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Real-Time Endoscopic Video Enhancement via Degradation Representation Estimation and Propagation
Handing Xu1,2, Zhenguo Nie1,2,3, Tairan Peng1,2
1Department of Mechanical Engineering, Tsinghua University, Beijing 100084, China.
Journal of Imaging
|March 27, 2026
Summary
This study introduces an efficient framework to enhance endoscopic images in real-time, crucial for surgical procedures. The method improves image quality and computational efficiency by learning degradation representations and using temporal continuity in videos.
Area of Science:
- Medical Imaging
- Computer Vision
- Surgical Technology
Background:
- Endoscopic images suffer from degradation (illumination, blur, occlusion), hindering surgical navigation.
- Single-port endoscopic surgery exacerbates imaging limitations due to confined spaces.
- Current deep learning enhancement methods are often too computationally intensive for real-time surgical applications.
Purpose of the Study:
- To develop an efficient endoscopic image enhancement framework for real-time surgical use.
- To address the computational demands of existing deep learning enhancement techniques.
- To improve the clarity of anatomical details in endoscopic videos for better surgical understanding.
Main Methods:
- Proposed an efficient stepwise endoscopic image enhancement framework.
- Introduced an implicit degradation representation as an intermediate feature for guided enhancement.
- Exploited temporal continuity in endoscopic videos, estimating degradation representations on key frames and propagating them for efficiency.
Main Results:
- Achieved an excellent balance between image enhancement quality and computational efficiency.
- Demonstrated significant improvement in computational speed compared to existing methods.
- Validated the framework's effectiveness on a downstream segmentation task, enhancing surgical scene understanding.
Conclusions:
- The proposed framework offers a practical solution for real-time endoscopic image enhancement in clinical settings.
- Implicit degradation representation learning and inter-frame propagation are effective for efficient video enhancement.
- Enhanced endoscopic images improve surgical scene comprehension and facilitate clinical applications.