This paper presents a comprehensive comparative model analysis on a novel gastrointestinal medical imaging dataset, comprised of 4,000 endoscopic images spanning four critical disease classes: Diverticulosis, Neoplasm, Peritonitis, and Ureters. Leveraging state-of-the-art deep learning techniques, the study confronts common endoscopic challenges such as variable lighting, fluctuating camera angles, and frequent imaging artifacts. The best performing models, VGG16 and MobileNetV2, each achieved a test accuracy of 96.5%, while Xception reached 94.24%, establishing robust benchmarks and baselines for automated disease classification. In addition to strong classification performance, the approach includes explainable AI via Grad-CAM visualization, enabling identification of image regions most influential to model predictions and enhancing clinical interpretability. Experimental results demonstrate the potential for robust, accurate, and interpretable medical image analysis even in complex real-world conditions. This work contributes original benchmarks, comparative insights, and visual explanations, advancing the landscape of gastrointestinal computer-aided diagnosis and underscoring the importance of diverse, clinically relevant datasets and model explainability in medical AI research.

Precise and real-time detection of gastrointestinal polyps during endoscopic procedures is crucial for early diagnosis and prevention of colorectal cancer. This work presents En-doSight AI, a deep learning architecture developed and evaluated independently to enable accurate polyp localization and detailed boundary delineation. Leveraging the publicly available Hyper-Kvasir dataset, the system achieves a mean A verage Precision (mAP) of 88.3% for polyp detection and a Dice coefficient of up to 69% for segmentation, alongside real-time inference speeds exceeding 35 frames per second on GPU hardware. The training incorporates clinically relevant performance metrics and a novel thermal-aware procedure to ensure model robustness and efficiency. This integrated AI solution is designed for seamless deployment in endoscopy workflows, promising to advance diagnostic accuracy and clinical decision-making in gastrointestinal healthcare.

Self-supervised monocular depth estimation is a significant task for low-cost and efficient 3D scene perception and measurement in endoscopy. However, the variety of illumination conditions and scene features is still the primary challenges for depth estimation in endoscopic scenes. In this work, a novel self-supervised framework is proposed for monocular depth estimation in diverse endoscopy. Firstly, considering the diverse features in endoscopic scenes with different tissues, a novel block-wise mixture of dynamic low-rank experts is proposed to efficiently finetune the foundation model for endoscopic depth estimation. In the proposed module, based on the input feature, different experts with a small amount of trainable parameters are adaptively selected for weighted inference, from low-rank experts which are allocated based on the generalization of each block. Moreover, a novel self-supervised training framework is proposed to jointly cope with brightness inconsistency and reflectance interference. The proposed method outperforms state-of-the-art works on SCARED dataset and SimCol dataset. Furthermore, the proposed network also achieves the best generalization based on zero-shot depth estimation on C3VD, Hamlyn and SERV-CT dataset. The outstanding performance of our model is further demonstrated with 3D reconstruction and ego-motion estimation. The proposed method could contribute to accurate endoscopy for minimally invasive measurement and surgery. The evaluation codes will be released upon acceptance, while the demo videos can be found on: https://endo-gmde.netlify.app/.

This paper describes our approach to Subtask 1 of the ImageCLEFmed MEDVQA 2025 Challenge, which targets visual question answering (VQA) for gastrointestinal endoscopy. We adopt the Florence model-a large-scale multimodal foundation model-as the backbone of our VQA pipeline, pairing a powerful vision encoder with a text encoder to interpret endoscopic images and produce clinically relevant answers. To improve generalization, we apply domain-specific augmentations that preserve medical features while increasing training diversity. Experiments on the KASVIR dataset show that fine-tuning Florence yields accurate responses on the official challenge metrics. Our results highlight the potential of large multimodal models in medical VQA and provide a strong baseline for future work on explainability, robustness, and clinical integration. The code is publicly available at: https://github.com/TiwariLaxuu/VQA-Florence.git

Vision-Language Models (VLMs) are becoming increasingly popular in the medical domain, bridging the gap between medical images and clinical language. Existing VLMs demonstrate an impressive ability to comprehend medical images and text queries to generate detailed, descriptive diagnostic medical reports. However, hallucination--the tendency to generate descriptions that are inconsistent with the visual content--remains a significant issue in VLMs, with particularly severe implications in the medical field. To facilitate VLM research on gastrointestinal (GI) image analysis and study hallucination, we curate a multimodal image-text GI dataset: Gut-VLM. This dataset is created using a two-stage pipeline: first, descriptive medical reports of Kvasir-v2 images are generated using ChatGPT, which introduces some hallucinated or incorrect texts. In the second stage, medical experts systematically review these reports, and identify and correct potential inaccuracies to ensure high-quality, clinically reliable annotations. Unlike traditional datasets that contain only descriptive texts, our dataset also features tags identifying hallucinated sentences and their corresponding corrections. A common approach to reducing hallucination in VLM is to finetune the model on a small-scale, problem-specific dataset. However, we take a different strategy using our dataset. Instead of finetuning the VLM solely for generating textual reports, we finetune it to detect and correct hallucinations, an approach we call hallucination-aware finetuning. Our results show that this approach is better than simply finetuning for descriptive report generation. Additionally, we conduct an extensive evaluation of state-of-the-art VLMs across several metrics, establishing a benchmark. GitHub Repo: https://github.com/bhattarailab/Hallucination-Aware-VLM.

