Context-aware decision support in the operating room can foster surgical safety and efficiency by leveraging real-time feedback from surgical workflow analysis. Most existing works recognize surgical activities at a coarse-grained level, such as phases, steps or events, leaving out fine-grained interaction details about the surgical activity; yet those are needed for more helpful AI assistance in the operating room. Recognizing surgical actions as triplets of <instrument, verb, target> combination delivers comprehensive details about the activities taking place in surgical videos. This paper presents CholecTriplet2021: an endoscopic vision challenge organized at MICCAI 2021 for the recognition of surgical action triplets in laparoscopic videos. The challenge granted private access to the large-scale CholecT50 dataset, which is annotated with action triplet information. In this paper, we present the challenge setup and assessment of the state-of-the-art deep learning methods proposed by the participants during the challenge. A total of 4 baseline methods from the challenge organizers and 19 new deep learning algorithms by competing teams are presented to recognize surgical action triplets directly from surgical videos, achieving mean average precision (mAP) ranging from 4.2% to 38.1%. This study also analyzes the significance of the results obtained by the presented approaches, performs a thorough methodological comparison between them, in-depth result analysis, and proposes a novel ensemble method for enhanced recognition. Our analysis shows that surgical workflow analysis is not yet solved, and also highlights interesting directions for future research on fine-grained surgical activity recognition which is of utmost importance for the development of AI in surgery.

算法手术工作流识别是一个正在进行的研究领域，可以分为腹腔镜（内部）和手术室（外部）分析。到目前为止，已经提出了许多不同的内部分析作品，并结合了框架级别和附加的时间模型，以解决不同工作流阶段之间的时间歧义。对于外部识别任务，剪辑级方法是针对或场景中存在的本地歧义的研究人员的重点。在这项工作中，我们评估了不同模型体系结构的组合，以进行手术工作流识别的任务，以对内部和外部分析的方法进行公平的比较。我们表明，设计用于内部分析的方法可以通过与不同体系结构的可比性能提高到外部任务。

手术手术室（OR）为自动化和优化提供了许多机会。来自OR的各种来源的视频越来越多。医学界试图利用这些丰富的数据来开发自动化方法，以提高介入的护理，降低成本并改善整体患者的结果。因此，来自或房间摄像机的现有数据集的大小或方式限制了，因此尚不清楚哪些传感器方式最适合诸如识别视频外科手术的任务。这项研究表明，手术动作识别性能可能会根据所使用的图像方式而有所不同。我们对几种常用的传感器方式进行有条理的分析，并提出了两种改善分类性能的融合方法。这些分析是对18个腹腔镜程序的一组多视图RGB-D视频记录进行的。

The release of ChatGPT, a language model capable of generating text that appears human-like and authentic, has gained significant attention beyond the research community. We expect that the convincing performance of ChatGPT incentivizes users to apply it to a variety of downstream tasks, including prompting the model to simplify their own medical reports. To investigate this phenomenon, we conducted an exploratory case study. In a questionnaire, we asked 15 radiologists to assess the quality of radiology reports simplified by ChatGPT. Most radiologists agreed that the simplified reports were factually correct, complete, and not potentially harmful to the patient. Nevertheless, instances of incorrect statements, missed key medical findings, and potentially harmful passages were reported. While further studies are needed, the initial insights of this study indicate a great potential in using large language models like ChatGPT to improve patient-centered care in radiology and other medical domains.

In recent years, several metrics have been developed for evaluating group fairness of rankings. Given that these metrics were developed with different application contexts and ranking algorithms in mind, it is not straightforward which metric to choose for a given scenario. In this paper, we perform a comprehensive comparative analysis of existing group fairness metrics developed in the context of fair ranking. By virtue of their diverse application contexts, we argue that such a comparative analysis is not straightforward. Hence, we take an axiomatic approach whereby we design a set of thirteen properties for group fairness metrics that consider different ranking settings. A metric can then be selected depending on whether it satisfies all or a subset of these properties. We apply these properties on eleven existing group fairness metrics, and through both empirical and theoretical results we demonstrate that most of these metrics only satisfy a small subset of the proposed properties. These findings highlight limitations of existing metrics, and provide insights into how to evaluate and interpret different fairness metrics in practical deployment. The proposed properties can also assist practitioners in selecting appropriate metrics for evaluating fairness in a specific application.

