Bo Lu

Ziyi Wang, Bo Lu, Yonghao Long et al.

Computer-assisted minimally invasive surgery has great potential in benefiting modern operating theatres. The video data streamed from the endoscope provides rich information to support context-awareness for next-generation intelligent surgical systems. To achieve accurate perception and automatic manipulation during the procedure, learning based technique is a promising way, which enables advanced image analysis and scene understanding in recent years. However, learning such models highly relies on large-scale, high-quality, and multi-task labelled data. This is currently a bottleneck for the topic, as available public dataset is still extremely limited in the field of CAI. In this paper, we present and release the first integrated dataset (named AutoLaparo) with multiple image-based perception tasks to facilitate learning-based automation in hysterectomy surgery. Our AutoLaparo dataset is developed based on full-length videos of entire hysterectomy procedures. Specifically, three different yet highly correlated tasks are formulated in the dataset, including surgical workflow recognition, laparoscope motion prediction, and instrument and key anatomy segmentation. In addition, we provide experimental results with state-of-the-art models as reference benchmarks for further model developments and evaluations on this dataset. The dataset is available at https://autolaparo.github.io.

Xiaolong Wei, Bo Lu, Xingyu Zhang et al.

Large Language Models (LLMs) have demonstrated remarkable creative writing capabilities, yet their substantial computational demands hinder widespread use. Enhancing Small Language Models (SLMs) offers a promising alternative, but current methods like Supervised Fine-Tuning (SFT) struggle with novelty, and Reinforcement Learning from Human Feedback (RLHF) is costly. This paper explores two distinct AI-driven reward strategies within a Reinforcement Learning from AI Feedback (RLAIF) framework to ignite the creative writing of a 7B-parameter SLM, specifically for generating Chinese greetings. The first strategy employs a RM trained on high-quality preference data curated by a novel multi-agent rejection sampling framework designed for creative tasks. The second, more novel strategy utilizes a principle-guided LLM-as-a-Judge, whose reward function is optimized via an adversarial training scheme with a reflection mechanism, to directly provide reward signals. Comprehensive experiments reveal that while both approaches significantly enhance creative output over baselines, the principle-guided LLM-as-a-Judge demonstrably yields superior generation quality. Furthermore, it offers notable advantages in training efficiency and reduced dependency on human-annotated data, presenting a more scalable and effective path towards creative SLMs. Our automated evaluation methods also exhibit strong alignment with human judgments. Our code and data are publicly available at https://github.com/weixiaolong94-hub/Igniting-Creative-Writing-in-Small-Language-Models.

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.

Shangshang Yang, Congyi Nai, Xinyan Liu et al.

Machine learning models have shown great success in predicting weather up to two weeks ahead, outperforming process-based benchmarks. However, existing approaches mostly focus on the prediction task, and do not incorporate the necessary data assimilation. Moreover, these models suffer from error accumulation in long roll-outs, limiting their applicability to seasonal predictions or climate projections. Here, we introduce Generative Assimilation and Prediction (GAP), a unified deep generative framework for assimilation and prediction of both weather and climate. By learning to quantify the probabilistic distribution of atmospheric states under observational, predictive, and external forcing constraints, GAP excels in a broad range of weather-climate related tasks, including data assimilation, seamless prediction, and climate simulation. In particular, GAP is competitive with state-of-the-art ensemble assimilation, probabilistic weather forecast and seasonal prediction, yields stable millennial simulations, and reproduces climate variability from daily to decadal time scales.

Lei Chen, Xiaohui Zhong, Hao Li et al.

Skillful subseasonal forecasts are crucial for various sectors of society but pose a grand scientific challenge. Recently, machine learning based weather forecasting models outperform the most successful numerical weather predictions generated by the European Centre for Medium-Range Weather Forecasts (ECMWF), but have not yet surpassed conventional models at subseasonal timescales. This paper introduces FuXi Subseasonal-to-Seasonal (FuXi-S2S), a machine learning model that provides global daily mean forecasts up to 42 days, encompassing five upper-air atmospheric variables at 13 pressure levels and 11 surface variables. FuXi-S2S, trained on 72 years of daily statistics from ECMWF ERA5 reanalysis data, outperforms the ECMWF's state-of-the-art Subseasonal-to-Seasonal model in ensemble mean and ensemble forecasts for total precipitation and outgoing longwave radiation, notably enhancing global precipitation forecast. The improved performance of FuXi-S2S can be primarily attributed to its superior capability to capture forecast uncertainty and accurately predict the Madden-Julian Oscillation (MJO), extending the skillful MJO prediction from 30 days to 36 days. Moreover, FuXi-S2S not only captures realistic teleconnections associated with the MJO, but also emerges as a valuable tool for discovering precursor signals, offering researchers insights and potentially establishing a new paradigm in Earth system science research.

