Zeng-Guang Hou

Hao Li, Xiao-Hu Zhou, Xiao-Liang Xie et al.

Offline reinforcement learning (RL) aims to optimize policy using collected data without online interactions. Model-based approaches are particularly appealing for addressing offline RL challenges due to their capability to mitigate the limitations of offline data through data generation using models. Prior research has demonstrated that introducing conservatism into the model or Q-function during policy optimization can effectively alleviate the prevalent distribution drift problem in offline RL. However, the investigation into the impacts of conservatism in reward estimation is still lacking. This paper proposes a novel model-based offline RL algorithm, Conservative Reward for model-based Offline Policy optimization (CROP), which conservatively estimates the reward in model training. To achieve a conservative reward estimation, CROP simultaneously minimizes the estimation error and the reward of random actions. Theoretical analysis shows that this conservative reward mechanism leads to a conservative policy evaluation and helps mitigate distribution drift. Experiments on D4RL benchmarks showcase that the performance of CROP is comparable to the state-of-the-art baselines. Notably, CROP establishes an innovative connection between offline and online RL, highlighting that offline RL problems can be tackled by adopting online RL techniques to the empirical Markov decision process trained with a conservative reward. The source code is available with https://github.com/G0K0URURI/CROP.git.

De-Xing Huang, Chaohui Yu, Xiao-Hu Zhou et al.

X-ray angiography is the gold standard imaging modality for cardiovascular diseases. However, current deep learning approaches for X-ray angiogram analysis are severely constrained by the scarcity of annotated data. While large-scale self-supervised learning (SSL) has emerged as a promising solution, its potential in this domain remains largely unexplored, primarily due to the lack of effective SSL frameworks and large-scale datasets. To bridge this gap, we introduce a vascular anatomy-aware masked image modeling (VasoMIM) framework that explicitly integrates domain-specific anatomical knowledge. Specifically, VasoMIM comprises two key designs: an anatomy-guided masking strategy and an anatomical consistency loss. The former strategically masks vessel-containing patches to compel the model to learn robust vascular semantics, while the latter preserves structural consistency of vessels between original and reconstructed images, enhancing the discriminability of the learned representations. In conjunction with VasoMIM, we curate XA-170K, the largest X-ray angiogram pre-training dataset to date. We validate VasoMIM on four downstream tasks across six datasets, where it demonstrates superior transferability and achieves state-of-the-art performance compared to existing methods. These findings highlight the significant potential of VasoMIM as a foundation model for advancing a wide range of X-ray angiogram analysis tasks. VasoMIM and XA-170K will be available at https://github.com/Dxhuang-CASIA/XA-SSL.

Xiao-Yin Liu, Xiao-Hu Zhou, Mei-Jiang Gui et al.

Model-based reinforcement learning (RL), which learns an environment model from the offline dataset and generates more out-of-distribution model data, has become an effective approach to the problem of distribution shift in offline RL. Due to the gap between the learned and actual environment, conservatism should be incorporated into the algorithm to balance accurate offline data and imprecise model data. The conservatism of current algorithms mostly relies on model uncertainty estimation. However, uncertainty estimation is unreliable and leads to poor performance in certain scenarios, and the previous methods ignore differences between the model data, which brings great conservatism. To address the above issues, this paper proposes a milDly cOnservative Model-bAsed offlINe RL algorithm (DOMAIN) without estimating model uncertainty, and designs the adaptive sampling distribution of model samples, which can adaptively adjust the model data penalty. In this paper, we theoretically demonstrate that the Q value learned by the DOMAIN outside the region is a lower bound of the true Q value, the DOMAIN is less conservative than previous model-based offline RL algorithms, and has the guarantee of safety policy improvement. The results of extensive experiments show that DOMAIN outperforms prior RL algorithms and the average performance has improved by 1.8% on the D4RL benchmark.

Nu-Fnag Xiao, De-Xing Huang, Le-Tian Wang et al.

