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Mar 18

Deep Multimodal Fusion for Surgical Feedback Classification

Quantification of real-time informal feedback delivered by an experienced surgeon to a trainee during surgery is important for skill improvements in surgical training. Such feedback in the live operating room is inherently multimodal, consisting of verbal conversations (e.g., questions and answers) as well as non-verbal elements (e.g., through visual cues like pointing to anatomic elements). In this work, we leverage a clinically-validated five-category classification of surgical feedback: "Anatomic", "Technical", "Procedural", "Praise" and "Visual Aid". We then develop a multi-label machine learning model to classify these five categories of surgical feedback from inputs of text, audio, and video modalities. The ultimate goal of our work is to help automate the annotation of real-time contextual surgical feedback at scale. Our automated classification of surgical feedback achieves AUCs ranging from 71.5 to 77.6 with the fusion improving performance by 3.1%. We also show that high-quality manual transcriptions of feedback audio from experts improve AUCs to between 76.5 and 96.2, which demonstrates a clear path toward future improvements. Empirically, we find that the Staged training strategy, with first pre-training each modality separately and then training them jointly, is more effective than training different modalities altogether. We also present intuitive findings on the importance of modalities for different feedback categories. This work offers an important first look at the feasibility of automated classification of real-world live surgical feedback based on text, audio, and video modalities.

Improved Test-Time Adaptation for Domain Generalization

The main challenge in domain generalization (DG) is to handle the distribution shift problem that lies between the training and test data. Recent studies suggest that test-time training (TTT), which adapts the learned model with test data, might be a promising solution to the problem. Generally, a TTT strategy hinges its performance on two main factors: selecting an appropriate auxiliary TTT task for updating and identifying reliable parameters to update during the test phase. Both previous arts and our experiments indicate that TTT may not improve but be detrimental to the learned model if those two factors are not properly considered. This work addresses those two factors by proposing an Improved Test-Time Adaptation (ITTA) method. First, instead of heuristically defining an auxiliary objective, we propose a learnable consistency loss for the TTT task, which contains learnable parameters that can be adjusted toward better alignment between our TTT task and the main prediction task. Second, we introduce additional adaptive parameters for the trained model, and we suggest only updating the adaptive parameters during the test phase. Through extensive experiments, we show that the proposed two strategies are beneficial for the learned model (see Figure 1), and ITTA could achieve superior performance to the current state-of-the-art methods on several DG benchmarks. Code is available at https://github.com/liangchen527/ITTA.

TALC: Time-Aligned Captions for Multi-Scene Text-to-Video Generation

Recent advances in diffusion-based generative modeling have led to the development of text-to-video (T2V) models that can generate high-quality videos conditioned on a text prompt. Most of these T2V models often produce single-scene video clips that depict an entity performing a particular action (e.g., `a red panda climbing a tree'). However, it is pertinent to generate multi-scene videos since they are ubiquitous in the real-world (e.g., `a red panda climbing a tree' followed by `the red panda sleeps on the top of the tree'). To generate multi-scene videos from the pretrained T2V model, we introduce Time-Aligned Captions (TALC) framework. Specifically, we enhance the text-conditioning mechanism in the T2V architecture to recognize the temporal alignment between the video scenes and scene descriptions. For instance, we condition the visual features of the earlier and later scenes of the generated video with the representations of the first scene description (e.g., `a red panda climbing a tree') and second scene description (e.g., `the red panda sleeps on the top of the tree'), respectively. As a result, we show that the T2V model can generate multi-scene videos that adhere to the multi-scene text descriptions and be visually consistent (e.g., entity and background). Further, we finetune the pretrained T2V model with multi-scene video-text data using the TALC framework. We show that the TALC-finetuned model outperforms the baseline methods by 15.5 points in the overall score, which averages visual consistency and text adherence using human evaluation. The project website is https://talc-mst2v.github.io/.