Yutong Ban

Han Fang, Yize Huang, Yuheng Zhao et al.

Robot manipulation has increasingly adopted data-driven generative policy frameworks, yet the field faces a persistent trade-off: diffusion models suffer from high inference latency, while flow-based methods often require complex architectural constraints. Although in image generation domain, the MeanFlow paradigm offers a path to single-step inference, its direct application to robotics is impeded by critical theoretical pathologies, specifically spectral bias and gradient starvation in low-velocity regimes. To overcome these limitations, we propose the One-step MeanFlow Policy (OMP), a novel framework designed for high-fidelity, real-time manipulation. We introduce a lightweight directional alignment mechanism to explicitly synchronize predicted velocities with true mean velocities. Furthermore, we implement a Differential Derivation Equation (DDE) to approximate the Jacobian-Vector Product (JVP) operator, which decouples forward and backward passes to significantly reduce memory complexity. Extensive experiments on the Adroit and Meta-World benchmarks demonstrate that OMP outperforms state-of-the-art methods in success rate and trajectory accuracy, particularly in high-precision tasks, while retaining the efficiency of single-step generation.

Tsun-Hsuan Wang, Alaa Maalouf, Wei Xiao et al.

As autonomous driving technology matures, end-to-end methodologies have emerged as a leading strategy, promising seamless integration from perception to control via deep learning. However, existing systems grapple with challenges such as unexpected open set environments and the complexity of black-box models. At the same time, the evolution of deep learning introduces larger, multimodal foundational models, offering multi-modal visual and textual understanding. In this paper, we harness these multimodal foundation models to enhance the robustness and adaptability of autonomous driving systems, enabling out-of-distribution, end-to-end, multimodal, and more explainable autonomy. Specifically, we present an approach to apply end-to-end open-set (any environment/scene) autonomous driving that is capable of providing driving decisions from representations queryable by image and text. To do so, we introduce a method to extract nuanced spatial (pixel/patch-aligned) features from transformers to enable the encapsulation of both spatial and semantic features. Our approach (i) demonstrates unparalleled results in diverse tests while achieving significantly greater robustness in out-of-distribution situations, and (ii) allows the incorporation of latent space simulation (via text) for improved training (data augmentation via text) and policy debugging. We encourage the reader to check our explainer video at https://www.youtube.com/watch?v=4n-DJf8vXxo&feature=youtu.be and to view the code and demos on our project webpage at https://drive-anywhere.github.io/.

Noam Buckman, Shiva Sreeram, Mathias Lechner et al.

Intelligent intersection managers can improve safety by detecting dangerous drivers or failure modes in autonomous vehicles, warning oncoming vehicles as they approach an intersection. In this work, we present FailureNet, a recurrent neural network trained end-to-end on trajectories of both nominal and reckless drivers in a scaled miniature city. FailureNet observes the poses of vehicles as they approach an intersection and detects whether a failure is present in the autonomy stack, warning cross-traffic of potentially dangerous drivers. FailureNet can accurately identify control failures, upstream perception errors, and speeding drivers, distinguishing them from nominal driving. The network is trained and deployed with autonomous vehicles in the MiniCity. Compared to speed or frequency-based predictors, FailureNet's recurrent neural network structure provides improved predictive power, yielding upwards of 84% accuracy when deployed on hardware.

Zhitao Zeng, Mengya Xu, Jian Jiang et al.

Surgical intelligence has the potential to improve the safety and consistency of surgical care, yet most existing surgical AI frameworks remain task-specific and struggle to generalize across procedures and institutions. Although multimodal foundation models, particularly multimodal large language models, have demonstrated strong cross-task capabilities across various medical domains, their advancement in surgery remains constrained by the lack of large-scale, systematically curated multimodal data. To address this challenge, we introduce Surg$Σ$, a spectrum of large-scale multimodal data and foundation models for surgical intelligence. At the core of this framework lies Surg$Σ$-DB, a large-scale multimodal data foundation designed to support diverse surgical tasks. Surg$Σ$-DB consolidates heterogeneous surgical data sources (including open-source datasets, curated in-house clinical collections and web-source data) into a unified schema, aiming to improve label consistency and data standardization across heterogeneous datasets. Surg$Σ$-DB spans 6 clinical specialties and diverse surgical types, providing rich image- and video-level annotations across 18 practical surgical tasks covering understanding, reasoning, planning, and generation, at an unprecedented scale (over 5.98M conversations). Beyond conventional multimodal conversations, Surg$Σ$-DB incorporates hierarchical reasoning annotations, providing richer semantic cues to support deeper contextual understanding in complex surgical scenarios. We further provide empirical evidence through recently developed surgical foundation models built upon Surg$Σ$-DB, illustrating the practical benefits of large-scale multimodal annotations, unified semantic design, and structured reasoning annotations for improving cross-task generalization and interpretability.

Wei Xiao, Tsun-Hsuan Wang, Ramin Hasani et al.

