Is Segment Anything Model 2 All You Need for Surgery Video Segmentation? A Systematic Evaluation

Surgery video segmentation is an important topic in the surgical AI field. It allows the AI model to understand the spatial information of a surgical scene. Meanwhile, due to the lack of annotated surgical data, surgery segmentation models suffer from limited performance. With the emergence of SAM2 model, a large foundation model for video segmentation trained on natural videos, zero-shot surgical video segmentation became more realistic but meanwhile remains to be explored. In this paper, we systematically evaluate the performance of SAM2 model in zero-shot surgery video segmentation task. We conducted experiments under different configurations, including different prompting strategies, robustness, etc. Moreover, we conducted an empirical evaluation over the performance, including 9 datasets with 17 different types of surgeries.

A Super-pixel-based Approach to the Stable Interpretation of Neural Networks

Saliency maps are widely used in the computer vision community for interpreting neural network classifiers. However, due to the randomness of training samples and optimization algorithms, the resulting saliency maps suffer from a significant level of stochasticity, making it difficult for domain experts to capture the intrinsic factors that influence the neural network's decision. In this work, we propose a novel pixel partitioning strategy to boost the stability and generalizability of gradient-based saliency maps. Through both theoretical analysis and numerical experiments, we demonstrate that the grouping of pixels reduces the variance of the saliency map and improves the generalization behavior of the interpretation method. Furthermore, we propose a sensible grouping strategy based on super-pixels which cluster pixels into groups that align well with the semantic meaning of the images. We perform several numerical experiments on CIFAR-10 and ImageNet. Our empirical results suggest that the super-pixel-based interpretation maps consistently improve the stability and quality over the pixel-based saliency maps.

Local Superior Soups: A Catalyst for Model Merging in Cross-Silo Federated Learning

Federated learning (FL) is a learning paradigm that enables collaborative training of models using decentralized data. Recently, the utilization of pre-trained weight initialization in FL has been demonstrated to effectively improve model performance. However, the evolving complexity of current pre-trained models, characterized by a substantial increase in parameters, markedly intensifies the challenges associated with communication rounds required for their adaptation to FL. To address these communication cost issues and increase the performance of pre-trained model adaptation in FL, we propose an innovative model interpolation-based local training technique called ``Local Superior Soups.'' Our method enhances local training across different clients, encouraging the exploration of a connected low-loss basin within a few communication rounds through regularized model interpolation. This approach acts as a catalyst for the seamless adaptation of pre-trained models in in FL. We demonstrated its effectiveness and efficiency across diverse widely-used FL datasets. Our code is available at \href{https://github.com/ubc-tea/Local-Superior-Soups}{https://github.com/ubc-tea/Local-Superior-Soups}.

UC-NeRF: Uncertainty-aware Conditional Neural Radiance Fields from Endoscopic Sparse Views

Visualizing surgical scenes is crucial for revealing internal anatomical structures during minimally invasive procedures. Novel View Synthesis is a vital technique that offers geometry and appearance reconstruction, enhancing understanding, planning, and decision-making in surgical scenes. Despite the impressive achievements of Neural Radiance Field (NeRF), its direct application to surgical scenes produces unsatisfying results due to two challenges: endoscopic sparse views and significant photometric inconsistencies. In this paper, we propose uncertainty-aware conditional NeRF for novel view synthesis to tackle the severe shape-radiance ambiguity from sparse surgical views. The core of UC-NeRF is to incorporate the multi-view uncertainty estimation to condition the neural radiance field for modeling the severe photometric inconsistencies adaptively. Specifically, our UC-NeRF first builds a consistency learner in the form of multi-view stereo network, to establish the geometric correspondence from sparse views and generate uncertainty estimation and feature priors. In neural rendering, we design a base-adaptive NeRF network to exploit the uncertainty estimation for explicitly handling the photometric inconsistencies. Furthermore, an uncertainty-guided geometry distillation is employed to enhance geometry learning. Experiments on the SCARED and Hamlyn datasets demonstrate our superior performance in rendering appearance and geometry, consistently outperforming the current state-of-the-art approaches. Our code will be released at \url{https://github.com/wrld/UC-NeRF}.

Towards Real-World Adverse Weather Image Restoration: Enhancing Clearness and Semantics with Vision-Language Models

This paper addresses the limitations of adverse weather image restoration approaches trained on synthetic data when applied to real-world scenarios. We formulate a semi-supervised learning framework employing vision-language models to enhance restoration performance across diverse adverse weather conditions in real-world settings. Our approach involves assessing image clearness and providing semantics using vision-language models on real data, serving as supervision signals for training restoration models. For clearness enhancement, we use real-world data, utilizing a dual-step strategy with pseudo-labels assessed by vision-language models and weather prompt learning. For semantic enhancement, we integrate real-world data by adjusting weather conditions in vision-language model descriptions while preserving semantic meaning. Additionally, we introduce an effective training strategy to bootstrap restoration performance. Our approach achieves superior results in real-world adverse weather image restoration, demonstrated through qualitative and quantitative comparisons with state-of-the-art works.

