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Surgical scene understanding demands not only accurate predictions but also interpretable reasoning that surgeons can verify against clinical expertise. However, existing surgical vision-language models generate predictions without…

Foundation models have achieved transformative success across biomedical domains by enabling holistic understanding of multimodal data. However, their application in surgery remains underexplored. Surgical intelligence presents unique…

Computer Vision and Pattern Recognition · Computer Science 2025-06-04 Zhitao Zeng , Zhu Zhuo , Xiaojun Jia , Erli Zhang , Junde Wu , Jiaan Zhang , Yuxuan Wang , Chang Han Low , Jian Jiang , Zilong Zheng , Xiaochun Cao , Yutong Ban , Qi Dou , Yang Liu , Yueming Jin

Understanding surgical workflow in real time is fundamental for intelligent surgical embodiment, where AI systems continuously perceive and respond as surgery proceeds. In the operating room, critical decisions depend on subtle,…

Computer Vision and Pattern Recognition · Computer Science 2026-05-21 Jingyi He , Yue Zhou , Long Bai , Kun Yuan , Nassir Navab , Yuan Bi

Innovations in digital intelligence are transforming robotic surgery with more informed decision-making. Real-time awareness of surgical instrument presence and actions (e.g., cutting tissue) is essential for such systems. Yet, despite…

Computer Vision and Pattern Recognition · Computer Science 2025-07-24 Jiajun Cheng , Xianwu Zhao , Sainan Liu , Xiaofan Yu , Ravi Prakash , Patrick J. Codd , Jonathan Elliott Katz , Shan Lin

Surgical scene understanding is critical for surgical training and robotic decision-making in robot-assisted surgery. Recent advances in Multimodal Large Language Models (MLLMs) have demonstrated great potential for advancing scene…

Computer Vision and Pattern Recognition · Computer Science 2026-02-04 Guankun Wang , Junyi Wang , Wenjin Mo , Long Bai , Kun Yuan , Ming Hu , Jinlin Wu , Junjun He , Yiming Huang , Nicolas Padoy , Zhen Lei , Hongbin Liu , Nassir Navab , Hongliang Ren

Fine-grained spatiotemporal reasoning on surgical videos is critical, yet the capabilities of Multi-modal Large Language Models (MLLMs) in this domain remain largely unexplored. To bridge this gap, we introduce SurgCoT, a unified benchmark…

Computer Vision and Pattern Recognition · Computer Science 2026-04-23 Gui Wang , YongSong Zhou , Kaijun Deng , Wooi Ping Cheah , Rong Qu , Jianfeng Ren , Linlin Shen

In recent years, significant progress has been made in the field of surgical scene understanding, particularly in the task of Visual Question Localized-Answering in robotic surgery (Surgical-VQLA). However, existing Surgical-VQLA models…

Computer Vision and Pattern Recognition · Computer Science 2025-06-25 Pengfei Hao , Shuaibo Li , Hongqiu Wang , Zhizhuo Kou , Junhang Zhang , Guang Yang , Lei Zhu

The DeepSeek models have shown exceptional performance in general scene understanding, question-answering (QA), and text generation tasks, owing to their efficient training paradigm and strong reasoning capabilities. In this study, we…

Computer Vision and Pattern Recognition · Computer Science 2025-04-07 Boyi Ma , Yanguang Zhao , Jie Wang , Guankun Wang , Kun Yuan , Tong Chen , Long Bai , Hongliang Ren

The intricate nature of modern surgical care necessitates intelligent systems that can synthesize extensive patient records, support collaborative decision-making, and provide transparent, auditable reasoning across the entire perioperative…

Computation and Language · Computer Science 2026-05-29 Dongsheng Shi , Yue Li , Xin Yi , Yongyi Cui , Huawei Feng , Linlin Wang

Video Question Answering (VideoQA) in the surgical domain aims to enhance intraoperative understanding by enabling AI models to reason over temporally coherent events rather than isolated frames. Current approaches are limited to static…

Computer Vision and Pattern Recognition · Computer Science 2026-04-24 Mauro Orazio Drago , Luca Carlini , Pelinsu Celebi Balyemez , Dennis Pierantozzi , Chiara Lena , Cesare Hassan , Danail Stoyanov , Elena De Momi , Sophia Bano , Mobarak I. Hoque

