arXiv subjects

Nassir Navab

Publications and source records attributed to Nassir Navab.

At least 37 records · Page 2Linked to original sources

arXiv2026

DisPOSE: Projected Polystochastic Diffusion for Self-Supervised Multi-View 3D Human Pose Estimation

Recovering 3D human poses for multiple individuals from different camera views is a fundamental bottleneck for analyzing interacting behaviors. Existing self-supervised approaches leverage synthetic catalogues of 3D poses; however, this leads to poor generalization in real-world scenarios due to distribution shifts. We therefore introduce DisPOSE, a self-supervised framework that approximates the inherently discrete multi-view person-assignment problem as a generative diffusion process over the space of polystochastic tensors. By employing differentiable Sinkhorn projections during denoising, our model learns to guide solutions toward valid and feasible assignments based on 2D image priors. The complete 3D skeletons of localized individuals are then regressed using a Hypergraph-Convolutional Decoder that explicitly models relational structures and articulated joints across multiple views. The proposed approach outperforms current state-of-the-art self-supervised methods on standard datasets and demonstrates strong performance on a newly proposed benchmark featuring highly occluded scenes from surgical operating rooms. Our diffusion-based localization demonstrates high label efficiency, retaining 99% of its performance with only 10% of the pseudo-labels. Notably, disentangling the assignment and root regression components while maintaining differentiability makes DisPOSE nearly agnostic to different camera arrangements. Project site and code: https://wngtn.github.io/DisPOSE/

cs.CV↗

arXiv2026

EHR2Path: Comprehensive Pathway-Level Modeling of Longitudinal Patient Trajectories from Multimodal Electronic Health Records

Forecasting how a patient's condition is likely to evolve, including possible deterioration, recovery, treatment needs, and care transitions, could support more proactive and personalized care, but requires modeling heterogeneous and longitudinal electronic health record (EHR) data. Yet, existing approaches typically focus on isolated prediction tasks, narrow feature spaces, or short context windows, limiting their ability to model full patient pathways. To address this gap, we introduce EHR2Path, a multimodal framework for forecasting and simulating full in-hospital patient pathways from routine EHRs. EHR2Path converts diverse clinical inputs into a unified temporal representation, enabling modeling of a substantially broader set of patient information, including radiology reports, physician notes, vital signs, medication and laboratory patterns, and dense bedside charting. To support long clinical histories and broad feature spaces, we introduce a Masked Summarization Bottleneck that compresses long-term history into compact, task-optimized summary tokens while preserving recent context, improving both performance and token efficiency. In retrospective experiments on MIMIC-IV, EHR2Path enables next-step pathway forecasting and iterative simulation of complete in-hospital trajectories, while outperforming strong baselines on directly comparable tasks. These results demonstrate the feasibility of pathway-level modeling from routine EHRs, and indicate potential for supporting anticipatory clinical decision-making. Our code is available at https://github.com/ChantalMP/EHR2Path.

cs.LG↗

arXiv2026

Current validation practice undermines surgical AI development

Surgical data science (SDS) is rapidly advancing, yet clinical adoption of artificial intelligence (AI) in surgery remains limited, with inadequate validation as an important contributing factor. Existing validation practices often neglect the temporal and hierarchical structure of intraoperative videos, yielding misleading or clinically irrelevant results. We introduce a comprehensive catalogue of validation pitfalls in AI-based surgical video analysis, derived from a multi-stage Delphi process with 92 international experts. Pitfalls span three categories: (1) data, (2) metric selection/configuration, and (3) aggregation and reporting. A systematic review of surgical AI papers reveals that these pitfalls are widespread. Experiments on surgical video datasets show that ignoring temporal and hierarchical data structures can understate uncertainty, obscure critical failure modes, and alter algorithm rankings. To address these shortcomings, we provide consensus-based best practices compiled. Together, this work provides an evidence-based framework for rigorous validation of surgical video analysis algorithms, guiding benchmarking, reporting, regulatory review, and clinical translation.

