Automatic Instrument Segmentation in Robot-Assisted Surgery Using Deep Learning
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Abstract (arXiv)
Semantic segmentation of robotic instruments is an important problem for the robot-assisted surgery. One of the main challenges is to correctly detect an instrument's position for the tracking and pose estimation in the vicinity of surgical scenes. Accurate pixel-wise instrument segmentation is needed to address this challenge. In this paper we describe our winning solution for MICCAI 2017 Endoscopic Vision SubChallenge: Robotic Instrument Segmentation. Our approach demonstrates an improvement over the state-of-the-art results using several novel deep neural network architectures. It addressed the binary segmentation problem, where every pixel in an image is labeled as an instrument or background from the surgery video feed. In addition, we solve a multi-class segmentation problem, where we distinguish different instruments or different parts of an instrument from the background. In this setting, our approach outperforms other methods in every task subcategory for automatic instrument segmentation thereby providing state-of-the-art solution for this problem. The source code for our solution is made publicly available at https://github.com/ternaus/robot-surgery-segmentation
Key facts. Cited by 81 papers in the map (data through 7 Oct 2026). First posted on arXiv 3 Mar 2018.
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Citing papers per year: 2021: 16; 2022: 14; 2023: 17; 2024: 15; 2025: 11; 2026: 8.
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- 2023SurgicalSAM: Efficient Class Promptable Surgical Instrument Segmentationcited by 103
- 2022PIDNet: A Real-time Semantic Segmentation Network Inspired by PID Controllerscited by 84
- 2023MA-SAM: Modality-agnostic SAM Adaptation for 3D Medical Image Segmentationcited by 82
- 2023SAR-RARP50: Segmentation of surgical instrumentation and Action Recognition on Robot-Assisted Radical Prostatectomy Challengecited by 54
- 2023Generalist Vision Foundation Models for Medical Imaging: A Case Study of Segment Anything Model on Zero-Shot Medical Segmentationcited by 51
- 2024Pixel-Wise Recognition for Holistic Surgical Scene Understandingcited by 48
- 2024Surgical SAM 2: Real-time Segment Anything in Surgical Video by Efficient Frame Pruningcited by 46
- 2022TraSeTR: Track-to-Segment Transformer with Contrastive Query for Instance-level Instrument Segmentation in Robotic Surgerycited by 40
- 2023AdaptiveSAM: Towards Efficient Tuning of SAM for Surgical Scene Segmentationcited by 37
- 2023MATIS: Masked-Attention Transformers for Surgical Instrument Segmentationcited by 36
- 2024Frequency-Adaptive Dilated Convolution for Semantic Segmentationcited by 34
- 2021Semi-supervised Domain Adaptation based on Dual-level Domain Mixing for Semantic Segmentationcited by 33
38 more
- 2022From Forks to Forceps: A New Framework for Instance Segmentation of Surgical Instrumentscited by 32
- 2023SAM Meets Robotic Surgery: An Empirical Study on Generalization, Robustness and Adaptationcited by 30
- 2024OphCLIP: Hierarchical Retrieval-Augmented Learning for Ophthalmic Surgical Video-Language Pretrainingcited by 29
- 2022Exploring Intra- and Inter-Video Relation for Surgical Semantic Scene Segmentationcited by 27
- 2023Text Promptable Surgical Instrument Segmentation with Vision-Language Modelscited by 27
- 2023SAM Meets Robotic Surgery: An Empirical Study in Robustness Perspectivecited by 24
- 2021Image Compositing for Segmentation of Surgical Tools without Manual Annotationscited by 23
- 2024SAM 2 in Robotic Surgery: An Empirical Evaluation for Robustness and Generalization in Surgical Video Segmentationcited by 21
