Neural Finite-State Machines for Surgical Phase Recognition

Surgical phase recognition is essential for analyzing procedure-specific surgical videos. While recent transformer-based architectures have advanced sequence processing capabilities, they struggle with maintaining consistency across lengthy surgical procedures. Drawing inspiration from classical hidden Markov models' finite-state interpretations, we introduce the neural finite-state machine (NFSM) module, which bridges procedural understanding with deep learning approaches. NFSM combines procedure-level understanding with neural networks through global state embeddings, attention-based dynamic transition tables, and transition-aware training and inference mechanisms for offline and online applications. When integrated into our future-aware architecture, NFSM improves video-level accuracy, phase-level precision, recall, and Jaccard indices on Cholec80 datasets by 2.3, 3.2, 3.0, and 4.8 percentage points respectively. As an add-on module to existing state-of-the-art models like Surgformer, NFSM further enhances performance, demonstrating its complementary value. Extended experiments on non-surgical datasets validate NFSM's generalizability beyond surgical domains. Comprehensive experiments demonstrate that incorporating NSFM into deep learning frameworks enables more robust and consistent phase recognition across long procedural videos.

Language-Model Prior Overcomes Cold-Start Items

The growth of recommender systems (RecSys) is driven by digitization and the need for personalized content in areas such as e-commerce and video streaming. The content in these systems often changes rapidly and therefore they constantly face the ongoing cold-start problem, where new items lack interaction data and are hard to value. Existing solutions for the cold-start problem, such as content-based recommenders and hybrid methods, leverage item metadata to determine item similarities. The main challenge with these methods is their reliance on structured and informative metadata to capture detailed item similarities, which may not always be available. This paper introduces a novel approach for cold-start item recommendation that utilizes the language model (LM) to estimate item similarities, which are further integrated as a Bayesian prior with classic recommender systems. This approach is generic and able to boost the performance of various recommenders. Specifically, our experiments integrate it with both sequential and collaborative filtering-based recommender and evaluate it on two real-world datasets, demonstrating the enhanced performance of the proposed approach.

Towards Robust Algorithms for Surgical Phase Recognition via Digital Twin-based Scene Representation

Purpose: Surgical phase recognition (SPR) is an integral component of surgical data science, enabling high-level surgical analysis. End-to-end trained neural networks that predict surgical phase directly from videos have shown excellent performance on benchmarks. However, these models struggle with robustness due to non-causal associations in the training set, resulting in poor generalizability. Our goal is to improve model robustness to variations in the surgical videos by leveraging the digital twin (DT) paradigm -- an intermediary layer to separate high-level analysis (SPR) from low-level processing (geometric understanding). This approach takes advantage of the recent vision foundation models that ensure reliable low-level scene understanding to craft DT-based scene representations that support various high-level tasks. Methods: We present a DT-based framework for SPR from videos. The framework employs vision foundation models to extract representations. We embed the representation in place of raw video inputs in the state-of-the-art Surgformer model. The framework is trained on the Cholec80 dataset and evaluated on out-of-distribution (OOD) and corrupted test samples. Results: Contrary to the vulnerability of the baseline model, our framework demonstrates strong robustness on both OOD and corrupted samples, with a video-level accuracy of 51.1 on the challenging CRCD dataset, 96.0 on an internal robotics training dataset, and 64.4 on a highly corrupted Cholec80 test set. Conclusion: Our findings lend support to the thesis that DT-based scene representations are effective in enhancing model robustness. Future work will seek to improve the feature informativeness, automate feature extraction, and incorporate interpretability for a more comprehensive framework.

