Jian-Qing Zheng

Baoru Huang, Jian-Qing Zheng, Anh Nguyen et al.

Depth estimation is a crucial step for image-guided intervention in robotic surgery and laparoscopic imaging system. Since per-pixel depth ground truth is difficult to acquire for laparoscopic image data, it is rarely possible to apply supervised depth estimation to surgical applications. As an alternative, self-supervised methods have been introduced to train depth estimators using only synchronized stereo image pairs. However, most recent work focused on the left-right consistency in 2D and ignored valuable inherent 3D information on the object in real world coordinates, meaning that the left-right 3D geometric structural consistency is not fully utilized. To overcome this limitation, we present M3Depth, a self-supervised depth estimator to leverage 3D geometric structural information hidden in stereo pairs while keeping monocular inference. The method also removes the influence of border regions unseen in at least one of the stereo images via masking, to enhance the correspondences between left and right images in overlapping areas. Intensive experiments show that our method outperforms previous self-supervised approaches on both a public dataset and a newly acquired dataset by a large margin, indicating a good generalization across different samples and laparoscopes. Code and data are available at https://github.com/br0202/M3Depth.

Jian-Qing Zheng, Ziyang Wang, Baoru Huang et al.

Deformable image registration, estimating the spatial transformation between different images, is an important task in medical imaging. Many previous studies have used learning-based methods for multi-stage registration to perform 3D image registration to improve performance. The performance of the multi-stage approach, however, is limited by the size of the receptive field where complex motion does not occur at a single spatial scale. We propose a new registration network combining recursive network architecture and mutual attention mechanism to overcome these limitations. Compared with the state-of-the-art deep learning methods, our network based on the recursive structure achieves the highest accuracy in lung Computed Tomography (CT) data set (Dice score of 92\% and average surface distance of 3.8mm for lungs) and one of the most accurate results in abdominal CT data set with 9 organs of various sizes (Dice score of 55\% and average surface distance of 7.8mm). We also showed that adding 3 recursive networks is sufficient to achieve the state-of-the-art results without a significant increase in the inference time.

Ziyang Wang, Tianze Li, Jian-Qing Zheng et al.

Due to the lack of quality annotation in medical imaging community, semi-supervised learning methods are highly valued in image semantic segmentation tasks. In this paper, an advanced consistency-aware pseudo-label-based self-ensembling approach is presented to fully utilize the power of Vision Transformer(ViT) and Convolutional Neural Network(CNN) in semi-supervised learning. Our proposed framework consists of a feature-learning module which is enhanced by ViT and CNN mutually, and a guidance module which is robust for consistency-aware purposes. The pseudo labels are inferred and utilized recurrently and separately by views of CNN and ViT in the feature-learning module to expand the data set and are beneficial to each other. Meanwhile, a perturbation scheme is designed for the feature-learning module, and averaging network weight is utilized to develop the guidance module. By doing so, the framework combines the feature-learning strength of CNN and ViT, strengthens the performance via dual-view co-training, and enables consistency-aware supervision in a semi-supervised manner. A topological exploration of all alternative supervision modes with CNN and ViT are detailed validated, demonstrating the most promising performance and specific setting of our method on semi-supervised medical image segmentation tasks. Experimental results show that the proposed method achieves state-of-the-art performance on a public benchmark data set with a variety of metrics. The code is publicly available.

Jian-Qing Zheng, Ziyang Wang, Baoru Huang et al.

Image registration is important for medical imaging, the estimation of the spatial transformation between different images. Many previous studies have used learning-based methods for coarse-to-fine registration to efficiently perform 3D image registration. The coarse-to-fine approach, however, is limited when dealing with the different motions of nearby objects. Here we propose a novel Motion-Aware (MA) structure that captures the different motions in a region. The MA structure incorporates a novel Residual Aligner (RA) module which predicts the multi-head displacement field used to disentangle the different motions of multiple neighbouring objects. Compared with other deep learning methods, the network based on the MA structure and RA module achieve one of the most accurate unsupervised inter-subject registration on the 9 organs of assorted sizes in abdominal CT scans, with the highest-ranked registration of the veins (Dice Similarity Coefficient / Average surface distance: 62\%/4.9mm for the vena cava and 34\%/7.9mm for the portal and splenic vein), with a half-sized structure and more efficient computation. Applied to the segmentation of lungs in chest CT scans, the new network achieves results which were indistinguishable from the best-ranked networks (94\%/3.0mm). Additionally, the theorem on predicted motion pattern and the design of MA structure are validated by further analysis.

Yu Chen, Xu Cao, Xiaoyi Lin et al.

