Long Bai

Weiwei Ding, Zixuan Li, Long Bai et al.

Knowledge Graphs (KGs) are widely used to mitigate the limitations of Large Language Models (LLMs), such as outdated knowledge and hallucinations. Existing LLM-KG integration frameworks typically rely on predefined operators to retrieve factual knowledge from KGs and inject it into prompts for answer generation. This paradigm faces two critical bottlenecks: 1) Inflexibility: The predefined operators are limited in scope and thus lack sufficient compositional expressiveness to fully capture the complex semantics required by KG questions. 2) Unscalability: Direct injection of factual knowledge into prompts limits scalability in handling large-scale factual knowledge. To address these two bottlenecks, we propose Code-on-Graph (CoG), a programmatic reasoning framework for LLM-KG integration. Specifically, given the factual knowledge retrieved at each reasoning step, CoG first identifies the corresponding KG schemas and represents these schemas as Python classes, which serve as abstract interfaces to the retrieved facts. It then generates executable code grounded in these classes, with the retrieved facts instantiated as objects of the corresponding classes during execution. This design enables flexible code-based reasoning while avoiding the direct injection of large-scale factual knowledge into prompts. Experiments on WebQSP, CWQ, and GrailQA demonstrate that CoG outperforms prior state-of-the-art models by up to 10.5%.

Zixuan Li, Saiping Guan, Xiaolong Jin et al. · baidu

A Temporal Knowledge Graph (TKG) is a sequence of KGs corresponding to different timestamps. TKG reasoning aims to predict potential facts in the future given the historical KG sequences. One key of this task is to mine and understand evolutional patterns of facts from these sequences. The evolutional patterns are complex in two aspects, length-diversity and time-variability. Existing models for TKG reasoning focus on modeling fact sequences of a fixed length, which cannot discover complex evolutional patterns that vary in length. Furthermore, these models are all trained offline, which cannot well adapt to the changes of evolutional patterns from then on. Thus, we propose a new model, called Complex Evolutional Network (CEN), which uses a length-aware Convolutional Neural Network (CNN) to handle evolutional patterns of different lengths via an easy-to-difficult curriculum learning strategy. Besides, we propose to learn the model under the online setting so that it can adapt to the changes of evolutional patterns over time. Extensive experiments demonstrate that CEN obtains substantial performance improvement under both the traditional offline and the proposed online settings.

Yanan Wu, Shuiqing Zhao, Shouliang Qi et al.

Accurate airway extraction from computed tomography (CT) images is a critical step for planning navigation bronchoscopy and quantitative assessment of airway-related chronic obstructive pulmonary disease (COPD). The existing methods are challenging to sufficiently segment the airway, especially the high-generation airway, with the constraint of the limited label and cannot meet the clinical use in COPD. We propose a novel two-stage 3D contextual transformer-based U-Net for airway segmentation using CT images. The method consists of two stages, performing initial and refined airway segmentation. The two-stage model shares the same subnetwork with different airway masks as input. Contextual transformer block is performed both in the encoder and decoder path of the subnetwork to finish high-quality airway segmentation effectively. In the first stage, the total airway mask and CT images are provided to the subnetwork, and the intrapulmonary airway mask and corresponding CT scans to the subnetwork in the second stage. Then the predictions of the two-stage method are merged as the final prediction. Extensive experiments were performed on in-house and multiple public datasets. Quantitative and qualitative analysis demonstrate that our proposed method extracted much more branches and lengths of the tree while accomplishing state-of-the-art airway segmentation performance. The code is available at https://github.com/zhaozsq/airway_segmentation.

Zixuan Li, Zhongni Hou, Saiping Guan et al. · baidu

A Temporal Knowledge Graph (TKG) is a sequence of KGs with respective timestamps, which adopts quadruples in the form of (\emph{subject}, \emph{relation}, \emph{object}, \emph{timestamp}) to describe dynamic facts. TKG reasoning has facilitated many real-world applications via answering such queries as (\emph{query entity}, \emph{query relation}, \emph{?}, \emph{future timestamp}) about future. This is actually a matching task between a query and candidate entities based on their historical structures, which reflect behavioral trends of the entities at different timestamps. In addition, recent KGs provide background knowledge of all the entities, which is also helpful for the matching. Thus, in this paper, we propose the \textbf{Hi}storical \textbf{S}tructure \textbf{Match}ing (\textbf{HiSMatch}) model. It applies two structure encoders to capture the semantic information contained in the historical structures of the query and candidate entities. Besides, it adopts another encoder to integrate the background knowledge into the model. TKG reasoning experiments on six benchmark datasets demonstrate the significant improvement of the proposed HiSMatch model, with up to 5.6\% performance improvement in MRR, compared to the state-of-the-art baselines.

Yucan Guo, Zixuan Li, Xiaolong Jin et al. · bytedance

Information Extraction (IE) aims to extract structural knowledge (e.g., entities, relations, events) from natural language texts, which brings challenges to existing methods due to task-specific schemas and complex text expressions. Code, as a typical kind of formalized language, is capable of describing structural knowledge under various schemas in a universal way. On the other hand, Large Language Models (LLMs) trained on both codes and texts have demonstrated powerful capabilities of transforming texts into codes, which provides a feasible solution to IE tasks. Therefore, in this paper, we propose a universal retrieval-augmented code generation framework based on LLMs, called Code4UIE, for IE tasks. Specifically, Code4UIE adopts Python classes to define task-specific schemas of various structural knowledge in a universal way. By so doing, extracting knowledge under these schemas can be transformed into generating codes that instantiate the predefined Python classes with the information in texts. To generate these codes more precisely, Code4UIE adopts the in-context learning mechanism to instruct LLMs with examples. In order to obtain appropriate examples for different tasks, Code4UIE explores several example retrieval strategies, which can retrieve examples semantically similar to the given texts. Extensive experiments on five representative IE tasks across nine datasets demonstrate the effectiveness of the Code4UIE framework.

Weicheng Ren, Zixuan Li, Xiaolong Jin et al.

Nested Event Extraction (NEE) aims to extract complex event structures where an event contains other events as its arguments recursively. Nested events involve a kind of Pivot Elements (PEs) that simultaneously act as arguments of outer-nest events and as triggers of inner-nest events, and thus connect them into nested structures. This special characteristic of PEs brings challenges to existing NEE methods, as they cannot well cope with the dual identities of PEs. Therefore, this paper proposes a new model, called PerNee, which extracts nested events mainly based on recognizing PEs. Specifically, PerNee first recognizes the triggers of both inner-nest and outer-nest events and further recognizes the PEs via classifying the relation type between trigger pairs. The model uses prompt learning to incorporate information from both event types and argument roles for better trigger and argument representations to improve NEE performance. Since existing NEE datasets (e.g., Genia11) are limited to specific domains and contain a narrow range of event types with nested structures, we systematically categorize nested events in the generic domain and construct a new NEE dataset, called ACE2005-Nest. Experimental results demonstrate that PerNee consistently achieves state-of-the-art performance on ACE2005-Nest, Genia11, and Genia13. The ACE2005-Nest dataset and the code of the PerNee model are available at https://github.com/waysonren/PerNee.

Zhen Chen, Zongming Zhang, Wenwu Guo et al.

