Surgical Video Understanding with Label Interpolation

Abstract

Robot-assisted surgery (RAS) has become a critical paradigm in modern surgery, promoting patient recovery and reducing the burden on surgeons through minimally invasive approaches. To fully realize its potential, however, a precise understanding of the visual data generated during surgical procedures is essential. Previous studies have predominantly focused on single-task approaches, but real surgical scenes involve complex temporal dynamics and diverse instrument interactions that limit comprehensive understanding. Moreover, the effective application of multi-task learning (MTL) requires sufficient pixel-level segmentation data, which are difficult to obtain due to the high cost and expertise required for annotation. In particular, long-term annotations such as phases and steps are available for every frame, whereas short-term annotations such as surgical instrument segmentation and action detection are provided only for key frames, resulting in a significant temporal-spatial imbalance. To address these challenges, we propose a novel framework that combines optical flow-based segmentation label interpolation with multi-task learning. optical flow estimated from annotated key frames is used to propagate labels to adjacent unlabeled frames, thereby enriching sparse spatial supervision and balancing temporal and spatial information for training. This integration improves both the accuracy and efficiency of surgical scene understanding and, in turn, enhances the utility of RAS.