3D Gaussian Splatting (3DGS) has emerged as a powerful representation for 3D scenes, widely adopted due to its exceptional efficiency and high-fidelity visual quality. Given the significant value of 3DGS assets, recent works have introduced specialized watermarking schemes to ensure copyright protection and ownership verification. However, can existing 3D Gaussian watermarking approaches genuinely guarantee robust protection of the 3D assets? In this paper, for the first time, we systematically explore and validate possible vulnerabilities of 3DGS watermarking frameworks. We demonstrate that conventional watermark removal techniques designed for 2D images do not effectively generalize to the 3DGS scenario due to the specialized rendering pipeline and unique attributes of each gaussian primitives. Motivated by this insight, we propose GSPure, the first watermark purification framework specifically for 3DGS watermarking representations. By analyzing view-dependent rendering contributions and exploiting geometrically accurate feature clustering, GSPure precisely isolates and effectively removes watermark-related Gaussian primitives while preserving scene integrity. Extensive experiments demonstrate that our GSPure achieves the best watermark purification performance, reducing watermark PSNR by up to 16.34dB while minimizing degradation to original scene fidelity with less than 1dB PSNR loss. Moreover, it consistently outperforms existing methods in both effectiveness and generalization.

Surgical scene understanding is a vital intelligent technique in robot-assisted surgery, including surgical instrument detection, segmentation, and instrument–tissue interaction detection. Existing methods typically address these tasks in isolation, neglecting the intrinsic correlations among them. In this work, we innovatively propose a unified multitask framework named UniSurg, being the first to jointly address these three critical aspects of surgical scene understanding, thereby providing the robot with multidimensional perceptual capabilities. By exploring the inter-task correlations and reusing shared features, UniSurg has been demonstrated to significantly enhance the scene analysis performance. To address pose variability of the instruments under the constrained field of view in laparoscopic surgery, we design an Attention Enhanced Conditional Convolution (AEC-Conv) that dynamically adjusts kernels based on pose-specific features for improved adaptability. To further enhance interaction detection, we propose the Temporal Difference Enhancement module (TDE), which captures motion cues by amplifying inter-frame differences, and the Pyramid Global Feature Enhancement module (PGFE), which leverages graph-based hierarchical context to model global relational dependencies. Experiments on the Endovis2018 dataset and a clinical multitask dataset MILVis demonstrate the superior multitask performance of UniSurg.

Conventional registration approaches frequently underperform when applied to sparse feature alignment (e.g., retinal vessels and filamentous collagen fibers in second-harmonic generation (SHG) and bright-field (BF) images), as these tasks demand simultaneous handling of global affine registration and local deformation correction. End-to-end learning-based approaches struggle with minimal effective gradients from loss back-propagation of these sparse features, while descriptor matching methods, though helpful, lack fidelity loss and fail to adapt to local deformation. To address these issues, we propose Neural Affine Optimization (NeOn), which implicitly approximates discrete optimization using a few neural network layers, combined with a sampling-regression layer to handle affine transformations. NeOn allows iterative refinement with fidelity loss and provides a flexible transition between a purely affine configuration and a linear weighted blend of affine and deformation fields. NeOn's performance was validated on four public datasets. In multi-modal SHG-BF microscopy registration, NeOn achieved top rankings on the validation leaderboard for Task 3 of the Learn2Reg Challenge 2024. For retinal image registration, NeOn outperformed existing methods on both mono-modal and multi-modal datasets, reducing target registration error from 6.3 to 2.1 pixels in mono-modal and from 2.6 to 1.8 pixels in multi-modal registration. Furthermore, NeOn demonstrates strong generalization and can be effectively extended to 3D multi-modality image registration scenarios.

Unsupervised anomaly detection (UAD) methods typically detect anomalies by learning and reconstructing the normative distribution. However, since anomalies constantly invade and affect their surroundings, sub-healthy areas in the junction present structural deformations that could be easily misidentified as anomalies, posing difficulties for UAD methods that solely learn the normative distribution. The use of multimodal images can facilitate to address the above challenges, as they can provide complementary information of anomalies. Therefore, this paper propose a novel method for UAD in preoperative multimodal images, called Erasure Perception Diffusion model (EPDiff). First, the Local Erasure Progressive Training (LEPT) framework is designed to better rebuild sub-healthy structures around anomalies through the diffusion model with a two-phase process. Initially, healthy images are used to capture deviation features labeled as potential anomalies. Then, these anomalies are locally erased in multimodal images to progressively learn sub-healthy structures, obtaining a more detailed reconstruction around anomalies. Second, the Global Structural Perception (GSP) module is developed in the diffusion model to realize global structural representation and correlation within images and between modalities through interactions of high-level semantic information. In addition, a training-free module, named Multimodal Attention Fusion (MAF) module, is presented for weighted fusion of anomaly maps between different modalities and obtaining binary anomaly outputs. Experimental results show that EPDiff improves the AUPRC and mDice scores by 2% and 3.9% on BraTS2021, and by 5.2% and 4.5% on Shifts over the state-of-the-art methods, which proves the applicability of EPDiff in diverse anomaly diagnosis. The code is available at https://github.com/wjiazheng/EPDiff.

