Understanding complex surgical scenes requires recognizing multiple interdependent entities, such as instruments, actions, and targets, while maintaining their relational consistency across time. Existing surgical triplet recognition methods struggle to jointly model intra-frame label dependencies and inter-frame temporal semantics in a unified manner. To address these limitations, we propose a unified framework that integrates spatial, relational, and temporal cues for robust surgical triplet recognition. Specifically, class-specific spatial priors are first extracted through a multi-scale encoder. These priors are then refined by a Label Correlation Modeling module with multi-scale class activation map-guided relational extraction (MS-CAMRE), enabling the model to capture both static co-occurrence patterns and dynamic contextual dependencies among triplet components. Furthermore, a Bidirectional Temporal-Relational Fusion Attention (BTRFA) module harmonizes temporal and relational representations to achieve coherent temporal reasoning. We also introduce a new evaluation metric, the Triplet Consistency Error Rate (TCER), which quantitatively measures the model's ability to preserve causal and semantic consistency across triplets. Extensive experiments on the CholecT45 and ProstaTD datasets show that our method achieves state-of-the-art performance, improving AP_IVT by 5.1 percent and 7.8 percent, respectively. Moreover, according to TCER, our approach achieves relative reductions of more than 36 percent and 25 percent on the two datasets, respectively, demonstrating the effectiveness of our framework in temporal-relational co-reasoning.
Karam Tomotaki-Dawoud, Anna Hilsmann, Peter Eisert +1cs.CV cs.AI
Single-stage video object detectors are increasingly deployed in time-critical applications, yet it remains unclear whether these models genuinely reason over temporal context or merely exploit a single informative frame-a gap hidden by standard metrics, which reward correct predictions regardless of how they are reached. We address this from two complementary directions: first, we propose TemporalLens, a model-agnostic diagnostic framework probing temporal dependence through controlled perturbations, structured occlusions, temporal shuffling, redundancy injection, and resolution degradation, revealing whether a detector actually uses information across time. Applied to stacked-frame 2D detectors and our YOLO-3D architecture, it exposes behavioural differences invisible to mAP: stacked 2D models collapse when the target frame is removed, while spatiotemporal models recover predictions from earlier frames, a signature of real temporal reliance. Second, we detail YOLO-3D, a modular real-time spatiotemporal detector built on YOLOv8, and show that simply preserving temporal depth through the backbone is the dominant performance driver (+3.7 pp mAP@50 at 32 frames averaged across scales). Together, the diagnostics and architecture turn "does this detector reason over time?" into a measurable, actionable question.