Detector-in-the-Loop Tracking: Active Memory Rectification for Stable Glottic Opening Localization
Organizations: University of Washington, Seattle, WA · Ajou University School of Medicine, Suwon, Republic of Korea · Harborview Medical Center, Seattle, WA · Airlift Northwest, Seattle, WA
Abstract
Temporal stability in glottic opening localization remains challenging due to the complementary weaknesses of single-frame detectors and foundation-model trackers: the former lacks temporal context, while the latter suffers from memory drift. Specifically, in video laryngoscopy, rapid tissue deformation, occlusions, and visual ambiguities in emergency settings require a robust, temporally aware solution that can prevent progressive tracking errors. We propose Closed-Loop Memory Correction (CL-MC), a detector-in-the-loop framework that supervises Segment Anything Model 2(SAM2) through confidence-aligned state decisions and active memory rectification. High-confidence detections trigger semantic resets that overwrite corrupted tracker memory, effectively mitigating drift accumulation with a training-free foundation tracker in complex endoscopic scenes. On emergency intubation videos, CL-MC achieves state-of-the-art performance, significantly reducing drift and missing rate compared with the SAM2 variants and open loop based methods. Our results establish memory correction as a crucial component for reliable clinical video tracking. Our code will be available in https://github.com/huayuww/CL-MR.
Figures & tables
| Data | mAP 50 ( ) | mAP 50:95 ( ) | Miss Rate ( ) | |||
|---|---|---|---|---|---|---|
| YOLO | Ours | YOLO | Ours | YOLO | Ours | |
| 30% | 64.16 | 64.79 (+0.6) | 35.09 | 36.21 (+1.1) | 21.08 | 23.55 (+2.5) |
| 70% | 81.28 | 82.29 (+1.0) | 45.98 | 46.61 (+0.6) | 11.21 | 8.31 (-2.9) |
| 100% | 82.41 | 84.32 (+1.9) | 51.05 | 50.95 (-0.1) | 8.81 | 6.85 (-2.0) |
| Varying Parameter | Value | Metrics | |||
|---|---|---|---|---|---|
| mAP 50 | mAP 50:95 | AUC | Missing Rate | ||
| (a) Temporal Window (Fixed: ) | |||||
| Window Size | 20 | 83.81 | 50.58 | 76.71 | 6.53 |
| 30 | 84.87 | 51.22 | 76.67 | 6.40 | |
| 40 | 85.29 | 51.43 | 76.53 | 6.55 | |
| (b) Drift Threshold (Fixed: ) | |||||
Visual Object Tracking
Visual object tracking follows objects across video frames, maintaining their locations and identities despite motion, occlusion, and changing appearance.
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