Daily Papers

As Large Language Models (LLMs) are increasingly deployed as autonomous agents, they face a critical scalability bottleneck known as the "Generalization-Specialization Dilemma." Monolithic agents equipped with extensive toolkits suffer from context pollution and attention decay, leading to hallucinations. Conversely, static multi-agent swarms introduce significant latency and resource overhead. This paper introduces a Self-Evolving Concierge System, a novel architecture utilizing a Dynamic Mixture of Experts (DMoE) approach. Unlike recent self-improving agents that rewrite their own codebase, our system preserves stability by dynamically restructuring its runtime environment: "hiring" specialized sub-agents based on real-time conversation analysis. We introduce an asynchronous "Meta-Cognition Engine" that detects capability gaps, a Least Recently Used (LRU) eviction policy for resource constraints, and a novel "Surgical History Pruning" mechanism to mitigate refusal bias. Experimental results demonstrate that this architecture maintains high task success rates while minimizing token consumption compared to static agent swarms.

Surgical video segmentation is a critical task in computer-assisted surgery and is vital for enhancing surgical quality and patient outcomes. Recently, the Segment Anything Model 2 (SAM2) framework has shown superior advancements in image and video segmentation. However, SAM2 struggles with efficiency due to the high computational demands of processing high-resolution images and complex and long-range temporal dynamics in surgical videos. To address these challenges, we introduce Surgical SAM 2 (SurgSAM-2), an advanced model to utilize SAM2 with an Efficient Frame Pruning (EFP) mechanism, to facilitate real-time surgical video segmentation. The EFP mechanism dynamically manages the memory bank by selectively retaining only the most informative frames, reducing memory usage and computational cost while maintaining high segmentation accuracy. Our extensive experiments demonstrate that SurgSAM-2 significantly improves both efficiency and segmentation accuracy compared to the vanilla SAM2. Remarkably, SurgSAM-2 achieves a 3times FPS compared with SAM2, while also delivering state-of-the-art performance after fine-tuning with lower-resolution data. These advancements establish SurgSAM-2 as a leading model for surgical video analysis, making real-time surgical video segmentation in resource-constrained environments a feasible reality.

Deep learning models have become increasingly popular for a wide range of applications, including computer vision, natural language processing, and speech recognition. However, these models typically require large amounts of computational resources, making them challenging to run on low-power devices such as the Raspberry Pi. One approach to addressing this challenge is to use pruning techniques to reduce the size of the deep learning models. Pruning involves removing unimportant weights and connections from the model, resulting in a smaller and more efficient model. Pruning can be done during training or after the model has been trained. Another approach is to optimize the deep learning models specifically for the Raspberry Pi architecture. This can include optimizing the model's architecture and parameters to take advantage of the Raspberry Pi's hardware capabilities, such as its CPU and GPU. Additionally, the model can be optimized for energy efficiency by minimizing the amount of computation required. Pruning and optimizing deep learning models for the Raspberry Pi can help overcome the computational and energy constraints of low-power devices, making it possible to run deep learning models on a wider range of devices. In the following sections, we will explore these approaches in more detail and discuss their effectiveness for optimizing deep learning models for the Raspberry Pi.

Most existing pruning works are resource-intensive, requiring retraining or fine-tuning of the pruned models for accuracy. We propose a retraining-free pruning method based on hyperspherical learning and loss penalty terms. The proposed loss penalty term pushes some of the model weights far from zero, while the rest weight values are pushed near zero and can be safely pruned with no need for retraining and a negligible accuracy drop. In addition, our proposed method can instantly recover the accuracy of a pruned model by replacing the pruned values with their mean value. Our method obtains state-of-the-art results in retraining-free pruning and is evaluated on ResNet-18/50 and MobileNetV2 with ImageNet dataset. One can easily get a 50\% pruned ResNet18 model with a 0.47\% accuracy drop. With fine-tuning, the experiment results show that our method can significantly boost the accuracy of the pruned models compared with existing works. For example, the accuracy of a 70\% pruned (except the first convolutional layer) MobileNetV2 model only drops 3.5\%, much less than the 7\% sim 10\% accuracy drop with conventional methods.

Modern deep neural networks, particularly recent large language models, come with massive model sizes that require significant computational and storage resources. To enable the deployment of modern models on resource-constrained environments and accelerate inference time, researchers have increasingly explored pruning techniques as a popular research direction in neural network compression. However, there is a dearth of up-to-date comprehensive review papers on pruning. To address this issue, in this survey, we provide a comprehensive review of existing research works on deep neural network pruning in a taxonomy of 1) universal/specific speedup, 2) when to prune, 3) how to prune, and 4) fusion of pruning and other compression techniques. We then provide a thorough comparative analysis of seven pairs of contrast settings for pruning (e.g., unstructured/structured) and explore emerging topics, including post-training pruning, different levels of supervision for pruning, and broader applications (e.g., adversarial robustness) to shed light on the commonalities and differences of existing methods and lay the foundation for further method development. To facilitate future research, we build a curated collection of datasets, networks, and evaluations on different applications. Finally, we provide some valuable recommendations on selecting pruning methods and prospect promising research directions. We build a repository at https://github.com/hrcheng1066/awesome-pruning.

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.

Large language models (LLMs) have achieved significant progress across various domains, but their increasing scale results in high computational and memory costs. Recent studies have revealed that LLMs exhibit sparsity, providing the potential to reduce model size through pruning techniques. However, existing pruning methods typically follow a prune-then-finetune paradigm. Since the pruned components still contain valuable information, their direct removal often leads to irreversible performance degradation, imposing a substantial computational burden to recover performance during finetuning. In this paper, we propose a novel paradigm that first applies regularization, then prunes, and finally finetunes. Based on this paradigm, we introduce DReSS, a simple and effective Data-driven Regularized Structured Streamlining method for LLMs. By leveraging a small amount of data to regularize the components to be pruned, DReSS explicitly transfers the important information to the remaining parts of the model in advance. Compared to direct pruning, this can reduce the information loss caused by parameter removal, thereby enhancing its language modeling capabilities. Experimental results demonstrate that DReSS significantly outperforms existing pruning methods even under extreme pruning ratios, significantly reducing latency and increasing throughput.

Surgical site infection (SSI) is one of the most common and costly healthcare-associated infections and and surgical wound care remains a significant clinical challenge in preventing SSIs and improving patient outcomes. While recent studies have explored the use of deep learning for preliminary surgical wound screening, progress has been hindered by concerns over data privacy and the high costs associated with expert annotation. Currently, no publicly available dataset or benchmark encompasses various types of surgical wounds, resulting in the absence of an open-source Surgical-Wound screening tool. To address this gap: (1) we present SurgWound, the first open-source dataset featuring a diverse array of surgical wound types. It contains 697 surgical wound images annotated by 3 professional surgeons with eight fine-grained clinical attributes. (2) Based on SurgWound, we introduce the first benchmark for surgical wound diagnosis, which includes visual question answering (VQA) and report generation tasks to comprehensively evaluate model performance. (3) Furthermore, we propose a three-stage learning framework, WoundQwen, for surgical wound diagnosis. In the first stage, we employ five independent MLLMs to accurately predict specific surgical wound characteristics. In the second stage, these predictions serve as additional knowledge inputs to two MLLMs responsible for diagnosing outcomes, which assess infection risk and guide subsequent interventions. In the third stage, we train a MLLM that integrates the diagnostic results from the previous two stages to produce a comprehensive report. This three-stage framework can analyze detailed surgical wound characteristics and provide subsequent instructions to patients based on surgical images, paving the way for personalized wound care, timely intervention, and improved patient outcomes.

Pruning is an effective method to reduce the memory footprint and FLOPs associated with neural network models. However, existing structured-pruning methods often result in significant accuracy degradation for moderate pruning levels. To address this problem, we introduce a new Hessian Aware Pruning (HAP) method coupled with a Neural Implant approach that uses second-order sensitivity as a metric for structured pruning. The basic idea is to prune insensitive components and to use a Neural Implant for moderately sensitive components, instead of completely pruning them. For the latter approach, the moderately sensitive components are replaced with with a low rank implant that is smaller and less computationally expensive than the original component. We use the relative Hessian trace to measure sensitivity, as opposed to the magnitude based sensitivity metric commonly used in the literature. We test HAP for both computer vision tasks and natural language tasks, and we achieve new state-of-the-art results. Specifically, HAP achieves less than 0.1%/0.5% degradation on PreResNet29/ResNet50 (CIFAR-10/ImageNet) with more than 70\%/50\% of parameters pruned. Meanwhile, HAP also achieves significantly better performance (up to 0.8\% with 60\% of parameters pruned) as compared to gradient based method for head pruning on transformer-based models. The framework has been open sourced and available online.

Recent work has highlighted the complex influence training hyperparameters, e.g., the number of training epochs, can have on the prunability of machine learning models. Perhaps surprisingly, a systematic approach to predict precisely how adjusting a specific hyperparameter will affect prunability remains elusive. To address this gap, we introduce a phenomenological model grounded in the statistical mechanics of learning. Our approach uses temperature-like and load-like parameters to model the impact of neural network (NN) training hyperparameters on pruning performance. A key empirical result we identify is a sharp transition phenomenon: depending on the value of a load-like parameter in the pruned model, increasing the value of a temperature-like parameter in the pre-pruned model may either enhance or impair subsequent pruning performance. Based on this transition, we build a three-regime model by taxonomizing the global structure of the pruned NN loss landscape. Our model reveals that the dichotomous effect of high temperature is associated with transitions between distinct types of global structures in the post-pruned model. Based on our results, we present three case-studies: 1) determining whether to increase or decrease a hyperparameter for improved pruning; 2) selecting the best model to prune from a family of models; and 3) tuning the hyperparameter of the Sharpness Aware Minimization method for better pruning performance.

Mixture-of-Experts (MoE) models offer inference speedups via selective activation but impose substantial memory requirements because the whole network must remain loaded. Structured expert pruning is a practical approach for reducing deployment costs in resource-constrained settings. However, prior studies primarily evaluate benchmark utility, leaving the effect of pruning on factual reliability underexplored, particularly in high-stakes domains such as biomedicine. In this paper, we investigate how domain-specific expert pruning affects both utility and reliability. We assess four MoE models, six pruning methods, and multiple pruning ratios across generation and classification tasks under in-domain (biomedical) and cross-domain settings. Results reveal that moderate pruning preserves in-domain utility without immediate reliability decline, although hallucination risks increase at extreme pruning ratios. When shifting to the general domain, both utility and reliability degrade rapidly. These findings indicate that safe compression depends heavily on the task and domain. Evaluating pruned MoE models solely on utility is inadequate for high-stakes deployment without reliability assessment.

Pruning neural networks, which involves removing a fraction of their weights, can often maintain high accuracy while significantly reducing model complexity, at least up to a certain limit. We present a neural network pruning technique that builds upon the Combinatorial Brain Surgeon, but solves an optimization problem over a subset of the network weights in an iterative, block-wise manner using block coordinate descent. The iterative, block-based nature of this pruning technique, which we dub ``iterative Combinatorial Brain Surgeon'' (iCBS) allows for scalability to very large models, including large language models (LLMs), that may not be feasible with a one-shot combinatorial optimization approach. When applied to large models like Mistral and DeiT, iCBS achieves higher performance metrics at the same density levels compared to existing pruning methods such as Wanda. This demonstrates the effectiveness of this iterative, block-wise pruning method in compressing and optimizing the performance of large deep learning models, even while optimizing over only a small fraction of the weights. Moreover, our approach allows for a quality-time (or cost) tradeoff that is not available when using a one-shot pruning technique alone. The block-wise formulation of the optimization problem enables the use of hardware accelerators, potentially offsetting the increased computational costs compared to one-shot pruning methods like Wanda. In particular, the optimization problem solved for each block is quantum-amenable in that it could, in principle, be solved by a quantum computer.

Pruning is a model compression method that removes redundant parameters in deep neural networks (DNNs) while maintaining accuracy. Most available filter pruning methods require complex treatments such as iterative pruning, features statistics/ranking, or additional optimization designs in the training process. In this paper, we propose a simple and effective regularization strategy from a new perspective of evolution of features, which we call feature flow regularization (FFR), for improving structured sparsity and filter pruning in DNNs. Specifically, FFR imposes controls on the gradient and curvature of feature flow along the neural network, which implicitly increases the sparsity of the parameters. The principle behind FFR is that coherent and smooth evolution of features will lead to an efficient network that avoids redundant parameters. The high structured sparsity obtained from FFR enables us to prune filters effectively. Experiments with VGGNets, ResNets on CIFAR-10/100, and Tiny ImageNet datasets demonstrate that FFR can significantly improve both unstructured and structured sparsity. Our pruning results in terms of reduction of parameters and FLOPs are comparable to or even better than those of state-of-the-art pruning methods.

Recent advancements have scaled neural networks to unprecedented sizes, achieving remarkable performance across a wide range of tasks. However, deploying these large-scale models on resource-constrained devices poses significant challenges due to substantial storage and computational requirements. Neural network pruning has emerged as an effective technique to mitigate these limitations by reducing model size and complexity. In this paper, we introduce an intuitive and interpretable pruning method based on activation statistics, rooted in information theory and statistical analysis. Our approach leverages the statistical properties of neuron activations to identify and remove weights with minimal contributions to neuron outputs. Specifically, we build a distribution of weight contributions across the dataset and utilize its parameters to guide the pruning process. Furthermore, we propose a Pruning-aware Training strategy that incorporates an additional regularization term to enhance the effectiveness of our pruning method. Extensive experiments on multiple datasets and network architectures demonstrate that our method consistently outperforms several baseline and state-of-the-art pruning techniques.

Neural network pruning is a highly effective technique aimed at reducing the computational and memory demands of large neural networks. In this research paper, we present a novel approach to pruning neural networks utilizing Bayesian inference, which can seamlessly integrate into the training procedure. Our proposed method leverages the posterior probabilities of the neural network prior to and following pruning, enabling the calculation of Bayes factors. The calculated Bayes factors guide the iterative pruning. Through comprehensive evaluations conducted on multiple benchmarks, we demonstrate that our method achieves desired levels of sparsity while maintaining competitive accuracy.

Large and performant neural networks are often overparameterized and can be drastically reduced in size and complexity thanks to pruning. Pruning is a group of methods, which seeks to remove redundant or unnecessary weights or groups of weights in a network. These techniques allow the creation of lightweight networks, which are particularly critical in embedded or mobile applications. In this paper, we devise an alternative pruning method that allows extracting effective subnetworks from larger untrained ones. Our method is stochastic and extracts subnetworks by exploring different topologies which are sampled using Gumbel Softmax. The latter is also used to train probability distributions which measure the relevance of weights in the sampled topologies. The resulting subnetworks are further enhanced using a highly efficient rescaling mechanism that reduces training time and improves performance. Extensive experiments conducted on CIFAR show the outperformance of our subnetwork extraction method against the related work.

