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From Monocular Vision to Autonomous Action: Guiding Tumor Resection via 3D Reconstruction

arXiv.org Artificial Intelligence

Surgical automation requires precise guidance and understanding of the scene. Current methods in the literature rely on bulky depth cameras to create maps of the anatomy, however this does not translate well to space-limited clinical applications. Monocular cameras are small and allow minimally invasive surgeries in tight spaces but additional processing is required to generate 3D scene understanding. We propose a 3D mapping pipeline that uses only RGB images to create segmented point clouds of the target anatomy. To ensure the most precise reconstruction, we compare different structure from motion algorithms' performance on mapping the central airway obstructions, and test the pipeline on a downstream task of tumor resection. In several metrics, including post-procedure tissue model evaluation, our pipeline performs comparably to RGB-D cameras and, in some cases, even surpasses their performance. These promising results demonstrate that automation guidance can be achieved in minimally invasive procedures with monocular cameras. This study is a step toward the complete autonomy of surgical robots.


Towards Fluorescence-Guided Autonomous Robotic Partial Nephrectomy on Novel Tissue-Mimicking Hydrogel Phantoms

arXiv.org Artificial Intelligence

Autonomous robotic systems hold potential for improving renal tumor resection accuracy and patient outcomes. We present a fluorescence-guided robotic system capable of planning and executing incision paths around exophytic renal tumors with a clinically relevant resection margin. Leveraging point cloud observations, the system handles irregular tumor shapes and distinguishes healthy from tumorous tissue based on near-infrared imaging, akin to indocyanine green staining in partial nephrectomy. Tissue-mimicking phantoms are crucial for the development of autonomous robotic surgical systems for interventions where acquiring ex-vivo animal tissue is infeasible, such as cancer of the kidney and renal pelvis. To this end, we propose novel hydrogel-based kidney phantoms with exophytic tumors that mimic the physical and visual behavior of tissue, and are compatible with electrosurgical instruments, a common limitation of silicone-based phantoms. In contrast to previous hydrogel phantoms, we mix the material with near-infrared dye to enable fluorescence-guided tumor segmentation. Autonomous real-world robotic experiments validate our system and phantoms, achieving an average margin accuracy of 1.44 mm in a completion time of 69 sec.


Autonomous Vision-Guided Resection of Central Airway Obstruction

arXiv.org Artificial Intelligence

Existing tracheal tumor resection methods often lack the precision required for effective airway clearance, and robotic advancements offer new potential for autonomous resection. We present a vision-guided, autonomous approach for palliative resection of tracheal tumors. This system models the tracheal surface with a fifth-degree polynomial to plan tool trajectories, while a custom Faster R-CNN segmentation pipeline identifies the trachea and tumor boundaries. The electrocautery tool angle is optimized using handheld surgical demonstrations, and trajectories are planned to maintain a 1 mm safety clearance from the tracheal surface. We validated the workflow successfully in five consecutive experiments on ex-vivo animal tissue models, successfully clearing the airway obstruction without trachea perforation in all cases (with more than 90% volumetric tumor removal). These results support the feasibility of an autonomous resection platform, paving the way for future developments in minimally-invasive autonomous resection.


Efficient Implementation of LinearUCB through Algorithmic Improvements and Vector Computing Acceleration for Embedded Learning Systems

arXiv.org Artificial Intelligence

As the Internet of Things expands, embedding Artificial Intelligence algorithms in resource-constrained devices has become increasingly important to enable real-time, autonomous decision-making without relying on centralized cloud servers. However, implementing and executing complex algorithms in embedded devices poses significant challenges due to limited computational power, memory, and energy resources. This paper presents algorithmic and hardware techniques to efficiently implement two LinearUCB Contextual Bandits algorithms on resource-constrained embedded devices. Algorithmic modifications based on the Sherman-Morrison-Woodbury formula streamline model complexity, while vector acceleration is harnessed to speed up matrix operations. We analyze the impact of each optimization individually and then combine them in a two-pronged strategy. The results show notable improvements in execution time and energy consumption, demonstrating the effectiveness of combining algorithmic and hardware optimizations to enhance learning models for edge computing environments with low-power and real-time requirements.


Two-layer retrieval augmented generation framework for low-resource medical question-answering: proof of concept using Reddit data

arXiv.org Artificial Intelligence

Retrieval augmented generation (RAG) provides the capability to constrain generative model outputs, and mitigate the possibility of hallucination, by providing relevant in-context text. The number of tokens a generative large language model (LLM) can incorporate as context is finite, thus limiting the volume of knowledge from which to generate an answer. We propose a two-layer RAG framework for query-focused answer generation and evaluate a proof-of-concept for this framework in the context of query-focused summary generation from social media forums, focusing on emerging drug-related information. The evaluations demonstrate the effectiveness of the two-layer framework in resource constrained settings to enable researchers in obtaining near real-time data from users.


GeckOpt: LLM System Efficiency via Intent-Based Tool Selection

arXiv.org Artificial Intelligence

In this preliminary study, we investigate a GPT-driven intent-based reasoning approach to streamline tool selection for large language models (LLMs) aimed at system efficiency. By identifying the intent behind user prompts at runtime, we narrow down the API toolset required for task execution, reducing token consumption by up to 24.6\%. Early results on a real-world, massively parallel Copilot platform with over 100 GPT-4-Turbo nodes show cost reductions and potential towards improving LLM-based system efficiency.