q-bio.OT↗

arXiv2026

Modular Robotic Catheters for Endovascular Aneurysm Repair

Fenestrated/Branched endovascular aneurysm repair (FEVAR/BEVAR) require surgeons to navigate catheters and guidewires into various branches of the abdominal aorta, before deploying stent grafts to alleviate pressure on the aneurysm. Previous clinical studies suggests that surgeons continue to struggle with vessel access using standard commercial instruments, prolonging the procedural time and inducing further complications. In this work, we present two contributions to solving this problem: 1) A bespoke 2-segment steerable catheter, consisting of 4 degrees of freedom to enhance dexterity. 2) An expandable, modular tendon-driven actuation platform that can accommodate for the redundancies introduced in our system. To fabricate the catheter, we capitalized on thermal fiber drawing, a technique that creates high-aspect ratio devices at scale, and processed the catheter with laser micro-machining to soften its tip. We evaluated the system using simulations, where we investigated the catheter's bending stiffness, then its steerability with in-vitro experiments in vascular phantoms. This handheld, robotic steerable catheter system has the potential to shorten the length of future endovascular surgeries, and give clinicians the tools to resolve challenging clinical cases.

cs.RO↗

arXiv2026

Energy-based Tissue Manifolds for Longitudinal Multiparametric MRI Analysis

We propose a geometric framework for longitudinal multi-parametric MRI analysis based on patient-specific energy modelling in sequence space. Rather than operating on images with spatial networks, each voxel is represented by its multi-sequence intensity vector ($T1$, $T1c$, $T2$, FLAIR, ADC), and a compact implicit neural representation is trained via denoising score matching to learn an energy function $E_θ(\mathbf{u})$ over $\mathbb{R}^d$ from a single baseline scan. The learned energy landscape provides a differential-geometric description of tissue regimes without segmentation labels. Local minima define tissue basins, gradient magnitude reflects proximity to regime boundaries, and Laplacian curvature characterises local constraint structure. Importantly, this baseline energy manifold is treated as a fixed geometric reference: it encodes the set of contrast combinations observed at diagnosis and is not retrained at follow-up. Longitudinal assessment is therefore formulated as evaluation of subsequent scans relative to this baseline geometry. Rather than comparing anatomical segmentations, we analyse how the distribution of MRI sequence vectors evolves under the baseline energy function. In a paediatric case with later recurrence, follow-up scans show progressive deviation in energy and directional displacement in sequence space toward the baseline tumour-associated regime before clear radiological reappearance. In a case with stable disease, voxel distributions remain confined to established low-energy basins without systematic drift. The presented cases serve as proof-of-concept that patient-specific energy manifolds can function as geometric reference systems for longitudinal mpMRI analysis without explicit segmentation or supervised classification, providing a foundation for further investigation of manifold-based tissue-at-risk tracking in neuro-oncology.

cs.CV↗

arXiv2026

Paired Uterine Whole-Slide Images and Pathology Reports for Multimodal Computational Pathology

Uterine diseases represent an important category of gynecologic pathology and require accurate histopathological assessment for diagnosis and treatment planning. Whole-slide images (WSI) have enabled the digital transformation of pathology workflows and provided new opportunities for artificial intelligence (AI) in computational pathology. In particular, multimodal models that jointly analyze histopathology images and pathology reports have shown promising potential for automated pathology report generation and AI-assisted diagnosis. However, the development of such systems remains limited by the scarcity of datasets that pair whole-slide images with clinically meaningful pathology reports. Instead, existing pathology datasets focus on patch- or slide-level annotations of a single endpoint (e.g., disease class), which do not fully capture the rich information in full clinical diagnostic workflow reports. Here, we introduce TUM-Uteria, a uterine pathology dataset comprising WSIs paired with diagnostic pathology reports at both the case and slide levels, collected from a tertiary medical center. The dataset contains 216 clinical cases, comprising 455 slide-level WSI-report pairs. The dataset underwent a structured multi-stage validation procedure involving board-certified pathologists to ensure reliable annotations. TUM-Uteria supports research in computational pathology, including whole-slide image analysis, multimodal learning, and automated pathology report generation.

