Caifeng Shan

Chaoyou Fu, Haojia Lin, Zuwei Long et al.

The remarkable multimodal capabilities and interactive experience of GPT-4o underscore their necessity in practical applications, yet open-source models rarely excel in both areas. In this paper, we introduce VITA, the first-ever open-source Multimodal Large Language Model (MLLM) adept at simultaneous processing and analysis of Video, Image, Text, and Audio modalities, and meanwhile has an advanced multimodal interactive experience. Starting from Mixtral 8x7B as a language foundation, we expand its Chinese vocabulary followed by bilingual instruction tuning. We further endow the language model with visual and audio capabilities through two-stage multi-task learning of multimodal alignment and instruction tuning. VITA demonstrates robust foundational capabilities of multilingual, vision, and audio understanding, as evidenced by its strong performance across a range of both unimodal and multimodal benchmarks. Beyond foundational capabilities, we have made considerable progress in enhancing the natural multimodal human-computer interaction experience. VITA is the first step for the open-source community to explore the seamless integration of multimodal understanding and interaction. While there is still lots of work to be done on VITA to get close to close-source counterparts, we hope that its role as a pioneer can serve as a cornerstone for subsequent research. Project Page: https://vita-home.github.io.

Chaoyou Fu, Haojia Lin, Xiong Wang et al.

Recent Multimodal Large Language Models (MLLMs) have typically focused on integrating visual and textual modalities, with less emphasis placed on the role of speech in enhancing interaction. However, speech plays a crucial role in multimodal dialogue systems, and implementing high-performance in both vision and speech tasks remains a significant challenge due to the fundamental modality differences. In this paper, we propose a carefully designed multi-stage training methodology that progressively trains LLM to understand both visual and speech information, ultimately enabling fluent vision and speech interaction. Our approach not only preserves strong vision-language capacity, but also enables efficient speech-to-speech dialogue capabilities without separate ASR and TTS modules, significantly accelerating multimodal end-to-end response speed. By comparing our method against state-of-the-art counterparts across benchmarks for image, video, and speech tasks, we demonstrate that our model is equipped with both strong visual and speech capabilities, making near real-time vision and speech interaction. Code has been released at https://github.com/VITA-MLLM/VITA.

Shujun Xia, Haokun Lin, Yichen Wu et al.

LLMs hold great promise for healthcare applications, but the rapid evolution of medical knowledge and errors in training data often cause them to generate outdated or inaccurate information, limiting their applicability in high-stakes clinical practice. Model editing has emerged as a potential remedy without full retraining. While parameter-based editing often compromises locality and is thus ill-suited for the medical domain, retrieval-based editing offers a more viable alternative. However, it still faces two critical challenges: (1) representation overlap within the medical knowledge space often causes inaccurate retrieval and reduces editing accuracy; (2) existing methods are restricted to single-sample edits, while batch-editing remains largely unexplored despite its importance for real-world medical applications. To address these challenges, we first construct MedVersa, an enhanced benchmark with broader coverage of medical subjects, designed to evaluate both single and batch edits under strict locality constraints. We then propose MedREK, a retrieval-based editing framework that integrates a shared query-key module for precise matching with an attention-based prompt encoder for informative guidance. Experimental results on various medical benchmarks demonstrate that our MedREK achieves superior performance across different core metrics and provides the first validated solution for batch-editing in medical LLMs. Our code and dataset are available at https://github.com/mylittleriver/MedREK.

Shukang Yin, Chaoyou Fu, Sirui Zhao et al.

