Adapting Vision Foundation Models for Real-time Ultrasound Image Segmentation

We propose a novel approach that adapts hierarchical vision foundation models for real-time ultrasound image segmentation. Existing ultrasound segmentation methods often struggle with adaptability to new tasks, relying on costly manual annotations, while real-time approaches generally fail to match state-of-the-art performance. To overcome these limitations, we introduce an adaptive framework that leverages the vision foundation model Hiera to extract multi-scale features, interleaved with DINOv2 representations to enhance visual expressiveness. These enriched features are then decoded to produce precise and robust segmentation. We conduct extensive evaluations on six public datasets and one in-house dataset, covering both cardiac and thyroid ultrasound segmentation. Experiments show that our approach outperforms state-of-the-art methods across multiple datasets and excels with limited supervision, surpassing nnUNet by over 20\% on average in the 1\% and 10\% data settings. Our method achieves $\sim$77 FPS inference speed with TensorRT on a single GPU, enabling real-time clinical applications.

PolypSegTrack: Unified Foundation Model for Colonoscopy Video Analysis

Early detection, accurate segmentation, classification and tracking of polyps during colonoscopy are critical for preventing colorectal cancer. Many existing deep-learning-based methods for analyzing colonoscopic videos either require task-specific fine-tuning, lack tracking capabilities, or rely on domain-specific pre-training. In this paper, we introduce \textit{PolypSegTrack}, a novel foundation model that jointly addresses polyp detection, segmentation, classification and unsupervised tracking in colonoscopic videos. Our approach leverages a novel conditional mask loss, enabling flexible training across datasets with either pixel-level segmentation masks or bounding box annotations, allowing us to bypass task-specific fine-tuning. Our unsupervised tracking module reliably associates polyp instances across frames using object queries, without relying on any heuristics. We leverage a robust vision foundation model backbone that is pre-trained unsupervisedly on natural images, thereby removing the need for domain-specific pre-training. Extensive experiments on multiple polyp benchmarks demonstrate that our method significantly outperforms existing state-of-the-art approaches in detection, segmentation, classification, and tracking.

DiffDenoise: Self-Supervised Medical Image Denoising with Conditional Diffusion Models

Many self-supervised denoising approaches have been proposed in recent years. However, these methods tend to overly smooth images, resulting in the loss of fine structures that are essential for medical applications. In this paper, we propose DiffDenoise, a powerful self-supervised denoising approach tailored for medical images, designed to preserve high-frequency details. Our approach comprises three stages. First, we train a diffusion model on noisy images, using the outputs of a pretrained Blind-Spot Network as conditioning inputs. Next, we introduce a novel stabilized reverse sampling technique, which generates clean images by averaging diffusion sampling outputs initialized with a pair of symmetric noises. Finally, we train a supervised denoising network using noisy images paired with the denoised outputs generated by the diffusion model. Our results demonstrate that DiffDenoise outperforms existing state-of-the-art methods in both synthetic and real-world medical image denoising tasks. We provide both a theoretical foundation and practical insights, demonstrating the method's effectiveness across various medical imaging modalities and anatomical structures.

Leveraging Diffusion Model and Image Foundation Model for Improved Correspondence Matching in Coronary Angiography

Accurate correspondence matching in coronary angiography images is crucial for reconstructing 3D coronary artery structures, which is essential for precise diagnosis and treatment planning of coronary artery disease (CAD). Traditional matching methods for natural images often fail to generalize to X-ray images due to inherent differences such as lack of texture, lower contrast, and overlapping structures, compounded by insufficient training data. To address these challenges, we propose a novel pipeline that generates realistic paired coronary angiography images using a diffusion model conditioned on 2D projections of 3D reconstructed meshes from Coronary Computed Tomography Angiography (CCTA), providing high-quality synthetic data for training. Additionally, we employ large-scale image foundation models to guide feature aggregation, enhancing correspondence matching accuracy by focusing on semantically relevant regions and keypoints. Our approach demonstrates superior matching performance on synthetic datasets and effectively generalizes to real-world datasets, offering a practical solution for this task. Furthermore, our work investigates the efficacy of different foundation models in correspondence matching, providing novel insights into leveraging advanced image foundation models for medical imaging applications.

CHROME: Clothed Human Reconstruction with Occlusion-Resilience and Multiview-Consistency from a Single Image

Reconstructing clothed humans from a single image is a fundamental task in computer vision with wide-ranging applications. Although existing monocular clothed human reconstruction solutions have shown promising results, they often rely on the assumption that the human subject is in an occlusion-free environment. Thus, when encountering in-the-wild occluded images, these algorithms produce multiview inconsistent and fragmented reconstructions. Additionally, most algorithms for monocular 3D human reconstruction leverage geometric priors such as SMPL annotations for training and inference, which are extremely challenging to acquire in real-world applications. To address these limitations, we propose CHROME: Clothed Human Reconstruction with Occlusion-Resilience and Multiview-ConsistEncy from a Single Image, a novel pipeline designed to reconstruct occlusion-resilient 3D humans with multiview consistency from a single occluded image, without requiring either ground-truth geometric prior annotations or 3D supervision. Specifically, CHROME leverages a multiview diffusion model to first synthesize occlusion-free human images from the occluded input, compatible with off-the-shelf pose control to explicitly enforce cross-view consistency during synthesis. A 3D reconstruction model is then trained to predict a set of 3D Gaussians conditioned on both the occluded input and synthesized views, aligning cross-view details to produce a cohesive and accurate 3D representation. CHROME achieves significant improvements in terms of both novel view synthesis (upto 3 db PSNR) and geometric reconstruction under challenging conditions.

