# SurgAtt-Tracker: Online Surgical Attention Tracking via Temporal Proposal Reranking and Motion-Aware Refinement

arXiv: https://arxiv.org/abs/2602.20636 · HTML: https://mlsanity.com/paper/2602.20636/

## Key facts

- Cited by 1 papers in the map (data through 14 Oct 2026).
- Builds on 18 of its 37 references that are in the map.
- First posted on arXiv 24 Feb 2026.

## Builds on (most cited first, 18 of 18)

- [TransUNet: Transformers Make Strong Encoders for Medical Image Segmentation](https://mlsanity.com/paper/2102.04306/) (2021)
- [YOLOv11: An Overview of the Key Architectural Enhancements](https://mlsanity.com/paper/2410.17725/) (2024)
- [YOLOv12: Attention-Centric Real-Time Object Detectors](https://mlsanity.com/paper/2502.12524/) (2025)
- [UNeXt: MLP-based Rapid Medical Image Segmentation Network](https://mlsanity.com/paper/2203.04967/) (2022)
- [ODTrack: Online Dense Temporal Token Learning for Visual Tracking](https://mlsanity.com/paper/2401.01686/) (2024)
- [RT-DETRv2: Improved Baseline with Bag-of-Freebies for Real-Time Detection Transformer](https://mlsanity.com/paper/2407.17140/) (2024)
- [AutoLaparo: A New Dataset of Integrated Multi-tasks for Image-guided Surgical Automation in Laparoscopic Hysterectomy](https://mlsanity.com/paper/2208.02049/) (2022)
- [Autoregressive Queries for Adaptive Tracking with Spatio-TemporalTransformers](https://mlsanity.com/paper/2403.10574/) (2024)
- [Unified Image and Video Saliency Modeling](https://mlsanity.com/paper/2003.05477/) (2020)
- [Tracking Meets LoRA: Faster Training, Larger Model, Stronger Performance](https://mlsanity.com/paper/2403.05231/) (2024)
- [EMCAD: Efficient Multi-scale Convolutional Attention Decoding for Medical Image Segmentation](https://mlsanity.com/paper/2405.06880/) (2024)
- [Exploring Enhanced Contextual Information for Video-Level Object Tracking](https://mlsanity.com/paper/2412.11023/) (2024)
- [SPMTrack: Spatio-Temporal Parameter-Efficient Fine-Tuning with Mixture of Experts for Scalable Visual Tracking](https://mlsanity.com/paper/2503.18338/) (2025)
- [Robotic Endoscope Control via Autonomous Instrument Tracking](https://mlsanity.com/paper/2107.02317/) (2021)
- [3D Perception based Imitation Learning under Limited Demonstration for Laparoscope Control in Robotic Surgery](https://mlsanity.com/paper/2204.03195/) (2022)
- [SalFoM: Dynamic Saliency Prediction with Video Foundation Models](https://mlsanity.com/paper/2404.03097/) (2024)
- [Data-driven Holistic Framework for Automated Laparoscope Optimal View Control with Learning-based Depth Perception](https://mlsanity.com/paper/2011.11241/) (2020)
- [ETSM: Automating Dissection Trajectory Suggestion and Confidence Map-Based Safety Margin Prediction for Robot-assisted Endoscopic Submucosal Dissection](https://mlsanity.com/paper/2411.18884/) (2024)

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

- [SurgLAT: Surgical Latent Attention Tracking for Depth-Aware Robotic Laparoscope Control](https://mlsanity.com/paper/2608.07876/) (2026)

## Abstract (arXiv)

Accurate and stable field-of-view (FoV) guidance is critical for safe and efficient minimally invasive surgery, yet existing approaches often conflate visual attention estimation with downstream camera control or rely on direct object-centric assumptions. In this work, we formulate surgical attention tracking as a spatio-temporal learning problem and model surgeon focus as a dense attention heatmap, enabling continuous and interpretable frame-wise FoV guidance. We propose SurgAtt-Tracker, a holistic framework that robustly tracks surgical attention by exploiting temporal coherence through proposal-level reranking and motion-aware refinement, rather than direct regression. To support systematic training and evaluation, we introduce SurgAtt-1.16M, a large-scale benchmark with a clinically grounded annotation protocol that enables comprehensive heatmap-based attention analysis across procedures and institutions. Extensive experiments on multiple surgical datasets demonstrate that SurgAtt-Tracker consistently achieves state-of-the-art performance and strong robustness under occlusion, multi-instrument interference, and cross-domain settings. Beyond attention tracking, our approach provides a frame-wise FoV guidance signal that can directly support downstream robotic FoV planning and automatic camera control.
