Long-Short Term Agents for Pure-Vision Bronchoscopy Robotic Autonomy

Fuente: arXiv
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Autores principales: Wu, Junyang, Luo, Mingyi, Xie, Fangfang, Zhang, Minghui, Zhang, Hanxiao, Zhang, Chunxi, Wang, Junhao, Sun, Jiayuan, Gu, Yun, Yang, Guang-Zhong
Formato: Preprint
Publicado: 2026
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author Wu, Junyang
Luo, Mingyi
Xie, Fangfang
Zhang, Minghui
Zhang, Hanxiao
Zhang, Chunxi
Wang, Junhao
Sun, Jiayuan
Gu, Yun
Yang, Guang-Zhong
author_facet Wu, Junyang
Luo, Mingyi
Xie, Fangfang
Zhang, Minghui
Zhang, Hanxiao
Zhang, Chunxi
Wang, Junhao
Sun, Jiayuan
Gu, Yun
Yang, Guang-Zhong
contents Accurate intraoperative navigation is essential for robot-assisted endoluminal intervention, but remains difficult because of limited endoscopic field of view and dynamic artifacts. Existing navigation platforms often rely on external localization technologies, such as electromagnetic tracking or shape sensing, which increase hardware complexity and remain vulnerable to intraoperative anatomical mismatch. We present a vision-only autonomy framework that performs long-horizon bronchoscopic navigation using preoperative CT-derived virtual targets and live endoscopic video, without external tracking during navigation. The framework uses hierarchical long-short agents: a short-term reactive agent for continuous low-latency motion control, and a long-term strategic agent for decision support at anatomically ambiguous points. When their recommendations conflict, a world-model critic predicts future visual states for candidate actions and selects the action whose predicted state best matches the target view. We evaluated the system in a high-fidelity airway phantom, three ex vivo porcine lungs, and a live porcine model. The system reached all planned segmental targets in the phantom, maintained 80\% success to the eighth generation ex vivo, and achieved in vivo navigation performance comparable to the expert bronchoscopist. These results support the preclinical feasibility of sensor-free autonomous bronchoscopic navigation.
format Preprint
id arxiv_https___arxiv_org_abs_2603_07909
institution arXiv
publishDate 2026
record_format arxiv
spellingShingle Long-Short Term Agents for Pure-Vision Bronchoscopy Robotic Autonomy
Wu, Junyang
Luo, Mingyi
Xie, Fangfang
Zhang, Minghui
Zhang, Hanxiao
Zhang, Chunxi
Wang, Junhao
Sun, Jiayuan
Gu, Yun
Yang, Guang-Zhong
Robotics
Artificial Intelligence
Accurate intraoperative navigation is essential for robot-assisted endoluminal intervention, but remains difficult because of limited endoscopic field of view and dynamic artifacts. Existing navigation platforms often rely on external localization technologies, such as electromagnetic tracking or shape sensing, which increase hardware complexity and remain vulnerable to intraoperative anatomical mismatch. We present a vision-only autonomy framework that performs long-horizon bronchoscopic navigation using preoperative CT-derived virtual targets and live endoscopic video, without external tracking during navigation. The framework uses hierarchical long-short agents: a short-term reactive agent for continuous low-latency motion control, and a long-term strategic agent for decision support at anatomically ambiguous points. When their recommendations conflict, a world-model critic predicts future visual states for candidate actions and selects the action whose predicted state best matches the target view. We evaluated the system in a high-fidelity airway phantom, three ex vivo porcine lungs, and a live porcine model. The system reached all planned segmental targets in the phantom, maintained 80\% success to the eighth generation ex vivo, and achieved in vivo navigation performance comparable to the expert bronchoscopist. These results support the preclinical feasibility of sensor-free autonomous bronchoscopic navigation.
title Long-Short Term Agents for Pure-Vision Bronchoscopy Robotic Autonomy
topic Robotics
Artificial Intelligence
url https://arxiv.org/abs/2603.07909