cs.CV↗

arXiv2026

Perception-Aligned AI Outputs: End-to-End Visual Prediction for Uncertainty Communication in Clinical Decision-Making

Explainable Artificial Intelligence (XAI) is essential for trustworthy AI in healthcare, yet many existing methods rely on technical explanations that are difficult for clinicians and patients to interpret. We introduce Visualized Learning for Machine Learning (VL4ML), a human-centered explainability framework that communicates model predictions and uncertainty through intuitive visual representations rather than numerical or post-hoc explanations. By encoding diagnostic information in colors, patterns, and spatial structures, VL4ML enables users to interpret predictions without requiring knowledge of model internals or statistical expertise. We demonstrate the framework across multiple clinical tasks, including classification, regression, longitudinal prediction, and multimodal analysis. Its effectiveness was evaluated through a human-centered study involving 158 participants (39.2% clinical professionals) and an expert interpretability assessment. More than 79% of participants positively rated the visual explanations across evaluation dimensions, 84.0% found them more memorable than numeric outputs, and 76.9% reported faster decision-making. Over 82% successfully perceived uncertainty embedded in the visual representations without prior statistical training. No significant differences were observed between clinicians and non-clinicians or between male and female participants, indicating broad accessibility. These results suggest that VL4ML complements existing XAI and uncertainty quantification methods by providing intuitive, universally interpretable visual explanations that support transparent and trustworthy clinical decision-making.

cs.LG↗

arXiv2026

Policy-Driven CT-Agent: Modeling Phase-Aware Diagnostic Control for Clinically Consistent CT Reasoning

Computed Tomography (CT) diagnosis often relies on dynamic selection of imaging phases, such as non-contrast, arterial, or venous phases, based on preliminary findings, clinical suspicion, and diagnostic guidelines. This phase-wise decision process is critical for reducing unnecessary radiation exposure while supporting timely staging and treatment planning. However, phase-selection protocols can vary across hospitals, regions, and guidelines, while most existing CT-based AI methods assume that all phases are available and focus on static tasks under a fixed imaging phase, failing to model whether additional phases are required. This limitation stems from heterogeneous multi-phase representations, the need for knowledge-guided phase control beyond visual cues, and the lack of supervision for phase-sufficiency decisions in existing datasets. To address these challenges, we propose Policy-Driven CT-Agent (PD-CTAgent) for clinically consistent CT phase selection and diagnostic reasoning. PD-CTAgent introduces a Clinical Structure Abstraction Module (CSAM) to harmonize heterogeneous CT phases into a unified, phase-aware evidence representation. Based on this representation, a Knowledge-Guided Diagnostic Control Model (KDCM) evaluates phase sufficiency and iteratively requests additional phases when necessary. The policy-driven agent design further allows PD-CTAgent to flexibly follow different institutional, regional, or guideline-specific diagnostic protocols. Together, PD-CTAgent bridges static CT analysis and real-world clinical workflows. Experiments on two public datasets, LIDC and MCT-LTDiag, and one private dataset demonstrate its effectiveness and clinical consistency. Code will be made public upon acceptance.

cs.LG↗

arXiv2026

MAC-XA: Multi-view Anatomy-Correspondence Fusion for Coronary Stenosis Reporting from X-ray Angiography

Multi-view reasoning in coronary X-ray angiography is inherently a cross-projection geometric problem, yet automated report generation in this setting remains largely unexplored. The 3D vascular topology leads to projection-dependent branch overlap and foreshortening, rendering single-view modeling fundamentally incomplete and unstable for lesion localization and stenosis grading. Although multi-view fusion appears promising, learning anatomically consistent fusion from real angiograms is impeded by a critical limitation: cross-view alignment is unobservable and cannot be explicitly supervised. Consequently, conventional fusion relies on implicit correlations rather than verified anatomical correspondence. We address this by reformulating multi-view stenosis reporting as an alignment-constrained aggregation problem. A controllable synthetic angiography generation strategy is introduced to expose geometry-derived patch-level correspondence supervision unavailable in real data. An anatomy-correspondence module learns cross-view correspondence matrices that explicitly align auxiliary features within the main-view coordinate space prior to fusion, thereby constraining evidence aggregation to anatomically consistent regions. Experiments on synthetic data and zero-shot transfer to real angiograms show that this alignment-constrained design improves correspondence consistency and structured stenosis reporting compared to single-view modeling and conventional multi-view fusion methods. The code will be publicly available upon publication.

