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Learning intraoperative organ manipulation with context-based reinforcement learning

D'Ettorre, Claudia; Zirino, Silvia; Dei, Neri Niccolò; Stilli, Agostino; De Momi, Elena; Stoyanov, Danail; (2022) Learning intraoperative organ manipulation with context-based reinforcement learning. Int J Comput Assist Radiol Surg 10.1007/s11548-022-02630-2. (In press). Green open access

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Abstract

PURPOSE: Automation of sub-tasks during robotic surgery is challenging due to the high variability of the surgical scenes intra- and inter-patients. For example, the pick and place task can be executed different times during the same operation and for distinct purposes. Hence, designing automation solutions that can generalise a skill over different contexts becomes hard. All the experiments are conducted using the Pneumatic Attachable Flexible (PAF) rail, a novel surgical tool designed for robotic-assisted intraoperative organ manipulation. METHODS: We build upon previous open-source surgical Reinforcement Learning (RL) training environment to develop a new RL framework for manipulation skills, rlman. In rlman, contextual RL agents are trained to solve different aspects of the pick and place task using the PAF rail system. rlman is implemented to support both low- and high-dimensional state information to solve surgical sub-tasks in a simulation environment. RESULTS: We use rlman to train state of the art RL agents to solve four different surgical sub-tasks involving manipulation skills using the PAF rail. We compare the results with state-of-the-art benchmarks found in the literature. We evaluate the ability of the agent to be able to generalise over different aspects of the targeted surgical environment. CONCLUSION: We have shown that the rlman framework can support the training of different RL algorithms for solving surgical sub-task, analysing the importance of context information for generalisation capabilities. We are aiming to deploy the trained policy on the real da Vinci using the dVRK and show that the generalisation of the trained policy can be transferred to the real world.

Type: Article
Title: Learning intraoperative organ manipulation with context-based reinforcement learning
Location: Germany
Open access status: An open access version is available from UCL Discovery
DOI: 10.1007/s11548-022-02630-2
Publisher version: https://doi.org/10.1007/s11548-022-02630-2
Language: English
Additional information: Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.
Keywords: Computer-assisted intervention, Reinforcement learning, Robotic surgery, Surgical automation
UCL classification: UCL > Provost and Vice Provost Offices > UCL BEAMS > Faculty of Engineering Science
UCL > Provost and Vice Provost Offices > UCL BEAMS > Faculty of Engineering Science > Dept of Computer Science
UCL > Provost and Vice Provost Offices > UCL BEAMS
UCL
URI: https://discovery.ucl.ac.uk/id/eprint/10148143
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