Tianliang Yao, Bo Lu, Markus Kowarschik et al.

Endovascular procedures have revolutionized the treatment of vascular diseases thanks to minimally invasive solutions that significantly reduce patient recovery time and enhance clinical outcomes. However, the precision and dexterity required during these procedures poses considerable challenges for interventionists. Robotic systems have emerged offering transformative solutions, addressing issues such as operator fatigue, radiation exposure, and the inherent limitations of human precision. The integration of Embodied Intelligence (EI) into these systems signifies a paradigm shift, enabling robots to navigate complex vascular networks and adapt to dynamic physiological conditions. Data-driven approaches, advanced computer vision, medical image analysis, and machine learning techniques, are at the forefront of this evolution. These methods augment procedural intelligence by facilitating real-time vessel segmentation, device tracking, and anatomical landmark detection. Reinforcement learning and imitation learning further refine navigation strategies and replicate experts' techniques. This review systematically examines the integration of EI principles into robotic technologies, in relation to endovascular procedures. We discuss recent advancements in intelligent perception and data-driven control, and their practical applications in robot-assisted endovascular procedures. By critically evaluating current limitations and emerging opportunities, this review establishes a framework for future developments, emphasizing the potential for greater autonomy and improved clinical outcomes. Emerging trends and specific areas of research, such as federated learning for medical data sharing, explainable AI for clinical decision support, and advanced human-robot collaboration paradigms, are also explored, offering insights into the future direction of this rapidly evolving field.

Chenguang Zhou, Lei Chen, Xiaohui Zhong et al.

Climate system models (CSMs), through integrating cross-sphere interactions among the atmosphere, ocean, land, and cryosphere, have emerged as pivotal tools for deciphering climate dynamics and improving forecasting capabilities. Recent breakthroughs in artificial intelligence (AI)-driven meteorological modeling have demonstrated remarkable success in single-sphere systems and partially spheres coupled systems. However, the development of a fully coupled AI-based climate system model encompassing atmosphere-ocean-land-sea ice interactions has remained an unresolved challenge. This paper introduces FengShun-CSM, an AI-based CSM model that provides 60-day global daily forecasts for 29 critical variables across atmospheric, oceanic, terrestrial, and cryospheric domains. The model significantly outperforms the European Centre for Medium-Range Weather Forecasts (ECMWF) subseasonal-to-seasonal (S2S) model in predicting most variables, particularly precipitation, land surface, and oceanic components. This enhanced capability is primarily attributed to its improved representation of intra-seasonal variability modes, most notably the Madden-Julian Oscillation (MJO). Remarkably, FengShun-CSM exhibits substantial potential in predicting subseasonal extreme events. Such breakthroughs will advance its applications in meteorological disaster mitigation, marine ecosystem conservation, and agricultural productivity enhancement. Furthermore, it validates the feasibility of developing AI-powered CSMs through machine learning technologies, establishing a transformative paradigm for next-generation Earth system modeling.

Xiaohui Zhong, Lei Chen, Hao Li et al.

Ensemble forecasting is crucial for improving weather predictions, especially for forecasts of extreme events. Constructing an ensemble prediction system (EPS) based on conventional NWP models is highly computationally expensive. ML models have emerged as valuable tools for deterministic weather forecasts, providing forecasts with significantly reduced computational requirements and even surpassing the forecast performance of traditional NWP models. However, challenges arise when applying ML models to ensemble forecasting. Recent ML models, such as GenCast and SEEDS model, rely on the ERA5 EDA or operational NWP ensemble members for forecast generation. Their spatial resolution is also considered too coarse for many applications. To overcome these limitations, we introduce FuXi-ENS, an advanced ML model designed to deliver 6-hourly global ensemble weather forecasts up to 15 days. This model runs at a significantly increased spatial resolution of 0.25\textdegree, incorporating 5 atmospheric variables at 13 pressure levels, along with 13 surface variables. By leveraging the inherent probabilistic nature of Variational AutoEncoder (VAE), FuXi-ENS optimizes a loss function that combines the CRPS and the KL divergence between the predicted and target distribution, facilitating the incorporation of flow-dependent perturbations in both initial conditions and forecast. This innovative approach makes FuXi-ENS an advancement over the traditional ones that use L1 loss combined with the KL loss in standard VAE models for ensemble weather forecasting. Results demonstrate that FuXi-ENS outperforms ensemble forecasts from the ECMWF, a world leading NWP model, in the CRPS of 98.1% of 360 variable and forecast lead time combinations. This achievement underscores the potential of the FuXi-ENS model to enhance ensemble weather forecasts, offering a promising direction for further development in this field.

