SearcharxivSearch

arXiv subjects

Yueming Jin

Publications and source records attributed to Yueming Jin.

At least 55 records · Page 3Linked to original sources

Systematic Evaluation and Guidelines for Segment Anything Model in Surgical Video Analysis

Surgical video segmentation is critical for AI to interpret spatial-temporal dynamics in surgery, yet model performance is constrained by limited annotated data. The SAM2 model, pretrained on natural videos, offers potential for zero-shot surgical segmentation, but its applicability in complex surgical environments, with challenges like tissue deformation and instrument variability, remains unexplored. We present the first comprehensive evaluation of the zero-shot capability of SAM2 in 9 surgical datasets (17 surgery types), covering laparoscopic, endoscopic, and robotic procedures. We analyze various prompting (points, boxes, mask) and {finetuning (dense, sparse) strategies}, robustness to surgical challenges, and generalization across procedures and anatomies. Key findings reveal that while SAM2 demonstrates notable zero-shot adaptability in structured scenarios (e.g., instrument segmentation, {multi-organ segmentation}, and scene segmentation), its performance varies under dynamic surgical conditions, highlighting gaps in handling temporal coherence and domain-specific artifacts. These results highlight future pathways to adaptive data-efficient solutions for the surgical data science field.

cs.CV

Towards Collective Intelligence: Uncertainty-aware SAM Adaptation for Ambiguous Medical Image Segmentation

Collective intelligence from multiple medical experts consistently surpasses individual expertise in clinical diagnosis, particularly for ambiguous medical image segmentation tasks involving unclear tissue boundaries or pathological variations. The Segment Anything Model (SAM), a powerful vision foundation model originally designed for natural image segmentation, has shown remarkable potential when adapted to medical image segmentation tasks. However, existing SAM adaptation methods follow a single-expert paradigm, developing models based on individual expert annotations to predict deterministic masks. These methods systematically ignore the inherent uncertainty and variability in expert annotations, which fundamentally contradicts clinical practice, where multiple specialists provide different yet equally valid interpretations that collectively enhance diagnostic confidence. We propose an Uncertainty-aware Adapter, the first SAM adaptation framework designed to transition from single expert mindset to collective intelligence representation. Our approach integrates stochastic uncertainty sampling from a Conditional Variational Autoencoder into the adapters, enabling diverse prediction generation that captures expert knowledge distributions rather than individual expert annotations. We employ a novel position-conditioned control mechanism to integrate multi-expert knowledge, ensuring that the output distribution closely aligns with the multi-annotation distribution. Comprehensive evaluations across seven medical segmentation benchmarks have demonstrated that our collective intelligence-based adaptation achieves superior performance while maintaining computational efficiency, establishing a new adaptation framework for reliable clinical implementation.

eess.IV

Backdoor Attribution: Elucidating and Controlling Backdoor in Language Models

Fine-tuned Large Language Models (LLMs) are vulnerable to backdoor attacks through data poisoning, yet the internal mechanisms governing these attacks remain a black box. Previous research on interpretability for LLM safety tends to focus on alignment, jailbreak, and hallucination, but overlooks backdoor mechanisms, making it difficult to understand and fully eliminate the backdoor threat. In this paper, aiming to bridge this gap, we explore the interpretable mechanisms of LLM backdoors through Backdoor Attribution (BkdAttr), a tripartite causal analysis framework. We first introduce the Backdoor Probe that proves the existence of learnable backdoor features encoded within the representations. Building on this insight, we further develop Backdoor Attention Head Attribution (BAHA), efficiently pinpointing the specific attention heads responsible for processing these features. Our primary experiments reveals these heads are relatively sparse; ablating a minimal \textbf{$\sim$ 3%} of total heads is sufficient to reduce the Attack Success Rate (ASR) by \textbf{over 90%}. More importantly, we further employ these findings to construct the Backdoor Vector derived from these attributed heads as a master controller for the backdoor. Through only \textbf{1-point} intervention on \textbf{single} representation, the vector can either boost ASR up to \textbf{$\sim$ 100% ($\uparrow$)} on clean inputs, or completely neutralize backdoor, suppressing ASR down to \textbf{$\sim$ 0% ($\downarrow$)} on triggered inputs. In conclusion, our work pioneers the exploration of mechanistic interpretability in LLM backdoors, demonstrating a powerful method for backdoor control and revealing actionable insights for the community.