Surgical instrument segmentation is crucial in surgical scene understanding, thereby facilitating surgical safety. Existing algorithms directly detected all instruments of pre-defined categories in the input image, lacking the capability to segment specific instruments according to the surgeon's intention. During different stages of surgery, surgeons exhibit varying preferences and focus toward different surgical instruments. Therefore, an instrument segmentation algorithm that adheres to the surgeon's intention can minimize distractions from irrelevant instruments and assist surgeons to a great extent. The recent Segment Anything Model (SAM) reveals the capability to segment objects following prompts, but the manual annotations for prompts are impractical during the surgery. To address these limitations in operating rooms, we propose an audio-driven surgical instrument segmentation framework, named ASI-Seg, to accurately segment the required surgical instruments by parsing the audio commands of surgeons. Specifically, we propose an intention-oriented multimodal fusion to interpret the segmentation intention from audio commands and retrieve relevant instrument details to facilitate segmentation. Moreover, to guide our ASI-Seg segment of the required surgical instruments, we devise a contrastive learning prompt encoder to effectively distinguish the required instruments from the irrelevant ones. Therefore, our ASI-Seg promotes the workflow in the operating rooms, thereby providing targeted support and reducing the cognitive load on surgeons. Extensive experiments are performed to validate the ASI-Seg framework, which reveals remarkable advantages over classical state-of-the-art and medical SAMs in both semantic segmentation and intention-oriented segmentation. The source code is available at https://github.com/Zonmgin-Zhang/ASI-Seg.

Naixin Zhai, Pengyang Shao, Binbin Zheng et al.

Machine unlearning aims to forget sensitive knowledge from Large Language Models (LLMs) while maintaining general utility. However, existing approaches typically treat all tokens in a response indiscriminately and enforce uncertainty over the entire vocabulary. This global treatment results in unnecessary utility degradation and extends optimization to content-agnostic regions. To address these limitations, we propose PALU (Prefix-Aware Localized Unlearning), a framework driven by a local entropy maximization objective across both temporal and vocabulary dimensions. PALU reveals that (i) suppressing the sensitive prefix alone is sufficient to sever the causal generation link, and (ii) flattening only the top-$k$ logits is adequate to maximize uncertainty in the critical subspace. These findings allow PALU to alleviate redundant optimization across the full vocabulary and parameter space while minimizing collateral damage to general model performance. Extensive experiments validate that PALU achieves superior forgetting efficacy and utility preservation compared to state-of-the-art baselines. Our code is available at https://github.com/nxZhai/PALU.

Zhen Chen, Xingjian Luo, Jinlin Wu et al.

Surgical phase recognition is critical for assisting surgeons in understanding surgical videos. Existing studies focused more on online surgical phase recognition, by leveraging preceding frames to predict the current frame. Despite great progress, they formulated the task as a series of frame-wise classification, which resulted in a lack of global context of the entire procedure and incoherent predictions. Moreover, besides online analysis, accurate offline surgical phase recognition is also in significant clinical need for retrospective analysis, and existing online algorithms do not fully analyze the entire video, thereby limiting accuracy in offline analysis. To overcome these challenges and enhance both online and offline inference capabilities, we propose a universal Surgical Phase Localization Network, named SurgPLAN++, with the principle of temporal detection. To ensure a global understanding of the surgical procedure, we devise a phase localization strategy for SurgPLAN++ to predict phase segments across the entire video through phase proposals. For online analysis, to generate high-quality phase proposals, SurgPLAN++ incorporates a data augmentation strategy to extend the streaming video into a pseudo-complete video through mirroring, center-duplication, and down-sampling. For offline analysis, SurgPLAN++ capitalizes on its global phase prediction framework to continuously refine preceding predictions during each online inference step, thereby significantly improving the accuracy of phase recognition. We perform extensive experiments to validate the effectiveness, and our SurgPLAN++ achieves remarkable performance in both online and offline modes, which outperforms state-of-the-art methods. The source code is available at https://github.com/franciszchen/SurgPLAN-Plus.

Long Bai, Saiping Guan, Zixuan Li et al.

Script is a kind of structured knowledge extracted from texts, which contains a sequence of events. Based on such knowledge, script event prediction aims to predict the subsequent event. To do so, two aspects should be considered for events, namely, event description (i.e., what the events should contain) and event encoding (i.e., how they should be encoded). Most existing methods describe an event by a verb together with only a few core arguments (i.e., subject, object, and indirect object), which are not precise. In addition, existing event encoders are limited to a fixed number of arguments, which are not flexible to deal with extra information. Thus, in this paper, we propose the Rich Event Prediction (REP) framework for script event prediction. Fundamentally, it is based on the proposed rich event description, which enriches the existing ones with three kinds of important information, namely, the senses of verbs, extra semantic roles, and types of participants. REP contains an event extractor to extract such information from texts. Based on the extracted rich information, a predictor then selects the most probable subsequent event. The core component of the predictor is a transformer-based event encoder to flexibly deal with an arbitrary number of arguments. Experimental results on the widely used Gigaword Corpus show the effectiveness of the proposed framework.

Heng Xiong, Changrong Guo, Jian Peng et al.

Robotic object packing has broad practical applications in the logistics and automation industry, often formulated by researchers as the online 3D Bin Packing Problem (3D-BPP). However, existing DRL-based methods primarily focus on enhancing performance in limited packing environments while neglecting the ability to generalize across multiple environments characterized by different bin dimensions. To this end, we propose GOPT, a generalizable online 3D Bin Packing approach via Transformer-based deep reinforcement learning (DRL). First, we design a Placement Generator module to yield finite subspaces as placement candidates and the representation of the bin. Second, we propose a Packing Transformer, which fuses the features of the items and bin, to identify the spatial correlation between the item to be packed and available sub-spaces within the bin. Coupling these two components enables GOPT's ability to perform inference on bins of varying dimensions. We conduct extensive experiments and demonstrate that GOPT not only achieves superior performance against the baselines, but also exhibits excellent generalization capabilities. Furthermore, the deployment with a robot showcases the practical applicability of our method in the real world. The source code will be publicly available at https://github.com/Xiong5Heng/GOPT.

Guankun Wang, Long Bai, Yanan Wu et al.

Endoscopy is a widely used technique for the early detection of diseases or robotic-assisted minimally invasive surgery (RMIS). Numerous deep learning (DL)-based research works have been developed for automated diagnosis or processing of endoscopic view. However, existing DL models may suffer from catastrophic forgetting. When new target classes are introduced over time or cross institutions, the performance of old classes may suffer severe degradation. More seriously, data privacy and storage issues may lead to the unavailability of old data when updating the model. Therefore, it is necessary to develop a continual learning (CL) methodology to solve the problem of catastrophic forgetting in endoscopic image segmentation. To tackle this, we propose a Endoscopy Continual Semantic Segmentation (EndoCSS) framework that does not involve the storage and privacy issues of exemplar data. The framework includes a mini-batch pseudo-replay (MB-PR) mechanism and a self-adaptive noisy cross-entropy (SAN-CE) loss. The MB-PR strategy circumvents privacy and storage issues by generating pseudo-replay images through a generative model. Meanwhile, the MB-PR strategy can also correct the model deviation to the replay data and current training data, which is aroused by the significant difference in the amount of current and replay images. Therefore, the model can perform effective representation learning on both new and old tasks. SAN-CE loss can help model fitting by adjusting the model's output logits, and also improve the robustness of training. Extensive continual semantic segmentation (CSS) experiments on public datasets demonstrate that our method can robustly and effectively address the catastrophic forgetting brought by class increment in endoscopy scenes. The results show that our framework holds excellent potential for real-world deployment in a streaming learning manner.

