Towards Holistic Surgical Scene Understanding
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Abstract (arXiv)
Most benchmarks for studying surgical interventions focus on a specific challenge instead of leveraging the intrinsic complementarity among different tasks. In this work, we present a new experimental framework towards holistic surgical scene understanding. First, we introduce the Phase, Step, Instrument, and Atomic Visual Action recognition (PSI-AVA) Dataset. PSI-AVA includes annotations for both long-term (Phase and Step recognition) and short-term reasoning (Instrument detection and novel Atomic Action recognition) in robot-assisted radical prostatectomy videos. Second, we present Transformers for Action, Phase, Instrument, and steps Recognition (TAPIR) as a strong baseline for surgical scene understanding. TAPIR leverages our dataset's multi-level annotations as it benefits from the learned representation on the instrument detection task to improve its classification capacity. Our experimental results in both PSI-AVA and other publicly available databases demonstrate the adequacy of our framework to spur future research on holistic surgical scene understanding.
Key facts. Cited by 33 papers in the map (data through 7 Oct 2026). Builds on 27 of its 34 references that are in the map. First posted on arXiv 8 Dec 2022.
Builds on
27 of 34 references.
References · 27
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- 2020End-to-End Object Detection with Transformerscited by 7,384
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- 2016EndoNet: A Deep Architecture for Recognition Tasks on Laparoscopic Videoscited by 366
- 20192017 Robotic Instrument Segmentation Challengecited by 166
15 more
- 2021Rendezvous: Attention Mechanisms for the Recognition of Surgical Action Triplets in Endoscopic Videoscited by 139
- 2017Surgical Data Science: Enabling Next-Generation Surgerycited by 126
- 20202018 Robotic Scene Segmentation Challengecited by 123
- 2021Trans-SVNet: Accurate Phase Recognition from Surgical Videos via Hybrid Embedding Aggregation Transformercited by 93
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- 2020Recognition of Instrument-Tissue Interactions in Endoscopic Videos via Action Tripletscited by 66
- 2021OperA: Attention-Regularized Transformers for Surgical Phase Recognitioncited by 60
- 2020Heidelberg Colorectal Data Set for Surgical Data Science in the Sensor Operating Roomcited by 47
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Citing papers per year: 2022: 1; 2023: 7; 2024: 10; 2025: 12; 2026: 3.
33 papers.
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- 2023SurgicalGPT: End-to-End Language-Vision GPT for Visual Question Answering in Surgerycited by 48
- 2023MATIS: Masked-Attention Transformers for Surgical Instrument Segmentationcited by 36
- 2025Scaling up self-supervised learning for improved surgical foundation modelscited by 25
- 2025SurgLaVi: Large-Scale Hierarchical Dataset for Surgical Vision-Language Representation Learningcited by 16
- 2024General-purpose foundation models for increased autonomy in robot-assisted surgerycited by 15
- 2024Surgical-LLaVA: Toward Surgical Scenario Understanding via Large Language and Vision Modelscited by 13
- 2025EndoBench: A Comprehensive Evaluation of Multi-Modal Large Language Models for Endoscopy Analysiscited by 13
- 2025From Screens to Scenes: A Survey of Embodied AI in Healthcarecited by 10
- 2025Large-scale Self-supervised Video Foundation Model for Intelligent Surgerycited by 10
- 2023Whether and When does Endoscopy Domain Pretraining Make Sense?cited by 8
- 2023Pelphix: Surgical Phase Recognition from X-ray Images in Percutaneous Pelvic Fixationcited by 8
- 2024Instrument-tissue Interaction Detection Framework for Surgical Video Understandingcited by 8
