Daily Papers

Surgical video segmentation is a critical task in computer-assisted surgery and is vital for enhancing surgical quality and patient outcomes. Recently, the Segment Anything Model 2 (SAM2) framework has shown superior advancements in image and video segmentation. However, SAM2 struggles with efficiency due to the high computational demands of processing high-resolution images and complex and long-range temporal dynamics in surgical videos. To address these challenges, we introduce Surgical SAM 2 (SurgSAM-2), an advanced model to utilize SAM2 with an Efficient Frame Pruning (EFP) mechanism, to facilitate real-time surgical video segmentation. The EFP mechanism dynamically manages the memory bank by selectively retaining only the most informative frames, reducing memory usage and computational cost while maintaining high segmentation accuracy. Our extensive experiments demonstrate that SurgSAM-2 significantly improves both efficiency and segmentation accuracy compared to the vanilla SAM2. Remarkably, SurgSAM-2 achieves a 3times FPS compared with SAM2, while also delivering state-of-the-art performance after fine-tuning with lower-resolution data. These advancements establish SurgSAM-2 as a leading model for surgical video analysis, making real-time surgical video segmentation in resource-constrained environments a feasible reality.

Surgical video segmentation is crucial for computer-assisted surgery, enabling precise localization and tracking of instruments and tissues. Interactive Video Object Segmentation (iVOS) models such as Segment Anything Model 2 (SAM2) provide prompt-based flexibility beyond methods with predefined categories, but face challenges in surgical scenarios due to the domain gap and limited long-term tracking. To address these limitations, we construct SA-SV, the largest surgical iVOS benchmark with instance-level spatio-temporal annotations (masklets) spanning eight procedure types (61k frames, 1.6k masklets), enabling comprehensive development and evaluation for long-term tracking and zero-shot generalization. Building on SA-SV, we propose SAM2S, a foundation model enhancing SAM2 for Surgical iVOS through: (1) DiveMem, a trainable diverse memory mechanism for robust long-term tracking; (2) temporal semantic learning for instrument understanding; and (3) ambiguity-resilient learning to mitigate annotation inconsistencies across multi-source datasets. Extensive experiments demonstrate that fine-tuning on SA-SV enables substantial performance gains, with SAM2 improving by 12.99 average J\&F over vanilla SAM2. SAM2S further advances performance to 80.42 average J\&F, surpassing vanilla and fine-tuned SAM2 by 17.10 and 4.11 points respectively, while maintaining 68 FPS real-time inference and strong zero-shot generalization. Code and dataset will be released at https://jinlab-imvr.github.io/SAM2S.

Surgery video segmentation is an important topic in the surgical AI field. It allows the AI model to understand the spatial information of a surgical scene. Meanwhile, due to the lack of annotated surgical data, surgery segmentation models suffer from limited performance. With the emergence of SAM2 model, a large foundation model for video segmentation trained on natural videos, zero-shot surgical video segmentation became more realistic but meanwhile remains to be explored. In this paper, we systematically evaluate the performance of SAM2 model in zero-shot surgery video segmentation task. We conducted experiments under different configurations, including different prompting strategies, robustness, etc. Moreover, we conducted an empirical evaluation over the performance, including 9 datasets with 17 different types of surgeries.

The Segment Anything Model 2 (SAM 2) is the latest generation foundation model for image and video segmentation. Trained on the expansive Segment Anything Video (SA-V) dataset, which comprises 35.5 million masks across 50.9K videos, SAM 2 advances its predecessor's capabilities by supporting zero-shot segmentation through various prompts (e.g., points, boxes, and masks). Its robust zero-shot performance and efficient memory usage make SAM 2 particularly appealing for surgical tool segmentation in videos, especially given the scarcity of labeled data and the diversity of surgical procedures. In this study, we evaluate the zero-shot video segmentation performance of the SAM 2 model across different types of surgeries, including endoscopy and microscopy. We also assess its performance on videos featuring single and multiple tools of varying lengths to demonstrate SAM 2's applicability and effectiveness in the surgical domain. We found that: 1) SAM 2 demonstrates a strong capability for segmenting various surgical videos; 2) When new tools enter the scene, additional prompts are necessary to maintain segmentation accuracy; and 3) Specific challenges inherent to surgical videos can impact the robustness of SAM 2.

Purpose: Foundation models, trained on multitudes of public datasets, often require additional fine-tuning or re-prompting mechanisms to be applied to visually distinct target domains such as surgical videos. Further, without domain knowledge, they cannot model the specific semantics of the target domain. Hence, when applied to surgical video segmentation, they fail to generalise to sections where previously tracked objects leave the scene or new objects enter. Methods: We propose SASVi, a novel re-prompting mechanism based on a frame-wise Mask R-CNN Overseer model, which is trained on a minimal amount of scarcely available annotations for the target domain. This model automatically re-prompts the foundation model SAM2 when the scene constellation changes, allowing for temporally smooth and complete segmentation of full surgical videos. Results: Re-prompting based on our Overseer model significantly improves the temporal consistency of surgical video segmentation compared to similar prompting techniques and especially frame-wise segmentation, which neglects temporal information, by at least 1.5%. Our proposed approach allows us to successfully deploy SAM2 to surgical videos, which we quantitatively and qualitatively demonstrate for three different cholecystectomy and cataract surgery datasets. Conclusion: SASVi can serve as a new baseline for smooth and temporally consistent segmentation of surgical videos with scarcely available annotation data. Our method allows us to leverage scarce annotations and obtain complete annotations for full videos of the large-scale counterpart datasets. We make those annotations publicly available, providing extensive annotation data for the future development of surgical data science models.

Surgical scene segmentation is critical in computer-assisted surgery and is vital for enhancing surgical quality and patient outcomes. Recently, referring surgical segmentation is emerging, given its advantage of providing surgeons with an interactive experience to segment the target object. However, existing methods are limited by low efficiency and short-term tracking, hindering their applicability in complex real-world surgical scenarios. In this paper, we introduce ReSurgSAM2, a two-stage surgical referring segmentation framework that leverages Segment Anything Model 2 to perform text-referred target detection, followed by tracking with reliable initial frame identification and diversity-driven long-term memory. For the detection stage, we propose a cross-modal spatial-temporal Mamba to generate precise detection and segmentation results. Based on these results, our credible initial frame selection strategy identifies the reliable frame for the subsequent tracking. Upon selecting the initial frame, our method transitions to the tracking stage, where it incorporates a diversity-driven memory mechanism that maintains a credible and diverse memory bank, ensuring consistent long-term tracking. Extensive experiments demonstrate that ReSurgSAM2 achieves substantial improvements in accuracy and efficiency compared to existing methods, operating in real-time at 61.2 FPS. Our code and datasets will be available at https://github.com/jinlab-imvr/ReSurgSAM2.

Traditional convolutional neural networks have a limited receptive field while transformer-based networks are mediocre in constructing long-term dependency from the perspective of computational complexity. Such the bottleneck poses a significant challenge when processing long video sequences in video analysis tasks. Very recently, the state space models (SSMs) with efficient hardware-aware designs, famous by Mamba, have exhibited impressive achievements in long sequence modeling, which facilitates the development of deep neural networks on many vision tasks. To better capture available cues in video frames, this paper presents a generic Video Vision Mamba-based framework for medical video object segmentation tasks, named Vivim. Our Vivim can effectively compress the long-term spatiotemporal representation into sequences at varying scales by our designed Temporal Mamba Block. Compared to existing video-level Transformer-based methods, our model maintains excellent segmentation results with better speed performance. Extensive experiments on the breast US dataset demonstrate the effectiveness and efficiency of our Vivim. The code for Vivim is available at: https://github.com/scott-yjyang/Vivim.

Medical image and video segmentation is a critical task for precision medicine, which has witnessed considerable progress in developing task or modality-specific and generalist models for 2D images. However, there have been limited studies on building general-purpose models for 3D images and videos with comprehensive user studies. Here, we present MedSAM2, a promptable segmentation foundation model for 3D image and video segmentation. The model is developed by fine-tuning the Segment Anything Model 2 on a large medical dataset with over 455,000 3D image-mask pairs and 76,000 frames, outperforming previous models across a wide range of organs, lesions, and imaging modalities. Furthermore, we implement a human-in-the-loop pipeline to facilitate the creation of large-scale datasets resulting in, to the best of our knowledge, the most extensive user study to date, involving the annotation of 5,000 CT lesions, 3,984 liver MRI lesions, and 251,550 echocardiogram video frames, demonstrating that MedSAM2 can reduce manual costs by more than 85%. MedSAM2 is also integrated into widely used platforms with user-friendly interfaces for local and cloud deployment, making it a practical tool for supporting efficient, scalable, and high-quality segmentation in both research and healthcare environments.

The recent Segment Anything Model (SAM) 2 has demonstrated remarkable foundational competence in semantic segmentation, with its memory mechanism and mask decoder further addressing challenges in video tracking and object occlusion, thereby achieving superior results in interactive segmentation for both images and videos. Building upon our previous empirical studies, we further explore the zero-shot segmentation performance of SAM 2 in robot-assisted surgery based on prompts, alongside its robustness against real-world corruption. For static images, we employ two forms of prompts: 1-point and bounding box, while for video sequences, the 1-point prompt is applied to the initial frame. Through extensive experimentation on the MICCAI EndoVis 2017 and EndoVis 2018 benchmarks, SAM 2, when utilizing bounding box prompts, outperforms state-of-the-art (SOTA) methods in comparative evaluations. The results with point prompts also exhibit a substantial enhancement over SAM's capabilities, nearing or even surpassing existing unprompted SOTA methodologies. Besides, SAM 2 demonstrates improved inference speed and less performance degradation against various image corruption. Although slightly unsatisfactory results remain in specific edges or regions, SAM 2's robust adaptability to 1-point prompts underscores its potential for downstream surgical tasks with limited prompt requirements.

This paper presents the Holistic and Multi-Granular Surgical Scene Understanding of Prostatectomies (GraSP) dataset, a curated benchmark that models surgical scene understanding as a hierarchy of complementary tasks with varying levels of granularity. Our approach encompasses long-term tasks, such as surgical phase and step recognition, and short-term tasks, including surgical instrument segmentation and atomic visual actions detection. To exploit our proposed benchmark, we introduce the Transformers for Actions, Phases, Steps, and Instrument Segmentation (TAPIS) model, a general architecture that combines a global video feature extractor with localized region proposals from an instrument segmentation model to tackle the multi-granularity of our benchmark. Through extensive experimentation in ours and alternative benchmarks, we demonstrate TAPIS's versatility and state-of-the-art performance across different tasks. This work represents a foundational step forward in Endoscopic Vision, offering a novel framework for future research towards holistic surgical scene understanding.

In recent years, the landscape of computer-assisted interventions and post-operative surgical video analysis has been dramatically reshaped by deep-learning techniques, resulting in significant advancements in surgeons' skills, operation room management, and overall surgical outcomes. However, the progression of deep-learning-powered surgical technologies is profoundly reliant on large-scale datasets and annotations. Particularly, surgical scene understanding and phase recognition stand as pivotal pillars within the realm of computer-assisted surgery and post-operative assessment of cataract surgery videos. In this context, we present the largest cataract surgery video dataset that addresses diverse requisites for constructing computerized surgical workflow analysis and detecting post-operative irregularities in cataract surgery. We validate the quality of annotations by benchmarking the performance of several state-of-the-art neural network architectures for phase recognition and surgical scene segmentation. Besides, we initiate the research on domain adaptation for instrument segmentation in cataract surgery by evaluating cross-domain instrument segmentation performance in cataract surgery videos. The dataset and annotations will be publicly available upon acceptance of the paper.

Intra-operative recognition of surgical phases holds significant potential for enhancing real-time contextual awareness in the operating room. However, we argue that online recognition, while beneficial, primarily lends itself to post-operative video analysis due to its limited direct impact on the actual surgical decisions and actions during ongoing procedures. In contrast, we contend that the prediction and anticipation of surgical phases are inherently more valuable for intra-operative assistance, as they can meaningfully influence a surgeon's immediate and long-term planning by providing foresight into future steps. To address this gap, we propose a dual approach that simultaneously recognises the current surgical phase and predicts upcoming ones, thus offering comprehensive intra-operative assistance and guidance on the expected remaining workflow. Our novel method, Surgical Phase Recognition and Anticipation (SuPRA), leverages past and current information for accurate intra-operative phase recognition while using future segments for phase prediction. This unified approach challenges conventional frameworks that treat these objectives separately. We have validated SuPRA on two reputed datasets, Cholec80 and AutoLaparo21, where it demonstrated state-of-the-art performance with recognition accuracies of 91.8% and 79.3%, respectively. Additionally, we introduce and evaluate our model using new segment-level evaluation metrics, namely Edit and F1 Overlap scores, for a more temporal assessment of segment classification. In conclusion, SuPRA presents a new multi-task approach that paves the way for improved intra-operative assistance through surgical phase recognition and prediction of future events.

Surgical robotics holds much promise for improving patient safety and clinician experience in the Operating Room (OR). However, it also comes with new challenges, requiring strong team coordination and effective OR management. Automatic detection of surgical activities is a key requirement for developing AI-based intelligent tools to tackle these challenges. The current state-of-the-art surgical activity recognition methods however operate on image-based representations and depend on large-scale labeled datasets whose collection is time-consuming and resource-expensive. This work proposes a new sample-efficient and object-based approach for surgical activity recognition in the OR. Our method focuses on the geometric arrangements between clinicians and surgical devices, thus utilizing the significant object interaction dynamics in the OR. We conduct experiments in a low-data regime study for long video activity recognition. We also benchmark our method againstother object-centric approaches on clip-level action classification and show superior performance.

Medical video generation has transformative potential for enhancing surgical understanding and pathology insights through precise and controllable visual representations. However, current models face limitations in controllability and authenticity. To bridge this gap, we propose SurgSora, a motion-controllable surgical video generation framework that uses a single input frame and user-controllable motion cues. SurgSora consists of three key modules: the Dual Semantic Injector (DSI), which extracts object-relevant RGB and depth features from the input frame and integrates them with segmentation cues to capture detailed spatial features of complex anatomical structures; the Decoupled Flow Mapper (DFM), which fuses optical flow with semantic-RGB-D features at multiple scales to enhance temporal understanding and object spatial dynamics; and the Trajectory Controller (TC), which allows users to specify motion directions and estimates sparse optical flow, guiding the video generation process. The fused features are used as conditions for a frozen Stable Diffusion model to produce realistic, temporally coherent surgical videos. Extensive evaluations demonstrate that SurgSora outperforms state-of-the-art methods in controllability and authenticity, showing its potential to advance surgical video generation for medical education, training, and research.

In recent years, the Segmentation Anything Model (SAM) has attracted considerable attention as a foundational model well-known for its robust generalization capabilities across various downstream tasks. However, SAM does not exhibit satisfactory performance in the realm of medical image analysis. In this study, we introduce the first study on adapting SAM on video segmentation, called MediViSTA-SAM, a novel approach designed for medical video segmentation. Given video data, MediViSTA, spatio-temporal adapter captures long and short range temporal attention with cross-frame attention mechanism effectively constraining it to consider the immediately preceding video frame as a reference, while also considering spatial information effectively. Additionally, it incorporates multi-scale fusion by employing a U-shaped encoder and a modified mask decoder to handle objects of varying sizes. To evaluate our approach, extensive experiments were conducted using state-of-the-art (SOTA) methods, assessing its generalization abilities on multi-vendor in-house echocardiography datasets. The results highlight the accuracy and effectiveness of our network in medical video segmentation.