Ruofeng Wei, Bin Li, Hangjie Mo et al.

Objective: The computation of anatomical information and laparoscope position is a fundamental block of surgical navigation in Minimally Invasive Surgery (MIS). Recovering a dense 3D structure of surgical scene using visual cues remains a challenge, and the online laparoscopic tracking primarily relies on external sensors, which increases system complexity. Methods: Here, we propose a learning-driven framework, in which an image-guided laparoscopic localization with 3D reconstructions of complex anatomical structures is obtained. To reconstruct the 3D structure of the whole surgical environment, we first fine-tune a learning-based stereoscopic depth perception method, which is robust to the texture-less and variant soft tissues, for depth estimation. Then, we develop a dense visual reconstruction algorithm to represent the scene by surfels, estimate the laparoscope poses and fuse the depth maps into a unified reference coordinate for tissue reconstruction. To estimate poses of new laparoscope views, we achieve a coarse-to-fine localization method, which incorporates our reconstructed 3D model. Results: We evaluate the reconstruction method and the localization module on three datasets, namely, the stereo correspondence and reconstruction of endoscopic data (SCARED), the ex-vivo phantom and tissue data collected with Universal Robot (UR) and Karl Storz Laparoscope, and the in-vivo DaVinci robotic surgery dataset, where the reconstructed 3D structures have rich details of surface texture with an accuracy error under 1.71 mm and the localization module can accurately track the laparoscope with only images as input. Conclusions: Experimental results demonstrate the superior performance of the proposed method in 3D anatomy reconstruction and laparoscopic localization. Significance: The proposed framework can be potentially extended to the current surgical navigation system.

Jiankai Sun, De-An Huang, Bo Lu et al.

In this work, we study the problem of how to leverage instructional videos to facilitate the understanding of human decision-making processes, focusing on training a model with the ability to plan a goal-directed procedure from real-world videos. Learning structured and plannable state and action spaces directly from unstructured videos is the key technical challenge of our task. There are two problems: first, the appearance gap between the training and validation datasets could be large for unstructured videos; second, these gaps lead to decision errors that compound over the steps. We address these limitations with Planning Transformer (PlaTe), which has the advantage of circumventing the compounding prediction errors that occur with single-step models during long model-based rollouts. Our method simultaneously learns the latent state and action information of assigned tasks and the representations of the decision-making process from human demonstrations. Experiments conducted on real-world instructional videos and an interactive environment show that our method can achieve a better performance in reaching the indicated goal than previous algorithms. We also validated the possibility of applying procedural tasks on a UR-5 platform. We make our code publicly available and support academic research purposes.

Jiaqi Xu, Bin Li, Bo Lu et al.

Autonomous surgical execution relieves tedious routines and surgeon's fatigue. Recent learning-based methods, especially reinforcement learning (RL) based methods, achieve promising performance for dexterous manipulation, which usually requires the simulation to collect data efficiently and reduce the hardware cost. The existing learning-based simulation platforms for medical robots suffer from limited scenarios and simplified physical interactions, which degrades the real-world performance of learned policies. In this work, we designed SurRoL, an RL-centered simulation platform for surgical robot learning compatible with the da Vinci Research Kit (dVRK). The designed SurRoL integrates a user-friendly RL library for algorithm development and a real-time physics engine, which is able to support more PSM/ECM scenarios and more realistic physical interactions. Ten learning-based surgical tasks are built in the platform, which are common in the real autonomous surgical execution. We evaluate SurRoL using RL algorithms in simulation, provide in-depth analysis, deploy the trained policies on the real dVRK, and show that our SurRoL achieves better transferability in the real world.

Zixu Zhao, Yueming Jin, Bo Lu et al.

