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Hongliang Ren

Publications and source records attributed to Hongliang Ren.

At least 19 recordsLinked to original sources
arXiv2026

Morphological Decoupling-Based Skeletal Classification for Clinical Assessment of Malocclusion

Malocclusion skeletal grading is a fundamental task in orthodontics, critical for diagnosis and treatment planning. Traditionally, cone-beam computed tomography (CBCT) is used for visual measurement, and the reconstructed lateral cephalograms are handed over to expert dentists for diagnosis. However, manual review is time-consuming, labor-intensive, and subject to inter-operator variability. Therefore, an automatic CBCT-based system is needed for reliable malocclusion skeletal grading. In this case, we develop TeethGNN, a novel graph-based framework designed to combine CBCT image features with morphological information for accurate and efficient malocclusion grading. TeethGNN utilizes a decoupled learnable decoder to directly predict key morphological indicators from CBCT images, eliminating the need for manual measurements. These morphological features are then fused with image features using a graph neural network (GNN), which effectively models the relationships between the modalities. To further enhance robustness and calibration, we introduce a collaborative calibration strategy. This strategy combines multi-scale graph adversarial perturbation for explicit calibration and nonlinear topological graph calibration for implicit confidence adjustment. Extensive experiments and ablation studies on our collected clinical dataset demonstrate that our malocclusion measurement system achieves 77.08\% in accuracy and 89.61\% in AUC, outperforming the compared state-of-the-art methods. These results validate the effectiveness of graph-based multimodal fusion and collaborative calibration in improving malocclusion grading performance. Our system shows strong potential for advancing computer-aided orthodontic diagnosis, providing an accurate and reliable solution for vision-based clinical measurement and diagnosis.

eess.IV↗
arXiv2026

Multimodal Progress-Residual Fusion for Anticipating Navigation Retreat in Robotic Flexible Endoscopy

Flexible robotic endoscopes provide access through tortuous anatomy, where friction, deformation, and wall interaction separate commanded insertion from useful distal progress. Operators interpret this mismatch and retreat to recover a navigable configuration. Recognizing the approach to that decision requires relating motor intent to distal response and the local visual scene. We introduce Multimodal Progress-Residual Fusion (MPRF), a causal model that anticipates operator retreat from commands, electromagnetic (EM) tracking, and endoscopic video. A nominal-progress model predicts the response expected in normal or successful navigation; a temporal predictor combines its EM residual with all three observed modalities. In a 150-episode colon-phantom collection, MPRF achieves 0.580 +/- 0.007 AUPRC across three seeds, compared with 0.511 for the strongest reduced-modality control. Complete multimodal histories provide the principal ranking advantage, while the residual adds an explicit intent-response representation with a small, uncertain increment over raw fusion. Analysis of frozen alarms relates warning timing to the behavioral label and explains the increase in event recall under a longer matching window. These results establish a basis for behavioral assistance during operator-controlled navigation.

cs.RO↗
arXiv2026

Dual Exam: Controlled Evaluation of Multimodal Agents and World Models

World Models (WMs) can support Multimodal Agents (MAs) through simulated experience, while Agent trajectories can inform World Model refinement. Evaluating this interaction requires separate evidence about action selection and state evolution. We introduce Dual Exam, which tests Agents under fixed environment response mechanisms and World Models under fixed action interventions across physical, digital, social, and scientific domains. The Agent track compares 10 configurations on 1,088 items in 15 reporting categories. The World Model track contains 400 cases across eight scenarios; 15 configurations have full coverage and one covers six scenarios. GPT 6 Astra leads the case-weighted Agent Index at 31.3, and GPT-Image-2 leads the full-coverage WM Overall at 21.7. These scores use different tasks and metrics and are not directly comparable. A 150-case pilot of one coupled pairing records zero task successes and motivates component-level diagnosis. Results reveal uneven task performance and failures to preserve task-relevant state. Their value for predicting coupled success or sustained reciprocal learning remains to be established.

