Early detection, accurate segmentation, classification and tracking of polyps during colonoscopy are critical for preventing colorectal cancer. Many existing deep-learning-based methods for analyzing colonoscopic videos either require task-specific fine-tuning, lack tracking capabilities, or rely on domain-specific pre-training. In this paper, we introduce PolypSegTrack, a novel foundation model that jointly addresses polyp detection, segmentation, classification and unsupervised tracking in colonoscopic videos. Our approach leverages a novel conditional mask loss, enabling flexible training across datasets with either pixel-level segmentation masks or bounding box annotations, allowing us to bypass task-specific fine-tuning. Our unsupervised tracking module reliably associates polyp instances across frames using object queries, without relying on any heuristics. We leverage a robust vision foundation model backbone that is pre-trained unsupervisedly on natural images, thereby removing the need for domain-specific pre-training. Extensive experiments on multiple polyp benchmarks demonstrate that our method significantly outperforms existing state-of-the-art approaches in detection, segmentation, classification, and tracking.

Real-time rendering of dynamic scenes with view-dependent effects remains a fundamental challenge in computer graphics. While recent advances in Gaussian Splatting have shown promising results separately handling dynamic scenes (4DGS) and view-dependent effects (6DGS), no existing method unifies these capabilities while maintaining real-time performance. We present 7D Gaussian Splatting (7DGS), a unified framework representing scene elements as seven-dimensional Gaussians spanning position (3D), time (1D), and viewing direction (3D). Our key contribution is an efficient conditional slicing mechanism that transforms 7D Gaussians into view- and time-conditioned 3D Gaussians, maintaining compatibility with existing 3D Gaussian Splatting pipelines while enabling joint optimization. Experiments demonstrate that 7DGS outperforms prior methods by up to 7.36 dB in PSNR while achieving real-time rendering (401 FPS) on challenging dynamic scenes with complex view-dependent effects. The project page is: https://gaozhongpai.github.io/7dgs/.

The accurate segmentation of guidewires in interventional cardiac fluoroscopy videos is crucial for computer-aided navigation tasks. Although deep learning methods have demonstrated high accuracy and robustness in wire segmentation, they require substantial annotated datasets for generalizability, underscoring the need for extensive labeled data to enhance model performance. To address this challenge, we propose the Segmentation-guided Frame-consistency Video Diffusion Model (SF-VD) to generate large collections of labeled fluoroscopy videos, augmenting the training data for wire segmentation networks. SF-VD leverages videos with limited annotations by independently modeling scene distribution and motion distribution. It first samples the scene distribution by generating 2D fluoroscopy images with wires positioned according to a specified input mask, and then samples the motion distribution by progressively generating subsequent frames, ensuring frame-to-frame coherence through a frame-consistency strategy. A segmentation-guided mechanism further refines the process by adjusting wire contrast, ensuring a diverse range of visibility in the synthesized image. Evaluation on a fluoroscopy dataset confirms the superior quality of the generated videos and shows significant improvements in guidewire segmentation.

Large language models (LLMs) have shown remarkable capabilities in various natural language processing tasks, yet they often struggle with maintaining factual accuracy, particularly in knowledge-intensive domains like healthcare. This study introduces LEAF: Learning and Evaluation Augmented by Fact-Checking, a novel approach designed to enhance the factual reliability of LLMs, with a focus on medical question answering (QA). LEAF utilizes a dual strategy to enhance the factual accuracy of responses from models such as Llama 3 70B Instruct and Llama 3 8B Instruct. The first strategy, Fact-Check-Then-RAG, improves Retrieval-Augmented Generation (RAG) by incorporating fact-checking results to guide the retrieval process without updating model parameters. The second strategy, Learning from Fact-Checks via Self-Training, involves supervised fine-tuning (SFT) on fact-checked responses or applying Simple Preference Optimization (SimPO) with fact-checking as a ranking mechanism, both updating LLM parameters from supervision. These findings suggest that integrating fact-checked responses whether through RAG enhancement or self-training enhances the reliability and factual correctness of LLM outputs, offering a promising solution for applications where information accuracy is crucial.

Multimodal large language models (MLLMs) have made significant strides, yet they face challenges in the medical domain due to limited specialized knowledge. While recent medical MLLMs demonstrate strong performance in lab settings, they often struggle in real-world applications, highlighting a substantial gap between research and practice. In this paper, we seek to address this gap at various stages of the end-to-end learning pipeline, including data collection, model fine-tuning, and evaluation. At the data collection stage, we introduce SemiHVision, a dataset that combines human annotations with automated augmentation techniques to improve both medical knowledge representation and diagnostic reasoning. For model fine-tuning, we trained PMC-Cambrian-8B-AN over 2400 H100 GPU hours, resulting in performance that surpasses public medical models like HuatuoGPT-Vision-34B (79.0% vs. 66.7%) and private general models like Claude3-Opus (55.7%) on traditional benchmarks such as SLAKE and VQA-RAD. In the evaluation phase, we observed that traditional benchmarks cannot accurately reflect realistic clinical task capabilities. To overcome this limitation and provide more targeted guidance for model evaluation, we introduce the JAMA Clinical Challenge, a novel benchmark specifically designed to evaluate diagnostic reasoning. On this benchmark, PMC-Cambrian-AN achieves state-of-the-art performance with a GPT-4 score of 1.29, significantly outperforming HuatuoGPT-Vision-34B (1.13) and Claude3-Opus (1.17), demonstrating its superior diagnostic reasoning abilities.