Synapse: Trajectory-as-Exemplar Prompting with Memory for Computer Control

arXiv.org Artificial Intelligence

Building agents with large language models (LLMs) for computer control is a burgeoning research area, where the agent receives computer states and performs actions to complete complex tasks. Previous computer agents have demonstrated the benefits of in-context learning (ICL); however, their performance is hindered by several issues. First, the limited context length of LLMs and complex computer states restrict the number of exemplars, as a single webpage can consume the entire context. Second, the exemplars in current methods, such as high-level plans and multi-choice questions, cannot represent complete trajectories, leading to suboptimal performance in long-horizon tasks. Third, existing computer agents rely on task-specific exemplars and overlook the similarity among tasks, resulting in poor generalization to novel tasks. To address these challenges, we introduce Synapse, a computer agent featuring three key components: i) state abstraction, which filters out task-irrelevant information from raw states, allowing more exemplars within the limited context, ii) trajectory-as-exemplar prompting, which prompts the LLM with complete trajectories of the abstracted states and actions to improve multi-step decision-making, and iii) exemplar memory, which stores the embeddings of exemplars and retrieves them via similarity search for generalization to novel tasks. We evaluate Synapse on MiniWoB++, a standard task suite, and Mind2Web, a real-world website benchmark. In MiniWoB++, Synapse achieves a 99.2% average success rate (a 10% relative improvement) across 64 tasks using demonstrations from only 48 tasks. Notably, Synapse is the first ICL method to solve the book-flight task in MiniWoB++. Synapse also exhibits a 56% relative improvement in average step success rate over the previous state-of-the-art prompting scheme in Mind2Web.


Think-on-Graph: Deep and Responsible Reasoning of Large Language Model on Knowledge Graph

arXiv.org Artificial Intelligence

Although large language models (LLMs) have achieved significant success in various tasks, they often struggle with hallucination problems, especially in scenarios requiring deep and responsible reasoning. These issues could be partially addressed by introducing external knowledge graphs (KG) in LLM reasoning. In this paper, we propose a new LLM-KG integrating paradigm ``$\hbox{LLM}\otimes\hbox{KG}$'' which treats the LLM as an agent to interactively explore related entities and relations on KGs and perform reasoning based on the retrieved knowledge. We further implement this paradigm by introducing a new approach called Think-on-Graph (ToG), in which the LLM agent iteratively executes beam search on KG, discovers the most promising reasoning paths, and returns the most likely reasoning results. We use a number of well-designed experiments to examine and illustrate the following advantages of ToG: 1) compared with LLMs, ToG has better deep reasoning power; 2) ToG has the ability of knowledge traceability and knowledge correctability by leveraging LLMs reasoning and expert feedback; 3) ToG provides a flexible plug-and-play framework for different LLMs, KGs and prompting strategies without any additional training cost; 4) the performance of ToG with small LLM models could exceed large LLM such as GPT-4 in certain scenarios and this reduces the cost of LLM deployment and application. As a training-free method with lower computational cost and better generality, ToG achieves overall SOTA in 6 out of 9 datasets where most previous SOTAs rely on additional training.


The CoT Collection: Improving Zero-shot and Few-shot Learning of Language Models via Chain-of-Thought Fine-Tuning

arXiv.org Artificial Intelligence

Language models (LMs) with less than 100B parameters are known to perform poorly on chain-of-thought (CoT) reasoning in contrast to large LMs when solving unseen tasks. In this work, we aim to equip smaller LMs with the step-by-step reasoning capability by instruction tuning with CoT rationales. In order to achieve this goal, we first introduce a new instruction-tuning dataset called the CoT Collection, which augments the existing Flan Collection (including only 9 CoT tasks) with additional 1.84 million rationales across 1,060 tasks. We show that CoT fine-tuning Flan-T5 (3B & 11B) with CoT Collection enables smaller LMs to have better CoT capabilities on unseen tasks. On the BIG-Bench-Hard (BBH) benchmark, we report an average improvement of +4.34% (Flan-T5 3B) and +2.60% (Flan-T5 11B), in terms of zero-shot task accuracy. Furthermore, we show that instruction tuning with CoT Collection allows LMs to possess stronger few-shot learning capabilities on 4 domain-specific tasks, resulting in an improvement of +2.24% (Flan-T5 3B) and +2.37% (Flan-T5 11B), even outperforming ChatGPT utilizing demonstrations until the max length by a +13.98% margin. Our code, the CoT Collection data, and model checkpoints are publicly available.


Towards Flexibility and Interpretability of Gaussian Process State-Space Model

arXiv.org Artificial Intelligence

The Gaussian process state-space model (GPSSM) has garnered considerable attention over the past decade. However, the standard GP with a preliminary kernel, such as the squared exponential kernel or Mat\'{e}rn kernel, that is commonly used in GPSSM studies, limits the model's representation power and substantially restricts its applicability to complex scenarios. To address this issue, we propose a new class of probabilistic state-space models called TGPSSMs, which leverage a parametric normalizing flow to enrich the GP priors in the standard GPSSM, enabling greater flexibility and expressivity. Additionally, we present a scalable variational inference algorithm that offers a flexible and optimal structure for the variational distribution of latent states. The proposed algorithm is interpretable and computationally efficient due to the sparse GP representation and the bijective nature of normalizing flow. Moreover, we incorporate a constrained optimization framework into the algorithm to enhance the state-space representation capabilities and optimize the hyperparameters, leading to superior learning and inference performance. Experimental results on synthetic and real datasets corroborate that the proposed TGPSSM outperforms several state-of-the-art methods. The accompanying source code is available at \url{https://github.com/zhidilin/TGPSSM}.