arXiv subjects

Hongen Liao

Publications and source records attributed to Hongen Liao.

At least 19 recordsLinked to original sources

arXiv2026

Self-Supervised Mask-Aware Transformers for Fault-Tolerant FBG Force Sensing in Minimally Invasive Surgical Robotics

In minimally invasive surgical robotics, catheter-scale Fiber Bragg Grating (FBG) sensors are promising due to their ability to estimate multi-dimensional forces by multiplexing several optical channels. However, deploying these compact multi-channel sensors introduces two critical engineering challenges: inherent nonlinear cross-axis coupling during complex deformations, and intermittent channel dropouts caused by fiber fractures in constrained workspaces. These compounding issues severely degrade force estimation. Existing fault-tolerant approaches rely on combinatorial model banks, which scale exponentially with the channel count and demand prohibitively expensive per-pattern calibration. In this paper, we propose a unified, self-supervised mask-aware Transformer that explicitly models channel availability to enable graceful degradation under diverse and dynamic sensor failures. The encoder is pretrained via masked-channel reconstruction on unlabeled data streams and fine-tuned for force regression using a balanced clean-and-corrupted-view objective alongside a dynamic corruption curriculum. Furthermore, a parallel uncertainty head, trained via heteroscedastic Gaussian negative log-likelihood, predicts per-axis confidence in a single forward pass, circumventing the overhead of multi-pass ensembles. Evaluated on a catheter-scale 8-channel FBG dataset, our single unified model achieves a nominal Root Mean Square Error (RMSE) of 0.0066~N and degrades gracefully to 0.0126~N under severe 4-channel failures. This significantly outperforms a comprehensive model bank of 255 per-pattern neural networks (0.0154~N at 4-channel loss) while eliminating pattern-specific calibration.

cs.RO↗

arXiv2026

Astra: a generalizable report generation foundation model for 3D computed tomography

Interpreting computed tomography (CT) requires review of hundreds of volumetric slices and remains time-intensive and expertise-dependent. Automated CT report generation offers a promising route to improving clinical efficiency, yet the field still lacks a generalizable CT report generation foundation model that supports multi-region reporting and remains robust across external real-world cohorts. Intrinsic inconsistencies in reporting style and diagnostic terminology across cohorts make naive joint training difficult. Here we present Astra, a generalizable CT report generation foundation model developed on 90,678 thoracoabdominal CT-report pairs collected from five sites worldwide (CTRgDB), comprising 353,671 abnormalities spanning eight organ systems. By harmonizing report style and further refining diagnostic consistency via reinforcement learning, Astra achieves style-consistent and diagnostically accurate report generation across diverse anatomical regions and institutions. Evaluated on CTRgDB and six external cohorts, Astra achieves state-of-the-art performance with a 38.4% average improvement in fine-grained diagnostic metrics (P<0.001). Deployed at external clinical sites without any site-specific fine-tuning, Astra accelerated chest report drafting by 29.6% and improved abdominal report completeness by 11.3% among junior and mid-level radiologists (P<0.001). Furthermore, Astra demonstrates broad utility as a foundation for CT AI development, improving downstream diagnostic performance and scaling vision-language pretrain through high-quality report synthesis. Overall, Astra serves as a broadly accessible clinical assistant and a pivotal infrastructure for the next generation of AI-powered healthcare. The code for Astra is publicly available at https://github.com/zh-Wang-Med/Astra.

