Qingwei Zhang

Xiangning Zhang, Qingwei Zhang, Jinnan Chen et al.

Endoscopic Submucosal Dissection (ESD) is a minimally invasive procedure initially developed for early gastric cancer treatment and has expanded to address diverse gastrointestinal lesions. While computer-assisted surgery (CAS) systems enhance ESD precision and safety, their efficacy hinges on accurate real-time surgical phase recognition, a task complicated by ESD's inherent complexity, including heterogeneous lesion characteristics and dynamic tissue interactions. Existing video-based phase recognition algorithms, constrained by inefficient temporal context modeling, exhibit limited performance in capturing fine-grained phase transitions and long-range dependencies. To overcome these limitations, we propose SPRMamba, a novel framework integrating a Mamba-based architecture with a Scaled Residual TranMamba (SRTM) block to synergize long-term temporal modeling and localized detail extraction. SPRMamba further introduces the Hierarchical Sampling Strategy to optimize computational efficiency, enabling real-time processing critical for clinical deployment. Evaluated on the ESD385 dataset and the cholecystectomy benchmark Cholec80, SPRMamba achieves state-of-the-art performance (87.64% accuracy on ESD385, +1.0% over prior methods), demonstrating robust generalizability across surgical workflows. This advancement bridges the gap between computational efficiency and temporal sensitivity, offering a transformative tool for intraoperative guidance and skill assessment in ESD surgery. The code is accessible at https://github.com/Zxnyyyyy/SPRMamba.

Jianwei Xu, Ran Zhao, Yizhou Yu et al.

Automatic detection of polyps is challenging because different polyps vary greatly, while the changes between polyps and their analogues are small. The state-of-the-art methods are based on convolutional neural networks (CNNs). However, they may fail due to lack of training data, resulting in high rates of missed detection and false positives (FPs). In order to solve these problems, our method combines the two-dimensional (2-D) CNN-based real-time object detector network with spatiotemporal information. Firstly, we use a 2-D detector network to detect static images and frames, and based on the detector network, we propose two feature enhancement modules-the FP Relearning Module (FPRM) to make the detector network learning more about the features of FPs for higher precision, and the Image Style Transfer Module (ISTM) to enhance the features of polyps for sensitivity improvement. In video detection, we integrate spatiotemporal information, which uses Structural Similarity (SSIM) to measure the similarity between video frames. Finally, we propose the Inter-frame Similarity Correlation Unit (ISCU) to combine the results obtained by the detector network and frame similarity to make the final decision. We verify our method on both private databases and publicly available databases. Experimental results show that these modules and units provide a performance improvement compared with the baseline method. Comparison with the state-of-the-art methods shows that the proposed method outperforms the existing ones which can meet real-time constraints. It's demonstrated that our method provides a performance improvement in sensitivity, precision and specificity, and has great potential to be applied in clinical colonoscopy.