Pruning refers to the elimination of trivial weights from neural networks. The sub-networks within an overparameterized model produced after pruning are often called Lottery tickets. This research aims to generate winning lottery tickets from a set of lottery tickets that can achieve similar accuracy to the original unpruned network. We introduce a novel winning ticket called Cyclic Overlapping Lottery Ticket (COLT) by data splitting and cyclic retraining of the pruned network from scratch. We apply a cyclic pruning algorithm that keeps only the overlapping weights of different pruned models trained on different data segments. Our results demonstrate that COLT can achieve similar accuracies (obtained by the unpruned model) while maintaining high sparsities. We show that the accuracy of COLT is on par with the winning tickets of Lottery Ticket Hypothesis (LTH) and, at times, is better. Moreover, COLTs can be generated using fewer iterations than tickets generated by the popular Iterative Magnitude Pruning (IMP) method. In addition, we also notice COLTs generated on large datasets can be transferred to small ones without compromising performance, demonstrating its generalizing capability. We conduct all our experiments on Cifar-10, Cifar-100 & TinyImageNet datasets and report superior performance than the state-of-the-art methods.

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.

Neural network pruning is an essential technique for reducing the size and complexity of deep neural networks, enabling large-scale models on devices with limited resources. However, existing pruning approaches heavily rely on training data for guiding the pruning strategies, making them ineffective for federated learning over distributed and confidential datasets. Additionally, the memory- and computation-intensive pruning process becomes infeasible for recourse-constrained devices in federated learning. To address these challenges, we propose FedTiny, a distributed pruning framework for federated learning that generates specialized tiny models for memory- and computing-constrained devices. We introduce two key modules in FedTiny to adaptively search coarse- and finer-pruned specialized models to fit deployment scenarios with sparse and cheap local computation. First, an adaptive batch normalization selection module is designed to mitigate biases in pruning caused by the heterogeneity of local data. Second, a lightweight progressive pruning module aims to finer prune the models under strict memory and computational budgets, allowing the pruning policy for each layer to be gradually determined rather than evaluating the overall model structure. The experimental results demonstrate the effectiveness of FedTiny, which outperforms state-of-the-art approaches, particularly when compressing deep models to extremely sparse tiny models. FedTiny achieves an accuracy improvement of 2.61% while significantly reducing the computational cost by 95.91% and the memory footprint by 94.01% compared to state-of-the-art methods.

Pruning is a popular technique for reducing the model size and computational cost of convolutional neural networks (CNNs). However, a slow retraining or fine-tuning procedure is often required to recover the accuracy loss caused by pruning. Recently, a new research direction on weight pruning, pruning-at-initialization (PAI), is proposed to directly prune CNNs before training so that fine-tuning or retraining can be avoided. While PAI has shown promising results in reducing the model size, existing approaches rely on fine-grained weight pruning which requires unstructured sparse matrix computation, making it difficult to achieve real speedup in practice unless the sparsity is very high. This work is the first to show that fine-grained weight pruning is in fact not necessary for PAI. Instead, the layerwise compression ratio is the main critical factor to determine the accuracy of a CNN model pruned at initialization. Based on this key observation, we propose PreCropping, a structured hardware-efficient model compression scheme. PreCropping directly compresses the model at the channel level following the layerwise compression ratio. Compared to weight pruning, the proposed scheme is regular and dense in both storage and computation without sacrificing accuracy. In addition, since PreCropping compresses CNNs at initialization, the computational and memory costs of CNNs are reduced for both training and inference on commodity hardware. We empirically demonstrate our approaches on several modern CNN architectures, including ResNet, ShuffleNet, and MobileNet for both CIFAR-10 and ImageNet.

Neural network pruning serves as a critical technique for enhancing the efficiency of deep learning models. Unlike unstructured pruning, which only sets specific parameters to zero, structured pruning eliminates entire channels, thus yielding direct computational and storage benefits. However, the diverse patterns for coupling parameters, such as residual connections and group convolutions, the diverse deep learning frameworks, and the various time stages at which pruning can be performed make existing pruning methods less adaptable to different architectures, frameworks, and pruning criteria. To address this, we introduce Structurally Prune Anything (SPA), a versatile structured pruning framework that can prune neural networks with any architecture, from any framework, and at any stage of training. SPA leverages a standardized computational graph and ONNX representation to prune diverse neural network architectures without the need for manual intervention. SPA employs a group-level importance estimation method, which groups dependent computational operators, estimates their importance, and prunes unimportant coupled channels. This enables the transfer of various existing pruning criteria into a structured group style. As a result, SPA supports pruning at any time, either before training, after training with fine-tuning, or after training without fine-tuning. In the context of the latter, we introduce Optimal Brain SPA (OBSPA), an algorithm that achieves state-of-the-art pruning results needing neither fine-tuning nor calibration data. In extensive experiments, SPA shows competitive to state-of-the-art pruning performance across various architectures, from popular frameworks, at different pruning times.

Model pruning seeks to induce sparsity in a deep neural network's various connection matrices, thereby reducing the number of nonzero-valued parameters in the model. Recent reports (Han et al., 2015; Narang et al., 2017) prune deep networks at the cost of only a marginal loss in accuracy and achieve a sizable reduction in model size. This hints at the possibility that the baseline models in these experiments are perhaps severely over-parameterized at the outset and a viable alternative for model compression might be to simply reduce the number of hidden units while maintaining the model's dense connection structure, exposing a similar trade-off in model size and accuracy. We investigate these two distinct paths for model compression within the context of energy-efficient inference in resource-constrained environments and propose a new gradual pruning technique that is simple and straightforward to apply across a variety of models/datasets with minimal tuning and can be seamlessly incorporated within the training process. We compare the accuracy of large, but pruned models (large-sparse) and their smaller, but dense (small-dense) counterparts with identical memory footprint. Across a broad range of neural network architectures (deep CNNs, stacked LSTM, and seq2seq LSTM models), we find large-sparse models to consistently outperform small-dense models and achieve up to 10x reduction in number of non-zero parameters with minimal loss in accuracy.

Works on lottery ticket hypothesis (LTH) and single-shot network pruning (SNIP) have raised a lot of attention currently on post-training pruning (iterative magnitude pruning), and before-training pruning (pruning at initialization). The former method suffers from an extremely large computation cost and the latter usually struggles with insufficient performance. In comparison, during-training pruning, a class of pruning methods that simultaneously enjoys the training/inference efficiency and the comparable performance, temporarily, has been less explored. To better understand during-training pruning, we quantitatively study the effect of pruning throughout training from the perspective of pruning plasticity (the ability of the pruned networks to recover the original performance). Pruning plasticity can help explain several other empirical observations about neural network pruning in literature. We further find that pruning plasticity can be substantially improved by injecting a brain-inspired mechanism called neuroregeneration, i.e., to regenerate the same number of connections as pruned. We design a novel gradual magnitude pruning (GMP) method, named gradual pruning with zero-cost neuroregeneration (GraNet), that advances state of the art. Perhaps most impressively, its sparse-to-sparse version for the first time boosts the sparse-to-sparse training performance over various dense-to-sparse methods with ResNet-50 on ImageNet without extending the training time. We release all codes in https://github.com/Shiweiliuiiiiiii/GraNet.

With the increasing size of datasets used for training neural networks, data pruning becomes an attractive field of research. However, most current data pruning algorithms are limited in their ability to preserve accuracy compared to models trained on the full data, especially in high pruning regimes. In this paper we explore the application of data pruning while incorporating knowledge distillation (KD) when training on a pruned subset. That is, rather than relying solely on ground-truth labels, we also use the soft predictions from a teacher network pre-trained on the complete data. By integrating KD into training, we demonstrate significant improvement across datasets, pruning methods, and on all pruning fractions. We first establish a theoretical motivation for employing self-distillation to improve training on pruned data. Then, we empirically make a compelling and highly practical observation: using KD, simple random pruning is comparable or superior to sophisticated pruning methods across all pruning regimes. On ImageNet for example, we achieve superior accuracy despite training on a random subset of only 50% of the data. Additionally, we demonstrate a crucial connection between the pruning factor and the optimal knowledge distillation weight. This helps mitigate the impact of samples with noisy labels and low-quality images retained by typical pruning algorithms. Finally, we make an intriguing observation: when using lower pruning fractions, larger teachers lead to accuracy degradation, while surprisingly, employing teachers with a smaller capacity than the student's may improve results. Our code will be made available.

Magnitude pruning is a widely used strategy for reducing model size in pure supervised learning; however, it is less effective in the transfer learning regime that has become standard for state-of-the-art natural language processing applications. We propose the use of movement pruning, a simple, deterministic first-order weight pruning method that is more adaptive to pretrained model fine-tuning. We give mathematical foundations to the method and compare it to existing zeroth- and first-order pruning methods. Experiments show that when pruning large pretrained language models, movement pruning shows significant improvements in high-sparsity regimes. When combined with distillation, the approach achieves minimal accuracy loss with down to only 3% of the model parameters.

Network pruning is widely used for reducing the heavy inference cost of deep models in low-resource settings. A typical pruning algorithm is a three-stage pipeline, i.e., training (a large model), pruning and fine-tuning. During pruning, according to a certain criterion, redundant weights are pruned and important weights are kept to best preserve the accuracy. In this work, we make several surprising observations which contradict common beliefs. For all state-of-the-art structured pruning algorithms we examined, fine-tuning a pruned model only gives comparable or worse performance than training that model with randomly initialized weights. For pruning algorithms which assume a predefined target network architecture, one can get rid of the full pipeline and directly train the target network from scratch. Our observations are consistent for multiple network architectures, datasets, and tasks, which imply that: 1) training a large, over-parameterized model is often not necessary to obtain an efficient final model, 2) learned "important" weights of the large model are typically not useful for the small pruned model, 3) the pruned architecture itself, rather than a set of inherited "important" weights, is more crucial to the efficiency in the final model, which suggests that in some cases pruning can be useful as an architecture search paradigm. Our results suggest the need for more careful baseline evaluations in future research on structured pruning methods. We also compare with the "Lottery Ticket Hypothesis" (Frankle & Carbin 2019), and find that with optimal learning rate, the "winning ticket" initialization as used in Frankle & Carbin (2019) does not bring improvement over random initialization.

In recent years, deep network pruning has attracted significant attention in order to enable the rapid deployment of AI into small devices with computation and memory constraints. Pruning is often achieved by dropping redundant weights, neurons, or layers of a deep network while attempting to retain a comparable test performance. Many deep pruning algorithms have been proposed with impressive empirical success. However, existing approaches lack a quantifiable measure to estimate the compressibility of a sub-network during each pruning iteration and thus may under-prune or over-prune the model. In this work, we propose PQ Index (PQI) to measure the potential compressibility of deep neural networks and use this to develop a Sparsity-informed Adaptive Pruning (SAP) algorithm. Our extensive experiments corroborate the hypothesis that for a generic pruning procedure, PQI decreases first when a large model is being effectively regularized and then increases when its compressibility reaches a limit that appears to correspond to the beginning of underfitting. Subsequently, PQI decreases again when the model collapse and significant deterioration in the performance of the model start to occur. Additionally, our experiments demonstrate that the proposed adaptive pruning algorithm with proper choice of hyper-parameters is superior to the iterative pruning algorithms such as the lottery ticket-based pruning methods, in terms of both compression efficiency and robustness.

In this paper, we propose a novel text promptable surgical instrument segmentation approach to overcome challenges associated with diversity and differentiation of surgical instruments in minimally invasive surgeries. We redefine the task as text promptable, thereby enabling a more nuanced comprehension of surgical instruments and adaptability to new instrument types. Inspired by recent advancements in vision-language models, we leverage pretrained image and text encoders as our model backbone and design a text promptable mask decoder consisting of attention- and convolution-based prompting schemes for surgical instrument segmentation prediction. Our model leverages multiple text prompts for each surgical instrument through a new mixture of prompts mechanism, resulting in enhanced segmentation performance. Additionally, we introduce a hard instrument area reinforcement module to improve image feature comprehension and segmentation precision. Extensive experiments on EndoVis2017 and EndoVis2018 datasets demonstrate our model's superior performance and promising generalization capability. To our knowledge, this is the first implementation of a promptable approach to surgical instrument segmentation, offering significant potential for practical application in the field of robotic-assisted surgery.

Dynamic reconstruction of deformable tissues in endoscopic video is a key technology for robot-assisted surgery. Recent reconstruction methods based on neural radiance fields (NeRFs) have achieved remarkable results in the reconstruction of surgical scenes. However, based on implicit representation, NeRFs struggle to capture the intricate details of objects in the scene and cannot achieve real-time rendering. In addition, restricted single view perception and occluded instruments also propose special challenges in surgical scene reconstruction. To address these issues, we develop SurgicalGaussian, a deformable 3D Gaussian Splatting method to model dynamic surgical scenes. Our approach models the spatio-temporal features of soft tissues at each time stamp via a forward-mapping deformation MLP and regularization to constrain local 3D Gaussians to comply with consistent movement. With the depth initialization strategy and tool mask-guided training, our method can remove surgical instruments and reconstruct high-fidelity surgical scenes. Through experiments on various surgical videos, our network outperforms existing method on many aspects, including rendering quality, rendering speed and GPU usage. The project page can be found at https://surgicalgaussian.github.io.

The sheer size of modern neural networks makes model serving a serious computational challenge. A popular class of compression techniques overcomes this challenge by pruning or sparsifying the weights of pretrained networks. While useful, these techniques often face serious tradeoffs between computational requirements and compression quality. In this work, we propose a novel optimization-based pruning framework that considers the combined effect of pruning (and updating) multiple weights subject to a sparsity constraint. Our approach, CHITA, extends the classical Optimal Brain Surgeon framework and results in significant improvements in speed, memory, and performance over existing optimization-based approaches for network pruning. CHITA's main workhorse performs combinatorial optimization updates on a memory-friendly representation of local quadratic approximation(s) of the loss function. On a standard benchmark of pretrained models and datasets, CHITA leads to significantly better sparsity-accuracy tradeoffs than competing methods. For example, for MLPNet with only 2% of the weights retained, our approach improves the accuracy by 63% relative to the state of the art. Furthermore, when used in conjunction with fine-tuning SGD steps, our method achieves significant accuracy gains over the state-of-the-art approaches.

Extensive compute and memory requirements limit the deployment of large language models (LLMs) on any hardware. Compression methods, such as pruning, can reduce model size, which in turn reduces resource requirements. State-of-the-art pruning is based on coarse-grained methods. They are time-consuming and inherently remove critical model parameters, adversely impacting the quality of the pruned model. This paper introduces projection pruning, a novel fine-grained method for pruning LLMs. In addition, LLM projection pruning is enhanced by a new approach we refer to as composite projection pruning - the synergistic combination of unstructured pruning that retains accuracy and structured pruning that reduces model size. We develop Mosaic, a novel system to create and deploy pruned LLMs using composite projection pruning. Mosaic is evaluated using a range of performance and quality metrics on multiple hardware platforms, LLMs, and datasets. Mosaic is 7.19x faster in producing models than existing approaches. Mosaic models achieve up to 84.2% lower perplexity and 31.4% higher accuracy than models obtained from coarse-grained pruning. Up to 67% faster inference and 68% lower GPU memory use is noted for Mosaic models.