Monocular depth estimation and ego-motion estimation are significant tasks for scene perception and navigation in stable, accurate and efficient robot-assisted endoscopy. To tackle lighting variations and sparse textures in endoscopic scenes, multiple techniques including optical flow, appearance flow and intrinsic image decomposition have been introduced into the existing methods. However, the effective training strategy for multiple modules are still critical to deal with both illumination issues and information interference for self-supervised depth estimation in endoscopy. Therefore, a novel framework with multistep efficient finetuning is proposed in this work. In each epoch of end-to-end training, the process is divided into three steps, including optical flow registration, multiscale image decomposition and multiple transformation alignments. At each step, only the related networks are trained without interference of irrelevant information. Based on parameter-efficient finetuning on the foundation model, the proposed method achieves state-of-the-art performance on self-supervised depth estimation on SCARED dataset and zero-shot depth estimation on Hamlyn dataset, with 4\%$\sim$10\% lower error. The evaluation code of this work has been published on https://github.com/BaymaxShao/EndoMUST.

-- Vision-Language-Action (VLA) models have emerged as a prominent research area, showcasing significant potential across a variety of applications. However, their performance in endoscopy robotics, particularly endoscopy capsule robots that perform actions within the digestive system, remains unexplored. The integration of VLA models into endoscopy robots allows more intuitive and efficient interactions between human operators and medical devices, improving both diagnostic accuracy and treatment outcomes. By processing interleaved visual inputs, and textual instructions, CapsDT can infer corresponding robotic control signals to facilitate endoscopy tasks. In addition, we developed a capsule endoscopy robot system, a capsule robot controlled by a robotic arm-held magnet, addressing different levels of four endoscopy tasks and creating corresponding capsule robot datasets within the stomach simulator . Comprehensive evaluations on various robotic tasks indicate that CapsDT can serve as a robust vision-language generalist, achieving state-of-the-art performance in various levels of endoscopy tasks while achieving a 26.25% success rate in real-world simulation manipulation. I. INTRODUCTION Endoscopy, for both diagnostic and therapeutic interventions, provides direct visualization and treatment capabilities within the gastrointestinal (GI) tract [1], [2], [3].

-- Gastrointestinal (GI) endoscopy is essential in identifying GI tract abnormalities in order to detect diseases in their early stages and improve patient outcomes. Although deep learning has shown success in supporting GI diagnostics and decision-making, these models require curated datasets with labels that are expensive to acquire. Foundation models offer a promising solution by learning general-purpose representations, which can be finetuned for specific tasks, overcoming data scarcity. Developing foundation models for medical imaging holds significant potential, but the sensitive and protected nature of medical data presents unique challenges. Foundation model training typically requires extensive datasets, and while hospitals generate large volumes of data, privacy restrictions prevent direct data sharing, making foundation model training infeasible in most scenarios. In this work, we propose a FL framework for training foundation models for gastroendoscopy imaging, enabling data to remain within local hospital environments while contributing to a shared model. We explore several established FL algorithms, assessing their suitability for training foundation models without relying on task-specific labels, conducting experiments in both homogeneous and heterogeneous settings. We evaluate the trained foundation model on three critical downstream tasks--classification, detection, and segmentation--and demonstrate that it achieves improved performance across all tasks, highlighting the effectiveness of our approach in a federated, privacy-preserving setting. Gastrointestinal (GI) cancers represent a major global health burden, accounting for a substantial proportion of cancer cases and deaths worldwide--a trend projected to increase in the coming decades [1]. Early detection through procedures such as endoscopy is critical for identifying GI tract abnormalities at a treatable stage.

Real-time ego-motion tracking for endoscope is a significant task for efficient navigation and robotic automation of endoscopy. In this paper, a novel framework is proposed to perform real-time ego-motion tracking for endoscope. Firstly, a multi-modal visual feature learning network is proposed to perform relative pose prediction, in which the motion feature from the optical flow, the scene features and the joint feature from two adjacent observations are all extracted for prediction. Due to more correlation information in the channel dimension of the concatenated image, a novel feature extractor is designed based on an attention mechanism to integrate multi-dimensional information from the concatenation of two continuous frames. To extract more complete feature representation from the fused features, a novel pose decoder is proposed to predict the pose transformation from the concatenated feature map at the end of the framework. At last, the absolute pose of endoscope is calculated based on relative poses. The experiment is conducted on three datasets of various endoscopic scenes and the results demonstrate that the proposed method outperforms state-of-the-art methods. Besides, the inference speed of the proposed method is over 30 frames per second, which meets the real-time requirement. The project page is here: remote-bmxs.netlify.app

Pathology detection in Wireless Capsule Endoscopy (WCE) using deep learning has been explored in the recent past. However, deep learning models can be influenced by the color quality of the dataset used to train them, impacting detection, segmentation and classification tasks. In this work, we evaluate the impact of color correction on pathology detection using two prominent object detection models: Retinanet and YOLOv5. We first generate two color corrected versions of a popular WCE dataset (i.e., SEE-AI dataset) using two different color correction functions. We then evaluate the performance of the Retinanet and YOLOv5 on the original and color corrected versions of the dataset. The results reveal that color correction makes the models generate larger bounding boxes and larger intersection areas with the ground truth annotations. Furthermore, color correction leads to an increased number of false positives for certain pathologies. However, these effects do not translate into a consistent improvement in performance metrics such as F1-scores, IoU, and AP50.