We propose a new method to ensure neural ordinary differential equations (ODEs) satisfy output specifications by using invariance set propagation. Our approach uses a class of control barrier functions to transform output specifications into constraints on the parameters and inputs of the learning system. This setup allows us to achieve output specification guarantees simply by changing the constrained parameters/inputs both during training and inference. Moreover, we demonstrate that our invariance set propagation through data-controlled neural ODEs not only maintains generalization performance but also creates an additional degree of robustness by enabling causal manipulation of the system's parameters/inputs. We test our method on a series of representation learning tasks, including modeling physical dynamics and convexity portraits, as well as safe collision avoidance for autonomous vehicles.

Zengyi Qin, Jinyuan Chen, Yunze Man et al.

Training computer use agents requires full-featured OS sandboxes with GUI environments, which consume substantial hardware resources as the number of sandboxes scales. Stochastic errors arising from diverse software execution within these sandboxes further demand robust infrastructure design and reliable error recovery. We present OSGym, a scalable OS environment infrastructure for computer use agents, built around these key optimization strategies: (1) Decentralized OS state management, which isolates failures to individual replicas and significantly enhances overall system reliability; (2) Hardware-aware OS replica orchestration, which addresses CPU-bounded scaling bottlenecks and substantially reduces compute overhead; (3) KVM virtualization with copy-on-write disk management, which shares a common bootable disk across VM instances and provisions only instance-specific modifications, reducing physical disk consumption by 88% and increasing disk provisioning speed by 37 times; and (4) Robust container pool with multi-layer fault recovery. Together, these optimizations yield strong scalability and resource efficiency: OSGym manages over a thousand OS replicas under constrained resources, supports parallel trajectory generation at 1420 multi-turn trajectories per minute, and reduces per-replica cost to 0.2-0.3 USD per day, a 90% reduction over standard deployment. Our experiments validate OSGym across end-to-end pipelines for data collection and training for computer use agents. We believe OSGym establishes a new foundation for scalable, general-purpose computer use agent research.

Zhiyuan Guan, Jianshu Hu, Han Fang et al.

Diffusion-based imitation learning has shown strong promise for robot manipulation. However, most existing policies condition only on the current observation or a short window of recent observations, limiting their ability to resolve history-dependent ambiguities in long-horizon tasks. To address this, we introduce DSSP, a history-conditioned Diffusion State Space Policy that enables efficient, full-history conditioning for robot manipulation. Leveraging the continuous sequence modeling properties of State Space Models (SSMs), our history encoder effectively compresses the entire observation stream into a compact context representation. To ensure this context preserves critical information regarding future state evolution, the encoder is optimized with a dynamics-aware auxiliary training objective. This high-level context representation is then seamlessly fused with recent state observations to form a hierarchical conditioning mechanism for action generation. Furthermore, to maintain architectural consistency and minimize GPU memory overhead, we also instantiate the diffusion backbone itself using an SSM. Extensive experiments across simulation benchmarks and real-world manipulation tasks show that DSSP achieves state-of-the-art performance with a significantly smaller model size, demonstrating superior efficiency of the hierarchical conditioning in capturing crucial information as the history length increases.

Huanrong Liu, Chunlin Tian, Tongyu Jia et al.

Predicting surgical needle trajectories from endoscopic video is critical for robot-assisted suturing, enabling anticipatory planning, real-time guidance, and safer motion execution. Existing methods that directly learn motion distributions from visual observations tend to overlook the sequential dependency among adjacent motion steps. Moreover, sparse waypoint annotations often fail to provide sufficient supervision, further increasing the difficulty of supervised or imitation learning methods. To address these challenges, we formulate image-based needle trajectory prediction as a sequential decision-making problem, in which the needle tip is treated as an agent that moves step by step in pixel space. This formulation naturally captures the continuity of needle motion and enables the explicit modeling of physically plausible pixel-wise state transitions over time. From this perspective, we propose SutureAgent, a goal-conditioned offline reinforcement learning framework that leverages sparse annotations to dense reward signals via cubic spline interpolation, encouraging the policy to exploit limited expert guidance while exploring plausible future motion paths. SutureAgent encodes variable-length clips using an observation encoder to capture both local spatial cues and long-range temporal dynamics, and autoregressively predicts future waypoints through actions composed of discrete directions and continuous magnitudes. To enable stable offline policy optimization from expert demonstrations, we adopt Conservative Q-Learning with Behavioral Cloning regularization. Experiments on a new kidney wound suturing dataset containing 1,158 trajectories from 50 patients show that SutureAgent reduces Average Displacement Error by 58.6% compared with the strongest baseline, demonstrating the effectiveness of modeling needle trajectory prediction as pixel-level sequential action learning.