Surgical instrument segmentation in robot-assisted surgery (RAS) - especially that using learning-based models - relies on the assumption that training and testing videos are sampled from the same domain. However, it is impractical and expensive to collect and annotate sufficient data from every new domain. To greatly increase the label efficiency, we explore a new problem, i.e., adaptive instrument segmentation, which is to effectively adapt one source model to new robotic surgical videos from multiple target domains, only given the annotated instruments in the first frame. We propose MDAL, a meta-learning based dynamic online adaptive learning scheme with a two-stage framework to fast adapt the model parameters on the first frame and partial subsequent frames while predicting the results. MDAL learns the general knowledge of instruments and the fast adaptation ability through the video-specific meta-learning paradigm. The added gradient gate excludes the noisy supervision from pseudo masks for dynamic online adaptation on target videos. We demonstrate empirically that MDAL outperforms other state-of-the-art methods on two datasets (including a real-world RAS dataset). The promising performance on ex-vivo scenes also benefits the downstream tasks such as robot-assisted suturing and camera control.

Bin Li, Bo Lu, Yiang Lu et al.

Laparoscopic Field of View (FOV) control is one of the most fundamental and important components in Minimally Invasive Surgery (MIS), nevertheless, the traditional manual holding paradigm may easily bring fatigue to surgical assistants, and misunderstanding between surgeons also hinders assistants to provide a high-quality FOV. Targeting this problem, we here present a data-driven framework to realize an automated laparoscopic optimal FOV control. To achieve this goal, we offline learn a motion strategy of laparoscope relative to the surgeon's hand-held surgical tool from our in-house surgical videos, developing our control domain knowledge and an optimal view generator. To adjust the laparoscope online, we first adopt a learning-based method to segment the two-dimensional (2D) position of the surgical tool, and further leverage this outcome to obtain its scale-aware depth from dense depth estimation results calculated by our novel unsupervised RoboDepth model only with the monocular camera feedback, hence in return fusing the above real-time 3D position into our control loop. To eliminate the misorientation of FOV caused by Remote Center of Motion (RCM) constraints when moving the laparoscope, we propose a novel distortion constraint using an affine map to minimize the visual warping problem, and a null-space controller is also embedded into the framework to optimize all types of errors in a unified and decoupled manner. Experiments are conducted using Universal Robot (UR) and Karl Storz Laparoscope/Instruments, which prove the feasibility of our domain knowledge and learning enabled framework for automated camera control.

Yonghao Long, Jie Ying Wu, Bo Lu et al.

Automatic surgical gesture recognition is fundamentally important to enable intelligent cognitive assistance in robotic surgery. With recent advancement in robot-assisted minimally invasive surgery, rich information including surgical videos and robotic kinematics can be recorded, which provide complementary knowledge for understanding surgical gestures. However, existing methods either solely adopt uni-modal data or directly concatenate multi-modal representations, which can not sufficiently exploit the informative correlations inherent in visual and kinematics data to boost gesture recognition accuracies. In this regard, we propose a novel online approach of multi-modal relational graph network (i.e., MRG-Net) to dynamically integrate visual and kinematics information through interactive message propagation in the latent feature space. In specific, we first extract embeddings from video and kinematics sequences with temporal convolutional networks and LSTM units. Next, we identify multi-relations in these multi-modal embeddings and leverage them through a hierarchical relational graph learning module. The effectiveness of our method is demonstrated with state-of-the-art results on the public JIGSAWS dataset, outperforming current uni-modal and multi-modal methods on both suturing and knot typing tasks. Furthermore, we validated our method on in-house visual-kinematics datasets collected with da Vinci Research Kit (dVRK) platforms in two centers, with consistent promising performance achieved.

Bo Lu, Wei Chen, Yue-Ming Jin et al.

Surgical knot tying is one of the most fundamental and important procedures in surgery, and a high-quality knot can significantly benefit the postoperative recovery of the patient. However, a longtime operation may easily cause fatigue to surgeons, especially during the tedious wound closure task. In this paper, we present a vision-based method to automate the suture thread grasping, which is a sub-task in surgical knot tying and an intermediate step between the stitching and looping manipulations. To achieve this goal, the acquisition of a suture's three-dimensional (3D) information is critical. Towards this objective, we adopt a transfer-learning strategy first to fine-tune a pre-trained model by learning the information from large legacy surgical data and images obtained by the on-site equipment. Thus, a robust suture segmentation can be achieved regardless of inherent environment noises. We further leverage a searching strategy with termination policies for a suture's sequence inference based on the analysis of multiple topologies. Exact results of the pixel-level sequence along a suture can be obtained, and they can be further applied for a 3D shape reconstruction using our optimized shortest path approach. The grasping point considering the suturing criterion can be ultimately acquired. Experiments regarding the suture 2D segmentation and ordering sequence inference under environmental noises were extensively evaluated. Results related to the automated grasping operation were demonstrated by simulations in V-REP and by robot experiments using Universal Robot (UR) together with the da Vinci Research Kit (dVRK) adopting our learning-driven framework.