Surgical video understanding is pivotal for enabling automated intraoperative decision-making, skill assessment, and postoperative quality improvement. However, progress in developing surgical video foundation models (FMs) remains hindered by the scarcity of large-scale, diverse datasets for pretraining and systematic evaluation. In this paper, we introduce \textbf{SurgBench}, a unified surgical video benchmarking framework comprising a pretraining dataset, \textbf{SurgBench-P}, and an evaluation benchmark, \textbf{SurgBench-E}. SurgBench offers extensive coverage of diverse surgical scenarios, with SurgBench-P encompassing 53 million frames across 22 surgical procedures and 11 specialties, and SurgBench-E providing robust evaluation across six categories (phase classification, camera motion, tool recognition, disease diagnosis, action classification, and organ detection) spanning 72 fine-grained tasks. Extensive experiments reveal that existing video FMs struggle to generalize across varied surgical video analysis tasks, whereas pretraining on SurgBench-P yields substantial performance improvements and superior cross-domain generalization to unseen procedures and modalities. Our dataset and code are available upon request.
Problem: Pancreas radiological imaging is challenging due to the small size, blurred boundaries, and variability of shape and position of the organ among patients. Goal: In this work we present MiniGPT-Pancreas, a Multimodal Large Language Model (MLLM), as an interactive chatbot to support clinicians in pancreas cancer diagnosis by integrating visual and textual information. Methods: MiniGPT-v2, a general-purpose MLLM, was fine-tuned in a cascaded way for pancreas detection, tumor classification, and tumor detection with multimodal prompts combining questions and computed tomography scans from the National Institute of Health (NIH), and Medical Segmentation Decathlon (MSD) datasets. The AbdomenCT-1k dataset was used to detect the liver, spleen, kidney, and pancreas. Results: MiniGPT-Pancreas achieved an Intersection over Union (IoU) of 0.595 and 0.550 for the detection of pancreas on NIH and MSD datasets, respectively. For the pancreas cancer classification task on the MSD dataset, accuracy, precision, and recall were 0.876, 0.874, and 0.878, respectively. When evaluating MiniGPT-Pancreas on the AbdomenCT-1k dataset for multi-organ detection, the IoU was 0.8399 for the liver, 0.722 for the kidney, 0.705 for the spleen, and 0.497 for the pancreas. For the pancreas tumor detection task, the IoU score was 0.168 on the MSD dataset. Conclusions: MiniGPT-Pancreas represents a promising solution to support clinicians in the classification of pancreas images with pancreas tumors. Future research is needed to improve the score on the detection task, especially for pancreas tumors.
This research presents an advanced AI-powered ultrasound imaging system that incorporates real-time image processing, organ tracking, and voice commands to enhance the efficiency and accuracy of diagnoses in clinical practice. Traditional ultrasound diagnostics often require significant time and introduce a degree of subjectivity due to user interaction. The goal of this innovative solution is to provide Sonologists with a more predictable and productive imaging procedure utilizing artificial intelligence, computer vision, and voice technology. The functionality of the system employs computer vision and deep learning algorithms, specifically adopting the Mask R-CNN model from Detectron2 for semantic segmentation of organs and key landmarks. This automation improves diagnostic accuracy by enabling the extraction of valuable information with minimal human input. Additionally, it includes a voice recognition feature that allows for hands-free operation, enabling users to control the system with commands such as freeze or liver, all while maintaining their focus on the patient. The architecture comprises video processing and real-time segmentation modules that prepare the system to perform essential imaging functions, such as freezing and zooming in on frames. The liver histopathology module, optimized for detecting fibrosis, achieved an impressive accuracy of 98.6%. Furthermore, the organ segmentation module produces output confidence levels between 50% and 95%, demonstrating its efficacy in organ detection.
This paper introduces MedTrinity-25M, a comprehensive, large-scale multimodal dataset for medicine, covering over 25 million images across 10 modalities with multigranular annotations for more than 65 diseases. These multigranular annotations encompass both global information, such as modality and organ detection, and local information like ROI analysis, lesion texture, and region-wise correlations. Unlike the existing multimodal datasets, which are limited by the availability of image-text pairs, we have developed the first automated pipeline that scales up multimodal data by generating multigranular visual and textual annotations in the form of image-ROI-description triplets without the need for any paired text descriptions. Specifically, data from over 30 different sources have been collected, preprocessed, and grounded using domain-specific expert models to identify ROIs related to abnormal regions. We then build a comprehensive knowledge base and prompt multimodal large language models to perform retrieval-augmented generation with the identified ROIs as guidance, resulting in multigranular textual descriptions. Compared to existing datasets, MedTrinity-25M provides the most enriched annotations, supporting a comprehensive range of multimodal tasks such as captioning and report generation, as well as vision-centric tasks like classification and segmentation. We propose LLaVA-Tri by pretraining LLaVA on MedTrinity-25M, achieving state-of-the-art performance on VQA-RAD, SLAKE, and PathVQA, surpassing representative SOTA multimodal large language models. Furthermore, MedTrinity-25M can also be utilized to support large-scale pre-training of multimodal medical AI models, contributing to the development of future foundation models in the medical domain. We will make our dataset available.
