arXiv:2608.21441cs.ROcs.AI2026-08

AI帮新手医生优化白内障手术路径,提升技能20%以上。

Constructing Predictive Surgical Path for AI-based Capsulorhexis Skill Transfer

论文配图:Constructing Predictive Surgical Path for AI-based Capsulorhexis Skill Transfer
图 1 · 摘自论文原文
  • 用专家手术轨迹训练AI,生成改进型操作路径。
  • 新路径使新手操作精准度提升至少20%,且保留其原意图。
  • 配套开发可量化技能进步的评估指标,适合手术训练研究者。

自动化外科培训是显著降低手术训练风险与成本的关键因素。随着人工智能技术与手术数据的进展,AI在手术培训中的应用前景广阔。初期建议让AI作为第三方辅助角色,伴随指导教师共同参与。随着信任增强,未来有望由AI独立担任指导角色。本研究聚焦于早期阶段:利用AI为指导教师推荐优化的手术路径。为此,本文构建了一个平台,并引入名为ARAS-Farabi的注释性白内障囊膜撕囊术数据集。通过在JIGSAWS和ARAS-Farabi数据集上预训练的深度卷积神经网络,从手术器械尖端运动数据中提取手术技能特征。该平台基于专家手术轨迹的特征空间建立参考模型,生成可提升新手技能的优化路径。采用双损失函数优化,既提升新手路径技能水平,又预测并保留其操作意图。实验结果表明,在AI辅助下,新手手术路径性能可提升至少20%,同时保持其原有操作目标。此外,研究还开发了多种可量化的指标以验证培训成效。

原文摘要 · Abstract (English)

Automated training of surgeons is one of the most crucial factors that significantly minimize surgical training risks and expenses. With recent advances in artificial intelligence (AI) knowledge and available data from various surgeries, AI's involvement in surgical training is becoming very promising. It is recommended that at the early stages of AI development, it interferes in the surgery as a third agent alongside the trainer. As trust in AI increases, this process will lead to an AI agent acting as a trainer in the future. The first phase in which AI can intervene in the training process is to suggest an improved surgical path to the trainer. A platform must be constructed in the first step, to accomplish this task and to enhance the movement path of trainee surgeons. This paper introduces this platform along with an annotated capsulorhexis surgery dataset called the ARAS-Farabi dataset. In this research, a deep convolutional neural network is pre-trained with JIGSAWS and ARAS-Farabi surgical datasets that can extract surgical skill characteristics from surgery tool tip motion data. The proposed platform develops a reference model from the feature space of an expert surgeon's movement trajectory and proposes an improved path to enhance the skill of a novice surgeon. An optimization with two loss functions is utilized to create a path that raises the skill level of the novice surgeon's path while simultaneously predicting and preserving his/her intent. The results of this study reveal that, with the assistance of an AI agent, the trainee surgeon's movement path can be enhanced by at least 20 percent while maintaining his intentional objective. In addition to the recommended deep network, various tangible indicators have also been developed in this research to verify the level of trainee improvement.

手术训练AI辅助技能评估路径优化

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