Cheng Yuan, Yutong Ban

Surgical scene segmentation is a fundamental task for robotic-assisted laparoscopic surgery understanding. It often contains various anatomical structures and surgical instruments, where similar local textures and fine-grained structures make the segmentation a difficult task. Vision-specific transformer method is a promising way for surgical scene understanding. However, there are still two main challenges. Firstly, the absence of inner-patch information fusion leads to poor segmentation performance. Secondly, the specific characteristics of anatomy and instruments are not specifically modeled. To tackle the above challenges, we propose a novel Transformer-based framework with an Asymmetric Feature Enhancement module (TAFE), which enhances local information and then actively fuses the improved feature pyramid into the embeddings from transformer encoders by a multi-scale interaction attention strategy. The proposed method outperforms the SOTA methods in several different surgical segmentation tasks and additionally proves its ability of fine-grained structure recognition. Code is available at https://github.com/cyuan-sjtu/ViT-asym.

Yihong Xu, Yutong Ban, Guillaume Delorme et al.

Transformers have proven superior performance for a wide variety of tasks since they were introduced. In recent years, they have drawn attention from the vision community in tasks such as image classification and object detection. Despite this wave, an accurate and efficient multiple-object tracking (MOT) method based on transformers is yet to be designed. We argue that the direct application of a transformer architecture with quadratic complexity and insufficient noise-initialized sparse queries - is not optimal for MOT. We propose TransCenter, a transformer-based MOT architecture with dense representations for accurately tracking all the objects while keeping a reasonable runtime. Methodologically, we propose the use of image-related dense detection queries and efficient sparse tracking queries produced by our carefully designed query learning networks (QLN). On one hand, the dense image-related detection queries allow us to infer targets' locations globally and robustly through dense heatmap outputs. On the other hand, the set of sparse tracking queries efficiently interacts with image features in our TransCenter Decoder to associate object positions through time. As a result, TransCenter exhibits remarkable performance improvements and outperforms by a large margin the current state-of-the-art methods in two standard MOT benchmarks with two tracking settings (public/private). TransCenter is also proven efficient and accurate by an extensive ablation study and comparisons to more naive alternatives and concurrent works. For scientific interest, the code is made publicly available at https://github.com/yihongxu/transcenter.

Yihong Xu, Aljosa Osep, Yutong Ban et al.

The recent trend in vision-based multi-object tracking (MOT) is heading towards leveraging the representational power of deep learning to jointly learn to detect and track objects. However, existing methods train only certain sub-modules using loss functions that often do not correlate with established tracking evaluation measures such as Multi-Object Tracking Accuracy (MOTA) and Precision (MOTP). As these measures are not differentiable, the choice of appropriate loss functions for end-to-end training of multi-object tracking methods is still an open research problem. In this paper, we bridge this gap by proposing a differentiable proxy of MOTA and MOTP, which we combine in a loss function suitable for end-to-end training of deep multi-object trackers. As a key ingredient, we propose a Deep Hungarian Net (DHN) module that approximates the Hungarian matching algorithm. DHN allows estimating the correspondence between object tracks and ground truth objects to compute differentiable proxies of MOTA and MOTP, which are in turn used to optimize deep trackers directly. We experimentally demonstrate that the proposed differentiable framework improves the performance of existing multi-object trackers, and we establish a new state of the art on the MOTChallenge benchmark. Our code is publicly available from https://github.com/yihongXU/deepMOT.

Jiaheng Dai, Huanrong Liu, Tailai Zhou et al.

Fine-grained action segmentation during renorrhaphy in robot-assisted partial nephrectomy requires frame-level recognition of visually similar suturing gestures with variable duration and substantial class imbalance. The SIA-RAPN benchmark defines this problem on 50 clinical videos acquired with the da Vinci Xi system and annotated with 12 frame-level labels. The benchmark compares four temporal models built on I3D features: MS-TCN++, AsFormer, TUT, and DiffAct. Evaluation uses balanced accuracy, edit score, segmental F1 at overlap thresholds of 10, 25, and 50, frame-wise accuracy, and frame-wise mean average precision. In addition to the primary evaluation across five released split configurations on SIA-RAPN, the benchmark reports cross-domain results on a separate single-port RAPN dataset. Across the strongest reported values over those five runs on the primary dataset, DiffAct achieves the highest F1, frame-wise accuracy, edit score, and frame mAP, while MS-TCN++ attains the highest balanced accuracy.

Jianshu Hu, Paul Weng, Yutong Ban

While a powerful and promising approach, deep reinforcement learning (DRL) still suffers from sample inefficiency, which can be notably improved by resorting to more sophisticated techniques to address the exploration-exploitation dilemma. One such technique relies on action persistence (i.e., repeating an action over multiple steps). However, previous work exploiting action persistence either applies a fixed strategy or learns additional value functions (or policy) for selecting the repetition number. In this paper, we propose a novel method to dynamically adjust the action persistence based on the current exploration status of the state space. In such a way, our method does not require training of additional value functions or policy. Moreover, the use of a smooth scheduling of the repeat probability allows a more effective balance between exploration and exploitation. Furthermore, our method can be seamlessly integrated into various basic exploration strategies to incorporate temporal persistence. Finally, extensive experiments on different DMControl tasks demonstrate that our state-novelty guided action persistence method significantly improves the sample efficiency.

