Margaux Masson-Forsythe

Yan Meng, Jack Cook, X. Y. Han et al.

Accurate surgical phase recognition is essential for analyzing procedural workflows, supporting intraoperative decision-making, and enabling data-driven improvements in surgical education and performance evaluation. In this work, we present a comprehensive framework for phase recognition in pituitary tumor surgery (PTS) videos, combining self-supervised representation learning, robust temporal modeling, and scalable data annotation strategies. Our method achieves 90\% accuracy on a held-out test set, outperforming current state-of-the-art approaches and demonstrating strong generalization across variable surgical cases. A central contribution of this work is the integration of a collaborative online platform designed for surgeons to upload surgical videos, receive automated phase analysis, and contribute to a growing dataset. This platform not only facilitates large-scale data collection but also fosters knowledge sharing and continuous model improvement. To address the challenge of limited labeled data, we pretrain a ResNet-50 model using the self-supervised framework on 251 unlabeled PTS videos, enabling the extraction of high-quality feature representations. Fine-tuning is performed on a labeled dataset of 81 procedures using a modified training regime that incorporates focal loss, gradual layer unfreezing, and dynamic sampling to address class imbalance and procedural variability.

Björn Lütjens, Brandon Leshchinskiy, Océane Boulais et al.

Deep generative vision models are now able to synthesize realistic-looking satellite imagery. But, the possibility of hallucinations prevents their adoption for risk-sensitive applications, such as generating materials for communicating climate change. To demonstrate this issue, we train a generative adversarial network (pix2pixHD) to create synthetic satellite imagery of future flooding and reforestation events. We find that a pure deep learning-based model can generate photorealistic flood visualizations but hallucinates floods at locations that were not susceptible to flooding. To address this issue, we propose to condition and evaluate generative vision models on segmentation maps of physics-based flood models. We show that our physics-conditioned model outperforms the pure deep learning-based model and a handcrafted baseline. We evaluate the generalization capability of our method to different remote sensing data and different climate-related events (reforestation). We publish our code and dataset which includes the data for a third case study of melting Arctic sea ice and $>$30,000 labeled HD image triplets -- or the equivalent of 5.5 million images at 128x128 pixels -- for segmentation guided image-to-image translation in Earth observation. Code and data is available at \url{https://github.com/blutjens/eie-earth-public}.

Kirill Skobelev, Eric Fithian, Yegor Baranovski et al.

Recent Artificial Intelligence (AI) models have matched or exceeded human experts in several benchmarks of biomedical task performance, but have lagged behind on surgical image-analysis benchmarks. Since surgery requires integrating disparate tasks -- including multimodal data integration, human interaction, and physical effects -- generally-capable AI models could be particularly attractive as a collaborative tool if performance could be improved. On the one hand, the canonical approach of scaling architecture size and training data is attractive, especially since there are millions of hours of surgical video data generated per year. On the other hand, preparing surgical data for AI training requires significantly higher levels of professional expertise, and training on that data requires expensive computational resources. These trade-offs paint an uncertain picture of whether and to-what-extent modern AI could aid surgical practice. In this paper, we explore this question through a case study of surgical tool detection using state-of-the-art AI methods available in 2026. We demonstrate that even with multi-billion parameter models and extensive training, current Vision Language Models fall short in the seemingly simple task of tool detection in neurosurgery. Additionally, we show scaling experiments indicating that increasing model size and training time only leads to diminishing improvements in relevant performance metrics. Thus, our experiments suggest that current models could still face significant obstacles in surgical use cases. Moreover, some obstacles cannot be simply ``scaled away'' with additional compute and persist across diverse model architectures, raising the question of whether data and label availability are the only limiting factors. We discuss the main contributors to these constraints and advance potential solutions.