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Yueming Jin

Publications and source records attributed to Yueming Jin.

At least 19 recordsLinked to original sources

SlideMix: Enhancing Whole Slide Image Analysis via Multimodal Shuffling

Histopathological whole slide images (WSIs) are central to cancer diagnosis, but their gigapixel scale, tissue heterogeneity, weak slide-level supervision, sparse diagnostic regions, and multi-scale evidence make robust automated analysis challenging. Multiple instance learning (MIL) is widely used to aggregate tile-level features into slide-level predictions, yet existing augmentation strategies often perturb tissue regions without preserving diagnostic relevance, slide context, or cross-scale structure. We propose SlideMix, a model-agnostic multimodal augmentation framework for MIL-based WSI analysis. SlideMix uses a retrieval-augmented vision-language model (VLM)-based Visual-Language Adaptive Region selector to identify diagnostically relevant regions and reduce weak-label noise. It then performs In-place Tile Shuffling within meaningful tissue regions to mix feature embeddings while preserving slide-level context. A VLM-based soft-labeling module supervises mixed samples, while a multi-factor, loss-driven online Curriculum-Learning Feedback scheme adaptively controls shuffle granularity, feature similarity, and shuffle ratio to promote cross-scale representation learning. Across 11 WSI datasets comprising 20,523 slides, 8 diagnostic tasks, and 10 WSI backbones, SlideMix improves accuracy and generalization in most settings and compares favorably with established augmentation baselines, providing a simple plug-and-play approach for more robust and scalable digital pathology models. Source code: https://github.com/Xia-Research-Lab/SlideMix

cs.CV

PathScale-R1: Cross-scale Reasoning for Pathological Image Analysis

Pathological diagnosis is inherently multi-scale, requiring the integration of global tissue architecture at low magnification with cellular morphology at higher magnification. However, existing pathology benchmarks and vision-language models (VLMs) are still largely developed under single-scale settings, limiting their ability to learn clinically meaningful multi-magnification reasoning. Moreover, naively constructed visual question answering (VQA) tasks may be susceptible to text-only or superficial visual shortcuts, leading to unreliable assessments of visual understanding. To address these limitations, we introduce a benchmark and training framework for shortcut-resistant cross-scale pathology reasoning. We design an Adversarial Text-only Screening strategy for semantic reasoning questions and a Structure-controlled Distractor Sampling strategy for visual grounding questions, encouraging models to rely on cross-scale visual evidence. Based on this pipeline, we construct PathScale-VQA, a high-quality cross-scale pathology VQA benchmark with 10,373 multiple-choice questions grounded in 1,368 diagnostic paths across multiple magnification levels. Building on the semantic reasoning set, PathScale-R1 is optimized through Difficulty-driven Reasoning Distillation supervised fine-tuning followed by reinforcement learning with a Scale-aware Reasoning Structure reward, which encourages the use of evidence across magnifications. Extensive experiments demonstrate state-of-the-art performance of PathScale-R1 on cross-scale reasoning tasks and effective transfer to conventional single-scale pathology VQA. Our code is available at https://github.com/iMVR-PL/PathScale-R1.

cs.CV

EviPathBench: Benchmarking Evidence Acquisition and Reasoning in Vision-Language Models for Whole-Slide Pathology

Whole-slide image (WSI) diagnosis requires identifying diagnostically relevant regions, examining them across magnifications, and integrating multi-scale evidence. However, most pathology benchmarks evaluate models on pre-cropped patches or pre-extracted slide features, leaving their ability to acquire evidence from gigapixel WSIs largely untested. We introduce EviPathBench, a benchmark for evaluating evidence acquisition and reasoning in vision-language models (VLMs) for whole-slide pathology. It evaluates four capabilities: image-to-text matching for evidence interpretation, text-to-image retrieval for evidence verification, diagnostic-region localization for evidence acquisition, and multi-scale reasoning for evidence integration. The benchmark is organized as a diagnostic tree linking nested regions across magnifications with scale-specific findings and path-level diagnoses. It contains 1,822 TCGA WSIs and 17,135 diagnostic paths annotated by ten board-certified pathologists. A private cohort of 190 breast cancer WSIs with detailed annotations further evaluates autonomous whole-slide exploration. We evaluate 19 VLMs spanning general-purpose, medical, and pathology-specialized families, plus one text-only reference model. Leading open-weight models achieve over 93% accuracy in multi-scale reasoning and over 50% in both cross-modal matching tasks. In contrast, diagnostic-region localization remains challenging: the best text-guided mean intersection-over-union is below 0.09, underperforming a center-based heuristic. During autonomous exploration, the unconditional hit rate drops from 0.522 at low magnification to 0.185 at intermediate magnification and 0.020 at high magnification. These results reveal a pronounced gap between reasoning over curated evidence and acquiring it from WSIs. EviPathBench provides a unified framework for measuring and improving both capabilities.

