Alberto Rota

Francesca Fati, Alberto Rota, Adriana V. Gregory et al.

Adnexal mass evaluation via ultrasound is a challenging clinical task, often hindered by subjective interpretation and significant inter-observer variability. While automated segmentation is a foundational step for quantitative risk assessment, traditional fully supervised convolutional architectures frequently require large amounts of pixel-level annotations and struggle with domain shifts common in medical imaging. In this work, we propose a label-efficient segmentation framework that leverages the robust semantic priors of a pretrained DINOv3 foundational vision transformer backbone. By integrating this backbone with a Dense Prediction Transformer (DPT)-style decoder, our model hierarchically reassembles multi-scale features to combine global semantic representations with fine-grained spatial details. Evaluated on a clinical dataset of 7,777 annotated frames from 112 patients, our method achieves state-of-the-art performance compared to established fully supervised baselines, including U-Net, U-Net++, DeepLabV3, and MAnet. Specifically, we obtain a Dice score of 0.945 and improved boundary adherence, reducing the 95th-percentile Hausdorff Distance by 11.4% relative to the strongest convolutional baseline. Furthermore, we conduct an extensive efficiency analysis demonstrating that our DINOv3-based approach retains significantly higher performance under data starvation regimes, maintaining strong results even when trained on only 25% of the data. These results suggest that leveraging large-scale self-supervised foundations provides a promising and data-efficient solution for medical image segmentation in data-constrained clinical environments. Project Repository: https://github.com/FrancescaFati/MESA

Alberto Rota, Mert Kiray, Mert Asim Karaoglu et al.

Specular highlights distort appearance, obscure texture, and hinder geometric reasoning in both natural and surgical imagery. We present UnReflectAnything, an RGB-only framework that removes highlights from a single image by predicting a highlight map together with a reflection-free diffuse reconstruction. The model uses a frozen vision transformer encoder to extract multi-scale features, a lightweight head to localize specular regions, and a token-level inpainting module that restores corrupted feature patches before producing the final diffuse image. To overcome the lack of paired supervision, we introduce a Virtual Highlight Synthesis pipeline that renders physically plausible specularities using monocular geometry, Fresnel-aware shading, and randomized lighting which enables training on arbitrary RGB images with correct geometric structure. UnReflectAnything generalizes across natural and surgical domains where non-Lambertian surfaces and non-uniform lighting create severe highlights and it achieves competitive performance with state-of-the-art results on several benchmarks. Project Page: https://alberto-rota.github.io/UnReflectAnything/

Alberto Rota, Elena De Momi

Accurate spatial understanding is essential for image-guided surgery, augmented reality integration and context awareness. In minimally invasive procedures, where visual input is the sole intraoperative modality, establishing precise pixel-level correspondences between endoscopic frames is critical for 3D reconstruction, camera tracking, and scene interpretation. However, the surgical domain presents distinct challenges: weak perspective cues, non-Lambertian tissue reflections, and complex, deformable anatomy degrade the performance of conventional computer vision techniques. While Deep Learning models have shown strong performance in natural scenes, their features are not inherently suited for fine-grained matching in surgical images and require targeted adaptation to meet the demands of this domain. This research presents a novel Deep Learning pipeline for establishing feature correspondences in endoscopic image pairs, alongside a self-supervised optimization framework for model training. The proposed methodology leverages a novel-view synthesis pipeline to generate ground-truth inlier correspondences, subsequently utilized for mining triplets within a contrastive learning paradigm. Through this self-supervised approach, we augment the DINOv2 backbone with an additional Transformer layer, specifically optimized to produce embeddings that facilitate direct matching through cosine similarity thresholding. Experimental evaluation demonstrates that our pipeline surpasses state-of-the-art methodologies on the SCARED datasets improved matching precision and lower epipolar error compared to the related work. The proposed framework constitutes a valuable contribution toward enabling more accurate high-level computer vision applications in surgical endoscopy.