Motion-Guided Dual-Camera Tracker for Low-Cost Skill Evaluation of Gastric Endoscopy

Gastric simulators with objective educational feedback have been proven useful for endoscopy training. Existing electronic simulators with feedback are however not commonly adopted due to their high cost. In this work, a motion-guided dual-camera tracker is proposed to provide reliable endoscope tip position feedback at a low cost inside a mechanical simulator for endoscopy skill evaluation, tackling several unique challenges. To address the issue of significant appearance variation of the endoscope tip while keeping dual-camera tracking consistency, the cross-camera mutual template strategy (CMT) is proposed to introduce dynamic transient mutual templates to dual-camera tracking. To alleviate disturbance from large occlusion and distortion by the light source from the endoscope tip, the Mamba-based motion-guided prediction head (MMH) is presented to aggregate visual tracking with historical motion information modeled by the state space model. The proposed tracker was evaluated on datasets captured by low-cost camera pairs during endoscopy procedures performed inside the mechanical simulator. The tracker achieves SOTA performance with robust and consistent tracking on dual cameras. Further downstream evaluation proves that the 3D tip position determined by the proposed tracker enables reliable skill differentiation. The code and dataset will be released upon acceptance.

A Unified Framework for Microscopy Defocus Deblur with Multi-Pyramid Transformer and Contrastive Learning

Defocus blur is a persistent problem in microscope imaging that poses harm to pathology interpretation and medical intervention in cell microscopy and microscope surgery. To address this problem, a unified framework including multi-pyramid transformer (MPT) and extended frequency contrastive regularization (EFCR) is proposed to tackle two outstanding challenges in microscopy deblur: longer attention span and feature deficiency. The MPT employs an explicit pyramid structure at each network stage that integrates the cross-scale window attention (CSWA), the intra-scale channel attention (ISCA), and the feature-enhancing feed-forward network (FEFN) to capture long-range cross-scale spatial interaction and global channel context. The EFCR addresses the feature deficiency problem by exploring latent deblur signals from different frequency bands. It also enables deblur knowledge transfer to learn cross-domain information from extra data, improving deblur performance for labeled and unlabeled data. Extensive experiments and downstream task validation show the framework achieves state-of-the-art performance across multiple datasets. Project page: https://github.com/PieceZhang/MPT-CataBlur.

Tele-Operated Oropharyngeal Swab (TOOS) RobotEnabled by TSS Soft Hand for Safe and EffectiveCOVID-19 OP Sampling

The COVID-19 pandemic has imposed serious challenges in multiple perspectives of human life. To diagnose COVID-19, oropharyngeal swab (OP SWAB) sampling is generally applied for viral nucleic acid (VNA) specimen collection. However, manual sampling exposes medical staff to a high risk of infection. Robotic sampling is promising to mitigate this risk to the minimum level, but traditional robot suffers from safety, cost, and control complexity issues for wide-scale deployment. In this work, we present soft robotic technology is promising to achieve robotic OP swab sampling with excellent swab manipulability in a confined oral space and works as dexterous as existing manual approach. This is enabled by a novel Tstone soft (TSS) hand, consisting of a soft wrist and a soft gripper, designed from human sampling observation and bio-inspiration. TSS hand is in a compact size, exerts larger workspace, and achieves comparable dexterity compared to human hand. The soft wrist is capable of agile omnidirectional bending with adjustable stiffness. The terminal soft gripper is effective for disposable swab pinch and replacement. The OP sampling force is easy to be maintained in a safe and comfortable range (throat sampling comfortable region) under a hybrid motion and stiffness virtual fixture-based controller. A dedicated 3 DOFs RCM platform is used for TSS hand global positioning. Design, modeling, and control of the TSS hand are discussed in detail with dedicated experimental validations. A sampling test based on human tele-operation is processed on the oral cavity model with excellent success rate. The proposed TOOS robot demonstrates a highly promising solution for tele-operated, safe, cost-effective, and quick deployable COVID-19 OP swab sampling.

Towards Safe Control of Continuum Manipulator Using Shielded Multiagent Reinforcement Learning

Continuum robotic manipulators are increasingly adopted in minimal invasive surgery. However, their nonlinear behavior is challenging to model accurately, especially when subject to external interaction, potentially leading to poor control performance. In this letter, we investigate the feasibility of adopting a model-free multiagent reinforcement learning (RL), namely multiagent deep Q network (MADQN), to control a 2-degree of freedom (DoF) cable-driven continuum surgical manipulator. The control of the robot is formulated as a one-DoF, one agent problem in the MADQN framework to improve the learning efficiency. Combined with a shielding scheme that enables dynamic variation of the action set boundary, MADQN leads to efficient and importantly safer control of the robot. Shielded MADQN enabled the robot to perform point and trajectory tracking with submillimeter root mean square errors under external loads, soft obstacles, and rigid collision, which are common interaction scenarios encountered by surgical manipulators. The controller was further proven to be effective in a miniature continuum robot with high structural nonlinearitiy, achieving trajectory tracking with submillimeter accuracy under external payload.