cs.AI↗
arXiv2026

Rethinking Data Imbalance in Class Incremental Surgical Instrument Segmentation

In surgical instrument segmentation, the increasing variety of instruments over time poses a significant challenge for existing neural networks, as they are unable to effectively learn such incremental tasks and suffer from catastrophic forgetting. When learning new data, the model experiences a sharp performance drop on previously learned data. Although several continual learning methods have been proposed for incremental understanding tasks in surgical scenarios, the issue of data imbalance often leads to a strong bias in the segmentation head, resulting in poor performance. Data imbalance can occur in two forms: (i) class imbalance between new and old data, and (ii) class imbalance within the same time point of data. Such imbalances often cause the dominant classes to take over the training process of continual semantic segmentation (CSS). To address this issue, we propose SurgCSS, a novel plug-and-play CSS framework for surgical instrument segmentation under data imbalance. Specifically, we generate realistic surgical backgrounds through inpainting and blend instrument foregrounds with the generated backgrounds in a class-aware manner to balance the data distribution in various scenarios. We further propose the Class Desensitization Loss by employing contrastive learning to correct edge biases caused by data imbalance. Moreover, we dynamically fuse the weight parameters of the old and new models to achieve a better trade-off between the biased and unbiased model weights. To investigate the data imbalance problem in surgical scenarios, we construct a new benchmark for surgical instrument CSS by integrating datasets. Extensive experiments demonstrate the effectiveness of the proposed framework, achieving significant performance improvement against existing baselines.

cs.CV↗
arXiv2026

EBV-CAN: Vision--Language Grounding for Contact-Aided Endoscope Navigation

Flexible endoscopes exploit structural compliance to traverse narrow lumens, pipes, and cavities, where navigation involves distributed environmental contact. This compliance makes tip motion depend on the evolving support configuration. We present external bird's-eye-view contact-aided navigation (EBV-CAN), a vision-language policy that combines one initial global static bird's-eye image with evolving endoscopic observations and motor state. Three supervised semantic queries locate the tip, next waypoint, and instructed target on the cached global image; their residual representations predict bending and insertion commands. We introduce the Vision-Language Contact-Aided (VLCA) dataset, linking 517 demonstrations and 75k action samples to 958k spatial entries and 93k remaining-route records. On 50 held-out episodes, tip-coordinate and waypoint localization reach 97.5% and 94.8%. Swapping the target instruction under identical observations changes target attention and motor output across 17 dual-target episodes. Across 1,920 physical trials of eight policies trained under a shared protocol, EBV-CAN achieves 183/240 successes (76.25%) under automatic blue-area scoring. Gated recurrent unit behavior cloning (GRU-BC) achieves the lowest matched-task offline mean absolute error (MAE), 0.056, and 1/240 physical successes, establishing distinct rankings for action imitation and task completion. Successful multi-guide executions and representative failures connect spatial progress, steering transitions, and visibility to physical navigation.

cs.RO↗
arXiv2026

EndoVLA-OOV: Language-Conditioned Out-of-View Target Acquisition in Robotic Endoscopy

The scan-then-revisit workflow of upper gastrointestinal endoscopy requires bringing a previously observed suspicious region back into view for closer inspection. Acquiring such targets requires translating anatomical and appearance descriptions into camera motions from partial observations of a confined, deformable environment. We present EndoVLA-OOV, a language-conditioned vision-language-action policy for out-of-view target acquisition in robotic endoscopy. The policy adapts a pretrained backbone to continuous two-degree-of-freedom distal bending commands and combines initial, intermediate, and current images to guide search. To support policy learning, we provide an open-source VLA dataset containing 1,050 episodes across six tasks and approximately 262k observation-action pairs. Physical evaluation spans wet-lens and low-light conditions, two unseen stomach phantoms, and cross-embodiment transfer to an unseen ex-vivo environment. In the cross-embodiment evaluation, the full-data policy achieves 93.3% target acquisition success (28/30). In a controlled training-data comparison, expanding the corpus from 312 to 1,050 episodes increases acquisition success from 40.0% to 90.0% under the same model, training, and test configuration. Instruction and observation interventions further support the use of language and temporal context in the evaluated acquisition tasks. These results support language-guided endoscopic revisitation across the evaluated environments and robot embodiments and demonstrate the benefit of expanded task-specific demonstrations.

