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/.
Constructing a 3D scene capable of accommodating open-ended language queries, is a pivotal pursuit, particularly within the domain of robotics. Such technology facilitates robots in executing object manipulations based on human language directives. To tackle this challenge, some research efforts have been dedicated to the development of language-embedded implicit fields. However, implicit fields (e.g. NeRF) encounter limitations due to the necessity of processing a large number of input views for reconstruction, coupled with their inherent inefficiencies in inference. Thus, we present the GaussianGrasper, which utilizes 3D Gaussian Splatting to explicitly represent the scene as a collection of Gaussian primitives. Our approach takes a limited set of RGB-D views and employs a tile-based splatting technique to create a feature field. In particular, we propose an Efficient Feature Distillation (EFD) module that employs contrastive learning to efficiently and accurately distill language embeddings derived from foundational models. With the reconstructed geometry of the Gaussian field, our method enables the pre-trained grasping model to generate collision-free grasp pose candidates. Furthermore, we propose a normal-guided grasp module to select the best grasp pose. Through comprehensive real-world experiments, we demonstrate that GaussianGrasper enables robots to accurately query and grasp objects with language instructions, providing a new solution for language-guided manipulation tasks. Data and codes can be available at https://github.com/MrSecant/GaussianGrasper.
In digital pathology, precise nuclei segmentation is pivotal yet challenged by the diversity of tissue types, staining protocols, and imaging conditions. Recently, the segment anything model (SAM) revealed overwhelming performance in natural scenarios and impressive adaptation to medical imaging. Despite these advantages, the reliance of labor-intensive manual annotation as segmentation prompts severely hinders their clinical applicability, especially for nuclei image analysis containing massive cells where dense manual prompts are impractical. To overcome the limitations of current SAM methods while retaining the advantages, we propose the Universal prompt-free SAM framework for Nuclei segmentation (UN-SAM), by providing a fully automated solution with remarkable generalization capabilities. Specifically, to eliminate the labor-intensive requirement of per-nuclei annotations for prompt, we devise a multi-scale Self-Prompt Generation (SPGen) module to revolutionize clinical workflow by automatically generating high-quality mask hints to guide the segmentation tasks. Moreover, to unleash the generalization capability of SAM across a variety of nuclei images, we devise a Domain-adaptive Tuning Encoder (DT-Encoder) to seamlessly harmonize visual features with domain-common and domain-specific knowledge, and further devise a Domain Query-enhanced Decoder (DQ-Decoder) by leveraging learnable domain queries for segmentation decoding in different nuclei domains. Extensive experiments prove that UN-SAM with exceptional performance surpasses state-of-the-arts in nuclei instance and semantic segmentation, especially the generalization capability in zero-shot scenarios. The source code is available at https://github.com/CUHK-AIM-Group/UN-SAM.
Open information extraction (OpenIE) aims to extract the schema-free triplets in the form of (\emph{subject}, \emph{predicate}, \emph{object}) from a given sentence. Compared with general information extraction (IE), OpenIE poses more challenges for the IE models, {especially when multiple complicated triplets exist in a sentence. To extract these complicated triplets more effectively, in this paper we propose a novel generative OpenIE model, namely \emph{DualOIE}, which achieves a dual task at the same time as extracting some triplets from the sentence, i.e., converting the triplets into the sentence.} Such dual task encourages the model to correctly recognize the structure of the given sentence and thus is helpful to extract all potential triplets from the sentence. Specifically, DualOIE extracts the triplets in two steps: 1) first extracting a sequence of all potential predicates, 2) then using the predicate sequence as a prompt to induce the generation of triplets. Our experiments on two benchmarks and our dataset constructed from Meituan demonstrate that DualOIE achieves the best performance among the state-of-the-art baselines. Furthermore, the online A/B test on Meituan platform shows that 0.93\% improvement of QV-CTR and 0.56\% improvement of UV-CTR have been obtained when the triplets extracted by DualOIE were leveraged in Meituan's search system.
Energy efficiency (EE) is a challenging task in integrated sensing and communication (ISAC) systems, where high spectral efficiency and low energy consumption appear as conflicting requirements. Although passive reconfigurable intelligent surface (RIS) has emerged as a promising technology for enhancing the EE of the ISAC system, the multiplicative fading feature hinders its effectiveness. This paper proposes the use of active RIS with its amplification gains to assist the ISAC system for EE improvement. Specifically, we formulate an EE optimization problem in an active RIS-aided ISAC system under system power budgets, considering constraints on user communication quality of service and sensing signal-to-noise ratio (SNR). A novel alternating optimization algorithm is developed to address the highly non-convex problem by leveraging a combination of the generalized Rayleigh quotient optimization approach, semidefinite relaxation (SDR), and the majorization-minimization (MM) framework. Furthermore, to accelerate the algorithm and reduce computational complexity, we derive a semi-closed form for eigenvalue determination. Numerical results demonstrate the effectiveness of the proposed approach, showcasing significant improvements in EE compared to both passive RIS and spectrum efficiency optimization cases.