cs.CV↗

arXiv2026

Towards Cellular-Scale Interpretability in Pathology Foundation Models for Biomarker Assessment

Molecular biomarker testing in pathology is often costly and tissue-consuming, limiting scalable clinical deployment. Artificial intelligence applied to hematoxylin and eosin (HE)-stained histology could enable rapid biomarker screening, but clinical translation requires models that are both accurate and interpretable. Here we introduce Hireca, a biomarker-focused pathology foundation model pretrained on more than 80,000 whole-slide images spanning 38 organ types from three medical centers, together with CytoMap, an interpretability module that localizes cellular-scale evidence underlying predictions. Across 10 biomarker tasks encompassing morphological, molecular, genetic, and spatial-transcriptomic-proxy readouts, Hireca ranked first in five tasks and outperformed comparable models overall. In evaluation by eight pathologists from two countries, CytoMap was consistently preferred over alternative visualization approaches and revealed error patterns in difficult cases. These results position Hireca and CytoMap as a transparent framework for clinically reviewable biomarker assessment directly from routine HE histology.

cs.CV↗

arXiv2026

OSCAR: Occupancy-based Shape Completion via Acoustic Neural Implicit Representations

Accurate 3D reconstruction of vertebral anatomy from ultrasound is important for guiding minimally invasive spine interventions, but it remains challenging due to acoustic shadowing and view-dependent signal variations. We propose an occupancy-based shape completion method that reconstructs complete 3D anatomical geometry from partial ultrasound observations. Crucially for intra-operative applications, our approach extracts the anatomical surface directly from the image, avoiding the need for anatomical labels during inference. This label-free completion relies on a coupled latent space representing both the image appearance and the underlying anatomical shape. By leveraging a Neural Implicit Representation (NIR) that jointly models both spatial occupancy and acoustic interactions, the method uses acoustic parameters to become implicitly aware of the unseen regions without explicit shadowing labels through tracking acoustic signal transmission. We show that this method outperforms state-of-the-art shape completion for B-mode ultrasound by 80% in HD95 score. We validate our approach both in-silico and on phantom US images with registered mesh models from CT labels, demonstrating accurate reconstruction of occluded anatomy and robust generalization across diverse imaging conditions. Code and data will be released on publication.

cs.CV↗

arXiv2026

HyperVLP: Enhancing Hierarchical Surgical Video-Language Pre-training in Hyperbolic Space

Surgical vision-language foundation models typically adopt educational materials, such as surgical lecture videos, to transfer surgical knowledge encoded in language into visual representations. These knowledge are multi-dimensional and hierarchical: fine-grained action cues appear in narration, mid-level key steps are summarized in subsection headings, and global procedural context, such as patient history and surgical strategy, is described in abstract texts. Prior work largely collapses these heterogeneous signals into a single flat embedding space, implicitly assuming independence across hierarchy levels. However, this is suboptimal because it ignores cross-level semantic containment, e.g., actions belong to steps, steps compose phases, weakens long-range dependency modeling. To this end, we propose a hyperbolic surgical video-language pre-training framework that explicitly preserves the hierarchical structure by mitigating structural false negatives induced by procedural context and enforcing semantic consistency between parent phases and their constituent child steps. Extensive experiments on multiple surgical benchmarks show consistent gains in zero- and few-shot phase recognition across procedures and institutions.

