Native Intelligence Emerges from Large-Scale Clinical Practice: A Retinal Foundation Model with Deployment Efficiency

Current retinal foundation models remain constrained by curated research datasets that lack authentic clinical context, and require extensive task-specific optimization for each application, limiting their deployment efficiency in low-resource settings. Here, we show that these barriers can be overcome by building clinical native intelligence directly from real-world medical practice. Our key insight is that large-scale telemedicine programs, where expert centers provide remote consultations across distributed facilities, represent a natural reservoir for learning clinical image interpretation. We present ReVision, a retinal foundation model that learns from the natural alignment between 485,980 color fundus photographs and their corresponding diagnostic reports, accumulated through a decade-long telemedicine program spanning 162 medical institutions across China. Through extensive evaluation across 27 ophthalmic benchmarks, we demonstrate that ReVison enables deployment efficiency with minimal local resources. Without any task-specific training, ReVision achieves zero-shot disease detection with an average AUROC of 0.946 across 12 public benchmarks and 0.952 on 3 independent clinical cohorts. When minimal adaptation is feasible, ReVision matches extensively fine-tuned alternatives while requiring orders of magnitude fewer trainable parameters and labeled examples. The learned representations also transfer effectively to new clinical sites, imaging domains, imaging modalities, and systemic health prediction tasks. In a prospective reader study with 33 ophthalmologists, ReVision's zero-shot assistance improved diagnostic accuracy by 14.8% across all experience levels. These results demonstrate that clinical native intelligence can be directly extracted from clinical archives without any further annotation to build medical AI systems suited to various low-resource settings.

SurGSplat: Progressive Geometry-Constrained Gaussian Splatting for Surgical Scene Reconstruction

Intraoperative navigation relies heavily on precise 3D reconstruction to ensure accuracy and safety during surgical procedures. However, endoscopic scenarios present unique challenges, including sparse features and inconsistent lighting, which render many existing Structure-from-Motion (SfM)-based methods inadequate and prone to reconstruction failure. To mitigate these constraints, we propose SurGSplat, a novel paradigm designed to progressively refine 3D Gaussian Splatting (3DGS) through the integration of geometric constraints. By enabling the detailed reconstruction of vascular structures and other critical features, SurGSplat provides surgeons with enhanced visual clarity, facilitating precise intraoperative decision-making. Experimental evaluations demonstrate that SurGSplat achieves superior performance in both novel view synthesis (NVS) and pose estimation accuracy, establishing it as a high-fidelity and efficient solution for surgical scene reconstruction. More information and results can be found on the page https://surgsplat.github.io/.