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Dennis N. Schneider

Publications and source records attributed to Dennis N. Schneider.

4 recordsLinked to original sources

Attachment Anchors: A Novel Framework for Laparoscopic Grasping Point Prediction in Colorectal Surgery

Accurate grasping point prediction is a key challenge for autonomous tissue manipulation in minimally invasive surgery, particularly in complex and variable procedures such as colorectal interventions. Due to their complexity and prolonged duration, colorectal procedures have been underrepresented in current research. At the same time, they pose a particularly interesting learning environment due to repetitive tissue manipulation, making them a promising entry point for autonomous, machine learning-driven support. Therefore, in this work, we introduce attachment anchors, a structured representation that encodes the local geometric and mechanical relationships between tissue and its anatomical attachments in colorectal surgery. This representation reduces uncertainty in grasping point prediction by normalizing surgical scenes into a consistent local reference frame. We demonstrate that attachment anchors can be predicted from laparoscopic images and incorporated into a grasping framework based on machine learning. Experiments on a dataset of 90 colorectal surgeries demonstrate that attachment anchors improve grasping point prediction compared to image-only baselines. There are particularly strong gains in out-of-distribution settings, including unseen procedures and operating surgeons. These results suggest that attachment anchors are an effective intermediate representation for learning-based tissue manipulation in colorectal surgery.

cs.CV↗

Endoshare: A Publicly Available, Surgeons-Friendly Solution to De-Identify and Manage Surgical Videos

Video-based assessment and surgical data science can advance surgical training, research, and quality improvement, yet adoption remains limited by heterogeneous recording formats and privacy concerns linked to video sharing. This work develops, evaluates, and publicly releases Endoshare, a surgeon-friendly application that merges, standardizes, and de-identifies endoscopic videos. Development followed an iterative, user-centered software life cycle. In the analysis phase, an internal survey of four clinicians and four computer scientists, based on 10 usability heuristics, identified early requirements and guided a cross-platform, privacy-by-design architecture. Prototype testing reported high usability for clinicians (4.68 +/- 0.40 out of 5) and for computer scientists (4.03 +/- 0.51 out of 5), with the lowest score (4.00 +/- 0.93 out of 5) relating to label clarity, prompting interface refinement to streamline case selection, video merging, automated out-of-body removal, and filename pseudonymization. In the testing phase, ten surgeons completed an external survey combining the same heuristics with Technology Acceptance Model constructs, reporting high perceived usefulness (5.07 +/- 1.75 out of 7), ease of use (5.15 +/- 1.71 out of 7), heuristic usability (4.38 +/- 0.48 out of 5), and strong recommendation likelihood (9.20 +/- 0.79 out of 10). A performance assessment across different hardware and configurations showed that processing time increased proportionally with video duration and was consistently lower in fast mode. Endoshare is a publicly available solution to manage surgical videos, with potential to support training, research, and quality improvement. Compliance certification and broader interoperability validation are needed to establish it as a reliable tool for surgical video management. The software is available at https://camma-public.github.io/Endoshare

cs.CV↗

Surgeons Awareness, Expectations, and Involvement with Artificial Intelligence: a Survey Pre and Post the GPT Era

Artificial Intelligence (AI) is transforming medicine, with generative AI models like ChatGPT reshaping perceptions of its potential. This study examines surgeons' awareness, expectations, and involvement with AI in surgery through comparative surveys conducted in 2021 and 2024. Two cross-sectional surveys were distributed globally in 2021 and 2024, the first before an IRCAD webinar and the second during the annual EAES meeting. The surveys assessed demographics, AI awareness, expectations, involvement, and ethics (2024 only). The surveys collected a total of 671 responses from 98 countries, 522 in 2021 and 149 in 2024. Awareness of AI courses rose from 14.5% in 2021 to 44.6% in 2024, while course attendance increased from 12.9% to 23%. Despite this, familiarity with foundational AI concepts remained limited. Expectations for AI's role shifted in 2024, with hospital management gaining relevance. Ethical concerns gained prominence, with 87.2% of 2024 participants emphasizing accountability and transparency. Infrastructure limitations remained the primary obstacle to implementation. Interdisciplinary collaboration and structured training were identified as critical for successful AI adoption. Optimism about AI's transformative potential remained high, with 79.9% of respondents believing AI would positively impact surgery and 96.6% willing to integrate AI into their clinical practice. Surgeons' perceptions of AI are evolving, driven by the rise of generative AI and advancements in surgical data science. While enthusiasm for integration is strong, knowledge gaps and infrastructural challenges persist. Addressing these through education, ethical frameworks, and infrastructure development is essential.

cs.CY↗

Efficient Domain Adaptation of Sentence Embeddings Using Adapters

Sentence embeddings enable us to capture the semantic similarity of short texts. Most sentence embedding models are trained for general semantic textual similarity tasks. Therefore, to use sentence embeddings in a particular domain, the model must be adapted to it in order to achieve good results. Usually, this is done by fine-tuning the entire sentence embedding model for the domain of interest. While this approach yields state-of-the-art results, all of the model's weights are updated during fine-tuning, making this method resource-intensive. Therefore, instead of fine-tuning entire sentence embedding models for each target domain individually, we propose to train lightweight adapters. These domain-specific adapters do not require fine-tuning all underlying sentence embedding model parameters. Instead, we only train a small number of additional parameters while keeping the weights of the underlying sentence embedding model fixed. Training domain-specific adapters allows always using the same base model and only exchanging the domain-specific adapters to adapt sentence embeddings to a specific domain. We show that using adapters for parameter-efficient domain adaptation of sentence embeddings yields competitive performance within 1% of a domain-adapted, entirely fine-tuned sentence embedding model while only training approximately 3.6% of the parameters.

cs.CL↗