# Benchmarking CNN- and Transformer-Based Models for Surgical Instrument Segmentation in Robotic-Assisted Surgery

arXiv: https://arxiv.org/abs/2604.09151 · HTML: https://mlsanity.com/paper/2604.09151/

## Key facts

- No citing papers in the map yet (data through 14 Oct 2026).
- Builds on 10 of its 15 references that are in the map.
- First posted on arXiv 10 Apr 2026.

## Builds on (most cited first, 10 of 10)

- [U-Net: Convolutional Networks for Biomedical Image Segmentation](https://mlsanity.com/paper/1505.04597/) (2015)
- [Encoder-Decoder with Atrous Separable Convolution for Semantic Image Segmentation](https://mlsanity.com/paper/1802.02611/) (2018)
- [SegFormer: Simple and Efficient Design for Semantic Segmentation with Transformers](https://mlsanity.com/paper/2105.15203/) (2021)
- [TransUNet: Transformers Make Strong Encoders for Medical Image Segmentation](https://mlsanity.com/paper/2102.04306/) (2021)
- [UNet++: A Nested U-Net Architecture for Medical Image Segmentation](https://mlsanity.com/paper/1807.10165/) (2018)
- [3D U-Net: Learning Dense Volumetric Segmentation from Sparse Annotation](https://mlsanity.com/paper/1606.06650/) (2016)
- [Attention U-Net: Learning Where to Look for the Pancreas](https://mlsanity.com/paper/1804.03999/) (2018)
- [EndoNet: A Deep Architecture for Recognition Tasks on Laparoscopic Videos](https://mlsanity.com/paper/1602.03012/) (2016)
- [2017 Robotic Instrument Segmentation Challenge](https://mlsanity.com/paper/1902.06426/) (2019)
- [Surgical Data Science: Enabling Next-Generation Surgery](https://mlsanity.com/paper/1701.06482/) (2017)

## Abstract (arXiv)

Accurate segmentation of surgical instruments in robotic-assisted surgery is critical for enabling context-aware computer-assisted interventions, such as tool tracking, workflow analysis, and autonomous decision-making. In this study, we benchmark five deep learning architectures-UNet, UNet, DeepLabV3, Attention UNet, and SegFormer on the SAR-RARP50 dataset for multi-class semantic segmentation of surgical instruments in real-world radical prostatectomy videos. The models are trained with a compound loss function combining Cross Entropy and Dice loss to address class imbalance and capture fine object boundaries. Our experiments reveal that while convolutional models such as UNet and Attention UNet provide strong baseline performance, DeepLabV3 achieves results comparable to SegFormer, demonstrating the effectiveness of atrous convolution and multi-scale context aggregation in capturing complex surgical scenes. Transformer-based architectures like SegFormer further enhance global contextual understanding, leading to improved generalization across varying instrument appearances and surgical conditions. This work provides a comprehensive comparison and practical insights for selecting segmentation models in surgical AI applications, highlighting the trade-offs between convolutional and transformer-based approaches.