Saurav Sharma

Saurav Sharma, Chinedu Innocent Nwoye, Didier Mutter et al.

Surgical action triplets describe instrument-tissue interactions as (instrument, verb, target) combinations, thereby supporting a detailed analysis of surgical scene activities and workflow. This work focuses on surgical action triplet detection, which is challenging but more precise than the traditional triplet recognition task as it consists of joint (1) localization of surgical instruments and (2) recognition of the surgical action triplet associated with every localized instrument. Triplet detection is highly complex due to the lack of spatial triplet annotation. We analyze how the amount of instrument spatial annotations affects triplet detection and observe that accurate instrument localization does not guarantee better triplet detection due to the risk of erroneous associations with the verbs and targets. To solve the two tasks, we propose MCIT-IG, a two-stage network, that stands for Multi-Class Instrument-aware Transformer-Interaction Graph. The MCIT stage of our network models per class embedding of the targets as additional features to reduce the risk of misassociating triplets. Furthermore, the IG stage constructs a bipartite dynamic graph to model the interaction between the instruments and targets, cast as the verbs. We utilize a mixed-supervised learning strategy that combines weak target presence labels for MCIT and pseudo triplet labels for IG to train our network. We observed that complementing minimal instrument spatial annotations with target embeddings results in better triplet detection. We evaluate our model on the CholecT50 dataset and show improved performance on both instrument localization and triplet detection, topping the leaderboard of the CholecTriplet challenge in MICCAI 2022.

Saurav Sharma, Chinedu Innocent Nwoye, Didier Mutter et al.

Surgical future prediction, driven by real-time AI analysis of surgical video, is critical for operating room safety and efficiency. It provides actionable insights into upcoming events, their timing, and risks-enabling better resource allocation, timely instrument readiness, and early warnings for complications (e.g., bleeding, bile duct injury). Despite this need, current surgical AI research focuses on understanding what is happening rather than predicting future events. Existing methods target specific tasks in isolation, lacking unified approaches that span both short-term (action triplets, events) and long-term horizons (remaining surgery duration, phase transitions). These methods rely on coarse-grained supervision while fine-grained surgical action triplets and steps remain underexplored. Furthermore, methods based only on future feature prediction struggle to generalize across different surgical contexts and procedures. We address these limits by reframing surgical future prediction as state-change learning. Rather than forecasting raw observations, our approach classifies state transitions between current and future timesteps. We introduce SurgFUTR, implementing this through a teacher-student architecture. Video clips are compressed into state representations via Sinkhorn-Knopp clustering; the teacher network learns from both current and future clips, while the student network predicts future states from current videos alone, guided by our Action Dynamics (ActDyn) module. We establish SFPBench with five prediction tasks spanning short-term (triplets, events) and long-term (remaining surgery duration, phase and step transitions) horizons. Experiments across four datasets and three procedures show consistent improvements. Cross-procedure transfer validates generalizability.

Srijan Das, Saurav Sharma, Rui Dai et al.

In this paper, we focus on the spatio-temporal aspect of recognizing Activities of Daily Living (ADL). ADL have two specific properties (i) subtle spatio-temporal patterns and (ii) similar visual patterns varying with time. Therefore, ADL may look very similar and often necessitate to look at their fine-grained details to distinguish them. Because the recent spatio-temporal 3D ConvNets are too rigid to capture the subtle visual patterns across an action, we propose a novel Video-Pose Network: VPN. The 2 key components of this VPN are a spatial embedding and an attention network. The spatial embedding projects the 3D poses and RGB cues in a common semantic space. This enables the action recognition framework to learn better spatio-temporal features exploiting both modalities. In order to discriminate similar actions, the attention network provides two functionalities - (i) an end-to-end learnable pose backbone exploiting the topology of human body, and (ii) a coupler to provide joint spatio-temporal attention weights across a video. Experiments show that VPN outperforms the state-of-the-art results for action classification on a large scale human activity dataset: NTU-RGB+D 120, its subset NTU-RGB+D 60, a real-world challenging human activity dataset: Toyota Smarthome and a small scale human-object interaction dataset Northwestern UCLA.