Long-tailed Medical Diagnosis with Relation-aware Representation Learning and Iterative Classifier Calibration

Recently computer-aided diagnosis has demonstrated promising performance, effectively alleviating the workload of clinicians. However, the inherent sample imbalance among different diseases leads algorithms biased to the majority categories, leading to poor performance for rare categories. Existing works formulated this challenge as a long-tailed problem and attempted to tackle it by decoupling the feature representation and classification. Yet, due to the imbalanced distribution and limited samples from tail classes, these works are prone to biased representation learning and insufficient classifier calibration. To tackle these problems, we propose a new Long-tailed Medical Diagnosis (LMD) framework for balanced medical image classification on long-tailed datasets. In the initial stage, we develop a Relation-aware Representation Learning (RRL) scheme to boost the representation ability by encouraging the encoder to capture intrinsic semantic features through different data augmentations. In the subsequent stage, we propose an Iterative Classifier Calibration (ICC) scheme to calibrate the classifier iteratively. This is achieved by generating a large number of balanced virtual features and fine-tuning the encoder using an Expectation-Maximization manner. The proposed ICC compensates for minority categories to facilitate unbiased classifier optimization while maintaining the diagnostic knowledge in majority classes. Comprehensive experiments on three public long-tailed medical datasets demonstrate that our LMD framework significantly surpasses state-of-the-art approaches. The source code can be accessed at https://github.com/peterlipan/LMD.

UNIP: Rethinking Pre-trained Attention Patterns for Infrared Semantic Segmentation

Pre-training techniques significantly enhance the performance of semantic segmentation tasks with limited training data. However, the efficacy under a large domain gap between pre-training (e.g. RGB) and fine-tuning (e.g. infrared) remains underexplored. In this study, we first benchmark the infrared semantic segmentation performance of various pre-training methods and reveal several phenomena distinct from the RGB domain. Next, our layerwise analysis of pre-trained attention maps uncovers that: (1) There are three typical attention patterns (local, hybrid, and global); (2) Pre-training tasks notably influence the pattern distribution across layers; (3) The hybrid pattern is crucial for semantic segmentation as it attends to both nearby and foreground elements; (4) The texture bias impedes model generalization in infrared tasks. Building on these insights, we propose UNIP, a UNified Infrared Pre-training framework, to enhance the pre-trained model performance. This framework uses the hybrid-attention distillation NMI-HAD as the pre-training target, a large-scale mixed dataset InfMix for pre-training, and a last-layer feature pyramid network LL-FPN for fine-tuning. Experimental results show that UNIP outperforms various pre-training methods by up to 13.5\% in average mIoU on three infrared segmentation tasks, evaluated using fine-tuning and linear probing metrics. UNIP-S achieves performance on par with MAE-L while requiring only 1/10 of the computational cost. Furthermore, UNIP significantly surpasses state-of-the-art (SOTA) infrared or RGB segmentation methods and demonstrates broad potential for application in other modalities, such as RGB and depth. Our code is available at https://github.com/casiatao/UNIP.

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.

Semantic Consistency Regularization with Large Language Models for Semi-supervised Sentiment Analysis

Accurate sentiment analysis of texts is crucial for a variety of applications, such as understanding customer feedback, monitoring market trends, and detecting public sentiment. However, manually annotating large sentiment corpora for supervised learning is labor-intensive and time-consuming. Therefore, it is essential and effective to develop a semi-supervised method for the sentiment analysis task. Although some methods have been proposed for semi-supervised text classification, they rely on the intrinsic information within the unlabeled data and the learning capability of the NLP model, which lack generalization ability to the sentiment analysis scenario and may prone to overfit. Inspired by the ability of pretrained Large Language Models (LLMs) in following instructions and generating coherent text, we propose a Semantic Consistency Regularization with Large Language Models (SCR) framework for semi-supervised sentiment analysis. We introduce two prompting strategies to semantically enhance unlabeled text using LLMs. The first is Entity-based Enhancement (SCR-EE), which involves extracting entities and numerical information, and querying the LLM to reconstruct the textual information. The second is Concept-based Enhancement (SCR-CE), which directly queries the LLM with the original sentence for semantic reconstruction. Subsequently, the LLM-augmented data is utilized for a consistency loss with confidence thresholding, which preserves high-quality agreement samples to provide additional supervision signals during training. Furthermore, to fully utilize the uncertain unlabeled data samples, we propose a class re-assembling strategy inspired by the class space shrinking theorem. Experiments show our method achieves remarkable performance over prior semi-supervised methods.

Polyp-Gen: Realistic and Diverse Polyp Image Generation for Endoscopic Dataset Expansion

Automated diagnostic systems (ADS) have shown significant potential in the early detection of polyps during endoscopic examinations, thereby reducing the incidence of colorectal cancer. However, due to high annotation costs and strict privacy concerns, acquiring high-quality endoscopic images poses a considerable challenge in the development of ADS. Despite recent advancements in generating synthetic images for dataset expansion, existing endoscopic image generation algorithms failed to accurately generate the details of polyp boundary regions and typically required medical priors to specify plausible locations and shapes of polyps, which limited the realism and diversity of the generated images. To address these limitations, we present Polyp-Gen, the first full-automatic diffusion-based endoscopic image generation framework. Specifically, we devise a spatial-aware diffusion training scheme with a lesion-guided loss to enhance the structural context of polyp boundary regions. Moreover, to capture medical priors for the localization of potential polyp areas, we introduce a hierarchical retrieval-based sampling strategy to match similar fine-grained spatial features. In this way, our Polyp-Gen can generate realistic and diverse endoscopic images for building reliable ADS. Extensive experiments demonstrate the state-of-the-art generation quality, and the synthetic images can improve the downstream polyp detection task. Additionally, our Polyp-Gen has shown remarkable zero-shot generalizability on other datasets. The source code is available at https://github.com/CUHK-AIM-Group/Polyp-Gen.

