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Surgical phase recognition is critical for assisting surgeons in understanding surgical videos. Existing studies focused more on online surgical phase recognition, by leveraging preceding frames to predict the current frame. Despite great progress, they formulated the task as a series of frame-wise classification, which resulted in a lack of global context of the entire procedure and incoherent predictions. Moreover, besides online analysis, accurate offline surgical phase recognition is also in significant clinical need for retrospective analysis, and existing online algorithms do not fully analyze the entire video, thereby limiting accuracy in offline analysis. To overcome these challenges and enhance both online and offline inference capabilities, we propose a universal Surgical Phase Localization Network, named SurgPLAN++, with the principle of temporal detection. To ensure a global understanding of the surgical procedure, we devise a phase localization strategy for SurgPLAN++ to predict phase segments across the entire video through phase proposals. For online analysis, to generate high-quality phase proposals, SurgPLAN++ incorporates a data augmentation strategy to extend the streaming video into a pseudo-complete video through mirroring, center-duplication, and down-sampling. For offline analysis, SurgPLAN++ capitalizes on its global phase prediction framework to continuously refine preceding predictions during each online inference step, thereby significantly improving the accuracy of phase recognition. We perform extensive experiments to validate the effectiveness, and our SurgPLAN++ achieves remarkable performance in both online and offline modes, which outperforms state-of-the-art methods. The source code is available at https://github.com/lxj22/SurgPLAN-Plus.

Homogenization for non-local operators in periodic environments has been studied intensively. So far, these works are mainly devoted to the qualitative results, that is, to determine explicitly the operators in the limit. To the best of authors' knowledge, there is no result concerning the convergence rates of the homogenization for stable-like operators in periodic environments. In this paper, we establish a quantitative homogenization result for symmetric $\alpha$-stable-like operators on $\R^d$ with periodic coefficients. In particular, we show that the convergence rate for the solutions of associated Dirichlet problems on a bounded domain $D$ is of order $$ \varepsilon^{(2-\alpha)/2}\I_{\{\alpha\in (1,2)\}}+\varepsilon^{\alpha/2}\I_{\{\alpha\in (0,1)\}}+\varepsilon^{1/2}|\log \e|^2\I_{\{\alpha=1\}}, $$ while, when the solution to the equation in the limit is in $C^2_c(D)$, the convergence rate becomes $$ \varepsilon^{2-\alpha}\I_{\{\alpha\in (1,2)\}}+\varepsilon^{\alpha}\I_{\{\alpha\in (0,1)\}}+\varepsilon |\log \e|^2\I_{\{\alpha=1\}}. $$ This indicates that the boundary decay behaviors of the solution to the equation in the limit affects the convergence rate in the homogenization., Comment: 34 pages

Single-image depth estimation is essential for endoscopy tasks such as localization, reconstruction, and augmented reality. Most existing methods in surgical scenes focus on in-domain depth estimation, limiting their real-world applicability. This constraint stems from the scarcity and inferior labeling quality of medical data for training. In this work, we present EndoOmni, the first foundation model for zero-shot cross-domain depth estimation for endoscopy. To harness the potential of diverse training data, we refine the advanced self-learning paradigm that employs a teacher model to generate pseudo-labels, guiding a student model trained on large-scale labeled and unlabeled data. To address training disturbance caused by inherent noise in depth labels, we propose a robust training framework that leverages both depth labels and estimated confidence from the teacher model to jointly guide the student model training. Moreover, we propose a weighted scale-and-shift invariant loss to adaptively adjust learning weights based on label confidence, thus imposing learning bias towards cleaner label pixels while reducing the influence of highly noisy pixels. Experiments on zero-shot relative depth estimation show that our EndoOmni improves state-of-the-art methods in medical imaging for 41\% and existing foundation models for 25\% in terms of absolute relative error on specific dataset. Furthermore, our model provides strong initialization for fine-tuning to metric depth estimation, maintaining superior performance in both in-domain and out-of-domain scenarios. The source code will be publicly available.

Vision-based surgical navigation has received increasing attention due to its non-invasive, cost-effective, and flexible advantages. In particular, a critical element of the vision-based navigation system is tracking surgical instruments. Compared with 2D instrument tracking methods, 3D instrument tracking has broader value in clinical practice, but is also more challenging due to weak texture, occlusion, and lack of Computer-Aided Design (CAD) models for 3D registration. To solve these challenges, we propose the SurgTrack, a two-stage 3D instrument tracking method for CAD-free and robust real-world applications. In the first registration stage, we incorporate an Instrument Signed Distance Field (SDF) modeling the 3D representation of instruments, achieving CAD-freed 3D registration. Due to this, we can obtain the location and orientation of instruments in the 3D space by matching the video stream with the registered SDF model. In the second tracking stage, we devise a posture graph optimization module, leveraging the historical tracking results of the posture memory pool to optimize the tracking results and improve the occlusion robustness. Furthermore, we collect the Instrument3D dataset to comprehensively evaluate the 3D tracking of surgical instruments. The extensive experiments validate the superiority and scalability of our SurgTrack, by outperforming the state-of-the-arts with a remarkable improvement. The code and dataset are available at https://github.com/wenwucode/SurgTrack.