Accurate assessment of gastric content from ultrasound is critical for stratifying aspiration risk at induction of general anesthesia. However, traditional methods rely on manual tracing of gastric antra and empirical formulas, which face significant limitations in both efficiency and accuracy. To address these challenges, a novel two-stage probability map-guided dual-branch fusion framework (REASON) for gastric content assessment is proposed. In stage 1, a segmentation model generates probability maps that suppress artifacts and highlight gastric anatomy. In stage 2, a dual-branch classifier fuses information from two standard views, right lateral decubitus (RLD) and supine (SUP), to improve the discrimination of learned features. Experimental results on a self-collected dataset demonstrate that the proposed framework outperforms current state-of-the-art approaches by a significant margin. This framework shows great promise for automated preoperative aspiration risk assessment, offering a more robust, efficient, and accurate solution for clinical practice.

Qin-Yi Zhang, Hong Wang, Siyao Liu et al.

Fluid-structure interaction (FSI) systems involve distinct physical domains, fluid and solid, governed by different partial differential equations and coupled at a dynamic interface. While learning-based solvers offer a promising alternative to costly numerical simulations, existing methods struggle to capture the heterogeneous dynamics of FSI within a unified framework. This challenge is further exacerbated by inconsistencies in response across domains due to interface coupling and by disparities in learning difficulty across fluid and solid regions, leading to instability during prediction. To address these challenges, we propose the Heterogeneous Graph Attention Solver (HGATSolver). HGATSolver encodes the system as a heterogeneous graph, embedding physical structure directly into the model via distinct node and edge types for fluid, solid, and interface regions. This enables specialized message-passing mechanisms tailored to each physical domain. To stabilize explicit time stepping, we introduce a novel physics-conditioned gating mechanism that serves as a learnable, adaptive relaxation factor. Furthermore, an Inter-domain Gradient-Balancing Loss dynamically balances the optimization objectives across domains based on predictive uncertainty. Extensive experiments on two constructed FSI benchmarks and a public dataset demonstrate that HGATSolver achieves state-of-the-art performance, establishing an effective framework for surrogate modeling of coupled multi-physics systems.

Tian-Yu Xiang, Ao-Qun Jin, Xiao-Hu Zhou et al.

Vision-language-action (VLA) models extend vision-language models (VLM) by integrating action generation modules for robotic manipulation. Leveraging strengths of VLM in vision perception and instruction understanding, VLA models exhibit promising generalization across diverse manipulation tasks. However, applications demanding high precision and accuracy reveal performance gaps without further adaptation. Evidence from multiple domains highlights the critical role of post-training to align foundational models with downstream applications, spurring extensive research on post-training VLA models. VLA model post-training aims to address the challenge of improving an embodiment's ability to interact with the environment for the given tasks, analogous to the process of humans motor skills acquisition. Accordingly, this paper reviews post-training strategies for VLA models through the lens of human motor learning, focusing on three dimensions: environments, embodiments, and tasks. A structured taxonomy is introduced aligned with human learning mechanisms: (1) enhancing environmental perception, (2) improving embodiment awareness, (3) deepening task comprehension, and (4) multi-component integration. Finally, key challenges and trends in post-training VLA models are identified, establishing a conceptual framework to guide future research. This work delivers both a comprehensive overview of current VLA model post-training methods from a human motor learning perspective and practical insights for VLA model development. (Project website: https://github.com/AoqunJin/Awesome-VLA-Post-Training)

De-Xing Huang, Xiao-Hu Zhou, Xiao-Liang Xie et al.