Surgical scene perception via videos are critical for advancing robotic surgery, telesurgery, and AI-assisted surgery, particularly in ophthalmology. However, the scarcity of diverse and richly annotated video datasets has hindered the development of intelligent systems for surgical workflow analysis. Existing datasets for surgical workflow analysis, which typically face challenges such as small scale, a lack of diversity in surgery and phase categories, and the absence of time-localized annotations, limit the requirements for action understanding and model generalization validation in complex and diverse real-world surgical scenarios. To address this gap, we introduce OphNet, a large-scale, expert-annotated video benchmark for ophthalmic surgical workflow understanding. OphNet features: 1) A diverse collection of 2,278 surgical videos spanning 66 types of cataract, glaucoma, and corneal surgeries, with detailed annotations for 102 unique surgical phases and 150 granular operations; 2) It offers sequential and hierarchical annotations for each surgery, phase, and operation, enabling comprehensive understanding and improved interpretability; 3) Moreover, OphNet provides time-localized annotations, facilitating temporal localization and prediction tasks within surgical workflows. With approximately 205 hours of surgical videos, OphNet is about 20 times larger than the largest existing surgical workflow analysis benchmark. Our dataset and code have been made available at: https://github.com/minghu0830/OphNet-benchmark.

Recent advancements in surgical computer vision have been driven by vision-only models, which lack language semantics, relying on manually annotated videos to predict fixed object categories. This limits their generalizability to unseen surgical procedures and tasks. We propose leveraging surgical video lectures from e-learning platforms to provide effective vision and language supervisory signals for multi-modal representation learning, bypassing manual annotations. We address surgery-specific linguistic challenges using multiple automatic speech recognition systems for text transcriptions. We introduce SurgVLP - Surgical Vision Language Pre-training - a novel method for multi-modal representation learning. SurgVLP employs a new contrastive learning objective, aligning video clip embeddings with corresponding multiple text embeddings in a joint latent space. We demonstrate the representational capability of this space through several vision-and-language surgical tasks and vision-only tasks specific to surgery. Unlike current fully supervised approaches, SurgVLP adapts to different surgical procedures and tasks without specific fine-tuning, achieving zero-shot adaptation to tasks such as surgical tool, phase, and triplet recognition without manual annotation. These results highlight the transferability and versatility of the learned multi-modal representations in surgical video analysis. The code is available at https://github.com/CAMMA-public/SurgVLP

Background: We evaluate SAM 2 for surgical scene understanding by examining its semantic segmentation capabilities for organs/tissues both in zero-shot scenarios and after fine-tuning. Methods: We utilized five public datasets to evaluate and fine-tune SAM 2 for segmenting anatomical tissues in surgical videos/images. Fine-tuning was applied to the image encoder and mask decoder. We limited training subsets from 50 to 400 samples per class to better model real-world constraints with data acquisition. The impact of dataset size on fine-tuning performance was evaluated with weighted mean Dice coefficient (WMDC), and the results were also compared against previously reported state-of-the-art (SOTA) results. Results: SurgiSAM 2, a fine-tuned SAM 2 model, demonstrated significant improvements in segmentation performance, achieving a 17.9% relative WMDC gain compared to the baseline SAM 2. Increasing prompt points from 1 to 10 and training data scale from 50/class to 400/class enhanced performance; the best WMDC of 0.92 on the validation subset was achieved with 10 prompt points and 400 samples per class. On the test subset, this model outperformed prior SOTA methods in 24/30 (80%) of the classes with a WMDC of 0.91 using 10-point prompts. Notably, SurgiSAM 2 generalized effectively to unseen organ classes, achieving SOTA on 7/9 (77.8%) of them. Conclusion: SAM 2 achieves remarkable zero-shot and fine-tuned performance for surgical scene segmentation, surpassing prior SOTA models across several organ classes of diverse datasets. This suggests immense potential for enabling automated/semi-automated annotation pipelines, thereby decreasing the burden of annotations facilitating several surgical applications.

In this paper, we address the challenge of performing open-vocabulary video instance segmentation (OV-VIS) in real-time. We analyze the computational bottlenecks of state-of-the-art foundation models that performs OV-VIS, and propose a new method, TROY-VIS, that significantly improves processing speed while maintaining high accuracy. We introduce three key techniques: (1) Decoupled Attention Feature Enhancer to speed up information interaction between different modalities and scales; (2) Flash Embedding Memory for obtaining fast text embeddings of object categories; and, (3) Kernel Interpolation for exploiting the temporal continuity in videos. Our experiments demonstrate that TROY-VIS achieves the best trade-off between accuracy and speed on two large-scale OV-VIS benchmarks, BURST and LV-VIS, running 20x faster than GLEE-Lite (25 FPS v.s. 1.25 FPS) with comparable or even better accuracy. These results demonstrate TROY-VIS's potential for real-time applications in dynamic environments such as mobile robotics and augmented reality. Code and model will be released at https://github.com/google-research/troyvis.

Advancements in computer-assisted surgical procedures heavily rely on accurate visual data interpretation from camera systems used during surgeries. Traditional open-access datasets focusing on surgical procedures are often limited by their small size, typically consisting of fewer than 100 videos with less than 100K images. To address these constraints, a new dataset called Surg-3M has been compiled using a novel aggregation pipeline that collects high-resolution videos from online sources. Featuring an extensive collection of over 4K surgical videos and more than 3 million high-quality images from multiple procedure types, Surg-3M offers a comprehensive resource surpassing existing alternatives in size and scope, including two novel tasks. To demonstrate the effectiveness of this dataset, we present SurgFM, a self-supervised foundation model pretrained on Surg-3M that achieves impressive results in downstream tasks such as surgical phase recognition, action recognition, and tool presence detection. Combining key components from ConvNeXt, DINO, and an innovative augmented distillation method, SurgFM exhibits exceptional performance compared to specialist architectures across various benchmarks. Our experimental results show that SurgFM outperforms state-of-the-art models in multiple downstream tasks, including significant gains in surgical phase recognition (+8.9pp, +4.7pp, and +3.9pp of Jaccard in AutoLaparo, M2CAI16, and Cholec80), action recognition (+3.1pp of mAP in CholecT50) and tool presence detection (+4.6pp of mAP in Cholec80). Moreover, even when using only half of the data, SurgFM outperforms state-of-the-art models in AutoLaparo and achieves state-of-the-art performance in Cholec80. Both Surg-3M and SurgFM have significant potential to accelerate progress towards developing autonomous robotic surgery systems.

Dynamic reconstruction of deformable tissues in endoscopic video is a key technology for robot-assisted surgery. Recent reconstruction methods based on neural radiance fields (NeRFs) have achieved remarkable results in the reconstruction of surgical scenes. However, based on implicit representation, NeRFs struggle to capture the intricate details of objects in the scene and cannot achieve real-time rendering. In addition, restricted single view perception and occluded instruments also propose special challenges in surgical scene reconstruction. To address these issues, we develop SurgicalGaussian, a deformable 3D Gaussian Splatting method to model dynamic surgical scenes. Our approach models the spatio-temporal features of soft tissues at each time stamp via a forward-mapping deformation MLP and regularization to constrain local 3D Gaussians to comply with consistent movement. With the depth initialization strategy and tool mask-guided training, our method can remove surgical instruments and reconstruct high-fidelity surgical scenes. Through experiments on various surgical videos, our network outperforms existing method on many aspects, including rendering quality, rendering speed and GPU usage. The project page can be found at https://surgicalgaussian.github.io.

Understanding the workflow of surgical procedures in complex operating rooms requires a deep understanding of the interactions between clinicians and their environment. Surgical activity recognition (SAR) is a key computer vision task that detects activities or phases from multi-view camera recordings. Existing SAR models often fail to account for fine-grained clinician movements and multi-view knowledge, or they require calibrated multi-view camera setups and advanced point-cloud processing to obtain better results. In this work, we propose a novel calibration-free multi-view multi-modal pretraining framework called Multiview Pretraining for Video-Pose Surgical Activity Recognition PreViPS, which aligns 2D pose and vision embeddings across camera views. Our model follows CLIP-style dual-encoder architecture: one encoder processes visual features, while the other encodes human pose embeddings. To handle the continuous 2D human pose coordinates, we introduce a tokenized discrete representation to convert the continuous 2D pose coordinates into discrete pose embeddings, thereby enabling efficient integration within the dual-encoder framework. To bridge the gap between these two modalities, we propose several pretraining objectives using cross- and in-modality geometric constraints within the embedding space and incorporating masked pose token prediction strategy to enhance representation learning. Extensive experiments and ablation studies demonstrate improvements over the strong baselines, while data-efficiency experiments on two distinct operating room datasets further highlight the effectiveness of our approach. We highlight the benefits of our approach for surgical activity recognition in both multi-view and single-view settings, showcasing its practical applicability in complex surgical environments. Code will be made available at: https://github.com/CAMMA-public/PreViPS.

Surgical simulation plays a pivotal role in training novice surgeons, accelerating their learning curve and reducing intra-operative errors. However, conventional simulation tools fall short in providing the necessary photorealism and the variability of human anatomy. In response, current methods are shifting towards generative model-based simulators. Yet, these approaches primarily focus on using increasingly complex conditioning for precise synthesis while neglecting the fine-grained human control aspect. To address this gap, we introduce SG2VID, the first diffusion-based video model that leverages Scene Graphs for both precise video synthesis and fine-grained human control. We demonstrate SG2VID's capabilities across three public datasets featuring cataract and cholecystectomy surgery. While SG2VID outperforms previous methods both qualitatively and quantitatively, it also enables precise synthesis, providing accurate control over tool and anatomy's size and movement, entrance of new tools, as well as the overall scene layout. We qualitatively motivate how SG2VID can be used for generative augmentation and present an experiment demonstrating its ability to improve a downstream phase detection task when the training set is extended with our synthetic videos. Finally, to showcase SG2VID's ability to retain human control, we interact with the Scene Graphs to generate new video samples depicting major yet rare intra-operative irregularities.

Modern operating room is becoming increasingly complex, requiring innovative intra-operative support systems. While the focus of surgical data science has largely been on video analysis, integrating surgical computer vision with language capabilities is emerging as a necessity. Our work aims to advance Visual Question Answering (VQA) in the surgical context with scene graph knowledge, addressing two main challenges in the current surgical VQA systems: removing question-condition bias in the surgical VQA dataset and incorporating scene-aware reasoning in the surgical VQA model design. First, we propose a Surgical Scene Graph-based dataset, SSG-QA, generated by employing segmentation and detection models on publicly available datasets. We build surgical scene graphs using spatial and action information of instruments and anatomies. These graphs are fed into a question engine, generating diverse QA pairs. Our SSG-QA dataset provides a more complex, diverse, geometrically grounded, unbiased, and surgical action-oriented dataset compared to existing surgical VQA datasets. We then propose SSG-QA-Net, a novel surgical VQA model incorporating a lightweight Scene-embedded Interaction Module (SIM), which integrates geometric scene knowledge in the VQA model design by employing cross-attention between the textual and the scene features. Our comprehensive analysis of the SSG-QA dataset shows that SSG-QA-Net outperforms existing methods across different question types and complexities. We highlight that the primary limitation in the current surgical VQA systems is the lack of scene knowledge to answer complex queries. We present a novel surgical VQA dataset and model and show that results can be significantly improved by incorporating geometric scene features in the VQA model design. The source code and the dataset will be made publicly available at: https://github.com/CAMMA-public/SSG-QA

Medical image segmentation is a critical task in clinical workflows, particularly for the detection and delineation of pathological regions. While convolutional architectures like U-Net have become standard for such tasks, their limited receptive field restricts global context modeling. Recent efforts integrating transformers have addressed this, but often result in deep, computationally expensive models unsuitable for real-time use. In this work, we present a novel end-to-end lightweight architecture designed specifically for real-time binary medical image segmentation. Our model combines a Swin Transformer-like encoder with a U-Net-like decoder, connected via skip pathways to preserve spatial detail while capturing contextual information. Unlike existing designs such as Swin Transformer or U-Net, our architecture is significantly shallower and competitively efficient. To improve the encoder's ability to learn meaningful features without relying on large amounts of labeled data, we first train it using Barlow Twins, a self-supervised learning method that helps the model focus on important patterns by reducing unnecessary repetition in the learned features. After this pretraining, we fine-tune the entire model for our specific task. Experiments on benchmark binary segmentation tasks demonstrate that our model achieves competitive accuracy with substantially reduced parameter count and faster inference, positioning it as a practical alternative for deployment in real-time and resource-limited clinical environments. The code for our method is available at Github repository: https://github.com/mkianih/Barlow-Swin.

In this paper, we propose a novel text promptable surgical instrument segmentation approach to overcome challenges associated with diversity and differentiation of surgical instruments in minimally invasive surgeries. We redefine the task as text promptable, thereby enabling a more nuanced comprehension of surgical instruments and adaptability to new instrument types. Inspired by recent advancements in vision-language models, we leverage pretrained image and text encoders as our model backbone and design a text promptable mask decoder consisting of attention- and convolution-based prompting schemes for surgical instrument segmentation prediction. Our model leverages multiple text prompts for each surgical instrument through a new mixture of prompts mechanism, resulting in enhanced segmentation performance. Additionally, we introduce a hard instrument area reinforcement module to improve image feature comprehension and segmentation precision. Extensive experiments on EndoVis2017 and EndoVis2018 datasets demonstrate our model's superior performance and promising generalization capability. To our knowledge, this is the first implementation of a promptable approach to surgical instrument segmentation, offering significant potential for practical application in the field of robotic-assisted surgery.

Existing approaches to unsupervised video instance segmentation typically rely on motion estimates and experience difficulties tracking small or divergent motions. We present VideoCutLER, a simple method for unsupervised multi-instance video segmentation without using motion-based learning signals like optical flow or training on natural videos. Our key insight is that using high-quality pseudo masks and a simple video synthesis method for model training is surprisingly sufficient to enable the resulting video model to effectively segment and track multiple instances across video frames. We show the first competitive unsupervised learning results on the challenging YouTubeVIS-2019 benchmark, achieving 50.7% APvideo^50 , surpassing the previous state-of-the-art by a large margin. VideoCutLER can also serve as a strong pretrained model for supervised video instance segmentation tasks, exceeding DINO by 15.9% on YouTubeVIS-2019 in terms of APvideo.

Medical image segmentation aims to delineate the anatomical or pathological structures of interest, playing a crucial role in clinical diagnosis. A substantial amount of high-quality annotated data is crucial for constructing high-precision deep segmentation models. However, medical annotation is highly cumbersome and time-consuming, especially for medical videos or 3D volumes, due to the huge labeling space and poor inter-frame consistency. Recently, a fundamental task named Moving Object Segmentation (MOS) has made significant advancements in natural images. Its objective is to delineate moving objects from the background within image sequences, requiring only minimal annotations. In this paper, we propose the first foundation model, named iMOS, for MOS in medical images. Extensive experiments on a large multi-modal medical dataset validate the effectiveness of the proposed iMOS. Specifically, with the annotation of only a small number of images in the sequence, iMOS can achieve satisfactory tracking and segmentation performance of moving objects throughout the entire sequence in bi-directions. We hope that the proposed iMOS can help accelerate the annotation speed of experts, and boost the development of medical foundation models.

The lack of labeled datasets in 3D vision for surgical scenes inhibits the development of robust 3D reconstruction algorithms in the medical domain. Despite the popularity of Neural Radiance Fields and 3D Gaussian Splatting in the general computer vision community, these systems have yet to find consistent success in surgical scenes due to challenges such as non-stationary lighting and non-Lambertian surfaces. As a result, the need for labeled surgical datasets continues to grow. In this work, we introduce a differentiable rendering framework for material and lighting estimation from endoscopic images and known geometry. Compared to previous approaches that model lighting and material jointly as radiance, we explicitly disentangle these scene properties for robust and photorealistic novel view synthesis. To disambiguate the training process, we formulate domain-specific properties inherent in surgical scenes. Specifically, we model the scene lighting as a simple spotlight and material properties as a bidirectional reflectance distribution function, parameterized by a neural network. By grounding color predictions in the rendering equation, we can generate photorealistic images at arbitrary camera poses. We evaluate our method with various sequences from the Colonoscopy 3D Video Dataset and show that our method produces competitive novel view synthesis results compared with other approaches. Furthermore, we demonstrate that synthetic data can be used to develop 3D vision algorithms by finetuning a depth estimation model with our rendered outputs. Overall, we see that the depth estimation performance is on par with fine-tuning with the original real images.

