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Active Learning for Efficient Annotation of Surgical Videos with Weak Supervision

A human-in-the-loop framework combining active learning and dual-loss optimization reduces annotation effort for laparoscopic video segmentation by 50%. It uses a foundation model to generate temporally consistent CAMs, with weak supervision on video-level labels and image-level mask loss on human-corrected annotations from active learning. Iterative pseudo-mask refinement eliminates the need for dense initial annotations.

SourcearXiv Computer VisionAuthor: Manasa Dendukuri, Matjaz Jogan, Daniel A. Hashimoto, Guiqiu Liao

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[Submitted on 14 Jul 2026]

Title:Active Learning for Efficient Annotation of Surgical Videos with Weak Supervision

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Abstract:Precise spatial-temporal annotation of laparoscopic videos is time-consuming and requires expert knowledge. We propose a human-in-the-loop knowledge acquisition framework that combines active learning with dual-loss optimization to significantly reduce the annotation effort needed for automatic localization and segmentation of objects in the surgical field. Our method employs a foundation model to generate temporally consistent class activation maps (CAMs) from video using two complementary training objectives: a weak supervision loss on video-level tool presence labels for weakly annotated data, and an image-level mask loss on human-corrected annotations obtained through active learning. Rather than requiring dense pixel-level annotation upfront, our pipeline iteratively proposes pseudo-masks that guide the expert annotator to refine the knowledge previously captured by the model. We demonstrate that our framework reduces the effort of surgical video annotation by 50% by the end of training in comparison to fully manual annotation. Through eliminating the need for large, fully annotated datasets from the start, this framework enables scalability to the development of surgical tool segmentation models. This iterative human-in-the-loop refinement supports efficient knowledge acquisition with minimal expert input, providing a practical and deployable strategy for expanding tool segmentation to larger, more diverse datasets and real-world clinical settings.

Comments: Accepted to IPCAI 2026

Subjects:

Computer Vision and Pattern Recognition (cs.CV); Machine Learning (cs.LG)

Cite as: arXiv:2607.13237 [cs.CV]

(or arXiv:2607.13237v1 [cs.CV] for this version)

https://doi.org/10.48550/arXiv.2607.13237

arXiv-issued DOI via DataCite (pending registration)

Submission history

From: Manasa Dendukuri [view email] [v1] Tue, 14 Jul 2026 19:58:59 UTC (4,228 KB)

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