SurgViVQA: Temporally-Grounded Video Question Answering for Surgical Scene Understanding

Fuente: arXiv
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Autores principales: Drago, Mauro Orazio, Carlini, Luca, Balyemez, Pelinsu Celebi, Pierantozzi, Dennis, Lena, Chiara, Hassan, Cesare, Stoyanov, Danail, De Momi, Elena, Bano, Sophia, Hoque, Mobarak I.
Formato: Preprint
Publicado: 2025
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author Drago, Mauro Orazio
Carlini, Luca
Balyemez, Pelinsu Celebi
Pierantozzi, Dennis
Lena, Chiara
Hassan, Cesare
Stoyanov, Danail
De Momi, Elena
Bano, Sophia
Hoque, Mobarak I.
author_facet Drago, Mauro Orazio
Carlini, Luca
Balyemez, Pelinsu Celebi
Pierantozzi, Dennis
Lena, Chiara
Hassan, Cesare
Stoyanov, Danail
De Momi, Elena
Bano, Sophia
Hoque, Mobarak I.
contents Video Question Answering (VideoQA) in the surgical domain aims to enhance intraoperative understanding by enabling AI models to reason over temporally coherent events rather than isolated frames. Current approaches are limited to static image features, and available datasets often lack temporal annotations, ignoring the dynamics critical for accurate procedural interpretation. We propose SurgViVQA, a surgical VideoQA model that extends visual reasoning from static images to dynamic surgical scenes. It uses a Masked Video--Text Encoder to fuse video and question features, capturing temporal cues such as motion and tool--tissue interactions, which a fine-tuned large language model (LLM) then decodes into coherent answers. To evaluate its performance, we curated REAL-Colon-VQA, a colonoscopic video dataset that includes motion-related questions and diagnostic attributes, as well as out-of-template questions with rephrased or semantically altered formulations to assess model robustness. Experimental validation on REAL-Colon-VQA and the public EndoVis18-VQA dataset shows that SurgViVQA outperforms existing image-based VQA benchmark models, particularly in keyword accuracy, improving over PitVQA by +11\% on REAL-Colon-VQA and +9\% on EndoVis18-VQA. A perturbation study on the questions further confirms improved generalizability and robustness to variations in question phrasing. SurgViVQA and the REAL-Colon-VQA dataset provide a framework for temporally-aware understanding in surgical VideoQA, enabling AI models to interpret dynamic procedural contexts more effectively. Code and dataset available at https://github.com/madratak/SurgViVQA.
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spellingShingle SurgViVQA: Temporally-Grounded Video Question Answering for Surgical Scene Understanding
Drago, Mauro Orazio
Carlini, Luca
Balyemez, Pelinsu Celebi
Pierantozzi, Dennis
Lena, Chiara
Hassan, Cesare
Stoyanov, Danail
De Momi, Elena
Bano, Sophia
Hoque, Mobarak I.
Computer Vision and Pattern Recognition
Video Question Answering (VideoQA) in the surgical domain aims to enhance intraoperative understanding by enabling AI models to reason over temporally coherent events rather than isolated frames. Current approaches are limited to static image features, and available datasets often lack temporal annotations, ignoring the dynamics critical for accurate procedural interpretation. We propose SurgViVQA, a surgical VideoQA model that extends visual reasoning from static images to dynamic surgical scenes. It uses a Masked Video--Text Encoder to fuse video and question features, capturing temporal cues such as motion and tool--tissue interactions, which a fine-tuned large language model (LLM) then decodes into coherent answers. To evaluate its performance, we curated REAL-Colon-VQA, a colonoscopic video dataset that includes motion-related questions and diagnostic attributes, as well as out-of-template questions with rephrased or semantically altered formulations to assess model robustness. Experimental validation on REAL-Colon-VQA and the public EndoVis18-VQA dataset shows that SurgViVQA outperforms existing image-based VQA benchmark models, particularly in keyword accuracy, improving over PitVQA by +11\% on REAL-Colon-VQA and +9\% on EndoVis18-VQA. A perturbation study on the questions further confirms improved generalizability and robustness to variations in question phrasing. SurgViVQA and the REAL-Colon-VQA dataset provide a framework for temporally-aware understanding in surgical VideoQA, enabling AI models to interpret dynamic procedural contexts more effectively. Code and dataset available at https://github.com/madratak/SurgViVQA.
title SurgViVQA: Temporally-Grounded Video Question Answering for Surgical Scene Understanding
topic Computer Vision and Pattern Recognition
url https://arxiv.org/abs/2511.03325