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Surgical Instrument Segmentation via Segment-Then-Classify Framework with Instance-Level Spatiotemporal Consistency

Tiyao Zhang1, Xue Yuan1, Hongze Xu1

  • 1School of Automation and Intelligence, Beijing Jiaotong University, Beijing 100044, China.

Journal of Imaging
|October 28, 2025
PubMed
Summary
This summary is machine-generated.

This study introduces a novel Segment-then-Classify framework for precise surgical instrument segmentation in endoscopic videos, improving robot-assisted surgery accuracy and stability.

Keywords:
instance-level spatiotemporal consistency modelingsegment-then-classify frameworksurgical instrument segmentation

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Area of Science:

  • Robotics
  • Computer Vision
  • Medical Imaging

Background:

  • Accurate segmentation of surgical instruments is vital for robot-assisted surgery and intraoperative analysis.
  • Existing methods struggle with spatial completeness and temporal stability, especially under occlusion or motion blur.

Purpose of the Study:

  • To present a Segment-then-Classify framework that decouples mask generation from semantic classification.
  • To enhance spatial completeness and temporal stability in surgical instrument segmentation.
  • To improve interpretability and robustness in challenging surgical video conditions.

Main Methods:

  • Utilized a Mask2Former-based segmentation backbone for class-agnostic instance mask and region feature generation.
  • Employed a bounding box-guided instance-level spatiotemporal modeling module.
  • Fused geometric priors and temporal consistency using a lightweight transformer encoder.

Main Results:

  • Achieved significant improvements in mean Intersection over Union (mIoU) by 3.06%, 2.99%, and 1.67% on EndoVis datasets.
  • Demonstrated substantial gains in mean correspondence Intersection over Union (mcIoU) of 2.36%, 2.85%, and 6.06% over state-of-the-art methods.
  • Maintained computational efficiency while enhancing segmentation performance.

Conclusions:

  • The proposed Segment-then-Classify framework effectively enhances spatial completeness and temporal stability in surgical instrument segmentation.
  • The framework shows superior performance and robustness compared to existing methods on benchmark datasets.
  • This approach offers a promising solution for improving accuracy and reliability in robot-assisted surgery.