Daily Papers

Recent advances in medical image segmentation have been driven by deep learning; however, most existing methods remain limited by modality-specific designs and exhibit poor adaptability to dynamic medical imaging scenarios. The Segment Anything Model 2 (SAM2) and its related variants, which introduce a streaming memory mechanism for real-time video segmentation, present new opportunities for prompt-based, generalizable solutions. Nevertheless, adapting these models to medical video scenarios typically requires large-scale datasets for retraining or transfer learning, leading to high computational costs and the risk of catastrophic forgetting. To address these challenges, we propose DD-SAM2, an efficient adaptation framework for SAM2 that incorporates a Depthwise-Dilated Adapter (DD-Adapter) to enhance multi-scale feature extraction with minimal parameter overhead. This design enables effective fine-tuning of SAM2 on medical videos with limited training data. Unlike existing adapter-based methods focused solely on static images, DD-SAM2 fully exploits SAM2's streaming memory for medical video object tracking and segmentation. Comprehensive evaluations on TrackRad2025 (tumor segmentation) and EchoNet-Dynamic (left ventricle tracking) datasets demonstrate superior performance, achieving Dice scores of 0.93 and 0.97, respectively. To the best of our knowledge, this work provides an initial attempt at systematically exploring adapter-based SAM2 fine-tuning for medical video segmentation and tracking. Code, datasets, and models will be publicly available at https://github.com/apple1986/DD-SAM2.

Tool tracking in surgical videos is essential for advancing computer-assisted interventions, such as skill assessment, safety zone estimation, and human-machine collaboration. However, the lack of context-rich datasets limits AI applications in this field. Existing datasets rely on overly generic tracking formalizations that fail to capture surgical-specific dynamics, such as tools moving out of the camera's view or exiting the body. This results in less clinically relevant trajectories and a lack of flexibility for real-world surgical applications. Methods trained on these datasets often struggle with visual challenges such as smoke, reflection, and bleeding, further exposing the limitations of current approaches. We introduce CholecTrack20, a specialized dataset for multi-class, multi-tool tracking in surgical procedures. It redefines tracking formalization with three perspectives: (i) intraoperative, (ii) intracorporeal, and (iii) visibility, enabling adaptable and clinically meaningful tool trajectories. The dataset comprises 20 full-length surgical videos, annotated at 1 fps, yielding over 35K frames and 65K labeled tool instances. Annotations include spatial location, category, identity, operator, phase, and scene visual challenge. Benchmarking state-of-the-art methods on CholecTrack20 reveals significant performance gaps, with current approaches (< 45\% HOTA) failing to meet the accuracy required for clinical translation. These findings motivate the need for advanced and intuitive tracking algorithms and establish CholecTrack20 as a foundation for developing robust AI-driven surgical assistance systems.

3D medical image generation is essential for data augmentation and patient privacy, calling for reliable and efficient models suited for clinical practice. However, current methods suffer from limited anatomical fidelity, restricted axial length, and substantial computational cost, placing them beyond reach for regions with limited resources and infrastructure. We introduce TRACE, a framework that generates 3D medical images with spatiotemporal alignment using a 2D multimodal-conditioned diffusion approach. TRACE models sequential 2D slices as video frame pairs, combining segmentation priors and radiology reports for anatomical alignment, incorporating optical flow to sustain temporal coherence. During inference, an overlapping-frame strategy links frame pairs into a flexible length sequence, reconstructed into a spatiotemporally and anatomically aligned 3D volume. Experimental results demonstrate that TRACE effectively balances computational efficiency with preserving anatomical fidelity and spatiotemporal consistency. Code is available at: https://github.com/VinyehShaw/TRACE.

Visual object tracking is a fundamental video task in computer vision. Recently, the notably increasing power of perception algorithms allows the unification of single/multiobject and box/mask-based tracking. Among them, the Segment Anything Model (SAM) attracts much attention. In this report, we propose HQTrack, a framework for High Quality Tracking anything in videos. HQTrack mainly consists of a video multi-object segmenter (VMOS) and a mask refiner (MR). Given the object to be tracked in the initial frame of a video, VMOS propagates the object masks to the current frame. The mask results at this stage are not accurate enough since VMOS is trained on several closeset video object segmentation (VOS) datasets, which has limited ability to generalize to complex and corner scenes. To further improve the quality of tracking masks, a pretrained MR model is employed to refine the tracking results. As a compelling testament to the effectiveness of our paradigm, without employing any tricks such as test-time data augmentations and model ensemble, HQTrack ranks the 2nd place in the Visual Object Tracking and Segmentation (VOTS2023) challenge. Code and models are available at https://github.com/jiawen-zhu/HQTrack.

Surgical video segmentation is crucial for computer-assisted surgery, enabling precise localization and tracking of instruments and tissues. Interactive Video Object Segmentation (iVOS) models such as Segment Anything Model 2 (SAM2) provide prompt-based flexibility beyond methods with predefined categories, but face challenges in surgical scenarios due to the domain gap and limited long-term tracking. To address these limitations, we construct SA-SV, the largest surgical iVOS benchmark with instance-level spatio-temporal annotations (masklets) spanning eight procedure types (61k frames, 1.6k masklets), enabling comprehensive development and evaluation for long-term tracking and zero-shot generalization. Building on SA-SV, we propose SAM2S, a foundation model enhancing SAM2 for Surgical iVOS through: (1) DiveMem, a trainable diverse memory mechanism for robust long-term tracking; (2) temporal semantic learning for instrument understanding; and (3) ambiguity-resilient learning to mitigate annotation inconsistencies across multi-source datasets. Extensive experiments demonstrate that fine-tuning on SA-SV enables substantial performance gains, with SAM2 improving by 12.99 average J\&F over vanilla SAM2. SAM2S further advances performance to 80.42 average J\&F, surpassing vanilla and fine-tuned SAM2 by 17.10 and 4.11 points respectively, while maintaining 68 FPS real-time inference and strong zero-shot generalization. Code and dataset will be released at https://jinlab-imvr.github.io/SAM2S.

Medical image segmentation aims to delineate the anatomical or pathological structures of interest, playing a crucial role in clinical diagnosis. A substantial amount of high-quality annotated data is crucial for constructing high-precision deep segmentation models. However, medical annotation is highly cumbersome and time-consuming, especially for medical videos or 3D volumes, due to the huge labeling space and poor inter-frame consistency. Recently, a fundamental task named Moving Object Segmentation (MOS) has made significant advancements in natural images. Its objective is to delineate moving objects from the background within image sequences, requiring only minimal annotations. In this paper, we propose the first foundation model, named iMOS, for MOS in medical images. Extensive experiments on a large multi-modal medical dataset validate the effectiveness of the proposed iMOS. Specifically, with the annotation of only a small number of images in the sequence, iMOS can achieve satisfactory tracking and segmentation performance of moving objects throughout the entire sequence in bi-directions. We hope that the proposed iMOS can help accelerate the annotation speed of experts, and boost the development of medical foundation models.

Early detection, accurate segmentation, classification and tracking of polyps during colonoscopy are critical for preventing colorectal cancer. Many existing deep-learning-based methods for analyzing colonoscopic videos either require task-specific fine-tuning, lack tracking capabilities, or rely on domain-specific pre-training. In this paper, we introduce PolypSegTrack, a novel foundation model that jointly addresses polyp detection, segmentation, classification and unsupervised tracking in colonoscopic videos. Our approach leverages a novel conditional mask loss, enabling flexible training across datasets with either pixel-level segmentation masks or bounding box annotations, allowing us to bypass task-specific fine-tuning. Our unsupervised tracking module reliably associates polyp instances across frames using object queries, without relying on any heuristics. We leverage a robust vision foundation model backbone that is pre-trained unsupervisedly on natural images, thereby removing the need for domain-specific pre-training. Extensive experiments on multiple polyp benchmarks demonstrate that our method significantly outperforms existing state-of-the-art approaches in detection, segmentation, classification, and tracking.

The ability to automatically detect and track surgical instruments in endoscopic videos can enable transformational interventions. Assessing surgical performance and efficiency, identifying skilled tool use and choreography, and planning operational and logistical aspects of OR resources are just a few of the applications that could benefit. Unfortunately, obtaining the annotations needed to train machine learning models to identify and localize surgical tools is a difficult task. Annotating bounding boxes frame-by-frame is tedious and time-consuming, yet large amounts of data with a wide variety of surgical tools and surgeries must be captured for robust training. Moreover, ongoing annotator training is needed to stay up to date with surgical instrument innovation. In robotic-assisted surgery, however, potentially informative data like timestamps of instrument installation and removal can be programmatically harvested. The ability to rely on tool installation data alone would significantly reduce the workload to train robust tool-tracking models. With this motivation in mind we invited the surgical data science community to participate in the challenge, SurgToolLoc 2022. The goal was to leverage tool presence data as weak labels for machine learning models trained to detect tools and localize them in video frames with bounding boxes. We present the results of this challenge along with many of the team's efforts. We conclude by discussing these results in the broader context of machine learning and surgical data science. The training data used for this challenge consisting of 24,695 video clips with tool presence labels is also being released publicly and can be accessed at https://console.cloud.google.com/storage/browser/isi-surgtoolloc-2022.

Most model-free visual object tracking methods formulate the tracking task as object location estimation given by a 2D segmentation or a bounding box in each video frame. We argue that this representation is limited and instead propose to guide and improve 2D tracking with an explicit object representation, namely the textured 3D shape and 6DoF pose in each video frame. Our representation tackles a complex long-term dense correspondence problem between all 3D points on the object for all video frames, including frames where some points are invisible. To achieve that, the estimation is driven by re-rendering the input video frames as well as possible through differentiable rendering, which has not been used for tracking before. The proposed optimization minimizes a novel loss function to estimate the best 3D shape, texture, and 6DoF pose. We improve the state-of-the-art in 2D segmentation tracking on three different datasets with mostly rigid objects.

Medical image and video segmentation is a critical task for precision medicine, which has witnessed considerable progress in developing task or modality-specific and generalist models for 2D images. However, there have been limited studies on building general-purpose models for 3D images and videos with comprehensive user studies. Here, we present MedSAM2, a promptable segmentation foundation model for 3D image and video segmentation. The model is developed by fine-tuning the Segment Anything Model 2 on a large medical dataset with over 455,000 3D image-mask pairs and 76,000 frames, outperforming previous models across a wide range of organs, lesions, and imaging modalities. Furthermore, we implement a human-in-the-loop pipeline to facilitate the creation of large-scale datasets resulting in, to the best of our knowledge, the most extensive user study to date, involving the annotation of 5,000 CT lesions, 3,984 liver MRI lesions, and 251,550 echocardiogram video frames, demonstrating that MedSAM2 can reduce manual costs by more than 85%. MedSAM2 is also integrated into widely used platforms with user-friendly interfaces for local and cloud deployment, making it a practical tool for supporting efficient, scalable, and high-quality segmentation in both research and healthcare environments.

Tracking a point through a video can be a challenging task due to uncertainty arising from visual obfuscations, such as appearance changes and occlusions. Although current state-of-the-art discriminative models excel in regressing long-term point trajectory estimates -- even through occlusions -- they are limited to regressing to a mean (or mode) in the presence of uncertainty, and fail to capture multi-modality. To overcome this limitation, we introduce Generative Point Tracker (GenPT), a generative framework for modelling multi-modal trajectories. GenPT is trained with a novel flow matching formulation that combines the iterative refinement of discriminative trackers, a window-dependent prior for cross-window consistency, and a variance schedule tuned specifically for point coordinates. We show how our model's generative capabilities can be leveraged to improve point trajectory estimates by utilizing a best-first search strategy on generated samples during inference, guided by the model's own confidence of its predictions. Empirically, we evaluate GenPT against the current state of the art on the standard PointOdyssey, Dynamic Replica, and TAP-Vid benchmarks. Further, we introduce a TAP-Vid variant with additional occlusions to assess occluded point tracking performance and highlight our model's ability to capture multi-modality. GenPT is capable of capturing the multi-modality in point trajectories, which translates to state-of-the-art tracking accuracy on occluded points, while maintaining competitive tracking accuracy on visible points compared to extant discriminative point trackers.

Large vision-language models struggle with medical video understanding, where spatial precision, temporal reasoning, and clinical semantics are critical. To address this, we first introduce MedVidBench, a large-scale benchmark of 531,850 video-instruction pairs across 8 medical sources spanning video, segment, and frame-level tasks, curated through a rigorous quality assurance pipeline with expert-guided prompting and dual-model validation. While supervised fine-tuning on MedVidBench yields noticeable gains, standard Reinforcement Learning (RL) fails due to imbalanced reward scales across datasets, which destabilizes optimization and leads to training collapse. To overcome this, we introduce MedGRPO, a novel RL framework for balanced multi-dataset training with two key innovations: (1) cross-dataset reward normalization that maps each dataset's median performance to a common reward value, ensuring fair optimization regardless of difficulty, and (2) a medical LLM judge that evaluates caption quality on five clinical dimensions through comparative similarity scoring. Supervised fine-tuning Qwen2.5-VL-7B on MedVidBench substantially outperforms GPT-4.1 and Gemini-2.5-Flash across all tasks, demonstrating MedVidBench's efficacy, while our MedGRPO framework further improves upon the SFT baseline across grounding and captioning tasks. Our work establishes a foundational benchmark and robust training methodology for advancing vision-language models in medical domains. Our project website is available at https://yuhaosu.github.io/MedGRPO/.

Surgical scene segmentation is critical in computer-assisted surgery and is vital for enhancing surgical quality and patient outcomes. Recently, referring surgical segmentation is emerging, given its advantage of providing surgeons with an interactive experience to segment the target object. However, existing methods are limited by low efficiency and short-term tracking, hindering their applicability in complex real-world surgical scenarios. In this paper, we introduce ReSurgSAM2, a two-stage surgical referring segmentation framework that leverages Segment Anything Model 2 to perform text-referred target detection, followed by tracking with reliable initial frame identification and diversity-driven long-term memory. For the detection stage, we propose a cross-modal spatial-temporal Mamba to generate precise detection and segmentation results. Based on these results, our credible initial frame selection strategy identifies the reliable frame for the subsequent tracking. Upon selecting the initial frame, our method transitions to the tracking stage, where it incorporates a diversity-driven memory mechanism that maintains a credible and diverse memory bank, ensuring consistent long-term tracking. Extensive experiments demonstrate that ReSurgSAM2 achieves substantial improvements in accuracy and efficiency compared to existing methods, operating in real-time at 61.2 FPS. Our code and datasets will be available at https://github.com/jinlab-imvr/ReSurgSAM2.

In recent years, the Segmentation Anything Model (SAM) has attracted considerable attention as a foundational model well-known for its robust generalization capabilities across various downstream tasks. However, SAM does not exhibit satisfactory performance in the realm of medical image analysis. In this study, we introduce the first study on adapting SAM on video segmentation, called MediViSTA-SAM, a novel approach designed for medical video segmentation. Given video data, MediViSTA, spatio-temporal adapter captures long and short range temporal attention with cross-frame attention mechanism effectively constraining it to consider the immediately preceding video frame as a reference, while also considering spatial information effectively. Additionally, it incorporates multi-scale fusion by employing a U-shaped encoder and a modified mask decoder to handle objects of varying sizes. To evaluate our approach, extensive experiments were conducted using state-of-the-art (SOTA) methods, assessing its generalization abilities on multi-vendor in-house echocardiography datasets. The results highlight the accuracy and effectiveness of our network in medical video segmentation.

