Automatic tool detection from surgical imagery has a multitude of useful applications, such as real-time computer assistance for the surgeon. Using the successful residual network architecture, a system that can distinguish 21 different tools in cataract surgery videos is created. The videos are provided as part of the 2017 CATARACTS challenge and pose difficulties found in many real-world datasets, for example a strong class imbalance. The construction of the detection system is guided by a wide array of experiments that explore different design decisions.
@cite_21: Receiver operating characteristics (ROC) graphs are useful for organizing classifiers and visualizing their performance. ROC graphs are commonly used in medical decision making, and in recent years have been used increasingly in machine learning and data mining research. Although ROC graphs are apparently simple, there are some common misconceptions and pitfalls when using them in practice. The purpose of this article is to serve as an introduction to ROC graphs and as a guide for using them in research.
The CATARACTS dataset is drastically imbalanced since some tools are used much more often during cataract surgery than others. This makes classification accuracy meaningless as a performance metric. Receiver operating characteristic (ROC) graphs @cite_21 are a viable alternative that can be aggregated into a scalar performance metric by calculating the area under curve (AUC).