Automatic vessel segmentation is paramount for developing next-generation interventional navigation systems. However, current approaches suffer from suboptimal segmentation performances due to significant challenges in intraoperative images (i.e., low signal-to-noise ratio, small or slender vessels, and strong interference). In this paper, a novel spatial-frequency learning and topological channel interaction network (SPIRONet) is proposed to address the above issues. Specifically, dual encoders are utilized to comprehensively capture local spatial and global frequency vessel features. Then, a cross-attention fusion module is introduced to effectively fuse spatial and frequency features, thereby enhancing feature discriminability. Furthermore, a topological channel interaction module is designed to filter out task-irrelevant responses based on graph neural networks. Extensive experimental results on several challenging datasets (CADSA, CAXF, DCA1, and XCAD) demonstrate state-of-the-art performances of our method. Moreover, the inference speed of SPIRONet is 21 FPS with a 512x512 input size, surpassing clinical real-time requirements (6~12FPS). These promising outcomes indicate SPIRONet's potential for integration into vascular interventional navigation systems. Code is available at https://github.com/Dxhuang-CASIA/SPIRONet.

Shan An, Ziyu Meng, Chao Tang et al.

Dexterous manipulation, which refers to the ability of a robotic hand or multi-fingered end-effector to skillfully control, reorient, and manipulate objects through precise, coordinated finger movements and adaptive force modulation, enables complex interactions similar to human hand dexterity. With recent advances in robotics and machine learning, there is a growing demand for these systems to operate in complex and unstructured environments. Traditional model-based approaches struggle to generalize across tasks and object variations due to the high dimensionality and complex contact dynamics of dexterous manipulation. Although model-free methods such as reinforcement learning (RL) show promise, they require extensive training, large-scale interaction data, and carefully designed rewards for stability and effectiveness. Imitation learning (IL) offers an alternative by allowing robots to acquire dexterous manipulation skills directly from expert demonstrations, capturing fine-grained coordination and contact dynamics while bypassing the need for explicit modeling and large-scale trial-and-error. This survey provides an overview of dexterous manipulation methods based on imitation learning, details recent advances, and addresses key challenges in the field. Additionally, it explores potential research directions to enhance IL-driven dexterous manipulation. Our goal is to offer researchers and practitioners a comprehensive introduction to this rapidly evolving domain.

Xiao-Yin Liu, Xiao-Hu Zhou, Guotao Li et al.

Offline reinforcement learning (RL) faces a significant challenge of distribution shift. Model-free offline RL penalizes the Q value for out-of-distribution (OOD) data or constrains the policy closed to the behavior policy to tackle this problem, but this inhibits the exploration of the OOD region. Model-based offline RL, which uses the trained environment model to generate more OOD data and performs conservative policy optimization within that model, has become an effective method for this problem. However, the current model-based algorithms rarely consider agent robustness when incorporating conservatism into policy. Therefore, the new model-based offline algorithm with a conservative Bellman operator (MICRO) is proposed. This method trades off performance and robustness via introducing the robust Bellman operator into the algorithm. Compared with previous model-based algorithms with robust adversarial models, MICRO can significantly reduce the computation cost by only choosing the minimal Q value in the state uncertainty set. Extensive experiments demonstrate that MICRO outperforms prior RL algorithms in offline RL benchmark and is considerably robust to adversarial perturbations.

Xiao-Yin Liu, Guotao Li, Xiao-Hu Zhou et al.

Accurate recognition of human motion intention (HMI) is beneficial for exoskeleton robots to improve the wearing comfort level and achieve natural human-robot interaction. A classifier trained on labeled source subjects (domains) performs poorly on unlabeled target subject since the difference in individual motor characteristics. The unsupervised domain adaptation (UDA) method has become an effective way to this problem. However, the labeled data are collected from multiple source subjects that might be different not only from the target subject but also from each other. The current UDA methods for HMI recognition ignore the difference between each source subject, which reduces the classification accuracy. Therefore, this paper considers the differences between source subjects and develops a novel theory and algorithm for UDA to recognize HMI, where the margin disparity discrepancy (MDD) is extended to multi-source UDA theory and a novel weight-aware-based multi-source UDA algorithm (WMDD) is proposed. The source domain weight, which can be adjusted adaptively by the MDD between each source subject and target subject, is incorporated into UDA to measure the differences between source subjects. The developed multi-source UDA theory is theoretical and the generalization error on target subject is guaranteed. The theory can be transformed into an optimization problem for UDA, successfully bridging the gap between theory and algorithm. Moreover, a lightweight network is employed to guarantee the real-time of classification and the adversarial learning between feature generator and ensemble classifiers is utilized to further improve the generalization ability. The extensive experiments verify theoretical analysis and show that WMDD outperforms previous UDA methods on HMI recognition tasks.

