Jinlin Wu

Zuyao Chen, Jinlin Wu, Zhen Lei et al.

Scene Graph Generation (SGG) offers a structured representation critical in many computer vision applications. Traditional SGG approaches, however, are limited by a closed-set assumption, restricting their ability to recognize only predefined object and relation categories. To overcome this, we categorize SGG scenarios into four distinct settings based on the node and edge: Closed-set SGG, Open Vocabulary (object) Detection-based SGG (OvD-SGG), Open Vocabulary Relation-based SGG (OvR-SGG), and Open Vocabulary Detection + Relationbased SGG (OvD+R-SGG). While object-centric open vocabulary SGG has been studied recently, the more challenging problem of relation-involved open-vocabulary SGG remains relatively unexplored. To fill this gap, we propose a unified framework named OvSGTR towards fully open vocabulary SGG from a holistic view. The proposed framework is an end-to-end transformer architecture, which learns a visual-concept alignment for both nodes and edges, enabling the model to recognize unseen categories. For the more challenging settings of relation-involved open vocabulary SGG, the proposed approach integrates relation-aware pretraining utilizing image-caption data and retains visual-concept alignment through knowledge distillation. Comprehensive experimental results on the Visual Genome benchmark demonstrate the effectiveness and superiority of the proposed framework. Our code is available at https://github.com/gpt4vision/OvSGTR/.

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.

Pietro Melzi, Ruben Tolosana, Ruben Vera-Rodriguez et al.

Despite the widespread adoption of face recognition technology around the world, and its remarkable performance on current benchmarks, there are still several challenges that must be covered in more detail. This paper offers an overview of the Face Recognition Challenge in the Era of Synthetic Data (FRCSyn) organized at WACV 2024. This is the first international challenge aiming to explore the use of synthetic data in face recognition to address existing limitations in the technology. Specifically, the FRCSyn Challenge targets concerns related to data privacy issues, demographic biases, generalization to unseen scenarios, and performance limitations in challenging scenarios, including significant age disparities between enrollment and testing, pose variations, and occlusions. The results achieved in the FRCSyn Challenge, together with the proposed benchmark, contribute significantly to the application of synthetic data to improve face recognition technology.

Benzhi Wang, Yang Yang, Jinlin Wu et al.

Weakly supervised person search aims to jointly detect and match persons with only bounding box annotations. Existing approaches typically focus on improving the features by exploring relations of persons. However, scale variation problem is a more severe obstacle and under-studied that a person often owns images with different scales (resolutions). On the one hand, small-scale images contain less information of a person, thus affecting the accuracy of the generated pseudo labels. On the other hand, the similarity of cross-scale images is often smaller than that of images with the same scale for a person, which will increase the difficulty of matching. In this paper, we address this problem by proposing a novel one-step framework, named Self-similarity driven Scale-invariant Learning (SSL). Scale invariance can be explored based on the self-similarity prior that it shows the same statistical properties of an image at different scales. To this end, we introduce a Multi-scale Exemplar Branch to guide the network in concentrating on the foreground and learning scale-invariant features by hard exemplars mining. To enhance the discriminative power of the features in an unsupervised manner, we introduce a dynamic multi-label prediction which progressively seeks true labels for training. It is adaptable to different types of unlabeled data and serves as a compensation for clustering based strategy. Experiments on PRW and CUHK-SYSU databases demonstrate the effectiveness of our method.

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.

Yehui Yang, Zelin Zang, Changxi Chi et al.

Automated cellular reasoning faces a core dichotomy: supervised methods fall into the Reference Trap and fail to generalize to out-of-distribution cell states, while large language models (LLMs), without grounded biological priors, suffer from a Signal-to-Noise Paradox that produces spurious associations. We propose MAT-Cell, a neuro-symbolic reasoning framework that reframes single-cell analysis from black-box classification into constructive, verifiable proof generation. MAT-Cell injects symbolic constraints through adaptive Retrieval-Augmented Generation (RAG) to ground neural reasoning in biological axioms and reduce transcriptomic noise. It further employs a dialectic verification process with homogeneous rebuttal agents to audit and prune reasoning paths, forming syllogistic derivation trees that enforce logical consistency.Across large-scale and cross-species benchmarks, MAT-Cell significantly outperforms state-of-the-art (SOTA) models and maintains robust per-formance in challenging scenarios where baselinemethods severely degrade. Code is available at https://gith ub.com/jiangliu91/MAT-Cell-A-Mul ti-Agent-Tree-Structured-Reasoni ng-Framework-for-Batch-Level-Sin gle-Cell-Annotation.

Adrito Das, Danyal Z. Khan, Dimitrios Psychogyios et al.

The field of computer vision applied to videos of minimally invasive surgery is ever-growing. Workflow recognition pertains to the automated recognition of various aspects of a surgery: including which surgical steps are performed; and which surgical instruments are used. This information can later be used to assist clinicians when learning the surgery; during live surgery; and when writing operation notes. The Pituitary Vision (PitVis) 2023 Challenge tasks the community to step and instrument recognition in videos of endoscopic pituitary surgery. This is a unique task when compared to other minimally invasive surgeries due to the smaller working space, which limits and distorts vision; and higher frequency of instrument and step switching, which requires more precise model predictions. Participants were provided with 25-videos, with results presented at the MICCAI-2023 conference as part of the Endoscopic Vision 2023 Challenge in Vancouver, Canada, on 08-Oct-2023. There were 18-submissions from 9-teams across 6-countries, using a variety of deep learning models. A commonality between the top performing models was incorporating spatio-temporal and multi-task methods, with greater than 50% and 10% macro-F1-score improvement over purely spacial single-task models in step and instrument recognition respectively. The PitVis-2023 Challenge therefore demonstrates state-of-the-art computer vision models in minimally invasive surgery are transferable to a new dataset, with surgery specific techniques used to enhance performance, progressing the field further. Benchmark results are provided in the paper, and the dataset is publicly available at: https://doi.org/10.5522/04/26531686.

Wenwu Guo, Jinlin Wu, Zhen Chen et al.

