Zhenkun Wang

Chinedu Innocent Nwoye, Tong Yu, Saurav Sharma et al.

Formalizing surgical activities as triplets of the used instruments, actions performed, and target anatomies is becoming a gold standard approach for surgical activity modeling. The benefit is that this formalization helps to obtain a more detailed understanding of tool-tissue interaction which can be used to develop better Artificial Intelligence assistance for image-guided surgery. Earlier efforts and the CholecTriplet challenge introduced in 2021 have put together techniques aimed at recognizing these triplets from surgical footage. Estimating also the spatial locations of the triplets would offer a more precise intraoperative context-aware decision support for computer-assisted intervention. This paper presents the CholecTriplet2022 challenge, which extends surgical action triplet modeling from recognition to detection. It includes weakly-supervised bounding box localization of every visible surgical instrument (or tool), as the key actors, and the modeling of each tool-activity in the form of <instrument, verb, target> triplet. The paper describes a baseline method and 10 new deep learning algorithms presented at the challenge to solve the task. It also provides thorough methodological comparisons of the methods, an in-depth analysis of the obtained results across multiple metrics, visual and procedural challenges; their significance, and useful insights for future research directions and applications in surgery.

Yuanyao Chen, Rongsheng Chen, Fu Luo et al.

Neural Combinatorial Optimization (NCO) has emerged as a promising learning-based paradigm for addressing Vehicle Routing Problems (VRPs) by minimizing the need for extensive manual engineering. While existing NCO methods, trained on small-scale instances (e.g., 100 nodes), have demonstrated considerable success on problems of similar scale, their performance significantly degrades when applied to large-scale scenarios. This degradation arises from the distributional shift between training and testing data, rendering policies learned on small instances ineffective for larger problems. To overcome this limitation, we introduce a novel learning framework driven by Large Language Models (LLMs). This framework learns a projection between the training and testing distributions, which is then deployed to enhance the scalability of the NCO model. Notably, unlike prevailing techniques that necessitate joint training with the neural network, our approach operates exclusively during the inference phase, obviating the need for model retraining. Extensive experiments demonstrate that our method enables a backbone model (trained on 100-node instances) to achieve superior performance on large-scale Traveling Salesman Problem (TSP) and Capacitated Vehicle Routing Problem (CVRP) of up to 100K nodes from diverse distributions.