Hao Xu

Hao Xu, Tengfei Xue, Jianan Fan et al.

Medical image registration is a fundamental task in medical image analysis, aiming to establish spatial correspondences between paired images. However, existing unsupervised deformable registration methods rely solely on intensity-based similarity metrics, lacking explicit anatomical knowledge, which limits their accuracy and robustness. Vision foundation models, such as the Segment Anything Model (SAM), can generate high-quality segmentation masks that provide explicit anatomical structure knowledge, addressing the limitations of traditional methods that depend only on intensity similarity. Based on this, we propose a novel SAM-assisted registration framework incorporating prototype learning and contour awareness. The framework includes: (1) Explicit anatomical information injection, where SAM-generated segmentation masks are used as auxiliary inputs throughout training and testing to ensure the consistency of anatomical information; (2) Prototype learning, which leverages segmentation masks to extract prototype features and aligns prototypes to optimize semantic correspondences between images; and (3) Contour-aware loss, a contour-aware loss is designed that leverages the edges of segmentation masks to improve the model's performance in fine-grained deformation fields. Extensive experiments demonstrate that the proposed framework significantly outperforms existing methods across multiple datasets, particularly in challenging scenarios with complex anatomical structures and ambiguous boundaries. Our code is available at https://github.com/HaoXu0507/IPMI25-SAM-Assisted-Registration.

Haifeng Wang, Hao Xu, Jun Wang et al.

Recognizing various surgical tools, actions and phases from surgery videos is an important problem in computer vision with exciting clinical applications. Existing deep-learning-based methods for this problem either process each surgical video as a series of independent images without considering their dependence, or rely on complicated deep learning models to count for dependence of video frames. In this study, we revealed from exploratory data analysis that surgical videos enjoy relatively simple semantic structure, where the presence of surgical phases and tools can be well modeled by a compact hidden Markov model (HMM). Based on this observation, we propose an HMM-stabilized deep learning method for tool presence detection. A wide range of experiments confirm that the proposed approaches achieve better performance with lower training and running costs, and support more flexible ways to construct and utilize training data in scenarios where not all surgery videos of interest are extensively labelled. These results suggest that popular deep learning approaches with over-complicated model structures may suffer from inefficient utilization of data, and integrating ingredients of deep learning and statistical learning wisely may lead to more powerful algorithms that enjoy competitive performance, transparent interpretation and convenient model training simultaneously.