Vision-based surgical navigation has received increasing attention due to its non-invasive, cost-effective, and flexible advantages. In particular, a critical element of the vision-based navigation system is tracking surgical instruments. Compared with 2D instrument tracking methods, 3D instrument tracking has broader value in clinical practice, but is also more challenging due to weak texture, occlusion, and lack of Computer-Aided Design (CAD) models for 3D registration. To solve these challenges, we propose the SurgTrack, a two-stage 3D instrument tracking method for CAD-free and robust real-world applications. In the first registration stage, we incorporate an Instrument Signed Distance Field (SDF) modeling the 3D representation of instruments, achieving CAD-freed 3D registration. Due to this, we can obtain the location and orientation of instruments in the 3D space by matching the video stream with the registered SDF model. In the second tracking stage, we devise a posture graph optimization module, leveraging the historical tracking results of the posture memory pool to optimize the tracking results and improve the occlusion robustness. Furthermore, we collect the Instrument3D dataset to comprehensively evaluate the 3D tracking of surgical instruments. The extensive experiments validate the superiority and scalability of our SurgTrack, by outperforming the state-of-the-arts with a remarkable improvement. The code and dataset are available at https://github.com/wenwucode/SurgTrack.

Rongfeng Wei, Jinlin Wu, Xuexue Bai et al.

In minimally invasive surgery, surgical instrument localization is a crucial task for endoscopic videos, which enables various applications for improving surgical outcomes. However, annotating the instrument localization in endoscopic videos is tedious and labor-intensive. In contrast, obtaining the category information is easy and efficient in real-world applications. To fully utilize the category information and address the localization problem, we propose a weakly supervised localization framework named WS-YOLO for surgical instruments. By leveraging the instrument category information as the weak supervision, our WS-YOLO framework adopts an unsupervised multi-round training strategy for the localization capability training. We validate our WS-YOLO framework on the Endoscopic Vision Challenge 2023 dataset, which achieves remarkable performance in the weakly supervised surgical instrument localization. The source code is available at https://github.com/Breezewrf/WS-YOLO.

Ziyang Song, Zelin Zang, Zuyao Chen et al.

Multimodal Large Language Models (MLLMs) have achieved impressive progress in natural image reasoning, yet their potential in medical imaging remains underexplored, especially in clinical anatomical surgical images. Anatomy understanding tasks demand precise understanding and clinically coherent answers, which are difficult to achieve due to the complexity of medical data and the scarcity of high-quality expert annotations. These challenges limit the effectiveness of conventional Supervised Fine-Tuning (SFT) strategies. While recent work has demonstrated that Group Relative Policy Optimization (GRPO) can enhance reasoning in MLLMs without relying on large amounts of data, we find two weaknesses that hinder GRPO's reasoning performance in anatomy recognition: 1) knowledge cannot be effectively shared between different anatomical structures, resulting in uneven information gain and preventing the model from converging, and 2) the model quickly converges to a single reasoning path, suppressing the exploration of diverse strategies. To overcome these challenges, we propose two novel methods. First, we implement a progressive learning strategy called Anatomical Similarity Curriculum Learning by controlling question difficulty via the similarity of answer choices, enabling the model to master complex problems incrementally. Second, we utilize question augmentation referred to as Group Diversity Question Augmentation to expand the model's search space for difficult queries, mitigating the tendency to produce uniform responses. Comprehensive experiments on the SGG-VQA and OmniMedVQA benchmarks show our method achieves a significant improvement across the two benchmarks, demonstrating its effectiveness in enhancing the medical reasoning capabilities of MLLMs. The code can be found in https://github.com/tomato996/Anatomy-R1

Xingjian Luo, You Pang, Zhen Chen et al.

Surgical phase recognition is crucial to providing surgery understanding in smart operating rooms. Despite great progress in automatic surgical phase recognition, most existing methods are still restricted by two problems. First, these methods cannot capture discriminative visual features for each frame and motion information with simple 2D networks. Second, the frame-by-frame recognition paradigm degrades the performance due to unstable predictions within each phase, termed as phase shaking. To address these two challenges, we propose a Surgical Phase LocAlization Network, named SurgPLAN, to facilitate a more accurate and stable surgical phase recognition with the principle of temporal detection. Specifically, we first devise a Pyramid SlowFast (PSF) architecture to serve as the visual backbone to capture multi-scale spatial and temporal features by two branches with different frame sampling rates. Moreover, we propose a Temporal Phase Localization (TPL) module to generate the phase prediction based on temporal region proposals, which ensures accurate and consistent predictions within each surgical phase. Extensive experiments confirm the significant advantages of our SurgPLAN over frame-by-frame approaches in terms of both accuracy and stability.

Xulu Zhang, Xiao-Yong Wei, Jinlin Wu et al.

Inversion methods, such as Textual Inversion, generate personalized images by incorporating concepts of interest provided by user images. However, existing methods often suffer from overfitting issues, where the dominant presence of inverted concepts leads to the absence of other desired concepts. It stems from the fact that during inversion, the irrelevant semantics in the user images are also encoded, forcing the inverted concepts to occupy locations far from the core distribution in the embedding space. To address this issue, we propose a method that guides the inversion process towards the core distribution for compositional embeddings. Additionally, we introduce a spatial regularization approach to balance the attention on the concepts being composed. Our method is designed as a post-training approach and can be seamlessly integrated with other inversion methods. Experimental results demonstrate the effectiveness of our proposed approach in mitigating the overfitting problem and generating more diverse and balanced compositions of concepts in the synthesized images. The source code is available at https://github.com/zhangxulu1996/Compositional-Inversion.

Hongjing Wu, Cheng Chi, Jinlin Wu et al.

Camera-only 3D object detection is critical for autonomous driving, offering a cost-effective alternative to LiDAR based methods. In particular, multi-view 3D object detection has emerged as a promising direction due to its balanced trade-off between performance and cost. However, existing methods often suffer significant performance degradation under complex environmental conditions such as nighttime, fog, and rain, primarily due to their reliance on training data collected mostly in ideal conditions. To address this challenge, we propose UniDA3D, a unified domain-adaptive multi-view 3D object detector designed for robust perception under diverse adverse conditions. UniDA3D formulates nighttime, rainy, and foggy scenes as a unified multi target domain adaptation problem and leverages a novel query guided domain discrepancy mitigation (QDDM) module to align object features between source and target domains at both batch and global levels via query-centric adversarial and contrastive learning. Furthermore, we introduce a domain-adaptive teacher student training pipeline with an exponential-moving-average teacher and dynamically updated high-quality pseudo labels to enhance consistency learning and suppress background noise in unlabeled target domains. In contrast to prior approaches that require separate training for each condition, UniDA3D performs a single unified training process across multiple domains, enabling robust all-weather 3D perception. On a synthesized multi-view 3D benchmark constructed by generating nighttime, rainy, and foggy counterparts from nuScenes (nuScenes-Night, nuScenes-Rain, and nuScenes-Haze), UniDA3D consistently outperforms state of-the-art camera-only multi-view 3D detectors under extreme conditions, achieving substantial gains in mAP and NDS while maintaining real-time inference efficiency.

