{"id":"https://openalex.org/W4406892636","doi":"https://doi.org/10.1109/tbme.2025.3535228","title":"TUNeS: A Temporal U-Net With Self-Attention for Video-Based Surgical Phase Recognition","display_name":"TUNeS: A Temporal U-Net With Self-Attention for Video-Based Surgical Phase Recognition","publication_year":2025,"publication_date":"2025-01-28","ids":{"openalex":"https://openalex.org/W4406892636","doi":"https://doi.org/10.1109/tbme.2025.3535228","pmid":"https://pubmed.ncbi.nlm.nih.gov/40031317"},"language":"en","primary_location":{"id":"doi:10.1109/tbme.2025.3535228","is_oa":false,"landing_page_url":"https://doi.org/10.1109/tbme.2025.3535228","pdf_url":null,"source":{"id":"https://openalex.org/S5240358","display_name":"IEEE Transactions on Biomedical Engineering","issn_l":"0018-9294","issn":["0018-9294","1558-2531"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310319808","host_organization_name":"Institute of Electrical and Electronics Engineers","host_organization_lineage":["https://openalex.org/P4310319808"],"host_organization_lineage_names":["Institute of Electrical and Electronics Engineers"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"IEEE Transactions on Biomedical Engineering","raw_type":"journal-article"},"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5067223826","display_name":"Isabel Funke","orcid":"https://orcid.org/0000-0002-4566-3049"},"institutions":[{"id":"https://openalex.org/I4210111460","display_name":"National Center for Tumor Diseases","ror":"https://ror.org/01txwsw02","country_code":"DE","type":"funder","lineage":["https://openalex.org/I4210111460"]}],"countries":["DE"],"is_corresponding":false,"raw_author_name":"Isabel Funke","raw_affiliation_strings":["Department of Translational Surgical Oncology, National Center for Tumor Diseases (NCT/UCC) Dresden, Dresden, Germany"],"raw_orcid":"https://orcid.org/0000-0002-4566-3049","affiliations":[{"raw_affiliation_string":"Department of Translational Surgical Oncology, National Center for Tumor Diseases (NCT/UCC) Dresden, Dresden, Germany","institution_ids":["https://openalex.org/I4210111460"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5070201649","display_name":"Dominik Rivoir","orcid":"https://orcid.org/0009-0004-1165-6010"},"institutions":[{"id":"https://openalex.org/I4210111460","display_name":"National Center for Tumor Diseases","ror":"https://ror.org/01txwsw02","country_code":"DE","type":"funder","lineage":["https://openalex.org/I4210111460"]}],"countries":["DE"],"is_corresponding":false,"raw_author_name":"Dominik Rivoir","raw_affiliation_strings":["Department of Translational Surgical Oncology, National Center for Tumor Diseases (NCT/UCC), Germany","Department of Translational Surgical Oncology, National Center for Tumor Diseases (NCT/UCC) Dresden, Dresden, Germany"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Translational Surgical Oncology, National Center for Tumor Diseases (NCT/UCC), Germany","institution_ids":["https://openalex.org/I4210111460"]},{"raw_affiliation_string":"Department of Translational Surgical Oncology, National Center for Tumor Diseases (NCT/UCC) Dresden, Dresden, Germany","institution_ids":["https://openalex.org/I4210111460"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5091523863","display_name":"Stefanie Krell","orcid":null},"institutions":[{"id":"https://openalex.org/I4210111460","display_name":"National Center for Tumor Diseases","ror":"https://ror.org/01txwsw02","country_code":"DE","type":"funder","lineage":["https://openalex.org/I4210111460"]}],"countries":["DE"],"is_corresponding":false,"raw_author_name":"Stefanie Krell","raw_affiliation_strings":["Department of Translational Surgical Oncology, National Center for Tumor Diseases (NCT/UCC) Dresden, Germany","Department of Translational Surgical Oncology, National Center for Tumor Diseases (NCT/UCC) Dresden, Dresden, Germany"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Translational Surgical Oncology, National Center for Tumor Diseases (NCT/UCC) Dresden, Germany","institution_ids":["https://openalex.org/I4210111460"]},{"raw_affiliation_string":"Department of Translational