Kvasir-Instrument: Diagnostic and therapeutic tool segmentation dataset in gastrointestinal endoscopy
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Abstract (arXiv)
Gastrointestinal (GI) pathologies are periodically screened, biopsied, and resected using surgical tools. Usually the procedures and the treated or resected areas are not specifically tracked or analysed during or after colonoscopies. Information regarding disease borders, development and amount and size of the resected area get lost. This can lead to poor follow-up and bothersome reassessment difficulties post-treatment. To improve the current standard and also to foster more research on the topic we have released the ``Kvasir-Instrument'' dataset which consists of 590 annotated frames containing GI procedure tools such as snares, balloons and biopsy forceps, etc. Beside of the images, the dataset includes ground truth masks and bounding boxes and has been verified by two expert GI endoscopists. Additionally, we provide a baseline for the segmentation of the GI tools to promote research and algorithm development. We obtained a dice coefficient score of 0.9158 and a Jaccard index of 0.8578 using a classical U-Net architecture. A similar dice coefficient score was observed for DoubleUNet. The qualitative results showed that the model did not work for the images with specularity and the frames with multiple instruments, while the best result for both methods was observed on all other types of images. Both, qualitative and quantitative results show that the model performs reasonably good, but there is a large potential for further improvements. Benchmarking using the dataset provides an opportunity for researchers to contribute to the field of automatic endoscopic diagnostic and therapeutic tool segmentation for GI endoscopy.
Key facts. Cited by 54 papers in the map (data through 14 Oct 2026). First posted on arXiv 23 Oct 2020.
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Citing papers per year: 2021: 4; 2022: 5; 2023: 10; 2024: 11; 2025: 15; 2026: 9.
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- 2023CAT-Seg: Cost Aggregation for Open-Vocabulary Semantic Segmentationcited by 219
- 2022EndoMapper dataset of complete calibrated endoscopy procedurescited by 53
- 2023Segment Anything Model for Medical Images?cited by 39
- 2022Min-Max Similarity: A Contrastive Semi-Supervised Deep Learning Network for Surgical Tools Segmentationcited by 28
- 2023What a MESS: Multi-Domain Evaluation of Zero-Shot Semantic Segmentationcited by 24
- 2024Kvasir-VQA: A Text-Image Pair GI Tract Datasetcited by 23
- 2023LABRAD-OR: Lightweight Memory Scene Graphs for Accurate Bimodal Reasoning in Dynamic Operating Roomscited by 21
- 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
- 2021NanoNet: Real-Time Polyp Segmentation in Video Capsule Endoscopy and Colonoscopycited by 16
- 2023DA-TransUNet: Integrating Spatial and Channel Dual Attention with Transformer U-Net for Medical Image Segmentationcited by 16
- 2021Meta-learning with implicit gradients in a few-shot setting for medical image segmentationcited by 15
- 2024ORacle: Large Vision-Language Models for Knowledge-Guided Holistic OR Domain Modelingcited by 14
38 more
- 2024Frontiers in Intelligent Colonoscopycited by 14
- 2025EndoBench: A Comprehensive Evaluation of Multi-Modal Large Language Models for Endoscopy Analysiscited by 14
- 2024Rotate to Scan: UNet-like Mamba with Triplet SSM Module for Medical Image Segmentationcited by 12
- 2024Explainable AI (XAI) in Image Segmentation in Medicine, Industry, and Beyond: A Surveycited by 11
- 2024Adapting the Segment Anything Model During Usage in Novel Situationscited by 9
- 2025Hallucination-Aware Multimodal Benchmark for Gastrointestinal Image Analysis with Large Vision-Language Modelscited by 9