Jinlin Wu, Felix Holm, Chuxi Chen et al.

While foundation models have advanced surgical video analysis, current approaches rely predominantly on pixel-level reconstruction objectives that waste model capacity on low-level visual details - such as smoke, specular reflections, and fluid motion - rather than semantic structures essential for surgical understanding. We present UniSurg, a video-native foundation model that shifts the learning paradigm from pixel-level reconstruction to latent motion prediction. Built on the Video Joint Embedding Predictive Architecture (V-JEPA), UniSurg introduces three key technical innovations tailored to surgical videos: 1) motion-guided latent prediction to prioritize semantically meaningful regions, 2) spatiotemporal affinity self-distillation to enforce relational consistency, and 3) feature diversity regularization to prevent representation collapse in texture-sparse surgical scenes. To enable large-scale pretraining, we curate UniSurg-15M, the largest surgical video dataset to date, comprising 3,658 hours of video from 50 sources across 13 anatomical regions. Extensive experiments across 17 benchmarks demonstrate that UniSurg significantly outperforms state-of-the-art methods on surgical workflow recognition (+14.6% F1 on EgoSurgery, +10.3% on PitVis), action triplet recognition (39.54% mAP-IVT on CholecT50), skill assessment, polyp segmentation, and depth estimation. These results establish UniSurg as a new standard for universal, motion-oriented surgical video understanding.

Zhen Sun, Huan Xu, Jinlin Wu et al.

In surgical procedures, correct instrument counting is essential. Instance segmentation is a location method that locates not only an object's bounding box but also each pixel's specific details. However, obtaining mask-level annotations is labor-intensive in instance segmentation. To address this issue, we propose a novel yet effective weakly-supervised surgical instrument instance segmentation approach, named Point-based Weakly-supervised Instance Segmentation (PWISeg). PWISeg adopts an FCN-based architecture with point-to-box and point-to-mask branches to model the relationships between feature points and bounding boxes, as well as feature points and segmentation masks on FPN, accomplishing instrument detection and segmentation jointly in a single model. Since mask level annotations are hard to available in the real world, for point-to-mask training, we introduce an unsupervised projection loss, utilizing the projected relation between predicted masks and bboxes as supervision signal. On the other hand, we annotate a few pixels as the key pixel for each instrument. Based on this, we further propose a key pixel association loss and a key pixel distribution loss, driving the point-to-mask branch to generate more accurate segmentation predictions. To comprehensively evaluate this task, we unveil a novel surgical instrument dataset with manual annotations, setting up a benchmark for further research. Our comprehensive research trial validated the superior performance of our PWISeg. The results show that the accuracy of surgical instrument segmentation is improved, surpassing most methods of instance segmentation via weakly supervised bounding boxes. This improvement is consistently observed in our proposed dataset and when applied to the public HOSPI-Tools dataset.

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.

Xichen Yan, Zelin Zang, Changxi Chi et al.

A critical challenge in single-cell RNA sequencing (scRNA-seq) integration is resolving the tension between eliminating batch effects and maintaining biological fidelity. While recent evidence indicates that batch effects manifest heterogeneously across genes, most existing methods process the transcriptome uniformly, frequently resulting in over-correction and loss of subtle biological signals. To address this, we present scHelix, a dataset-adaptive framework that fundamentally changes how features are processed by explicitly partitioning genes into domain-invariant Anchors and domain-sensitive Variants at the input level. scHelix utilizes a dual-stream sparse diffusion encoder equipped with stop-gradient graph caching to efficiently learn multi-scale structural representations. The core of our approach is a novel asymmetric Align-Refine-Fuse protocol: the unstable Variant stream is first aligned to the robust topology of the Anchor stream, followed by a conservative refinement phase where the Anchor stream absorbs denoised details via bounded residual gating. This divide-and-conquer architecture prevents shortcut learning and ensures robust batch removal without compromising the integrity of biological clusters. Extensive benchmarking demonstrates that scHelix outperforms state-of-the-art methods.

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.

Jinlin Wu, Xusheng Liang, Xuexue Bai et al.

Surgical interventions, particularly in neurology, represent complex and high-stakes scenarios that impose substantial cognitive burdens on surgical teams. Although deliberate education and practice can enhance cognitive capabilities, surgical training opportunities remain limited due to patient safety concerns. To address these cognitive challenges in surgical training and operation, we propose SurgBox, an agent-driven sandbox framework to systematically enhance the cognitive capabilities of surgeons in immersive surgical simulations. Specifically, our SurgBox leverages large language models (LLMs) with tailored Retrieval-Augmented Generation (RAG) to authentically replicate various surgical roles, enabling realistic training environments for deliberate practice. In particular, we devise Surgery Copilot, an AI-driven assistant to actively coordinate the surgical information stream and support clinical decision-making, thereby diminishing the cognitive workload of surgical teams during surgery. By incorporating a novel Long-Short Memory mechanism, our Surgery Copilot can effectively balance immediate procedural assistance with comprehensive surgical knowledge. Extensive experiments using real neurosurgical procedure records validate our SurgBox framework in both enhancing surgical cognitive capabilities and supporting clinical decision-making. By providing an integrated solution for training and operational support to address cognitive challenges, our SurgBox framework advances surgical education and practice, potentially transforming surgical outcomes and healthcare quality. The code is available at https://github.com/franciszchen/SurgBox.

Zuyao Chen, Jinlin Wu, Zhen Lei et al.

Next-token prediction is the fundamental principle for training large language models (LLMs), and reinforcement learning (RL) further enhances their reasoning performance. As an effective way to model language, image, video, and other modalities, the use of LLMs for end-to-end extraction of structured visual representations, such as scene graphs, remains underexplored. It requires the model to accurately produce a set of objects and relationship triplets, rather than generating text token by token. To achieve this, we introduce R1-SGG, a multimodal LLM (M-LLM) initially trained via supervised fine-tuning (SFT) on the scene graph dataset and subsequently refined using reinforcement learning to enhance its ability to generate scene graphs in an end-to-end manner. The SFT follows a conventional prompt-response paradigm, while RL requires the design of effective reward signals. We design a set of graph-centric rewards, including three recall-based variants -- Hard Recall, Hard Recall+Relax, and Soft Recall -- which evaluate semantic and spatial alignment between predictions and ground truth at the object and relation levels. A format consistency reward further ensures that outputs follow the expected structural schema. Extensive experiments on the VG150 and PSG benchmarks show that R1-SGG substantially reduces failure rates and achieves strong performance in Recall and mean Recall, surpassing traditional SGG models and existing multimodal language models. Our code is available at https://github.com/gpt4vision/R1-SGG

Zhen Chen, Qing Xu, Jinlin Wu et al.

