arXiv subjects

Philip J. Edwards

Publications and source records attributed to Philip J. Edwards.

2 recordsLinked to original sources

arXiv2026

SurgFusion-Net: Diversified Adaptive Multimodal Fusion Network for Surgical Skill Assessment

Robotic-assisted surgery (RAS) is established in clinical practice, and automated surgical skill assessment utilizing multimodal data offers transformative potential for surgical analytics and education. However, developing effective multimodal methods remains challenging due to the task complexity, limited annotated datasets and insufficient techniques for cross-modal information fusion. Existing state-of-the-art relies exclusively on RGB video and only applies on dry-lab settings, failing to address the significant domain gap between controlled simulation and real clinical cases, where the surgical environment together with camera and tissue motion introduce substantial complexities. This work introduces SurgFusion-Net and Divergence Regulated Attention (DRA), an innovative fusion strategy for multimodal surgical skill assessment. We contribute two first-of-their-kind clinical datasets: the RAH-skill dataset containing 279,691 RGB frames from 37 videos of Robot-assisted Hysterectomy (RAH), and the RARP-skill dataset containing 70,661 RGB frames from 33 videos of Robot-Assisted Radical Prostatectomy (RARP). Both datasets include M-GEARS skill annotations, corresponding optical flow and tool segmentation masks. DRA incorporates adaptive dual attention and diversity-promoting multi-head attention to fuse multimodal information, from three modalities, based on surgical context, enhancing assessment accuracy and reliability. Validated on the JIGSAWS benchmark, RAH-skill, and RARP-skill datasets, our approach outperforms recent baselines with SCC improvements of 0.02 in LOSO, 0.04 in LOUO across JIGSAWS tasks, and 0.0538 and 0.0493 gains on RAH-skill and RARP-skill, respectively.

cs.RO↗

arXiv2025

CARES: Collaborative Agentic Reasoning for Error Detection in Surgery

Robotic-assisted surgery (RAS) introduces complex challenges that current surgical error detection methods struggle to address effectively due to limited training data and methodological constraints. Therefore, we construct MERP (Multi-class Error in Robotic Prostatectomy), a comprehensive dataset for error detection in robotic prostatectomy with frame-level annotations featuring six clinically aligned error categories. In addition, we propose CARES (Collaborative Agentic Reasoning for Error Detection in Surgery), a novel zero-shot clinically-informed and risk-stratified agentic reasoning architecture for multi-class surgical error detection. CARES implements adaptive generation of medically informed, error-specific Chain-of-Thought (CoT) prompts across multiple expertise levels. The framework employs risk-aware routing to assign error task to expertise-matched reasoning pathways based on complexity and clinical impact. Subsequently, each pathway decomposes surgical error analysis into three specialized agents with temporal, spatial, and procedural analysis. Each agent analyzes using dynamically selected prompts tailored to the assigned expertise level and error type, generating detailed and transparent reasoning traces. By incorporating clinically informed reasoning from established surgical assessment guidelines, CARES enables zero-shot surgical error detection without prior training. Evaluation demonstrates superior performance with 54.3 mF1 on RARP and 52.0 mF1 on MERP datasets, outperforming existing zero-shot approaches by up to 14% while remaining competitive with trained models. Ablation studies demonstrate the effectiveness of our method. The dataset and code will be publicly available.

cs.MA↗