One-shot skill assessment in high-stakes domains with limited data via meta learning.

Journal: Computers in biology and medicine
PMID:

Abstract

Deep Learning (DL) has achieved robust competency assessment in various high-stakes fields. However, the applicability of DL models is often hampered by their substantial data requirements and confinement to specific training domains. This prevents them from transitioning to new tasks where data is scarce. Therefore, domain adaptation emerges as a critical element for the practical implementation of DL in real-world scenarios. Herein, we introduce A-VBANet, a novel meta-learning model capable of delivering domain-agnostic skill assessment via one-shot learning. Our methodology has been tested by assessing surgical skills on five laparoscopic and robotic simulators and real-life laparoscopic cholecystectomy. Our model successfully adapted with accuracies up to 99.5 % in one-shot and 99.9 % in few-shot settings for simulated tasks and 89.7 % for laparoscopic cholecystectomy. This study marks the first instance of a domain-agnostic methodology for skill assessment in critical fields setting a precedent for the broad application of DL across diverse real-life domains with limited data.

Authors

  • Erim Yanik
    Department of Mechanical, Aerospace, and Nuclear Engineering, Center for Modeling, Simulation, and Imaging for Medicine (CeMSIM), Rensselaer Polytechnic Institute, Troy, 12180, USA.
  • Steven Schwaitzberg
    Jacobs School of Medicine and Biomedical Sciences, The State University of New York, Buffalo, NY; Department of Surgery, The State University of New York, Buffalo, NY; Buffalo General Hospital, NY.
  • Gene Yang
    Division of Minimally Invasive Surgery, Department of Surgery, University at Buffalo, Buffalo, New York, USA.
  • Xavier Intes
    Center for Modeling, Simulation and Imaging in Medicine, Rensselaer Polytechnic Institute, Troy, NY; Department of Biomedical Engineering, Rensselaer Polytechnic Institute, Troy, NY.
  • Jack Norfleet
    U.S. Army Futures Command, Combat Capabilities Development Command Soldier Center STTC, Orlando, FL, 32826, USA.
  • Matthew Hackett
    U.S. Army Combat Capabilities Development Command Soldier Center STTC, USA.
  • Suvranu De
    Rensselaer Polytechnic Institute, Troy, New York, USA.