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Computational Methods to Analyse Intra-operative Adverse Events in Surgery at Scale

Project description

Automated detection of intra-operative adverse events

During surgery, intra-operative adverse events (IAEs) often occur but remain vastly underreported, hindering their comprehensive analysis and the development of new safety measures. Recent insights reveal that seemingly near-miss events are linked to major errors and complications. Funded by the European Research Council, the CompSURG project proposes to develop a pioneering computational approach for the automatic detection and large-scale analysis of IAEs in endoscopic videos. The solution will leverage advanced computer vision to model intricate tool-tissue interactions, identifying surgical maneuvers that need to be revisited in terms of safety. The work is expected to lead to novel safety measures and training across diverse types of surgery, enhancing clinical outcome and patient care.

Objective

The operating room is the most frequent location for hospital-related errors. However, intra-operative adverse events (IAEs) are underreported, which impedes their large-scale analysis, the definition of appropriate safety measures and the development of intra-operative support systems to reduce their occurrence. Recent manual video-based assessments of surgical procedures have shown that not only are IAEs frequent, but also that near miss intra-operative events, previously thought to be inconsequential, are in fact predictors of major errors and correlate with complications and poor surgical outcomes.

We leverage these recent findings to propose a radically new, computational approach to improve intra-operative surgical safety. We propose to focus on automatically detecting and analyzing IAEs in endoscopic videos via novel computer vision methods that model the detailed semantics of tool-tissue interactions, as needed to study the activity patterns leading to these critical events. We will first generate a multi-centric, multi-procedure dataset annotated with tool-tissue interaction semantics and IAEs. We will then develop a new fully differentiable neural network model of surgical videos relying on an intermediate graph representation to disentangle the surgical semantics. Finally, we will introduce new training methods for scaling these approaches to different types of surgeries and centers using a limited set of annotations.

These computational methods will allow the automated reporting and analysis of IAEs at a scale unfeasible with manual methods. We will use them to analyze patterns of IAEs and to identify the activities and phases of the surgical procedures that would benefit from new safety measures. We will also design a prototype for intra-operative support. We believe that this project will help to improve surgical safety and hence greatly benefit patient care.

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Topic(s)

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HORIZON-ERC - HORIZON ERC Grants

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Call for proposal

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(opens in new window) ERC-2022-COG

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Host institution

UNIVERSITE DE STRASBOURG
Net EU contribution

Net EU financial contribution. The sum of money that the participant receives, deducted by the EU contribution to its linked third party. It considers the distribution of the EU financial contribution between direct beneficiaries of the project and other types of participants, like third-party participants.

€ 1 951 931,00
Address
RUE BLAISE PASCAL 4
67081 STRASBOURG
France

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Activity type
Higher or Secondary Education Establishments
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Total cost

The total costs incurred by this organisation to participate in the project, including direct and indirect costs. This amount is a subset of the overall project budget.

€ 1 951 931,00

Beneficiaries (1)

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