cs.RO↗
arXiv2026

RoPE-Flow: Monocular Vision-based Robot Pose Estimation via 2D Graph-Conditioned 3D Flow Matching

Camera-to-robot pose estimation from a monocular image is significant for vision-based robot navigation and control. However, recovering 3D structural features from 2D observations remains a challenging task. Existing camera-to-robot pose estimation methods either rely on time-consuming iterative rendering or involve sophisticated 2D-3D registration which suffers from projection ambiguity, accumulated errors for distal joints and imbalanced learning for different joints. In this work, we propose RoPE-Flow, an end-to-end flow matching-based framework for camera-to-robot pose estimation. From the predicted 2D heatmaps, we propose a Keypoint-centered Feature Extractor to obtain positional features along with contextual representations from keypoints-centered multi-scale patches. Moreover, we introduce Graph-guided Condition Generator, which embeds a learnable adjacency map to generate condition for flow matching based on correlation among keypoints. Besides, we introduce Bone Length Loss and Ray-Depth Loss for topological consistency and scale stability, with joint-wise weighting to mitigate varied prediction difficulty across joints. The proposed method outperforms state-of-the-art methods for pose estimation across different types of robots with mutiple cameras. Besides, we establish a novel cross-scene benchmark to demonstrate the outstanding performance of RoPE-Flow on zero-shot cross-scene robot pose estimation. Meanwhile, animated visualizations are shown on the website: ropeflow.netlify.app

cs.CV↗
arXiv2026

Current validation practice undermines surgical AI development

Surgical data science (SDS) is rapidly advancing, yet clinical adoption of artificial intelligence (AI) in surgery remains limited, with inadequate validation as an important contributing factor. Existing validation practices often neglect the temporal and hierarchical structure of intraoperative videos, yielding misleading or clinically irrelevant results. We introduce a comprehensive catalogue of validation pitfalls in AI-based surgical video analysis, derived from a multi-stage Delphi process with 92 international experts. Pitfalls span three categories: (1) data, (2) metric selection/configuration, and (3) aggregation and reporting. A systematic review of surgical AI papers reveals that these pitfalls are widespread. Experiments on surgical video datasets show that ignoring temporal and hierarchical data structures can understate uncertainty, obscure critical failure modes, and alter algorithm rankings. To address these shortcomings, we provide consensus-based best practices compiled. Together, this work provides an evidence-based framework for rigorous validation of surgical video analysis algorithms, guiding benchmarking, reporting, regulatory review, and clinical translation.

q-bio.OT↗
arXiv2026

MagCeptor: Encoding Broadcast-Addressable Logic into Magnetic Receptors

Selectively operating multiple components while simplifying actuation and control hardware is a common challenge in multifunctional mechanical and fluidic systems. Here, we introduce MagCeptor, an addressable magnetic-cluster architecture in which a shared external field conveys commands and supplies actuation energy. Fixed stators establish local magnetic-field gradients, while field-induced mover reorientation modulates the resulting forces to select guide-constrained mechanical outputs. Field-dependent position-orientation energy profiles explain target actuation, non-target retention and passive reset after field removal. The evaluated configuration achieves a maximum normalized force output of 385 mN/mm3. By coupling finite, addressable strokes to mechanical transmissions, accumulators and locks, we demonstrate coordinated rotation and multistep manipulation with retained task states. Hierarchical node-and-channel addressing further enables selective model-fluid release from distributed receivers in ex vivo tissue. These results establish a receiver-side architecture that combines shared magnetic inputs with task-specific mechanisms to organize mechanical work, retain operation states and access spatially distributed functions.

eess.SY↗
arXiv2026

SurgCast: Action-Conditioned Future Skeletons for Controllable Surgical World Models

