# Spatio-Temporal Representation Decoupling and Enhancement for Federated Instrument Segmentation in Surgical Videos

arXiv: https://arxiv.org/abs/2506.23759 · HTML: https://mlsanity.com/paper/2506.23759/

## Key facts

- Cited by 4 papers in the map (data through 14 Oct 2026).
- Builds on 33 of its 56 references that are in the map.
- First posted on arXiv 30 Jun 2025.

## Builds on (most cited first, 30 of 33)

- [Deep Residual Learning for Image Recognition](https://mlsanity.com/paper/1512.03385/) (2015)
- [Segment Anything](https://mlsanity.com/paper/2304.02643/) (2023)
- [Communication-Efficient Learning of Deep Networks from Decentralized Data](https://mlsanity.com/paper/1602.05629/) (2016)
- [PVT v2: Improved Baselines with Pyramid Vision Transformer](https://mlsanity.com/paper/2106.13797/) (2021)
- [FedBN: Federated Learning on Non-IID Features via Local Batch Normalization](https://mlsanity.com/paper/2102.07623/) (2021)
- [Exploiting Shared Representations for Personalized Federated Learning](https://mlsanity.com/paper/2102.07078/) (2021)
- [Privacy-preserving Federated Brain Tumour Segmentation](https://mlsanity.com/paper/1910.00962/) (2019)
- [2017 Robotic Instrument Segmentation Challenge](https://mlsanity.com/paper/1902.06426/) (2019)
- [Salvaging Federated Learning by Local Adaptation](https://mlsanity.com/paper/2002.04758/) (2020)
- [2018 Robotic Scene Segmentation Challenge](https://mlsanity.com/paper/2001.11190/) (2020)
- [SurgicalSAM: Efficient Class Promptable Surgical Instrument Segmentation](https://mlsanity.com/paper/2308.08746/) (2023)
- [Federated Learning for Medical Image Analysis: A Survey](https://mlsanity.com/paper/2306.05980/) (2023)
- [Incorporating Temporal Prior from Motion Flow for Instrument Segmentation in Minimally Invasive Surgery Video](https://mlsanity.com/paper/1907.07899/) (2019)
- [Pixel-Wise Recognition for Holistic Surgical Scene Understanding](https://mlsanity.com/paper/2401.11174/) (2024)
- [Surgical SAM 2: Real-time Segment Anything in Surgical Video by Efficient Frame Pruning](https://mlsanity.com/paper/2408.07931/) (2024)
- [Federated Learning in Distributed Medical Databases: Meta-Analysis of Large-Scale Subcortical Brain Data](https://mlsanity.com/paper/1810.08553/) (2018)
- [TraSeTR: Track-to-Segment Transformer with Contrastive Query for Instance-level Instrument Segmentation in Robotic Surgery](https://mlsanity.com/paper/2202.08453/) (2022)
- [Learning Motion Flows for Semi-supervised Instrument Segmentation from Robotic Surgical Video](https://mlsanity.com/paper/2007.02501/) (2020)
- [CD2-pFed: Cyclic Distillation-guided Channel Decoupling for Model Personalization in Federated Learning](https://mlsanity.com/paper/2204.03880/) (2022)
- [ToolNet: Holistically-Nested Real-Time Segmentation of Robotic Surgical Tools](https://mlsanity.com/paper/1706.08126/) (2017)
- [Min-Max Similarity: A Contrastive Semi-Supervised Deep Learning Network for Surgical Tools Segmentation](https://mlsanity.com/paper/2203.15177/) (2022)
- [Exploring Intra- and Inter-Video Relation for Surgical Semantic Scene Segmentation](https://mlsanity.com/paper/2203.15251/) (2022)
- [IOP-FL: Inside-Outside Personalization for Federated Medical Image Segmentation](https://mlsanity.com/paper/2204.08467/) (2022)
- [Federated Cycling (FedCy): Semi-supervised Federated Learning of Surgical Phases](https://mlsanity.com/paper/2203.07345/) (2022)
- [ReSurgSAM2: Referring Segment Anything in Surgical Video via Credible Long-term Tracking](https://mlsanity.com/paper/2505.08581/) (2025)
- [Noisy-LSTM: Improving Temporal Awareness for Video Semantic Segmentation](https://mlsanity.com/paper/2010.09466/) (2020)
- [Tackling Data Heterogeneity in Federated Learning via Loss Decomposition](https://mlsanity.com/paper/2408.12300/) (2024)
- [DAWN: Domain-Adaptive Weakly Supervised Nuclei Segmentation via Cross-Task Interactions](https://mlsanity.com/paper/2404.14956/) (2024)
- [Reducing Annotating Load: Active Learning with Synthetic Images in Surgical Instrument Segmentation](https://mlsanity.com/paper/2108.03534/) (2021)
- [SEINE: Structure Encoding and Interaction Network for Nuclei Instance Segmentation](https://mlsanity.com/paper/2401.09773/) (2024)

## Built on by (most cited first, 4 of 4)

- [SurgSLOT: Segment Anything in Surgical Videos via Semantic Long-term Tracking](https://mlsanity.com/paper/2511.16618/) (2025)
- [TrajPred: Trajectory-Conditioned Joint Embedding Prediction for Surgical Instrument-Tissue Interaction Recognition in Vision-Language Models](https://mlsanity.com/paper/2603.06999/) (2026)
- [GEN-Guard: Correcting Generalization Failures for Deployable Federated Surgical AI](https://mlsanity.com/paper/2606.20303/) (2026)
- [SurgFed: Language-guided Multi-Task Federated Learning for Surgical Video Understanding](https://mlsanity.com/paper/2603.09496/) (2026)

## Abstract (arXiv)

Surgical instrument segmentation under Federated Learning (FL) is a promising direction, which enables multiple surgical sites to collaboratively train the model without centralizing datasets. However, there exist very limited FL works in surgical data science, and FL methods for other modalities do not consider inherent characteristics in surgical domain: i) different scenarios show diverse anatomical backgrounds while highly similar instrument representation; ii) there exist surgical simulators which promote large-scale synthetic data generation with minimal efforts. In this paper, we propose a novel Personalized FL scheme, Spatio-Temporal Representation Decoupling and Enhancement (FedST), which wisely leverages surgical domain knowledge during both local-site and global-server training to boost segmentation. Concretely, our model embraces a Representation Separation and Cooperation (RSC) mechanism in local-site training, which decouples the query embedding layer to be trained privately, to encode respective backgrounds. Meanwhile, other parameters are optimized globally to capture the consistent representations of instruments, including the temporal layer to capture similar motion patterns. A textual-guided channel selection is further designed to highlight site-specific features, facilitating model adapta tion to each site. Moreover, in global-server training, we propose Synthesis-based Explicit Representation Quantification (SERQ), which defines an explicit representation target based on synthetic data to synchronize the model convergence during fusion for improving model generalization.