In recent years distributional reinforcement learning has produced many state of the art results. Increasingly sample efficient Distributional algorithms for the discrete action domain have been developed over time that vary primarily in the way they parameterize their approximations of value distributions, and how they quantify the differences between those distributions. In this work we transfer three of the most well-known and successful of those algorithms (QR-DQN, IQN and FQF) to the continuous action domain by extending two powerful actor-critic algorithms (TD3 and SAC) with distributional critics. We investigate whether the relative performance of the methods for the discrete action space translates to the continuous case. To that end we compare them empirically on the pybullet implementations of a set of continuous control tasks. Our results indicate qualitative invariance regarding the number and placement of distributional atoms in the deterministic, continuous action setting.

Artificial Intelligence (AI) has become commonplace to solve routine everyday tasks. Because of the exponential growth in medical imaging data volume and complexity, the workload on radiologists is steadily increasing. We project that the gap between the number of imaging exams and the number of expert radiologist readers required to cover this increase will continue to expand, consequently introducing a demand for AI-based tools that improve the efficiency with which radiologists can comfortably interpret these exams. AI has been shown to improve efficiency in medical-image generation, processing, and interpretation, and a variety of such AI models have been developed across research labs worldwide. However, very few of these, if any, find their way into routine clinical use, a discrepancy that reflects the divide between AI research and successful AI translation. To address the barrier to clinical deployment, we have formed MONAI Consortium, an open-source community which is building standards for AI deployment in healthcare institutions, and developing tools and infrastructure to facilitate their implementation. This report represents several years of weekly discussions and hands-on problem solving experience by groups of industry experts and clinicians in the MONAI Consortium. We identify barriers between AI-model development in research labs and subsequent clinical deployment and propose solutions. Our report provides guidance on processes which take an imaging AI model from development to clinical implementation in a healthcare institution. We discuss various AI integration points in a clinical Radiology workflow. We also present a taxonomy of Radiology AI use-cases. Through this report, we intend to educate the stakeholders in healthcare and AI (AI researchers, radiologists, imaging informaticists, and regulators) about cross-disciplinary challenges and possible solutions.

Heating in private households is a major contributor to the emissions generated today. Heat pumps are a promising alternative for heat generation and are a key technology in achieving our goals of the German energy transformation and to become less dependent on fossil fuels. Today, the majority of heat pumps in the field are controlled by a simple heating curve, which is a naive mapping of the current outdoor temperature to a control action. A more advanced control approach is model predictive control (MPC) which was applied in multiple research works to heat pump control. However, MPC is heavily dependent on the building model, which has several disadvantages. Motivated by this and by recent breakthroughs in the field, this work applies deep reinforcement learning (DRL) to heat pump control in a simulated environment. Through a comparison to MPC, it could be shown that it is possible to apply DRL in a model-free manner to achieve MPC-like performance. This work extends other works which have already applied DRL to building heating operation by performing an in-depth analysis of the learned control strategies and by giving a detailed comparison of the two state-of-the-art control methods.

In this paper, we present a modular methodology that combines state-of-the-art methods in (stochastic) machine learning with traditional methods in rule learning to provide efficient and scalable algorithms for the classification of vast data sets, while remaining explainable. Apart from evaluating our approach on the common large scale data sets MNIST, Fashion-MNIST and IMDB, we present novel results on explainable classifications of dental bills. The latter case study stems from an industrial collaboration with Allianz Private Krankenversicherungs-Aktiengesellschaft which is an insurance company offering diverse services in Germany.

Key Point Analysis(KPA) is a relatively new task in NLP that combines summarization and classification by extracting argumentative key points (KPs) for a topic from a collection of texts and categorizing their closeness to the different arguments. In our work, we focus on the legal domain and develop methods that identify and extract KPs from premises derived from texts of judgments. The first method is an adaptation to an existing state-of-the-art method, and the two others are new methods that we developed from scratch. We present our methods and examples of their outputs, as well a comparison between them. The full evaluation of our results is done in the matching task -- match between the generated KPs to arguments (premises).