Surgical world models must turn prospective robot actions into visually faithful, structurally consistent instrument motion. We introduce SurgCast, which predicts future instrument skeletons from current structure, robot state, and future actions, then uses the forecast to control video generation. Dual-path injection combines skeleton geometry with derived, instrument-specific motion descriptors through geometric residuals and conditioning modulation. Both paths complement native action conditioning and are retained in a four-step causal student. On SutureBot and SRTH-Porcine-Cholei, the teacher and student improve all seven reported quality and instrument-consistency metrics over their respective direct-action baselines; teacher FVD decreases by 37.6% and 67.3%. Ablations show that future actions improve skeleton prediction and that combining both injection paths performs best across all six metrics under predicted skeletons. These results support using predicted articulated structure and its motion semantics as a control interface for surgical video prediction. Project videos and examples are available at https://surgcast.netlify.app/.

cs.CV↗
arXiv2026

EndoRSI: Physical-Evidence-Driven Recursive Improvement of Endoscopic Robot Policies

Artificial intelligence is beginning to automate scientific discovery, yet physical robot-policy research still relies on scientists and engineers to interpret experimental failures and decide how controllers should be revised. We present EndoRSI (Endoscopic Recursive Self-Improvement), a human-governed, self-improving robotic research system in which the embedded EndoForge coding agent iteratively develops and refines endoscopic robot policies using evidence from physical experiments. Physical execution remains isolated within a safety-constrained runtime under human authorisation. In motorised endoscopy, validation evidence first caused the agent to reject an initial action representation, while subsequent physical experiments falsified an offline-supported insertion strategy by revealing hazardous closed-loop behaviour absent from the source data. Failed physical rollouts were then incorporated into policy revision; insertion success subsequently increased from 2/21 in the first generation to 17/21 in the fourth. The frozen final policy retained competence across visual and hardware shifts and was the best performing autonomous policy across six independent ex-vivo porcine specimens. These results show that physical robot interaction can serve as experimental evidence for agent-driven robot policy research.

cs.RO↗
arXiv2026

UltraWorld: Learning Interactive Ultrasound World Models from Untracked Clinical Videos with Acoustic Sampling Map

World models can enable autonomous ultrasound scanning by predicting the outcomes of probe motions from local observations. Learning this action--observation relationship typically relies on synchronized video--pose pairs, which are costly to collect at scale and largely unavailable in routine clinical recordings. Reliable action following further requires modeling ultrasound's cross-sectional sampling geometry. We present UltraWorld, a self-distillation recipe that transfers priors from clinical ultrasound videos into interactive world models without real action annotations. Starting from clinical videos, we adapt a video foundation model into an ultrasound generator conditioned on reference images and anatomical masks. Anatomical masks sampled along programmable trajectories through 3D anatomy provide spatial guidance for synthesizing action--video pairs. We then use these synthetic pairs to self-distill the generator into a world model that predicts future observations from local observations and actions, without requiring anatomical masks or other 3D assets at inference time. To further improve action following, we introduce the Acoustic Sampling Map (AsMap), which represents probe poses and imaging settings as pixel-wise 3D sampling positions, beam directions, and depths. Experiments demonstrate improved prediction fidelity and action following. Across nine simulated closed-loop local planning episodes, UltraWorld reduces the mean final distance to the goal and orientation error by 29\% and 38\%, respectively, compared with visual servoing. Project Page: https://ultraworld-project.github.io/.

cs.CV↗
arXiv2026

SurgMotion: A Video-Native Foundation Model for Universal Understanding of Surgical Videos

While foundation models have advanced surgical video analysis, current approaches rely predominantly on pixel-level reconstruction objectives that waste model capacity on low-level visual details, such as smoke, specular reflections, and fluid motion, rather than semantic structures essential for surgical understanding. We present SurgMotion, a video-native foundation model that shifts the learning paradigm from pixel-level reconstruction to latent motion prediction. Built on the Video Joint Embedding Predictive Architecture (V-JEPA), SurgMotion introduces three key technical innovations tailored to surgical videos: (1) motion-guided latent masked prediction to prioritize semantically meaningful regions, (2) spatiotemporal affinity self-distillation to enforce relational consistency, and (3) spatiotemporal feature diversity regularization (SFDR) to prevent representation collapse in texture-sparse surgical scenes. To enable large-scale pretraining, we curate SurgMotion-15M, the largest surgical video dataset to date, comprising 3,658 hours of video from 50 sources across 13 anatomical regions. Extensive experiments across 17 benchmarks demonstrate that SurgMotion significantly outperforms state-of-the-art methods on surgical workflow recognition, achieving 14.6 percent improvement in F1 score on EgoSurgery and 10.3 percent on PitVis; on action triplet recognition with 39.54 percent mAP-IVT on CholecT50; as well as on skill assessment, polyp segmentation, and depth estimation. These results establish SurgMotion as a new standard for universal, motion-oriented surgical video understanding.