The field of computer vision applied to videos of minimally invasive surgery is ever-growing. Workflow recognition pertains to the automated recognition of various aspects of a surgery: including which surgical steps are performed; and which surgical instruments are used. This information can later be used to assist clinicians when learning the surgery; during live surgery; and when writing operation notes. The Pituitary Vision (PitVis) 2023 Challenge tasks the community to step and instrument recognition in videos of endoscopic pituitary surgery. This is a unique task when compared to other minimally invasive surgeries due to the smaller working space, which limits and distorts vision; and higher frequency of instrument and step switching, which requires more precise model predictions. Participants were provided with 25-videos, with results presented at the MICCAI-2023 conference as part of the Endoscopic Vision 2023 Challenge in Vancouver, Canada, on 08-Oct-2023. There were 18-submissions from 9-teams across 6-countries, using a variety of deep learning models. A commonality between the top performing models was incorporating spatio-temporal and multi-task methods, with greater than 50% and 10% macro-F1-score improvement over purely spacial single-task models in step and instrument recognition respectively. The PitVis-2023 Challenge therefore demonstrates state-of-the-art computer vision models in minimally invasive surgery are transferable to a new dataset, with surgery specific techniques used to enhance performance, progressing the field further. Benchmark results are provided in the paper, and the dataset is publicly available at: https://doi.org/10.5522/04/26531686.

Open-vocabulary semantic segmentation aims to segment and recognize semantically meaningful regions based on text-based descriptions during inference. A typical solution to address this task is to leverage powerful vision-language models (VLMs), such as CLIP, to bridge the gap between open- and close-vocabulary recognition. As VLMs are usually pretrained with low-resolution images (e.g. $224\times224$), most previous methods operate only on downscaled images. We question this design as low resolution features often fail to preserve fine details. Although employing additional image backbones for high-resolution inputs can mitigate this issue, it may also introduce significant computation overhead. Therefore, we propose MROVSeg, a multi-resolution training framework for open-vocabulary semantic segmentation with a single pretrained CLIP backbone, that uses sliding windows to slice the high-resolution input into uniform patches, each matching the input size of the well-trained image encoder. Its key components include a Multi-Res Adapter, which restores the spatial geometry and grasps local-global correspondences across patches by learnable convolutional and scale attention layers. To achieve accurate segmentation, we introduce Multi-grained Masked Attention scheme to aggregate multi-grained semantics by performing cross-attention between object queries and multi-resolution CLIP features within the region of interests. Through comprehensive experiments, we demonstrate the superiority of MROVSeg on well-established open-vocabulary semantic segmentation benchmarks, particularly for high-resolution inputs, establishing new standards for open-vocabulary semantic segmentation., Comment: Technical report

Domain-generalized nuclei segmentation refers to the generalizability of models to unseen domains based on knowledge learned from source domains and is challenged by various image conditions, cell types, and stain strategies. Recently, the Segment Anything Model (SAM) has made great success in universal image segmentation by interactive prompt modes (e.g., point and box). Despite its strengths, the original SAM presents limited adaptation to medical images. Moreover, SAM requires providing manual bounding box prompts for each object to produce satisfactory segmentation masks, so it is laborious in nuclei segmentation scenarios. To address these limitations, we propose a domain-generalizable framework for nuclei image segmentation, abbreviated to NuSegDG. Specifically, we first devise a Heterogeneous Space Adapter (HS-Adapter) to learn multi-dimensional feature representations of different nuclei domains by injecting a small number of trainable parameters into the image encoder of SAM. To alleviate the labor-intensive requirement of manual prompts, we introduce a Gaussian-Kernel Prompt Encoder (GKP-Encoder) to generate density maps driven by a single point, which guides segmentation predictions by mixing position prompts and semantic prompts. Furthermore, we present a Two-Stage Mask Decoder (TSM-Decoder) to effectively convert semantic masks to instance maps without the manual demand for morphological shape refinement. Based on our experimental evaluations, the proposed NuSegDG demonstrates state-of-the-art performance in nuclei instance segmentation, exhibiting superior domain generalization capabilities. The source code is available at https://github.com/xq141839/NuSegDG., Comment: Under Reivew

