Point Tracking in Surgery--The 2025 Surgical Tattoos in Infrared Challenge (STIRC2025)

Accurate and efficient tracking of surgical instruments is fundamental for Robot-Assisted Minimally Invasive Surgery. Although vision-based robot pose estimation has enabled markerless calibration without tedious physical setups, reliable tool tracking for surgical robots still remains challenging due to partial visibility and specialized articulation design of surgical instruments. Previous works in the field are usually prone to unreliable feature detections under degraded visual quality and data scarcity, whereas rendering-based methods often struggle with computational costs and suboptimal convergence. In this work, we incorporate CMA-ES, an evolutionary optimization strategy, into a versatile tracking pipeline that jointly estimates surgical instrument pose and joint configurations. Using batch rendering to efficiently evaluate multiple pose candidates in parallel, the method significantly reduces inference time and improves convergence robustness. The proposed framework further generalizes to joint angle-free and bi-manual tracking settings, making it suitable for both vision feedback control and online surgery video calibration. Extensive experiments on synthetic and real-world datasets demonstrate that the proposed method significantly outperforms prior approaches in both accuracy and runtime. Source code and data are available at https://github.com/hanyang-hu/online_dvrk_tracking.

High-risk applications in robotics, such as robot-assisted surgery, present unique challenges. These systems must be both highly precise and interpretable in order to be deployed in environments with very low tolerance for error or unsafe exploration. We present the first robotic system to demonstrate autonomous clip positioning on a physical phantom in laparoscopic surgery, one of the most common interventions in general surgery. After segmentation of a colorless point cloud from a single camera, target positions for the clips are extracted using spline interpolation, and can then be adjusted by the human operator. The segmentation model is trained on only 60 hand-labeled real point clouds, reflecting data scarcity in the surgical domain. We overcome this with a combination of pre-training on 128,000 synthetic point clouds and two novel data augmentation techniques. The motion of the end-effector to each target is visualized for the operator, satisfying the unique motion constraints of minimally-invasive surgery while ensuring that the robot's actions are verifiable and interpretable. In real robot experiments, our system localizes targets with the required precision of 0.75mm at a 95% success rate and executes autonomous clip positioning with a 100% success rate. We provide insights that are applicable to many other surgical and non-surgical tasks that require identifying and navigating to a precise target. Source code and project page: https://github.com/balazsgyenes/kirurc

This work proposes a real-time 6 Degree-of-Freedom (6 DoF) tracking algorithm for monocular laparoscopic surgery. It provides alignment between intra-operative video and pre-operative data (e.g., CT). The 6 DoF tracking offers a solution for accurately locating the internal anatomy of the target organ despite the lack of tactile feedback and transparency. The ORB-SLAM2 framework is adopted and modified for prior-based 3D tracking with four major modifications. First, the primitive 3D shape is used for fast initialization of the ORB-SLAM2 monocular mode. Second, a pseudo-segmentation strategy is employed to separate the target organ from the background for tracking. Third, the 3D shape is incorporated as a geometric prior in its pose graph optimization. Fourth, the Multi-Scale Retinex with Chromaticity Preservation (MSRCP) algorithm is leveraged and modified for image enhancement in challenging illumination scenarios. In-vivo and ex-vivo experiments validate that LapaTrack-3D provides robust 3D tracking and effectively handles typical challenges such as poor illumination, fast motion, out-of-field-of-view scenarios, partial visibility, and ``organ-background'' relative motion. LapaTrack-3D achieves a processing rate of 13 Hz for 1280*720 pixel video.