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Xikai Yang

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eess.IV Machine Learning Computer Vision eess.SP

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preprint2026arXiv

SurgLQA: Scalable Long-Horizon Surgical Video Question Answering

Surgical Video Question Answering (VideoQA) provides a promising paradigm for dynamic intraoperative interpretation, enabling real-time decision support and context-aware retrieval in clinical environments. Nevertheless, existing approaches are predominantly restricted to images or short clips, limiting their ability to model long-range procedural dynamics and causal dependencies across extended surgical workflows. To address this challenge, we propose SurgLQA, a unified long-horizon VideoQA framework for scalable surgical reasoning. This framework incorporates Faithful Temporal Consolidation (FTC), which leverages intrinsic temporal cues to construct compact long-range representations while preserving fine-grained temporal fidelity. Further, we develop Temporally-Grounded Multi-Policy Scaling (TMS), an adaptive test-time inference paradigm that strategically adjusts policy-level reasoning capacity within temporally grounded contexts. To facilitate systematic evaluation, we restructured a long-duration colonoscopy VideoQA benchmark, Colon-LQA, and conducted extensive experiments on Colon-LQA and REAL-Colon-VQA. Experimental results demonstrate that our approach achieves consistent performance gains in long-range reasoning with temporally grounded inference. Code link: https://github.com/RascalGdd/SurgLQA.

preprint2021arXiv

Multi-layer Residual Sparsifying Transform (MARS) Model for Low-dose CT Image Reconstruction

Signal models based on sparse representations have received considerable attention in recent years. On the other hand, deep models consisting of a cascade of functional layers, commonly known as deep neural networks, have been highly successful for the task of object classification and have been recently introduced to image reconstruction. In this work, we develop a new image reconstruction approach based on a novel multi-layer model learned in an unsupervised manner by combining both sparse representations and deep models. The proposed framework extends the classical sparsifying transform model for images to a Multi-lAyer Residual Sparsifying transform (MARS) model, wherein the transform domain data are jointly sparsified over layers. We investigate the application of MARS models learned from limited regular-dose images for low-dose CT reconstruction using Penalized Weighted Least Squares (PWLS) optimization. We propose new formulations for multi-layer transform learning and image reconstruction. We derive an efficient block coordinate descent algorithm to learn the transforms across layers, in an unsupervised manner from limited regular-dose images. The learned model is then incorporated into the low-dose image reconstruction phase. Low-dose CT experimental results with both the XCAT phantom and Mayo Clinic data show that the MARS model outperforms conventional methods such as FBP and PWLS methods based on the edge-preserving (EP) regularizer in terms of two numerical metrics (RMSE and SSIM) and noise suppression. Compared with the single-layer learned transform (ST) model, the MARS model performs better in maintaining some subtle details.

preprint2020arXiv

Learned Multi-layer Residual Sparsifying Transform Model for Low-dose CT Reconstruction

Signal models based on sparse representation have received considerable attention in recent years. Compared to synthesis dictionary learning, sparsifying transform learning involves highly efficient sparse coding and operator update steps. In this work, we propose a Multi-layer Residual Sparsifying Transform (MRST) learning model wherein the transform domain residuals are jointly sparsified over layers. In particular, the transforms for the deeper layers exploit the more intricate properties of the residual maps. We investigate the application of the learned MRST model for low-dose CT reconstruction using Penalized Weighted Least Squares (PWLS) optimization. Experimental results on Mayo Clinic data show that the MRST model outperforms conventional methods such as FBP and PWLS methods based on edge-preserving (EP) regularizer and single-layer transform (ST) model, especially for maintaining some subtle details.