could be proven very useful for complicated surgical procedures or for situations where an inexperienced surgeon is required to perform an emergency surgery. It is important that surgeons are actively engaged in the development of such tools ensuring clinical relevance and quality and facilitating the translation from the lab to the clinical sector.

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