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SICS-105: Phase recognition in Manual Small-Incision Cataract Surgery

Title: SICS-105: Phase recognition in Manual Small-Incision Cataract Surgery
Authors: Mueller, Simon; Wintergerst, Maximilian; Schultz, Thomas
Contributors: Sachdeva, Bhuvan; Mohit, Jain; Prasad, Singri Niharika; Murali, Kaushik; Holz, Frank; Finger, Robert; Lechtenboehmer, Raphael
Publisher Information: Zenodo
Publication Year: 2024
Collection: Zenodo
Subject Terms: Small-Incision Cataract Surgery; Phacoemulsification; Artificial Intelligence; Temporal Action Segmentation; Phase Recognition; Video Dataset
Description: This prospective cross-sectional study introduces the first Manual Small-Incision Cataract Surgery (SICS) video dataset, which is prevalent but understudied in low- and middle-income countries (LMICs), evaluates effectiveness of phase recognition through deep learning (DL) using the MS-TCN++ architecture and compares its results with the well-studied phacoemulsification procedure using the Cataract-101 public dataset. Our novel SICS-105 dataset involved 105 patients recruited at Sankara Eye Hospital in India. Performance is evaluated with frame-wise accuracy, edit distance, F1-score, Precision-Recall AUC, sensitivity, and specificity. The MS-TCN++ architecture performs better on the Cataract-101 dataset across reported metrics, with an accuracy of 89.97% [CI 86.69-93.46%] compared to 84.94% [CI 79.45-92.03%] on the SICS-105 dataset (ROC AUC 99.10% [98.34-99.51%] vs. 98.22% [97.17-99.39%]). Reducing the 20 phases to 13 phase in SICS improved performance without completely bridging the gap. The per-video accuracy distribution and confidence-intervals overlap between the samples. PR-AUC curves for each phase in the SICS dataset range from 46.20 to 94.18%. In conclusion, we replicated phase recognition results from phacoemulsification in a new open-access SICS dataset using DL with slightly lower prediction performance. This research marks a crucial step towards improving postoperative analysis and training for SICS.
Document Type: moving image (video)
Language: unknown
Relation: https://zenodo.org/records/13847781; oai:zenodo.org:13847781; https://doi.org/10.5281/zenodo.13847781
DOI: 10.5281/zenodo.13847781
Availability: https://doi.org/10.5281/zenodo.13847781; https://zenodo.org/records/13847781
Rights: Creative Commons Attribution 4.0 International ; cc-by-4.0 ; https://creativecommons.org/licenses/by/4.0/legalcode
Accession Number: edsbas.5AA125C6
Database: BASE