Recently, multimodal deep learning, which integrates histopathology slides and molecular biomarkers, has achieved a promising performance in glioma grading. Despite great progress, due to the intra-modality complexity and inter-modality heterogeneity, existing studies suffer from inadequate histopathology representation learning and inefficient molecular-pathology knowledge alignment. These two issues hinder existing methods to precisely interpret diagnostic molecular-pathology features, thereby limiting their grading performance. Moreover, the real-world applicability of existing multimodal approaches is significantly restricted as molecular biomarkers are not always available during clinical deployment. To address these problems, we introduce a novel Focus on Focus (FoF) framework with paired pathology-genomic training and applicable pathology-only inference, enhancing molecular-pathology representation effectively. Specifically, we propose a Focus-oriented Representation Learning (FRL) module to encourage the model to identify regions positively or negatively related to glioma grading and guide it to focus on the diagnostic areas with a consistency constraint. To effectively link the molecular biomarkers to morphological features, we propose a Multi-view Cross-modal Alignment (MCA) module that projects histopathology representations into molecular subspaces, aligning morphological features with corresponding molecular biomarker status by supervised contrastive learning. Experiments on the TCGA GBM-LGG dataset demonstrate that our FoF framework significantly improves the glioma grading. Remarkably, our FoF achieves superior performance using only histopathology slides compared to existing multimodal methods. The source code is available at https://github.com/peterlipan/FoF.

Although the Boltzmann transport equation (BTE) has been exploited to investigate non-diffusive phonon transport for decades, due to the challenges of solving this integro-differential equation, most standard techniques for thermal measurements still rely on solutions to the diffusion equation, causing inconsistency between measured non-diffusive effects and the diffusion equation based techniques. With the AC thermal conductivity, an analogous concept of the AC electrical conductivity in solid state physics, we transform BTE under the relaxation time approximation into the form of the diffusion equation. This transformation maps any analytical solution of the diffusion equation under periodic heating to that of the BTE, with the nonlocal effect captured by the jump boundary condition. After investigating the validity of this framework, we apply it to generalize the 3{\omega} method from diffusive to quasi-ballistic, and propose an experimental scheme to address the inconsistency problem above.

Surgical instrument segmentation is crucial in surgical scene understanding, thereby facilitating surgical safety. Existing algorithms directly detected all instruments of pre-defined categories in the input image, lacking the capability to segment specific instruments according to the surgeon's intention. During different stages of surgery, surgeons exhibit varying preferences and focus toward different surgical instruments. Therefore, an instrument segmentation algorithm that adheres to the surgeon's intention can minimize distractions from irrelevant instruments and assist surgeons to a great extent. The recent Segment Anything Model (SAM) reveals the capability to segment objects following prompts, but the manual annotations for prompts are impractical during the surgery. To address these limitations in operating rooms, we propose an audio-driven surgical instrument segmentation framework, named ASI-Seg, to accurately segment the required surgical instruments by parsing the audio commands of surgeons. Specifically, we propose an intention-oriented multimodal fusion to interpret the segmentation intention from audio commands and retrieve relevant instrument details to facilitate segmentation. Moreover, to guide our ASI-Seg segment of the required surgical instruments, we devise a contrastive learning prompt encoder to effectively distinguish the required instruments from the irrelevant ones. Therefore, our ASI-Seg promotes the workflow in the operating rooms, thereby providing targeted support and reducing the cognitive load on surgeons. Extensive experiments are performed to validate the ASI-Seg framework, which reveals remarkable advantages over classical state-of-the-art and medical SAMs in both semantic segmentation and intention-oriented segmentation. The source code is available at https://github.com/Zonmgin-Zhang/ASI-Seg., Comment: This work is accepted by IROS 2024 (Oral)

Doping impurity atoms is a strategy commonly used to tune the functionality of materials including catalysts, semiconductors, and quantum emitters. The location of dopants and their interaction with surrounding atoms could significantly modulate the transport, optical, or magnetic properties of materials. However, directly imaging individual impurity atoms inside materials remains a generally unaddressed need. Here, we demonstrate how single atoms can be detected and located in three dimensions via multislice electron ptychography.Interstitial atoms in a complex garnet oxide heterostructure are resolved with a depth resolution better than 2.7 nm, together with a deep-sub-{\AA}ngstrom lateral resolution. Single-scan atomic-layer depth resolution should be possible using strongly divergent electron probe illumination. Our results provide a new approach to detecting individual atomic defects and open doors to characterize the local environments and spatial distributions that underlie a broad range of systems such as single-atom catalysts, nitrogen-vacancy centers, and other atomic-scale quantum sensors., Comment: 28 pages, 5 figures, 10 supplementary figures