Accurate motion and depth recovery is important for many robot vision tasks including autonomous driving. Most previous studies have achieved cooperative multi-task interaction via either pre-defined loss functions or cross-domain prediction. This paper presents a multi-task scheme that achieves mutual assistance by means of our Flow to Depth (F2D), Depth to Flow (D2F), and Exponential Moving Average (EMA). F2D and D2F mechanisms enable multi-scale information integration between optical flow and depth domain based on differentiable shallow nets. A dual-head mechanism is used to predict optical flow for rigid and non-rigid motion based on a divide-and-conquer manner, which significantly improves the optical flow estimation performance. Furthermore, to make the prediction more robust and stable, EMA is used for our multi-task training. Experimental results on KITTI datasets show that our multi-task scheme outperforms other multi-task schemes and provide marked improvements on the prediction results.

Jian-Qing Zheng, Yuanhan Mo, Yang Sun et al.

In medical imaging, the diffusion models have shown great potential for synthetic image generation tasks. However, these approaches often lack the interpretable connections between the generated and real images and can create anatomically implausible structures or illusions. To address these limitations, we propose the Deformation-Recovery Diffusion Model (DRDM), a novel diffusion-based generative model that emphasises morphological transformation through deformation fields rather than direct image synthesis. DRDM introduces a topology-preserving deformation field generation strategy, which randomly samples and integrates multi-scale Deformation Velocity Fields (DVFs). DRDM is trained to learn to recover unrealistic deformation components, thus restoring randomly deformed images to a realistic distribution. This formulation enables the generation of diverse yet anatomically plausible deformations that preserve structural integrity, thereby improving data augmentation and synthesis for downstream tasks such as few-shot learning and image registration. Experiments on cardiac Magnetic Resonance Imaging and pulmonary Computed Tomography show that DRDM is capable of creating diverse, large-scale deformations, while maintaining anatomical plausibility of deformation fields. Additional evaluations on 2D image segmentation and 3D image registration tasks indicate notable performance gains, underscoring DRDM's potential to enhance both image manipulation and generative modelling in medical imaging applications. Project page: https://jianqingzheng.github.io/def_diff_rec/

Ziyang Wang, Jian-Qing Zheng, Yichi Zhang et al.

In recent advancements in medical image analysis, Convolutional Neural Networks (CNN) and Vision Transformers (ViT) have set significant benchmarks. While the former excels in capturing local features through its convolution operations, the latter achieves remarkable global context understanding by leveraging self-attention mechanisms. However, both architectures exhibit limitations in efficiently modeling long-range dependencies within medical images, which is a critical aspect for precise segmentation. Inspired by the Mamba architecture, known for its proficiency in handling long sequences and global contextual information with enhanced computational efficiency as a State Space Model (SSM), we propose Mamba-UNet, a novel architecture that synergizes the U-Net in medical image segmentation with Mamba's capability. Mamba-UNet adopts a pure Visual Mamba (VMamba)-based encoder-decoder structure, infused with skip connections to preserve spatial information across different scales of the network. This design facilitates a comprehensive feature learning process, capturing intricate details and broader semantic contexts within medical images. We introduce a novel integration mechanism within the VMamba blocks to ensure seamless connectivity and information flow between the encoder and decoder paths, enhancing the segmentation performance. We conducted experiments on publicly available ACDC MRI Cardiac segmentation dataset, and Synapse CT Abdomen segmentation dataset. The results show that Mamba-UNet outperforms several types of UNet in medical image segmentation under the same hyper-parameter setting. The source code and baseline implementations are available.

Lan Wei, Zongcai Tan, Kangyi Lu et al.

Optical microrobots actuated by optical tweezers (OT) are important for cell manipulation and microscale assembly, but their autonomous operation depends on accurate 3D perception. Developing such perception systems is challenging because large-scale, high-quality microscopy datasets are scarce, owing to complex fabrication processes and labor-intensive annotation. Although generative AI offers a promising route for data augmentation, existing generative adversarial network (GAN)-based methods struggle to reproduce key optical characteristics, particularly depth-dependent diffraction and defocus effects. To address this limitation, we propose Du-FreqNet, a dual-control, frequency-aware diffusion model for physically consistent microscopy image synthesis. The framework features two independent ControlNet branches to encode microrobot 3D point clouds and depth-specific mesh layers, respectively. We introduce an adaptive frequency-domain loss that dynamically reweights high- and low-frequency components based on the distance to the focal plane. By leveraging differentiable FFT-based supervision, Du-FreqNet captures physically meaningful frequency distributions often missed by pixel-space methods. Trained on a limited dataset (e.g., 80 images per pose), our model achieves controllable, depth-dependent image synthesis, improving SSIM by 20.7% over baselines. Extensive experiments demonstrate that Du-FreqNet generalizes effectively to unseen poses and significantly enhances downstream tasks, including 3D pose and depth estimation, thereby facilitating robust closed-loop control in microrobotic systems.

