cs.CVJul 22, 2026

LAVIFT: Latent-Action-Guided Vision Fine-Tuning for Surgical Interaction Recognition

Authors: Jiajun ChengSubarna TripathiSainan LiuXiaofan YuShan Lin

Organizations: Arizona State University, Tempe, AZ, USA · Intel Corporation, USA · University of California, Merced, CA, USA

Abstract

Understanding instrument-tissue interactions is essential for context-aware surgical AI and autonomous robotic surgery. Pretrained vision-language models (VLMs) and vision encoders offer an alternative to conventional interaction classifiers by transferring broad visual and semantic knowledge. However, adapting them to fine-grained surgical interactions remains challenging: (1) freezing the vision encoder depends entirely on pretrained representations that may retain noise and provide weak spatial localization, while (2) full fine-tuning can improve global semantic alignment without ensuring that the encoder learns meaningful features in the correct action region. We address these limitations by introducing LAViFiT, an end-to-end latent-action-guided framework for vision-language fine-tuning. An inverse dynamics model captures the visual changes induced by each action, while a forward world model drives the encoder to represent action-relevant regions. A patch-level SIG Regularizer further prevents local feature collapse without additional supervision, such as bounding boxes or pseudo-labels. Experiments across multiple encoders and datasets improve recognition and image-text alignment, while representation analyses show stronger grounding over the complete instrument-tissue interaction region and more spatially coherent features.

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