CVAISep 15, 2025

Microsurgical Instrument Segmentation for Robot-Assisted Surgery

arXiv:2509.11727v1h-index: 1Has Code
Originality Incremental advance
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This work addresses the problem of accurate instrument segmentation for robot-assisted microsurgery, representing an incremental advancement in domain-specific scene understanding.

The paper tackles the challenge of segmenting thin structures in microsurgical scenes by proposing MISRA, a framework that improves mean class IoU by 5.37% over competing methods, enhancing stability at instrument contacts and overlaps.

Accurate segmentation of thin structures is critical for microsurgical scene understanding but remains challenging due to resolution loss, low contrast, and class imbalance. We propose Microsurgery Instrument Segmentation for Robotic Assistance(MISRA), a segmentation framework that augments RGB input with luminance channels, integrates skip attention to preserve elongated features, and employs an Iterative Feedback Module(IFM) for continuity restoration across multiple passes. In addition, we introduce a dedicated microsurgical dataset with fine-grained annotations of surgical instruments including thin objects, providing a benchmark for robust evaluation Dataset available at https://huggingface.co/datasets/KIST-HARILAB/MISAW-Seg. Experiments demonstrate that MISRA achieves competitive performance, improving the mean class IoU by 5.37% over competing methods, while delivering more stable predictions at instrument contacts and overlaps. These results position MISRA as a promising step toward reliable scene parsing for computer-assisted and robotic microsurgery.

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