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.

Social-Mobility-Aware Joint Communication and Computation Resource Management in NOMA-Enabled Vehicular Networks

The existing computation and communication (2C) optimization schemes for vehicular edge computing (VEC) networks mainly focus on the physical domain without considering the influence from the social domain. This may greatly limit the potential of task offloading, making it difficult to fully boom the task offloading rate with given power, resulting in low energy efficiency (EE). To address the issue, this letter devotes itself to investigate social-mobility-aware VEC framework and proposes a novel EE-oriented 2C assignment scheme. In doing so, we assume that the task vehicular user (T-VU) can offload computation tasks to the service vehicular user (S-VU) and the road side unit (RSU) by non-orthogonal multiple access (NOMA). An optimization problem is formulated to jointly assign the 2C resources to maximize the system EE, which turns out to be a mixed integer non-convex objective function. To solve the problem, we transform it into separated computation and communication resource allocation subproblems. Dealing with the first subproblem, we propose a social-mobility-aware edge server selection and task splitting algorithm (SM-SSTSA) to achieve edge server selection and task splitting. Then, by solving the second subproblem, the power allocation and spectrum assignment solutions are obtained utilizing a tightening lower bound method and a Kuhn-Munkres algorithm. Finally, we solve the original problem through an iterative method. Simulation results demonstrate the superior EE performance of the proposed scheme.

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.

PolyFormer: Referring Image Segmentation as Sequential Polygon Generation

In this work, instead of directly predicting the pixel-level segmentation masks, the problem of referring image segmentation is formulated as sequential polygon generation, and the predicted polygons can be later converted into segmentation masks. This is enabled by a new sequence-to-sequence framework, Polygon Transformer (PolyFormer), which takes a sequence of image patches and text query tokens as input, and outputs a sequence of polygon vertices autoregressively. For more accurate geometric localization, we propose a regression-based decoder, which predicts the precise floating-point coordinates directly, without any coordinate quantization error. In the experiments, PolyFormer outperforms the prior art by a clear margin, e.g., 5.40% and 4.52% absolute improvements on the challenging RefCOCO+ and RefCOCOg datasets. It also shows strong generalization ability when evaluated on the referring video segmentation task without fine-tuning, e.g., achieving competitive 61.5% J&F on the Ref-DAVIS17 dataset.

Hierarchical Capsule Prediction Network for Marketing Campaigns Effect

Marketing campaigns are a set of strategic activities that can promote a business's goal. The effect prediction for marketing campaigns in a real industrial scenario is very complex and challenging due to the fact that prior knowledge is often learned from observation data, without any intervention for the marketing campaign. Furthermore, each subject is always under the interference of several marketing campaigns simultaneously. Therefore, we cannot easily parse and evaluate the effect of a single marketing campaign. To the best of our knowledge, there are currently no effective methodologies to solve such a problem, i.e., modeling an individual-level prediction task based on a hierarchical structure with multiple intertwined events. In this paper, we provide an in-depth analysis of the underlying parse tree-like structure involved in the effect prediction task and we further establish a Hierarchical Capsule Prediction Network (HapNet) for predicting the effects of marketing campaigns. Extensive results based on both the synthetic data and real data demonstrate the superiority of our model over the state-of-the-art methods and show remarkable practicability in real industrial applications.

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.

Learning to Recognize Patch-Wise Consistency for Deepfake Detection

We propose to detect Deepfake generated by face manipulation based on one of their fundamental features: images are blended by patches from multiple sources, carrying distinct and persistent source features. In particular, we propose a novel representation learning approach for this task, called patch-wise consistency learning (PCL). It learns by measuring the consistency of image source features, resulting to representation with good interpretability and robustness to multiple forgery methods. We develop an inconsistency image generator (I2G) to generate training data for PCL and boost its robustness. We evaluate our approach on seven popular Deepfake detection datasets. Our model achieves superior detection accuracy and generalizes well to unseen generation methods. On average, our model outperforms the state-of-the-art in terms of AUC by 2% and 8% in the in- and cross-dataset evaluation, respectively.

Occlusion-Adaptive Deep Network for Robust Facial Expression Recognition

Recognizing the expressions of partially occluded faces is a challenging computer vision problem. Previous expression recognition methods, either overlooked this issue or resolved it using extreme assumptions. Motivated by the fact that the human visual system is adept at ignoring the occlusion and focus on non-occluded facial areas, we propose a landmark-guided attention branch to find and discard corrupted features from occluded regions so that they are not used for recognition. An attention map is first generated to indicate if a specific facial part is occluded and guide our model to attend to non-occluded regions. To further improve robustness, we propose a facial region branch to partition the feature maps into non-overlapping facial blocks and task each block to predict the expression independently. This results in more diverse and discriminative features, enabling the expression recognition system to recover even though the face is partially occluded. Depending on the synergistic effects of the two branches, our occlusion-adaptive deep network significantly outperforms state-of-the-art methods on two challenging in-the-wild benchmark datasets and three real-world occluded expression datasets.

ExprGAN: Facial Expression Editing with Controllable Expression Intensity

Facial expression editing is a challenging task as it needs a high-level semantic understanding of the input face image. In conventional methods, either paired training data is required or the synthetic face resolution is low. Moreover, only the categories of facial expression can be changed. To address these limitations, we propose an Expression Generative Adversarial Network (ExprGAN) for photo-realistic facial expression editing with controllable expression intensity. An expression controller module is specially designed to learn an expressive and compact expression code in addition to the encoder-decoder network. This novel architecture enables the expression intensity to be continuously adjusted from low to high. We further show that our ExprGAN can be applied for other tasks, such as expression transfer, image retrieval, and data augmentation for training improved face expression recognition models. To tackle the small size of the training database, an effective incremental learning scheme is proposed. Quantitative and qualitative evaluations on the widely used Oulu-CASIA dataset demonstrate the effectiveness of ExprGAN.