EndoVLA: Dual-Phase Vision-Language-Action Model for Autonomous Tracking in Endoscopy

In endoscopic procedures, autonomous tracking of abnormal regions and following circumferential cutting markers can significantly reduce the cognitive burden on endoscopists. However, conventional model-based pipelines are fragile for each component (e.g., detection, motion planning) requires manual tuning and struggles to incorporate high-level endoscopic intent, leading to poor generalization across diverse scenes. Vision-Language-Action (VLA) models, which integrate visual perception, language grounding, and motion planning within an end-to-end framework, offer a promising alternative by semantically adapting to surgeon prompts without manual recalibration. Despite their potential, applying VLA models to robotic endoscopy presents unique challenges due to the complex and dynamic anatomical environments of the gastrointestinal (GI) tract. To address this, we introduce EndoVLA, designed specifically for continuum robots in GI interventions. Given endoscopic images and surgeon-issued tracking prompts, EndoVLA performs three core tasks: (1) polyp tracking, (2) delineation and following of abnormal mucosal regions, and (3) adherence to circular markers during circumferential cutting. To tackle data scarcity and domain shifts, we propose a dual-phase strategy comprising supervised fine-tuning on our EndoVLA-Motion dataset and reinforcement fine-tuning with task-aware rewards. Our approach significantly improves tracking performance in endoscopy and enables zero-shot generalization in diverse scenes and complex sequential tasks.

ORQA: A Benchmark and Foundation Model for Holistic Operating Room Modeling

The real-world complexity of surgeries necessitates surgeons to have deep and holistic comprehension to ensure precision, safety, and effective interventions. Computational systems are required to have a similar level of comprehension within the operating room. Prior works, limited to single-task efforts like phase recognition or scene graph generation, lack scope and generalizability. In this work, we introduce ORQA, a novel OR question answering benchmark and foundational multimodal model to advance OR intelligence. By unifying all four public OR datasets into a comprehensive benchmark, we enable our approach to concurrently address a diverse range of OR challenges. The proposed multimodal large language model fuses diverse OR signals such as visual, auditory, and structured data, for a holistic modeling of the OR. Finally, we propose a novel, progressive knowledge distillation paradigm, to generate a family of models optimized for different speed and memory requirements. We show the strong performance of ORQA on our proposed benchmark, and its zero-shot generalization, paving the way for scalable, unified OR modeling and significantly advancing multimodal surgical intelligence. We will release our code and data upon acceptance.

Diffusion Learning with Partial Agent Participation and Local Updates

Diffusion learning is a framework that endows edge devices with advanced intelligence. By processing and analyzing data locally and allowing each agent to communicate with its immediate neighbors, diffusion effectively protects the privacy of edge devices, enables real-time response, and reduces reliance on central servers. However, traditional diffusion learning relies on communication at every iteration, leading to communication overhead, especially with large learning models. Furthermore, the inherent volatility of edge devices, stemming from power outages or signal loss, poses challenges to reliable communication between neighboring agents. To mitigate these issues, this paper investigates an enhanced diffusion learning approach incorporating local updates and partial agent participation. Local updates will curtail communication frequency, while partial agent participation will allow for the inclusion of agents based on their availability. We prove that the resulting algorithm is stable in the mean-square error sense and provide a tight analysis of its Mean-Square-Deviation (MSD) performance. Various numerical experiments are conducted to illustrate our theoretical findings.

