The pipeline runs on three roles. Surgical annotators label the video, QA reviewers hold consistency, and clinical SMEs set the ground truth. Annotators are selected for core skills like visual precision and consistency, then trained on the domain through the SOP, the visual atlas, and a certification exam. Clinical judgment stays with the SMEs.
Label surgical video: instruments, anatomy, and phases, following the annotation SOP. We select for core annotation skills and train the domain knowledge. Training and certification are built into the role.
Review annotated batches for accuracy and consistency against the SOP and the golden set. Hold the quality line before work reaches clinical review.
Adjudicate escalated edge cases and validate the golden set. Clinical judgment sets the ground truth the rest of the pipeline is measured against.