# Focus-to-Perceive Representation Learning: A Cognition-Inspired Hierarchical Framework for Endoscopic Video Analysis

arXiv: https://arxiv.org/abs/2603.25778 · HTML: https://mlsanity.com/paper/2603.25778/

## Key facts

- No citing papers in the map yet (data through 14 Oct 2026).
- Builds on 51 of its 72 references that are in the map.
- First posted on arXiv 26 Mar 2026.

## Builds on (most cited first, 30 of 51)

- [PyTorch: An Imperative Style, High-Performance Deep Learning Library](https://mlsanity.com/paper/1912.01703/) (2019)
- [A Simple Framework for Contrastive Learning of Visual Representations](https://mlsanity.com/paper/2002.05709/) (2020)
- [DINOv2: Learning Robust Visual Features without Supervision](https://mlsanity.com/paper/2304.07193/) (2023)
- [Emerging Properties in Self-Supervised Vision Transformers](https://mlsanity.com/paper/2104.14294/) (2021)
- [Bootstrap your own latent: A new approach to self-supervised Learning](https://mlsanity.com/paper/2006.07733/) (2020)
- [Mamba: Linear-Time Sequence Modeling with Selective State Spaces](https://mlsanity.com/paper/2312.00752/) (2023)
- [Efficiently Modeling Long Sequences with Structured State Spaces](https://mlsanity.com/paper/2111.00396/) (2021)
- [Is Space-Time Attention All You Need for Video Understanding?](https://mlsanity.com/paper/2102.05095/) (2021)
- [ViViT: A Video Vision Transformer](https://mlsanity.com/paper/2103.15691/) (2021)
- [VideoMAE: Masked Autoencoders are Data-Efficient Learners for Self-Supervised Video Pre-Training](https://mlsanity.com/paper/2203.12602/) (2022)
- [Video Swin Transformer](https://mlsanity.com/paper/2106.13230/) (2021)
- [Vision Mamba: Efficient Visual Representation Learning with Bidirectional State Space Model](https://mlsanity.com/paper/2401.09417/) (2024)
- [VMamba: Visual State Space Model](https://mlsanity.com/paper/2401.10166/) (2024)
- [HiPPO: Recurrent Memory with Optimal Polynomial Projections](https://mlsanity.com/paper/2008.07669/) (2020)
- [VideoMAE V2: Scaling Video Masked Autoencoders with Dual Masking](https://mlsanity.com/paper/2303.16727/) (2023)
- [Time-Contrastive Networks: Self-Supervised Learning from Video](https://mlsanity.com/paper/1704.06888/) (2017)
- [Unsupervised Learning of Video Representations using LSTMs](https://mlsanity.com/paper/1502.04681/) (2015)
- [Masked Autoencoders As Spatiotemporal Learners](https://mlsanity.com/paper/2205.09113/) (2022)
- [Spatiotemporal Contrastive Video Representation Learning](https://mlsanity.com/paper/2008.03800/) (2020)
- [EndoNet: A Deep Architecture for Recognition Tasks on Laparoscopic Videos](https://mlsanity.com/paper/1602.03012/) (2016)
- [VideoMamba: State Space Model for Efficient Video Understanding](https://mlsanity.com/paper/2403.06977/) (2024)
- [Scale-MAE: A Scale-Aware Masked Autoencoder for Multiscale Geospatial Representation Learning](https://mlsanity.com/paper/2212.14532/) (2022)
- [Unsupervised Representation Learning by Sorting Sequences](https://mlsanity.com/paper/1708.01246/) (2017)
- [A Large-Scale Study on Unsupervised Spatiotemporal Representation Learning](https://mlsanity.com/paper/2104.14558/) (2021)
- [ST-Adapter: Parameter-Efficient Image-to-Video Transfer Learning](https://mlsanity.com/paper/2206.13559/) (2022)
- [SpeedNet: Learning the Speediness in Videos](https://mlsanity.com/paper/2004.06130/) (2020)
- [Rendezvous: Attention Mechanisms for the Recognition of Surgical Action Triplets in Endoscopic Videos](https://mlsanity.com/paper/2109.03223/) (2021)
- [SCSampler: Sampling Salient Clips from Video for Efficient Action Recognition](https://mlsanity.com/paper/1904.04289/) (2019)
- [Video Polyp Segmentation: A Deep Learning Perspective](https://mlsanity.com/paper/2203.14291/) (2022)
- [Siamese Masked Autoencoders](https://mlsanity.com/paper/2305.14344/) (2023)

## Abstract (arXiv)

Endoscopic video analysis is essential for early gastrointestinal screening but remains hindered by limited high-quality annotations. While self-supervised video pre-training shows promise, existing methods developed for natural videos prioritize dense spatio-temporal modeling and exhibit motion bias, overlooking the static, structured semantics critical to clinical decision-making. To address this challenge, we propose Focus-to-Perceive Representation Learning (FPRL), a cognition-inspired hierarchical framework that emulates clinical examination. FPRL first focuses on intra-frame lesion-centric regions to learn static semantics, and then perceives their evolution across frames to model contextual semantics. To achieve this, FPRL employs a hierarchical semantic modeling mechanism that explicitly distinguishes and collaboratively learns both types of semantics. Specifically, it begins by capturing static semantics via teacher-prior adaptive masking (TPAM) combined with multi-view sparse sampling. This approach mitigates redundant temporal dependencies and enables the model to concentrate on lesion-related local semantics. Following this, contextual semantics are derived through cross-view masked feature completion (CVMFC) and attention-guided temporal prediction (AGTP). These processes establish cross-view correspondences and effectively model structured inter-frame evolution, thereby reinforcing temporal semantic continuity while preserving global contextual integrity. Extensive experiments on 11 endoscopic video datasets show that FPRL achieves superior performance across diverse downstream tasks, demonstrating its effectiveness in endoscopic video representation learning. The code is available at https://github.com/MLMIP/FPRL.