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Paper · arXiv

A Hierarchy-Aware Video-Language Model Evaluation and Hyperbolic Baseline for Surgery

Surgical procedures follow a phase-to-step hierarchy, yet the video-language models used to recognize them are evaluated with flat per-level metrics that ignore cross-level coherence and error structure. In this paper we make two contributions to address this problem, (i) we introduce SurgHiBench, the first hierarchy-aware evaluation suite for surgical video understanding, with three tasks measuring recognition, consistency, and severity across granularity levels. We evaluate a general-purpose CLIP model, a Euclidean surgical model, and, as second contribution: (ii) HyperSurg, a new hyperbolic model that enforces phase-step containment via entailment cones, across four (existing) datasets...

AuthorsAna Manzano Rodríguez, Pascal Mettes, Marlies P. Schijven et al.
Primary categorycs.CV
Published22 September 2026
Last updated at source22 September 2026
cs.CVcs.AI
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