cs.CV

DeGenseGS: Geometrically and Semantically Decoupled Surgical Scene Understanding in 4D Gaussian Splatting

Real-time, text-promptable 4D reconstruction is indispensable for autonomous surgical interaction. Severe misalignment between semantic meaning and physical anatomy still persists, largely because existing solutions integrate Vision-Language Models into deformable fields via a rigid coupling scheme that tightly binds semantic features to geometric warping. In this paper, we propose DeGenseGS, Geometrically and Semantically Decoupled Surgical Scene Understanding in 4D Gaussian Splatting, a novel framework that independently models semantic evolution and geometric deformation. Specifically, we propose a HexPlane-based spatiotemporal entanglement module that uses shared kinematic latents to synchronize semantic mutations with scene dynamics, while explicitly disentangling semantic updates from geometric deformation. To further ensure robustness against reconstruction artifacts, we devise a Rasterization-Native Semantic Extraction mechanism that infers semantics from topologically continuous feature maps. Additionally, we incorporate an angular-aligned optimization strategy that conforms to the native hyperspherical latent space, thereby preventing semantic distortion. Extensive evaluations on the CholecSeg8k and EndoVis18 datasets demonstrate that DeGenseGS achieves state-of-the-art performance. Our framework yields enhanced geometric completeness and robust semantic-anatomic alignment, enabling spatially continuous segmentation despite drastic tissue deformation and topological transitions.

cs.CV

Reasoning with Memory: A Temporal Granularity-Adaptive Framework for Training-Free Long Video Understanding

While Multimodal Large Language Models (MLLMs) demonstrate superior generalization in fundamental video tasks, restricted context windows limit their long video understanding. To accommodate this constraint, models typically resort to keyframe selection. However, uniform sampling or static query-guided selection often overlooks critical temporal context, failing to adapt to the varying query temporal granularities. In this paper, we propose ReMem, a temporal granularity-adaptive keyframe selection framework for training-free LongVideoQA. ReMem introduces a dual-level memory-augmented adaptation. At the query level, Memory-Driven Question Parsing leverages LLM long-term memory to decode question temporal granularity and extract semantic entities. At the video level, Synergistic Dual-Semantic Frame Alignment exploits intrinsic structural memory to align frames with query semantics, guiding Structure-Aware Dynamic Frame Routing to cluster events and optimally distribute sampling budgets. By explicitly preserving temporal information with memory mechanisms, ReMem suppresses redundancy and empowers MLLMs to perform robust multi-granular video reasoning. Evaluations across four popular LongVideoQA benchmarks using three MLLMs demonstrate highly efficient, state-of-the-art zero-shot performance; notably, LLaVA-Video with ReMem reaches 54.5% (+12.3%) on LVBench and 67.1% (+8.2%) on LongVideoBench.

cs.AI

DBT-Bleed: Dual-Branch Temporal Modeling with Key-Frame Selection for Surgical Bleeding Detection

Intraoperative Adverse Events (IAEs) detection is critical for improving surgical safety, with bleeding being among the most frequent events across many surgery types. Existing methods struggle to distinguish bleeding IAE from visually similar residual blood due to limited temporal reasoning. Moreover, modeling long surgical videos while preserving fine-grained temporal dynamics remains computationally challenging. We propose DBT-Bleed, a dual-branch multi-scale temporal modeling framework disentangling bleeding and normal representations using layer-wise temporal adapters for short- and long-term bleeding progression. To efficiently process long surgical videos without sacrificing fine-grained temporal information, we introduce HiRED, a Hierarchical Entropy-Driven frame selection strategy that retains temporally informative segments while removing redundancy. Experiments on the MultiBypass dataset demonstrate gains of 6.53% in F1, 5.62% in Recall and 9% in MCC values for bleeding IAE detection, consistently outperforming video-level baselines. Additionally, we evaluate cross-procedure generalization on a newly curated dataset from a different surgical procedure type, where DBT-Bleed demonstrates robust transferability by achieving gain of 6% in F1 and 8% in MCC under zero-shot setting. To support this evaluation, we introduce EndoPit-IAE, an Endonasal Pituitary Surgery dataset annotated for IAEs, representing the first IAE-annotated dataset in neurosurgery. Code will be made publicly available upon acceptance.