- 2023Whether and When does Endoscopy Domain Pretraining Make Sense?cited by 8
- 2025Surgical Scene Understanding in the Era of Foundation AI Models: A Comprehensive Reviewcited by 8
- 2025MedSG-Bench: A Benchmark for Medical Image Sequences Groundingcited by 8
- 2024SegCol Challenge: Semantic Segmentation for Tools and Fold Edges in Colonoscopy datacited by 7
- 2023Stable Segment Anything Modelcited by 6
- 2024Generative Medical Segmentationcited by 6
- 2025Prompt to Polyp: Medical Text-Conditioned Image Synthesis with Diffusion Modelscited by 5
- 2021Explainable Medical Image Segmentation via Generative Adversarial Networks and Layer-wise Relevance Propagationcited by 3
- 2023Validating polyp and instrument segmentation methods in colonoscopy through Medico 2020 and MedAI 2021 Challengescited by 3
- 2024MoPEFT: A Mixture-of-PEFTs for the Segment Anything Modelcited by 3
- 2025Test-Time Optimization for Domain Adaptive Open Vocabulary Segmentationcited by 3
- 2025Medico 2025: Visual Question Answering for Gastrointestinal Imagingcited by 3
- 2025Advancing AI-Powered Medical Image Synthesis: Insights from MedVQA-GI Challenge Using CLIP, Fine-Tuned Stable Diffusion, and Dream-Booth + LoRAcited by 2
- 2025Multi-Task Learning for Visually Grounded Reasoning in Gastrointestinal VQAcited by 2
- 2026Enabling Real-Time Colonoscopic Polyp Segmentation on Commodity CPUs via Ultra-Lightweight Architecturecited by 2
- 2023UIT-Saviors at MEDVQA-GI 2023: Improving Multimodal Learning with Image Enhancement for Gastrointestinal Visual Question Answeringcited by 1
- 2024A Medical Data-Effective Learning Benchmark for Highly Efficient Pre-training of Foundation Modelscited by 1
- 2025Synthetic Data-Driven Multi-Architecture Framework for Automated Polyp Segmentation Through Integrated Detection and Mask Generationcited by 1
- 2025Colon-X: Advancing Intelligent Colonoscopy toward Clinical Reasoningcited by 1
- 2026SAGE: An Expert-Annotated South Asian GI Endoscopy Dataset for Multimodal Learning and Hallucination Analysiscited by 1
- 2021PAANet: Progressive Alternating Attention for Automatic Medical Image Segmentationcited by 0
- 2022Performance Comparison of Deep Learning Architectures for Artifact Removal in Gastrointestinal Endoscopic Imagingcited by 0
- 2022PlutoNet: An Efficient Polyp Segmentation Network with Modified Partial Decoder and Decoder Consistency Trainingcited by 0
- 2022EndoBoost: a plug-and-play module for false positive suppression during computer-aided polyp detection in real-world colonoscopy (with dataset)cited by 0
- 2024Polyp and Surgical Instrument Segmentation with Double Encoder-Decoder Networkscited by 0
- 2025VP Lab: a PEFT-Enabled Visual Prompting Laboratory for Semantic Segmentationcited by 0
- 2025Querying GI Endoscopy Images: A VQA Approachcited by 0
- 2025MetaScope: Optics-Driven Neural Network for Ultra-Micro Metalens Endoscopycited by 0
- 2025Improved Segmentation of Polyps and Visual Explainability Analysiscited by 0
- 2026Seeing Through the Tool: A Controlled Benchmark for Occlusion Robustness in Foundation Segmentation Modelscited by 0
- 2026RoboSurg-VQA: A Multimodal Benchmark for Surgical Segmentation-Aware Visual Question Answeringcited by 0
- 2026Attribute Retrieving for Open-Vocabulary Endoscopic Compositional Referring Segmentationcited by 0
50 most cited of 54 All 54 (JSON)
- 2026Preference-Guided Adaptation for Open-Vocabulary Semantic Segmentation via Prompt Disagreement28 Sep 2026
- 2026SetPlanner: A Lightweight Plug-in Point-Set Planner for Frozen SAM16 Sep 2026
- 2026GET: Generative Embedding Translation for Medical Image Segmentation23 Aug 2026
- 2026Prompt-Conditioned Channel Attention for Hierarchical Feature Modulation toward Anatomy-Agnostic Segmentation20 Aug 2026