De-Xing Huang, Xiao-Hu Zhou, Mei-Jiang Gui et al.

Medical image segmentation takes an important position in various clinical applications. 2.5D-based segmentation models bridge the computational efficiency of 2D-based models with the spatial perception capabilities of 3D-based models. However, existing 2.5D-based models primarily adopt a single encoder to extract features of target and neighborhood slices, failing to effectively fuse inter-slice information, resulting in suboptimal segmentation performance. In this study, a novel momentum encoder-based inter-slice fusion transformer (MOSformer) is proposed to overcome this issue by leveraging inter-slice information from multi-scale feature maps extracted by different encoders. Specifically, dual encoders are employed to enhance feature distinguishability among different slices. One of the encoders is moving-averaged to maintain consistent slice representations. Moreover, an inter-slice fusion transformer (IF-Trans) module is developed to fuse inter-slice multi-scale features. MOSformer is evaluated on three benchmark datasets (Synapse, ACDC, and AMOS), achieving a new state-of-the-art with 85.63%, 92.19%, and 85.43% DSC, respectively. These results demonstrate MOSformer's competitiveness in medical image segmentation.

Xiao-Yin Liu, Guotao Li, Xiao-Hu Zhou et al.

Offline preference-based reinforcement learning (PbRL) provides an effective way to overcome the challenges of designing reward and the high costs of online interaction. However, since labeling preference needs real-time human feedback, acquiring sufficient preference labels is challenging. To solve this, this paper proposes a offLine prEference-bAsed RL with high Sample Efficiency (LEASE) algorithm, where a learned transition model is leveraged to generate unlabeled preference data. Considering the pretrained reward model may generate incorrect labels for unlabeled data, we design an uncertainty-aware mechanism to ensure the performance of reward model, where only high confidence and low variance data are selected. Moreover, we provide the generalization bound of reward model to analyze the factors influencing reward accuracy, and demonstrate that the policy learned by LEASE has theoretical improvement guarantee. The developed theory is based on state-action pair, which can be easily combined with other offline algorithms. The experimental results show that LEASE can achieve comparable performance to baseline under fewer preference data without online interaction.

Ao-Qun Jin, Tian-Yu Xiang, Xiao-Hu Zhou et al.

Robots are increasingly deployed across diverse domains to tackle tasks requiring novel skills. However, current robot learning algorithms for acquiring novel skills often rely on demonstration datasets or environment interactions, resulting in high labor costs and potential safety risks. To address these challenges, this study proposes DemoGen, a skill-learning framework that enables robots to acquire novel skills from natural language instructions. DemoGen leverages the vision-language model and the video diffusion model to generate demonstration videos of novel skills, which enabling robots to learn new skills effectively. Experimental evaluations in the MetaWorld simulation environments demonstrate the pipeline's capability to generate high-fidelity and reliable demonstrations. Using the generated demonstrations, various skill learning algorithms achieve an accomplishment rate three times the original on novel tasks. These results highlight a novel approach to robot learning, offering a foundation for the intuitive and intelligent acquisition of novel robotic skills. (Project website: https://aoqunjin.github.io/LNSLGD/)

De-Xing Huang, Xiao-Hu Zhou, Mei-Jiang Gui et al.

