Shuangchun Gui

Chinedu Innocent Nwoye, Tong Yu, Saurav Sharma et al.

Formalizing surgical activities as triplets of the used instruments, actions performed, and target anatomies is becoming a gold standard approach for surgical activity modeling. The benefit is that this formalization helps to obtain a more detailed understanding of tool-tissue interaction which can be used to develop better Artificial Intelligence assistance for image-guided surgery. Earlier efforts and the CholecTriplet challenge introduced in 2021 have put together techniques aimed at recognizing these triplets from surgical footage. Estimating also the spatial locations of the triplets would offer a more precise intraoperative context-aware decision support for computer-assisted intervention. This paper presents the CholecTriplet2022 challenge, which extends surgical action triplet modeling from recognition to detection. It includes weakly-supervised bounding box localization of every visible surgical instrument (or tool), as the key actors, and the modeling of each tool-activity in the form of <instrument, verb, target> triplet. The paper describes a baseline method and 10 new deep learning algorithms presented at the challenge to solve the task. It also provides thorough methodological comparisons of the methods, an in-depth analysis of the obtained results across multiple metrics, visual and procedural challenges; their significance, and useful insights for future research directions and applications in surgery.

Shuangchun Gui, Suyu Liu, Xuehe Wang et al.

Multi-task Vehicle Routing Problems (VRPs) aim to minimize routing costs while satisfying diverse constraints. Existing solvers typically adopt a unified reinforcement learning (RL) framework to learn generalizable patterns across tasks. However, they often overlook the constraint and node dynamics during the decision process, making the model fail to accurately react to the current context. To address this limitation, we propose Chain-of-Context Learning (CCL), a novel framework that progressively captures the evolving context to guide fine-grained node adaptation. Specifically, CCL constructs step-wise contextual information via a Relevance-Guided Context Reformulation (RGCR) module, which adaptively prioritizes salient constraints. This context then guides node updates through a Trajectory-Shared Node Re-embedding (TSNR) module, which aggregates shared node features from all trajectories' contexts and uses them to update inputs for the next step. By modeling evolving preferences of the RL agent, CCL captures step-by-step dependencies in sequential decision-making. We evaluate CCL on 48 diverse VRP variants, including 16 in-distribution and 32 out-of-distribution (with unseen constraints) tasks. Experimental results show that CCL performs favorably against the state-of-the-art baselines, achieving the best performance on all in-distribution tasks and the majority of out-of-distribution tasks.