Kaichen Zhou, Jia-Wang Bian, Jian-Qing Zheng et al.

Despite advancements in self-supervised monocular depth estimation, challenges persist in dynamic scenarios due to the dependence on assumptions about a static world. In this paper, we present Manydepth2, to achieve precise depth estimation for both dynamic objects and static backgrounds, all while maintaining computational efficiency. To tackle the challenges posed by dynamic content, we incorporate optical flow and coarse monocular depth to create a pseudo-static reference frame. This frame is then utilized to build a motion-aware cost volume in collaboration with the vanilla target frame. Furthermore, to improve the accuracy and robustness of the network architecture, we propose an attention-based depth network that effectively integrates information from feature maps at different resolutions by incorporating both channel and non-local attention mechanisms. Compared to methods with similar computational costs, Manydepth2 achieves a significant reduction of approximately five percent in root-mean-square error for self-supervised monocular depth estimation on the KITTI-2015 dataset. The code could be found at https://github.com/kaichen-z/Manydepth2.

Jian-Qing Zheng, Xiao-Yun Zhou, Celia Riga et al.

The current standard of intra-operative navigation during Fenestrated Endovascular Aortic Repair (FEVAR) calls for need of 3D alignments between inserted devices and aortic branches. The navigation commonly via 2D fluoroscopic images, lacks anatomical information, resulting in longer operation hours and radiation exposure. In this paper, a framework for real-time 3D robotic path planning from a single 2D fluoroscopic image of Abdominal Aortic Aneurysm (AAA) is introduced. A graph matching method is proposed to establish the correspondence between the 3D preoperative and 2D intra-operative AAA skeletons, and then the two skeletons are registered by skeleton deformation and regularization in respect to skeleton length and smoothness. Furthermore, deep learning was used to segment 3D pre-operative AAA from Computed Tomography (CT) scans to facilitate the framework automation. Simulation, phantom and patient AAA data sets have been used to validate the proposed framework. 3D distance error of 2mm was achieved in the phantom setup. Performance advantages were also achieved in terms of accuracy, robustness and time-efficiency. All the code will be open source.

Sirine Bhouri, Lan Wei, Jian-Qing Zheng et al.

Acquiring aligned visuo-tactile datasets is slow and costly, requiring specialised hardware and large-scale data collection. Synthetic generation is promising, but prior methods are typically single-modality, limiting cross-modal learning. We present MultiDiffSense, a unified diffusion model that synthesises images for multiple vision-based tactile sensors (ViTac, TacTip, ViTacTip) within a single architecture. Our approach uses dual conditioning on CAD-derived, pose-aligned depth maps and structured prompts that encode sensor type and 4-DoF contact pose, enabling controllable, physically consistent multi-modal synthesis. Evaluating on 8 objects (5 seen, 3 novel) and unseen poses, MultiDiffSense outperforms a Pix2Pix cGAN baseline in SSIM by +36.3% (ViTac), +134.6% (ViTacTip), and +64.7% (TacTip). For downstream 3-DoF pose estimation, mixing 50% synthetic with 50% real halves the required real data while maintaining competitive performance. MultiDiffSense alleviates the data-collection bottleneck in tactile sensing and enables scalable, controllable multi-modal dataset generation for robotic applications.

Ziyang Wang, Jian-Qing Zheng, Chao Ma et al.

Image registration, a critical process in medical imaging, involves aligning different sets of medical imaging data into a single unified coordinate system. Deep learning networks, such as the Convolutional Neural Network (CNN)-based VoxelMorph, Vision Transformer (ViT)-based TransMorph, and State Space Model (SSM)-based MambaMorph, have demonstrated effective performance in this domain. The recent Visual State Space Model (VMamba), which incorporates a cross-scan module with SSM, has exhibited promising improvements in modeling global-range dependencies with efficient computational cost in computer vision tasks. This paper hereby introduces an exploration of VMamba with image registration, named VMambaMorph. This novel hybrid VMamba-CNN network is designed specifically for 3D image registration. Utilizing a U-shaped network architecture, VMambaMorph computes the deformation field based on target and source volumes. The VMamba-based block with 2D cross-scan module is redesigned for 3D volumetric feature processing. To overcome the complex motion and structure on multi-modality images, we further propose a fine-tune recursive registration framework. We validate VMambaMorph using a public benchmark brain MR-CT registration dataset, comparing its performance against current state-of-the-art methods. The results indicate that VMambaMorph achieves competitive registration quality. The code for VMambaMorph with all baseline methods is available on GitHub.