21 more
- 2024MuST: Multi-Scale Transformers for Surgical Phase Recognitioncited by 8
- 2024Exploring the Effect of Dataset Diversity in Self-Supervised Learning for Surgical Computer Visioncited by 7
- 2024Memory-Augmented Multimodal LLMs for Surgical VQA via Self-Contained Inquirycited by 6
- 2023SF-TMN: SlowFast Temporal Modeling Network for Surgical Phase Recognitioncited by 5
- 2023RIDE: Self-Supervised Learning of Rotation-Equivariant Keypoint Detection and Invariant Description for Endoscopycited by 5
- 2024Multitask Learning in Minimally Invasive Surgical Vision: A Reviewcited by 5
- 2024Neural Finite-State Machines for Surgical Phase Recognitioncited by 5
- 2025ProstaTD: Bridging Surgical Triplet from Classification to Fully Supervised Detectioncited by 4
- 2026SurgMotion: A Video-Native Foundation Model for Universal Understanding of Surgical Videoscited by 4
- 2022MURPHY: Relations Matter in Surgical Workflow Analysiscited by 3
- 2026From Articulated Kinematics to Routed Visual Control for Action-Conditioned Surgical Video Generationcited by 3
- 2024Strategies to Improve Real-World Applicability of Laparoscopic Anatomy Segmentation Modelscited 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
- 2025MoSFormer: Augmenting Temporal Context with Memory of Surgery for Surgical Phase Recognitioncited by 2
- 2025Towards Holistic Surgical Scene Graphcited by 2
- 2024SURGIVID: Annotation-Efficient Surgical Video Object Discoverycited by 1
- 2025Surgical Video Understanding with Label Interpolationcited by 1
- 2023SurGNN: Explainable visual scene understanding and assessment of surgical skill using graph neural networkscited by 0
- 2025State-Change Learning for Prediction of Future Events in Endoscopic Videoscited by 0
- 2026Strategy-Supervised Autonomous Laparoscopic Camera Control via Event-Driven Graph Miningcited by 0
- 2026From Articulated Kinematics to Routed Visual Control for Action-Conditioned Surgical Video Generation9 May 2026
- 2026Strategy-Supervised Autonomous Laparoscopic Camera Control via Event-Driven Graph Mining24 Feb 2026
- 2026SurgMotion: A Video-Native Foundation Model for Universal Understanding of Surgical Videos5 Feb 2026
- 2025State-Change Learning for Prediction of Future Events in Endoscopic Videos14 Oct 2025
- 2025Surgical Video Understanding with Label Interpolation23 Sep 2025
- 2025SurgLaVi: Large-Scale Hierarchical Dataset for Surgical Vision-Language Representation Learning9 Sep 2025
- 2025Towards Holistic Surgical Scene Graph21 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
- 2025EndoBench: A Comprehensive Evaluation of Multi-Modal Large Language Models for Endoscopy Analysis29 May 2025
- 2025MoSFormer: Augmenting Temporal Context with Memory of Surgery for Surgical Phase Recognition2 Mar 2025
- 2025Hierarchical Context Transformer for Multi-level Semantic Scene Understanding21 Feb 2025
21 more
- 2025TEMSET-24K: Densely Annotated Dataset for Indexing Multipart Endoscopic Videos using Surgical Timeline Segmentation10 Feb 2025
- 2025Scaling up self-supervised learning for improved surgical foundation models16 Jan 2025
- 2025From Screens to Scenes: A Survey of Embodied AI in Healthcare13 Jan 2025
- 2024Neural Finite-State Machines for Surgical Phase Recognition27 Nov 2024
- 2024Memory-Augmented Multimodal LLMs for Surgical VQA via Self-Contained Inquiry17 Nov 2024
- 2024Surgical-LLaVA: Toward Surgical Scenario Understanding via Large Language and Vision Models13 Oct 2024
- 2024SURGIVID: Annotation-Efficient Surgical Video Object Discovery12 Sep 2024
- 2024Exploring the Effect of Dataset Diversity in Self-Supervised Learning for Surgical Computer Vision25 Jul 2024
- 2024MuST: Multi-Scale Transformers for Surgical Phase Recognition24 Jul 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
