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原文摘要

Intraoperative bleeding in laparoscopic surgery causes rapid obscuration of the operative field to hinder the surgical process and increases the risk of postoperative complications. Intelligent detection of bleeding areas can quantify the blood loss to assist decision-making, while locating bleeding points helps surgeons quickly identify the source of bleeding and achieve hemostasis in time to improve surgical success rates. To fill the benchmark gap, we first construct a real-world laparoscopic surgical bleeding detection dataset, named SurgBlood, comprising 5,330 frames from 95 surgical video clips with bleeding region and point annotations. Accordingly, we develop a dual-task synergistic online detector called BlooDet, enabling simultaneous detection of bleeding regions and points in laparoscopic surgery. The baseline embraces a dual-branch bidirectional guidance design based on Segment Anything Model 2. The mask branch detects bleeding regions through adaptive edge and point prompt embeddings, while the point branch leverages mask memory to induce bleeding point memory modeling and captures point motion direction via inter-frame optical flow. By coupled bidirectional guidance, our framework explores spatial-temporal correlations while exploiting memory modeling to infer current bleeding status. Extensive experiments indicate that our method outperforms 13 counterparts in bleeding detection. Code and data are available at https://github.com/PJLallen/SurgBlood.