Rui Yang, Jiaming Hu, Jian-Qing Zheng et al.

Artificial intelligence (AI) holds significant promise for enhancing intraoperative perception and decision-making in telesurgery, where physical separation impairs sensory feedback and control. Despite advances in medical AI and surgical robotics, conventional electronic AI architectures remain fundamentally constrained by the compounded latency from serial processing of inference and communication. This limitation is especially critical in latency-sensitive procedures such as endovascular interventions, where delays over 200 ms can compromise real-time AI reliability and patient safety. Here, we introduce an Optical Computation-in-Communication (OCiC) framework that reduces end-to-end latency significantly by performing AI inference concurrently with optical communication. OCiC integrates Optical Remote Computing Units (ORCUs) directly into the optical communication pathway, with each ORCU experimentally achieving up to 69 tera-operations per second per channel through spectrally efficient two-dimensional photonic convolution. The system maintains ultrahigh inference fidelity within 0.1% of CPU/GPU baselines on classification and coronary angiography segmentation, while intrinsically mitigating cumulative error propagation, a longstanding barrier to deep optical network scalability. We validated the robustness of OCiC through outdoor dark fibre deployments, confirming consistent and stable performance across varying environmental conditions. When scaled globally, OCiC transforms long-haul fibre infrastructure into a distributed photonic AI fabric with exascale potential, enabling reliable, low-latency telesurgery across distances up to 10,000 km and opening a new optical frontier for distributed medical intelligence.

Baoru Huang, Jian-Qing Zheng, Stamatia Giannarou et al.

Depth estimation from a stereo image pair has become one of the most explored applications in computer vision, with most of the previous methods relying on fully supervised learning settings. However, due to the difficulty in acquiring accurate and scalable ground truth data, the training of fully supervised methods is challenging. As an alternative, self-supervised methods are becoming more popular to mitigate this challenge. In this paper, we introduce the H-Net, a deep-learning framework for unsupervised stereo depth estimation that leverages epipolar geometry to refine stereo matching. For the first time, a Siamese autoencoder architecture is used for depth estimation which allows mutual information between the rectified stereo images to be extracted. To enforce the epipolar constraint, the mutual epipolar attention mechanism has been designed which gives more emphasis to correspondences of features which lie on the same epipolar line while learning mutual information between the input stereo pair. Stereo correspondences are further enhanced by incorporating semantic information to the proposed attention mechanism. More specifically, the optimal transport algorithm is used to suppress attention and eliminate outliers in areas not visible in both cameras. Extensive experiments on KITTI2015 and Cityscapes show that our method outperforms the state-ofthe-art unsupervised stereo depth estimation methods while closing the gap with the fully supervised approaches.

Jian-Qing Zheng, Ngee Han Lim, Bartlomiej W. Papiez

Alignment of contrast and non-contrast-enhanced imaging is essential for the quantification of changes in several biomedical applications. In particular, the extraction of cartilage shape from contrast-enhanced Computed Tomography (CT) of tibiae requires accurate alignment of the bone, currently performed manually. Existing deep learning-based methods for alignment require a common template or are limited in rotation range. Therefore, we present a novel network, D-net, to estimate arbitrary rotation and translation between 3D CT scans that additionally does not require a prior standard template. D-net is an extension to the branched Siamese encoder-decoder structure connected by new mutual non-local links, which efficiently capture long-range connections of similar features between two branches. The 3D supervised network is trained and validated using preclinical CT scans of mouse tibiae with and without contrast enhancement in cartilage. The presented results show a significant improvement in the estimation of CT alignment, outperforming the current comparable methods.

Xiao-Yun Zhou, Zhao-Yang Wang, Peichao Li et al.

Shape instantiation which predicts the 3D shape of a dynamic target from one or more 2D images is important for real-time intra-operative navigation. Previously, a general shape instantiation framework was proposed with manual image segmentation to generate a 2D Statistical Shape Model (SSM) and with Kernel Partial Least Square Regression (KPLSR) to learn the relationship between the 2D and 3D SSM for 3D shape prediction. In this paper, the two-stage shape instantiation is improved to be one-stage. PointOutNet with 19 convolutional layers and three fully-connected layers is used as the network structure and Chamfer distance is used as the loss function to predict the 3D target point cloud from a single 2D image. With the proposed one-stage shape instantiation algorithm, a spontaneous image-to-point cloud training and inference can be achieved. A dataset from 27 Right Ventricle (RV) subjects, indicating 609 experiments, were used to validate the proposed one-stage shape instantiation algorithm. An average point cloud-to-point cloud (PC-to-PC) error of 1.72mm has been achieved, which is comparable to the PLSR-based (1.42mm) and KPLSR-based (1.31mm) two-stage shape instantiation algorithm.

