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Peer-Reviewed Publication
Int J Comput Assist Radiol Surg2026August 28, 2026Journal Article

TBDM: Temporal boundary distillation module for surgical gesture segmentation.

Ezem Sura Ekmekci1, Sebastien Frey2,3, Snehashis Majhi4, Khodor Hamadi4, Hervé Delingette4, Wen Wei5, Matthieu Durand6, Pierre Berthet-Rayne5, Francois Bremond4, Nicholas Ayache4
1Université Côte d'Azur, Inria, Sophia-Antipolis, France. ezem-sura.ekmekci@inria.fr.
2Université Côte d'Azur, Inria, Sophia-Antipolis, France. frey.s@chu-nice.fr.
3CHU Nice, Nice, France. frey.s@chu-nice.fr.
4Université Côte d'Azur, Inria, Sophia-Antipolis, France.
5Caranx Medical, Nice, France.
6CHU Nice, Nice, France.

Abstract

PURPOSE: Achieving fine-grained understanding of surgical gestures remains a fundamental challenge in computer vision, due to the subtle and temporally overlapping nature of surgical motions. Gesture boundaries, where transitions between surgical actions occur, present challenges for precise temporal localization. We propose a temporal boundary analysis framework that improves overall surgical ges…

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