Surgical Oncology, National Center for Tumor Diseases (NCT/UCC) Dresden, Dresden, Germany","institution_ids":["https://openalex.org/I4210111460"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5003648994","display_name":"Stefanie Speidel","orcid":"https://orcid.org/0000-0002-4590-1908"},"institutions":[{"id":"https://openalex.org/I4210111460","display_name":"National Center for Tumor Diseases","ror":"https://ror.org/01txwsw02","country_code":"DE","type":"funder","lineage":["https://openalex.org/I4210111460"]}],"countries":["DE"],"is_corresponding":false,"raw_author_name":"Stefanie Speidel","raw_affiliation_strings":["Department of Translational Surgical Oncology, National Center for Tumor Diseases (NCT/UCC) Dresden, Germany","Department of Translational Surgical Oncology, National Center for Tumor Diseases (NCT/UCC) Dresden, Dresden, Germany"],"raw_orcid":"https://orcid.org/0000-0002-4590-1908","affiliations":[{"raw_affiliation_string":"Department of Translational Surgical Oncology, National Center for Tumor Diseases (NCT/UCC) Dresden, Germany","institution_ids":["https://openalex.org/I4210111460"]},{"raw_affiliation_string":"Department of Translational Surgical Oncology, National Center for Tumor Diseases (NCT/UCC) Dresden, Dresden, Germany","institution_ids":["https://openalex.org/I4210111460"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":[],"corresponding_institution_ids":["https://openalex.org/I4210111460"],"apc_list":null,"apc_paid":null,"fwci":10.9522,"has_fulltext":false,"cited_by_count":9,"citation_normalized_percentile":{"value":0.98606582,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":97,"max":99},"biblio":{"volume":"72","issue":"7","first_page":"2105","last_page":"2119"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10916","display_name":"Surgical Simulation and Training","score":0.6840999722480774,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10916","display_name":"Surgical Simulation and Training","score":0.6840999722480774,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11636","display_name":"Artificial Intelligence in Healthcare and Education","score":0.05249999836087227,"subfield":{"id":"https://openalex.org/subfields/2718","display_name":"Health Informatics"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T13702","display_name":"Machine Learning in Healthcare","score":0.01119999960064888,"subfield":{"id":"https://openalex.org/subfields/1702","display_name":"Artificial Intelligence"},"field":{"id":"https://openalex.org/fields/17","display_name":"Computer Science"},"domain":{"id":"https://openalex.org/domains/3","display_name":"Physical Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/computer-science","display_name":"Computer science","score":0.5435940027236938},{"id":"https://openalex.org/keywords/artificial-intelligence","display_name":"Artificial intelligence","score":0.4040030837059021},{"id":"https://openalex.org/keywords/computer-vision","display_name":"Computer vision","score":0.36461341381073},{"id":"https://openalex.org/keywords/speech-recognition","display_name":"Speech recognition","score":0.33636021614074707}],"concepts":[{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.5435940027236938},{"id":"https://openalex.org/C154945302","wikidata":"https://www.wikidata.org/wiki/Q11660","display_name":"Artificial intelligence","level":1,"score":0.4040030837059021},{"id":"https://openalex.org/C31972630","wikidata":"https://www.wikidata.org/wiki/Q844240","display_name":"Computer vision","level":1,"score":0.36461341381073},{"id":"https://openalex.org/C28490314","wikidata":"https://www.wikidata.org/wiki/Q189436","display_name":"Speech recognition","level":1,"score":0.33636021614074707}],"mesh":[{"descriptor_ui":"D000465","descriptor_name":"Algorithms","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000465","descriptor_name":"Algorithms","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000465","descriptor_name":"Algorithms","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007091","descriptor_name":"Image Processing, Computer-Assisted","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":true},{"descriptor_ui":"D007091","descriptor_name":"Image