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Accurate semantic image segmentation from medical imaging can enable intelligent vision-based assistance in robot-assisted minimally invasive surgery. The human body and surgical procedures are highly dynamic. While machine-vision presents a promising approach, sufficiently large training image sets for robust performance are either costly or unavailable. This work examines three novel generative adversarial network (GAN) methods of providing usable synthetic tool images using only surgical background images and a few real tool images. The best of these three novel approaches generates realistic tool textures while preserving local background content by incorporating both a style preservation and a content loss component into the proposed multi-level loss function. The approach is quantitatively evaluated, and results suggest that the synthetically generated training tool images enhance UNet tool segmentation performance. More specifically, with a random set of 100 cadaver and live endoscopic images from the University of Washington Sinus Dataset, the UNet trained with synthetically generated images using the presented method resulted in 35.7% and 30.6% improvement over using purely real images in mean Dice coefficient and Intersection over Union scores, respectively. This study is promising towards the use of more widely available and routine screening endoscopy to preoperatively generate synthetic training tool images for intraoperative UNet tool segmentation. 

Surgical robots have been introduced to operating rooms over the past few decades due to their high sensitivity, small size, and remote controllability. The cable-driven nature of many surgical robots allows the systems to be dexterous and lightweight, with diameters as low as 5mm. However, due to the slack and stretch of the cables and the backlash of the gears, inevitable uncertainties are brought into the kinematics calcu- lation [1]. Since the reported end effector position of surgical robots like RAVEN-II [2] is directly calculated using the motor encoder measurements and forward kinematics, it may contain relatively large error up to 10mm, whereas semi-autonomous functions being introduced into abdominal surgeries require position inaccuracy of at most 1mm. To resolve the problem, a cost-effective, real-time and data-driven pipeline for robot end effector position precision estimation is proposed and tested on RAVEN-II. Analysis shows an improved end effector position error of around 1mm RMS traversing through the entire robot workspace without high-resolution motion tracker. The open source code, data sets, videos, and user guide can be found at //github.com/HaonanPeng/RAVEN Neural Network Estimator.