Visual Attention

Accurate and stable field-of-view (FoV) guidance is critical for safe and efficient minimally invasive surgery, yet existing approaches often conflate visual attention estimation with downstream camera control or rely on direct object-centric assumptions. In this work, we formulate surgical attention tracking as a spatio-temporal learning problem and model surgeon focus as a dense attention heatmap, enabling continuous and interpretable frame-wise FoV guidance. We propose SurgAtt-Tracker, a holistic framework that robustly tracks surgical attention by exploiting temporal coherence through proposal-level reranking and motion-aware refinement, rather than direct regression. To support systematic training and evaluation, we introduce SurgAtt-1.16M, a large-scale benchmark with a clinically grounded annotation protocol that enables comprehensive heatmap-based attention analysis across procedures and institutions. Extensive experiments on multiple surgical datasets demonstrate that SurgAtt-Tracker consistently achieves state-of-the-art performance and strong robustness under occlusion, multi-instrument interference, and cross-domain settings. Beyond attention tracking, our approach provides a frame-wise FoV guidance signal that can directly support downstream robotic FoV planning and automatic camera control.

Human eye movements in visual recognition reflect a balance between foveal sampling and peripheral context. Task-driven hard-attention models for vision are often evaluated by how well their scanpaths match human gaze. However, common scanpath metrics can be strongly confounded by dataset-specific center bias, especially on object-centric datasets. Using Gaze-CIFAR-10, we show that a trivial center-fixation baseline achieves surprisingly strong scanpath scores, approaching many learned policies. This makes standard metrics optimistic and blurs the distinction between genuine behavioral alignment and mere central tendency. We then analyze a hard-attention classifier under constrained vision by sweeping foveal patch size and peripheral context, revealing a peripheral sweet spot: only a narrow range of sensory constraints yields scanpaths that are simultaneously (i) above the center baseline after debiasing and (ii) temporally human-like in movement statistics. To address center bias, we propose GCS (Gaze Consistency Score), a center-debiased composite metric augmented with movement similarity. GCS uncovers a robust sweet spot at medium patch size with both foveal and peripheral vision, that is not obvious from raw scanpath metrics or accuracy alone, and also highlights a "shortcut regime" when the field-of-view becomes too large. We discuss implications for evaluating active perception on object-centric datasets and for designing gaze benchmarks that better separate behavioral alignment from center bias.