# DeGenseGS: Geometrically and Semantically Decoupled Surgical Scene Understanding in 4D Gaussian Splatting

arXiv: https://arxiv.org/abs/2607.04761 · HTML: https://mlsanity.com/paper/2607.04761/

## Key facts

- No citing papers in the map yet (data through 14 Oct 2026).
- Builds on 26 of its 30 references that are in the map.
- First posted on arXiv 6 Jul 2026.

## Builds on (most cited first, 26 of 26)

- [Segment Anything](https://mlsanity.com/paper/2304.02643/) (2023)
- [3D Gaussian Splatting for Real-Time Radiance Field Rendering](https://mlsanity.com/paper/2308.04079/) (2023)
- [Gradient Surgery for Multi-Task Learning](https://mlsanity.com/paper/2001.06782/) (2020)
- [LERF: Language Embedded Radiance Fields](https://mlsanity.com/paper/2303.09553/) (2023)
- [LangSplat: 3D Language Gaussian Splatting](https://mlsanity.com/paper/2312.16084/) (2023)
- [Spacetime Gaussian Feature Splatting for Real-Time Dynamic View Synthesis](https://mlsanity.com/paper/2312.16812/) (2023)
- [CAT-Seg: Cost Aggregation for Open-Vocabulary Semantic Segmentation](https://mlsanity.com/paper/2303.11797/) (2023)
- [OpenGaussian: Towards Point-Level 3D Gaussian-based Open Vocabulary Understanding](https://mlsanity.com/paper/2406.02058/) (2024)
- [2018 Robotic Scene Segmentation Challenge](https://mlsanity.com/paper/2001.11190/) (2020)
- [Neural Rendering for Stereo 3D Reconstruction of Deformable Tissues in Robotic Surgery](https://mlsanity.com/paper/2206.15255/) (2022)
- [CholecSeg8k: A Semantic Segmentation Dataset for Laparoscopic Cholecystectomy Based on Cholec80](https://mlsanity.com/paper/2012.12453/) (2020)
- [SurgicalSAM: Efficient Class Promptable Surgical Instrument Segmentation](https://mlsanity.com/paper/2308.08746/) (2023)
- [Segment Anything Model for Medical Image Segmentation: Current Applications and Future Directions](https://mlsanity.com/paper/2401.03495/) (2024)
- [Learning Multi-modal Representations by Watching Hundreds of Surgical Video Lectures](https://mlsanity.com/paper/2307.15220/) (2023)
- [Neural LerPlane Representations for Fast 4D Reconstruction of Deformable Tissues](https://mlsanity.com/paper/2305.19906/) (2023)
- [Surgical-LVLM: Learning to Adapt Large Vision-Language Model for Grounded Visual Question Answering in Robotic Surgery](https://mlsanity.com/paper/2405.10948/) (2024)
- [Deform3DGS: Flexible Deformation for Fast Surgical Scene Reconstruction with Gaussian Splatting](https://mlsanity.com/paper/2405.17835/) (2024)
- [LLaVA-Surg: Towards Multimodal Surgical Assistant via Structured Surgical Video Learning](https://mlsanity.com/paper/2408.07981/) (2024)
- [DGD: Dynamic 3D Gaussians Distillation](https://mlsanity.com/paper/2405.19321/) (2024)
- [EndoGaussian: Real-time Gaussian Splatting for Dynamic Endoscopic Scene Reconstruction](https://mlsanity.com/paper/2401.12561/) (2024)
- [SurgicalGS: Dynamic 3D Gaussian Splatting for Accurate Robotic-Assisted Surgical Scene Reconstruction](https://mlsanity.com/paper/2410.09292/) (2024)
- [Training-Free Class Purification for Open-Vocabulary Semantic Segmentation](https://mlsanity.com/paper/2508.00557/) (2025)
- [Surgical Scene Understanding in the Era of Foundation AI Models: A Comprehensive Review](https://mlsanity.com/paper/2502.14886/) (2025)
- [SurgTPGS: Semantic 3D Surgical Scene Understanding with Text Promptable Gaussian Splatting](https://mlsanity.com/paper/2506.23309/) (2025)
- [Deformable Gaussian Splatting for Efficient and High-Fidelity Reconstruction of Surgical Scenes](https://mlsanity.com/paper/2501.01101/) (2025)
- [EndoWave: 4D Gaussian Splatting with Rational Wavelet for Endoscopic Reconstruction](https://mlsanity.com/paper/2510.23087/) (2025)

## Abstract (arXiv)

Real-time, text-promptable 4D reconstruction is indispensable for autonomous surgical interaction. Severe misalignment between semantic meaning and physical anatomy still persists, largely because existing solutions integrate Vision-Language Models into deformable fields via a rigid coupling scheme that tightly binds semantic features to geometric warping. In this paper, we propose DeGenseGS, Geometrically and Semantically Decoupled Surgical Scene Understanding in 4D Gaussian Splatting, a novel framework that independently models semantic evolution and geometric deformation. Specifically, we propose a HexPlane-based spatiotemporal entanglement module that uses shared kinematic latents to synchronize semantic mutations with scene dynamics, while explicitly disentangling semantic updates from geometric deformation. To further ensure robustness against reconstruction artifacts, we devise a Rasterization-Native Semantic Extraction mechanism that infers semantics from topologically continuous feature maps. Additionally, we incorporate an angular-aligned optimization strategy that conforms to the native hyperspherical latent space, thereby preventing semantic distortion. Extensive evaluations on the CholecSeg8k and EndoVis18 datasets demonstrate that DeGenseGS achieves state-of-the-art performance. Our framework yields enhanced geometric completeness and robust semantic-anatomic alignment, enabling spatially continuous segmentation despite drastic tissue deformation and topological transitions.