NTIRE 2025 Challenge on Short-form UGC Video Quality Assessment and Enhancement: KwaiSR Dataset and Study

In this work, we build the first benchmark dataset for short-form UGC Image Super-resolution in the wild, termed KwaiSR, intending to advance the research on developing image super-resolution algorithms for short-form UGC platforms. This dataset is collected from the Kwai Platform, which is composed of two parts, i.e., synthetic and wild parts. Among them, the synthetic dataset, including 1,900 image pairs, is produced by simulating the degradation following the distribution of real-world low-quality short-form UGC images, aiming to provide the ground truth for training and objective comparison in the validation/testing. The wild dataset contains low-quality images collected directly from the Kwai Platform, which are filtered using the quality assessment method KVQ from the Kwai Platform. As a result, the KwaiSR dataset contains 1800 synthetic image pairs and 1900 wild images, which are divided into training, validation, and testing parts with a ratio of 8:1:1. Based on the KwaiSR dataset, we organize the NTIRE 2025 challenge on a second short-form UGC Video quality assessment and enhancement, which attracts lots of researchers to develop the algorithm for it. The results of this competition have revealed that our KwaiSR dataset is pretty challenging for existing Image SR methods, which is expected to lead to a new direction in the image super-resolution field. The dataset can be found from https://lixinustc.github.io/NTIRE2025-KVQE-KwaSR-KVQ.github.io/.

Can DeepSeek Reason Like a Surgeon? An Empirical Evaluation for Vision-Language Understanding in Robotic-Assisted Surgery

DeepSeek series have demonstrated outstanding performance in general scene understanding, question-answering (QA), and text generation tasks, owing to its efficient training paradigm and strong reasoning capabilities. In this study, we investigate the dialogue capabilities of the DeepSeek model in robotic surgery scenarios, focusing on tasks such as Single Phrase QA, Visual QA, and Detailed Description. The Single Phrase QA tasks further include sub-tasks such as surgical instrument recognition, action understanding, and spatial position analysis. We conduct extensive evaluations using publicly available datasets, including EndoVis18 and CholecT50, along with their corresponding dialogue data. Our comprehensive evaluation results indicate that, when provided with specific prompts, DeepSeek-V3 performs well in surgical instrument and tissue recognition tasks However, DeepSeek-V3 exhibits significant limitations in spatial position analysis and struggles to understand surgical actions accurately. Additionally, our findings reveal that, under general prompts, DeepSeek-V3 lacks the ability to effectively analyze global surgical concepts and fails to provide detailed insights into surgical scenarios. Based on our observations, we argue that the DeepSeek-V3 is not ready for vision-language tasks in surgical contexts without fine-tuning on surgery-specific datasets.

Optimal Complexity in Byzantine-Robust Distributed Stochastic Optimization with Data Heterogeneity

In this paper, we establish tight lower bounds for Byzantine-robust distributed first-order stochastic optimization methods in both strongly convex and non-convex stochastic optimization. We reveal that when the distributed nodes have heterogeneous data, the convergence error comprises two components: a non-vanishing Byzantine error and a vanishing optimization error. We establish the lower bounds on the Byzantine error and on the minimum number of queries to a stochastic gradient oracle required to achieve an arbitrarily small optimization error. Nevertheless, we identify significant discrepancies between our established lower bounds and the existing upper bounds. To fill this gap, we leverage the techniques of Nesterov's acceleration and variance reduction to develop novel Byzantine-robust distributed stochastic optimization methods that provably match these lower bounds, up to logarithmic factors, implying that our established lower bounds are tight.

KVQ: Boosting Video Quality Assessment via Saliency-guided Local Perception

Video Quality Assessment (VQA), which intends to predict the perceptual quality of videos, has attracted increasing attention. Due to factors like motion blur or specific distortions, the quality of different regions in a video varies. Recognizing the region-wise local quality within a video is beneficial for assessing global quality and can guide us in adopting fine-grained enhancement or transcoding strategies. Due to the heavy cost of annotating region-wise quality, the lack of ground truth constraints from relevant datasets further complicates the utilization of local perception. Inspired by the Human Visual System (HVS) that links global quality to the local texture of different regions and their visual saliency, we propose a Kaleidoscope Video Quality Assessment (KVQ) framework, which aims to effectively assess both saliency and local texture, thereby facilitating the assessment of global quality. Our framework extracts visual saliency and allocates attention using Fusion-Window Attention (FWA) while incorporating a Local Perception Constraint (LPC) to mitigate the reliance of regional texture perception on neighboring areas. KVQ obtains significant improvements across multiple scenarios on five VQA benchmarks compared to SOTA methods. Furthermore, to assess local perception, we establish a new Local Perception Visual Quality (LPVQ) dataset with region-wise annotations. Experimental results demonstrate the capability of KVQ in perceiving local distortions. KVQ models and the LPVQ dataset will be available at https://github.com/qyp2000/KVQ.

