Recognition of Instrument-Tissue Interactions in Endoscopic Videos via Action Triplets
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Abstract (arXiv)
Recognition of surgical activity is an essential component to develop context-aware decision support for the operating room. In this work, we tackle the recognition of fine-grained activities, modeled as action triplets <instrument, verb, target> representing the tool activity. To this end, we introduce a new laparoscopic dataset, CholecT40, consisting of 40 videos from the public dataset Cholec80 in which all frames have been annotated using 128 triplet classes. Furthermore, we present an approach to recognize these triplets directly from the video data. It relies on a module called Class Activation Guide (CAG), which uses the instrument activation maps to guide the verb and target recognition. To model the recognition of multiple triplets in the same frame, we also propose a trainable 3D Interaction Space, which captures the associations between the triplet components. Finally, we demonstrate the significance of these contributions via several ablation studies and comparisons to baselines on CholecT40.
Key facts. Cited by 66 papers in the map (data through 7 Oct 2026). First posted on arXiv 10 Jul 2020.
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Citing papers per year: 2021: 3; 2022: 10; 2023: 10; 2024: 11; 2025: 19; 2026: 13.
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- 2021Rendezvous: Attention Mechanisms for the Recognition of Surgical Action Triplets in Endoscopic Videoscited by 139
- 2024Pixel-Wise Recognition for Holistic Surgical Scene Understandingcited by 48
- 2022CholecTriplet2021: A benchmark challenge for surgical action triplet recognitioncited by 44
- 2023Challenges in Multi-centric Generalization: Phase and Step Recognition in Roux-en-Y Gastric Bypass Surgerycited by 40
- 2022Towards Holistic Surgical Scene Understandingcited by 33
- 2024OphNet: A Large-Scale Video Benchmark for Ophthalmic Surgical Workflow Understandingcited by 31
- 2025MM-OR: A Large Multimodal Operating Room Dataset for Semantic Understanding of High-Intensity Surgical Environmentscited by 28
- 2022Rendezvous in Time: An Attention-based Temporal Fusion approach for Surgical Triplet Recognitioncited by 27
- 2025Scaling up self-supervised learning for improved surgical foundation modelscited by 25
- 2022Data Splits and Metrics for Method Benchmarking on Surgical Action Triplet Datasetscited by 23
- 2023Surgical Action Triplet Detection by Mixed Supervised Learning of Instrument-Tissue Interactionscited by 23
- 2023CholecTriplet2022: Show me a tool and tell me the triplet -- an endoscopic vision challenge for surgical action triplet detectioncited by 22
38 more
- 2023LABRAD-OR: Lightweight Memory Scene Graphs for Accurate Bimodal Reasoning in Dynamic Operating Roomscited by 21
- 2022FUN-SIS: a Fully UNsupervised approach for Surgical Instrument Segmentationcited by 20
- 2023CholecTrack20: A Multi-Perspective Tracking Dataset for Surgical Toolscited by 17
- 2022Concept Graph Neural Networks for Surgical Video Understandingcited by 13
- 2025EgoExOR: An Ego-Exo-Centric Operating Room Dataset for Surgical Activity Understandingcited by 11
- 2025Large-scale Self-supervised Video Foundation Model for Intelligent Surgerycited by 10
- 2023Self-distillation for surgical action recognitioncited by 9
- 2024VISAGE: Video Synthesis using Action Graphs for Surgerycited by 9
- 2023Preserving Privacy in Surgical Video Analysis Using Artificial Intelligence: A Deep Learning Classifier to Identify Out-of-Body Scenes in Endoscopic Videoscited by 8