DaRePlane: Direction-aware Representations for Dynamic Scene Reconstruction

Numerous recent approaches to modeling and re-rendering dynamic scenes leverage plane-based explicit representations, addressing slow training times associated with models like neural radiance fields (NeRF) and Gaussian splatting (GS). However, merely decomposing 4D dynamic scenes into multiple 2D plane-based representations is insufficient for high-fidelity re-rendering of scenes with complex motions. In response, we present DaRePlane, a novel direction-aware representation approach that captures scene dynamics from six different directions. This learned representation undergoes an inverse dual-tree complex wavelet transformation (DTCWT) to recover plane-based information. Within NeRF pipelines, DaRePlane computes features for each space-time point by fusing vectors from these recovered planes, then passed to a tiny MLP for color regression. When applied to Gaussian splatting, DaRePlane computes the features of Gaussian points, followed by a tiny multi-head MLP for spatial-time deformation prediction. Notably, to address redundancy introduced by the six real and six imaginary direction-aware wavelet coefficients, we introduce a trainable masking approach, mitigating storage issues without significant performance decline. To demonstrate the generality and efficiency of DaRePlane, we test it on both regular and surgical dynamic scenes, for both NeRF and GS systems. Extensive experiments show that DaRePlane yields state-of-the-art performance in novel view synthesis for various complex dynamic scenes.

Plug-and-Play Performance Estimation for LLM Services without Relying on Labeled Data

Large Language Model (LLM) services exhibit impressive capability on unlearned tasks leveraging only a few examples by in-context learning (ICL). However, the success of ICL varies depending on the task and context, leading to heterogeneous service quality. Directly estimating the performance of LLM services at each invocation can be laborious, especially requiring abundant labeled data or internal information within the LLM. This paper introduces a novel method to estimate the performance of LLM services across different tasks and contexts, which can be "plug-and-play" utilizing only a few unlabeled samples like ICL. Our findings suggest that the negative log-likelihood and perplexity derived from LLM service invocation can function as effective and significant features. Based on these features, we utilize four distinct meta-models to estimate the performance of LLM services. Our proposed method is compared against unlabeled estimation baselines across multiple LLM services and tasks. And it is experimentally applied to two scenarios, demonstrating its effectiveness in the selection and further optimization of LLM services.

Performance and Non-adversarial Robustness of the Segment Anything Model 2 in Surgical Video Segmentation

Fully supervised deep learning (DL) models for surgical video segmentation have been shown to struggle with non-adversarial, real-world corruptions of image quality including smoke, bleeding, and low illumination. Foundation models for image segmentation, such as the segment anything model (SAM) that focuses on interactive prompt-based segmentation, move away from semantic classes and thus can be trained on larger and more diverse data, which offers outstanding zero-shot generalization with appropriate user prompts. Recently, building upon this success, SAM-2 has been proposed to further extend the zero-shot interactive segmentation capabilities from independent frame-by-frame to video segmentation. In this paper, we present a first experimental study evaluating SAM-2's performance on surgical video data. Leveraging the SegSTRONG-C MICCAI EndoVIS 2024 sub-challenge dataset, we assess SAM-2's effectiveness on uncorrupted endoscopic sequences and evaluate its non-adversarial robustness on videos with corrupted image quality simulating smoke, bleeding, and low brightness conditions under various prompt strategies. Our experiments demonstrate that SAM-2, in zero-shot manner, can achieve competitive or even superior performance compared to fully-supervised deep learning models on surgical video data, including under non-adversarial corruptions of image quality. Additionally, SAM-2 consistently outperforms the original SAM and its medical variants across all conditions. Finally, frame-sparse prompting can consistently outperform frame-wise prompting for SAM-2, suggesting that allowing SAM-2 to leverage its temporal modeling capabilities leads to more coherent and accurate segmentation compared to frequent prompting.