cs.CV↗

arXiv2026

A physics-informed foundation model for quantitative diffusion MRI

Understanding the human brain requires access to its microscopic tissue architecture. Diffusion magnetic resonance imaging (MRI) provides the only noninvasive window into whole-brain microstructure in vivo, yet reliable quantitative mapping remains confined to specialized research settings requiring dense sampling and optimized acquisition protocols. To address this gap, we present a physics-informed generative microstructure network (PIGMENT) that learns a universal generative prior of human brain microstructure and adapts it zero-shot to each participant's measured data to recover subject-specific maps. Trained on 11375 scans spanning multiple sites, vendors, and field strengths, PIGMENT enabled reliable quantitative mapping for tensor, kurtosis, and NODDI models across external datasets from five independent centers. It remains effective where conventional fitting becomes unreliable, recovering meaningful maps from extremely sparse acquisitions while supporting downstream tractography and structural connectivity mapping. PIGMENT estimates demonstrated strong biological validity, preserving submillimeter cortical microarchitectural patterns and early-childhood white matter developmental trajectories from 10-fold accelerated scans. Furthermore, PIGMENT enables reliable quantitative tensor mapping on cost-efficient low-field systems and the extraction of tumor-related biomarkers using ultra-fast clinical protocols. Together, these results establish PIGMENT as a physics-informed foundation model that extends quantitative diffusion MRI into regimes traditionally too sparse, heterogeneous, or clinically constrained for reliable analysis.

eess.IV↗

arXiv2026

ArthroCut: Autonomous Policy Learning for Robotic Bone Resection in Knee Arthroplasty

Despite rapid commercialization of surgical robots, their autonomy and real-time decision-making remain limited in practice. To address this gap, we propose ArthroCut, an autonomous policy learning framework that upgrades knee arthroplasty robots from assistive execution to context-aware action generation. ArthroCut fine-tunes a Qwen--VL backbone on a self-built, time-synchronized multimodal dataset from 21 complete cases (23,205 RGB--D pairs), integrating preoperative CT/MR, intraoperative NDI tracking of bones and end effector, RGB--D surgical video, robot state, and textual intent. The method operates on two complementary token families -- Preoperative Imaging Tokens (PIT) to encode patient-specific anatomy and planned resection planes, and Time-Aligned Surgical Tokens (TAST) to fuse real-time visual, geometric, and kinematic evidence -- and emits an interpretable action grammar under grammar/safety-constrained decoding. In bench-top experiments on a knee prosthesis across seven trials, ArthroCut achieves an average success rate of 86% over the six standard resections, significantly outperforming strong baselines trained under the same protocol. Ablations show that TAST is the principal driver of reliability while PIT provides essential anatomical grounding, and their combination yields the most stable multi-plane execution. These results indicate that aligning preoperative geometry with time-aligned intraoperative perception and translating that alignment into tokenized, constrained actions is an effective path toward robust, interpretable autonomy in orthopedic robotic surgery.

cs.RO↗

arXiv2025

Native Intelligence Emerges from Large-Scale Clinical Practice: A Retinal Foundation Model with Deployment Efficiency

Current retinal foundation models remain constrained by curated research datasets that lack authentic clinical context, and require extensive task-specific optimization for each application, limiting their deployment efficiency in low-resource settings. Here, we show that these barriers can be overcome by building clinical native intelligence directly from real-world medical practice. Our key insight is that large-scale telemedicine programs, where expert centers provide remote consultations across distributed facilities, represent a natural reservoir for learning clinical image interpretation. We present ReVision, a retinal foundation model that learns from the natural alignment between 485,980 color fundus photographs and their corresponding diagnostic reports, accumulated through a decade-long telemedicine program spanning 162 medical institutions across China. Through extensive evaluation across 27 ophthalmic benchmarks, we demonstrate that ReVison enables deployment efficiency with minimal local resources. Without any task-specific training, ReVision achieves zero-shot disease detection with an average AUROC of 0.946 across 12 public benchmarks and 0.952 on 3 independent clinical cohorts. When minimal adaptation is feasible, ReVision matches extensively fine-tuned alternatives while requiring orders of magnitude fewer trainable parameters and labeled examples. The learned representations also transfer effectively to new clinical sites, imaging domains, imaging modalities, and systemic health prediction tasks. In a prospective reader study with 33 ophthalmologists, ReVision's zero-shot assistance improved diagnostic accuracy by 14.8% across all experience levels. These results demonstrate that clinical native intelligence can be directly extracted from clinical archives without any further annotation to build medical AI systems suited to various low-resource settings.