Long Bai, Mobarakol Islam, Hongliang Ren

Medical students and junior surgeons often rely on senior surgeons and specialists to answer their questions when learning surgery. However, experts are often busy with clinical and academic work, and have little time to give guidance. Meanwhile, existing deep learning (DL)-based surgical Visual Question Answering (VQA) systems can only provide simple answers without the location of the answers. In addition, vision-language (ViL) embedding is still a less explored research in these kinds of tasks. Therefore, a surgical Visual Question Localized-Answering (VQLA) system would be helpful for medical students and junior surgeons to learn and understand from recorded surgical videos. We propose an end-to-end Transformer with the Co-Attention gaTed Vision-Language (CAT-ViL) embedding for VQLA in surgical scenarios, which does not require feature extraction through detection models. The CAT-ViL embedding module is designed to fuse multimodal features from visual and textual sources. The fused embedding will feed a standard Data-Efficient Image Transformer (DeiT) module, before the parallel classifier and detector for joint prediction. We conduct the experimental validation on public surgical videos from MICCAI EndoVis Challenge 2017 and 2018. The experimental results highlight the superior performance and robustness of our proposed model compared to the state-of-the-art approaches. Ablation studies further prove the outstanding performance of all the proposed components. The proposed method provides a promising solution for surgical scene understanding, and opens up a primary step in the Artificial Intelligence (AI)-based VQLA system for surgical training. Our code is publicly available.

Long Bai, Guankun Wang, Mobarakol Islam et al.

Medical visual question answering (VQA) bridges the gap between visual information and clinical decision-making, enabling doctors to extract understanding from clinical images and videos. In particular, surgical VQA can enhance the interpretation of surgical data, aiding in accurate diagnoses, effective education, and clinical interventions. However, the inability of VQA models to visually indicate the regions of interest corresponding to the given questions results in incomplete comprehension of the surgical scene. To tackle this, we propose the surgical visual question localized-answering (VQLA) for precise and context-aware responses to specific queries regarding surgical images. Furthermore, to address the strong demand for safety in surgical scenarios and potential corruptions in image acquisition and transmission, we propose a novel approach called Calibrated Co-Attention Gated Vision-Language (C$^2$G-ViL) embedding to integrate and align multimodal information effectively. Additionally, we leverage the adversarial sample-based contrastive learning strategy to boost our performance and robustness. We also extend our EndoVis-18-VQLA and EndoVis-17-VQLA datasets to broaden the scope and application of our data. Extensive experiments on the aforementioned datasets demonstrate the remarkable performance and robustness of our solution. Our solution can effectively combat real-world image corruption. Thus, our proposed approach can serve as an effective tool for assisting surgical education, patient care, and enhancing surgical outcomes.

Long Bai, Mobarakol Islam, Hongliang Ren

The visual-question localized-answering (VQLA) system can serve as a knowledgeable assistant in surgical education. Except for providing text-based answers, the VQLA system can highlight the interested region for better surgical scene understanding. However, deep neural networks (DNNs) suffer from catastrophic forgetting when learning new knowledge. Specifically, when DNNs learn on incremental classes or tasks, their performance on old tasks drops dramatically. Furthermore, due to medical data privacy and licensing issues, it is often difficult to access old data when updating continual learning (CL) models. Therefore, we develop a non-exemplar continual surgical VQLA framework, to explore and balance the rigidity-plasticity trade-off of DNNs in a sequential learning paradigm. We revisit the distillation loss in CL tasks, and propose rigidity-plasticity-aware distillation (RP-Dist) and self-calibrated heterogeneous distillation (SH-Dist) to preserve the old knowledge. The weight aligning (WA) technique is also integrated to adjust the weight bias between old and new tasks. We further establish a CL framework on three public surgical datasets in the context of surgical settings that consist of overlapping classes between old and new surgical VQLA tasks. With extensive experiments, we demonstrate that our proposed method excellently reconciles learning and forgetting on the continual surgical VQLA over conventional CL methods. Our code is publicly accessible.

Long Bai, Tong Chen, Yanan Wu et al.

Wireless capsule endoscopy (WCE) is a painless and non-invasive diagnostic tool for gastrointestinal (GI) diseases. However, due to GI anatomical constraints and hardware manufacturing limitations, WCE vision signals may suffer from insufficient illumination, leading to a complicated screening and examination procedure. Deep learning-based low-light image enhancement (LLIE) in the medical field gradually attracts researchers. Given the exuberant development of the denoising diffusion probabilistic model (DDPM) in computer vision, we introduce a WCE LLIE framework based on the multi-scale convolutional neural network (CNN) and reverse diffusion process. The multi-scale design allows models to preserve high-resolution representation and context information from low-resolution, while the curved wavelet attention (CWA) block is proposed for high-frequency and local feature learning. Furthermore, we combine the reverse diffusion procedure to further optimize the shallow output and generate the most realistic image. The proposed method is compared with ten state-of-the-art (SOTA) LLIE methods and significantly outperforms quantitatively and qualitatively. The superior performance on GI disease segmentation further demonstrates the clinical potential of our proposed model. Our code is publicly accessible.

Zhilei Hu, Zixuan Li, Daozhu Xu et al.

Event Relation Extraction (ERE) aims to extract multiple kinds of relations among events in texts. However, existing methods singly categorize event relations as different classes, which are inadequately capturing the intrinsic semantics of these relations. To comprehensively understand their intrinsic semantics, in this paper, we obtain prototype representations for each type of event relation and propose a Prototype-Enhanced Matching (ProtoEM) framework for the joint extraction of multiple kinds of event relations. Specifically, ProtoEM extracts event relations in a two-step manner, i.e., prototype representing and prototype matching. In the first step, to capture the connotations of different event relations, ProtoEM utilizes examples to represent the prototypes corresponding to these relations. Subsequently, to capture the interdependence among event relations, it constructs a dependency graph for the prototypes corresponding to these relations and utilized a Graph Neural Network (GNN)-based module for modeling. In the second step, it obtains the representations of new event pairs and calculates their similarity with those prototypes obtained in the first step to evaluate which types of event relations they belong to. Experimental results on the MAVEN-ERE dataset demonstrate that the proposed ProtoEM framework can effectively represent the prototypes of event relations and further obtain a significant improvement over baseline models.

Jieming Yu, An Wang, Wenzhen Dong et al.

The recent Segment Anything Model (SAM) 2 has demonstrated remarkable foundational competence in semantic segmentation, with its memory mechanism and mask decoder further addressing challenges in video tracking and object occlusion, thereby achieving superior results in interactive segmentation for both images and videos. Building upon our previous empirical studies, we further explore the zero-shot segmentation performance of SAM 2 in robot-assisted surgery based on prompts, alongside its robustness against real-world corruption. For static images, we employ two forms of prompts: 1-point and bounding box, while for video sequences, the 1-point prompt is applied to the initial frame. Through extensive experimentation on the MICCAI EndoVis 2017 and EndoVis 2018 benchmarks, SAM 2, when utilizing bounding box prompts, outperforms state-of-the-art (SOTA) methods in comparative evaluations. The results with point prompts also exhibit a substantial enhancement over SAM's capabilities, nearing or even surpassing existing unprompted SOTA methodologies. Besides, SAM 2 demonstrates improved inference speed and less performance degradation against various image corruption. Although slightly unsatisfactory results remain in specific edges or regions, SAM 2's robust adaptability to 1-point prompts underscores its potential for downstream surgical tasks with limited prompt requirements.