MM-OR: A Large Multimodal Operating Room Dataset for Semantic Understanding of High-Intensity Surgical Environments

Operating rooms (ORs) are complex, high-stakes environments requiring precise understanding of interactions among medical staff, tools, and equipment for enhancing surgical assistance, situational awareness, and patient safety. Current datasets fall short in scale, realism and do not capture the multimodal nature of OR scenes, limiting progress in OR modeling. To this end, we introduce MM-OR, a realistic and large-scale multimodal spatiotemporal OR dataset, and the first dataset to enable multimodal scene graph generation. MM-OR captures comprehensive OR scenes containing RGB-D data, detail views, audio, speech transcripts, robotic logs, and tracking data and is annotated with panoptic segmentations, semantic scene graphs, and downstream task labels. Further, we propose MM2SG, the first multimodal large vision-language model for scene graph generation, and through extensive experiments, demonstrate its ability to effectively leverage multimodal inputs. Together, MM-OR and MM2SG establish a new benchmark for holistic OR understanding, and open the path towards multimodal scene analysis in complex, high-stakes environments. Our code, and data is available at https://github.com/egeozsoy/MM-OR.

A Memory Efficient Randomized Subspace Optimization Method for Training Large Language Models

The memory challenges associated with training Large Language Models (LLMs) have become a critical concern, particularly when using the Adam optimizer. To address this issue, numerous memory-efficient techniques have been proposed, with GaLore standing out as a notable example designed to reduce the memory footprint of optimizer states. However, these approaches do not alleviate the memory burden imposed by activations, rendering them unsuitable for scenarios involving long context sequences or large mini-batches. Moreover, their convergence properties are still not well-understood in the literature. In this work, we introduce a Randomized Subspace Optimization framework for pre-training and fine-tuning LLMs. Our approach decomposes the high-dimensional training problem into a series of lower-dimensional subproblems. At each iteration, a random subspace is selected, and the parameters within that subspace are optimized. This structured reduction in dimensionality allows our method to simultaneously reduce memory usage for both activations and optimizer states. We establish comprehensive convergence guarantees and derive rates for various scenarios, accommodating different optimization strategies to solve the subproblems. Extensive experiments validate the superior memory and communication efficiency of our method, achieving performance comparable to GaLore and Adam.

Medical Multimodal Model Stealing Attacks via Adversarial Domain Alignment

Medical multimodal large language models (MLLMs) are becoming an instrumental part of healthcare systems, assisting medical personnel with decision making and results analysis. Models for radiology report generation are able to interpret medical imagery, thus reducing the workload of radiologists. As medical data is scarce and protected by privacy regulations, medical MLLMs represent valuable intellectual property. However, these assets are potentially vulnerable to model stealing, where attackers aim to replicate their functionality via black-box access. So far, model stealing for the medical domain has focused on classification; however, existing attacks are not effective against MLLMs. In this paper, we introduce Adversarial Domain Alignment (ADA-STEAL), the first stealing attack against medical MLLMs. ADA-STEAL relies on natural images, which are public and widely available, as opposed to their medical counterparts. We show that data augmentation with adversarial noise is sufficient to overcome the data distribution gap between natural images and the domain-specific distribution of the victim MLLM. Experiments on the IU X-RAY and MIMIC-CXR radiology datasets demonstrate that Adversarial Domain Alignment enables attackers to steal the medical MLLM without any access to medical data.