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Automatic Instrument Segmentation in Robot-Assisted Surgery Using Deep Learning

arXiv 1803.01207 ↗First posted 3 Mar 2018cs.CVcited by 81

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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.

81 papers.

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  1. 2023SurgicalSAM: Efficient Class Promptable Surgical Instrument Segmentationcited by 103
  2. 2022PIDNet: A Real-time Semantic Segmentation Network Inspired by PID Controllerscited by 84
  3. 2023MA-SAM: Modality-agnostic SAM Adaptation for 3D Medical Image Segmentationcited by 82
  4. 2023SAR-RARP50: Segmentation of surgical instrumentation and Action Recognition on Robot-Assisted Radical Prostatectomy Challengecited by 54
  5. 2023Generalist Vision Foundation Models for Medical Imaging: A Case Study of Segment Anything Model on Zero-Shot Medical Segmentationcited by 51
  6. 2024Pixel-Wise Recognition for Holistic Surgical Scene Understandingcited by 48
  7. 2024Surgical SAM 2: Real-time Segment Anything in Surgical Video by Efficient Frame Pruningcited by 46
  8. 2022TraSeTR: Track-to-Segment Transformer with Contrastive Query for Instance-level Instrument Segmentation in Robotic Surgerycited by 40
  9. 2023AdaptiveSAM: Towards Efficient Tuning of SAM for Surgical Scene Segmentationcited by 37
  10. 2023MATIS: Masked-Attention Transformers for Surgical Instrument Segmentationcited by 36
  11. 2024Frequency-Adaptive Dilated Convolution for Semantic Segmentationcited by 34
  12. 2021Semi-supervised Domain Adaptation based on Dual-level Domain Mixing for Semantic Segmentationcited by 33
38 more
  1. 2022From Forks to Forceps: A New Framework for Instance Segmentation of Surgical Instrumentscited by 32
  2. 2023SAM Meets Robotic Surgery: An Empirical Study on Generalization, Robustness and Adaptationcited by 30
  3. 2024OphCLIP: Hierarchical Retrieval-Augmented Learning for Ophthalmic Surgical Video-Language Pretrainingcited by 29
  4. 2022Exploring Intra- and Inter-Video Relation for Surgical Semantic Scene Segmentationcited by 27
  5. 2023Text Promptable Surgical Instrument Segmentation with Vision-Language Modelscited by 27
  6. 2023SAM Meets Robotic Surgery: An Empirical Study in Robustness Perspectivecited by 24
  7. 2021Image Compositing for Segmentation of Surgical Tools without Manual Annotationscited by 23
  8. 2024SAM 2 in Robotic Surgery: An Empirical Evaluation for Robustness and Generalization in Surgical Video Segmentationcited by 21
  9. 2021ST-MTL: Spatio-Temporal Multitask Learning Model to Predict Scanpath While Tracking Instruments in Robotic Surgerycited by 20
  10. 2022FUN-SIS: a Fully UNsupervised approach for Surgical Instrument Segmentationcited by 20
  11. 2022Semantic-SuPer: A Semantic-aware Surgical Perception Framework for Endoscopic Tissue Identification, Reconstruction, and Trackingcited by 19
  12. 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
  13. 2021Federated Split Vision Transformer for COVID-19 CXR Diagnosis using Task-Agnostic Trainingcited by 17
  14. 2021Real-time Instance Segmentation of Surgical Instruments using Attention and Multi-scale Feature Fusioncited by 17
  15. 2022CaRTS: Causality-driven Robot Tool Segmentation from Vision and Kinematics Datacited by 16
  16. 2021One to Many: Adaptive Instrument Segmentation via Meta Learning and Dynamic Online Adaptation in Robotic Surgical Videocited by 14
  17. 2021Tilted Cross Entropy (TCE): Promoting Fairness in Semantic Segmentationcited by 12
  18. 2021Efficient Global-Local Memory for Real-time Instrument Segmentation of Robotic Surgical Videocited by 10
  19. 2021Simulation-to-Real domain adaptation with teacher-student learning for endoscopic instrument segmentationcited by 9
  20. 2021FSNet: A Failure Detection Framework for Semantic Segmentationcited by 9
  21. 2024World Models for General Surgical Graspingcited by 9
  22. 2023SurgicalPart-SAM: Part-to-Whole Collaborative Prompting for Surgical Instrument Segmentationcited by 8
  23. 2025Surgical Scene Understanding in the Era of Foundation AI Models: A Comprehensive Reviewcited by 8
  24. 2025Memory-Augmented SAM2 for Training-Free Surgical Video Segmentationcited by 8
  25. 2024LiVOS: Light Video Object Segmentation with Gated Linear Matchingcited by 7
  26. 2025Does DINOv3 Set a New Medical Vision Standard? Benchmarking 2D and 3D Classification, Segmentation, and Registrationcited by 7
  27. 2021Reducing Annotating Load: Active Learning with Synthetic Images in Surgical Instrument Segmentationcited by 6
  28. 2021How can we learn (more) from challenges? A statistical approach to driving future algorithm developmentcited by 5
  29. 2022Rethinking Causality-driven Robot Tool Segmentation with Temporal Constraintscited by 5
  30. 2026Towards a Medical AI Scientistcited by 5
  31. 2021Reachability Analysis of Convolutional Neural Networkscited by 4
  32. 2022Histogram of Oriented Gradients Meet Deep Learning: A Novel Multi-task Deep Network for Medical Image Semantic Segmentationcited by 4
  33. 2023Correlation-aware active learning for surgery video segmentationcited by 4
  34. 2021Weakly Supervised Volumetric Image Segmentation with Deformed Templatescited by 3
  35. 2022A comprehensive survey on recent deep learning-based methods applied to surgical datacited by 3
  36. 2022TAToo: Vision-based Joint Tracking of Anatomy and Tool for Skull-base Surgerycited by 3
  37. 2023Multi-Step Model Predictive Safety Filters: Reducing Chattering by Increasing the Prediction Horizoncited by 3
  38. 2023Leveraging Anatomical Constraints with Uncertainty for Pneumothorax Segmentationcited by 3

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