Han Fang, Zhihao Song, Paul Weng et al.

Recently, deep reinforcement learning has shown promising results for learning fast heuristics to solve routing problems. Meanwhile, most of the solvers suffer from generalizing to an unseen distribution or distributions with different scales. To address this issue, we propose a novel architecture, called Invariant Nested View Transformer (INViT), which is designed to enforce a nested design together with invariant views inside the encoders to promote the generalizability of the learned solver. It applies a modified policy gradient algorithm enhanced with data augmentations. We demonstrate that the proposed INViT achieves a dominant generalization performance on both TSP and CVRP problems with various distributions and different problem scales.

Haonan Ping, Jian Jiang, Cheng Yuan et al.

Accurate segmentation of tissues and instruments in surgical scenes is annotation-intensive due to irregular shapes, thin structures, specularities, and frequent occlusions. While SAM models support point, box, and mask prompts, points are often too sparse and boxes too coarse to localize such challenging targets. We present SCISSR, a scribble-promptable framework for interactive surgical scene segmentation. It introduces a lightweight Scribble Encoder that converts freehand scribbles into dense prompt embeddings compatible with the mask decoder, enabling iterative refinement for a target object by drawing corrective strokes on error regions. Because all added modules (the Scribble Encoder, Spatial Gated Fusion, and LoRA adapters) interact with the backbone only through its standard embedding interfaces, the framework is not tied to a single model: we build on SAM 2 in this work, yet the same components transfer to other prompt-driven segmentation architectures such as SAM 3 without structural modification. To preserve pre-trained capabilities, we train only these lightweight additions while keeping the remaining backbone frozen. Experiments on EndoVis 2018 demonstrate strong in-domain performance, while evaluation on the out-of-distribution CholecSeg8k further confirms robustness across surgical domains. SCISSR achieves 95.41% Dice on EndoVis 2018 with five interaction rounds and 96.30% Dice on CholecSeg8k with three interaction rounds, outperforming iterative point prompting on both benchmarks.

Zhitao Zeng, Zhu Zhuo, Xiaojun Jia et al. · pku

Foundation models have achieved transformative success across biomedical domains by enabling holistic understanding of multimodal data. However, their application in surgery remains underexplored. Surgical intelligence presents unique challenges - requiring surgical visual perception, temporal analysis, and reasoning. Existing general-purpose vision-language models fail to address these needs due to insufficient domain-specific supervision and the lack of a large-scale high-quality surgical database. To bridge this gap, we propose SurgVLM, one of the first large vision-language foundation models for surgical intelligence, where this single universal model can tackle versatile surgical tasks. To enable this, we construct a large-scale multimodal surgical database, SurgVLM-DB, comprising over 1.81 million frames with 7.79 million conversations, spanning more than 16 surgical types and 18 anatomical structures. We unify and reorganize 23 public datasets across 10 surgical tasks, followed by standardizing labels and doing hierarchical vision-language alignment to facilitate comprehensive coverage of gradually finer-grained surgical tasks, from visual perception, temporal analysis, to high-level reasoning. Building upon this comprehensive dataset, we propose SurgVLM, which is built upon Qwen2.5-VL, and undergoes instruction tuning to 10+ surgical tasks. We further construct a surgical multimodal benchmark, SurgVLM-Bench, for method evaluation. SurgVLM-Bench consists of 6 popular and widely-used datasets in surgical domain, covering several crucial downstream tasks. Based on SurgVLM-Bench, we evaluate the performance of our SurgVLM (3 SurgVLM variants: SurgVLM-7B, SurgVLM-32B, and SurgVLM-72B), and conduct comprehensive comparisons with 14 mainstream commercial VLMs (e.g., GPT-4o, Gemini 2.0 Flash, Qwen2.5-Max).

Lianhao Yin, Yutong Ban, Jennifer Eckhoff et al.

Understanding and anticipating intraoperative events and actions is critical for intraoperative assistance and decision-making during minimally invasive surgery. Automated prediction of events, actions, and the following consequences is addressed through various computational approaches with the objective of augmenting surgeons' perception and decision-making capabilities. We propose a predictive neural network that is capable of understanding and predicting critical interactive aspects of surgical workflow from intra-abdominal video, while flexibly leveraging surgical knowledge graphs. The approach incorporates a hypergraph-transformer (HGT) structure that encodes expert knowledge into the network design and predicts the hidden embedding of the graph. We verify our approach on established surgical datasets and applications, including the detection and prediction of action triplets, and the achievement of the Critical View of Safety (CVS). Moreover, we address specific, safety-related tasks, such as predicting the clipping of cystic duct or artery without prior achievement of the CVS. Our results demonstrate the superiority of our approach compared to unstructured alternatives.

Cheng Yuan, Jian Jiang, Kunyi Yang et al.