As deep neural networks include a high number of parameters and operations, it can be a challenge to implement these models on devices with limited computational resources. Despite the development of novel pruning methods toward resource-efficient models, it has become evident that these models are not capable of handling "imbalanced" and "limited number of data points". We proposed a novel filter pruning method by considering the input and output of filters along with the values of the filters that deal with imbalanced datasets better than others. Our pruning method considers the fact that all information about the importance of a filter may not be reflected in the value of the filter. Instead, it is reflected in the changes made to the data after the filter is applied to it. In this work, three methods are compared with the same training conditions except for the ranking values of each method, and 14 methods are compared from other papers. We demonstrated that our model performed significantly better than other methods for imbalanced medical datasets. For example, when we removed up to 58% of FLOPs for the IDRID dataset and up to 45% for the ISIC dataset, our model was able to yield an equivalent (or even superior) result to the baseline model. To evaluate FLOP and parameter reduction using our model in real-world settings, we built a smartphone app, where we demonstrated a reduction of up to 79% in memory usage and 72% in prediction time. All codes and parameters for training different models are available at https://github.com/mohofar/Beta-Rank

Adversarial pruning compresses models while preserving robustness. Current methods require access to adversarial examples during pruning. This significantly hampers training efficiency. Moreover, as new adversarial attacks and training methods develop at a rapid rate, adversarial pruning methods need to be modified accordingly to keep up. In this work, we propose a novel framework to prune a previously trained robust neural network while maintaining adversarial robustness, without further generating adversarial examples. We leverage concurrent self-distillation and pruning to preserve knowledge in the original model as well as regularizing the pruned model via the Hilbert-Schmidt Information Bottleneck. We comprehensively evaluate our proposed framework and show its superior performance in terms of both adversarial robustness and efficiency when pruning architectures trained on the MNIST, CIFAR-10, and CIFAR-100 datasets against five state-of-the-art attacks. Code is available at https://github.com/neu-spiral/PwoA/.

Recently, a race towards the simplification of deep networks has begun, showing that it is effectively possible to reduce the size of these models with minimal or no performance loss. However, there is a general lack in understanding why these pruning strategies are effective. In this work, we are going to compare and analyze pruned solutions with two different pruning approaches, one-shot and gradual, showing the higher effectiveness of the latter. In particular, we find that gradual pruning allows access to narrow, well-generalizing minima, which are typically ignored when using one-shot approaches. In this work we also propose PSP-entropy, a measure to understand how a given neuron correlates to some specific learned classes. Interestingly, we observe that the features extracted by iteratively-pruned models are less correlated to specific classes, potentially making these models a better fit in transfer learning approaches.

Finetuning large language models inflates the costs of NLU applications and remains the bottleneck of development cycles. Recent works in computer vision use data pruning to reduce training time. Pruned data selection with static methods is based on a score calculated for each training example prior to finetuning, which involves important computational overhead. Moreover, the score may not necessarily be representative of sample importance throughout the entire training duration. We propose to address these issues with a refined version of dynamic data pruning, a curriculum which periodically scores and discards unimportant examples during finetuning. Our method leverages an EL2N metric that we extend to the joint intent and slot classification task, and an initial finetuning phase on the full train set. Our results on the GLUE benchmark and four joint NLU datasets show a better time-accuracy trade-off compared to static methods. Our method preserves full accuracy while training on 50% of the data points and reduces computational times by up to 41%. If we tolerate instead a minor drop of accuracy of 1%, we can prune 80% of the training examples for a reduction in finetuning time reaching 66%.

Surgical video understanding is a crucial prerequisite for advancing Computer-Assisted Surgery. While vision-language models (VLMs) have recently been applied to the surgical domain, existing surgical vision-language datasets lack in capturing and evaluating complex, interleaved spatial-temporal dynamics. Creating large scale datasets that accurately represent fine-grained spatial-temporal relationships in surgical videos is challenging due to costly manual annotations or error-prone generation using large language models. To address this gap, we introduce the SurgSTU-Pipeline, a deterministic generation pipeline featuring temporal and spatial continuity filtering to reliably create surgical datasets for fine-grained spatial-temporal multimodal understanding. Applying this pipeline to publicly available surgical datasets, we create the SurgSTU dataset, comprising 7515 video clips densely extended with 150k fine-grained spatial-temporal question-answer samples. Our comprehensive evaluation shows that while state-of-the-art generalist VLMs struggle in zero-shot settings, their spatial-temporal capabilities can be improved through in-context learning. A fine-tuned VLM on the SurgSTU training dataset achieves highest performance among all spatial-temporal tasks, validating the dataset's efficacy to improve spatial-temporal understanding of VLMs in surgical videos. Code will be made publicly available.

Pruning is a promising approach to compress complex deep learning models in order to deploy them on resource-constrained edge devices. However, many existing pruning solutions are based on unstructured pruning, which yields models that cannot efficiently run on commodity hardware and require users to manually explore and tune the pruning process, which is time-consuming and often leads to sub-optimal results. To address these limitations, this paper presents an adaptive, activation-based, structured pruning approach to automatically and efficiently generate small, accurate, and hardware-efficient models that meet user requirements. First, it proposes iterative structured pruning using activation-based attention feature maps to effectively identify and prune unimportant filters. Then, it proposes adaptive pruning policies for automatically meeting the pruning objectives of accuracy-critical, memory-constrained, and latency-sensitive tasks. A comprehensive evaluation shows that the proposed method can substantially outperform the state-of-the-art structured pruning works on CIFAR-10 and ImageNet datasets. For example, on ResNet-56 with CIFAR-10, without any accuracy drop, our method achieves the largest parameter reduction (79.11%), outperforming the related works by 22.81% to 66.07%, and the largest FLOPs reduction (70.13%), outperforming the related works by 14.13% to 26.53%.

Surgical practice involves complex visual interpretation, procedural skills, and advanced medical knowledge, making surgical vision-language pretraining (VLP) particularly challenging due to this complexity and the limited availability of annotated data. To address the gap, we propose OphCLIP, a hierarchical retrieval-augmented vision-language pretraining framework specifically designed for ophthalmic surgical workflow understanding. OphCLIP leverages the OphVL dataset we constructed, a large-scale and comprehensive collection of over 375K hierarchically structured video-text pairs with tens of thousands of different combinations of attributes (surgeries, phases/operations/actions, instruments, medications, as well as more advanced aspects like the causes of eye diseases, surgical objectives, and postoperative recovery recommendations, etc). These hierarchical video-text correspondences enable OphCLIP to learn both fine-grained and long-term visual representations by aligning short video clips with detailed narrative descriptions and full videos with structured titles, capturing intricate surgical details and high-level procedural insights, respectively. Our OphCLIP also designs a retrieval-augmented pretraining framework to leverage the underexplored large-scale silent surgical procedure videos, automatically retrieving semantically relevant content to enhance the representation learning of narrative videos. Evaluation across 11 datasets for phase recognition and multi-instrument identification shows OphCLIP's robust generalization and superior performance.

Model pruning is a popular approach to enable the deployment of large deep learning models on edge devices with restricted computational or storage capacities. Although sparse models achieve performance comparable to that of their dense counterparts at the level of the entire dataset, they exhibit high accuracy drops for some data sub-groups. Existing methods to mitigate this disparate impact induced by pruning (i) rely on surrogate metrics that address the problem indirectly and have limited interpretability; or (ii) scale poorly with the number of protected sub-groups in terms of computational cost. We propose a constrained optimization approach that directly addresses the disparate impact of pruning: our formulation bounds the accuracy change between the dense and sparse models, for each sub-group. This choice of constraints provides an interpretable success criterion to determine if a pruned model achieves acceptable disparity levels. Experimental results demonstrate that our technique scales reliably to problems involving large models and hundreds of protected sub-groups.

Network Pruning is a promising way to address the huge computing resource demands of the deployment and inference of Large Language Models (LLMs). Retraining-free is important for LLMs' pruning methods. However, almost all of the existing retraining-free pruning approaches for LLMs focus on unstructured pruning, which requires specific hardware support for acceleration. In this paper, we propose a novel retraining-free structured pruning framework for LLMs, named FLAP (FLuctuation-based Adaptive Structured Pruning). It is hardware-friendly by effectively reducing storage and enhancing inference speed. For effective structured pruning of LLMs, we highlight three critical elements that demand the utmost attention: formulating structured importance metrics, adaptively searching the global compressed model, and implementing compensation mechanisms to mitigate performance loss. First, FLAP determines whether the output feature map is easily recoverable when a column of weight is removed, based on the fluctuation pruning metric. Then it standardizes the importance scores to adaptively determine the global compressed model structure. At last, FLAP adds additional bias terms to recover the output feature maps using the baseline values. We thoroughly evaluate our approach on a variety of language benchmarks. Without any retraining, our method significantly outperforms the state-of-the-art methods, including LLM-Pruner and the extension of Wanda in structured pruning. The code is released at https://github.com/CASIA-IVA-Lab/FLAP.

Pruning methods have recently grown in popularity as an effective way to reduce the size and computational complexity of deep neural networks. Large numbers of parameters can be removed from trained models with little discernible loss in accuracy after a small number of continued training epochs. However, pruning too many parameters at once often causes an initial steep drop in accuracy which can undermine convergence quality. Iterative pruning approaches mitigate this by gradually removing a small number of parameters over multiple epochs. However, this can still lead to subnetworks that overfit local regions of the loss landscape. We introduce a novel and effective approach to tuning subnetworks through a regularization technique we call Stochastic Subnetwork Annealing. Instead of removing parameters in a discrete manner, we instead represent subnetworks with stochastic masks where each parameter has a probabilistic chance of being included or excluded on any given forward pass. We anneal these probabilities over time such that subnetwork structure slowly evolves as mask values become more deterministic, allowing for a smoother and more robust optimization of subnetworks at high levels of sparsity.

This paper presents a survey of methods for pruning deep neural networks. It begins by categorising over 150 studies based on the underlying approach used and then focuses on three categories: methods that use magnitude based pruning, methods that utilise clustering to identify redundancy, and methods that use sensitivity analysis to assess the effect of pruning. Some of the key influencing studies within these categories are presented to highlight the underlying approaches and results achieved. Most studies present results which are distributed in the literature as new architectures, algorithms and data sets have developed with time, making comparison across different studied difficult. The paper therefore provides a resource for the community that can be used to quickly compare the results from many different methods on a variety of data sets, and a range of architectures, including AlexNet, ResNet, DenseNet and VGG. The resource is illustrated by comparing the results published for pruning AlexNet and ResNet50 on ImageNet and ResNet56 and VGG16 on the CIFAR10 data to reveal which pruning methods work well in terms of retaining accuracy whilst achieving good compression rates. The paper concludes by identifying some promising directions for future research.

The increasing complexity and parameter count of Convolutional Neural Networks (CNNs) and Transformers pose challenges in terms of computational efficiency and resource demands. Pruning has been identified as an effective strategy to address these challenges by removing redundant elements such as neurons, channels, or connections, thereby enhancing computational efficiency without heavily compromising performance. This paper builds on the foundational work of Optimal Brain Damage (OBD) by advancing the methodology of parameter importance estimation using the Hessian matrix. Unlike previous approaches that rely on approximations, we introduce Optimal Brain Apoptosis (OBA), a novel pruning method that calculates the Hessian-vector product value directly for each parameter. By decomposing the Hessian matrix across network layers and identifying conditions under which inter-layer Hessian submatrices are non-zero, we propose a highly efficient technique for computing the second-order Taylor expansion of parameters. This approach allows for a more precise pruning process, particularly in the context of CNNs and Transformers, as validated in our experiments including VGG19, ResNet32, ResNet50, and ViT-B/16 on CIFAR10, CIFAR100 and Imagenet datasets. Our code is available at https://github.com/NEU-REAL/OBA.

We propose a novel Two-Stage framework for Structured Pruning (2SSP) for pruning Large Language Models (LLMs), which combines two different strategies of pruning, namely Width and Depth Pruning. The first stage (Width Pruning) removes entire neurons, hence their corresponding rows and columns, aiming to preserve the connectivity among the pruned structures in the intermediate state of the Feed-Forward Networks in each Transformer block. This is done based on an importance score measuring the impact of each neuron over the output magnitude. The second stage (Depth Pruning), instead, removes entire Attention submodules. This is done by applying an iterative process that removes the Attention submodules with the minimum impact on a given metric of interest (in our case, perplexity). We also propose a novel mechanism to balance the sparsity rate of the two stages w.r.t. to the desired global sparsity. We test 2SSP on four LLM families and three sparsity rates (25\%, 37.5\%, and 50\%), measuring the resulting perplexity over three language modeling datasets as well as the performance over six downstream tasks. Our method consistently outperforms five state-of-the-art competitors over three language modeling and six downstream tasks, with an up to two-order-of-magnitude gain in terms of pruning time. The code is available at available at https://github.com/FabrizioSandri/2SSP.

Vision-language pre-training (VLP) offers unique advantages for surgery by aligning language with surgical videos, enabling workflow understanding and transfer across tasks without relying on expert-labeled datasets. However, progress in surgical VLP remains constrained by the limited scale, procedural diversity, semantic quality, and hierarchical structure of existing datasets. In this work, we present SurgLaVi, the largest and most diverse surgical vision-language dataset to date, comprising nearly 240k clip-caption pairs from more than 200 procedures, and comprising hierarchical levels at phase-, step-, and task-level. At the core of SurgLaVi lies a fully automated pipeline that systematically generates fine-grained transcriptions of surgical videos and segments them into coherent procedural units. To ensure high-quality annotations, it applies dual-modality filtering to remove irrelevant and noisy samples. Within this framework, the resulting captions are enriched with contextual detail, producing annotations that are both semantically rich and easy to interpret. To ensure accessibility, we release SurgLaVi-eta, an open-source derivative of 113k clip-caption pairs constructed entirely from public data, which is over four times larger than existing surgical VLP datasets. To demonstrate the value of SurgLaVi datasets, we introduce SurgCLIP, a CLIP-style video-text contrastive framework with dual encoders, as a representative base model. SurgCLIP achieves consistent improvements across phase, step, action, and tool recognition, surpassing prior state-of-the-art methods, often by large margins. These results validate that large-scale, semantically rich, and hierarchically structured datasets directly translate into stronger and more generalizable representations, establishing SurgLaVi as a key resource for developing surgical foundation models.

Overparameterized Neural Networks (NN) display state-of-the-art performance. However, there is a growing need for smaller, energy-efficient, neural networks tobe able to use machine learning applications on devices with limited computational resources. A popular approach consists of using pruning techniques. While these techniques have traditionally focused on pruning pre-trained NN (LeCun et al.,1990; Hassibi et al., 1993), recent work by Lee et al. (2018) has shown promising results when pruning at initialization. However, for Deep NNs, such procedures remain unsatisfactory as the resulting pruned networks can be difficult to train and, for instance, they do not prevent one layer from being fully pruned. In this paper, we provide a comprehensive theoretical analysis of Magnitude and Gradient based pruning at initialization and training of sparse architectures. This allows us to propose novel principled approaches which we validate experimentally on a variety of NN architectures.