Surgical future prediction, driven by real-time AI analysis of surgical video, is critical for operating room safety and efficiency. It provides actionable insights into upcoming events, their timing, and risks-enabling better resource allocation, timely instrument readiness, and early warnings for complications (e.g., bleeding, bile duct injury). Despite this need, current surgical AI research focuses on understanding what is happening rather than predicting future events. Existing methods target specific tasks in isolation, lacking unified approaches that span both short-term (action triplets, events) and long-term horizons (remaining surgery duration, phase transitions). These methods rely on coarse-grained supervision while fine-grained surgical action triplets and steps remain underexplored. Furthermore, methods based only on future feature prediction struggle to generalize across different surgical contexts and procedures. We address these limits by reframing surgical future prediction as state-change learning. Rather than forecasting raw observations, our approach classifies state transitions between current and future timesteps. We introduce SurgFUTR, implementing this through a teacher-student architecture. Video clips are compressed into state representations via Sinkhorn-Knopp clustering; the teacher network learns from both current and future clips, while the student network predicts future states from current videos alone, guided by our Action Dynamics (ActDyn) module. We establish SFPBench with five prediction tasks spanning short-term (triplets, events) and long-term (remaining surgery duration, phase and step transitions) horizons. Experiments across four datasets and three procedures show consistent improvements. Cross-procedure transfer validates generalizability.

The field of surgical computer vision has undergone considerable breakthroughs in recent years with the rising popularity of deep neural network-based methods. However, standard fully-supervised approaches for training such models require vast amounts of annotated data, imposing a prohibitively high cost; especially in the clinical domain. Self-Supervised Learning (SSL) methods, which have begun to gain traction in the general computer vision community, represent a potential solution to these annotation costs, allowing to learn useful representations from only unlabeled data. Still, the effectiveness of SSL methods in more complex and impactful domains, such as medicine and surgery, remains limited and unexplored. In this work, we address this critical need by investigating four state-of-the-art SSL methods (MoCo v2, SimCLR, DINO, SwAV) in the context of surgical computer vision. We present an extensive analysis of the performance of these methods on the Cholec80 dataset for two fundamental and popular tasks in surgical context understanding, phase recognition and tool presence detection. We examine their parameterization, then their behavior with respect to training data quantities in semi-supervised settings. Correct transfer of these methods to surgery, as described and conducted in this work, leads to substantial performance gains over generic uses of SSL - up to 7.4% on phase recognition and 20% on tool presence detection - as well as state-of-the-art semi-supervised phase recognition approaches by up to 14%. Further results obtained on a highly diverse selection of surgical datasets exhibit strong generalization properties. The code is available at https://github.com/CAMMA-public/SelfSupSurg.

Image segmentation plays an essential role in medicine for both diagnostic and interventional tasks. Segmentation approaches are either manual, semi-automated or fully-automated. Manual segmentation offers full control over the quality of the results, but is tedious, time consuming and prone to operator bias. Fully automated methods require no human effort, but often deliver sub-optimal results without providing users with the means to make corrections. Semi-automated approaches keep users in control of the results by providing means for interaction, but the main challenge is to offer a good trade-off between precision and required interaction. In this paper we present a deep learning (DL) based semi-automated segmentation approach that aims to be a "smart" interactive tool for region of interest delineation in medical images. We demonstrate its use for segmenting multiple organs on computed tomography (CT) of the abdomen. Our approach solves some of the most pressing clinical challenges: (i) it requires only one to a few user clicks to deliver excellent 2D segmentations in a fast and reliable fashion; (ii) it can generalize to previously unseen structures and "corner cases"; (iii) it delivers results that can be corrected quickly in a smart and intuitive way up to an arbitrary degree of precision chosen by the user and (iv) ensures high accuracy. We present our approach and compare it to other techniques and previous work to show the advantages brought by our method.

We present Segment Anything Model 2 (SAM 2), a foundation model towards solving promptable visual segmentation in images and videos. We build a data engine, which improves model and data via user interaction, to collect the largest video segmentation dataset to date. Our model is a simple transformer architecture with streaming memory for real-time video processing. SAM 2 trained on our data provides strong performance across a wide range of tasks. In video segmentation, we observe better accuracy, using 3x fewer interactions than prior approaches. In image segmentation, our model is more accurate and 6x faster than the Segment Anything Model (SAM). We believe that our data, model, and insights will serve as a significant milestone for video segmentation and related perception tasks. We are releasing a version of our model, the dataset and an interactive demo.

In this paper, we introduce Medical SAM 2 (MedSAM-2), an advanced segmentation model that utilizes the SAM 2 framework to address both 2D and 3D medical image segmentation tasks. By adopting the philosophy of taking medical images as videos, MedSAM-2 not only applies to 3D medical images but also unlocks new One-prompt Segmentation capability. That allows users to provide a prompt for just one or a specific image targeting an object, after which the model can autonomously segment the same type of object in all subsequent images, regardless of temporal relationships between the images. We evaluated MedSAM-2 across a variety of medical imaging modalities, including abdominal organs, optic discs, brain tumors, thyroid nodules, and skin lesions, comparing it against state-of-the-art models in both traditional and interactive segmentation settings. Our findings show that MedSAM-2 not only surpasses existing models in performance but also exhibits superior generalization across a range of medical image segmentation tasks. Our code will be released at: https://github.com/MedicineToken/Medical-SAM2

Annotating videos with object segmentation masks typically involves a two stage procedure of drawing polygons per object instance for all the frames and then linking them through time. While simple, this is a very tedious, time consuming and expensive process, making the creation of accurate annotations at scale only possible for well-funded labs. What if we were able to segment an object in the full video with only a single click? This will enable video segmentation at scale with a very low budget opening the door to many applications. Towards this goal, in this paper we propose a bottom up approach where given a single click for each object in a video, we obtain the segmentation masks of these objects in the full video. In particular, we construct a correlation volume that assigns each pixel in a target frame to either one of the objects in the reference frame or the background. We then refine this correlation volume via a recurrent attention module and decode the final segmentation. To evaluate the performance, we label the popular and challenging Cityscapes dataset with video object segmentations. Results on this new CityscapesVideo dataset show that our approach outperforms all the baselines in this challenging setting.

The task of assigning semantic classes and track identities to every pixel in a video is called video panoptic segmentation. Our work is the first that targets this task in a real-world setting requiring dense interpretation in both spatial and temporal domains. As the ground-truth for this task is difficult and expensive to obtain, existing datasets are either constructed synthetically or only sparsely annotated within short video clips. To overcome this, we introduce a new benchmark encompassing two datasets, KITTI-STEP, and MOTChallenge-STEP. The datasets contain long video sequences, providing challenging examples and a test-bed for studying long-term pixel-precise segmentation and tracking under real-world conditions. We further propose a novel evaluation metric Segmentation and Tracking Quality (STQ) that fairly balances semantic and tracking aspects of this task and is more appropriate for evaluating sequences of arbitrary length. Finally, we provide several baselines to evaluate the status of existing methods on this new challenging dataset. We have made our datasets, metric, benchmark servers, and baselines publicly available, and hope this will inspire future research.

In this work, we take aim towards increasing the effectiveness of surgical assistant robots. We intended to make assistant robots safer by making them aware about the actions of surgeon, so it can take appropriate assisting actions. In other words, we aim to solve the problem of surgeon action detection in endoscopic videos. To this, we introduce a challenging dataset for surgeon action detection in real-world endoscopic videos. Action classes are picked based on the feedback of surgeons and annotated by medical professional. Given a video frame, we draw bounding box around surgical tool which is performing action and label it with action label. Finally, we presenta frame-level action detection baseline model based on recent advances in ob-ject detection. Results on our new dataset show that our presented dataset provides enough interesting challenges for future method and it can serveas strong benchmark corresponding research in surgeon action detection in endoscopic videos.

Video Object Segmentation (VOS) is foundational to numerous computer vision applications, including surveillance, autonomous driving, robotics and generative video editing. However, existing VOS models often struggle with precise mask delineation, deformable objects, topologically transforming objects, tracking drift and long video sequences. In this paper, we introduce HQ-SMem, for High Quality video segmentation and tracking using Smart Memory, a novel method that enhances the performance of VOS base models by addressing these limitations. Our approach incorporates three key innovations: (i) leveraging SAM with High-Quality masks (SAM-HQ) alongside appearance-based candidate-selection to refine coarse segmentation masks, resulting in improved object boundaries; (ii) implementing a dynamic smart memory mechanism that selectively stores relevant key frames while discarding redundant ones, thereby optimizing memory usage and processing efficiency for long-term videos; and (iii) dynamically updating the appearance model to effectively handle complex topological object variations and reduce drift throughout the video. These contributions mitigate several limitations of existing VOS models including, coarse segmentations that mix-in background pixels, fixed memory update schedules, brittleness to drift and occlusions, and prompt ambiguity issues associated with SAM. Extensive experiments conducted on multiple public datasets and state-of-the-art base trackers demonstrate that our method consistently ranks among the top two on VOTS and VOTSt 2024 datasets. Moreover, HQ-SMem sets new benchmarks on Long Video Dataset and LVOS, showcasing its effectiveness in challenging scenarios characterized by complex multi-object dynamics over extended temporal durations.

Surgical video-language pretraining (VLP) faces unique challenges due to the knowledge domain gap and the scarcity of multi-modal data. This study aims to bridge the gap by addressing issues regarding textual information loss in surgical lecture videos and the spatial-temporal challenges of surgical VLP. We propose a hierarchical knowledge augmentation approach and a novel Procedure-Encoded Surgical Knowledge-Augmented Video-Language Pretraining (PeskaVLP) framework to tackle these issues. The knowledge augmentation uses large language models (LLM) for refining and enriching surgical concepts, thus providing comprehensive language supervision and reducing the risk of overfitting. PeskaVLP combines language supervision with visual self-supervision, constructing hard negative samples and employing a Dynamic Time Warping (DTW) based loss function to effectively comprehend the cross-modal procedural alignment. Extensive experiments on multiple public surgical scene understanding and cross-modal retrieval datasets show that our proposed method significantly improves zero-shot transferring performance and offers a generalist visual representation for further advancements in surgical scene understanding.The code is available at https://github.com/CAMMA-public/SurgVLP

In the realm of medical image segmentation, both CNN-based and Transformer-based models have been extensively explored. However, CNNs exhibit limitations in long-range modeling capabilities, whereas Transformers are hampered by their quadratic computational complexity. Recently, State Space Models (SSMs), exemplified by Mamba, have emerged as a promising approach. They not only excel in modeling long-range interactions but also maintain a linear computational complexity. In this paper, leveraging state space models, we propose a U-shape architecture model for medical image segmentation, named Vision Mamba UNet (VM-UNet). Specifically, the Visual State Space (VSS) block is introduced as the foundation block to capture extensive contextual information, and an asymmetrical encoder-decoder structure is constructed with fewer convolution layers to save calculation cost. We conduct comprehensive experiments on the ISIC17, ISIC18, and Synapse datasets, and the results indicate that VM-UNet performs competitively in medical image segmentation tasks. To our best knowledge, this is the first medical image segmentation model constructed based on the pure SSM-based model. We aim to establish a baseline and provide valuable insights for the future development of more efficient and effective SSM-based segmentation systems. Our code is available at https://github.com/JCruan519/VM-UNet.

We present the Decoupled VIdeo Segmentation (DVIS) framework, a novel approach for the challenging task of universal video segmentation, including video instance segmentation (VIS), video semantic segmentation (VSS), and video panoptic segmentation (VPS). Unlike previous methods that model video segmentation in an end-to-end manner, our approach decouples video segmentation into three cascaded sub-tasks: segmentation, tracking, and refinement. This decoupling design allows for simpler and more effective modeling of the spatio-temporal representations of objects, especially in complex scenes and long videos. Accordingly, we introduce two novel components: the referring tracker and the temporal refiner. These components track objects frame by frame and model spatio-temporal representations based on pre-aligned features. To improve the tracking capability of DVIS, we propose a denoising training strategy and introduce contrastive learning, resulting in a more robust framework named DVIS++. Furthermore, we evaluate DVIS++ in various settings, including open vocabulary and using a frozen pre-trained backbone. By integrating CLIP with DVIS++, we present OV-DVIS++, the first open-vocabulary universal video segmentation framework. We conduct extensive experiments on six mainstream benchmarks, including the VIS, VSS, and VPS datasets. Using a unified architecture, DVIS++ significantly outperforms state-of-the-art specialized methods on these benchmarks in both close- and open-vocabulary settings. Code:~https://github.com/zhang-tao-whu/DVIS_Plus.

Surgical workflow recognition has numerous potential medical applications, such as the automatic indexing of surgical video databases and the optimization of real-time operating room scheduling, among others. As a result, phase recognition has been studied in the context of several kinds of surgeries, such as cataract, neurological, and laparoscopic surgeries. In the literature, two types of features are typically used to perform this task: visual features and tool usage signals. However, the visual features used are mostly handcrafted. Furthermore, the tool usage signals are usually collected via a manual annotation process or by using additional equipment. In this paper, we propose a novel method for phase recognition that uses a convolutional neural network (CNN) to automatically learn features from cholecystectomy videos and that relies uniquely on visual information. In previous studies, it has been shown that the tool signals can provide valuable information in performing the phase recognition task. Thus, we present a novel CNN architecture, called EndoNet, that is designed to carry out the phase recognition and tool presence detection tasks in a multi-task manner. To the best of our knowledge, this is the first work proposing to use a CNN for multiple recognition tasks on laparoscopic videos. Extensive experimental comparisons to other methods show that EndoNet yields state-of-the-art results for both tasks.

Noisy label problems are inevitably in existence within medical image segmentation causing severe performance degradation. Previous segmentation methods for noisy label problems only utilize a single image while the potential of leveraging the correlation between images has been overlooked. Especially for video segmentation, adjacent frames contain rich contextual information beneficial in cognizing noisy labels. Based on two insights, we propose a Multi-Scale Temporal Feature Affinity Learning (MS-TFAL) framework to resolve noisy-labeled medical video segmentation issues. First, we argue the sequential prior of videos is an effective reference, i.e., pixel-level features from adjacent frames are close in distance for the same class and far in distance otherwise. Therefore, Temporal Feature Affinity Learning (TFAL) is devised to indicate possible noisy labels by evaluating the affinity between pixels in two adjacent frames. We also notice that the noise distribution exhibits considerable variations across video, image, and pixel levels. In this way, we introduce Multi-Scale Supervision (MSS) to supervise the network from three different perspectives by re-weighting and refining the samples. This design enables the network to concentrate on clean samples in a coarse-to-fine manner. Experiments with both synthetic and real-world label noise demonstrate that our method outperforms recent state-of-the-art robust segmentation approaches. Code is available at https://github.com/BeileiCui/MS-TFAL.

Learning long-term spatial-temporal features are critical for many video analysis tasks. However, existing video segmentation methods predominantly rely on static image segmentation techniques, and methods capturing temporal dependency for segmentation have to depend on pretrained optical flow models, leading to suboptimal solutions for the problem. End-to-end sequential learning to explore spatialtemporal features for video segmentation is largely limited by the scale of available video segmentation datasets, i.e., even the largest video segmentation dataset only contains 90 short video clips. To solve this problem, we build a new large-scale video object segmentation dataset called YouTube Video Object Segmentation dataset (YouTube-VOS). Our dataset contains 4,453 YouTube video clips and 94 object categories. This is by far the largest video object segmentation dataset to our knowledge and has been released at http://youtube-vos.org. We further evaluate several existing state-of-the-art video object segmentation algorithms on this dataset which aims to establish baselines for the development of new algorithms in the future.

Recent advances in segmentation foundation models have enabled accurate and efficient segmentation across a wide range of natural images and videos, but their utility to medical data remains unclear. In this work, we first present a comprehensive benchmarking of the Segment Anything Model 2 (SAM2) across 11 medical image modalities and videos and point out its strengths and weaknesses by comparing it to SAM1 and MedSAM. Then, we develop a transfer learning pipeline and demonstrate SAM2 can be quickly adapted to medical domain by fine-tuning. Furthermore, we implement SAM2 as a 3D slicer plugin and Gradio API for efficient 3D image and video segmentation. The code has been made publicly available at https://github.com/bowang-lab/MedSAM.

