cs.CVMar 26, 2026

SurgPhase: Time efficient pituitary tumor surgery phase recognition via an interactive web platform

Authors: Yan Meng, Jack Cook, X. Y. Han, Kaan Duman, Shauna Otto, Dhiraj Pangal, Jonathan Chainey, Ruth Lau, 

Organizations: Children’s National Hospital, 111 Michigan Ave NW, Washington, 20010, DC, USA · Surgical Data Science Collective, 2000 Pennsylvania Ave. NW, Suite 7000, Washington, 20006, DC, USA · Booth School of Business, University of Chicago, 5807 S Woodlawn Ave, Chicago, 60637, IL, USA · Stanford University School of Medicine, 300 Pasteur Drive, Stanford, 94305, CA, USA · 

Abstract

Accurate surgical phase recognition is essential for analyzing procedural workflows, supporting intraoperative decision-making, and enabling data-driven improvements in surgical education and performance evaluation. In this work, we present a comprehensive framework for phase recognition in pituitary tumor surgery (PTS) videos, combining self-supervised representation learning, robust temporal modeling, and scalable data annotation strategies. Our method achieves 90% accuracy on a held-out test set, outperforming current state-of-the-art approaches and demonstrating strong generalization across variable surgical cases. A central contribution of this work is the integration of a collaborative online platform designed for surgeons to upload surgical videos, receive automated phase analysis, and contribute to a growing dataset. This platform not only facilitates large-scale data collection but also fosters knowledge sharing and continuous model improvement. To address the challenge of limited labeled data, we pretrain a ResNet-50 model using the self-supervised framework on 251 unlabeled PTS videos, enabling the extraction of high-quality feature representations. Fine-tuning is performed on a labeled dataset of 81 procedures using a modified training regime that incorporates focal loss, gradual layer unfreezing, and dynamic sampling to address class imbalance and procedural variability.

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