cs.CV↗
arXiv2026

StenoVLA-3D: 3D-Aware Reasoning VLA for Navigation Through Gastrointestinal Stenoses

Autonomous endoscopic navigation requires the policy model to predict actions from texture-poor monocular observations, make safe control decisions, and retain evidence of lesions after they leave the field of view. Existing vision-language-action (VLA) models primarily rely on visual appearance and short-term context, limiting geometric grounding and episode-level reporting. We introduce StenoVLA-3D, a 3D-aware VLA framework for navigating through stenotic regions. We integrate point-maps into the Cosmos-Reason 2 backbone through learned geometry-gated fusion, and also propose a temporal state branch to model traversal progress. Our reasoning-and-action backbone predicts grounded reasoning with actions, while dedicated heads estimate stenosis shape and generate the final lesion report. We further introduce EndoCausal, an episode-level dataset with lesion annotations, actions, and temporally grounded reasoning. On 40 held-out recorded test episodes, StenoVLA-3D reaches 95.2\% semantic accuracy and 83.4\% action accuracy. On the physical 3-DoF endoscope, it attains 88.9\% and 77.8\% task success in esophageal and colonic phantoms (36 trials each), substantially outperforming the evaluated baselines.

cs.RO↗
arXiv2026

ViT3Flow: A Test-Time Training Transformer MeanFlow for Postoperative Radiograph Synthesis in Scoliosis

Predicting postoperative spinal morphology from preoperative radiographs could provide valuable support for scoliosis surgical planning, but remains challenging because surgical correction induces large spatial changes while anatomical structures must be faithfully retained. We formulate this problem as postoperative scoliosis radiograph synthesis and construct ScoliSurg, the first paired dataset for this task, comprising 632 preoperative--postoperative whole-spine radiograph pairs with structured morphology information. We further propose ViT$^{3}$Flow, a single-NFE conditional MeanFlow framework for efficient postoperative radiograph synthesis. ViT$^{3}$Flow models surgical correction as finite-interval generative transport and replaces conventional self-attention with test-time-training token mixers that perform sample-specific inner adaptation to the anatomy and deformity pattern of each case. In addition, a Spinal Morphology Extraction Agent extracts distributions of dominant-curve region and direction from the preoperative radiograph. These distributions guide Diagnosis-Routed Interval Cross-Attention (DRICA), which performs interval-dependent vertical, horizontal, joint, and global retrieval from a separate preoperative token stream. This design enables the evolving postoperative representation to incorporate spatially corresponding anatomical evidence throughout the transport process. Extensive experiments on ScoliSurg demonstrate that ViT$^{3}$Flow achieves the best performance among the compared methods in perceptual image quality, anatomical fidelity, and clinically relevant geometric accuracy, while requiring only a single network evaluation. These results highlight the potential of ViT$^{3}$Flow for efficient and anatomically faithful postoperative radiograph synthesis in scoliosis surgical planning.

cs.CV↗
arXiv2026

EndoLIFT: Language-Disambiguated Latent-Conditioned Rectified Flow for Bidirectional Endoscopic Control

