Spatial localization of surgical instruments through bounding-box annotations is a foundational component of surgical scene understanding, supporting detection, tracking, interaction analysis, and gro...
arXiv:2607. 13237v1 Announce Type: cross Abstract: Precise spatial-temporal annotation of laparoscopic videos is time-consuming and requires expert knowledge.
By Manasa Dendukuri, Matjaz Jogan, Daniel A. Hashimoto, Guiqiu Liao
arXiv:2609.23067v1 Announce Type: new
Abstract: Referring surgical video instrument segmentation (RSVIS) aims at segmenting the instrument in a surgical video, given a textual description. Despite re...
By Zan Wang, Yunhe Feng, Dong Nie, Oluwatosin Oluwadare, Kewei Sha, Yan Huang, Heng Fan
The paper presents a method for localizing functional surgical landmarks—specifically instrument tips and anchors—in surgical videos without requiring manual pixel-level mask annotations. It leverages vision foundation models, such as SAM 3, to generate dense structural priors through zero‑shot, point‑prompted masks, and refines landmark predictions with a lightweight, coarse‑to‑fine multi‑frame network. Experiments on 7,867 clips from 60 videos show that the approach achieves F1 scores of 72.4% for tip and 58.0% for anchor localization, with ablations confirming the benefits of structural priors and refinement stages.
By Chenyan Jing, Hao Ding, Lalithkumar Seenivasan, Jacob M. Delgado L\'opez, Mathias Unberath
arXiv:2610.10156v1 Announce Type: new
Abstract: Recent advances in Vision-Language Models (VLMs) have led to rapid progress in video understanding across a wide range of benchmark tasks. However, exi...
By Leon Mayer, Lucas Luttner, Patrick Godau, Kai Fritzsche, Annika Reinke, Leonie Boland, Jule Brandt, Janne Heinecke, Chloe K. Nobuhara, Niklas Holzwarth, Evangelia Christodoulou, Marcel Knopp, Dominik Michael, Pascale Piermarco, Saliq Neyaz, Korhan Derin \"Ozarslan, Jakob Hennighausen, Carlos Aumente-Maestro, Tim R\"adsch, Dheeraj Baji, Peter Maximilian Full, Finn Aichholz, Justus Veit Erpenbeck, Linus Finn Schott, Bastian Winkelhausen, Claas de Boer, Bianca G\"uttner, Anneli Hummel, Gregor Just, Max Kirchner, Chenyang Li, Rozenn Raffaut, Ariel Rodriguez, Danush Kumar Venkatesh, Kevin Wang, Jinjing Xu, Mona Sheikh Zeinoddin, Salman Khan, Thomas M. Pausch, Stefanie Speidel, Danail Stoyanov, Daniel A. Hashimoto, Fiona R. Kolbinger, Thomas G. Weiser, Lena Maier-Hein
arXiv:2610.32816v1 Announce Type: cross
Abstract: Surgical scene understanding is a prerequisite for context-aware and intelligent systems in the operating room. Current methods rely mostly on visual...
By Dominic Behling, Jonas Hein, Matthias Seibold
Recent advances in Vision-Language Models (VLMs) have led to rapid progress in video understanding across a wide range of benchmark tasks. However, existing evaluations largely focus on short-term rea...
Effective multi-task learning for surgical scene understanding is fundamentally hindered by annotation granularity mismatch; temporal workflow tasks such as phase recognition, step recognition and anticipation benefit from dense frame-level supervision, whereas pixel-level spatial tasks including instrument segmentation and action recognition are only sparsely annotated on selected keyframes due to prohibitive labeling costs. This supervision imbalance undermines shared representation learning and limits joint optimization across heterogeneous surgical tasks.
arXiv:2608.02471v2 Announce Type: replace-cross
Abstract: In laparoscopy, surgeon gaze tracks where the instruments will act; easing this demand through visual attention modeling requires dense label...
By Jiayu Gu, Yiwei Wang, Jie Zhang, Guojun Cao, Keshen Lyu, Song Zhou, Yimeng Chen, Haorui Wang, Qingmin Feng, Shenchao Shi, Hongkuan Shi, Qiuyu Yu, Qiang Xie, Huan Zhao, Wenbin Chen, Caihua Xiong, Chidan Wan, Jing Samantha Pan, Xiong Cai, Han Ding
SurgAtlas is the largest surgical video‑language dataset, containing 15,291 videos (2,391 hours) across 18 specialties and over 5,000 procedure types, all sourced from public YouTube. It uniquely includes open‑surgery videos at scale (6,182) alongside more than 9,000 minimally invasive recordings, and introduces standardized benchmarks for open‑surgery video understanding. The dataset offers a rich, multi‑tier annotation schema—segment‑level captions, step/phase descriptions, video‑level surgical narratives, and reasoning‑oriented VQA pairs—validated by experts and built through an automated LLM‑enriched pipeline.
"whyItMatters":"SurgAtlas provides an unprecedentedly large, diverse, and clinically validated resource that can train and benchmark multimodal surgical AI models, advancing the development of next‑generation foundation models for surgery."
By Filippos Bellos, Andre S. Gala-Garza, Miaowei Wang, Alyssa M. Hardin, Ahmad M. Hider, Li Yayuan, Jing Bi, Susan Liang, Chenliang Xu, Donald S. Likosky, Jason J. Corso
SAGE-OR is a semi‑supervised framework for generating scene graphs in operating rooms that eliminates the need for dense multi‑modal supervision and specialized hardware. It replaces the traditional detect‑then‑reason pipeline with a decoupled representation‑reasoning approach, using frozen foundation models for localization and a lightweight 15‑million‑parameter graph transformer for relational reasoning. On the 4D‑OR benchmark, the core model matches fully supervised baselines (76% F1) and, with unsupervised hand augmentation, reaches 86% F1, achieving near state‑of‑the‑art performance while requiring only relationship and class labels.
By Brandon Leblanc, Charalambos Poullis
We introduce SurgAtlas, the largest surgical video-language dataset to date, comprising 15,291 videos (2,391 hours) spanning 18 surgical specialties and over 5,000 procedure types, sourced entirely from publicly available YouTube content. SurgAtlas is also the first surgical video-language dataset to include open surgery at scale, with 6,182 open procedure videos alongside over 9,000 minimally invasive recordings, and the first to establish standardized benchmarks for open-surgery video understanding.