Memory-based trackers are video object segmentation methods that form the target model by concatenating recently tracked frames into a memory buffer and localize the target by attending the current image to the buffered frames. While already achieving top performance on many benchmarks, it was the recent release of SAM2 that placed memory-based trackers into focus of the visual object tracking community. Nevertheless, modern trackers still struggle in the presence of distractors. We argue that a more sophisticated memory model is required, and propose a new distractor-aware memory model for SAM2 and an introspection-based update strategy that jointly addresses the segmentation accuracy as well as tracking robustness. The resulting tracker is denoted as SAM2.1++. We also propose a new distractor-distilled DiDi dataset to study the distractor problem better. SAM2.1++ outperforms SAM2.1 and related SAM memory extensions on seven benchmarks and sets a solid new state-of-the-art on six of them.

The aim of multiple object tracking (MOT) is to detect all objects in a video and bind them into multiple trajectories. Generally, this process is carried out in two steps: detecting objects and associating them across frames based on various cues and metrics. Many studies and applications adopt object appearance, also known as re-identification (ReID) features, for target matching through straightforward similarity calculation. However, we argue that this practice is overly naive and thus overlooks the unique characteristics of MOT tasks. Unlike regular re-identification tasks that strive to distinguish all potential targets in a general representation, multi-object tracking typically immerses itself in differentiating similar targets within the same video sequence. Therefore, we believe that seeking a more suitable feature representation space based on the different sample distributions of each sequence will enhance tracking performance. In this paper, we propose using history-aware transformations on ReID features to achieve more discriminative appearance representations. Specifically, we treat historical trajectory features as conditions and employ a tailored Fisher Linear Discriminant (FLD) to find a spatial projection matrix that maximizes the differentiation between different trajectories. Our extensive experiments reveal that this training-free projection can significantly boost feature-only trackers to achieve competitive, even superior tracking performance compared to state-of-the-art methods while also demonstrating impressive zero-shot transfer capabilities. This demonstrates the effectiveness of our proposal and further encourages future investigation into the importance and customization of ReID models in multiple object tracking. The code will be released at https://github.com/HELLORPG/HATReID-MOT.

In this work, we address the TrackRAD2025 challenge of real-time tumor tracking in cine-MRI sequences of the thoracic and abdominal regions under strong data scarcity constraints. Two complementary strategies were explored: (i) unsupervised registration with the IMPACT similarity metric and (ii) foundation model-based segmentation leveraging SAM 2.1 and its recent variants through prompt-based interaction. Due to the one-second runtime constraint, the SAM-based method was ultimately selected. The final configuration used SAM2.1 b+ with mask-based prompts from the first annotated slice, fine-tuned solely on the small labeled subset from TrackRAD2025. Training was configured to minimize overfitting, using 1024x1024 patches (batch size 1), standard augmentations, and a balanced Dice + IoU loss. A low uniform learning rate (0.0001) was applied to all modules (prompt encoder, decoder, Hiera backbone) to preserve generalization while adapting to annotator-specific styles. Training lasted 300 epochs (~12h on RTX A6000, 48GB). The same inference strategy was consistently applied across all anatomical sites and MRI field strengths. Test-time augmentation was considered but ultimately discarded due to negligible performance gains. The final model was selected based on the highest Dice Similarity Coefficient achieved on the validation set after fine-tuning. On the hidden test set, the model reached a Dice score of 0.8794, ranking 6th overall in the TrackRAD2025 challenge. These results highlight the strong potential of foundation models for accurate and real-time tumor tracking in MRI-guided radiotherapy.

Purpose: Magnetic resonance imaging (MRI) to visualize anatomical motion is becoming increasingly important when treating cancer patients with radiotherapy. Hybrid MRI-linear accelerator (MRI-linac) systems allow real-time motion management during irradiation. This paper presents a multi-institutional real-time MRI time series dataset from different MRI-linac vendors. The dataset is designed to support developing and evaluating real-time tumor localization (tracking) algorithms for MRI-guided radiotherapy within the TrackRAD2025 challenge (https://trackrad2025.grand-challenge.org/). Acquisition and validation methods: The dataset consists of sagittal 2D cine MRIs in 585 patients from six centers (3 Dutch, 1 German, 1 Australian, and 1 Chinese). Tumors in the thorax, abdomen, and pelvis acquired on two commercially available MRI-linacs (0.35 T and 1.5 T) were included. For 108 cases, irradiation targets or tracking surrogates were manually segmented on each temporal frame. The dataset was randomly split into a public training set of 527 cases (477 unlabeled and 50 labeled) and a private testing set of 58 cases (all labeled). Data Format and Usage Notes: The data is publicly available under the TrackRAD2025 collection: https://doi.org/10.57967/hf/4539. Both the images and segmentations for each patient are available in metadata format. Potential Applications: This novel clinical dataset will enable the development and evaluation of real-time tumor localization algorithms for MRI-guided radiotherapy. By enabling more accurate motion management and adaptive treatment strategies, this dataset has the potential to advance the field of radiotherapy significantly.

Medical eye-tracking data is an important information source for understanding how radiologists visually interpret medical images. This information not only improves the accuracy of deep learning models for X-ray analysis but also their interpretability, enhancing transparency in decision-making. However, the current eye-tracking data is dispersed, unprocessed, and ambiguous, making it difficult to derive meaningful insights. Therefore, there is a need to create a new dataset with more focus and purposeful eyetracking data, improving its utility for diagnostic applications. In this work, we propose a refinement method inspired by the target-present visual search challenge: there is a specific finding and fixations are guided to locate it. After refining the existing eye-tracking datasets, we transform them into a curated visual search dataset, called GazeSearch, specifically for radiology findings, where each fixation sequence is purposefully aligned to the task of locating a particular finding. Subsequently, we introduce a scan path prediction baseline, called ChestSearch, specifically tailored to GazeSearch. Finally, we employ the newly introduced GazeSearch as a benchmark to evaluate the performance of current state-of-the-art methods, offering a comprehensive assessment for visual search in the medical imaging domain. Code is available at https://github.com/UARK-AICV/GazeSearch.

High-resolution (HR) medical videos are vital for accurate diagnosis, yet are hard to acquire due to hardware limitations and physiological constraints. Clinically, the collected low-resolution (LR) medical videos present unique challenges for video super-resolution (VSR) models, including camera shake, noise, and abrupt frame transitions, which result in significant optical flow errors and alignment difficulties. Additionally, tissues and organs exhibit continuous and nuanced structures, but current VSR models are prone to introducing artifacts and distorted features that can mislead doctors. To this end, we propose MedVSR, a tailored framework for medical VSR. It first employs Cross State-Space Propagation (CSSP) to address the imprecise alignment by projecting distant frames as control matrices within state-space models, enabling the selective propagation of consistent and informative features to neighboring frames for effective alignment. Moreover, we design an Inner State-Space Reconstruction (ISSR) module that enhances tissue structures and reduces artifacts with joint long-range spatial feature learning and large-kernel short-range information aggregation. Experiments across four datasets in diverse medical scenarios, including endoscopy and cataract surgeries, show that MedVSR significantly outperforms existing VSR models in reconstruction performance and efficiency. Code released at https://github.com/CUHK-AIM-Group/MedVSR.

Recent advances in video generation have shown remarkable progress in open-domain settings, yet medical video generation remains largely underexplored. Medical videos are critical for applications such as clinical training, education, and simulation, requiring not only high visual fidelity but also strict medical accuracy. However, current models often produce unrealistic or erroneous content when applied to medical prompts, largely due to the lack of large-scale, high-quality datasets tailored to the medical domain. To address this gap, we introduce MedVideoCap-55K, the first large-scale, diverse, and caption-rich dataset for medical video generation. It comprises over 55,000 curated clips spanning real-world medical scenarios, providing a strong foundation for training generalist medical video generation models. Built upon this dataset, we develop MedGen, which achieves leading performance among open-source models and rivals commercial systems across multiple benchmarks in both visual quality and medical accuracy. We hope our dataset and model can serve as a valuable resource and help catalyze further research in medical video generation. Our code and data is available at https://github.com/FreedomIntelligence/MedGen

In this paper, we present a novel benchmark, GSOT3D, that aims at facilitating development of generic 3D single object tracking (SOT) in the wild. Specifically, GSOT3D offers 620 sequences with 123K frames, and covers a wide selection of 54 object categories. Each sequence is offered with multiple modalities, including the point cloud (PC), RGB image, and depth. This allows GSOT3D to support various 3D tracking tasks, such as single-modal 3D SOT on PC and multi-modal 3D SOT on RGB-PC or RGB-D, and thus greatly broadens research directions for 3D object tracking. To provide highquality per-frame 3D annotations, all sequences are labeled manually with multiple rounds of meticulous inspection and refinement. To our best knowledge, GSOT3D is the largest benchmark dedicated to various generic 3D object tracking tasks. To understand how existing 3D trackers perform and to provide comparisons for future research on GSOT3D, we assess eight representative point cloud-based tracking models. Our evaluation results exhibit that these models heavily degrade on GSOT3D, and more efforts are required for robust and generic 3D object tracking. Besides, to encourage future research, we present a simple yet effective generic 3D tracker, named PROT3D, that localizes the target object via a progressive spatial-temporal network and outperforms all current solutions by a large margin. By releasing GSOT3D, we expect to advance further 3D tracking in future research and applications. Our benchmark and model as well as the evaluation results will be publicly released at our webpage https://github.com/ailovejinx/GSOT3D.

Methods for video motion prediction either estimate jointly the instantaneous motion of all points in a given video frame using optical flow or independently track the motion of individual points throughout the video. The latter is true even for powerful deep-learning methods that can track points through occlusions. Tracking points individually ignores the strong correlation that can exist between the points, for instance, because they belong to the same physical object, potentially harming performance. In this paper, we thus propose CoTracker, an architecture that jointly tracks multiple points throughout an entire video. This architecture combines several ideas from the optical flow and tracking literature in a new, flexible and powerful design. It is based on a transformer network that models the correlation of different points in time via specialised attention layers. The transformer iteratively updates an estimate of several trajectories. It can be applied in a sliding-window manner to very long videos, for which we engineer an unrolled training loop. It can track from one to several points jointly and supports adding new points to track at any time. The result is a flexible and powerful tracking algorithm that outperforms state-of-the-art methods in almost all benchmarks.

Multi-Object Tracking (MOT) has been a long-standing challenge in video understanding. A natural and intuitive approach is to split this task into two parts: object detection and association. Most mainstream methods employ meticulously crafted heuristic techniques to maintain trajectory information and compute cost matrices for object matching. Although these methods can achieve notable tracking performance, they often require a series of elaborate handcrafted modifications while facing complicated scenarios. We believe that manually assumed priors limit the method's adaptability and flexibility in learning optimal tracking capabilities from domain-specific data. Therefore, we introduce a new perspective that treats Multiple Object Tracking as an in-context ID Prediction task, transforming the aforementioned object association into an end-to-end trainable task. Based on this, we propose a simple yet effective method termed MOTIP. Given a set of trajectories carried with ID information, MOTIP directly decodes the ID labels for current detections to accomplish the association process. Without using tailored or sophisticated architectures, our method achieves state-of-the-art results across multiple benchmarks by solely leveraging object-level features as tracking cues. The simplicity and impressive results of MOTIP leave substantial room for future advancements, thereby making it a promising baseline for subsequent research. Our code and checkpoints are released at https://github.com/MCG-NJU/MOTIP.

Despite great recent advances in visual tracking, its further development, including both algorithm design and evaluation, is limited due to lack of dedicated large-scale benchmarks. To address this problem, we present LaSOT, a high-quality Large-scale Single Object Tracking benchmark. LaSOT contains a diverse selection of 85 object classes, and offers 1,550 totaling more than 3.87 million frames. Each video frame is carefully and manually annotated with a bounding box. This makes LaSOT, to our knowledge, the largest densely annotated tracking benchmark. Our goal in releasing LaSOT is to provide a dedicated high quality platform for both training and evaluation of trackers. The average video length of LaSOT is around 2,500 frames, where each video contains various challenge factors that exist in real world video footage,such as the targets disappearing and re-appearing. These longer video lengths allow for the assessment of long-term trackers. To take advantage of the close connection between visual appearance and natural language, we provide language specification for each video in LaSOT. We believe such additions will allow for future research to use linguistic features to improve tracking. Two protocols, full-overlap and one-shot, are designated for flexible assessment of trackers. We extensively evaluate 48 baseline trackers on LaSOT with in-depth analysis, and results reveal that there still exists significant room for improvement. The complete benchmark, tracking results as well as analysis are available at http://vision.cs.stonybrook.edu/~lasot/.

Purpose: Foundation models, trained on multitudes of public datasets, often require additional fine-tuning or re-prompting mechanisms to be applied to visually distinct target domains such as surgical videos. Further, without domain knowledge, they cannot model the specific semantics of the target domain. Hence, when applied to surgical video segmentation, they fail to generalise to sections where previously tracked objects leave the scene or new objects enter. Methods: We propose SASVi, a novel re-prompting mechanism based on a frame-wise Mask R-CNN Overseer model, which is trained on a minimal amount of scarcely available annotations for the target domain. This model automatically re-prompts the foundation model SAM2 when the scene constellation changes, allowing for temporally smooth and complete segmentation of full surgical videos. Results: Re-prompting based on our Overseer model significantly improves the temporal consistency of surgical video segmentation compared to similar prompting techniques and especially frame-wise segmentation, which neglects temporal information, by at least 1.5%. Our proposed approach allows us to successfully deploy SAM2 to surgical videos, which we quantitatively and qualitatively demonstrate for three different cholecystectomy and cataract surgery datasets. Conclusion: SASVi can serve as a new baseline for smooth and temporally consistent segmentation of surgical videos with scarcely available annotation data. Our method allows us to leverage scarce annotations and obtain complete annotations for full videos of the large-scale counterpart datasets. We make those annotations publicly available, providing extensive annotation data for the future development of surgical data science models.

RGB video object tracking is a fundamental task in computer vision. Its effectiveness can be improved using depth information, particularly for handling motion-blurred target. However, depth information is often missing in commonly used tracking benchmarks. In this work, we propose a new framework that leverages monocular depth estimation to counter the challenges of tracking targets that are out of view or affected by motion blur in RGB video sequences. Specifically, our work introduces following contributions. To the best of our knowledge, we are the first to propose a depth attention mechanism and to formulate a simple framework that allows seamlessly integration of depth information with state of the art tracking algorithms, without RGB-D cameras, elevating accuracy and robustness. We provide extensive experiments on six challenging tracking benchmarks. Our results demonstrate that our approach provides consistent gains over several strong baselines and achieves new SOTA performance. We believe that our method will open up new possibilities for more sophisticated VOT solutions in real-world scenarios. Our code and models are publicly released: https://github.com/LiuYuML/Depth-Attention.

Traditional convolutional neural networks have a limited receptive field while transformer-based networks are mediocre in constructing long-term dependency from the perspective of computational complexity. Such the bottleneck poses a significant challenge when processing long video sequences in video analysis tasks. Very recently, the state space models (SSMs) with efficient hardware-aware designs, famous by Mamba, have exhibited impressive achievements in long sequence modeling, which facilitates the development of deep neural networks on many vision tasks. To better capture available cues in video frames, this paper presents a generic Video Vision Mamba-based framework for medical video object segmentation tasks, named Vivim. Our Vivim can effectively compress the long-term spatiotemporal representation into sequences at varying scales by our designed Temporal Mamba Block. Compared to existing video-level Transformer-based methods, our model maintains excellent segmentation results with better speed performance. Extensive experiments on the breast US dataset demonstrate the effectiveness and efficiency of our Vivim. The code for Vivim is available at: https://github.com/scott-yjyang/Vivim.