Network pruning, aimed at reducing network size while preserving accuracy, has attracted significant research interest. Numerous pruning techniques have been proposed over time. They are becoming increasingly effective, but more complex and harder to interpret as well. Given the inherent complexity of neural networks, we argue that manually designing pruning criteria has reached a bottleneck. To address this, we propose a novel approach in which we "use a neural network to prune neural networks". More specifically, we introduce the newly developed idea of metanetwork from meta-learning into pruning. A metanetwork is a network that takes another network as input and produces a modified network as output. In this paper, we first establish a bijective mapping between neural networks and graphs, and then employ a graph neural network as our metanetwork. We train a metanetwork that learns the pruning strategy automatically which can transform a network that is hard to prune into another network that is much easier to prune. Once the metanetwork is trained, our pruning needs nothing more than a feedforward through the metanetwork and the standard finetuning to prune at state-of-the-art. Our method achieved outstanding results on many popular and representative pruning tasks (including ResNet56 on CIFAR10, VGG19 on CIFAR100, ResNet50 on ImageNet). Our code is available at https://github.com/Yewei-Liu/MetaPruning

Surgical tool segmentation and action recognition are fundamental building blocks in many computer-assisted intervention applications, ranging from surgical skills assessment to decision support systems. Nowadays, learning-based action recognition and segmentation approaches outperform classical methods, relying, however, on large, annotated datasets. Furthermore, action recognition and tool segmentation algorithms are often trained and make predictions in isolation from each other, without exploiting potential cross-task relationships. With the EndoVis 2022 SAR-RARP50 challenge, we release the first multimodal, publicly available, in-vivo, dataset for surgical action recognition and semantic instrumentation segmentation, containing 50 suturing video segments of Robotic Assisted Radical Prostatectomy (RARP). The aim of the challenge is twofold. First, to enable researchers to leverage the scale of the provided dataset and develop robust and highly accurate single-task action recognition and tool segmentation approaches in the surgical domain. Second, to further explore the potential of multitask-based learning approaches and determine their comparative advantage against their single-task counterparts. A total of 12 teams participated in the challenge, contributing 7 action recognition methods, 9 instrument segmentation techniques, and 4 multitask approaches that integrated both action recognition and instrument segmentation. The complete SAR-RARP50 dataset is available at: https://rdr.ucl.ac.uk/projects/SARRARP50_Segmentation_of_surgical_instrumentation_and_Action_Recognition_on_Robot-Assisted_Radical_Prostatectomy_Challenge/191091

Esophageal cancer is among the most common types of cancer worldwide. It is traditionally treated using open esophagectomy, but in recent years, robot-assisted minimally invasive esophagectomy (RAMIE) has emerged as a promising alternative. However, robot-assisted surgery can be challenging for novice surgeons, as they often suffer from a loss of spatial orientation. Computer-aided anatomy recognition holds promise for improving surgical navigation, but research in this area remains limited. In this study, we developed a comprehensive dataset for semantic segmentation in RAMIE, featuring the largest collection of vital anatomical structures and surgical instruments to date. Handling this diverse set of classes presents challenges, including class imbalance and the recognition of complex structures such as nerves. This study aims to understand the challenges and limitations of current state-of-the-art algorithms on this novel dataset and problem. Therefore, we benchmarked eight real-time deep learning models using two pretraining datasets. We assessed both traditional and attention-based networks, hypothesizing that attention-based networks better capture global patterns and address challenges such as occlusion caused by blood or other tissues. The benchmark includes our RAMIE dataset and the publicly available CholecSeg8k dataset, enabling a thorough assessment of surgical segmentation tasks. Our findings indicate that pretraining on ADE20k, a dataset for semantic segmentation, is more effective than pretraining on ImageNet. Furthermore, attention-based models outperform traditional convolutional neural networks, with SegNeXt and Mask2Former achieving higher Dice scores, and Mask2Former additionally excelling in average symmetric surface distance.

Surgical procedures are inherently complex and risky, requiring extensive expertise and constant focus to navigate evolving intraoperative scenes. Computer-assisted systems such as surgical visual question answering (VQA) offer promises for education and intraoperative support. Current surgical VQA research largely focuses on static frame analysis, overlooking rich temporal semantics. Surgical video question answering is further challenged by low visual contrast, its highly knowledge-driven nature, diverse analytical needs spanning scattered temporal windows, and the hierarchy from basic perception to high-level intraoperative assessment. To address these challenges, we propose SurgTEMP, a multimodal LLM framework featuring (i) a query-guided token selection module that builds hierarchical visual memory (spatial and temporal memory banks) and (ii) a Surgical Competency Progression (SCP) training scheme. Together, they enable effective modeling of variable-length surgical videos while preserving procedure-relevant cues and temporal coherence, and better support diverse downstream assessment tasks. To support model development, we introduce CholeVidQA-32K, a surgical video question answering dataset comprising 32K open-ended QA pairs and 3,855 video segments (approximately 128 h total) from laparoscopic cholecystectomy. The dataset is organized into a three-level hierarchy -- Perception, Assessment, and Reasoning -- spanning 11 tasks from instrument/action/anatomy perception to Critical View of Safety (CVS), intraoperative difficulty, skill proficiency, and adverse event assessment. In comprehensive evaluations against state-of-the-art open-source multimodal and video LLMs (fine-tuned and zero-shot), SurgTEMP achieves substantial performance improvements, advancing the state of video-based surgical VQA. The project page is available at: https://camma-public.github.io/SurgTEMP/

Pruning is a well-established technique for removing unnecessary structure from neural networks after training to improve the performance of inference. Several recent results have explored the possibility of pruning at initialization time to provide similar benefits during training. In particular, the "lottery ticket hypothesis" conjectures that typical neural networks contain small subnetworks that can train to similar accuracy in a commensurate number of steps. The evidence for this claim is that a procedure based on iterative magnitude pruning (IMP) reliably finds such subnetworks retroactively on small vision tasks. However, IMP fails on deeper networks, and proposed methods to prune before training or train pruned networks encounter similar scaling limitations. In this paper, we argue that these efforts have struggled on deeper networks because they have focused on pruning precisely at initialization. We modify IMP to search for subnetworks that could have been obtained by pruning early in training (0.1% to 7% through) rather than at iteration 0. With this change, it finds small subnetworks of deeper networks (e.g., 80% sparsity on Resnet-50) that can complete the training process to match the accuracy of the original network on more challenging tasks (e.g., ImageNet). In situations where IMP fails at iteration 0, the accuracy benefits of delaying pruning accrue rapidly over the earliest iterations of training. To explain these behaviors, we study subnetwork "stability," finding that - as accuracy improves in this fashion - IMP subnetworks train to parameters closer to those of the full network and do so with improved consistency in the face of gradient noise. These results offer new insights into the opportunity to prune large-scale networks early in training and the behaviors underlying the lottery ticket hypothesis

Pruning has become a widely adopted technique for reducing the hardware requirements of large language models (LLMs). To recover model performance after pruning, post-training is commonly employed to mitigate the resulting performance degradation. While post-training benefits from larger datasets, once the dataset size is already substantial, increasing the training data provides only limited performance gains. To balance post-training cost and model performance, it is necessary to explore the optimal amount of post-training data.Through extensive experiments on the Llama-3 and Qwen-2.5 series models, pruned using various common pruning methods, we uncover the scaling Law for Post-training after model Pruning, referred to as the P^2 Law.This law identifies four key factors for predicting the pruned model's post-training loss: the model size before pruning, the number of post-training tokens, the pruning rate, and the model's loss before pruning. Moreover, P^2 Law can generalize to larger dataset sizes, larger model sizes, and higher pruning rates, offering valuable insights for the post-training of pruned LLMs.

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

Deep learning approaches have provided state-of-the-art performance in many applications by relying on large and overparameterized neural networks. However, such networks have been shown to be very brittle and are difficult to deploy on resource-limited platforms. Model pruning, i.e., reducing the size of the network, is a widely adopted strategy that can lead to a more robust and compact model. Many heuristics exist for model pruning, but empirical studies show that some heuristics improve performance whereas others can make models more brittle or have other side effects. This work aims to shed light on how different pruning methods alter the network's internal feature representation and the corresponding impact on model performance. To facilitate a comprehensive comparison and characterization of the high-dimensional model feature space, we introduce a visual geometric analysis of feature representations. We decomposed and evaluated a set of critical geometric concepts from the common adopted classification loss, and used them to design a visualization system to compare and highlight the impact of pruning on model performance and feature representation. The proposed tool provides an environment for in-depth comparison of pruning methods and a comprehensive understanding of how model response to common data corruption. By leveraging the proposed visualization, machine learning researchers can reveal the similarities between pruning methods and redundant in robustness evaluation benchmarks, obtain geometric insights about the differences between pruned models that achieve superior robustness performance, and identify samples that are robust or fragile to model pruning and common data corruption to model pruning and data corruption but also obtain insights and explanations on how some pruned models achieve superior robustness performance.

Purpose: A profound education of novice surgeons is crucial to ensure that surgical interventions are effective and safe. One important aspect is the teaching of technical skills for minimally invasive or robot-assisted procedures. This includes the objective and preferably automatic assessment of surgical skill. Recent studies presented good results for automatic, objective skill evaluation by collecting and analyzing motion data such as trajectories of surgical instruments. However, obtaining the motion data generally requires additional equipment for instrument tracking or the availability of a robotic surgery system to capture kinematic data. In contrast, we investigate a method for automatic, objective skill assessment that requires video data only. This has the advantage that video can be collected effortlessly during minimally invasive and robot-assisted training scenarios. Methods: Our method builds on recent advances in deep learning-based video classification. Specifically, we propose to use an inflated 3D ConvNet to classify snippets, i.e., stacks of a few consecutive frames, extracted from surgical video. The network is extended into a Temporal Segment Network during training. Results: We evaluate the method on the publicly available JIGSAWS dataset, which consists of recordings of basic robot-assisted surgery tasks performed on a dry lab bench-top model. Our approach achieves high skill classification accuracies ranging from 95.1% to 100.0%. Conclusions: Our results demonstrate the feasibility of deep learning-based assessment of technical skill from surgical video. Notably, the 3D ConvNet is able to learn meaningful patterns directly from the data, alleviating the need for manual feature engineering. Further evaluation will require more annotated data for training and testing.

Surgical video-language pretraining (VLP) faces unique challenges due to the knowledge domain gap and the scarcity of multi-modal data. This study aims to bridge the gap by addressing issues regarding textual information loss in surgical lecture videos and the spatial-temporal challenges of surgical VLP. We propose a hierarchical knowledge augmentation approach and a novel Procedure-Encoded Surgical Knowledge-Augmented Video-Language Pretraining (PeskaVLP) framework to tackle these issues. The knowledge augmentation uses large language models (LLM) for refining and enriching surgical concepts, thus providing comprehensive language supervision and reducing the risk of overfitting. PeskaVLP combines language supervision with visual self-supervision, constructing hard negative samples and employing a Dynamic Time Warping (DTW) based loss function to effectively comprehend the cross-modal procedural alignment. Extensive experiments on multiple public surgical scene understanding and cross-modal retrieval datasets show that our proposed method significantly improves zero-shot transferring performance and offers a generalist visual representation for further advancements in surgical scene understanding.The code is available at https://github.com/CAMMA-public/SurgVLP

Automatically recognizing surgical gestures is a crucial step towards a thorough understanding of surgical skill. Possible areas of application include automatic skill assessment, intra-operative monitoring of critical surgical steps, and semi-automation of surgical tasks. Solutions that rely only on the laparoscopic video and do not require additional sensor hardware are especially attractive as they can be implemented at low cost in many scenarios. However, surgical gesture recognition based only on video is a challenging problem that requires effective means to extract both visual and temporal information from the video. Previous approaches mainly rely on frame-wise feature extractors, either handcrafted or learned, which fail to capture the dynamics in surgical video. To address this issue, we propose to use a 3D Convolutional Neural Network (CNN) to learn spatiotemporal features from consecutive video frames. We evaluate our approach on recordings of robot-assisted suturing on a bench-top model, which are taken from the publicly available JIGSAWS dataset. Our approach achieves high frame-wise surgical gesture recognition accuracies of more than 84%, outperforming comparable models that either extract only spatial features or model spatial and low-level temporal information separately. For the first time, these results demonstrate the benefit of spatiotemporal CNNs for video-based surgical gesture recognition.

Recently, state-of-the-art approaches for pruning large pre-trained models (LPMs) have demonstrated that the training-free removal of non-critical residual blocks in Transformers is viable for reducing model size, achieving results that outperform previous training-free pruning approaches. Motivated by these findings, we extend BlockPruner (Zhong et al., 2024) and propose MultiPruner, a pruning approach that surpasses recent training-free pruning methods by adopting a multidimensional, iterative, fine-grained pruning strategy. In MultiPruner, multidimensional pruning reinstates the structural balance in block-pruned models by sequentially compressing along three dimensions: i) residual blocks, ii) channels of multilayer perceptrons (MLP), and iii) attention heads. This solution enhances zero-shot accuracy on downstream tasks compared to other techniques while improving model compression ratios, producing compressed models with fewer computing and memory requirements. Extensive experiments demonstrate the advantages of the proposed method across various large pre-trained models. The code and pruning configurations are available at https://github.com/IntelLabs/Hardware-Aware-Automated-Machine-Learning.

Pruning deep neural networks is a widely used strategy to alleviate the computational burden in machine learning. Overwhelming empirical evidence suggests that pruned models retain very high accuracy even with a tiny fraction of parameters. However, relatively little work has gone into characterising the small pruned networks obtained, beyond a measure of their accuracy. In this paper, we use the sparse double descent approach to identify univocally and characterise pruned models associated with classification tasks. We observe empirically that, for a given task, iterative magnitude pruning (IMP) tends to converge to networks of comparable sizes even when starting from full networks with sizes ranging over orders of magnitude. We analyse the best pruned models in a controlled experimental setup and show that their number of parameters reflects task difficulty and that they are much better than full networks at capturing the true conditional probability distribution of the labels. On real data, we similarly observe that pruned models are less prone to overconfident predictions. Our results suggest that pruned models obtained via IMP not only have advantageous computational properties but also provide a better representation of uncertainty in learning.

Large language models (LLMs) have garnered significant attention for their remarkable capabilities across various domains, whose vast parameter scales present challenges for practical deployment. Structured pruning is an effective method to balance model performance with efficiency, but performance restoration under computational resource constraints is a principal challenge in pruning LLMs. Therefore, we present a low-cost and fast structured pruning method for LLMs named SlimGPT based on the Optimal Brain Surgeon framework. We propose Batched Greedy Pruning for rapid and near-optimal pruning, which enhances the accuracy of head-wise pruning error estimation through grouped Cholesky decomposition and improves the pruning efficiency of FFN via Dynamic Group Size, thereby achieving approximate local optimal pruning results within one hour. Besides, we explore the limitations of layer-wise pruning from the perspective of error accumulation and propose Incremental Pruning Ratio, a non-uniform pruning strategy to reduce performance degradation. Experimental results on the LLaMA benchmark show that SlimGPT outperforms other methods and achieves state-of-the-art results.