7DGS: Unified Spatial-Temporal-Angular Gaussian Splatting

Real-time rendering of dynamic scenes with view-dependent effects remains a fundamental challenge in computer graphics. While recent advances in Gaussian Splatting have shown promising results separately handling dynamic scenes (4DGS) and view-dependent effects (6DGS), no existing method unifies these capabilities while maintaining real-time performance. We present 7D Gaussian Splatting (7DGS), a unified framework representing scene elements as seven-dimensional Gaussians spanning position (3D), time (1D), and viewing direction (3D). Our key contribution is an efficient conditional slicing mechanism that transforms 7D Gaussians into view- and time-conditioned 3D Gaussians, maintaining compatibility with existing 3D Gaussian Splatting pipelines while enabling joint optimization. Experiments demonstrate that 7DGS outperforms prior methods by up to 7.36 dB in PSNR while achieving real-time rendering (401 FPS) on challenging dynamic scenes with complex view-dependent effects. The project page is: https://gaozhongpai.github.io/7dgs/.

Anatomy-Aware Conditional Image-Text Retrieval

Image-Text Retrieval (ITR) finds broad applications in healthcare, aiding clinicians and radiologists by automatically retrieving relevant patient cases in the database given the query image and/or report, for more efficient clinical diagnosis and treatment, especially for rare diseases. However conventional ITR systems typically only rely on global image or text representations for measuring patient image/report similarities, which overlook local distinctiveness across patient cases. This often results in suboptimal retrieval performance. In this paper, we propose an Anatomical Location-Conditioned Image-Text Retrieval (ALC-ITR) framework, which, given a query image and the associated suspicious anatomical region(s), aims to retrieve similar patient cases exhibiting the same disease or symptoms in the same anatomical region. To perform location-conditioned multimodal retrieval, we learn a medical Relevance-Region-Aligned Vision Language (RRA-VL) model with semantic global-level and region-/word-level alignment to produce generalizable, well-aligned multi-modal representations. Additionally, we perform location-conditioned contrastive learning to further utilize cross-pair region-level contrastiveness for improved multi-modal retrieval. We show that our proposed RRA-VL achieves state-of-the-art localization performance in phase-grounding tasks, and satisfying multi-modal retrieval performance with or without location conditioning. Finally, we thoroughly investigate the generalizability and explainability of our proposed ALC-ITR system in providing explanations and preliminary diagnosis reports given retrieved patient cases (conditioned on anatomical regions), with proper off-the-shelf LLM prompts.

Label-Efficient Data Augmentation with Video Diffusion Models for Guidewire Segmentation in Cardiac Fluoroscopy

The accurate segmentation of guidewires in interventional cardiac fluoroscopy videos is crucial for computer-aided navigation tasks. Although deep learning methods have demonstrated high accuracy and robustness in wire segmentation, they require substantial annotated datasets for generalizability, underscoring the need for extensive labeled data to enhance model performance. To address this challenge, we propose the Segmentation-guided Frame-consistency Video Diffusion Model (SF-VD) to generate large collections of labeled fluoroscopy videos, augmenting the training data for wire segmentation networks. SF-VD leverages videos with limited annotations by independently modeling scene distribution and motion distribution. It first samples the scene distribution by generating 2D fluoroscopy images with wires positioned according to a specified input mask, and then samples the motion distribution by progressively generating subsequent frames, ensuring frame-to-frame coherence through a frame-consistency strategy. A segmentation-guided mechanism further refines the process by adjusting wire contrast, ensuring a diverse range of visibility in the synthesized image. Evaluation on a fluoroscopy dataset confirms the superior quality of the generated videos and shows significant improvements in guidewire segmentation.

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.

Seq2Time: Sequential Knowledge Transfer for Video LLM Temporal Grounding

Temporal awareness is essential for video large language models (LLMs) to understand and reason about events within long videos, enabling applications like dense video captioning and temporal video grounding in a unified system. However, the scarcity of long videos with detailed captions and precise temporal annotations limits their temporal awareness. In this paper, we propose Seq2Time, a data-oriented training paradigm that leverages sequences of images and short video clips to enhance temporal awareness in long videos. By converting sequence positions into temporal annotations, we transform large-scale image and clip captioning datasets into sequences that mimic the temporal structure of long videos, enabling self-supervised training with abundant time-sensitive data. To enable sequence-to-time knowledge transfer, we introduce a novel time representation that unifies positional information across image sequences, clip sequences, and long videos. Experiments demonstrate the effectiveness of our method, achieving a 27.6% improvement in F1 score and 44.8% in CIDEr on the YouCook2 benchmark and a 14.7% increase in recall on the Charades-STA benchmark compared to the baseline.