# Visual-Kinematics Graph Learning for Procedure-agnostic Instrument Tip Segmentation in Robotic Surgeries

arXiv: https://arxiv.org/abs/2309.00957 · HTML: https://mlsanity.com/paper/2309.00957/

## Key facts

- Cited by 1 papers in the map (data through 14 Oct 2026).
- Builds on 31 of its 34 references that are in the map.
- First posted on arXiv 2 Sep 2023.

## Builds on (most cited first, 30 of 31)

- [Deep Residual Learning for Image Recognition](https://mlsanity.com/paper/1512.03385/) (2015)
- [Adam: A Method for Stochastic Optimization](https://mlsanity.com/paper/1412.6980/) (2014)
- [An Image is Worth 16x16 Words: Transformers for Image Recognition at Scale](https://mlsanity.com/paper/2010.11929/) (2020)
- [U-Net: Convolutional Networks for Biomedical Image Segmentation](https://mlsanity.com/paper/1505.04597/) (2015)
- [Swin Transformer: Hierarchical Vision Transformer using Shifted Windows](https://mlsanity.com/paper/2103.14030/) (2021)
- [Semi-Supervised Classification with Graph Convolutional Networks](https://mlsanity.com/paper/1609.02907/) (2016)
- [Batch Normalization: Accelerating Deep Network Training by Reducing Internal Covariate Shift](https://mlsanity.com/paper/1502.03167/) (2015)
- [Fast Graph Representation Learning with PyTorch Geometric](https://mlsanity.com/paper/1903.02428/) (2019)
- [Rethinking Atrous Convolution for Semantic Image Segmentation](https://mlsanity.com/paper/1706.05587/) (2017)
- [Graph Contrastive Learning with Augmentations](https://mlsanity.com/paper/2010.13902/) (2020)
- [Open3D: A Modern Library for 3D Data Processing](https://mlsanity.com/paper/1801.09847/) (2018)
- [2017 Robotic Instrument Segmentation Challenge](https://mlsanity.com/paper/1902.06426/) (2019)
- [2018 Robotic Scene Segmentation Challenge](https://mlsanity.com/paper/2001.11190/) (2020)
- [InfoGCL: Information-Aware Graph Contrastive Learning](https://mlsanity.com/paper/2110.15438/) (2021)
- [Automatic Instrument Segmentation in Robot-Assisted Surgery Using Deep Learning](https://mlsanity.com/paper/1803.01207/) (2018)
- [TernausNet: U-Net with VGG11 Encoder Pre-Trained on ImageNet for Image Segmentation](https://mlsanity.com/paper/1801.05746/) (2018)
- [Incorporating Temporal Prior from Motion Flow for Instrument Segmentation in Minimally Invasive Surgery Video](https://mlsanity.com/paper/1907.07899/) (2019)
- [Exploring Intra- and Inter-Video Relation for Surgical Semantic Scene Segmentation](https://mlsanity.com/paper/2203.15251/) (2022)
- [Synthetic and Real Inputs for Tool Segmentation in Robotic Surgery](https://mlsanity.com/paper/2007.09107/) (2020)
- [Deep Residual Learning for Instrument Segmentation in Robotic Surgery](https://mlsanity.com/paper/1703.08580/) (2017)
- [Endo-Sim2Real: Consistency learning-based domain adaptation for instrument segmentation](https://mlsanity.com/paper/2007.11514/) (2020)
- [FUN-SIS: a Fully UNsupervised approach for Surgical Instrument Segmentation](https://mlsanity.com/paper/2202.08141/) (2022)
- [AP-MTL: Attention Pruned Multi-task Learning Model for Real-time Instrument Detection and Segmentation in Robot-assisted Surgery](https://mlsanity.com/paper/2003.04769/) (2020)
- [Relational Graph Learning on Visual and Kinematics Embeddings for Accurate Gesture Recognition in Robotic Surgery](https://mlsanity.com/paper/2011.01619/) (2020)
- [Robotic Tool Tracking under Partially Visible Kinematic Chain: A Unified Approach](https://mlsanity.com/paper/2102.06235/) (2021)
- [CaRTS: Causality-driven Robot Tool Segmentation from Vision and Kinematics Data](https://mlsanity.com/paper/2203.09475/) (2022)
- [Self-Supervised Surgical Tool Segmentation using Kinematic Information](https://mlsanity.com/paper/1902.04810/) (2019)
- [One to Many: Adaptive Instrument Segmentation via Meta Learning and Dynamic Online Adaptation in Robotic Surgical Video](https://mlsanity.com/paper/2103.12988/) (2021)
- [A Kinematic Bottleneck Approach For Pose Regression of Flexible Surgical Instruments directly from Images](https://mlsanity.com/paper/2103.00586/) (2021)
- [Image-based Pose Estimation and Shape Reconstruction for Robot Manipulators and Soft, Continuum Robots via Differentiable Rendering](https://mlsanity.com/paper/2302.14039/) (2023)

## Built on by (most cited first, 1 of 1)

- [Multimodal Graph Representation Learning for Robust Surgical Workflow Recognition with Adversarial Feature Disentanglement](https://mlsanity.com/paper/2505.01766/) (2025)

## Abstract (arXiv)

Accurate segmentation of surgical instrument tip is an important task for enabling downstream applications in robotic surgery, such as surgical skill assessment, tool-tissue interaction and deformation modeling, as well as surgical autonomy. However, this task is very challenging due to the small sizes of surgical instrument tips, and significant variance of surgical scenes across different procedures. Although much effort has been made on visual-based methods, existing segmentation models still suffer from low robustness thus not usable in practice. Fortunately, kinematics data from the robotic system can provide reliable prior for instrument location, which is consistent regardless of different surgery types. To make use of such multi-modal information, we propose a novel visual-kinematics graph learning framework to accurately segment the instrument tip given various surgical procedures. Specifically, a graph learning framework is proposed to encode relational features of instrument parts from both image and kinematics. Next, a cross-modal contrastive loss is designed to incorporate robust geometric prior from kinematics to image for tip segmentation. We have conducted experiments on a private paired visual-kinematics dataset including multiple procedures, i.e., prostatectomy, total mesorectal excision, fundoplication and distal gastrectomy on cadaver, and distal gastrectomy on porcine. The leave-one-procedure-out cross validation demonstrated that our proposed multi-modal segmentation method significantly outperformed current image-based state-of-the-art approaches, exceeding averagely 11.2% on Dice.