cs.CV↗

arXiv2025

Breaking the Latency Barrier: Synergistic Perception and Control for High-Frequency 3D Ultrasound Servoing

Real-time tracking of dynamic targets amidst large-scale, high-frequency disturbances remains a critical unsolved challenge in Robotic Ultrasound Systems (RUSS), primarily due to the end-to-end latency of existing systems. This paper argues that breaking this latency barrier requires a fundamental shift towards the synergistic co-design of perception and control. We realize it in a novel framework with two tightly-coupled contributions: (1) a Decoupled Dual-Stream Perception Network that robustly estimates 3D translational state from 2D images at high frequency, and (2) a Single-Step Flow Policy that generates entire action sequences in one inference pass, bypassing the iterative bottleneck of conventional policies. This synergy enables a closed-loop control frequency exceeding 60Hz. On a dynamic phantom, our system not only tracks complex 3D trajectories with a mean error below 6.5mm but also demonstrates robust re-acquisition from over 170mm displacement. Furthermore, it can track targets at speeds of 102mm/s, achieving a terminal error below 1.7mm. Moreover, in-vivo experiments on a human volunteer validate the framework's effectiveness and robustness in a realistic clinical setting. Our work presents a RUSS holistically architected to unify high-bandwidth tracking with large-scale repositioning, a critical step towards robust autonomy in dynamic clinical environments.

cs.RO↗

arXiv2025

One Dinomaly2 Detect Them All: A Unified Framework for Full-Spectrum Unsupervised Anomaly Detection

Unsupervised anomaly detection (UAD) has evolved from building specialized single-class models to unified multi-class models, yet existing multi-class models significantly underperform the most advanced one-for-one counterparts. Moreover, the field has fragmented into specialized methods tailored to specific scenarios (multi-class, 3D, few-shot, etc.), creating deployment barriers and highlighting the need for a unified solution. In this paper, we present Dinomaly2, the first unified framework for full-spectrum image UAD, which bridges the performance gap in multi-class models while seamlessly extending across diverse data modalities and task settings. Guided by the "less is more" philosophy, we demonstrate that the orchestration of five simple element achieves superior performance in a standard reconstruction-based framework. This methodological minimalism enables natural extension across diverse tasks without modification, establishing that simplicity is the foundation of true universality. Extensive experiments on 12 UAD benchmarks demonstrate Dinomaly2's full-spectrum superiority across multiple modalities (2D, multi-view, RGB-3D, RGB-IR), task settings (single-class, multi-class, inference-unified multi-class, few-shot) and application domains (industrial, biological, outdoor). For example, our multi-class model achieves unprecedented 99.9% and 99.3% image-level (I-) AUROC on MVTec-AD and VisA respectively. For multi-view and multi-modal inspection, Dinomaly2 demonstrates state-of-the-art performance with minimum adaptations. Moreover, using only 8 normal examples per class, our method surpasses previous full-shot models, achieving 98.7% and 97.4% I-AUROC on MVTec-AD and VisA. The combination of minimalistic design, computational scalability, and universal applicability positions Dinomaly2 as a unified solution for the full spectrum of real-world anomaly detection applications.

cs.CV↗

arXiv2025

Beyond hospital reach: Autonomous lightweight ultrasound robot for liver sonography

Liver disease is a major global health burden. While ultrasound is the first-line diagnostic tool, liver sonography requires locating multiple non-continuous planes from positions where target structures are often not visible, for biometric assessment and lesion detection, requiring significant expertise. However, expert sonographers are severely scarce in resource-limited regions. Here, we develop an autonomous lightweight ultrasound robot comprising an AI agent that integrates multi-modal perception with memory attention for localization of unseen target structures, and a 588-gram 6-degrees-of-freedom cable-driven robot. By mounting on the abdomen, the system enhances robustness against motion. Our robot can autonomously acquire expert-level standard liver ultrasound planes and detect pathology in patients, including two from Xining, a 2261-meter-altitude city with limited medical resources. Our system performs effectively on rapid-motion individuals and in wilderness environments. This work represents the first demonstration of autonomous sonography across multiple challenging scenarios, potentially transforming access to expert-level diagnostics in underserved regions.