cs.CV

Enhancing Pathological VLMs with Cross-scale Reasoning

Pathological images are inherently multi-scale, requiring pathologists to integrate evidence from global tissue architecture at low magnification to cellular morphology at higher magnification for accurate diagnosis. While existing pathological datasets for vision-language models (VLMs) include various scales, they often lack explicit cross-scale reasoning objectives. This limitation prevents VLMs from capturing essential cross-scale representations and learning evidence-based reasoning. To bridge this gap, we introduce the first cross-scale training and evaluation paradigm that formulates pathology interpretation as multi-magnification reasoning. However, creating such a task reveals a critical challenge: multi-image visual question answering (VQA) is prone to text-only shortcuts, which allow models to guess answers using magnification-dependent artifacts rather than visual evidence. To address this, we propose a leakage-aware curation pipeline that combines adversarial text-only screening with constraint-guided question design. Using this pipeline, we construct Scale-VQA, a high-quality benchmark with 4,685 multiple-choice questions grounded in 2,537 pathology images across multiple magnification levels. Finally, we present ScaleReasoner-R1, a model trained via reinforcement learning to optimize performance on cross-scale VQA tasks. ScaleReasoner-R1 achieves state-of-the-art performance on our cross-scale reasoning benchmark and generalizes to SOTA performance on established single-scale benchmarks. Findings suggest that even the limited cross-scale supervision can significantly improve pathological understanding. Code is available at https://github.com/iMVR-PL/ScaleReasoner-R1.

cs.CV

SurfSurg6D: Geometry Consistent Dense Correspondence for Textureless Surgical Instrument Pose Estimation

Surgical instrument pose estimation provides crucial information for promising applications, including autonomous robotic surgery, skill assessment, and standardization of surgical workflow. However, this task remains highly challenging due to high precision requirements, frequent occlusions, textureless instruments, scarcity of depth information and very limited annotated data. These constraints often lead to unsatisfactory performance when employing general object pose estimation approaches to surgical scenarios. To address these issues, we first construct a new dataset SynSurg6D, to alleviate the data shortage in this task. We further propose SurfSurg6D, a dense-correspondence framework tailored for surgical instrument pose estimation. Experimental results on the SurgRIPE, EndoVis2018 and SurgPose datasets demonstrate that the introduction of our generated dataset SynSurg6D is able to diversify the pose distributions, thus enhancing the performance of existing approaches. Furthermore, SurfSurg6D outperforms existing methods, providing a robust solution for precise and efficient RGB-only pose estimation.

cs.CV

From Articulated Kinematics to Routed Visual Control for Action-Conditioned Surgical Video Generation

Action-conditioned surgical video generation is a critical yet highly challenging problem for robotic surgery. The core difficulty is that low-dimensional control vectors must precisely govern complex image-space evolution. In this work, we propose a kinematic-to-visual lifting paradigm that converts articulated kinematics into a unified set of five image-aligned control modalities. Building on this representation, we introduce a hierarchically routed visual control framework that selectively activates the most relevant control modalities and motion scales. Instead of uniformly applying all control signals, our model performs hierarchical routing to dynamically allocate conditioning capacity. We further design kinematic-prior-guided routing loss functions to ensure physically meaningful, temporally stable, and efficient expert utilization. To improve efficiency, we propose a budgeted training and inference scheme that leverages routing-induced sparsity. By selectively discarding low-significance control pathways during training and execution, our approach enables adaptive computation that is complementary to standard distillation. We additionally construct a new benchmark with curated articulated annotations, obtained through human-in-the-loop semantic labeling and differentiable pose tracking, providing realistic supervision for action-conditioned surgical video generation. Extensive experiments demonstrate that our method consistently improves action faithfulness, visual fidelity, and cross-domain generalization over diverse baselines. Moreover, our efficient variant achieves substantial reductions in latency while maintaining strong control accuracy.

