Accurate instrument pose estimation is a crucial step towards the future of robotic surgery, enabling applications such as autonomous surgical task execution. Vision-based methods for surgical instrument pose estimation provide a practical approach to tool tracking, but they often require markers to be attached to the instruments. Recently, more research has focused on the development of markerless methods based on deep learning. However, acquiring realistic surgical data, with ground truth (GT) instrument poses, required for deep learning training, is challenging. To address the issues in surgical instrument pose estimation, we introduce the Surgical Robot Instrument Pose Estimation (SurgRIPE) challenge, hosted at the 26th International Conference on Medical Image Computing and Computer-Assisted Intervention (MICCAI) in 2023. The objectives of this challenge are: (1) to provide the surgical vision community with realistic surgical video data paired with ground truth instrument poses, and (2) to establish a benchmark for evaluating markerless pose estimation methods. The challenge led to the development of several novel algorithms that showcased improved accuracy and robustness over existing methods. The performance evaluation study on the SurgRIPE dataset highlights the potential of these advanced algorithms to be integrated into robotic surgery systems, paving the way for more precise and autonomous surgical procedures. The SurgRIPE challenge has successfully established a new benchmark for the field, encouraging further research and development in surgical robot instrument pose estimation.

Unlike in natural images, in endoscopy there is no clear notion of an up-right camera orientation. Endoscopic videos therefore often contain large rotational motions, which require keypoint detection and description algorithms to be robust to these conditions. While most classical methods achieve rotation-equivariant detection and invariant description by design, many learning-based approaches learn to be robust only up to a certain degree. At the same time learning-based methods under moderate rotations often outperform classical approaches. In order to address this shortcoming, in this paper we propose RIDE, a learning-based method for rotation-equivariant detection and invariant description. Following recent advancements in group-equivariant learning, RIDE models rotation-equivariance implicitly within its architecture. Trained in a self-supervised manner on a large curation of endoscopic images, RIDE requires no manual labeling of training data. We test RIDE in the context of surgical tissue tracking on the SuPeR dataset as well as in the context of relative pose estimation on a repurposed version of the SCARED dataset. In addition we perform explicit studies showing its robustness to large rotations. Our comparison against recent learning-based and classical approaches shows that RIDE sets a new state-ofthe-art performance on matching and relative pose estimation tasks and scores competitively on surgical tissue tracking.