Accurate 3D reconstruction of deformable soft tissues is essential for surgical robotic perception. However, low-texture surfaces, specular highlights, and instrument occlusions often fragment geometric continuity, posing a challenge for existing fixed-topology approaches. To address this, we propose EndoVGGT, a geometry-centric framework equipped with a Deformation-aware Graph Attention (DeGAT) module. Rather than using static spatial neighborhoods, DeGAT dynamically constructs feature-space semantic graphs to capture long-range correlations among coherent tissue regions. This enables robust propagation of structural cues across occlusions, enforcing global consistency and improving non-rigid deformation recovery. Extensive experiments on SCARED show that our method significantly improves fidelity, increasing PSNR by 24.6% and SSIM by 9.1% over prior state-of-the-art. Crucially, EndoVGGT exhibits strong zero-shot cross-dataset generalization to the unseen SCARED and EndoNeRF domains, confirming that DeGAT learns domain-agnostic geometric priors. These results highlight the efficacy of dynamic feature-space modeling for consistent surgical 3D reconstruction.
While large-scale pretraining has revolutionized language modeling, its potential remains underexplored in healthcare with structured electronic health records (EHRs). We present RAVEN, a novel generative pretraining strategy for sequential EHR data based on Recurrence-Aware next-Visit EveNt prediction. Leveraging a dataset of over one million unique individuals, our model learns to autoregressively generate tokenized clinical events for the next visit conditioned on patient history. We introduce regularization on predicting repeated events and highlight a key pitfall in EHR-based foundation model evaluations: repeated event tokens can inflate performance metrics when new onsets are not distinguished from subsequent occurrences. Furthermore, we empirically investigate the scaling behaviors in a data-constrained, compute-saturated regime, showing that simply increasing model size is suboptimal without commensurate increases in data volume. We evaluate our model via zero-shot prediction for forecasting the incidence of a diverse set of diseases, where it rivals fully fine-tuned representation-based Transformer models and outperforms widely used simulation-based next-token approaches. Finally, without additional parameter updates, we show that RAVEN can generalize to an external patient cohort under lossy clinical code mappings and feature coverage gaps.
Video-language foundation models have proven to be highly effective in zero-shot applications across a wide range of tasks. A particularly challenging area is the intraoperative surgical procedure domain, where labeled data is scarce, and precise temporal understanding is often required for complex downstream tasks. To address this challenge, we introduce CliPPER (Contextual Video-Language Pretraining on Long-form Intraoperative Surgical Procedures for Event Recognition), a novel video-language pretraining framework trained on surgical lecture videos. Our method is designed for fine-grained temporal video-text recognition and introduces several novel pretraining strategies to improve multimodal alignment in long-form surgical videos. Specifically, we propose Contextual Video-Text Contrastive Learning (VTC_CTX) and Clip Order Prediction (COP) pretraining objectives, both of which leverage temporal and contextual dependencies to enhance local video understanding. In addition, we incorporate a Cycle-Consistency Alignment over video-text matches within the same surgical video to enforce bidirectional consistency and improve overall representation coherence. Moreover, we introduce a more refined alignment loss, Frame-Text Matching (FTM), to improve the alignment between video frames and text. As a result, our model establishes a new state-of-the-art across multiple public surgical benchmarks, including zero-shot recognition of phases, steps, instruments, and triplets. The source code and pretraining captions can be found at https://github.com/CAMMA-public/CliPPER.
