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Xinning Yao

Publications and source records attributed to Xinning Yao.

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Hierarchical Prototype-Memory Adaptation of SAM for Surgical Instrument Segmentation

Surgical instrument segmentation (SIS) is fundamental for computer-assisted surgery, where reliable instrument masks enable precise scene understanding and clinical assistance. Recently, adapting foundation models like the Segment Anything Model (SAM) to the surgical domain via prompt-learning has shown encouraging results. However, the performance of these adapted models under challenging surgical conditions is constrained by suboptimal adaptation mechanisms. Specifically, optimizing prompts or prototypes purely via downstream segmentation loss tends to cause them to degenerate into task-specific parameters rather than serving as persistent, stable category memory, thereby degrading their robustness against complex intraoperative variations. Moreover, routing multi-scale visual cues through a single prompt pathway creates a bottleneck that hinders effective scale-matched coupling. To address these limitations, we propose HPMA, a Hierarchical Prototype-Memory Adaptation framework for SAM. Specifically, HPMA constructs a frozen, multi-scale visual prototype memory bank from annotated surgical scenes and integrates it into SAM's feature space using lightweight adapters to preserve stable category evidence. To maximize the utility of multi-scale cues, we introduce a scale-matched coupling mechanism where global prototypes calibrate class-level prompt features, structural prototypes guide decoder object queries, and local prototypes align high-resolution feature maps through a local alignment objective. Extensive experiments on the public EndoVis2017 and EndoVis2018 datasets demonstrate that our approach achieves state-of-the-art performance, outperforming existing foundation model adaptation methods.

cs.CV

Nodule-DETR: A Novel DETR Architecture with Frequency-Channel Attention for Ultrasound Thyroid Nodule Detection

Thyroid cancer is the most common endocrine malignancy, and its incidence is rising globally. While ultrasound is the preferred imaging modality for detecting thyroid nodules, its diagnostic accuracy is often limited by challenges such as low image contrast and blurred nodule boundaries. To address these issues, we propose Nodule-DETR, a novel detection transformer (DETR) architecture designed for robust thyroid nodule detection in ultrasound images. Nodule-DETR introduces three key innovations: a Multi-Spectral Frequency-domain Channel Attention (MSFCA) module that leverages frequency analysis to enhance features of low-contrast nodules; a Hierarchical Feature Fusion (HFF) module for efficient multi-scale integration; and Multi-Scale Deformable Attention (MSDA) to flexibly capture small and irregularly shaped nodules. We conducted extensive experiments on a clinical dataset of real-world thyroid ultrasound images. The results demonstrate that Nodule-DETR achieves state-of-the-art performance, outperforming the baseline model by a significant margin of 0.149 in mAP@0.5:0.95. The superior accuracy of Nodule-DETR highlights its significant potential for clinical application as an effective tool in computer-aided thyroid diagnosis. The code of work is available at https://github.com/wjj1wjj/Nodule-DETR.

cs.CV

Prior-Guided DETR for Ultrasound Nodule Detection

Accurate detection of ultrasound nodules is essential for the early diagnosis and treatment of thyroid and breast cancers. However, this task remains challenging due to irregular nodule shapes, indistinct boundaries, substantial scale variations, and the presence of speckle noise that degrades structural visibility. To address these challenges, we propose a prior-guided DETR framework specifically designed for ultrasound nodule detection. Instead of relying on purely data-driven feature learning, the proposed framework progressively incorporates different prior knowledge at multiple stages of the network. First, a Spatially-adaptive Deformable FFN with Prior Regularization (SDFPR) is embedded into the CNN backbone to inject geometric priors into deformable sampling, stabilizing feature extraction for irregular and blurred nodules. Second, a Multi-scale Spatial-Frequency Feature Mixer (MSFFM) is designed to extract multi-scale structural priors, where spatial-domain processing emphasizes contour continuity and boundary cues, while frequency-domain modeling captures global morphology and suppresses speckle noise. Furthermore, a Dense Feature Interaction (DFI) mechanism propagates and exploits these prior-modulated features across all encoder layers, enabling the decoder to enhance query refinement under consistent geometric and structural guidance. Experiments conducted on two clinically collected thyroid ultrasound datasets (Thyroid I and Thyroid II) and two public benchmarks (TN3K and BUSI) for thyroid and breast nodules demonstrate that the proposed method achieves superior accuracy compared with 18 detection methods, particularly in detecting morphologically complex nodules.The source code is publicly available at https://github.com/wjj1wjj/Ultrasound-DETR.

cs.CV

EndoUFM: Utilizing Foundation Models for Monocular depth estimation of endoscopic images

Depth estimation is a foundational component for 3D reconstruction in minimally invasive endoscopic surgeries. However, existing monocular depth estimation techniques often exhibit limited performance to the varying illumination and complex textures of the surgical environment. While applying foundation models offers a promising approach to enhance the depth estimation performance, the domain gap between the natural images used for pre-training and the target endoscopic images leads to significant semantic perception deficiencies. In this study, EndoUFM is introduced as an unsupervised monocular depth estimation framework that innovatively \underline{U}tilizes dual Foundation Models for Endoscopic images, thereby enhancing the depth estimation performance by leveraging the powerful pre-learned priors. The framework features a novel adaptive fine-tuning strategy that incorporates Random Vector Low-Rank Adaptation (RVLoRA) to enhance model adaptability, and a Residual block based on Depthwise Separable Convolution (Res-DSC) to improve the capture of fine-grained local features. A mask-guided smoothness loss is also introduced to enforce depth consistency within anatomical structures. Extensive experiments on the SCARED, Hamlyn, SERV-CT, and EndoNeRF datasets confirm that our method achieves state-of-the-art performance while maintaining an efficient model size. This work contributes to augmenting surgeons' spatial perception during minimally invasive procedures, thereby enhancing surgical precision and safety, with crucial implications for augmented reality and navigation systems. Our code is available at https://github.com/RealMindyY/EndoUFM.

cs.CV

Advancing Depth Anything Model for Unsupervised Monocular Depth Estimation in Endoscopy

Depth estimation is a cornerstone of 3D reconstruction and plays a vital role in minimally invasive endoscopic surgeries. However, most current depth estimation networks rely on traditional convolutional neural networks, which are limited in their ability to capture global information. Foundation models offer a promising approach to enhance depth estimation, but those models currently available are primarily trained on natural images, leading to suboptimal performance when applied to endoscopic images. In this work, we introduce a novel fine-tuning strategy for the Depth Anything Model and integrate it with an intrinsic-based unsupervised monocular depth estimation framework. Our approach includes a low-rank adaptation technique based on random vectors, which improves the model's adaptability to different scales. Additionally, we propose a residual block built on depthwise separable convolution to compensate for the transformer's limited ability to capture local features. Our experimental results on the SCARED dataset and Hamlyn dataset show that our method achieves state-of-the-art performance while minimizing the number of trainable parameters. Applying this method in minimally invasive endoscopic surgery can enhance surgeons' spatial awareness, thereby improving the precision and safety of the procedures.

cs.CV