Learning to Efficiently Adapt Foundation Models for Self-Supervised Endoscopic 3D Scene Reconstruction from Any Cameras

Accurate 3D scene reconstruction is essential for numerous medical tasks. Given the challenges in obtaining ground truth data, there has been an increasing focus on self-supervised learning (SSL) for endoscopic depth estimation as a basis for scene reconstruction. While foundation models have shown remarkable progress in visual tasks, their direct application to the medical domain often leads to suboptimal results. However, the visual features from these models can still enhance endoscopic tasks, emphasizing the need for efficient adaptation strategies, which still lack exploration currently. In this paper, we introduce Endo3DAC, a unified framework for endoscopic scene reconstruction that efficiently adapts foundation models. We design an integrated network capable of simultaneously estimating depth maps, relative poses, and camera intrinsic parameters. By freezing the backbone foundation model and training only the specially designed Gated Dynamic Vector-Based Low-Rank Adaptation (GDV-LoRA) with separate decoder heads, Endo3DAC achieves superior depth and pose estimation while maintaining training efficiency. Additionally, we propose a 3D scene reconstruction pipeline that optimizes depth maps' scales, shifts, and a few parameters based on our integrated network. Extensive experiments across four endoscopic datasets demonstrate that Endo3DAC significantly outperforms other state-of-the-art methods while requiring fewer trainable parameters. To our knowledge, we are the first to utilize a single network that only requires surgical videos to perform both SSL depth estimation and scene reconstruction tasks. The code will be released upon acceptance.

Towards Robust Universal Information Extraction: Benchmark, Evaluation, and Solution

In this paper, we aim to enhance the robustness of Universal Information Extraction (UIE) by introducing a new benchmark dataset, a comprehensive evaluation, and a feasible solution. Existing robust benchmark datasets have two key limitations: 1) They generate only a limited range of perturbations for a single Information Extraction (IE) task, which fails to evaluate the robustness of UIE models effectively; 2) They rely on small models or handcrafted rules to generate perturbations, often resulting in unnatural adversarial examples. Considering the powerful generation capabilities of Large Language Models (LLMs), we introduce a new benchmark dataset for Robust UIE, called RUIE-Bench, which utilizes LLMs to generate more diverse and realistic perturbations across different IE tasks. Based on this dataset, we comprehensively evaluate existing UIE models and reveal that both LLM-based models and other models suffer from significant performance drops. To improve robustness and reduce training costs, we propose a data-augmentation solution that dynamically selects hard samples for iterative training based on the model's inference loss. Experimental results show that training with only \textbf{15\%} of the data leads to an average \textbf{7.5\%} relative performance improvement across three IE tasks.

Towards Event Extraction with Massive Types: LLM-based Collaborative Annotation and Partitioning Extraction

Developing a general-purpose extraction system that can extract events with massive types is a long-standing target in Event Extraction (EE). In doing so, the challenge comes from two aspects: 1) The absence of an efficient and effective annotation method. 2) The absence of a powerful extraction method can handle massive types. For the first challenge, we propose a collaborative annotation method based on Large Language Models (LLMs). Through collaboration among multiple LLMs, it first refines annotations of trigger words from distant supervision and then carries out argument annotation. Next, a voting phase consolidates the annotation preferences across different LLMs. Finally, we create the EEMT dataset, the largest EE dataset to date, featuring over 200,000 samples, 3,465 event types, and 6,297 role types. For the second challenge, we propose an LLM-based Partitioning EE method called LLM-PEE. To overcome the limited context length of LLMs, LLM-PEE first recalls candidate event types and then splits them into multiple partitions for LLMs to extract events. The results in the supervised setting show that LLM-PEE outperforms the state-of-the-art methods by 5.4 in event detection and 6.1 in argument extraction. In the zero-shot setting, LLM-PEE achieves up to 12.9 improvement compared to mainstream LLMs, demonstrating its strong generalization capabilities.

