S4E4: Moravec’s Paradox and the Evolution of Surgical Robotics
Aug 23, 2023
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Dr. Catherine Mohr, President of the Intuitive Foundation, discusses the limits of robotic-assisted surgery and the future of surgical robotics. She believes in augmenting the surgeon's hands to solve problems rather than mimicking human physicality. The goal is to find cellular edges of tumors and assist with tasks like grasping a bleeding artery. The podcast also explores Moravec's Paradox and the disparity between computer abilities and human reasoning.
Robots struggle with basic physical tasks, highlighting the Moravec's Paradox, which emphasizes the difference between AI and robotics.
Advancements in computer vision and machine learning can enhance surgical robotics by improving visualization and enabling more precise interventions.
Deep dives
The Moravec's Paradox: AI vs. Robotics
Despite advancements in artificial intelligence, robots still struggle with basic physical tasks, highlighting the Moravec's Paradox. While AI excels in tasks like arithmetic, robots are far behind humans when it comes to manipulation and motor actions. This paradox underscores the fundamental difference between AI and robotics.
The Da Vinci Surgical Robot
The Da Vinci surgical robot is a sophisticated system used for soft tissue surgeries. It comprises a pillar-like structure with movable arms, a tower for computer processing and visual display, and a console where the surgeon sits. The console provides a 3D image, allowing the surgeon to control the instruments with precision and dexterity. The robot enables minimally invasive procedures, resulting in smaller incisions, faster recovery, and fewer complications.
The Role of Haptics and Computer Vision
Haptics, which refers to the sense of touch and physical interaction, is limited in surgical robotics to force feedback. However, advancements in computer vision and machine learning can enhance the surgical experience. For example, computer vision can help identify tumor boundaries or other critical structures by highlighting them in an augmented reality view. By integrating these technologies, surgeons can benefit from improved visualization and more precise interventions.
Expanding Access and Training in Robotic Surgery
While robotic surgery offers numerous advantages, including smaller incisions and reduced complications, its adoption and access should be carefully considered. In low-resource environments, instead of focusing solely on deploying robots, the emphasis should be on training more surgeons. Machine learning and AI can play a crucial role in coaching surgeons, improving their skills and expanding access to robotic surgery worldwide. Ultimately, the goal should be to enhance surgical training and enable better healthcare outcomes.
In Season 4 of the Theory and Practice podcast, we’ve been investigating the powerful new world of AI applications. We’ve explored how to build safety guardrails into AI-driven healthcare, what the future holds for empathetic AI communication, and how humans can control computers with imperceptible movements of their hands.
For episode 4, we turn to surgical robots with the help of Dr. Catherine Mohr, President of the Intuitive Foundation, who played an integral role in developing the DaVinci surgical robot system. Before we explore the limits of robotic-assisted surgery, we discuss Moravec’s paradox: computers are good at things we find complicated, including complex calculations and handling large amounts of data, but not as good at perception and mobility tasks.
This context explains why Dr. Mohr does not think that haptics, and the process of providing tactile feedback, is a breakthrough — humans have a very sophisticated tactile sense. She posits that we do not need to recapitulate evolution by having robots mimic human physicality. Instead, she asks, “What is the best technology I can use to solve that problem?” She believes a promising future for surgical robotics is to augment the surgeon’s hands: finding the cellular edges of a cancerous tumor by lighting up a nest of cells at its margins or helping the surgeon grasp a bleeding artery when the field is obscured by blood.
Further down the line, she believes we will be able to move away from extensive surgery apart from trauma and move to maintenance surgery. For example, routinely doing “precision excision,” where tumors in their earliest form can be detected and removed at the cellular level, and “precision installment” — adding regenerative cells before organs and joints are damaged irrevocably.
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