cs.CV

UniSurgSAM: A Unified Promptable Model for Reliable Surgical Video Segmentation

Surgical video segmentation is fundamental to computer-assisted surgery. In practice, surgeons need to dynamically specify targets throughout extended procedures, using heterogeneous cues such as visual selections, textual expressions, or audio instructions. However, existing Promptable Video Object Segmentation (PVOS) methods are typically restricted to a single prompt modality and rely on coupled frameworks that cause optimization interference between target initialization and tracking. Moreover, these methods produce hallucinated predictions when the target is absent and suffer from accumulated mask drift without failure recovery. To address these challenges, we present UniSurgSAM, a unified PVOS model enabling reliable surgical video segmentation through visual, textual, or audio prompts. Specifically, UniSurgSAM employs a decoupled two-stage framework that independently optimizes initialization and tracking to resolve the optimization interference. Within this framework, we introduce three key designs for reliability: presence-aware decoding that models target absence to suppress hallucinations; boundary-aware long-term tracking that prevents mask drift over extended sequences; and adaptive state transition that closes the loop between stages for failure recovery. Furthermore, we establish a multi-modal and multi-granular benchmark from four public surgical datasets with precise instance-level masklets. Extensive experiments demonstrate that UniSurgSAM achieves state-of-the-art performance in real time across all prompt modalities and granularities, providing a practical foundation for computer-assisted surgery. Code and datasets will be available at https://jinlab-imvr.github.io/UniSurgSAM.

eess.IV

MedOpenClaw and MedFlowBench: Auditing Medical Agents in Full-Study Workflows

Medical imaging benchmarks often evaluate VLMs on pre-selected 2D images, slices, crops, or patches, making evaluation closer to visual recognition. Real clinical workflows impose a different burden: readers must search through complete studies, operate imaging software, navigate across slices and magnifications, and document visual evidence that can be audited. We argue that this evidence-producing workflow is a critical missing evaluation axis for medical imaging agents. To study it, we introduce MedFlowBench, a full-study benchmark for VLM agents, together with MedOpenClaw, a controlled and replayable runtime in which agents operate medical imaging viewers such as 3D Slicer and QuPath. In each episode, an agent inspects a complete radiology study or whole-slide pathology image, returns a task answer, and submits structured evidence, including key slices, coordinates, regions of interest, or lesion-state fields. This evidence is automatically checked against withheld masks, annotations, and labels. Across evaluated models, final answer-only scoring gives an overly optimistic picture: when answers must also be supported by correct evidence, performance drops substantially on complex workflows. We further find that adding image-analysis tools does not by itself solve the problem. Tools help when they make a complex procedure simple and reliable, but agents still struggle when they must choose inputs, manage viewer state, and verify intermediate outputs over multiple steps. MedFlowBench exposes whether medical imaging agents can produce auditable evidence from complete studies, rather than plausible answers from selected images.

cs.CV

Instrument-Splatting++: Towards Controllable Surgical Instrument Digital Twin Using Gaussian Splatting

High-quality and controllable digital twins of surgical instruments are critical for Real2Sim in robot-assisted surgery, as they enable realistic simulation, synthetic data generation, and perception learning under novel poses. We present Instrument-Splatting++, a monocular 3D Gaussian Splatting (3DGS) framework that reconstructs surgical instruments as a fully controllable Gaussian asset with high fidelity. Our pipeline starts with part-wise geometry pretraining that injects CAD priors into Gaussian primitives and equips the representation with part-aware semantic rendering. Built on the pretrained model, we propose a semantics-aware pose estimation and tracking (SAPET) method to recover per-frame 6-DoF pose and joint angles from unposed endoscopic videos, where a gripper-tip network trained purely from synthetic semantics provides robust supervision and a loose regularization suppresses singular articulations. Finally, we introduce Robust Texture Learning (RTL), which alternates pose refinement and robust appearance optimization, mitigating pose noise during texture learning. The proposed framework can perform pose estimation and learn realistic texture from unposed videos. We validate our method on sequences extracted from EndoVis17/18, SAR-RARP, and an in-house dataset, showing superior photometric quality and improved geometric accuracy over state-of-the-art baselines. We further demonstrate a downstream keypoint detection task where unseen-pose data augmentation from our controllable instrument Gaussian improves performance.

