# Attenuation-Resilient Alternating Optimization for Laparoscopic Liver Landmark Detection

arXiv: https://arxiv.org/abs/2605.26630 · HTML: https://mlsanity.com/paper/2605.26630/

## Key facts

- No citing papers in the map yet (data through 14 Oct 2026).
- Builds on 20 of its 30 references that are in the map.
- First posted on arXiv 26 May 2026.

## Builds on (most cited first, 20 of 20)

- [Deep Residual Learning for Image Recognition](https://mlsanity.com/paper/1512.03385/) (2015)
- [U-Net: Convolutional Networks for Biomedical Image Segmentation](https://mlsanity.com/paper/1505.04597/) (2015)
- [Segment Anything](https://mlsanity.com/paper/2304.02643/) (2023)
- [Encoder-Decoder with Atrous Separable Convolution for Semantic Image Segmentation](https://mlsanity.com/paper/1802.02611/) (2018)
- [CBAM: Convolutional Block Attention Module](https://mlsanity.com/paper/1807.06521/) (2018)
- [TransUNet: Transformers Make Strong Encoders for Medical Image Segmentation](https://mlsanity.com/paper/2102.04306/) (2021)
- [Depth Anything V2](https://mlsanity.com/paper/2406.09414/) (2024)
- [Deep High-Resolution Representation Learning for Visual Recognition](https://mlsanity.com/paper/1908.07919/) (2019)
- [UNet++: Redesigning Skip Connections to Exploit Multiscale Features in Image Segmentation](https://mlsanity.com/paper/1912.05074/) (2019)
- [Customized Segment Anything Model for Medical Image Segmentation](https://mlsanity.com/paper/2304.13785/) (2023)
- [nnU-Net Revisited: A Call for Rigorous Validation in 3D Medical Image Segmentation](https://mlsanity.com/paper/2404.09556/) (2024)
- [How to Efficiently Adapt Large Segmentation Model(SAM) to Medical Images](https://mlsanity.com/paper/2306.13731/) (2023)
- [CASENet: Deep Category-Aware Semantic Edge Detection](https://mlsanity.com/paper/1705.09759/) (2017)
- [Ladder Fine-tuning approach for SAM integrating complementary network](https://mlsanity.com/paper/2306.12737/) (2023)
- [An objective comparison of methods for augmented reality in laparoscopic liver resection by preoperative-to-intraoperative image fusion](https://mlsanity.com/paper/2401.15753/) (2024)
- [Surgical Workflow Recognition and Blocking Effectiveness Detection in Laparoscopic Liver Resections with Pringle Maneuver](https://mlsanity.com/paper/2408.10538/) (2024)
- [Depth-Driven Geometric Prompt Learning for Laparoscopic Liver Landmark Detection](https://mlsanity.com/paper/2406.17858/) (2024)
- [Landmark-Free Preoperative-to-Intraoperative Registration in Laparoscopic Liver Resection](https://mlsanity.com/paper/2504.15152/) (2025)
- [BCRNet: Enhancing Landmark Detection in Laparoscopic Liver Surgery via Bezier Curve Refinement](https://mlsanity.com/paper/2506.15279/) (2025)
- [Topology-Constrained Learning for Efficient Laparoscopic Liver Landmark Detection](https://mlsanity.com/paper/2507.00519/) (2025)

## Abstract (arXiv)

Liver surface landmark detection is a fundamental prerequisite for anatomical guidance in laparoscopic liver surgery. However, it remains unreliable in practice due to two pervasive challenges: illumination attenuation in underexposed regions and the structural mismatch between pixel-wise localization and continuous curvilinear geometry. To address these limitations, we propose A2ONet, an attenuation-resilient alternating optimization network for robust liver landmark detection. To mitigate illumination attenuation, A2ONet embraces an illumination field compensation (IFC) block that adaptively enhances dark regions while preserving structural consistency. Meanwhile, we introduce a lightweight frequency-orientation selective filter (FOSF) to suppress repetitive texture interference and preserve salient curvilinear cues. Building upon these resilient representations, we design an alternating seg-curve optimization (ASCO) decoder that iteratively couples dense segmentation with explicit curve modeling, enabling mutual guidance to optimize both structural continuity and endpoint localization. Extensive evaluations on L3D-2K, L3D, and P2ILF demonstrate consistent improvements over competitive methods, establishing a more reliable foundation for intraoperative anatomy guidance. Our code will be available at https://github.com/hyperiondk115/A2ONet.