# Adaptation of Multi-modal Representation Models for Multi-task Surgical Computer Vision

arXiv: https://arxiv.org/abs/2507.05020 · HTML: https://mlsanity.com/paper/2507.05020/

## Key facts

- Cited by 3 papers in the map (data through 14 Oct 2026).
- Builds on 14 of its 17 references that are in the map.
- First posted on arXiv 7 Jul 2025.

## Builds on (most cited first, 14 of 14)

- [Deep Residual Learning for Image Recognition](https://mlsanity.com/paper/1512.03385/) (2015)
- [Learning Transferable Visual Models From Natural Language Supervision](https://mlsanity.com/paper/2103.00020/) (2021)
- [Semi-Supervised Classification with Graph Convolutional Networks](https://mlsanity.com/paper/1609.02907/) (2016)
- [Learning to Prompt for Vision-Language Models](https://mlsanity.com/paper/2109.01134/) (2021)
- [EndoNet: A Deep Architecture for Recognition Tasks on Laparoscopic Videos](https://mlsanity.com/paper/1602.03012/) (2016)
- [Rendezvous: Attention Mechanisms for the Recognition of Surgical Action Triplets in Endoscopic Videos](https://mlsanity.com/paper/2109.03223/) (2021)
- [DualCoOp: Fast Adaptation to Multi-Label Recognition with Limited Annotations](https://mlsanity.com/paper/2206.09541/) (2022)
- [Multi-Label Learning from Single Positive Labels](https://mlsanity.com/paper/2106.09708/) (2021)
- [Multi-Task Temporal Convolutional Networks for Joint Recognition of Surgical Phases and Steps in Gastric Bypass Procedures](https://mlsanity.com/paper/2102.12218/) (2021)
- [HecVL: Hierarchical Video-Language Pretraining for Zero-shot Surgical Phase Recognition](https://mlsanity.com/paper/2405.10075/) (2024)
- [Simple and Robust Loss Design for Multi-Label Learning with Missing Labels](https://mlsanity.com/paper/2112.07368/) (2021)
- [Encoding Surgical Videos as Latent Spatiotemporal Graphs for Object and Anatomy-Driven Reasoning](https://mlsanity.com/paper/2312.06829/) (2023)
- [Vision-Language Pseudo-Labels for Single-Positive Multi-Label Learning](https://mlsanity.com/paper/2310.15985/) (2023)
- [Jumpstarting Surgical Computer Vision](https://mlsanity.com/paper/2312.05968/) (2023)

## Built on by (most cited first, 3 of 3)

- [From Phase Grounding to Intelligent Surgical Narratives](https://mlsanity.com/paper/2603.05732/) (2026)
- [Latent-Action-Guided Video-Language Feature Learning for Surgical Instrument-Tissue Interaction Recognition](https://mlsanity.com/paper/2607.19889/) (2026)
- [On the Robustness of Temporal Vision-Language Models for Surgical Endoscopy Videos](https://mlsanity.com/paper/2608.14262/) (2026)

## Abstract (arXiv)

Surgical AI often involves multiple tasks within a single procedure, like phase recognition or assessing the Critical View of Safety in laparoscopic cholecystectomy. Traditional models, built for one task at a time, lack flexibility, requiring a separate model for each. To address this, we introduce MML-SurgAdapt, a unified multi-task framework with Vision-Language Models (VLMs), specifically CLIP, to handle diverse surgical tasks through natural language supervision. A key challenge in multi-task learning is the presence of partial annotations when integrating different tasks. To overcome this, we employ Single Positive Multi-Label (SPML) learning, which traditionally reduces annotation burden by training models with only one positive label per instance. Our framework extends this approach to integrate data from multiple surgical tasks within a single procedure, enabling effective learning despite incomplete or noisy annotations. We demonstrate the effectiveness of our model on a combined dataset consisting of Cholec80, Endoscapes2023, and CholecT50, utilizing custom prompts. Extensive evaluation shows that MML-SurgAdapt performs comparably to task-specific benchmarks, with the added advantage of handling noisy annotations. It also outperforms the existing SPML frameworks for the task. By reducing the required labels by 23%, our approach proposes a more scalable and efficient labeling process, significantly easing the annotation burden on clinicians. To our knowledge, this is the first application of SPML to integrate data from multiple surgical tasks, presenting a novel and generalizable solution for multi-task learning in surgical computer vision. Implementation is available at: https://github.com/CAMMA-public/MML-SurgAdapt