cs.CR

Generalized Deep Multi-view Clustering via Causal Learning with Partially Aligned Cross-view Correspondence

Multi-view clustering (MVC) aims to explore the common clustering structure across multiple views. Many existing MVC methods heavily rely on the assumption of view consistency, where alignments for corresponding samples across different views are ordered in advance. However, real-world scenarios often present a challenge as only partial data is consistently aligned across different views, restricting the overall clustering performance. In this work, we consider the model performance decreasing phenomenon caused by data order shift (i.e., from fully to partially aligned) as a generalized multi-view clustering problem. To tackle this problem, we design a causal multi-view clustering network, termed CauMVC. We adopt a causal modeling approach to understand multi-view clustering procedure. To be specific, we formulate the partially aligned data as an intervention and multi-view clustering with partially aligned data as an post-intervention inference. However, obtaining invariant features directly can be challenging. Thus, we design a Variational Auto-Encoder for causal learning by incorporating an encoder from existing information to estimate the invariant features. Moreover, a decoder is designed to perform the post-intervention inference. Lastly, we design a contrastive regularizer to capture sample correlations. To the best of our knowledge, this paper is the first work to deal generalized multi-view clustering via causal learning. Empirical experiments on both fully and partially aligned data illustrate the strong generalization and effectiveness of CauMVC.

cs.CV

CARES: Collaborative Agentic Reasoning for Error Detection in Surgery

Robotic-assisted surgery (RAS) introduces complex challenges that current surgical error detection methods struggle to address effectively due to limited training data and methodological constraints. Therefore, we construct MERP (Multi-class Error in Robotic Prostatectomy), a comprehensive dataset for error detection in robotic prostatectomy with frame-level annotations featuring six clinically aligned error categories. In addition, we propose CARES (Collaborative Agentic Reasoning for Error Detection in Surgery), a novel zero-shot clinically-informed and risk-stratified agentic reasoning architecture for multi-class surgical error detection. CARES implements adaptive generation of medically informed, error-specific Chain-of-Thought (CoT) prompts across multiple expertise levels. The framework employs risk-aware routing to assign error task to expertise-matched reasoning pathways based on complexity and clinical impact. Subsequently, each pathway decomposes surgical error analysis into three specialized agents with temporal, spatial, and procedural analysis. Each agent analyzes using dynamically selected prompts tailored to the assigned expertise level and error type, generating detailed and transparent reasoning traces. By incorporating clinically informed reasoning from established surgical assessment guidelines, CARES enables zero-shot surgical error detection without prior training. Evaluation demonstrates superior performance with 54.3 mF1 on RARP and 52.0 mF1 on MERP datasets, outperforming existing zero-shot approaches by up to 14% while remaining competitive with trained models. Ablation studies demonstrate the effectiveness of our method. The dataset and code will be publicly available.

cs.MA

Spatio-Temporal Representation Decoupling and Enhancement for Federated Instrument Segmentation in Surgical Videos

Surgical instrument segmentation under Federated Learning (FL) is a promising direction, which enables multiple surgical sites to collaboratively train the model without centralizing datasets. However, there exist very limited FL works in surgical data science, and FL methods for other modalities do not consider inherent characteristics in surgical domain: i) different scenarios show diverse anatomical backgrounds while highly similar instrument representation; ii) there exist surgical simulators which promote large-scale synthetic data generation with minimal efforts. In this paper, we propose a novel Personalized FL scheme, Spatio-Temporal Representation Decoupling and Enhancement (FedST), which wisely leverages surgical domain knowledge during both local-site and global-server training to boost segmentation. Concretely, our model embraces a Representation Separation and Cooperation (RSC) mechanism in local-site training, which decouples the query embedding layer to be trained privately, to encode respective backgrounds. Meanwhile, other parameters are optimized globally to capture the consistent representations of instruments, including the temporal layer to capture similar motion patterns. A textual-guided channel selection is further designed to highlight site-specific features, facilitating model adapta tion to each site. Moreover, in global-server training, we propose Synthesis-based Explicit Representation Quantification (SERQ), which defines an explicit representation target based on synthetic data to synchronize the model convergence during fusion for improving model generalization.

