# Self-Knowledge Distillation for Surgical Phase Recognition

arXiv: https://arxiv.org/abs/2306.08961 · HTML: https://mlsanity.com/paper/2306.08961/

## Key facts

- Cited by 2 papers in the map (data through 14 Oct 2026).
- Placed in Distillation for medical imaging, one of 12 directions in Knowledge distillation.
- Builds on 17 of its 19 references that are in the map.
- First posted on arXiv 15 Jun 2023.

## Placed in

- Knowledge distillation / [Distillation for medical imaging](https://mlsanity.com/distill/distillation-for-medical-imaging/)

## Builds on (most cited first, 17 of 17)

- [Deep Residual Learning for Image Recognition](https://mlsanity.com/paper/1512.03385/) (2015)
- [A Simple Framework for Contrastive Learning of Visual Representations](https://mlsanity.com/paper/2002.05709/) (2020)
- [Distilling the Knowledge in a Neural Network](https://mlsanity.com/paper/1503.02531/) (2015)
- [ImageNet Large Scale Visual Recognition Challenge](https://mlsanity.com/paper/1409.0575/) (2014)
- [Bootstrap your own latent: A new approach to self-supervised Learning](https://mlsanity.com/paper/2006.07733/) (2020)
- [Continuous control with deep reinforcement learning](https://mlsanity.com/paper/1509.02971/) (2015)
- [An Empirical Evaluation of Generic Convolutional and Recurrent Networks for Sequence Modeling](https://mlsanity.com/paper/1803.01271/) (2018)
- [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)
- [TeCNO: Surgical Phase Recognition with Multi-Stage Temporal Convolutional Networks](https://mlsanity.com/paper/2003.10751/) (2020)
- [Surgical Data Science: Enabling Next-Generation Surgery](https://mlsanity.com/paper/1701.06482/) (2017)
- [Self-Knowledge Distillation with Progressive Refinement of Targets](https://mlsanity.com/paper/2006.12000/) (2020)
- [Trans-SVNet: Accurate Phase Recognition from Surgical Videos via Hybrid Embedding Aggregation Transformer](https://mlsanity.com/paper/2103.09712/) (2021)
- [Multi-Task Recurrent Convolutional Network with Correlation Loss for Surgical Video Analysis](https://mlsanity.com/paper/1907.06099/) (2019)
- [An Empirical Study on Activity Recognition in Long Surgical Videos](https://mlsanity.com/paper/2205.02805/) (2022)
- [Free Lunch for Surgical Video Understanding by Distilling Self-Supervisions](https://mlsanity.com/paper/2205.09292/) (2022)
- [Real-time analysis of cataract surgery videos using statistical models](https://mlsanity.com/paper/1610.05465/) (2016)

## Built on by (most cited first, 2 of 2)

- [Learning from Single Timestamps: Complexity Estimation in Laparoscopic Cholecystectomy](https://mlsanity.com/paper/2511.04525/) (2025)
- [LaSeD: Label-Semantic Self-Distillation for Visual-Only Surgical Phase Recognition](https://mlsanity.com/paper/2609.18971/) (2026)

## Abstract (arXiv)

Purpose: Advances in surgical phase recognition are generally led by training deeper networks. Rather than going further with a more complex solution, we believe that current models can be exploited better. We propose a self-knowledge distillation framework that can be integrated into current state-of-the-art (SOTA) models without requiring any extra complexity to the models or annotations. Methods: Knowledge distillation is a framework for network regularization where knowledge is distilled from a teacher network to a student network. In self-knowledge distillation, the student model becomes the teacher such that the network learns from itself. Most phase recognition models follow an encoder-decoder framework. Our framework utilizes self-knowledge distillation in both stages. The teacher model guides the training process of the student model to extract enhanced feature representations from the encoder and build a more robust temporal decoder to tackle the over-segmentation problem. Results: We validate our proposed framework on the public dataset Cholec80. Our framework is embedded on top of four popular SOTA approaches and consistently improves their performance. Specifically, our best GRU model boosts performance by +3.33% accuracy and +3.95% F1-score over the same baseline model. Conclusion: We embed a self-knowledge distillation framework for the first time in the surgical phase recognition training pipeline. Experimental results demonstrate that our simple yet powerful framework can improve performance of existing phase recognition models. Moreover, our extensive experiments show that even with 75% of the training set we still achieve performance on par with the same baseline model trained on the full set.