cs.RO↗

arXiv2025

COME: Dual Structure-Semantic Learning with Collaborative MoE for Universal Lesion Detection Across Heterogeneous Ultrasound Datasets

Conventional single-dataset training often fails with new data distributions, especially in ultrasound (US) image analysis due to limited data, acoustic shadows, and speckle noise. Therefore, constructing a universal framework for multi-heterogeneous US datasets is imperative. However, a key challenge arises: how to effectively mitigate inter-dataset interference while preserving dataset-specific discriminative features for robust downstream task? Previous approaches utilize either a single source-specific decoder or a domain adaptation strategy, but these methods experienced a decline in performance when applied to other domains. Considering this, we propose a Universal Collaborative Mixture of Heterogeneous Source-Specific Experts (COME). Specifically, COME establishes dual structure-semantic shared experts that create a universal representation space and then collaborate with source-specific experts to extract discriminative features through providing complementary features. This design enables robust generalization by leveraging cross-datasets experience distributions and providing universal US priors for small-batch or unseen data scenarios. Extensive experiments under three evaluation modes (single-dataset, intra-organ, and inter-organ integration datasets) demonstrate COME's superiority, achieving significant mean AP improvements over state-of-the-art methods. Our project is available at: https://universalcome.github.io/UniversalCOME/.

cs.CV↗

arXiv2025

SurGSplat: Progressive Geometry-Constrained Gaussian Splatting for Surgical Scene Reconstruction

Intraoperative navigation relies heavily on precise 3D reconstruction to ensure accuracy and safety during surgical procedures. However, endoscopic scenarios present unique challenges, including sparse features and inconsistent lighting, which render many existing Structure-from-Motion (SfM)-based methods inadequate and prone to reconstruction failure. To mitigate these constraints, we propose SurGSplat, a novel paradigm designed to progressively refine 3D Gaussian Splatting (3DGS) through the integration of geometric constraints. By enabling the detailed reconstruction of vascular structures and other critical features, SurGSplat provides surgeons with enhanced visual clarity, facilitating precise intraoperative decision-making. Experimental evaluations demonstrate that SurGSplat achieves superior performance in both novel view synthesis (NVS) and pose estimation accuracy, establishing it as a high-fidelity and efficient solution for surgical scene reconstruction. More information and results can be found on the page https://surgsplat.github.io/.

cs.GR↗

arXiv2025

Hysteresis-Aware Neural Network Modeling and Whole-Body Reinforcement Learning Control of Soft Robots

Soft robots exhibit inherent compliance and safety, which makes them particularly suitable for applications requiring direct physical interaction with humans, such as surgical procedures. However, their nonlinear and hysteretic behavior, resulting from the properties of soft materials, presents substantial challenges for accurate modeling and control. In this study, we present a soft robotic system designed for surgical applications and propose a hysteresis-aware whole-body neural network model that accurately captures and predicts the soft robot's whole-body motion, including its hysteretic behavior. Building upon the high-precision dynamic model, we construct a highly parallel simulation environment for soft robot control and apply an on-policy reinforcement learning algorithm to efficiently train whole-body motion control strategies. Based on the trained control policy, we developed a soft robotic system for surgical applications and validated it through phantom-based laser ablation experiments in a physical environment. The results demonstrate that the hysteresis-aware modeling reduces the Mean Squared Error (MSE) by 84.95 percent compared to traditional modeling methods. The deployed control algorithm achieved a trajectory tracking error ranging from 0.126 to 0.250 mm on the real soft robot, highlighting its precision in real-world conditions. The proposed method showed strong performance in phantom-based surgical experiments and demonstrates its potential for complex scenarios, including future real-world clinical applications.

cs.RO↗

arXiv2025

Dinomaly: The Less Is More Philosophy in Multi-Class Unsupervised Anomaly Detection

