Abstract:Dense 3D reconstruction is critical for clinical endoscopic navigation and documentation. While Gaussian Splatting SLAM systems show promise in this domain, they fundamentally rely on strict multi-view photometric consistency. In routine procedures, this assumption is severely violated by intermittent optical degradations like moving debris and water flushing. Standard systems erroneously fuse these cameraattached artifacts into the persistent 3D geometry, causing severe tracking drift and irreversible map corruption. To address this limitation, we propose EndoMD-SLAM, a framework designed to maintain stability under optical degradation through specialized tracking and mapping mechanisms. On the tracking side, a memory-driven gating mechanism detects unreliable observations to suspend map updates and utilizes historical keyframes for drift-aware relocalization. On the mapping side, a self-supervised static-transient decomposition isolates visual contaminants into a dedicated transient field. This explicit separation prevents artifacts from structurally entangling with the persistent anatomical map. We curate a degradationfocused benchmark from colonoscopy videos to systematically evaluate these failure modes. Extensive experiments show that while standard baselines fail under severe optical degradation, EndoMD-SLAM preserves geometric integrity, reducing absolute trajectory error by 91% and improving rendering fidelity by 9.9 dB PSNR.
Abstract:Colorectal cancer screening critically depends on colonoscopy, yet existing platforms offer limited support for systematically studying the coupled dynamics of operator control, instrument motion, and visual feedback. This gap restricts reproducible closed-loop research in robotic colonoscopy, medical imaging, and emerging vision-language-action (VLA) learning paradigms. To address this challenge, we present OpenRC, an open-source modular robotic colonoscopy framework that retrofits conventional scopes while preserving clinical workflow. The framework supports simultaneous recording of video, operator commands, actuation state, and distal tip pose. We experimentally validated motion consistency and quantified cross-modal latency across sensing streams. Using this platform, we collected a multimodal dataset comprising 1,894 teleoperated episodes ~19 hours across 10 structured task variations of routine navigation, failure events, and recovery behaviors. By unifying open hardware and an aligned multimodal dataset, OpenRC provides a reproducible foundation for research in multimodal robotic colonoscopy and surgical autonomy.