For a long time, the most common paradigm in Multi-Object Tracking was tracking-by-detection (TbD), where objects are first detected and then associated over video frames. For association, most models resourced to motion and appearance cues, e.g., re-identification networks. Recent approaches based on attention propose to learn the cues in a data-driven manner, showing impressive results. In this paper, we ask ourselves whether simple good old TbD methods are also capable of achieving the performance of end-to-end models. To this end, we propose two key ingredients that allow a standard re-identification network to excel at appearance-based tracking. We extensively analyse its failure cases, and show that a combination of our appearance features with a simple motion model leads to strong tracking results. Our tracker generalizes to four public datasets, namely MOT17, MOT20, BDD100k, and DanceTrack, achieving state-of-the-art performance. https://github.com/dvl-tum/GHOST.

Multi-object tracking (MOT) aims at estimating bounding boxes and identities of objects in videos. Most methods obtain identities by associating detection boxes whose scores are higher than a threshold. The objects with low detection scores, e.g. occluded objects, are simply thrown away, which brings non-negligible true object missing and fragmented trajectories. To solve this problem, we present a simple, effective and generic association method, tracking by associating almost every detection box instead of only the high score ones. For the low score detection boxes, we utilize their similarities with tracklets to recover true objects and filter out the background detections. When applied to 9 different state-of-the-art trackers, our method achieves consistent improvement on IDF1 score ranging from 1 to 10 points. To put forwards the state-of-the-art performance of MOT, we design a simple and strong tracker, named ByteTrack. For the first time, we achieve 80.3 MOTA, 77.3 IDF1 and 63.1 HOTA on the test set of MOT17 with 30 FPS running speed on a single V100 GPU. ByteTrack also achieves state-of-the-art performance on MOT20, HiEve and BDD100K tracking benchmarks. The source code, pre-trained models with deploy versions and tutorials of applying to other trackers are released at https://github.com/ifzhang/ByteTrack.

In this work, we present LesionLocator, a framework for zero-shot longitudinal lesion tracking and segmentation in 3D medical imaging, establishing the first end-to-end model capable of 4D tracking with dense spatial prompts. Our model leverages an extensive dataset of 23,262 annotated medical scans, as well as synthesized longitudinal data across diverse lesion types. The diversity and scale of our dataset significantly enhances model generalizability to real-world medical imaging challenges and addresses key limitations in longitudinal data availability. LesionLocator outperforms all existing promptable models in lesion segmentation by nearly 10 dice points, reaching human-level performance, and achieves state-of-the-art results in lesion tracking, with superior lesion retrieval and segmentation accuracy. LesionLocator not only sets a new benchmark in universal promptable lesion segmentation and automated longitudinal lesion tracking but also provides the first open-access solution of its kind, releasing our synthetic 4D dataset and model to the community, empowering future advancements in medical imaging. Code is available at: www.github.com/MIC-DKFZ/LesionLocator

We present a new test-time optimization method for estimating dense and long-range motion from a video sequence. Prior optical flow or particle video tracking algorithms typically operate within limited temporal windows, struggling to track through occlusions and maintain global consistency of estimated motion trajectories. We propose a complete and globally consistent motion representation, dubbed OmniMotion, that allows for accurate, full-length motion estimation of every pixel in a video. OmniMotion represents a video using a quasi-3D canonical volume and performs pixel-wise tracking via bijections between local and canonical space. This representation allows us to ensure global consistency, track through occlusions, and model any combination of camera and object motion. Extensive evaluations on the TAP-Vid benchmark and real-world footage show that our approach outperforms prior state-of-the-art methods by a large margin both quantitatively and qualitatively. See our project page for more results: http://omnimotion.github.io/

Multi-target multi-camera tracking is a crucial task that involves identifying and tracking individuals over time using video streams from multiple cameras. This task has practical applications in various fields, such as visual surveillance, crowd behavior analysis, and anomaly detection. However, due to the difficulty and cost of collecting and labeling data, existing datasets for this task are either synthetically generated or artificially constructed within a controlled camera network setting, which limits their ability to model real-world dynamics and generalize to diverse camera configurations. To address this issue, we present MTMMC, a real-world, large-scale dataset that includes long video sequences captured by 16 multi-modal cameras in two different environments - campus and factory - across various time, weather, and season conditions. This dataset provides a challenging test-bed for studying multi-camera tracking under diverse real-world complexities and includes an additional input modality of spatially aligned and temporally synchronized RGB and thermal cameras, which enhances the accuracy of multi-camera tracking. MTMMC is a super-set of existing datasets, benefiting independent fields such as person detection, re-identification, and multiple object tracking. We provide baselines and new learning setups on this dataset and set the reference scores for future studies. The datasets, models, and test server will be made publicly available.

Feature encoding with respect to an over-complete dictionary learned by unsupervised methods, followed by spatial pyramid pooling, and linear classification, has exhibited powerful strength in various vision applications. Here we propose to use the feature learning pipeline for visual tracking. Tracking is implemented using tracking-by-detection and the resulted framework is very simple yet effective. First, online dictionary learning is used to build a dictionary, which captures the appearance changes of the tracking target as well as the background changes. Given a test image window, we extract local image patches from it and each local patch is encoded with respect to the dictionary. The encoded features are then pooled over a spatial pyramid to form an aggregated feature vector. Finally, a simple linear classifier is trained on these features. Our experiments show that the proposed powerful---albeit simple---tracker, outperforms all the state-of-the-art tracking methods that we have tested. Moreover, we evaluate the performance of different dictionary learning and feature encoding methods in the proposed tracking framework, and analyse the impact of each component in the tracking scenario. We also demonstrate the flexibility of feature learning by plugging it into Hare et al.'s tracking method. The outcome is, to our knowledge, the best tracker ever reported, which facilitates the advantages of both feature learning and structured output prediction.

In this paper, we propose ProTracker, a novel framework for robust and accurate long-term dense tracking of arbitrary points in videos. The key idea of our method is incorporating probabilistic integration to refine multiple predictions from both optical flow and semantic features for robust short-term and long-term tracking. Specifically, we integrate optical flow estimations in a probabilistic manner, producing smooth and accurate trajectories by maximizing the likelihood of each prediction. To effectively re-localize challenging points that disappear and reappear due to occlusion, we further incorporate long-term feature correspondence into our flow predictions for continuous trajectory generation. Extensive experiments show that ProTracker achieves the state-of-the-art performance among unsupervised and self-supervised approaches, and even outperforms supervised methods on several benchmarks. Our code and model will be publicly available upon publication.

We present DINO-Tracker -- a new framework for long-term dense tracking in video. The pillar of our approach is combining test-time training on a single video, with the powerful localized semantic features learned by a pre-trained DINO-ViT model. Specifically, our framework simultaneously adopts DINO's features to fit to the motion observations of the test video, while training a tracker that directly leverages the refined features. The entire framework is trained end-to-end using a combination of self-supervised losses, and regularization that allows us to retain and benefit from DINO's semantic prior. Extensive evaluation demonstrates that our method achieves state-of-the-art results on known benchmarks. DINO-tracker significantly outperforms self-supervised methods and is competitive with state-of-the-art supervised trackers, while outperforming them in challenging cases of tracking under long-term occlusions.

Understanding the workflow of surgical procedures in complex operating rooms requires a deep understanding of the interactions between clinicians and their environment. Surgical activity recognition (SAR) is a key computer vision task that detects activities or phases from multi-view camera recordings. Existing SAR models often fail to account for fine-grained clinician movements and multi-view knowledge, or they require calibrated multi-view camera setups and advanced point-cloud processing to obtain better results. In this work, we propose a novel calibration-free multi-view multi-modal pretraining framework called Multiview Pretraining for Video-Pose Surgical Activity Recognition PreViPS, which aligns 2D pose and vision embeddings across camera views. Our model follows CLIP-style dual-encoder architecture: one encoder processes visual features, while the other encodes human pose embeddings. To handle the continuous 2D human pose coordinates, we introduce a tokenized discrete representation to convert the continuous 2D pose coordinates into discrete pose embeddings, thereby enabling efficient integration within the dual-encoder framework. To bridge the gap between these two modalities, we propose several pretraining objectives using cross- and in-modality geometric constraints within the embedding space and incorporating masked pose token prediction strategy to enhance representation learning. Extensive experiments and ablation studies demonstrate improvements over the strong baselines, while data-efficiency experiments on two distinct operating room datasets further highlight the effectiveness of our approach. We highlight the benefits of our approach for surgical activity recognition in both multi-view and single-view settings, showcasing its practical applicability in complex surgical environments. Code will be made available at: https://github.com/CAMMA-public/PreViPS.

Tracking objects with persistence in cluttered and dynamic environments remains a difficult challenge for computer vision systems. In this paper, we introduce TCOW, a new benchmark and model for visual tracking through heavy occlusion and containment. We set up a task where the goal is to, given a video sequence, segment both the projected extent of the target object, as well as the surrounding container or occluder whenever one exists. To study this task, we create a mixture of synthetic and annotated real datasets to support both supervised learning and structured evaluation of model performance under various forms of task variation, such as moving or nested containment. We evaluate two recent transformer-based video models and find that while they can be surprisingly capable of tracking targets under certain settings of task variation, there remains a considerable performance gap before we can claim a tracking model to have acquired a true notion of object permanence.

Multi-Camera Multi-Object Tracking (MC-MOT) utilizes information from multiple views to better handle problems with occlusion and crowded scenes. Recently, the use of graph-based approaches to solve tracking problems has become very popular. However, many current graph-based methods do not effectively utilize information regarding spatial and temporal consistency. Instead, they rely on single-camera trackers as input, which are prone to fragmentation and ID switch errors. In this paper, we propose a novel reconfigurable graph model that first associates all detected objects across cameras spatially before reconfiguring it into a temporal graph for Temporal Association. This two-stage association approach enables us to extract robust spatial and temporal-aware features and address the problem with fragmented tracklets. Furthermore, our model is designed for online tracking, making it suitable for real-world applications. Experimental results show that the proposed graph model is able to extract more discriminating features for object tracking, and our model achieves state-of-the-art performance on several public datasets.

Recent years have seen substantial progress in diffusion-based controllable video generation. However, achieving precise control in complex scenarios, including fine-grained object parts, sophisticated motion trajectories, and coherent background movement, remains a challenge. In this paper, we introduce TrackGo, a novel approach that leverages free-form masks and arrows for conditional video generation. This method offers users with a flexible and precise mechanism for manipulating video content. We also propose the TrackAdapter for control implementation, an efficient and lightweight adapter designed to be seamlessly integrated into the temporal self-attention layers of a pretrained video generation model. This design leverages our observation that the attention map of these layers can accurately activate regions corresponding to motion in videos. Our experimental results demonstrate that our new approach, enhanced by the TrackAdapter, achieves state-of-the-art performance on key metrics such as FVD, FID, and ObjMC scores. The project page of TrackGo can be found at: https://zhtjtcz.github.io/TrackGo-Page/

As a video task, Multiple Object Tracking (MOT) is expected to capture temporal information of targets effectively. Unfortunately, most existing methods only explicitly exploit the object features between adjacent frames, while lacking the capacity to model long-term temporal information. In this paper, we propose MeMOTR, a long-term memory-augmented Transformer for multi-object tracking. Our method is able to make the same object's track embedding more stable and distinguishable by leveraging long-term memory injection with a customized memory-attention layer. This significantly improves the target association ability of our model. Experimental results on DanceTrack show that MeMOTR impressively surpasses the state-of-the-art method by 7.9% and 13.0% on HOTA and AssA metrics, respectively. Furthermore, our model also outperforms other Transformer-based methods on association performance on MOT17 and generalizes well on BDD100K. Code is available at https://github.com/MCG-NJU/MeMOTR.

Tracking any given object(s) spatially and temporally is a common purpose in Visual Object Tracking (VOT) and Video Object Segmentation (VOS). Joint tracking and segmentation have been attempted in some studies but they often lack full compatibility of both box and mask in initialization and prediction, and mainly focus on single-object scenarios. To address these limitations, this paper proposes a Multi-object Mask-box Integrated framework for unified Tracking and Segmentation, dubbed MITS. Firstly, the unified identification module is proposed to support both box and mask reference for initialization, where detailed object information is inferred from boxes or directly retained from masks. Additionally, a novel pinpoint box predictor is proposed for accurate multi-object box prediction, facilitating target-oriented representation learning. All target objects are processed simultaneously from encoding to propagation and decoding, as a unified pipeline for VOT and VOS. Experimental results show MITS achieves state-of-the-art performance on both VOT and VOS benchmarks. Notably, MITS surpasses the best prior VOT competitor by around 6% on the GOT-10k test set, and significantly improves the performance of box initialization on VOS benchmarks. The code is available at https://github.com/yoxu515/MITS.

Temporal motion modeling has always been a key component in multiple object tracking (MOT) which can ensure smooth trajectory movement and provide accurate positional information to enhance association precision. However, current motion models struggle to be both efficient and effective across different application scenarios. To this end, we propose TrackSSM inspired by the recently popular state space models (SSM), a unified encoder-decoder motion framework that uses data-dependent state space model to perform temporal motion of trajectories. Specifically, we propose Flow-SSM, a module that utilizes the position and motion information from historical trajectories to guide the temporal state transition of object bounding boxes. Based on Flow-SSM, we design a flow decoder. It is composed of a cascaded motion decoding module employing Flow-SSM, which can use the encoded flow information to complete the temporal position prediction of trajectories. Additionally, we propose a Step-by-Step Linear (S^2L) training strategy. By performing linear interpolation between the positions of the object in the previous frame and the current frame, we construct the pseudo labels of step-by-step linear training, ensuring that the trajectory flow information can better guide the object bounding box in completing temporal transitions. TrackSSM utilizes a simple Mamba-Block to build a motion encoder for historical trajectories, forming a temporal motion model with an encoder-decoder structure in conjunction with the flow decoder. TrackSSM is applicable to various tracking scenarios and achieves excellent tracking performance across multiple benchmarks, further extending the potential of SSM-like temporal motion models in multi-object tracking tasks. Code and models are publicly available at https://github.com/Xavier-Lin/TrackSSM.

In this paper, we propose a simple and strong framework for Tracking Any Point with TRansformers (TAPTR). Based on the observation that point tracking bears a great resemblance to object detection and tracking, we borrow designs from DETR-like algorithms to address the task of TAP. In the proposed framework, in each video frame, each tracking point is represented as a point query, which consists of a positional part and a content part. As in DETR, each query (its position and content feature) is naturally updated layer by layer. Its visibility is predicted by its updated content feature. Queries belonging to the same tracking point can exchange information through self-attention along the temporal dimension. As all such operations are well-designed in DETR-like algorithms, the model is conceptually very simple. We also adopt some useful designs such as cost volume from optical flow models and develop simple designs to provide long temporal information while mitigating the feature drifting issue. Our framework demonstrates strong performance with state-of-the-art performance on various TAP datasets with faster inference speed.

Generative models hold promise for revolutionizing medical education, robot-assisted surgery, and data augmentation for medical AI development. Diffusion models can now generate realistic images from text prompts, while recent advancements have demonstrated their ability to create diverse, high-quality videos. However, these models often struggle with generating accurate representations of medical procedures and detailed anatomical structures. This paper introduces Bora, the first spatio-temporal diffusion probabilistic model designed for text-guided biomedical video generation. Bora leverages Transformer architecture and is pre-trained on general-purpose video generation tasks. It is fine-tuned through model alignment and instruction tuning using a newly established medical video corpus, which includes paired text-video data from various biomedical fields. To the best of our knowledge, this is the first attempt to establish such a comprehensive annotated biomedical video dataset. Bora is capable of generating high-quality video data across four distinct biomedical domains, adhering to medical expert standards and demonstrating consistency and diversity. This generalist video generative model holds significant potential for enhancing medical consultation and decision-making, particularly in resource-limited settings. Additionally, Bora could pave the way for immersive medical training and procedure planning. Extensive experiments on distinct medical modalities such as endoscopy, ultrasound, MRI, and cell tracking validate the effectiveness of our model in understanding biomedical instructions and its superior performance across subjects compared to state-of-the-art generation models.