Iodinated contrast agents are widely utilized in numerous interventional procedures, yet posing substantial health risks to patients. This paper presents CAS-GAN, a novel GAN framework that serves as a "virtual contrast agent" to synthesize X-ray angiographies via disentanglement representation learning and vessel semantic guidance, thereby reducing the reliance on iodinated contrast agents during interventional procedures. Specifically, our approach disentangles X-ray angiographies into background and vessel components, leveraging medical prior knowledge. A specialized predictor then learns to map the interrelationships between these components. Additionally, a vessel semantic-guided generator and a corresponding loss function are introduced to enhance the visual fidelity of generated images. Experimental results on the XCAD dataset demonstrate the state-of-the-art performance of our CAS-GAN, achieving a FID of 5.87 and a MMD of 0.016. These promising results highlight CAS-GAN's potential for clinical applications.

Sheng-Bin Duan, Jian-Long Hao, Tian-Yu Xiang et al.

Individual differences in brain activity hinder the online application of electroencephalogram (EEG)-based brain computer interface (BCI) systems. To overcome this limitation, this study proposes an online adaptation algorithm for unseen subjects via dual-stage alignment and self-supervision. The alignment process begins by applying Euclidean alignment in the EEG data space and then updates batch normalization statistics in the representation space. Moreover, a self-supervised loss is designed to update the decoder. The loss is computed by soft pseudo-labels derived from the decoder as a proxy for the unknown ground truth, and is calibrated by Shannon entropy to facilitate self-supervised training. Experiments across five public datasets and seven decoders show the proposed algorithm can be integrated seamlessly regardless of BCI paradigm and decoder architecture. In each iteration, the decoder is updated with a single online trial, which yields average accuracy gains of 4.9% on steady-state visual evoked potentials (SSVEP) and 3.6% on motor imagery. These results support fast-calibration operation and show that the proposed algorithm has great potential for BCI applications.

De-Xing Huang, Xiao-Hu Zhou, Mei-Jiang Gui et al.

Accurate vessel segmentation in X-ray angiograms is crucial for numerous clinical applications. However, the scarcity of annotated data presents a significant challenge, which has driven the adoption of self-supervised learning (SSL) methods such as masked image modeling (MIM) to leverage large-scale unlabeled data for learning transferable representations. Unfortunately, conventional MIM often fails to capture vascular anatomy because of the severe class imbalance between vessel and background pixels, leading to weak vascular representations. To address this, we introduce Vascular anatomy-aware Masked Image Modeling (VasoMIM), a novel MIM framework tailored for X-ray angiograms that explicitly integrates anatomical knowledge into the pre-training process. Specifically, it comprises two complementary components: anatomy-guided masking strategy and anatomical consistency loss. The former preferentially masks vessel-containing patches to focus the model on reconstructing vessel-relevant regions. The latter enforces consistency in vascular semantics between the original and reconstructed images, thereby improving the discriminability of vascular representations. Empirically, VasoMIM achieves state-of-the-art performance across three datasets. These findings highlight its potential to facilitate X-ray angiogram analysis.

Bo Wang, De-Xing Huang, Xiao-Hu Zhou et al.

Synthetic X-ray angiographies generated by modern generative models hold great potential to reduce the use of contrast agents in vascular interventional procedures. However, low-quality synthetic angiographies can significantly increase procedural risk, underscoring the need for reliable image quality assessment (IQA) methods. Existing IQA models, however, fail to leverage auxiliary images as references during evaluation and lack fine-grained, task-specific metrics necessary for clinical relevance. To address these limitations, this paper proposes CAS-IQA, a vision-language model (VLM)-based framework that predicts fine-grained quality scores by effectively incorporating auxiliary information from related images. In the absence of angiography datasets, CAS-3K is constructed, comprising 3,565 synthetic angiographies along with score annotations. To ensure clinically meaningful assessment, three task-specific evaluation metrics are defined. Furthermore, a Multi-path featUre fuSion and rouTing (MUST) module is designed to enhance image representations by adaptively fusing and routing visual tokens to metric-specific branches. Extensive experiments on the CAS-3K dataset demonstrate that CAS-IQA significantly outperforms state-of-the-art IQA methods by a considerable margin.