Recent years have seen the success of Multimodal Large Language Models (MLLMs) in the domain of vision understanding. The success of these models can largely be attributed to the dominant scaling law, which states that larger parameter sizes and data volumes contribute to better performance. Notably, data scaling has been primarily driven by automatic data pipelines, which focus on the self-instruction of LLMs. The paradigm has been taken for granted for quite some time, but the study of the effectiveness of scaling with these data has been neglected for a long time. In this context, this work revisits scaling with synthetic data and focuses on developing video-LLMs from a data-centric perspective. Our primary study approach involves fine-tuning pre-trained image-LLMs with video data and examining learning efficiency through data scaling. Results from our preliminary experiments reveal a low learning efficiency phenomenon when simply scaling up video data samples, which, through our probing, can be ascribed to a lack of instruction diversity. Aiming at this issue, we propose a data augmentation method called Sparrow, which synthesizes video-like samples from pure text instruction data. Mixing these synthetic samples with the video data enables a more efficient training scheme. Through comprehensive experiments, we demonstrate that our proposed method achieves performance comparable to or even superior to that of baselines trained with significantly more samples. Meanwhile, we find that incorporating these synthetic samples can enhance the performance of long video understanding without requiring training on long video data. The code and data examples are available at https://github.com/VITA-MLLM/Sparrow.

Yi-Fan Song, Zhang Zhang, Caifeng Shan et al.

One essential problem in skeleton-based action recognition is how to extract discriminative features over all skeleton joints. However, the complexity of the recent State-Of-The-Art (SOTA) models for this task tends to be exceedingly sophisticated and over-parameterized. The low efficiency in model training and inference has increased the validation costs of model architectures in large-scale datasets. To address the above issue, recent advanced separable convolutional layers are embedded into an early fused Multiple Input Branches (MIB) network, constructing an efficient Graph Convolutional Network (GCN) baseline for skeleton-based action recognition. In addition, based on such the baseline, we design a compound scaling strategy to expand the model's width and depth synchronously, and eventually obtain a family of efficient GCN baselines with high accuracies and small amounts of trainable parameters, termed EfficientGCN-Bx, where "x" denotes the scaling coefficient. On two large-scale datasets, i.e., NTU RGB+D 60 and 120, the proposed EfficientGCN-B4 baseline outperforms other SOTA methods, e.g., achieving 91.7% accuracy on the cross-subject benchmark of NTU 60 dataset, while being 3.15x smaller and 3.21x faster than MS-G3D, which is one of the best SOTA methods. The source code in PyTorch version and the pretrained models are available at https://github.com/yfsong0709/EfficientGCNv1.

Chaoyou Fu, Yi-Fan Zhang, Shukang Yin et al. · pku

As a prominent direction of Artificial General Intelligence (AGI), Multimodal Large Language Models (MLLMs) have garnered increased attention from both industry and academia. Building upon pre-trained LLMs, this family of models further develops multimodal perception and reasoning capabilities that are impressive, such as writing code given a flow chart or creating stories based on an image. In the development process, evaluation is critical since it provides intuitive feedback and guidance on improving models. Distinct from the traditional train-eval-test paradigm that only favors a single task like image classification, the versatility of MLLMs has spurred the rise of various new benchmarks and evaluation methods. In this paper, we aim to present a comprehensive survey of MLLM evaluation, discussing four key aspects: 1) the summarised benchmarks types divided by the evaluation capabilities, including foundation capabilities, model self-analysis, and extented applications; 2) the typical process of benchmark counstruction, consisting of data collection, annotation, and precautions; 3) the systematic evaluation manner composed of judge, metric, and toolkit; 4) the outlook for the next benchmark. This work aims to offer researchers an easy grasp of how to effectively evaluate MLLMs according to different needs and to inspire better evaluation methods, thereby driving the progress of MLLM research.

Jiazhe Wei, Ken Li, Tianyu Lao et al.

Graphic design forms the cornerstone of modern visual communication, serving as a vital medium for promoting cultural and commercial events. Recent advances have explored automating this process using Large Multimodal Models (LMMs), yet existing methods often produce geometrically inaccurate layouts and lack the iterative, layer-specific editing required in professional workflows. To address these limitations, we present PosterCopilot, a framework that advances layout reasoning and controllable editing for professional graphic design. Specifically, we introduce a progressive three-stage training strategy that equips LMMs with geometric understanding and aesthetic reasoning for layout design, consisting of Perturbed Supervised Fine-Tuning, Reinforcement Learning for Visual-Reality Alignment, and Reinforcement Learning from Aesthetic Feedback. Furthermore, we develop a complete workflow that couples the trained LMM-based design model with generative models, enabling layer-controllable, iterative editing for precise element refinement while maintaining global visual consistency. Extensive experiments demonstrate that PosterCopilot achieves geometrically accurate and aesthetically superior layouts, offering unprecedented controllability for professional iterative design.