Foundation models in video generation are demonstrating remarkable capabilities as potential world models for simulating the physical world. However, their application in high-stakes domains like surgery, which demand deep, specialized causal knowledge rather than general physical rules, remains a critical unexplored gap. To systematically address this challenge, we present SurgVeo, the first expert-curated benchmark for video generation model evaluation in surgery, and the Surgical Plausibility Pyramid (SPP), a novel, four-tiered framework tailored to assess model outputs from basic appearance to complex surgical strategy. On the basis of the SurgVeo benchmark, we task the advanced Veo-3 model with a zero-shot prediction task on surgical clips from laparoscopic and neurosurgical procedures. A panel of four board-certified surgeons evaluates the generated videos according to the SPP. Our results reveal a distinct "plausibility gap": while Veo-3 achieves exceptional Visual Perceptual Plausibility, it fails critically at higher levels of the SPP, including Instrument Operation Plausibility, Environment Feedback Plausibility, and Surgical Intent Plausibility. This work provides the first quantitative evidence of the chasm between visually convincing mimicry and causal understanding in surgical AI. Our findings from SurgVeo and the SPP establish a crucial foundation and roadmap for developing future models capable of navigating the complexities of specialized, real-world healthcare domains.

Xulu Zhang, Wengyu Zhang, Xiao-Yong Wei et al.

This paper presents a pilot study that explores the application of active learning, traditionally studied in the context of discriminative models, to generative models. We specifically focus on image synthesis personalization tasks. The primary challenge in conducting active learning on generative models lies in the open-ended nature of querying, which differs from the closed form of querying in discriminative models that typically target a single concept. We introduce the concept of anchor directions to transform the querying process into a semi-open problem. We propose a direction-based uncertainty sampling strategy to enable generative active learning and tackle the exploitation-exploration dilemma. Extensive experiments are conducted to validate the effectiveness of our approach, demonstrating that an open-source model can achieve superior performance compared to closed-source models developed by large companies, such as Google's StyleDrop. The source code is available at https://github.com/zhangxulu1996/GAL4Personalization.

Zhen Chen, Xingjian Luo, Kun Yuan et al.

Surgical video understanding is crucial for facilitating Computer-Assisted Surgery (CAS) systems. Despite significant progress in existing studies, two major limitations persist, including inadequate visual content perception and insufficient temporal awareness in surgical videos, and hinder the development of versatile CAS solutions. In this work, we propose the SurgLLM framework, an effective large multimodal model tailored for versatile surgical video understanding tasks with enhanced spatial focus and temporal awareness. Specifically, to empower the spatial focus of surgical videos, we first devise Surgical Context-aware Multimodal Pretraining (Surg-Pretrain) for the video encoder of SurgLLM, by performing instrument-centric Masked Video Reconstruction (MV-Recon) and subsequent multimodal alignment. To incorporate surgical temporal knowledge into SurgLLM, we further propose Temporal-aware Multimodal Tuning (TM-Tuning) to enhance temporal reasoning with interleaved multimodal embeddings. Moreover, to accommodate various understanding tasks of surgical videos without conflicts, we devise a Surgical Task Dynamic Ensemble to efficiently triage a query with optimal learnable parameters in our SurgLLM. Extensive experiments performed on diverse surgical video understanding tasks, including captioning, general VQA, and temporal VQA, demonstrate significant improvements over the state-of-the-art approaches, validating the effectiveness of our SurgLLM in versatile surgical video understanding. The source code is available at https://github.com/franciszchen/SurgLLM.

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.

Jihui Guo, Zongmin Zhang, Zhen Sun et al.

Deep learning advances have enabled accurate six-degree-of-freedom (6DoF) object pose estimation, widely used in robotics, AR/VR, and autonomous systems. However, backdoor attacks pose significant security risks. While most research focuses on 2D vision, 6DoF pose estimation remains largely unexplored. Unlike traditional backdoors that only change classes, 6DoF attacks must control continuous parameters like translation and rotation, rendering 2D methods inapplicable. We propose 6DAttack, a framework using 3D object triggers to induce controlled erroneous poses while maintaining normal behavior. Evaluations on PVNet, DenseFusion, and PoseDiffusion across LINEMOD, YCB-Video, and CO3D show high attack success rates (ASRs) without compromising clean performance. Backdoored models achieve up to 100% clean ADD accuracy and 100% ASR, with triggered samples reaching 97.70% ADD-P. Furthermore, a representative defense remains ineffective. Our findings reveal a serious, underexplored threat to 6DoF pose estimation.

Siqi Ma, Jiajie Huang, Fan Zhang et al.

Answering complex medical questions requires not only domain expertise and patient-specific information, but also structured and multi-perspective reasoning. Existing multi-agent approaches often rely on fixed roles or shallow interaction prompts, limiting their ability to detect and resolve fine-grained logical inconsistencies. To address this, we propose \textsc{MedLA}, a logic-driven multi-agent framework built on large language models. Each agent organizes its reasoning process into an explicit logical tree based on syllogistic triads (major premise, minor premise, and conclusion), enabling transparent inference and premise-level alignment. Agents engage in a multi-round, graph-guided discussion to compare and iteratively refine their logic trees, achieving consensus through error correction and contradiction resolution. We demonstrate that \textsc{MedLA} consistently outperforms both static role-based systems and single-agent baselines on challenging benchmarks such as MedDDx and standard medical QA tasks. Furthermore, \textsc{MedLA} scales effectively across both open-source and commercial LLM backbones, achieving state-of-the-art performance and offering a generalizable paradigm for trustworthy medical reasoning.

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.

Chikai Shang, Mengke Li, Yiqun Zhang et al.

