Despite the availability of computer-aided simulators and recorded videos of surgical procedures, junior residents still heavily rely on experts to answer their queries. However, expert surgeons are often overloaded with clinical and academic workloads and limit their time in answering. For this purpose, we develop a surgical question-answering system to facilitate robot-assisted surgical scene and activity understanding from recorded videos. Most of the existing VQA methods require an object detector and regions based feature extractor to extract visual features and fuse them with the embedded text of the question for answer generation. However, (1) surgical object detection model is scarce due to smaller datasets and lack of bounding box annotation; (2) current fusion strategy of heterogeneous modalities like text and image is naive; (3) the localized answering is missing, which is crucial in complex surgical scenarios. In this paper, we propose Visual Question Localized-Answering in Robotic Surgery (Surgical-VQLA) to localize the specific surgical area during the answer prediction. To deal with the fusion of the heterogeneous modalities, we design gated vision-language embedding (GVLE) to build input patches for the Language Vision Transformer (LViT) to predict the answer. To get localization, we add the detection head in parallel with the prediction head of the LViT. We also integrate GIoU loss to boost localization performance by preserving the accuracy of the question-answering model. We annotate two datasets of VQLA by utilizing publicly available surgical videos from MICCAI challenges EndoVis-17 and 18. Our validation results suggest that Surgical-VQLA can better understand the surgical scene and localize the specific area related to the question-answering. GVLE presents an efficient language-vision embedding technique by showing superior performance over the existing benchmarks.

本文提出一种在机器人手术场景中定位特定手术区域的视觉问答系统，使用门控视觉语言嵌入（GVLE）和语言视觉变压器（LViT）来进行异构模态的融合和回答的预测，GVLE在实现语言-视觉嵌入方面表现出优异的性能，并与现有基准相比速度更快，并通过添加检测头来实现本地化的回答预测。

Surgical-VQLA: 用门控视觉语言嵌入的变换器进行机器人手术中的视觉问题定位回答