Multimodal large language models (LLMs) have achieved notable success across various domains, while research in the medical field has largely focused on unimodal images. Meanwhile, current general-domain multimodal models for videos still…

Computer Vision and Pattern Recognition · Computer Science 2024-08-16 Jiajie Li , Garrett Skinner , Gene Yang , Brian R Quaranto , Steven D Schwaitzberg , Peter C W Kim , Jinjun Xiong

Chest X-rays (CXRs) are among the most frequently performed imaging examinations worldwide, yet rising imaging volumes increase radiologist workload and the risk of diagnostic errors. Although artificial intelligence (AI) systems have shown…

Surgical video understanding is essential for computer-assisted interventions, yet existing surgical foundation models remain constrained by limited data scale, procedural diversity, and inconsistent evaluation, often lacking a reproducible…

Computer Vision and Pattern Recognition · Computer Science 2026-04-03 Sicheng Lu , Zikai Xiao , Jianhui Wei , Danyu Sun , Qi Lu , Keli Hu , Yang Feng , Jian Wu , Zongxin Yang , Zuozhu Liu

Understanding surveillance video content remains a critical yet underexplored challenge in vision-language research, particularly due to its real-world complexity, irregular event dynamics, and safety-critical implications. In this work, we…

Computer Vision and Pattern Recognition · Computer Science 2025-05-20 Bo Liu , Pengfei Qiao , Minhan Ma , Xuange Zhang , Yinan Tang , Peng Xu , Kun Liu , Tongtong Yuan

In this article, we investigate vision-language models (VLM) as reasoners. The ability to form abstractions underlies mathematical reasoning, problem-solving, and other Math AI tasks. Several formalisms have been given to these underlying…

Artificial Intelligence · Computer Science 2024-07-08 Denisa Roberts , Lucas Roberts

Speech understanding as an element of the more generic video understanding using audio-visual large language models (av-LLMs) is a crucial yet understudied aspect. This paper proposes video-SALMONN, a single end-to-end av-LLM for video…

Computer Vision and Pattern Recognition · Computer Science 2024-06-25 Guangzhi Sun , Wenyi Yu , Changli Tang , Xianzhao Chen , Tian Tan , Wei Li , Lu Lu , Zejun Ma , Yuxuan Wang , Chao Zhang

Vision-language models (VLMs) have shown strong promise for medical image analysis, but most remain opaque, offering predictions without the transparent, stepwise reasoning clinicians rely on. We present a framework that brings…

Computer Vision and Pattern Recognition · Computer Science 2025-10-31 Andriy Myronenko , Dong Yang , Baris Turkbey , Mariam Aboian , Sena Azamat , Esra Akcicek , Hongxu Yin , Pavlo Molchanov , Marc Edgar , Yufan He , Pengfei Guo , Yucheng Tang , Daguang Xu

Visual reasoning is critical for a wide range of computer vision tasks that go beyond surface-level object detection and classification. Despite notable advances in relational, symbolic, temporal, causal, and commonsense reasoning, existing…

Computer Vision and Pattern Recognition · Computer Science 2025-08-15 Ayushman Sarkar , Mohd Yamani Idna Idris , Zhenyu Yu

Minimally invasive surgery has dramatically improved patient operative outcomes, yet identifying safe operative zones remains challenging in critical phases, requiring surgeons to integrate visual cues, procedural phase, and anatomical…

Computer Vision and Pattern Recognition · Computer Science 2026-02-26 Guanyi Qin , Xiaozhen Wang , Zhu Zhuo , Chang Han Low , Yuancan Xiao , Yibing Fu , Haofeng Liu , Kai Wang , Chunjiang Li , Yueming Jin

Automated surgical workflow analysis is crucial for education, research, and clinical decision-making, but the lack of annotated datasets hinders the development of accurate and comprehensive workflow analysis solutions. We introduce a…

Computer Vision and Pattern Recognition · Computer Science 2025-03-17 David Gastager , Ghazal Ghazaei , Constantin Patsch
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