AMNCutter: Affinity-Attention-Guided Multi-View Normalized Cutter for Unsupervised Surgical Instrument Segmentation

Surgical instrument segmentation (SIS) is pivotal for robotic-assisted minimally invasive surgery, assisting surgeons by identifying surgical instruments in endoscopic video frames. Recent unsupervised surgical instrument segmentation (USIS) methods primarily rely on pseudo-labels derived from low-level features such as color and optical flow, but these methods show limited effective-ness and generalizability in complex and unseen endo-scopic scenarios. In this work, we propose a label-free unsupervised model featuring a novel module named Multi-View Normalized Cutter (m-NCutter). Different from previous USIS works, our model is trained using a graph-cutting loss function that leverages patch affini-ties for supervision, eliminating the need for pseudo-labels. The framework adaptively determines which affini-ties from which levels should be prioritized. Therefore, the low- and high-level features and their affinities are effectively integrated to train a label-free unsupervised model, showing superior effectiveness and generalization abil-ity. We conduct comprehensive experiments across mul-tiple SIS datasets to validate our approach's state-of-the-art (SOTA) performance, robustness, and exceptional potential as a pre-trained model. Our code is released at https://github.com/MingyuShengSMYIAMNCutter.