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Spatio-Temporal Representation Decoupling and Enhancement for Federated Instrument Segmentation in Surgical Videos.

Zheng Fang, Xiaoming Qi, Chun-Mei Feng

    IEEE Transactions on Medical Imaging
    |January 12, 2026
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    Summary
    This summary is machine-generated.

    Federated Learning (FL) for surgical instrument segmentation improves model performance by decoupling background and instrument features. This personalized FL approach enhances generalization across diverse surgical sites, outperforming existing methods.

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    Area of Science:

    • Computer Vision
    • Machine Learning
    • Medical Imaging

    Background:

    • Federated Learning (FL) enables collaborative model training across multiple sites without data centralization.
    • Limited FL research exists in surgical data science, and existing methods overlook surgical domain specifics like varied backgrounds and instrument similarities.
    • Surgical simulators offer efficient large-scale synthetic data generation.

    Purpose of the Study:

    • To propose a novel Personalized FL scheme, FedST, leveraging surgical domain knowledge for enhanced instrument segmentation.
    • To address challenges of diverse anatomical backgrounds and consistent instrument representation in federated surgical settings.
    • To improve model generalization and adaptation to different surgical sites.

    Main Methods:

    • FedST utilizes a Representation Separation and Cooperation (RSC) mechanism for local-site training, decoupling private background encoding.
    • Global training optimizes consistent instrument representations, including temporal layers for motion patterns.
    • Textual-guided channel selection enhances site-specific feature adaptation.
    • Synthesis-based Explicit Representation Quantification (SERQ) uses synthetic data for synchronized global model convergence.

    Main Results:

    • FedST achieved superior performance on federated sites, improving IoU by 1.84% compared to state-of-the-art methods.
    • Demonstrated significant improvement on an out-of-federation site, with a 45.29% increase in IoU.
    • A new PFL benchmark was created with five surgical sites and four data types.

    Conclusions:

    • The proposed FedST scheme effectively enhances surgical instrument segmentation using personalized Federated Learning.
    • FedST demonstrates robust generalization capabilities, adapting well to unseen surgical sites and diverse conditions.
    • This work provides a valuable contribution to FL in surgical data science, with potential for real-world clinical applications.