Papers › MuST: Multi-Scale Transformers for Surgical Phase Recognition

MuST: Multi-Scale Transformers for Surgical Phase Recognition

24 Jul 2024arXiv:2407.17361archive 2025-07-28

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

Phase recognition in surgical videos is crucial for enhancing computer-aided surgical systems as it enables automated understanding 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 procedures. To address these issues, we propose Multi-Scale Transformers for Surgical Phase Recognition (MuST), a novel Transformer-based approach that combines a Multi-Term Frame encoder with a Temporal Consistency Module to capture information across multiple temporal scales of a surgical video. Our Multi-Term Frame Encoder computes interdependencies 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.

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Code

BCV-Uniandes/MuST officialmentioned on GitHubpytorch report

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Tasks

Online surgical phase recognitionSurgical phase recognition

Results from the paper archive 2025-07-28

TaskDatasetModelMetricValueRank at snapshotLeaderboardReport
Surgical phase recognition Cholec80 MuST F1 85.57 #3 of 6 Archive leaderboard report
Surgical phase recognition GraSP MuST mAP 79.14 #1 of 2 Archive leaderboard report
Surgical phase recognition HeiChole Benchmark MuST F1 77.25 #1 of 5 Archive leaderboard report
Surgical phase recognition MISAW MuST mAP 98.08 #1 of 3 Archive leaderboard report

Ranks are positions in the archive's leaderboards as they stood at the 2025-07-28 snapshot. Results published since then are not among these rows, so a rank here is not a current standing.

Methods

Absolute Position EncodingsAdamAttentionBPEDense ConnectionsDropoutLabel SmoothingLayer NormalizationLinear LayerMulti-Head AttentionPosition-Wise Feed-Forward LayerResidual ConnectionSoftmaxTransformer

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