{"id":"https://openalex.org/W7159941039","doi":"https://doi.org/10.1109/access.2026.3688588","title":"SurgeonAdaptRL: Personalized Surgical Style Modeling via Meta-Reinforcement and Imitation Learning for Ophthalmic Video Analysis","display_name":"SurgeonAdaptRL: Personalized Surgical Style Modeling via Meta-Reinforcement and Imitation Learning for Ophthalmic Video Analysis","publication_year":2026,"publication_date":"2026-01-01","ids":{"openalex":"https://openalex.org/W7159941039","doi":"https://doi.org/10.1109/access.2026.3688588"},"language":"en","primary_location":{"id":"doi:10.1109/access.2026.3688588","is_oa":true,"landing_page_url":"https://doi.org/10.1109/access.2026.3688588","pdf_url":null,"source":{"id":"https://openalex.org/S2485537415","display_name":"IEEE Access","issn_l":"2169-3536","issn":["2169-3536"],"is_oa":true,"is_in_doaj":true,"is_core":true,"host_organization":"https://openalex.org/P4310319808","host_organization_name":"Institute of Electrical and Electronics Engineers","host_organization_lineage":["https://openalex.org/P4310319808"],"host_organization_lineage_names":["Institute of Electrical and Electronics Engineers"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"IEEE Access","raw_type":"journal-article"},"type":"article","indexed_in":["crossref","doaj"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://doi.org/10.1109/access.2026.3688588","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5060901457","display_name":"Hongrui Chen","orcid":null},"institutions":[{"id":"https://openalex.org/I4210156804","display_name":"First Affiliated Hospital of Zhengzhou University","ror":"https://ror.org/056swr059","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210156804"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Hongrui Chen","raw_affiliation_strings":["Department of Ophthalmology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan, China"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Ophthalmology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan, China","institution_ids":["https://openalex.org/I4210156804"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5077126701","display_name":"Lijuan Zhu","orcid":"https://orcid.org/0000-0002-1409-7443"},"institutions":[{"id":"https://openalex.org/I4210156804","display_name":"First Affiliated Hospital of Zhengzhou University","ror":"https://ror.org/056swr059","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210156804"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Lijuan Zhu","raw_affiliation_strings":["Department of Ophthalmology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan, China"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Ophthalmology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan, China","institution_ids":["https://openalex.org/I4210156804"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5133737679","display_name":"Lihong Lian","orcid":null},"institutions":[{"id":"https://openalex.org/I4210156804","display_name":"First Affiliated Hospital of Zhengzhou University","ror":"https://ror.org/056swr059","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210156804"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Lihong Lian","raw_affiliation_strings":["Department of Ophthalmology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan, China"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Ophthalmology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan, China","institution_ids":["https://openalex.org/I4210156804"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5135088363","display_name":"Yuqi Bai","orcid":"https://orcid.org/0000-0003-0908-6499"},"institutions":[{"id":"https://openalex.org/I28407311","display_name":"University of Manchester","ror":"https://ror.org/027m9bs27","country_code":"GB","type":"education","lineage":["https://openalex.org/I28407311"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Yuqi Bai","raw_affiliation_strings":["School of Environment, Education and Development, The University of Manchester, Manchester, U.K"],"raw_orcid":"https://orcid.org/0000-0003-0908-6499","affiliations":[{"raw_affiliation_string":"School of Environment, Education and Development, The University of Manchester, Manchester, U.K","institution_ids":["https://openalex.org/I28407311"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5101800004","display_name":"Yuzhou Liu","orcid":"https://orcid.org/0000-0002-7798-8323"},"institutions":[{"id":"https://openalex.org/I4210156804","display_name":"First Affiliated