Recently, Multi-Object Tracking (MOT) has attracted rising attention, and accordingly, remarkable progresses have been achieved. However, the existing methods tend to use various basic models (e.g, detector and embedding model), and different training or inference tricks, etc. As a result, the construction of a good baseline for a fair comparison is essential. In this paper, a classic tracker, i.e., DeepSORT, is first revisited, and then is significantly improved from multiple perspectives such as object detection, feature embedding, and trajectory association. The proposed tracker, named StrongSORT, contributes a strong and fair baseline for the MOT community. Moreover, two lightweight and plug-and-play algorithms are proposed to address two inherent "missing" problems of MOT: missing association and missing detection. Specifically, unlike most methods, which associate short tracklets into complete trajectories at high computation complexity, we propose an appearance-free link model (AFLink) to perform global association without appearance information, and achieve a good balance between speed and accuracy. Furthermore, we propose a Gaussian-smoothed interpolation (GSI) based on Gaussian process regression to relieve the missing detection. AFLink and GSI can be easily plugged into various trackers with a negligible extra computational cost (1.7 ms and 7.1 ms per image, respectively, on MOT17). Finally, by fusing StrongSORT with AFLink and GSI, the final tracker (StrongSORT++) achieves state-of-the-art results on multiple public benchmarks, i.e., MOT17, MOT20, DanceTrack and KITTI. Codes are available at https://github.com/dyhBUPT/StrongSORT and https://github.com/open-mmlab/mmtracking.

Existing visual tracking methods typically take an image patch as the reference of the target to perform tracking. However, a single image patch cannot provide a complete and precise concept of the target object as images are limited in their ability to abstract and can be ambiguous, which makes it difficult to track targets with drastic variations. In this paper, we propose the CiteTracker to enhance target modeling and inference in visual tracking by connecting images and text. Specifically, we develop a text generation module to convert the target image patch into a descriptive text containing its class and attribute information, providing a comprehensive reference point for the target. In addition, a dynamic description module is designed to adapt to target variations for more effective target representation. We then associate the target description and the search image using an attention-based correlation module to generate the correlated features for target state reference. Extensive experiments on five diverse datasets are conducted to evaluate the proposed algorithm and the favorable performance against the state-of-the-art methods demonstrates the effectiveness of the proposed tracking method.

Medical video generation has transformative potential for enhancing surgical understanding and pathology insights through precise and controllable visual representations. However, current models face limitations in controllability and authenticity. To bridge this gap, we propose SurgSora, a motion-controllable surgical video generation framework that uses a single input frame and user-controllable motion cues. SurgSora consists of three key modules: the Dual Semantic Injector (DSI), which extracts object-relevant RGB and depth features from the input frame and integrates them with segmentation cues to capture detailed spatial features of complex anatomical structures; the Decoupled Flow Mapper (DFM), which fuses optical flow with semantic-RGB-D features at multiple scales to enhance temporal understanding and object spatial dynamics; and the Trajectory Controller (TC), which allows users to specify motion directions and estimates sparse optical flow, guiding the video generation process. The fused features are used as conditions for a frozen Stable Diffusion model to produce realistic, temporally coherent surgical videos. Extensive evaluations demonstrate that SurgSora outperforms state-of-the-art methods in controllability and authenticity, showing its potential to advance surgical video generation for medical education, training, and research.

Visual object tracking plays a critical role in visual-based autonomous systems, as it aims to estimate the position and size of the object of interest within a live video. Despite significant progress made in this field, state-of-the-art (SOTA) trackers often fail when faced with adversarial perturbations in the incoming frames. This can lead to significant robustness and security issues when these trackers are deployed in the real world. To achieve high accuracy on both clean and adversarial data, we propose building a spatial-temporal continuous representation using the semantic text guidance of the object of interest. This novel continuous representation enables us to reconstruct incoming frames to maintain semantic and appearance consistency with the object of interest and its clean counterparts. As a result, our proposed method successfully defends against different SOTA adversarial tracking attacks while maintaining high accuracy on clean data. In particular, our method significantly increases tracking accuracy under adversarial attacks with around 90% relative improvement on UAV123, which is even higher than the accuracy on clean data.

Surgical robotics holds much promise for improving patient safety and clinician experience in the Operating Room (OR). However, it also comes with new challenges, requiring strong team coordination and effective OR management. Automatic detection of surgical activities is a key requirement for developing AI-based intelligent tools to tackle these challenges. The current state-of-the-art surgical activity recognition methods however operate on image-based representations and depend on large-scale labeled datasets whose collection is time-consuming and resource-expensive. This work proposes a new sample-efficient and object-based approach for surgical activity recognition in the OR. Our method focuses on the geometric arrangements between clinicians and surgical devices, thus utilizing the significant object interaction dynamics in the OR. We conduct experiments in a low-data regime study for long video activity recognition. We also benchmark our method againstother object-centric approaches on clip-level action classification and show superior performance.

We present an approach to reconstruct humans and track them over time. At the core of our approach, we propose a fully "transformerized" version of a network for human mesh recovery. This network, HMR 2.0, advances the state of the art and shows the capability to analyze unusual poses that have in the past been difficult to reconstruct from single images. To analyze video, we use 3D reconstructions from HMR 2.0 as input to a tracking system that operates in 3D. This enables us to deal with multiple people and maintain identities through occlusion events. Our complete approach, 4DHumans, achieves state-of-the-art results for tracking people from monocular video. Furthermore, we demonstrate the effectiveness of HMR 2.0 on the downstream task of action recognition, achieving significant improvements over previous pose-based action recognition approaches. Our code and models are available on the project website: https://shubham-goel.github.io/4dhumans/.

In existing joint detection and tracking methods, pairwise relational features are used to match previous tracklets to current detections. However, the features may not be discriminative enough for a tracker to identify a target from a large number of detections. Selecting only high-scored detections for tracking may lead to missed detections whose confidence score is low. Consequently, in the online setting, this results in disconnections of tracklets which cannot be recovered. In this regard, we present Sparse Graph Tracker (SGT), a novel online graph tracker using higher-order relational features which are more discriminative by aggregating the features of neighboring detections and their relations. SGT converts video data into a graph where detections, their connections, and the relational features of two connected nodes are represented by nodes, edges, and edge features, respectively. The strong edge features allow SGT to track targets with tracking candidates selected by top-K scored detections with large K. As a result, even low-scored detections can be tracked, and the missed detections are also recovered. The robustness of K value is shown through the extensive experiments. In the MOT16/17/20 and HiEve Challenge, SGT outperforms the state-of-the-art trackers with real-time inference speed. Especially, a large improvement in MOTA is shown in the MOT20 and HiEve Challenge. Code is available at https://github.com/HYUNJS/SGT.

Many Multi-Object Tracking (MOT) approaches exploit motion information to associate all the detected objects across frames. However, many methods that rely on filtering-based algorithms, such as the Kalman Filter, often work well in linear motion scenarios but struggle to accurately predict the locations of objects undergoing complex and non-linear movements. To tackle these scenarios, we propose a motion-based MOT approach with an enhanced temporal motion predictor, ETTrack. Specifically, the motion predictor integrates a transformer model and a Temporal Convolutional Network (TCN) to capture short-term and long-term motion patterns, and it predicts the future motion of individual objects based on the historical motion information. Additionally, we propose a novel Momentum Correction Loss function that provides additional information regarding the motion direction of objects during training. This allows the motion predictor rapidly adapt to motion variations and more accurately predict future motion. Our experimental results demonstrate that ETTrack achieves a competitive performance compared with state-of-the-art trackers on DanceTrack and SportsMOT, scoring 56.4% and 74.4% in HOTA metrics, respectively.

Despite the extensive adoption of machine learning on the task of visual object tracking, recent learning-based approaches have largely overlooked the fact that visual tracking is a sequence-level task in its nature; they rely heavily on frame-level training, which inevitably induces inconsistency between training and testing in terms of both data distributions and task objectives. This work introduces a sequence-level training strategy for visual tracking based on reinforcement learning and discusses how a sequence-level design of data sampling, learning objectives, and data augmentation can improve the accuracy and robustness of tracking algorithms. Our experiments on standard benchmarks including LaSOT, TrackingNet, and GOT-10k demonstrate that four representative tracking models, SiamRPN++, SiamAttn, TransT, and TrDiMP, consistently improve by incorporating the proposed methods in training without modifying architectures.

Ensuring driving safety for autonomous vehicles has become increasingly crucial, highlighting the need for systematic tracking of on-road pedestrians. Most vehicles are equipped with visual sensors, however, the large-scale visual data has not been well studied yet. Multi-target multi-camera (MTMC) tracking systems are composed of two modules: single-camera tracking (SCT) and inter-camera tracking (ICT). To reliably coordinate between them, MTMC tracking has been a very complicated task, while tracking across multiple moving cameras makes it even more challenging. In this paper, we focus on multi-target multi-moving-camera (MTMMC) tracking, which is attracting increasing attention from the research community. Observing there are few datasets for MTMMC tracking, we collect a new dataset, called Multi-Moving-Camera Track (MMCT), which contains sequences under various driving scenarios. To address the common problems of identity switch easily faced by most existing SCT trackers, especially for moving cameras due to ego-motion between the camera and targets, a lightweight appearance-free global link model, called Linker, is proposed to mitigate the identity switch by associating two disjoint tracklets of the same target into a complete trajectory within the same camera. Incorporated with Linker, existing SCT trackers generally obtain a significant improvement. Moreover, to alleviate the impact of the image style variations caused by different cameras, a color transfer module is effectively incorporated to extract cross-camera consistent appearance features for pedestrian association across moving cameras for ICT, resulting in a much improved MTMMC tracking system, which can constitute a step further towards coordinated mining of multiple moving cameras. The project page is available at https://dhu-mmct.github.io/.

Simultaneous localisation and categorization of objects in medical images, also referred to as medical object detection, is of high clinical relevance because diagnostic decisions often depend on rating of objects rather than e.g. pixels. For this task, the cumbersome and iterative process of method configuration constitutes a major research bottleneck. Recently, nnU-Net has tackled this challenge for the task of image segmentation with great success. Following nnU-Net's agenda, in this work we systematize and automate the configuration process for medical object detection. The resulting self-configuring method, nnDetection, adapts itself without any manual intervention to arbitrary medical detection problems while achieving results en par with or superior to the state-of-the-art. We demonstrate the effectiveness of nnDetection on two public benchmarks, ADAM and LUNA16, and propose 11 further medical object detection tasks on public data sets for comprehensive method evaluation. Code is at https://github.com/MIC-DKFZ/nnDetection .

Recent advances of monocular 3D object detection facilitate the 3D multi-object tracking task based on low-cost camera sensors. In this paper, we find that the motion cue of objects along different time frames is critical in 3D multi-object tracking, which is less explored in existing monocular-based approaches. In this paper, we propose a motion-aware framework for monocular 3D MOT. To this end, we propose MoMA-M3T, a framework that mainly consists of three motion-aware components. First, we represent the possible movement of an object related to all object tracklets in the feature space as its motion features. Then, we further model the historical object tracklet along the time frame in a spatial-temporal perspective via a motion transformer. Finally, we propose a motion-aware matching module to associate historical object tracklets and current observations as final tracking results. We conduct extensive experiments on the nuScenes and KITTI datasets to demonstrate that our MoMA-M3T achieves competitive performance against state-of-the-art methods. Moreover, the proposed tracker is flexible and can be easily plugged into existing image-based 3D object detectors without re-training. Code and models are available at https://github.com/kuanchihhuang/MoMA-M3T.

Echocardiography records ultrasound videos of the heart, enabling clinicians to assess cardiac function. Recent advances in large-scale vision-language models (VLMs) have spurred interest in automating echocardiographic interpretation. However, most existing medical VLMs rely on single-frame (image) inputs, which can reduce diagnostic accuracy for conditions identifiable only through cardiac motion. In addition, echocardiographic videos are captured from multiple views, each varying in suitability for detecting specific conditions. Leveraging multiple views may therefore improve diagnostic performance. We developed a video-language model that processes full video sequences from five standard views, trained on 60,747 echocardiographic video-report pairs. We evaluated the gains in retrieval performance from video input and multi-view support, including the contributions of various pretrained models.

Convolutional networks, transformers, hybrid models, and Mamba-based architectures have demonstrated strong performance across various medical image classification tasks. However, these methods were primarily designed to classify clean images using labeled data. In contrast, real-world clinical data often involve image corruptions that are unique to multi-center studies and stem from variations in imaging equipment across manufacturers. In this paper, we introduce the Medical Vision Transformer (MedViTV2), a novel architecture incorporating Kolmogorov-Arnold Network (KAN) layers into the transformer architecture for the first time, aiming for generalized medical image classification. We have developed an efficient KAN block to reduce computational load while enhancing the accuracy of the original MedViT. Additionally, to counteract the fragility of our MedViT when scaled up, we propose an enhanced Dilated Neighborhood Attention (DiNA), an adaptation of the efficient fused dot-product attention kernel capable of capturing global context and expanding receptive fields to scale the model effectively and addressing feature collapse issues. Moreover, a hierarchical hybrid strategy is introduced to stack our Local Feature Perception and Global Feature Perception blocks in an efficient manner, which balances local and global feature perceptions to boost performance. Extensive experiments on 17 medical image classification datasets and 12 corrupted medical image datasets demonstrate that MedViTV2 achieved state-of-the-art results in 27 out of 29 experiments with reduced computational complexity. MedViTV2 is 44\% more computationally efficient than the previous version and significantly enhances accuracy, achieving improvements of 4.6\% on MedMNIST, 5.8\% on NonMNIST, and 13.4\% on the MedMNIST-C benchmark.

Tracking by detection has been the prevailing paradigm in the field of Multi-object Tracking (MOT). These methods typically rely on the Kalman Filter to estimate the future locations of objects, assuming linear object motion. However, they fall short when tracking objects exhibiting nonlinear and diverse motion in scenarios like dancing and sports. In addition, there has been limited focus on utilizing learning-based motion predictors in MOT. To address these challenges, we resort to exploring data-driven motion prediction methods. Inspired by the great expectation of state space models (SSMs), such as Mamba, in long-term sequence modeling with near-linear complexity, we introduce a Mamba-based motion model named Mamba moTion Predictor (MTP). MTP is designed to model the complex motion patterns of objects like dancers and athletes. Specifically, MTP takes the spatial-temporal location dynamics of objects as input, captures the motion pattern using a bi-Mamba encoding layer, and predicts the next motion. In real-world scenarios, objects may be missed due to occlusion or motion blur, leading to premature termination of their trajectories. To tackle this challenge, we further expand the application of MTP. We employ it in an autoregressive way to compensate for missing observations by utilizing its own predictions as inputs, thereby contributing to more consistent trajectories. Our proposed tracker, MambaTrack, demonstrates advanced performance on benchmarks such as Dancetrack and SportsMOT, which are characterized by complex motion and severe occlusion.

Generating accurate 3D reconstructions from endoscopic video is a promising avenue for longitudinal radiation-free analysis of sinus anatomy and surgical outcomes. Several methods for monocular reconstruction have been proposed, yielding visually pleasant 3D anatomical structures by retrieving relative camera poses with structure-from-motion-type algorithms and fusion of monocular depth estimates. However, due to the complex properties of the underlying algorithms and endoscopic scenes, the reconstruction pipeline may perform poorly or fail unexpectedly. Further, acquiring medical data conveys additional challenges, presenting difficulties in quantitatively benchmarking these models, understanding failure cases, and identifying critical components that contribute to their precision. In this work, we perform a quantitative analysis of a self-supervised approach for sinus reconstruction using endoscopic sequences paired with optical tracking and high-resolution computed tomography acquired from nine ex-vivo specimens. Our results show that the generated reconstructions are in high agreement with the anatomy, yielding an average point-to-mesh error of 0.91 mm between reconstructions and CT segmentations. However, in a point-to-point matching scenario, relevant for endoscope tracking and navigation, we found average target registration errors of 6.58 mm. We identified that pose and depth estimation inaccuracies contribute equally to this error and that locally consistent sequences with shorter trajectories generate more accurate reconstructions. These results suggest that achieving global consistency between relative camera poses and estimated depths with the anatomy is essential. In doing so, we can ensure proper synergy between all components of the pipeline for improved reconstructions that will facilitate clinical application of this innovative technology.

