Where It Moves, It Matters: Referring Surgical Instrument Segmentation via Motion

Enabling intuitive, language-driven interaction with surgical scenes is a critical step toward intelligent operating rooms and autonomous surgical robotic assistance. However, the task of referring segmentation, localizing surgical instruments based on natural language descriptions, remains underexplored in surgical videos, with existing approaches struggling to generalize due to reliance on static visual cues and predefined instrument names. In this work, we introduce SurgRef, a novel motion-guided framework that grounds free-form language expressions in instrument motion, capturing how tools move and interact across time, rather than what they look like. This allows models to understand and segment instruments even under occlusion, ambiguity, or unfamiliar terminology. To train and evaluate SurgRef, we present Ref-IMotion, a diverse, multi-institutional video dataset with dense spatiotemporal masks and rich motion-centric expressions. SurgRef achieves state-of-the-art accuracy and generalization across surgical procedures, setting a new benchmark for robust, language-driven surgical video segmentation.

SurgGoal: Rethinking Surgical Planning Evaluation via Goal-Satisfiability

Surgical planning integrates visual perception, long-horizon reasoning, and procedural knowledge, yet it remains unclear whether current evaluation protocols reliably assess vision-language models (VLMs) in safety-critical settings. Motivated by a goal-oriented view of surgical planning, we define planning correctness via phase-goal satisfiability, where plan validity is determined by expert-defined surgical rules. Based on this definition, we introduce a multicentric meta-evaluation benchmark with valid procedural variations and invalid plans containing order and content errors. Using this benchmark, we show that sequence similarity metrics systematically misjudge planning quality, penalizing valid plans while failing to identify invalid ones. We therefore adopt a rule-based goal-satisfiability metric as a high-precision meta-evaluation reference to assess Video-LLMs under progressively constrained settings, revealing failures due to perception errors and under-constrained reasoning. Structural knowledge consistently improves performance, whereas semantic guidance alone is unreliable and benefits larger models only when combined with structural constraints.

Mixture of Distributions Matters: Dynamic Sparse Attention for Efficient Video Diffusion Transformers

While Diffusion Transformers (DiTs) have achieved notable progress in video generation, this long-sequence generation task remains constrained by the quadratic complexity inherent to self-attention mechanisms, creating significant barriers to practical deployment. Although sparse attention methods attempt to address this challenge, existing approaches either rely on oversimplified static patterns or require computationally expensive sampling operations to achieve dynamic sparsity, resulting in inaccurate pattern predictions and degraded generation quality. To overcome these limitations, we propose a \underline{\textbf{M}}ixtrue-\underline{\textbf{O}}f-\underline{\textbf{D}}istribution \textbf{DiT} (\textbf{MOD-DiT}), a novel sampling-free dynamic attention framework that accurately models evolving attention patterns through a two-stage process. First, MOD-DiT leverages prior information from early denoising steps and adopts a {distributed mixing approach} to model an efficient linear approximation model, which is then used to predict mask patterns for a specific denoising interval. Second, an online block masking strategy dynamically applies these predicted masks while maintaining historical sparsity information, eliminating the need for repetitive sampling operations. Extensive evaluations demonstrate consistent acceleration and quality improvements across multiple benchmarks and model architectures, validating MOD-DiT's effectiveness for efficient, high-quality video generation while overcoming the computational limitations of traditional sparse attention approaches.

LapFM: A Laparoscopic Segmentation Foundation Model via Hierarchical Concept Evolving Pre-training

Surgical segmentation is pivotal for scene understanding yet remains hindered by annotation scarcity and semantic inconsistency across diverse procedures. Existing approaches typically fine-tune natural foundation models (e.g., SAM) with limited supervision, functioning merely as domain adapters rather than surgical foundation models. Consequently, they struggle to generalize across the vast variability of surgical targets. To bridge this gap, we present LapFM, a foundation model designed to evolve robust segmentation capabilities from massive unlabeled surgical images. Distinct from medical foundation models relying on inefficient self-supervised proxy tasks, LapFM leverages a Hierarchical Concept Evolving Pre-training paradigm. First, we establish a Laparoscopic Concept Hierarchy (LCH) via a hierarchical mask decoder with parent-child query embeddings, unifying diverse entities (i.e., Anatomy, Tissue, and Instrument) into a scalable knowledge structure with cross-granularity semantic consistency. Second, we propose a Confidence-driven Evolving Labeling that iteratively generates and filters pseudo-labels based on hierarchical consistency, progressively incorporating reliable samples from unlabeled images into training. This process yields LapBench-114K, a large-scale benchmark comprising 114K image-mask pairs. Extensive experiments demonstrate that LapFM significantly outperforms state-of-the-art methods, establishing new standards for granularity-adaptive generalization in universal laparoscopic segmentation. The source code is available at https://github.com/xq141839/LapFM.

