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Yarden Sharon

Publications and source records attributed to Yarden Sharon.

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MV-dVRK: A Multi-Viewpoint Benchmark for Spatial Surgical Perception

Large-scale training and refined optimization techniques have greatly improved sparse multi-view 3D reconstruction. Despite their relevance to surgery, such methods have never before been rigorously evaluated on real endoscopic images. Current clinical telerobots deploy a single stereo camera inside the patient, making multi-viewpoint data extremely rare. This paper presents MV-dVRK, the first ex-vivo surgical dataset to combine multiple exposure-synchronized stereo viewpoints with accurate surface geometry and camera poses. The static subset of the benchmark provides dense SfM reference geometry, validated against an industrial 3D scanner, together with ground-truth camera poses and sparse-view test sets. We use MV-dVRK to systematically compare zero-shot monocular, stereo, multi-stereo, and multi-view 3D reconstruction methods as the number of viewpoints increases. With two endoscopes, multi-stereo reconstruction achieves the highest coverage. With a third viewpoint, optimization-based multi-view methods perform best, covering 67% of ground-truth surface points within a 1 mm tolerance and recovering highly accurate relative camera poses. By contrast, feed-forward foundation models cover only 43% of the ground-truth surface in the same setting. MV-dVRK also includes ten dynamic sequences spanning multiple surgical tasks, with increasing kinematic complexity and tissue deformation, providing a basis for future research in multi-viewpoint surgical perception. The project is available at: https://mv-dvrk.is.mpg.de.

cs.CV

Open-Source Multi-Viewpoint Surgical Telerobotics

As robots for minimally invasive surgery (MIS) gradually become more accessible and modular, we believe there is a great opportunity to rethink and expand the visualization and control paradigms that have characterized surgical teleoperation since its inception. We conjecture that introducing one or more additional adjustable viewpoints in the abdominal cavity would not only unlock novel visualization and collaboration strategies for surgeons but also substantially boost the robustness of machine perception toward shared autonomy. Immediate advantages include controlling a second viewpoint and teleoperating surgical tools from a different perspective, which would allow collaborating surgeons to adjust their views independently and still maneuver their robotic instruments intuitively. Furthermore, we believe that capturing synchronized multi-view 3D measurements of the patient's anatomy would unlock advanced scene representations. Accurate real-time intraoperative 3D perception will allow algorithmic assistants to directly control one or more robotic instruments and/or robotic cameras. Toward these goals, we are building a synchronized multi-viewpoint, multi-sensor robotic surgery system by integrating high-performance vision components and upgrading the da Vinci Research Kit control logic. This short paper reports a functional summary of our setup and elaborates on its potential impacts in research and future clinical practice. By fully open-sourcing our system, we will enable the research community to reproduce our setup, improve it, and develop powerful algorithms, effectively boosting clinical translation of cutting-edge research.

cs.RO

Video-Based Detection and Analysis of Errors in Robotic Surgical Training

Robot-assisted minimally invasive surgeries offer many advantages but require complex motor tasks that take surgeons years to master. There is currently a lack of knowledge on how surgeons acquire these robotic surgical skills. Toward bridging this gap, a previous study followed surgical residents learning complex surgical dry lab tasks on a surgical robot over six months. Errors are an important measure for training and skill evaluation, but unlike in virtual simulations, in dry lab training, errors are difficult to monitor automatically. Here, we analyzed errors in the ring tower transfer task, in which surgical residents moved a ring along a curved wire as quickly and accurately as possible. We developed an image-processing algorithm using color and size thresholds, optical flow and short time Fourier transforms to detect collision errors and achieved a detection accuracy of approximately 95%. Using the detected errors and task completion time, we found that the residents reduced their completion time and number of errors over the six months, while the percentage of task time spent making errors remained relatively constant on average. This analysis sheds light on the learning process of the residents and can serve as a step towards providing error-related feedback to robotic surgeons.

cs.RO

Dataset and Analysis of Long-Term Skill Acquisition in Robot-Assisted Minimally Invasive Surgery