We introduce AllTracker: a model that estimates long-range point tracks by way of estimating the flow field between a query frame and every other frame of a video. Unlike existing point tracking methods, our approach delivers high-resolution and dense (all-pixel) correspondence fields, which can be visualized as flow maps. Unlike existing optical flow methods, our approach corresponds one frame to hundreds of subsequent frames, rather than just the next frame. We develop a new architecture for this task, blending techniques from existing work in optical flow and point tracking: the model performs iterative inference on low-resolution grids of correspondence estimates, propagating information spatially via 2D convolution layers, and propagating information temporally via pixel-aligned attention layers. The model is fast and parameter-efficient (16 million parameters), and delivers state-of-the-art point tracking accuracy at high resolution (i.e., tracking 768x1024 pixels, on a 40G GPU). A benefit of our design is that we can train on a wider set of datasets, and we find that doing so is crucial for top performance. We provide an extensive ablation study on our architecture details and training recipe, making it clear which details matter most. Our code and model weights are available at https://alltracker.github.io .

In this paper, we introduce Medical SAM 2 (MedSAM-2), an advanced segmentation model that utilizes the SAM 2 framework to address both 2D and 3D medical image segmentation tasks. By adopting the philosophy of taking medical images as videos, MedSAM-2 not only applies to 3D medical images but also unlocks new One-prompt Segmentation capability. That allows users to provide a prompt for just one or a specific image targeting an object, after which the model can autonomously segment the same type of object in all subsequent images, regardless of temporal relationships between the images. We evaluated MedSAM-2 across a variety of medical imaging modalities, including abdominal organs, optic discs, brain tumors, thyroid nodules, and skin lesions, comparing it against state-of-the-art models in both traditional and interactive segmentation settings. Our findings show that MedSAM-2 not only surpasses existing models in performance but also exhibits superior generalization across a range of medical image segmentation tasks. Our code will be released at: https://github.com/MedicineToken/Medical-SAM2

Unsupervised object-centric learning methods allow the partitioning of scenes into entities without additional localization information and are excellent candidates for reducing the annotation burden of multiple-object tracking (MOT) pipelines. Unfortunately, they lack two key properties: objects are often split into parts and are not consistently tracked over time. In fact, state-of-the-art models achieve pixel-level accuracy and temporal consistency by relying on supervised object detection with additional ID labels for the association through time. This paper proposes a video object-centric model for MOT. It consists of an index-merge module that adapts the object-centric slots into detection outputs and an object memory module that builds complete object prototypes to handle occlusions. Benefited from object-centric learning, we only require sparse detection labels (0%-6.25%) for object localization and feature binding. Relying on our self-supervised Expectation-Maximization-inspired loss for object association, our approach requires no ID labels. Our experiments significantly narrow the gap between the existing object-centric model and the fully supervised state-of-the-art and outperform several unsupervised trackers.

Point tracking in videos is a fundamental task with applications in robotics, video editing, and more. While many vision tasks benefit from pre-trained feature backbones to improve generalizability, point tracking has primarily relied on simpler backbones trained from scratch on synthetic data, which may limit robustness in real-world scenarios. Additionally, point tracking requires temporal awareness to ensure coherence across frames, but using temporally-aware features is still underexplored. Most current methods often employ a two-stage process: an initial coarse prediction followed by a refinement stage to inject temporal information and correct errors from the coarse stage. These approach, however, is computationally expensive and potentially redundant if the feature backbone itself captures sufficient temporal information. In this work, we introduce Chrono, a feature backbone specifically designed for point tracking with built-in temporal awareness. Leveraging pre-trained representations from self-supervised learner DINOv2 and enhanced with a temporal adapter, Chrono effectively captures long-term temporal context, enabling precise prediction even without the refinement stage. Experimental results demonstrate that Chrono achieves state-of-the-art performance in a refiner-free setting on the TAP-Vid-DAVIS and TAP-Vid-Kinetics datasets, among common feature backbones used in point tracking as well as DINOv2, with exceptional efficiency. Project page: https://cvlab-kaist.github.io/Chrono/

The task of localizing and categorizing objects in medical images often remains formulated as a semantic segmentation problem. This approach, however, only indirectly solves the coarse localization task by predicting pixel-level scores, requiring ad-hoc heuristics when mapping back to object-level scores. State-of-the-art object detectors on the other hand, allow for individual object scoring in an end-to-end fashion, while ironically trading in the ability to exploit the full pixel-wise supervision signal. This can be particularly disadvantageous in the setting of medical image analysis, where data sets are notoriously small. In this paper, we propose Retina U-Net, a simple architecture, which naturally fuses the Retina Net one-stage detector with the U-Net architecture widely used for semantic segmentation in medical images. The proposed architecture recaptures discarded supervision signals by complementing object detection with an auxiliary task in the form of semantic segmentation without introducing the additional complexity of previously proposed two-stage detectors. We evaluate the importance of full segmentation supervision on two medical data sets, provide an in-depth analysis on a series of toy experiments and show how the corresponding performance gain grows in the limit of small data sets. Retina U-Net yields strong detection performance only reached by its more complex two-staged counterparts. Our framework including all methods implemented for operation on 2D and 3D images is available at github.com/pfjaeger/medicaldetectiontoolkit.

Advancements in computer-assisted surgical procedures heavily rely on accurate visual data interpretation from camera systems used during surgeries. Traditional open-access datasets focusing on surgical procedures are often limited by their small size, typically consisting of fewer than 100 videos with less than 100K images. To address these constraints, a new dataset called Surg-3M has been compiled using a novel aggregation pipeline that collects high-resolution videos from online sources. Featuring an extensive collection of over 4K surgical videos and more than 3 million high-quality images from multiple procedure types, Surg-3M offers a comprehensive resource surpassing existing alternatives in size and scope, including two novel tasks. To demonstrate the effectiveness of this dataset, we present SurgFM, a self-supervised foundation model pretrained on Surg-3M that achieves impressive results in downstream tasks such as surgical phase recognition, action recognition, and tool presence detection. Combining key components from ConvNeXt, DINO, and an innovative augmented distillation method, SurgFM exhibits exceptional performance compared to specialist architectures across various benchmarks. Our experimental results show that SurgFM outperforms state-of-the-art models in multiple downstream tasks, including significant gains in surgical phase recognition (+8.9pp, +4.7pp, and +3.9pp of Jaccard in AutoLaparo, M2CAI16, and Cholec80), action recognition (+3.1pp of mAP in CholecT50) and tool presence detection (+4.6pp of mAP in Cholec80). Moreover, even when using only half of the data, SurgFM outperforms state-of-the-art models in AutoLaparo and achieves state-of-the-art performance in Cholec80. Both Surg-3M and SurgFM have significant potential to accelerate progress towards developing autonomous robotic surgery systems.

Video object segmentation (VOS) aims to segment specified target objects throughout a video. Although state-of-the-art methods have achieved impressive performance (e.g., 90+% J&F) on existing benchmarks such as DAVIS and YouTube-VOS, these datasets primarily contain salient, dominant, and isolated objects, limiting their generalization to real-world scenarios. To advance VOS toward more realistic environments, coMplex video Object SEgmentation (MOSEv1) was introduced to facilitate VOS research in complex scenes. Building on the strengths and limitations of MOSEv1, we present MOSEv2, a significantly more challenging dataset designed to further advance VOS methods under real-world conditions. MOSEv2 consists of 5,024 videos and over 701,976 high-quality masks for 10,074 objects across 200 categories. Compared to its predecessor, MOSEv2 introduces significantly greater scene complexity, including more frequent object disappearance and reappearance, severe occlusions and crowding, smaller objects, as well as a range of new challenges such as adverse weather (e.g., rain, snow, fog), low-light scenes (e.g., nighttime, underwater), multi-shot sequences, camouflaged objects, non-physical targets (e.g., shadows, reflections), scenarios requiring external knowledge, etc. We benchmark 20 representative VOS methods under 5 different settings and observe consistent performance drops. For example, SAM2 drops from 76.4% on MOSEv1 to only 50.9% on MOSEv2. We further evaluate 9 video object tracking methods and find similar declines, demonstrating that MOSEv2 presents challenges across tasks. These results highlight that despite high accuracy on existing datasets, current VOS methods still struggle under real-world complexities. MOSEv2 is publicly available at https://MOSE.video.

Image registration is fundamental in medical imaging, enabling precise alignment of anatomical structures for diagnosis, treatment planning, image-guided treatment or longitudinal monitoring. This work introduces IMPACT (Image Metric with Pretrained model-Agnostic Comparison for Transmodality registration), a generic semantic similarity metric designed for seamless integration into diverse image registration frameworks (such as Elastix and Voxelmorph). It compares deep learning-based features extracted from medical images without requiring task-specific training, ensuring broad applicability across various modalities. By leveraging the features of the large-scale pretrained TotalSegmentator models and the ability to integrate Segment Anything Model (SAM) and other large-scale segmentation networks, this approach offers significant advantages. It provides robust, scalable, and efficient solutions for multimodal image registration. The IMPACT loss was evaluated on five challenging registration tasks involving thoracic CT/CBCT, and pelvic MR/CT datasets. Quantitative metrics, such as Target Registration Error and Dice Similarity Coefficient, demonstrated significant improvements in anatomical alignment compared to baseline methods. Qualitative analyses further confirmed the increased robustness of the proposed metric in the face of noise, artifacts, and modality variations. IMPACT's versatility and efficiency make it a valuable tool for advancing registration performance in clinical and research applications, addressing critical challenges in multimodal medical imaging.

Radiotherapy often involves a prolonged treatment period. During this time, patients may experience organ motion due to breathing and other physiological factors. Predicting and modeling this motion before treatment is crucial for ensuring precise radiation delivery. However, existing pre-treatment organ motion prediction methods primarily rely on deformation analysis using principal component analysis (PCA), which is highly dependent on registration quality and struggles to capture periodic temporal dynamics for motion modeling.In this paper, we observe that organ motion prediction closely resembles an autoregressive process, a technique widely used in natural language processing (NLP). Autoregressive models predict the next token based on previous inputs, naturally aligning with our objective of predicting future organ motion phases. Building on this insight, we reformulate organ motion prediction as an autoregressive process to better capture patient-specific motion patterns. Specifically, we acquire 4D CT scans for each patient before treatment, with each sequence comprising multiple 3D CT phases. These phases are fed into the autoregressive model to predict future phases based on prior phase motion patterns. We evaluate our method on a real-world test set of 4D CT scans from 50 patients who underwent radiotherapy at our institution and a public dataset containing 4D CT scans from 20 patients (some with multiple scans), totaling over 1,300 3D CT phases. The performance in predicting the motion of the lung and heart surpasses existing benchmarks, demonstrating its effectiveness in capturing motion dynamics from CT images. These results highlight the potential of our method to improve pre-treatment planning in radiotherapy, enabling more precise and adaptive radiation delivery.

Video segmentation requires consistently segmenting and tracking objects over time. Due to the quadratic dependency on input size, directly applying self-attention to video segmentation with high-resolution input features poses significant challenges, often leading to insufficient GPU memory capacity. Consequently, modern video segmenters either extend an image segmenter without incorporating any temporal attention or resort to window space-time attention in a naive manner. In this work, we present Axial-VS, a general and simple framework that enhances video segmenters by tracking objects along axial trajectories. The framework tackles video segmentation through two sub-tasks: short-term within-clip segmentation and long-term cross-clip tracking. In the first step, Axial-VS augments an off-the-shelf clip-level video segmenter with the proposed axial-trajectory attention, sequentially tracking objects along the height- and width-trajectories within a clip, thereby enhancing temporal consistency by capturing motion trajectories. The axial decomposition significantly reduces the computational complexity for dense features, and outperforms the window space-time attention in segmentation quality. In the second step, we further employ axial-trajectory attention to the object queries in clip-level segmenters, which are learned to encode object information, thereby aiding object tracking across different clips and achieving consistent segmentation throughout the video. Without bells and whistles, Axial-VS showcases state-of-the-art results on video segmentation benchmarks, emphasizing its effectiveness in addressing the limitations of modern clip-level video segmenters. Code and models are available at https://github.com/TACJu/Axial-VS.

This report presents a framework called Segment And Track Anything (SAMTrack) that allows users to precisely and effectively segment and track any object in a video. Additionally, SAM-Track employs multimodal interaction methods that enable users to select multiple objects in videos for tracking, corresponding to their specific requirements. These interaction methods comprise click, stroke, and text, each possessing unique benefits and capable of being employed in combination. As a result, SAM-Track can be used across an array of fields, ranging from drone technology, autonomous driving, medical imaging, augmented reality, to biological analysis. SAM-Track amalgamates Segment Anything Model (SAM), an interactive key-frame segmentation model, with our proposed AOT-based tracking model (DeAOT), which secured 1st place in four tracks of the VOT 2022 challenge, to facilitate object tracking in video. In addition, SAM-Track incorporates Grounding-DINO, which enables the framework to support text-based interaction. We have demonstrated the remarkable capabilities of SAM-Track on DAVIS-2016 Val (92.0%), DAVIS-2017 Test (79.2%)and its practicability in diverse applications. The project page is available at: https://github.com/z-x-yang/Segment-and-Track-Anything.

The goal of multi-object tracking (MOT) is detecting and tracking all the objects in a scene, while keeping a unique identifier for each object. In this paper, we present a new robust state-of-the-art tracker, which can combine the advantages of motion and appearance information, along with camera-motion compensation, and a more accurate Kalman filter state vector. Our new trackers BoT-SORT, and BoT-SORT-ReID rank first in the datasets of MOTChallenge [29, 11] on both MOT17 and MOT20 test sets, in terms of all the main MOT metrics: MOTA, IDF1, and HOTA. For MOT17: 80.5 MOTA, 80.2 IDF1, and 65.0 HOTA are achieved. The source code and the pre-trained models are available at https://github.com/NirAharon/BOT-SORT

We propose a novel algorithm for accelerating dense long-term 3D point tracking in videos. Through analysis of existing state-of-the-art methods, we identify two major computational bottlenecks. First, transformer-based iterative tracking becomes expensive when handling a large number of trajectories. To address this, we introduce a coarse-to-fine strategy that begins tracking with a small subset of points and progressively expands the set of tracked trajectories. The newly added trajectories are initialized using a learnable interpolation module, which is trained end-to-end alongside the tracking network. Second, we propose an optimization that significantly reduces the cost of correlation feature computation, another key bottleneck in prior methods. Together, these improvements lead to a 5-100x speedup over existing approaches while maintaining state-of-the-art tracking accuracy.