Changjing Liu, Yiming Huang, Long Bai et al.

In robot-assisted minimally invasive surgery, high-fidelity dynamic endoscopic scene reconstruction and simulation are crucial to enhancing downstream tasks and advancing surgical outcomes. However, existing methods primarily focus on visual reconstruction, lacking physics-based descriptions of the scene required for realistic simulation. We propose a unified framework that achieves physics-aware reconstruction and physical simulation of endoscopic scenes through Multi-modal Large Language Models (MLLMs)-guided Gaussian Splatting. Our approach utilizes 4D Gaussian Splatting (4DGS) integrated with pre-trained segmentation and depth estimation to represent deformable tissues and tools. To achieve automatic inference of physical properties, we introduce an object-wise material field that initializes material parameters via MLLM and refines them through a differentiable Material Point Method (MPM) under joint supervision from rendered images and optical flow. Validated on both open-source and in-house datasets, our framework achieves superior simulation fidelity and physical accuracy compared to state-of-the-art methods, underscoring its potential to advance robot-assisted surgical applications.

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.

Bokai Zhao, Yiyang Zhang, Yuanchi Zhu et al.

Pathology foundation models (PFMs) have emerged as a core approach for learning transferable representations from whole slide images (WSIs), and they are typically benchmarked through downstream clinical endpoints. While such task level evaluations are indispensable, they offer limited insight into what the representations themselves encode, particularly whether PFM embeddings can distinguish meaningful tissue regions and capture their spatial relationships. We present SpaPath-Bench, a representation level benchmark designed to diagnose spatial representation capability in PFMs. SpaPath-Bench formulates spatial domain identification (SDI) on paired whole slide image and spatial transcriptomics (ST) data as a diagnostic task. It curates 42 public paired WSI and ST slides, enables large scale evaluation across 19 encoders and seven SDI methods, and measures partition quality using three complementary criteria: unsupervised spatial coherence, transcriptomics referenced agreement, and expert referenced agreement. Across 83K runs, SpaPath-Bench reveals that different pretraining paradigms capture distinct aspects of tissue spatial architecture, and it provides practical guidance for building the next generation of spatially aware computational pathology models. Code and data pipelines are publicly available at https://bokai-zhao.github.io/SpaPath-benchboard/.

Hechen Li, Yanan Wu, Long Bai et al.

In the realm of modern diagnostic technology, video capsule endoscopy (VCE) is a standout for its high efficacy and non-invasive nature in diagnosing various gastrointestinal (GI) conditions, including obscure bleeding. Importantly, for the successful diagnosis and treatment of these conditions, accurate recognition of bleeding regions in VCE images is crucial. While deep learning-based methods have emerged as powerful tools for the automated analysis of VCE images, they often demand large training datasets with comprehensive annotations. Acquiring these labeled datasets tends to be time-consuming, costly, and requires significant domain expertise. To mitigate this issue, we have embraced a semi-supervised learning (SSL) approach for the bleeding regions segmentation within VCE. By adopting the `Mean Teacher' method, we construct a student U-Net equipped with an scSE attention block, alongside a teacher model of the same architecture. These models' parameters are alternately updated throughout the training process. We use the Kvasir-Capsule dataset for our experiments, which encompasses various GI bleeding conditions. Notably, we develop the segmentation annotations for this dataset ourselves. The findings from our experiments endorse the efficacy of the SSL-based segmentation strategy, demonstrating its capacity to reduce reliance on large volumes of annotations for model training, without compromising on the accuracy of identification.

Jie Wang, Lihe Ding, Tingfa Xu et al.

Robust 3D perception under corruption has become an essential task for the realm of 3D vision. While current data augmentation techniques usually perform random transformations on all point cloud objects in an offline way and ignore the structure of the samples, resulting in over-or-under enhancement. In this work, we propose an alternative to make sample-adaptive transformations based on the structure of the sample to cope with potential corruption via an auto-augmentation framework, named as AdaptPoint. Specially, we leverage a imitator, consisting of a Deformation Controller and a Mask Controller, respectively in charge of predicting deformation parameters and producing a per-point mask, based on the intrinsic structural information of the input point cloud, and then conduct corruption simulations on top. Then a discriminator is utilized to prevent the generation of excessive corruption that deviates from the original data distribution. In addition, a perception-guidance feedback mechanism is incorporated to guide the generation of samples with appropriate difficulty level. Furthermore, to address the paucity of real-world corrupted point cloud, we also introduce a new dataset ScanObjectNN-C, that exhibits greater similarity to actual data in real-world environments, especially when contrasted with preceding CAD datasets. Experiments show that our method achieves state-of-the-art results on multiple corruption benchmarks, including ModelNet-C, our ScanObjectNN-C, and ShapeNet-C.

Yantao Liu, Zixuan Li, Xiaolong Jin et al.

The Knowledge Base Question Answering (KBQA) task aims to answer natural language questions based on a given knowledge base. Recently, Large Language Models (LLMs) have shown strong capabilities in language understanding and can be used to solve this task. In doing so, a major challenge for LLMs is to overcome the immensity and heterogeneity of knowledge base schemas.Existing methods bypass this challenge by initially employing LLMs to generate drafts of logic forms without schema-specific details.Then, an extra module is used to inject schema information to these drafts.In contrast, in this paper, we propose a simple In-Context Schema Understanding (ICSU) method that enables LLMs to directly understand schemas by leveraging in-context learning. Specifically, ICSU provides schema information to LLMs using schema-related annotated examples. We investigate three example retrieval strategies based on raw questions, anonymized questions, and generated SPARQL queries. Experimental results show that ICSU demonstrates competitive performance compared to baseline methods on both the KQA Pro and WebQSP datasets.

Miao Su, Yucan Guo, Zhongni Hou et al.

Memory enables Large Language Model (LLM) agents to perceive, store, and use information from past dialogues, which is essential for personalization. However, existing methods fail to properly model the temporal dimension of memory in two aspects: 1) Temporal inaccuracy: memories are organized by dialogue time rather than their actual occurrence time; 2) Temporal fragmentation: existing methods focus on point-wise memory, losing durative information that captures persistent states and evolving patterns. To address these limitations, we propose Temporal Semantic Memory (TSM), a memory framework that models semantic time for point-wise memory and supports the construction and utilization of durative memory. During memory construction, it first builds a semantic timeline rather than a dialogue one. Then, it consolidates temporally continuous and semantically related information into a durative memory. During memory utilization, it incorporates the query's temporal intent on the semantic timeline, enabling the retrieval of temporally appropriate durative memories and providing time-valid, duration-consistent context to support response generation. Experiments on LongMemEval and LoCoMo show that TSM consistently outperforms existing methods and achieves up to 12.2% absolute improvement in accuracy, demonstrating the effectiveness of the proposed method.

Mengya Xu, Ziqi Guo, An Wang et al.

As a crucial and intricate task in robotic minimally invasive surgery, reconstructing surgical scenes using stereo or monocular endoscopic video holds immense potential for clinical applications. NeRF-based techniques have recently garnered attention for the ability to reconstruct scenes implicitly. On the other hand, Gaussian splatting-based 3D-GS represents scenes explicitly using 3D Gaussians and projects them onto a 2D plane as a replacement for the complex volume rendering in NeRF. However, these methods face challenges regarding surgical scene reconstruction, such as slow inference, dynamic scenes, and surgical tool occlusion. This work explores and reviews state-of-the-art (SOTA) approaches, discussing their innovations and implementation principles. Furthermore, we replicate the models and conduct testing and evaluation on two datasets. The test results demonstrate that with advancements in these techniques, achieving real-time, high-quality reconstructions becomes feasible.

