_version_ 1866908793761169408
author Alapatt, Deepak
Eckhoff, Jennifer
Lyu, Zhiliang
Ban, Yutong
Mazellier, Jean-Paul
Choksi, Sarah
Yang, Kunyi
Chiang, Po-Hsing
Zorzetti, Noemi
Cannas, Samuele
Neimark, Daniel
Bar, Omri
Yamlahi, Amine
Hennighausen, Jakob
Wang, Xiaohan
Li, Rui
Liang, Long
Wang, Yuxian
Koju, Saurabh
Bhattarai, Binod
Jaspers, Tim
Mao, Zhehua
Wijekoon, Anjana
Ma, Jun
Xu, Yinan
Weng, Zhilong
Okran, Ammar M.
Rashwan, Hatem A.
Shen, Boyang
Yang, Kaixiang
Zhang, Yutao
Wang, Hao
Consortium, 2024 CVS Challenge
Li, Quanzheng
Filicori, Filippo
Li, Xiang
Mascagni, Pietro
Hashimoto, Daniel A.
Rosman, Guy
Meireles, Ozanan
Padoy, Nicolas
author_facet Alapatt, Deepak
Eckhoff, Jennifer
Lyu, Zhiliang
Ban, Yutong
Mazellier, Jean-Paul
Choksi, Sarah
Yang, Kunyi
Chiang, Po-Hsing
Zorzetti, Noemi
Cannas, Samuele
Neimark, Daniel
Bar, Omri
Yamlahi, Amine
Hennighausen, Jakob
Wang, Xiaohan
Li, Rui
Liang, Long
Wang, Yuxian
Koju, Saurabh
Bhattarai, Binod
Jaspers, Tim
Mao, Zhehua
Wijekoon, Anjana
Ma, Jun
Xu, Yinan
Weng, Zhilong
Okran, Ammar M.
Rashwan, Hatem A.
Shen, Boyang
Yang, Kaixiang
Zhang, Yutao
Wang, Hao
Consortium, 2024 CVS Challenge
Li, Quanzheng
Filicori, Filippo
Li, Xiang
Mascagni, Pietro
Hashimoto, Daniel A.
Rosman, Guy
Meireles, Ozanan
Padoy, Nicolas
contents Advances in artificial intelligence (AI) for surgical quality assessment promise to democratize access to expertise, with applications in training, guidance, and accreditation. This study presents the SAGES Critical View of Safety (CVS) Challenge, the first AI competition organized by a surgical society, using the CVS in laparoscopic cholecystectomy, a universally recommended yet inconsistently performed safety step, as an exemplar of surgical quality assessment. A global collaboration across 54 institutions in 24 countries engaged hundreds of clinicians and engineers to curate 1,000 videos annotated by 20 surgical experts according to a consensus-validated protocol. The challenge addressed key barriers to real-world deployment in surgery, including achieving high performance, capturing uncertainty in subjective assessment, and ensuring robustness to clinical variability. To enable this scale of effort, we developed EndoGlacier, a framework for managing large, heterogeneous surgical video and multi-annotator workflows. Thirteen international teams participated, achieving up to a 17% relative gain in assessment performance, over 80% reduction in calibration error, and a 17% relative improvement in robustness over the state-of-the-art. Analysis of results highlighted methodological trends linked to model performance, providing guidance for future research toward robust, clinically deployable AI for surgical quality assessment.
format Preprint
id arxiv_https___arxiv_org_abs_2509_17100
institution arXiv
publishDate 2025
record_format arxiv
spellingShingle The SAGES Critical View of Safety Challenge: A Global Benchmark for AI-Assisted Surgical Quality Assessment
Alapatt, Deepak
Eckhoff, Jennifer
Lyu, Zhiliang
Ban, Yutong
Mazellier, Jean-Paul
Choksi, Sarah
Yang, Kunyi
Chiang, Po-Hsing
Zorzetti, Noemi
Cannas, Samuele
Neimark, Daniel
Bar, Omri
Yamlahi, Amine
Hennighausen, Jakob
Wang, Xiaohan
Li, Rui
Liang, Long
Wang, Yuxian
Koju, Saurabh
Bhattarai, Binod
Jaspers, Tim
Mao, Zhehua
Wijekoon, Anjana
Ma, Jun
Xu, Yinan
Weng, Zhilong
Okran, Ammar M.
Rashwan, Hatem A.
Shen, Boyang
Yang, Kaixiang
Zhang, Yutao
Wang, Hao
Consortium, 2024 CVS Challenge
Li, Quanzheng
Filicori, Filippo
Li, Xiang
Mascagni, Pietro
Hashimoto, Daniel A.
Rosman, Guy
Meireles, Ozanan
Padoy, Nicolas
Computer Vision and Pattern Recognition
68T07
I.2.10; J.3
Advances in artificial intelligence (AI) for surgical quality assessment promise to democratize access to expertise, with applications in training, guidance, and accreditation. This study presents the SAGES Critical View of Safety (CVS) Challenge, the first AI competition organized by a surgical society, using the CVS in laparoscopic cholecystectomy, a universally recommended yet inconsistently performed safety step, as an exemplar of surgical quality assessment. A global collaboration across 54 institutions in 24 countries engaged hundreds of clinicians and engineers to curate 1,000 videos annotated by 20 surgical experts according to a consensus-validated protocol. The challenge addressed key barriers to real-world deployment in surgery, including achieving high performance, capturing uncertainty in subjective assessment, and ensuring robustness to clinical variability. To enable this scale of effort, we developed EndoGlacier, a framework for managing large, heterogeneous surgical video and multi-annotator workflows. Thirteen international teams participated, achieving up to a 17% relative gain in assessment performance, over 80% reduction in calibration error, and a 17% relative improvement in robustness over the state-of-the-art. Analysis of results highlighted methodological trends linked to model performance, providing guidance for future research toward robust, clinically deployable AI for surgical quality assessment.
title The SAGES Critical View of Safety Challenge: A Global Benchmark for AI-Assisted Surgical Quality Assessment
topic Computer Vision and Pattern Recognition
68T07
I.2.10; J.3
url https://arxiv.org/abs/2509.17100