- 2026Attribute Retrieving for Open-Vocabulary Endoscopic Compositional Referring Segmentation9 Jul 2026
- 2026SAGE: An Expert-Annotated South Asian GI Endoscopy Dataset for Multimodal Learning and Hallucination Analysis20 Jun 2026
- 2026RoboSurg-VQA: A Multimodal Benchmark for Surgical Segmentation-Aware Visual Question Answering21 May 2026
- 2026Seeing Through the Tool: A Controlled Benchmark for Occlusion Robustness in Foundation Segmentation Models13 Apr 2026
- 2026Enabling Real-Time Colonoscopic Polyp Segmentation on Commodity CPUs via Ultra-Lightweight Architecture4 Feb 2026
- 2025Colon-X: Advancing Intelligent Colonoscopy toward Clinical Reasoning3 Dec 2025
- 2025Multi-Task Learning for Visually Grounded Reasoning in Gastrointestinal VQA6 Nov 2025
- 2025Improved Segmentation of Polyps and Visual Explainability Analysis17 Sep 2025
38 more
- 2025Medico 2025: Visual Question Answering for Gastrointestinal Imaging14 Aug 2025
- 2025Synthetic Data-Driven Multi-Architecture Framework for Automated Polyp Segmentation Through Integrated Detection and Mask Generation8 Aug 2025
- 2025MetaScope: Optics-Driven Neural Network for Ultra-Micro Metalens Endoscopy5 Aug 2025
- 2025Querying GI Endoscopy Images: A VQA Approach25 Jul 2025
- 2025EndoBench: A Comprehensive Evaluation of Multi-Modal Large Language Models for Endoscopy Analysis29 May 2025
- 2025VP Lab: a PEFT-Enabled Visual Prompting Laboratory for Semantic Segmentation21 May 2025
- 2025MedSG-Bench: A Benchmark for Medical Image Sequences Grounding17 May 2025
- 2025Hallucination-Aware Multimodal Benchmark for Gastrointestinal Image Analysis with Large Vision-Language Models11 May 2025
- 2025Prompt to Polyp: Medical Text-Conditioned Image Synthesis with Diffusion Models8 May 2025
- 2025Advancing AI-Powered Medical Image Synthesis: Insights from MedVQA-GI Challenge Using CLIP, Fine-Tuned Stable Diffusion, and Dream-Booth + LoRA28 Feb 2025
- 2025Surgical Scene Understanding in the Era of Foundation AI Models: A Comprehensive Review16 Feb 2025
- 2025Test-Time Optimization for Domain Adaptive Open Vocabulary Segmentation8 Jan 2025
- 2024SegCol Challenge: Semantic Segmentation for Tools and Fold Edges in Colonoscopy data20 Dec 2024
- 2024Frontiers in Intelligent Colonoscopy22 Oct 2024
- 2024Kvasir-VQA: A Text-Image Pair GI Tract Dataset2 Sep 2024
- 2024Polyp and Surgical Instrument Segmentation with Double Encoder-Decoder Networks6 Jun 2024
- 2024Explainable AI (XAI) in Image Segmentation in Medicine, Industry, and Beyond: A Survey2 May 2024
- 2024MoPEFT: A Mixture-of-PEFTs for the Segment Anything Model1 May 2024
- 2024Adapting the Segment Anything Model During Usage in Novel Situations12 Apr 2024
- 2024ORacle: Large Vision-Language Models for Knowledge-Guided Holistic OR Domain Modeling10 Apr 2024
- 2024Generative Medical Segmentation27 Mar 2024
- 2024Rotate to Scan: UNet-like Mamba with Triplet SSM Module for Medical Image Segmentation26 Mar 2024
- 2024A Medical Data-Effective Learning Benchmark for Highly Efficient Pre-training of Foundation Models31 Jan 2024
- 2023Stable Segment Anything Model27 Nov 2023
- 2023DA-TransUNet: Integrating Spatial and Channel Dual Attention with Transformer U-Net for Medical Image Segmentation19 Oct 2023
- 2023Validating polyp and instrument segmentation methods in colonoscopy through Medico 2020 and MedAI 2021 Challenges30 Jul 2023
- 2023UIT-Saviors at MEDVQA-GI 2023: Improving Multimodal Learning with Image Enhancement for Gastrointestinal Visual Question Answering6 Jul 2023
- 2023What a MESS: Multi-Domain Evaluation of Zero-Shot Semantic Segmentation27 Jun 2023
- 2023Segment Anything Model for Medical Images?28 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
- 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