Surgical video segmentation is critical for AI to interpret spatial-temporal dynamics in surgery, yet model performance is constrained by limited annotated data. The SAM2 model, pretrained on natural videos, offers potential for zero-shot surgical segmentation, but its applicability in complex surgical environments, with challenges like tissue deformation and instrument variability, remains unexplored. We present the first comprehensive evaluation of the zero-shot capability of SAM2 in 9 surgical datasets (17 surgery types), covering laparoscopic, endoscopic, and robotic procedures. We analyze various prompting (points, boxes, mask) and {finetuning (dense, sparse) strategies}, robustness to surgical challenges, and generalization across procedures and anatomies. Key findings reveal that while SAM2 demonstrates notable zero-shot adaptability in structured scenarios (e.g., instrument segmentation, {multi-organ segmentation}, and scene segmentation), its performance varies under dynamic surgical conditions, highlighting gaps in handling temporal coherence and domain-specific artifacts. These results highlight future pathways to adaptive data-efficient solutions for the surgical data science field.

Mengya Xu, Daiyun Shen, Jie Zhang et al.

Artificial intelligence, imaging, and large language models have the potential to transform surgical practice, training, and automation. Understanding and modeling of basic surgical actions (BSA), the fundamental unit of operation in any surgery, is important to drive the evolution of this field. In this paper, we present a BSA dataset comprising 10 basic actions across 6 surgical specialties with over 11,000 video clips, which is the largest to date. Based on the BSA dataset, we developed a new foundation model that conducts general-purpose recognition of basic actions. Our approach demonstrates robust cross-specialist performance in experiments validated on datasets from different procedural types and various body parts. Furthermore, we demonstrate downstream applications enabled by the BAS foundation model through surgical skill assessment in prostatectomy using domain-specific knowledge, and action planning in cholecystectomy and nephrectomy using large vision-language models. Multinational surgeons' evaluation of the language model's output of the action planning explainable texts demonstrated clinical relevance. These findings indicate that basic surgical actions can be robustly recognized across scenarios, and an accurate BSA understanding model can essentially facilitate complex applications and speed up the realization of surgical superintelligence.

Jian Jiang, Chenxi Lin, Yiming Gu et al.

Surgical scene understanding demands not only accurate predictions but also interpretable reasoning that surgeons can verify against clinical expertise. However, existing surgical vision-language models generate predictions without reasoning chains, and general-purpose reasoning models fail on compositional surgical tasks without domain-specific knowledge. We present Surg-R1, a surgical Vision-Language Model that addresses this gap through hierarchical reasoning trained via a four-stage pipeline. Our approach introduces three key contributions: (1) a three-level reasoning hierarchy decomposing surgical interpretation into perceptual grounding, relational understanding, and contextual reasoning; (2) the largest surgical chain-of-thought dataset with 320,000 reasoning pairs; and (3) a four-stage training pipeline progressing from supervised fine-tuning to group relative policy optimization and iterative self-improvement. Evaluation on SurgBench, comprising six public benchmarks and six multi-center external validation datasets from five institutions, demonstrates that Surg-R1 achieves the highest Arena Score (64.9%) on public benchmarks versus Gemini 3.0 Pro (46.1%) and GPT-5.1 (37.9%), outperforming both proprietary reasoning models and specialized surgical VLMs on the majority of tasks spanning instrument localization, triplet recognition, phase recognition, action recognition, and critical view of safety assessment, with a 15.2 percentage point improvement over the strongest surgical baseline on external validation.

Jianshu Hu, ZhiYuan Guan, Lei Song et al.

The paradigm of robot-assisted surgery is shifting toward data-driven autonomy, where policies learned via Reinforcement Learning (RL) or Imitation Learning (IL) enable the execution of complex tasks. However, these ``black-box" policies often lack formal safety guarantees, a critical requirement for clinical deployment. In this paper, we propose the Safety-guaranteed Surgical Policy (SSP) framework to bridge the gap between data-driven generality and formal safety. We utilize Neural Ordinary Differential Equations (Neural ODEs) to learn an uncertainty-aware dynamics model from demonstration data. This learned model underpins a robust Control Barrier Function (CBF) safety controller, which minimally alters the actions of a surgical policy to ensure strict safety under uncertainty. Our controller enforces two constraint categories: behavioral constraints (restricting the task space of the agent) and spatial constraints (defining surgical no-go zones). We instantiate the SSP framework with surgical policies derived from RL, IL and Control Lyapunov Functions (CLF). Validation on in both the SurRoL simulation and da Vinci Research Kit (dVRK) demonstrates that our method achieves a near-zero constraint violation rate while maintaining high task success rates compared to unconstrained baselines.

Kunyi Yang, Qingyu Wang, Cheng Yuan et al.

