Collaborative surgical instrument segmentation for monocular depth estimation in minimally invasive surgery.

Li, Xue; Chen, Wenxin; Duan, Xingguang; Gu, Xiaoyi; Li, Changsheng · Med Image Anal · 2025

basic_science · Level V

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Abstract

Depth estimation is essential for image-guided surgical procedures, particularly in minimally invasive environments where accurate 3D perception is critical. This paper proposes a two-stage self-supervised monocular depth estimation framework that incorporates instrument segmentation as a task-level prior to enhance spatial understanding. In the first stage, segmentation and depth estimation models are trained separately on the RIS, SCARED datasets to capture task-specific representations. In the second stage, segmentation masks predicted on the dVPN dataset are fused with RGB inputs to guide the refinement of depth prediction. The framework employs a shared encoder and multiple decoders to enable efficient feature sharing across tasks. Comprehensive experiments on the RIS, SCARED, dVPN, and SERV-CT datasets validate the effectiveness and generalizability of the proposed approach. The results demonstrate that segmentation-aware depth estimation improves geometric reasoning in challenging surgical scenes, including those with occlusions, specularities regions.

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