A Hierarchy-Aware Video-Language Model Evaluation and Hyperbolic Baseline for Surgery
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The paper introduces SurgHiBench, a hierarchy-aware evaluation suite for surgical video understanding that measures recognition, consistency, and severity across different granularity levels. It also presents HyperSurg, a hyperbolic model that enforces phase-step containment using entailment cones, evaluated on four datasets covering three procedure types. The study shows that models with identical accuracy can differ significantly in error severity, and that hyperbolic geometry improves predictions by aligning them with the procedural hierarchy.
arXiv:2606. 29247v1 Announce Type: new Abstract: Vision-Language-Action (VLA) models represent a promising direction for embodied intelligence in surgical robotics.
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."
SurgMotion is a video-native foundation model that replaces pixel-level reconstruction with latent motion prediction for surgical video analysis. It introduces motion-guided masked prediction, spatiotemporal affinity self-distillation, and spatiotemporal feature diversity regularization to focus on semantically meaningful regions and avoid representation collapse. Trained on SurgMotion-15M, the largest surgical video dataset, it outperforms state-of-the-art methods across 17 benchmarks, improving workflow recognition, action triplet recognition, skill assessment, polyp segmentation, and depth estimation.
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.
arXiv:2608.24671v1 Announce Type: new Abstract: Referring surgical video segmentation requires segmenting a target instrument or tissue region across video frames according to a natural language expr...