To assist surgeons in the operating theatre, surgical phase recognition is critical for developing computer-assisted surgical systems, which requires comprehensive understanding of surgical videos. Although existing studies made great progress, there are still two significant limitations worthy of improvement. First, due to the compromise of resource consumption, frame-wise visual features are extracted by 2D networks and disregard spatial and temporal knowledge of surgical actions, which hinders subsequent inter-frame modeling for phase prediction. Second, these works simply utilize ordinary classification loss with one-hot phase labels to optimize the phase predictions, and cannot fully explore surgical videos under inadequate supervision. To overcome these two limitations, we propose a Surgical Temporal Action-aware Network with sequence Regularization, named STAR-Net, to recognize surgical phases more accurately from input videos. Specifically, we propose an efficient multi-scale surgical temporal action (MS-STA) module, which integrates visual features with spatial and temporal knowledge of surgical actions at the cost of 2D networks. Moreover, we devise the dual-classifier sequence regularization (DSR) to facilitate the training of STAR-Net by the sequence guidance of an auxiliary classifier with a smaller capacity. Our STAR-Net with MS-STA and DSR can exploit visual features of surgical actions with effective regularization, thereby leading to the superior performance of surgical phase recognition. Extensive experiments on a large-scale gastrectomy surgery dataset and the public Cholec80 benchmark prove that our STAR-Net significantly outperforms state-of-the-arts of surgical phase recognition.
Surgical phase recognition is crucial to providing surgery understanding in smart operating rooms. Despite great progress in automatic surgical phase recognition, most existing methods are still restricted by two problems. First, these methods cannot capture discriminative visual features for each frame and motion information with simple 2D networks. Second, the frame-by-frame recognition paradigm degrades the performance due to unstable predictions within each phase, termed as phase shaking. To address these two challenges, we propose a Surgical Phase LocAlization Network, named SurgPLAN, to facilitate a more accurate and stable surgical phase recognition with the principle of temporal detection. Specifically, we first devise a Pyramid SlowFast (PSF) architecture to serve as the visual backbone to capture multi-scale spatial and temporal features by two branches with different frame sampling rates. Moreover, we propose a Temporal Phase Localization (TPL) module to generate the phase prediction based on temporal region proposals, which ensures accurate and consistent predictions within each surgical phase. Extensive experiments confirm the significant advantages of our SurgPLAN over frame-by-frame approaches in terms of both accuracy and stability.
In surgical procedures, correct instrument counting is essential. Instance segmentation is a location method that locates not only an object's bounding box but also each pixel's specific details. However, obtaining mask-level annotations is labor-intensive in instance segmentation. To address this issue, we propose a novel yet effective weakly-supervised surgical instrument instance segmentation approach, named Point-based Weakly-supervised Instance Segmentation (PWISeg). PWISeg adopts an FCN-based architecture with point-to-box and point-to-mask branches to model the relationships between feature points and bounding boxes, as well as feature points and segmentation masks on FPN, accomplishing instrument detection and segmentation jointly in a single model. Since mask level annotations are hard to available in the real world, for point-to-mask training, we introduce an unsupervised projection loss, utilizing the projected relation between predicted masks and bboxes as supervision signal. On the other hand, we annotate a few pixels as the key pixel for each instrument. Based on this, we further propose a key pixel association loss and a key pixel distribution loss, driving the point-to-mask branch to generate more accurate segmentation predictions. To comprehensively evaluate this task, we unveil a novel surgical instrument dataset with manual annotations, setting up a benchmark for further research. Our comprehensive research trial validated the superior performance of our PWISeg. The results show that the accuracy of surgical instrument segmentation is improved, surpassing most methods of instance segmentation via weakly supervised bounding boxes. This improvement is consistently observed in our proposed dataset and when applied to the public HOSPI-Tools dataset.
Being able to automatically detect and track surgical instruments in endoscopic video recordings would allow for many useful applications that could transform different aspects of surgery. In robot-assisted surgery, the potentially informative data like categories of surgical tool can be captured, which is sparse, full of noise and without spatial information. We proposed a Weakly Supervised Yolo Network (WS-YOLO) for Surgical Tool Localization in Endoscopic Videos, to generate fine-grained semantic information with location and category from coarse-grained semantic information outputted by the da Vinci surgical robot, which significantly diminished the necessary human annotation labor while striking an optimal balance between the quantity of manually annotated data and detection performance. The source code is available at https://github.com/Breezewrf/Weakly-Supervised-Yolov8.