Di Mao | Searcharxiv

arXiv2026

Virtual Intraoperative CT (viCT): Sequential Anatomic Updates for Modeling Tissue Resection Throughout Endoscopic Sinus Surgery

Purpose: Incomplete dissection is a common cause of persistent disease and revision endoscopic sinus surgery (ESS) in chronic rhinosinusitis. Current image-guided surgery systems typically reference static preoperative CT (pCT), and do not model evolving resection boundaries. We present Virtual Intraoperative CT (viCT), a method for sequentially updating pCT throughout ESS using intraoperative 3D reconstructions from monocular endoscopic video to enable visualization of evolving anatomy in CT format. Methods: Monocular endoscopic video is processed using a depth-supervised NeRF framework with virtual stereo synthesis to generate metrically scaled 3D reconstructions at multiple surgical intervals. Reconstructions undergo rigid, landmark-based registration in 3D Slicer guided by anatomical correspondences, and are then voxelized into the pCT grid. viCT volumes were generated using a ray-based occupancy comparison between pCT and reconstruction to delete outdated voxels and remap preserved anatomy and updated boundaries. Performance is evaluated in a cadaveric feasibility study of four specimens across four ESS stages using volumetric overlap (DSC, Jaccard) and surface metrics (HD95, Chamfer, MSD, RMSD), and qualitative comparisons to ground-truth CT. Results: viCT updates show agreement with ground-truth anatomy across surgical stages, with submillimeter mean surface errors. Dice Similarity Coefficient (DSC) = 0.88 +/- 0.05 and Jaccard Index = 0.79 +/- 0.07, and Hausdorff Distance 95% (HD95) = 0.69 +/- 0.28 mm, Chamfer Distance = 0.09 +/- 0.05 mm, Mean Surface Distance (MSD) = 0.11 +/- 0.05 mm, and Root Mean Square Distance (RMSD) = 0.32 +/- 0.10 mm. Conclusion: viCT enables CT-format anatomic updating in an ESS setting without ancillary hardware. Future work will focus on fully automating registration, validation in live cases, and optimizing runtime for real-time deployment.

cs.CV↗

arXiv2025

Reconfigurable Intelligent Surface-Enabled Green and Secure Offloading for Mobile Edge Computing Networks

This paper investigates a multi-user uplink mobile edge computing (MEC) network, where the users offload partial tasks securely to an access point under the non-orthogonal multiple access policy with the aid of a reconfigurable intelligent surface (RIS) against a multi-antenna eavesdropper. We formulate a non-convex optimization problem of minimizing the total energy consumption subject to secure offloading requirement, and we build an efficient block coordinate descent framework to iteratively optimize the number of local computation bits and transmit power at the users, the RIS phase shifts, and the multi-user detection matrix at the access point. Specifically, we successively adopt successive convex approximation, semi-definite programming, and semidefinite relaxation to solve the problem with perfect eavesdropper's channel state information (CSI), and we then employ S-procedure and penalty convex-concave to achieve robust design for the imperfect CSI case. We provide extensive numerical results to validate the convergence and effectiveness of the proposed algorithms. We demonstrate that RIS plays a significant role in realizing a secure and energy-efficient MEC network, and deploying a well-designed RIS can save energy consumption by up to 60\% compared to that without RIS. We further reveal impacts of various key factors on the secrecy energy efficiency, including RIS element number and deployment position, user number, task scale and duration, and CSI imperfection.

cs.IT↗