The universality of deep neural networks across different modalities and their generalization capabilities to unseen domains play an essential role in medical image segmentation. The recent Segment Anything Model (SAM) has demonstrated its potential in both settings. However, the huge computational costs, demand for manual annotations as prompts and conflict-prone decoding process of SAM degrade its generalizability and applicability in clinical scenarios. To address these issues, we propose an efficient self-prompting SAM for universal domain-generalized medical image segmentation, named ESP-MedSAM. Specifically, we first devise the Multi-Modal Decoupled Knowledge Distillation (MMDKD) strategy to construct a lightweight semi-parameter sharing image encoder that produces discriminative visual features for diverse modalities. Further, we introduce the Self-Patch Prompt Generator (SPPG) to automatically generate high-quality dense prompt embeddings for guiding segmentation decoding. Finally, we design the Query-Decoupled Modality Decoder (QDMD) that leverages a one-to-one strategy to provide an independent decoding channel for every modality. Extensive experiments indicate that ESP-MedSAM outperforms state-of-the-arts in diverse medical imaging segmentation tasks, displaying superior modality universality and generalization capabilities. Especially, ESP-MedSAM uses only 4.5\% parameters compared to SAM-H. The source code is available at https://github.com/xq141839/ESP-MedSAM., Comment: Under Review

Accurate bronchoscope localization is essential for pulmonary interventions, by providing six degrees of freedom (DOF) in airway navigation. However, the robustness of current vision-based methods is often compromised in clinical practice, and they struggle to perform in real-time and to generalize across cases unseen during training. To overcome these challenges, we propose a novel Probabilistic Airway Navigation System (PANS), leveraging Monte-Carlo method with pose hypotheses and likelihoods to achieve robust and real-time bronchoscope localization. Specifically, our PANS incorporates diverse visual representations (\textit{e.g.}, odometry and landmarks) by leveraging two key modules, including the Depth-based Motion Inference (DMI) and the Bronchial Semantic Analysis (BSA). To generate the pose hypotheses of bronchoscope for PANS, we devise the DMI to accurately propagate the estimation of pose hypotheses over time. Moreover, to estimate the accurate pose likelihood, we devise the BSA module by effectively distinguishing between similar bronchial regions in endoscopic images, along with a novel metric to assess the congruence between estimated depth maps and the segmented airway structure. Under this probabilistic formulation, our PANS is capable of achieving the 6-DOF bronchoscope localization with superior accuracy and robustness. Extensive experiments on the collected pulmonary intervention dataset comprising 10 clinical cases confirm the advantage of our PANS over state-of-the-arts, in terms of both robustness and generalization in localizing deeper airway branches and the efficiency of real-time inference. The proposed PANS reveals its potential to be a reliable tool in the operating room, promising to enhance the quality and safety of pulmonary interventions.

The receiver operating characteristic (ROC) curve is an important graphic tool for evaluating a test in a wide range of disciplines. While useful, an ROC curve can cross the chance line, either by having an S-shape or a hook at the extreme specificity. These non-concave ROC curves are sub-optimal according to decision theory, as there are points that are superior than those corresponding to the portions below the chance line with either the same sensitivity or specificity. We extend the literature by proposing a novel placement value-based approach to ensure concave curvature of the ROC curve, and utilize Bayesian paradigm to make estimations under both a parametric and a semiparametric framework. We conduct extensive simulation studies to assess the performance of the proposed methodology under various scenarios, and apply it to a pancreatic cancer dataset., Comment: 18 pages, 6 figures, 2 tables

Cooperative Multi-Agent Reinforcement Learning (CMARL) strategies are well known to be vulnerable to adversarial perturbations. Previous works on adversarial attacks have primarily focused on white-box attacks that directly perturb the states or actions of victim agents, often in scenarios with a limited number of attacks. However, gaining complete access to victim agents in real-world environments is exceedingly difficult. To create more realistic adversarial attacks, we introduce a novel method that involves injecting traitor agents into the CMARL system. We model this problem as a Traitor Markov Decision Process (TMDP), where traitors cannot directly attack the victim agents but can influence their formation or positioning through collisions. In TMDP, traitors are trained using the same MARL algorithm as the victim agents, with their reward function set as the negative of the victim agents' reward. Despite this, the training efficiency for traitors remains low because it is challenging for them to directly associate their actions with the victim agents' rewards. To address this issue, we propose the Curiosity-Driven Adversarial Attack (CuDA2) framework. CuDA2 enhances the efficiency and aggressiveness of attacks on the specified victim agents' policies while maintaining the optimal policy invariance of the traitors. Specifically, we employ a pre-trained Random Network Distillation (RND) module, where the extra reward generated by the RND module encourages traitors to explore states unencountered by the victim agents. Extensive experiments on various scenarios from SMAC demonstrate that our CuDA2 framework offers comparable or superior adversarial attack capabilities compared to other baselines.