Foundation models like the Segment Anything Model (SAM) have significantly advanced promptable image segmentation in computer vision. However, extending these capabilities to videos presents substantial challenges, particularly in ensuring precise and temporally consistent mask propagation in dynamic scenes. SAM 2 attempts to address this by training a model on massive image and video data from scratch to learn complex spatiotemporal associations, resulting in huge training costs that hinder research and practical deployment. In this paper, we introduce SAM-I2V, an effective image-to-video upgradation method for cultivating a promptable video segmentation (PVS) model. Our approach strategically upgrades the pre-trained SAM to support PVS, significantly reducing training complexity and resource requirements. To achieve this, we introduce three key innovations: (i) an image-to-video feature extraction upgrader built upon SAM's static image encoder to enable spatiotemporal video perception, (ii) a memory filtering strategy that selects the most relevant past frames for more effective utilization of historical information, and (iii) a memory-as-prompt mechanism leveraging object memory to ensure temporally consistent mask propagation in dynamic scenes. Comprehensive experiments demonstrate that our method achieves over 90% of SAM 2's performance while using only 0.2% of its training cost. Our work presents a resource-efficient pathway to PVS, lowering barriers for further research in PVS model design and enabling broader applications and advancements in the field. Code and model are available at: https://github.com/showlab/SAM-I2V.

Purpose: Surgical video is an important data stream for gesture recognition. Thus, robust visual encoders for those data-streams is similarly important. Methods: Leveraging the Bridge-Prompt framework, we fine-tune a pre-trained vision-text model (CLIP) for gesture recognition in surgical videos. This can utilize extensive outside video data such as text, but also make use of label meta-data and weakly supervised contrastive losses. Results: Our experiments show that prompt-based video encoder outperforms standard encoders in surgical gesture recognition tasks. Notably, it displays strong performance in zero-shot scenarios, where gestures/tasks that were not provided during the encoder training phase are included in the prediction phase. Additionally, we measure the benefit of inclusion text descriptions in the feature extractor training schema. Conclusion: Bridge-Prompt and similar pre-trained+fine-tuned video encoder models present significant visual representation for surgical robotics, especially in gesture recognition tasks. Given the diverse range of surgical tasks (gestures), the ability of these models to zero-shot transfer without the need for any task (gesture) specific retraining makes them invaluable.

Recent advances in medical image segmentation have been driven by deep learning; however, most existing methods remain limited by modality-specific designs and exhibit poor adaptability to dynamic medical imaging scenarios. The Segment Anything Model 2 (SAM2) and its related variants, which introduce a streaming memory mechanism for real-time video segmentation, present new opportunities for prompt-based, generalizable solutions. Nevertheless, adapting these models to medical video scenarios typically requires large-scale datasets for retraining or transfer learning, leading to high computational costs and the risk of catastrophic forgetting. To address these challenges, we propose DD-SAM2, an efficient adaptation framework for SAM2 that incorporates a Depthwise-Dilated Adapter (DD-Adapter) to enhance multi-scale feature extraction with minimal parameter overhead. This design enables effective fine-tuning of SAM2 on medical videos with limited training data. Unlike existing adapter-based methods focused solely on static images, DD-SAM2 fully exploits SAM2's streaming memory for medical video object tracking and segmentation. Comprehensive evaluations on TrackRad2025 (tumor segmentation) and EchoNet-Dynamic (left ventricle tracking) datasets demonstrate superior performance, achieving Dice scores of 0.93 and 0.97, respectively. To the best of our knowledge, this work provides an initial attempt at systematically exploring adapter-based SAM2 fine-tuning for medical video segmentation and tracking. Code, datasets, and models will be publicly available at https://github.com/apple1986/DD-SAM2.

Foundation models in video generation are demonstrating remarkable capabilities as potential world models for simulating the physical world. However, their application in high-stakes domains like surgery, which demand deep, specialized causal knowledge rather than general physical rules, remains a critical unexplored gap. To systematically address this challenge, we present SurgVeo, the first expert-curated benchmark for video generation model evaluation in surgery, and the Surgical Plausibility Pyramid (SPP), a novel, four-tiered framework tailored to assess model outputs from basic appearance to complex surgical strategy. On the basis of the SurgVeo benchmark, we task the advanced Veo-3 model with a zero-shot prediction task on surgical clips from laparoscopic and neurosurgical procedures. A panel of four board-certified surgeons evaluates the generated videos according to the SPP. Our results reveal a distinct "plausibility gap": while Veo-3 achieves exceptional Visual Perceptual Plausibility, it fails critically at higher levels of the SPP, including Instrument Operation Plausibility, Environment Feedback Plausibility, and Surgical Intent Plausibility. This work provides the first quantitative evidence of the chasm between visually convincing mimicry and causal understanding in surgical AI. Our findings from SurgVeo and the SPP establish a crucial foundation and roadmap for developing future models capable of navigating the complexities of specialized, real-world healthcare domains.

Foundation models have revolutionized computer vision by achieving vastly superior performance across diverse tasks through large-scale pretraining on extensive datasets. However, their application in surgical computer vision has been limited. This study addresses this gap by introducing SurgeNetXL, a novel surgical foundation model that sets a new benchmark in surgical computer vision. Trained on the largest reported surgical dataset to date, comprising over 4.7 million video frames, SurgeNetXL achieves consistent top-tier performance across six datasets spanning four surgical procedures and three tasks, including semantic segmentation, phase recognition, and critical view of safety (CVS) classification. Compared with the best-performing surgical foundation models, SurgeNetXL shows mean improvements of 2.4, 9.0, and 12.6 percent for semantic segmentation, phase recognition, and CVS classification, respectively. Additionally, SurgeNetXL outperforms the best-performing ImageNet-based variants by 14.4, 4.0, and 1.6 percent in the respective tasks. In addition to advancing model performance, this study provides key insights into scaling pretraining datasets, extending training durations, and optimizing model architectures specifically for surgical computer vision. These findings pave the way for improved generalizability and robustness in data-scarce scenarios, offering a comprehensive framework for future research in this domain. All models and a subset of the SurgeNetXL dataset, including over 2 million video frames, are publicly available at: https://github.com/TimJaspers0801/SurgeNet.

In recent years, significant progress has been made in video instance segmentation (VIS), with many offline and online methods achieving state-of-the-art performance. While offline methods have the advantage of producing temporally consistent predictions, they are not suitable for real-time scenarios. Conversely, online methods are more practical, but maintaining temporal consistency remains a challenging task. In this paper, we propose a novel online method for video instance segmentation, called TCOVIS, which fully exploits the temporal information in a video clip. The core of our method consists of a global instance assignment strategy and a spatio-temporal enhancement module, which improve the temporal consistency of the features from two aspects. Specifically, we perform global optimal matching between the predictions and ground truth across the whole video clip, and supervise the model with the global optimal objective. We also capture the spatial feature and aggregate it with the semantic feature between frames, thus realizing the spatio-temporal enhancement. We evaluate our method on four widely adopted VIS benchmarks, namely YouTube-VIS 2019/2021/2022 and OVIS, and achieve state-of-the-art performance on all benchmarks without bells-and-whistles. For instance, on YouTube-VIS 2021, TCOVIS achieves 49.5 AP and 61.3 AP with ResNet-50 and Swin-L backbones, respectively. Code is available at https://github.com/jun-long-li/TCOVIS.

Video instance segmentation (VIS) is the task that requires simultaneously classifying, segmenting and tracking object instances of interest in video. Recent methods typically develop sophisticated pipelines to tackle this task. Here, we propose a new video instance segmentation framework built upon Transformers, termed VisTR, which views the VIS task as a direct end-to-end parallel sequence decoding/prediction problem. Given a video clip consisting of multiple image frames as input, VisTR outputs the sequence of masks for each instance in the video in order directly. At the core is a new, effective instance sequence matching and segmentation strategy, which supervises and segments instances at the sequence level as a whole. VisTR frames the instance segmentation and tracking in the same perspective of similarity learning, thus considerably simplifying the overall pipeline and is significantly different from existing approaches. Without bells and whistles, VisTR achieves the highest speed among all existing VIS models, and achieves the best result among methods using single model on the YouTube-VIS dataset. For the first time, we demonstrate a much simpler and faster video instance segmentation framework built upon Transformers, achieving competitive accuracy. We hope that VisTR can motivate future research for more video understanding tasks.

The Segment Anything Model (SAM) has established itself as a powerful zero-shot image segmentation model, employing interactive prompts such as points to generate masks. This paper presents SAM-PT, a method extending SAM's capability to tracking and segmenting anything in dynamic videos. SAM-PT leverages robust and sparse point selection and propagation techniques for mask generation, demonstrating that a SAM-based segmentation tracker can yield strong zero-shot performance across popular video object segmentation benchmarks, including DAVIS, YouTube-VOS, and MOSE. Compared to traditional object-centric mask propagation strategies, we uniquely use point propagation to exploit local structure information that is agnostic to object semantics. We highlight the merits of point-based tracking through direct evaluation on the zero-shot open-world Unidentified Video Objects (UVO) benchmark. To further enhance our approach, we utilize K-Medoids clustering for point initialization and track both positive and negative points to clearly distinguish the target object. We also employ multiple mask decoding passes for mask refinement and devise a point re-initialization strategy to improve tracking accuracy. Our code integrates different point trackers and video segmentation benchmarks and will be released at https://github.com/SysCV/sam-pt.

Recently, transformer-based methods have achieved impressive results on Video Instance Segmentation (VIS). However, most of these top-performing methods run in an offline manner by processing the entire video clip at once to predict instance mask volumes. This makes them incapable of handling the long videos that appear in challenging new video instance segmentation datasets like UVO and OVIS. We propose a fully online transformer-based video instance segmentation model that performs comparably to top offline methods on the YouTube-VIS 2019 benchmark and considerably outperforms them on UVO and OVIS. This method, called Robust Online Video Segmentation (ROVIS), augments the Mask2Former image instance segmentation model with track queries, a lightweight mechanism for carrying track information from frame to frame, originally introduced by the TrackFormer method for multi-object tracking. We show that, when combined with a strong enough image segmentation architecture, track queries can exhibit impressive accuracy while not being constrained to short videos.

Procedural activities, ranging from routine cooking to complex surgical operations, are highly structured as a set of actions conducted in a specific temporal order. Despite their success on static images and short clips, current self-supervised learning methods often overlook the procedural nature that underpins such activities. We expose the lack of procedural awareness in current SSL methods with a motivating experiment: models pretrained on forward and time-reversed sequences produce highly similar features, confirming that their representations are blind to the underlying procedural order. To address this shortcoming, we propose PL-Stitch, a self-supervised framework that harnesses the inherent temporal order of video frames as a powerful supervisory signal. Our approach integrates two novel probabilistic objectives based on the Plackett-Luce (PL) model. The primary PL objective trains the model to sort sampled frames chronologically, compelling it to learn the global workflow progression. The secondary objective, a spatio-temporal jigsaw loss, complements the learning by capturing fine-grained, cross-frame object correlations. Our approach consistently achieves superior performance across five surgical and cooking benchmarks. Specifically, PL-Stitch yields significant gains in surgical phase recognition (e.g., +11.4 pp k-NN accuracy on Cholec80) and cooking action segmentation (e.g., +5.7 pp linear probing accuracy on Breakfast), demonstrating its effectiveness for procedural video representation learning.

Video Instance Segmentation (VIS) fundamentally struggles with pervasive challenges including object occlusions, motion blur, and appearance variations during temporal association. To overcome these limitations, this work introduces geometric awareness to enhance VIS robustness by strategically leveraging monocular depth estimation. We systematically investigate three distinct integration paradigms. Expanding Depth Channel (EDC) method concatenates the depth map as input channel to segmentation networks; Sharing ViT (SV) designs a uniform ViT backbone, shared between depth estimation and segmentation branches; Depth Supervision (DS) makes use of depth prediction as an auxiliary training guide for feature learning. Though DS exhibits limited effectiveness, benchmark evaluations demonstrate that EDC and SV significantly enhance the robustness of VIS. When with Swin-L backbone, our EDC method gets 56.2 AP, which sets a new state-of-the-art result on OVIS benchmark. This work conclusively establishes depth cues as critical enablers for robust video understanding.

The application of methods based on Neural Radiance Fields (NeRF) and 3D Gaussian Splatting (3D GS) have steadily gained popularity in the field of 3D object segmentation in static scenes. These approaches demonstrate efficacy in a range of 3D scene understanding and editing tasks. Nevertheless, the 4D object segmentation of dynamic scenes remains an underexplored field due to the absence of a sufficiently extensive and accurately labelled multi-view video dataset. In this paper, we present MUVOD, a new multi-view video dataset for training and evaluating object segmentation in reconstructed real-world scenarios. The 17 selected scenes, describing various indoor or outdoor activities, are collected from different sources of datasets originating from various types of camera rigs. Each scene contains a minimum of 9 views and a maximum of 46 views. We provide 7830 RGB images (30 frames per video) with their corresponding segmentation mask in 4D motion, meaning that any object of interest in the scene could be tracked across temporal frames of a given view or across different views belonging to the same camera rig. This dataset, which contains 459 instances of 73 categories, is intended as a basic benchmark for the evaluation of multi-view video segmentation methods. We also present an evaluation metric and a baseline segmentation approach to encourage and evaluate progress in this evolving field. Additionally, we propose a new benchmark for 3D object segmentation task with a subset of annotated multi-view images selected from our MUVOD dataset. This subset contains 50 objects of different conditions in different scenarios, providing a more comprehensive analysis of state-of-the-art 3D object segmentation methods. Our proposed MUVOD dataset is available at https://volumetric-repository.labs.b-com.com/#/muvod.

The objective of this paper is motion segmentation -- discovering and segmenting the moving objects in a video. This is a much studied area with numerous careful,and sometimes complex, approaches and training schemes including: self-supervised learning, learning from synthetic datasets, object-centric representations, amodal representations, and many more. Our interest in this paper is to determine if the Segment Anything model (SAM) can contribute to this task. We investigate two models for combining SAM with optical flow that harness the segmentation power of SAM with the ability of flow to discover and group moving objects. In the first model, we adapt SAM to take optical flow, rather than RGB, as an input. In the second, SAM takes RGB as an input, and flow is used as a segmentation prompt. These surprisingly simple methods, without any further modifications, outperform all previous approaches by a considerable margin in both single and multi-object benchmarks. We also extend these frame-level segmentations to sequence-level segmentations that maintain object identity. Again, this simple model outperforms previous methods on multiple video object segmentation benchmarks.

We present REM, a framework for segmenting a wide range of concepts in video that can be described through natural language. Our method capitalizes on visual-language representations learned by video diffusion models on Internet-scale datasets. A key insight of our approach is preserving as much of the generative model's original representation as possible, while fine-tuning it on narrow-domain Referral Object Segmentation datasets. As a result, our framework can accurately segment and track rare and unseen objects, despite being trained on object masks from a limited set of categories. Additionally, it can generalize to non-object dynamic concepts, such as waves crashing in the ocean, as demonstrated in our newly introduced benchmark for Referral Video Process Segmentation (Ref-VPS). Our experiments show that REM performs on par with state-of-the-art approaches on in-domain datasets, like Ref-DAVIS, while outperforming them by up to twelve points in terms of region similarity on out-of-domain data, leveraging the power of Internet-scale pre-training.

Referring video object segmentation (RVOS) aims to identify, track and segment the objects in a video based on language descriptions, which has received great attention in recent years. However, existing datasets remain focus on short video clips within several seconds, with salient objects visible in most frames. To advance the task towards more practical scenarios, we introduce Long-RVOS, a large-scale benchmark for long-term referring video object segmentation. Long-RVOS contains 2,000+ videos of an average duration exceeding 60 seconds, covering a variety of objects that undergo occlusion, disappearance-reappearance and shot changing. The objects are manually annotated with three different types of descriptions to individually evaluate the understanding of static attributes, motion patterns and spatiotemporal relationships. Moreover, unlike previous benchmarks that rely solely on the per-frame spatial evaluation, we introduce two new metrics to assess the temporal and spatiotemporal consistency. We benchmark 6 state-of-the-art methods on Long-RVOS. The results show that current approaches struggle severely with the long-video challenges. To address this, we further propose ReferMo, a promising baseline method that integrates motion information to expand the temporal receptive field, and employs a local-to-global architecture to capture both short-term dynamics and long-term dependencies. Despite simplicity, ReferMo achieves significant improvements over current methods in long-term scenarios. We hope that Long-RVOS and our baseline can drive future RVOS research towards tackling more realistic and long-form videos.