- 2023Whether and When does Endoscopy Domain Pretraining Make Sense?cited by 8
- 2024Instrument-tissue Interaction Detection Framework for Surgical Video Understandingcited by 8
- 2025Surgical Scene Understanding in the Era of Foundation AI Models: A Comprehensive Reviewcited by 8
- 2021SUPR-GAN: SUrgical PRediction GAN for Event Anticipation in Laparoscopic and Robotic Surgerycited by 7
- 2024Optical Flow Representation Alignment Mamba Diffusion Model for Medical Video Generationcited by 7
- 2021Temporally Constrained Neural Networks (TCNN): A framework for semi-supervised video semantic segmentationcited by 6
- 2024Surgical Text-to-Image Generationcited by 6
- 2023Weakly Supervised Temporal Convolutional Networks for Fine-grained Surgical Activity Recognitioncited by 5
- 2024Multitask Learning in Minimally Invasive Surgical Vision: A Reviewcited by 5
- 2024Hypergraph-Transformer (HGT) for Interactive Event Prediction in Laparoscopic and Robotic Surgerycited by 5
- 2022Why Deep Surgical Models Fail?: Revisiting Surgical Action Triplet Recognition through the Lens of Robustnesscited by 4
- 2022Task-Aware Asynchronous Multi-Task Model with Class Incremental Contrastive Learning for Surgical Scene Understandingcited by 4
- 2024Surgical Triplet Recognition via Diffusion Modelcited by 4
- 2025ProstaTD: Bridging Surgical Triplet from Classification to Fully Supervised Detectioncited by 4
- 2025MEJO: MLLM-Engaged Surgical Triplet Recognition via Inter- and Intra-Task Joint Optimizationcited by 4
- 2022MURPHY: Relations Matter in Surgical Workflow Analysiscited by 3
- 2025Decoding the Surgical Scene: A Scoping Review of Scene Graphs in Surgerycited by 3
- 2022Live Laparoscopic Video Retrieval with Compressed Uncertaintycited by 2
- 2023Robotic Scene Segmentation with Memory Network for Runtime Surgical Context Inferencecited by 2
- 2024Strategies to Improve Real-World Applicability of Laparoscopic Anatomy Segmentation Modelscited by 2
- 2024Artificial Intelligence for Biomedical Video Generationcited by 2
- 2025Recognize Any Surgical Object: Unleashing the Power of Weakly-Supervised Datacited by 2
- 2025TEMSET-24K: Densely Annotated Dataset for Indexing Multipart Endoscopic Videos using Surgical Timeline Segmentationcited by 2
- 2025Hierarchical Context Transformer for Multi-level Semantic Scene Understandingcited by 2
- 2025DARIL: When Imitation Learning outperforms Reinforcement Learning in Surgical Action Planningcited by 1
- 2025Surgical Video Understanding with Label Interpolationcited by 1
- 2025Grounding Surgical Action Triplets with Instrument Instance Segmentation: A Dataset and Target-Aware Fusion Approachcited by 1
- 2026SurgSigma: A Spectrum of Large-Scale Multimodal Data and Foundation Models for Surgical Intelligencecited by 1
- 2026Scaling Video Pretraining for Surgical Foundation Modelscited by 1
50 most cited of 66 All 66 (JSON)
- 2026STSG-VQA: Evidence-Grounded Temporal Question Answering from Surgical Spatio-Temporal Scene Graphs8 Sep 2026
- 2026Towards Actionable Surgical Team Dynamics: from Teamwork to Counterfactual Annotations24 Aug 2026
- 2026Optimize Surgical Triplet Recognition: A Knowledge-Driven Mixture-of-Experts Solution24 Aug 2026
- 2026Beyond Instrument Motion: Recognizing Tissue Tension Toward Surgical Skill Assessment18 Aug 2026
- 2026Sterilizable Scene Graph Generation for Operating Rooms17 Aug 2026
- 2026SAGE-OR: Semi-supervised Adaptive Scene Graph Generation for Operating Rooms15 Aug 2026