Increasing demands for adaptability, privacy, and security at the edge have persistently pushed the frontiers for a new generation of machine learning (ML) algorithms with training and inference capabilities on-chip. Weightless Neural Network (WNN) is such an algorithm that is principled on lookup table based simple neuron structures. As a result, it offers architectural benefits, such as low-latency, low-complexity inference, compared to deep neural networks that depend heavily on multiply-accumulate operations. However, traditional WNNs rely on memorization-based one-shot training, which either leads to overfitting and reduced accuracy or requires tedious post-training adjustments, limiting their effectiveness for efficient on chip training. In this work, we propose TsetlinWiSARD, a training approach for WNNs that leverages Tsetlin Automata (TAs) to enable probabilistic, feedback-driven learning. It overcomes the overfitting of WiSARD's one-shot training with iterative optimization, while maintaining simple, continuous binary feedback for efficient on-chip training. Central to our approach is a field programmable gate array (FPGA)-based training architecture that delivers state-of-the-art accuracy while significantly improving hardware efficiency. Our approach provides over 1000x faster training when compared with the traditional WiSARD implementation of WNNs. Further, we demonstrate 22% reduced resource usage, 93.3% lower latency, and 64.2% lower power consumption compared to FPGA-based training accelerators implementing other ML algorithms.
Most referring object detection (ROD) models, especially the modern grounding detectors, are designed for data-rich conditions, yet many practical deployments, such as robotics, augmented reality, and other specialized domains, would face severe label scarcity. In such regimes, end-to-end grounding detectors need to learn spatial and semantic structure from scratch, wasting precious samples. We ask a simple question: Can explicit reasoning priors help models learn more efficiently when data is scarce? To explore this, we first introduce a Data-efficient Referring Object Detection (De-ROD) task, which is a benchmark protocol for measuring ROD performance in low-data and few-shot settings. We then propose the HeROD (Heuristic-inspired ROD), a lightweight, model-agnostic framework that injects explicit, heuristic-inspired spatial and semantic reasoning priors, which are interpretable signals derived based on the referring phrase, into 3 stages of a modern DETR-style pipeline: proposal ranking, prediction fusion, and Hungarian matching. By biasing both training and inference toward plausible candidates, these priors promise to improve label efficiency and convergence performance. On RefCOCO, RefCOCO+, and RefCOCOg, HeROD consistently outperforms strong grounding baselines in scarce-label regimes. More broadly, our results suggest that integrating simple, interpretable reasoning priors provides a practical and extensible path toward better data-efficient vision-language understanding.
Predict-and-search (PaS) methods have shown promise for accelerating mixed-integer linear programming (MILP) solving. However, existing approaches typically assume variable independence and rely on deterministic single-point predictions, which limits solution diversityand often necessitates extensive downstream search for high-quality solutions. In this paper, we propose \textbf{SRG}, a generative framework based on Lagrangian relaxation-guided stochastic differential equations (SDEs), with theoretical guarantees on solution quality. SRG leverages convolutional kernels to capture inter-variable dependencies while integrating Lagrangian relaxation to guide the sampling process toward feasible and near-optimal regions. Rather than producing a single estimate, SRG generates diverse, high-quality solution candidates that collectively define compact and effective trust-region subproblems for standard MILP solvers. Across multiple public benchmarks, SRG consistently outperforms existing machine learning baselines in solution quality. Moreover, SRG demonstrates strong zero-shot transferability: on unseen cross-scale/problem instances, it achieves competitive optimality with state-of-the-art exact solvers while significantly reducing computational overhead through faster search and superior solution quality.
Multi-Object Tracking (MOT) has traditionally focused on a few specific categories, restricting its applicability to real-world scenarios involving diverse objects. Open-Vocabulary Multi-Object Tracking (OVMOT) addresses this by enabling tracking of arbitrary categories, including novel objects unseen during training. However, current progress is constrained by two challenges: the lack of continuously annotated video data for training, and the lack of a customized OVMOT framework to synergistically handle detection and association. We address the data bottleneck by constructing C-TAO, the first continuously annotated training set for OVMOT, which increases annotation density by 26x over the original TAO and captures smooth motion dynamics and intermediate object states. For the framework bottleneck, we propose COVTrack++, a synergistic framework that achieves a bidirectional reciprocal mechanism between detection and association through three modules: (1) Multi-Cue Adaptive Fusion (MCF) dynamically balances appearance, motion, and semantic cues for association feature learning; (2) Multi-Granularity Hierarchical Aggregation (MGA) exploits hierarchical spatial relationships in dense detections, where visible child nodes (e.g., object parts) assist occluded parent objects (e.g., whole body) for association feature enhancement; (3) Temporal Confidence Propagation (TCP) recovers flickering detections through high-confidence tracked objects boosting low-confidence candidates across frames, stabilizing trajectories. Extensive experiments on TAO demonstrate state-of-the-art performance, with novel TETA reaching 35.4% and 30.5% on validation and test sets, improving novel AssocA by 4.8% and novel LocA by 5.8% over previous methods, and show strong zero-shot generalization on BDD100K. The code and dataset will be publicly available.
