Pixel-Wise Recognition for Holistic Surgical Scene Understanding
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Abstract (arXiv)
This paper presents the Holistic and Multi-Granular Surgical Scene Understanding of Prostatectomies (GraSP) dataset, a curated benchmark that models surgical scene understanding as a hierarchy of complementary tasks with varying levels of granularity. Our approach encompasses long-term tasks, such as surgical phase and step recognition, and short-term tasks, including surgical instrument segmentation and atomic visual actions detection. To exploit our proposed benchmark, we introduce the Transformers for Actions, Phases, Steps, and Instrument Segmentation (TAPIS) model, a general architecture that combines a global video feature extractor with localized region proposals from an instrument segmentation model to tackle the multi-granularity of our benchmark. Through extensive experimentation in ours and alternative benchmarks, we demonstrate TAPIS's versatility and state-of-the-art performance across different tasks. This work represents a foundational step forward in Endoscopic Vision, offering a novel framework for future research towards holistic surgical scene understanding.
Key facts. Cited by 48 papers in the map (data through 7 Oct 2026). Builds on 53 of its 107 references that are in the map. First posted on arXiv 20 Jan 2024.
Builds on
53 of 107 references.
References · 53
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50 most cited of 53 All 53 (JSON)
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Citing papers per year: 2024: 2; 2025: 24; 2026: 22.
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- 2024Procedure-Aware Surgical Video-language Pretraining with Hierarchical Knowledge Augmentationcited by 38
- 2025SurgVLM: A Large Vision-Language Model and Systematic Evaluation Benchmark for Surgical Intelligencecited by 30
- 2025LEMON: A Large Endoscopic MONocular Dataset and Foundation Model for Perception in Surgical Settingscited by 19
- 2025SurgLaVi: Large-Scale Hierarchical Dataset for Surgical Vision-Language Representation Learningcited by 16
- 2025Cosmos-H-Surgical: Learning Surgical Robot Policies from Videos via World Modelingcited by 10
- 2024MuST: Multi-Scale Transformers for Surgical Phase Recognitioncited by 8
- 2025Surgical Scene Understanding in the Era of Foundation AI Models: A Comprehensive Reviewcited by 8
- 2025Comparative validation of surgical phase recognition, instrument keypoint estimation, and instrument instance segmentation in endoscopy: Results of the PhaKIR 2024 challengecited by 6
- 2026SUREON: A Benchmark and Vision-Language-Model for Surgical Reasoningcited by 6
- 2025ProstaTD: Bridging Surgical Triplet from Classification to Fully Supervised Detectioncited by 4
- 2025Spatio-Temporal Representation Decoupling and Enhancement for Federated Instrument Segmentation in Surgical Videoscited by 4
- 2025Surgical Action Planning with Large Language Modelscited by 3
36 more
- 2025Multimodal Graph Representation Learning for Robust Surgical Workflow Recognition with Adversarial Feature Disentanglementcited by 3
- 2025Holistic Surgical Phase Recognition with Hierarchical Input Dependent State Space Modelscited by 3
- 2026Where It Moves, It Matters: Referring Surgical Instrument Segmentation via Motioncited by 3
- 2026Generalized Recognition of Basic Surgical Actions Enables Skill Assessment and Vision-Language-Model-based Surgical Planningcited by 3
- 2026CliPPER: Contextual Video-Language Pretraining on Long-form Intraoperative Surgical Procedures for Event Recognitioncited by 3
- 2026MedHorizon: Towards Long-context Medical Video Understanding in the Wildcited by 3
- 2025Recognize Any Surgical Object: Unleashing the Power of Weakly-Supervised Datacited by 2
- 2025TEMSET-24K: Densely Annotated Dataset for Indexing Multipart Endoscopic Videos using Surgical Timeline Segmentationcited by 2
- 2025SurgMLLMBench: A Multimodal Large Language Model Benchmark Dataset for Surgical Scene Understandingcited by 2
- 2026Surg-R1: A Hierarchical Reasoning Foundation Model for Scalable and Interpretable Surgical Decision Support with Multi-Center Clinical Validationcited by 2
- 2025SAP-Bench: Benchmarking Multimodal Large Language Models in Surgical Action Planningcited by 1
