PitRSDNet: Predicting intra‐operative remaining surgery duration in endoscopic pituitary surgery

Abstract Accurate intra‐operative Remaining Surgery Duration (RSD) predictions allow for anaesthetists to more accurately decide when to administer anaesthetic agents and drugs, as well as to notify hospital staff to send in the next patient. Therefore, RSD plays an important role in improved patien...

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Main Authors: Anjana Wijekoon, Adrito Das, Roxana R. Herrera, Danyal Z. Khan, John Hanrahan, Eleanor Carter, Valpuri Luoma, Danail Stoyanov, Hani J. Marcus, Sophia Bano
Format: Article
Language:English
Published: Wiley 2024-12-01
Series:Healthcare Technology Letters
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Online Access:https://doi.org/10.1049/htl2.12099
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author Anjana Wijekoon
Adrito Das
Roxana R. Herrera
Danyal Z. Khan
John Hanrahan
Eleanor Carter
Valpuri Luoma
Danail Stoyanov
Hani J. Marcus
Sophia Bano
author_facet Anjana Wijekoon
Adrito Das
Roxana R. Herrera
Danyal Z. Khan
John Hanrahan
Eleanor Carter
Valpuri Luoma
Danail Stoyanov
Hani J. Marcus
Sophia Bano
author_sort Anjana Wijekoon
collection DOAJ
description Abstract Accurate intra‐operative Remaining Surgery Duration (RSD) predictions allow for anaesthetists to more accurately decide when to administer anaesthetic agents and drugs, as well as to notify hospital staff to send in the next patient. Therefore, RSD plays an important role in improved patient care and minimising surgical theatre costs via efficient scheduling. In endoscopic pituitary surgery, it is uniquely challenging due to variable workflow sequences with a selection of optional steps contributing to high variability in surgery duration. This article presents PitRSDNet for predicting RSD during pituitary surgery, a spatio‐temporal neural network model that learns from historical data focusing on workflow sequences. PitRSDNet integrates workflow knowledge into RSD prediction in two forms: (1) multi‐task learning for concurrently predicting step and RSD; and (2) incorporating prior steps as context in temporal learning and inference. PitRSDNet is trained and evaluated on a new endoscopic pituitary surgery dataset with 88 videos to show competitive performance improvements over previous statistical and machine learning methods. The findings also highlight how PitRSDNet improves RSD precision on outlier cases utilising the knowledge of prior steps.
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institution Kabale University
issn 2053-3713
language English
publishDate 2024-12-01
publisher Wiley
record_format Article
series Healthcare Technology Letters
spelling doaj-art-46ed004a6abc4f09970e3298d4c70ced2024-12-23T18:23:22ZengWileyHealthcare Technology Letters2053-37132024-12-0111631832610.1049/htl2.12099PitRSDNet: Predicting intra‐operative remaining surgery duration in endoscopic pituitary surgeryAnjana Wijekoon0Adrito Das1Roxana R. Herrera2Danyal Z. Khan3John Hanrahan4Eleanor Carter5Valpuri Luoma6Danail Stoyanov7Hani J. Marcus8Sophia Bano9UCL Hawkes Institute University College London London UKUCL Hawkes Institute University College London London UKUCL Hawkes Institute University College London London UKUCL Hawkes Institute University College London London UKUCL Hawkes Institute University College London London UKDepartment of Neurosurgery National Hospital for Neurology and Neurosurgery London UKDepartment of Neurosurgery National Hospital for Neurology and Neurosurgery London UKUCL Hawkes Institute University College London London UKUCL Hawkes Institute University College London London UKUCL Hawkes Institute University College London London UKAbstract Accurate intra‐operative Remaining Surgery Duration (RSD) predictions allow for anaesthetists to more accurately decide when to administer anaesthetic agents and drugs, as well as to notify hospital staff to send in the next patient. Therefore, RSD plays an important role in improved patient care and minimising surgical theatre costs via efficient scheduling. In endoscopic pituitary surgery, it is uniquely challenging due to variable workflow sequences with a selection of optional steps contributing to high variability in surgery duration. This article presents PitRSDNet for predicting RSD during pituitary surgery, a spatio‐temporal neural network model that learns from historical data focusing on workflow sequences. PitRSDNet integrates workflow knowledge into RSD prediction in two forms: (1) multi‐task learning for concurrently predicting step and RSD; and (2) incorporating prior steps as context in temporal learning and inference. PitRSDNet is trained and evaluated on a new endoscopic pituitary surgery dataset with 88 videos to show competitive performance improvements over previous statistical and machine learning methods. The findings also highlight how PitRSDNet improves RSD precision on outlier cases utilising the knowledge of prior steps.https://doi.org/10.1049/htl2.12099computer visiondecision support systems
spellingShingle Anjana Wijekoon
Adrito Das
Roxana R. Herrera
Danyal Z. Khan
John Hanrahan
Eleanor Carter
Valpuri Luoma
Danail Stoyanov
Hani J. Marcus
Sophia Bano
PitRSDNet: Predicting intra‐operative remaining surgery duration in endoscopic pituitary surgery
Healthcare Technology Letters
computer vision
decision support systems
title PitRSDNet: Predicting intra‐operative remaining surgery duration in endoscopic pituitary surgery
title_full PitRSDNet: Predicting intra‐operative remaining surgery duration in endoscopic pituitary surgery
title_fullStr PitRSDNet: Predicting intra‐operative remaining surgery duration in endoscopic pituitary surgery
title_full_unstemmed PitRSDNet: Predicting intra‐operative remaining surgery duration in endoscopic pituitary surgery
title_short PitRSDNet: Predicting intra‐operative remaining surgery duration in endoscopic pituitary surgery
title_sort pitrsdnet predicting intra operative remaining surgery duration in endoscopic pituitary surgery
topic computer vision
decision support systems
url https://doi.org/10.1049/htl2.12099
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AT eleanorcarter pitrsdnetpredictingintraoperativeremainingsurgerydurationinendoscopicpituitarysurgery
AT valpuriluoma pitrsdnetpredictingintraoperativeremainingsurgerydurationinendoscopicpituitarysurgery
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