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5 papers

#01Aug 20, 2026

cs.CV

Artificial Intelligence for Workflow Analysis in Colorectal Surgery: A Multicentric, Cross-Procedural Development and Generalization Study

Pietro Mascagni, Julia Alekseenko, Pooja P Jain and 10 more

Minimally invasive colorectal surgeries (MIS-CRS) are characterised by significant variability and inconsistent outcomes. ColoWorkflow, a tool for the video-based assessment (VBA) of MIS-CRS workflow, was recently validated. However, manual VBA is time-consuming, limiting implementation. This study presents AI-ColoWorkflow, a deep learning model for automated surgical workflow analysis across MIS-CRS. Operative videos of MIS-CRS were collected from 4 centres and a publicly available dataset. Phases and steps were manually annotated according to ColoWorkflow. A deep learning model combining a fine-tuned DINOv3 vision transformer for per-frame visual feature extraction with a hierarchical multi-stage temporal convolutional network was jointly optimized for phase and step recognition. The model trained on pooled multicentric data, namely AI-ColoWorkflow was compared against centre-specific and procedure-specific models on a held-out test set. The following metrics were used for evaluation: macro F1 score, balanced accuracy, precision, and recall. AI-ColoWorkflow achieved a macro F1 of 73.01% $\pm$ 10.27 (balanced accuracy 73.43%) for phase recognition and 39.82% $\pm$ 7.06 (balanced accuracy 38.65%) for step recognition. The global model outperformed centre- and procedure-specific models in most experiments except procedure-specific step recognition. In the generalization analysis, mean F1 was 48.42% for phase recognition. AI-ColoWorkflow can reliably recognize MIS-CRS phases. A single model trained on pooled, multicentric, multi-procedural data generalises at least as well as and often better than centre- or procedure-specific models for phase recognition in MIS-CRS, while procedure-specific step models retain advantages for certain procedure types, motivating hybrid training strategies for future surgical AI development.

#02Aug 20, 2026

cs.CL

G-CARL: Grounded Checklist-Aligned Reward Learning for Patient-Oriented Medical Report Interpretation

Shiao Xie, Siyu Chen, Jianwei Lv and 3 more

Personalized interpretation of medical reports has emerged as an increasingly important need among patients. Addressing this need requires both evidence-grounded medical factuality and context-dependent patient communication, yet existing medical vision-language tasks do not adequately capture these dual requirements. To bridge this gap, we introduce Patient-oriented Medical Report Interpretation (PMRI), a novel open-ended multimodal generation task that requires models to explain medical reports in accurate and accessible language based on a user's query and dialogue history. These two objectives differ fundamentally in their verifiability, yet remain tightly coupled, making them difficult to optimize jointly under conventional supervised fine-tuning and holistic reinforcement learning paradigms. To address this challenge, we propose G-CARL, a grounded, checklist-aligned reinforcement learning framework that combines multi-source retrieval for atomic claim verification with context-aware, instance-specific weighted checklists for response coverage, providing structured supervision for factuality, user-demand satisfaction, and expression quality without constraining response diversity. We further construct MMedReport, a real-world PMRI benchmark, along with a clinician-designed three-dimensional evaluation protocol. Extensive experiments demonstrate that G-CARL consistently outperforms existing post-training baselines in overall quality, claim-level precision, and checklist recall. Pairwise preference evaluation by clinicians further confirms that G-CARL produces interpretations that are more accurate and better aligned with patient needs.

#03Aug 20, 2026

cs.CV

STEP: Score-Based Temporal Energy for Human Pose Video Anomaly Detection

Jakub Micorek, Mateusz Koziński, Horst Possegger

Skeleton-based Video Anomaly Detection (VAD) offers a robust, privacy-preserving solution for identifying abnormal behaviors. To model the distribution of normal static and moving poses, recent methods train Energy-Based Models (EBMs) via Denoising Score Matching (DSM). However, directly injecting noise, required for training, into raw joint coordinates creates physically impossible poses, and this structural collapse severely worsens as the temporal window expands. To address this, we introduce STEP, a simple framework that utilizes Principal Component Analysis (PCA) to project pose sequences into a compact, whitened PC-space. Learning the data density within this well-behaved PC-space ensures that the injected noise translates into physically plausible variations, which allows the model to process longer video sequences without the performance collapse of raw coordinate baselines. Additionally, to mitigate inherent pose estimation inaccuracies arising from occlusions or motion blur, we integrate a sequence-level weighting mechanism based on the estimator's confidence scores. Operating at real-time computational efficiency, our simple and lightweight framework outperforms the previous skeleton-based state-of-the-art by 12.2% (90.1% AUROC) on the challenging UBnormal dataset and achieves highly competitive results by improving on the ShanghaiTech benchmark.

#04Aug 20, 2026

cs.CV

HandMvNet: Real-Time 3D Hand Pose Estimation Using Multi-View Cross-Attention Fusion

Muhammad Asad Ali, Nadia Robertini, Didier Stricker

In this work, we present HandMvNet, one of the first real-time method designed to estimate 3D hand motion and shape from multi-view camera images. Unlike previous monocular approaches, which suffer from scale-depth ambiguities, our method ensures consistent and accurate absolute hand poses and shapes. This is achieved through a multi-view attention-fusion mechanism that effectively integrates features from multiple viewpoints. In contrast to previous multi-view methods, our approach eliminates the need for camera parameters as input to learn 3D geometry. HandMvNet also achieves a substantial reduction in inference time while delivering competitive results compared to the state-of-the-art methods, making it suitable for real-time applications. Evaluated on publicly available datasets, HandMvNet qualitatively and quantitatively outperforms previous methods under identical settings. Code is available at github.com/pyxploiter/handmvnet.

#05Aug 20, 2026

cs.CV

DPC-Net: Dual-Prior Collaborative Network for All-in-One Image Restoration

Zhaokun He, Kangbiao Shi, Axi Niu and 4 more

All-in-One Image Restoration (AiOIR) aims to handle diverse degradations within a unified model. However, existing methods often overlook image semantics in degradation modeling and lack low-level visual priors during reconstruction, leading to structural distortions and semantic inconsistencies. To address these issues, we propose a novel Dual-Prior Collaborative Network (DPC-Net), which achieves high-quality restoration by jointly exploiting degradation-semantic coupled priors and low-level visual priors. Specifically, degraded images are fed into a Degradation-Aware Network (DAN) to extract degradation-semantic coupled features. To this end, a Vision-Language Model (VLM) supervises DAN by constraining its features distribution, introducing image semantics into the encoding of degradation patterns. A Degradation-Semantic Modulation Module (DSMM) further translates this guidance into degradation-semantic coupling and propagates coupled representations to the decoder. During decoding, knowledge bases provide low-level visual priors, and the Dual-Prior Collaborative Reconstruction Module (DPCR) integrates dual-prior information to guide degradation removal while preserving structure and semantics, producing high-fidelity restored images. Extensive experiments on multiple restoration benchmarks demonstrate that DPC-Net achieves superior performance against state-of-the-art AiOIR methods.