Wireless Capsule Endoscopy (WCE) is highly valued for its non-invasive and painless approach, though its effectiveness is compromised by uneven illumination from hardware constraints and complex internal dynamics, leading to overexposed or underexposed images. While researchers have discussed the challenges of low-light enhancement in WCE, the issue of correcting for different exposure levels remains underexplored. To tackle this, we introduce EndoUIC, a WCE unified illumination correction solution using an end-to-end promptable diffusion transformer (DiT) model. In our work, the illumination prompt module shall navigate the model to adapt to different exposure levels and perform targeted image enhancement, in which the Adaptive Prompt Integration (API) and Global Prompt Scanner (GPS) modules shall further boost the concurrent representation learning between the prompt parameters and features. Besides, the U-shaped restoration DiT model shall capture the long-range dependencies and contextual information for unified illumination restoration. Moreover, we present a novel Capsule-endoscopy Exposure Correction (CEC) dataset, including ground-truth and corrupted image pairs annotated by expert photographers. Extensive experiments against a variety of state-of-the-art (SOTA) methods on four datasets showcase the effectiveness of our proposed method and components in WCE illumination restoration, and the additional downstream experiments further demonstrate its utility for clinical diagnosis and surgical assistance., Comment: To appear in MICCAI 2024. Code and dataset availability: https://github.com/longbai1006/EndoUIC

Ultrasonography has revolutionized non-invasive diagnostic methodologies, significantly enhancing patient outcomes across various medical domains. Despite its advancements, integrating ultrasound technology with robotic systems for automated scans presents challenges, including limited command understanding and dynamic execution capabilities. To address these challenges, this paper introduces a novel Ultrasound Embodied Intelligence system that synergistically combines ultrasound robots with large language models (LLMs) and domain-specific knowledge augmentation, enhancing ultrasound robots' intelligence and operational efficiency. Our approach employs a dual strategy: firstly, integrating LLMs with ultrasound robots to interpret doctors' verbal instructions into precise motion planning through a comprehensive understanding of ultrasound domain knowledge, including APIs and operational manuals; secondly, incorporating a dynamic execution mechanism, allowing for real-time adjustments to scanning plans based on patient movements or procedural errors. We demonstrate the effectiveness of our system through extensive experiments, including ablation studies and comparisons across various models, showcasing significant improvements in executing medical procedures from verbal commands. Our findings suggest that the proposed system improves the efficiency and quality of ultrasound scans and paves the way for further advancements in autonomous medical scanning technologies, with the potential to transform non-invasive diagnostics and streamline medical workflows., Comment: This work has been accepted by MICCAI 2024

Real-space imaging of three-dimensional atomic structures is a critical yet challenging task in materials science. Although scanning transmission electron microscopy has achieved sub-angstrom lateral resolution through techniques like electron ptychography1,2, depth resolution remains limited to only 2 to 3 nanometers with a single projection setup3,4. Attaining better depth resolution typically necessitates large sample tilt angles and many projections, as seen in atomic electron tomography5,6. Here, we develop a new algorithm based on multislice electron ptychography which couples only a few projections at small tilt angles, but is sufficient to improve the depth resolution by more than threefold to the sub-nanometer scale, and potentially to the atomic level. This technique maintains high resolving power for both light and heavy atoms, and significantly improves the visibility of single dopants. We are thus able to experimentally detect dilute substitutional praseodymium dopants in a brownmillerite oxide, Ca2Co2O5, in three dimensions and observe the accompanying lattice distortion. This technique requires only a moderate level of data acquisition or processing, and can be seamlessly integrated into electron microscopes equipped with conventional components., Comment: 27 pages, 5 figures, 10 supplementary figures