cs.CV↗

arXiv2026

Towards Voxel Spacing Consistency for Medical Image Segmentation

Volumetric medical image segmentation is essential for both preoperative diagnosis and intraoperative guidance. While recent years have witnessed rapid progress in segmentation architectures, comparatively little attention is paid to the physical voxel spacing of anatomical data. Indeed, volumetric image resampling is a ubiquitous preprocessing step before segmentation, yet its interaction with downstream segmentation has not been systematically exploited. In this work, we study the correlation between image resampling and segmentation, and propose Consispace, a semantic-aware resampling framework that achieves consistent voxel spacing in the axial direction while preserving anatomical and semantic consistency. Consispace introduces an ODE-based anatomical constraint to model inter-slice dynamics with a continuous interpolator, enabling faithful reconstruction under complex anatomical transitions beyond discrete interpolation. To further couple resampling with segmentation objectives, we leverage dense features from a pretrained vision model to build intra-slice semantic correlation maps and inject class-wise semantic consistency via feature reweighting during resampling. Both intra-slice and inter-slice constraints are integrated into an implicit neural network, supporting arbitrary-scale resampling. Extensive experiments on multiple datasets demonstrate that Consispace achieves superior reconstruction quality and perceptual fidelity, produces smoother inter-slice anatomy, and improves downstream segmentation performance when used as a preprocessing step.

cs.CV↗

arXiv2026

Re-mixing Embeddings for Patient Augmentation in Data Scarce Multiple Instance Learning

Data scarcity is a major bottleneck in medical Multiple Instance Learning (MIL), especially for rare diseases or expensive modalities. We introduce a statistically grounded patient augmentation approach that generates realistic patients directly in embedding space. Using Gaussian Mixture Models as a probabilistic clustering approach on pooled instance embeddings from all patients, our method learns disease-specific "recipes"-statistical distributions of instances across unsupervised clusters. New patients are then generated by sampling embeddings from clusters based on learned recipes. Unlike existing methods that require examples from all categories, our method can generate patients offline by re-mixing pooled embeddings. Generated patients are further selected based on uncertainty quantification to improve MIL performance. We evaluate our method across three clinically relevant scarcity scenarios: (i) cross-dataset transfer, where an entirely missing "healthy" class is generated using statistics from an external cohort; (ii) low-data regimes, where class sizes are extremely limited; and (iii) small-cohort non-image tasks, including single-cell RNA-seq and flow cytometry. Across all experiments, our method improves performance over baseline, often outperforming other bag-mixing strategies. Notably, in the missing-class scenario, a performance comparable to full-dataset training is achieved, demonstrating its potential for rare disease diagnostic and privacy-preserving patient augmentation. The code is available at https://github.com/marrlab/RECIPE

cs.LG↗

arXiv2026

P-JEPA: Procedural Video Representation Learning via Joint Embedding Predictive Architecture

The increasing maturity of embodied AI platforms has driven a growing interest in procedural video representation learning to support intelligent assistance systems for complex, multi-step tasks. Leveraging large-scale latent predictive training, video foundation models capture video dynamics, enabling downstream tasks such as activity understanding, spatiotemporal localization, and predictive control. However, procedural videos include actions with long-range dependencies that these models do not support, due to the quadratic complexity of self-attention. Distinct actions, for example, may be visually similar despite appearing at different points in the procedure, such as turning the stove on versus off. Here, we propose a backbone-agnostic approach that learns long-duration video representations by reducing the problem to a dense, frame-aligned action space and predicting pooled masked latent vectors. This approach allows our Procedural Joint Embedding Predictive Architecture (P-JEPA) to ingest videos over 30 minutes long, enabling effective long-form understanding of procedural steps. We evaluate P-JEPA using features extracted with VJEPA2.1, TSM, and I3D over the EgoExo4D, EgoProceL, and Assembly101 datasets, finding that it consistently improves linear separability, streaming inference, and temporal action segmentation performance, achieving state-of-the-art results on EgoExo4D fine-grained action classification while using an order of magnitude fewer parameters than LLM-based methods and running in real time.