Imanol Luengo, Maria Grammatikopoulou, Rahim Mohammadi et al.

Surgical scene segmentation is essential for anatomy and instrument localization which can be further used to assess tissue-instrument interactions during a surgical procedure. In 2017, the Challenge on Automatic Tool Annotation for cataRACT Surgery (CATARACTS) released 50 cataract surgery videos accompanied by instrument usage annotations. These annotations included frame-level instrument presence information. In 2020, we released pixel-wise semantic annotations for anatomy and instruments for 4670 images sampled from 25 videos of the CATARACTS training set. The 2020 CATARACTS Semantic Segmentation Challenge, which was a sub-challenge of the 2020 MICCAI Endoscopic Vision (EndoVis) Challenge, presented three sub-tasks to assess participating solutions on anatomical structure and instrument segmentation. Their performance was assessed on a hidden test set of 531 images from 10 videos of the CATARACTS test set.

Chen-Chen Fan, Haiqun Xie, Liang Peng et al.

Medical diagnostic robot systems have been paid more and more attention due to its objectivity and accuracy. The diagnosis of mild cognitive impairment (MCI) is considered an effective means to prevent Alzheimer's disease (AD). Doctors diagnose MCI based on various clinical examinations, which are expensive and the diagnosis results rely on the knowledge of doctors. Therefore, it is necessary to develop a robot diagnostic system to eliminate the influence of human factors and obtain a higher accuracy rate. In this paper, we propose a novel Group Feature Domain Adversarial Neural Network (GF-DANN) for amnestic MCI (aMCI) diagnosis, which involves two important modules. A Group Feature Extraction (GFE) module is proposed to reduce individual differences by learning group-level features through adversarial learning. A Dual Branch Domain Adaptation (DBDA) module is carefully designed to reduce the distribution difference between the source and target domain in a domain adaption way. On three types of data set, GF-DANN achieves the best accuracy compared with classic machine learning and deep learning methods. On the DMS data set, GF-DANN has obtained an accuracy rate of 89.47%, and the sensitivity and specificity are 90% and 89%. In addition, by comparing three EEG data collection paradigms, our results demonstrate that the DMS paradigm has the potential to build an aMCI diagnose robot system.

Tobias Ross, Annika Reinke, Peter M. Full et al.

Intraoperative tracking of laparoscopic instruments is often a prerequisite for computer and robotic-assisted interventions. While numerous methods for detecting, segmenting and tracking of medical instruments based on endoscopic video images have been proposed in the literature, key limitations remain to be addressed: Firstly, robustness, that is, the reliable performance of state-of-the-art methods when run on challenging images (e.g. in the presence of blood, smoke or motion artifacts). Secondly, generalization; algorithms trained for a specific intervention in a specific hospital should generalize to other interventions or institutions. In an effort to promote solutions for these limitations, we organized the Robust Medical Instrument Segmentation (ROBUST-MIS) challenge as an international benchmarking competition with a specific focus on the robustness and generalization capabilities of algorithms. For the first time in the field of endoscopic image processing, our challenge included a task on binary segmentation and also addressed multi-instance detection and segmentation. The challenge was based on a surgical data set comprising 10,040 annotated images acquired from a total of 30 surgical procedures from three different types of surgery. The validation of the competing methods for the three tasks (binary segmentation, multi-instance detection and multi-instance segmentation) was performed in three different stages with an increasing domain gap between the training and the test data. The results confirm the initial hypothesis, namely that algorithm performance degrades with an increasing domain gap. While the average detection and segmentation quality of the best-performing algorithms is high, future research should concentrate on detection and segmentation of small, crossing, moving and transparent instrument(s) (parts).

Zhen-Liang Ni, Gui-Bin Bian, Guan-An Wang et al.

