Tongyu Jia

Jiaxin Guo, Jiangliu Wang, Zhaoshuo Li et al.

Soft tissue tracking is crucial for computer-assisted interventions. Existing approaches mainly rely on extracting discriminative features from the template and videos to recover corresponding matches. However, it is difficult to adopt these techniques in surgical scenes, where tissues are changing in shape and appearance throughout the surgery. To address this problem, we exploit optical flow to naturally capture the pixel-wise tissue deformations and adaptively correct the tracked template. Specifically, we first implement an inter-frame matching mechanism to extract a coarse region of interest based on optical flow from consecutive frames. To accommodate appearance change and alleviate drift, we then propose an adaptive-template matching method, which updates the tracked template based on the reliability of the estimates. Our approach, Ada-Tracker, enjoys both short-term dynamics modeling by capturing local deformations and long-term dynamics modeling by introducing global temporal compensation. We evaluate our approach on the public SurgT benchmark, which is generated from Hamlyn, SCARED, and Kidney boundary datasets. The experimental results show that Ada-Tracker achieves superior accuracy and performs more robustly against prior works. Code is available at https://github.com/wrld/Ada-Tracker.

Huanrong Liu, Chunlin Tian, Tongyu Jia et al.

Predicting surgical needle trajectories from endoscopic video is critical for robot-assisted suturing, enabling anticipatory planning, real-time guidance, and safer motion execution. Existing methods that directly learn motion distributions from visual observations tend to overlook the sequential dependency among adjacent motion steps. Moreover, sparse waypoint annotations often fail to provide sufficient supervision, further increasing the difficulty of supervised or imitation learning methods. To address these challenges, we formulate image-based needle trajectory prediction as a sequential decision-making problem, in which the needle tip is treated as an agent that moves step by step in pixel space. This formulation naturally captures the continuity of needle motion and enables the explicit modeling of physically plausible pixel-wise state transitions over time. From this perspective, we propose SutureAgent, a goal-conditioned offline reinforcement learning framework that leverages sparse annotations to dense reward signals via cubic spline interpolation, encouraging the policy to exploit limited expert guidance while exploring plausible future motion paths. SutureAgent encodes variable-length clips using an observation encoder to capture both local spatial cues and long-range temporal dynamics, and autoregressively predicts future waypoints through actions composed of discrete directions and continuous magnitudes. To enable stable offline policy optimization from expert demonstrations, we adopt Conservative Q-Learning with Behavioral Cloning regularization. Experiments on a new kidney wound suturing dataset containing 1,158 trajectories from 50 patients show that SutureAgent reduces Average Displacement Error by 58.6% compared with the strongest baseline, demonstrating the effectiveness of modeling needle trajectory prediction as pixel-level sequential action learning.

Jiaheng Dai, Huanrong Liu, Tailai Zhou et al.

Fine-grained action segmentation during renorrhaphy in robot-assisted partial nephrectomy requires frame-level recognition of visually similar suturing gestures with variable duration and substantial class imbalance. The SIA-RAPN benchmark defines this problem on 50 clinical videos acquired with the da Vinci Xi system and annotated with 12 frame-level labels. The benchmark compares four temporal models built on I3D features: MS-TCN++, AsFormer, TUT, and DiffAct. Evaluation uses balanced accuracy, edit score, segmental F1 at overlap thresholds of 10, 25, and 50, frame-wise accuracy, and frame-wise mean average precision. In addition to the primary evaluation across five released split configurations on SIA-RAPN, the benchmark reports cross-domain results on a separate single-port RAPN dataset. Across the strongest reported values over those five runs on the primary dataset, DiffAct achieves the highest F1, frame-wise accuracy, edit score, and frame mAP, while MS-TCN++ attains the highest balanced accuracy.