U-Net has become a cornerstone in various visual applications such as image segmentation and diffusion probability models. While numerous innovative designs and improvements have been introduced by incorporating transformers or MLPs, the networks are still limited to linearly modeling patterns as well as the deficient interpretability. To address these challenges, our intuition is inspired by the impressive results of the Kolmogorov-Arnold Networks (KANs) in terms of accuracy and interpretability, which reshape the neural network learning via the stack of non-linear learnable activation functions derived from the Kolmogorov-Anold representation theorem. Specifically, in this paper, we explore the untapped potential of KANs in improving backbones for vision tasks. We investigate, modify and re-design the established U-Net pipeline by integrating the dedicated KAN layers on the tokenized intermediate representation, termed U-KAN. Rigorous medical image segmentation benchmarks verify the superiority of U-KAN by higher accuracy even with less computation cost. We further delved into the potential of U-KAN as an alternative U-Net noise predictor in diffusion models, demonstrating its applicability in generating task-oriented model architectures. These endeavours unveil valuable insights and sheds light on the prospect that with U-KAN, you can make strong backbone for medical image segmentation and generation. Project page:\url{https://yes-u-kan.github.io/}.

Point cloud normal estimation is a fundamental task in 3D geometry processing. While recent learning-based methods achieve notable advancements in normal prediction, they often overlook the critical aspect of equivariance. This results in inefficient learning of symmetric patterns. To address this issue, we propose E3-Net to achieve equivariance for normal estimation. We introduce an efficient random frame method, which significantly reduces the training resources required for this task to just 1/8 of previous work and improves the accuracy. Further, we design a Gaussian-weighted loss function and a receptive-aware inference strategy that effectively utilizes the local properties of point clouds. Our method achieves superior results on both synthetic and real-world datasets, and outperforms current state-of-the-art techniques by a substantial margin. We improve RMSE by 4% on the PCPNet dataset, 2.67% on the SceneNN dataset, and 2.44% on the FamousShape dataset.

The training paradigm integrating large language models (LLM) is gradually reshaping sequential recommender systems (SRS) and has shown promising results. However, most existing LLM-enhanced methods rely on rich textual information on the item side and instance-level supervised fine-tuning (SFT) to inject collaborative information into LLM, which is inefficient and limited in many applications. To alleviate these problems, this paper proposes a novel practice-friendly two-stage LLM-enhanced paradigm (TSLRec) for SRS. Specifically, in the information reconstruction stage, we design a new user-level SFT task for collaborative information injection with the assistance of a pre-trained SRS model, which is more efficient and compatible with limited text information. We aim to let LLM try to infer the latent category of each item and reconstruct the corresponding user's preference distribution for all categories from the user's interaction sequence. In the information augmentation stage, we feed each item into LLM to obtain a set of enhanced embeddings that combine collaborative information and LLM inference capabilities. These embeddings can then be used to help train various future SRS models. Finally, we verify the effectiveness and efficiency of our TSLRec on three SRS benchmark datasets.

The surgical intervention is crucial to patient healthcare, and many studies have developed advanced algorithms to provide understanding and decision-making assistance for surgeons. Despite great progress, these algorithms are developed for a single specific task and scenario, and in practice require the manual combination of different functions, thus limiting the applicability. Thus, an intelligent and versatile surgical assistant is expected to accurately understand the surgeon's intentions and accordingly conduct the specific tasks to support the surgical process. In this work, by leveraging advanced multimodal large language models (MLLMs), we propose a Versatile Surgery Assistant (VS-Assistant) that can accurately understand the surgeon's intention and complete a series of surgical understanding tasks, e.g., surgical scene analysis, surgical instrument detection, and segmentation on demand. Specifically, to achieve superior surgical multimodal understanding, we devise a mixture of projectors (MOP) module to align the surgical MLLM in VS-Assistant to balance the natural and surgical knowledge. Moreover, we devise a surgical Function-Calling Tuning strategy to enable the VS-Assistant to understand surgical intentions, and thus make a series of surgical function calls on demand to meet the needs of the surgeons. Extensive experiments on neurosurgery data confirm that our VS-Assistant can understand the surgeon's intention more accurately than the existing MLLM, resulting in overwhelming performance in textual analysis and visual tasks. Source code and models will be made public.

Ultrasound robots are increasingly used in medical diagnostics and early disease screening. However, current ultrasound robots lack the intelligence to understand human intentions and instructions, hindering autonomous ultrasound scanning. To solve this problem, we propose a novel Ultrasound Embodied Intelligence system that equips ultrasound robots with the large language model (LLM) and domain knowledge, thereby improving the efficiency of ultrasound robots. Specifically, we first design an ultrasound operation knowledge database to add expertise in ultrasound scanning to the LLM, enabling the LLM to perform precise motion planning. Furthermore, we devise a dynamic ultrasound scanning strategy based on a \textit{think-observe-execute} prompt engineering, allowing LLMs to dynamically adjust motion planning strategies during the scanning procedures. Extensive experiments demonstrate that our system significantly improves ultrasound scan efficiency and quality from verbal commands. This advancement in autonomous medical scanning technology contributes to non-invasive diagnostics and streamlined medical workflows., Comment: 3 pages, 1 figure, 2 tables