Oracle pruning, which selects unimportant weights by minimizing the pruned train loss, has been taken as the foundation for most neural network pruning methods for over 35 years, while few (if not none) have thought about how much the foundation really holds. This paper, for the first time, attempts to examine its validity on modern deep models through empirical correlation analyses and provide reflections on the field of neural network pruning. Specifically, for a typical pruning algorithm with three stages (pertaining, pruning, and retraining), we analyze the model performance correlation before and after retraining. Extensive experiments (37K models are trained) across a wide spectrum of models (LeNet5, VGG, ResNets, ViT, MLLM) and datasets (MNIST and its variants, CIFAR10/CIFAR100, ImageNet-1K, MLLM data) are conducted. The results lead to a surprising conclusion: on modern deep learning models, the performance before retraining is barely correlated with the performance after retraining. Namely, the weights selected by oracle pruning can hardly guarantee a good performance after retraining. This further implies that existing works using oracle pruning to derive pruning criteria may be groundless from the beginning. Further studies suggest the rising task complexity is one factor that makes oracle pruning invalid nowadays. Finally, given the evidence, we argue that the retraining stage in a pruning algorithm should be accounted for when developing any pruning criterion.

Large pre-trained models (LPMs), such as LLaMA and GLM, have shown exceptional performance across various tasks through fine-tuning. Although low-rank adaption (LoRA) has emerged to cheaply fine-tune these LPMs on downstream tasks, their deployment is still hindered by the vast model scale and computational costs. Neural network pruning offers a way to compress LPMs. However, the current pruning methods designed for LPMs are not compatible with LoRA. This is due to their utilization of unstructured pruning on LPMs, impeding the merging of LoRA weights, or their dependence on the gradients of pre-trained weights to guide pruning, which can impose significant memory overhead. To this end, we propose LoRAPrune, a new framework that delivers an accurate, compact model for efficient inference in a highly memory-effective manner. Specifically, we first design a LoRA-guided pruning criterion, which uses the weights and gradients of LoRA, rather than the gradients of pre-trained weights for importance estimation. We then propose a structured iterative pruning procedure, to remove redundant channels and heads. Extensive experimental results demonstrate the superior performance of our LoRAPrune over existing approaches on the LLaMA series models. For instance, at a 50\% compression rate, LoRAPrune outperforms LLM-Pruner by a perplexity reduction of 8.0 on WikiText2 and 16.05 on PTB datasets, while concurrently reducing memory usage by 52.6\%. The code will be released after review

Retrieval-augmented generation improves various aspects of large language models (LLMs) generation, but suffers from computational overhead caused by long contexts as well as the propagation of irrelevant retrieved information into generated responses. Context pruning deals with both aspects, by removing irrelevant parts of retrieved contexts before LLM generation. Existing context pruning approaches are however limited, and do not provide a universal model that would be both efficient and robust in a wide range of scenarios, e.g., when contexts contain a variable amount of relevant information or vary in length, or when evaluated on various domains. In this work, we close this gap and introduce Provence (Pruning and Reranking Of retrieVEd relevaNt ContExts), an efficient and robust context pruner for Question Answering, which dynamically detects the needed amount of pruning for a given context and can be used out-of-the-box for various domains. The three key ingredients of Provence are formulating the context pruning task as sequence labeling, unifying context pruning capabilities with context reranking, and training on diverse data. Our experimental results show that Provence enables context pruning with negligible to no drop in performance, in various domains and settings, at almost no cost in a standard RAG pipeline. We also conduct a deeper analysis alongside various ablations to provide insights into training context pruners for future work.

Speculative decoding (SD) accelerates large language model inference by leveraging a draft-then-verify paradigm. To maximize the acceptance rate, recent methods construct expansive draft trees, which unfortunately incur severe VRAM bandwidth and computational overheads that bottleneck end-to-end speedups. While dynamic-depth pruning can reduce this latency by removing marginal branches, it also discards potentially valid candidates, preventing the acceptance rate from reaching the upper bound of dense trees. In this paper, we identify a critical opportunity in resource allocation: the transition from dense to pruned drafting frees up significant computational budget. To break this Pareto tradeoff, we introduce Graft, a compensation framework that couples pruning and retrieval as mutually reinforcing operations. Pruning supplies sufficient budget for retrieval, while retrieval compensates for pruning-induced coverage loss and recovers accepted length. By employing a sequential `prune-then-graft' mechanism, Graft attaches highly predictive retrieved tokens into positions opened by pruning, filling the topological gaps with near-zero overhead. Graft is entirely training-free and lossless. Comprehensive evaluations show that Graft establishes a new Pareto frontier across practical deployment settings, including short-context generation, long-context generation, and large-scale models. On short-context benchmarks, it achieves up to 5.41times speedup and improves average speedup over EAGLE-3 by up to 21.8% on the large-scale Qwen3-235B. We also provide a preliminary exploration of applying Graft to the DFlash-style block drafting paradigm, offering initial evidence and insights for extending grafting beyond autoregressive draft trees.

Given a pretrained encoder-based language model, how can we accurately compress it without retraining? Retraining-free structured pruning algorithms are crucial in pretrained language model compression due to their significantly reduced pruning cost and capability to prune large language models. However, existing retraining-free algorithms encounter severe accuracy degradation, as they fail to handle pruning errors, especially at high compression rates. In this paper, we propose K-prune (Knowledge-preserving pruning), an accurate retraining-free structured pruning algorithm for pretrained encoder-based language models. K-prune focuses on preserving the useful knowledge of the pretrained model to minimize pruning errors through a carefully designed iterative pruning process composed of knowledge measurement, knowledge-preserving mask search, and knowledge-preserving weight-tuning. As a result, K-prune shows significant accuracy improvements up to 58.02%p higher F1 score compared to existing retraining-free pruning algorithms under a high compression rate of 80% on the SQuAD benchmark without any retraining process.

Neural network pruning techniques can reduce the parameter counts of trained networks by over 90%, decreasing storage requirements and improving computational performance of inference without compromising accuracy. However, contemporary experience is that the sparse architectures produced by pruning are difficult to train from the start, which would similarly improve training performance. We find that a standard pruning technique naturally uncovers subnetworks whose initializations made them capable of training effectively. Based on these results, we articulate the "lottery ticket hypothesis:" dense, randomly-initialized, feed-forward networks contain subnetworks ("winning tickets") that - when trained in isolation - reach test accuracy comparable to the original network in a similar number of iterations. The winning tickets we find have won the initialization lottery: their connections have initial weights that make training particularly effective. We present an algorithm to identify winning tickets and a series of experiments that support the lottery ticket hypothesis and the importance of these fortuitous initializations. We consistently find winning tickets that are less than 10-20% of the size of several fully-connected and convolutional feed-forward architectures for MNIST and CIFAR10. Above this size, the winning tickets that we find learn faster than the original network and reach higher test accuracy.

Neural Networks can be efficiently compressed through pruning, significantly reducing storage and computational demands while maintaining predictive performance. Simple yet effective methods like Iterative Magnitude Pruning (IMP, Han et al., 2015) remove less important parameters and require a costly retraining procedure to recover performance after pruning. However, with the rise of Large Language Models (LLMs), full retraining has become infeasible due to memory and compute constraints. In this study, we challenge the practice of retraining all parameters by demonstrating that updating only a small subset of highly expressive parameters is often sufficient to recover or even improve performance compared to full retraining. Surprisingly, retraining as little as 0.27%-0.35% of the parameters of GPT-architectures (OPT-2.7B/6.7B/13B/30B) achieves comparable performance to One Shot IMP across various sparsity levels. Our method, Parameter-Efficient Retraining after Pruning (PERP), drastically reduces compute and memory demands, enabling pruning and retraining of up to 30 billion parameter models on a single NVIDIA A100 GPU within minutes. Despite magnitude pruning being considered as unsuited for pruning LLMs, our findings show that PERP positions it as a strong contender against state-of-the-art retraining-free approaches such as Wanda (Sun et al., 2023) and SparseGPT (Frantar & Alistarh, 2023), opening up a promising alternative to avoiding retraining.

Intra-operative recognition of surgical phases holds significant potential for enhancing real-time contextual awareness in the operating room. However, we argue that online recognition, while beneficial, primarily lends itself to post-operative video analysis due to its limited direct impact on the actual surgical decisions and actions during ongoing procedures. In contrast, we contend that the prediction and anticipation of surgical phases are inherently more valuable for intra-operative assistance, as they can meaningfully influence a surgeon's immediate and long-term planning by providing foresight into future steps. To address this gap, we propose a dual approach that simultaneously recognises the current surgical phase and predicts upcoming ones, thus offering comprehensive intra-operative assistance and guidance on the expected remaining workflow. Our novel method, Surgical Phase Recognition and Anticipation (SuPRA), leverages past and current information for accurate intra-operative phase recognition while using future segments for phase prediction. This unified approach challenges conventional frameworks that treat these objectives separately. We have validated SuPRA on two reputed datasets, Cholec80 and AutoLaparo21, where it demonstrated state-of-the-art performance with recognition accuracies of 91.8% and 79.3%, respectively. Additionally, we introduce and evaluate our model using new segment-level evaluation metrics, namely Edit and F1 Overlap scores, for a more temporal assessment of segment classification. In conclusion, SuPRA presents a new multi-task approach that paves the way for improved intra-operative assistance through surgical phase recognition and prediction of future events.

Large volumes of text data have contributed significantly to the development of large language models (LLMs) in recent years. This data is typically acquired by scraping the internet, leading to pretraining datasets comprised of noisy web text. To date, efforts to prune these datasets down to a higher quality subset have relied on hand-crafted heuristics encoded as rule-based filters. In this work, we take a wider view and explore scalable estimates of data quality that can be used to systematically measure the quality of pretraining data. We perform a rigorous comparison at scale of the simple data quality estimator of perplexity, as well as more sophisticated and computationally intensive estimates of the Error L2-Norm and memorization. These metrics are used to rank and prune pretraining corpora, and we subsequently compare LLMs trained on these pruned datasets. Surprisingly, we find that the simple technique of perplexity outperforms our more computationally expensive scoring methods. We improve over our no-pruning baseline while training on as little as 30% of the original training dataset. Our work sets the foundation for unexplored strategies in automatically curating high quality corpora and suggests the majority of pretraining data can be removed while retaining performance.

Pruning promises a shortcut to strong small language models. In this work, we examine this promise by pruning Llama-3.1-8B at pruning ratios of 0.5--0.8 with six methods spanning depth, width, and sparse granularities, under two controlled token-matched settings. (1) With the same training token budget, pruned initialization consistently outperforms random initialization. This shows that the parent model provides a strong starting point, although the advantage narrows as the training token budget grows and as the pruning ratio rises, nearly vanishing at the highest pruning ratio we study. (2) When training from scratch is instead given the full token budget consumed by the whole pipeline, pruning at finer granularities still retains an advantage, while coarser structured pruning can be matched or surpassed. This suggests that the parent model transfers knowledge that additional training tokens alone cannot fully recover, but only at fine granularity. Taken together, our results yield a clear recommendation: with a large pretrained model in hand and a limited training token budget, pruning is better than training from scratch; when the training budget is not limited, training from scratch can be competitive for coarser pruning, so a large pretrained parent is not always necessary.

Purpose: Surgical workflow analysis is crucial for improving surgical efficiency and safety. However, previous studies rely heavily on large-scale annotated datasets, posing challenges in cost, scalability, and reliance on expert annotations. To address this, we propose Surg-FTDA (Few-shot Text-driven Adaptation), designed to handle various surgical workflow analysis tasks with minimal paired image-label data. Methods: Our approach has two key components. First, Few-shot selection-based modality alignment selects a small subset of images and aligns their embeddings with text embeddings from the downstream task, bridging the modality gap. Second, Text-driven adaptation leverages only text data to train a decoder, eliminating the need for paired image-text data. This decoder is then applied to aligned image embeddings, enabling image-related tasks without explicit image-text pairs. Results: We evaluate our approach to generative tasks (image captioning) and discriminative tasks (triplet recognition and phase recognition). Results show that Surg-FTDA outperforms baselines and generalizes well across downstream tasks. Conclusion: We propose a text-driven adaptation approach that mitigates the modality gap and handles multiple downstream tasks in surgical workflow analysis, with minimal reliance on large annotated datasets. The code and dataset will be released in https://github.com/CAMMA-public/Surg-FTDA

We present a comprehensive report on compressing the Llama 3.1 8B and Mistral NeMo 12B models to 4B and 8B parameters, respectively, using pruning and distillation. We explore two distinct pruning strategies: (1) depth pruning and (2) joint hidden/attention/MLP (width) pruning, and evaluate the results on common benchmarks from the LM Evaluation Harness. The models are then aligned with NeMo Aligner and tested in instruct-tuned versions. This approach produces a compelling 4B model from Llama 3.1 8B and a state-of-the-art Mistral-NeMo-Minitron-8B (MN-Minitron-8B for brevity) model from Mistral NeMo 12B. We found that with no access to the original data, it is beneficial to slightly fine-tune teacher models on the distillation dataset. We open-source our base model weights on Hugging Face with a permissive license.

To overcome the overparameterized problem in Pre-trained Language Models (PLMs), pruning is widely used as a simple and straightforward compression method by directly removing unimportant weights. Previous first-order methods successfully compress PLMs to extremely high sparsity with little performance drop. These methods, such as movement pruning, use first-order information to prune PLMs while fine-tuning the remaining weights. In this work, we argue fine-tuning is redundant for first-order pruning, since first-order pruning is sufficient to converge PLMs to downstream tasks without fine-tuning. Under this motivation, we propose Static Model Pruning (SMP), which only uses first-order pruning to adapt PLMs to downstream tasks while achieving the target sparsity level. In addition, we also design a new masking function and training objective to further improve SMP. Extensive experiments at various sparsity levels show SMP has significant improvements over first-order and zero-order methods. Unlike previous first-order methods, SMP is also applicable to low sparsity and outperforms zero-order methods. Meanwhile, SMP is more parameter efficient than other methods due to it does not require fine-tuning.

In this paper, we study the importance of pruning in Deep Networks (DNs) and the yin & yang relationship between (1) pruning highly overparametrized DNs that have been trained from random initialization and (2) training small DNs that have been "cleverly" initialized. As in most cases practitioners can only resort to random initialization, there is a strong need to develop a grounded understanding of DN pruning. Current literature remains largely empirical, lacking a theoretical understanding of how pruning affects DNs' decision boundary, how to interpret pruning, and how to design corresponding principled pruning techniques. To tackle those questions, we propose to employ recent advances in the theoretical analysis of Continuous Piecewise Affine (CPA) DNs. From this perspective, we will be able to detect the early-bird (EB) ticket phenomenon, provide interpretability into current pruning techniques, and develop a principled pruning strategy. In each step of our study, we conduct extensive experiments supporting our claims and results; while our main goal is to enhance the current understanding towards DN pruning instead of developing a new pruning method, our spline pruning criteria in terms of layerwise and global pruning is on par with or even outperforms state-of-the-art pruning methods.