Visual prompt tuning (VPT), i.e., fine-tuning some lightweight prompt tokens, provides an efficient and effective approach for adapting pre-trained models to various downstream tasks. However, most prior art indiscriminately uses a fixed prompt distribution across different tasks, neglecting the importance of each block varying depending on the task. In this paper, we introduce adaptive distribution optimization (ADO) by tackling two key questions: (1) How to appropriately and formally define ADO, and (2) How to design an adaptive distribution strategy guided by this definition? Through empirical analysis, we first confirm that properly adjusting the distribution significantly improves VPT performance, and further uncover a key insight that a nested relationship exists between ADO and VPT. Based on these findings, we propose a new VPT framework, termed PRO-VPT (iterative Prompt RelOcation-based VPT), which adaptively adjusts the distribution built upon a nested optimization formulation. Specifically, we develop a prompt relocation strategy derived from this formulation, comprising two steps: pruning idle prompts from prompt-saturated blocks, followed by allocating these prompts to the most prompt-needed blocks. By iteratively performing prompt relocation and VPT, our proposal can adaptively learn the optimal prompt distribution in a nested optimization-based manner, thereby unlocking the full potential of VPT. Extensive experiments demonstrate that our proposal significantly outperforms advanced VPT methods, e.g., PRO-VPT surpasses VPT by 1.6 pp and 2.0 pp average accuracy, leading prompt-based methods to state-of-the-art performance on VTAB-1k and FGVC benchmarks. The code is available at https://github.com/ckshang/PRO-VPT.

Yuanfan Zheng, Jinlin Wu, Wuyang Li et al.

Domain Adaptive Object Detection (DAOD) transfers knowledge from a labeled source domain to an unannotated target domain under closed-set assumption. Universal DAOD (UniDAOD) extends DAOD to handle open-set, partial-set, and closed-set domain adaptation. In this paper, we first unveil two issues: domain-private category alignment is crucial for global-level features, and the domain probability heterogeneity of features across different levels. To address these issues, we propose a novel Dual Probabilistic Alignment (DPA) framework to model domain probability as Gaussian distribution, enabling the heterogeneity domain distribution sampling and measurement. The DPA consists of three tailored modules: the Global-level Domain Private Alignment (GDPA), the Instance-level Domain Shared Alignment (IDSA), and the Private Class Constraint (PCC). GDPA utilizes the global-level sampling to mine domain-private category samples and calculate alignment weight through a cumulative distribution function to address the global-level private category alignment. IDSA utilizes instance-level sampling to mine domain-shared category samples and calculates alignment weight through Gaussian distribution to conduct the domain-shared category domain alignment to address the feature heterogeneity. The PCC aggregates domain-private category centroids between feature and probability spaces to mitigate negative transfer. Extensive experiments demonstrate that our DPA outperforms state-of-the-art UniDAOD and DAOD methods across various datasets and scenarios, including open, partial, and closed sets. Codes are available at \url{https://github.com/zyfone/DPA}.

Zelin Zang, Yuhao Wang, Jinlin Wu et al.

Dimensionality reduction (DR) plays a crucial role in various fields, including data engineering and visualization, by simplifying complex datasets while retaining essential information. However, achieving both high DR accuracy and strong explainability remains a fundamental challenge, especially for users dealing with high-dimensional data. Traditional DR methods often face a trade-off between precision and transparency, where optimizing for performance can lead to reduced explainability, and vice versa. This limitation is especially prominent in real-world applications such as image, tabular, and text data analysis, where both accuracy and explainability are critical. To address these challenges, this work introduces the MOE-based Explainable Deep Manifold Transformation (DMT-ME). The proposed approach combines hyperbolic embeddings, which effectively capture complex hierarchical structures, with Mixture of Experts (MOE) models, which dynamically allocate tasks based on input features. DMT-ME enhances DR accuracy by leveraging hyperbolic embeddings to represent the hierarchical nature of data, while also improving explainability by explicitly linking input data, embedding outcomes, and key features through the MOE structure. Extensive experiments demonstrate that DMT-ME consistently achieves superior performance in both DR accuracy and model explainability, making it a robust solution for complex data analysis. The code is available at https://github.com/zangzelin/code_dmtme

Mengran Li, Bo Li, Jiaying Wang et al.

Virtual Cell Modeling (VCM) requires models that not only predict perturbation responses, but also support targeted revision when predictions fail. Current LLM-assisted modeling workflows face a refinement-routing problem: prediction discrepancies are observed through executable implementations, but the relevant revision may involve the modeling assumption, representation design, implementation, or task constraint. Without structured feedback propagation across these levels, iterative refinement may repair code while failing to revise the assumption responsible for the discrepancy. We propose CellScientist, a dual-space hierarchical framework that couples a high-level hypothesis space with a low-level executable implementation space. CellScientist represents modeling decisions as structured states, realizes them as admissible programs under task and interface constraints, and routes execution discrepancies back to targeted hypothesis or implementation updates. This enables a closed Hypothesis -> Implementation -> Hypothesis loop where failures become structured signals for model refinement rather than debugging events. Across morphology and transcriptomic benchmarks, with additional single-cell perturbation evaluations, the final executable models selected by CellScientist improve over reference baselines under fixed split and evaluation protocols, while the workflow produces auditable refinement traces.

Bin Ren, Hang Guo, Yan Shu et al.

This paper reviews the NTIRE 2026 challenge on efficient single-image super-resolution with a focus on the proposed solutions and results. The aim of this challenge is to devise a network that reduces one or several aspects, such as runtime, parameters, and FLOPs, while maintaining PSNR of around 26.90 dB on the DIV2K_LSDIR_valid dataset, and 26.99 dB on the DIV2K_LSDIR_test dataset. The challenge had 95 registered participants, and 15 teams made valid submissions. They gauge the state-of-the-art results for efficient single-image super-resolution.

Guankun Wang, Long Bai, Wan Jun Nah et al.

Recent advancements in Surgical Visual Question Answering (Surgical-VQA) and related region grounding have shown great promise for robotic and medical applications, addressing the critical need for automated methods in personalized surgical mentorship. However, existing models primarily provide simple structured answers and struggle with complex scenarios due to their limited capability in recognizing long-range dependencies and aligning multimodal information. In this paper, we introduce Surgical-LVLM, a novel personalized large vision-language model tailored for complex surgical scenarios. Leveraging the pre-trained large vision-language model and specialized Visual Perception LoRA (VP-LoRA) blocks, our model excels in understanding complex visual-language tasks within surgical contexts. In addressing the visual grounding task, we propose the Token-Interaction (TIT) module, which strengthens the interaction between the grounding module and the language responses of the Large Visual Language Model (LVLM) after projecting them into the latent space. We demonstrate the effectiveness of Surgical-LVLM on several benchmarks, including EndoVis-17-VQLA, EndoVis-18-VQLA, and a newly introduced EndoVis Conversations dataset, which sets new performance standards. Our work contributes to advancing the field of automated surgical mentorship by providing a context-aware solution.