eess.IV

Structure Matters: Revisiting Boundary Refinement in Video Object Segmentation

Given an object mask, Semi-supervised Video Object Segmentation (SVOS) technique aims to track and segment the object across video frames, serving as a fundamental task in computer vision. Although recent memory-based methods demonstrate potential, they often struggle with scenes involving occlusion, particularly in handling object interactions and high feature similarity. To address these issues and meet the real-time processing requirements of downstream applications, in this paper, we propose a novel bOundary Amendment video object Segmentation method with Inherent Structure refinement, hereby named OASIS. Specifically, a lightweight structure refinement module is proposed to enhance segmentation accuracy. With the fusion of rough edge priors captured by the Canny filter and stored object features, the module can generate an object-level structure map and refine the representations by highlighting boundary features. Evidential learning for uncertainty estimation is introduced to further address challenges in occluded regions. The proposed method, OASIS, maintains an efficient design, yet extensive experiments on challenging benchmarks demonstrate its superior performance and competitive inference speed compared to other state-of-the-art methods, i.e., achieving the F values of 91.6 (vs. 89.7 on DAVIS-17 validation set) and G values of 86.6 (vs. 86.2 on YouTubeVOS 2019 validation set) while maintaining a competitive speed of 48 FPS on DAVIS.

cs.CV

Agentic Reasoning: A Streamlined Framework for Enhancing LLM Reasoning with Agentic Tools

We introduce Agentic Reasoning, a framework that enhances large language model (LLM) reasoning by integrating external tool-using agents. Agentic Reasoning dynamically leverages web search, code execution, and structured memory to address complex problems requiring deep research. A key innovation in our framework is the Mind-Map agent, which constructs a structured knowledge graph to store reasoning context and track logical relationships, ensuring coherence in long reasoning chains with extensive tool usage. Additionally, we conduct a comprehensive exploration of the Web-Search agent, leading to a highly effective search mechanism that surpasses all prior approaches. When deployed on DeepSeek-R1, our method achieves a new state-of-the-art (SOTA) among public models and delivers performance comparable to OpenAI Deep Research, the leading proprietary model in this domain. Extensive ablation studies validate the optimal selection of agentic tools and confirm the effectiveness of our Mind-Map and Web-Search agents in enhancing LLM reasoning. The code is at: https://github.com/theworldofagents/Agentic-Reasoning

cs.AI

MedAgent-Pro: Towards Evidence-based Multi-modal Medical Diagnosis via Reasoning Agentic Workflow

In modern medicine, clinical diagnosis relies on the comprehensive analysis of primarily textual and visual data, drawing on medical expertise to ensure systematic and rigorous reasoning. Recent advances in large Vision-Language Models (VLMs) and agent-based methods hold great potential for medical diagnosis, thanks to the ability to effectively integrate multi-modal patient data. However, they often provide direct answers and draw empirical-driven conclusions without quantitative analysis, which reduces their reliability and clinical usability. We propose MedAgent-Pro, a new agentic reasoning paradigm that follows the diagnosis principle in modern medicine, to decouple the process into sequential components for step-by-step, evidence-based reasoning. Our MedAgent-Pro workflow presents a hierarchical diagnostic structure to mirror this principle, consisting of disease-level standardized plan generation and patient-level personalized step-by-step reasoning. To support disease-level planning, an RAG-based agent is designed to retrieve medical guidelines to ensure alignment with clinical standards. For patient-level reasoning, we propose to integrate professional tools such as visual models to enable quantitative assessments. Meanwhile, we propose to verify the reliability of each step to achieve evidence-based diagnosis, enforcing rigorous logical reasoning and a well-founded conclusion. Extensive experiments across a wide range of anatomical regions, imaging modalities, and diseases demonstrate the superiority of MedAgent-Pro to mainstream VLMs, agentic systems and state-of-the-art expert models. Ablation studies and human evaluation by clinical experts further validate its robustness and clinical relevance. Code is available at https://github.com/jinlab-imvr/MedAgent-Pro.

cs.AI

BCRNet: Enhancing Landmark Detection in Laparoscopic Liver Surgery via Bezier Curve Refinement

