Rendezvous: Attention Mechanisms for the Recognition of Surgical Action Triplets in Endoscopic Videos
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Abstract (arXiv)
Out of all existing frameworks for surgical workflow analysis in endoscopic videos, action triplet recognition stands out as the only one aiming to provide truly fine-grained and comprehensive information on surgical activities. This information, presented as <instrument, verb, target> combinations, is highly challenging to be accurately identified. Triplet components can be difficult to recognize individually; in this task, it requires not only performing recognition simultaneously for all three triplet components, but also correctly establishing the data association between them. To achieve this task, we introduce our new model, the Rendezvous (RDV), which recognizes triplets directly from surgical videos by leveraging attention at two different levels. We first introduce a new form of spatial attention to capture individual action triplet components in a scene; called Class Activation Guided Attention Mechanism (CAGAM). This technique focuses on the recognition of verbs and targets using activations resulting from instruments. To solve the association problem, our RDV model adds a new form of semantic attention inspired by Transformer networks; called Multi-Head of Mixed Attention (MHMA). This technique uses several cross and self attentions to effectively capture relationships between instruments, verbs, and targets. We also introduce CholecT50 - a dataset of 50 endoscopic videos in which every frame has been annotated with labels from 100 triplet classes. Our proposed RDV model significantly improves the triplet prediction mean AP by over 9% compared to the state-of-the-art methods on this dataset.
Key facts. Cited by 141 papers in the map (data through 14 Oct 2026). Builds on 48 of its 88 references that are in the map. First posted on arXiv 7 Sep 2021.
Builds on
48 of 88 references.
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Citing papers per year: 2022: 14; 2023: 18; 2024: 30; 2025: 42; 2026: 37.
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- 2023Foundation Model for Endoscopy Video Analysis via Large-scale Self-supervised Pre-traincited by 75
- 2023Learning Multi-modal Representations by Watching Hundreds of Surgical Video Lecturescited by 68
- 2024Endora: Video Generation Models as Endoscopy Simulatorscited by 55
- 2024Pixel-Wise Recognition for Holistic Surgical Scene Understandingcited by 49
- 2022Dissecting Self-Supervised Learning Methods for Surgical Computer Visioncited by 48
- 2022CholecTriplet2021: A benchmark challenge for surgical action triplet recognitioncited by 44
- 2024HecVL: Hierarchical Video-Language Pretraining for Zero-shot Surgical Phase Recognitioncited by 42
- 2023Advancing Surgical VQA with Scene Graph Knowledgecited by 41
- 2023Challenges in Multi-centric Generalization: Phase and Step Recognition in Roux-en-Y Gastric Bypass Surgerycited by 40
- 2024Procedure-Aware Surgical Video-language Pretraining with Hierarchical Knowledge Augmentationcited by 39
- 2022Towards Holistic Surgical Scene Understandingcited by 33
- 2024OphNet: A Large-Scale Video Benchmark for Ophthalmic Surgical Workflow Understandingcited by 32
38 more
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- 2022Exploring Intra- and Inter-Video Relation for Surgical Semantic Scene Segmentationcited by 27
- 2022Rendezvous in Time: An Attention-based Temporal Fusion approach for Surgical Triplet Recognitioncited by 27
- 2022Data Splits and Metrics for Method Benchmarking on Surgical Action Triplet Datasetscited by 23
- 2023CholecTriplet2022: Show me a tool and tell me the triplet -- an endoscopic vision challenge for surgical action triplet detectioncited by 23
- 2023Surgical Action Triplet Detection by Mixed Supervised Learning of Instrument-Tissue Interactionscited by 23
- 2023LABRAD-OR: Lightweight Memory Scene Graphs for Accurate Bimodal Reasoning in Dynamic Operating Roomscited by 21
- 2025LEMON: A Large Endoscopic MONocular Dataset and Foundation Model for Perception in Surgical Settingscited by 20
