# HyperVLP: Enhancing Hierarchical Surgical Video-Language Pre-training in Hyperbolic Space

arXiv: https://arxiv.org/abs/2606.31245 · HTML: https://mlsanity.com/paper/2606.31245/

## Key facts

- Cited by 1 papers in the map (data through 14 Oct 2026).
- Placed in Medical vision-language models, one of 16 directions in Multimodal LLMs / vision-language models.
- Builds on 27 of its 30 references that are in the map.
- First posted on arXiv 30 Jun 2026.

## Placed in

- Multimodal LLMs / vision-language models / [Medical vision-language models](https://mlsanity.com/mllm/medical-vision-language-models/)

## Builds on (most cited first, 27 of 27)

- [Deep Residual Learning for Image Recognition](https://mlsanity.com/paper/1512.03385/) (2015)
- [Learning Transferable Visual Models From Natural Language Supervision](https://mlsanity.com/paper/2103.00020/) (2021)
- [Representation Learning with Contrastive Predictive Coding](https://mlsanity.com/paper/1807.03748/) (2018)
- [Momentum Contrast for Unsupervised Visual Representation Learning](https://mlsanity.com/paper/1911.05722/) (2019)
- [GPT-4o System Card](https://mlsanity.com/paper/2410.21276/) (2024)
- [BLIP: Bootstrapping Language-Image Pre-training for Unified Vision-Language Understanding and Generation](https://mlsanity.com/paper/2201.12086/) (2022)
- [HowTo100M: Learning a Text-Video Embedding by Watching Hundred Million Narrated Video Clips](https://mlsanity.com/paper/1906.03327/) (2019)
- [MedCLIP: Contrastive Learning from Unpaired Medical Images and Text](https://mlsanity.com/paper/2210.10163/) (2022)
- [ClinicalBERT: Modeling Clinical Notes and Predicting Hospital Readmission](https://mlsanity.com/paper/1904.05342/) (2019)
- [EndoNet: A Deep Architecture for Recognition Tasks on Laparoscopic Videos](https://mlsanity.com/paper/1602.03012/) (2016)
- [PMC-CLIP: Contrastive Language-Image Pre-training using Biomedical Documents](https://mlsanity.com/paper/2303.07240/) (2023)
- [Hyperbolic Entailment Cones for Learning Hierarchical Embeddings](https://mlsanity.com/paper/1804.01882/) (2018)
- [Hyperbolic Image-Text Representations](https://mlsanity.com/paper/2304.09172/) (2023)
- [Surgical Data Science -- from Concepts toward Clinical Translation](https://mlsanity.com/paper/2011.02284/) (2020)
- [AutoLaparo: A New Dataset of Integrated Multi-tasks for Image-guided Surgical Automation in Laparoscopic Hysterectomy](https://mlsanity.com/paper/2208.02049/) (2022)
- [Foundation Model for Endoscopy Video Analysis via Large-scale Self-supervised Pre-train](https://mlsanity.com/paper/2306.16741/) (2023)
- [Compositional Entailment Learning for Hyperbolic Vision-Language Models](https://mlsanity.com/paper/2410.06912/) (2024)
- [Learning Multi-modal Representations by Watching Hundreds of Surgical Video Lectures](https://mlsanity.com/paper/2307.15220/) (2023)
- [Inferring Concept Hierarchies from Text Corpora via Hyperbolic Embeddings](https://mlsanity.com/paper/1902.00913/) (2019)
- [HecVL: Hierarchical Video-Language Pretraining for Zero-shot Surgical Phase Recognition](https://mlsanity.com/paper/2405.10075/) (2024)
- [Challenges in Multi-centric Generalization: Phase and Step Recognition in Roux-en-Y Gastric Bypass Surgery](https://mlsanity.com/paper/2312.11250/) (2023)
- [Procedure-Aware Surgical Video-language Pretraining with Hierarchical Knowledge Augmentation](https://mlsanity.com/paper/2410.00263/) (2024)
- [Surgformer: Surgical Transformer with Hierarchical Temporal Attention for Surgical Phase Recognition](https://mlsanity.com/paper/2408.03867/) (2024)
- [General surgery vision transformer: A video pre-trained foundation model for general surgery](https://mlsanity.com/paper/2403.05949/) (2024)
- [SurgLaVi: Large-Scale Hierarchical Dataset for Surgical Vision-Language Representation Learning](https://mlsanity.com/paper/2509.10555/) (2025)
- [MuST: Multi-Scale Transformers for Surgical Phase Recognition](https://mlsanity.com/paper/2407.17361/) (2024)
- [Endo-CLIP: Progressive Self-Supervised Pre-training on Raw Colonoscopy Records](https://mlsanity.com/paper/2505.09435/) (2025)

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

- [A Hierarchy-Aware Video-Language Model Evaluation and Hyperbolic Baseline for Surgery](https://mlsanity.com/paper/2609.27139/) (2026)

## Abstract (arXiv)

Surgical vision-language foundation models typically adopt educational materials, such as surgical lecture videos, to transfer surgical knowledge encoded in language into visual representations. These knowledge are multi-dimensional and hierarchical: fine-grained action cues appear in narration, mid-level key steps are summarized in subsection headings, and global procedural context, such as patient history and surgical strategy, is described in abstract texts. Prior work largely collapses these heterogeneous signals into a single flat embedding space, implicitly assuming independence across hierarchy levels. However, this is suboptimal because it ignores cross-level semantic containment, e.g., actions belong to steps, steps compose phases, weakens long-range dependency modeling. To this end, we propose a hyperbolic surgical video-language pre-training framework that explicitly preserves the hierarchical structure by mitigating structural false negatives induced by procedural context and enforcing semantic consistency between parent phases and their constituent child steps. Extensive experiments on multiple surgical benchmarks show consistent gains in zero- and few-shot phase recognition across procedures and institutions.