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.

The rectified linear unit (ReLU) is a highly successful activation function in neural networks as it allows networks to easily obtain sparse representations, which reduces overfitting in overparameterized networks. However, in network pruning, we find that the sparsity introduced by ReLU, which we quantify by a term called dynamic dead neuron rate (DNR), is not beneficial for the pruned network. Interestingly, the more the network is pruned, the smaller the dynamic DNR becomes during optimization. This motivates us to propose a method to explicitly reduce the dynamic DNR for the pruned network, i.e., de-sparsify the network. We refer to our method as Activating-while-Pruning (AP). We note that AP does not function as a stand-alone method, as it does not evaluate the importance of weights. Instead, it works in tandem with existing pruning methods and aims to improve their performance by selective activation of nodes to reduce the dynamic DNR. We conduct extensive experiments using popular networks (e.g., ResNet, VGG) via two classical and three state-of-the-art pruning methods. The experimental results on public datasets (e.g., CIFAR-10/100) suggest that AP works well with existing pruning methods and improves the performance by 3% - 4%. For larger scale datasets (e.g., ImageNet) and state-of-the-art networks (e.g., vision transformer), we observe an improvement of 2% - 3% with AP as opposed to without. Lastly, we conduct an ablation study to examine the effectiveness of the components comprising AP.

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.

We introduce SurgAtlas, the largest surgical video-language dataset to date, comprising 15,291 videos (2,391 hours) spanning 18 surgical specialties and over 5,000 procedure types, sourced entirely from publicly available YouTube content. SurgAtlas is also the first surgical video-language dataset to include open surgery at scale, with 6,182 open procedure videos alongside over 9,000 minimally invasive recordings, and the first to establish standardized benchmarks for open-surgery video understanding. We additionally provide an expert-validated subset with verified visual question-answer pairs across diverse open and minimally invasive procedures, serving as a clinically grounded benchmark for surgical reasoning. Compared with existing surgical video-language datasets, SurgAtlas provides one of the most diverse annotation schemas, combining segment-level captions, step- and phase-level descriptions, video-level surgical descriptions, and reasoning-oriented question-answer pairs organized within a hierarchical taxonomy. These annotations are constructed through an automated multi-tier pipeline with LLM-based enrichment and a staged VQA generation framework with explicit groundedness verification. The scale and diversity of SurgAtlas enable training surgical foundation models with broad procedural coverage: we finetune Qwen3-VL-8B through a two-stage captioning-then-instruction pipeline and achieve competitive or state-of-the-art results on multiple established surgical benchmarks, including phase recognition, triplet detection, and reasoning question answering. More broadly, SurgAtlas provides a large native public video corpus that can support future large-scale pretraining of multimodal surgical AI systems and contribute to the development of next-generation foundation models for surgery.

Deep Neural Network (DNN) is powerful but computationally expensive and memory intensive, thus impeding its practical usage on resource-constrained front-end devices. DNN pruning is an approach for deep model compression, which aims at eliminating some parameters with tolerable performance degradation. In this paper, we propose a novel momentum-SGD-based optimization method to reduce the network complexity by on-the-fly pruning. Concretely, given a global compression ratio, we categorize all the parameters into two parts at each training iteration which are updated using different rules. In this way, we gradually zero out the redundant parameters, as we update them using only the ordinary weight decay but no gradients derived from the objective function. As a departure from prior methods that require heavy human works to tune the layer-wise sparsity ratios, prune by solving complicated non-differentiable problems or finetune the model after pruning, our method is characterized by 1) global compression that automatically finds the appropriate per-layer sparsity ratios; 2) end-to-end training; 3) no need for a time-consuming re-training process after pruning; and 4) superior capability to find better winning tickets which have won the initialization lottery.

Unstructured sparsity is now natively accelerated by recent GPU kernels and dataflow hardware, shifting the bottleneck from inference execution to the pruning algorithm. State-of-the-art methods for unstructured LLM pruning are layer-wise surrogates derived from the Optimal Brain Surgeon principle, and they sacrifice end-to-end accuracy, especially under aggressive sparsity. End-to-end alternatives such as MaskLLM and PATCH show that learnable masks can close this gap, but their categorical-over-patterns parameterization scales with the number of valid masks per row and does not port to the unstructured setting. We introduce LEAP, which replaces this intractable parameterization with a per-weight Bernoulli-via-Gumbel-sigmoid relaxation that makes end-to-end unstructured mask learning tractable. Across five LLM families from 0.5B to 8B parameters at 50% and 60% sparsity, LEAP improves six-task average zero-shot accuracy by +2.59 points on average over ADMM, the best layer-wise baseline in our sweep.

Data pruning algorithms are commonly used to reduce the memory and computational cost of the optimization process. Recent empirical results reveal that random data pruning remains a strong baseline and outperforms most existing data pruning methods in the high compression regime, i.e., where a fraction of 30% or less of the data is kept. This regime has recently attracted a lot of interest as a result of the role of data pruning in improving the so-called neural scaling laws; in [Sorscher et al.], the authors showed the need for high-quality data pruning algorithms in order to beat the sample power law. In this work, we focus on score-based data pruning algorithms and show theoretically and empirically why such algorithms fail in the high compression regime. We demonstrate ``No Free Lunch" theorems for data pruning and present calibration protocols that enhance the performance of existing pruning algorithms in this high compression regime using randomization.

Understanding and shaping the behaviour of Large Language Models (LLMs) is increasingly important as applications become more powerful and more frequently adopted. This paper introduces a machine unlearning method specifically designed for LLMs. We introduce a selective pruning method for LLMs that removes neurons based on their relative importance on a targeted capability compared to overall network performance. This approach is a compute- and data-efficient method for identifying and removing neurons that enable specific behaviours. Our findings reveal that both feed-forward and attention neurons in LLMs are specialized; that is, for specific tasks, certain neurons are more crucial than others. Code from all experiments is available at https://github.com/nickypro/selective-pruning

Deep learning algorithms are increasingly employed at the edge. However, edge devices are resource constrained and thus require efficient deployment of deep neural networks. Pruning methods are a key tool for edge deployment as they can improve storage, compute, memory bandwidth, and energy usage. In this paper we propose a novel accurate pruning technique that allows precise control over the output network size. Our method uses an efficient optimal transportation scheme which we make end-to-end differentiable and which automatically tunes the exploration-exploitation behavior of the algorithm to find accurate sparse sub-networks. We show that our method achieves state-of-the-art performance compared to previous pruning methods on 3 different datasets, using 5 different models, across a wide range of pruning ratios, and with two types of sparsity budgets and pruning granularities.

Network pruning, which removes less important parameters or architectures, is often expected to improve efficiency while preserving performance. However, this expectation does not consistently hold across language tasks: pruned models can perform well on non-generative tasks but frequently fail in generative settings. To understand this discrepancy, we analyze network pruning from a representation-hierarchy perspective, decomposing the internal computation of language models into three sequential spaces: embedding (hidden representations), logit (pre-softmax outputs), and probability (post-softmax distributions). We find that representations in the embedding and logit spaces are largely robust to pruning-induced perturbations. However, the nonlinear transformation from logits to probabilities amplifies these deviations, which accumulate across time steps and lead to substantial degradation during generation. In contrast, the stability of the categorical-token probability subspace, together with the robustness of the embedding space, supports the effectiveness of pruning for non-generative tasks such as retrieval and multiple-choice selection. Our analysis disentangles the effects of pruning across tasks and provides practical guidance for its application. Code is available at https://github.com/CASE-Lab-UMD/Pruning-on-Representations

Purpose: General consensus amongst researchers and industry points to a lack of large, representative annotated datasets as the biggest obstacle to progress in the field of surgical data science. Self-supervised learning represents a solution to part of this problem, removing the reliance on annotations. However, the robustness of current self-supervised learning methods to domain shifts remains unclear, limiting our understanding of its utility for leveraging diverse sources of surgical data. Methods: In this work, we employ self-supervised learning to flexibly leverage diverse surgical datasets, thereby learning taskagnostic representations that can be used for various surgical downstream tasks. Based on this approach, to elucidate the impact of pre-training on downstream task performance, we explore 22 different pre-training dataset combinations by modulating three variables: source hospital, type of surgical procedure, and pre-training scale (number of videos). We then finetune the resulting model initializations on three diverse downstream tasks: namely, phase recognition and critical view of safety in laparoscopic cholecystectomy and phase recognition in laparoscopic hysterectomy. Results: Controlled experimentation highlights sizable boosts in performance across various tasks, datasets, and labeling budgets. However, this performance is intricately linked to the composition of the pre-training dataset, robustly proven through several study stages. Conclusion: The composition of pre-training datasets can severely affect the effectiveness of SSL methods for various downstream tasks and should critically inform future data collection efforts to scale the application of SSL methodologies. Keywords: Self-Supervised Learning, Transfer Learning, Surgical Computer Vision, Endoscopic Videos, Critical View of Safety, Phase Recognition

Recent Artificial Intelligence (AI) models have matched or exceeded human experts in several benchmarks of biomedical task performance, but have lagged behind on surgical image-analysis benchmarks. Since surgery requires integrating disparate tasks -- including multimodal data integration, human interaction, and physical effects -- generally-capable AI models could be particularly attractive as a collaborative tool if performance could be improved. On the one hand, the canonical approach of scaling architecture size and training data is attractive, especially since there are millions of hours of surgical video data generated per year. On the other hand, preparing surgical data for AI training requires significantly higher levels of professional expertise, and training on that data requires expensive computational resources. These trade-offs paint an uncertain picture of whether and to-what-extent modern AI could aid surgical practice. In this paper, we explore this question through a case study of surgical tool detection using state-of-the-art AI methods available in 2026. We demonstrate that even with multi-billion parameter models and extensive training, current Vision Language Models fall short in the seemingly simple task of tool detection in neurosurgery. Additionally, we show scaling experiments indicating that increasing model size and training time only leads to diminishing improvements in relevant performance metrics. Thus, our experiments suggest that current models could still face significant obstacles in surgical use cases. Moreover, some obstacles cannot be simply ``scaled away'' with additional compute and persist across diverse model architectures, raising the question of whether data and label availability are the only limiting factors. We discuss the main contributors to these constraints and advance potential solutions.

In ophthalmic surgery, developing an AI system capable of interpreting surgical videos and predicting subsequent operations requires numerous ophthalmic surgical videos with high-quality annotations, which are difficult to collect due to privacy concerns and labor consumption. Text-guided video generation (T2V) emerges as a promising solution to overcome this issue by generating ophthalmic surgical videos based on surgeon instructions. In this paper, we present Ophora, a pioneering model that can generate ophthalmic surgical videos following natural language instructions. To construct Ophora, we first propose a Comprehensive Data Curation pipeline to convert narrative ophthalmic surgical videos into a large-scale, high-quality dataset comprising over 160K video-instruction pairs, Ophora-160K. Then, we propose a Progressive Video-Instruction Tuning scheme to transfer rich spatial-temporal knowledge from a T2V model pre-trained on natural video-text datasets for privacy-preserved ophthalmic surgical video generation based on Ophora-160K. Experiments on video quality evaluation via quantitative analysis and ophthalmologist feedback demonstrate that Ophora can generate realistic and reliable ophthalmic surgical videos based on surgeon instructions. We also validate the capability of Ophora for empowering downstream tasks of ophthalmic surgical workflow understanding. Code is available at https://github.com/mar-cry/Ophora.

Pruning eliminates unnecessary parameters in neural networks; it offers a promising solution to the growing computational demands of large language models (LLMs). While many focus on post-training pruning, sparse pre-training--which combines pruning and pre-training into a single phase--provides a simpler alternative. In this work, we present the first systematic exploration of optimal sparse pre-training configurations for LLMs through an examination of 80 unique pruning schedules across different sparsity levels and training durations. We find that initiating pruning at 25% of total training compute and concluding at 75% achieves near-optimal final evaluation loss. These findings provide valuable insights for efficient and effective sparse pre-training of LLMs. Furthermore, we propose a new scaling law that modifies the Chinchilla scaling law to use the average parameter count over pre-training. Through empirical and theoretical validation, we demonstrate that this modified scaling law accurately models evaluation loss for both sparsely and densely pre-trained LLMs, unifying scaling laws across pre-training paradigms. Our findings indicate that while sparse pre-training achieves the same final model quality as dense pre-training for equivalent compute budgets, it provides substantial benefits through reduced model size, enabling significant potential computational savings during inference.

Transformer-based language models have become a key building block for natural language processing. While these models are extremely accurate, they can be too large and computationally intensive to run on standard deployments. A variety of compression methods, including distillation, quantization, structured and unstructured pruning are known to decrease model size and increase inference speed, with low accuracy loss. In this context, this paper's contributions are two-fold. We perform an in-depth study of the accuracy-compression trade-off for unstructured weight pruning of BERT models. We introduce Optimal BERT Surgeon (oBERT), an efficient and accurate weight pruning method based on approximate second-order information, which we show to yield state-of-the-art results in both stages of language tasks: pre-training and fine-tuning. Specifically, oBERT extends existing work on unstructured second-order pruning by allowing for pruning blocks of weights, and by being applicable at the BERT scale. Second, we investigate the impact of this pruning method when compounding compression approaches to obtain highly compressed but accurate models for deployment on edge devices. These models significantly push boundaries of the current state-of-the-art sparse BERT models with respect to all metrics: model size, inference speed and task accuracy. For example, relative to the dense BERT-base, we obtain 10x model size compression (in MB) with < 1% accuracy drop, 10x CPU-inference speedup with < 2% accuracy drop, and 29x CPU-inference speedup with < 7.5% accuracy drop. Our code, fully integrated with Transformers and SparseML, is available at https://github.com/neuralmagic/sparseml/tree/main/research/optimal_BERT_surgeon_oBERT.

In recent years, the application of machine learning to minimally invasive surgery (MIS) has attracted considerable interest. Datasets are critical to the use of such techniques. This paper presents a unique dataset recorded during ex vivo pseudo-cholecystectomy procedures on pig livers using the da Vinci Research Kit (dVRK). Unlike existing datasets, it addresses a critical gap by providing comprehensive kinematic data, recordings of all pedal inputs, and offers a time-stamped record of the endoscope's movements. This expanded version also includes segmentation and keypoint annotations of images, enhancing its utility for computer vision applications. Contributed by seven surgeons with varied backgrounds and experience levels that are provided as a part of this expanded version, the dataset is an important new resource for surgical robotics research. It enables the development of advanced methods for evaluating surgeon skills, tools for providing better context awareness, and automation of surgical tasks. Our work overcomes the limitations of incomplete recordings and imprecise kinematic data found in other datasets. To demonstrate the potential of the dataset for advancing automation in surgical robotics, we introduce two models that predict clutch usage and camera activation, a 3D scene reconstruction example, and the results from our keypoint and segmentation models.