Pixel-wise segmentation of laparoscopic scenes is essential for computer-assisted surgery but difficult to scale due to the high cost of dense annotations. We propose depth-guided surgical scene segmentation (DepSeg), a training-free framework that utilizes monocular depth as a geometric prior together with pretrained vision foundation models. DepSeg first estimates a relative depth map with a pretrained monocular depth estimation network and proposes depth-guided point prompts, which SAM2 converts into class-agnostic masks. Each mask is then described by a pooled pretrained visual feature and classified via template matching against a template bank built from annotated frames. On the CholecSeg8k dataset, DepSeg improves over a direct SAM2 auto segmentation baseline (35.9% vs. 14.7% mIoU) and maintains competitive performance even when using only 10--20% of the object templates. These results show that depth-guided prompting and template-based classification offer an annotation-efficient segmentation approach.

Deepak Alapatt, Jennifer Eckhoff, Zhiliang Lyu et al.

Advances in artificial intelligence (AI) for surgical quality assessment promise to democratize access to expertise, with applications in training, guidance, and accreditation. This study presents the SAGES Critical View of Safety (CVS) Challenge, the first AI competition organized by a surgical society, using the CVS in laparoscopic cholecystectomy, a universally recommended yet inconsistently performed safety step, as an exemplar of surgical quality assessment. A global collaboration across 54 institutions in 24 countries engaged hundreds of clinicians and engineers to curate 1,000 videos annotated by 20 surgical experts according to a consensus-validated protocol. The challenge addressed key barriers to real-world deployment in surgery, including achieving high performance, capturing uncertainty in subjective assessment, and ensuring robustness to clinical variability. To enable this scale of effort, we developed EndoGlacier, a framework for managing large, heterogeneous surgical video and multi-annotator workflows. Thirteen international teams participated, achieving up to a 17\% relative gain in assessment performance, over 80\% reduction in calibration error, and a 17\% relative improvement in robustness over the state-of-the-art. Analysis of results highlighted methodological trends linked to model performance, providing guidance for future research toward robust, clinically deployable AI for surgical quality assessment.

Haoyang Wu, Tsun-Hsuan Wang, Mathias Lechner et al.

Surgical workflow analysis is essential in robot-assisted surgeries, yet the long duration of such procedures poses significant challenges for comprehensive video analysis. Recent approaches have predominantly relied on transformer models; however, their quadratic attention mechanism restricts efficient processing of lengthy surgical videos. In this paper, we propose a novel hierarchical input-dependent state space model that leverages the linear scaling property of state space models to enable decision making on full-length videos while capturing both local and global dynamics. Our framework incorporates a temporally consistent visual feature extractor, which appends a state space model head to a visual feature extractor to propagate temporal information. The proposed model consists of two key modules: a local-aggregation state space model block that effectively captures intricate local dynamics, and a global-relation state space model block that models temporal dependencies across the entire video. The model is trained using a hybrid discrete-continuous supervision strategy, where both signals of discrete phase labels and continuous phase progresses are propagated through the network. Experiments have shown that our method outperforms the current state-of-the-art methods by a large margin (+2.8% on Cholec80, +4.3% on MICCAI2016, and +12.9% on Heichole datasets). Code will be publicly available after paper acceptance.

Shujia Li, Haiyu Zhang, Xinyuan Chen et al.

While diffusion models and large-scale motion datasets have advanced text-driven human motion synthesis, extending these advances to 4D human-object interaction (HOI) remains challenging, mainly due to the limited availability of large-scale 4D HOI datasets. In our study, we introduce GenHOI, a novel two-stage framework aimed at achieving two key objectives: 1) generalization to unseen objects and 2) the synthesis of high-fidelity 4D HOI sequences. In the initial stage of our framework, we employ an Object-AnchorNet to reconstruct sparse 3D HOI keyframes for unseen objects, learning solely from 3D HOI datasets, thereby mitigating the dependence on large-scale 4D HOI datasets. Subsequently, we introduce a Contact-Aware Diffusion Model (ContactDM) in the second stage to seamlessly interpolate sparse 3D HOI keyframes into densely temporally coherent 4D HOI sequences. To enhance the quality of generated 4D HOI sequences, we propose a novel Contact-Aware Encoder within ContactDM to extract human-object contact patterns and a novel Contact-Aware HOI Attention to effectively integrate the contact signals into diffusion models. Experimental results show that we achieve state-of-the-art results on the publicly available OMOMO and 3D-FUTURE datasets, demonstrating strong generalization abilities to unseen objects, while enabling high-fidelity 4D HOI generation.

Yunpeng Jiang, Jianshu Hu, Paul Weng et al.

Symmetry is pervasive in robotics and has been widely exploited to improve sample efficiency in deep reinforcement learning (DRL). However, existing approaches primarily focus on spatial symmetries, such as reflection, rotation, and translation, while largely neglecting temporal symmetries. To address this gap, we explore time reversal symmetry, a form of temporal symmetry commonly found in robotics tasks such as door opening and closing. We propose Time Reversal symmetry enhanced Deep Reinforcement Learning (TR-DRL), a framework that combines trajectory reversal augmentation and time reversal guided reward shaping to efficiently solve temporally symmetric tasks. Our method generates reversed transitions from fully reversible transitions, identified by a proposed dynamics-consistent filter, to augment the training data. For partially reversible transitions, we apply reward shaping to guide learning, according to successful trajectories from the reversed task. Extensive experiments on the Robosuite and MetaWorld benchmarks demonstrate that TR-DRL is effective in both single-task and multi-task settings, achieving higher sample efficiency and stronger final performance compared to baseline methods.