Interactive segmentation aims to accurately segment target objects with minimal user interactions. However, current methods often fail to accurately separate target objects from the background, due to a limited understanding of order, the relative depth between objects in a scene. To address this issue, we propose OIS: order-aware interactive segmentation, where we explicitly encode the relative depth between objects into order maps. We introduce a novel order-aware attention, where the order maps seamlessly guide the user interactions (in the form of clicks) to attend to the image features. We further present an object-aware attention module to incorporate a strong object-level understanding to better differentiate objects with similar order. Our approach allows both dense and sparse integration of user clicks, enhancing both accuracy and efficiency as compared to prior works. Experimental results demonstrate that OIS achieves state-of-the-art performance, improving mIoU after one click by 7.61 on the HQSeg44K dataset and 1.32 on the DAVIS dataset as compared to the previous state-of-the-art SegNext, while also doubling inference speed compared to current leading methods. The project page is https://ukaukaaaa.github.io/projects/OIS/index.html

Novel view synthesis has advanced significantly with the development of neural radiance fields (NeRF) and 3D Gaussian splatting (3DGS). However, achieving high quality without compromising real-time rendering remains challenging, particularly for physically-based ray tracing with view-dependent effects. Recently, N-dimensional Gaussians (N-DG) introduced a 6D spatial-angular representation to better incorporate view-dependent effects, but the Gaussian representation and control scheme are sub-optimal. In this paper, we revisit 6D Gaussians and introduce 6D Gaussian Splatting (6DGS), which enhances color and opacity representations and leverages the additional directional information in the 6D space for optimized Gaussian control. Our approach is fully compatible with the 3DGS framework and significantly improves real-time radiance field rendering by better modeling view-dependent effects and fine details. Experiments demonstrate that 6DGS significantly outperforms 3DGS and N-DG, achieving up to a 15.73 dB improvement in PSNR with a reduction of 66.5% Gaussian points compared to 3DGS. The project page is: https://gaozhongpai.github.io/6dgs/

The detection of human parts (e.g., hands, face) and their correct association with individuals is an essential task, e.g., for ubiquitous human-machine interfaces and action recognition. Traditional methods often employ multi-stage processes, rely on cumbersome anchor-based systems, or do not scale well to larger part sets. This paper presents PBADet, a novel one-stage, anchor-free approach for part-body association detection. Building upon the anchor-free object representation across multi-scale feature maps, we introduce a singular part-to-body center offset that effectively encapsulates the relationship between parts and their parent bodies. Our design is inherently versatile and capable of managing multiple parts-to-body associations without compromising on detection accuracy or robustness. Comprehensive experiments on various datasets underscore the efficacy of our approach, which not only outperforms existing state-of-the-art techniques but also offers a more streamlined and efficient solution to the part-body association challenge.

Deep implicit functions (DIFs) have emerged as a potent and articulate means of representing 3D shapes. However, methods modeling object categories or non-rigid entities have mainly focused on single-object scenarios. In this work, we propose MODIF, a multi-object deep implicit function that jointly learns the deformation fields and instance-specific latent codes for multiple objects at once. Our emphasis is on non-rigid, non-interpenetrating entities such as organs. To effectively capture the interrelation between these entities and ensure precise, collision-free representations, our approach facilitates signaling between category-specific fields to adequately rectify shapes. We also introduce novel inter-object supervision: an attraction-repulsion loss is formulated to refine contact regions between objects. Our approach is demonstrated on various medical benchmarks, involving modeling different groups of intricate anatomical entities. Experimental results illustrate that our model can proficiently learn the shape representation of each organ and their relations to others, to the point that shapes missing from unseen instances can be consistently recovered by our method. Finally, MODIF can also propagate semantic information throughout the population via accurate point correspondences

Compared with 2D MRI, 3D MRI provides superior volumetric spatial resolution and signal-to-noise ratio. However, it is more challenging to reconstruct 3D MRI images. Current methods are mainly based on convolutional neural networks (CNN) with small kernels, which are difficult to scale up to have sufficient fitting power for 3D MRI reconstruction due to the large image size and GPU memory constraint. Furthermore, MRI reconstruction is a deconvolution problem, which demands long-distance information that is difficult to capture by CNNs with small convolution kernels. The multi-layer perceptron (MLP) can model such long-distance information, but it requires a fixed input size. In this paper, we proposed Recon3DMLP, a hybrid of CNN modules with small kernels for low-frequency reconstruction and adaptive MLP (dMLP) modules with large kernels to boost the high-frequency reconstruction, for 3D MRI reconstruction. We further utilized the circular shift operation based on MRI physics such that dMLP accepts arbitrary image size and can extract global information from the entire FOV. We also propose a GPU memory efficient data fidelity module that can reduce $>$50$\%$ memory. We compared Recon3DMLP with other CNN-based models on a high-resolution (HR) 3D MRI dataset. Recon3DMLP improves HR 3D reconstruction and outperforms several existing CNN-based models under similar GPU memory consumption, which demonstrates that Recon3DMLP is a practical solution for HR 3D MRI reconstruction.