Artificial intelligence (AI) has significant potential in healthcare applications, but its training and deployment faces challenges due to healthcare's diverse data, complex tasks, and the need to preserve privacy. Foundation models that perform well on medical tasks and require less task-specific tuning data are critical to accelerate the development of healthcare AI applications. We introduce MedGemma, a collection of medical vision-language foundation models based on Gemma 3 4B and 27B. MedGemma demonstrates advanced medical understanding and reasoning on images and text, significantly exceeding the performance of similar-sized generative models and approaching the performance of task-specific models, while maintaining the general capabilities of the Gemma 3 base models. For out-of-distribution tasks, MedGemma achieves 2.6-10% improvement on medical multimodal question answering, 15.5-18.1% improvement on chest X-ray finding classification, and 10.8% improvement on agentic evaluations compared to the base models. Fine-tuning MedGemma further improves performance in subdomains, reducing errors in electronic health record information retrieval by 50% and reaching comparable performance to existing specialized state-of-the-art methods for pneumothorax classification and histopathology patch classification. We additionally introduce MedSigLIP, a medically-tuned vision encoder derived from SigLIP. MedSigLIP powers the visual understanding capabilities of MedGemma and as an encoder achieves comparable or better performance than specialized medical image encoders. Taken together, the MedGemma collection provides a strong foundation of medical image and text capabilities, with potential to significantly accelerate medical research and development of downstream applications. The MedGemma collection, including tutorials and model weights, can be found at https://goo.gle/medgemma.

Intraoperative bleeding during Endoscopic Submucosal Dissection (ESD) poses significant risks, demanding precise, real-time localization and continuous monitoring of the bleeding source for effective hemostatic intervention. In particular, endoscopists have to repeatedly flush to clear blood, allowing only milliseconds to identify bleeding sources, an inefficient process that prolongs operations and elevates patient risks. However, current Artificial Intelligence (AI) methods primarily focus on bleeding region segmentation, overlooking the critical need for accurate bleeding source detection and temporal tracking in the challenging ESD environment, which is marked by frequent visual obstructions and dynamic scene changes. This gap is widened by the lack of specialized datasets, hindering the development of robust AI-assisted guidance systems. To address these challenges, we introduce BleedOrigin-Bench, the first comprehensive ESD bleeding source dataset, featuring 1,771 expert-annotated bleeding sources across 106,222 frames from 44 procedures, supplemented with 39,755 pseudo-labeled frames. This benchmark covers 8 anatomical sites and 6 challenging clinical scenarios. We also present BleedOrigin-Net, a novel dual-stage detection-tracking framework for the bleeding source localization in ESD procedures, addressing the complete workflow from bleeding onset detection to continuous spatial tracking. We compare with widely-used object detection models (YOLOv11/v12), multimodal large language models, and point tracking methods. Extensive evaluation demonstrates state-of-the-art performance, achieving 96.85% frame-level accuracy (pmleq8 frames) for bleeding onset detection, 70.24% pixel-level accuracy (leq100 px) for initial source detection, and 96.11% pixel-level accuracy (leq100 px) for point tracking.

We present SpatialTrackerV2, a feed-forward 3D point tracking method for monocular videos. Going beyond modular pipelines built on off-the-shelf components for 3D tracking, our approach unifies the intrinsic connections between point tracking, monocular depth, and camera pose estimation into a high-performing and feedforward 3D point tracker. It decomposes world-space 3D motion into scene geometry, camera ego-motion, and pixel-wise object motion, with a fully differentiable and end-to-end architecture, allowing scalable training across a wide range of datasets, including synthetic sequences, posed RGB-D videos, and unlabeled in-the-wild footage. By learning geometry and motion jointly from such heterogeneous data, SpatialTrackerV2 outperforms existing 3D tracking methods by 30%, and matches the accuracy of leading dynamic 3D reconstruction approaches while running 50times faster.

Existing medical VQA benchmarks mostly focus on single-image analysis, yet clinicians almost always compare a series of images before reaching a diagnosis. To better approximate this workflow, we introduce MedFrameQA -- the first benchmark that explicitly evaluates multi-image reasoning in medical VQA. To build MedFrameQA both at scale and in high-quality, we develop 1) an automated pipeline that extracts temporally coherent frames from medical videos and constructs VQA items whose content evolves logically across images, and 2) a multiple-stage filtering strategy, including model-based and manual review, to preserve data clarity, difficulty, and medical relevance. The resulting dataset comprises 2,851 VQA pairs (gathered from 9,237 high-quality frames in 3,420 videos), covering nine human body systems and 43 organs; every question is accompanied by two to five images. We comprehensively benchmark ten advanced Multimodal LLMs -- both proprietary and open source, with and without explicit reasoning modules -- on MedFrameQA. The evaluation challengingly reveals that all models perform poorly, with most accuracies below 50%, and accuracy fluctuates as the number of images per question increases. Error analysis further shows that models frequently ignore salient findings, mis-aggregate evidence across images, and propagate early mistakes through their reasoning chains; results also vary substantially across body systems, organs, and modalities. We hope this work can catalyze research on clinically grounded, multi-image reasoning and accelerate progress toward more capable diagnostic AI systems.

Image registration is important for medical imaging, the estimation of the spatial transformation between different images. Many previous studies have used learning-based methods for coarse-to-fine registration to efficiently perform 3D image registration. The coarse-to-fine approach, however, is limited when dealing with the different motions of nearby objects. Here we propose a novel Motion-Aware (MA) structure that captures the different motions in a region. The MA structure incorporates a novel Residual Aligner (RA) module which predicts the multi-head displacement field used to disentangle the different motions of multiple neighbouring objects. Compared with other deep learning methods, the network based on the MA structure and RA module achieve one of the most accurate unsupervised inter-subject registration on the 9 organs of assorted sizes in abdominal CT scans, with the highest-ranked registration of the veins (Dice Similarity Coefficient / Average surface distance: 62\%/4.9mm for the vena cava and 34\%/7.9mm for the portal and splenic vein), with a half-sized structure and more efficient computation. Applied to the segmentation of lungs in chest CT scans, the new network achieves results which were indistinguishable from the best-ranked networks (94\%/3.0mm). Additionally, the theorem on predicted motion pattern and the design of MA structure are validated by further analysis.

Visual object tracking and segmentation in omnidirectional videos are challenging due to the wide field-of-view and large spherical distortion brought by 360{\deg} images. To alleviate these problems, we introduce a novel representation, extended bounding field-of-view (eBFoV), for target localization and use it as the foundation of a general 360 tracking framework which is applicable for both omnidirectional visual object tracking and segmentation tasks. Building upon our previous work on omnidirectional visual object tracking (360VOT), we propose a comprehensive dataset and benchmark that incorporates a new component called omnidirectional video object segmentation (360VOS). The 360VOS dataset includes 290 sequences accompanied by dense pixel-wise masks and covers a broader range of target categories. To support both the development and evaluation of algorithms in this domain, we divide the dataset into a training subset with 170 sequences and a testing subset with 120 sequences. Furthermore, we tailor evaluation metrics for both omnidirectional tracking and segmentation to ensure rigorous assessment. Through extensive experiments, we benchmark state-of-the-art approaches and demonstrate the effectiveness of our proposed 360 tracking framework and training dataset. Homepage: https://360vots.hkustvgd.com/

Clinical decision-making relies heavily on understanding relative positions of anatomical structures and anomalies. Therefore, for Vision-Language Models (VLMs) to be applicable in clinical practice, the ability to accurately determine relative positions on medical images is a fundamental prerequisite. Despite its importance, this capability remains highly underexplored. To address this gap, we evaluate the ability of state-of-the-art VLMs, GPT-4o, Llama3.2, Pixtral, and JanusPro, and find that all models fail at this fundamental task. Inspired by successful approaches in computer vision, we investigate whether visual prompts, such as alphanumeric or colored markers placed on anatomical structures, can enhance performance. While these markers provide moderate improvements, results remain significantly lower on medical images compared to observations made on natural images. Our evaluations suggest that, in medical imaging, VLMs rely more on prior anatomical knowledge than on actual image content for answering relative position questions, often leading to incorrect conclusions. To facilitate further research in this area, we introduce the MIRP , Medical Imaging Relative Positioning, benchmark dataset, designed to systematically evaluate the capability to identify relative positions in medical images.

360{\deg} images can provide an omnidirectional field of view which is important for stable and long-term scene perception. In this paper, we explore 360{\deg} images for visual object tracking and perceive new challenges caused by large distortion, stitching artifacts, and other unique attributes of 360{\deg} images. To alleviate these problems, we take advantage of novel representations of target localization, i.e., bounding field-of-view, and then introduce a general 360 tracking framework that can adopt typical trackers for omnidirectional tracking. More importantly, we propose a new large-scale omnidirectional tracking benchmark dataset, 360VOT, in order to facilitate future research. 360VOT contains 120 sequences with up to 113K high-resolution frames in equirectangular projection. The tracking targets cover 32 categories in diverse scenarios. Moreover, we provide 4 types of unbiased ground truth, including (rotated) bounding boxes and (rotated) bounding field-of-views, as well as new metrics tailored for 360{\deg} images which allow for the accurate evaluation of omnidirectional tracking performance. Finally, we extensively evaluated 20 state-of-the-art visual trackers and provided a new baseline for future comparisons. Homepage: https://360vot.hkustvgd.com

Synthesizing high-quality dynamic medical videos remains a significant challenge due to the need for modeling both spatial consistency and temporal dynamics. Existing Transformer-based approaches face critical limitations, including insufficient channel interactions, high computational complexity from self-attention, and coarse denoising guidance from timestep embeddings when handling varying noise levels. In this work, we propose FEAT, a full-dimensional efficient attention Transformer, which addresses these issues through three key innovations: (1) a unified paradigm with sequential spatial-temporal-channel attention mechanisms to capture global dependencies across all dimensions, (2) a linear-complexity design for attention mechanisms in each dimension, utilizing weighted key-value attention and global channel attention, and (3) a residual value guidance module that provides fine-grained pixel-level guidance to adapt to different noise levels. We evaluate FEAT on standard benchmarks and downstream tasks, demonstrating that FEAT-S, with only 23\% of the parameters of the state-of-the-art model Endora, achieves comparable or even superior performance. Furthermore, FEAT-L surpasses all comparison methods across multiple datasets, showcasing both superior effectiveness and scalability. Code is available at https://github.com/Yaziwel/FEAT.

Zero-shot medical detection can further improve detection performance without relying on annotated medical images even upon the fine-tuned model, showing great clinical value. Recent studies leverage grounded vision-language models (GLIP) to achieve this by using detailed disease descriptions as prompts for the target disease name during the inference phase. However, these methods typically treat prompts as equivalent context to the target name, making it difficult to assign specific disease knowledge based on visual information, leading to a coarse alignment between images and target descriptions. In this paper, we propose StructuralGLIP, which introduces an auxiliary branch to encode prompts into a latent knowledge bank layer-by-layer, enabling more context-aware and fine-grained alignment. Specifically, in each layer, we select highly similar features from both the image representation and the knowledge bank, forming structural representations that capture nuanced relationships between image patches and target descriptions. These features are then fused across modalities to further enhance detection performance. Extensive experiments demonstrate that StructuralGLIP achieves a +4.1\% AP improvement over prior state-of-the-art methods across seven zero-shot medical detection benchmarks, and consistently improves fine-tuned models by +3.2\% AP on endoscopy image datasets.

We present a novel model for Tracking Any Point (TAP) that effectively tracks any queried point on any physical surface throughout a video sequence. Our approach employs two stages: (1) a matching stage, which independently locates a suitable candidate point match for the query point on every other frame, and (2) a refinement stage, which updates both the trajectory and query features based on local correlations. The resulting model surpasses all baseline methods by a significant margin on the TAP-Vid benchmark, as demonstrated by an approximate 20% absolute average Jaccard (AJ) improvement on DAVIS. Our model facilitates fast inference on long and high-resolution video sequences. On a modern GPU, our implementation has the capacity to track points faster than real-time, and can be flexibly extended to higher-resolution videos. Given the high-quality trajectories extracted from a large dataset, we demonstrate a proof-of-concept diffusion model which generates trajectories from static images, enabling plausible animations. Visualizations, source code, and pretrained models can be found on our project webpage.

Video tracking aims at finding the specific target in subsequent frames given its initial state. Due to the varying granularity of target states across different tasks, most existing trackers are tailored to a single task and heavily rely on custom-designed modules within the individual task, which limits their generalization and leads to redundancy in both model design and parameters. To unify video tracking tasks, we present SAM 2++, a unified model towards tracking at any granularity, including masks, boxes, and points. First, to extend target granularity, we design task-specific prompts to encode various task inputs into general prompt embeddings, and a unified decoder to unify diverse task results into a unified form pre-output. Next, to satisfy memory matching, the core operation of tracking, we introduce a task-adaptive memory mechanism that unifies memory across different granularities. Finally, we introduce a customized data engine to support tracking training at any granularity, producing a large and diverse video tracking dataset with rich annotations at three granularities, termed Tracking-Any-Granularity, which represents a comprehensive resource for training and benchmarking on unified tracking. Comprehensive experiments on multiple benchmarks confirm that SAM 2++ sets a new state of the art across diverse tracking tasks at different granularities, establishing a unified and robust tracking framework.

The task of assigning semantic classes and track identities to every pixel in a video is called video panoptic segmentation. Our work is the first that targets this task in a real-world setting requiring dense interpretation in both spatial and temporal domains. As the ground-truth for this task is difficult and expensive to obtain, existing datasets are either constructed synthetically or only sparsely annotated within short video clips. To overcome this, we introduce a new benchmark encompassing two datasets, KITTI-STEP, and MOTChallenge-STEP. The datasets contain long video sequences, providing challenging examples and a test-bed for studying long-term pixel-precise segmentation and tracking under real-world conditions. We further propose a novel evaluation metric Segmentation and Tracking Quality (STQ) that fairly balances semantic and tracking aspects of this task and is more appropriate for evaluating sequences of arbitrary length. Finally, we provide several baselines to evaluate the status of existing methods on this new challenging dataset. We have made our datasets, metric, benchmark servers, and baselines publicly available, and hope this will inspire future research.

Tracking and following objects of interest is critical to several robotics use cases, ranging from industrial automation to logistics and warehousing, to healthcare and security. In this paper, we present a robotic system to detect, track, and follow any object in real-time. Our approach, dubbed ``follow anything'' (FAn), is an open-vocabulary and multimodal model -- it is not restricted to concepts seen at training time and can be applied to novel classes at inference time using text, images, or click queries. Leveraging rich visual descriptors from large-scale pre-trained models (foundation models), FAn can detect and segment objects by matching multimodal queries (text, images, clicks) against an input image sequence. These detected and segmented objects are tracked across image frames, all while accounting for occlusion and object re-emergence. We demonstrate FAn on a real-world robotic system (a micro aerial vehicle) and report its ability to seamlessly follow the objects of interest in a real-time control loop. FAn can be deployed on a laptop with a lightweight (6-8 GB) graphics card, achieving a throughput of 6-20 frames per second. To enable rapid adoption, deployment, and extensibility, we open-source all our code on our project webpage at https://github.com/alaamaalouf/FollowAnything . We also encourage the reader the watch our 5-minutes explainer video in this https://www.youtube.com/watch?v=6Mgt3EPytrw .

Medical diagnostic applications require models that can process multimodal medical inputs (images, patient histories, lab results) and generate diverse outputs including both textual reports and visual content (annotations, segmentation masks, and images). Despite this need, existing medical AI systems disrupt this unified process: medical image understanding models interpret images but cannot generate visual outputs, while medical image generation models synthesize images but cannot provide textual explanations. This leads to gaps in data representation, feature integration, and task-level multimodal capabilities. To this end, we propose a multi-level framework that draws inspiration from diagnostic workflows through the Observation-Knowledge-Analysis (OKA) paradigm. Specifically, at the observation level, we construct UniMed-5M, a dataset comprising over 5.6M samples that reformat diverse unimodal data into multimodal pairs for foundational observation. At the knowledge level, we propose Progressive Curriculum Learning that systematically introduces medical multimodal knowledge. At the analysis level, we introduce UniMedVL, the first medical unified multimodal model for the simultaneous analysis of image understanding and generation tasks within a single architecture. UniMedVL achieves superior performance on five medical image understanding benchmarks, while matching specialized models in generation quality across eight medical imaging modalities. Crucially, our unified architecture enables bidirectional knowledge sharing: generation tasks enhance visual understanding features, demonstrating that integrating traditionally separate capabilities within a single medical framework unlocks improvements across diverse medical vision-language tasks. Code is available at https://github.com/uni-medical/UniMedVL.

