  In robotic surgery, task automation and learning from demonstration combined
with human supervision is an emerging trend for many new surgical robot
platforms. One such task is automated anastomosis, which requires bimanual
needle handling and suture detection. Due to the complexity of the surgical
environment and varying patient anatomies, reliable suture detection is
difficult, which is further complicated by occlusion and thread topologies. In
this paper, we propose a multi-stage framework for suture thread detection
based on deep learning. Fully convolutional neural networks are used to obtain
the initial detection and the overlapping status of suture thread, which are
later fused with the original image to learn a gradient road map of the thread.
Based on the gradient road map, multiple segments of the thread are extracted
and linked to form the whole thread using a curvilinear structure detector.
Experiments on two different types of sutures demonstrate the accuracy of the
proposed framework.