Hospital of Zhengzhou University","ror":"https://ror.org/056swr059","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210156804"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Yuzhou Liu","raw_affiliation_strings":["Department of Cardiology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan, China"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Cardiology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan, China","institution_ids":["https://openalex.org/I4210156804"]}]}],"institutions":[],"countries_distinct_count":2,"institutions_distinct_count":5,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":{"value":1850,"currency":"USD","value_usd":1850},"apc_paid":{"value":1850,"currency":"USD","value_usd":1850},"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.58669571,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"14","issue":null,"first_page":"91098","last_page":"91110"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10916","display_name":"Surgical Simulation and Training","score":0.4284999966621399,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10916","display_name":"Surgical Simulation and Training","score":0.4284999966621399,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T13702","display_name":"Machine Learning in Healthcare","score":0.13729999959468842,"subfield":{"id":"https://openalex.org/subfields/1702","display_name":"Artificial Intelligence"},"field":{"id":"https://openalex.org/fields/17","display_name":"Computer Science"},"domain":{"id":"https://openalex.org/domains/3","display_name":"Physical Sciences"}},{"id":"https://openalex.org/T11636","display_name":"Artificial Intelligence in Healthcare and Education","score":0.10109999775886536,"subfield":{"id":"https://openalex.org/subfields/2718","display_name":"Health Informatics"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/imitation","display_name":"Imitation","score":0.5339000225067139},{"id":"https://openalex.org/keywords/style","display_name":"Style (visual arts)","score":0.39559999108314514},{"id":"https://openalex.org/keywords/eye-tracking","display_name":"Eye tracking","score":0.3010999858379364},{"id":"https://openalex.org/keywords/video-recording","display_name":"Video recording","score":0.29440000653266907}],"concepts":[{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.7574999928474426},{"id":"https://openalex.org/C126388530","wikidata":"https://www.wikidata.org/wiki/Q1131737","display_name":"Imitation","level":2,"score":0.5339000225067139},{"id":"https://openalex.org/C154945302","wikidata":"https://www.wikidata.org/wiki/Q11660","display_name":"Artificial intelligence","level":1,"score":0.4767000079154968},{"id":"https://openalex.org/C31972630","wikidata":"https://www.wikidata.org/wiki/Q844240","display_name":"Computer vision","level":1,"score":0.40630000829696655},{"id":"https://openalex.org/C107457646","wikidata":"https://www.wikidata.org/wiki/Q207434","display_name":"Human\u2013computer interaction","level":1,"score":0.39570000767707825},{"id":"https://openalex.org/C2776445246","wikidata":"https://www.wikidata.org/wiki/Q1792644","display_name":"Style (visual arts)","level":2,"score":0.39559999108314514},{"id":"https://openalex.org/C49774154","wikidata":"https://www.wikidata.org/wiki/Q131765","display_name":"Multimedia","level":1,"score":0.3499999940395355},{"id":"https://openalex.org/C56461940","wikidata":"https://www.wikidata.org/wiki/Q970687","display_name":"Eye tracking","level":2,"score":0.3010999858379364},{"id":"https://openalex.org/C2988634675","wikidata":"https://www.wikidata.org/wiki/Q34508","display_name":"Video recording","level":2,"score":0.29440000653266907},{"id":"https://openalex.org/C175154964","wikidata":"https://www.wikidata.org/wiki/Q380077","display_name":"Task analysis","level":3,"score":0.2492000013589859}],"mesh":[],"locations_count":2,"locations":[{"id":"doi:10.1109/access.2026.3688588","is_oa":true,"landing_page_url":"https://doi.org/10.1109/access.2026.3688588","pdf_url":null,"source":{"id":"https://openalex.org/S2485537415","display_name":"IEEE Access","issn_l":"2169-3536","issn":["2169-3536"],"is_oa":true,"is_in_doaj":true,"is_core":true,"host_organization":"https://openalex.org/P4310319808","host_organization_name":"Institute of Electrical and Electronics Engineers","host_organization_lineage":["https://openalex.org/P4310319808"],"host_organization_lineage_names":["Institute of Electrical and Electronics Engineers"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"IEEE