Jiewen Lai

Yinheng Lin, Yiming Huang, Beilei Cui et al.

Accurate depth estimation plays a critical role in the navigation of endoscopic surgical robots, forming the foundation for 3D reconstruction and safe instrument guidance. Fine-tuning pretrained models heavily relies on endoscopic surgical datasets with precise depth annotations. While existing self-supervised depth estimation techniques eliminate the need for accurate depth annotations, their performance degrades in environments with weak textures and variable lighting, leading to sparse reconstruction with invalid depth estimation. Depth completion using sparse depth maps can mitigate these issues and improve accuracy. Despite the advances in depth completion techniques in general fields, their application in endoscopy remains limited. To overcome these limitations, we propose EndoDDC, an endoscopy depth completion method that integrates images, sparse depth information with depth gradient features, and optimizes depth maps through a diffusion model, addressing the issues of weak texture and light reflection in endoscopic environments. Extensive experiments on two publicly available endoscopy datasets show that our approach outperforms state-of-the-art models in both depth accuracy and robustness. This demonstrates the potential of our method to reduce visual errors in complex endoscopic environments. Our code will be released at https://github.com/yinheng-lin/EndoDDC.

Guankun Wang, Tian-Ao Ren, Jiewen Lai et al.

Video-assisted transoral tracheal intubation (TI) necessitates using an endoscope that helps the physician insert a tracheal tube into the glottis instead of the esophagus. The growing trend of robotic-assisted TI would require a medical robot to distinguish anatomical features like an experienced physician which can be imitated by utilizing supervised deep-learning techniques. However, the real datasets of oropharyngeal organs are often inaccessible due to limited open-source data and patient privacy. In this work, we propose a domain adaptive Sim-to-Real framework called IoU-Ranking Blend-ArtFlow (IRB-AF) for image segmentation of oropharyngeal organs. The framework includes an image blending strategy called IoU-Ranking Blend (IRB) and style-transfer method ArtFlow. Here, IRB alleviates the problem of poor segmentation performance caused by significant datasets domain differences; while ArtFlow is introduced to reduce the discrepancies between datasets further. A virtual oropharynx image dataset generated by the SOFA framework is used as the learning subject for semantic segmentation to deal with the limited availability of actual endoscopic images. We adapted IRB-AF with the state-of-the-art domain adaptive segmentation models. The results demonstrate the superior performance of our approach in further improving the segmentation accuracy and training stability.

Jiewen Lai, Bo Lu, Qingxiang Zhao et al.

A cable-driven soft-bodied robot with redundancy can conduct the trajectory tracking task and in the meanwhile fulfill some extra constraints, such as tracking through an end-effector in designated orientation, or get rid of the evitable manipulator-obstacle collision. Those constraints require rational planning of the robot motion. In this work, we derived the compressible curvature kinematics of a cable-driven soft robot which takes the compressible soft segment into account. The motion planning of the soft robot for a trajectory tracking task in constrained conditions, including fixed orientation end-effector and manipulator-obstacle collision avoidance, has been investigated. The inverse solution of cable actuation was formulated as a damped least-square optimization problem and iteratively computed off-line. The performance of trajectory tracking and the obedience to constraints were evaluated via the simulation we made open-source, as well as the prototype experiments. The method can be generalized to the similar multisegment cable-driven soft robotic systems by customizing the robot parameters for the prior motion planning of the manipulator.

Long Bai, Boyi Ma, Ruohan Wang et al.

