Distilling Temporal Coherence into 2D Networks for Transrectal Ultrasound Prostate Video Segmentation

Transrectal ultrasound (TRUS) imaging is a cost-effective and non-invasive modality widely used in the diagnosis of prostate cancer. The computer-aided diagnosis (CAD) relying on TRUS images has been extensively investigated recently. Compared to static images, TRUS video provides richer spatial-temporal information, which make it a promising alternative for improving the accuracy and robustness of CAD systems. However, TRUS video analysis also introduces new challenges. These include information redundancy, which increases computational costs; high intra- and inter-class similarity, which complicates feature extraction; and a low signal-to-noise ratio, which hinders the identification of clinically relevant information. To address these problems, we propose a heuristic frame selection (HFS) and a three-branch collaborative feature learning network (HFS-TriNet) for prostate cancer classification from TRUS videos. Specifically, selecting a clip of video frames at intervals for training can mitigate redundancy. The HFS strategy dynamically initializes the starting point of each training clip, which ensures that the sampled clips span the entire video sequence. For better feature extraction, besides a regular ResNet50 branch, we also utilize 1) a large model branch based a pre-trained medical segment anything model (SAM) to extract deep features of each frame and a normalization-based attention module to explore the temporal consistency; and 2) a wavelet transform convolutional residual (WTCR) branch that extracts lesion edge information in the high-frequency domain and performs denoising in the low-frequency domain.

Abdominal ultrasound is indispensable for rapid, noninvasive trauma triage. However, interpreting the subtle dynamic cues embedded in continuous scanning is time-intensive and operator-dependent. Parameter-Efficient Image-to-Video Transfer Learning (PEIVTL), which efficiently adapts pre-trained image models to the video domain, notably through visual-textual alignment, offers a promising paradigm for ultrasound video analysis. Nevertheless, substantial spatiotemporal and semantic variations arising from physician-dependent scanning practices continue to limit the effectiveness and generalizability of this framework. We propose TRUST, a scan-aware PEIVTL framework that explicitly models fine-grained spatiotemporal variations to enable reliable ultrasound video understanding. First, we introduce a Cross-Frequency Collaborative Adapter (CFCA) that establishes mutual constraints between low- and high-frequency components, enhancing discriminative spatial feature extraction under heavy speckle corruption. Second, we design a Multi-Granularity Motion-Aware (MGMA) module that integrates local temporal convolutions with motion-prior-guided global self-attention, jointly capturing stable intra-view patterns and abrupt inter-view transitions to characterize complex scanning dynamics. Third, a Visual Query Semantic Aggregation (VQSA) module dynamically generates text prototypes conditioned on visual features, enabling adaptive visual-textual alignment robust to intra-class variability under diverse scanning conditions. Experiments on in-house ultrasound trauma datasets demonstrate that TRUST outperforms state-of-the-art methods by 9.63% with superior computational efficiency.

Query-based segmentation methods have shown promising potential for surgical instrument segmentation and recognition, which is essential for scene understanding and downstream tasks in computer assisted surgery. However, most existing approaches predominantly rely on per-frame predictions and overlook cross-frame temporal priors as well as temporal-consistency constraints. This limitation often leads to unstable query representations and suboptimal category recognition. In this paper, we propose TEDi, a Temporal memory-Enhanced and Denoising transformer for surgical instrument segmentation that addresses these is sues through Memory Search Enhancement and Temporal Consistency Denoising. The former introduces a query-level memory bank and a memory search enhancement encoder to retrieve discriminative representations from historical frames, enriching current-frame features. The latter constructs a temporally consistent reference as a cross-frame semantic anchor to suppress temporally unstable predictions and promote semantic coherence across frames. Extensive experiments on two benchmark datasets, EndoVis 2017 and EndoVis 2018, demonstrate that TEDi consistently outperforms state-of-the-art methods, highlighting its potential to further advance computer-assisted surgery. Our code is available at github.com/argon-xixi/TEDi.