cs.RO

Surg$\Sigma$: A Spectrum of Large-Scale Multimodal Data and Foundation Models for Surgical Intelligence

Surgical intelligence has the potential to improve the safety and consistency of surgical care, yet most existing surgical AI frameworks remain task-specific and struggle to generalize across procedures and institutions. Although multimodal foundation models, particularly multimodal large language models, have demonstrated strong cross-task capabilities across various medical domains, their advancement in surgery remains constrained by the lack of large-scale, systematically curated multimodal data. To address this challenge, we introduce Surg$\Sigma$, a spectrum of large-scale multimodal data and foundation models for surgical intelligence. At the core of this framework lies Surg$\Sigma$-DB, a large-scale multimodal data foundation designed to support diverse surgical tasks. Surg$\Sigma$-DB consolidates heterogeneous surgical data sources (including open-source datasets, curated in-house clinical collections and web-source data) into a unified schema, aiming to improve label consistency and data standardization across heterogeneous datasets. Surg$\Sigma$-DB spans 6 clinical specialties and diverse surgical types, providing rich image- and video-level annotations across 18 practical surgical tasks covering understanding, reasoning, planning, and generation, at an unprecedented scale (over 5.98M conversations). Beyond conventional multimodal conversations, Surg$\Sigma$-DB incorporates hierarchical reasoning annotations, providing richer semantic cues to support deeper contextual understanding in complex surgical scenarios. We further provide empirical evidence through recently developed surgical foundation models built upon Surg$\Sigma$-DB, illustrating the practical benefits of large-scale multimodal annotations, unified semantic design, and structured reasoning annotations for improving cross-task generalization and interpretability.

cs.AI

Generalized Recognition of Basic Surgical Actions Enables Skill Assessment and Vision-Language-Model-based Surgical Planning

Artificial intelligence, imaging, and large language models have the potential to transform surgical practice, training, and automation. Understanding and modeling of basic surgical actions (BSA), the fundamental unit of operation in any surgery, is important to drive the evolution of this field. In this paper, we present a BSA dataset comprising 10 basic actions across 6 surgical specialties with over 11,000 video clips, which is the largest to date. Based on the BSA dataset, we developed a new foundation model that conducts general-purpose recognition of basic actions. Our approach demonstrates robust cross-specialist performance in experiments validated on datasets from different procedural types and various body parts. Furthermore, we demonstrate downstream applications enabled by the BAS foundation model through surgical skill assessment in prostatectomy using domain-specific knowledge, and action planning in cholecystectomy and nephrectomy using large vision-language models. Multinational surgeons' evaluation of the language model's output of the action planning explainable texts demonstrated clinical relevance. These findings indicate that basic surgical actions can be robustly recognized across scenarios, and an accurate BSA understanding model can essentially facilitate complex applications and speed up the realization of surgical superintelligence.

cs.CV

Surg-R1: A Hierarchical Reasoning Foundation Model for Scalable and Interpretable Surgical Decision Support with Multi-Center Clinical Validation

Surgical scene understanding demands not only accurate predictions but also interpretable reasoning that surgeons can verify against clinical expertise. However, existing surgical vision-language models generate predictions without reasoning chains, and general-purpose reasoning models fail on compositional surgical tasks without domain-specific knowledge. We present Surg-R1, a surgical Vision-Language Model that addresses this gap through hierarchical reasoning trained via a four-stage pipeline. Our approach introduces three key contributions: (1) a three-level reasoning hierarchy decomposing surgical interpretation into perceptual grounding, relational understanding, and contextual reasoning; (2) the largest surgical chain-of-thought dataset with 320,000 reasoning pairs; and (3) a four-stage training pipeline progressing from supervised fine-tuning to group relative policy optimization and iterative self-improvement. Evaluation on SurgBench, comprising six public benchmarks and six multi-center external validation datasets from five institutions, demonstrates that Surg-R1 achieves the highest Arena Score (64.9%) on public benchmarks versus Gemini 3.0 Pro (46.1%) and GPT-5.1 (37.9%), outperforming both proprietary reasoning models and specialized surgical VLMs on the majority of tasks spanning instrument localization, triplet recognition, phase recognition, action recognition, and critical view of safety assessment, with a 15.2 percentage point improvement over the strongest surgical baseline on external validation.