- 2026SPIRIT: Spatio-temporal Pairwise Relational Modeling of Instrument-Tissue Interactions for Surgical Action Triplet Recognition3 Aug 2026
- 2026Latent-Action-Guided Video-Language Feature Learning for Surgical Instrument-Tissue Interaction Recognition22 Jul 2026
- 2026Temporally Consistent Label Interpolation for Robust Surgical Multi-Task Learning under Challenging Conditions25 Jun 2026
- 2026Event-Level Detection of Surgical Instrument Handovers in Videos with Interpretable Vision Models8 Apr 2026
- 2026Scaling Video Pretraining for Surgical Foundation Models31 Mar 2026
- 2026SurgSigma: A Spectrum of Large-Scale Multimodal Data and Foundation Models for Surgical Intelligence17 Mar 2026
38 more
- 2026CurConMix+: A Unified Spatio-Temporal Framework for Hierarchical Surgical Workflow Understanding18 Jan 2026
- 2025Generating Natural-Language Surgical Feedback: From Structured Representation to Domain-Grounded Evaluation19 Nov 2025
- 2025Grounding Surgical Action Triplets with Instrument Instance Segmentation: A Dataset and Target-Aware Fusion Approach1 Nov 2025
- 2025Sound Source Localization for Spatial Mapping of Surgical Actions in Dynamic Scenes28 Oct 2025
- 2025State-Change Learning for Prediction of Future Events in Endoscopic Videos14 Oct 2025
- 2025Decoding the Surgical Scene: A Scoping Review of Scene Graphs in Surgery25 Sep 2025
- 2025Surgical Video Understanding with Label Interpolation23 Sep 2025
- 2025MEJO: MLLM-Engaged Surgical Triplet Recognition via Inter- and Intra-Task Joint Optimization16 Sep 2025
- 2025SurgPIS: Surgical-instrument-level Instances and Part-level Semantics for Weakly-supervised Part-aware Instance Segmentation25 Jul 2025
- 2025DARIL: When Imitation Learning outperforms Reinforcement Learning in Surgical Action Planning7 Jul 2025
- 2025Large-scale Self-supervised Video Foundation Model for Intelligent Surgery3 Jun 2025
- 2025ProstaTD: Bridging Surgical Triplet from Classification to Fully Supervised Detection1 Jun 2025
- 2025EgoExOR: An Ego-Exo-Centric Operating Room Dataset for Surgical Activity Understanding30 May 2025
- 2025Surgical Foundation Model Leveraging Compression and Entropy Maximization for Image-Guided Surgical Assistance16 May 2025
- 2025MM-OR: A Large Multimodal Operating Room Dataset for Semantic Understanding of High-Intensity Surgical Environments4 Mar 2025
- 2025Hierarchical Context Transformer for Multi-level Semantic Scene Understanding21 Feb 2025
- 2025Surgical Scene Understanding in the Era of Foundation AI Models: A Comprehensive Review16 Feb 2025
- 2025TEMSET-24K: Densely Annotated Dataset for Indexing Multipart Endoscopic Videos using Surgical Timeline Segmentation10 Feb 2025
- 2025Recognize Any Surgical Object: Unleashing the Power of Weakly-Supervised Data25 Jan 2025
- 2025Scaling up self-supervised learning for improved surgical foundation models16 Jan 2025
- 2024Artificial Intelligence for Biomedical Video Generation12 Nov 2024
- 2024Optical Flow Representation Alignment Mamba Diffusion Model for Medical Video Generation3 Nov 2024
- 2024VISAGE: Video Synthesis using Action Graphs for Surgery23 Oct 2024
- 2024Surgical Text-to-Image Generation12 Jul 2024
- 2024Surgical Triplet Recognition via Diffusion Model19 Jun 2024
- 2024OphNet: A Large-Scale Video Benchmark for Ophthalmic Surgical Workflow Understanding11 Jun 2024
- 2024Instrument-tissue Interaction Detection Framework for Surgical Video Understanding30 Mar 2024
- 2024Strategies to Improve Real-World Applicability of Laparoscopic Anatomy Segmentation Models25 Mar 2024
- 2024Hypergraph-Transformer (HGT) for Interactive Event Prediction in Laparoscopic and Robotic Surgery3 Feb 2024
