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Main Authors: Sharma, Saurav, Vannucci, Maria, Legori, Leonardo Pestana, Scaglia, Mario, Laracca, Giovanni Guglielmo, Mutter, Didier, Alfieri, Sergio, Mascagni, Pietro, Padoy, Nicolas
Format: Preprint
Published: 2025
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Online Access:https://arxiv.org/abs/2502.07008
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author Sharma, Saurav
Vannucci, Maria
Legori, Leonardo Pestana
Scaglia, Mario
Laracca, Giovanni Guglielmo
Mutter, Didier
Alfieri, Sergio
Mascagni, Pietro
Padoy, Nicolas
author_facet Sharma, Saurav
Vannucci, Maria
Legori, Leonardo Pestana
Scaglia, Mario
Laracca, Giovanni Guglielmo
Mutter, Didier
Alfieri, Sergio
Mascagni, Pietro
Padoy, Nicolas
contents Purpose: Laparoscopic cholecystectomy (LC) operative difficulty (LCOD) is highly variable and influences outcomes. Despite extensive LC studies in surgical workflow analysis, limited efforts explore LCOD using intraoperative video data. Early recognition of LCOD could allow prompt review by expert surgeons, enhance operating room (OR) planning, and improve surgical outcomes. Methods: We propose the clinical task of early LCOD assessment using limited video observations. We design SurgPrOD, a deep learning model to assess LCOD by analyzing features from global and local temporal resolutions (snapshots) of the observed LC video. Also, we propose a novel snapshot-centric attention (SCA) module, acting across snapshots, to enhance LCOD prediction. We introduce the CholeScore dataset, featuring video-level LCOD labels to validate our method. Results: We evaluate SurgPrOD on 3 LCOD assessment scales in the CholeScore dataset. On our new metric assessing early and stable correct predictions, SurgPrOD surpasses baselines by at least 0.22 points. SurgPrOD improves over baselines by at least 9 and 5 percentage points in F1 score and top1-accuracy, respectively, demonstrating its effectiveness in correct predictions. Conclusion: We propose a new task for early LCOD assessment and a novel model, SurgPrOD analyzing surgical video from global and local perspectives. Our results on the CholeScore dataset establishes a new benchmark to study LCOD using intraoperative video data.
format Preprint
id arxiv_https___arxiv_org_abs_2502_07008
institution arXiv
publishDate 2025
record_format arxiv
spellingShingle Early Operative Difficulty Assessment in Laparoscopic Cholecystectomy via Snapshot-Centric Video Analysis
Sharma, Saurav
Vannucci, Maria
Legori, Leonardo Pestana
Scaglia, Mario
Laracca, Giovanni Guglielmo
Mutter, Didier
Alfieri, Sergio
Mascagni, Pietro
Padoy, Nicolas
Computer Vision and Pattern Recognition
Purpose: Laparoscopic cholecystectomy (LC) operative difficulty (LCOD) is highly variable and influences outcomes. Despite extensive LC studies in surgical workflow analysis, limited efforts explore LCOD using intraoperative video data. Early recognition of LCOD could allow prompt review by expert surgeons, enhance operating room (OR) planning, and improve surgical outcomes. Methods: We propose the clinical task of early LCOD assessment using limited video observations. We design SurgPrOD, a deep learning model to assess LCOD by analyzing features from global and local temporal resolutions (snapshots) of the observed LC video. Also, we propose a novel snapshot-centric attention (SCA) module, acting across snapshots, to enhance LCOD prediction. We introduce the CholeScore dataset, featuring video-level LCOD labels to validate our method. Results: We evaluate SurgPrOD on 3 LCOD assessment scales in the CholeScore dataset. On our new metric assessing early and stable correct predictions, SurgPrOD surpasses baselines by at least 0.22 points. SurgPrOD improves over baselines by at least 9 and 5 percentage points in F1 score and top1-accuracy, respectively, demonstrating its effectiveness in correct predictions. Conclusion: We propose a new task for early LCOD assessment and a novel model, SurgPrOD analyzing surgical video from global and local perspectives. Our results on the CholeScore dataset establishes a new benchmark to study LCOD using intraoperative video data.
title Early Operative Difficulty Assessment in Laparoscopic Cholecystectomy via Snapshot-Centric Video Analysis
topic Computer Vision and Pattern Recognition
url https://arxiv.org/abs/2502.07008