In this paper, we introduce a new channel pruning method to accelerate very deep convolutional neural networks.Given a trained CNN model, we propose an iterative two-step algorithm to effectively prune each layer, by a LASSO regression based channel selection and least square reconstruction. We further generalize this algorithm to multi-layer and multi-branch cases. Our method reduces the accumulated error and enhance the compatibility with various architectures. Our pruned VGG-16 achieves the state-of-the-art results by 5x speed-up along with only 0.3% increase of error. More importantly, our method is able to accelerate modern networks like ResNet, Xception and suffers only 1.4%, 1.0% accuracy loss under 2x speed-up respectively, which is significant. Code has been made publicly available.

Surgical intelligence has the potential to improve the safety and consistency of surgical care, yet most existing surgical AI frameworks remain task-specific and struggle to generalize across procedures and institutions. Although multimodal foundation models, particularly multimodal large language models, have demonstrated strong cross-task capabilities across various medical domains, their advancement in surgery remains constrained by the lack of large-scale, systematically curated multimodal data. To address this challenge, we introduce SurgΣ, a spectrum of large-scale multimodal data and foundation models for surgical intelligence. At the core of this framework lies SurgΣ-DB, a large-scale multimodal data foundation designed to support diverse surgical tasks. SurgΣ-DB consolidates heterogeneous surgical data sources (including open-source datasets, curated in-house clinical collections and web-source data) into a unified schema, aiming to improve label consistency and data standardization across heterogeneous datasets. SurgΣ-DB spans 6 clinical specialties and diverse surgical types, providing rich image- and video-level annotations across 18 practical surgical tasks covering understanding, reasoning, planning, and generation, at an unprecedented scale (over 5.98M conversations). Beyond conventional multimodal conversations, SurgΣ-DB incorporates hierarchical reasoning annotations, providing richer semantic cues to support deeper contextual understanding in complex surgical scenarios. We further provide empirical evidence through recently developed surgical foundation models built upon SurgΣ-DB, illustrating the practical benefits of large-scale multimodal annotations, unified semantic design, and structured reasoning annotations for improving cross-task generalization and interpretability.

Recurrent neural networks (RNNs) are central to sequence modeling tasks, yet their high computational complexity poses challenges for scalability and real-time deployment. Traditional pruning techniques, predominantly based on weight magnitudes, often overlook the intrinsic structural properties of these networks. We introduce a novel framework that models RNNs as partially ordered sets (posets) and constructs corresponding dependency lattices. By identifying meet irreducible neurons, our lattice-based pruning algorithm selectively retains critical connections while eliminating redundant ones. The method is implemented using both binary and continuous-valued adjacency matrices to capture different aspects of network connectivity. Evaluated on the MNIST dataset, our approach exhibits a clear trade-off between sparsity and classification accuracy. Moderate pruning maintains accuracy above 98%, while aggressive pruning achieves higher sparsity with only a modest performance decline. Unlike conventional magnitude-based pruning, our method leverages the structural organization of RNNs, resulting in more effective preservation of functional connectivity and improved efficiency in multilayer networks with top-down feedback. The proposed lattice-based pruning framework offers a rigorous and scalable approach for reducing RNN complexity while sustaining robust performance, paving the way for more efficient hierarchical models in both machine learning and computational neuroscience.

Increasingly expensive training of ever larger models such as Vision Transfomers motivate reusing the vast library of already trained state-of-the-art networks. However, their latency, high computational costs and memory demands pose significant challenges for deployment, especially on resource-constrained hardware. While structured pruning methods can reduce these factors, they often require costly retraining, sometimes for up to hundreds of epochs, or even training from scratch to recover the lost accuracy resulting from the structural modifications. Maintaining the provided performance of trained models after structured pruning and thereby avoiding extensive retraining remains a challenge. To solve this, we introduce Variance-Based Pruning, a simple and structured one-shot pruning technique for efficiently compressing networks, with minimal finetuning. Our approach first gathers activation statistics, which are used to select neurons for pruning. Simultaneously the mean activations are integrated back into the model to preserve a high degree of performance. On ImageNet-1k recognition tasks, we demonstrate that directly after pruning DeiT-Base retains over 70% of its original performance and requires only 10 epochs of fine-tuning to regain 99% of the original accuracy while simultaneously reducing MACs by 35% and model size by 36%, thus speeding up the model by 1.44x.

Neural network pruning is frequently used to compress over-parameterized networks by large amounts, while incurring only marginal drops in generalization performance. However, the impact of pruning on networks that have been highly optimized for efficient inference has not received the same level of attention. In this paper, we analyze the effect of pruning for computer vision, and study state-of-the-art ConvNets, such as the FBNetV3 family of models. We show that model pruning approaches can be used to further optimize networks trained through NAS (Neural Architecture Search). The resulting family of pruned models can consistently obtain better performance than existing FBNetV3 models at the same level of computation, and thus provide state-of-the-art results when trading off between computational complexity and generalization performance on the ImageNet benchmark. In addition to better generalization performance, we also demonstrate that when limited computation resources are available, pruning FBNetV3 models incur only a fraction of GPU-hours involved in running a full-scale NAS.

Accurate recognition of anatomical structures is essential for safe and effective minimally invasive surgery (MIS), yet it remains underexplored in surgical computer vision due to limited annotated data and methods tailored primarily to natural scenes. In this work, we present a combined dataset and model framework to advance anatomy-aware perception in MIS. First, we introduce ATLAS-120k, a large-scale clip-level semantic segmentation dataset comprising over 120,000 annotated frames from 100 surgical videos spanning 14 procedures and multiple modalities, including laparoscopic and robot-assisted surgery. The dataset captures substantial procedural variability and was created using a scalable annotation pipeline that integrates expert manual labeling, automated propagation, iterative refinement, and surgeon verification to ensure high-quality annotations. Second, we propose ATLAS (Anatomy Recognition with Context Learning using Foundation Representations), a video semantic segmentation model specifically designed for surgical anatomy recognition. Unlike conventional approaches that emphasize object tracking, ATLAS leverages foundation-model embeddings together with lightweight temporal reasoning to incorporate contextual cues such as procedure type, surgical phase, and short-term visual memory. This design enables temporally consistent and accurate predictions while maintaining real-time feasibility. Together, the dataset and model establish a practical foundation for robust surgical scene understanding and support the development of clinically applicable guidance systems for minimally invasive surgery. The models, dataset annotations and annotation platform are publicly available at: https://github.com/TimJaspers0801/ATLAS.

In this paper, we introduce a new channel pruning method to accelerate very deep convolutional neural networks. Given a trained CNN model, we propose an iterative two-step algorithm to effectively prune each layer, by a LASSO regression based channel selection and least square reconstruction. We further generalize this algorithm to multi-layer and multi-branch cases. Our method reduces the accumulated error and enhances the compatibility with various architectures. Our pruned VGG-16 achieves the state-of-the-art results by 5x speed-up along with only 0.3% increase of error. More importantly, our method is able to accelerate modern networks like ResNet, Xception and suffers only 1.4%, 1.0% accuracy loss under 2x speed-up respectively, which is significant. Our code has been made publicly available.

High-resolution imaging is crucial for enhancing visual clarity and enabling precise computer-assisted guidance in minimally invasive surgery (MIS). Despite the increasing adoption of 4K endoscopic systems, there remains a significant gap in publicly available native 4K datasets tailored specifically for robotic-assisted MIS. We introduce SurgiSR4K, the first publicly accessible surgical imaging and video dataset captured at a native 4K resolution, representing realistic conditions of robotic-assisted procedures. SurgiSR4K comprises diverse visual scenarios including specular reflections, tool occlusions, bleeding, and soft tissue deformations, meticulously designed to reflect common challenges faced during laparoscopic and robotic surgeries. This dataset opens up possibilities for a broad range of computer vision tasks that might benefit from high resolution data, such as super resolution (SR), smoke removal, surgical instrument detection, 3D tissue reconstruction, monocular depth estimation, instance segmentation, novel view synthesis, and vision-language model (VLM) development. SurgiSR4K provides a robust foundation for advancing research in high-resolution surgical imaging and fosters the development of intelligent imaging technologies aimed at enhancing performance, safety, and usability in image-guided robotic surgeries.

Background: We evaluate SAM 2 for surgical scene understanding by examining its semantic segmentation capabilities for organs/tissues both in zero-shot scenarios and after fine-tuning. Methods: We utilized five public datasets to evaluate and fine-tune SAM 2 for segmenting anatomical tissues in surgical videos/images. Fine-tuning was applied to the image encoder and mask decoder. We limited training subsets from 50 to 400 samples per class to better model real-world constraints with data acquisition. The impact of dataset size on fine-tuning performance was evaluated with weighted mean Dice coefficient (WMDC), and the results were also compared against previously reported state-of-the-art (SOTA) results. Results: SurgiSAM 2, a fine-tuned SAM 2 model, demonstrated significant improvements in segmentation performance, achieving a 17.9% relative WMDC gain compared to the baseline SAM 2. Increasing prompt points from 1 to 10 and training data scale from 50/class to 400/class enhanced performance; the best WMDC of 0.92 on the validation subset was achieved with 10 prompt points and 400 samples per class. On the test subset, this model outperformed prior SOTA methods in 24/30 (80%) of the classes with a WMDC of 0.91 using 10-point prompts. Notably, SurgiSAM 2 generalized effectively to unseen organ classes, achieving SOTA on 7/9 (77.8%) of them. Conclusion: SAM 2 achieves remarkable zero-shot and fine-tuned performance for surgical scene segmentation, surpassing prior SOTA models across several organ classes of diverse datasets. This suggests immense potential for enabling automated/semi-automated annotation pipelines, thereby decreasing the burden of annotations facilitating several surgical applications.

Over the past decade, computer vision applications in minimally invasive surgery have rapidly increased. Despite this growth, the impact of surgical computer vision remains limited compared to other medical fields like pathology and radiology, primarily due to the scarcity of representative annotated data. Whereas transfer learning from large annotated datasets such as ImageNet has been conventionally the norm to achieve high-performing models, recent advancements in self-supervised learning (SSL) have demonstrated superior performance. In medical image analysis, in-domain SSL pretraining has already been shown to outperform ImageNet-based initialization. Although unlabeled data in the field of surgical computer vision is abundant, the diversity within this data is limited. This study investigates the role of dataset diversity in SSL for surgical computer vision, comparing procedure-specific datasets against a more heterogeneous general surgical dataset across three different downstream surgical applications. The obtained results show that using solely procedure-specific data can lead to substantial improvements of 13.8%, 9.5%, and 36.8% compared to ImageNet pretraining. However, extending this data with more heterogeneous surgical data further increases performance by an additional 5.0%, 5.2%, and 2.5%, suggesting that increasing diversity within SSL data is beneficial for model performance. The code and pretrained model weights are made publicly available at https://github.com/TimJaspers0801/SurgeNet.

Neural networks -- especially those that use large, pre-trained language models -- have improved search engines in various ways. Most prominently, they can estimate the relevance of a passage or document to a user's query. In this work, we depart from this direction by exploring whether neural networks can effectively predict which of a document's passages are unlikely to be relevant to any query submitted to the search engine. We refer to this query-agnostic estimation of passage relevance as a passage's quality. We find that our novel methods for estimating passage quality allow passage corpora to be pruned considerably while maintaining statistically equivalent effectiveness; our best methods can consistently prune >25% of passages in a corpora, across various retrieval pipelines. Such substantial pruning reduces the operating costs of neural search engines in terms of computing resources, power usage, and carbon footprint -- both when processing queries (thanks to a smaller index size) and when indexing (lightweight models can prune low-quality passages prior to the costly dense or learned sparse encoding step). This work sets the stage for developing more advanced neural "learning-what-to-index" methods.

Existing methods of pruning deep neural networks focus on removing unnecessary parameters of the trained network and fine tuning the model afterwards to find a good solution that recovers the initial performance of the trained model. Unlike other works, our method pays special attention to the quality of the solution in the compressed model and inference computation time by pruning neurons. The proposed algorithm directs the parameters of the compressed model toward a flatter solution by exploring the spectral radius of Hessian which results in better generalization on unseen data. Moreover, the method does not work with a pre-trained network and performs training and pruning simultaneously. Our result shows that it improves the state-of-the-art results on neuron compression. The method is able to achieve very small networks with small accuracy degradation across different neural network models.

As neural networks grow in size and complexity, inference speeds decline. To combat this, one of the most effective compression techniques -- channel pruning -- removes channels from weights. However, for multi-branch segments of a model, channel removal can introduce inference-time memory copies. In turn, these copies increase inference latency -- so much so that the pruned model can be slower than the unpruned model. As a workaround, pruners conventionally constrain certain channels to be pruned together. This fully eliminates memory copies but, as we show, significantly impairs accuracy. We now have a dilemma: Remove constraints but increase latency, or add constraints and impair accuracy. In response, our insight is to reorder channels at export time, (1) reducing latency by reducing memory copies and (2) improving accuracy by removing constraints. Using this insight, we design a generic algorithm UPSCALE to prune models with any pruning pattern. By removing constraints from existing pruners, we improve ImageNet accuracy for post-training pruned models by 2.1 points on average -- benefiting DenseNet (+16.9), EfficientNetV2 (+7.9), and ResNet (+6.2). Furthermore, by reordering channels, UPSCALE improves inference speeds by up to 2x over a baseline export.

Structural neural network pruning aims to remove the redundant channels in the deep convolutional neural networks (CNNs) by pruning the filters of less importance to the final output accuracy. To reduce the degradation of performance after pruning, many methods utilize the loss with sparse regularization to produce structured sparsity. In this paper, we analyze these sparsity-training-based methods and find that the regularization of unpruned channels is unnecessary. Moreover, it restricts the network's capacity, which leads to under-fitting. To solve this problem, we propose a novel pruning method, named MaskSparsity, with pruning-aware sparse regularization. MaskSparsity imposes the fine-grained sparse regularization on the specific filters selected by a pruning mask, rather than all the filters of the model. Before the fine-grained sparse regularization of MaskSparity, we can use many methods to get the pruning mask, such as running the global sparse regularization. MaskSparsity achieves 63.03%-FLOPs reduction on ResNet-110 by removing 60.34% of the parameters, with no top-1 accuracy loss on CIFAR-10. On ILSVRC-2012, MaskSparsity reduces more than 51.07% FLOPs on ResNet-50, with only a loss of 0.76% in the top-1 accuracy. The code is released at https://github.com/CASIA-IVA-Lab/MaskSparsity. Moreover, we have integrated the code of MaskSparity into a PyTorch pruning toolkit, EasyPruner, at https://gitee.com/casia_iva_engineer/easypruner.

Structured pruning of modern large language models (LLMs) has emerged as a way of decreasing their high computational needs. Width pruning reduces the size of projection weight matrices (e.g., by removing attention heads) while maintaining the number of layers. Depth pruning, in contrast, removes entire layers or blocks, while keeping the size of the remaining weights unchanged. Most current research focuses on either width-only or a blend of width and depth pruning, with little comparative analysis between the two units (width vs. depth) concerning their impact on LLM inference efficiency. In this work, we show that a simple depth pruning approach can compete with recent width pruning methods in terms of zero-shot task performance. Our pruning method boosts inference speeds, especially under memory-constrained conditions that require limited batch sizes for running LLMs, where width pruning is ineffective. We hope this work can help deploy LLMs on local and edge devices.

