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Peer-Reviewed Publication
Int J Comput Assist Radiol Surg2026August 17, 2026Journal Article

Enhancing critical view of safety recognition using vision foundation models and state-space temporal modeling.

Rui Guo1, Benjamin Mueller2, Xiaorui Zhang2, Xi Liu2
1Digital Solutions, Intuitive Surgical, 5655 Spalding Drive, Peachtree Corners, GA, 30092, USA. rui.guo@intusurg.com.
2Digital Solutions, Intuitive Surgical, 5655 Spalding Drive, Peachtree Corners, GA, 30092, USA.

Abstract

PURPOSE: The Critical View of Safety (CVS) is a clinically mandated criterion for reducing bile duct injury during laparoscopic cholecystectomy; however, its automated recognition from endoscopic video remains challenging due to visual occlusion, depth ambiguity, and the inherently progressive nature of CVS formation across time. This work aims to develop a robust and clinically interpretable fram…

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