Weijia Li, Guanglei Chu, Jiong Chen et al.

Recent advances in industrial anomaly detection have highlighted the need for deeper logical anomaly analysis, where unexpected relationships among objects, counts, and spatial configurations must be identified and explained. Existing approaches often rely on large-scale external reasoning modules or elaborate pipeline designs, hindering practical deployment and interpretability. To address these limitations, we introduce a new task, Reasoning Logical Anomaly Detection (RLAD), which extends traditional anomaly detection by incorporating logical reasoning. We propose a new framework, LAD-Reasoner, a customized tiny multimodal language model built on Qwen2.5-VL 3B. Our approach leverages a two-stage training paradigm that first employs Supervised Fine-Tuning (SFT) for fine-grained visual understanding, followed by Group Relative Policy Optimization (GRPO) to refine logical anomaly detection and enforce coherent, human-readable reasoning. Crucially, reward signals are derived from both the detection accuracy and the structural quality of the outputs, obviating the need for building chain of thought (CoT) reasoning data. Experiments on the MVTec LOCO AD dataset show that LAD-Reasoner, though significantly smaller, matches the performance of Qwen2.5-VL-72B in accuracy and F1 score, and further excels in producing concise and interpretable rationales. This unified design reduces reliance on large models and complex pipelines, while offering transparent and interpretable insights into logical anomaly detection. Code and data will be released.

Zhihan Ju, Wanting Zhou, Longteng Kong et al.

Medical Image Synthesis (MIS) plays an important role in the intelligent medical field, which greatly saves the economic and time costs of medical diagnosis. However, due to the complexity of medical images and similar characteristics of different tissue cells, existing methods face great challenges in meeting their biological consistency. To this end, we propose the Hybrid Augmented Generative Adversarial Network (HAGAN) to maintain the authenticity of structural texture and tissue cells. HAGAN contains Attention Mixed (AttnMix) Generator, Hierarchical Discriminator and Reverse Skip Connection between Discriminator and Generator. The AttnMix consistency differentiable regularization encourages the perception in structural and textural variations between real and fake images, which improves the pathological integrity of synthetic images and the accuracy of features in local areas. The Hierarchical Discriminator introduces pixel-by-pixel discriminant feedback to generator for enhancing the saliency and discriminance of global and local details simultaneously. The Reverse Skip Connection further improves the accuracy for fine details by fusing real and synthetic distribution features. Our experimental evaluations on three datasets of different scales, i.e., COVID-CT, ACDC and BraTS2018, demonstrate that HAGAN outperforms the existing methods and achieves state-of-the-art performance in both high-resolution and low-resolution.

Songping Wang, Xiantao Hu, Yueming Lyu et al.

Recently, multimodal tasks have strongly advanced the field of action recognition with their rich multimodal information. However, due to the scarcity of tri-modal data, research on tri-modal action recognition tasks faces many challenges. To this end, we have proposed a comprehensive multimodal action recognition solution that effectively utilizes multimodal information. First, the existing data are transformed and expanded by optimizing data enhancement techniques to enlarge the training scale. At the same time, more RGB datasets are used to pre-train the backbone network, which is better adapted to the new task by means of transfer learning. Secondly, multimodal spatial features are extracted with the help of 2D CNNs and combined with the Temporal Shift Module (TSM) to achieve multimodal spatial-temporal feature extraction comparable to 3D CNNs and improve the computational efficiency. In addition, common prediction enhancement methods, such as Stochastic Weight Averaging (SWA), Ensemble and Test-Time augmentation (TTA), are used to integrate the knowledge of models from different training periods of the same architecture and different architectures, so as to predict the actions from different perspectives and fully exploit the target information. Ultimately, we achieved the Top-1 accuracy of 99% and the Top-5 accuracy of 100% on the competition leaderboard, demonstrating the superiority of our solution.