Tianhang Liu, Hechen Li, Long Bai et al.

Robot-assisted airway intubation application needs high accuracy in locating targets and organs. Two vital landmarks, nostrils and glottis, can be detected during the intubation to accommodate the stages of nasal intubation. Automated landmark detection can provide accurate localization and quantitative evaluation. The Detection Transformer (DeTR) leads object detectors to a new paradigm with long-range dependence. However, current DeTR requires long iterations to converge, and does not perform well in detecting small objects. This paper proposes a transformer-based landmark detection solution with deformable DeTR and the semantic-aligned-matching module for detecting landmarks in robot-assisted intubation. The semantics aligner can effectively align the semantics of object queries and image features in the same embedding space using the most discriminative features. To evaluate the performance of our solution, we utilize a publicly accessible glottis dataset and automatically annotate a nostril detection dataset. The experimental results demonstrate our competitive performance in detection accuracy. Our code is publicly accessible.

Guankun Wang, Long Bai, Hongliang Ren

Reasoning capability has significantly advanced complex logical inference and robotic decision-making in general domains. However, its potential in the Artificial Intelligence (AI) copilot robot-particularly implemented based on the Vision-Language-Action (VLA) model-remains unexplored in endoscopic surgery. Effective reasoning should enable AI copilot robots to integrate multimodal cues, interpret surgical intent, and infer hidden tissue dynamics, thereby alleviating intraoperative uncertainty and cognitive burden on surgeons. Properly implemented, reasoning-driven autonomy can transform AI copilot robots from reactive executors into cognitive collaborators, enhancing precision, safety, and sustainability in clinical practice.

Hao Ding, Yuqian Zhang, Tuxun Lu et al.

Surgical data science has seen rapid advancement due to the excellent performance of end-to-end deep neural networks (DNNs) for surgical video analysis. Despite their successes, end-to-end DNNs have been proven susceptible to even minor corruptions, substantially impairing the model's performance. This vulnerability has become a major concern for the translation of cutting-edge technology, especially for high-stakes decision-making in surgical data science. We introduce SegSTRONG-C, a benchmark and challenge in surgical data science dedicated, aiming to better understand model deterioration under unforeseen but plausible non-adversarial corruption and the capabilities of contemporary methods that seek to improve it. Through comprehensive baseline experiments and participating submissions from widespread community engagement, SegSTRONG-C reveals key themes for model failure and identifies promising directions for improving robustness. The performance of challenge winners, achieving an average 0.9394 DSC and 0.9301 NSD across the unreleased test sets with corruption types: bleeding, smoke, and low brightness, shows inspiring improvement of 0.1471 DSC and 0.2584 NSD in average comparing to strongest baseline methods with UNet architecture trained with AutoAugment. In conclusion, the SegSTRONG-C challenge has identified some practical approaches for enhancing model robustness, yet most approaches relied on conventional techniques that have known, and sometimes quite severe, limitations. Looking ahead, we advocate for expanding intellectual diversity and creativity in non-adversarial robustness beyond data augmentation or training scale, calling for new paradigms that enhance universal robustness to corruptions and may enable richer applications in surgical data science.

Beilei Cui, Mobarakol Islam, Long Bai et al.

Purpose: Depth estimation in robotic surgery is vital in 3D reconstruction, surgical navigation and augmented reality visualization. Although the foundation model exhibits outstanding performance in many vision tasks, including depth estimation (e.g., DINOv2), recent works observed its limitations in medical and surgical domain-specific applications. This work presents a low-ranked adaptation (LoRA) of the foundation model for surgical depth estimation. Methods: We design a foundation model-based depth estimation method, referred to as Surgical-DINO, a low-rank adaptation of the DINOv2 for depth estimation in endoscopic surgery. We build LoRA layers and integrate them into DINO to adapt with surgery-specific domain knowledge instead of conventional fine-tuning. During training, we freeze the DINO image encoder, which shows excellent visual representation capacity, and only optimize the LoRA layers and depth decoder to integrate features from the surgical scene. Results: Our model is extensively validated on a MICCAI challenge dataset of SCARED, which is collected from da Vinci Xi endoscope surgery. We empirically show that Surgical-DINO significantly outperforms all the state-of-the-art models in endoscopic depth estimation tasks. The analysis with ablation studies has shown evidence of the remarkable effect of our LoRA layers and adaptation. Conclusion: Surgical-DINO shed some light on the successful adaptation of the foundation models into the surgical domain for depth estimation. There is clear evidence in the results that zero-shot prediction on pre-trained weights in computer vision datasets or naive fine-tuning is not sufficient to use the foundation model in the surgical domain directly. Code is available at https://github.com/BeileiCui/SurgicalDINO.

Meng Wei, Kun Yuan, Shi Li et al.

Enabling intuitive, language-driven interaction with surgical scenes is a critical step toward intelligent operating rooms and autonomous surgical robotic assistance. However, the task of referring segmentation, localizing surgical instruments based on natural language descriptions, remains underexplored in surgical videos, with existing approaches struggling to generalize due to reliance on static visual cues and predefined instrument names. In this work, we introduce SurgRef, a novel motion-guided framework that grounds free-form language expressions in instrument motion, capturing how tools move and interact across time, rather than what they look like. This allows models to understand and segment instruments even under occlusion, ambiguity, or unfamiliar terminology. To train and evaluate SurgRef, we present Ref-IMotion, a diverse, multi-institutional video dataset with dense spatiotemporal masks and rich motion-centric expressions. SurgRef achieves state-of-the-art accuracy and generalization across surgical procedures, setting a new benchmark for robust, language-driven surgical video segmentation.

Jingyi He, Yue Zhou, Long Bai et al.

Understanding surgical workflow in real time is fundamental for intelligent surgical embodiment, where AI systems continuously perceive and respond as surgery proceeds. In the operating room, critical decisions depend on subtle, moment-to-moment changes, such as fine instrument movements and evolving tissue states, where even slight perceptual delays can limit assistance or compromise safety. Yet existing methods remain offline or operate at coarse temporal scales, generating descriptions only after processing clips, preventing immediate reaction. We address this by proposing SurgOnAir, a streaming vision-language model that processes frames sequentially without future access and progressively generates narration tokens as visual input arrives. SurgOnAir achieves fine-grained frame-to-token generation, enabling instant responsiveness to evolving surgical dynamics. Built upon our curated hierarchical dataset SurgOnAir-11k spanning action-, step-, and phase-level supervision, the model is trained to produce multi-level textual responses that reflect the inherent hierarchy of surgical procedures. Furthermore, special transition tokens are generated to explicitly mark state changes, allowing SurgOnAir to capture and signal key workflow transitions as they occur. Experiments show that SurgOnAir enables real-time understanding through a single vision-language model that unifies streaming across multiple hierarchies of the surgical workflow, generating superior and hierarchy-aware narrations. Code and dataset will be public.

Yiming Huang, Beilei Cui, Ikemura Kei et al.