Jian-Qing Zheng, Xiao-Yun Zhou, Guang-Zhong Yang

In robot-assisted Fenestrated Endovascular Aortic Repair (FEVAR), accurate alignment of stent graft fenestrations or scallops with aortic branches is essential for establishing complete blood flow perfusion. Current navigation is largely based on 2D fluoroscopic images, which lacks 3D anatomical information, thus causing longer operation time as well as high risks of radiation exposure. Previously, 3D shape instantiation frameworks for real-time 3D shape reconstruction of fully-deployed or fully-compressed stent graft from a single 2D fluoroscopic image have been proposed for 3D navigation in robot-assisted FEVAR. However, these methods could not instantiate partially-deployed stent segments, as the 3D marker references are unknown. In this paper, an adapted Graph Convolutional Network (GCN) is proposed to predict 3D marker references from 3D fully-deployed markers. As original GCN is for classification, in this paper, the coarsening layers are removed and the softmax function at the network end is replaced with linear mapping for the regression task. The derived 3D and the 2D marker references are used to instantiate partially-deployed stent segment shape with the existing 3D shape instantiation framework. Validations were performed on three commonly used stent grafts and five patient-specific 3D printed aortic aneurysm phantoms. Comparable performances with average mesh distance errors of 1$\sim$3mm and average angular errors around 7degree were achieved.

Xiao-Yun Zhou, Jian-Qing Zheng, Peichao Li et al.

Deep Convolutional Neural Networks (DCNNs) are used extensively in medical image segmentation and hence 3D navigation for robot-assisted Minimally Invasive Surgeries (MISs). However, current DCNNs usually use down sampling layers for increasing the receptive field and gaining abstract semantic information. These down sampling layers decrease the spatial dimension of feature maps, which can be detrimental to image segmentation. Atrous convolution is an alternative for the down sampling layer. It increases the receptive field whilst maintains the spatial dimension of feature maps. In this paper, a method for effective atrous rate setting is proposed to achieve the largest and fully-covered receptive field with a minimum number of atrous convolutional layers. Furthermore, a new and full resolution DCNN - Atrous Convolutional Neural Network (ACNN), which incorporates cascaded atrous II-blocks, residual learning and Instance Normalization (IN) is proposed. Application results of the proposed ACNN to Magnetic Resonance Imaging (MRI) and Computed Tomography (CT) image segmentation demonstrate that the proposed ACNN can achieve higher segmentation Intersection over Unions (IoUs) than U-Net and Deeplabv3+, but with reduced trainable parameters.

Qing-Biao Li, Xiao-Yun Zhou, Jianyu Lin et al.

Intra-operative measurement of tissue oxygen saturation (StO2) has been widely explored by pulse oximetry or hyperspectral imaging (HSI) to assess the function and viability of tissue. In this paper we propose a pixel- level image-to-image translation approach based on conditional Generative Adversarial Networks (cGAN) to estimate tissue oxygen saturation (StO2) directly from RGB images. The real-time performance and non-reliance on additional hardware, enable a seamless integration of the proposed method into surgical and diagnostic workflows with standard endoscope systems. For validation, RGB images and StO2 ground truth were simulated and estimated from HSI images collected by a liquid crystal tuneable filter (LCTF) endoscope for three tissue types (porcine bowel, lamb uterus and rabbit uterus). The result show that the proposed method can achieve visually identical images with comparable accuracy.

Jian-Qing Zheng, Xiao-Yun Zhou, Qing-Biao Li et al.

Pre-operative Abdominal Aortic Aneurysm (AAA) 3D shape is critical for customized stent-graft design in Fenestrated Endovascular Aortic Repair (FEVAR). Traditional segmentation approaches implement expert-designed feature extractors while recent deep neural networks extract features automatically with multiple non-linear modules. Usually, a large training dataset is essential for applying deep learning on AAA segmentation. In this paper, the AAA was segmented using U-net with a small number (two) of training subjects. Firstly, Computed Tomography Angiography (CTA) slices were augmented with gray value variation and translation to avoid the overfitting caused by the small number of training subjects. Then, U-net was trained to segment the AAA. Dice Similarity Coefficients (DSCs) over 0.8 were achieved on the testing subjects. The PLZ, DLZ and aortic branches are all reconstructed reasonably, which will facilitate stent graft customization and help shape instantiation for intra-operative surgery navigation in FEVAR.