Despite their mechanical sophistication, surgical robots remain blind to their surroundings. This lack of spatial awareness causes collisions, system recoveries, and workflow disruptions, issues that will intensify with the introduction of distributed robots with independent interacting arms. Existing tracking systems rely on bulky infrared cameras and reflective markers, providing only limited views of the surgical scene and adding hardware burden in crowded operating rooms. We present a marker-free proprioception method that enables precise localisation of surgical robots under their sterile draping despite associated obstruction of visual cues. Our method solely relies on lightweight stereo-RGB cameras and novel transformer-based deep learning models. It builds on the largest multi-centre spatial robotic surgery dataset to date (1.4M self-annotated images from human cadaveric and preclinical in vivo studies). By tracking the entire robot and surgical scene, rather than individual markers, our approach provides a holistic view robust to occlusions, supporting surgical scene understanding and context-aware control. We demonstrate an example of potential clinical benefits during in vivo breathing compensation with access to tissue dynamics, unobservable under state of the art tracking, and accurately locate in multi-robot systems for future intelligent interaction. In addition, and compared with existing systems, our method eliminates markers and improves tracking visibility by 25%. To our knowledge, this is the first demonstration of marker-free proprioception for fully draped surgical robots, reducing setup complexity, enhancing safety, and paving the way toward modular and autonomous robotic surgery.

--Previous work has shown that the addition of haptic feedback to the hands can improve awareness of tool-tissue interactions and enhance performance of teleoperated tasks in robot-assisted minimally invasive surgery. However, hand-based haptic feedback occludes direct interaction with the manipulanda of surgeon console in teleoperated surgical robots. We propose relocating haptic feedback to the wrist using a wearable haptic device so that haptic feedback mechanisms do not need to be integrated into the manipulanda. However, it is unknown if such feedback will be effective, given that it is not co-located with the finger movements used for manipulation. T o test if relocated haptic feedback improves force application during teleoperated tasks using da Vinci Research Kit (dVRK) surgical robot, participants learned to palpate a phantom tissue to desired forces. Participants performed the palpation task with and without wrist-worn haptic feedback and were evaluated for the accuracy of applied forces. Participants demonstrated statistically significant lower force error when wrist-worn haptic feedback was provided. Participants also performed the palpation task with longer movement times when provided wrist-worn haptic feedback, indicating that the haptic feedback may have caused participants to operate at a different point in the speed-accuracy tradeoff curve.

Laparoscopic surgery constrains instrument motion around a fixed pivot point at the incision into a patient to minimize tissue trauma. Surgical robots achieve this through either hardware to software-based remote center of motion (RCM) constraints. However, accurate RCM alignment is difficult due to manual trocar placement, patient motion, and tissue deformation. Misalignment between the robot's RCM point and the patient incision site can cause unsafe forces at the incision site. This paper presents a sensorless force estimation-based framework for dynamically assessing and optimizing RCM misalignment in robotic surgery. Our experiments demonstrate that misalignment exceeding 20 mm can generate large enough forces to potentially damage tissue, emphasizing the need for precise RCM positioning. For misalignment $D\geq $ 20 mm, our optimization algorithm estimates the RCM offset with an absolute error within 5 mm. Accurate RCM misalignment estimation is a step toward automated RCM misalignment compensation, enhancing safety and reducing tissue damage in robotic-assisted laparoscopic surgery.

Systems thinking provides us with a way to model the algorithmic fairness problem by allowing us to encode prior knowledge and assumptions about where we believe bias might exist in the data generating process. We can then model this using a series of causal graphs, enabling us to link AI/ML systems to politics and the law. By treating the fairness problem as a complex system, we can combine techniques from machine learning, causal inference, and system dynamics. Each of these analytical techniques is designed to capture different emergent aspects of fairness, allowing us to develop a deeper and more holistic view of the problem. This can help policymakers on both sides of the political aisle to understand the complex trade-offs that exist from different types of fairness policies, providing a blueprint for designing AI policy that is aligned to their political agendas.

Alternative data provides valuable insights for lenders to evaluate a borrower's creditworthiness, which could help expand credit access to underserved groups and lower costs for borrowers. But some forms of alternative data have historically been excluded from credit underwriting because it could act as an illegal proxy for a protected class like race or gender, causing redlining. We propose a method for applying causal inference to a supervised machine learning model to debias alternative data so that it might be used for credit underwriting. We demonstrate how our algorithm can be used against a public credit dataset to improve model accuracy across different racial groups, while providing theoretically robust nondiscrimination guarantees.

