# Optical Computation-in-Communication enables low-latency, high-fidelity perception in telesurgery

arXiv: https://arxiv.org/abs/2510.14058 · HTML: https://mlsanity.com/paper/2510.14058/

## Key facts

- No citing papers in the map yet (data through 14 Oct 2026).
- Builds on 7 of its 50 references that are in the map.
- First posted on arXiv 15 Oct 2025.

## Builds on (most cited first, 7 of 7)

- [U-Net: Convolutional Networks for Biomedical Image Segmentation](https://mlsanity.com/paper/1505.04597/) (2015)
- [Densely Connected Convolutional Networks](https://mlsanity.com/paper/1608.06993/) (2016)
- [The One Hundred Layers Tiramisu: Fully Convolutional DenseNets for Semantic Segmentation](https://mlsanity.com/paper/1611.09326/) (2016)
- [Self-Supervised Depth Estimation in Laparoscopic Image using 3D Geometric Consistency](https://mlsanity.com/paper/2208.08407/) (2022)
- [Asymmetrical estimator for training encapsulated deep photonic neural networks](https://mlsanity.com/paper/2405.18458/) (2024)
- [3D Path Planning from a Single 2D Fluoroscopic Image for Robot Assisted Fenestrated Endovascular Aortic Repair](https://mlsanity.com/paper/1809.05955/) (2018)
- [Seamless Optical Cloud Computing across Edge-Metro Network for Generative AI](https://mlsanity.com/paper/2412.12126/) (2024)

## Abstract (arXiv)

Artificial intelligence (AI) holds significant promise for enhancing intraoperative perception and decision-making in telesurgery, where physical separation impairs sensory feedback and control. Despite advances in medical AI and surgical robotics, conventional electronic AI architectures remain fundamentally constrained by the compounded latency from serial processing of inference and communication. This limitation is especially critical in latency-sensitive procedures such as endovascular interventions, where delays over 200 ms can compromise real-time AI reliability and patient safety. Here, we introduce an Optical Computation-in-Communication (OCiC) framework that reduces end-to-end latency significantly by performing AI inference concurrently with optical communication. OCiC integrates Optical Remote Computing Units (ORCUs) directly into the optical communication pathway, with each ORCU experimentally achieving up to 69 tera-operations per second per channel through spectrally efficient two-dimensional photonic convolution. The system maintains ultrahigh inference fidelity within 0.1% of CPU/GPU baselines on classification and coronary angiography segmentation, while intrinsically mitigating cumulative error propagation, a longstanding barrier to deep optical network scalability. We validated the robustness of OCiC through outdoor dark fibre deployments, confirming consistent and stable performance across varying environmental conditions. When scaled globally, OCiC transforms long-haul fibre infrastructure into a distributed photonic AI fabric with exascale potential, enabling reliable, low-latency telesurgery across distances up to 10,000 km and opening a new optical frontier for distributed medical intelligence.