Abstract:Multi-object tracking (MOT) has traditionally focused on estimating trajectories of all objects in a video, without selectively reasoning about user-specified targets under semantic instructions. In this work, we introduce a query-driven tracking paradigm that formulates tracking as a spatiotemporal reasoning problem conditioned on natural language queries. Given a reference frame, a video sequence, and a textual query, the goal is to localize and track only the target(s) specified in the query while maintaining temporal coherence and identity consistency. To support this setting, we construct RMOT26, a large-scale benchmark with grounded queries and sequence-level splits to prevent identity leakage and enable robust evaluation of generalization. We further present QTrack, an end-to-end vision-language model that integrates multimodal reasoning with tracking-oriented localization. Additionally, we introduce a Temporal Perception-Aware Policy Optimization strategy with structured rewards to encourage motion-aware reasoning. Extensive experiments demonstrate the effectiveness of our approach for reasoning-centric, language-guided tracking. Code and data are available at https://github.com/gaash-lab/QTrack
Abstract:Clinically reliable perception of surgical scenes is essential for advancing intelligent, context-aware intraoperative assistance such as instrument handoff guidance, collision avoidance, and workflow-aware robotic support. Existing surgical tool benchmarks primarily evaluate category-level segmentation, requiring models to detect all instances of predefined instrument classes. However, real-world clinical decisions often require resolving references to a specific instrument instance based on its functional role, spatial relation, or anatomical interaction capabilities not captured by current evaluation paradigms. We introduce GroundedSurg, the first language-conditioned, instance-level surgical grounding benchmark. Each instance pairs a surgical image with a natural-language description targeting a single instrument, accompanied by structured spatial grounding annotations including bounding boxes and point-level anchors. The dataset spans ophthalmic, laparoscopic, robotic, and open procedures, encompassing diverse instrument types, imaging conditions, and operative complexities. By jointly evaluating linguistic reference resolution and pixel-level localization, GroundedSurg enables a systematic and realistic evaluation of vision-language models in clinically realistic multi-instrument scenes. Extensive experiments demonstrate substantial performance gaps across modern segmentation and VLMs, highlighting the urgent need for clinically grounded vision-language reasoning in surgical AI systems. Code and data are publicly available at https://github.com/gaash-lab/GroundedSurg