Segmentation of surgical instruments is crucial for enhancing surgeon performance and ensuring patient safety. Conventional techniques such as binary, semantic, and instance segmentation share a common drawback: they do not accommodate the parts of instruments obscured by tissues or other instruments. Precisely predicting the full extent of these occluded instruments can significantly improve laparoscopic surgeries by providing critical guidance during operations and assisting in the analysis of potential surgical errors, as well as serving educational purposes. In this paper, we introduce Amodal Segmentation to the realm of surgical instruments in the medical field. This technique identifies both the visible and occluded parts of an object. To achieve this, we introduce a new Amoal Instruments Segmentation (AIS) dataset, which was developed by reannotating each instrument with its complete mask, utilizing the 2017 MICCAI EndoVis Robotic Instrument Segmentation Challenge dataset. Additionally, we evaluate several leading amodal segmentation methods to establish a benchmark for this new dataset.

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.

The field of surgical computer vision has undergone considerable breakthroughs in recent years with the rising popularity of deep neural network-based methods. However, standard fully-supervised approaches for training such models require vast amounts of annotated data, imposing a prohibitively high cost; especially in the clinical domain. Self-Supervised Learning (SSL) methods, which have begun to gain traction in the general computer vision community, represent a potential solution to these annotation costs, allowing to learn useful representations from only unlabeled data. Still, the effectiveness of SSL methods in more complex and impactful domains, such as medicine and surgery, remains limited and unexplored. In this work, we address this critical need by investigating four state-of-the-art SSL methods (MoCo v2, SimCLR, DINO, SwAV) in the context of surgical computer vision. We present an extensive analysis of the performance of these methods on the Cholec80 dataset for two fundamental and popular tasks in surgical context understanding, phase recognition and tool presence detection. We examine their parameterization, then their behavior with respect to training data quantities in semi-supervised settings. Correct transfer of these methods to surgery, as described and conducted in this work, leads to substantial performance gains over generic uses of SSL - up to 7.4% on phase recognition and 20% on tool presence detection - as well as state-of-the-art semi-supervised phase recognition approaches by up to 14%. Further results obtained on a highly diverse selection of surgical datasets exhibit strong generalization properties. The code is available at https://github.com/CAMMA-public/SelfSupSurg.

The lottery ticket hypothesis has sparked the rapid development of pruning algorithms that aim to reduce the computational costs associated with deep learning during training and model deployment. Currently, such algorithms are primarily evaluated on imaging data, for which we lack ground truth information and thus the understanding of how sparse lottery tickets could be. To fill this gap, we develop a framework that allows us to plant and hide winning tickets with desirable properties in randomly initialized neural networks. To analyze the ability of state-of-the-art pruning to identify tickets of extreme sparsity, we design and hide such tickets solving four challenging tasks. In extensive experiments, we observe similar trends as in imaging studies, indicating that our framework can provide transferable insights into realistic problems. Additionally, we can now see beyond such relative trends and highlight limitations of current pruning methods. Based on our results, we conclude that the current limitations in ticket sparsity are likely of algorithmic rather than fundamental nature. We anticipate that comparisons to planted tickets will facilitate future developments of efficient pruning algorithms.

This work introduces the first framework for reconstructing surgical dialogue from unstructured real-world recordings, which is crucial for characterizing teaching tasks. In surgical training, the formative verbal feedback that trainers provide to trainees during live surgeries is crucial for ensuring safety, correcting behavior immediately, and facilitating long-term skill acquisition. However, analyzing and quantifying this feedback is challenging due to its unstructured and specialized nature. Automated systems are essential to manage these complexities at scale, allowing for the creation of structured datasets that enhance feedback analysis and improve surgical education. Our framework integrates voice activity detection, speaker diarization, and automated speech recaognition, with a novel enhancement that 1) removes hallucinations (non-existent utterances generated during speech recognition fueled by noise in the operating room) and 2) separates speech from trainers and trainees using few-shot voice samples. These aspects are vital for reconstructing accurate surgical dialogues and understanding the roles of operating room participants. Using data from 33 real-world surgeries, we demonstrated the system's capability to reconstruct surgical teaching dialogues and detect feedback instances effectively (F1 score of 0.79+/-0.07). Moreover, our hallucination removal step improves feedback detection performance by ~14%. Evaluation on downstream clinically relevant tasks of predicting Behavioral Adjustment of trainees and classifying Technical feedback, showed performances comparable to manual annotations with F1 scores of 0.82+/0.03 and 0.81+/0.03 respectively. These results highlight the effectiveness of our framework in supporting clinically relevant tasks and improving over manual methods.

Surgical future prediction, driven by real-time AI analysis of surgical video, is critical for operating room safety and efficiency. It provides actionable insights into upcoming events, their timing, and risks-enabling better resource allocation, timely instrument readiness, and early warnings for complications (e.g., bleeding, bile duct injury). Despite this need, current surgical AI research focuses on understanding what is happening rather than predicting future events. Existing methods target specific tasks in isolation, lacking unified approaches that span both short-term (action triplets, events) and long-term horizons (remaining surgery duration, phase transitions). These methods rely on coarse-grained supervision while fine-grained surgical action triplets and steps remain underexplored. Furthermore, methods based only on future feature prediction struggle to generalize across different surgical contexts and procedures. We address these limits by reframing surgical future prediction as state-change learning. Rather than forecasting raw observations, our approach classifies state transitions between current and future timesteps. We introduce SurgFUTR, implementing this through a teacher-student architecture. Video clips are compressed into state representations via Sinkhorn-Knopp clustering; the teacher network learns from both current and future clips, while the student network predicts future states from current videos alone, guided by our Action Dynamics (ActDyn) module. We establish SFPBench with five prediction tasks spanning short-term (triplets, events) and long-term (remaining surgery duration, phase and step transitions) horizons. Experiments across four datasets and three procedures show consistent improvements. Cross-procedure transfer validates generalizability.

Modern operating room is becoming increasingly complex, requiring innovative intra-operative support systems. While the focus of surgical data science has largely been on video analysis, integrating surgical computer vision with language capabilities is emerging as a necessity. Our work aims to advance Visual Question Answering (VQA) in the surgical context with scene graph knowledge, addressing two main challenges in the current surgical VQA systems: removing question-condition bias in the surgical VQA dataset and incorporating scene-aware reasoning in the surgical VQA model design. First, we propose a Surgical Scene Graph-based dataset, SSG-QA, generated by employing segmentation and detection models on publicly available datasets. We build surgical scene graphs using spatial and action information of instruments and anatomies. These graphs are fed into a question engine, generating diverse QA pairs. Our SSG-QA dataset provides a more complex, diverse, geometrically grounded, unbiased, and surgical action-oriented dataset compared to existing surgical VQA datasets. We then propose SSG-QA-Net, a novel surgical VQA model incorporating a lightweight Scene-embedded Interaction Module (SIM), which integrates geometric scene knowledge in the VQA model design by employing cross-attention between the textual and the scene features. Our comprehensive analysis of the SSG-QA dataset shows that SSG-QA-Net outperforms existing methods across different question types and complexities. We highlight that the primary limitation in the current surgical VQA systems is the lack of scene knowledge to answer complex queries. We present a novel surgical VQA dataset and model and show that results can be significantly improved by incorporating geometric scene features in the VQA model design. The source code and the dataset will be made publicly available at: https://github.com/CAMMA-public/SSG-QA

Computer-assisted minimally invasive surgery has great potential in benefiting modern operating theatres. The video data streamed from the endoscope provides rich information to support context-awareness for next-generation intelligent surgical systems. To achieve accurate perception and automatic manipulation during the procedure, learning based technique is a promising way, which enables advanced image analysis and scene understanding in recent years. However, learning such models highly relies on large-scale, high-quality, and multi-task labelled data. This is currently a bottleneck for the topic, as available public dataset is still extremely limited in the field of CAI. In this paper, we present and release the first integrated dataset (named AutoLaparo) with multiple image-based perception tasks to facilitate learning-based automation in hysterectomy surgery. Our AutoLaparo dataset is developed based on full-length videos of entire hysterectomy procedures. Specifically, three different yet highly correlated tasks are formulated in the dataset, including surgical workflow recognition, laparoscope motion prediction, and instrument and key anatomy segmentation. In addition, we provide experimental results with state-of-the-art models as reference benchmarks for further model developments and evaluations on this dataset. The dataset is available at https://autolaparo.github.io.

Neural network pruning reduces the computational cost of an over-parameterized network to improve its efficiency. Popular methods vary from ell_1-norm sparsification to Neural Architecture Search (NAS). In this work, we propose a novel pruning method that optimizes the final accuracy of the pruned network and distills knowledge from the over-parameterized parent network's inner layers. To enable this approach, we formulate the network pruning as a Knapsack Problem which optimizes the trade-off between the importance of neurons and their associated computational cost. Then we prune the network channels while maintaining the high-level structure of the network. The pruned network is fine-tuned under the supervision of the parent network using its inner network knowledge, a technique we refer to as the Inner Knowledge Distillation. Our method leads to state-of-the-art pruning results on ImageNet, CIFAR-10 and CIFAR-100 using ResNet backbones. To prune complex network structures such as convolutions with skip-links and depth-wise convolutions, we propose a block grouping approach to cope with these structures. Through this we produce compact architectures with the same FLOPs as EfficientNet-B0 and MobileNetV3 but with higher accuracy, by 1% and 0.3% respectively on ImageNet, and faster runtime on GPU.

Data diversity and volume are crucial to the success of training deep learning models, while in the medical imaging field, the difficulty and cost of data collection and annotation are especially huge. Specifically in robotic surgery, data scarcity and imbalance have heavily affected the model accuracy and limited the design and deployment of deep learning-based surgical applications such as surgical instrument segmentation. Considering this, we rethink the surgical instrument segmentation task and propose a one-to-many data generation solution that gets rid of the complicated and expensive process of data collection and annotation from robotic surgery. In our method, we only utilize a single surgical background tissue image and a few open-source instrument images as the seed images and apply multiple augmentations and blending techniques to synthesize amounts of image variations. In addition, we also introduce the chained augmentation mixing during training to further enhance the data diversities. The proposed approach is evaluated on the real datasets of the EndoVis-2018 and EndoVis-2017 surgical scene segmentation. Our empirical analysis suggests that without the high cost of data collection and annotation, we can achieve decent surgical instrument segmentation performance. Moreover, we also observe that our method can deal with novel instrument prediction in the deployment domain. We hope our inspiring results will encourage researchers to emphasize data-centric methods to overcome demanding deep learning limitations besides data shortage, such as class imbalance, domain adaptation, and incremental learning. Our code is available at https://github.com/lofrienger/Single_SurgicalScene_For_Segmentation.

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.

The subject of green AI has been gaining attention within the deep learning community given the recent trend of ever larger and more complex neural network models. Existing solutions for reducing the computational load of training at inference time usually involve pruning the network parameters. Pruning schemes often create extra overhead either by iterative training and fine-tuning for static pruning or repeated computation of a dynamic pruning graph. We propose a new parameter pruning strategy for learning a lighter-weight sub-network that minimizes the energy cost while maintaining comparable performance to the fully parameterised network on given downstream tasks. Our proposed pruning scheme is green-oriented, as it only requires a one-off training to discover the optimal static sub-networks by dynamic pruning methods. The pruning scheme consists of a binary gating module and a novel loss function to uncover sub-networks with user-defined sparsity. Our method enables pruning and training simultaneously, which saves energy in both the training and inference phases and avoids extra computational overhead from gating modules at inference time. Our results on CIFAR-10 and CIFAR-100 suggest that our scheme can remove 50% of connections in deep networks with less than 1% reduction in classification accuracy. Compared to other related pruning methods, our method demonstrates a lower drop in accuracy for equivalent reductions in computational cost.

Open procedures represent the dominant form of surgery worldwide. Artificial intelligence (AI) has the potential to optimize surgical practice and improve patient outcomes, but efforts have focused primarily on minimally invasive techniques. Our work overcomes existing data limitations for training AI models by curating, from YouTube, the largest dataset of open surgical videos to date: 1997 videos from 23 surgical procedures uploaded from 50 countries. Using this dataset, we developed a multi-task AI model capable of real-time understanding of surgical behaviors, hands, and tools - the building blocks of procedural flow and surgeon skill. We show that our model generalizes across diverse surgery types and environments. Illustrating this generalizability, we directly applied our YouTube-trained model to analyze open surgeries prospectively collected at an academic medical center and identified kinematic descriptors of surgical skill related to efficiency of hand motion. Our Annotated Videos of Open Surgery (AVOS) dataset and trained model will be made available for further development of surgical AI.

Inspired by the principle of deliberate practice in human learning, we propose Deliberate Practice for Synthetic Data Generation (DP), a novel framework that improves sample efficiency through dynamic synthetic data generation. Prior work has shown that scaling synthetic data is inherently challenging, as naively adding new data leads to diminishing returns. To address this, pruning has been identified as a key mechanism for improving scaling, enabling models to focus on the most informative synthetic samples. Rather than generating a large dataset and pruning it afterward, DP efficiently approximates the direct generation of informative samples. We theoretically show how training on challenging, informative examples improves scaling laws and empirically validate that DP achieves better scaling performance with significantly fewer training samples and iterations. On ImageNet-100, DP generates 3.4x fewer samples and requires six times fewer iterations, while on ImageNet-1k, it generates 8x fewer samples with a 30 percent reduction in iterations, all while achieving superior performance compared to prior work.

PURPOSE: Surgical workflow and skill analysis are key technologies for the next generation of cognitive surgical assistance systems. These systems could increase the safety of the operation through context-sensitive warnings and semi-autonomous robotic assistance or improve training of surgeons via data-driven feedback. In surgical workflow analysis up to 91% average precision has been reported for phase recognition on an open data single-center dataset. In this work we investigated the generalizability of phase recognition algorithms in a multi-center setting including more difficult recognition tasks such as surgical action and surgical skill. METHODS: To achieve this goal, a dataset with 33 laparoscopic cholecystectomy videos from three surgical centers with a total operation time of 22 hours was created. Labels included annotation of seven surgical phases with 250 phase transitions, 5514 occurences of four surgical actions, 6980 occurences of 21 surgical instruments from seven instrument categories and 495 skill classifications in five skill dimensions. The dataset was used in the 2019 Endoscopic Vision challenge, sub-challenge for surgical workflow and skill analysis. Here, 12 teams submitted their machine learning algorithms for recognition of phase, action, instrument and/or skill assessment. RESULTS: F1-scores were achieved for phase recognition between 23.9% and 67.7% (n=9 teams), for instrument presence detection between 38.5% and 63.8% (n=8 teams), but for action recognition only between 21.8% and 23.3% (n=5 teams). The average absolute error for skill assessment was 0.78 (n=1 team). CONCLUSION: Surgical workflow and skill analysis are promising technologies to support the surgical team, but are not solved yet, as shown by our comparison of algorithms. This novel benchmark can be used for comparable evaluation and validation of future work.