arXiv:2603.07909v1 Announce Type: cross Abstract: Accurate intraoperative navigation is essential for robot-assisted endoluminal intervention, but remains difficult because of limited endoscopic field of view and dynamic artifacts. Existing navigation platforms often rely on external localization technologies, such as electromagnetic tracking or shape sensing, which increase hardware complexity and remain vulnerable to intraoperative anatomical mismatch. We present a vision-only autonomy framework that performs long-horizon bronchoscopic navigation using preoperative CT-derived virtual targets and live endoscopic video, without external tracking during navigation. The framework uses hierarchical long-short agents: a short-term reactive agent for continuous low-latency motion control, and a long-term strategic agent for decision support at anatomically ambiguous points. When their recommendations conflict, a world-model critic predicts future visual states for candidate actions and selects the action whose predicted state best matches the target view. We evaluated the system in a high-fidelity airway phantom, three ex vivo porcine lungs, and a live porcine model. The system reached all planned segmental targets in the phantom, maintained 80\% success to the eighth generation ex vivo, and achieved in vivo navigation performance comparable to the expert bronchoscopist. These results support the preclinical feasibility of sensor-free autonomous bronchoscopic navigation.

arXiv:2603.08324v1 Announce Type: cross Abstract: Robot-assisted endoluminal procedures are increasingly used for early cancer intervention. However, the intricate, narrow and tortuous pathways within the luminal anatomy pose substantial difficulties for robot navigation. Vision-based navigation offers a promising solution, but existing localization approaches are error-prone due to tissue deformation, in vivo artifacts and a lack of distinctive landmarks for consistent localization. This paper presents a novel EndoSERV localization method to address these challenges. It includes two main parts, \textit{i.e.}, \textbf{SE}gment-to-structure and \textbf{R}eal-to-\textbf{V}irtual mapping, and hence the name. For long-range and complex luminal structures, we divide them into smaller sub-segments and estimate the odometry independently. To cater for label insufficiency, an efficient transfer technique maps real image features to the virtual domain to use virtual pose ground truth. The training phases of EndoSERV include an offline pretraining to extract texture-agnostic features, and an online phase that adapts to real-world conditions. Extensive experiments based on both public and clinical datasets have been performed to demonstrate the effectiveness of the method even without any real pose labels.

arXiv:2501.10466v4 Announce Type: replace-cross Abstract: Learning robust models under adversarial settings is widely recognized as requiring a considerably large number of training samples. Recent work proposes semi-supervised adversarial training (SSAT), which utilizes external unlabeled or synthetically generated data and is currently the state of the art. However, SSAT requires substantial extra data to attain high robustness, resulting in prolonged training time and increased memory usage. In this paper, we propose data reduction strategies to improve the efficiency of SSAT by optimizing the amount of additional data incorporated. Specifically, we design novel latent clustering-based techniques to select or generate a small, critical subset of data samples near the model's decision boundary. While focusing on boundary-adjacent points, our methods maintain a balanced ratio between boundary and non-boundary data points, thereby avoiding overfitting. Comprehensive experiments across image benchmarks demonstrate that our methods can effectively reduce SSAT's data requirements and computational costs while preserving its strong robustness advantages. In particular, our latent-space selection scheme based on k-means clustering and our guided diffusion-based approach with LCG-KM are the most effective, achieving nearly identical robust accuracies with 5 times to 10 times less unlabeled data. When compared to full SSAT trained to convergence, our methods reduce total runtime by approximately 3 times to 4 times due to strategic prioritization of unlabeled data.