Segment Any Medical Model Extended

The Segment Anything Model (SAM) has drawn significant attention from researchers who work on medical image segmentation because of its generalizability. However, researchers have found that SAM may have limited performance on medical images compared to state-of-the-art non-foundation models. Regardless, the community sees potential in extending, fine-tuning, modifying, and evaluating SAM for analysis of medical imaging. An increasing number of works have been published focusing on the mentioned four directions, where variants of SAM are proposed. To this end, a unified platform helps push the boundary of the foundation model for medical images, facilitating the use, modification, and validation of SAM and its variants in medical image segmentation. In this work, we introduce SAMM Extended (SAMME), a platform that integrates new SAM variant models, adopts faster communication protocols, accommodates new interactive modes, and allows for fine-tuning of subcomponents of the models. These features can expand the potential of foundation models like SAM, and the results can be translated to applications such as image-guided therapy, mixed reality interaction, robotic navigation, and data augmentation.

Navigate Biopsy with Ultrasound under Augmented Reality Device: Towards Higher System Performance

Purpose: Biopsies play a crucial role in determining the classification and staging of tumors. Ultrasound is frequently used in this procedure to provide real-time anatomical information. Using augmented reality (AR), surgeons can visualize ultrasound data and spatial navigation information seamlessly integrated with real tissues. This innovation facilitates faster and more precise biopsy operations. Methods: We developed an AR biopsy navigation system with low display latency and high accuracy. Ultrasound data is initially read by an image capture card and streamed to Unity via net communication. In Unity, navigation information is rendered and transmitted to the HoloLens 2 device using holographic remoting. Retro-reflective tool tracking is implemented on the HoloLens 2, enabling simultaneous tracking of the ultrasound probe and biopsy needle. Distinct navigation information is provided during in-plane and out-of-plane punctuation. To evaluate the effectiveness of our system, we conducted a study involving ten participants, for puncture accuracy and biopsy time, comparing to traditional methods. Results: Our proposed framework enables ultrasound visualization in AR with only $16.22\pm11.45ms$ additional latency. Navigation accuracy reached $1.23\pm 0.68mm$ in the image plane and $0.95\pm 0.70mm$ outside the image plane. Remarkably, the utilization of our system led to $98\%$ and $95\%$ success rate in out-of-plane and in-plane biopsy. Conclusion: To sum up, this paper introduces an AR-based ultrasound biopsy navigation system characterized by high navigation accuracy and minimal latency. The system provides distinct visualization contents during in-plane and out-of-plane operations according to their different characteristics. Use case study in this paper proved that our system can help young surgeons perform biopsy faster and more accurately.

CurriculumLoc: Enhancing Cross-Domain Geolocalization through Multi-Stage Refinement

Visual geolocalization is a cost-effective and scalable task that involves matching one or more query images, taken at some unknown location, to a set of geo-tagged reference images. Existing methods, devoted to semantic features representation, evolving towards robustness to a wide variety between query and reference, including illumination and viewpoint changes, as well as scale and seasonal variations. However, practical visual geolocalization approaches need to be robust in appearance changing and extreme viewpoint variation conditions, while providing accurate global location estimates. Therefore, inspired by curriculum design, human learn general knowledge first and then delve into professional expertise. We first recognize semantic scene and then measure geometric structure. Our approach, termed CurriculumLoc, involves a delicate design of multi-stage refinement pipeline and a novel keypoint detection and description with global semantic awareness and local geometric verification. We rerank candidates and solve a particular cross-domain perspective-n-point (PnP) problem based on these keypoints and corresponding descriptors, position refinement occurs incrementally. The extensive experimental results on our collected dataset, TerraTrack and a benchmark dataset, ALTO, demonstrate that our approach results in the aforementioned desirable characteristics of a practical visual geolocalization solution. Additionally, we achieve new high recall@1 scores of 62.6% and 94.5% on ALTO, with two different distances metrics, respectively. Dataset, code and trained models are publicly available on https://github.com/npupilab/CurriculumLoc.