- 2025Surgical Video Understanding with Label Interpolationcited by 1
- 2025Mitigating Surgical Data Imbalance with Dual-Prediction Video Diffusion Modelcited by 1
- 2025Grounding Surgical Action Triplets with Instrument Instance Segmentation: A Dataset and Target-Aware Fusion Approachcited by 1
- 2025SurgSLOT: Segment Anything in Surgical Videos via Semantic Long-term Trackingcited by 1
- 2026Evaluating Large Vision-language Models for Surgical Tool Detectioncited by 1
- 2026SurgSigma: A Spectrum of Large-Scale Multimodal Data and Foundation Models for Surgical Intelligencecited by 1
- 2026SurgTEMP: Temporal-Aware Surgical Video Question Answering with Text-guided Visual Memory for Laparoscopic Cholecystectomycited by 1
- 2026An Approach to Enriching Surgical Video Datasets for Fine-Grained Spatial-Temporal Understanding of Vision-Language Modelscited by 1
- 2026SurgVista: Long-Horizon Surgical World Modeling with Plausible Instrument-Tissue Dynamicscited by 1
- 2026SurgAtlas: A Large-Scale Surgical Video-Language Dataset with 2,391 Hours of Open and Minimally Invasive Surgerycited by 1
- 2025EndoControlMag: Robust Endoscopic Vascular Motion Magnification with Periodic Reference Resetting and Hierarchical Tissue-aware Dual-Mask Controlcited by 0
- 2025SurgPIS: Surgical-instrument-level Instances and Part-level Semantics for Weakly-supervised Part-aware Instance Segmentationcited by 0
- 2025Multi-scale Temporal Prediction via Incremental Generation and Multi-agent Collaborationcited by 0
- 2025Token Merging via Spatiotemporal Information Mining for Surgical Video Understandingcited by 0
- 2025State-Change Learning for Prediction of Future Events in Endoscopic Videoscited by 0
- 2026SurgFusion-Net: Diversified Adaptive Multimodal Fusion Network for Surgical Skill Assessmentcited by 0
- 2026SurgicalMamba: Dual-Path SSD with State Regramming for Online Surgical Phase Recognitioncited by 0
- 2026Temporally Consistent Label Interpolation for Robust Surgical Multi-Task Learning under Challenging Conditionscited by 0
- 2026SPIRIT: Spatio-temporal Pairwise Relational Modeling of Instrument-Tissue Interactions for Surgical Action Triplet Recognitioncited by 0
- 2026SurgNarrator: A Generative Retrieval Framework for Surgical Video Understandingcited by 0
- 2026Toward Mask Annotation-Free Surgical Instrument Segmentation from Endoscopic Images Using Text-Prompted Segment Anything Model 3 (SAM3)cited by 0
- 2026TEDi: Temporal Memory-Enhanced and Denoising Transformer for Surgical Instrument Segmentationcited by 0
- 2026LD-RSVIS: A Large-Scale and Diverse Benchmark for Referring Surgical Video Instrument Segmentationcited by 0
- 2026A Hierarchy-Aware Video-Language Model Evaluation and Hyperbolic Baseline for Surgerycited by 0
- 2026A Surgical Foundation Model Reveals Task-Dependent Label Efficiencycited by 0
- 2026A Surgical Foundation Model Reveals Task-Dependent Label Efficiency25 Sep 2026
- 2026A Hierarchy-Aware Video-Language Model Evaluation and Hyperbolic Baseline for Surgery22 Sep 2026
- 2026LD-RSVIS: A Large-Scale and Diverse Benchmark for Referring Surgical Video Instrument Segmentation19 Sep 2026
- 2026TEDi: Temporal Memory-Enhanced and Denoising Transformer for Surgical Instrument Segmentation15 Sep 2026
- 2026Toward Mask Annotation-Free Surgical Instrument Segmentation from Endoscopic Images Using Text-Prompted Segment Anything Model 3 (SAM3)9 Aug 2026
- 2026SurgNarrator: A Generative Retrieval Framework for Surgical Video Understanding5 Aug 2026
- 2026SPIRIT: Spatio-temporal Pairwise Relational Modeling of Instrument-Tissue Interactions for Surgical Action Triplet Recognition3 Aug 2026
- 2026Temporally Consistent Label Interpolation for Robust Surgical Multi-Task Learning under Challenging Conditions25 Jun 2026
- 2026SurgAtlas: A Large-Scale Surgical Video-Language Dataset with 2,391 Hours of Open and Minimally Invasive Surgery24 Jun 2026
- 2026SurgVista: Long-Horizon Surgical World Modeling with Plausible Instrument-Tissue Dynamics18 Jun 2026
- 2026SurgicalMamba: Dual-Path SSD with State Regramming for Online Surgical Phase Recognition14 May 2026
- 2026MedHorizon: Towards Long-context Medical Video Understanding in the Wild7 May 2026
36 more
