Can DeepSeek Reason Like a Surgeon? An Empirical Evaluation for Vision-Language Understanding in Robotic-Assisted Surgery

DeepSeek series have demonstrated outstanding performance in general scene understanding, question-answering (QA), and text generation tasks, owing to its efficient training paradigm and strong reasoning capabilities. In this study, we investigate the dialogue capabilities of the DeepSeek model in robotic surgery scenarios, focusing on tasks such as Single Phrase QA, Visual QA, and Detailed Description. The Single Phrase QA tasks further include sub-tasks such as surgical instrument recognition, action understanding, and spatial position analysis. We conduct extensive evaluations using publicly available datasets, including EndoVis18 and CholecT50, along with their corresponding dialogue data. Our comprehensive evaluation results indicate that, when provided with specific prompts, DeepSeek-V3 performs well in surgical instrument and tissue recognition tasks However, DeepSeek-V3 exhibits significant limitations in spatial position analysis and struggles to understand surgical actions accurately. Additionally, our findings reveal that, under general prompts, DeepSeek-V3 lacks the ability to effectively analyze global surgical concepts and fails to provide detailed insights into surgical scenarios. Based on our observations, we argue that the DeepSeek-V3 is not ready for vision-language tasks in surgical contexts without fine-tuning on surgery-specific datasets.

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.