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Jan 8

Spatial-ORMLLM: Improve Spatial Relation Understanding in the Operating Room with Multimodal Large Language Model

Precise spatial modeling in the operating room (OR) is foundational to many clinical tasks, supporting intraoperative awareness, hazard avoidance, and surgical decision-making. While existing approaches leverage large-scale multimodal datasets for latent-space alignment to implicitly learn spatial relationships, they overlook the 3D capabilities of MLLMs. However, this approach raises two issues: (1) Operating rooms typically lack multiple video and audio sensors, making multimodal 3D data difficult to obtain; (2) Training solely on readily available 2D data fails to capture fine-grained details in complex scenes. To address this gap, we introduce Spatial-ORMLLM, the first large vision-language model for 3D spatial reasoning in operating rooms using only RGB modality to infer volumetric and semantic cues, enabling downstream medical tasks with detailed and holistic spatial context. Spatial-ORMLLM incorporates a Spatial-Enhanced Feature Fusion Block, which integrates 2D modality inputs with rich 3D spatial knowledge extracted by the estimation algorithm and then feeds the combined features into the visual tower. By employing a unified end-to-end MLLM framework, it combines powerful spatial features with textual features to deliver robust 3D scene reasoning without any additional expert annotations or sensor inputs. Experiments on multiple benchmark clinical datasets demonstrate that Spatial-ORMLLM achieves state-of-the-art performance and generalizes robustly to previously unseen surgical scenarios and downstream tasks.

  • 5 authors
·
Aug 11, 2025

DrivePI: Spatial-aware 4D MLLM for Unified Autonomous Driving Understanding, Perception, Prediction and Planning

Although multi-modal large language models (MLLMs) have shown strong capabilities across diverse domains, their application in generating fine-grained 3D perception and prediction outputs in autonomous driving remains underexplored. In this paper, we propose DrivePI, a novel spatial-aware 4D MLLM that serves as a unified Vision-Language-Action (VLA) framework that is also compatible with vision-action (VA) models. Our method jointly performs spatial understanding, 3D perception (i.e., 3D occupancy), prediction (i.e., occupancy flow), and planning (i.e., action outputs) in parallel through end-to-end optimization. To obtain both precise geometric information and rich visual appearance, our approach integrates point clouds, multi-view images, and language instructions within a unified MLLM architecture. We further develop a data engine to generate text-occupancy and text-flow QA pairs for 4D spatial understanding. Remarkably, with only a 0.5B Qwen2.5 model as MLLM backbone, DrivePI as a single unified model matches or exceeds both existing VLA models and specialized VA models. Specifically, compared to VLA models, DrivePI outperforms OpenDriveVLA-7B by 2.5% mean accuracy on nuScenes-QA and reduces collision rate by 70% over ORION (from 0.37% to 0.11%) on nuScenes. Against specialized VA models, DrivePI surpasses FB-OCC by 10.3 RayIoU for 3D occupancy on OpenOcc, reduces the mAVE from 0.591 to 0.509 for occupancy flow on OpenOcc, and achieves 32% lower L2 error than VAD (from 0.72m to 0.49m) for planning on nuScenes. Code will be available at https://github.com/happinesslz/DrivePI

  • 9 authors
·
Dec 14, 2025 2

Mem4Nav: Boosting Vision-and-Language Navigation in Urban Environments with a Hierarchical Spatial-Cognition Long-Short Memory System

Vision-and-Language Navigation (VLN) in large-scale urban environments requires embodied agents to ground linguistic instructions in complex scenes and recall relevant experiences over extended time horizons. Prior modular pipelines offer interpretability but lack unified memory, while end-to-end (M)LLM agents excel at fusing vision and language yet remain constrained by fixed context windows and implicit spatial reasoning. We introduce Mem4Nav, a hierarchical spatial-cognition long-short memory system that can augment any VLN backbone. Mem4Nav fuses a sparse octree for fine-grained voxel indexing with a semantic topology graph for high-level landmark connectivity, storing both in trainable memory tokens embedded via a reversible Transformer. Long-term memory (LTM) compresses and retains historical observations at both octree and graph nodes, while short-term memory (STM) caches recent multimodal entries in relative coordinates for real-time obstacle avoidance and local planning. At each step, STM retrieval sharply prunes dynamic context, and, when deeper history is needed, LTM tokens are decoded losslessly to reconstruct past embeddings. Evaluated on Touchdown and Map2Seq across three backbones (modular, state-of-the-art VLN with prompt-based LLM, and state-of-the-art VLN with strided-attention MLLM), Mem4Nav yields 7-13 pp gains in Task Completion, sufficient SPD reduction, and >10 pp nDTW improvement. Ablations confirm the indispensability of both the hierarchical map and dual memory modules. Our codes are open-sourced via https://github.com/tsinghua-fib-lab/Mem4Nav.

  • 6 authors
·
Jun 24, 2025 1