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原文摘要

Recognizing anatomical structures during minimally invasive surgery (MIS) could support intraoperative navigation and improve patient safety, but progress is limited by small, single-procedure datasets and by segmentation methods developed for natural scenes. This work addresses both limitations through a new dataset and model. First, we introduce ATLAS-120k, a clip-level semantic segmentation dataset of 121,018 annotated frames from 100 surgical videos, covering 14 laparoscopic and robot-assisted procedures and 41 classes. Annotations were created with a pipeline that combines manual labeling, tracker-based propagation, and review by surgeons. Second, we propose ATLAS (Anatomy Recognition with Context Learning using Foundation Representations), a video semantic segmentation model for surgical anatomy recognition. ATLAS builds on in-domain foundation-model embeddings and adds context queries for the procedure and surgical phase, together with query propagation between frames for short-term memory. ATLAS outperforms state-of-the-art natural-image and in-domain foundation models in both segmentation accuracy and temporal consistency, achieving a Dice score of 0.70 with ViT-L while running in real time at 76.2 FPS. Ablations show that the context queries improve accuracy and that query propagation improves temporal consistency. ATLAS also generalizes well, matching a dedicated model zero-shot on CholecSeg8k and improving phase recognition on AutoLaparo over SurgeNet initialization. The model weights, dataset annotations, and annotation tool are publicly available at https://github.com/TimJaspers0801/ATLAS.