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MuST: Multi-scale Transformers for Surgical Phase Recognition

Alejandra Pérez, Santiago Rodríguez, Nicolás Ayobi, Nicolás Aparicio, Eugénie Dessevres, Pablo Arbeláez

MICCAI (2024)

Abstract

Phase recognition in surgical videos is crucial for enhancing
computer-aided surgical systems as it enables automated understand-
ing of sequential procedural stages. Existing methods often rely on fixed
temporal windows for video analysis to identify dynamic surgical phases.
Thus, they struggle to simultaneously capture short-, mid-, and long-
term information necessary to fully understand complex surgical pro-
cedures. To address these issues, we propose Multi-Scale Transformers
for Surgical Phase Recognition (MuST), a novel Transformer-based ap-
proach that combines a Multi-Term Frame encoder with a Temporal Con-
sistency Module to capture information across multiple temporal scales
of a surgical video. Our Multi-Term Frame Encoder computes interde-
pendencies across a hierarchy of temporal scales by sampling sequences at
increasing strides around the frame of interest. Furthermore, we employ
a long-term Transformer encoder over the frame embeddings to further
enhance long-term reasoning. MuST achieves higher performance than
previous state-of-the-art methods on three different public benchmarks.