Hongliang Ren

Yiming Huang, Beilei Cui, Ikemura Kei et al.

The recent advance in neural rendering has enabled the ability to reconstruct high-quality 4D scenes using neural networks. Although 4D neural reconstruction is popular, registration for such representations remains a challenging task, especially for dynamic scene registration in surgical planning and simulation. In this paper, we propose a novel strategy for dynamic surgical neural scene registration. We first utilize 4D Gaussian Splatting to represent the surgical scene and capture both static and dynamic scenes effectively. Then, a spatial aware feature aggregation method, Spatially Weight Cluttering (SWC) is proposed to accurately align the feature between surgical scenes, enabling precise and realistic surgical simulations. Lastly, we present a novel strategy of deformable scene registration to register two dynamic scenes. By incorporating both spatial and temporal information for correspondence matching, our approach achieves superior performance compared to existing registration methods for implicit neural representation. The proposed method has the potential to improve surgical planning and training, ultimately leading to better patient outcomes.

Xiaofeng Deng, Defu Chen, Bowen Liu et al.

Accurate classification of port wine stains (PWS, vascular malformations present at birth), is critical for subsequent treatment planning. However, the current method of classifying PWS based on the external skin appearance rarely reflects the underlying angiopathological heterogeneity of PWS lesions, resulting in inconsistent outcomes with the common vascular-targeted photodynamic therapy (V-PDT) treatments. Conversely, optical coherence tomography angiography (OCTA) is an ideal tool for visualizing the vascular malformations of PWS. Previous studies have shown no significant correlation between OCTA quantitative metrics and the PWS subtypes determined by the current classification approach. This study proposes a new classification approach for PWS using both OCT and OCTA. By examining the hypodermic histopathology and vascular structure of PWS, we have devised a fine-grained classification method that subdivides PWS into five distinct types. To assess the angiopathological differences of various PWS subtypes, we have analyzed six metrics related to vascular morphology and depth information of PWS lesions. The five PWS types present significant differences across all metrics compared to the conventional subtypes. Our findings suggest that an angiopathology-based classification accurately reflects the heterogeneity in PWS lesions. This research marks the first attempt to classify PWS based on angiopathology, potentially guiding more effective subtyping and treatment strategies for PWS.

Jinyu Liu, Gaoyang Zhang, Yang Zhou et al.

Nasotracheal intubation (NTI) is a vital procedure in emergency airway management, where rapid and accurate glottis detection is essential to ensure patient safety. However, existing machine assisted visual detection systems often rely on high performance computational resources and suffer from significant inference delays, which limits their applicability in time critical and resource constrained scenarios. To overcome these limitations, we propose Mobile GlottisNet, a lightweight and efficient glottis detection framework designed for real time inference on embedded and edge devices. The model incorporates structural awareness and spatial alignment mechanisms, enabling robust glottis localization under complex anatomical and visual conditions. We implement a hierarchical dynamic thresholding strategy to enhance sample assignment, and introduce an adaptive feature decoupling module based on deformable convolution to support dynamic spatial reconstruction. A cross layer dynamic weighting scheme further facilitates the fusion of semantic and detail features across multiple scales. Experimental results demonstrate that the model, with a size of only 5MB on both our PID dataset and Clinical datasets, achieves inference speeds of over 62 FPS on devices and 33 FPS on edge platforms, showing great potential in the application of emergency NTI.

Rui Tang, Haochen Yin, Guankun Wang et al.

Surgical phase recognition plays a critical role in developing intelligent assistance systems for minimally invasive procedures such as Endoscopic Submucosal Dissection (ESD). However, the high visual similarity across different phases and the lack of structural cues in RGB images pose significant challenges. Depth information offers valuable geometric cues that can complement appearance features by providing insights into spatial relationships and anatomical structures. In this paper, we pioneer the use of depth information for surgical phase recognition and propose Geo-RepNet, a geometry-aware convolutional framework that integrates RGB image and depth information to enhance recognition performance in complex surgical scenes. Built upon a re-parameterizable RepVGG backbone, Geo-RepNet incorporates the Depth-Guided Geometric Prior Generation (DGPG) module that extracts geometry priors from raw depth maps, and the Geometry-Enhanced Multi-scale Attention (GEMA) to inject spatial guidance through geometry-aware cross-attention and efficient multi-scale aggregation. To evaluate the effectiveness of our approach, we construct a nine-phase ESD dataset with dense frame-level annotations from real-world ESD videos. Extensive experiments on the proposed dataset demonstrate that Geo-RepNet achieves state-of-the-art performance while maintaining robustness and high computational efficiency under complex and low-texture surgical environments.

Bowen Zhang, Ying Chen, Long Bai et al.

Foundation models have become prominent in computer vision, achieving notable success in various tasks. However, their effectiveness largely depends on pre-training with extensive datasets. Applying foundation models directly to small datasets of capsule endoscopy images from scratch is challenging. Pre-training on broad, general vision datasets is crucial for successfully fine-tuning our model for specific tasks. In this work, we introduce a simplified approach called Adapt foundation models with a low-rank adaptation (LoRA) technique for easier customization. Our method, inspired by the DINOv2 foundation model, applies low-rank adaptation learning to tailor foundation models for capsule endoscopy diagnosis effectively. Unlike traditional fine-tuning methods, our strategy includes LoRA layers designed to absorb specific surgical domain knowledge. During the training process, we keep the main model (the backbone encoder) fixed and focus on optimizing the LoRA layers and the disease classification component. We tested our method on two publicly available datasets for capsule endoscopy disease classification. The results were impressive, with our model achieving 97.75% accuracy on the Kvasir-Capsule dataset and 98.81% on the Kvasirv2 dataset. Our solution demonstrates that foundation models can be adeptly adapted for capsule endoscopy diagnosis, highlighting that mere reliance on straightforward fine-tuning or pre-trained models from general computer vision tasks is inadequate for such specific applications.