# F2PASeg: Feature Fusion for Pituitary Anatomy Segmentation in Endoscopic Surgery

arXiv: https://arxiv.org/abs/2508.05465 · HTML: https://mlsanity.com/paper/2508.05465/

## Key facts

- No citing papers in the map yet (data through 14 Oct 2026).
- Builds on 13 of its 29 references that are in the map.
- First posted on arXiv 7 Aug 2025.

## Builds on (most cited first, 13 of 13)

- [U-Net: Convolutional Networks for Biomedical Image Segmentation](https://mlsanity.com/paper/1505.04597/) (2015)
- [Segment Anything](https://mlsanity.com/paper/2304.02643/) (2023)
- [Encoder-Decoder with Atrous Separable Convolution for Semantic Image Segmentation](https://mlsanity.com/paper/1802.02611/) (2018)
- [SAM 2: Segment Anything in Images and Videos](https://mlsanity.com/paper/2408.00714/) (2024)
- [TransUNet: Transformers Make Strong Encoders for Medical Image Segmentation](https://mlsanity.com/paper/2102.04306/) (2021)
- [Swin-Unet: Unet-like Pure Transformer for Medical Image Segmentation](https://mlsanity.com/paper/2105.05537/) (2021)
- [SAM-Med2D](https://mlsanity.com/paper/2308.16184/) (2023)
- [SurgPLAN: Surgical Phase Localization Network for Phase Recognition](https://mlsanity.com/paper/2311.09965/) (2023)
- [ASI-Seg: Audio-Driven Surgical Instrument Segmentation with Surgeon Intention Understanding](https://mlsanity.com/paper/2407.19435/) (2024)
- [Transforming Surgical Interventions with Embodied Intelligence for Ultrasound Robotics](https://mlsanity.com/paper/2406.12651/) (2024)
- [LiVOS: Light Video Object Segmentation with Gated Linear Matching](https://mlsanity.com/paper/2411.02818/) (2024)
- [Live image-based neurosurgical guidance and roadmap generation using unsupervised embedding](https://mlsanity.com/paper/2303.18019/) (2023)
- [LUCYD: A Feature-Driven Richardson-Lucy Deconvolution Network](https://mlsanity.com/paper/2307.07998/) (2023)

## Abstract (arXiv)

Pituitary tumors often cause deformation or encapsulation of adjacent vital structures. Anatomical structure segmentation can provide surgeons with early warnings of regions that pose surgical risks, thereby enhancing the safety of pituitary surgery. However, pixel-level annotated video stream datasets for pituitary surgeries are extremely rare. To address this challenge, we introduce a new dataset for Pituitary Anatomy Segmentation (PAS). PAS comprises 7,845 time-coherent images extracted from 120 videos. To mitigate class imbalance, we apply data augmentation techniques that simulate the presence of surgical instruments in the training data. One major challenge in pituitary anatomy segmentation is the inconsistency in feature representation due to occlusions, camera motion, and surgical bleeding. By incorporating a Feature Fusion module, F2PASeg is proposed to refine anatomical structure segmentation by leveraging both high-resolution image features and deep semantic embeddings, enhancing robustness against intraoperative variations. Experimental results demonstrate that F2PASeg consistently segments critical anatomical structures in real time, providing a reliable solution for intraoperative pituitary surgery planning. Code: https://github.com/paulili08/F2PASeg.