The recent advance in neural rendering has enabled the ability to reconstruct high-quality 4D scenes using neural networks. Although 4D neural reconstruction is popular, registration for such representations remains a challenging task, especially for dynamic scene registration in surgical planning and simulation. In this paper, we propose a novel strategy for dynamic surgical neural scene registration. We first utilize 4D Gaussian Splatting to represent the surgical scene and capture both static and dynamic scenes effectively. Then, a spatial aware feature aggregation method, Spatially Weight Cluttering (SWC) is proposed to accurately align the feature between surgical scenes, enabling precise and realistic surgical simulations. Lastly, we present a novel strategy of deformable scene registration to register two dynamic scenes. By incorporating both spatial and temporal information for correspondence matching, our approach achieves superior performance compared to existing registration methods for implicit neural representation. The proposed method has the potential to improve surgical planning and training, ultimately leading to better patient outcomes.

Beilei Cui, Mobarakol Islam, Long Bai et al.

Depth estimation plays a crucial role in various tasks within endoscopic surgery, including navigation, surface reconstruction, and augmented reality visualization. Despite the significant achievements of foundation models in vision tasks, including depth estimation, their direct application to the medical domain often results in suboptimal performance. This highlights the need for efficient adaptation methods to adapt these models to endoscopic depth estimation. We propose Endoscopic Depth Any Camera (EndoDAC) which is an efficient self-supervised depth estimation framework that adapts foundation models to endoscopic scenes. Specifically, we develop the Dynamic Vector-Based Low-Rank Adaptation (DV-LoRA) and employ Convolutional Neck blocks to tailor the foundational model to the surgical domain, utilizing remarkably few trainable parameters. Given that camera information is not always accessible, we also introduce a self-supervised adaptation strategy that estimates camera intrinsics using the pose encoder. Our framework is capable of being trained solely on monocular surgical videos from any camera, ensuring minimal training costs. Experiments demonstrate that our approach obtains superior performance even with fewer training epochs and unaware of the ground truth camera intrinsics. Code is available at https://github.com/BeileiCui/EndoDAC.

Ziyang Song, Zelin Zang, Xiaofan Ye et al.

Multimodal Large Language Models (MLLMs) have shown significant potential in surgical video understanding. With improved zero-shot performance and more effective human-machine interaction, they provide a strong foundation for advancing surgical education and assistance. However, existing research and datasets primarily focus on understanding surgical procedures and workflows, while paying limited attention to the critical role of anatomical comprehension. In clinical practice, surgeons rely heavily on precise anatomical understanding to interpret, review, and learn from surgical videos. To fill this gap, we introduce the Neurosurgical Anatomy Benchmark (NeuroABench), the first multimodal benchmark explicitly created to evaluate anatomical understanding in the neurosurgical domain. NeuroABench consists of 9 hours of annotated neurosurgical videos covering 89 distinct procedures and is developed using a novel multimodal annotation pipeline with multiple review cycles. The benchmark evaluates the identification of 68 clinical anatomical structures, providing a rigorous and standardized framework for assessing model performance. Experiments on over 10 state-of-the-art MLLMs reveal significant limitations, with the best-performing model achieving only 40.87% accuracy in anatomical identification tasks. To further evaluate the benchmark, we extract a subset of the dataset and conduct an informative test with four neurosurgical trainees. The results show that the best-performing student achieves 56% accuracy, with the lowest scores of 28% and an average score of 46.5%. While the best MLLM performs comparably to the lowest-scoring student, it still lags significantly behind the group's average performance. This comparison underscores both the progress of MLLMs in anatomical understanding and the substantial gap that remains in achieving human-level performance.

Wenzhen Dong, Jieming Yu, Yiming Huang et al.

The recent Segment Anything Model (SAM) 3 has introduced significant advancements over its predecessor, SAM 2, particularly with the integration of language-based segmentation and enhanced 3D perception capabilities. SAM 3 supports zero-shot segmentation across a wide range of prompts, including point, bounding box, and language-based prompts, allowing for more flexible and intuitive interactions with the model. In this empirical evaluation, we assess the performance of SAM 3 in robot-assisted surgery, benchmarking its zero-shot segmentation with point and bounding box prompts and exploring its effectiveness in dynamic video tracking, alongside its newly introduced language prompt segmentation. While language prompts show potential, their performance in the surgical domain is currently suboptimal, highlighting the need for further domain-specific training. Additionally, we investigate SAM 3's 3D reconstruction abilities, demonstrating its capacity to process surgical scene data and reconstruct 3D anatomical structures from 2D images. Through comprehensive testing on the MICCAI EndoVis 2017 and EndoVis 2018 benchmarks, SAM 3 shows clear improvements over SAM and SAM 2 in both image and video segmentation under spatial prompts, while zero-shot evaluations on SCARED, StereoMIS, and EndoNeRF indicate strong monocular depth estimation and realistic 3D instrument reconstruction, yet also reveal remaining limitations in complex, highly dynamic surgical scenes.

Mengya Xu, Mobarakol Islam, Long Bai et al.

Deep Neural Networks (DNNs) based semantic segmentation of the robotic instruments and tissues can enhance the precision of surgical activities in robot-assisted surgery. However, in biological learning, DNNs cannot learn incremental tasks over time and exhibit catastrophic forgetting, which refers to the sharp decline in performance on previously learned tasks after learning a new one. Specifically, when data scarcity is the issue, the model shows a rapid drop in performance on previously learned instruments after learning new data with new instruments. The problem becomes worse when it limits releasing the dataset of the old instruments for the old model due to privacy concerns and the unavailability of the data for the new or updated version of the instruments for the continual learning model. For this purpose, we develop a privacy-preserving synthetic continual semantic segmentation framework by blending and harmonizing (i) open-source old instruments foreground to the synthesized background without revealing real patient data in public and (ii) new instruments foreground to extensively augmented real background. To boost the balanced logit distillation from the old model to the continual learning model, we design overlapping class-aware temperature normalization (CAT) by controlling model learning utility. We also introduce multi-scale shifted-feature distillation (SD) to maintain long and short-range spatial relationships among the semantic objects where conventional short-range spatial features with limited information reduce the power of feature distillation. We demonstrate the effectiveness of our framework on the EndoVis 2017 and 2018 instrument segmentation dataset with a generalized continual learning setting. Code is available at~\url{https://github.com/XuMengyaAmy/Synthetic_CAT_SD}.

Long Bai, Guankun Wang, Jie Wang et al.

In the realm of automated robotic surgery and computer-assisted interventions, understanding robotic surgical activities stands paramount. Existing algorithms dedicated to surgical activity recognition predominantly cater to pre-defined closed-set paradigms, ignoring the challenges of real-world open-set scenarios. Such algorithms often falter in the presence of test samples originating from classes unseen during training phases. To tackle this problem, we introduce an innovative Open-Set Surgical Activity Recognition (OSSAR) framework. Our solution leverages the hyperspherical reciprocal point strategy to enhance the distinction between known and unknown classes in the feature space. Additionally, we address the issue of over-confidence in the closed set by refining model calibration, avoiding misclassification of unknown classes as known ones. To support our assertions, we establish an open-set surgical activity benchmark utilizing the public JIGSAWS dataset. Besides, we also collect a novel dataset on endoscopic submucosal dissection for surgical activity tasks. Extensive comparisons and ablation experiments on these datasets demonstrate the significant outperformance of our method over existing state-of-the-art approaches. Our proposed solution can effectively address the challenges of real-world surgical scenarios. Our code is publicly accessible at https://github.com/longbai1006/OSSAR.

Yiming Huang, Beilei Cui, Long Bai et al.