Surgical scene segmentation is a critical task in Robotic-assisted surgery. However, the complexity of the surgical scene, which mainly includes local feature similarity (e.g., between different anatomical tissues), intraoperative complex artifacts, and indistinguishable boundaries, poses significant challenges to accurate segmentation. To tackle these problems, we propose the Long Strip Kernel Attention network (LSKANet), including two well-designed modules named Dual-block Large Kernel Attention module (DLKA) and Multiscale Affinity Feature Fusion module (MAFF), which can implement precise segmentation of surgical images. Specifically, by introducing strip convolutions with different topologies (cascaded and parallel) in two blocks and a large kernel design, DLKA can make full use of region- and strip-like surgical features and extract both visual and structural information to reduce the false segmentation caused by local feature similarity. In MAFF, affinity matrices calculated from multiscale feature maps are applied as feature fusion weights, which helps to address the interference of artifacts by suppressing the activations of irrelevant regions. Besides, the hybrid loss with Boundary Guided Head (BGH) is proposed to help the network segment indistinguishable boundaries effectively. We evaluate the proposed LSKANet on three datasets with different surgical scenes. The experimental results show that our method achieves new state-of-the-art results on all three datasets with improvements of 2.6%, 1.4%, and 3.4% mIoU, respectively. Furthermore, our method is compatible with different backbones and can significantly increase their segmentation accuracy. Code is available at https://github.com/YubinHan73/LSKANet.

The precise segmentation of medical images is one of the key challenges in pathology research and clinical practice. However, many medical image segmentation tasks have problems such as large differences between different types of lesions and similar shapes as well as colors between lesions and surrounding tissues, which seriously affects the improvement of segmentation accuracy. In this article, a novel method called Swin Pyramid Aggregation network (SwinPA-Net) is proposed by combining two designed modules with Swin Transformer to learn more powerful and robust features. The two modules, named dense multiplicative connection (DMC) module and local pyramid attention (LPA) module, are proposed to aggregate the multiscale context information of medical images. The DMC module cascades the multiscale semantic feature information through dense multiplicative feature fusion, which minimizes the interference of shallow background noise to improve the feature expression and solves the problem of excessive variation in lesion size and type. Moreover, the LPA module guides the network to focus on the region of interest by merging the global attention and the local attention, which helps to solve similar problems. The proposed network is evaluated on two public benchmark datasets for polyp segmentation task and skin lesion segmentation task as well as a clinical private dataset for laparoscopic image segmentation task. Compared with existing state-of-the-art (SOTA) methods, the SwinPA-Net achieves the most advanced performance and can outperform the second-best method on the mean Dice score by 1.68%, 0.8%, and 1.2% on the three tasks, respectively.

Surgical instrument segmentation is of great significance to robot-assisted surgery, but the noise caused by reflection, water mist, and motion blur during the surgery as well as the different forms of surgical instruments would greatly increase the difficulty of precise segmentation. A novel method called Branch Aggregation Attention network (BAANet) is proposed to address these challenges, which adopts a lightweight encoder and two designed modules, named Branch Balance Aggregation module (BBA) and Block Attention Fusion module (BAF), for efficient feature localization and denoising. By introducing the unique BBA module, features from multiple branches are balanced and optimized through a combination of addition and multiplication to complement strengths and effectively suppress noise. Furthermore, to fully integrate the contextual information and capture the region of interest, the BAF module is proposed in the decoder, which receives adjacent feature maps from the BBA module and localizes the surgical instruments from both global and local perspectives by utilizing a dual branch attention mechanism. According to the experimental results, the proposed method has the advantage of being lightweight while outperforming the second-best method by 4.03%, 1.53%, and 1.34% in mIoU scores on three challenging surgical instrument datasets, respectively, compared to the existing state-of-the-art methods. Code is available at https://github.com/SWT-1014/BAANet.