# DeepPyram: Enabling Pyramid View and Deformable Pyramid Reception for Semantic Segmentation in Cataract Surgery Videos

arXiv: https://arxiv.org/abs/2109.05352 · HTML: https://mlsanity.com/paper/2109.05352/

## Key facts

- No citing papers in the map yet (data through 14 Oct 2026).
- Builds on 36 of its 58 references that are in the map.
- First posted on arXiv 11 Sep 2021.

## Builds on (most cited first, 30 of 36)

- [U-Net: Convolutional Networks for Biomedical Image Segmentation](https://mlsanity.com/paper/1505.04597/) (2015)
- [Faster R-CNN: Towards Real-Time Object Detection with Region Proposal Networks](https://mlsanity.com/paper/1506.01497/) (2015)
- [Densely Connected Convolutional Networks](https://mlsanity.com/paper/1608.06993/) (2016)
- [Squeeze-and-Excitation Networks](https://mlsanity.com/paper/1709.01507/) (2017)
- [Going Deeper with Convolutions](https://mlsanity.com/paper/1409.4842/) (2014)
- [DeepLab: Semantic Image Segmentation with Deep Convolutional Nets, Atrous Convolution, and Fully Connected CRFs](https://mlsanity.com/paper/1606.00915/) (2016)
- [Encoder-Decoder with Atrous Separable Convolution for Semantic Image Segmentation](https://mlsanity.com/paper/1802.02611/) (2018)
- [Pyramid Scene Parsing Network](https://mlsanity.com/paper/1612.01105/) (2016)
- [Deformable Convolutional Networks](https://mlsanity.com/paper/1703.06211/) (2017)
- [SegNet: A Deep Convolutional Encoder-Decoder Architecture for Image Segmentation](https://mlsanity.com/paper/1511.00561/) (2015)
- [Unified Perceptual Parsing for Scene Understanding](https://mlsanity.com/paper/1807.10221/) (2018)
- [Multi-Scale Context Aggregation by Dilated Convolutions](https://mlsanity.com/paper/1511.07122/) (2015)
- [UNet++: Redesigning Skip Connections to Exploit Multiscale Features in Image Segmentation](https://mlsanity.com/paper/1912.05074/) (2019)
- [Score-CAM: Score-Weighted Visual Explanations for Convolutional Neural Networks](https://mlsanity.com/paper/1910.01279/) (2019)
- [Deeply-Supervised Nets](https://mlsanity.com/paper/1409.5185/) (2014)
- [CE-Net: Context Encoder Network for 2D Medical Image Segmentation](https://mlsanity.com/paper/1903.02740/) (2019)
- [MultiResUNet : Rethinking the U-Net Architecture for Multimodal Biomedical Image Segmentation](https://mlsanity.com/paper/1902.04049/) (2019)
- [Attention to Scale: Scale-aware Semantic Image Segmentation](https://mlsanity.com/paper/1511.03339/) (2015)
- [Classifying, Segmenting, and Tracking Object Instances in Video with Mask Propagation](https://mlsanity.com/paper/1912.04573/) (2019)
- [Recalibrating Fully Convolutional Networks with Spatial and Channel 'Squeeze & Excitation' Blocks](https://mlsanity.com/paper/1808.08127/) (2018)
- [Full-Resolution Residual Networks for Semantic Segmentation in Street Scenes](https://mlsanity.com/paper/1611.08323/) (2016)
- [Incorporating Temporal Prior from Motion Flow for Instrument Segmentation in Minimally Invasive Surgery Video](https://mlsanity.com/paper/1907.07899/) (2019)
- [DeepPhase: Surgical Phase Recognition in CATARACTS Videos](https://mlsanity.com/paper/1807.10565/) (2018)
- [3D Deeply Supervised Network for Automatic Liver Segmentation from CT Volumes](https://mlsanity.com/paper/1607.00582/) (2016)
- [Deeply-Supervised CNN for Prostate Segmentation](https://mlsanity.com/paper/1703.07523/) (2017)
- [RAUNet: Residual Attention U-Net for Semantic Segmentation of Cataract Surgical Instruments](https://mlsanity.com/paper/1909.10360/) (2019)
- [CaDIS: Cataract Dataset for Image Segmentation](https://mlsanity.com/paper/1906.11586/) (2019)
- [Relevance Detection in Cataract Surgery Videos by Spatio-Temporal Action Localization](https://mlsanity.com/paper/2104.14280/) (2021)
- [CataNet: Predicting remaining cataract surgery duration](https://mlsanity.com/paper/2106.11048/) (2021)
- [LensID: A CNN-RNN-Based Framework Towards Lens Irregularity Detection in Cataract Surgery Videos](https://mlsanity.com/paper/2107.00875/) (2021)

## Abstract (arXiv)

Semantic segmentation in cataract surgery has a wide range of applications contributing to surgical outcome enhancement and clinical risk reduction. However, the varying issues in segmenting the different relevant instances make the designation of a unique network quite challenging. This paper proposes a semantic segmentation network termed as DeepPyram that can achieve superior performance in segmenting relevant objects in cataract surgery videos with varying issues. This superiority mainly originates from three modules: (i) Pyramid View Fusion, which provides a varying-angle global view of the surrounding region centering at each pixel position in the input convolutional feature map; (ii) Deformable Pyramid Reception, which enables a wide deformable receptive field that can adapt to geometric transformations in the object of interest; and (iii) Pyramid Loss that adaptively supervises multi-scale semantic feature maps. These modules can effectively boost semantic segmentation performance, especially in the case of transparency, deformability, scalability, and blunt edges in objects. The proposed approach is evaluated using four datasets of cataract surgery for objects with different contextual features and compared with thirteen state-of-the-art segmentation networks. The experimental results confirm that DeepPyram outperforms the rival approaches without imposing additional trainable parameters. Our comprehensive ablation study further proves the effectiveness of the proposed modules.