- 2024Multitask Learning in Minimally Invasive Surgical Vision: A Review16 Jan 2024
- 2024General-purpose foundation models for increased autonomy in robot-assisted surgery1 Jan 2024
- 2023RIDE: Self-Supervised Learning of Rotation-Equivariant Keypoint Detection and Invariant Description for Endoscopy18 Sep 2023
- 2023SurGNN: Explainable visual scene understanding and assessment of surgical skill using graph neural networks24 Aug 2023
- 2023SF-TMN: SlowFast Temporal Modeling Network for Surgical Phase Recognition15 Jun 2023
- 2023SurgicalGPT: End-to-End Language-Vision GPT for Visual Question Answering in Surgery19 Apr 2023
- 2023Pelphix: Surgical Phase Recognition from X-ray Images in Percutaneous Pelvic Fixation18 Apr 2023
- 2023Whether and When does Endoscopy Domain Pretraining Make Sense?30 Mar 2023
- 2023MATIS: Masked-Attention Transformers for Surgical Instrument Segmentation16 Mar 2023
- 2022MURPHY: Relations Matter in Surgical Workflow Analysis24 Dec 2022
- 2025SurgLaVi: Large-Scale Hierarchical Dataset for Surgical Vision-Language Representation Learningcited by 16
- 2025EndoBench: A Comprehensive Evaluation of Multi-Modal Large Language Models for Endoscopy Analysiscited by 13
- 2024Memory-Augmented Multimodal LLMs for Surgical VQA via Self-Contained Inquirycited by 6
- 2025SurgLaVi: Large-Scale Hierarchical Dataset for Surgical Vision-Language Representation Learning9 Sep 2025
- 2025EndoBench: A Comprehensive Evaluation of Multi-Modal Large Language Models for Endoscopy Analysis29 May 2025
- 2024Memory-Augmented Multimodal LLMs for Surgical VQA via Self-Contained Inquiry17 Nov 2024
- 2023SurgicalGPT: End-to-End Language-Vision GPT for Visual Question Answering in Surgerycited by 48
- 2023MATIS: Masked-Attention Transformers for Surgical Instrument Segmentationcited by 36
- 2025Scaling up self-supervised learning for improved surgical foundation modelscited by 25
- 2024General-purpose foundation models for increased autonomy in robot-assisted surgerycited by 15
- 2024Surgical-LLaVA: Toward Surgical Scenario Understanding via Large Language and Vision Modelscited by 13
- 2025From Screens to Scenes: A Survey of Embodied AI in Healthcarecited by 10
- 2025Large-scale Self-supervised Video Foundation Model for Intelligent Surgerycited by 10
- 2023Whether and When does Endoscopy Domain Pretraining Make Sense?cited by 8
- 2023Pelphix: Surgical Phase Recognition from X-ray Images in Percutaneous Pelvic Fixationcited by 8
- 2024Instrument-tissue Interaction Detection Framework for Surgical Video Understandingcited by 8
- 2024MuST: Multi-Scale Transformers for Surgical Phase Recognitioncited by 8
- 2024Exploring the Effect of Dataset Diversity in Self-Supervised Learning for Surgical Computer Visioncited by 7
12 most cited of 30 All 30 (JSON)
- 2026From Articulated Kinematics to Routed Visual Control for Action-Conditioned Surgical Video Generation9 May 2026
- 2026Strategy-Supervised Autonomous Laparoscopic Camera Control via Event-Driven Graph Mining24 Feb 2026
- 2026SurgMotion: A Video-Native Foundation Model for Universal Understanding of Surgical Videos5 Feb 2026
- 2025State-Change Learning for Prediction of Future Events in Endoscopic Videos14 Oct 2025
- 2025Surgical Video Understanding with Label Interpolation23 Sep 2025
- 2025Towards Holistic Surgical Scene Graph21 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
- 2025MoSFormer: Augmenting Temporal Context with Memory of Surgery for Surgical Phase Recognition2 Mar 2025
- 2025Hierarchical Context Transformer for Multi-level Semantic Scene Understanding21 Feb 2025
- 2025TEMSET-24K: Densely Annotated Dataset for Indexing Multipart Endoscopic Videos using Surgical Timeline Segmentation10 Feb 2025
- 2025Scaling up self-supervised learning for improved surgical foundation models16 Jan 2025
12 newest of 30 All 30 (JSON)