Advancing Dense Endoscopic Reconstruction with Gaussian Splatting-driven Surface Normal-aware Tracking and Mapping

Simultaneous Localization and Mapping (SLAM) is essential for precise surgical interventions and robotic tasks in minimally invasive procedures. While recent advancements in 3D Gaussian Splatting (3DGS) have improved SLAM with high-quality novel view synthesis and fast rendering, these systems struggle with accurate depth and surface reconstruction due to multi-view inconsistencies. Simply incorporating SLAM and 3DGS leads to mismatches between the reconstructed frames. In this work, we present Endo-2DTAM, a real-time endoscopic SLAM system with 2D Gaussian Splatting (2DGS) to address these challenges. Endo-2DTAM incorporates a surface normal-aware pipeline, which consists of tracking, mapping, and bundle adjustment modules for geometrically accurate reconstruction. Our robust tracking module combines point-to-point and point-to-plane distance metrics, while the mapping module utilizes normal consistency and depth distortion to enhance surface reconstruction quality. We also introduce a pose-consistent strategy for efficient and geometrically coherent keyframe sampling. Extensive experiments on public endoscopic datasets demonstrate that Endo-2DTAM achieves an RMSE of $1.87\pm 0.63$ mm for depth reconstruction of surgical scenes while maintaining computationally efficient tracking, high-quality visual appearance, and real-time rendering. Our code will be released at github.com/lastbasket/Endo-2DTAM.

EndoChat: Grounded Multimodal Large Language Model for Endoscopic Surgery

Recently, Multimodal Large Language Models (MLLMs) have demonstrated their immense potential in computer-aided diagnosis and decision-making. In the context of robotic-assisted surgery, MLLMs can serve as effective tools for surgical training and guidance. However, there is still a lack of MLLMs specialized for surgical scene understanding in clinical applications. In this work, we introduce EndoChat to address various dialogue paradigms and subtasks in surgical scene understanding that surgeons encounter. To train our EndoChat, we construct the Surg-396K dataset through a novel pipeline that systematically extracts surgical information and generates structured annotations based on collected large-scale endoscopic surgery datasets. Furthermore, we introduce a multi-scale visual token interaction mechanism and a visual contrast-based reasoning mechanism to enhance the model's representation learning and reasoning capabilities. Our model achieves state-of-the-art performance across five dialogue paradigms and eight surgical scene understanding tasks. Additionally, we conduct evaluations with professional surgeons, most of whom provide positive feedback on collaborating with EndoChat. Overall, these results demonstrate that our EndoChat has great potential to significantly advance training and automation in robotic-assisted surgery.

V$^2$-SfMLearner: Learning Monocular Depth and Ego-motion for Multimodal Wireless Capsule Endoscopy

Deep learning can predict depth maps and capsule ego-motion from capsule endoscopy videos, aiding in 3D scene reconstruction and lesion localization. However, the collisions of the capsule endoscopies within the gastrointestinal tract cause vibration perturbations in the training data. Existing solutions focus solely on vision-based processing, neglecting other auxiliary signals like vibrations that could reduce noise and improve performance. Therefore, we propose V$^2$-SfMLearner, a multimodal approach integrating vibration signals into vision-based depth and capsule motion estimation for monocular capsule endoscopy. We construct a multimodal capsule endoscopy dataset containing vibration and visual signals, and our artificial intelligence solution develops an unsupervised method using vision-vibration signals, effectively eliminating vibration perturbations through multimodal learning. Specifically, we carefully design a vibration network branch and a Fourier fusion module, to detect and mitigate vibration noises. The fusion framework is compatible with popular vision-only algorithms. Extensive validation on the multimodal dataset demonstrates superior performance and robustness against vision-only algorithms. Without the need for large external equipment, our V$^2$-SfMLearner has the potential for integration into clinical capsule robots, providing real-time and dependable digestive examination tools. The findings show promise for practical implementation in clinical settings, enhancing the diagnostic capabilities of doctors.

SurgSora: Decoupled RGBD-Flow Diffusion Model for Controllable Surgical Video Generation

Medical video generation has transformative potential for enhancing surgical understanding and pathology insights through precise and controllable visual representations. However, current models face limitations in controllability and authenticity. To bridge this gap, we propose SurgSora, a motion-controllable surgical video generation framework that uses a single input frame and user-controllable motion cues. SurgSora consists of three key modules: the Dual Semantic Injector (DSI), which extracts object-relevant RGB and depth features from the input frame and integrates them with segmentation cues to capture detailed spatial features of complex anatomical structures; the Decoupled Flow Mapper (DFM), which fuses optical flow with semantic-RGB-D features at multiple scales to enhance temporal understanding and object spatial dynamics; and the Trajectory Controller (TC), which allows users to specify motion directions and estimates sparse optical flow, guiding the video generation process. The fused features are used as conditions for a frozen Stable Diffusion model to produce realistic, temporally coherent surgical videos. Extensive evaluations demonstrate that SurgSora outperforms state-of-the-art methods in controllability and authenticity, showing its potential to advance surgical video generation for medical education, training, and research.