Tracking dense 3D motion from monocular videos remains challenging, particularly when aiming for pixel-level precision over long sequences. We introduce \Approach, a novel method that efficiently tracks every pixel in 3D space, enabling accurate motion estimation across entire videos. Our approach leverages a joint global-local attention mechanism for reduced-resolution tracking, followed by a transformer-based upsampler to achieve high-resolution predictions. Unlike existing methods, which are limited by computational inefficiency or sparse tracking, \Approach delivers dense 3D tracking at scale, running over 8x faster than previous methods while achieving state-of-the-art accuracy. Furthermore, we explore the impact of depth representation on tracking performance and identify log-depth as the optimal choice. Extensive experiments demonstrate the superiority of \Approach on multiple benchmarks, achieving new state-of-the-art results in both 2D and 3D dense tracking tasks. Our method provides a robust solution for applications requiring fine-grained, long-term motion tracking in 3D space.

Current multi-object tracking (MOT) aims to predict trajectories of targets (i.e., ''where'') in videos. Yet, knowing merely ''where'' is insufficient in many crucial applications. In comparison, semantic understanding such as fine-grained behaviors, interactions, and overall summarized captions (i.e., ''what'') from videos, associated with ''where'', is highly-desired for comprehensive video analysis. Thus motivated, we introduce Semantic Multi-Object Tracking (SMOT), that aims to estimate object trajectories and meanwhile understand semantic details of associated trajectories including instance captions, instance interactions, and overall video captions, integrating ''where'' and ''what'' for tracking. In order to foster the exploration of SMOT, we propose BenSMOT, a large-scale Benchmark for Semantic MOT. Specifically, BenSMOT comprises 3,292 videos with 151K frames, covering various scenarios for semantic tracking of humans. BenSMOT provides annotations for the trajectories of targets, along with associated instance captions in natural language, instance interactions, and overall caption for each video sequence. To our best knowledge, BenSMOT is the first publicly available benchmark for SMOT. Besides, to encourage future research, we present a novel tracker named SMOTer, which is specially designed and end-to-end trained for SMOT, showing promising performance. By releasing BenSMOT, we expect to go beyond conventional MOT by predicting ''where'' and ''what'' for SMOT, opening up a new direction in tracking for video understanding. We will release BenSMOT and SMOTer at https://github.com/Nathan-Li123/SMOTer.

Tracking pixels in videos is typically studied as an optical flow estimation problem, where every pixel is described with a displacement vector that locates it in the next frame. Even though wider temporal context is freely available, prior efforts to take this into account have yielded only small gains over 2-frame methods. In this paper, we revisit Sand and Teller's "particle video" approach, and study pixel tracking as a long-range motion estimation problem, where every pixel is described with a trajectory that locates it in multiple future frames. We re-build this classic approach using components that drive the current state-of-the-art in flow and object tracking, such as dense cost maps, iterative optimization, and learned appearance updates. We train our models using long-range amodal point trajectories mined from existing optical flow data that we synthetically augment with multi-frame occlusions. We test our approach in trajectory estimation benchmarks and in keypoint label propagation tasks, and compare favorably against state-of-the-art optical flow and feature tracking methods.

To track the 3D locations and trajectories of the other traffic participants at any given time, modern autonomous vehicles are equipped with multiple cameras that cover the vehicle's full surroundings. Yet, camera-based 3D object tracking methods prioritize optimizing the single-camera setup and resort to post-hoc fusion in a multi-camera setup. In this paper, we propose a method for panoramic 3D object tracking, called CC-3DT, that associates and models object trajectories both temporally and across views, and improves the overall tracking consistency. In particular, our method fuses 3D detections from multiple cameras before association, reducing identity switches significantly and improving motion modeling. Our experiments on large-scale driving datasets show that fusion before association leads to a large margin of improvement over post-hoc fusion. We set a new state-of-the-art with 12.6% improvement in average multi-object tracking accuracy (AMOTA) among all camera-based methods on the competitive NuScenes 3D tracking benchmark, outperforming previously published methods by 6.5% in AMOTA with the same 3D detector.

In this paper, we introduce the Context-Aware Video Instance Segmentation (CAVIS), a novel framework designed to enhance instance association by integrating contextual information adjacent to each object. To efficiently extract and leverage this information, we propose the Context-Aware Instance Tracker (CAIT), which merges contextual data surrounding the instances with the core instance features to improve tracking accuracy. Additionally, we design the Prototypical Cross-frame Contrastive (PCC) loss, which ensures consistency in object-level features across frames, thereby significantly enhancing matching accuracy. CAVIS demonstrates superior performance over state-of-the-art methods on all benchmark datasets in video instance segmentation (VIS) and video panoptic segmentation (VPS). Notably, our method excels on the OVIS dataset, known for its particularly challenging videos. Project page: https://seung-hun-lee.github.io/projects/CAVIS/

Tracking human object interaction from videos is important to understand human behavior from the rapidly growing stream of video data. Previous video-based methods require predefined object templates while single-image-based methods are template-free but lack temporal consistency. In this paper, we present a method to track human object interaction without any object shape templates. We decompose the 4D tracking problem into per-frame pose tracking and canonical shape optimization. We first apply a single-view reconstruction method to obtain temporally-inconsistent per-frame interaction reconstructions. Then, for the human, we propose an efficient autoencoder to predict SMPL vertices directly from the per-frame reconstructions, introducing temporally consistent correspondence. For the object, we introduce a pose estimator that leverages temporal information to predict smooth object rotations under occlusions. To train our model, we propose a method to generate synthetic interaction videos and synthesize in total 10 hour videos of 8.5k sequences with full 3D ground truth. Experiments on BEHAVE and InterCap show that our method significantly outperforms previous template-based video tracking and single-frame reconstruction methods. Our proposed synthetic video dataset also allows training video-based methods that generalize to real-world videos. Our code and dataset will be publicly released.

Ball trajectory data are one of the most fundamental and useful information in the evaluation of players' performance and analysis of game strategies. Although vision-based object tracking techniques have been developed to analyze sport competition videos, it is still challenging to recognize and position a high-speed and tiny ball accurately. In this paper, we develop a deep learning network, called TrackNet, to track the tennis ball from broadcast videos in which the ball images are small, blurry, and sometimes with afterimage tracks or even invisible. The proposed heatmap-based deep learning network is trained to not only recognize the ball image from a single frame but also learn flying patterns from consecutive frames. TrackNet takes images with a size of 640times360 to generate a detection heatmap from either a single frame or several consecutive frames to position the ball and can achieve high precision even on public domain videos. The network is evaluated on the video of the men's singles final at the 2017 Summer Universiade, which is available on YouTube. The precision, recall, and F1-measure of TrackNet reach 99.7%, 97.3%, and 98.5%, respectively. To prevent overfitting, 9 additional videos are partially labeled together with a subset from the previous dataset to implement 10-fold cross-validation, and the precision, recall, and F1-measure are 95.3%, 75.7%, and 84.3%, respectively. A conventional image processing algorithm is also implemented to compare with TrackNet. Our experiments indicate that TrackNet outperforms conventional method by a big margin and achieves exceptional ball tracking performance. The dataset and demo video are available at https://nol.cs.nctu.edu.tw/ndo3je6av9/.

While recent foundational video generators produce visually rich output, they still struggle with appearance drift, where objects gradually degrade or change inconsistently across frames, breaking visual coherence. We hypothesize that this is because there is no explicit supervision in terms of spatial tracking at the feature level. We propose Track4Gen, a spatially aware video generator that combines video diffusion loss with point tracking across frames, providing enhanced spatial supervision on the diffusion features. Track4Gen merges the video generation and point tracking tasks into a single network by making minimal changes to existing video generation architectures. Using Stable Video Diffusion as a backbone, Track4Gen demonstrates that it is possible to unify video generation and point tracking, which are typically handled as separate tasks. Our extensive evaluations show that Track4Gen effectively reduces appearance drift, resulting in temporally stable and visually coherent video generation. Project page: hyeonho99.github.io/track4gen

The high temporal variation of the point clouds is the key challenge of 3D single-object tracking (3D SOT). Existing approaches rely on the assumption that the shape variation of the point clouds and the motion of the objects across neighboring frames are smooth, failing to cope with high temporal variation data. In this paper, we present a novel framework for 3D SOT in point clouds with high temporal variation, called HVTrack. HVTrack proposes three novel components to tackle the challenges in the high temporal variation scenario: 1) A Relative-Pose-Aware Memory module to handle temporal point cloud shape variations; 2) a Base-Expansion Feature Cross-Attention module to deal with similar object distractions in expanded search areas; 3) a Contextual Point Guided Self-Attention module for suppressing heavy background noise. We construct a dataset with high temporal variation (KITTI-HV) by setting different frame intervals for sampling in the KITTI dataset. On the KITTI-HV with 5 frame intervals, our HVTrack surpasses the state-of-the-art tracker CXTracker by 11.3%/15.7% in Success/Precision.

Video Object Segmentation (VOS) is foundational to numerous computer vision applications, including surveillance, autonomous driving, robotics and generative video editing. However, existing VOS models often struggle with precise mask delineation, deformable objects, topologically transforming objects, tracking drift and long video sequences. In this paper, we introduce HQ-SMem, for High Quality video segmentation and tracking using Smart Memory, a novel method that enhances the performance of VOS base models by addressing these limitations. Our approach incorporates three key innovations: (i) leveraging SAM with High-Quality masks (SAM-HQ) alongside appearance-based candidate-selection to refine coarse segmentation masks, resulting in improved object boundaries; (ii) implementing a dynamic smart memory mechanism that selectively stores relevant key frames while discarding redundant ones, thereby optimizing memory usage and processing efficiency for long-term videos; and (iii) dynamically updating the appearance model to effectively handle complex topological object variations and reduce drift throughout the video. These contributions mitigate several limitations of existing VOS models including, coarse segmentations that mix-in background pixels, fixed memory update schedules, brittleness to drift and occlusions, and prompt ambiguity issues associated with SAM. Extensive experiments conducted on multiple public datasets and state-of-the-art base trackers demonstrate that our method consistently ranks among the top two on VOTS and VOTSt 2024 datasets. Moreover, HQ-SMem sets new benchmarks on Long Video Dataset and LVOS, showcasing its effectiveness in challenging scenarios characterized by complex multi-object dynamics over extended temporal durations.

Recently, transformer-based methods have achieved impressive results on Video Instance Segmentation (VIS). However, most of these top-performing methods run in an offline manner by processing the entire video clip at once to predict instance mask volumes. This makes them incapable of handling the long videos that appear in challenging new video instance segmentation datasets like UVO and OVIS. We propose a fully online transformer-based video instance segmentation model that performs comparably to top offline methods on the YouTube-VIS 2019 benchmark and considerably outperforms them on UVO and OVIS. This method, called Robust Online Video Segmentation (ROVIS), augments the Mask2Former image instance segmentation model with track queries, a lightweight mechanism for carrying track information from frame to frame, originally introduced by the TrackFormer method for multi-object tracking. We show that, when combined with a strong enough image segmentation architecture, track queries can exhibit impressive accuracy while not being constrained to short videos.

Medical image classification in radiology faces significant challenges, particularly in generalizing to unseen pathologies. In contrast, CLIP offers a promising solution by leveraging multimodal learning to improve zero-shot classification performance. However, in the medical domain, lesions can be small and might not be well represented in the embedding space. Therefore, in this paper, we explore the potential of visual prompt engineering to enhance the capabilities of Vision Language Models (VLMs) in radiology. Leveraging BiomedCLIP, trained on extensive biomedical image-text pairs, we investigate the impact of embedding visual markers directly within radiological images to guide the model's attention to critical regions. Our evaluation on the JSRT dataset, focusing on lung nodule malignancy classification, demonstrates that incorporating visual prompts x2013 such as arrows, circles, and contours x2013 significantly improves classification metrics including AUROC, AUPRC, F1 score, and accuracy. Moreover, the study provides attention maps, showcasing enhanced model interpretability and focus on clinically relevant areas. These findings underscore the efficacy of visual prompt engineering as a straightforward yet powerful approach to advance VLM performance in medical image analysis.

Multi-modal Large Language Models (MLLMs) have demonstrated their ability to perceive objects in still images, but their application in video-related tasks, such as object tracking, remains understudied. This lack of exploration is primarily due to two key challenges. Firstly, extensive pretraining on large-scale video datasets is required to equip MLLMs with the capability to perceive objects across multiple frames and understand inter-frame relationships. Secondly, processing a large number of frames within the context window of Large Language Models (LLMs) can impose a significant computational burden. To address the first challenge, we introduce ElysiumTrack-1M, a large-scale video dataset supported for three tasks: Single Object Tracking (SOT), Referring Single Object Tracking (RSOT), and Video Referring Expression Generation (Video-REG). ElysiumTrack-1M contains 1.27 million annotated video frames with corresponding object boxes and descriptions. Leveraging this dataset, we conduct training of MLLMs and propose a token-compression model T-Selector to tackle the second challenge. Our proposed approach, Elysium: Exploring Object-level Perception in Videos via MLLM, is an end-to-end trainable MLLM that attempts to conduct object-level tasks in videos without requiring any additional plug-in or expert models. All codes and datasets are available at https://github.com/Hon-Wong/Elysium.

Recent advancements in surgical computer vision have been driven by vision-only models, which lack language semantics, relying on manually annotated videos to predict fixed object categories. This limits their generalizability to unseen surgical procedures and tasks. We propose leveraging surgical video lectures from e-learning platforms to provide effective vision and language supervisory signals for multi-modal representation learning, bypassing manual annotations. We address surgery-specific linguistic challenges using multiple automatic speech recognition systems for text transcriptions. We introduce SurgVLP - Surgical Vision Language Pre-training - a novel method for multi-modal representation learning. SurgVLP employs a new contrastive learning objective, aligning video clip embeddings with corresponding multiple text embeddings in a joint latent space. We demonstrate the representational capability of this space through several vision-and-language surgical tasks and vision-only tasks specific to surgery. Unlike current fully supervised approaches, SurgVLP adapts to different surgical procedures and tasks without specific fine-tuning, achieving zero-shot adaptation to tasks such as surgical tool, phase, and triplet recognition without manual annotation. These results highlight the transferability and versatility of the learned multi-modal representations in surgical video analysis. The code is available at https://github.com/CAMMA-public/SurgVLP

Precise camera tracking, high-fidelity 3D tissue reconstruction, and real-time online visualization are critical for intrabody medical imaging devices such as endoscopes and capsule robots. However, existing SLAM (Simultaneous Localization and Mapping) methods often struggle to achieve both complete high-quality surgical field reconstruction and efficient computation, restricting their intraoperative applications among endoscopic surgeries. In this paper, we introduce EndoGSLAM, an efficient SLAM approach for endoscopic surgeries, which integrates streamlined Gaussian representation and differentiable rasterization to facilitate over 100 fps rendering speed during online camera tracking and tissue reconstructing. Extensive experiments show that EndoGSLAM achieves a better trade-off between intraoperative availability and reconstruction quality than traditional or neural SLAM approaches, showing tremendous potential for endoscopic surgeries. The project page is at https://EndoGSLAM.loping151.com

We present the Decoupled VIdeo Segmentation (DVIS) framework, a novel approach for the challenging task of universal video segmentation, including video instance segmentation (VIS), video semantic segmentation (VSS), and video panoptic segmentation (VPS). Unlike previous methods that model video segmentation in an end-to-end manner, our approach decouples video segmentation into three cascaded sub-tasks: segmentation, tracking, and refinement. This decoupling design allows for simpler and more effective modeling of the spatio-temporal representations of objects, especially in complex scenes and long videos. Accordingly, we introduce two novel components: the referring tracker and the temporal refiner. These components track objects frame by frame and model spatio-temporal representations based on pre-aligned features. To improve the tracking capability of DVIS, we propose a denoising training strategy and introduce contrastive learning, resulting in a more robust framework named DVIS++. Furthermore, we evaluate DVIS++ in various settings, including open vocabulary and using a frozen pre-trained backbone. By integrating CLIP with DVIS++, we present OV-DVIS++, the first open-vocabulary universal video segmentation framework. We conduct extensive experiments on six mainstream benchmarks, including the VIS, VSS, and VPS datasets. Using a unified architecture, DVIS++ significantly outperforms state-of-the-art specialized methods on these benchmarks in both close- and open-vocabulary settings. Code:~https://github.com/zhang-tao-whu/DVIS_Plus.