Recent studies highlighted a practical setting of unsupervised anomaly detection (UAD) that builds a unified model for multi-class images. Despite various advancements addressing this challenging task, the detection performance under the multi-class setting still lags far behind state-of-the-art class-separated models. Our research aims to bridge this substantial performance gap. In this paper, we introduce a minimalistic reconstruction-based anomaly detection framework, namely Dinomaly, which leverages pure Transformer architectures without relying on complex designs, additional modules, or specialized tricks. Given this powerful framework consisted of only Attentions and MLPs, we found four simple components that are essential to multi-class anomaly detection: (1) Foundation Transformers that extracts universal and discriminative features, (2) Noisy Bottleneck where pre-existing Dropouts do all the noise injection tricks, (3) Linear Attention that naturally cannot focus, and (4) Loose Reconstruction that does not force layer-to-layer and point-by-point reconstruction. Extensive experiments are conducted across popular anomaly detection benchmarks including MVTec-AD, VisA, and Real-IAD. Our proposed Dinomaly achieves impressive image-level AUROC of 99.6%, 98.7%, and 89.3% on the three datasets respectively, which is not only superior to state-of-the-art multi-class UAD methods, but also achieves the most advanced class-separated UAD records.

cs.CV↗

arXiv2024

LLM-RG4: Flexible and Factual Radiology Report Generation across Diverse Input Contexts

Drafting radiology reports is a complex task requiring flexibility, where radiologists tail content to available information and particular clinical demands. However, most current radiology report generation (RRG) models are constrained to a fixed task paradigm, such as predicting the full ``finding'' section from a single image, inherently involving a mismatch between inputs and outputs. The trained models lack the flexibility for diverse inputs and could generate harmful, input-agnostic hallucinations. To bridge the gap between current RRG models and the clinical demands in practice, we first develop a data generation pipeline to create a new MIMIC-RG4 dataset, which considers four common radiology report drafting scenarios and has perfectly corresponded input and output. Secondly, we propose a novel large language model (LLM) based RRG framework, namely LLM-RG4, which utilizes LLM's flexible instruction-following capabilities and extensive general knowledge. We further develop an adaptive token fusion module that offers flexibility to handle diverse scenarios with different input combinations, while minimizing the additional computational burden associated with increased input volumes. Besides, we propose a token-level loss weighting strategy to direct the model's attention towards positive and uncertain descriptions. Experimental results demonstrate that LLM-RG4 achieves state-of-the-art performance in both clinical efficiency and natural language generation on the MIMIC-RG4 and MIMIC-CXR datasets. We quantitatively demonstrate that our model has minimal input-agnostic hallucinations, whereas current open-source models commonly suffer from this problem.

cs.CL↗

arXiv2024

Anno-incomplete Multi-dataset Detection

Object detectors have shown outstanding performance on various public datasets. However, annotating a new dataset for a new task is usually unavoidable in real, since 1) a single existing dataset usually does not contain all object categories needed; 2) using multiple datasets usually suffers from annotation incompletion and heterogeneous features. We propose a novel problem as "Annotation-incomplete Multi-dataset Detection", and develop an end-to-end multi-task learning architecture which can accurately detect all the object categories with multiple partially annotated datasets. Specifically, we propose an attention feature extractor which helps to mine the relations among different datasets. Besides, a knowledge amalgamation training strategy is incorporated to accommodate heterogeneous features from different sources. Extensive experiments on different object detection datasets demonstrate the effectiveness of our methods and an improvement of 2.17%, 2.10% in mAP can be achieved on COCO and VOC respectively.

