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Paper · arXiv

SIRA: Reasoning-Aware Surgical Instrument Segmentation via Query-Anchored Alignment

Surgical instrument segmentation (SIS) plays a critical role in robotic assistance and surgical workflow analysis. However, most existing SIS methods formulate segmentation as a category-driven localization problem, limiting their ability to capture procedural context and task-dependent semantics in surgical workflows. We introduce Reasoning-Aware Surgical Instrument Segmentation (RA-SIS), a task formulation that frames segmentation as query-conditioned inference under surgical context. To benchmark this setting, we construct SurgRS, a surgical reasoning segmentation dataset consisting of 41,000 image-text pairs, which aligns instance-level masks with structured query-answer supervision t...

AuthorsZhibo Zhang, Qijie Wang, Zengqiang Yan
Primary categorycs.CV
Published18 September 2026
Last updated at source18 September 2026
cs.CV
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