Medical video generation has transformative potential for enhancing surgical understanding and pathology insights through precise and controllable visual representations. However, current models face limitations in controllability and authenticity. To bridge this gap, we propose SurgSora, a motion-controllable surgical video generation framework that uses a single input frame and user-controllable motion cues. SurgSora consists of three key modules: the Dual Semantic Injector (DSI), which extracts object-relevant RGB and depth features from the input frame and integrates them with segmentation cues to capture detailed spatial features of complex anatomical structures; the Decoupled Flow Mapper (DFM), which fuses optical flow with semantic-RGB-D features at multiple scales to enhance temporal understanding and object spatial dynamics; and the Trajectory Controller (TC), which allows users to specify motion directions and estimates sparse optical flow, guiding the video generation process. The fused features are used as conditions for a frozen Stable Diffusion model to produce realistic, temporally coherent surgical videos. Extensive evaluations demonstrate that SurgSora outperforms state-of-the-art methods in controllability and authenticity, showing its potential to advance surgical video generation for medical education, training, and research. See our project page for more results: surgsora.github.io.

Evolutionary reinforcement learning (ERL) algorithms recently raise attention in tackling complex reinforcement learning (RL) problems due to high parallelism, while they are prone to insufficient exploration or model collapse without carefully tuning hyperparameters (aka meta-parameters). In the paper, we propose a general meta ERL framework via bilevel optimization (BiERL) to jointly update hyperparameters in parallel to training the ERL model within a single agent, which relieves the need for prior domain knowledge or costly optimization procedure before model deployment. We design an elegant meta-level architecture that embeds the inner-level's evolving experience into an informative population representation and introduce a simple and feasible evaluation of the meta-level fitness function to facilitate learning efficiency. We perform extensive experiments in MuJoCo and Box2D tasks to verify that as a general framework, BiERL outperforms various baselines and consistently improves the learning performance for a diversity of ERL algorithms.