Shaoqi Dong, Chaoyou Fu, Haihan Gao et al.

Vision-Language Action (VLA) models significantly advance robotic manipulation by leveraging the strong perception capabilities of pretrained vision-language models (VLMs). By integrating action modules into these pretrained models, VLA methods exhibit improved generalization. However, training them from scratch is costly. In this work, we propose a simple yet effective distillation-based framework that equips VLMs with action-execution capability by transferring knowledge from pretrained small action models. Our architecture retains the original VLM structure, adding only an action token and a state encoder to incorporate physical inputs. To distill action knowledge, we adopt a two-stage training strategy. First, we perform lightweight alignment by mapping VLM hidden states into the action space of the small action model, enabling effective reuse of its pretrained action decoder and avoiding expensive pretraining. Second, we selectively fine-tune the language model, state encoder, and action modules, enabling the system to integrate multimodal inputs with precise action generation. Specifically, the action token provides the VLM with a direct handle for predicting future actions, while the state encoder allows the model to incorporate robot dynamics not captured by vision alone. This design yields substantial efficiency gains over training large VLA models from scratch. Compared with previous state-of-the-art methods, our method achieves 97.3% average success rate on LIBERO (11.8% improvement) and 93.5% on LIBERO-LONG (24.5% improvement). In real-world experiments across five manipulation tasks, our method consistently outperforms the teacher model, achieving 82.0% success rate (17% improvement), which demonstrate that action distillation effectively enables VLMs to generate precise actions while substantially reducing training costs.

Runzhi Deng, Yundi Hu, Xinshuang Zhang et al.

Few-shot multi-class industrial anomaly detection remains a challenging task. Vision-language models need to be both category-adaptive and sharply discriminative, yet data scarcity often blurs the boundary between normal and abnormal states. This ambiguity leads to missed subtle defects and the rejection of atypical normal samples. We propose ABounD, an Adversarial Boundary-Driven few-shot learning for multi-class anomaly detection, which is a unified learning framework that integrates semantic concept learning with decision boundary shaping. The Dynamic Concept Fusion (DCF) module produces class-adaptive prompts by fusing generalizable priors with class-specific cues, conditioned on image features. Meanwhile, Adversarial Boundary Forging (ABF) sculpts a more precise decision margin by generating boundary-level fence features via PGD-style perturbations. Training is conducted in a single stage under a Concept-Boundary Loss, where ABF provides the main supervisory signal and semantic-spatial regularizers stabilize the optimization. This synergy yields a decision boundary that closely follows normal data while preserving flexibility and robust semantic alignment. Experiments on MVTec-AD and VisA datasets demonstrate state-of-the-art performance in the task of few-shot multi-class anomaly detection.

Xin Gao, Jiyao Liu, Guanghao Li et al.

Recent advancements have explored text-to-image diffusion models for synthesizing out-of-distribution (OOD) samples, substantially enhancing the performance of OOD detection. However, existing approaches typically rely on perturbing text-conditioned embeddings, resulting in semantic instability and insufficient shift diversity, which limit generalization to realistic OOD. To address these challenges, we propose GOOD, a novel and flexible framework that directly guides diffusion sampling trajectories towards OOD regions using off-the-shelf in-distribution (ID) classifiers. GOOD incorporates dual-level guidance: (1) Image-level guidance based on the gradient of log partition to reduce input likelihood, drives samples toward low-density regions in pixel space. (2) Feature-level guidance, derived from k-NN distance in the classifier's latent space, promotes sampling in feature-sparse regions. Hence, this dual-guidance design enables more controllable and diverse OOD sample generation. Additionally, we introduce a unified OOD score that adaptively combines image and feature discrepancies, enhancing detection robustness. We perform thorough quantitative and qualitative analyses to evaluate the effectiveness of GOOD, demonstrating that training with samples generated by GOOD can notably enhance OOD detection performance.

Shiqi Xin, Xiaolin Zhang, Yanbin Liu et al.