cs.CV

SurgFed: Language-guided Multi-Task Federated Learning for Surgical Video Understanding

Surgical scene Multi-Task Federated Learning (MTFL) is essential for robot-assisted minimally invasive surgery (RAS) but remains underexplored in surgical video understanding due to two key challenges: (1) Tissue Diversity: Local models struggle to adapt to site-specific tissue features, limiting their effectiveness in heterogeneous clinical environments and leading to poor local predictions. (2) Task Diversity: Server-side aggregation, relying solely on gradient-based clustering, often produces suboptimal or incorrect parameter updates due to inter-site task heterogeneity, resulting in inaccurate localization. In light of these two issues, we propose SurgFed, a multi-task federated learning framework, enabling federated learning for surgical scene segmentation and depth estimation across diverse surgical types. SurgFed is powered by two appealing designs, i.e., Language-guided Channel Selection (LCS) and Language-guided Hyper Aggregation (LHA), to address the challenge of fully exploration on corss-site and cross-task. Technically, the LCS is first designed a lightweight personalized channel selection network that enhances site-specific adaptation using pre-defined text inputs, which optimally the local model learn the specific embeddings. We further introduce the LHA that employs a layer-wise cross-attention mechanism with pre-defined text inputs to model task interactions across sites and guide a hypernetwork for personalized parameter updates. Extensive empirical evidence shows that SurgFed yields improvements over the state-of-the-art methods in five public datasets across four surgical types. The code is available at https://anonymous.4open.science/r/SurgFed-070E/.

cs.CV

Granulon: Awakening Pixel-Level Visual Encoders with Adaptive Multi-Granularity Semantics for MLLM

Recent advances in multimodal large language models largely rely on CLIP-based visual encoders, which emphasize global semantic alignment but struggle with fine-grained visual understanding. In contrast, DINOv3 provides strong pixel-level perception yet lacks coarse-grained semantic abstraction, leading to limited multi-granularity reasoning. To address this gap, we propose Granulon, a novel DINOv3-based MLLM with adaptive granularity augmentation. Granulon introduces a text-conditioned granularity Controller that dynamically adjusts the visual abstraction level according to the semantic scope of the textual input, and an Adaptive Token Aggregation module that performs granularity-guided pooling and relation-aware clustering to produce compact, semantically rich visual tokens. This design enables unified "pixel-to-fine-to-coarse" reasoning within a single forward pass. Extensive and interpretable experiments demonstrate that Granulon improves accuracy by ~30% and reduces hallucination by ~20%, outperforming all visual encoders under identical settings.

cs.CV

SurgCalib: Gaussian Splatting-Based Hand-Eye Calibration for Robot-Assisted Minimally Invasive Surgery

We present a Gaussian Splatting-based framework for hand-eye calibration of the da Vinci surgical robot. In a vision-guided robotic system, accurate estimation of the rigid transformation between the robot base and the camera frame is essential for reliable closed-loop control. For cable-driven surgical robots, this task faces unique challenges. The encoders of surgical instruments often produce inaccurate proprioceptive measurements due to cable stretch and backlash. Conventional hand-eye calibration approaches typically rely on known fiducial patterns and solve the AX = XB formulation. While effective, introducing additional markers into the operating room (OR) environment can violate sterility protocols and disrupt surgical workflows. In this study, we propose SurgCalib, an automatic, markerless framework that has the potential to be used in the OR. SurgCalib first initializes the pose of the surgical instrument using raw kinematic measurements and subsequently refines this pose through a two-phase optimization procedure under the RCM constraint within a Gaussian Splatting-based differentiable rendering pipeline. We evaluate the proposed method on the public dVRK benchmark, SurgPose. The results demonstrate average 2D tool-tip reprojection errors of 12.24 px (2.06 mm) and 11.33 px (1.9 mm), and 3D tool-tip Euclidean distance errors of 5.98 mm and 4.75 mm, for the left and right instruments, respectively.

cs.RO