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The counting of surgical instruments is an important task to ensure surgical safety and patient health. However, due to the uncertainty of manual operations, there is a risk of missing or miscounting instruments. Applying computer vision technology to the instrument counting process can not only improve efficiency, but also reduce medical disputes and promote the development of medical informatization. However, during the counting process, surgical instruments may be densely arranged or obstruct each other, and they may be affected by different lighting environments, all of which can affect the accuracy of instrument recognition. In addition, similar instruments may have only minor differences in appearance and shape, which increases the difficulty of identification. To address these issues, this paper improves the YOLOv7x object detection algorithm and applies it to the surgical instrument detection task. First, the RepLK Block module is introduced into the YOLOv7x backbone network, which can increase the effective receptive field and guide the network to learn more shape features. Second, the ODConv structure is introduced into the neck module of the network, which can significantly enhance the feature extraction ability of the basic convolution operation of the CNN and capture more rich contextual information. At the same time, we created the OSI26 data set, which contains 452 images and 26 surgical instruments, for model training and evaluation. The experimental results show that our improved algorithm exhibits higher accuracy and robustness in surgical instrument detection tasks, with F1, AP, AP50, and AP75 reaching 94.7%, 91.5%, 99.1%, and 98.2%, respectively, which are 4.6%, 3.1%, 3.6%, and 3.9% higher than the baseline. Compared to other mainstream object detection algorithms, our method has significant advantages. These results demonstrate that our method can more accurately identify surgical instruments, thereby improving surgical safety and patient health. [ABSTRACT FROM AUTHOR]

For facing of the problems caused by the YOLOv4 algorithm's insensitivity to small objects and low detection precision in traffic light detection and recognition, the Improved YOLOv4 algorithm is investigated in the paper using the shallow feature enhancement mechanism and the bounding box uncertainty prediction mechanism. The shallow feature enhancement mechanism is used to extract features from the network and improve the network's ability to locate small objects and color resolution by merging two shallow features at different stages with the high-level semantic features obtained after two rounds of upsampling. Uncertainty is introduced in the bounding box prediction mechanism to improve the reliability of the prediction of the bounding box by modeling the output coordinates of the prediction bounding box and adding the Gaussian model to calculate the uncertainty of the coordinate information. The LISA traffic light data set is used to perform detection and recognition experiments separately. The Improved YOLOv4 algorithm is shown to have a high effectiveness in enhancing the detection and recognition precision of traffic lights. In the detection experiment, the area under the PR curve value of the Improved YOLOv4 algorithm is found to be 97.58%, which represents an increase of 7.09% in comparison to the 90.49% score gained in the Vision for Intelligent Vehicles and Applications Challenge Competition. In the recognition experiment, the mean average precision of the Improved YOLOv4 algorithm is 82.15%, which is 2.86% higher than that of the original YOLOv4 algorithm. The Improved YOLOv4 algorithm shows remarkable advantages as a robust and practical method for use in the real-time detection and recognition of traffic signal lights. [ABSTRACT FROM AUTHOR]