cs.CV↗

arXiv2026

Pose Anything Anywhere:Model-free Object Poses from Arbitrary References

Estimating the 6D pose of unseen objects is a fundamental yet challenging problem for open-world robotics and embodied perception. Model-based methods are accurate but depend on CAD assets or heavy onboarding, while most model-free approaches are still limited to pairwise single-anchor matching and thus fail under occlusion and large viewpoint changes with low query-reference overlap. Therefore, we present PANY, a unified model-free framework that seamlessly supports both RGB and RGB-D inputs, operates on one or sparse pose-free reference views, and generalizes effectively to novel objects. Built on a multi-view transformer geometry backbone, PANY moves beyond pairwise matching by learning view-consistent geometry and cross-view alignment cues that remain stable under wide baselines and limited overlap. When additional unposed assist views are available, PANY aggregates them via pose-graph canonical registration to increase geometric coverage and reinforce the final pose. Extensive experiments show that PANY achieves state-of-the-art performance across multiple benchmarks, substantially outperforming existing model-free methods, improving pose accuracy by +12% on YCB-V and over +20% on LM-O. Furthermore, PANY consistently performs well under both single-reference and sparse-reference settings, demonstrating strong robustness in real-world environments.

cs.CV↗

arXiv2026

Prompting Diffusion Models for Zero-Shot Instance Segmentation

Several disruptive research directions have recently emerged in computer vision, including foundation models achieving previously unseen zero-shot performance in scene understanding, even interactively, and generative models that synthesize extremely realistic images. The latter have also been shown to be highly effective in scene understanding tasks thanks to their rich priors. However, for promptable segmentation, foundation models struggle with accurately segmenting an object's region, leading to false positives and over-segmentation. Notably, early attempts that leverage generative priors use prompts only during post-processing, yielding suboptimal segments because the process is agnostic to the user input. In this paper, we target these limitations with Prompt2Seg, a spatial conditioning framework for diffusion-based segmentation. Prompt2Seg augments a frozen diffusion segmentation model with a conditioning branch. Our approach takes spatial prompts, represented as 2D Gaussians or confidence maps, as explicit input signals, training the model to respond directly to user intent. Fine-tuned on a deliberately constrained set of object categories drawn from Hypersim and Virtual KITTI 2, Prompt2Seg generalizes zero-shot to a wide range of unseen object types and visual domains. We evaluate on seven datasets ranging from standard benchmarks to more challenging domains, including paintings, egocentric views, and X-ray data. Furthermore, we demonstrate that Prompt2Seg consistently outperforms the underlying diffusion segmentation backbone across all benchmarks. Our results suggest that the rich priors encoded in generative pretraining, combined with principled spatial conditioning, offer a compelling path toward broadly generalizing interactive segmentation without large-scale mask supervision.

cs.CV↗

arXiv2026

SA4Depth: Consistent Pose-Depth Scale Alignment for Self-Supervised Monocular Depth Estimation

Self-supervised depth estimation from monocular sequences relies on the joint learning of a depth and a pose network. Despite abundant research done to improve the depth network, efforts on the pose remain limited. In this context, even when depth is estimated up to scale, we highlight the importance of the alignment between the scene scales estimated by the pose and depth nets. Then, we introduce SA4Depth, an approach to improve this alignment and boost the depth predictions while keeping the inference time unchanged. Our proposed method uses the depth estimated during training to reproject learnable visual features across consecutive frames and refine the pose estimates by reducing feature alignment residuals. With our method, the estimated scene scales by the separate depth and pose networks are aligned, and the prediction scale consistency is improved across different sequences. Our differentiable refinement integrates seamlessly into existing self-supervised pipelines and substantially improves their depth estimates. We demonstrate this with extensive experiments both outdoors and indoors on KITTI, Cityscapes, and NYUv2. Additionally, results on KITTI Odometry confirm the effectiveness of our pose refinement. Our code is available at https://github.com/Runningchauncey/SA4Depth .

cs.CV↗