# SCOPE: Speech-guided COllaborative PErception Framework for Surgical Scene Segmentation

arXiv: https://arxiv.org/abs/2509.10748 · HTML: https://mlsanity.com/paper/2509.10748/

## Key facts

- Cited by 1 papers in the map (data through 14 Oct 2026).
- Builds on 11 of its 13 references that are in the map.
- First posted on arXiv 12 Sep 2025.

## Builds on (most cited first, 11 of 11)

- [Segment Anything](https://mlsanity.com/paper/2304.02643/) (2023)
- [Grounding DINO: Marrying DINO with Grounded Pre-Training for Open-Set Object Detection](https://mlsanity.com/paper/2303.05499/) (2023)
- [Depth Anything: Unleashing the Power of Large-Scale Unlabeled Data](https://mlsanity.com/paper/2401.10891/) (2024)
- [Grounded SAM: Assembling Open-World Models for Diverse Visual Tasks](https://mlsanity.com/paper/2401.14159/) (2024)
- [Visual ChatGPT: Talking, Drawing and Editing with Visual Foundation Models](https://mlsanity.com/paper/2303.04671/) (2023)
- [A Survey on Segment Anything Model (SAM): Vision Foundation Model Meets Prompt Engineering](https://mlsanity.com/paper/2306.06211/) (2023)
- [CAI4CAI: The Rise of Contextual Artificial Intelligence in Computer Assisted Interventions](https://mlsanity.com/paper/1910.09031/) (2019)
- [Image Segmentation in Foundation Model Era: A Survey](https://mlsanity.com/paper/2408.12957/) (2024)
- [Text Promptable Surgical Instrument Segmentation with Vision-Language Models](https://mlsanity.com/paper/2306.09244/) (2023)
- [Deep Learning for Surgical Instrument Recognition and Segmentation in Robotic-Assisted Surgeries: A Systematic Review](https://mlsanity.com/paper/2410.07269/) (2024)
- [Cataract-1K: Cataract Surgery Dataset for Scene Segmentation, Phase Recognition, and Irregularity Detection](https://mlsanity.com/paper/2312.06295/) (2023)

## Built on by (most cited first, 1 of 1)

- [Speak, Segment, Track, Navigate: An Interactive System for Video-Guided Skull-Base Surgery](https://mlsanity.com/paper/2603.16024/) (2026)

## Abstract (arXiv)

Accurate segmentation and tracking of relevant elements of the surgical scene is crucial to enable context-aware intraoperative assistance and decision making. Current solutions remain tethered to domain-specific, supervised models that rely on labeled data and required domain-specific data to adapt to new surgical scenarios and beyond predefined label categories. Recent advances in prompt-driven vision foundation models (VFM) have enabled open-set, zero-shot segmentation across heterogeneous medical images. However, dependence of these models on manual visual or textual cues restricts their deployment in introperative surgical settings. We introduce a speech-guided collaborative perception (SCOPE) framework that integrates reasoning capabilities of large language model (LLM) with perception capabilities of open-set VFMs to support on-the-fly segmentation, labeling and tracking of surgical instruments and anatomy in intraoperative video streams. A key component of this framework is a collaborative perception agent, which generates top candidates of VFM-generated segmentation and incorporates intuitive speech feedback from clinicians to guide the segmentation of surgical instruments in a natural human-machine collaboration paradigm. Afterwards, instruments themselves serve as interactive pointers to label additional elements of the surgical scene. We evaluated our proposed framework on a subset of publicly available Cataract1k dataset and an in-house ex-vivo skull-base dataset to demonstrate its potential to generate on-the-fly segmentation and tracking of surgical scene. Furthermore, we demonstrate its dynamic capabilities through a live mock ex-vivo experiment. This human-AI collaboration paradigm showcase the potential of developing adaptable, hands-free, surgeon-centric tools for dynamic operating-room environments.