Vibration-Assisted Hysteresis Mitigation for Achieving High Compensation Efficiency

Tendon-sheath mechanisms (TSMs) are widely used in minimally invasive surgical (MIS) applications, but their inherent hysteresis-caused by friction, backlash, and tendon elongation-leads to significant tracking errors. Conventional modeling and compensation methods struggle with these nonlinearities and require extensive parameter tuning. To address this, we propose a vibration-assisted hysteresis compensation approach, where controlled vibrational motion is applied along the tendon's movement direction to mitigate friction and reduce dead zones. Experimental results demonstrate that the exerted vibration consistently reduces hysteresis across all tested frequencies, decreasing RMSE by up to 23.41% (from 2.2345 mm to 1.7113 mm) and improving correlation, leading to more accurate trajectory tracking. When combined with a Temporal Convolutional Network (TCN)-based compensation model, vibration further enhances performance, achieving an 85.2% reduction in MAE (from 1.334 mm to 0.1969 mm). Without vibration, the TCN-based approach still reduces MAE by 72.3% (from 1.334 mm to 0.370 mm) under the same parameter settings. These findings confirm that vibration effectively mitigates hysteresis, improving trajectory accuracy and enabling more efficient compensation models with fewer trainable parameters. This approach provides a scalable and practical solution for TSM-based robotic applications, particularly in MIS.

OFF-CLIP: Improving Normal Detection Confidence in Radiology CLIP with Simple Off-Diagonal Term Auto-Adjustment

Contrastive Language-Image Pre-Training (CLIP) has enabled zero-shot classification in radiology, reducing reliance on manual annotations. However, conventional contrastive learning struggles with normal case detection due to its strict intra-sample alignment, which disrupts normal sample clustering and leads to high false positives (FPs) and false negatives (FNs). To address these issues, we propose OFF-CLIP, a contrastive learning refinement that improves normal detection by introducing an off-diagonal term loss to enhance normal sample clustering and applying sentence-level text filtering to mitigate FNs by removing misaligned normal statements from abnormal reports. OFF-CLIP can be applied to radiology CLIP models without requiring any architectural modifications. Experimental results show that OFF-CLIP significantly improves normal classification, achieving a 0.61 Area under the curve (AUC) increase on VinDr-CXR over CARZero, the state-of-the-art zero-shot classification baseline, while maintaining or improving abnormal classification performance. Additionally, OFF-CLIP enhances zero-shot grounding by improving pointing game accuracy, confirming better anomaly localization. These results demonstrate OFF-CLIP's effectiveness as a robust and efficient enhancement for medical vision-language models.

SAM: Semi-Active Mechanism for Extensible Continuum Manipulator and Real-time Hysteresis Compensation Control Algorithm

Cable-Driven Continuum Manipulators (CDCMs) enable scar-free procedures via natural orifices and improve target lesion accessibility through curved paths. However, CDCMs face limitations in workspace and control accuracy due to non-linear cable effects causing hysteresis. This paper introduces an extensible CDCM with a Semi-active Mechanism (SAM) to expand the workspace via translational motion without additional mechanical elements or actuation. We collect a hysteresis dataset using 8 fiducial markers and RGBD sensing. Based on this dataset, we develop a real-time hysteresis compensation control algorithm using the trained Temporal Convolutional Network (TCN) with a 1ms time latency, effectively estimating the manipulator's hysteresis behavior. Performance validation through random trajectory tracking tests and box pointing tasks shows the proposed controller significantly reduces hysteresis by up to 69.5% in joint space and approximately 26% in the box pointing task.

Optimizing Base Placement of Surgical Robot: Kinematics Data-Driven Approach by Analyzing Working Pattern

In robot-assisted minimally invasive surgery (RAMIS), optimal placement of the surgical robot's base is crucial for successful surgery. Improper placement can hinder performance due to manipulator limitations and inaccessible workspaces. Traditionally, trained medical staff rely on experience for base placement, but this approach lacks objectivity. This paper proposes a novel method to determine the optimal base pose based on the individual surgeon's working pattern. The proposed method analyzes recorded end-effector poses using machine-learning based clustering technique to identify key positions and orientations preferred by the surgeon. To address joint limits and singularities problems, we introduce two scoring metrics: joint margin score and manipulability score. We then train a multi-layer perceptron (MLP) regressor to predict the optimal base pose based on these scores. Evaluation in a simulated environment using the da Vinci Research Kit (dVRK) showed unique base pose-score maps for four volunteers, highlighting the individuality of working patterns. After conducting tests on the base poses identified using the proposed method, we confirmed that they have a score approximately 28.2\% higher than when the robots were placed randomly, with respect to the score we defined. This emphasizes the need for operator-specific optimization in RAMIS base placement.

Hysteresis Compensation of Flexible Continuum Manipulator using RGBD Sensing and Temporal Convolutional Network

Flexible continuum manipulators are valued for minimally invasive surgery, offering access to confined spaces through nonlinear paths. However, cable-driven manipulators face control difficulties due to hysteresis from cabling effects such as friction, elongation, and coupling. These effects are difficult to model due to nonlinearity and the difficulties become even more evident when dealing with long and multi-segmented manipulator. This paper proposes a data-driven approach based on recurrent neural networks to capture these nonlinear and previous states-dependent characteristics of cable actuation. We design customized fiducial markers to collect physical joint configurations as a dataset. Result on a study comparing the learning performance of four Deep Neural Network (DNN) models show that the Temporal Convolution Network (TCN) demonstrates the highest predictive capability. Leveraging trained TCNs, we build a control algorithm to compensate for hysteresis. Tracking tests in task space using unseen trajectories show that the best controller reduces the mean position and orientation error by 61.39% (from 13.7 mm to 5.29 mm) and 64.04% (from 31.17{\deg} to 11.21{\deg}), respectively.

Integrating ChatGPT into Secure Hospital Networks: A Case Study on Improving Radiology Report Analysis

This study demonstrates the first in-hospital adaptation of a cloud-based AI, similar to ChatGPT, into a secure model for analyzing radiology reports, prioritizing patient data privacy. By employing a unique sentence-level knowledge distillation method through contrastive learning, we achieve over 95% accuracy in detecting anomalies. The model also accurately flags uncertainties in its predictions, enhancing its reliability and interpretability for physicians with certainty indicators. These advancements represent significant progress in developing secure and efficient AI tools for healthcare, suggesting a promising future for in-hospital AI applications with minimal supervision.