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

arXiv:2611.08652v1 Announce Type: new Abstract: 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 geometric and intensity priors, which requires no training corpus and is transferred to each new phantom revision without re-annotation. Across 57 scans spanning multiple phantom revisions, our pipeline recovers the capsule interior at 0.83 median Dice on 11 contrast-suppressed scans and detects all 32 annotated focal lesions without false positives, completing a full scan in 2-8 minutes on commodity CPU hardware versus 1-2 hours by hand.

Minimal Superior Penalties: Characterising and Calibrating Decision-Aware Proper Scoring Rules

arXiv:2611.03734v1 Announce Type: new Abstract: Training a classifier means letting a validation metric decide which model is kept and when training stops. A natural requirement on that metric is superiority: every correctly classified forecast should score better than every incorrectly classified one, however close the underlying probabilities are. Neither the Brier score nor the logarithmic score satisfies this on its own. We show that superiority is governed by the separation between two endpoints -- the supremum of the score on correct predictions and the infimum on incorrect predictions -- and derive both in closed form for each score. Their difference is the infimal penalty, the greatest lower bound on the penalty needed to restore superiority. Prior work restores superiority with a penalty calibrated from the first endpoint alone; for the Brier base, our infimal penalty is smaller than that published penalty by a factor ranging from 4.00 at three classes to 2.11 at twenty. We further embed the published and infimal penalties in a one-parameter family and show that, under a single-valued tie convention, every member of the family is strictly proper. In a pre-specified two-dataset case study, mean selected-model macro-F1 rises with the penalty in the reported ten-class regimes, though not distinguishably from noise once seed/selection-mode nesting is accounted for; a fifth regime at forty-seven classes does not reproduce even this descriptive pattern. The intended no-superiority baseline is algebraically a rescaling of the family under test, so the experiment cannot attribute the observed pattern specifically to superiority. When superiority itself is the objective, any penalty strictly above the infimal value suffices; choosing a larger penalty is a separate calibration trade-off rather than a requirement for the guarantee.