IVCVJun 30, 2025

Spatio-Temporal Representation Decoupling and Enhancement for Federated Instrument Segmentation in Surgical Videos

arXiv:2506.23759v23 citationsh-index: 11IEEE Transactions on Medical Imaging
Originality Incremental advance
AI Analysis

This work addresses the challenge of collaborative model training without data centralization for surgical instrument segmentation, which is incremental as it adapts existing FL methods to domain-specific characteristics.

The paper tackles the problem of surgical instrument segmentation in federated learning by proposing a personalized FL scheme that decouples and enhances spatio-temporal representations, achieving improved segmentation performance across multiple surgical sites.

Surgical instrument segmentation under Federated Learning (FL) is a promising direction, which enables multiple surgical sites to collaboratively train the model without centralizing datasets. However, there exist very limited FL works in surgical data science, and FL methods for other modalities do not consider inherent characteristics in surgical domain: i) different scenarios show diverse anatomical backgrounds while highly similar instrument representation; ii) there exist surgical simulators which promote large-scale synthetic data generation with minimal efforts. In this paper, we propose a novel Personalized FL scheme, Spatio-Temporal Representation Decoupling and Enhancement (FedST), which wisely leverages surgical domain knowledge during both local-site and global-server training to boost segmentation. Concretely, our model embraces a Representation Separation and Cooperation (RSC) mechanism in local-site training, which decouples the query embedding layer to be trained privately, to encode respective backgrounds. Meanwhile, other parameters are optimized globally to capture the consistent representations of instruments, including the temporal layer to capture similar motion patterns. A textual-guided channel selection is further designed to highlight site-specific features, facilitating model adapta tion to each site. Moreover, in global-server training, we propose Synthesis-based Explicit Representation Quantification (SERQ), which defines an explicit representation target based on synthetic data to synchronize the model convergence during fusion for improving model generalization.

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