- 2023CholecTrack20: A Multi-Perspective Tracking Dataset for Surgical Toolscited by 17
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- 2024CholecInstanceSeg: A Tool Instance Segmentation Dataset for Laparoscopic Surgerycited by 16
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- 2024VidLPRO: A underlineVideo-underlineLanguage underlinePre-training Framework for underlineRobotic and Laparoscopic Surgerycited by 12
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- 2025EndoMamba: An Efficient Foundation Model for Endoscopic Videos via Hierarchical Pre-trainingcited by 11
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- 2024Interactive Generation of Laparoscopic Videos with Diffusion Modelscited by 8
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- 2024Optical Flow Representation Alignment Mamba Diffusion Model for Medical Video Generationcited by 8
- 2024SimuScope: Realistic Endoscopic Synthetic Dataset Generation through Surgical Simulation and Diffusion Modelscited by 8
- 2025HieraSurg: Hierarchy-Aware Diffusion Model for Surgical Video Generationcited by 8
- 2025MedGRPO: Multi-Task Reinforcement Learning for Heterogeneous Medical Video Understandingcited by 8
- 2022Video-based Surgical Skills Assessment using Long term Tool Trackingcited by 7
- 2023Navigating the Synthetic Realm: Harnessing Diffusion-based Models for Laparoscopic Text-to-Image Generationcited by 7
50 most cited of 141 All 141 (JSON)
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- 2026Spatiotemporal Recognition of Abdominal Wall Layers During Optical Trocar Entry10 Oct 2026
- 2026A Surgical Foundation Model Reveals Task-Dependent Label Efficiency25 Sep 2026
- 2026Structured Reasoning Agentic Framework for Interpretable Critical View of Safety Assessment25 Sep 2026
- 2026Algebraic Consistency Alone Does Not Certify Temporal Structure in Latent Action Models20 Sep 2026
- 2026OphBiWSSD: Scaling Temporal Action Localization in Ophthalmic Surgeries with Bidirectional Weight-tied State Space Duality11 Sep 2026
- 2026STSG-VQA: Evidence-Grounded Temporal Question Answering from Surgical Spatio-Temporal Scene Graphs8 Sep 2026
- 2026Scene Graph-Driven Haptic Feedback for Safety Enhancement in Robotic Ophthalmic Surgery via Physically Simulated iOCT7 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
- 2026SAGE-OR: Semi-supervised Adaptive Scene Graph Generation for Operating Rooms15 Aug 2026
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- 2026Latent-Action-Guided Video-Language Feature Learning for Surgical Instrument-Tissue Interaction Recognition22 Jul 2026
- 2026SurgAtlas: A Large-Scale Surgical Video-Language Dataset with 2,391 Hours of Open and Minimally Invasive Surgery24 Jun 2026
- 2026Expert Consensus on Criteria for the Automated Assessment of Laparoscopic Camera Navigation22 Jun 2026
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- 2026CASTLE2026 Team WDL Technical Report30 May 2026
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- 2026Hi-GaTA: Hierarchical Gated Temporal Aggregation Adapter for Surgical Video Report Generation11 May 2026
- 2026An Approach to Enriching Surgical Video Datasets for Fine-Grained Spatial-Temporal Understanding of Vision-Language Models1 Apr 2026
- 2026Scaling Video Pretraining for Surgical Foundation Models31 Mar 2026
- 2026SurgTEMP: Temporal-Aware Surgical Video Question Answering with Text-guided Visual Memory for Laparoscopic Cholecystectomy31 Mar 2026
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- 2026TrajPred: Trajectory-Conditioned Joint Embedding Prediction for Surgical Instrument-Tissue Interaction Recognition in Vision-Language Models7 Mar 2026
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- 2026CurConMix+: A Unified Spatio-Temporal Framework for Hierarchical Surgical Workflow Understanding18 Jan 2026
- 2026Where It Moves, It Matters: Referring Surgical Instrument Segmentation via Motion18 Jan 2026
- 2025LapFM: A Laparoscopic Segmentation Foundation Model via Hierarchical Concept Evolving Pre-training9 Dec 2025
- 2025MedGRPO: Multi-Task Reinforcement Learning for Heterogeneous Medical Video Understanding6 Dec 2025