Surgical practice involves complex visual interpretation, procedural skills, and advanced medical knowledge, making surgical vision-language pretraining (VLP) particularly challenging due to this complexity and the limited availability of annotated data. To address the gap, we propose OphCLIP, a hierarchical retrieval-augmented vision-language pretraining framework specifically designed for ophthalmic surgical workflow understanding. OphCLIP leverages the OphVL dataset we constructed, a large-scale and comprehensive collection of over 375K hierarchically structured video-text pairs with tens of thousands of different combinations of attributes (surgeries, phases/operations/actions, instruments, medications, as well as more advanced aspects like the causes of eye diseases, surgical objectives, and postoperative recovery recommendations, etc). These hierarchical video-text correspondences enable OphCLIP to learn both fine-grained and long-term visual representations by aligning short video clips with detailed narrative descriptions and full videos with structured titles, capturing intricate surgical details and high-level procedural insights, respectively. Our OphCLIP also designs a retrieval-augmented pretraining framework to leverage the underexplored large-scale silent surgical procedure videos, automatically retrieving semantically relevant content to enhance the representation learning of narrative videos. Evaluation across 11 datasets for phase recognition and multi-instrument identification shows OphCLIP's robust generalization and superior performance.

Data diversity and volume are crucial to the success of training deep learning models, while in the medical imaging field, the difficulty and cost of data collection and annotation are especially huge. Specifically in robotic surgery, data scarcity and imbalance have heavily affected the model accuracy and limited the design and deployment of deep learning-based surgical applications such as surgical instrument segmentation. Considering this, we rethink the surgical instrument segmentation task and propose a one-to-many data generation solution that gets rid of the complicated and expensive process of data collection and annotation from robotic surgery. In our method, we only utilize a single surgical background tissue image and a few open-source instrument images as the seed images and apply multiple augmentations and blending techniques to synthesize amounts of image variations. In addition, we also introduce the chained augmentation mixing during training to further enhance the data diversities. The proposed approach is evaluated on the real datasets of the EndoVis-2018 and EndoVis-2017 surgical scene segmentation. Our empirical analysis suggests that without the high cost of data collection and annotation, we can achieve decent surgical instrument segmentation performance. Moreover, we also observe that our method can deal with novel instrument prediction in the deployment domain. We hope our inspiring results will encourage researchers to emphasize data-centric methods to overcome demanding deep learning limitations besides data shortage, such as class imbalance, domain adaptation, and incremental learning. Our code is available at https://github.com/lofrienger/Single_SurgicalScene_For_Segmentation.

Recent advances in multimodal large language models (LLMs) have highlighted their potential for medical and surgical applications. However, existing surgical datasets predominantly adopt a Visual Question Answering (VQA) format with heterogeneous taxonomies and lack support for pixel-level segmentation, limiting consistent evaluation and applicability. We present SurgMLLMBench, a unified multimodal benchmark explicitly designed for developing and evaluating interactive multimodal LLMs for surgical scene understanding, including the newly collected Micro-surgical Artificial Vascular anastomosIS (MAVIS) dataset. It integrates pixel-level instrument segmentation masks and structured VQA annotations across laparoscopic, robot-assisted, and micro-surgical domains under a unified taxonomy, enabling comprehensive evaluation beyond traditional VQA tasks and richer visual-conversational interactions. Extensive baseline experiments show that a single model trained on SurgMLLMBench achieves consistent performance across domains and generalizes effectively to unseen datasets. SurgMLLMBench will be publicly released as a robust resource to advance multimodal surgical AI research, supporting reproducible evaluation and development of interactive surgical reasoning models.

Despite advancements in user-guided video segmentation, extracting complex objects consistently for highly complex scenes is still a labor-intensive task, especially for production. It is not uncommon that a majority of frames need to be annotated. We introduce a novel semi-supervised video object segmentation (SSVOS) model, XMem++, that improves existing memory-based models, with a permanent memory module. Most existing methods focus on single frame annotations, while our approach can effectively handle multiple user-selected frames with varying appearances of the same object or region. Our method can extract highly consistent results while keeping the required number of frame annotations low. We further introduce an iterative and attention-based frame suggestion mechanism, which computes the next best frame for annotation. Our method is real-time and does not require retraining after each user input. We also introduce a new dataset, PUMaVOS, which covers new challenging use cases not found in previous benchmarks. We demonstrate SOTA performance on challenging (partial and multi-class) segmentation scenarios as well as long videos, while ensuring significantly fewer frame annotations than any existing method. Project page: https://max810.github.io/xmem2-project-page/

Existing methods for Video Reasoning Segmentation rely heavily on a single special token to represent the object in the keyframe or the entire video, inadequately capturing spatial complexity and inter-frame motion. To overcome these challenges, we propose VRS-HQ, an end-to-end video reasoning segmentation approach that leverages Multimodal Large Language Models (MLLMs) to inject rich spatiotemporal features into hierarchical tokens.Our key innovations include a Temporal Dynamic Aggregation (TDA) and a Token-driven Keyframe Selection (TKS). Specifically, we design frame-level <SEG> and temporal-level <TAK> tokens that utilize MLLM's autoregressive learning to effectively capture both local and global information. Subsequently, we apply a similarity-based weighted fusion and frame selection strategy, then utilize SAM2 to perform keyframe segmentation and propagation. To enhance keyframe localization accuracy, the TKS filters keyframes based on SAM2's occlusion scores during inference. VRS-HQ achieves state-of-the-art performance on ReVOS, surpassing VISA by 5.9%/12.5%/9.1% in J&F scores across the three subsets. These results highlight the strong temporal reasoning and segmentation capabilities of our method. Code and model weights will be released at VRS-HQ.

Video segmentation requires consistently segmenting and tracking objects over time. Due to the quadratic dependency on input size, directly applying self-attention to video segmentation with high-resolution input features poses significant challenges, often leading to insufficient GPU memory capacity. Consequently, modern video segmenters either extend an image segmenter without incorporating any temporal attention or resort to window space-time attention in a naive manner. In this work, we present Axial-VS, a general and simple framework that enhances video segmenters by tracking objects along axial trajectories. The framework tackles video segmentation through two sub-tasks: short-term within-clip segmentation and long-term cross-clip tracking. In the first step, Axial-VS augments an off-the-shelf clip-level video segmenter with the proposed axial-trajectory attention, sequentially tracking objects along the height- and width-trajectories within a clip, thereby enhancing temporal consistency by capturing motion trajectories. The axial decomposition significantly reduces the computational complexity for dense features, and outperforms the window space-time attention in segmentation quality. In the second step, we further employ axial-trajectory attention to the object queries in clip-level segmenters, which are learned to encode object information, thereby aiding object tracking across different clips and achieving consistent segmentation throughout the video. Without bells and whistles, Axial-VS showcases state-of-the-art results on video segmentation benchmarks, emphasizing its effectiveness in addressing the limitations of modern clip-level video segmenters. Code and models are available at https://github.com/TACJu/Axial-VS.

Referring video object segmentation (RVOS) is a task that aims to segment the target object in all video frames based on a sentence describing the object. Previous RVOS methods have achieved significant performance with densely-annotated datasets, whose construction is expensive and time-consuming. To relieve the burden of data annotation while maintaining sufficient supervision for segmentation, we propose a new annotation scheme, in which we label the frame where the object first appears with a mask and use bounding boxes for the subsequent frames. Based on this scheme, we propose a method to learn from this weak annotation. Specifically, we design a cross frame segmentation method, which uses the language-guided dynamic filters to thoroughly leverage the valuable mask annotation and bounding boxes. We further develop a bi-level contrastive learning method to encourage the model to learn discriminative representation at the pixel level. Extensive experiments and ablative analyses show that our method is able to achieve competitive performance without the demand of dense mask annotation. The code will be available at https://github.com/wangbo-zhao/WRVOS/.

Given a single labeled example, in-context segmentation aims to segment corresponding objects. This setting, known as one-shot segmentation in few-shot learning, explores the segmentation model's generalization ability and has been applied to various vision tasks, including scene understanding and image/video editing. While recent Segment Anything Models have achieved state-of-the-art results in interactive segmentation, these approaches are not directly applicable to in-context segmentation. In this work, we propose the Dual Consistency SAM (DC-SAM) method based on prompt-tuning to adapt SAM and SAM2 for in-context segmentation of both images and videos. Our key insights are to enhance the features of the SAM's prompt encoder in segmentation by providing high-quality visual prompts. When generating a mask prior, we fuse the SAM features to better align the prompt encoder. Then, we design a cycle-consistent cross-attention on fused features and initial visual prompts. Next, a dual-branch design is provided by using the discriminative positive and negative prompts in the prompt encoder. Furthermore, we design a simple mask-tube training strategy to adopt our proposed dual consistency method into the mask tube. Although the proposed DC-SAM is primarily designed for images, it can be seamlessly extended to the video domain with the support of SAM2. Given the absence of in-context segmentation in the video domain, we manually curate and construct the first benchmark from existing video segmentation datasets, named In-Context Video Object Segmentation (IC-VOS), to better assess the in-context capability of the model. Extensive experiments demonstrate that our method achieves 55.5 (+1.4) mIoU on COCO-20i, 73.0 (+1.1) mIoU on PASCAL-5i, and a J&F score of 71.52 on the proposed IC-VOS benchmark. Our source code and benchmark are available at https://github.com/zaplm/DC-SAM.

Conventional medical image segmentation methods have been found inadequate in facilitating physicians with the identification of specific lesions for diagnosis and treatment. Given the utility of text as an instructional format, we introduce a novel task termed Medical Image Referring Segmentation (MIRS), which requires segmenting specified lesions in images based on the given language expressions. Due to the varying object scales in medical images, MIRS demands robust vision-language modeling and comprehensive multi-scale interaction for precise localization and segmentation under linguistic guidance. However, existing medical image segmentation methods fall short in meeting these demands, resulting in insufficient segmentation accuracy. In response, we propose an approach named Language-guided Scale-aware MedSegmentor (LSMS), incorporating two appealing designs: (1)~a Scale-aware Vision-Language Attention module that leverages diverse convolutional kernels to acquire rich visual knowledge and interact closely with linguistic features, thereby enhancing lesion localization capability; (2)~a Full-Scale Decoder that globally models multi-modal features across various scales, capturing complementary information between scales to accurately outline lesion boundaries. Addressing the lack of suitable datasets for MIRS, we constructed a vision-language medical dataset called Reference Hepatic Lesion Segmentation (RefHL-Seg). This dataset comprises 2,283 abdominal CT slices from 231 cases, with corresponding textual annotations and segmentation masks for various liver lesions in images. We validated the performance of LSMS for MIRS and conventional medical image segmentation tasks across various datasets. Our LSMS consistently outperforms on all datasets with lower computational costs. The code and datasets will be released.

Following recent advancements in computer-aided detection and diagnosis systems for colonoscopy, the automated reporting of colonoscopy procedures is set to further revolutionize clinical practice. A crucial yet underexplored aspect in the development of these systems is the creation of computer vision models capable of autonomously segmenting full-procedure colonoscopy videos into anatomical sections and procedural phases. In this work, we aim to create the first open-access dataset for this task and propose a state-of-the-art approach, benchmarked against competitive models. We annotated the publicly available REAL-Colon dataset, consisting of 2.7 million frames from 60 complete colonoscopy videos, with frame-level labels for anatomical locations and colonoscopy phases across nine categories. We then present ColonTCN, a learning-based architecture that employs custom temporal convolutional blocks designed to efficiently capture long temporal dependencies for the temporal segmentation of colonoscopy videos. We also propose a dual k-fold cross-validation evaluation protocol for this benchmark, which includes model assessment on unseen, multi-center data.ColonTCN achieves state-of-the-art performance in classification accuracy while maintaining a low parameter count when evaluated using the two proposed k-fold cross-validation settings, outperforming competitive models. We report ablation studies to provide insights into the challenges of this task and highlight the benefits of the custom temporal convolutional blocks, which enhance learning and improve model efficiency. We believe that the proposed open-access benchmark and the ColonTCN approach represent a significant advancement in the temporal segmentation of colonoscopy procedures, fostering further open-access research to address this clinical need.

Interactive video object segmentation is a crucial video task, having various applications from video editing to data annotating. However, current approaches struggle to accurately segment objects across diverse domains. Recently, Segment Anything Model (SAM) introduces interactive visual prompts and demonstrates impressive performance across different domains. In this paper, we propose a training-free prompt tracking framework for interactive video object segmentation (I-PT), leveraging the powerful generalization of SAM. Although point tracking efficiently captures the pixel-wise information of objects in a video, points tend to be unstable when tracked over a long period, resulting in incorrect segmentation. Towards fast and robust interaction, we jointly adopt sparse points and boxes tracking, filtering out unstable points and capturing object-wise information. To better integrate reference information from multiple interactions, we introduce a cross-round space-time module (CRSTM), which adaptively aggregates mask features from previous rounds and frames, enhancing the segmentation stability. Our framework has demonstrated robust zero-shot video segmentation results on popular VOS datasets with interaction types, including DAVIS 2017, YouTube-VOS 2018, and MOSE 2023, maintaining a good tradeoff between performance and interaction time.

Segment Anything Model 2 (SAM 2) has emerged as a powerful tool for video object segmentation and tracking anything. Key components of SAM 2 that drive the impressive video object segmentation performance include a large multistage image encoder for frame feature extraction and a memory mechanism that stores memory contexts from past frames to help current frame segmentation. The high computation complexity of multistage image encoder and memory module has limited its applications in real-world tasks, e.g., video object segmentation on mobile devices. To address this limitation, we propose EfficientTAMs, lightweight track anything models that produce high-quality results with low latency and model size. Our idea is based on revisiting the plain, nonhierarchical Vision Transformer (ViT) as an image encoder for video object segmentation, and introducing an efficient memory module, which reduces the complexity for both frame feature extraction and memory computation for current frame segmentation. We take vanilla lightweight ViTs and efficient memory module to build EfficientTAMs, and train the models on SA-1B and SA-V datasets for video object segmentation and track anything tasks. We evaluate on multiple video segmentation benchmarks including semi-supervised VOS and promptable video segmentation, and find that our proposed EfficientTAM with vanilla ViT perform comparably to SAM 2 model (HieraB+SAM 2) with ~2x speedup on A100 and ~2.4x parameter reduction. On segment anything image tasks, our EfficientTAMs also perform favorably over original SAM with ~20x speedup on A100 and ~20x parameter reduction. On mobile devices such as iPhone 15 Pro Max, our EfficientTAMs can run at ~10 FPS for performing video object segmentation with reasonable quality, highlighting the capability of small models for on-device video object segmentation applications.

The goal of this paper is to interactively refine the automatic segmentation on challenging structures that fall behind human performance, either due to the scarcity of available annotations or the difficulty nature of the problem itself, for example, on segmenting cancer or small organs. Specifically, we propose a novel Transformer-based architecture for Interactive Segmentation (TIS), that treats the refinement task as a procedure for grouping pixels with similar features to those clicks given by the end users. Our proposed architecture is composed of Transformer Decoder variants, which naturally fulfills feature comparison with the attention mechanisms. In contrast to existing approaches, our proposed TIS is not limited to binary segmentations, and allows the user to edit masks for arbitrary number of categories. To validate the proposed approach, we conduct extensive experiments on three challenging datasets and demonstrate superior performance over the existing state-of-the-art methods. The project page is: https://wtliu7.github.io/tis/.

