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arXiv · 2610.38830

Beyond Region Memory: Local Point Tracking for Vocal Cord Localization in Video Laryngoscopy

Huayu Wang·Gyungmin Ko·Jung Heon Kim·Jia-Xian Jian·Dae Kon Kim·Dong Keon Lee·Hsiang-Wei Huang·Pau-Choo Chung·Linda Shapiro·Richard B. Utarnachitt·Jenq-Neng Hwang·Nathan J. White
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Abstract

Reliable vocal-cord localization in emergency video laryngoscopy remains visually challenging due to rapid tissue deformation, specular highlights, and instrument occlusions. We propose Local Point Tracking (LPT), a robust framework that combines a single-frame detector, local point propagation, and stateless mask refinement. LPT follows a localize first, snap second pipeline. First, a single-frame semantic detector generates sparse anchors, within which LPT initializes local query points (SAM-supported by default, with a regular grid as fallback). A point-propagation module tracks these points through detector-missed frames and recovers temporal bounding boxes from their geometry. Second, because point-derived boxes can be loose around the visible boundary, a box-snap step refines the selected box to the target boundary. This decomposition keeps temporal state in local point coordinates rather than a stateful mask or whole-region representation, while the spatial refinement module handles single-frame boundary precision without feeding mask errors back into temporal memory. Extensive evaluations on two distinct datasets demonstrate that our proposed LPT method achieves strong overall performance against existing baselines, with the best mAP_50, success AUC, and missing rate on both datasets. Furthermore, ablation studies confirm that point tracking primarily enhances temporal tracking robustness, while box-snap refinement effectively improves boundary tightness.

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Huayu Wang, Gyungmin Ko, Jung Heon Kim, Jia-Xian Jian, Dae Kon Kim, Dong Keon Lee, Hsiang-Wei Huang, Pau-Choo Chung, Linda Shapiro, Richard B. Utarnachitt, Jenq-Neng Hwang, Nathan J. White. 2026-10-28. Beyond Region Memory: Local Point Tracking for Vocal Cord Localization in Video Laryngoscopy. https://arxiv.org/abs/2610.38830

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