Haptic feedback to the surgeon during robotic surgery would enable safer and more immersive surgeries but estimating tissue interaction forces at the tips of robotically controlled surgical instruments has proven challenging. Few existing surgical robots can measure interaction forces directly and the additional sensor may limit the life of instruments. We present a hybrid model and learning-based framework for force estimation for the Patient Side Manipulators (PSM) of a da Vinci Research Kit (dVRK). The model-based component identifies the dynamic parameters of the robot and estimates free-space joint torque, while the learning-based component compensates for environmental factors, such as the additional torque caused by trocar interaction between the PSM instrument and the patient's body wall. We evaluate our method in an abdominal phantom and achieve an error in force estimation of under 10% normalized root-mean-squared error. We show that by using a model-based method to perform dynamics identification, we reduce reliance on the training data covering the entire workspace. Although originally developed for the dVRK, the proposed method is a generalizable framework for other compliant surgical robots. The code is available at https://github.com/vu-maple-lab/dvrk_force_estimation.

Sensory substitution is an effective approach for displaying stable haptic feedback to a teleoperator under time delay. The finger is highly articulated, and can sense movement and force in many directions, making it a promising location for sensory substitution based on kinesthetic feedback. However, existing finger kinesthetic devices either provide only one-degree-of-freedom feedback, are bulky, or have low force output. Soft pneumatic actuators have high power density, making them suitable for realizing high force kinesthetic feedback in a compact form factor. We present a soft pneumatic handheld kinesthetic feedback device for the index finger that is controlled using a constant curvature kinematic model. \changed{It has respective position and force ranges of +-3.18mm and +-1.00N laterally, and +-4.89mm and +-6.01N vertically, indicating its high power density and compactness. The average open-loop radial position and force accuracy of the kinematic model are 0.72mm and 0.34N.} Its 3Hz bandwidth makes it suitable for moderate speed haptic interactions in soft environments. We demonstrate the three-dimensional kinesthetic force feedback capability of our device for sensory substitution at the index figure in a virtual telemanipulation scenario.

Given the rapidly expanding capabilities of generative AI models for radiology, there is a need for robust metrics that can accurately measure the quality of AI-generated radiology reports across diverse hospitals. We develop ReXamine-Global, a LLM-powered, multi-site framework that tests metrics across different writing styles and patient populations, exposing gaps in their generalization. First, our method tests whether a metric is undesirably sensitive to reporting style, providing different scores depending on whether AI-generated reports are stylistically similar to ground-truth reports or not. Second, our method measures whether a metric reliably agrees with experts, or whether metric and expert scores of AI-generated report quality diverge for some sites. Using 240 reports from 6 hospitals around the world, we apply ReXamine-Global to 7 established report evaluation metrics and uncover serious gaps in their generalizability. Developers can apply ReXamine-Global when designing new report evaluation metrics, ensuring their robustness across sites. Additionally, our analysis of existing metrics can guide users of those metrics towards evaluation procedures that work reliably at their sites of interest.

Gait asymmetry, a consequence of various neurological or physical conditions such as aging and stroke, detrimentally impacts bipedal locomotion, causing biomechanical alterations, increasing the risk of falls and reducing quality of life. Addressing this critical issue, this paper introduces a novel diagnostic method for gait symmetry analysis through the use of an assistive robotic Smart Walker equipped with an innovative asymmetry detection scheme. This method analyzes sensor measurements capturing the interaction torque between user and walker. By applying a seasonal-trend decomposition tool, we isolate gait-specific patterns within these data, allowing for the estimation of stride durations and calculation of a symmetry index. Through experiments involving 5 experimenters, we demonstrate the Smart Walker's capability in detecting and quantifying gait asymmetry by achieving an accuracy of 84.9% in identifying asymmetric cases in a controlled testing environment. Further analysis explores the classification of these asymmetries based on their underlying causes, providing valuable insights for gait assessment. The results underscore the potential of the device as a precise, ready-to-use monitoring tool for personalized rehabilitation, facilitating targeted interventions for enhanced patient outcomes.

The proliferation of robot-assisted minimally invasive surgery highlights the need for advanced training tools such as cost-effective robotic endotrainers. Current surgical robots often lack haptic feedback, which is crucial for providing surgeons with a real-time sense of touch. This absence can impact the surgeon's ability to perform delicate operations effectively. To enhance surgical training and address this deficiency, we have integrated a cost-effective haptic feedback system into a robotic endotrainer. This system incorporates both kinesthetic (force) and tactile feedback, improving the fidelity of surgical simulations and enabling more precise control during operations. Our system incorporates an innovative, cost-effective Force/Torque sensor utilizing optoelectronic technology, specifically designed to accurately detect forces and moments exerted on surgical tools with a 95% accuracy, providing essential kinesthetic feedback. Additionally, we implemented a tactile feedback mechanism that informs the surgeon of the gripping forces between the tool's tip and the tissue. This dual feedback system enhances the fidelity of training simulations and the execution of robotic surgeries, promoting broader adoption and safer practices.