Simultaneous Localization and Mapping (SLAM) is essential for precise surgical interventions and robotic tasks in minimally invasive procedures. While recent advancements in 3D Gaussian Splatting (3DGS) have improved SLAM with high-quality novel view synthesis and fast rendering, these systems struggle with accurate depth and surface reconstruction due to multi-view inconsistencies. Simply incorporating SLAM and 3DGS leads to mismatches between the reconstructed frames. In this work, we present Endo-2DTAM, a real-time endoscopic SLAM system with 2D Gaussian Splatting (2DGS) to address these challenges. Endo-2DTAM incorporates a surface normal-aware pipeline, which consists of tracking, mapping, and bundle adjustment modules for geometrically accurate reconstruction. Our robust tracking module combines point-to-point and point-to-plane distance metrics, while the mapping module utilizes normal consistency and depth distortion to enhance surface reconstruction quality. We also introduce a pose-consistent strategy for efficient and geometrically coherent keyframe sampling. Extensive experiments on public endoscopic datasets demonstrate that Endo-2DTAM achieves an RMSE of $1.87\pm 0.63$ mm for depth reconstruction of surgical scenes while maintaining computationally efficient tracking, high-quality visual appearance, and real-time rendering. Our code will be released at github.com/lastbasket/Endo-2DTAM.

Yiming Huang, Baixiang Huang, Beilei Cui et al.

Feed-forward 3D reconstruction has revolutionized 3D vision, providing a powerful baseline for downstream tasks such as novel-view synthesis with 3D Gaussian Splatting. Previous works explore fixing the corrupted rendering results with a diffusion model. However, they lack geometric concern and fail at filling the missing area on the extrapolated view. In this work, we introduce Leveling3D, a novel pipeline that integrates feed-forward 3D reconstruction with geometrical-consistent generation to enable holistic simultaneous reconstruction and generation. We propose a geometry-aware leveling adapter, a lightweight technique that aligns internal knowledge in the diffusion model with the geometry prior from the feed-forward model. The leveling adapter enables generation on the artifact area of the extrapolated novel views caused by underconstrained regions of the 3D representation. Specifically, to learn a more diverse distributed generation, we introduce the palette filtering strategy for training, and a test-time masking refinement to prevent messy boundaries along the fixing regions. More importantly, the enhanced extrapolated novel views from Leveling3D could be used as the inputs for feed-forward 3DGS, leveling up the 3D reconstruction. We achieve SOTA performance on public datasets, including tasks such as novel-view synthesis and depth estimation.

Yuxin Zuo, Wenxuan Jiang, Wenxuan Liu et al. · bytedance

Empirical evidence indicates that LLMs exhibit spontaneous cross-lingual alignment. However, although LLMs show promising cross-lingual alignment in Information Extraction (IE), a significant imbalance across languages persists, highlighting an underlying deficiency. To address this, we propose KnowCoder-X, a powerful code LLM with advanced cross-lingual and multilingual capabilities for universal IE. Firstly, it standardizes the representation of multilingual schemas using Python classes, ensuring a consistent ontology across different languages. Then, IE across languages is formulated as a unified code generation task. Secondly, we conduct IE cross-lingual alignment instruction tuning on the translated instance prediction task to enhance the model's cross-lingual transferability. During this phase, we also construct a high-quality and diverse bilingual IE parallel dataset with 257k samples, called ParallelNER, synthesized by our proposed robust three-stage pipeline, with manual annotation to ensure quality. Although without training in 29 unseen languages, KnowCoder-X surpasses ChatGPT by 30.17\% and SoTA by 20.03\%, thereby demonstrating superior cross-lingual IE capabilities. Comprehensive evaluations on 64 IE benchmarks in Chinese and English under various settings demonstrate that KnowCoder-X significantly enhances cross-lingual IE transfer through boosting the IE alignment. Our code and dataset are available at: https://github.com/ICT-GoKnow/KnowCoder

Kun Yuan, Tingxuan Chen, Shi Li et al.

The complexity and diversity of surgical workflows, driven by heterogeneous operating room settings, institutional protocols, and anatomical variability, present a significant challenge in developing generalizable models for cross-institutional and cross-procedural surgical understanding. While recent surgical foundation models pretrained on large-scale vision-language data offer promising transferability, their zero-shot performance remains constrained by domain shifts, limiting their utility in unseen surgical environments. To address this, we introduce Surgical Phase Anywhere (SPA), a lightweight framework for versatile surgical workflow understanding that adapts foundation models to institutional settings with minimal annotation. SPA leverages few-shot spatial adaptation to align multi-modal embeddings with institution-specific surgical scenes and phases. It also ensures temporal consistency through diffusion modeling, which encodes task-graph priors derived from institutional procedure protocols. Finally, SPA employs dynamic test-time adaptation, exploiting the mutual agreement between multi-modal phase prediction streams to adapt the model to a given test video in a self-supervised manner, enhancing the reliability under test-time distribution shifts. SPA is a lightweight adaptation framework, allowing hospitals to rapidly customize phase recognition models by defining phases in natural language text, annotating a few images with the phase labels, and providing a task graph defining phase transitions. The experimental results show that the SPA framework achieves state-of-the-art performance in few-shot surgical phase recognition across multiple institutions and procedures, even outperforming full-shot models with 32-shot labeled data. Code is available at https://github.com/CAMMA-public/SPA

Guankun Wang, Junyi Wang, Wenjin Mo et al.

Surgical scene understanding is critical for surgical training and robotic decision-making in robot-assisted surgery. Recent advances in Multimodal Large Language Models (MLLMs) have demonstrated great potential for advancing scene perception in the medical domain, facilitating surgeons to understand surgical scenes and procedures. However, these methods are primarily oriented towards image-based analysis or global video understanding, overlooking the fine-grained video reasoning that is crucial for analyzing specific processes and capturing detailed task execution within a surgical procedure. To bridge this gap, we propose SurgVidLM, the first video language model designed to address both full and fine-grained surgical video comprehension. To train our SurgVidLM, we construct the SVU-31K that is a large-scale dataset with over 31K video-instruction pairs, enabling both holistic understanding and detailed analysis of surgical procedures. Building on this resource, SurgVidLM incorporates a two-stage StageFocus mechanism: the first stage extracts global procedural context, while the second stage performs high-frequency local analysis guided by temporal cues. We also develop the Multi-frequency Fusion Attention to effectively integrate low- and high-frequency visual tokens, ensuring the preservation of critical task-specific details. Experimental results demonstrate that SurgVidLM significantly outperforms state-of-the-art Vid-LLMs of comparable parameter scale in both full and fine-grained video understanding tasks, showcasing its superior capability in capturing the context of complex robot-assisted surgeries. Our code and dataset will be publicly accessible soon.

Yiming Huang, Long Bai, Beilei Cui et al.

Accurate reconstruction of soft tissue is crucial for advancing automation in image-guided robotic surgery. The recent 3D Gaussian Splatting (3DGS) techniques and their variants, 4DGS, achieve high-quality renderings of dynamic surgical scenes in real-time. However, 3D-GS-based methods still struggle in scenarios with varying illumination, such as low light and over-exposure. Training 3D-GS in such extreme light conditions leads to severe optimization problems and devastating rendering quality. To address these challenges, we present Endo-4DGX, a novel reconstruction method with illumination-adaptive Gaussian Splatting designed specifically for endoscopic scenes with uneven lighting. By incorporating illumination embeddings, our method effectively models view-dependent brightness variations. We introduce a region-aware enhancement module to model the sub-area lightness at the Gaussian level and a spatial-aware adjustment module to learn the view-consistent brightness adjustment. With the illumination adaptive design, Endo-4DGX achieves superior rendering performance under both low-light and over-exposure conditions while maintaining geometric accuracy. Additionally, we employ an exposure control loss to restore the appearance from adverse exposure to the normal level for illumination-adaptive optimization. Experimental results demonstrate that Endo-4DGX significantly outperforms combinations of state-of-the-art reconstruction and restoration methods in challenging lighting environments, underscoring its potential to advance robot-assisted surgical applications. Our code is available at https://github.com/lastbasket/Endo-4DGX.

