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Temporally Consistent Label Interpolation for Robust Surgical Multi-Task Learning under Challenging Conditions

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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.

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arXiv Computer Vision
Sep 22

SurgMotion: A Video-Native Foundation Model for Universal Understanding of Surgical Videos

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.

By Jinlin Wu, Felix Holm, Chuxi Chen, An Wang, Yaxin Hu, Xiaofan Ye, Zelin Zang, Miao Xu, Lihua Zhou, Huai Liao, Danny T. M. Chan, Ming Feng, Wai S. Poon, Hongliang Ren, Dong Yi, Nassir Navab, Gaofeng Meng, Jiebo Luo, Hongbin Liu, Zhen Lei
arXiv Computer Vision
Aug 25

Large-Small Model Collaboration for Zero-Shot Surgical Phase Recognition

The paper introduces LaST, a large-small collaborative framework for zero-shot surgical phase recognition. It combines a foundation model that generates frame-level phase priors with a lightweight model that refines predictions through iterative temporal refinement, dynamic quality control, and dual-model cross-learning. Experiments show LaST outperforms baseline and state-of-the-art methods, achieving significant accuracy gains on unseen clinical domains.

By Yiyi Zhang, Ying Zheng, Wenxin Fan, Yu Zhu, Yuchen Yuan, Litao Zhao, Zheng Li, Pheng-Ann Heng
arXiv Computer Vision
Aug 25

Dense Structural Priors for Sparse Functional Landmark Localization in Surgical Videos

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