The field of computer vision applied to videos of minimally invasive surgery is ever-growing. Workflow recognition pertains to the automated recognition of various aspects of a surgery: including which surgical steps are performed; and which surgical instruments are used. This information can later be used to assist clinicians when learning the surgery; during live surgery; and when writing operation notes. The Pituitary Vision (PitVis) 2023 Challenge tasks the community to step and instrument recognition in videos of endoscopic pituitary surgery. This is a unique task when compared to other minimally invasive surgeries due to the smaller working space, which limits and distorts vision; and higher frequency of instrument and step switching, which requires more precise model predictions. Participants were provided with 25-videos, with results presented at the MICCAI-2023 conference as part of the Endoscopic Vision 2023 Challenge in Vancouver, Canada, on 08-Oct-2023. There were 18-submissions from 9-teams across 6-countries, using a variety of deep learning models. A commonality between the top performing models was incorporating spatio-temporal and multi-task methods, with greater than 50% and 10% macro-F1-score improvement over purely spacial single-task models in step and instrument recognition respectively. The PitVis-2023 Challenge therefore demonstrates state-of-the-art computer vision models in minimally invasive surgery are transferable to a new dataset, with surgery specific techniques used to enhance performance, progressing the field further. Benchmark results are provided in the paper, and the dataset is publicly available at: https://doi.org/10.5522/04/26531686.

The Segment Anything Model (SAM) has established itself as a powerful zero-shot image segmentation model, employing interactive prompts such as points to generate masks. This paper presents SAM-PT, a method extending SAM's capability to tracking and segmenting anything in dynamic videos. SAM-PT leverages robust and sparse point selection and propagation techniques for mask generation, demonstrating that a SAM-based segmentation tracker can yield strong zero-shot performance across popular video object segmentation benchmarks, including DAVIS, YouTube-VOS, and MOSE. Compared to traditional object-centric mask propagation strategies, we uniquely use point propagation to exploit local structure information that is agnostic to object semantics. We highlight the merits of point-based tracking through direct evaluation on the zero-shot open-world Unidentified Video Objects (UVO) benchmark. To further enhance our approach, we utilize K-Medoids clustering for point initialization and track both positive and negative points to clearly distinguish the target object. We also employ multiple mask decoding passes for mask refinement and devise a point re-initialization strategy to improve tracking accuracy. Our code integrates different point trackers and video segmentation benchmarks and will be released at https://github.com/SysCV/sam-pt.

Radiologic diagnostic errors-under-reading errors, inattentional blindness, and communication failures-remain prevalent in clinical practice. These issues often stem from missed localized abnormalities, limited global context, and variability in report language. These challenges are amplified in 3D imaging, where clinicians must examine hundreds of slices per scan. Addressing them requires systems with precise localized detection, global volume-level reasoning, and semantically consistent natural language reporting. However, existing 3D vision-language models are unable to meet all three needs jointly, lacking local-global understanding for spatial reasoning and struggling with the variability and noise of uncurated radiology reports. We present MedVista3D, a multi-scale semantic-enriched vision-language pretraining framework for 3D CT analysis. To enable joint disease detection and holistic interpretation, MedVista3D performs local and global image-text alignment for fine-grained representation learning within full-volume context. To address report variability, we apply language model rewrites and introduce a Radiology Semantic Matching Bank for semantics-aware alignment. MedVista3D achieves state-of-the-art performance on zero-shot disease classification, report retrieval, and medical visual question answering, while transferring well to organ segmentation and prognosis prediction. Code and datasets will be released.

We introduce LocoTrack, a highly accurate and efficient model designed for the task of tracking any point (TAP) across video sequences. Previous approaches in this task often rely on local 2D correlation maps to establish correspondences from a point in the query image to a local region in the target image, which often struggle with homogeneous regions or repetitive features, leading to matching ambiguities. LocoTrack overcomes this challenge with a novel approach that utilizes all-pair correspondences across regions, i.e., local 4D correlation, to establish precise correspondences, with bidirectional correspondence and matching smoothness significantly enhancing robustness against ambiguities. We also incorporate a lightweight correlation encoder to enhance computational efficiency, and a compact Transformer architecture to integrate long-term temporal information. LocoTrack achieves unmatched accuracy on all TAP-Vid benchmarks and operates at a speed almost 6 times faster than the current state-of-the-art.

Accurate 3D tracking in highly deformable scenes with occlusions and shadows can facilitate new applications in robotics, augmented reality, and generative AI. However, tracking under these conditions is extremely challenging due to the ambiguity that arises with large deformations, shadows, and occlusions. We introduce MD-Splatting, an approach for simultaneous 3D tracking and novel view synthesis, using video captures of a dynamic scene from various camera poses. MD-Splatting builds on recent advances in Gaussian splatting, a method that learns the properties of a large number of Gaussians for state-of-the-art and fast novel view synthesis. MD-Splatting learns a deformation function to project a set of Gaussians with non-metric, thus canonical, properties into metric space. The deformation function uses a neural-voxel encoding and a multilayer perceptron (MLP) to infer Gaussian position, rotation, and a shadow scalar. We enforce physics-inspired regularization terms based on local rigidity, conservation of momentum, and isometry, which leads to trajectories with smaller trajectory errors. MD-Splatting achieves high-quality 3D tracking on highly deformable scenes with shadows and occlusions. Compared to state-of-the-art, we improve 3D tracking by an average of 23.9 %, while simultaneously achieving high-quality novel view synthesis. With sufficient texture such as in scene 6, MD-Splatting achieves a median tracking error of 3.39 mm on a cloth of 1 x 1 meters in size. Project website: https://md-splatting.github.io/.

This paper presents a comprehensive evaluation of GPT-4V's capabilities across diverse medical imaging tasks, including Radiology Report Generation, Medical Visual Question Answering (VQA), and Visual Grounding. While prior efforts have explored GPT-4V's performance in medical image analysis, to the best of our knowledge, our study represents the first quantitative evaluation on publicly available benchmarks. Our findings highlight GPT-4V's potential in generating descriptive reports for chest X-ray images, particularly when guided by well-structured prompts. Meanwhile, its performance on the MIMIC-CXR dataset benchmark reveals areas for improvement in certain evaluation metrics, such as CIDEr. In the domain of Medical VQA, GPT-4V demonstrates proficiency in distinguishing between question types but falls short of the VQA-RAD benchmark in terms of accuracy. Furthermore, our analysis finds the limitations of conventional evaluation metrics like the BLEU scores, advocating for the development of more semantically robust assessment methods. In the field of Visual Grounding, GPT-4V exhibits preliminary promise in recognizing bounding boxes, but its precision is lacking, especially in identifying specific medical organs and signs. Our evaluation underscores the significant potential of GPT-4V in the medical imaging domain, while also emphasizing the need for targeted refinements to fully unlock its capabilities.

Regulatory compliance auditing across diverse industrial domains requires heightened quality assurance and traceability. Present manual and intermittent approaches to such auditing yield significant challenges, potentially leading to oversights in the monitoring process. To address these issues, we introduce a real-time, multi-modal sensing system employing 3D time-of-flight and RGB cameras, coupled with unsupervised learning techniques on edge AI devices. This enables continuous object tracking thereby enhancing efficiency in record-keeping and minimizing manual interventions. While we validate the system in a knife sanitization context within agrifood facilities, emphasizing its prowess against occlusion and low-light issues with RGB cameras, its potential spans various industrial monitoring settings.

Camera and object motions are central to a video's narrative. However, precisely editing these captured motions remains a significant challenge, especially under complex object movements. Current motion-controlled image-to-video (I2V) approaches often lack full-scene context for consistent video editing, while video-to-video (V2V) methods provide viewpoint changes or basic object translation, but offer limited control over fine-grained object motion. We present a track-conditioned V2V framework that enables joint editing of camera and object motion. We achieve this by conditioning a video generation model on a source video and paired 3D point tracks representing source and target motions. These 3D tracks establish sparse correspondences that transfer rich context from the source video to new motions while preserving spatiotemporal coherence. Crucially, compared to 2D tracks, 3D tracks provide explicit depth cues, allowing the model to resolve depth order and handle occlusions for precise motion editing. Trained in two stages on synthetic and real data, our model supports diverse motion edits, including joint camera/object manipulation, motion transfer, and non-rigid deformation, unlocking new creative potential in video editing.

Referring video object segmentation aims to segment and track a target object in a video using a natural language prompt. Existing methods typically fuse visual and textual features in a highly entangled manner, processing multi-modal information together to generate per-frame masks. However, this approach often struggles with ambiguous target identification, particularly in scenes with multiple similar objects, and fails to ensure consistent mask propagation across frames. To address these limitations, we introduce FindTrack, a novel decoupled framework that separates target identification from mask propagation. FindTrack first adaptively selects a key frame by balancing segmentation confidence and vision-text alignment, establishing a robust reference for the target object. This reference is then utilized by a dedicated propagation module to track and segment the object across the entire video. By decoupling these processes, FindTrack effectively reduces ambiguities in target association and enhances segmentation consistency. We demonstrate that FindTrack outperforms existing methods on public benchmarks.

Purpose: Surgical video is an important data stream for gesture recognition. Thus, robust visual encoders for those data-streams is similarly important. Methods: Leveraging the Bridge-Prompt framework, we fine-tune a pre-trained vision-text model (CLIP) for gesture recognition in surgical videos. This can utilize extensive outside video data such as text, but also make use of label meta-data and weakly supervised contrastive losses. Results: Our experiments show that prompt-based video encoder outperforms standard encoders in surgical gesture recognition tasks. Notably, it displays strong performance in zero-shot scenarios, where gestures/tasks that were not provided during the encoder training phase are included in the prediction phase. Additionally, we measure the benefit of inclusion text descriptions in the feature extractor training schema. Conclusion: Bridge-Prompt and similar pre-trained+fine-tuned video encoder models present significant visual representation for surgical robotics, especially in gesture recognition tasks. Given the diverse range of surgical tasks (gestures), the ability of these models to zero-shot transfer without the need for any task (gesture) specific retraining makes them invaluable.

Visual Language Models (VLMs) have demonstrated impressive capabilities in visual grounding tasks. However, their effectiveness in the medical domain, particularly for abnormality detection and localization within medical images, remains underexplored. A major challenge is the complex and abstract nature of medical terminology, which makes it difficult to directly associate pathological anomaly terms with their corresponding visual features. In this work, we introduce a novel approach to enhance VLM performance in medical abnormality detection and localization by leveraging decomposed medical knowledge. Instead of directly prompting models to recognize specific abnormalities, we focus on breaking down medical concepts into fundamental attributes and common visual patterns. This strategy promotes a stronger alignment between textual descriptions and visual features, improving both the recognition and localization of abnormalities in medical images.We evaluate our method on the 0.23B Florence-2 base model and demonstrate that it achieves comparable performance in abnormality grounding to significantly larger 7B LLaVA-based medical VLMs, despite being trained on only 1.5% of the data used for such models. Experimental results also demonstrate the effectiveness of our approach in both known and previously unseen abnormalities, suggesting its strong generalization capabilities.

Tracking Any Point (TAP) in a video is a challenging computer vision problem with many demonstrated applications in robotics, video editing, and 3D reconstruction. Existing methods for TAP rely heavily on complex tracking-specific inductive biases and heuristics, limiting their generality and potential for scaling. To address these challenges, we present TAPNext, a new approach that casts TAP as sequential masked token decoding. Our model is causal, tracks in a purely online fashion, and removes tracking-specific inductive biases. This enables TAPNext to run with minimal latency, and removes the temporal windowing required by many existing state of art trackers. Despite its simplicity, TAPNext achieves a new state-of-the-art tracking performance among both online and offline trackers. Finally, we present evidence that many widely used tracking heuristics emerge naturally in TAPNext through end-to-end training.

Surgical scene perception via videos are critical for advancing robotic surgery, telesurgery, and AI-assisted surgery, particularly in ophthalmology. However, the scarcity of diverse and richly annotated video datasets has hindered the development of intelligent systems for surgical workflow analysis. Existing datasets for surgical workflow analysis, which typically face challenges such as small scale, a lack of diversity in surgery and phase categories, and the absence of time-localized annotations, limit the requirements for action understanding and model generalization validation in complex and diverse real-world surgical scenarios. To address this gap, we introduce OphNet, a large-scale, expert-annotated video benchmark for ophthalmic surgical workflow understanding. OphNet features: 1) A diverse collection of 2,278 surgical videos spanning 66 types of cataract, glaucoma, and corneal surgeries, with detailed annotations for 102 unique surgical phases and 150 granular operations; 2) It offers sequential and hierarchical annotations for each surgery, phase, and operation, enabling comprehensive understanding and improved interpretability; 3) Moreover, OphNet provides time-localized annotations, facilitating temporal localization and prediction tasks within surgical workflows. With approximately 205 hours of surgical videos, OphNet is about 20 times larger than the largest existing surgical workflow analysis benchmark. Our dataset and code have been made available at: https://github.com/minghu0830/OphNet-benchmark.

This paper introduces SFSORT, the world's fastest multi-object tracking system based on experiments conducted on MOT Challenge datasets. To achieve an accurate and computationally efficient tracker, this paper employs a tracking-by-detection method, following the online real-time tracking approach established in prior literature. By introducing a novel cost function called the Bounding Box Similarity Index, this work eliminates the Kalman Filter, leading to reduced computational requirements. Additionally, this paper demonstrates the impact of scene features on enhancing object-track association and improving track post-processing. Using a 2.2 GHz Intel Xeon CPU, the proposed method achieves an HOTA of 61.7\% with a processing speed of 2242 Hz on the MOT17 dataset and an HOTA of 60.9\% with a processing speed of 304 Hz on the MOT20 dataset. The tracker's source code, fine-tuned object detection model, and tutorials are available at https://github.com/gitmehrdad/SFSORT.

Medical imaging plays a crucial role in diagnosis, with radiology reports serving as vital documentation. Automating report generation has emerged as a critical need to alleviate the workload of radiologists. While machine learning has facilitated report generation for 2D medical imaging, extending this to 3D has been unexplored due to computational complexity and data scarcity. We introduce the first method to generate radiology reports for 3D medical imaging, specifically targeting chest CT volumes. Given the absence of comparable methods, we establish a baseline using an advanced 3D vision encoder in medical imaging to demonstrate our method's effectiveness, which leverages a novel auto-regressive causal transformer. Furthermore, recognizing the benefits of leveraging information from previous visits, we augment CT2Rep with a cross-attention-based multi-modal fusion module and hierarchical memory, enabling the incorporation of longitudinal multimodal data. Access our code at https://github.com/ibrahimethemhamamci/CT2Rep