Wenjin Mo

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.

Mengya Xu, Wenjin Mo, Guankun Wang et al.

Robot-assisted Endoscopic Submucosal Dissection (ESD) improves the surgical procedure by providing a more comprehensive view through advanced robotic instruments and bimanual operation, thereby enhancing dissection efficiency and accuracy. Accurate prediction of dissection trajectories is crucial for better decision-making, reducing intraoperative errors, and improving surgical training. Nevertheless, predicting these trajectories is challenging due to variable tumor margins and dynamic visual conditions. To address this issue, we create the ESD Trajectory and Confidence Map-based Safety Margin (ETSM) dataset with $1849$ short clips, focusing on submucosal dissection with a dual-arm robotic system. We also introduce a framework that combines optimal dissection trajectory prediction with a confidence map-based safety margin, providing a more secure and intelligent decision-making tool to minimize surgical risks for ESD procedures. Additionally, we propose the Regression-based Confidence Map Prediction Network (RCMNet), which utilizes a regression approach to predict confidence maps for dissection areas, thereby delineating various levels of safety margins. We evaluate our RCMNet using three distinct experimental setups: in-domain evaluation, robustness assessment, and out-of-domain evaluation. Experimental results show that our approach excels in the confidence map-based safety margin prediction task, achieving a mean absolute error (MAE) of only $3.18$. To the best of our knowledge, this is the first study to apply a regression approach for visual guidance concerning delineating varying safety levels of dissection areas. Our approach bridges gaps in current research by improving prediction accuracy and enhancing the safety of the dissection process, showing great clinical significance in practice.

Wenjin Mo, Zhiyuan Li, Minghong Fang et al.

Federated learning (FL) allows multiple clients to collaboratively train a global machine learning model with coordination from a central server, without needing to share their raw data. This approach is particularly appealing in the era of privacy regulations like the GDPR, leading many prominent companies to adopt it. However, FL's distributed nature makes it susceptible to poisoning attacks, where malicious clients, controlled by an attacker, send harmful data to compromise the model. Most existing poisoning attacks in FL aim to degrade the model's integrity, such as reducing its accuracy, with limited attention to privacy concerns from these attacks. In this study, we introduce FedPoisonMIA, a novel poisoning membership inference attack targeting FL. FedPoisonMIA involves malicious clients crafting local model updates to infer membership information. Additionally, we propose a robust defense mechanism to mitigate the impact of FedPoisonMIA attacks. Extensive experiments across various datasets demonstrate the attack's effectiveness, while our defense approach reduces its impact to a degree.

Mengya Xu, Wenjin Mo, Guankun Wang et al.

Purpose: Endoscopic surgical environments present challenges for dissection zone segmentation due to unclear boundaries between tissue types, leading to segmentation errors where models misidentify or overlook edges. This study aims to provide precise dissection zone suggestions during endoscopic submucosal dissection (ESD) procedures, enhancing ESD safety. Methods: We propose the Prompted-based Dissection Zone Segmentation (PDZSeg) model, designed to leverage diverse visual prompts such as scribbles and bounding boxes. By overlaying these prompts onto images and fine-tuning a foundational model on a specialized dataset, our approach improves segmentation performance and user experience through flexible input methods. Results: The PDZSeg model was validated using three experimental setups: in-domain evaluation, variability in visual prompt availability, and robustness assessment. Using the ESD-DZSeg dataset, results show that our method outperforms state-of-the-art segmentation approaches. This is the first study to integrate visual prompt design into dissection zone segmentation. Conclusion: The PDZSeg model effectively utilizes visual prompts to enhance segmentation performance and user experience, supported by the novel ESD-DZSeg dataset as a benchmark for dissection zone segmentation in ESD. Our work establishes a foundation for future research.

Xiaokai Cao, Wenjin Mo, Zhenyu He et al.

With the development of the internet, recommending interesting products to users has become a highly valuable research topic for businesses. Recommendation systems play a crucial role in addressing this issue. To prevent the leakage of each user's (client's) private data, Federated Recommendation Systems (FedRec) have been proposed and widely used. However, extensive research has shown that FedRec suffers from security issues such as data privacy leakage, and it is challenging to train effective models with FedRec when each client only holds interaction information for a single user. To address these two problems, this paper proposes a new privacy-preserving recommendation system (PRSI), which includes a preprocessing module and two main phases. The preprocessing module employs split vectors and fake interaction items to protect clients' interaction information and recommendation results. The two main phases are: (1) the collection of interaction information and (2) the sending of recommendation results. In the interaction information collection phase, each client uses the preprocessing module and random communication methods (according to the designed interactive protocol) to protect their ID information and IP addresses. In the recommendation results sending phase, the central server uses the preprocessing module and triplets to distribute recommendation results to each client under secure conditions, following the designed interactive protocol. Finally, we conducted multiple sets of experiments to verify the security, accuracy, and communication cost of the proposed method.