Recent advances in Gaussian Splatting have significantly boosted the reconstruction of head avatars, enabling high-quality facial modeling by representing an 3D avatar as a collection of 3D Gaussians. However, existing methods predominantly rely on frontal-view images, leaving the back-head poorly constructed. This leads to geometric inconsistencies, structural blurring, and reduced realism in the rear regions, ultimately limiting the fidelity of reconstructed avatars. To address this challenge, we propose AvatarBack, a novel plug-and-play framework specifically designed to reconstruct complete and consistent 3D Gaussian avatars by explicitly modeling the missing back-head regions. AvatarBack integrates two core technical innovations,i.e., the Subject-specific Generator (SSG) and the Adaptive Spatial Alignment Strategy (ASA). The former leverages a generative prior to synthesize identity-consistent, plausible back-view pseudo-images from sparse frontal inputs, providing robust multi-view supervision. To achieve precise geometric alignment between these synthetic views and the 3D Gaussian representation, the later employs learnable transformation matrices optimized during training, effectively resolving inherent pose and coordinate discrepancies. Extensive experiments on NeRSemble and K-hairstyle datasets, evaluated using geometric, photometric, and GPT-4o-based perceptual metrics, demonstrate that AvatarBack significantly enhances back-head reconstruction quality while preserving frontal fidelity. Moreover, the reconstructed avatars maintain consistent visual realism under diverse motions and remain fully animatable.

Lin Zhang, Chenggang Lu, Xin-yang Shi et al.

Atherosclerosis is a chronic, progressive disease that primarily affects the arterial walls. It is one of the major causes of cardiovascular disease. Magnetic Resonance (MR) black-blood vessel wall imaging (BB-VWI) offers crucial insights into vascular disease diagnosis by clearly visualizing vascular structures. However, the complex anatomy of the neck poses challenges in distinguishing the carotid artery (CA) from surrounding structures, especially with changes like atherosclerosis. In order to address these issues, we propose GAPNet, which is a consisting of a novel geometric prior deduced from.

Jiong Zhang, Qihang Xie, Lei Mou et al.

Cerebrovascular diseases (CVDs) remain a leading cause of global disability and mortality. Digital Subtraction Angiography (DSA) sequences, recognized as the gold standard for diagnosing CVDs, can clearly visualize the dynamic flow and reveal pathological conditions within the cerebrovasculature. Therefore, precise segmentation of cerebral arteries (CAs) and classification between their main trunks and branches are crucial for physicians to accurately quantify diseases. However, achieving accurate CA segmentation in DSA sequences remains a challenging task due to small vessels with low contrast, and ambiguity between vessels and residual skull structures. Moreover, the lack of publicly available datasets limits exploration in the field. In this paper, we introduce a DSA Sequence-based Cerebral Artery segmentation dataset (DSCA), the publicly accessible dataset designed specifically for pixel-level semantic segmentation of CAs. Additionally, we propose DSANet, a spatio-temporal network for CA segmentation in DSA sequences. Unlike existing DSA segmentation methods that focus only on a single frame, the proposed DSANet introduces a separate temporal encoding branch to capture dynamic vessel details across multiple frames. To enhance small vessel segmentation and improve vessel connectivity, we design a novel TemporalFormer module to capture global context and correlations among sequential frames. Furthermore, we develop a Spatio-Temporal Fusion (STF) module to effectively integrate spatial and temporal features from the encoder. Extensive experiments demonstrate that DSANet outperforms other state-of-the-art methods in CA segmentation, achieving a Dice of 0.9033.

Xingqun Qi, Muyi Sun, Weining Wang et al.

Face sketch synthesis has made significant progress with the development of deep neural networks in these years. The delicate depiction of sketch portraits facilitates a wide range of applications like digital entertainment and law enforcement. However, accurate and realistic face sketch generation is still a challenging task due to the illumination variations and complex backgrounds in the real scenes. To tackle these challenges, we propose a novel Semantic-Driven Generative Adversarial Network (SDGAN) which embeds global structure-level style injection and local class-level knowledge re-weighting. Specifically, we conduct facial saliency detection on the input face photos to provide overall facial texture structure, which could be used as a global type of prior information. In addition, we exploit face parsing layouts as the semantic-level spatial prior to enforce globally structural style injection in the generator of SDGAN. Furthermore, to enhance the realistic effect of the details, we propose a novel Adaptive Re-weighting Loss (ARLoss) which dedicates to balance the contributions of different semantic classes. Experimentally, our extensive experiments on CUFS and CUFSF datasets show that our proposed algorithm achieves state-of-the-art performance.