Medical image segmentation is fundamental for biomedical discovery. Existing methods lack generalizability and demand extensive, time-consuming manual annotation for new clinical application. Here, we propose MedSAM-3, a text promptable medical segmentation model for medical image and video segmentation. By fine-tuning the Segment Anything Model (SAM) 3 architecture on medical images paired with semantic conceptual labels, our MedSAM-3 enables medical Promptable Concept Segmentation (PCS), allowing precise targeting of anatomical structures via open-vocabulary text descriptions rather than solely geometric prompts. We further introduce the MedSAM-3 Agent, a framework that integrates Multimodal Large Language Models (MLLMs) to perform complex reasoning and iterative refinement in an agent-in-the-loop workflow. Comprehensive experiments across diverse medical imaging modalities, including X-ray, MRI, Ultrasound, CT, and video, demonstrate that our approach significantly outperforms existing specialist and foundation models. We will release our code and model at https://github.com/Joey-S-Liu/MedSAM3.

In ophthalmic surgery, developing an AI system capable of interpreting surgical videos and predicting subsequent operations requires numerous ophthalmic surgical videos with high-quality annotations, which are difficult to collect due to privacy concerns and labor consumption. Text-guided video generation (T2V) emerges as a promising solution to overcome this issue by generating ophthalmic surgical videos based on surgeon instructions. In this paper, we present Ophora, a pioneering model that can generate ophthalmic surgical videos following natural language instructions. To construct Ophora, we first propose a Comprehensive Data Curation pipeline to convert narrative ophthalmic surgical videos into a large-scale, high-quality dataset comprising over 160K video-instruction pairs, Ophora-160K. Then, we propose a Progressive Video-Instruction Tuning scheme to transfer rich spatial-temporal knowledge from a T2V model pre-trained on natural video-text datasets for privacy-preserved ophthalmic surgical video generation based on Ophora-160K. Experiments on video quality evaluation via quantitative analysis and ophthalmologist feedback demonstrate that Ophora can generate realistic and reliable ophthalmic surgical videos based on surgeon instructions. We also validate the capability of Ophora for empowering downstream tasks of ophthalmic surgical workflow understanding. Code is available at https://github.com/mar-cry/Ophora.

Vision-language pre-training (VLP) offers unique advantages for surgery by aligning language with surgical videos, enabling workflow understanding and transfer across tasks without relying on expert-labeled datasets. However, progress in surgical VLP remains constrained by the limited scale, procedural diversity, semantic quality, and hierarchical structure of existing datasets. In this work, we present SurgLaVi, the largest and most diverse surgical vision-language dataset to date, comprising nearly 240k clip-caption pairs from more than 200 procedures, and comprising hierarchical levels at phase-, step-, and task-level. At the core of SurgLaVi lies a fully automated pipeline that systematically generates fine-grained transcriptions of surgical videos and segments them into coherent procedural units. To ensure high-quality annotations, it applies dual-modality filtering to remove irrelevant and noisy samples. Within this framework, the resulting captions are enriched with contextual detail, producing annotations that are both semantically rich and easy to interpret. To ensure accessibility, we release SurgLaVi-eta, an open-source derivative of 113k clip-caption pairs constructed entirely from public data, which is over four times larger than existing surgical VLP datasets. To demonstrate the value of SurgLaVi datasets, we introduce SurgCLIP, a CLIP-style video-text contrastive framework with dual encoders, as a representative base model. SurgCLIP achieves consistent improvements across phase, step, action, and tool recognition, surpassing prior state-of-the-art methods, often by large margins. These results validate that large-scale, semantically rich, and hierarchically structured datasets directly translate into stronger and more generalizable representations, establishing SurgLaVi as a key resource for developing surgical foundation models.

Quantification of real-time informal feedback delivered by an experienced surgeon to a trainee during surgery is important for skill improvements in surgical training. Such feedback in the live operating room is inherently multimodal, consisting of verbal conversations (e.g., questions and answers) as well as non-verbal elements (e.g., through visual cues like pointing to anatomic elements). In this work, we leverage a clinically-validated five-category classification of surgical feedback: "Anatomic", "Technical", "Procedural", "Praise" and "Visual Aid". We then develop a multi-label machine learning model to classify these five categories of surgical feedback from inputs of text, audio, and video modalities. The ultimate goal of our work is to help automate the annotation of real-time contextual surgical feedback at scale. Our automated classification of surgical feedback achieves AUCs ranging from 71.5 to 77.6 with the fusion improving performance by 3.1%. We also show that high-quality manual transcriptions of feedback audio from experts improve AUCs to between 76.5 and 96.2, which demonstrates a clear path toward future improvements. Empirically, we find that the Staged training strategy, with first pre-training each modality separately and then training them jointly, is more effective than training different modalities altogether. We also present intuitive findings on the importance of modalities for different feedback categories. This work offers an important first look at the feasibility of automated classification of real-world live surgical feedback based on text, audio, and video modalities.

In this paper, we introduce the Context-Aware Video Instance Segmentation (CAVIS), a novel framework designed to enhance instance association by integrating contextual information adjacent to each object. To efficiently extract and leverage this information, we propose the Context-Aware Instance Tracker (CAIT), which merges contextual data surrounding the instances with the core instance features to improve tracking accuracy. Additionally, we design the Prototypical Cross-frame Contrastive (PCC) loss, which ensures consistency in object-level features across frames, thereby significantly enhancing matching accuracy. CAVIS demonstrates superior performance over state-of-the-art methods on all benchmark datasets in video instance segmentation (VIS) and video panoptic segmentation (VPS). Notably, our method excels on the OVIS dataset, known for its particularly challenging videos. Project page: https://seung-hun-lee.github.io/projects/CAVIS/

Referring video object segmentation (RVOS) aims at segmenting an object in a video following human instruction. Current state-of-the-art methods fall into an offline pattern, in which each clip independently interacts with text embedding for cross-modal understanding. They usually present that the offline pattern is necessary for RVOS, yet model limited temporal association within each clip. In this work, we break up the previous offline belief and propose a simple yet effective online model using explicit query propagation, named OnlineRefer. Specifically, our approach leverages target cues that gather semantic information and position prior to improve the accuracy and ease of referring predictions for the current frame. Furthermore, we generalize our online model into a semi-online framework to be compatible with video-based backbones. To show the effectiveness of our method, we evaluate it on four benchmarks, \ie, Refer-Youtube-VOS, Refer-DAVIS17, A2D-Sentences, and JHMDB-Sentences. Without bells and whistles, our OnlineRefer with a Swin-L backbone achieves 63.5 J&F and 64.8 J&F on Refer-Youtube-VOS and Refer-DAVIS17, outperforming all other offline methods.

We introduce VideoLISA, a video-based multimodal large language model designed to tackle the problem of language-instructed reasoning segmentation in videos. Leveraging the reasoning capabilities and world knowledge of large language models, and augmented by the Segment Anything Model, VideoLISA generates temporally consistent segmentation masks in videos based on language instructions. Existing image-based methods, such as LISA, struggle with video tasks due to the additional temporal dimension, which requires temporal dynamic understanding and consistent segmentation across frames. VideoLISA addresses these challenges by integrating a Sparse Dense Sampling strategy into the video-LLM, which balances temporal context and spatial detail within computational constraints. Additionally, we propose a One-Token-Seg-All approach using a specially designed <TRK> token, enabling the model to segment and track objects across multiple frames. Extensive evaluations on diverse benchmarks, including our newly introduced ReasonVOS benchmark, demonstrate VideoLISA's superior performance in video object segmentation tasks involving complex reasoning, temporal understanding, and object tracking. While optimized for videos, VideoLISA also shows promising generalization to image segmentation, revealing its potential as a unified foundation model for language-instructed object segmentation. Code and model will be available at: https://github.com/showlab/VideoLISA.

Medical image segmentation and video object segmentation are essential for diagnosing and analyzing diseases by identifying and measuring biological structures. Recent advances in natural domain have been driven by foundation models like the Segment Anything Model 2 (SAM 2). To explore the performance of SAM 2 in biomedical applications, we designed two evaluation pipelines for single-frame image segmentation and multi-frame video segmentation with varied prompt designs, revealing SAM 2's limitations in medical contexts. Consequently, we developed BioSAM 2, an enhanced foundation model optimized for biomedical data based on SAM 2. Our experiments show that BioSAM 2 not only surpasses the performance of existing state-of-the-art foundation models but also matches or even exceeds specialist models, demonstrating its efficacy and potential in the medical domain.

In the realm of robot-assisted minimally invasive surgery, dynamic scene reconstruction can significantly enhance downstream tasks and improve surgical outcomes. Neural Radiance Fields (NeRF)-based methods have recently risen to prominence for their exceptional ability to reconstruct scenes but are hampered by slow inference speed, prolonged training, and inconsistent depth estimation. Some previous work utilizes ground truth depth for optimization but is hard to acquire in the surgical domain. To overcome these obstacles, we present Endo-4DGS, a real-time endoscopic dynamic reconstruction approach that utilizes 3D Gaussian Splatting (GS) for 3D representation. Specifically, we propose lightweight MLPs to capture temporal dynamics with Gaussian deformation fields. To obtain a satisfactory Gaussian Initialization, we exploit a powerful depth estimation foundation model, Depth-Anything, to generate pseudo-depth maps as a geometry prior. We additionally propose confidence-guided learning to tackle the ill-pose problems in monocular depth estimation and enhance the depth-guided reconstruction with surface normal constraints and depth regularization. Our approach has been validated on two surgical datasets, where it can effectively render in real-time, compute efficiently, and reconstruct with remarkable accuracy.

We investigate how both the adaptation of a generic foundation model via transfer learning and the integration of complementary modalities from the operating room (OR) can support surgical data science. To this end, we use V-JEPA as the single-modality foundation of a multimodal model for minimally invasive surgery support. We analyze how the model's downstream performance can benefit (a) from finetuning on unlabeled surgical video data and (b) from providing additional time-resolved data streams from the OR in a multimodal setup. In an in-house dataset of liver surgery videos, we analyze the tasks of predicting hospital length of stay and postoperative complications. In videos of the public HeiCo dataset, we analyze the task of surgical phase recognition. As a baseline, we apply pretrained V-JEPA to all tasks. We then finetune it on unlabeled, held-out videos to investigate its change in performance after domain adaptation. Following the idea of modular decision support networks, we integrate additional data streams from the OR by training a separate encoder to form a shared representation space with V-JEPA's embeddings. Our experiments show that finetuning on domain-specific data increases model performance. On the in-house data, integrating additional time-resolved data likewise benefits the model. On the HeiCo data, accuracy of the pretrained video-only, single-modality baseline setup is on par with the top-performing submissions of the EndoVis2017 challenge, while finetuning on domain-specific data increases accuracy further. Our results thus demonstrate how surgical data science can leverage public, generic foundation models. Likewise, they indicate the potential of domain adaptation and of integrating suitable complementary data streams from the OR. To support further research, we release our code and model weights at https://github.com/DigitalSurgeryLab-Basel/ML-CDS-2025.

In this paper we present a new computer vision task, named video instance segmentation. The goal of this new task is simultaneous detection, segmentation and tracking of instances in videos. In words, it is the first time that the image instance segmentation problem is extended to the video domain. To facilitate research on this new task, we propose a large-scale benchmark called YouTube-VIS, which consists of 2883 high-resolution YouTube videos, a 40-category label set and 131k high-quality instance masks. In addition, we propose a novel algorithm called MaskTrack R-CNN for this task. Our new method introduces a new tracking branch to Mask R-CNN to jointly perform the detection, segmentation and tracking tasks simultaneously. Finally, we evaluate the proposed method and several strong baselines on our new dataset. Experimental results clearly demonstrate the advantages of the proposed algorithm and reveal insight for future improvement. We believe the video instance segmentation task will motivate the community along the line of research for video understanding.

The ability to automatically detect and track surgical instruments in endoscopic videos can enable transformational interventions. Assessing surgical performance and efficiency, identifying skilled tool use and choreography, and planning operational and logistical aspects of OR resources are just a few of the applications that could benefit. Unfortunately, obtaining the annotations needed to train machine learning models to identify and localize surgical tools is a difficult task. Annotating bounding boxes frame-by-frame is tedious and time-consuming, yet large amounts of data with a wide variety of surgical tools and surgeries must be captured for robust training. Moreover, ongoing annotator training is needed to stay up to date with surgical instrument innovation. In robotic-assisted surgery, however, potentially informative data like timestamps of instrument installation and removal can be programmatically harvested. The ability to rely on tool installation data alone would significantly reduce the workload to train robust tool-tracking models. With this motivation in mind we invited the surgical data science community to participate in the challenge, SurgToolLoc 2022. The goal was to leverage tool presence data as weak labels for machine learning models trained to detect tools and localize them in video frames with bounding boxes. We present the results of this challenge along with many of the team's efforts. We conclude by discussing these results in the broader context of machine learning and surgical data science. The training data used for this challenge consisting of 24,695 video clips with tool presence labels is also being released publicly and can be accessed at https://console.cloud.google.com/storage/browser/isi-surgtoolloc-2022.

Most benchmarks for studying surgical interventions focus on a specific challenge instead of leveraging the intrinsic complementarity among different tasks. In this work, we present a new experimental framework towards holistic surgical scene understanding. First, we introduce the Phase, Step, Instrument, and Atomic Visual Action recognition (PSI-AVA) Dataset. PSI-AVA includes annotations for both long-term (Phase and Step recognition) and short-term reasoning (Instrument detection and novel Atomic Action recognition) in robot-assisted radical prostatectomy videos. Second, we present Transformers for Action, Phase, Instrument, and steps Recognition (TAPIR) as a strong baseline for surgical scene understanding. TAPIR leverages our dataset's multi-level annotations as it benefits from the learned representation on the instrument detection task to improve its classification capacity. Our experimental results in both PSI-AVA and other publicly available databases demonstrate the adequacy of our framework to spur future research on holistic surgical scene understanding.

Referring video object segmentation aims to segment a referent throughout a video sequence according to a natural language expression. It requires aligning the natural language expression with the objects' motions and their dynamic associations at the global video level but segmenting objects at the frame level. To achieve this goal, we propose to simultaneously maintain a global referent token and a sequence of object queries, where the former is responsible for capturing video-level referent according to the language expression, while the latter serves to better locate and segment objects with each frame. Furthermore, to explicitly capture object motions and spatial-temporal cross-modal reasoning over objects, we propose a novel temporal collection-distribution mechanism for interacting between the global referent token and object queries. Specifically, the temporal collection mechanism collects global information for the referent token from object queries to the temporal motions to the language expression. In turn, the temporal distribution first distributes the referent token to the referent sequence across all frames and then performs efficient cross-frame reasoning between the referent sequence and object queries in every frame. Experimental results show that our method outperforms state-of-the-art methods on all benchmarks consistently and significantly.

Video multi-target segmentation remains a major challenge in long sequences, mainly due to the inherent limitations of existing architectures in capturing global temporal dependencies. We introduce WISE-TTT, a synergistic architecture integrating Test-Time Training (TTT) mechanisms with the Transformer architecture through co-design. The TTT layer systematically compresses historical temporal data to generate hidden states containing worldwide information(Lossless memory to maintain long contextual integrity), while achieving multi-stage contextual aggregation through splicing. Crucially, our framework provides the first empirical validation that implementing worldwide information across multiple network layers is essential for optimal dependency utilization.Ablation studies show TTT modules at high-level features boost global modeling. This translates to 3.1% accuracy improvement(J&F metric) on Davis2017 long-term benchmarks -- the first proof of hierarchical context superiority in video segmentation. We provide the first systematic evidence that worldwide information critically impacts segmentation performance.

Online video segmentation methods excel at handling long sequences and capturing gradual changes, making them ideal for real-world applications. However, achieving temporally consistent predictions remains a challenge, especially with gradual accumulation of noise or drift in on-line propagation, abrupt occlusions and scene transitions. This paper introduces Local2Global, an online framework, for video instance segmentation, exhibiting state-of-the-art performance with simple baseline and training purely in online fashion. Leveraging the DETR-based query propagation framework, we introduce two novel sets of queries:(1) local queries that capture initial object-specific spatial features from each frame and (2) global queries containing past spatio-temporal representations. We propose the L2G-aligner, a novel lightweight transformer decoder, to facilitate an early alignment between local and global queries. This alignment allows our model to effectively utilize current frame information while maintaining temporal consistency, producing a smooth transition between frames. Furthermore, L2G-aligner is integrated within the segmentation model, without relying on additional complex heuristics, or memory mechanisms. Extensive experiments across various challenging VIS and VPS datasets showcase the superiority of our method with simple online training, surpassing current benchmarks without bells and rings. For instance, we achieve 54.3 and 49.4 AP on Youtube-VIS-19/-21 datasets and 37.0 AP on OVIS dataset respectively withthe ResNet-50 backbone.