Yiming Huang, Long Bai, Beilei Cui et al.

In contemporary surgical research and practice, accurately comprehending 3D surgical scenes with text-promptable capabilities is particularly crucial for surgical planning and real-time intra-operative guidance, where precisely identifying and interacting with surgical tools and anatomical structures is paramount. However, existing works focus on surgical vision-language model (VLM), 3D reconstruction, and segmentation separately, lacking support for real-time text-promptable 3D queries. In this paper, we present SurgTPGS, a novel text-promptable Gaussian Splatting method to fill this gap. We introduce a 3D semantics feature learning strategy incorporating the Segment Anything model and state-of-the-art vision-language models. We extract the segmented language features for 3D surgical scene reconstruction, enabling a more in-depth understanding of the complex surgical environment. We also propose semantic-aware deformation tracking to capture the seamless deformation of semantic features, providing a more precise reconstruction for both texture and semantic features. Furthermore, we present semantic region-aware optimization, which utilizes regional-based semantic information to supervise the training, particularly promoting the reconstruction quality and semantic smoothness. We conduct comprehensive experiments on two real-world surgical datasets to demonstrate the superiority of SurgTPGS over state-of-the-art methods, highlighting its potential to revolutionize surgical practices. SurgTPGS paves the way for developing next-generation intelligent surgical systems by enhancing surgical precision and safety. Our code is available at: https://github.com/lastbasket/SurgTPGS.

Beilei Cui, Yiming Huang, Long Bai et al.

This work presents a generalizable framework to transfer relative depth to metric depth. Current monocular depth estimation methods are mainly divided into metric depth estimation (MMDE) and relative depth estimation (MRDE). MMDEs estimate depth in metric scale but are often limited to a specific domain. MRDEs generalize well across different domains, but with uncertain scales which hinders downstream applications. To this end, we aim to build up a framework to solve scale uncertainty and transfer relative depth to metric depth. Previous methods used language as input and estimated two factors for conducting rescaling. Our approach, TR2M, utilizes both text description and image as inputs and estimates two rescale maps to transfer relative depth to metric depth at pixel level. Features from two modalities are fused with a cross-modality attention module to better capture scale information. A strategy is designed to construct and filter confident pseudo metric depth for more comprehensive supervision. We also develop scale-oriented contrastive learning to utilize depth distribution as guidance to enforce the model learning about intrinsic knowledge aligning with the scale distribution. TR2M only exploits a small number of trainable parameters to train on datasets in various domains and experiments not only demonstrate TR2M's great performance in seen datasets but also reveal superior zero-shot capabilities on five unseen datasets. We show the huge potential in pixel-wise transferring relative depth to metric depth with language assistance. (Code is available at: https://github.com/BeileiCui/TR2M)

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.

Zixuan Li, Yutao Zeng, Yuxin Zuo et al. · bytedance

In this paper, we propose KnowCoder, a Large Language Model (LLM) to conduct Universal Information Extraction (UIE) via code generation. KnowCoder aims to develop a kind of unified schema representation that LLMs can easily understand and an effective learning framework that encourages LLMs to follow schemas and extract structured knowledge accurately. To achieve these, KnowCoder introduces a code-style schema representation method to uniformly transform different schemas into Python classes, with which complex schema information, such as constraints among tasks in UIE, can be captured in an LLM-friendly manner. We further construct a code-style schema library covering over $\textbf{30,000}$ types of knowledge, which is the largest one for UIE, to the best of our knowledge. To ease the learning process of LLMs, KnowCoder contains a two-phase learning framework that enhances its schema understanding ability via code pretraining and its schema following ability via instruction tuning. After code pretraining on around $1.5$B automatically constructed data, KnowCoder already attains remarkable generalization ability and achieves relative improvements by $\textbf{49.8%}$ F1, compared to LLaMA2, under the few-shot setting. After instruction tuning, KnowCoder further exhibits strong generalization ability on unseen schemas and achieves up to $\textbf{12.5%}$ and $\textbf{21.9%}$, compared to sota baselines, under the zero-shot setting and the low resource setting, respectively. Additionally, based on our unified schema representations, various human-annotated datasets can simultaneously be utilized to refine KnowCoder, which achieves significant improvements up to $\textbf{7.5%}$ under the supervised setting.

Dimitrios Psychogyios, Emanuele Colleoni, Beatrice Van Amsterdam et al.

Surgical tool segmentation and action recognition are fundamental building blocks in many computer-assisted intervention applications, ranging from surgical skills assessment to decision support systems. Nowadays, learning-based action recognition and segmentation approaches outperform classical methods, relying, however, on large, annotated datasets. Furthermore, action recognition and tool segmentation algorithms are often trained and make predictions in isolation from each other, without exploiting potential cross-task relationships. With the EndoVis 2022 SAR-RARP50 challenge, we release the first multimodal, publicly available, in-vivo, dataset for surgical action recognition and semantic instrumentation segmentation, containing 50 suturing video segments of Robotic Assisted Radical Prostatectomy (RARP). The aim of the challenge is twofold. First, to enable researchers to leverage the scale of the provided dataset and develop robust and highly accurate single-task action recognition and tool segmentation approaches in the surgical domain. Second, to further explore the potential of multitask-based learning approaches and determine their comparative advantage against their single-task counterparts. A total of 12 teams participated in the challenge, contributing 7 action recognition methods, 9 instrument segmentation techniques, and 4 multitask approaches that integrated both action recognition and instrument segmentation. The complete SAR-RARP50 dataset is available at: https://rdr.ucl.ac.uk/projects/SARRARP50_Segmentation_of_surgical_instrumentation_and_Action_Recognition_on_Robot-Assisted_Radical_Prostatectomy_Challenge/191091

Tong Chen, Xinyu Ma, Long Bai et al.

Endoscopic images often suffer from diverse and co-occurring degradations such as low lighting, smoke, and bleeding, which obscure critical clinical details. Existing restoration methods are typically task-specific and often require prior knowledge of the degradation type, limiting their robustness in real-world clinical use. We propose EndoIR, an all-in-one, degradation-agnostic diffusion-based framework that restores multiple degradation types using a single model. EndoIR introduces a Dual-Domain Prompter that extracts joint spatial-frequency features, coupled with an adaptive embedding that encodes both shared and task-specific cues as conditioning for denoising. To mitigate feature confusion in conventional concatenation-based conditioning, we design a Dual-Stream Diffusion architecture that processes clean and degraded inputs separately, with a Rectified Fusion Block integrating them in a structured, degradation-aware manner. Furthermore, Noise-Aware Routing Block improves efficiency by dynamically selecting only noise-relevant features during denoising. Experiments on SegSTRONG-C and CEC datasets demonstrate that EndoIR achieves state-of-the-art performance across multiple degradation scenarios while using fewer parameters than strong baselines, and downstream segmentation experiments confirm its clinical utility.