- 2026An Approach to Enriching Surgical Video Datasets for Fine-Grained Spatial-Temporal Understanding of Vision-Language Models1 Apr 2026
- 2026SurgTEMP: Temporal-Aware Surgical Video Question Answering with Text-guided Visual Memory for Laparoscopic Cholecystectomy31 Mar 2026
- 2026CliPPER: Contextual Video-Language Pretraining on Long-form Intraoperative Surgical Procedures for Event Recognition25 Mar 2026
- 2026SurgSigma: A Spectrum of Large-Scale Multimodal Data and Foundation Models for Surgical Intelligence17 Mar 2026
- 2026Generalized Recognition of Basic Surgical Actions Enables Skill Assessment and Vision-Language-Model-based Surgical Planning13 Mar 2026
- 2026Surg-R1: A Hierarchical Reasoning Foundation Model for Scalable and Interpretable Surgical Decision Support with Multi-Center Clinical Validation12 Mar 2026
- 2026SUREON: A Benchmark and Vision-Language-Model for Surgical Reasoning6 Mar 2026
- 2026SurgFusion-Net: Diversified Adaptive Multimodal Fusion Network for Surgical Skill Assessment18 Feb 2026
- 2026Evaluating Large Vision-language Models for Surgical Tool Detection23 Jan 2026
- 2026Where It Moves, It Matters: Referring Surgical Instrument Segmentation via Motion18 Jan 2026
- 2025Cosmos-H-Surgical: Learning Surgical Robot Policies from Videos via World Modeling29 Dec 2025
- 2025SurgMLLMBench: A Multimodal Large Language Model Benchmark Dataset for Surgical Scene Understanding26 Nov 2025
- 2025SurgSLOT: Segment Anything in Surgical Videos via Semantic Long-term Tracking20 Nov 2025
- 2025Grounding Surgical Action Triplets with Instrument Instance Segmentation: A Dataset and Target-Aware Fusion Approach1 Nov 2025
- 2025State-Change Learning for Prediction of Future Events in Endoscopic Videos14 Oct 2025
- 2025Mitigating Surgical Data Imbalance with Dual-Prediction Video Diffusion Model7 Oct 2025
- 2025Token Merging via Spatiotemporal Information Mining for Surgical Video Understanding28 Sep 2025
- 2025Surgical Video Understanding with Label Interpolation23 Sep 2025
- 2025Multi-scale Temporal Prediction via Incremental Generation and Multi-agent Collaboration22 Sep 2025
- 2025SurgLaVi: Large-Scale Hierarchical Dataset for Surgical Vision-Language Representation Learning9 Sep 2025
- 2025SurgPIS: Surgical-instrument-level Instances and Part-level Semantics for Weakly-supervised Part-aware Instance Segmentation25 Jul 2025
- 2025Comparative validation of surgical phase recognition, instrument keypoint estimation, and instrument instance segmentation in endoscopy: Results of the PhaKIR 2024 challenge22 Jul 2025
- 2025EndoControlMag: Robust Endoscopic Vascular Motion Magnification with Periodic Reference Resetting and Hierarchical Tissue-aware Dual-Mask Control21 Jul 2025
- 2025Spatio-Temporal Representation Decoupling and Enhancement for Federated Instrument Segmentation in Surgical Videos30 Jun 2025
- 2025Holistic Surgical Phase Recognition with Hierarchical Input Dependent State Space Models26 Jun 2025
- 2025SAP-Bench: Benchmarking Multimodal Large Language Models in Surgical Action Planning8 Jun 2025
- 2025SurgVLM: A Large Vision-Language Model and Systematic Evaluation Benchmark for Surgical Intelligence3 Jun 2025
- 2025ProstaTD: Bridging Surgical Triplet from Classification to Fully Supervised Detection1 Jun 2025
- 2025Multimodal Graph Representation Learning for Robust Surgical Workflow Recognition with Adversarial Feature Disentanglement3 May 2025
- 2025LEMON: A Large Endoscopic MONocular Dataset and Foundation Model for Perception in Surgical Settings25 Mar 2025
- 2025Surgical Action Planning with Large Language Models24 Mar 2025
- 2025Surgical Scene Understanding in the Era of Foundation AI Models: A Comprehensive Review16 Feb 2025
- 2025TEMSET-24K: Densely Annotated Dataset for Indexing Multipart Endoscopic Videos using Surgical Timeline Segmentation10 Feb 2025
- 2025Recognize Any Surgical Object: Unleashing the Power of Weakly-Supervised Data25 Jan 2025
- 2024Procedure-Aware Surgical Video-language Pretraining with Hierarchical Knowledge Augmentation30 Sep 2024
- 2024MuST: Multi-Scale Transformers for Surgical Phase Recognition24 Jul 2024
- 2025SurgVLM: A Large Vision-Language Model and Systematic Evaluation Benchmark for Surgical Intelligencecited by 30