- 2021ST-MTL: Spatio-Temporal Multitask Learning Model to Predict Scanpath While Tracking Instruments in Robotic Surgerycited by 20
- 2022FUN-SIS: a Fully UNsupervised approach for Surgical Instrument Segmentationcited by 20
- 2022Semantic-SuPer: A Semantic-aware Surgical Perception Framework for Endoscopic Tissue Identification, Reconstruction, and Trackingcited by 19
- 2023Methods and datasets for segmentation of minimally invasive surgical instruments in endoscopic images and videos: A review of the state of the artcited by 18
- 2021Federated Split Vision Transformer for COVID-19 CXR Diagnosis using Task-Agnostic Trainingcited by 17
- 2021Real-time Instance Segmentation of Surgical Instruments using Attention and Multi-scale Feature Fusioncited by 17
- 2022CaRTS: Causality-driven Robot Tool Segmentation from Vision and Kinematics Datacited by 16
- 2021One to Many: Adaptive Instrument Segmentation via Meta Learning and Dynamic Online Adaptation in Robotic Surgical Videocited by 14
- 2021Tilted Cross Entropy (TCE): Promoting Fairness in Semantic Segmentationcited by 12
- 2021Efficient Global-Local Memory for Real-time Instrument Segmentation of Robotic Surgical Videocited by 10
- 2021Simulation-to-Real domain adaptation with teacher-student learning for endoscopic instrument segmentationcited by 9
- 2021FSNet: A Failure Detection Framework for Semantic Segmentationcited by 9
- 2024World Models for General Surgical Graspingcited by 9
- 2023SurgicalPart-SAM: Part-to-Whole Collaborative Prompting for Surgical Instrument Segmentationcited by 8
- 2025Surgical Scene Understanding in the Era of Foundation AI Models: A Comprehensive Reviewcited by 8
- 2025Memory-Augmented SAM2 for Training-Free Surgical Video Segmentationcited by 8
- 2024LiVOS: Light Video Object Segmentation with Gated Linear Matchingcited by 7
- 2025Does DINOv3 Set a New Medical Vision Standard? Benchmarking 2D and 3D Classification, Segmentation, and Registrationcited by 7
- 2021Reducing Annotating Load: Active Learning with Synthetic Images in Surgical Instrument Segmentationcited by 6
- 2021How can we learn (more) from challenges? A statistical approach to driving future algorithm developmentcited by 5
- 2022Rethinking Causality-driven Robot Tool Segmentation with Temporal Constraintscited by 5
- 2026Towards a Medical AI Scientistcited by 5
- 2021Reachability Analysis of Convolutional Neural Networkscited by 4
- 2022Histogram of Oriented Gradients Meet Deep Learning: A Novel Multi-task Deep Network for Medical Image Semantic Segmentationcited by 4
- 2023Correlation-aware active learning for surgery video segmentationcited by 4
- 2021Weakly Supervised Volumetric Image Segmentation with Deformed Templatescited by 3
- 2022A comprehensive survey on recent deep learning-based methods applied to surgical datacited by 3
- 2022TAToo: Vision-based Joint Tracking of Anatomy and Tool for Skull-base Surgerycited by 3
- 2023Multi-Step Model Predictive Safety Filters: Reducing Chattering by Increasing the Prediction Horizoncited by 3
- 2023Leveraging Anatomical Constraints with Uncertainty for Pneumothorax Segmentationcited by 3
50 most cited of 81 All 81 (JSON)
- 2026TEDi: Temporal Memory-Enhanced and Denoising Transformer for Surgical Instrument Segmentation15 Sep 2026
- 2026Hierarchical Prototype-Memory Adaptation of SAM for Surgical Instrument Segmentation25 Aug 2026
- 2026Beyond Uncertainty: Generalizable Failure Monitoring for Surgical Segmentation under Acquisition Degradation17 Aug 2026
- 2026Toward Mask Annotation-Free Surgical Instrument Segmentation from Endoscopic Images Using Text-Prompted Segment Anything Model 3 (SAM3)9 Aug 2026
- 2026Temporally Consistent Label Interpolation for Robust Surgical Multi-Task Learning under Challenging Conditions25 Jun 2026
- 2026Towards a Medical AI Scientist30 Mar 2026