The vision-language pre-training has enabled deep models to make a huge step forward in generalizing across unseen domains. The recent learning method based on the vision-language pre-training model is a great tool for domain generalization and can solve this problem to a large extent. However, there are still some issues that an advancement still suffers from trading-off between domain invariance and class separability, which are crucial in current DG problems. However, there are still some issues that an advancement still suffers from trading-off between domain invariance and class separability, which are crucial in current DG problems. In this paper, we introduce a novel prompt learning strategy that leverages deep vision prompts to address domain invariance while utilizing language prompts to ensure class separability, coupled with adaptive weighting mechanisms to balance domain invariance and class separability. Extensive experiments demonstrate that deep vision prompts effectively extract domain-invariant features, significantly improving the generalization ability of deep models and achieving state-of-the-art performance on three datasets.

Feed recommendation is currently the mainstream mode for many real-world applications (e.g., TikTok, Dianping), it is usually necessary to model and predict user interests in multiple scenarios (domains) within and even outside the application. Multi-domain learning is a typical solution in this regard. While considerable efforts have been made in this regard, there are still two long-standing challenges: (1) Accurately depicting the differences among domains using domain features is crucial for enhancing the performance of each domain. However, manually designing domain features and models for numerous domains can be a laborious task. (2) Users typically have limited impressions in only a few domains. Extracting features automatically from other domains and leveraging them to improve the predictive capabilities of each domain has consistently posed a challenging problem. In this paper, we propose an Automatic Domain Feature Extraction and Personalized Integration (DFEI) framework for the large-scale multi-domain recommendation. The framework automatically transforms the behavior of each individual user into an aggregation of all user behaviors within the domain, which serves as the domain features. Unlike offline feature engineering methods, the extracted domain features are higher-order representations and directly related to the target label. Besides, by personalized integration of domain features from other domains for each user and the innovation in the training mode, the DFEI framework can yield more accurate conversion identification. Experimental results on both public and industrial datasets, consisting of over 20 domains, clearly demonstrate that the proposed framework achieves significantly better performance compared with SOTA baselines. Furthermore, we have released the source code of the proposed framework at https://github.com/xidongbo/DFEI., Comment: 8 pages

Medical multi-modal pre-training has revealed promise in computer-aided diagnosis by leveraging large-scale unlabeled datasets. However, existing methods based on masked autoencoders mainly rely on data-level reconstruction tasks, but lack high-level semantic information. Furthermore, two significant heterogeneity challenges hinder the transfer of pre-trained knowledge to downstream tasks, \textit{i.e.}, the distribution heterogeneity between pre-training data and downstream data, and the modality heterogeneity within downstream data. To address these challenges, we propose a Unified Medical Multi-modal Diagnostic (UMD) framework with tailored pre-training and downstream tuning strategies. Specifically, to enhance the representation abilities of vision and language encoders, we propose the Multi-level Reconstruction Pre-training (MR-Pretrain) strategy, including a feature-level and data-level reconstruction, which guides models to capture the semantic information from masked inputs of different modalities. Moreover, to tackle two kinds of heterogeneities during the downstream tuning, we present the heterogeneity-combat downstream tuning strategy, which consists of a Task-oriented Distribution Calibration (TD-Calib) and a Gradient-guided Modality Coordination (GM-Coord). In particular, TD-Calib fine-tunes the pre-trained model regarding the distribution of downstream datasets, and GM-Coord adjusts the gradient weights according to the dynamic optimization status of different modalities. Extensive experiments on five public medical datasets demonstrate the effectiveness of our UMD framework, which remarkably outperforms existing approaches on three kinds of downstream tasks., Comment: to be published in IEEE JBHI; Code available at https://github.com/helenypzhang/UMD

It is critical to design efficient beamforming in reconfigurable intelligent surface (RIS)-aided integrated sensing and communication (ISAC) systems for enhancing spectrum utilization. However, conventional methods often have limitations, either incurring high computational complexity due to iterative algorithms or sacrificing performance when using heuristic methods. To achieve both low complexity and high spectrum efficiency, an unsupervised learning-based beamforming design is proposed in this work. We tailor image-shaped channel samples and develop an ISAC beamforming neural network (IBF-Net) model for beamforming. By leveraging unsupervised learning, the loss function incorporates key performance metrics like sensing and communication channel correlation and sensing channel gain, eliminating the need of labeling. Simulations show that the proposed method achieves competitive performance compared to benchmarks while significantly reduces computational complexity., Comment: Accpeted by IEEE Wireless Communications Letters