Recent "segment anything" efforts show promise by learning from large-scale data, but adapting such models directly to medical images remains challenging due to the complexity of medical data, noisy annotations, and continual learning requirements across diverse modalities and anatomical structures. In this work, we propose SAMed-2, a new foundation model for medical image segmentation built upon the SAM-2 architecture. Specifically, we introduce a temporal adapter into the image encoder to capture image correlations and a confidence-driven memory mechanism to store high-certainty features for later retrieval. This memory-based strategy counters the pervasive noise in large-scale medical datasets and mitigates catastrophic forgetting when encountering new tasks or modalities. To train and evaluate SAMed-2, we curate MedBank-100k, a comprehensive dataset spanning seven imaging modalities and 21 medical segmentation tasks. Our experiments on both internal benchmarks and 10 external datasets demonstrate superior performance over state-of-the-art baselines in multi-task scenarios. The code is available at: https://github.com/ZhilingYan/Medical-SAM-Bench.

Video Object Segmentation (VOS) is a vital task in computer vision, focusing on distinguishing foreground objects from the background across video frames. Our work draws inspiration from the Cutie model, and we investigate the effects of object memory, the total number of memory frames, and input resolution on segmentation performance. This report validates the effectiveness of our inference method on the coMplex video Object SEgmentation (MOSE) dataset, which features complex occlusions. Our experimental results demonstrate that our approach achieves a J\&F score of 0.8139 on the test set, securing the third position in the final ranking. These findings highlight the robustness and accuracy of our method in handling challenging VOS scenarios.

Referring Video Object Segmentation (RVOS) requires segmenting specific objects in a video guided by a natural language description. The core challenge of RVOS is to anchor abstract linguistic concepts onto a specific set of pixels and continuously segment them through the complex dynamics of a video. Faced with this difficulty, prior work has often decomposed the task into a pragmatic `locate-then-segment' pipeline. However, this cascaded design creates an information bottleneck by simplifying semantics into coarse geometric prompts (e.g, point), and struggles to maintain temporal consistency as the segmenting process is often decoupled from the initial language grounding. To overcome these fundamental limitations, we propose FlowRVS, a novel framework that reconceptualizes RVOS as a conditional continuous flow problem. This allows us to harness the inherent strengths of pretrained T2V models, fine-grained pixel control, text-video semantic alignment, and temporal coherence. Instead of conventional generating from noise to mask or directly predicting mask, we reformulate the task by learning a direct, language-guided deformation from a video's holistic representation to its target mask. Our one-stage, generative approach achieves new state-of-the-art results across all major RVOS benchmarks. Specifically, achieving a J&F of 51.1 in MeViS (+1.6 over prior SOTA) and 73.3 in the zero shot Ref-DAVIS17 (+2.7), demonstrating the significant potential of modeling video understanding tasks as continuous deformation processes.

The general domain of video segmentation is currently fragmented into different tasks spanning multiple benchmarks. Despite rapid progress in the state-of-the-art, current methods are overwhelmingly task-specific and cannot conceptually generalize to other tasks. Inspired by recent approaches with multi-task capability, we propose TarViS: a novel, unified network architecture that can be applied to any task that requires segmenting a set of arbitrarily defined 'targets' in video. Our approach is flexible with respect to how tasks define these targets, since it models the latter as abstract 'queries' which are then used to predict pixel-precise target masks. A single TarViS model can be trained jointly on a collection of datasets spanning different tasks, and can hot-swap between tasks during inference without any task-specific retraining. To demonstrate its effectiveness, we apply TarViS to four different tasks, namely Video Instance Segmentation (VIS), Video Panoptic Segmentation (VPS), Video Object Segmentation (VOS) and Point Exemplar-guided Tracking (PET). Our unified, jointly trained model achieves state-of-the-art performance on 5/7 benchmarks spanning these four tasks, and competitive performance on the remaining two. Code and model weights are available at: https://github.com/Ali2500/TarViS

Convolutional networks reach top quality in pixel-level video object segmentation but require a large amount of training data (1k~100k) to deliver such results. We propose a new training strategy which achieves state-of-the-art results across three evaluation datasets while using 20x~1000x less annotated data than competing methods. Our approach is suitable for both single and multiple object segmentation. Instead of using large training sets hoping to generalize across domains, we generate in-domain training data using the provided annotation on the first frame of each video to synthesize ("lucid dream") plausible future video frames. In-domain per-video training data allows us to train high quality appearance- and motion-based models, as well as tune the post-processing stage. This approach allows to reach competitive results even when training from only a single annotated frame, without ImageNet pre-training. Our results indicate that using a larger training set is not automatically better, and that for the video object segmentation task a smaller training set that is closer to the target domain is more effective. This changes the mindset regarding how many training samples and general "objectness" knowledge are required for the video object segmentation task.

In this paper, we propose a simple yet effective approach for self-supervised video object segmentation (VOS). Our key insight is that the inherent structural dependencies present in DINO-pretrained Transformers can be leveraged to establish robust spatio-temporal correspondences in videos. Furthermore, simple clustering on this correspondence cue is sufficient to yield competitive segmentation results. Previous self-supervised VOS techniques majorly resort to auxiliary modalities or utilize iterative slot attention to assist in object discovery, which restricts their general applicability and imposes higher computational requirements. To deal with these challenges, we develop a simplified architecture that capitalizes on the emerging objectness from DINO-pretrained Transformers, bypassing the need for additional modalities or slot attention. Specifically, we first introduce a single spatio-temporal Transformer block to process the frame-wise DINO features and establish spatio-temporal dependencies in the form of self-attention. Subsequently, utilizing these attention maps, we implement hierarchical clustering to generate object segmentation masks. To train the spatio-temporal block in a fully self-supervised manner, we employ semantic and dynamic motion consistency coupled with entropy normalization. Our method demonstrates state-of-the-art performance across multiple unsupervised VOS benchmarks and particularly excels in complex real-world multi-object video segmentation tasks such as DAVIS-17-Unsupervised and YouTube-VIS-19. The code and model checkpoints will be released at https://github.com/shvdiwnkozbw/SSL-UVOS.

Video instance segmentation requires classifying, segmenting, and tracking every object across video frames. Unlike existing approaches that rely on masks, boxes, or category labels, we propose UVIS, a novel Unsupervised Video Instance Segmentation (UVIS) framework that can perform video instance segmentation without any video annotations or dense label-based pretraining. Our key insight comes from leveraging the dense shape prior from the self-supervised vision foundation model DINO and the openset recognition ability from the image-caption supervised vision-language model CLIP. Our UVIS framework consists of three essential steps: frame-level pseudo-label generation, transformer-based VIS model training, and query-based tracking. To improve the quality of VIS predictions in the unsupervised setup, we introduce a dual-memory design. This design includes a semantic memory bank for generating accurate pseudo-labels and a tracking memory bank for maintaining temporal consistency in object tracks. We evaluate our approach on three standard VIS benchmarks, namely YoutubeVIS-2019, YoutubeVIS-2021, and Occluded VIS. Our UVIS achieves 21.1 AP on YoutubeVIS-2019 without any video annotations or dense pretraining, demonstrating the potential of our unsupervised VIS framework.

Recent state-of-the-art semi-supervised Video Object Segmentation (VOS) methods have shown significant improvements in target object segmentation accuracy when information from preceding frames is used in segmenting the current frame. In particular, such memory-based approaches can help a model to more effectively handle appearance changes (representation drift) or occlusions. Ideally, for maximum performance, Online VOS methods would need all or most of the preceding frames (or their extracted information) to be stored in memory and be used for online learning in later frames. Such a solution is not feasible for long videos, as the required memory size grows without bound, and such methods can fail when memory is limited and a target object experiences repeated representation drifts throughout a video. We propose two novel techniques to reduce the memory requirement of Online VOS methods while improving modeling accuracy and generalization on long videos. Motivated by the success of continual learning techniques in preserving previously-learned knowledge, here we propose Gated-Regularizer Continual Learning (GRCL), which improves the performance of any Online VOS subject to limited memory, and a Reconstruction-based Memory Selection Continual Learning (RMSCL), which empowers Online VOS methods to efficiently benefit from stored information in memory. We also analyze the performance of a hybrid combination of the two proposed methods. Experimental results show that the proposed methods are able to improve the performance of Online VOS models by more than 8%, with improved robustness on long-video datasets while maintaining comparable performance on short-video datasets such as DAVIS16, DAVIS17, and YouTube-VOS18.

Conversation agents powered by large language models are revolutionizing the way we interact with visual data. Recently, large vision-language models (LVLMs) have been extensively studied for both images and videos. However, these studies typically focus on common scenarios. In this work, we introduce an LVLM specifically designed for surgical scenarios. We integrate visual representations of surgical images and videos into the language feature space. Consequently, we establish a LVLM model, Surgical-LLaVA, fine-tuned on instruction following data of surgical scenarios. Our experiments demonstrate that Surgical-LLaVA exhibits impressive multi-modal chat abilities in surgical contexts, occasionally displaying multi-modal behaviors on unseen instructions. We conduct a quantitative evaluation of visual question-answering datasets for surgical scenarios. The results show superior performance compared to previous works, indicating the potential of our model to tackle more complex surgery scenarios.

The recently introduced Segment Anything Model (SAM) combines a clever architecture and large quantities of training data to obtain remarkable image segmentation capabilities. However, it fails to reproduce such results for Out-Of-Distribution (OOD) domains such as medical images. Moreover, while SAM is conditioned on either a mask or a set of points, it may be desirable to have a fully automatic solution. In this work, we replace SAM's conditioning with an encoder that operates on the same input image. By adding this encoder and without further fine-tuning SAM, we obtain state-of-the-art results on multiple medical images and video benchmarks. This new encoder is trained via gradients provided by a frozen SAM. For inspecting the knowledge within it, and providing a lightweight segmentation solution, we also learn to decode it into a mask by a shallow deconvolution network.

Existing video object segmentation (VOS) benchmarks focus on short-term videos which just last about 3-5 seconds and where objects are visible most of the time. These videos are poorly representative of practical applications, and the absence of long-term datasets restricts further investigation of VOS on the application in realistic scenarios. So, in this paper, we present a new benchmark dataset named LVOS, which consists of 220 videos with a total duration of 421 minutes. To the best of our knowledge, LVOS is the first densely annotated long-term VOS dataset. The videos in our LVOS last 1.59 minutes on average, which is 20 times longer than videos in existing VOS datasets. Each video includes various attributes, especially challenges deriving from the wild, such as long-term reappearing and cross-temporal similar objeccts.Based on LVOS, we assess existing video object segmentation algorithms and propose a Diverse Dynamic Memory network (DDMemory) that consists of three complementary memory banks to exploit temporal information adequately. The experimental results demonstrate the strength and weaknesses of prior methods, pointing promising directions for further study. Data and code are available at https://lingyihongfd.github.io/lvos.github.io/.

High-fidelity reconstruction of deformable tissues from endoscopic videos remains challenging due to the limitations of existing methods in capturing subtle color variations and modeling global deformations. While 3D Gaussian Splatting (3DGS) enables efficient dynamic reconstruction, its fixed per-Gaussian color assignment struggles with intricate textures, and linear deformation modeling fails to model consistent global deformation. To address these issues, we propose ColorGS, a novel framework that integrates spatially adaptive color encoding and enhanced deformation modeling for surgical scene reconstruction. First, we introduce Colored Gaussian Primitives, which employ dynamic anchors with learnable color parameters to adaptively encode spatially varying textures, significantly improving color expressiveness under complex lighting and tissue similarity. Second, we design an Enhanced Deformation Model (EDM) that combines time-aware Gaussian basis functions with learnable time-independent deformations, enabling precise capture of both localized tissue deformations and global motion consistency caused by surgical interactions. Extensive experiments on DaVinci robotic surgery videos and benchmark datasets (EndoNeRF, StereoMIS) demonstrate that ColorGS achieves state-of-the-art performance, attaining a PSNR of 39.85 (1.5 higher than prior 3DGS-based methods) and superior SSIM (97.25\%) while maintaining real-time rendering efficiency. Our work advances surgical scene reconstruction by balancing high fidelity with computational practicality, critical for intraoperative guidance and AR/VR applications.

Panoramic videos contain richer spatial information and have attracted tremendous amounts of attention due to their exceptional experience in some fields such as autonomous driving and virtual reality. However, existing datasets for video segmentation only focus on conventional planar images. To address the challenge, in this paper, we present a panoramic video dataset, PanoVOS. The dataset provides 150 videos with high video resolutions and diverse motions. To quantify the domain gap between 2D planar videos and panoramic videos, we evaluate 15 off-the-shelf video object segmentation (VOS) models on PanoVOS. Through error analysis, we found that all of them fail to tackle pixel-level content discontinues of panoramic videos. Thus, we present a Panoramic Space Consistency Transformer (PSCFormer), which can effectively utilize the semantic boundary information of the previous frame for pixel-level matching with the current frame. Extensive experiments demonstrate that compared with the previous SOTA models, our PSCFormer network exhibits a great advantage in terms of segmentation results under the panoramic setting. Our dataset poses new challenges in panoramic VOS and we hope that our PanoVOS can advance the development of panoramic segmentation/tracking.

Referring Video Object Segmentation (RVOS) aims to segment the object referred to by the query sentence in the video. Most existing methods require end-to-end training with dense mask annotations, which could be computation-consuming and less scalable. In this work, we rethink the RVOS problem and aim to investigate the key to this task. Based on existing foundation segmentation models, we decompose the RVOS task into referring, video, and segmentation factors, and propose a Temporal Prompt Generation and Selection (Tenet) framework to address the referring and video factors while leaving the segmentation problem to foundation models. To efficiently adapt image-based foundation segmentation models to referring video object segmentation, we leverage off-the-shelf object detectors and trackers to produce temporal prompts associated with the referring sentence. While high-quality temporal prompts could be produced, they can not be easily identified from confidence scores. To tackle this issue, we propose Prompt Preference Learning to evaluate the quality of the produced temporal prompts. By taking such prompts to instruct image-based foundation segmentation models, we would be able to produce high-quality masks for the referred object, enabling efficient model adaptation to referring video object segmentation. Experiments on RVOS benchmarks demonstrate the effectiveness of the Tenet framework.

Rapid advancements in medical image segmentation performance have been significantly driven by the development of Convolutional Neural Networks (CNNs) and Vision Transformers (ViTs). These models follow the discriminative pixel-wise classification learning paradigm and often have limited ability to generalize across diverse medical imaging datasets. In this manuscript, we introduce Generative Medical Segmentation (GMS), a novel approach leveraging a generative model to perform image segmentation. Concretely, GMS employs a robust pre-trained vision foundation model to extract latent representations for images and corresponding ground truth masks, followed by a model that learns a mapping function from the image to the mask in the latent space. Once trained, the model generates an estimated segmentation mask using the pre-trained vision foundation model to decode the predicted latent representation back into the image space. The design of GMS leads to fewer trainable parameters in the model which reduces the risk of overfitting and enhances its generalization capability. Our experimental analysis across five public datasets in different medical imaging domains demonstrates GMS outperforms existing discriminative and generative segmentation models. Furthermore, GMS is able to generalize well across datasets from different centers within the same imaging modality. Our experiments suggest GMS offers a scalable and effective solution for medical image segmentation. GMS implementation and trained model weights are available at https://github.com/King-HAW/GMS.