- 2025SurgLaVi: Large-Scale Hierarchical Dataset for Surgical Vision-Language Representation Learningcited by 16
- 2026MedHorizon: Towards Long-context Medical Video Understanding in the Wildcited by 3
- 2025SurgMLLMBench: A Multimodal Large Language Model Benchmark Dataset for Surgical Scene Understandingcited by 2
- 2025SAP-Bench: Benchmarking Multimodal Large Language Models in Surgical Action Planningcited by 1
- 2026Evaluating Large Vision-language Models for Surgical Tool Detectioncited by 1
- 2026An Approach to Enriching Surgical Video Datasets for Fine-Grained Spatial-Temporal Understanding of Vision-Language Modelscited by 1
- 2026MedHorizon: Towards Long-context Medical Video Understanding in the Wild7 May 2026
- 2026An Approach to Enriching Surgical Video Datasets for Fine-Grained Spatial-Temporal Understanding of Vision-Language Models1 Apr 2026
- 2026Evaluating Large Vision-language Models for Surgical Tool Detection23 Jan 2026
- 2025SurgMLLMBench: A Multimodal Large Language Model Benchmark Dataset for Surgical Scene Understanding26 Nov 2025
- 2025SurgLaVi: Large-Scale Hierarchical Dataset for Surgical Vision-Language Representation Learning9 Sep 2025
- 2025SAP-Bench: Benchmarking Multimodal Large Language Models in Surgical Action Planning8 Jun 2025
- 2025SurgVLM: A Large Vision-Language Model and Systematic Evaluation Benchmark for Surgical Intelligence3 Jun 2025
- 2024Procedure-Aware Surgical Video-language Pretraining with Hierarchical Knowledge Augmentationcited by 38
- 2025LEMON: A Large Endoscopic MONocular Dataset and Foundation Model for Perception in Surgical Settingscited by 19
- 2024MuST: Multi-Scale Transformers for Surgical Phase Recognitioncited by 8
- 2025Surgical Scene Understanding in the Era of Foundation AI Models: A Comprehensive Reviewcited by 8
- 2025Comparative validation of surgical phase recognition, instrument keypoint estimation, and instrument instance segmentation in endoscopy: Results of the PhaKIR 2024 challengecited by 6
- 2025ProstaTD: Bridging Surgical Triplet from Classification to Fully Supervised Detectioncited by 4
- 2025Spatio-Temporal Representation Decoupling and Enhancement for Federated Instrument Segmentation in Surgical Videoscited by 4
- 2025Surgical Action Planning with Large Language Modelscited by 3
- 2025Multimodal Graph Representation Learning for Robust Surgical Workflow Recognition with Adversarial Feature Disentanglementcited by 3
- 2025Holistic Surgical Phase Recognition with Hierarchical Input Dependent State Space Modelscited by 3
- 2026Where It Moves, It Matters: Referring Surgical Instrument Segmentation via Motioncited by 3
- 2026Generalized Recognition of Basic Surgical Actions Enables Skill Assessment and Vision-Language-Model-based Surgical Planningcited by 3
12 most cited of 35 All 35 (JSON)
- 2026A Surgical Foundation Model Reveals Task-Dependent Label Efficiency25 Sep 2026
- 2026A Hierarchy-Aware Video-Language Model Evaluation and Hyperbolic Baseline for Surgery22 Sep 2026
- 2026LD-RSVIS: A Large-Scale and Diverse Benchmark for Referring Surgical Video Instrument Segmentation19 Sep 2026
- 2026TEDi: Temporal Memory-Enhanced and Denoising Transformer for Surgical Instrument Segmentation15 Sep 2026
- 2026Toward Mask Annotation-Free Surgical Instrument Segmentation from Endoscopic Images Using Text-Prompted Segment Anything Model 3 (SAM3)9 Aug 2026
- 2026SurgNarrator: A Generative Retrieval Framework for Surgical Video Understanding5 Aug 2026
- 2026SPIRIT: Spatio-temporal Pairwise Relational Modeling of Instrument-Tissue Interactions for Surgical Action Triplet Recognition3 Aug 2026
- 2026Temporally Consistent Label Interpolation for Robust Surgical Multi-Task Learning under Challenging Conditions25 Jun 2026
- 2026SurgAtlas: A Large-Scale Surgical Video-Language Dataset with 2,391 Hours of Open and Minimally Invasive Surgery24 Jun 2026
- 2026SurgicalMamba: Dual-Path SSD with State Regramming for Online Surgical Phase Recognition14 May 2026
- 2026SurgTEMP: Temporal-Aware Surgical Video Question Answering with Text-guided Visual Memory for Laparoscopic Cholecystectomy31 Mar 2026
- 2026CliPPER: Contextual Video-Language Pretraining on Long-form Intraoperative Surgical Procedures for Event Recognition25 Mar 2026
12 newest of 35 All 35 (JSON)