Action-grounded tissue affordance enables anticipatory auto-framing that lowers surgeon cognitive workload during laparoscopic surgery

Computational attention models could help surgeons manage the visual demands of laparoscopy, but they require dense spatial labels that are difficult to obtain because surgical intent is highly specialized and tacit. Here, we introduce DiffeoAfford, an action-grounded tissue affordance framework that retrospectively derives visual attention supervision from completed surgical procedures. By combining diffeomorphism-constrained tissue tracking with instrument trajectory analysis, DiffeoAfford generates affordance hotspot labels without manual per-frame annotation. A real-time prediction model trained on these labels anticipates relevant surgical regions and enables AffordView, an assistive auto-framing system for laparoscopic visualization. The proposed framework aligns with expert annotations and intraoperative surgeon gaze, and reduces surgeon cognitive workload during real-world evaluations using subjective, physiological, and behavioral measures.

Leveraging Surgical Activity Grammar for Primary Intention Prediction in Laparoscopy Procedures

Surgical procedures are inherently complex and dynamic, with intricate dependencies and various execution paths. Accurate identification of the intentions behind critical actions, referred to as Primary Intentions (PIs), is crucial to understanding and planning the procedure. This paper presents a novel framework that advances PI recognition in instructional videos by combining top-down grammatical structure with bottom-up visual cues. The grammatical structure is based on a rich corpus of surgical procedures, offering a hierarchical perspective on surgical activities. A grammar parser, utilizing the surgical activity grammar, processes visual data obtained from laparoscopic images through surgical action detectors, ensuring a more precise interpretation of the visual information. Experimental results on the benchmark dataset demonstrate that our method outperforms existing surgical activity detectors that rely solely on visual features. Our research provides a promising foundation for developing advanced robotic surgical systems with enhanced planning and automation capabilities.