Fluorescence angiography classification in colorectal surgery -- A
preliminary report
- URL: http://arxiv.org/abs/2206.05935v1
- Date: Mon, 13 Jun 2022 07:10:59 GMT
- Title: Fluorescence angiography classification in colorectal surgery -- A
preliminary report
- Authors: Antonio S Soares, Sophia Bano, Neil T Clancy, Laurence B Lovat, Danail
Stoyanov and Manish Chand
- Abstract summary: The aim is to develop an artificial intelligence algorithm to classify colonic tissue as 'perfused' or 'not perfused' based on fluorescence angiography data.
A web based app was made available to deploy the algorithm.
- Score: 8.075715438276244
- License: http://creativecommons.org/licenses/by-sa/4.0/
- Abstract: Background: Fluorescence angiography has shown very promising results in
reducing anastomotic leaks by allowing the surgeon to select optimally perfused
tissue. However, subjective interpretation of the fluorescent signal still
hinders broad application of the technique, as significant variation between
different surgeons exists. Our aim is to develop an artificial intelligence
algorithm to classify colonic tissue as 'perfused' or 'not perfused' based on
intraoperative fluorescence angiography data.
Methods: A classification model with a Resnet architecture was trained on a
dataset of fluorescence angiography videos of colorectal resections at a
tertiary referral centre. Frames corresponding to fluorescent and
non-fluorescent segments of colon were used to train a classification
algorithm. Validation using frames from patients not used in the training set
was performed, including both data collected using the same equipment and data
collected using a different camera. Performance metrics were calculated, and
saliency maps used to further analyse the output. A decision boundary was
identified based on the tissue classification.
Results: A convolutional neural network was successfully trained on 1790
frames from 7 patients and validated in 24 frames from 14 patients. The
accuracy on the training set was 100%, on the validation set was 80%. Recall
and precision were respectively 100% and 100% on the training set and 68.8% and
91.7% on the validation set.
Conclusion: Automated classification of intraoperative fluorescence
angiography with a high degree of accuracy is possible and allows automated
decision boundary identification. This will enable surgeons to standardise the
technique of fluorescence angiography. A web based app was made available to
deploy the algorithm.
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