Laparoscopic liver surgery, while minimally invasive, poses significant challenges in accurately identifying critical anatomical structures. Augmented reality (AR) systems, integrating MRI/CT with laparoscopic images based on 2D-3D registration, offer a promising solution for enhancing surgical navigation. A vital aspect of the registration progress is the precise detection of curvilinear anatomical landmarks in laparoscopic images. In this paper, we propose BCRNet (Bezier Curve Refinement Net), a novel framework that significantly enhances landmark detection in laparoscopic liver surgery primarily via the Bezier curve refinement strategy. The framework starts with a Multi-modal Feature Extraction (MFE) module designed to robustly capture semantic features. Then we propose Adaptive Curve Proposal Initialization (ACPI) to generate pixel-aligned Bezier curves and confidence scores for reliable initial proposals. Additionally, we design the Hierarchical Curve Refinement (HCR) mechanism to enhance these proposals iteratively through a multi-stage process, capturing fine-grained contextual details from multi-scale pixel-level features for precise Bezier curve adjustment. Extensive evaluations on the L3D and P2ILF datasets demonstrate that BCRNet outperforms state-of-the-art methods, achieving significant performance improvements. Code will be available.

cs.CV

SurgVLM: A Large Vision-Language Model and Systematic Evaluation Benchmark for Surgical Intelligence

Foundation models have achieved transformative success across biomedical domains by enabling holistic understanding of multimodal data. However, their application in surgery remains underexplored. Surgical intelligence presents unique challenges - requiring surgical visual perception, temporal analysis, and reasoning. Existing general-purpose vision-language models fail to address these needs due to insufficient domain-specific supervision and the lack of a large-scale high-quality surgical database. To bridge this gap, we propose SurgVLM, one of the first large vision-language foundation models for surgical intelligence, where this single universal model can tackle versatile surgical tasks. To enable this, we construct a large-scale multimodal surgical database, SurgVLM-DB, comprising over 1.81 million frames with 7.79 million conversations, spanning more than 16 surgical types and 18 anatomical structures. We unify and reorganize 23 public datasets across 10 surgical tasks, followed by standardizing labels and doing hierarchical vision-language alignment to facilitate comprehensive coverage of gradually finer-grained surgical tasks, from visual perception, temporal analysis, to high-level reasoning. Building upon this comprehensive dataset, we propose SurgVLM, which is built upon Qwen2.5-VL, and undergoes instruction tuning to 10+ surgical tasks. We further construct a surgical multimodal benchmark, SurgVLM-Bench, for method evaluation. SurgVLM-Bench consists of 6 popular and widely-used datasets in surgical domain, covering several crucial downstream tasks. Based on SurgVLM-Bench, we evaluate the performance of our SurgVLM (3 SurgVLM variants: SurgVLM-7B, SurgVLM-32B, and SurgVLM-72B), and conduct comprehensive comparisons with 14 mainstream commercial VLMs (e.g., GPT-4o, Gemini 2.0 Flash, Qwen2.5-Max).

cs.CV

Large-scale Self-supervised Video Foundation Model for Intelligent Surgery

Computer-Assisted Intervention (CAI) has the potential to revolutionize modern surgery, with surgical scene understanding serving as a critical component in supporting decision-making, improving procedural efficacy, and ensuring intraoperative safety. While existing AI-driven approaches alleviate annotation burdens via self-supervised spatial representation learning, their lack of explicit temporal modeling during pre-training fundamentally restricts the capture of dynamic surgical contexts, resulting in incomplete spatiotemporal understanding. In this work, we introduce the first video-level surgical pre-training framework that enables joint spatiotemporal representation learning from large-scale surgical video data. To achieve this, we constructed a large-scale surgical video dataset comprising 3,650 videos and approximately 3.55 million frames, spanning more than 20 surgical procedures and over 10 anatomical structures. Building upon this dataset, we propose SurgVISTA (Surgical Video-level Spatial-Temporal Architecture), a reconstruction-based pre-training method that captures intricate spatial structures and temporal dynamics through joint spatiotemporal modeling. Additionally, SurgVISTA incorporates image-level knowledge distillation guided by a surgery-specific expert to enhance the learning of fine-grained anatomical and semantic features. To validate its effectiveness, we established a comprehensive benchmark comprising 13 video-level datasets spanning six surgical procedures across four tasks. Extensive experiments demonstrate that SurgVISTA consistently outperforms both natural- and surgical-domain pre-trained models, demonstrating strong potential to advance intelligent surgical systems in clinically meaningful scenarios.

