Abstract:Accurate modeling of tool-tissue interactions in robotic surgery requires precise tracking of deformable tissues and integration of surgical domain knowledge. Traditional methods rely on labor-intensive annotations or rigid assumptions, limiting flexibility. We propose a framework combining sparse keypoint tracking and probabilistic modeling that propagates expert-annotated landmarks across endoscopic frames, even with large tissue deformations. Clustered tissue keypoints enable dynamic local transformation construction via PCA, and tool poses, tracked similarly, are expressed relative to these frames. Embedding these into a Task-Parameterized Gaussian Mixture Model (TP-GMM) integrates data-driven observations with labeled clinical expertise, effectively predicting relative tool-tissue poses and enhancing visual understanding of robotic surgical motions directly from video data.