EVD Surgical Guidance with Retro-Reflective Tool Tracking and Spatial Reconstruction using Head-Mounted Augmented Reality Device

Augmented Reality (AR) has been used to facilitate surgical guidance during External Ventricular Drain (EVD) surgery, reducing the risks of misplacement in manual operations. During this procedure, the key challenge is accurately estimating the spatial relationship between pre-operative images and actual patient anatomy in AR environment. This research proposes a novel framework utilizing Time of Flight (ToF) depth sensors integrated in commercially available AR Head Mounted Devices (HMD) for precise EVD surgical guidance. As previous studies have proven depth errors for ToF sensors, we first assessed their properties on AR-HMDs. Subsequently, a depth error model and patient-specific parameter identification method are introduced for accurate surface information. A tracking pipeline combining retro-reflective markers and point clouds is then proposed for accurate head tracking. The head surface is reconstructed using depth data for spatial registration, avoiding fixing tracking targets rigidly on the patient's skull. Firstly, $7.580\pm 1.488 mm$ depth value error was revealed on human skin, indicating the significance of depth correction. Our results showed that the error was reduced by over $85\%$ using proposed depth correction method on head phantoms in different materials. Meanwhile, the head surface reconstructed with corrected depth data achieved sub-millimetre accuracy. An experiment on sheep head revealed $0.79 mm$ reconstruction error. Furthermore, a user study was conducted for the performance in simulated EVD surgery, where five surgeons performed nine k-wire injections on a head phantom with virtual guidance. Results of this study revealed $2.09 \pm 0.16 mm$ translational accuracy and $2.97\pm 0.91$ degree orientational accuracy.

STTAR: Surgical Tool Tracking using off-the-shelf Augmented Reality Head-Mounted Displays

The use of Augmented Reality (AR) for navigation purposes has shown beneficial in assisting physicians during the performance of surgical procedures. These applications commonly require knowing the pose of surgical tools and patients to provide visual information that surgeons can use during the task performance. Existing medical-grade tracking systems use infrared cameras placed inside the Operating Room (OR) to identify retro-reflective markers attached to objects of interest and compute their pose. Some commercially available AR Head-Mounted Displays (HMDs) use similar cameras for self-localization, hand tracking, and estimating the objects' depth. This work presents a framework that uses the built-in cameras of AR HMDs to enable accurate tracking of retro-reflective markers, such as those used in surgical procedures, without the need to integrate any additional components. This framework is also capable of simultaneously tracking multiple tools. Our results show that the tracking and detection of the markers can be achieved with an accuracy of 0.09 +- 0.06 mm on lateral translation, 0.42 +- 0.32 mm on longitudinal translation, and 0.80 +- 0.39 deg for rotations around the vertical axis. Furthermore, to showcase the relevance of the proposed framework, we evaluate the system's performance in the context of surgical procedures. This use case was designed to replicate the scenarios of k-wire insertions in orthopedic procedures. For evaluation, two surgeons and one biomedical researcher were provided with visual navigation, each performing 21 injections. Results from this use case provide comparable accuracy to those reported in the literature for AR-based navigation procedures.

NTIRE 2022 Challenge on High Dynamic Range Imaging: Methods and Results

This paper reviews the challenge on constrained high dynamic range (HDR) imaging that was part of the New Trends in Image Restoration and Enhancement (NTIRE) workshop, held in conjunction with CVPR 2022. This manuscript focuses on the competition set-up, datasets, the proposed methods and their results. The challenge aims at estimating an HDR image from multiple respective low dynamic range (LDR) observations, which might suffer from under- or over-exposed regions and different sources of noise. The challenge is composed of two tracks with an emphasis on fidelity and complexity constraints: In Track 1, participants are asked to optimize objective fidelity scores while imposing a low-complexity constraint (i.e. solutions can not exceed a given number of operations). In Track 2, participants are asked to minimize the complexity of their solutions while imposing a constraint on fidelity scores (i.e. solutions are required to obtain a higher fidelity score than the prescribed baseline). Both tracks use the same data and metrics: Fidelity is measured by means of PSNR with respect to a ground-truth HDR image (computed both directly and with a canonical tonemapping operation), while complexity metrics include the number of Multiply-Accumulate (MAC) operations and runtime (in seconds).

Lane Detection in Low-light Conditions Using an Efficient Data Enhancement : Light Conditions Style Transfer

Nowadays, deep learning techniques are widely used for lane detection, but application in low-light conditions remains a challenge until this day. Although multi-task learning and contextual information based methods have been proposed to solve the problem, they either require additional manual annotations or introduce extra inference computation respectively. In this paper, we propose a style-transfer-based data enhancement method, which uses Generative Adversarial Networks (GANs) to generate images in low-light conditions, that increases the environmental adaptability of the lane detector. Our solution consists of three models: the proposed Better-CycleGAN, light conditions style transfer network and lane detection network. It does not require additional manual annotations nor extra inference computation. We validated our methods on the lane detection benchmark CULane using ERFNet. Empirically, lane detection model trained using our method demonstrated adaptability in low-light conditions and robustness in complex scenarios. Our code for this paper will be publicly available.