Plant species identification in the wild is a difficult problem in part due to the high variability of the input data, but also because of complications induced by the long-tail effects of the datasets distribution. Inspired by the most recent fine-grained visual classification approaches which are based on attention to mitigate the effects of data variability, we explore the idea of using object detection as a form of attention. We introduce a bottom-up approach based on detecting plant organs and fusing the predictions of a variable number of organ-based species classifiers. We also curate a new dataset with a long-tail distribution for evaluating plant organ detection and organ-based species identification, which is publicly available.
As herbarium specimens are increasingly becoming digitized and accessible in online repositories, advanced computer vision techniques are being used to extract information from them. The presence of certain plant organs on herbarium sheets is useful information in various scientific contexts and automatic recognition of these organs will help mobilize such information. In our study we use deep learning to detect plant organs on digitized herbarium specimens with Faster R-CNN. For our experiment we manually annotated hundreds of herbarium scans with thousands of bounding boxes for six types of plant organs and used them for training and evaluating the plant organ detection model. The model worked particularly well on leaves and stems, while flowers were also present in large numbers in the sheets, but not equally well recognized.
Deep learning based image segmentation has achieved the state-of-the-art performance in many medical applications such as lesion quantification, organ detection, etc. However, most of the methods rely on supervised learning, which require a large set of high-quality labeled data. Data annotation is generally an extremely time-consuming process. To address this problem, we propose a generic semi-supervised learning framework for image segmentation based on a deep convolutional neural network (DCNN). An encoder-decoder based DCNN is initially trained using a few annotated training samples. This initially trained model is then copied into sub-models and improved iteratively using random subsets of unlabeled data with pseudo labels generated from models trained in the previous iteration. The number of sub-models is gradually decreased to one in the final iteration. We evaluate the proposed method on a public grand-challenge dataset for skin lesion segmentation. Our method is able to significantly improve beyond fully supervised model learning by incorporating unlabeled data.
State-of-the-art methods for object detection use region proposal networks (RPN) to hypothesize object location. These networks simultaneously predicts object bounding boxes and \emph{objectness} scores at each location in the image. Unlike natural images for which RPN algorithms were originally designed, most medical images are acquired following standard protocols, thus organs in the image are typically at a similar location and possess similar geometrical characteristics (e.g. scale, aspect-ratio, etc.). Therefore, medical image acquisition protocols hold critical localization and geometric information that can be incorporated for faster and more accurate detection. This paper presents a novel attention mechanism for the detection of organs by incorporating imaging protocol information. Our novel selective attention approach (i) effectively shrinks the search space inside the feature map, (ii) appends useful localization information to the hypothesized proposal for the detection architecture to learn where to look for each organ, and (iii) modifies the pyramid of regression references in the RPN by incorporating organ- and modality-specific information, which results in additional time reduction. We evaluated the proposed framework on a dataset of 768 chest X-ray images obtained from a diverse set of sources. Our results demonstrate superior performance for the detection of the lung field compared to the state-of-the-art, both in terms of detection accuracy, demonstrating an improvement of $>7\%$ in Dice score, and reduced processing time by $27.53\%$ due to fewer hypotheses.
We propose a fully-automated method for accurate and robust detection and segmentation of potentially cancerous lesions found in the liver and in lymph nodes. The process is performed in three steps, including organ detection, lesion detection and lesion segmentation. Our method applies machine learning techniques such as marginal space learning and convolutional neural networks, as well as active contour models. The method proves to be robust in its handling of extremely high lesion diversity. We tested our method on volumetric computed tomography (CT) images, including 42 volumes containing liver lesions and 86 volumes containing 595 pathological lymph nodes. Preliminary results under 10-fold cross validation show that for both the liver lesions and the lymph nodes, a total detection sensitivity of 0.53 and average Dice score of $0.71 \pm 0.15$ for segmentation were obtained.