用概率方法自动识别组织附着点,提升手术解剖效率。
Bayesian Retraction Optimization for Tissue Attachment Mapping in Surgical Dissection

- 基于贝叶斯框架构建动态附着概率图,无需显式建模组织结构。
- 通过多分类器融合更新概率图,实现不确定性量化与自适应优化。
- 可在真实机器人系统上零样本迁移,适合外科自动化研究者。
随着外科医生短缺加剧,自动化手术子任务如组织解剖可有效减轻工作负担并扩大患者覆盖范围。以往方法依赖手工设计的切口策略,无法量化不确定性;或采用仿真方法,需强假设建模。本文将组织附着识别视为固有概率问题,提出无需显式组织建模的贝叶斯方法。采用顺序贝叶斯希尔伯特映射(SBHM)表示每个组织点附着于切除面的概率。通过一组学习到的分类器,从机器人牵拉过程中获取的空间数据预测附着概率,各分类器作为噪声信息源用于更新SBHM。为规划下一步牵拉动作,设计贝叶斯牵拉优化(BRO),在安全约束下选择最富信息量的动作。随着SBHM不断优化,高附着概率区域被选择性切开。我们在多种组织几何形状和采集策略下进行仿真验证,并展示了零样本迁移到真实机器人解剖实验的成功效果。
原文摘要 · Abstract (English)
With growing surgeon shortages, automating surgical sub-tasks such as tissue dissection offers a promising step toward reducing workload and expanding patient access. Prior work has relied on hand-crafted incision policies that cannot quantify uncertainty or has relied on simulation-based methods that require strong modeling assumptions. We instead view tissue attachment identification as an inherently probabilistic problem and propose a Bayesian approach that avoids explicit tissue modeling. Our method uses a Sequential Bayesian Hilbert Map (SBHM) to represent the likelihood that each tissue point is attached to the underlying resection surface. An ensemble of learned classifiers predicts attachment likelihoods from spatial data acquired during robotic tissue retraction, with each classifier serving as a noisy information source to update the SBHM. To plan the next retraction, we devise Bayesian Retraction Optimization (BRO) to select the most informative action under safety constraints. As the SBHM refines over time, regions with high attachment likelihood are selectively incised. We validate our method in simulation across diverse tissue geometries and acquisition strategies, and demonstrate zero-shot transfer to real robotic dissection experiments.
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