Rethinking Low-quality Optical Flow in Unsupervised Surgical Instrument Segmentation

Video-based surgical instrument segmentation plays an important role in robot-assisted surgeries. Unlike supervised settings, unsupervised segmentation relies heavily on motion cues, which are challenging to discern due to the typically lower quality of optical flow in surgical footage compared to natural scenes. This presents a considerable burden for the advancement of unsupervised segmentation techniques. In our work, we address the challenge of enhancing model performance despite the inherent limitations of low-quality optical flow. Our methodology employs a three-pronged approach: extracting boundaries directly from the optical flow, selectively discarding frames with inferior flow quality, and employing a fine-tuning process with variable frame rates. We thoroughly evaluate our strategy on the EndoVis2017 VOS dataset and Endovis2017 Challenge dataset, where our model demonstrates promising results, achieving a mean Intersection-over-Union (mIoU) of 0.75 and 0.72, respectively. Our findings suggest that our approach can greatly decrease the need for manual annotations in clinical environments and may facilitate the annotation process for new datasets. The code is available at https://github.com/wpr1018001/Rethinking-Low-quality-Optical-Flow.git

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