Recent advancements in Surgical Visual Question Answering (Surgical-VQA) and related region grounding have shown great promise for robotic and medical applications, addressing the critical need for automated methods in personalized surgical mentorship. However, existing models primarily provide simple structured answers and struggle with complex scenarios due to their limited capability in recognizing long-range dependencies and aligning multimodal information. In this paper, we introduce Surgical-LVLM, a novel personalized large vision-language model tailored for complex surgical scenarios. Leveraging the pre-trained large vision-language model and specialized Visual Perception LoRA (VP-LoRA) blocks, our model excels in understanding complex visual-language tasks within surgical contexts. In addressing the visual grounding task, we propose the Token-Interaction (TIT) module, which strengthens the interaction between the grounding module and the language responses of the Large Visual Language Model (LVLM) after projecting them into the latent space. We demonstrate the effectiveness of Surgical-LVLM on several benchmarks, including EndoVis-17-VQLA, EndoVis-18-VQLA, and a newly introduced EndoVis Conversations dataset, which sets new performance standards. Our work contributes to advancing the field of automated surgical mentorship by providing a context-aware solution.

In this study, we investigate the electronic structure of a spin-triplet superconductor candidate CeRh$_2$As$_2$ using high-resolution angle-resolved photoemission spectroscopy and density functional theory calculations. Notably, Fermi surface nesting hints at connections to magnetic excitation or quadrupole density wave phenomena, elucidating the superconducting mechanisms. Measured band structures reveal primarily localized 4f electrons, with minor itinerant contributions. Additionally, a transition from localized to itinerant behavior and significant c-f hybridization anisotropy underscore the role of f-electrons in shaping electronic properties. These findings deepen our understanding of CeRh$_2$As$_2$'s unconventional superconductivity and magnetism. Further exploration promises advances in superconductivity research., Comment: 6 pages, 3 figures

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/., Comment: 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., Comment: 10 pages, 6 figures

Conical intersections (CIs) are pivotal in many photochemical processes. Traditional quantum chemistry methods, such as the state-average multi-configurational methods, face computational hurdles in solving the electronic Schr\"odinger equation within the active space on classical computers. While quantum computing offers a potential solution, its feasibility in studying CIs, particularly on real quantum hardware, remains largely unexplored. Here, we present the first successful realization of a hybrid quantum-classical state-average complete active space self-consistent field method based on the variational quantum eigensolver (VQE-SA-CASSCF) on a superconducting quantum processor. This approach is applied to investigate CIs in two prototypical systems - ethylene (C2H4) and triatomic hydrogen (H3). We illustrate that VQE-SA-CASSCF, coupled with ongoing hardware and algorithmic enhancements, can lead to a correct description of CIs on existing quantum devices. These results lay the groundwork for exploring the potential of quantum computing to study CIs in more complex systems in the future., Comment: This paper includes 18 pages, 11 figures and 91 references. This paper has not been submitted to any other journals

We introduce two fractals, in Euclidean spaces of dimension two and three respectively, such the $2$-conductive homogeneity holds but there is some $\eps \in (0, 1)$ so that the $p$-conductive homogeneity fails for every $p\in (1, 1+\eps)$. In addition, these two fractals have Ahlfors regular conformal dimension within the interval $(1, 2)$ and $(2, 3)$, respectively.

We positively answer the open question of Barlow and Bass about the convergence of renormalized effective resistance between opposite faces of Euclidean domains approximating a generalized {S}ierpi\'{n}ski carpet.

Few-shot class-incremental learning (FSCIL) aims at recognizing novel classes continually with limited novel class samples. A mainstream baseline for FSCIL is first to train the whole model in the base session, then freeze the feature extractor in the incremental sessions. Despite achieving high overall accuracy, most methods exhibit notably low accuracy for incremental classes. Some recent methods somewhat alleviate the accuracy imbalance between base and incremental classes by fine-tuning the feature extractor in the incremental sessions, but they further cause the accuracy imbalance between past and current incremental classes. In this paper, we study the causes of such classification accuracy imbalance for FSCIL, and abstract them into a unified model bias problem. Based on the analyses, we propose a novel method to mitigate model bias of the FSCIL problem during training and inference processes, which includes mapping ability stimulation, separately dual-feature classification, and self-optimizing classifiers. Extensive experiments on three widely-used FSCIL benchmark datasets show that our method significantly mitigates the model bias problem and achieves state-of-the-art performance., Comment: 8 pages (not including references and checklist)

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.