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Paper · arXiv

SurgStreamer: proactive, request-driven monitoring of surgical video streams with structured state and a reusable reasoning layer

Surgical teams could benefit from assistants that watch the video for requested events, such as "tell me when the clip applier appears during Calot triangle dissection", and answer questions about what has already happened. We formalise this task as request-driven event detection with exact semantics and causal alert decisions, and present SurgStreamer. It separates procedure-specific perception, which maps the 1-FPS stream to a structured state over tools, actions and phases, from procedure-agnostic reasoning, which evaluates a formal monitoring condition over this state and an event memory, either with exact rules or with a small controller that addresses entities through pointers rathe...

AuthorsBowen Xiang, Jon S. Heiselman, Michael I. Miga
Primary categorycs.CV
Published15 October 2026
Last updated at source15 October 2026
cs.CV
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