Guankun Wang, Long Bai, Junyi Wang et al.

Recently, Multimodal Large Language Models (MLLMs) have demonstrated their immense potential in computer-aided diagnosis and decision-making. In the context of robotic-assisted surgery, MLLMs can serve as effective tools for surgical training and guidance. However, there is still a lack of MLLMs specialized for surgical scene understanding in clinical applications. In this work, we introduce EndoChat to address various dialogue paradigms and subtasks in surgical scene understanding that surgeons encounter. To train our EndoChat, we construct the Surg-396K dataset through a novel pipeline that systematically extracts surgical information and generates structured annotations based on collected large-scale endoscopic surgery datasets. Furthermore, we introduce a multi-scale visual token interaction mechanism and a visual contrast-based reasoning mechanism to enhance the model's representation learning and reasoning capabilities. Our model achieves state-of-the-art performance across five dialogue paradigms and eight surgical scene understanding tasks. Additionally, we conduct evaluations with professional surgeons, most of whom provide positive feedback on collaborating with EndoChat. Overall, these results demonstrate that our EndoChat has great potential to significantly advance training and automation in robotic-assisted surgery.

Huan Xu, Jinlin Wu, Guanglin Cao et al.

Ultrasound robots are increasingly used in medical diagnostics and early disease screening. However, current ultrasound robots lack the intelligence to understand human intentions and instructions, hindering autonomous ultrasound scanning. To solve this problem, we propose a novel Ultrasound Embodied Intelligence system that equips ultrasound robots with the large language model (LLM) and domain knowledge, thereby improving the efficiency of ultrasound robots. Specifically, we first design an ultrasound operation knowledge database to add expertise in ultrasound scanning to the LLM, enabling the LLM to perform precise motion planning. Furthermore, we devise a dynamic ultrasound scanning strategy based on a \textit{think-observe-execute} prompt engineering, allowing LLMs to dynamically adjust motion planning strategies during the scanning procedures. Extensive experiments demonstrate that our system significantly improves ultrasound scan efficiency and quality from verbal commands. This advancement in autonomous medical scanning technology contributes to non-invasive diagnostics and streamlined medical workflows.

Qingyao Tian, Huai Liao, Xinyan Huang et al.

Localizing the bronchoscope in real time is essential for ensuring intervention quality. However, most existing methods struggle to balance between speed and generalization. To address these challenges, we present BronchoTrack, an innovative real-time framework for accurate branch-level localization, encompassing lumen detection, tracking, and airway association.To achieve real-time performance, we employ a benchmark lightweight detector for efficient lumen detection. We are the first to introduce multi-object tracking to bronchoscopic localization, mitigating temporal confusion in lumen identification caused by rapid bronchoscope movement and complex airway structures. To ensure generalization across patient cases, we propose a training-free detection-airway association method based on a semantic airway graph that encodes the hierarchy of bronchial tree structures.Experiments on nine patient datasets demonstrate BronchoTrack's localization accuracy of 85.64 \%, while accessing up to the 4th generation of airways.Furthermore, we tested BronchoTrack in an in-vivo animal study using a porcine model, where it successfully localized the bronchoscope into the 8th generation airway.Experimental evaluation underscores BronchoTrack's real-time performance in both satisfying accuracy and generalization, demonstrating its potential for clinical applications.

Zhen Chen, Xingjian Luo, Jinlin Wu et al.

The surgical intervention is crucial to patient healthcare, and many studies have developed advanced algorithms to provide understanding and decision-making assistance for surgeons. Despite great progress, these algorithms are developed for a single specific task and scenario, and in practice require the manual combination of different functions, thus limiting the applicability. Thus, an intelligent and versatile surgical assistant is expected to accurately understand the surgeon's intentions and accordingly conduct the specific tasks to support the surgical process. In this work, by leveraging advanced multimodal large language models (MLLMs), we propose a Versatile Surgery Assistant (VS-Assistant) that can accurately understand the surgeon's intention and complete a series of surgical understanding tasks, e.g., surgical scene analysis, surgical instrument detection, and segmentation on demand. Specifically, to achieve superior surgical multimodal understanding, we devise a mixture of projectors (MOP) module to align the surgical MLLM in VS-Assistant to balance the natural and surgical knowledge. Moreover, we devise a surgical Function-Calling Tuning strategy to enable the VS-Assistant to understand surgical intentions, and thus make a series of surgical function calls on demand to meet the needs of the surgeons. Extensive experiments on neurosurgery data confirm that our VS-Assistant can understand the surgeon's intention more accurately than the existing MLLM, resulting in overwhelming performance in textual analysis and visual tasks. Source code and models will be made public.

Zuyao Chen, Jinlin Wu, Zhen Lei et al.

Training Scene Graph Generation (SGG) models with natural language captions has become increasingly popular due to the abundant, cost-effective, and open-world generalization supervision signals that natural language offers. However, such unstructured caption data and its processing pose significant challenges in learning accurate and comprehensive scene graphs. The challenges can be summarized as three aspects: 1) traditional scene graph parsers based on linguistic representation often fail to extract meaningful relationship triplets from caption data. 2) grounding unlocalized objects of parsed triplets will meet ambiguity issues in visual-language alignment. 3) caption data typically are sparse and exhibit bias to partial observations of image content. Aiming to address these problems, we propose a divide-and-conquer strategy with a novel framework named \textit{GPT4SGG}, to obtain more accurate and comprehensive scene graph signals. This framework decomposes a complex scene into a bunch of simple regions, resulting in a set of region-specific narratives. With these region-specific narratives (partial observations) and a holistic narrative (global observation) for an image, a large language model (LLM) performs the relationship reasoning to synthesize an accurate and comprehensive scene graph. Experimental results demonstrate \textit{GPT4SGG} significantly improves the performance of SGG models trained on image-caption data, in which the ambiguity issue and long-tail bias have been well-handled with more accurate and comprehensive scene graphs.

Liyuan Wang, Yan Jin, Zhen Chen et al.

The vision-language pre-training has enabled deep models to make a huge step forward in generalizing across unseen domains. The recent learning method based on the vision-language pre-training model is a great tool for domain generalization and can solve this problem to a large extent. However, there are still some issues that an advancement still suffers from trading-off between domain invariance and class separability, which are crucial in current DG problems. However, there are still some issues that an advancement still suffers from trading-off between domain invariance and class separability, which are crucial in current DG problems. In this paper, we introduce a novel prompt learning strategy that leverages deep vision prompts to address domain invariance while utilizing language prompts to ensure class separability, coupled with adaptive weighting mechanisms to balance domain invariance and class separability. Extensive experiments demonstrate that deep vision prompts effectively extract domain-invariant features, significantly improving the generalization ability of deep models and achieving state-of-the-art performance on three datasets.

