Ultrasound (US)-guided needle insertion is widely employed in percutaneous interventions. However, providing feedback on the needle tip position via US image presents challenges due to noise, artifacts, and the thin imaging plane of US, which degrades needle features and leads to intermittent tip visibility. In this paper, a Mamba-based US needle tracker MambaXCTrack utilizing structured state space models cross-correlation (SSMX-Corr) and implicit motion prompt is proposed, which is the first application of Mamba in US needle tracking. The SSMX-Corr enhances cross-correlation by long-range modeling and global searching of distant semantic features between template and search maps, benefiting the tracking under noise and artifacts by implicitly learning potential distant semantic cues. By combining with cross-map interleaved scan (CIS), local pixel-wise interaction with positional inductive bias can also be introduced to SSMX-Corr. The implicit low-level motion descriptor is proposed as a non-visual prompt to enhance tracking robustness, addressing the intermittent tip visibility problem. Extensive experiments on a dataset with motorized needle insertion in both phantom and tissue samples demonstrate that the proposed tracker outperforms other state-of-the-art trackers while ablation studies further highlight the effectiveness of each proposed tracking module.

Defocus blur is a persistent problem in microscope imaging that poses harm to pathology interpretation and medical intervention in cell microscopy and microscope surgery. To address this problem, a unified framework including the multi-pyramid transformer (MPT) and extended frequency contrastive regularization (EFCR) is proposed to tackle two outstanding challenges in microscopy deblur: longer attention span and data deficiency. The MPT employs an explicit pyramid structure at each network stage that integrates the cross-scale window attention (CSWA), the intra-scale channel attention (ISCA), and the feature-enhancing feed-forward network (FEFN) to capture long-range cross-scale spatial interaction and global channel context. The EFCR addresses the data deficiency problem by exploring latent deblur signals from different frequency bands. It also enables deblur knowledge transfer to learn cross-domain information from extra data, improving deblur performance for labeled and unlabeled data. Extensive experiments and downstream task validation show the framework achieves state-of-the-art performance across multiple datasets. Project page: https://github.com/PieceZhang/MPT-CataBlur.

Continuum robotic manipulators are increasingly adopted in minimal invasive surgery. However, their nonlinear behavior is challenging to model accurately, especially when subject to external interaction, potentially leading to poor control performance. In this letter, we investigate the feasibility of adopting a model-free multiagent reinforcement learning (RL), namely multiagent deep Q network (MADQN), to control a 2-degree of freedom (DoF) cable-driven continuum surgical manipulator. The control of the robot is formulated as a one-DoF, one agent problem in the MADQN framework to improve the learning efficiency. Combined with a shielding scheme that enables dynamic variation of the action set boundary, MADQN leads to efficient and importantly safer control of the robot. Shielded MADQN enabled the robot to perform point and trajectory tracking with submillimeter root mean square errors under external loads, soft obstacles, and rigid collision, which are common interaction scenarios encountered by surgical manipulators. The controller was further proven to be effective in a miniature continuum robot with high structural nonlinearitiy, achieving trajectory tracking with submillimeter accuracy under external payload.