Yi-Fan Song, Zhang Zhang, Caifeng Shan et al.

One essential problem in skeleton-based action recognition is how to extract discriminative features over all skeleton joints. However, the complexity of the State-Of-The-Art (SOTA) models of this task tends to be exceedingly sophisticated and over-parameterized, where the low efficiency in model training and inference has obstructed the development in the field, especially for large-scale action datasets. In this work, we propose an efficient but strong baseline based on Graph Convolutional Network (GCN), where three main improvements are aggregated, i.e., early fused Multiple Input Branches (MIB), Residual GCN (ResGCN) with bottleneck structure and Part-wise Attention (PartAtt) block. Firstly, an MIB is designed to enrich informative skeleton features and remain compact representations at an early fusion stage. Then, inspired by the success of the ResNet architecture in Convolutional Neural Network (CNN), a ResGCN module is introduced in GCN to alleviate computational costs and reduce learning difficulties in model training while maintain the model accuracy. Finally, a PartAtt block is proposed to discover the most essential body parts over a whole action sequence and obtain more explainable representations for different skeleton action sequences. Extensive experiments on two large-scale datasets, i.e., NTU RGB+D 60 and 120, validate that the proposed baseline slightly outperforms other SOTA models and meanwhile requires much fewer parameters during training and inference procedures, e.g., at most 34 times less than DGNN, which is one of the best SOTA methods.

Hongxu Yang, Caifeng Shan, Alexander F. Kolen et al.

Accurate and efficient catheter segmentation in 3D ultrasound (US) is essential for cardiac intervention. Currently, the state-of-the-art segmentation algorithms are based on convolutional neural networks (CNNs), which achieved remarkable performances in a standard Cartesian volumetric data. Nevertheless, these approaches suffer the challenges of low efficiency and GPU unfriendly image size. Therefore, such difficulties and expensive hardware requirements become a bottleneck to build accurate and efficient segmentation models for real clinical application. In this paper, we propose a novel Frustum ultrasound based catheter segmentation method. Specifically, Frustum ultrasound is a polar coordinate based image, which includes same information of standard Cartesian image but has much smaller size, which overcomes the bottleneck of efficiency than conventional Cartesian images. Nevertheless, the irregular and deformed Frustum images lead to more efforts for accurate voxel-level annotation. To address this limitation, a weakly supervised learning framework is proposed, which only needs 3D bounding box annotations overlaying the region-of-interest to training the CNNs. Although the bounding box annotation includes noise and inaccurate annotation to mislead to model, it is addressed by the proposed pseudo label generated scheme. The labels of training voxels are generated by incorporating class activation maps with line filtering, which is iteratively updated during the training. Our experimental results show the proposed method achieved the state-of-the-art performance with an efficiency of 0.25 second per volume. More crucially, the Frustum image segmentation provides a much faster and cheaper solution for segmentation in 3D US image, which meet the demands of clinical applications.

Yi-Fan Song, Zhang Zhang, Caifeng Shan et al.

Current methods for skeleton-based human action recognition usually work with complete skeletons. However, in real scenarios, it is inevitable to capture incomplete or noisy skeletons, which could significantly deteriorate the performance of current methods when some informative joints are occluded or disturbed. To improve the robustness of action recognition models, a multi-stream graph convolutional network (GCN) is proposed to explore sufficient discriminative features spreading over all skeleton joints, so that the distributed redundant representation reduces the sensitivity of the action models to non-standard skeletons. Concretely, the backbone GCN is extended by a series of ordered streams which is responsible for learning discriminative features from the joints less activated by preceding streams. Here, the activation degrees of skeleton joints of each GCN stream are measured by the class activation maps (CAM), and only the information from the unactivated joints will be passed to the next stream, by which rich features over all active joints are obtained. Thus, the proposed method is termed richly activated GCN (RA-GCN). Compared to the state-of-the-art (SOTA) methods, the RA-GCN achieves comparable performance on the standard NTU RGB+D 60 and 120 datasets. More crucially, on the synthetic occlusion and jittering datasets, the performance deterioration due to the occluded and disturbed joints can be significantly alleviated by utilizing the proposed RA-GCN.