Mixture-of-Channels: Exploiting Sparse FFNs for Efficient LLMs Pre-Training and Inference

Large language models (LLMs) have demonstrated remarkable success across diverse artificial intelligence tasks, driven by scaling laws that correlate model size and training data with performance improvements. However, this scaling paradigm incurs substantial memory overhead, creating significant challenges for both training and inference. While existing research has primarily addressed parameter and optimizer state memory reduction, activation memory-particularly from feed-forward networks (FFNs)-has become the critical bottleneck, especially when FlashAttention is implemented. In this work, we conduct a detailed memory profiling of LLMs and identify FFN activations as the predominant source to activation memory overhead. Motivated by this, we introduce Mixture-of-Channels (MoC), a novel FFN architecture that selectively activates only the Top-K most relevant channels per token determined by SwiGLU's native gating mechanism. MoC substantially reduces activation memory during pre-training and improves inference efficiency by reducing memory access through partial weight loading into GPU SRAM. Extensive experiments validate that MoC delivers significant memory savings and throughput gains while maintaining competitive model performance.

An All-Reduce Compatible Top-K Compressor for Communication-Efficient Distributed Learning

Communication remains a central bottleneck in large-scale distributed machine learning, and gradient sparsification has emerged as a promising strategy to alleviate this challenge. However, existing gradient compressors face notable limitations: Rand-$K$\ discards structural information and performs poorly in practice, while Top-$K$\ preserves informative entries but loses the contraction property and requires costly All-Gather operations. In this paper, we propose ARC-Top-$K$, an {All-Reduce}-Compatible Top-$K$ compressor that aligns sparsity patterns across nodes using a lightweight sketch of the gradient, enabling index-free All-Reduce while preserving globally significant information. ARC-Top-$K$\ is provably contractive and, when combined with momentum error feedback (EF21M), achieves linear speedup and sharper convergence rates than the original EF21M under standard assumptions. Empirically, ARC-Top-$K$\ matches the accuracy of Top-$K$\ while reducing wall-clock training time by up to 60.7\%, offering an efficient and scalable solution that combines the robustness of Rand-$K$\ with the strong performance of Top-$K$.

An Efficient Subspace Algorithm for Federated Learning on Heterogeneous Data

This work addresses the key challenges of applying federated learning to large-scale deep neural networks, particularly the issue of client drift due to data heterogeneity across clients and the high costs of communication, computation, and memory. We propose FedSub, an efficient subspace algorithm for federated learning on heterogeneous data. Specifically, FedSub utilizes subspace projection to guarantee local updates of each client within low-dimensional subspaces, thereby reducing communication, computation, and memory costs. Additionally, it incorporates low-dimensional dual variables to mitigate client drift. We provide convergence analysis that reveals the impact of key factors such as step size and subspace projection matrices on convergence. Experimental results demonstrate its efficiency.

Bridging Video Quality Scoring and Justification via Large Multimodal Models

Classical video quality assessment (VQA) methods generate a numerical score to judge a video's perceived visual fidelity and clarity. Yet, a score fails to describe the video's complex quality dimensions, restricting its applicability. Benefiting from the linguistic output, adapting video large multimodal models (LMMs) to VQA via instruction tuning has the potential to address this issue. The core of the approach lies in the video quality-centric instruction data. Previous explorations mainly focus on the image domain, and their data generation processes heavily rely on human quality annotations and proprietary systems, limiting data scalability and effectiveness. To address these challenges, we propose the Score-based Instruction Generation (SIG) pipeline. Specifically, SIG first scores multiple quality dimensions of an unlabeled video and maps scores to text-defined levels. It then explicitly incorporates a hierarchical Chain-of-Thought (CoT) to model the correlation between specific dimensions and overall quality, mimicking the human visual system's reasoning process. The automated pipeline eliminates the reliance on expert-written quality descriptions and proprietary systems, ensuring data scalability and generation efficiency. To this end, the resulting Score2Instruct (S2I) dataset contains over 320K diverse instruction-response pairs, laying the basis for instruction tuning. Moreover, to advance video LMMs' quality scoring and justification abilities simultaneously, we devise a progressive tuning strategy to fully unleash the power of S2I. Built upon SIG, we further curate a benchmark termed S2I-Bench with 400 open-ended questions to better evaluate the quality justification capacity of video LMMs. Experimental results on the S2I-Bench and existing benchmarks indicate that our method consistently improves quality scoring and justification capabilities across multiple video LMMs.

Efficient Long-Context LLM Inference via KV Cache Clustering

Large language models (LLMs) with extended context windows have become increasingly prevalent for tackling complex tasks. However, the substantial Key-Value (KV) cache required for long-context LLMs poses significant deployment challenges. Existing approaches either discard potentially critical information needed for future generations or offer limited efficiency gains due to high computational overhead. In this paper, we introduce Chelsea, a simple yet effective framework for online KV cache clustering. Our approach is based on the observation that key states exhibit high similarity along the sequence dimension. To enable efficient clustering, we divide the sequence into chunks and propose Chunked Soft Matching, which employs an alternating partition strategy within each chunk and identifies clusters based on similarity. Chelsea then merges the KV cache within each cluster into a single centroid. Additionally, we provide a theoretical analysis of the computational complexity and the optimality of the intra-chunk partitioning strategy. Extensive experiments across various models and long-context benchmarks demonstrate that Chelsea achieves up to 80% reduction in KV cache memory usage while maintaining comparable model performance. Moreover, with minimal computational overhead, Chelsea accelerates the decoding stage of inference by up to 3.19$\times$ and reduces end-to-end latency by up to 2.72$\times$.

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.