Xulu Zhang, Xiaoyong Wei, Jinlin Wu et al.

Recursive Self-Improvement (RSI) enables intelligence systems to autonomously refine their capabilities. This paper explores the application of RSI in text-to-image diffusion models, addressing the challenge of training collapse caused by synthetic data. We identify two key factors contributing to this collapse: the lack of perceptual alignment and the accumulation of generative hallucinations. To mitigate these issues, we propose three strategies: (1) a prompt construction and filtering pipeline designed to facilitate the generation of perceptual aligned data, (2) a preference sampling method to identify human-preferred samples and filter out generative hallucinations, and (3) a distribution-based weighting scheme to penalize selected samples with hallucinatory errors. Our extensive experiments validate the effectiveness of these approaches.

Zuyao Chen, Jinlin Wu, Zhen Lei et al.

While text-to-image generation has been extensively studied, generating images from scene graphs remains relatively underexplored, primarily due to challenges in accurately modeling spatial relationships and object interactions. To fill this gap, we introduce Scene-Bench, a comprehensive benchmark designed to evaluate and enhance the factual consistency in generating natural scenes. Scene-Bench comprises MegaSG, a large-scale dataset of one million images annotated with scene graphs, facilitating the training and fair comparison of models across diverse and complex scenes. Additionally, we propose SGScore, a novel evaluation metric that leverages chain-of-thought reasoning capabilities of multimodal large language models (LLMs) to assess both object presence and relationship accuracy, offering a more effective measure of factual consistency than traditional metrics like FID and CLIPScore. Building upon this evaluation framework, we develop a scene graph feedback pipeline that iteratively refines generated images by identifying and correcting discrepancies between the scene graph and the image. Extensive experiments demonstrate that Scene-Bench provides a more comprehensive and effective evaluation framework compared to existing benchmarks, particularly for complex scene generation. Furthermore, our feedback strategy significantly enhances the factual consistency of image generation models, advancing the field of controllable image generation.

Lihua Zhou, Mao Ye, Nianxin Li et al.

Deep learning often struggles when training and test data distributions differ. Traditional domain generalization (DG) tackles this by including data from multiple source domains, which is impractical due to expensive data collection and annotation. Recent vision-language models like CLIP enable source-free domain generalization (SFDG) by using text prompts to simulate visual representations, reducing data demands. However, existing SFDG methods struggle with domain-specific confounders, limiting their generalization capabilities. To address this issue, we propose TDCRL (\textbf{T}ext-\textbf{D}riven \textbf{C}ausal \textbf{R}epresentation \textbf{L}earning), the first method to integrate causal inference into the SFDG setting. TDCRL operates in two steps: first, it employs data augmentation to generate style word vectors, combining them with class information to generate text embeddings to simulate visual representations; second, it trains a causal intervention network with a confounder dictionary to extract domain-invariant features. Grounded in causal learning, our approach offers a clear and effective mechanism to achieve robust, domain-invariant features, ensuring robust generalization. Extensive experiments on PACS, VLCS, OfficeHome, and DomainNet show state-of-the-art performance, proving TDCRL effectiveness in SFDG.

Zeyu Lei, Hongyuan Yu, Jinlin Wu et al.

Precise surgical interventions are vital to patient safety, and advanced enhancement algorithms have been developed to assist surgeons in decision-making. Despite significant progress, these algorithms are typically designed for single tasks in specific scenarios, limiting their effectiveness in complex real-world situations. To address this limitation, we propose SurgVisAgent, an end-to-end intelligent surgical vision agent built on multimodal large language models (MLLMs). SurgVisAgent dynamically identifies distortion categories and severity levels in endoscopic images, enabling it to perform a variety of enhancement tasks such as low-light enhancement, overexposure correction, motion blur elimination, and smoke removal. Specifically, to achieve superior surgical scenario understanding, we design a prior model that provides domain-specific knowledge. Additionally, through in-context few-shot learning and chain-of-thought (CoT) reasoning, SurgVisAgent delivers customized image enhancements tailored to a wide range of distortion types and severity levels, thereby addressing the diverse requirements of surgeons. Furthermore, we construct a comprehensive benchmark simulating real-world surgical distortions, on which extensive experiments demonstrate that SurgVisAgent surpasses traditional single-task models, highlighting its potential as a unified solution for surgical assistance.

Bingyu Yang, Qingyao Tian, Huai Liao et al.

Continuous and accurate segmentation of airways in chest CT images is essential for preoperative planning and real-time bronchoscopy navigation. Despite advances in deep learning for medical image segmentation, maintaining airway continuity remains a challenge, particularly due to intra-class imbalance between large and small branches and blurred CT scan details. To address these challenges, we propose a progressive curriculum learning pipeline and a Scale-Enhanced U-Net (SE-UNet) to enhance segmentation continuity. Specifically, our progressive curriculum learning pipeline consists of three stages: extracting main airways, identifying small airways, and repairing discontinuities. The cropping sampling strategy in each stage reduces feature interference between airways of different scales, effectively addressing the challenge of intra-class imbalance. In the third training stage, we present an Adaptive Topology-Responsive Loss (ATRL) to guide the network to focus on airway continuity. The progressive training pipeline shares the same SE-UNet, integrating multi-scale inputs and Detail Information Enhancers (DIEs) to enhance information flow and effectively capture the intricate details of small airways. Additionally, we propose a robust airway tree parsing method and hierarchical evaluation metrics to provide more clinically relevant and precise analysis. Experiments on both in-house and public datasets demonstrate that our method outperforms existing approaches, significantly improving the accuracy of small airways and the completeness of the airway tree. The code will be released upon publication.

Chenyu Lin, Cheng Chi, Jinlin Wu et al.

