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arXiv:2611.04012 · v1

SurgEye: Instruction Tuning-Free Perception-Reasoning Framework for Surgical Scene Understanding

首次提交 2026-11-03 05:53
版本更新 2026-11-03 05:53
雷达观测 2026-11-04 23:40
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摘要

Surgical scene understanding is pivotal for computer-assisted intervention, yet demands compositional reasoning across instruments, anatomy, and workflow. Existing surgical vision-language models rely on instruction tuning with large-scale question-answer pairs, entailing laborious data curation and costly retraining. To bridge this gap, we propose SurgEye, a perception-reasoning framework that grounds reasoning in a vision foundation model without instruction tuning. Specifically, we devise Routed Multi-Task Perception (RMP) that routes the vision foundation model through task-specific pathways learned from public perception labels, producing spatial and temporal evidence. We further introduce Agentic Compositional Reasoning (ACR) that employs a frozen large language model to coordinate RMP specialists and temporal memory as callable tools, composing evidence across tasks and time into grounded answers. Moreover, we construct SurgEye-Bench spanning eight surgical procedures, pairing each question with perception labels for verifiable evaluation. Extensive experiments demonstrate that SurgEye outperforms state-of-the-arts in surgical reasoning. The source code will be available.

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v1 · 2026-11-03 05:53 · 最新观测版本

SurgEye: Instruction Tuning-Free Perception-Reasoning Framework for Surgical Scene Understanding

Surgical scene understanding is pivotal for computer-assisted intervention, yet demands compositional reasoning across instruments, anatomy, and workflow. Existing surgical vision-language models rely on instruction tuning with large-scale question-answer pairs, entailing laborious data curation and costly retraining. To bridge this gap, we propose SurgEye, a perception-reasoning framework that grounds reasoning in a vision foundation model without instruction tuning. Specifically, we devise Routed Multi-Task Perception (RMP) that routes the vision foundation model through task-specific pathways learned from public perception labels, producing spatial and temporal evidence. We further introduce Agentic Compositional Reasoning (ACR) that employs a frozen large language model to coordinate RMP specialists and temporal memory as callable tools, composing evidence across tasks and time into grounded answers. Moreover, we construct SurgEye-Bench spanning eight surgical procedures, pairing each question with perception labels for verifiable evaluation. Extensive experiments demonstrate that SurgEye outperforms state-of-the-arts in surgical reasoning. The source code will be available.

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