Cheng Yuan, Yutong Ban

Surgical scene segmentation is crucial for robot-assisted laparoscopic surgery understanding. Current approaches face two challenges: (i) static image limitations including ambiguous local feature similarities and fine-grained structural details, and (ii) dynamic video complexities arising from rapid instrument motion and persistent visual occlusions. While existing methods mainly focus on spatial feature extraction, they fundamentally overlook temporal dependencies in surgical video streams. To address this, we present temporal asymmetric feature propagation network, a bidirectional attention architecture enabling cross-frame feature propagation. The proposed method contains a temporal query propagator that integrates multi-directional consistency constraints to enhance frame-specific feature representation, and an aggregated asymmetric feature pyramid module that preserves discriminative features for anatomical structures and surgical instruments. Our framework uniquely enables both temporal guidance and contextual reasoning for surgical scene understanding. Comprehensive evaluations on two public benchmarks show the proposed method outperforms the current SOTA methods by a large margin, with +16.4\% mIoU on EndoVis2018 and +3.3\% mAP on Endoscapes2023. The code will be publicly available after paper acceptance.

Zeqing Wang, Han Fang, Yihong Xu et al.

Minimally invasive procedures have been advanced rapidly by the robotic laparoscopic surgery. The latter greatly assists surgeons in sophisticated and precise operations with reduced invasiveness. Nevertheless, it is still safety critical to be aware of even the least tissue deformation during instrument-tissue interactions, especially in 3D space. To address this, recent works rely on NeRF to render 2D videos from different perspectives and eliminate occlusions. However, most of the methods fail to predict the accurate 3D shapes and associated deformation estimates robustly. Differently, we propose Tracking-Aware Deformation Field (TADF), a novel framework which reconstructs the 3D mesh along with the 3D tissue deformation simultaneously. It first tracks the key points of soft tissue by a foundation vision model, providing an accurate 2D deformation field. Then, the 2D deformation field is smoothly incorporated with a neural implicit reconstruction network to obtain tissue deformation in the 3D space. Finally, we experimentally demonstrate that the proposed method provides more accurate deformation estimation compared with other 3D neural reconstruction methods in two public datasets.

Han Fang, Paul Weng, Yutong Ban

Recently, deep reinforcement learning (DRL) has achieved promising results in solving online 3D Bin Packing Problems (3D-BPP). However, these DRL-based policies may perform poorly on new instances due to distribution shift. Besides generalization, we also consider adaptation, completely overlooked by previous work, which aims at rapidly fine-tuning these policies to a new test distribution. To tackle both generalization and adaptation issues, we propose ASAP, which decomposes a solver's decision-making into two policies, one for proposal and one for selection. The role of the proposal policy is to suggest promising actions, which allows the selection policy to choose among them. To effectively learn these policies, we introduce a training framework that combines pre-training and post-training, enhanced by meta-learning. During online adaptation, we only fine-tune the selection policy to rapidly adapt to a test distribution. Our experiments demonstrate that ASAP exhibits excellent generalization and adaptation capabilities on in-distribution and out-of-distribution instances for both discrete and continuous setups.

Yutong Ban, Jennifer A. Eckhoff, Thomas M. Ward et al.

We constantly integrate our knowledge and understanding of the world to enhance our interpretation of what we see. This ability is crucial in application domains which entail reasoning about multiple entities and concepts, such as AI-augmented surgery. In this paper, we propose a novel way of integrating conceptual knowledge into temporal analysis tasks via temporal concept graph networks. In the proposed networks, a global knowledge graph is incorporated into the temporal analysis of surgical instances, learning the meaning of concepts and relations as they apply to the data. We demonstrate our results in surgical video data for tasks such as verification of critical view of safety, as well as estimation of Parkland grading scale. The results show that our method improves the recognition and detection of complex benchmarks as well as enables other analytic applications of interest.

Yutong Ban, Guy Rosman, Jennifer A. Eckhoff et al.

Comprehension of surgical workflow is the foundation upon which artificial intelligence (AI) and machine learning (ML) holds the potential to assist intraoperative decision-making and risk mitigation. In this work, we move beyond mere identification of past surgical phases, into the prediction of future surgical steps and specification of the transitions between them. We use a novel Generative Adversarial Network (GAN) formulation to sample future surgical phases trajectories conditioned on past video frames from laparoscopic cholecystectomy (LC) videos and compare it to state-of-the-art approaches for surgical video analysis and alternative prediction methods. We demonstrate the GAN formulation's effectiveness through inferring and predicting the progress of LC videos. We quantify the horizon-accuracy trade-off and explored average performance, as well as the performance on the more challenging, and clinically relevant transitions between phases. Furthermore, we conduct a survey, asking 16 surgeons of different specialties and educational levels to qualitatively evaluate predicted surgery phases.

