Beyond Rigid AI: Towards Natural Human-Machine Symbiosis for Interoperative Surgical Assistance

Fuente: arXiv
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Main Authors: Seenivasan, Lalithkumar, Xu, Jiru, Mukul, Roger D. Soberanis, Ding, Hao, Byrd, Grayson, Ku, Yu-Chun, Porras, Jose L., Ishii, Masaru, Unberath, Mathias
Format: Preprint
Published: 2025
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author Seenivasan, Lalithkumar
Xu, Jiru
Mukul, Roger D. Soberanis
Ding, Hao
Byrd, Grayson
Ku, Yu-Chun
Porras, Jose L.
Ishii, Masaru
Unberath, Mathias
author_facet Seenivasan, Lalithkumar
Xu, Jiru
Mukul, Roger D. Soberanis
Ding, Hao
Byrd, Grayson
Ku, Yu-Chun
Porras, Jose L.
Ishii, Masaru
Unberath, Mathias
contents Emerging surgical data science and robotics solutions, especially those designed to provide assistance in situ, require natural human-machine interfaces to fully unlock their potential in providing adaptive and intuitive aid. Contemporary AI-driven solutions remain inherently rigid, offering limited flexibility and restricting natural human-machine interaction in dynamic surgical environments. These solutions rely heavily on extensive task-specific pre-training, fixed object categories, and explicit manual-prompting. This work introduces a novel Perception Agent that leverages speech-integrated prompt-engineered large language models (LLMs), segment anything model (SAM), and any-point tracking foundation models to enable a more natural human-machine interaction in real-time intraoperative surgical assistance. Incorporating a memory repository and two novel mechanisms for segmenting unseen elements, Perception Agent offers the flexibility to segment both known and unseen elements in the surgical scene through intuitive interaction. Incorporating the ability to memorize novel elements for use in future surgeries, this work takes a marked step towards human-machine symbiosis in surgical procedures. Through quantitative analysis on a public dataset, we show that the performance of our agent is on par with considerably more labor-intensive manual-prompting strategies. Qualitatively, we show the flexibility of our agent in segmenting novel elements (instruments, phantom grafts, and gauze) in a custom-curated dataset. By offering natural human-machine interaction and overcoming rigidity, our Perception Agent potentially brings AI-based real-time assistance in dynamic surgical environments closer to reality.
format Preprint
id arxiv_https___arxiv_org_abs_2507_23088
institution arXiv
publishDate 2025
record_format arxiv
spellingShingle Beyond Rigid AI: Towards Natural Human-Machine Symbiosis for Interoperative Surgical Assistance
Seenivasan, Lalithkumar
Xu, Jiru
Mukul, Roger D. Soberanis
Ding, Hao
Byrd, Grayson
Ku, Yu-Chun
Porras, Jose L.
Ishii, Masaru
Unberath, Mathias
Robotics
Artificial Intelligence
Human-Computer Interaction
Emerging surgical data science and robotics solutions, especially those designed to provide assistance in situ, require natural human-machine interfaces to fully unlock their potential in providing adaptive and intuitive aid. Contemporary AI-driven solutions remain inherently rigid, offering limited flexibility and restricting natural human-machine interaction in dynamic surgical environments. These solutions rely heavily on extensive task-specific pre-training, fixed object categories, and explicit manual-prompting. This work introduces a novel Perception Agent that leverages speech-integrated prompt-engineered large language models (LLMs), segment anything model (SAM), and any-point tracking foundation models to enable a more natural human-machine interaction in real-time intraoperative surgical assistance. Incorporating a memory repository and two novel mechanisms for segmenting unseen elements, Perception Agent offers the flexibility to segment both known and unseen elements in the surgical scene through intuitive interaction. Incorporating the ability to memorize novel elements for use in future surgeries, this work takes a marked step towards human-machine symbiosis in surgical procedures. Through quantitative analysis on a public dataset, we show that the performance of our agent is on par with considerably more labor-intensive manual-prompting strategies. Qualitatively, we show the flexibility of our agent in segmenting novel elements (instruments, phantom grafts, and gauze) in a custom-curated dataset. By offering natural human-machine interaction and overcoming rigidity, our Perception Agent potentially brings AI-based real-time assistance in dynamic surgical environments closer to reality.
title Beyond Rigid AI: Towards Natural Human-Machine Symbiosis for Interoperative Surgical Assistance
topic Robotics
Artificial Intelligence
Human-Computer Interaction
url https://arxiv.org/abs/2507.23088