Depth estimation plays a crucial role in various tasks within endoscopic surgery, including navigation, surface reconstruction, and augmented reality visualization. Despite the significant achievements of foundation models in vision tasks, including depth estimation, their direct application to the medical domain often results in suboptimal performance. This highlights the need for efficient adaptation methods to adapt these models to endoscopic depth estimation. We propose Endoscopic Depth Any Camera (EndoDAC) which is an efficient self-supervised depth estimation framework that adapts foundation models to endoscopic scenes. Specifically, we develop the Dynamic Vector-Based Low-Rank Adaptation (DV-LoRA) and employ Convolutional Neck blocks to tailor the foundational model to the surgical domain, utilizing remarkably few trainable parameters. Given that camera information is not always accessible, we also introduce a self-supervised adaptation strategy that estimates camera intrinsics using the pose encoder. Our framework is capable of being trained solely on monocular surgical videos from any camera, ensuring minimal training costs. Experiments demonstrate that our approach obtains superior performance even with fewer training epochs and unaware of the ground truth camera intrinsics. Code is available at https://github.com/BeileiCui/EndoDAC.

Referring Video Object Segmentation (RVOS) relies on natural language expressions to segment an object in a video clip. Existing methods restrict reasoning either to independent short clips, losing global context, or process the entire video offline, impairing their application in a streaming fashion. In this work, we aim to surpass these limitations and design an RVOS method capable of effectively operating in streaming-like scenarios while retaining contextual information from past frames. We build upon the Segment-Anything 2 (SAM2) model, that provides robust segmentation and tracking capabilities and is naturally suited for streaming processing. We make SAM2 wiser, by empowering it with natural language understanding and explicit temporal modeling at the feature extraction stage, without fine-tuning its weights, and without outsourcing modality interaction to external models. To this end, we introduce a novel adapter module that injects temporal information and multi-modal cues in the feature extraction process. We further reveal the phenomenon of tracking bias in SAM2 and propose a learnable module to adjust its tracking focus when the current frame features suggest a new object more aligned with the caption. Our proposed method, SAMWISE, achieves state-of-the-art across various benchmarks, by adding a negligible overhead of just 4.2 M parameters. The code is available at https://github.com/ClaudiaCuttano/SAMWISE

High-resolution (HR) medical videos are vital for accurate diagnosis, yet are hard to acquire due to hardware limitations and physiological constraints. Clinically, the collected low-resolution (LR) medical videos present unique challenges for video super-resolution (VSR) models, including camera shake, noise, and abrupt frame transitions, which result in significant optical flow errors and alignment difficulties. Additionally, tissues and organs exhibit continuous and nuanced structures, but current VSR models are prone to introducing artifacts and distorted features that can mislead doctors. To this end, we propose MedVSR, a tailored framework for medical VSR. It first employs Cross State-Space Propagation (CSSP) to address the imprecise alignment by projecting distant frames as control matrices within state-space models, enabling the selective propagation of consistent and informative features to neighboring frames for effective alignment. Moreover, we design an Inner State-Space Reconstruction (ISSR) module that enhances tissue structures and reduces artifacts with joint long-range spatial feature learning and large-kernel short-range information aggregation. Experiments across four datasets in diverse medical scenarios, including endoscopy and cataract surgeries, show that MedVSR significantly outperforms existing VSR models in reconstruction performance and efficiency. Code released at https://github.com/CUHK-AIM-Group/MedVSR.

Natural language could play an important role in developing generalist surgical models by providing a broad source of supervision from raw texts. This flexible form of supervision can enable the model's transferability across datasets and tasks as natural language can be used to reference learned visual concepts or describe new ones. In this work, we present HecVL, a novel hierarchical video-language pretraining approach for building a generalist surgical model. Specifically, we construct a hierarchical video-text paired dataset by pairing the surgical lecture video with three hierarchical levels of texts: at clip-level, atomic actions using transcribed audio texts; at phase-level, conceptual text summaries; and at video-level, overall abstract text of the surgical procedure. Then, we propose a novel fine-to-coarse contrastive learning framework that learns separate embedding spaces for the three video-text hierarchies using a single model. By disentangling embedding spaces of different hierarchical levels, the learned multi-modal representations encode short-term and long-term surgical concepts in the same model. Thanks to the injected textual semantics, we demonstrate that the HecVL approach can enable zero-shot surgical phase recognition without any human annotation. Furthermore, we show that the same HecVL model for surgical phase recognition can be transferred across different surgical procedures and medical centers. The code is available at https://github.com/CAMMA-public/SurgVLP

Video Object Segmentation (VOS) is a core task in computer vision, requiring models to track and segment target objects across video frames. Despite notable advances with recent efforts, current techniques still lag behind human capabilities in handling drastic visual variations, occlusions, and complex scene changes. This limitation arises from their reliance on appearance matching, neglecting the human-like conceptual understanding of objects that enables robust identification across temporal dynamics. Motivated by this gap, we propose Segment Concept (SeC), a concept-driven segmentation framework that shifts from conventional feature matching to the progressive construction and utilization of high-level, object-centric representations. SeC employs Large Vision-Language Models (LVLMs) to integrate visual cues across diverse frames, constructing robust conceptual priors. During inference, SeC forms a comprehensive semantic representation of the target based on processed frames, realizing robust segmentation of follow-up frames. Furthermore, SeC adaptively balances LVLM-based semantic reasoning with enhanced feature matching, dynamically adjusting computational efforts based on scene complexity. To rigorously assess VOS methods in scenarios demanding high-level conceptual reasoning and robust semantic understanding, we introduce the Semantic Complex Scenarios Video Object Segmentation benchmark (SeCVOS). SeCVOS comprises 160 manually annotated multi-scenario videos designed to challenge models with substantial appearance variations and dynamic scene transformations. In particular, SeC achieves an 11.8-point improvement over SAM 2.1 on SeCVOS, establishing a new state-of-the-art in concept-aware video object segmentation.

This paper strives for motion expressions guided video segmentation, which focuses on segmenting objects in video content based on a sentence describing the motion of the objects. Existing referring video object datasets typically focus on salient objects and use language expressions that contain excessive static attributes that could potentially enable the target object to be identified in a single frame. These datasets downplay the importance of motion in video content for language-guided video object segmentation. To investigate the feasibility of using motion expressions to ground and segment objects in videos, we propose a large-scale dataset called MeViS, which contains numerous motion expressions to indicate target objects in complex environments. We benchmarked 5 existing referring video object segmentation (RVOS) methods and conducted a comprehensive comparison on the MeViS dataset. The results show that current RVOS methods cannot effectively address motion expression-guided video segmentation. We further analyze the challenges and propose a baseline approach for the proposed MeViS dataset. The goal of our benchmark is to provide a platform that enables the development of effective language-guided video segmentation algorithms that leverage motion expressions as a primary cue for object segmentation in complex video scenes. The proposed MeViS dataset has been released at https://henghuiding.github.io/MeViS.

Depth-aware video panoptic segmentation is a promising approach to camera based scene understanding. However, the current state-of-the-art methods require costly video annotations and use a complex training pipeline compared to their image-based equivalents. In this paper, we present a new approach titled Unified Perception that achieves state-of-the-art performance without requiring video-based training. Our method employs a simple two-stage cascaded tracking algorithm that (re)uses object embeddings computed in an image-based network. Experimental results on the Cityscapes-DVPS dataset demonstrate that our method achieves an overall DVPQ of 57.1, surpassing state-of-the-art methods. Furthermore, we show that our tracking strategies are effective for long-term object association on KITTI-STEP, achieving an STQ of 59.1 which exceeded the performance of state-of-the-art methods that employ the same backbone network. Code is available at: https://tue-mps.github.io/unipercept

Training data for video segmentation are expensive to annotate. This impedes extensions of end-to-end algorithms to new video segmentation tasks, especially in large-vocabulary settings. To 'track anything' without training on video data for every individual task, we develop a decoupled video segmentation approach (DEVA), composed of task-specific image-level segmentation and class/task-agnostic bi-directional temporal propagation. Due to this design, we only need an image-level model for the target task (which is cheaper to train) and a universal temporal propagation model which is trained once and generalizes across tasks. To effectively combine these two modules, we use bi-directional propagation for (semi-)online fusion of segmentation hypotheses from different frames to generate a coherent segmentation. We show that this decoupled formulation compares favorably to end-to-end approaches in several data-scarce tasks including large-vocabulary video panoptic segmentation, open-world video segmentation, referring video segmentation, and unsupervised video object segmentation. Code is available at: https://hkchengrex.github.io/Tracking-Anything-with-DEVA

The Segment Anything Model (SAM) represents a state-of-the-art research advancement in natural image segmentation, achieving impressive results with input prompts such as points and bounding boxes. However, our evaluation and recent research indicate that directly applying the pretrained SAM to medical image segmentation does not yield satisfactory performance. This limitation primarily arises from significant domain gap between natural images and medical images. To bridge this gap, we introduce SAM-Med2D, the most comprehensive studies on applying SAM to medical 2D images. Specifically, we first collect and curate approximately 4.6M images and 19.7M masks from public and private datasets, constructing a large-scale medical image segmentation dataset encompassing various modalities and objects. Then, we comprehensively fine-tune SAM on this dataset and turn it into SAM-Med2D. Unlike previous methods that only adopt bounding box or point prompts as interactive segmentation approach, we adapt SAM to medical image segmentation through more comprehensive prompts involving bounding boxes, points, and masks. We additionally fine-tune the encoder and decoder of the original SAM to obtain a well-performed SAM-Med2D, leading to the most comprehensive fine-tuning strategies to date. Finally, we conducted a comprehensive evaluation and analysis to investigate the performance of SAM-Med2D in medical image segmentation across various modalities, anatomical structures, and organs. Concurrently, we validated the generalization capability of SAM-Med2D on 9 datasets from MICCAI 2023 challenge. Overall, our approach demonstrated significantly superior performance and generalization capability compared to SAM.

3D Gaussian Splatting (3DGS) has emerged as a powerful paradigm for explicit 3D scene representation, yet achieving efficient and consistent 3D segmentation remains challenging. Current methods suffer from prohibitive computational costs, limited 3D spatial reasoning, and an inability to track multiple objects simultaneously. We present Segment Any Gaussians Online (SAGOnline), a lightweight and zero-shot framework for real-time 3D segmentation in Gaussian scenes that addresses these limitations through two key innovations: (1) a decoupled strategy that integrates video foundation models (e.g., SAM2) for view-consistent 2D mask propagation across synthesized views; and (2) a GPU-accelerated 3D mask generation and Gaussian-level instance labeling algorithm that assigns unique identifiers to 3D primitives, enabling lossless multi-object tracking and segmentation across views. SAGOnline achieves state-of-the-art performance on NVOS (92.7% mIoU) and Spin-NeRF (95.2% mIoU) benchmarks, outperforming Feature3DGS, OmniSeg3D-gs, and SA3D by 15--1500 times in inference speed (27 ms/frame). Qualitative results demonstrate robust multi-object segmentation and tracking in complex scenes. Our contributions include: (i) a lightweight and zero-shot framework for 3D segmentation in Gaussian scenes, (ii) explicit labeling of Gaussian primitives enabling simultaneous segmentation and tracking, and (iii) the effective adaptation of 2D video foundation models to the 3D domain. This work allows real-time rendering and 3D scene understanding, paving the way for practical AR/VR and robotic applications.

In this work, we address various segmentation tasks, each traditionally tackled by distinct or partially unified models. We propose OMG-Seg, One Model that is Good enough to efficiently and effectively handle all the segmentation tasks, including image semantic, instance, and panoptic segmentation, as well as their video counterparts, open vocabulary settings, prompt-driven, interactive segmentation like SAM, and video object segmentation. To our knowledge, this is the first model to handle all these tasks in one model and achieve satisfactory performance. We show that OMG-Seg, a transformer-based encoder-decoder architecture with task-specific queries and outputs, can support over ten distinct segmentation tasks and yet significantly reduce computational and parameter overhead across various tasks and datasets. We rigorously evaluate the inter-task influences and correlations during co-training. Code and models are available at https://github.com/lxtGH/OMG-Seg.

Video Instance Segmentation (VIS) aims at segmenting and categorizing objects in videos from a closed set of training categories, lacking the generalization ability to handle novel categories in real-world videos. To address this limitation, we make the following three contributions. First, we introduce the novel task of Open-Vocabulary Video Instance Segmentation, which aims to simultaneously segment, track, and classify objects in videos from open-set categories, including novel categories unseen during training. Second, to benchmark Open-Vocabulary VIS, we collect a Large-Vocabulary Video Instance Segmentation dataset (LV-VIS), that contains well-annotated objects from 1,196 diverse categories, significantly surpassing the category size of existing datasets by more than one order of magnitude. Third, we propose an efficient Memory-Induced Transformer architecture, OV2Seg, to first achieve Open-Vocabulary VIS in an end-to-end manner with near real-time inference speed. Extensive experiments on LV-VIS and four existing VIS datasets demonstrate the strong zero-shot generalization ability of OV2Seg on novel categories. The dataset and code are released here https://github.com/haochenheheda/LVVIS.

Referring Video Object Segmentation (RVOS) aims to segment target objects in video sequences based on natural language descriptions. While recent advances in Multi-modal Large Language Models (MLLMs) have improved RVOS performance through enhanced text-video understanding, several challenges remain, including insufficient exploitation of MLLMs' prior knowledge, prohibitive computational and memory costs for long-duration videos, and inadequate handling of complex temporal dynamics. In this work, we propose SVAC, a unified model that improves RVOS by scaling up input frames and segmentation tokens to enhance video-language interaction and segmentation precision. To address the resulting computational challenges, SVAC incorporates the Anchor-Based Spatio-Temporal Compression (ASTC) module to compress visual tokens while preserving essential spatio-temporal structure. Moreover, the Clip-Specific Allocation (CSA) strategy is introduced to better handle dynamic object behaviors across video clips. Experimental results demonstrate that SVAC achieves state-of-the-art performance on multiple RVOS benchmarks with competitive efficiency. Our code is available at https://github.com/lizhang1998/SVAC.

We find Mask2Former also achieves state-of-the-art performance on video instance segmentation without modifying the architecture, the loss or even the training pipeline. In this report, we show universal image segmentation architectures trivially generalize to video segmentation by directly predicting 3D segmentation volumes. Specifically, Mask2Former sets a new state-of-the-art of 60.4 AP on YouTubeVIS-2019 and 52.6 AP on YouTubeVIS-2021. We believe Mask2Former is also capable of handling video semantic and panoptic segmentation, given its versatility in image segmentation. We hope this will make state-of-the-art video segmentation research more accessible and bring more attention to designing universal image and video segmentation architectures.

In recent years, the application of machine learning to minimally invasive surgery (MIS) has attracted considerable interest. Datasets are critical to the use of such techniques. This paper presents a unique dataset recorded during ex vivo pseudo-cholecystectomy procedures on pig livers using the da Vinci Research Kit (dVRK). Unlike existing datasets, it addresses a critical gap by providing comprehensive kinematic data, recordings of all pedal inputs, and offers a time-stamped record of the endoscope's movements. This expanded version also includes segmentation and keypoint annotations of images, enhancing its utility for computer vision applications. Contributed by seven surgeons with varied backgrounds and experience levels that are provided as a part of this expanded version, the dataset is an important new resource for surgical robotics research. It enables the development of advanced methods for evaluating surgeon skills, tools for providing better context awareness, and automation of surgical tasks. Our work overcomes the limitations of incomplete recordings and imprecise kinematic data found in other datasets. To demonstrate the potential of the dataset for advancing automation in surgical robotics, we introduce two models that predict clutch usage and camera activation, a 3D scene reconstruction example, and the results from our keypoint and segmentation models.

Recent video foundation models such as SAM2 excel at prompted video segmentation by treating masks as a general-purpose primitive. However, many real-world settings require unprompted segmentation that aims to detect and track all objects in a video without external cues, leaving today's landscape fragmented across task-specific models and pipelines. We recast streaming video segmentation as sequential mask prediction, analogous to language modeling, and introduce the Autoregressive Universal Segmentation Model (AUSM), a single architecture that unifies both prompted and unprompted video segmentation. Built on recent state-space models, AUSM maintains a fixed-size spatial state and scales to video streams of arbitrary length. Furthermore, all components of AUSM are designed for parallel training across frames, yielding substantial speedups over iterative training. On standard benchmarks (DAVIS17, YouTube-VOS 2018 & 2019, MOSE, YouTube-VIS 2019 & 2021, and OVIS) AUSM outperforms prior universal streaming video segmentation methods and achieves up to 2.5x faster training on 16-frame sequences.