Routine gastrointestinal endoscopy is intrinsically bidirectional: the instrument is advanced to reach target anatomy and later withdrawn or retroflexed for inspection, while an external cue may require earlier reversal. When the requested phase changes before the visual scene does, nearly identical observations can require opposite axial actions. We identify and formalize this ambiguity in bidirectional endoscopic control as intent aliasing. We propose EndoLIFT (Endoscopic Language-Instruction Flow with Trajectory Latents), a vision-language-action policy that combines explicit language-based intent conditioning with a latent-conditioned rectified-flow action expert. The policy receives RGB, a language instruction, and the previous-action state; a 32-D variational trajectory latent stochastically conditions continuous action-chunk generation. Controlled same-observation instruction swaps establish that language selects the axial mode, independently of whether the trajectory latent is present. Relative to the matched model without latent conditioning, EndoLIFT improves navigation-direction accuracy by 11.1 percentage points and reduces wrong-direction advance by 83\%. An architecture-controlled 1-bit mode-flag reference exhibits weaker canonical-anchor switching, while EndoLIFT retains 82.8\% intent-following accuracy across 44 held-out linguistic variants. In closed-loop evaluation, EndoLIFT improves overall success by 30 percentage points over EndoLIFT w/o VTL on both the seen colon phantom and the unseen lung and stomach phantoms, and completes 10/10 ex-vivo porcine-trachea trials. These results separate language-based intent selection from the trajectory latent's contribution to directional correctness and robust retraction.

cs.RO↗
arXiv2026

Trajectory Divergence Horizon Decision for Reliable Dual-Arm Surgical Subtask Manipulation

Surgical robotic systems are increasingly being adopted as clinical workload rises, motivating autonomous solutions for repetitive manipulation subtasks. Learning-based controllers improve generalization compared with rule-based and analytic approaches, but most are trained for individual tasks and remain difficult to reuse across procedures. Vision-Language-Action (VLA) models provide a unified framework that integrates visual perception, language grounding, and action generation, offering a promising path toward more composable surgical autonomy. However, existing VLA policies rely on fixed-length open-loop action sequences, where changing scene conditions can lead to accumulated errors and potential risks in surgical manipulation. To mitigate this issue, we formulate surgical VLA deployment as an adaptive execution-horizon decision problem and propose Trajectory Divergence Horizon Decision (TDHD), a test-time mechanism that estimates step-wise action reliability by measuring the divergence between two flow-matching-generated trajectories under small noise perturbations and truncates execution using a dual-threshold rule to trigger timely replanning. We further establish a real-world da Vinci-like dual-arm benchmark with synchronized multi-view perception and language instructions, and collect 600 teleoperated demonstrations across needle (reach, pick, regrasp) and tissue (reach, lift, resection) manipulation suites. On real hardware with 20 trials per task setting, TDHD consistently improves performance over the latest VLA baselines: success increases from 55\% to 60\% for needle manipulation and from 55\% to 80\% for tissue manipulation, with the largest gains observed in the final manipulation stages. These results highlight the importance of adaptive execution control for reliable deployment of VLA models in surgical robotic manipulation.

cs.RO↗
arXiv2026

SurgLAT: Surgical Latent Attention Tracking for Depth-Aware Robotic Laparoscope Control

Autonomous laparoscopic camera control requires continuous understanding of the surgeon's operative intent in dynamic surgical scenes, where the target operative region is not a stable physical object but a latent and temporally evolving attention state. In this work, we present Surgical Latent Attention Tracking (SurgLAT), a causal online framework for latent surgical attention modeling and autonomous laparoscopic view control. SurgLAT uses a frozen DINOv3 encoder and a state-conditioned spatial token mixer to extract operative evidence under a memory-guided spatial prior, while a selective causal latent memory module jointly models short-term motion continuity and long-horizon surgical intent evolution through dynamic retrieval of current, recent, and historical latent states. The learned latent surgical attention state is decoded into a probabilistic attention heatmap and operative region for downstream endoscope guidance. Beyond perception, we further introduce a robotic deployment framework with explicit laparoscopic Remote Center of Motion (RCM) constrained control based on virtual-axis formulation, together with redundancy-aware null-space initialization for stable and smooth manipulator motion. We validate the full system on real laparoscopic surgical videos and a physical robotic laparoscope platform. Experimental results demonstrate robust online operative-region tracking and stable autonomous endoscopy adjustment under occlusion, rapid motion, and target transitions, highlighting the effectiveness of latent surgical intent modeling for surgical autonomy.

cs.AI↗