arXiv:2511.04525cs.CV2025-11被引 1

用单时刻视频自动评估腹腔镜胆囊切除术复杂度,提升手术分析效率。

Learning from Single Timestamps: Complexity Estimation in Laparoscopic Cholecystectomy

  • 基于单时刻信息,直接处理完整手术视频,无需人工剪辑。
  • 在1859段视频上准确率62.11%,较非定位方法提升超10%。
  • 适合用于术后评估与外科培训,支持弱监督学习场景。

准确评估腹腔镜胆囊切除术(LC)的手术复杂度对临床至关重要,严重炎症与更长手术时间及术后并发症相关。帕克兰分级量表(PGS)提供了临床验证的炎症严重程度分层框架,但其在手术视频中的自动化分析仍不充分,尤其在无法预先人工剪辑的现实场景中。本文提出STC-Net,一种基于单时刻的LC复杂度估计框架,采用弱时间监督,在完整视频上实现时空定位与分级联合推理。该模型包含定位、窗口提议和分级模块,并引入结合硬/软定位目标与背景感知分级监督的新损失函数。在包含1,859段LC视频的私有数据集上,STC-Net达到62.11%准确率与61.42% F1分数,显著优于非定位基线模型(均提升超10%),验证了弱监督在手术复杂度评估中的有效性。结论表明,STC-Net为从全视频中自动化进行基于PGS的手术复杂度评估提供了一种可扩展且高效的方法,适用于术后分析与外科训练。

原文摘要 · Abstract (English)

Purpose: Accurate assessment of surgical complexity is essential in Laparoscopic Cholecystectomy (LC), where severe inflammation is associated with longer operative times and increased risk of postoperative complications. The Parkland Grading Scale (PGS) provides a clinically validated framework for stratifying inflammation severity; however, its automation in surgical videos remains largely unexplored, particularly in realistic scenarios where complete videos must be analyzed without prior manual curation. Methods: In this work, we introduce STC-Net, a novel framework for SingleTimestamp-based Complexity estimation in LC via the PGS, designed to operate under weak temporal supervision. Unlike prior methods limited to static images or manually trimmed clips, STC-Net operates directly on full videos. It jointly performs temporal localization and grading through a localization, window proposal, and grading module. We introduce a novel loss formulation combining hard and soft localization objectives and background-aware grading supervision. Results: Evaluated on a private dataset of 1,859 LC videos, STC-Net achieves an accuracy of 62.11% and an F1-score of 61.42%, outperforming non-localized baselines by over 10% in both metrics and highlighting the effectiveness of weak supervision for surgical complexity assessment. Conclusion: STC-Net demonstrates a scalable and effective approach for automated PGS-based surgical complexity estimation from full LC videos, making it promising for post-operative analysis and surgical training.

手术分析弱监督视频理解医学影像

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