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Medical visual question answering (VQA) bridges the gap between visual information and clinical decision-making, enabling doctors to extract understanding from clinical images and videos. In particular, surgical VQA can enhance the interpretation of surgical data, aiding in accurate diagnoses, effective education, and clinical interventions. However, the inability of VQA models to visually indicate the regions of interest corresponding to the given questions results in incomplete comprehension of the surgical scene. To tackle this, we propose the surgical visual question localized-answering (VQLA) for precise and context-aware responses to specific queries regarding surgical images. Furthermore, to address the strong demand for safety in surgical scenarios and potential corruptions in image acquisition and transmission, we propose a novel approach called Calibrated Co-Attention Gated Vision-Language (C 2 G-ViL) embedding to integrate and align multimodal information effectively. Additionally, we leverage the adversarial sample-based contrastive learning strategy to boost our performance and robustness. We also extend our EndoVis-18-VQLA and EndoVis-17-VQLA datasets to broaden the scope and application of our data. Extensive experiments on the aforementioned datasets demonstrate the remarkable performance and robustness of our solution. Our solution can effectively combat real-world image corruption. Thus, our proposed approach can serve as an effective tool for assisting surgical education, patient care, and enhancing surgical outcomes. Our code and data will be released at https://github.com/longbai1006/Surgical-VQLAPlus. • We propose a Surgical-VQLA++ framework to connect answering and localization. • We incorporate feature calibration and adversarial contrastive training techniques. • We expand our datasets by including additional queries related to surgical tools. • Extensive experiments prove the effectiveness and robustness of our solution. [ABSTRACT FROM AUTHOR]

Convolutional Neural Network’s (CNN’s) performance disparity on clean and corrupted datasets has recently come under scrutiny. In this work, we analyse common corruptions in the frequency domain, i.e., High Frequency corruptions (HFc, e.g., noise) and Low Frequency corruptions (LFc, e.g., blur). Although a simple solution to HFc is low-pass filtering, ReLU – a widely used Activation Function (AF), does not have any filtering mechanism. In this work, we instill low-pass filtering into the AF (LP-ReLU) to improve robustness against HFc. To deal with LFc, we complement LP-ReLU with Discrete Cosine Transform based augmentation. LP-ReLU, coupled with DCT augmentation, enables a deep network to tackle the entire spectrum of corruption. We use CIFAR-10-C and Tiny ImageNet-C for evaluation and demonstrate improvements of 5% and 7.3% in accuracy respectively, compared to the State-Of-The-Art (SOTA). We further evaluate our method’s stability on a variety of perturbations in CIFAR-10-P and Tiny ImageNet-P, achieving new SOTA in these experiments as well. To further strengthen our understanding regarding CNN’s lack of robustness, a decision space visualisation process is proposed and presented in this work.

Convolutional neural networks (CNNs) lack robustness to test image corruptions that are not seen during training. In this paper, we propose a new layer for CNNs that increases their robustness to several types of corruptions of the input images. We call it a 'push–pull' layer and compute its response as the combination of two half-wave rectified convolutions, with kernels of different size and opposite polarity. Its implementation is based on a biologically motivated model of certain neurons in the visual system that exhibit response suppression, known as push–pull inhibition. We validate our method by replacing the first convolutional layer of the LeNet, ResNet and DenseNet architectures with our push–pull layer. We train the networks on original training images from the MNIST and CIFAR data sets and test them on images with several corruptions, of different types and severities, that are unseen by the training process. We experiment with various configurations of the ResNet and DenseNet models on a benchmark test set with typical image corruptions constructed on the CIFAR test images. We demonstrate that our push–pull layer contributes to a considerable improvement in robustness of classification of corrupted images, while maintaining state-of-the-art performance on the original image classification task. We released the code and trained models at the url http://github.com/nicstrisc/Push-Pull-CNN-layer. [ABSTRACT FROM AUTHOR]