arXiv subjects

Daniel Donoho

Publications and source records attributed to Daniel Donoho.

3 recordsLinked to original sources

arXiv2026

Open-H-Embodiment: A Large-Scale Dataset for Enabling Foundation Models in Medical Robotics

Autonomous medical robots hold promise to improve patient outcomes, reduce provider workload, democratize access to care, and enable superhuman precision. However, autonomous medical robotics has been limited by a fundamental data problem: existing medical robotic datasets are small, single-embodiment, and rarely shared openly, restricting the development of foundation models that the field needs to advance. We introduce Open-H-Embodiment, the largest open dataset of medical robotic video with synchronized kinematics to date, spanning more than 50 institutions and multiple robotic platforms including the CMR Versius, Intuitive Surgical's da Vinci, da Vinci Research Kit (dVRK), Rob Surgical BiTrack, Virtual Incision's MIRA, Moon Surgical Maestro, and a variety of custom systems, spanning surgical manipulation, robotic ultrasound, and endoscopy procedures. We demonstrate the research enabled by this dataset through two foundation models. GR00T-H is the first open foundation vision-language-action model for medical robotics, which is the only evaluated model to achieve full end-to-end task completion on a structured suturing benchmark (25% of trials vs. 0% for all others) and achieves 64% average success across a 29-step ex vivo suturing sequence. We also train Cosmos-H-Surgical-Simulator, the first action-conditioned world model to enable multi-embodiment surgical simulation from a single checkpoint, spanning nine robotic platforms and supporting in silico policy evaluation and synthetic data generation for the medical domain. These results suggest that open, large-scale medical robot data collection can serve as critical infrastructure for the research community, enabling advances in robot learning, world modeling, and beyond.

cs.RO↗

arXiv2025

Kinematic-Based Assessment of Surgical Actions in Microanastomosis

Proficiency in microanastomosis is a critical surgical skill in neurosurgery, where the ability to precisely manipulate fine instruments is crucial to successful outcomes. These procedures require sustained attention, coordinated hand movements, and highly refined motor skills, underscoring the need for objective and systematic methods to evaluate and enhance microsurgical training. Conventional assessment approaches typically rely on expert raters supervising the procedures or reviewing surgical videos, which is an inherently subjective process prone to inter-rater variability, inconsistency, and significant time investment. These limitations highlight the necessity for automated and scalable solutions. To address this challenge, we introduce a novel AI-driven framework for automated action segmentation and performance assessment in microanastomosis procedures, designed to operate efficiently on edge computing platforms. The proposed system comprises three main components: (1) an object tip tracking and localization module based on YOLO and DeepSORT; (2) an action segmentation module leveraging self-similarity matrix for action boundary detection and unsupervised clustering; and (3) a supervised classification module designed to evaluate surgical gesture proficiency. Experimental validation on a dataset of 58 expert-rated microanastomosis videos demonstrates the effectiveness of our approach, achieving a frame-level action segmentation accuracy of 92.4% and an overall skill classification accuracy of 85.5% in replicating expert evaluations. These findings demonstrate the potential of the proposed method to provide objective, real-time feedback in microsurgical education, thereby enabling more standardized, data-driven training protocols and advancing competency assessment in high-stakes surgical environments.

cs.CV↗

arXiv2025

Current validation practice undermines surgical AI development

Surgical data science (SDS) is rapidly advancing, yet clinical adoption of artificial intelligence (AI) in surgery remains limited, with inadequate validation as an important contributing factor. Existing validation practices often neglect the temporal and hierarchical structure of intraoperative videos, yielding misleading or clinically irrelevant results. We introduce a comprehensive catalogue of validation pitfalls in AI-based surgical video analysis, derived from a multi-stage Delphi process with 92 international experts. Pitfalls span three categories: (1) data, (2) metric selection/configuration, and (3) aggregation and reporting. A systematic review of surgical AI papers reveals that these pitfalls are widespread. Experiments on surgical video datasets show that ignoring temporal and hierarchical data structures can understate uncertainty, obscure critical failure modes, and alter algorithm rankings. To address these shortcomings, we provide consensus-based best practices compiled. Together, this work provides an evidence-based framework for rigorous validation of surgical video analysis algorithms, guiding benchmarking, reporting, regulatory review, and clinical translation.

q-bio.OT↗