Deploying clinical ML is slow and brittle: models that work at one hospital often degrade under distribution shifts at the next. In this work, we study a simple question -- can large language models (LLMs) create portable patient embeddings i.e. representations of patients enable a downstream predictor built on one hospital to be used elsewhere with minimal-to-no retraining and fine-tuning. To do so, we map from irregular ICU time series onto concise natural language summaries using a frozen LLM, then embed each summary with a frozen text embedding model to obtain a fixed length vector capable of serving as input to a variety of downstream predictors. Across three cohorts (MIMIC-IV, HIRID, PPICU), on multiple clinically grounded forecasting and classification tasks, we find that our approach is simple, easy to use and competitive with in-distribution with grid imputation, self-supervised representation learning, and time series foundation models, while exhibiting smaller relative performance drops when transferring to new hospitals. We study the variation in performance across prompt design, with structured prompts being crucial to reducing the variance of the predictive models without altering mean accuracy. We find that using these portable representations improves few-shot learning and does not increase demographic recoverability of age or sex relative to baselines, suggesting little additional privacy risk. Our work points to the potential that LLMs hold as tools to enable the scalable deployment of production grade predictive models by reducing the engineering overhead.
Large language models (LLMs) have demonstrated remarkable capabilities, but their massive scale poses significant challenges for practical deployment. Structured pruning offers a promising solution by removing entire dimensions or layers, yet existing methods face critical trade-offs: task-agnostic approaches cannot adapt to task-specific requirements, while task-aware methods require costly training to learn task adaptability. We propose DIET (Dimension-wise global pruning of LLMs via merging Task-wise importance scores), a training-free structured pruning method that combines dimension-level granularity with task-aware selection. DIET profiles activation magnitudes across tasks using only 100 samples per task, then applies majority voting to construct a single global mask. DIET does not require large costs from pre-computation or training. Experiments on seven zero-shot benchmarks using Gemma-2 2B and 9B models demonstrate the effectiveness of DIET; for example, at 20% sparsity on Gemma-2 2B, DIET achieves near 10% average accuracy improvement, compared to previous state-of-the-art structured pruning methods. This advantage persists across various sparsity levels and model scales, positioning DIET as a practical and robust choice for structured LLM pruning.
The remarkable progress of reinforcement learning (RL) is intrinsically tied to the environments used to train and evaluate artificial agents. Moving beyond traditional qualitative reviews, this work presents a large-scale, data-driven empirical investigation into the evolution of RL environments. By programmatically processing a massive corpus of academic literature and rigorously distilling over 2,000 core publications, we propose a quantitative methodology to map the transition from isolated physical simulations to generalist, language-driven foundation agents. Implementing a novel, multi-dimensional taxonomy, we systematically analyze benchmarks against diverse application domains and requisite cognitive capabilities. Our automated semantic and statistical analysis reveals a profound, data-verified paradigm shift: the bifurcation of the field into a "Semantic Prior" ecosystem dominated by Large Language Models (LLMs) and a "Domain-Specific Generalization" ecosystem. Furthermore, we characterize the "cognitive fingerprints" of these distinct domains to uncover the underlying mechanisms of cross-task synergy, multi-domain interference, and zero-shot generalization. Ultimately, this study offers a rigorous, quantitative roadmap for designing the next generation of Embodied Semantic Simulators, bridging the gap between continuous physical control and high-level logical reasoning.