# PEg TRAnsfer Workflow recognition challenge report: Does multi-modal data improve recognition?

arXiv: https://arxiv.org/abs/2202.05821 · HTML: https://mlsanity.com/paper/2202.05821/

## Key facts

- Cited by 6 papers in the map (data through 14 Oct 2026).
- Builds on 29 of its 51 references that are in the map.
- First posted on arXiv 11 Feb 2022.

## Builds on (most cited first, 29 of 29)

- [Attention Is All You Need](https://mlsanity.com/paper/1706.03762/) (2017)
- [Deep Residual Learning for Image Recognition](https://mlsanity.com/paper/1512.03385/) (2015)
- [U-Net: Convolutional Networks for Biomedical Image Segmentation](https://mlsanity.com/paper/1505.04597/) (2015)
- [Very Deep Convolutional Networks for Large-Scale Image Recognition](https://mlsanity.com/paper/1409.1556/) (2014)
- [EfficientNet: Rethinking Model Scaling for Convolutional Neural Networks](https://mlsanity.com/paper/1905.11946/) (2019)
- [Encoder-Decoder with Atrous Separable Convolution for Semantic Image Segmentation](https://mlsanity.com/paper/1802.02611/) (2018)
- [Exploring Simple Siamese Representation Learning](https://mlsanity.com/paper/2011.10566/) (2020)
- [Optuna: A Next-generation Hyperparameter Optimization Framework](https://mlsanity.com/paper/1907.10902/) (2019)
- [Xception: Deep Learning with Depthwise Separable Convolutions](https://mlsanity.com/paper/1610.02357/) (2016)
- [SlowFast Networks for Video Recognition](https://mlsanity.com/paper/1812.03982/) (2018)
- [On the Properties of Neural Machine Translation: Encoder-Decoder Approaches](https://mlsanity.com/paper/1409.1259/) (2014)
- [Energy and Policy Considerations for Deep Learning in NLP](https://mlsanity.com/paper/1906.02243/) (2019)
- [On the Variance of the Adaptive Learning Rate and Beyond](https://mlsanity.com/paper/1908.03265/) (2019)
- [Can Spatiotemporal 3D CNNs Retrace the History of 2D CNNs and ImageNet?](https://mlsanity.com/paper/1711.09577/) (2017)
- [MS-TCN: Multi-Stage Temporal Convolutional Network for Action Segmentation](https://mlsanity.com/paper/1903.01945/) (2019)
- [EndoNet: A Deep Architecture for Recognition Tasks on Laparoscopic Videos](https://mlsanity.com/paper/1602.03012/) (2016)
- [Equalization Loss v2: A New Gradient Balance Approach for Long-tailed Object Detection](https://mlsanity.com/paper/2012.08548/) (2020)
- [Trans-SVNet: Accurate Phase Recognition from Surgical Videos via Hybrid Embedding Aggregation Transformer](https://mlsanity.com/paper/2103.09712/) (2021)
- [Why rankings of biomedical image analysis competitions should be interpreted with care](https://mlsanity.com/paper/1806.02051/) (2018)
- [Methods and open-source toolkit for analyzing and visualizing challenge results](https://mlsanity.com/paper/1910.05121/) (2019)
- [Using 3D Convolutional Neural Networks to Learn Spatiotemporal Features for Automatic Surgical Gesture Recognition in Video](https://mlsanity.com/paper/1907.11454/) (2019)
- [MIcro-Surgical Anastomose Workflow recognition challenge report](https://mlsanity.com/paper/2103.13111/) (2021)
- [Recognizing Surgical Activities with Recurrent Neural Networks](https://mlsanity.com/paper/1606.06329/) (2016)
- [Relational Graph Learning on Visual and Kinematics Embeddings for Accurate Gesture Recognition in Robotic Surgery](https://mlsanity.com/paper/2011.01619/) (2020)
- [Offline identification of surgical deviations in laparoscopic rectopexy](https://mlsanity.com/paper/1909.10790/) (2019)
- [Surgical Gesture Recognition with Optical Flow only](https://mlsanity.com/paper/1904.01143/) (2019)
- [Automated Surgical Activity Recognition with One Labeled Sequence](https://mlsanity.com/paper/1907.08825/) (2019)
- [Learning Invariant Representation of Tasks for Robust Surgical State Estimation](https://mlsanity.com/paper/2102.09119/) (2021)
- [Towards responsible research in digital technology for health care](https://mlsanity.com/paper/2110.09255/) (2021)

## Built on by (most cited first, 6 of 6)

- [AutoLaparo: A New Dataset of Integrated Multi-tasks for Image-guided Surgical Automation in Laparoscopic Hysterectomy](https://mlsanity.com/paper/2208.02049/) (2022)
- [General-purpose foundation models for increased autonomy in robot-assisted surgery](https://mlsanity.com/paper/2401.00678/) (2024)
- [A Large-scale Study of Spatiotemporal Representation Learning with a New Benchmark on Action Recognition](https://mlsanity.com/paper/2303.13505/) (2023)
- [Artificial Intelligence for Biomedical Video Generation](https://mlsanity.com/paper/2411.07619/) (2024)
- [Project Imaging-X: A Survey of 1000+ Open-Access Medical Imaging Datasets for Foundation Model Development](https://mlsanity.com/paper/2603.27460/) (2026)
- [Multi-Modal Gesture Recognition from Video and Surgical Tool Pose Information via Motion Invariants](https://mlsanity.com/paper/2503.15647/) (2025)

## Abstract (arXiv)

This paper presents the design and results of the "PEg TRAnsfert Workflow recognition" (PETRAW) challenge whose objective was to develop surgical workflow recognition methods based on one or several modalities, among video, kinematic, and segmentation data, in order to study their added value. The PETRAW challenge provided a data set of 150 peg transfer sequences performed on a virtual simulator. This data set was composed of videos, kinematics, semantic segmentation, and workflow annotations which described the sequences at three different granularity levels: phase, step, and activity. Five tasks were proposed to the participants: three of them were related to the recognition of all granularities with one of the available modalities, while the others addressed the recognition with a combination of modalities. Average application-dependent balanced accuracy (AD-Accuracy) was used as evaluation metric to take unbalanced classes into account and because it is more clinically relevant than a frame-by-frame score. Seven teams participated in at least one task and four of them in all tasks. Best results are obtained with the use of the video and the kinematics data with an AD-Accuracy between 93% and 90% for the four teams who participated in all tasks. The improvement between video/kinematic-based methods and the uni-modality ones was significant for all of the teams. However, the difference in testing execution time between the video/kinematic-based and the kinematic-based methods has to be taken into consideration. Is it relevant to spend 20 to 200 times more computing time for less than 3% of improvement? The PETRAW data set is publicly available at www.synapse.org/PETRAW to encourage further research in surgical workflow recognition.