Enhanced Scale-aware Depth Estimation for Monocular Endoscopic Scenes with Geometric Modeling

Scale-aware monocular depth estimation poses a significant challenge in computer-aided endoscopic navigation. However, existing depth estimation methods that do not consider the geometric priors struggle to learn the absolute scale from training with monocular endoscopic sequences. Additionally, conventional methods face difficulties in accurately estimating details on tissue and instruments boundaries. In this paper, we tackle these problems by proposing a novel enhanced scale-aware framework that only uses monocular images with geometric modeling for depth estimation. Specifically, we first propose a multi-resolution depth fusion strategy to enhance the quality of monocular depth estimation. To recover the precise scale between relative depth and real-world values, we further calculate the 3D poses of instruments in the endoscopic scenes by algebraic geometry based on the image-only geometric primitives (i.e., boundaries and tip of instruments). Afterwards, the 3D poses of surgical instruments enable the scale recovery of relative depth maps. By coupling scale factors and relative depth estimation, the scale-aware depth of the monocular endoscopic scenes can be estimated. We evaluate the pipeline on in-house endoscopic surgery videos and simulated data. The results demonstrate that our method can learn the absolute scale with geometric modeling and accurately estimate scale-aware depth for monocular scenes.

Robust Semi-supervised Multimodal Medical Image Segmentation via Cross Modality Collaboration

Multimodal learning leverages complementary information derived from different modalities, thereby enhancing performance in medical image segmentation. However, prevailing multimodal learning methods heavily rely on extensive well-annotated data from various modalities to achieve accurate segmentation performance. This dependence often poses a challenge in clinical settings due to limited availability of such data. Moreover, the inherent anatomical misalignment between different imaging modalities further complicates the endeavor to enhance segmentation performance. To address this problem, we propose a novel semi-supervised multimodal segmentation framework that is robust to scarce labeled data and misaligned modalities. Our framework employs a novel cross modality collaboration strategy to distill modality-independent knowledge, which is inherently associated with each modality, and integrates this information into a unified fusion layer for feature amalgamation. With a channel-wise semantic consistency loss, our framework ensures alignment of modality-independent information from a feature-wise perspective across modalities, thereby fortifying it against misalignments in multimodal scenarios. Furthermore, our framework effectively integrates contrastive consistent learning to regulate anatomical structures, facilitating anatomical-wise prediction alignment on unlabeled data in semi-supervised segmentation tasks. Our method achieves competitive performance compared to other multimodal methods across three tasks: cardiac, abdominal multi-organ, and thyroid-associated orbitopathy segmentations. It also demonstrates outstanding robustness in scenarios involving scarce labeled data and misaligned modalities.

A Review on Organ Deformation Modeling Approaches for Reliable Surgical Navigation using Augmented Reality

Augmented Reality (AR) holds the potential to revolutionize surgical procedures by allowing surgeons to visualize critical structures within the patient's body. This is achieved through superimposing preoperative organ models onto the actual anatomy. Challenges arise from dynamic deformations of organs during surgery, making preoperative models inadequate for faithfully representing intraoperative anatomy. To enable reliable navigation in augmented surgery, modeling of intraoperative deformation to obtain an accurate alignment of the preoperative organ model with the intraoperative anatomy is indispensable. Despite the existence of various methods proposed to model intraoperative organ deformation, there are still few literature reviews that systematically categorize and summarize these approaches. This review aims to fill this gap by providing a comprehensive and technical-oriented overview of modeling methods for intraoperative organ deformation in augmented reality in surgery. Through a systematic search and screening process, 112 closely relevant papers were included in this review. By presenting the current status of organ deformation modeling methods and their clinical applications, this review seeks to enhance the understanding of organ deformation modeling in AR-guided surgery, and discuss the potential topics for future advancements.

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.

FairMedFM: Fairness Benchmarking for Medical Imaging Foundation Models

The advent of foundation models (FMs) in healthcare offers unprecedented opportunities to enhance medical diagnostics through automated classification and segmentation tasks. However, these models also raise significant concerns about their fairness, especially when applied to diverse and underrepresented populations in healthcare applications. Currently, there is a lack of comprehensive benchmarks, standardized pipelines, and easily adaptable libraries to evaluate and understand the fairness performance of FMs in medical imaging, leading to considerable challenges in formulating and implementing solutions that ensure equitable outcomes across diverse patient populations. To fill this gap, we introduce FairMedFM, a fairness benchmark for FM research in medical imaging.FairMedFM integrates with 17 popular medical imaging datasets, encompassing different modalities, dimensionalities, and sensitive attributes. It explores 20 widely used FMs, with various usages such as zero-shot learning, linear probing, parameter-efficient fine-tuning, and prompting in various downstream tasks -- classification and segmentation. Our exhaustive analysis evaluates the fairness performance over different evaluation metrics from multiple perspectives, revealing the existence of bias, varied utility-fairness trade-offs on different FMs, consistent disparities on the same datasets regardless FMs, and limited effectiveness of existing unfairness mitigation methods. Checkout FairMedFM's project page and open-sourced codebase, which supports extendible functionalities and applications as well as inclusive for studies on FMs in medical imaging over the long term.