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Prior work demonstrated the ability of machine learning to automatically recognize surgical workflow steps from videos. However, these studies focused on only a single type of procedure. In this work, we analyze, for the first time, surgical step recognition on four different laparoscopic surgeries: Cholecystectomy, Right Hemicolectomy, Sleeve Gastrectomy, and Appendectomy. Inspired by the traditional apprenticeship model, in which surgical training is based on the Halstedian method, we paraphrase the "see one, do one, teach one" approach for the surgical intelligence domain as "train one, classify one, teach one". In machine learning, this approach is often referred to as transfer learning. To analyze the impact of transfer learning across different laparoscopic procedures, we explore various time-series architectures and examine their performance on each target domain. We introduce a new architecture, the Time-Series Adaptation Network (TSAN), an architecture optimized for transfer learning of surgical step recognition, and we show how TSAN can be pre-trained using self-supervised learning on a Sequence Sorting task. Such pre-training enables TSAN to learn workflow steps of a new laparoscopic procedure type from only a small number of labeled samples from the target procedure. Our proposed architecture leads to better performance compared to other possible architectures, reaching over 90% accuracy when transferring from laparoscopic Cholecystectomy to the other three procedure types., Comment: MIDL 2021

This paper presents VTN, a transformer-based framework for video recognition. Inspired by recent developments in vision transformers, we ditch the standard approach in video action recognition that relies on 3D ConvNets and introduce a method that classifies actions by attending to the entire video sequence information. Our approach is generic and builds on top of any given 2D spatial network. In terms of wall runtime, it trains $16.1\times$ faster and runs $5.1\times$ faster during inference while maintaining competitive accuracy compared to other state-of-the-art methods. It enables whole video analysis, via a single end-to-end pass, while requiring $1.5\times$ fewer GFLOPs. We report competitive results on Kinetics-400 and present an ablation study of VTN properties and the trade-off between accuracy and inference speed. We hope our approach will serve as a new baseline and start a fresh line of research in the video recognition domain. Code and models are available at: https://github.com/bomri/SlowFast/blob/master/projects/vtn/README.md