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Automatic recognition of surgical workflow plays a vital role in modern operating rooms. Given the complex nature and extended duration of surgical videos, accurate recognition of surgical workflow is highly challenging. Despite being widely studied, existing methods still face two major limitations: insufficient visual feature extraction and performance degradation caused by inconsistency between training and testing features. To address these limitations, this paper proposes a Multi-Teacher Temporal Regulation Network (MTTR-Net) for surgical workflow recognition. To extract discriminative visual features, we introduce a "sequence of clips" training strategy. This strategy employs a set of sparsely sampled video clips as input to train the feature encoder and incorporates an auxiliary temporal regularizer to model long-range temporal dependencies across these clips, ensuring the feature encoder captures critical information from each frame. Then, to mitigate the inconsistency between training and testing features, we further develop a cross-mimicking strategy that iteratively trains multiple feature encoders on different data subsets to generate consistent mimicked features. A temporal encoder is trained on these mimicked features to achieve stable performance during testing. Extensive experiments on eight public surgical video datasets demonstrate that our MTTR-Net outperforms state-of-the-art methods across various metrics. Our code has been released at https://github.com/kaideH/MGTR-Net.
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http://dx.doi.org/10.1109/TMI.2025.3580082 | DOI Listing |
Interdiscip Cardiovasc Thorac Surg
September 2025
Department of Electrophysiology, Abbott Inc, Chicago, IL.
We report the first use of the EnSite X system for intraoperative electrophysiological mapping during a robotic hybrid ablation (ROK-AF procedure) for long-standing persistent atrial fibrillation. Epicardial ablation targets were identified, and post-ablation electrical silencing was validated. Unlike conventional systems, its orientation-independent omnipolar technology provides directional activation vectors, high-resolution electrograms, and peak frequency analysis, thereby enhancing substrate characterisation.
View Article and Find Full Text PDFPLoS One
September 2025
Institute of Biomedical Engineering, University of Toronto, Toronto, Ontario, Canada.
Achieving optimal alignment and fit is a key aspect of ankle-foot orthosis (AFO) design, as it directly influences the effectiveness of the device. While digital workflows offer the potential to integrate quantifiable alignment measures and corrections into AFO design, a major challenge remains in controlling lower-limb positioning and alignment during 3D scanning. This study aimed to evaluate pediatric AFO alignment and shape differences of directly scanned (live scan) vs casted lower limb models.
View Article and Find Full Text PDFJ Robot Surg
September 2025
Department of Orthopedic Surgery, Orthopedic and Rheumatology Institute, Cleveland Clinic Foundation, 9500 Euclid Ave, Cleveland, OH, A4144195, USA.
Robotic-assisted total joint arthroplasty (RA-TJA) is projected to account for 70% of all arthroplasties by 2030, yet its economic value and operational efficiency have yet to be thoroughly synthesized. While early literature emphasized technical precision, evolving payment models and implementation costs have shifted focus toward cost-effectiveness and workflow integration. To evaluate the economic and institutional viability of RA-TJA by synthesizing available evidence on capital costs, perioperative expenses, learning curves, throughput, and long-term adoption trends.
View Article and Find Full Text PDFInt J Oral Implantol (Berl)
September 2025
Purpose: To present a novel digital workflow (the Columbus Digital Bridge Protocol) for immediately loaded full-arch rehabilitations, integrating digital technologies throughout diagnostic, surgical and prosthetic phases, with a focus on the application of intraoral photogrammetry scanning.
Materials And Methods: The workflow presented in this article, successfully implemented in 14 patients, includes standardised clinical steps: digital diagnostic planning through matching of facial scans and CBCT data, surgical placement of four implants following tooth extraction, immediate post-surgical intraoral photogrammetry scanning using a three-step procedure (i.e.
JSLS
September 2025
Department of Behavioral Medicine and Psychiatry, West Virginia University School of Medicine, Morgantown, West Virginia, USA. (Dr. Cox).
Background And Objectives: Electronic data capture may enhance efficiency and patient engagement in preoperative psychosocial evaluations for metabolic and bariatric surgery yet concerns persist about its feasibility in rural populations with historically lower mobile health adoption. This study evaluated the feasibility and acceptability of electronic patient-reported outcomes among metabolic and bariatric surgery patients in a rural setting.
Methods: In this quality improvement project, 202 patients undergoing presurgical psychosocial evaluation at an academic medical center in rural West Virginia completed a battery of psychological assessments on a clinic-provided tablet.