cs.CV

Automatically Identify and Rectify: Robust Deep Contrastive Multi-view Clustering in Noisy Scenarios

Leveraging the powerful representation learning capabilities, deep multi-view clustering methods have demonstrated reliable performance by effectively integrating multi-source information from diverse views in recent years. Most existing methods rely on the assumption of clean views. However, noise is pervasive in real-world scenarios, leading to a significant degradation in performance. To tackle this problem, we propose a novel multi-view clustering framework for the automatic identification and rectification of noisy data, termed AIRMVC. Specifically, we reformulate noisy identification as an anomaly identification problem using GMM. We then design a hybrid rectification strategy to mitigate the adverse effects of noisy data based on the identification results. Furthermore, we introduce a noise-robust contrastive mechanism to generate reliable representations. Additionally, we provide a theoretical proof demonstrating that these representations can discard noisy information, thereby improving the performance of downstream tasks. Extensive experiments on six benchmark datasets demonstrate that AIRMVC outperforms state-of-the-art algorithms in terms of robustness in noisy scenarios. The code of AIRMVC are available at https://github.com/xihongyang1999/AIRMVC on Github.

cs.CV

ReSurgSAM2: Referring Segment Anything in Surgical Video via Credible Long-term Tracking

Surgical scene segmentation is critical in computer-assisted surgery and is vital for enhancing surgical quality and patient outcomes. Recently, referring surgical segmentation is emerging, given its advantage of providing surgeons with an interactive experience to segment the target object. However, existing methods are limited by low efficiency and short-term tracking, hindering their applicability in complex real-world surgical scenarios. In this paper, we introduce ReSurgSAM2, a two-stage surgical referring segmentation framework that leverages Segment Anything Model 2 to perform text-referred target detection, followed by tracking with reliable initial frame identification and diversity-driven long-term memory. For the detection stage, we propose a cross-modal spatial-temporal Mamba to generate precise detection and segmentation results. Based on these results, our credible initial frame selection strategy identifies the reliable frame for the subsequent tracking. Upon selecting the initial frame, our method transitions to the tracking stage, where it incorporates a diversity-driven memory mechanism that maintains a credible and diverse memory bank, ensuring consistent long-term tracking. Extensive experiments demonstrate that ReSurgSAM2 achieves substantial improvements in accuracy and efficiency compared to existing methods, operating in real-time at 61.2 FPS. Our code and datasets will be available at https://github.com/jinlab-imvr/ReSurgSAM2.

cs.CV

Free-DyGS: Camera-Pose-Free Scene Reconstruction for Dynamic Surgical Videos with Gaussian Splatting

High-fidelity reconstruction of surgical scene is a fundamentally crucial task to support many applications, such as intra-operative navigation and surgical education. However, most existing methods assume the ideal surgical scenarios - either focus on dynamic reconstruction with deforming tissue yet assuming a given fixed camera pose, or allow endoscope movement yet reconstructing the static scenes. In this paper, we target at a more realistic yet challenging setup - free-pose reconstruction with a moving camera for highly dynamic surgical scenes. Meanwhile, we take the first step to introduce Gaussian Splitting (GS) technique to tackle this challenging setting and propose a novel GS-based framework for fast reconstruction, termed \textit{Free-DyGS}. Concretely, our model embraces a novel scene initialization in which a pre-trained Sparse Gaussian Regressor (SGR) can efficiently parameterize the initial attributes. For each subsequent frame, we propose to jointly optimize the deformation model and 6D camera poses in a frame-by-frame manner, easing training given the limited deformation differences between consecutive frames. A Scene Expansion scheme is followed to expand the GS model for the unseen regions introduced by the moving camera. Moreover, the framework is equipped with a novel Retrospective Deformation Recapitulation (RDR) strategy to preserve the entire-clip deformations throughout the frame-by-frame training scheme. The efficacy of the proposed Free-DyGS is substantiated through extensive experiments on two datasets: StereoMIS and Hamlyn datasets. The experimental outcomes underscore that Free-DyGS surpasses other advanced methods in both rendering accuracy and efficiency. Code will be available.