- 2026Strategy-Supervised Autonomous Laparoscopic Camera Control via Event-Driven Graph Mining24 Feb 2026
- 2026VLM-Guided Iterative Refinement for Surgical Image Segmentation with Foundation Models9 Feb 2026
- 2025ReMeDI: Refined Memory for Disambiguation of Identities with SAM3 in Surgical Segmentation18 Dec 2025
- 2025ProtoFlow: Interpretable and Robust Surgical Workflow Modeling with Learned Dynamic Scene Graph Prototypes16 Dec 2025
- 2025More than Segmentation: Benchmarking SAM 3 for Segmentation, 3D Perception, and Reconstruction in Robotic Surgery8 Dec 2025
- 2025Does DINOv3 Set a New Medical Vision Standard? Benchmarking 2D and 3D Classification, Segmentation, and Registration8 Sep 2025
38 more
- 2025Identifying Surgical Instruments in Laparoscopy Using Deep Learning Instance Segmentation29 Aug 2025
- 2025Visuomotor Grasping with World Models for Surgical Robots15 Aug 2025
- 2025SurgPIS: Surgical-instrument-level Instances and Part-level Semantics for Weakly-supervised Part-aware Instance Segmentation25 Jul 2025
- 2025Memory-Augmented SAM2 for Training-Free Surgical Video Segmentation13 Jul 2025
- 2025orGAN: A Synthetic Data Augmentation Pipeline for Simultaneous Generation of Surgical Images and Ground Truth Labels17 Jun 2025
- 2025EgoSurgery-HTS: A Dataset for Egocentric Hand-Tool Segmentation in Open Surgery Videos24 Mar 2025
- 2025Surgical Scene Understanding in the Era of Foundation AI Models: A Comprehensive Review16 Feb 2025
- 2024Phase-Informed Tool Segmentation for Manual Small-Incision Cataract Surgery25 Nov 2024
- 2024OphCLIP: Hierarchical Retrieval-Augmented Learning for Ophthalmic Surgical Video-Language Pretraining23 Nov 2024
- 2024Rethinking Text-Promptable Surgical Instrument Segmentation with Robust Framework19 Nov 2024
- 2024AMNCutter: Affinity-Attention-Guided Multi-View Normalized Cutter for Unsupervised Surgical Instrument Segmentation6 Nov 2024
- 2024LiVOS: Light Video Object Segmentation with Gated Linear Matching5 Nov 2024
- 2024Surgical SAM 2: Real-time Segment Anything in Surgical Video by Efficient Frame Pruning15 Aug 2024
- 2024SAM 2 in Robotic Surgery: An Empirical Evaluation for Robustness and Generalization in Surgical Video Segmentation8 Aug 2024
- 2024Personalizing Federated Instrument Segmentation with Visual Trait Priors in Robotic Surgery6 Aug 2024
- 2024Amodal Segmentation for Laparoscopic Surgery Video Instruments2 Aug 2024
- 2024Rethinking RGB-D Fusion for Semantic Segmentation in Surgical Datasets29 Jul 2024
- 2024Studying the Impact of TensorFlow and PyTorch Bindings on Machine Learning Software Quality7 Jul 2024
- 2024World Models for General Surgical Grasping28 May 2024
- 2024Frequency-Adaptive Dilated Convolution for Semantic Segmentation8 Mar 2024
- 2024Pixel-Wise Recognition for Holistic Surgical Scene Understanding20 Jan 2024
- 2024Plug-in for visualizing 3D tool tracking from videos of Minimally Invasive Surgeries12 Jan 2024
- 2023SAR-RARP50: Segmentation of surgical instrumentation and Action Recognition on Robot-Assisted Radical Prostatectomy Challenge31 Dec 2023
- 2023SurgicalPart-SAM: Part-to-Whole Collaborative Prompting for Surgical Instrument Segmentation22 Dec 2023
- 2023Leveraging Anatomical Constraints with Uncertainty for Pneumothorax Segmentation26 Nov 2023
- 2023Correlation-aware active learning for surgery video segmentation15 Nov 2023
- 2023Multi-Step Model Predictive Safety Filters: Reducing Chattering by Increasing the Prediction Horizon20 Sep 2023
- 2023MA-SAM: Modality-agnostic SAM Adaptation for 3D Medical Image Segmentation16 Sep 2023
- 2023SAF-IS: a Spatial Annotation Free Framework for Instance Segmentation of Surgical Tools4 Sep 2023
- 2023Visual-Kinematics Graph Learning for Procedure-agnostic Instrument Tip Segmentation in Robotic Surgeries2 Sep 2023
- 2023Robotic Scene Segmentation with Memory Network for Runtime Surgical Context Inference24 Aug 2023
