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.
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).
@cite_21
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Background The receiver operating characteristic (ROC) curve is a fundamental tool to assess the discriminant performance for not only a single marker but also a score function combining multiple markers. The area under the ROC curve (AUC) for a score function measures the intrinsic ability for the score function to discriminate between the controls and cases. Recently, the partial AUC (pAUC) has been paid more attention than the AUC, because a suitable range of the false positive rate can be focused according to various clinical situations. However, existing pAUC-based methods only handle a few markers and do not take nonlinear combination of markers into consideration. Most studies of online learning measure the performance of a learner by classification accuracy, which is inappropriate for applications where the data are unevenly distributed among different classes. We address this limitation by developing online learning algorithm for maximizing Area Under the ROC curve (AUC), a metric that is widely used for measuring the classification performance for imbalanced data distributions. The key challenge of online AUC maximization is that it needs to optimize the pairwise loss between two instances from different classes. This is in contrast to the classical setup of online learning where the overall loss is a sum of losses over individual training examples. We address this challenge by exploiting the reservoir sampling technique, and present two algorithms for online AUC maximization with theoretic performance guarantee. Extensive experimental studies confirm the effectiveness and the efficiency of the proposed algorithms for maximizing AUC. While most proposed methods for solving classification problems focus on minimization of the classification error rate, we are interested in the receiver operating characteristic (ROC) curve, which provides more information about classification performance than the error rate does. The area under the ROC curve (AUC) is a natural measure for overall assessment of a classifier based on the ROC curve. We discuss a class of concave functions for AUC maximization in which a boosting-type algorithm including RankBoost is considered, and the Bayesian risk consistency and the lower bound of the optimum function are discussed. A procedure derived by maximizing a specific optimum function has high robustness, based on gross error sensitivity. Additionally, we focus on the partial AUC, which is the partial area under the ROC curve. For example, in medical screening, a high true-positive rate to the fixed lower false-positive rate is preferable and thus the partial AUC corresponding to lower false-positive rates is much more important than the remaining AUC. We extend the class of concave optimum functions for partial AUC optimality with the boosting algorithm. We investigated the validity of the proposed method through several experiments with data sets in the UCI repository. In machine learning contests such as the ImageNet Large Scale Visual Recognition Challenge ( 2015) and the KDD Cup, contestants can submit candidate solutions and receive from an oracle (typically the organizers of the competition) the accuracy of their guesses compared to the ground-truth labels. One of the most commonly used accuracy metrics for binary classification tasks is the Area Under the Receiver Operating Characteristics Curve (AUC). In this paper we provide proofs-of-concept of how knowledge of the AUC of a set of guesses can be used, in two different kinds of attacks, to improve the accuracy of those guesses. On the other hand, we also demonstrate the intractability of one kind of AUC exploit by proving that the number of possible binary labelings of n examples for which a candidate solution obtains a AUC score of c grows exponentially in n, for every c ∈ (0, 1).