Endora: Video Generation Models as Endoscopy Simulators

Generative models hold promise for revolutionizing medical education, robot-assisted surgery, and data augmentation for machine learning. Despite progress in generating 2D medical images, the complex domain of clinical video generation has largely remained untapped.This paper introduces \model, an innovative approach to generate medical videos that simulate clinical endoscopy scenes. We present a novel generative model design that integrates a meticulously crafted spatial-temporal video transformer with advanced 2D vision foundation model priors, explicitly modeling spatial-temporal dynamics during video generation. We also pioneer the first public benchmark for endoscopy simulation with video generation models, adapting existing state-of-the-art methods for this endeavor.Endora demonstrates exceptional visual quality in generating endoscopy videos, surpassing state-of-the-art methods in extensive testing. Moreover, we explore how this endoscopy simulator can empower downstream video analysis tasks and even generate 3D medical scenes with multi-view consistency. In a nutshell, Endora marks a notable breakthrough in the deployment of generative AI for clinical endoscopy research, setting a substantial stage for further advances in medical content generation. For more details, please visit our project page: https://endora-medvidgen.github.io/.

Towards Robust Adaptive Object Detection under Noisy Annotations

Domain Adaptive Object Detection (DAOD) models a joint distribution of images and labels from an annotated source domain and learns a domain-invariant transformation to estimate the target labels with the given target domain images. Existing methods assume that the source domain labels are completely clean, yet large-scale datasets often contain error-prone annotations due to instance ambiguity, which may lead to a biased source distribution and severely degrade the performance of the domain adaptive detector de facto. In this paper, we represent the first effort to formulate noisy DAOD and propose a Noise Latent Transferability Exploration (NLTE) framework to address this issue. It is featured with 1) Potential Instance Mining (PIM), which leverages eligible proposals to recapture the miss-annotated instances from the background; 2) Morphable Graph Relation Module (MGRM), which models the adaptation feasibility and transition probability of noisy samples with relation matrices; 3) Entropy-Aware Gradient Reconcilement (EAGR), which incorporates the semantic information into the discrimination process and enforces the gradients provided by noisy and clean samples to be consistent towards learning domain-invariant representations. A thorough evaluation on benchmark DAOD datasets with noisy source annotations validates the effectiveness of NLTE. In particular, NLTE improves the mAP by 8.4\% under 60\% corrupted annotations and even approaches the ideal upper bound of training on a clean source dataset.

SIGMA: Semantic-complete Graph Matching for Domain Adaptive Object Detection

Domain Adaptive Object Detection (DAOD) leverages a labeled domain to learn an object detector generalizing to a novel domain free of annotations. Recent advances align class-conditional distributions by narrowing down cross-domain prototypes (class centers). Though great success,they ignore the significant within-class variance and the domain-mismatched semantics within the training batch, leading to a sub-optimal adaptation. To overcome these challenges, we propose a novel SemantIc-complete Graph MAtching (SIGMA) framework for DAOD, which completes mismatched semantics and reformulates the adaptation with graph matching. Specifically, we design a Graph-embedded Semantic Completion module (GSC) that completes mismatched semantics through generating hallucination graph nodes in missing categories. Then, we establish cross-image graphs to model class-conditional distributions and learn a graph-guided memory bank for better semantic completion in turn. After representing the source and target data as graphs, we reformulate the adaptation as a graph matching problem, i.e., finding well-matched node pairs across graphs to reduce the domain gap, which is solved with a novel Bipartite Graph Matching adaptor (BGM). In a nutshell, we utilize graph nodes to establish semantic-aware node affinity and leverage graph edges as quadratic constraints in a structure-aware matching loss, achieving fine-grained adaptation with a node-to-node graph matching. Extensive experiments verify that SIGMA outperforms existing works significantly. Our code is available at https://github.com/CityU-AIM-Group/SIGMA.

Assessing generalisability of deep learning-based polyp detection and segmentation methods through a computer vision challenge

Polyps are well-known cancer precursors identified by colonoscopy. However, variability in their size, location, and surface largely affect identification, localisation, and characterisation. Moreover, colonoscopic surveillance and removal of polyps (referred to as polypectomy ) are highly operator-dependent procedures. There exist a high missed detection rate and incomplete removal of colonic polyps due to their variable nature, the difficulties to delineate the abnormality, the high recurrence rates, and the anatomical topography of the colon. There have been several developments in realising automated methods for both detection and segmentation of these polyps using machine learning. However, the major drawback in most of these methods is their ability to generalise to out-of-sample unseen datasets that come from different centres, modalities and acquisition systems. To test this hypothesis rigorously we curated a multi-centre and multi-population dataset acquired from multiple colonoscopy systems and challenged teams comprising machine learning experts to develop robust automated detection and segmentation methods as part of our crowd-sourcing Endoscopic computer vision challenge (EndoCV) 2021. In this paper, we analyse the detection results of the four top (among seven) teams and the segmentation results of the five top teams (among 16). Our analyses demonstrate that the top-ranking teams concentrated on accuracy (i.e., accuracy > 80% on overall Dice score on different validation sets) over real-time performance required for clinical applicability. We further dissect the methods and provide an experiment-based hypothesis that reveals the need for improved generalisability to tackle diversity present in multi-centre datasets.