ETSM: Automating Dissection Trajectory Suggestion and Confidence Map-Based Safety Margin Prediction for Robot-assisted Endoscopic Submucosal Dissection

Robot-assisted Endoscopic Submucosal Dissection (ESD) improves the surgical procedure by providing a more comprehensive view through advanced robotic instruments and bimanual operation, thereby enhancing dissection efficiency and accuracy. Accurate prediction of dissection trajectories is crucial for better decision-making, reducing intraoperative errors, and improving surgical training. Nevertheless, predicting these trajectories is challenging due to variable tumor margins and dynamic visual conditions. To address this issue, we create the ESD Trajectory and Confidence Map-based Safety Margin (ETSM) dataset with $1849$ short clips, focusing on submucosal dissection with a dual-arm robotic system. We also introduce a framework that combines optimal dissection trajectory prediction with a confidence map-based safety margin, providing a more secure and intelligent decision-making tool to minimize surgical risks for ESD procedures. Additionally, we propose the Regression-based Confidence Map Prediction Network (RCMNet), which utilizes a regression approach to predict confidence maps for dissection areas, thereby delineating various levels of safety margins. We evaluate our RCMNet using three distinct experimental setups: in-domain evaluation, robustness assessment, and out-of-domain evaluation. Experimental results show that our approach excels in the confidence map-based safety margin prediction task, achieving a mean absolute error (MAE) of only $3.18$. To the best of our knowledge, this is the first study to apply a regression approach for visual guidance concerning delineating varying safety levels of dissection areas. Our approach bridges gaps in current research by improving prediction accuracy and enhancing the safety of the dissection process, showing great clinical significance in practice.

AlignXIE: Improving Multilingual Information Extraction by Cross-Lingual Alignment

Empirical evidence suggests that LLMs exhibit spontaneous cross-lingual alignment. Our findings suggest that although LLMs also demonstrate promising cross-lingual alignment in Information Extraction, there remains significant imbalance across languages, revealing an underlying deficiency in the IE alignment. To address this issue, we propose AlignXIE, a powerful code-based LLM that significantly enhances cross-lingual IE alignment through two strategies. Firstly, AlignXIE formulates IE across different languages, especially non-English ones, as code generation tasks, standardizing the representation of various schemas using Python classes to ensure consistency of the same ontology in different languages and align the schema. Secondly, it incorporates an IE cross-lingual alignment phase through a translated instance prediction task proposed in this paper to align the extraction process, utilizing ParallelNER, an IE bilingual parallel dataset with 257,190 samples, generated by our proposed LLM-based automatic pipeline for IE parallel data construction, with manual annotation to ensure quality. Ultimately, we obtain AlignXIE through multilingual IE instruction tuning. Although without training in 9 unseen languages, AlignXIE surpasses ChatGPT by $30.17\%$ and SoTA by $20.03\%$, thereby demonstrating superior cross-lingual IE capabilities. Comprehensive evaluations on 63 IE benchmarks in Chinese and English under various settings, demonstrate that AlignXIE significantly enhances cross-lingual and multilingual IE through boosting the IE alignment.

Transferring Knowledge from High-Quality to Low-Quality MRI for Adult Glioma Diagnosis

Glioma, a common and deadly brain tumor, requires early diagnosis for improved prognosis. However, low-quality Magnetic Resonance Imaging (MRI) technology in Sub-Saharan Africa (SSA) hinders accurate diagnosis. This paper presents our work in the BraTS Challenge on SSA Adult Glioma. We adopt the model from the BraTS-GLI 2021 winning solution and utilize it with three training strategies: (1) initially training on the BraTS-GLI 2021 dataset with fine-tuning on the BraTS-Africa dataset, (2) training solely on the BraTS-Africa dataset, and (3) training solely on the BraTS-Africa dataset with 2x super-resolution enhancement. Results show that initial training on the BraTS-GLI 2021 dataset followed by fine-tuning on the BraTS-Africa dataset has yielded the best results. This suggests the importance of high-quality datasets in providing prior knowledge during training. Our top-performing model achieves Dice scores of 0.882, 0.840, and 0.926, and Hausdorff Distance (95%) scores of 15.324, 37.518, and 13.971 for enhancing tumor, tumor core, and whole tumor, respectively, in the validation phase. In the final phase of the competition, our approach successfully secured second place overall, reflecting the strength and effectiveness of our model and training strategies. Our approach provides insights into improving glioma diagnosis in SSA, showing the potential of deep learning in resource-limited settings and the importance of transfer learning from high-quality datasets.