- 2024Pixel-Wise Recognition for Holistic Surgical Scene Understanding20 Jan 2024
- 2024Multitask Learning in Minimally Invasive Surgical Vision: A Review16 Jan 2024
- 2023Challenges in Multi-centric Generalization: Phase and Step Recognition in Roux-en-Y Gastric Bypass Surgery18 Dec 2023
- 2023CholecTrack20: A Multi-Perspective Tracking Dataset for Surgical Tools12 Dec 2023
- 2023Robotic Scene Segmentation with Memory Network for Runtime Surgical Context Inference24 Aug 2023
- 2023Surgical Action Triplet Detection by Mixed Supervised Learning of Instrument-Tissue Interactions18 Jul 2023
- 2023Whether and When does Endoscopy Domain Pretraining Make Sense?30 Mar 2023
- 2023LABRAD-OR: Lightweight Memory Scene Graphs for Accurate Bimodal Reasoning in Dynamic Operating Rooms23 Mar 2023
- 2023Self-distillation for surgical action recognition22 Mar 2023
50 newest of 66 All 66 (JSON)
- 2021Rendezvous: Attention Mechanisms for the Recognition of Surgical Action Triplets in Endoscopic Videoscited by 139
- 2024Pixel-Wise Recognition for Holistic Surgical Scene Understandingcited by 48
- 2022CholecTriplet2021: A benchmark challenge for surgical action triplet recognitioncited by 44
- 2023Challenges in Multi-centric Generalization: Phase and Step Recognition in Roux-en-Y Gastric Bypass Surgerycited by 40
- 2022Towards Holistic Surgical Scene Understandingcited by 33
- 2024OphNet: A Large-Scale Video Benchmark for Ophthalmic Surgical Workflow Understandingcited by 31
- 2025MM-OR: A Large Multimodal Operating Room Dataset for Semantic Understanding of High-Intensity Surgical Environmentscited by 28
- 2022Rendezvous in Time: An Attention-based Temporal Fusion approach for Surgical Triplet Recognitioncited by 27
- 2025Scaling up self-supervised learning for improved surgical foundation modelscited by 25
- 2022Data Splits and Metrics for Method Benchmarking on Surgical Action Triplet Datasetscited by 23
- 2023Surgical Action Triplet Detection by Mixed Supervised Learning of Instrument-Tissue Interactionscited by 23
- 2023CholecTriplet2022: Show me a tool and tell me the triplet -- an endoscopic vision challenge for surgical action triplet detectioncited by 22
12 most cited of 61 All 61 (JSON)
- 2026Towards Actionable Surgical Team Dynamics: from Teamwork to Counterfactual Annotations24 Aug 2026
- 2026Beyond Instrument Motion: Recognizing Tissue Tension Toward Surgical Skill Assessment18 Aug 2026
- 2026Sterilizable Scene Graph Generation for Operating Rooms17 Aug 2026
- 2026SAGE-OR: Semi-supervised Adaptive Scene Graph Generation for Operating Rooms15 Aug 2026
- 2026SPIRIT: Spatio-temporal Pairwise Relational Modeling of Instrument-Tissue Interactions for Surgical Action Triplet Recognition3 Aug 2026
- 2026Latent-Action-Guided Video-Language Feature Learning for Surgical Instrument-Tissue Interaction Recognition22 Jul 2026
- 2026Temporally Consistent Label Interpolation for Robust Surgical Multi-Task Learning under Challenging Conditions25 Jun 2026
- 2026Event-Level Detection of Surgical Instrument Handovers in Videos with Interpretable Vision Models8 Apr 2026
- 2026Scaling Video Pretraining for Surgical Foundation Models31 Mar 2026
- 2026SurgSigma: A Spectrum of Large-Scale Multimodal Data and Foundation Models for Surgical Intelligence17 Mar 2026
- 2026CurConMix+: A Unified Spatio-Temporal Framework for Hierarchical Surgical Workflow Understanding18 Jan 2026
- 2025Generating Natural-Language Surgical Feedback: From Structured Representation to Domain-Grounded Evaluation19 Nov 2025
12 newest of 61 All 61 (JSON)