# SegSTRONG-C: Segmenting Surgical Tools Robustly On Non-adversarial Generated Corruptions -- An EndoVis'24 Challenge

arXiv: https://arxiv.org/abs/2407.11906 · HTML: https://mlsanity.com/paper/2407.11906/

## Key facts

- Cited by 8 papers in the map (data through 14 Oct 2026).
- Builds on 61 of its 118 references that are in the map.
- First posted on arXiv 16 Jul 2024.

## Builds on (most cited first, 30 of 61)

- [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)
- [Swin Transformer: Hierarchical Vision Transformer using Shifted Windows](https://mlsanity.com/paper/2103.14030/) (2021)
- [Segment Anything](https://mlsanity.com/paper/2304.02643/) (2023)
- [Towards Deep Learning Models Resistant to Adversarial Attacks](https://mlsanity.com/paper/1706.06083/) (2017)
- [mixup: Beyond Empirical Risk Minimization](https://mlsanity.com/paper/1710.09412/) (2017)
- [Fully Convolutional Networks for Semantic Segmentation](https://mlsanity.com/paper/1411.4038/) (2014)
- [You Only Look Once: Unified, Real-Time Object Detection](https://mlsanity.com/paper/1506.02640/) (2015)
- [MobileNetV2: Inverted Residuals and Linear Bottlenecks](https://mlsanity.com/paper/1801.04381/) (2018)
- [Mamba: Linear-Time Sequence Modeling with Selective State Spaces](https://mlsanity.com/paper/2312.00752/) (2023)
- [MobileNets: Efficient Convolutional Neural Networks for Mobile Vision Applications](https://mlsanity.com/paper/1704.04861/) (2017)
- [Encoder-Decoder with Atrous Separable Convolution for Semantic Image Segmentation](https://mlsanity.com/paper/1802.02611/) (2018)
- [SegFormer: Simple and Efficient Design for Semantic Segmentation with Transformers](https://mlsanity.com/paper/2105.15203/) (2021)
- [Benchmarking Neural Network Robustness to Common Corruptions and Perturbations](https://mlsanity.com/paper/1903.12261/) (2019)
- [Pyramid Scene Parsing Network](https://mlsanity.com/paper/1612.01105/) (2016)
- [CBAM: Convolutional Block Attention Module](https://mlsanity.com/paper/1807.06521/) (2018)
- [Masked-attention Mask Transformer for Universal Image Segmentation](https://mlsanity.com/paper/2112.01527/) (2021)
- [Rethinking Semantic Segmentation from a Sequence-to-Sequence Perspective with Transformers](https://mlsanity.com/paper/2012.15840/) (2020)
- [Depth Anything: Unleashing the Power of Large-Scale Unlabeled Data](https://mlsanity.com/paper/2401.10891/) (2024)
- [Swin Transformer V2: Scaling Up Capacity and Resolution](https://mlsanity.com/paper/2111.09883/) (2021)
- [StarGAN v2: Diverse Image Synthesis for Multiple Domains](https://mlsanity.com/paper/1912.01865/) (2019)
- [Semantic Understanding of Scenes through the ADE20K Dataset](https://mlsanity.com/paper/1608.05442/) (2016)
- [Learning Robust Global Representations by Penalizing Local Predictive Power](https://mlsanity.com/paper/1905.13549/) (2019)
- [VMamba: Visual State Space Model](https://mlsanity.com/paper/2401.10166/) (2024)
- [ConvNeXt V2: Co-designing and Scaling ConvNets with Masked Autoencoders](https://mlsanity.com/paper/2301.00808/) (2023)
- [UNet++: Redesigning Skip Connections to Exploit Multiscale Features in Image Segmentation](https://mlsanity.com/paper/1912.05074/) (2019)
- [Albumentations: fast and flexible image augmentations](https://mlsanity.com/paper/1809.06839/) (2018)
- [YOLO-World: Real-Time Open-Vocabulary Object Detection](https://mlsanity.com/paper/2401.17270/) (2024)
- [Improving robustness against common corruptions by covariate shift adaptation](https://mlsanity.com/paper/2006.16971/) (2020)
- [U-Mamba: Enhancing Long-range Dependency for Biomedical Image Segmentation](https://mlsanity.com/paper/2401.04722/) (2024)

## Built on by (most cited first, 8 of 8)

- [EndoIR: Degradation-Agnostic All-in-One Endoscopic Image Restoration via Noise-Aware Routing Diffusion](https://mlsanity.com/paper/2511.05873/) (2025)
- [Project Imaging-X: A Survey of 1000+ Open-Access Medical Imaging Datasets for Foundation Model Development](https://mlsanity.com/paper/2603.27460/) (2026)
- [Towards Next-Generation Healthcare: A Survey of Medical Embodied AI for Perception, Decision-Making, and Action](https://mlsanity.com/paper/2606.15647/) (2026)
- [Towards Robust Algorithms for Surgical Phase Recognition via Digital Twin Representation](https://mlsanity.com/paper/2410.20026/) (2024)
- [EndoControlMag: Robust Endoscopic Vascular Motion Magnification with Periodic Reference Resetting and Hierarchical Tissue-aware Dual-Mask Control](https://mlsanity.com/paper/2507.15292/) (2025)
- [Beyond Rigid AI: Towards Natural Human-Machine Symbiosis for Interoperative Surgical Assistance](https://mlsanity.com/paper/2507.23088/) (2025)
- [Seeing Through Smoke: Surgical Desmoking for Improved Visual Perception](https://mlsanity.com/paper/2603.25867/) (2026)
- [Beyond Uncertainty: Generalizable Failure Monitoring for Surgical Segmentation under Acquisition Degradation](https://mlsanity.com/paper/2608.16748/) (2026)

## Abstract (arXiv)

Surgical data science has seen rapid advancement with the excellent performance of end-to-end deep neural networks (DNNs). Despite their successes, DNNs have been proven susceptible to minor "corruptions," introducing a major concern for the translation of cutting-edge technology, especially in high-stakes scenarios. We introduce the SegSTRONG-C challenge dedicated to better understanding model deterioration under unforeseen but plausible non-adversarial "corruption" and the capabilities of contemporary methods that seek to improve it. Built on a dataset generated through counterfactual robotic replay, SegSTRONG-C provides paired clean and "corrupted" samples, enabling reproducible evaluation of model robustness. Participants are challenged to train tool segmentation algorithms on "uncorrupted" data and evaluate them on "corrupted" test domains for the binary robot tool segmentation task. Through comprehensive baseline experiments and participating submissions from widespread community engagement, SegSTRONG-C reveals key themes for model failure and identifies promising directions for improving robustness. The performance of challenge winners, achieving an average 0.9394 DSC and 0.9301 NSD across the unreleased test sets with "corruption" types: bleeding, smoke, and low brightness. This highlights how prior knowledge, customized training strategies, and architectural choice can be leveraged to improve robustness. In conclusion, the SegSTRONG-C challenge has identified practical approaches for enhancing model robustness. However, most approaches rely on conventional techniques that have known limitations. Looking ahead, we advocate for expanding intellectual diversity and creativity in non-adversarial robustness beyond data augmentation, calling for new paradigms that enhance universal robustness to unforeseen "corruptions" to facilitate richer applications in surgical data science.