- 2023CAT-Seg: Cost Aggregation for Open-Vocabulary Semantic Segmentation21 Mar 2023
- 2022EndoBoost: a plug-and-play module for false positive suppression during computer-aided polyp detection in real-world colonoscopy (with dataset)23 Dec 2022
- 2022EndoMapper dataset of complete calibrated endoscopy procedures29 Apr 2022
- 2022PlutoNet: An Efficient Polyp Segmentation Network with Modified Partial Decoder and Decoder Consistency Training6 Apr 2022
- 2022Min-Max Similarity: A Contrastive Semi-Supervised Deep Learning Network for Surgical Tools Segmentation29 Mar 2022
- 2022Performance Comparison of Deep Learning Architectures for Artifact Removal in Gastrointestinal Endoscopic Imaging1 Jan 2022
50 newest of 54 All 54 (JSON)
- 2024ORacle: Large Vision-Language Models for Knowledge-Guided Holistic OR Domain Modelingcited by 14
- 2025EndoBench: A Comprehensive Evaluation of Multi-Modal Large Language Models for Endoscopy Analysiscited by 14
- 2025Hallucination-Aware Multimodal Benchmark for Gastrointestinal Image Analysis with Large Vision-Language Modelscited by 9
- 2025EndoBench: A Comprehensive Evaluation of Multi-Modal Large Language Models for Endoscopy Analysis29 May 2025
- 2025Hallucination-Aware Multimodal Benchmark for Gastrointestinal Image Analysis with Large Vision-Language Models11 May 2025
- 2024ORacle: Large Vision-Language Models for Knowledge-Guided Holistic OR Domain Modeling10 Apr 2024
- 2023CAT-Seg: Cost Aggregation for Open-Vocabulary Semantic Segmentationcited by 219
- 2022EndoMapper dataset of complete calibrated endoscopy procedurescited by 53
- 2023Segment Anything Model for Medical Images?cited by 39
- 2022Min-Max Similarity: A Contrastive Semi-Supervised Deep Learning Network for Surgical Tools Segmentationcited by 28
- 2023What a MESS: Multi-Domain Evaluation of Zero-Shot Semantic Segmentationcited by 24
- 2024Kvasir-VQA: A Text-Image Pair GI Tract Datasetcited by 23
- 2023LABRAD-OR: Lightweight Memory Scene Graphs for Accurate Bimodal Reasoning in Dynamic Operating Roomscited by 21
- 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
- 2021NanoNet: Real-Time Polyp Segmentation in Video Capsule Endoscopy and Colonoscopycited by 16
- 2023DA-TransUNet: Integrating Spatial and Channel Dual Attention with Transformer U-Net for Medical Image Segmentationcited by 16
- 2021Meta-learning with implicit gradients in a few-shot setting for medical image segmentationcited by 15
- 2024Frontiers in Intelligent Colonoscopycited by 14
12 most cited of 45 All 45 (JSON)
- 2026Preference-Guided Adaptation for Open-Vocabulary Semantic Segmentation via Prompt Disagreement28 Sep 2026
- 2026SetPlanner: A Lightweight Plug-in Point-Set Planner for Frozen SAM16 Sep 2026
- 2026GET: Generative Embedding Translation for Medical Image Segmentation23 Aug 2026
- 2026Prompt-Conditioned Channel Attention for Hierarchical Feature Modulation toward Anatomy-Agnostic Segmentation20 Aug 2026
- 2026Attribute Retrieving for Open-Vocabulary Endoscopic Compositional Referring Segmentation9 Jul 2026
- 2026SAGE: An Expert-Annotated South Asian GI Endoscopy Dataset for Multimodal Learning and Hallucination Analysis20 Jun 2026
- 2026RoboSurg-VQA: A Multimodal Benchmark for Surgical Segmentation-Aware Visual Question Answering21 May 2026
- 2026Seeing Through the Tool: A Controlled Benchmark for Occlusion Robustness in Foundation Segmentation Models13 Apr 2026
- 2026Enabling Real-Time Colonoscopic Polyp Segmentation on Commodity CPUs via Ultra-Lightweight Architecture4 Feb 2026
- 2025Multi-Task Learning for Visually Grounded Reasoning in Gastrointestinal VQA6 Nov 2025
- 2025Improved Segmentation of Polyps and Visual Explainability Analysis17 Sep 2025
- 2025Medico 2025: Visual Question Answering for Gastrointestinal Imaging14 Aug 2025
12 newest of 45 All 45 (JSON)