# Spatiotemporal Recognition of Abdominal Wall Layers During Optical Trocar Entry

arXiv: https://arxiv.org/abs/2610.14512 · HTML: https://mlsanity.com/paper/2610.14512/

## Key facts

- No citing papers in the map yet (data through 14 Oct 2026).
- Builds on 27 of its 91 references that are in the map.
- First posted on arXiv 10 Oct 2026.

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

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- [A Survey of Uncertainty in Deep Neural Networks](https://mlsanity.com/paper/2107.03342/) (2021)
- [Temporal Convolutional Networks for Action Segmentation and Detection](https://mlsanity.com/paper/1611.05267/) (2016)
- [MS-TCN: Multi-Stage Temporal Convolutional Network for Action Segmentation](https://mlsanity.com/paper/1903.01945/) (2019)
- [EndoNet: A Deep Architecture for Recognition Tasks on Laparoscopic Videos](https://mlsanity.com/paper/1602.03012/) (2016)
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- [Comparative Validation of Machine Learning Algorithms for Surgical Workflow and Skill Analysis with the HeiChole Benchmark](https://mlsanity.com/paper/2109.14956/) (2021)
- [Tool Detection and Operative Skill Assessment in Surgical Videos Using Region-Based Convolutional Neural Networks](https://mlsanity.com/paper/1802.08774/) (2018)
- [CholecTriplet2022: Show me a tool and tell me the triplet -- an endoscopic vision challenge for surgical action triplet detection](https://mlsanity.com/paper/2302.06294/) (2023)
- [Deep Neural Networks for the Assessment of Surgical Skills: A Systematic Review](https://mlsanity.com/paper/2103.05113/) (2021)
- [SurgBench: A Unified Large-Scale Benchmark for Surgical Video Analysis](https://mlsanity.com/paper/2506.07603/) (2025)
- [Video Dataset for Surgical Phase, Keypoint, and Instrument Recognition in Laparoscopic Surgery (PhaKIR)](https://mlsanity.com/paper/2511.06549/) (2025)
- [Comparative validation of surgical phase recognition, instrument keypoint estimation, and instrument instance segmentation in endoscopy: Results of the PhaKIR 2024 challenge](https://mlsanity.com/paper/2507.16559/) (2025)
- [Surgeons vs. Computer Vision: A comparative analysis on surgical phase recognition capabilities](https://mlsanity.com/paper/2504.18954/) (2025)
- [SurgAtlas: A Large-Scale Surgical Video-Language Dataset with 2,391 Hours of Open and Minimally Invasive Surgery](https://mlsanity.com/paper/2606.25905/) (2026)
- [Surgical Phase and Instrument Recognition: How to identify appropriate Dataset Splits](https://mlsanity.com/paper/2306.16879/) (2023)

## Abstract (arXiv)

Objective. To evaluate whether spatial context and temporal modeling improve tissue recognition during optical trocar entry, where multiple abdominal-wall tissues may be visible simultaneously. Methods. We retrospectively analyzed 71 recordings with 1,516 annotated keyframes and 29,151 clinician-annotated sectors. Each frame was divided into 28 polar-grid sectors assigned to nine tissue classes. Color, neighboring-sector, and positional features were used by a gradient-boosted emission classifier. The full pipeline added learned temporal smoothing, spatial regularization, an anatomically ordered hidden Markov model, and posterior blending. Five-fold cross-validation was grouped by recording, with cross-fitting to prevent within-recording leakage. Primary evaluation used clinician-derived targets; ablations assessed classification, probability quality, spatial consistency, and peritoneum-or-deeper onset timing. Results. The complete pipeline achieved accuracy 0.646, macro-F1 0.507, and macro-AUROC 0.882, versus 0.600, 0.440, and 0.861 for emissions alone. Macro-F1 improved by 0.066 across all five folds. Label changes decreased from 66.2 to 19.5 per sector-minute, and median onset error decreased from 15.58 to 2.45 seconds. Frames with a tissue-depth-code span of at least three decreased from 53% to 26%, versus 22% for clinician annotations. Performance remained limited for preperitoneal fat and bowel, and the full model retained a 44% premature-onset proportion. Conclusions. Combining appearance, spatial context, and temporal constraints improved retrospective tissue recognition and onset localization. Tissue-specific limitations, residual timing errors, and reliance on future observations warrant external validation and prospective evaluation of causal models before clinical use.