- 2025Generating Natural-Language Surgical Feedback: From Structured Representation to Domain-Grounded Evaluation19 Nov 2025
- 2025Learning from Single Timestamps: Complexity Estimation in Laparoscopic Cholecystectomy6 Nov 2025
- 2025Grounding Surgical Action Triplets with Instrument Instance Segmentation: A Dataset and Target-Aware Fusion Approach1 Nov 2025
- 2025Adaptive transfer learning for surgical tool presence detection in laparoscopic videos through gradual freezing fine-tuning17 Oct 2025
- 2025State-Change Learning for Prediction of Future Events in Endoscopic Videos14 Oct 2025
- 2025Mitigating Surgical Data Imbalance with Dual-Prediction Video Diffusion Model7 Oct 2025
- 2025Decoding the Surgical Scene: A Scoping Review of Scene Graphs in Surgery25 Sep 2025
- 2025MEJO: MLLM-Engaged Surgical Triplet Recognition via Inter- and Intra-Task Joint Optimization16 Sep 2025
- 2025SurgLaVi: Large-Scale Hierarchical Dataset for Surgical Vision-Language Representation Learning9 Sep 2025
- 2025Beyond Rigid AI: Towards Natural Human-Machine Symbiosis for Interoperative Surgical Assistance30 Jul 2025
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- 2024Data Augmentation for Surgical Scene Segmentation with Anatomy-Aware Diffusion Modelscited by 8
- 2024Optical Flow Representation Alignment Mamba Diffusion Model for Medical Video Generationcited by 8
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- 2025HieraSurg: Hierarchy-Aware Diffusion Model for Surgical Video Generationcited by 8
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- 2024SurgicaL-CD: Generating Surgical Images via Unpaired Image Translation with Latent Consistency Diffusion Modelscited by 4
- 2025Learning dissection trajectories from expert surgical videos via imitation learning with equivariant diffusioncited by 2
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- 2025HieraSurg: Hierarchy-Aware Diffusion Model for Surgical Video Generation26 Jun 2025
- 2025Learning dissection trajectories from expert surgical videos via imitation learning with equivariant diffusion5 Jun 2025
- 2024SurgSora: Object-Aware Diffusion Model for Controllable Surgical Video Generation18 Dec 2024
- 2024SimuScope: Realistic Endoscopic Synthetic Dataset Generation through Surgical Simulation and Diffusion Models3 Dec 2024
- 2024Optical Flow Representation Alignment Mamba Diffusion Model for Medical Video Generation3 Nov 2024
- 2024Data Augmentation for Surgical Scene Segmentation with Anatomy-Aware Diffusion Models10 Oct 2024
- 2024SurgicaL-CD: Generating Surgical Images via Unpaired Image Translation with Latent Consistency Diffusion Models19 Aug 2024
- 2024Bora: Biomedical Generalist Video Generation Model12 Jul 2024
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- 2024Interactive Generation of Laparoscopic Videos with Diffusion Models23 Apr 2024
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- 2024Memory-Augmented Multimodal LLMs for Surgical VQA via Self-Contained Inquirycited by 6
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- 2025Systematic Evaluation of Large Vision-Language Models for Surgical Artificial Intelligencecited by 5
- 2025SAP-Bench: Benchmarking Multimodal Large Language Models in Surgical Action Planningcited by 1
- 2026TrajPred: Trajectory-Conditioned Joint Embedding Prediction for Surgical Instrument-Tissue Interaction Recognition in Vision-Language Modelscited by 1
- 2026An Approach to Enriching Surgical Video Datasets for Fine-Grained Spatial-Temporal Understanding of Vision-Language Modelscited by 1
- 2026An Approach to Enriching Surgical Video Datasets for Fine-Grained Spatial-Temporal Understanding of Vision-Language Models1 Apr 2026
- 2026TrajPred: Trajectory-Conditioned Joint Embedding Prediction for Surgical Instrument-Tissue Interaction Recognition in Vision-Language Models7 Mar 2026
- 2025SurgLaVi: Large-Scale Hierarchical Dataset for Surgical Vision-Language Representation Learning9 Sep 2025
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- 2025Systematic Evaluation of Large Vision-Language Models for Surgical Artificial Intelligence3 Apr 2025