When confronted with complex problems, we tend to think slowly; conversely, for simple questions, we think quickly. Such a two-system thinking mechanism allows us to efficiently allocate cognitive resources, enabling quick decision-making for straightforward issues while reserving deeper analytical thinking for more intricate challenges. However, existing reasoning-oriented visual language models (VLMs), whether trained with explicit chain-of-thought annotations or rule-based RL rewards, mainly pursue lengthy, detailed reasoning chains, which often lead to excessive computational costs. In this work, we propose a simple RL approach, which enables VLMs to automatically switch between fast and slow thinking modes depending on task difficulty. The approach consists of two stages: in the first stage, we label data as either requiring fast thinking or slow thinking based on the model output length, which is inspired by the observation that pre-trained VLMs typically produce answers of varying lengths for different types of questions; in the second stage, we train the model using GRPO along with the thinking mode labels to develop dual-mode thinking. Despite its simplicity, our model, named DualMindVLM, significantly outperforms the base model and achieves performance on par with state-of-the-art visual reasoning models, while maintaining exceptionally high token efficiency.

Jiale Zhao, Xing Mou, Jinlin Wu et al.

Medical Multimodal Large Language Models (Medical MLLMs) have achieved remarkable progress in specialized medical tasks; however, research into their safety has lagged, posing potential risks for real-world deployment. In this paper, we first establish a multidimensional evaluation framework to systematically benchmark the safety of current SOTA Medical MLLMs. Our empirical analysis reveals pervasive vulnerabilities across both general and medical-specific safety dimensions in existing models, particularly highlighting their fragility against cross-modality jailbreak attacks. Furthermore, we find that the medical fine-tuning process frequently induces catastrophic forgetting of the model's original safety alignment. To address this challenge, we propose a novel "Parameter-Space Intervention" approach for efficient safety re-alignment. This method extracts intrinsic safety knowledge representations from original base models and concurrently injects them into the target model during the construction of medical capabilities. Additionally, we design a fine-grained parameter search algorithm to achieve an optimal trade-off between safety and medical performance. Experimental results demonstrate that our approach significantly bolsters the safety guardrails of Medical MLLMs without relying on additional domain-specific safety data, while minimizing degradation to core medical performance.

Lihua Zhou, Mao Ye, Shuaifeng Li et al.

Vision-language models (VLMs) such as CLIP and Grounding DINO have achieved remarkable success in object recognition and detection. However, their performance often degrades under real-world distribution shifts. Test-time adaptation (TTA) aims to mitigate this issue by adapting models during inference. Existing methods either rely on computationally expensive backpropagation, which hinders real-time deployment, or focus solely on likelihood adaptation, which overlooks the critical role of the prior. Our prior work, Bayesian Class Adaptation (BCA), addressed these shortcomings for object recognition by introducing a training-free framework that incorporates adaptive priors. Building upon this foundation, we now present Bayesian Class Adaptation plus (BCA+), a unified, training-free framework for TTA for both object recognition and detection. BCA+ introduces a dynamic cache that adaptively stores and updates class embeddings, spatial scales (for detection), and, crucially, adaptive class priors derived from historical predictions. We formulate adaptation as a Bayesian inference problem, where final predictions are generated by fusing the initial VLM output with a cache-based prediction. This cache-based prediction combines a dynamically updated likelihood (measuring feature and scale similarity) and a prior (reflecting the evolving class distribution). This dual-adaptation mechanism, coupled with uncertainty-guided fusion, enables BCA+ to correct both the model's semantic understanding and its contextual confidence. As a training-free method requiring no backpropagation, BCA+ is highly efficient. Extensive experiments demonstrate that BCA+ achieves state-of-the-art performance on both recognition and detection benchmarks.

Miao Xu, Xiangyu Zhu, Xusheng Liang et al.

Existing reconstruction or hand-object pose estimation methods are capable of producing coarse interaction states. However, due to the complex and diverse geometry of both human hands and objects, these approaches often suffer from interpenetration or leave noticeable gaps in regions that are supposed to be in contact. Moreover, the surface of a real human hand undergoes non-negligible deformations during interaction, which are difficult to capture and represent with previous methods. To tackle these challenges, we formulate hand-object interaction as an attraction-driven process and propose a Gravity-Field Based Diffusion Bridge (GravityDB) to simulate interactions between a deformable hand surface and rigid objects. Our approach effectively resolves the aforementioned issues by generating physically plausible interactions that are free of interpenetration, ensure stable grasping, and capture realistic hand deformations. Furthermore, we incorporate semantic information from textual descriptions to guide the construction of the gravitational field, enabling more semantically meaningful interaction regions. Extensive qualitative and quantitative experiments on multiple datasets demonstrate the effectiveness of our method.

Xusheng Liang, Lihua Zhou, Nianxin Li et al.

Vision-Language Models (VLMs), such as CLIP, have demonstrated remarkable zero-shot capabilities in various computer vision tasks. However, their application to medical imaging remains challenging due to the high variability and complexity of medical data. Specifically, medical images often exhibit significant domain shifts caused by various confounders, including equipment differences, procedure artifacts, and imaging modes, which can lead to poor generalization when models are applied to unseen domains. To address this limitation, we propose Multimodal Causal-Driven Representation Learning (MCDRL), a novel framework that integrates causal inference with the VLM to tackle domain generalization in medical image segmentation. MCDRL is implemented in two steps: first, it leverages CLIP's cross-modal capabilities to identify candidate lesion regions and construct a confounder dictionary through text prompts, specifically designed to represent domain-specific variations; second, it trains a causal intervention network that utilizes this dictionary to identify and eliminate the influence of these domain-specific variations while preserving the anatomical structural information critical for segmentation tasks. Extensive experiments demonstrate that MCDRL consistently outperforms competing methods, yielding superior segmentation accuracy and exhibiting robust generalizability.

Zelin Zang, Fei Wang, Liangyu Li et al.

Unsupervised Domain Adaptation (UDA) aims to transfer knowledge from a labeled source domain to an unlabeled target domain. Recent UDA methods based on Vision Transformers (ViTs) have achieved strong performance through attention-based feature alignment. However, we identify a key limitation: foreground object mismatch, where the discrepancy in foreground object size and spatial distribution across domains weakens attention consistency and hampers effective domain alignment. To address this issue, we propose the Progressive Focus Cross-Attention Mechanism (PCaM), which progressively filters out background information during cross-attention, allowing the model to focus on and fuse discriminative foreground semantics across domains. We further introduce an attentional guidance loss that explicitly directs attention toward task-relevant regions, enhancing cross-domain attention consistency. PCaM is lightweight, architecture-agnostic, and easy to integrate into existing ViT-based UDA pipelines. Extensive experiments on Office-Home, DomainNet, VisDA-2017, and remote sensing datasets demonstrate that PCaM significantly improves adaptation performance and achieves new state-of-the-art results, validating the effectiveness of attention-guided foreground fusion for domain adaptation.