Objective: We aim to investigate long-term robotic surgical skill acquisition among surgical residents and the effects of training intervals and fatigue on performance. Methods: For six months, surgical residents participated in three training sessions once a month, surrounding a single 26-hour hospital shift. In each shift, they participated in training sessions scheduled before, during, and after the shift. In each training session, they performed three dry-lab training tasks: Ring Tower Transfer, Knot-Tying, and Suturing. We collected a comprehensive dataset, including videos synchronized with kinematic data, activity tracking, and scans of the suturing pads. Results: We collected a dataset of 972 trials performed by 18 residents of different surgical specializations. Participants demonstrated consistent performance improvement across all tasks. In addition, we found variations in between-shift learning and forgetting across metrics and tasks, and hints for possible effects of fatigue. Conclusion: The findings from our first analysis shed light on the long-term learning processes of robotic surgical skills with extended intervals and varying levels of fatigue. Significance: This study lays the groundwork for future research aimed at optimizing training protocols and enhancing AI applications in surgery, ultimately contributing to improved patient outcomes. The dataset will be made available upon acceptance of our journal submission.

cs.RO

Combining Time-Dependent Force Perturbations in Robot-Assisted Surgery Training

Teleoperated robot-assisted minimally-invasive surgery (RAMIS) offers many advantages over open surgery. However, there are still no guidelines for training skills in RAMIS. Motor learning theories have the potential to improve the design of RAMIS training but they are based on simple movements that do not resemble the complex movements required in surgery. To fill this gap, we designed an experiment to investigate the effect of time-dependent force perturbations on the learning of a pattern-cutting surgical task. Thirty participants took part in the experiment: (1) a control group that trained without perturbations, and (2) a 1Hz group that trained with 1Hz periodic force perturbations that pushed each participant's hand inwards and outwards in the radial direction. We monitored their learning using four objective metrics and found that participants in the 1Hz group learned how to overcome the perturbations and improved their performances during training without impairing their performances after the perturbations were removed. Our results present an important step toward understanding the effect of adding perturbations to RAMIS training protocols and improving RAMIS training for the benefit of surgeons and patients.

cs.RO

What Can Spatiotemporal Characteristics of Movements in RAMIS Tell Us?

Quantitative characterization of surgical movements can improve the quality of patient care by informing the development of new training protocols for surgeons, and the design and control of surgical robots. Here, we present a novel characterization of open and teleoperated suturing movements that is based on principles from computational motor control. We focus on the extensively-studied relationship between the speed of movement and its geometry. In three-dimensional movements, this relationship is defined by the one-sixth power law that relates between the speed, the curvature, and the torsion of movement trajectories. We fitted the parameters of the one-sixth power law to suturing movements of participants with different levels of surgical experience in open (using sensorized forceps) and teleoperated (using the da Vinci Research Kit / da Vinci Surgical System) conditions from two different datasets. We found that teleoperation significantly affected the parameters of the power law, and that there were large differences between different stages of movement. These results open a new avenue for studying the effect of teleoperation on the spatiotemporal characteristics of the movements of surgeons, and lay the foundation for the development of new algorithms for automatic segmentation of surgical tasks.

cs.RO

Rate of Orientation Change as a New Metric for Robot-Assisted and Open Surgical Skill Evaluation

Surgeons' technical skill directly impacts patient outcomes. To date, the angular motion of the instruments has been largely overlooked in objective skill evaluation. To fill this gap, we have developed metrics for surgical skill evaluation that are based on the orientation of surgical instruments. We tested our new metrics on two datasets with different conditions: (1) a dataset of experienced robotic surgeons and nonmedical users performing needle-driving on a dry lab model, and (2) a small dataset of suturing movements performed by surgeons training on a porcine model. We evaluated the performance of our new metrics (angular displacement and the rate of orientation change) alongside the performances of classical metrics (task time and path length). We calculated each metric on different segments of the movement. Our results highlighted the importance of segmentation rather than calculating the metrics on the entire movement. Our new metric, the rate of orientation change, showed statistically significant differences between experienced surgeons and nonmedical users / novice surgeons, which were consistent with the classical task time metric. The rate of orientation change captures technical aspects that are taught during surgeons' training, and together with classical metrics can lead to a more comprehensive discrimination of skills.

cs.RO