- 2024Memory-Augmented Multimodal LLMs for Surgical VQA via Self-Contained Inquiry17 Nov 2024
- 2024ORacle: Large Vision-Language Models for Knowledge-Guided Holistic OR Domain Modeling10 Apr 2024
- 2025MedGRPO: Multi-Task Reinforcement Learning for Heterogeneous Medical Video Understandingcited by 8
- 2026SUREON: A Benchmark and Vision-Language-Model for Surgical Reasoningcited by 7
- 2026Surg-R1: A Hierarchical Reasoning Foundation Model for Scalable and Interpretable Surgical Decision Support with Multi-Center Clinical Validationcited by 2
- 2026Towards Unified Surgical Scene Understanding:Bridging Reasoning and Grounding via MLLMscited by 0
- 2026STSG-VQA: Evidence-Grounded Temporal Question Answering from Surgical Spatio-Temporal Scene Graphscited by 0
- 2026Structured Reasoning Agentic Framework for Interpretable Critical View of Safety Assessmentcited by 0
- 2026Structured Reasoning Agentic Framework for Interpretable Critical View of Safety Assessment25 Sep 2026
- 2026STSG-VQA: Evidence-Grounded Temporal Question Answering from Surgical Spatio-Temporal Scene Graphs8 Sep 2026
- 2026Towards Unified Surgical Scene Understanding:Bridging Reasoning and Grounding via MLLMs13 May 2026
- 2026Surg-R1: A Hierarchical Reasoning Foundation Model for Scalable and Interpretable Surgical Decision Support with Multi-Center Clinical Validation12 Mar 2026
- 2026SUREON: A Benchmark and Vision-Language-Model for Surgical Reasoning6 Mar 2026
- 2025MedGRPO: Multi-Task Reinforcement Learning for Heterogeneous Medical Video Understanding6 Dec 2025
- 2023Self-distillation for surgical action recognitioncited by 9
- 2023Self-distillation for surgical action recognition22 Mar 2023
- 2023Foundation Model for Endoscopy Video Analysis via Large-scale Self-supervised Pre-traincited by 75
- 2023Learning Multi-modal Representations by Watching Hundreds of Surgical Video Lecturescited by 68
- 2024Endora: Video Generation Models as Endoscopy Simulatorscited by 55
- 2024Pixel-Wise Recognition for Holistic Surgical Scene Understandingcited by 49
- 2022Dissecting Self-Supervised Learning Methods for Surgical Computer Visioncited by 48
- 2022CholecTriplet2021: A benchmark challenge for surgical action triplet recognitioncited by 44
- 2024HecVL: Hierarchical Video-Language Pretraining for Zero-shot Surgical Phase Recognitioncited by 42
- 2023Advancing Surgical VQA with Scene Graph Knowledgecited by 41
- 2023Challenges in Multi-centric Generalization: Phase and Step Recognition in Roux-en-Y Gastric Bypass Surgerycited by 40
- 2024Procedure-Aware Surgical Video-language Pretraining with Hierarchical Knowledge Augmentationcited by 39
- 2022Towards Holistic Surgical Scene Understandingcited by 33
- 2024OphNet: A Large-Scale Video Benchmark for Ophthalmic Surgical Workflow Understandingcited by 32
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- 2026Spatiotemporal Recognition of Abdominal Wall Layers During Optical Trocar Entry10 Oct 2026
- 2026A Surgical Foundation Model Reveals Task-Dependent Label Efficiency25 Sep 2026
- 2026Algebraic Consistency Alone Does Not Certify Temporal Structure in Latent Action Models20 Sep 2026
- 2026OphBiWSSD: Scaling Temporal Action Localization in Ophthalmic Surgeries with Bidirectional Weight-tied State Space Duality11 Sep 2026
- 2026Scene Graph-Driven Haptic Feedback for Safety Enhancement in Robotic Ophthalmic Surgery via Physically Simulated iOCT7 Sep 2026
- 2026Towards Actionable Surgical Team Dynamics: from Teamwork to Counterfactual Annotations24 Aug 2026
- 2026Beyond Instrument Motion: Recognizing Tissue Tension Toward Surgical Skill Assessment18 Aug 2026
- 2026SAGE-OR: Semi-supervised Adaptive Scene Graph Generation for Operating Rooms15 Aug 2026
- 2026SurgNarrator: A Generative Retrieval Framework for Surgical Video Understanding5 Aug 2026
- 2026TRCoRSurg: Temporal-Relational Co-Reasoning for Surgical Video Triplet Recognition5 Aug 2026
- 2026Extended KAFR: A kinematic-adaptive paradigm for the efficient analysis of surgical video2 Aug 2026
- 2026Latent-Action-Guided Video-Language Feature Learning for Surgical Instrument-Tissue Interaction Recognition22 Jul 2026
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