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 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. 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 assessment of the state-of-the-art deep learning methods proposed by the participants during the challenge. A total of 4 baseline methods from the challenge organizers and 19 new deep learning algorithms by 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.
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Results from the Paper
Ranked #1 on Action Triplet Recognition on CholecT50 (Challenge) (using extra training data)
Task | Dataset | Model | Metric Name | Metric Value | Global Rank | Uses Extra Training Data |
Benchmark |
---|---|---|---|---|---|---|---|
Action Triplet Recognition | CholecT50 (Challenge) | Team Trequartista | mAP | 38.1 | # 1 | ||
Action Triplet Recognition | CholecT50 (Challenge) | Team HFUT-NUS | mAP | 9.8 | # 25 | ||
Action Triplet Recognition | CholecT50 (Challenge) | Team SJTU-IMR | mAP | 24.8 | # 19 | ||
Action Triplet Recognition | CholecT50 (Challenge) | Team Casia Robotics | mAP | 26.7 | # 14 | ||
Action Triplet Recognition | CholecT50 (Challenge) | Team Med Recognizer | mAP | 4.2 | # 27 | ||
Action Triplet Recognition | CholecT50 (Challenge) | Team CAMP | mAP | 9.3 | # 26 | ||
Action Triplet Recognition | CholecT50 (Challenge) | Team NCT-TSO | mAP | 10.4 | # 24 | ||
Action Triplet Recognition | CholecT50 (Challenge) | Team Band of Broeders | mAP | 16.0 | # 23 | ||
Action Triplet Recognition | CholecT50 (Challenge) | Team MMLAB | mAP | 18.1 | # 22 | ||
Action Triplet Recognition | CholecT50 (Challenge) | Team SK | mAP | 18.4 | # 21 | ||
Action Triplet Recognition | CholecT50 (Challenge) | Team Ceaiik | mAP | 25.2 | # 18 | ||
Action Triplet Recognition | CholecT50 (Challenge) | Team J&M | mAP | 25.6 | # 16 | ||
Action Triplet Recognition | CholecT50 (Challenge) | Team Lsgroup | mAP | 26.3 | # 15 | ||
Action Triplet Recognition | CholecT50 (Challenge) | Team Digital Surgery | mAP | 31.7 | # 10 | ||
Action Triplet Recognition | CholecT50 (Challenge) | Team ANL | mAP | 31.9 | # 9 | ||
Action Triplet Recognition | CholecT50 (Challenge) | Team CITI SJTU | mAP | 32.0 | # 8 | ||
Action Triplet Recognition | CholecT50 (Challenge) | Team 2Ai | mAP | 36.9 | # 2 | ||
Action Triplet Recognition | CholecT50 (Challenge) | Team SIAT CAMI | mAP | 35.8 | # 3 | ||
Action Triplet Recognition | CholecT50 (Challenge) | Team HFUT-MedIA | mAP | 32.9 | # 5 | ||
Action Triplet Recognition | CholecT50 (Challenge) | Rendezvous (TensorFlow v1) | mAP | 32.7 | # 7 | ||
Action Triplet Recognition | CholecT50 (Challenge) | Attention Tripnet (TensorFlow v1) | mAP | 25.5 | # 17 |