PINNOCHIO: Physics-Informed Neural Network for Coupled Hyperelastic Interface-Volume Simulation in Orthognathic Surgery

Predicting patient-specific facial soft-tissue deformation is critical for iterative orthognathic surgery planning. However, current computational methods face a strict accuracy-efficiency trade-off: high-fidelity Finite Element Methods (FEM) are computationally prohibitive, whereas pure deep learning models often produce biomechanically inconsistent results. While Physics-Informed Neural Networks (PINNs) offer a promising avenue, learning the complex heterogeneous mechanics of bone--soft-tissue interactions with only partial clinical supervision (i.e., outer facial surfaces) remains highly unstable. To overcome these challenges, we present PINNOCHIO, a novel physics-informed framework for facial soft-tissue simulation. PINNOCHIO introduces a hybrid sequential decomposition that explicitly decouples discontinuous bone--soft-tissue interface movements from continuous volumetric hyperelastic deformation. This structural separation enables stable training and facilitates a physics-enabled sim-to-real adaptation strategy, ensuring internal biomechanical consistency without requiring volumetric ground truth. Evaluated on a 40-patient clinical cohort, PINNOCHIO outperforms existing baselines in both surface accuracy and physical validity. Furthermore, it achieves a substantial speedup over FEM, successfully resolving the accuracy-efficiency trade-off to provide a highly reliable and practical tool for interactive surgical planning.

UniUncer: Unified Dynamic Static Uncertainty for End to End Driving

End-to-end (E2E) driving has become a cornerstone of both industry deployment and academic research, offering a single learnable pipeline that maps multi-sensor inputs to actions while avoiding hand-engineered modules. However, the reliability of such pipelines strongly depends on how well they handle uncertainty: sensors are noisy, semantics can be ambiguous, and interaction with other road users is inherently stochastic. Uncertainty also appears in multiple forms: classification vs. localization, and, crucially, in both static map elements and dynamic agents. Existing E2E approaches model only static-map uncertainty, leaving planning vulnerable to overconfident and unreliable inputs. We present UniUncer, the first lightweight, unified uncertainty framework that jointly estimates and uses uncertainty for both static and dynamic scene elements inside an E2E planner. Concretely: (1) we convert deterministic heads to probabilistic Laplace regressors that output per-vertex location and scale for vectorized static and dynamic entities; (2) we introduce an uncertainty-fusion module that encodes these parameters and injects them into object/map queries to form uncertainty-aware queries; and (3) we design an uncertainty-aware gate that adaptively modulates reliance on historical inputs (ego status or temporal perception queries) based on current uncertainty levels. The design adds minimal overhead and drops throughput by only $\sim$0.5 FPS while remaining plug-and-play for common E2E backbones. On nuScenes (open-loop), UniUncer reduces average L2 trajectory error by 7\%. On NavsimV2 (pseudo closed-loop), it improves overall EPDMS by 10.8\% and notable stage two gains in challenging, interaction-heavy scenes. Ablations confirm that dynamic-agent uncertainty and the uncertainty-aware gate are both necessary.