Processing, Computer-Assisted","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":true},{"descriptor_ui":"D007091","descriptor_name":"Image Processing, Computer-Assisted","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":true},{"descriptor_ui":"D014741","descriptor_name":"Video Recording","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":true},{"descriptor_ui":"D014741","descriptor_name":"Video Recording","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":true},{"descriptor_ui":"D014741","descriptor_name":"Video Recording","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":true},{"descriptor_ui":"D016571","descriptor_name":"Neural Networks, Computer","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D016571","descriptor_name":"Neural Networks, Computer","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D016571","descriptor_name":"Neural Networks, Computer","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D025321","descriptor_name":"Surgery, Computer-Assisted","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":true},{"descriptor_ui":"D025321","descriptor_name":"Surgery, Computer-Assisted","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":true},{"descriptor_ui":"D025321","descriptor_name":"Surgery, Computer-Assisted","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":true}],"locations_count":2,"locations":[{"id":"doi:10.1109/tbme.2025.3535228","is_oa":false,"landing_page_url":"https://doi.org/10.1109/tbme.2025.3535228","pdf_url":null,"source":{"id":"https://openalex.org/S5240358","display_name":"IEEE Transactions on Biomedical Engineering","issn_l":"0018-9294","issn":["0018-9294","1558-2531"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310319808","host_organization_name":"Institute of Electrical and Electronics Engineers","host_organization_lineage":["https://openalex.org/P4310319808"],"host_organization_lineage_names":["Institute of Electrical and Electronics Engineers"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"IEEE Transactions on Biomedical Engineering","raw_type":"journal-article"},{"id":"pmid:40031317","is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/40031317","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"IEEE transactions on bio-medical engineering","raw_type":null}],"best_oa_location":null,"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/5","score":0.4099999964237213,"display_name":"Gender equality"}],"awards":[],"funders":[{"id":"https://openalex.org/F4320320879","display_name":"Deutsche Forschungsgemeinschaft","ror":"https://ror.org/018mejw64"},{"id":"https://openalex.org/F4320321613","display_name":"Technische Universit\u00e4t Dresden","ror":"https://ror.org/042aqky30"}],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":60,"referenced_works":["https://openalex.org/W1516229414","https://openalex.org/W1901129140","https://openalex.org/W1905829557","https://openalex.org/W2016545368","https://openalex.org/W2064675550","https://openalex.org/W2105482032","https://openalex.org/W2107466310","https://openalex.org/W2157331557","https://openalex.org/W2194775991","https://openalex.org/W2266464013","https://openalex.org/W2413983136","https://openalex.org/W2550143307","https://openalex.org/W2777273430","https://openalex.org/W2808024935","https://openalex.org/W2955874753","https://openalex.org/W2963853051","https://openalex.org/W3011411500","https://openalex.org/W3034572008","https://openalex.org/W3092562667","https://openalex.org/W3100964249","https://openalex.org/W3119083236","https://openalex.org/W3150630416","https://openalex.org/W3160614854","https://openalex.org/W3179522438","https://openalex.org/W3200379731","https://openalex.org/W3201659970","https://openalex.org/W3203204495","https://openalex.org/W4220790207","https://openalex.org/W4221162870","https://openalex.org/W4229062227","https://openalex.org/W4252337780","https://openalex.org/W4282969740","https://openalex.org/W4287577180","https://openalex.org/W4294975676","https://openalex.org/W4296054452","https://openalex.org/W4296195045","https://openalex.org/W