Surgical instrument segmentation is extremely important for computer-assisted surgery. Different from common object segmentation, it is more challenging due to the large illumination and scale variation caused by the special surgical scenes. In this paper, we propose a novel bilinear attention network with adaptive receptive field to solve these two challenges. For the illumination variation, the bilinear attention module can capture second-order statistics to encode global contexts and semantic dependencies between local pixels. With them, semantic features in challenging areas can be inferred from their neighbors and the distinction of various semantics can be boosted. For the scale variation, our adaptive receptive field module aggregates multi-scale features and automatically fuses them with different weights. Specifically, it encodes the semantic relationship between channels to emphasize feature maps with appropriate scales, changing the receptive field of subsequent convolutions. The proposed network achieves the best performance 97.47% mean IOU on Cata7 and comes first place on EndoVis 2017 by 10.10% IOU overtaking second-ranking method.

Zhen-Liang Ni, Gui-Bin Bian, Zeng-Guang Hou et al.

The real-time segmentation of surgical instruments plays a crucial role in robot-assisted surgery. However, it is still a challenging task to implement deep learning models to do real-time segmentation for surgical instruments due to their high computational costs and slow inference speed. In this paper, we propose an attention-guided lightweight network (LWANet), which can segment surgical instruments in real-time. LWANet adopts encoder-decoder architecture, where the encoder is the lightweight network MobileNetV2, and the decoder consists of depthwise separable convolution, attention fusion block, and transposed convolution. Depthwise separable convolution is used as the basic unit to construct the decoder, which can reduce the model size and computational costs. Attention fusion block captures global contexts and encodes semantic dependencies between channels to emphasize target regions, contributing to locating the surgical instrument. Transposed convolution is performed to upsample feature maps for acquiring refined edges. LWANet can segment surgical instruments in real-time while takes little computational costs. Based on 960*544 inputs, its inference speed can reach 39 fps with only 3.39 GFLOPs. Also, it has a small model size and the number of parameters is only 2.06 M. The proposed network is evaluated on two datasets. It achieves state-of-the-art performance 94.10% mean IOU on Cata7 and obtains a new record on EndoVis 2017 with a 4.10% increase on mean IOU.

Zhen-Liang Ni, Gui-Bin Bian, Xiao-Hu Zhou et al.

Semantic segmentation of surgical instruments plays a crucial role in robot-assisted surgery. However, accurate segmentation of cataract surgical instruments is still a challenge due to specular reflection and class imbalance issues. In this paper, an attention-guided network is proposed to segment the cataract surgical instrument. A new attention module is designed to learn discriminative features and address the specular reflection issue. It captures global context and encodes semantic dependencies to emphasize key semantic features, boosting the feature representation. This attention module has very few parameters, which helps to save memory. Thus, it can be flexibly plugged into other networks. Besides, a hybrid loss is introduced to train our network for addressing the class imbalance issue, which merges cross entropy and logarithms of Dice loss. A new dataset named Cata7 is constructed to evaluate our network. To the best of our knowledge, this is the first cataract surgical instrument dataset for semantic segmentation. Based on this dataset, RAUNet achieves state-of-the-art performance 97.71% mean Dice and 95.62% mean IOU.

Zhen-Liang Ni, Gui-Bin Bian, Xiao-Liang Xie et al.

Segmentation for tracking surgical instruments plays an important role in robot-assisted surgery. Segmentation of surgical instruments contributes to capturing accurate spatial information for tracking. In this paper, a novel network, Refined Attention Segmentation Network, is proposed to simultaneously segment surgical instruments and identify their categories. The U-shape network which is popular in segmentation is used. Different from previous work, an attention module is adopted to help the network focus on key regions, which can improve the segmentation accuracy. To solve the class imbalance problem, the weighted sum of the cross entropy loss and the logarithm of the Jaccard index is used as loss function. Furthermore, transfer learning is adopted in our network. The encoder is pre-trained on ImageNet. The dataset from the MICCAI EndoVis Challenge 2017 is used to evaluate our network. Based on this dataset, our network achieves state-of-the-art performance 94.65% mean Dice and 90.33% mean IOU.