Yutong Ban, Guy Rosman, Thomas Ward et al.

Analyzing surgical workflow is crucial for surgical assistance robots to understand surgeries. With the understanding of the complete surgical workflow, the robots are able to assist the surgeons in intra-operative events, such as by giving a warning when the surgeon is entering specific keys or high-risk phases. Deep learning techniques have recently been widely applied to recognizing surgical workflows. Many of the existing temporal neural network models are limited in their capability to handle long-term dependencies in the data, instead, relying upon the strong performance of the underlying per-frame visual models. We propose a new temporal network structure that leverages task-specific network representation to collect long-term sufficient statistics that are propagated by a sufficient statistics model (SSM). We implement our approach within an LSTM backbone for the task of surgical phase recognition and explore several choices for propagated statistics. We demonstrate superior results over existing and novel state-of-the-art segmentation techniques on two laparoscopic cholecystectomy datasets: the publicly available Cholec80 dataset and MGH100, a novel dataset with more challenging and clinically meaningful segment labels.

Yutong Ban, Xavier Alameda-PIneda, Christine Evers et al.

In this paper we address the problem of simultaneously tracking several moving audio sources, namely the problem of estimating source trajectories from a sequence of observed features. We propose to use the von Mises distribution to model audio-source directions of arrival with circular random variables. This leads to a Bayesian filtering formulation which is intractable because of the combinatorial explosion of associating observed variables with latent variables, over time. We propose a variational approximation of the filtering distribution. We infer a variational expectation-maximization algorithm that is both computationally tractable and time efficient. We propose an audio-source birth method that favors smooth source trajectories and which is used both to initialize the number of active sources and to detect new sources. We perform experiments with the recently released LOCATA dataset comprising two moving sources and a moving microphone array mounted onto a robot.

Xiaofei Li, Yutong Ban, Laurent Girin et al.

This paper presents an online multiple-speaker localization and tracking method, as the INRIA-Perception contribution to the LOCATA Challenge 2018. First, the recursive least-square method is used to adaptively estimate the direct-path relative transfer function as an interchannel localization feature. The feature is assumed to associate with a single speaker at each time-frequency bin. Second, a complex Gaussian mixture model (CGMM) is used as a generative model of the features. The weight of each CGMM component represents the probability that this component corresponds to an active speaker, and is adaptively estimated with an online optimization algorithm. Finally, taking the CGMM component weights as observations, a Bayesian multiple-speaker tracking method based on the variational expectation maximization algorithm is used. The tracker accounts for the variation of active speakers and the localization miss measurements, by introducing speaker birth and sleeping processes. The experiments carried out on the development dataset of the challenge are reported.

Yutong Ban, Xavier Alameda-Pineda, Laurent Girin et al.

In this paper we address the problem of tracking multiple speakers via the fusion of visual and auditory information. We propose to exploit the complementary nature of these two modalities in order to accurately estimate smooth trajectories of the tracked persons, to deal with the partial or total absence of one of the modalities over short periods of time, and to estimate the acoustic status -- either speaking or silent -- of each tracked person along time. We propose to cast the problem at hand into a generative audio-visual fusion (or association) model formulated as a latent-variable temporal graphical model. This may well be viewed as the problem of maximizing the posterior joint distribution of a set of continuous and discrete latent variables given the past and current observations, which is intractable. We propose a variational inference model which amounts to approximate the joint distribution with a factorized distribution. The solution takes the form of a closed-form expectation maximization procedure. We describe in detail the inference algorithm, we evaluate its performance and we compare it with several baseline methods. These experiments show that the proposed audio-visual tracker performs well in informal meetings involving a time-varying number of people.

Xiaofei Li, Yutong Ban, Laurent Girin et al.

We address the problem of online localization and tracking of multiple moving speakers in reverberant environments. The paper has the following contributions. We use the direct-path relative transfer function (DP-RTF), an inter-channel feature that encodes acoustic information robust against reverberation, and we propose an online algorithm well suited for estimating DP-RTFs associated with moving audio sources. Another crucial ingredient of the proposed method is its ability to properly assign DP-RTFs to audio-source directions. Towards this goal, we adopt a maximum-likelihood formulation and we propose to use an exponentiated gradient (EG) to efficiently update source-direction estimates starting from their currently available values. The problem of multiple speaker tracking is computationally intractable because the number of possible associations between observed source directions and physical speakers grows exponentially with time. We adopt a Bayesian framework and we propose a variational approximation of the posterior filtering distribution associated with multiple speaker tracking, as well as an efficient variational expectation-maximization (VEM) solver. The proposed online localization and tracking method is thoroughly evaluated using two datasets that contain recordings performed in real environments.

Songyou Peng, Le Zhang, Yutong Ban et al.

In this paper, we comprehensively describe the methodology of our submissions to the One-Minute Gradual-Emotion Behavior Challenge 2018.