Luoyao Kang
Publications
AuricularWorld: Hierarchical Action-Guided World Modeling for Fine-Grained Auricular Structure Segmentation from CT Scans
Fine-grained segmentation of auricular structures in CT is challenging because the ear occupies a small image region, cartilage boundaries are highly irregular, and interfaces between cartilage and surrounding soft tissues are often ambiguous. Clinical annotations may also include both composite structures containing cartilage and adjacent skin and their corresponding cartilage-only regions, producing nested and overlapping labels. We propose a world-model-based segmentation framework that enables iterative anatomical reasoning beyond conventional feed-forward prediction. Built on an encoder-decoder architecture, the framework introduces a deterministic recurrent state-space model into the intermediate latent space. Multi-scale encoder features and partially decoded representations are fused to form a structural observation that initializes the latent dynamics. During inference, the model performs a three-step latent rollout without ground-truth guidance. Hierarchical anatomical actions update the recurrent state and progressively refine the latent representation. The resulting latent trajectory is projected back into the decoder and combined with high-resolution features to produce the final segmentation. To learn reliable latent transitions, we introduce a balanced hierarchical action objective that addresses foreground sparsity, missing anatomical groups, and imbalance between add and remove operations. Extensive experiments show that the proposed framework consistently improves segmentation accuracy and reduces HD95 by more than 43% for small, irregular, and overlapping auricular structures in CT. These results demonstrate the effectiveness of latent world-model reasoning for challenging medical image segmentation.
Open-H-Embodiment: A Large-Scale Dataset for Enabling Foundation Models in Medical Robotics
Autonomous medical robots hold promise to improve patient outcomes, reduce provider workload, democratize access to care, and enable superhuman precision. However, autonomous medical robotics has been limited by a fundamental data problem: existing medical robotic datasets are small, single-embodiment, and rarely shared openly, restricting the development of foundation models that the field needs to advance. We introduce Open-H-Embodiment, the largest open dataset of medical robotic video with synchronized kinematics to date, spanning more than 49 institutions and multiple robotic platforms including the CMR Versius, Intuitive Surgical's da Vinci, da Vinci Research Kit (dVRK), Rob Surgical BiTrack, Virtual Incision's MIRA, Moon Surgical Maestro, and a variety of custom systems, spanning surgical manipulation, robotic ultrasound, and endoscopy procedures. We demonstrate the research enabled by this dataset through two foundation models. GR00T-H is the first open foundation vision-language-action model for medical robotics, which is the only evaluated model to achieve full end-to-end task completion on a structured suturing benchmark (25% of trials vs. 0% for all others) and achieves 64% average success across a 29-step ex vivo suturing sequence. We also train Cosmos-H-Surgical-Simulator, the first action-conditioned world model to enable multi-embodiment surgical simulation from a single checkpoint, spanning nine robotic platforms and supporting in silico policy evaluation and synthetic data generation for the medical domain. These results suggest that open, large-scale medical robot data collection can serve as critical infrastructure for the research community, enabling advances in robot learning, world modeling, and beyond.