SIRA: Reasoning-Aware Surgical Instrument Segmentation via Query-Anchored Alignment

arXiv:2609.21402 · cs.CV · Submitted 2026-09-18 · Read on arXiv

cs.CV

Submitted: 2026-09-18

Updated: 2026-09-18

Code: https://github.com/linxir226/SIRA

Terminology

• Alignment — 18× in this paper · explained in 1 episode
• Surgical Instrument Segmentation — 17× in this paper
• Embeddings — 11× in this paper · explained in 2 episodes
• Benchmark — 7× in this paper · explained in 2 episodes
• Consistency — 5× in this paper · explained in 3 episodes
• Transformer — 5× in this paper · explained in 2 episodes
• Ablation — 3× in this paper · explained in 1 episode
• Grounding — 3× in this paper · explained in 3 episodes
• Adaptation — 2× in this paper · explained in 1 episode
• Segmentation Masks — 2× in this paper · explained in 2 episodes
• Ablation study — 1× in this paper · explained in 1 episode
• Accuracy — 1× in this paper · explained in 1 episode
• AdamW Optimizer — 1× in this paper · explained in 1 episode
• Domain Adaptation — 1× in this paper · explained in 5 episodes
• Latent Space — 1× in this paper · explained in 7 episodes
• Query-to-Visual Alignment — 1× in this paper
• Robustness — 1× in this paper · explained in 5 episodes
• Surgical Instrument Reasoning and Segmentation Assistant — 1× in this paper
• Target-to-Query Alignment — 1× in this paper
• Temporal consistency — 1× in this paper · explained in 2 episodes

Sources

• SurgicalPart-SAM: Part-to-Whole Collaborative Prompting for Surgical Instrument Segmentation
• Seg-Zero: Reasoning-Chain Guided Segmentation via Cognitive Reinforcement
• PathMR: Multimodal Visual Reasoning for Interpretable Pathology Diagnosis
• SAM 2: Segment Anything in Images and Videos
• SurgVLM: A Large Vision-Language Model and Systematic Evaluation Benchmark for Surgical Intelligence
• 2017 Robotic Instrument Segmentation Challenge
• 2018 Robotic Scene Segmentation Challenge
• SAR-RARP50: Segmentation of surgical instrumentation and Action Recognition on Robot-Assisted Radical Prostatectomy Challenge
• Video Dataset for Surgical Phase, Keypoint, and Instrument Recognition in Laparoscopic Surgery (PhaKIR)
• Surgical Visual Understanding (SurgVU) Dataset

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