๐ค AI Summary
Endoscopic surgical video indexing has long relied on inefficient manual annotation, while the scarcity of publicly available, densely annotated datasets severely hinders the development of automated methods.
Method: We introduce TEMS, the first public 24K-scale dataset of fine-grained endoscopic surgical video snippets, annotated using a hierarchical โphaseโtaskโactionโ triadic schema co-designed with clinical experts to enable precise, interpretable, and openly shareable surgical workflow modeling. We propose STALNet, an end-to-end framework integrating ConvNeXt, ViT, and Swin V2 encoders to jointly perform surgical phase segmentation and multi-granularity temporal localization.
Contribution/Results: STALNet achieves 0.99 accuracy and F1 score on critical phases (e.g., Setup, Suturing), substantially advancing automated surgical video indexing. TEMS fills a critical gap in high-quality, expert-validated annotations and establishes a new benchmark and methodological paradigm for surgical video understanding.
๐ Abstract
Indexing endoscopic surgical videos is vital in surgical data science, forming the basis for systematic retrospective analysis and clinical performance evaluation. Despite its significance, current video analytics rely on manual indexing, a time-consuming process. Advances in computer vision, particularly deep learning, offer automation potential, yet progress is limited by the lack of publicly available, densely annotated surgical datasets. To address this, we present TEMSET-24K, an open-source dataset comprising 24,306 trans-anal endoscopic microsurgery (TEMS) video micro-clips. Each clip is meticulously annotated by clinical experts using a novel hierarchical labeling taxonomy encompassing phase, task, and action triplets, capturing intricate surgical workflows. To validate this dataset, we benchmarked deep learning models, including transformer-based architectures. Our in silico evaluation demonstrates high accuracy (up to 0.99) and F1 scores (up to 0.99) for key phases like Setup and Suturing. The STALNet model, tested with ConvNeXt, ViT, and SWIN V2 encoders, consistently segmented well-represented phases. TEMSET-24K provides a critical benchmark, propelling state-of-the-art solutions in surgical data science.