4312064789","https://openalex.org/W4321232426","https://openalex.org/W4377990845","https://openalex.org/W4379927854","https://openalex.org/W4385245566","https://openalex.org/W4386172434","https://openalex.org/W4387917672","https://openalex.org/W4390873624","https://openalex.org/W4392352518","https://openalex.org/W4403150635","https://openalex.org/W4411245031","https://openalex.org/W6631190155","https://openalex.org/W6726497184","https://openalex.org/W6734422334","https://openalex.org/W6735852674","https://openalex.org/W6747491877","https://openalex.org/W6755207826","https://openalex.org/W6755977528","https://openalex.org/W6779823529","https://openalex.org/W6784333009","https://openalex.org/W6792695861","https://openalex.org/W6842977897","https://openalex.org/W6852745715","https://openalex.org/W6860887279"],"related_works":["https://openalex.org/W2772917594","https://openalex.org/W2036807459","https://openalex.org/W2058170566","https://openalex.org/W2755342338","https://openalex.org/W2166024367","https://openalex.org/W3116076068","https://openalex.org/W2229312674","https://openalex.org/W2951359407","https://openalex.org/W2079911747","https://openalex.org/W1969923398"],"abstract_inverted_index":{"OBJECTIVE:":[0],"To":[1],"enable":[2,233],"context-aware":[3,234],"computer":[4,235],"assistance":[5,236],"in":[6,57,89],"the":[7,11,26,49,58,124,137,188,224],"operating":[8],"room":[9],"of":[10,32,60,126,169,228],"future,":[12],"cognitive":[13],"systems":[14],"need":[15],"to":[16,73,76,135,199,203,222,232],"understand":[17],"automatically":[18],"which":[19,41],"surgical":[20,35,94,211,217,229],"phase":[21,36,95,212,218],"is":[22,38,220],"being":[23],"performed":[24,165],"by":[25],"medical":[27],"team.":[28],"The":[29],"primary":[30],"source":[31],"information":[33,56],"for":[34,87,93,210],"recognition":[37,96,219],"typically":[39],"video,":[40],"presents":[42],"two":[43],"challenges:":[44],"extracting":[45],"meaningful":[46],"features":[47],"from":[48],"video":[50,150],"stream":[51],"and":[52,97,107,116,206,226,231],"effectively":[53,106],"modeling":[54],"temporal":[55,65,91,118,155,163,177,208],"sequence":[59],"visual":[61],"features.":[62],"METHODS:":[63],"For":[64],"modeling,":[66],"attention":[67,88,104,201],"mechanisms":[68,202],"have":[69],"gained":[70],"popularity":[71],"due":[72],"their":[74],"ability":[75],"capture":[77],"long-range":[78],"dependencies.":[79],"In":[80,131,158],"this":[81],"paper,":[82],"we":[83,133],"explore":[84],"design":[85],"choices":[86],"existing":[90],"models":[92,164,209],"propose":[98,134],"a":[99,127,140],"novel":[100],"approach":[101],"that":[102,120,172],"uses":[103],"more":[105],"does":[108],"not":[109],"require":[110],"hand-crafted":[111],"constraints:":[112],"TUNeS,":[113],"an":[114,145],"efficient":[115,207],"simple":[117],"model":[119],"incorporates":[121],"self-attention":[122],"at":[123],"core":[125],"convolutional":[128],"U-Net":[129],"structure.":[130],"addition,":[132],"train":[136],"feature":[138,170],"extractor,":[139],"standard":[141],"CNN,":[142],"together":[143],"with":[144,153,175],"LSTM":[146],"on":[147,167,187,197],"preferably":[148],"long":[149,154],"segments,":[151],"i.e.,":[152],"context.":[156,178],"RESULTS:":[157],"our":[159],"experiments,":[160],"almost":[161],"all":[162],"better":[166],"top":[168],"extractors":[171],"were":[173],"trained":[174],"longer":[176],"On":[179],"these":[180],"contextualized":[181],"features,":[182],"TUNeS":[183],"achieves":[184],"state-of-the-art":[185],"results":[186],"Cholec80":[189],"dataset.":[190],"CONCLUSION:":[191],"This":[192],"study":[193],"offers":[194],"new":[195],"insights":[196],"how":[198],"use":[200],"build":[204],"accurate":[205],"recognition.":[213],"SIGNIFICANCE:":[214],"Implementing":[215],"automatic":[216],"essential":[221],"automate":[223],"analysis":[225],"optimization":[227],"workflows":[230],"during":[237],"surgery,":[238],"thus":[239],"ultimately":[240],"improving":[241],"patient":[242],"care.":[243]},"counts_by_year":[{"year":2026,"cited_by_count":2},{"year":2025,"cited_by_count":7}],"updated_date":"2025-12-27T23:08:20.325037","created_date":"2025-10-10T00:00:00"}