SegSTRONG-C: Segmenting Surgical Tools Robustly On Non-adversarial Generated Corruptions -- An EndoVis'24 Challenge

Accurate segmentation of tools in robot-assisted surgery is critical for machine perception, as it facilitates numerous downstream tasks including augmented reality feedback. While current feed-forward neural network-based methods exhibit excellent segmentation performance under ideal conditions, these models have proven susceptible to even minor corruptions, significantly impairing the model's performance. This vulnerability is especially problematic in surgical settings where predictions might be used to inform high-stakes decisions. To better understand model behavior under non-adversarial corruptions, prior work has explored introducing artificial corruptions, like Gaussian noise or contrast perturbation to test set images, to assess model robustness. However, these corruptions are either not photo-realistic or model/task agnostic. Thus, these investigations provide limited insights into model deterioration under realistic surgical corruptions. To address this limitation, we introduce the SegSTRONG-C challenge that aims to promote the development of algorithms robust to unforeseen but plausible image corruptions of surgery, like smoke, bleeding, and low brightness. We collect and release corruption-free mock endoscopic video sequences for the challenge participants to train their algorithms and benchmark them on video sequences with photo-realistic non-adversarial corruptions for a binary robot tool segmentation task. This new benchmark will allow us to carefully study neural network robustness to non-adversarial corruptions of surgery, thus constituting an important first step towards more robust models for surgical computer vision. In this paper, we describe the data collection and annotation protocol, baseline evaluations of established segmentation models, and data augmentation-based techniques to enhance model robustness.

Divide and Fuse: Body Part Mesh Recovery from Partially Visible Human Images

We introduce a novel bottom-up approach for human body mesh reconstruction, specifically designed to address the challenges posed by partial visibility and occlusion in input images. Traditional top-down methods, relying on whole-body parametric models like SMPL, falter when only a small part of the human is visible, as they require visibility of most of the human body for accurate mesh reconstruction. To overcome this limitation, our method employs a "Divide and Fuse (D&F)" strategy, reconstructing human body parts independently before fusing them, thereby ensuring robustness against occlusions. We design Human Part Parametric Models (HPPM) that independently reconstruct the mesh from a few shape and global-location parameters, without inter-part dependency. A specially designed fusion module then seamlessly integrates the reconstructed parts, even when only a few are visible. We harness a large volume of ground-truth SMPL data to train our parametric mesh models. To facilitate the training and evaluation of our method, we have established benchmark datasets featuring images of partially visible humans with HPPM annotations. Our experiments, conducted on these benchmark datasets, demonstrate the effectiveness of our D&F method, particularly in scenarios with substantial invisibility, where traditional approaches struggle to maintain reconstruction quality.

DaReNeRF: Direction-aware Representation for Dynamic Scenes

Addressing the intricate challenge of modeling and re-rendering dynamic scenes, most recent approaches have sought to simplify these complexities using plane-based explicit representations, overcoming the slow training time issues associated with methods like Neural Radiance Fields (NeRF) and implicit representations. However, the straightforward decomposition of 4D dynamic scenes into multiple 2D plane-based representations proves insufficient for re-rendering high-fidelity scenes with complex motions. In response, we present a novel direction-aware representation (DaRe) approach that captures scene dynamics from six different directions. This learned representation undergoes an inverse dual-tree complex wavelet transformation (DTCWT) to recover plane-based information. DaReNeRF computes features for each space-time point by fusing vectors from these recovered planes. Combining DaReNeRF with a tiny MLP for color regression and leveraging volume rendering in training yield state-of-the-art performance in novel view synthesis for complex dynamic scenes. Notably, to address redundancy introduced by the six real and six imaginary direction-aware wavelet coefficients, we introduce a trainable masking approach, mitigating storage issues without significant performance decline. Moreover, DaReNeRF maintains a 2x reduction in training time compared to prior art while delivering superior performance.

Logic-Scaffolding: Personalized Aspect-Instructed Recommendation Explanation Generation using LLMs

The unique capabilities of Large Language Models (LLMs), such as the natural language text generation ability, position them as strong candidates for providing explanation for recommendations. However, despite the size of the LLM, most existing models struggle to produce zero-shot explanations reliably. To address this issue, we propose a framework called Logic-Scaffolding, that combines the ideas of aspect-based explanation and chain-of-thought prompting to generate explanations through intermediate reasoning steps. In this paper, we share our experience in building the framework and present an interactive demonstration for exploring our results.