Deep Learning for Autonomous Surgical Guidance Using 3-Dimensional Images From Forward-Viewing Endoscopic Optical Coherence Tomography.

ABSTRACT: A three-dimensional convolutional neural network (3D-CNN) was developed for the analysis of volumetric optical coherence tomography (OCT) images to enhance endoscopic guidance during percutaneous nephrostomy. The model was performance-benchmarked using a 10-fold nested cross-validation procedure and achieved an average test accuracy of 90.57% across a dataset of 10 porcine kidneys. This performance significantly exceeded that of 2D-CNN models that attained average test accuracies ranging from 85.63% to 88.22% using 1, 10, or 100 radial sections extracted from the 3D OCT volumes. The 3D-CNN (~12 million parameters) was benchmarked against three state-of-the-art volumetric architectures: the 3D Vision Transformer (3D-ViT, ~45 million parameters), 3D-DenseNet121 (~12 million parameters), and

SUBMITTER: Ly S 

PROVIDER: S-EPMC12718128 | biostudies-literature | 2025 Nov

REPOSITORIES: biostudies-literature