cs.CV

ToolTipNet: A Segmentation-Driven Deep Learning Baseline for Surgical Instrument Tip Detection

In robot-assisted laparoscopic radical prostatectomy (RALP), the location of the instrument tip is important to register the ultrasound frame with the laparoscopic camera frame. A long-standing limitation is that the instrument tip position obtained from the da Vinci API is inaccurate and requires hand-eye calibration. Thus, directly computing the position of the tool tip in the camera frame using the vision-based method becomes an attractive solution. Besides, surgical instrument tip detection is the key component of other tasks, like surgical skill assessment and surgery automation. However, this task is challenging due to the small size of the tool tip and the articulation of the surgical instrument. Surgical instrument segmentation becomes relatively easy due to the emergence of the Segmentation Foundation Model, i.e., Segment Anything. Based on this advancement, we explore the deep learning-based surgical instrument tip detection approach that takes the part-level instrument segmentation mask as input. Comparison experiments with a hand-crafted image-processing approach demonstrate the superiority of the proposed method on simulated and real datasets.

cs.CV

Dynamic Allocation Hypernetwork with Adaptive Model Recalibration for Federated Continual Learning

Federated continual learning (FCL) offers an emerging pattern to facilitate the applicability of federated learning (FL) in real-world scenarios, where tasks evolve dynamically and asynchronously across clients, especially in medical scenario. Existing server-side FCL methods in nature domain construct a continually learnable server model by client aggregation on all-involved tasks. However, they are challenged by: (1) Catastrophic forgetting for previously learned tasks, leading to error accumulation in server model, making it difficult to sustain comprehensive knowledge across all tasks. (2) Biased optimization due to asynchronous tasks handled across different clients, leading to the collision of optimization targets of different clients at the same time steps. In this work, we take the first step to propose a novel server-side FCL pattern in medical domain, Dynamic Allocation Hypernetwork with adaptive model recalibration (FedDAH). It is to facilitate collaborative learning under the distinct and dynamic task streams across clients. To alleviate the catastrophic forgetting, we propose a dynamic allocation hypernetwork (DAHyper) where a continually updated hypernetwork is designed to manage the mapping between task identities and their associated model parameters, enabling the dynamic allocation of the model across clients. For the biased optimization, we introduce a novel adaptive model recalibration (AMR) to incorporate the candidate changes of historical models into current server updates, and assign weights to identical tasks across different time steps based on the similarity for continual optimization. Extensive experiments on the AMOS dataset demonstrate the superiority of our FedDAH to other FCL methods on sites with different task streams. The code is available:https://github.com/jinlab-imvr/FedDAH.

cs.LG

Dynamic Allocation Hypernetwork with Adaptive Model Recalibration for FCL

Federated continual learning (FCL) offers an emerging pattern to facilitate the applicability of federated learning (FL) in real-world scenarios, where tasks evolve dynamically and asynchronously across clients, especially in medical scenario. Existing server-side FCL methods in nature domain construct a continually learnable server model by client aggregation on all-involved tasks. However, they are challenged by: (1) Catastrophic forgetting for previously learned tasks, leading to error accumulation in server model, making it difficult to sustain comprehensive knowledge across all tasks. (2) Biased optimization due to asynchronous tasks handled across different clients, leading to the collision of optimization targets of different clients at the same time steps. In this work, we take the first step to propose a novel server-side FCL pattern in medical domain, Dynamic Allocation Hypernetwork with adaptive model recalibration (\textbf{FedDAH}). It is to facilitate collaborative learning under the distinct and dynamic task streams across clients. To alleviate the catastrophic forgetting, we propose a dynamic allocation hypernetwork (DAHyper) where a continually updated hypernetwork is designed to manage the mapping between task identities and their associated model parameters, enabling the dynamic allocation of the model across clients. For the biased optimization, we introduce a novel adaptive model recalibration (AMR) to incorporate the candidate changes of historical models into current server updates, and assign weights to identical tasks across different time steps based on the similarity for continual optimization. Extensive experiments on the AMOS dataset demonstrate the superiority of our FedDAH to other FCL methods on sites with different task streams. The code is available:https://github.com/jinlab-imvr/FedDAH.

cs.LG