Access","raw_type":"journal-article"},{"id":"pmh:oai:doaj.org/article:45e3ad3ff2a34e13a22fe27f8bf8633d","is_oa":false,"landing_page_url":"https://doaj.org/article/45e3ad3ff2a34e13a22fe27f8bf8633d","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"IEEE Access, Vol 14, Pp 91098-91110 (2026)","raw_type":"article"}],"best_oa_location":{"id":"doi:10.1109/access.2026.3688588","is_oa":true,"landing_page_url":"https://doi.org/10.1109/access.2026.3688588","pdf_url":null,"source":{"id":"https://openalex.org/S2485537415","display_name":"IEEE Access","issn_l":"2169-3536","issn":["2169-3536"],"is_oa":true,"is_in_doaj":true,"is_core":true,"host_organization":"https://openalex.org/P4310319808","host_organization_name":"Institute of Electrical and Electronics Engineers","host_organization_lineage":["https://openalex.org/P4310319808"],"host_organization_lineage_names":["Institute of Electrical and Electronics Engineers"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"IEEE Access","raw_type":"journal-article"},"sustainable_development_goals":[],"awards":[{"id":"https://openalex.org/G4521762220","display_name":null,"funder_award_id":"81600734","funder_id":"https://openalex.org/F4320321001","funder_display_name":"National Natural Science Foundation of China"},{"id":"https://openalex.org/G8887624240","display_name":null,"funder_award_id":"81600290","funder_id":"https://openalex.org/F4320321001","funder_display_name":"National Natural Science Foundation of China"}],"funders":[{"id":"https://openalex.org/F4320321001","display_name":"National Natural Science Foundation of China","ror":"https://ror.org/01h0zpd94"}],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":[],"abstract_inverted_index":{"Personalized":[0],"surgical":[1,58,197,215,227],"assistance":[2],"requires":[3],"an":[4,71,163],"understanding":[5],"of":[6,29,42,70,89,92,104,111,146,170],"individual":[7],"surgeon":[8,106],"styles":[9,55],"and":[10,45,51,114,135,152,172],"preferences;":[11],"however,":[12],"existing":[13],"methods":[14],"utilize":[15],"fixed":[16],"models":[17],"to":[18,49,78,99],"represent":[19,100],"these":[20],"styles,":[21],"which":[22,200],"cannot":[23],"account":[24],"for":[25,73,76,118,213,224],"the":[26,68,87,101,108,132,192,211,222],"diverse":[27],"range":[28],"techniques":[30],"utilized":[31],"by":[32,162,190],"different":[33,109],"surgeons.":[34],"SurgeonAdaptRL,":[35],"a":[36,40,90,105,112,116,121,144,195],"new":[37],"framework,":[38],"utilizes":[39],"combination":[41],"meta-reinforcement":[43],"learning":[44,48],"hierarchical":[46],"imitation":[47],"model":[50],"replicate":[52],"surgeon-specific":[53],"operative":[54],"based":[56,82],"on":[57,83],"video":[59,216],"data.":[60],"This":[61,208],"framework":[62,193],"makes":[63],"three":[64],"key":[65],"contributions:":[66],"1)":[67],"development":[69],"architecture":[72],"meta-policy":[74],"optimization":[75],"adapting":[77],"each":[79],"surgeon’s":[80],"style":[81,174],"few-shot":[84],"demonstrations;":[85],"2)":[86],"design":[88],"library":[91],"skill":[93],"primitives":[94],"that":[95,155,202,218],"includes":[96],"temporal":[97],"awareness":[98],"motion":[102],"patterns":[103],"at":[107],"stages":[110],"procedure,":[113],"3)":[115],"method":[117],"safely":[119],"refining":[120],"policy":[122],"validated":[123,130],"through":[124],"simulation.":[125],"The":[126],"research":[127],"has":[128,187],"been":[129,188],"using":[131],"CATARACTS":[133],"dataset":[134],"its":[136],"related":[137],"CaDIS":[138],"segmentation":[139],"benchmark,":[140],"as":[141,143,160,221],"well":[142],"subset":[145],"Cataract-1K":[147],"Videos":[148],"with":[149],"phase":[150],"annotations,":[151],"results":[153],"show":[154],"SurgeonAdaptRL":[156],"outperforms":[157],"baseline":[158,183],"methods,":[159],"evidenced":[161],"increase":[164],"in":[165,194],"normalized":[166],"trajectory":[167],"prediction":[168],"accuracy":[169],"12.7%":[171],"improved":[173],"fidelity":[175],"metrics,":[176],"requiring":[177],"65.6%":[178],"less":[179],"adaptation":[180],"time":[181],"than":[182],"methods.":[184],"Further":[185],"validation":[186],"conducted":[189],"deploying":[191],"physics-based":[196],"simulation":[198],"environment,":[199],"demonstrates":[201],"safe":[203],"constraints":[204],"can":[205],"be":[206],"satisfied.":[207],"work":[209],"lays":[210],"groundwork":[212],"personalized":[214],"analysis":[217],"will":[219],"serve":[220],"basis":[223],"future":[225],"robotic":[226],"systems.":[228]},"counts_by_year":[],"updated_date":"2026-06-25T08:15:23.626066","created_date":"2026-05-04T00:00:00"}