Surgical workflow recognition is vital for automating tasks, supporting decision-making, and training novice surgeons, ultimately improving patient safety and standardizing procedures. However, data corruption can lead to performance degradation due to issues like occlusion from bleeding or smoke in surgical scenes and problems with data storage and transmission. In this case, we explore a robust graph-based multimodal approach to integrating vision and kinematic data to enhance accuracy and reliability. Vision data captures dynamic surgical scenes, while kinematic data provides precise movement information, overcoming limitations of visual recognition under adverse conditions. We propose a multimodal Graph Representation network with Adversarial feature Disentanglement (GRAD) for robust surgical workflow recognition in challenging scenarios with domain shifts or corrupted data. Specifically, we introduce a Multimodal Disentanglement Graph Network that captures fine-grained visual information while explicitly modeling the complex relationships between vision and kinematic embeddings through graph-based message modeling. To align feature spaces across modalities, we propose a Vision-Kinematic Adversarial framework that leverages adversarial training to reduce modality gaps and improve feature consistency. Furthermore, we design a Contextual Calibrated Decoder, incorporating temporal and contextual priors to enhance robustness against domain shifts and corrupted data. Extensive comparative and ablation experiments demonstrate the effectiveness of our model and proposed modules. Moreover, our robustness experiments show that our method effectively handles data corruption during storage and transmission, exhibiting excellent stability and robustness. Our approach aims to advance automated surgical workflow recognition, addressing the complexities and dynamism inherent in surgical procedures.

Chi Kit Ng, Huxin Gao, Tian-Ao Ren et al.

Navigating a flexible robotic endoscope (FRE) through the gastrointestinal tract is critical for surgical diagnosis and treatment. However, navigation in the dynamic stomach is particularly challenging because the FRE must learn to effectively use contact with the deformable stomach walls to reach target locations. To address this, we introduce a deep reinforcement learning (DRL) based Contact-Aided Navigation (CAN) strategy for FREs, leveraging contact force feedback to enhance motion stability and navigation precision. The training environment is established using a physics-based finite element method (FEM) simulation of a deformable stomach. Trained with the Proximal Policy Optimization (PPO) algorithm, our approach achieves high navigation success rates (within 3 mm error between the FRE's end-effector and target) and significantly outperforms baseline policies. In both static and dynamic stomach environments, the CAN agent achieved a 100% success rate with 1.6 mm average error, and it maintained an 85% success rate in challenging unseen scenarios with stronger external disturbances. These results validate that the DRL-based CAN strategy substantially enhances FRE navigation performance over prior methods.

Xiting He, Mingwu Su, Xinqi Jiang et al.

Vision-Language-Action (VLA) models have emerged as a prominent research area, showcasing significant potential across a variety of applications. However, their performance in endoscopy robotics, particularly endoscopy capsule robots that perform actions within the digestive system, remains unexplored. The integration of VLA models into endoscopy robots allows more intuitive and efficient interactions between human operators and medical devices, improving both diagnostic accuracy and treatment outcomes. In this work, we design CapsDT, a Diffusion Transformer model for capsule robot manipulation in the stomach. By processing interleaved visual inputs, and textual instructions, CapsDT can infer corresponding robotic control signals to facilitate endoscopy tasks. In addition, we developed a capsule endoscopy robot system, a capsule robot controlled by a robotic arm-held magnet, addressing different levels of four endoscopy tasks and creating corresponding capsule robot datasets within the stomach simulator. Comprehensive evaluations on various robotic tasks indicate that CapsDT can serve as a robust vision-language generalist, achieving state-of-the-art performance in various levels of endoscopy tasks while achieving a 26.25% success rate in real-world simulation manipulation.

Guankun Wang, Tian-Ao Ren, Jiewen Lai et al.

Robotic-assisted tracheal intubation requires the robot to distinguish anatomical features like an experienced physician using deep-learning techniques. However, real datasets of oropharyngeal organs are limited due to patient privacy issues, making it challenging to train deep-learning models for accurate image segmentation. We hereby consider generating a new data modality through a virtual environment to assist the training process. Specifically, this work introduces a virtual dataset generated by the Simulation Open Framework Architecture (SOFA) framework to overcome the limited availability of actual endoscopic images. We also propose a domain adaptive Sim-to-Real method for oropharyngeal organ image segmentation, which employs an image blending strategy called IoU-Ranking Blend (IRB) and style-transfer techniques to address discrepancies between datasets. Experimental results demonstrate the superior performance of the proposed approach with domain adaptive models, improving segmentation accuracy and training stability. In the practical application, the trained segmentation model holds great promise for robot-assisted intubation surgery and intelligent surgical navigation.