An Anatomy-guided 3D Segmentation Pipeline for Prostate Surgical Phantoms from CT Scans

Iven Chen, Kuan-I Chung, Ayberk Acar, Susheela Sharma Stern, Alejandro O. Chara +2

Full autonomy has been a long-term goal in robotic surgery and a near-to-medium-term goal for prostatectomy. Due to the relatively closed structure of the procedure, its standard-of-care robotic/laparoscopic solutions, and procedure economics, prostate procedures are an optimal early target for surgical automation. Prototyping and testing of possible solutions is done in constructed laboratory phantoms, either synthetic tissues or animal phantoms. To enable measurement of perceptual and robotic motion error, phantoms undergo volumetric imaging; these images are critical to both a potential deployed automatic system, used in planning motion and treatment (cutting, ablation, suturing, etc.), as well as post-hoc assessment of system performance. Rapid iteration on these phantom models yields small, inconsistent datasets, while the current workflow for human annotation is often anatomically unreliable and prohibitively time-consuming, rendering deep learning unsuitable at reasonable scales. To address these limitations, we present an automated 3D segmentation pipeline that uses classical medical image-processing techniques to encode the known anatomy of the phantoms as explicit…