- 2023SurgicalSAM: Efficient Class Promptable Surgical Instrument Segmentation17 Aug 2023
- 2023SAM Meets Robotic Surgery: An Empirical Study on Generalization, Robustness and Adaptation14 Aug 2023
- 2023AdaptiveSAM: Towards Efficient Tuning of SAM for Surgical Scene Segmentation7 Aug 2023
- 2023Text Promptable Surgical Instrument Segmentation with Vision-Language Models15 Jun 2023
- 2023SAM Meets Robotic Surgery: An Empirical Study in Robustness Perspective28 Apr 2023
- 2023Methods and datasets for segmentation of minimally invasive surgical instruments in endoscopic images and videos: A review of the state of the art25 Apr 2023
- 2023Generalist Vision Foundation Models for Medical Imaging: A Case Study of Segment Anything Model on Zero-Shot Medical Segmentation25 Apr 2023
50 newest of 81 All 81 (JSON)
- 2024World Models for General Surgical Graspingcited by 9
- 2025Visuomotor Grasping with World Models for Surgical Robotscited by 1
- 2025Visuomotor Grasping with World Models for Surgical Robots15 Aug 2025
- 2024World Models for General Surgical Grasping28 May 2024
- 2023SurgicalSAM: Efficient Class Promptable Surgical Instrument Segmentationcited by 103
- 2022PIDNet: A Real-time Semantic Segmentation Network Inspired by PID Controllerscited by 84
- 2023MA-SAM: Modality-agnostic SAM Adaptation for 3D Medical Image Segmentationcited by 82
- 2023SAR-RARP50: Segmentation of surgical instrumentation and Action Recognition on Robot-Assisted Radical Prostatectomy Challengecited by 54
- 2023Generalist Vision Foundation Models for Medical Imaging: A Case Study of Segment Anything Model on Zero-Shot Medical Segmentationcited by 51
- 2024Pixel-Wise Recognition for Holistic Surgical Scene Understandingcited by 48
- 2024Surgical SAM 2: Real-time Segment Anything in Surgical Video by Efficient Frame Pruningcited by 46
- 2022TraSeTR: Track-to-Segment Transformer with Contrastive Query for Instance-level Instrument Segmentation in Robotic Surgerycited by 40
- 2023AdaptiveSAM: Towards Efficient Tuning of SAM for Surgical Scene Segmentationcited by 37
- 2023MATIS: Masked-Attention Transformers for Surgical Instrument Segmentationcited by 36
- 2024Frequency-Adaptive Dilated Convolution for Semantic Segmentationcited by 34
- 2021Semi-supervised Domain Adaptation based on Dual-level Domain Mixing for Semantic Segmentationcited by 33
12 most cited of 77 All 77 (JSON)
- 2026TEDi: Temporal Memory-Enhanced and Denoising Transformer for Surgical Instrument Segmentation15 Sep 2026
- 2026Hierarchical Prototype-Memory Adaptation of SAM for Surgical Instrument Segmentation25 Aug 2026
- 2026Beyond Uncertainty: Generalizable Failure Monitoring for Surgical Segmentation under Acquisition Degradation17 Aug 2026
- 2026Toward Mask Annotation-Free Surgical Instrument Segmentation from Endoscopic Images Using Text-Prompted Segment Anything Model 3 (SAM3)9 Aug 2026
- 2026Temporally Consistent Label Interpolation for Robust Surgical Multi-Task Learning under Challenging Conditions25 Jun 2026
- 2026Towards a Medical AI Scientist30 Mar 2026
- 2026Strategy-Supervised Autonomous Laparoscopic Camera Control via Event-Driven Graph Mining24 Feb 2026
- 2026VLM-Guided Iterative Refinement for Surgical Image Segmentation with Foundation Models9 Feb 2026
- 2025ReMeDI: Refined Memory for Disambiguation of Identities with SAM3 in Surgical Segmentation18 Dec 2025
- 2025ProtoFlow: Interpretable and Robust Surgical Workflow Modeling with Learned Dynamic Scene Graph Prototypes16 Dec 2025
- 2025More than Segmentation: Benchmarking SAM 3 for Segmentation, 3D Perception, and Reconstruction in Robotic Surgery8 Dec 2025
- 2025Does DINOv3 Set a New Medical Vision Standard? Benchmarking 2D and 3D Classification, Segmentation, and Registration8 Sep 2025
12 newest of 77 All 77 (JSON)