Temporal Memory Enhancement for Semantic Segmentation in Surgical Video

29 Nov 2025 (modified: 15 Dec 2025)MIDL 2026 Conference SubmissionEveryoneRevisionsBibTeXCC BY 4.0
Keywords: Surgery, Video segmentation, Temporal memory
TL;DR: This paper proposes a surgical video semantic segmentation method, which includes a local memory selection module and a phase context-aware global memory.
Abstract: Segmenting critical anatomical structures in surgical videos can enhance precision and patient safety by alerting surgeons to potential complications. While current methods that store features from past frames have advanced the performance in video segmentation, their reliance on a fixed-range local memory often fails to capture complex temporal contexts of surgical scenes. Specifically, the memory could fill with redundant features or omit informative frames due to non-uniform rate of operations by the surgeons. Besides, the image features in the same phase of the surgery share similar patterns, while local memory could not capture such long-term relationship. Therefore, we propose a memory enhancement method to enrich the local temporal context and incorporate global phase context for surgical video semantic segmentation. Concretely, we improve the local memory with a feature selection module based on Determinantal Point Process to choose past features that are diverse and relevant to the current feature. Besides, we introduce a global memory to store the common patterns of frames within each phase based on the conditional variational autoencoder with mixture of Gaussian prior. Experiments on endoscopic submucosal dissection (ESD) and laparoscopic cholecystectomy (CHO) video segmentation demonstrate that our method achieves superior performance over existing methods.
Primary Subject Area: Segmentation
Secondary Subject Area: Application: Endoscopy
Registration Requirement: Yes
Reproducibility: https://github.com/key1589745/surgery_segmentation
Visa & Travel: Yes
Read CFP & Author Instructions: Yes
Originality Policy: Yes
Single-blind & Not Under Review Elsewhere: Yes
LLM Policy: Yes
Submission Number: 125
Loading