cs.CV↗

arXiv2022

Rib Suppression in Digital Chest Tomosynthesis

Digital chest tomosynthesis (DCT) is a technique to produce sectional 3D images of a human chest for pulmonary disease screening, with 2D X-ray projections taken within an extremely limited range of angles. However, under the limited angle scenario, DCT contains strong artifacts caused by the presence of ribs, jamming the imaging quality of the lung area. Recently, great progress has been achieved for rib suppression in a single X-ray image, to reveal a clearer lung texture. We firstly extend the rib suppression problem to the 3D case at the software level. We propose a $\textbf{T}$omosynthesis $\textbf{RI}$b Su$\textbf{P}$pression and $\textbf{L}$ung $\textbf{E}$nhancement $\textbf{Net}$work (TRIPLE-Net) to model the 3D rib component and provide a rib-free DCT. TRIPLE-Net takes the advantages from both 2D and 3D domains, which model the ribs in DCT with the exact FBP procedure and 3D depth information, respectively. The experiments on simulated datasets and clinical data have shown the effectiveness of TRIPLE-Net to preserve lung details as well as improve the imaging quality of pulmonary diseases. Finally, an expert user study confirms our findings.

eess.IV↗

arXiv2021

A semi-automatic ultrasound image analysis system for the grading diagnosis of COVID-19 pneumonia

This paper proposes a semi-automatic system based on quantitative characterization of the specific image patterns in lung ultrasound (LUS) images, in order to assess the lung conditions of patients with COVID-19 pneumonia, as well as to differentiate between the severe / and no-severe cases. Specifically, four parameters are extracted from each LUS image, namely the thickness (TPL) and roughness (RPL) of the pleural line, and the accumulated with (AWBL) and acoustic coefficient (ACBL) of B lines. 27 patients are enrolled in this study, which are grouped into 13 moderate patients, 7 severe patients and 7 critical patients. Furthermore, the severe and critical patients are regarded as the severe cases, and the moderate patients are regarded as the non-severe cases. Biomarkers among different groups are compared. Each single biomarker and a classifier with all the biomarkers as input are utilized for the binary diagnosis of severe case and non-severe case, respectively. The classifier achieves the best classification performance among all the compared methods (area under the receiver operating characteristics curve = 0.93, sensitivity = 0.93, specificity = 0.85). The proposed image analysis system could be potentially applied to the grading and prognosis evaluation of patients with COVID-19 pneumonia.

physics.med-ph↗

arXiv2021

A General Framework for Inverse Problem Solving using Self-Supervised Deep Learning: Validations in Ultrasound and Photoacoustic Image Reconstruction

The image reconstruction process in medical imaging can be treated as solving an inverse problem. The inverse problem is usually solved using time-consuming iterative algorithms with sparsity or other constraints. Recently, deep neural network (DNN)-based methods have been developed to accelerate the inverse-problem-solving process. However, these methods typically adopt supervised learning scheme, which requires ground truths, or labels of the solutions, for training. In many applications, it would be challenging or even impossible to obtain the ground truth, such as the tissue reflectivity function in ultrasound beamforming. In this study, a general framework based on self-supervised learning (SSL) scheme is proposed to train a DNN to solve the inverse problems. In this way, the measurements can be used as both the inputs and the labels during the training of DNN. The proposed SSL method is applied to four typical linear inverse problems for validation, i.e., plane wave ultrasound and photoacoustic image reconstructions, compressed sensing-based synthetic transmit aperture dataset recovery and deconvolution in ultrasound localization microscopy. Results show that, using the proposed framework, the trained DNN can achieve improved reconstruction accuracy with reduced computational time, compared with conventional methods.

physics.med-ph↗

arXiv2021

Cascaded Feature Warping Network for Unsupervised Medical Image Registration

Deformable image registration is widely utilized in medical image analysis, but most proposed methods fail in the situation of complex deformations. In this paper, we pre-sent a cascaded feature warping network to perform the coarse-to-fine registration. To achieve this, a shared-weights encoder network is adopted to generate the feature pyramids for the unaligned images. The feature warping registration module is then used to estimate the deformation field at each level. The coarse-to-fine manner is implemented by cascading the module from the bottom level to the top level. Furthermore, the multi-scale loss is also introduced to boost the registration performance. We employ two public benchmark datasets and conduct various experiments to evaluate our method. The results show that our method outperforms the state-of-the-art methods, which also demonstrates that the cascaded feature warping network can perform the coarse-to-fine registration effectively and efficiently.

cs.CV↗