Zhihua Liu, Lei Tong, Long Chen et al.

Automated segmentation of brain glioma plays an active role in diagnosis decision, progression monitoring and surgery planning. Based on deep neural networks, previous studies have shown promising technologies for brain glioma segmentation. However, these approaches lack powerful strategies to incorporate contextual information of tumor cells and their surrounding, which has been proven as a fundamental cue to deal with local ambiguity. In this work, we propose a novel approach named Context-Aware Network (CANet) for brain glioma segmentation. CANet captures high dimensional and discriminative features with contexts from both the convolutional space and feature interaction graphs. We further propose context guided attentive conditional random fields which can selectively aggregate features. We evaluate our method using publicly accessible brain glioma segmentation datasets BRATS2017, BRATS2018 and BRATS2019. The experimental results show that the proposed algorithm has better or competitive performance against several State-of-The-Art approaches under different segmentation metrics on the training and validation sets.

Hongxu Yang, Caifeng Shan, Alexander F. Kolen et al.

Medical instrument detection is essential for computer-assisted interventions since it would facilitate the surgeons to find the instrument efficiently with a better interpretation, which leads to a better outcome. This article reviews medical instrument detection methods in the ultrasound-guided intervention. First, we present a comprehensive review of instrument detection methodologies, which include traditional non-data-driven methods and data-driven methods. The non-data-driven methods were extensively studied prior to the era of machine learning, i.e. data-driven approaches. We discuss the main clinical applications of medical instrument detection in ultrasound, including anesthesia, biopsy, prostate brachytherapy, and cardiac catheterization, which were validated on clinical datasets. Finally, we selected several principal publications to summarize the key issues and potential research directions for the computer-assisted intervention community.

Hongxu Yang, Caifeng Shan, Alexander F. Kolen et al.

Catheter segmentation in 3D ultrasound is important for computer-assisted cardiac intervention. However, a large amount of labeled images are required to train a successful deep convolutional neural network (CNN) to segment the catheter, which is expensive and time-consuming. In this paper, we propose a novel catheter segmentation approach, which requests fewer annotations than the supervised learning method, but nevertheless achieves better performance. Our scheme considers a deep Q learning as the pre-localization step, which avoids voxel-level annotation and which can efficiently localize the target catheter. With the detected catheter, patch-based Dual-UNet is applied to segment the catheter in 3D volumetric data. To train the Dual-UNet with limited labeled images and leverage information of unlabeled images, we propose a novel semi-supervised scheme, which exploits unlabeled images based on hybrid constraints from predictions. Experiments show the proposed scheme achieves a higher performance than state-of-the-art semi-supervised methods, while it demonstrates that our method is able to learn from large-scale unlabeled images.

Hongxu Yang, Caifeng Shan, Alexander F. Kolen et al.

Fast and accurate catheter detection in cardiac catheterization using harmless 3D ultrasound (US) can improve the efficiency and outcome of the intervention. However, the low image quality of US requires extra training for sonographers to localize the catheter. In this paper, we propose a catheter detection method based on a pre-trained VGG network, which exploits 3D information through re-organized cross-sections to segment the catheter by a shared fully convolutional network (FCN), which is called a Direction-Fused FCN (DF-FCN). Based on the segmented image of DF-FCN, the catheter can be localized by model fitting. Our experiments show that the proposed method can successfully detect an ablation catheter in a challenging ex-vivo 3D US dataset, which was collected on the porcine heart. Extensive analysis shows that the proposed method achieves a Dice score of 57.7%, which offers at least an 11.8 % improvement when compared to state-of-the-art instrument detection methods. Due to the improved segmentation performance by the DF-FCN, the catheter can be localized with an error of only 1.4 mm.