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.

Digital Twin-based SIM Communication and Flight Control for Advanced Air Mobility

Electric Vertical Take-off and Landing vehicles (eVTOLs) are driving Advanced Air Mobility (AAM) toward transforming urban transportation by extending travel from congested ground networks to low-altitude airspace. This transition promises to reduce traffic congestion and significantly shorten commute times. To ensure aviation safety, eVTOLs must fly within prescribed flight corridors. These corridors are managed by ground-based Air Traffic Control (ATCo) stations, which oversee air-ground communication and flight scheduling. However, one critical challenge remains: the lack of high rate air-ground communication and safe flight planning within these corridors. The introduction of 6G-oriented Stacked Intelligent Metasurface (SIM) technology presents a high rate communication solution. With advanced phase-shifting capabilities, SIM enables precise wireless signal control and supports beam-tracking communication with eVTOLs. Leveraging this technology, we propose a Composite Potential Field (CPF) approach. This method dynamically integrates target, separation, and communication fields to optimize both SIM communication efficiency and flight safety. Simulation results validate the effectiveness of this DT-based approach. Compared to the potential field flight control benchmark, it improves the transmission rate by 8.3\%. Additionally, it reduces flight distance deviation from the prescribed corridor by 10\% compared to predetermined optimization methods.

Universal Domain Adaptive Object Detection via Dual Probabilistic Alignment

Domain Adaptive Object Detection (DAOD) transfers knowledge from a labeled source domain to an unannotated target domain under closed-set assumption. Universal DAOD (UniDAOD) extends DAOD to handle open-set, partial-set, and closed-set domain adaptation. In this paper, we first unveil two issues: domain-private category alignment is crucial for global-level features, and the domain probability heterogeneity of features across different levels. To address these issues, we propose a novel Dual Probabilistic Alignment (DPA) framework to model domain probability as Gaussian distribution, enabling the heterogeneity domain distribution sampling and measurement. The DPA consists of three tailored modules: the Global-level Domain Private Alignment (GDPA), the Instance-level Domain Shared Alignment (IDSA), and the Private Class Constraint (PCC). GDPA utilizes the global-level sampling to mine domain-private category samples and calculate alignment weight through a cumulative distribution function to address the global-level private category alignment. IDSA utilizes instance-level sampling to mine domain-shared category samples and calculates alignment weight through Gaussian distribution to conduct the domain-shared category domain alignment to address the feature heterogeneity. The PCC aggregates domain-private category centroids between feature and probability spaces to mitigate negative transfer. Extensive experiments demonstrate that our DPA outperforms state-of-the-art UniDAOD and DAOD methods across various datasets and scenarios, including open, partial, and closed sets. Codes are available at \url{https://github.com/zyfone/DPA}.

SurgBox: Agent-Driven Operating Room Sandbox with Surgery Copilot

Surgical interventions, particularly in neurology, represent complex and high-stakes scenarios that impose substantial cognitive burdens on surgical teams. Although deliberate education and practice can enhance cognitive capabilities, surgical training opportunities remain limited due to patient safety concerns. To address these cognitive challenges in surgical training and operation, we propose SurgBox, an agent-driven sandbox framework to systematically enhance the cognitive capabilities of surgeons in immersive surgical simulations. Specifically, our SurgBox leverages large language models (LLMs) with tailored Retrieval-Augmented Generation (RAG) to authentically replicate various surgical roles, enabling realistic training environments for deliberate practice. In particular, we devise Surgery Copilot, an AI-driven assistant to actively coordinate the surgical information stream and support clinical decision-making, thereby diminishing the cognitive workload of surgical teams during surgery. By incorporating a novel Long-Short Memory mechanism, our Surgery Copilot can effectively balance immediate procedural assistance with comprehensive surgical knowledge. Extensive experiments using real neurosurgical procedure records validate our SurgBox framework in both enhancing surgical cognitive capabilities and supporting clinical decision-making. By providing an integrated solution for training and operational support to address cognitive challenges, our SurgBox framework advances surgical education and practice, potentially transforming surgical outcomes and healthcare quality. The code is available at https://github.com/franciszchen/SurgBox.

High-Efficient Near-Field Channel Characteristics Analysis for Large-Scale MIMO Communication Systems

Large-scale multiple-input multiple-output (MIMO) holds great promise for the fifth-generation (5G) and future communication systems. In near-field scenarios, the spherical wavefront model is commonly utilized to accurately depict the propagation characteristics of large-scale MIMO communication channels. However, employing this modeling method necessitates the computation of angle and distance parameters for each antenna element, resulting in challenges regarding computational complexity. To solve this problem, we introduce a subarray decomposition scheme with the purpose of dividing the whole large-scale antenna array into several smaller subarrays. This scheme is implemented in the near-field channel modeling for large-scale MIMO communications between the base stations (BS) and the mobile receiver (MR). Essential channel propagation statistics, such as spatial cross-correlation functions (CCFs), temporal auto-correlation functions (ACFs), frequency correlation functions (CFs), and channel capacities, are derived and discussed. A comprehensive analysis is conducted to investigate the influence of the height of the BS, motion characteristics of the MR, and antenna configurations on the channel statistics. The proposed channel model criterions, such as the modeling precision and computational complexity, are also theoretically compared. Numerical results demonstrate the effectiveness of the presented communication model in obtaining a good tradeoff between modeling precision and computational complexity.