ARCGym: Benchmarking Deep Reinforcement Learning in Autonomous Robotic Colonoscopy

Autonomous colonoscopic navigation can reduce operator burden and the risk of loop formation or tissue trauma, but remains challenging due to deformable anatomy, weak-texture and specular endoscopic visuals, and contact-rich viscoelastic interactions. Existing methods either rely on geometry-driven pipelines, which are efficient and interpretable yet brittle due to manually engineered features and switching logic, or adopt learning-based policies, whose inferred depth/geometry can become temporally inconsistent or overly smooth under weak texture and specular highlights while simulation-trained variants (e.g., deep reinforcement learning) may further suffer from a sim-to-real gap. We propose ColoACT, an autonomous navigation system that integrates an RGB-D-E based Action Chunking Transformer policy (ColoACT policy) for a compact self-propelled Bevel-Gear-Based Endoscopic Robot (BGER). The ColoACT policy augments RGB with estimated relative depth and a gradient-based pseudo-elevation map to enhance fold-ridge saliency and other high-frequency geometric cues, and enables smooth continuous control of the BGER by predicting overlapping action chunks and fusing them via temporal ensembling. In different ex-vivo porcine colons (approximately 60 cm), our system achieves success rates of 85.4% and 72.5% in straight and curved segments, respectively, and achieves 70% success in 90-degree turns and 60% in double-bend sequences, with feasibility further demonstrated in challenging triple-bend segments. The project page is available at: https://Adamhu1.github.io/ColoACT/.

Wireless capsule endoscopy (WCE) enables painless visualization of the gastrointestinal tract, but its diagnostic potential is limited by incomplete mucosal coverage and poor transferability of existing navigation methods across patient anatomies. We propose a transferable, anatomical landmarkguided deep reinforcement learning (AL-DRL) framework for autonomous gastric navigation. Leveraging a lightweight edgecontour-depth fusion module, our policy operates on stable, lowdimensional landmark coordinates rather than high-dimensional video streams, effectively bridging the sim-to-real gap. In simulations across eight patient-derived models, the method achieves over 97% coverage within 50 seconds, significantly outperforming vanilla PPO, SAC, and DQN agents. A two-stage sim-to-real pipeline with an adaptive dynamic programming controller actively mitigates physical disturbances. Ex-vivo experiments demonstrate a mean coverage of 87% and a 53% reduction in procedure time compared with expert manual control.

Colorectal cancer screening critically depends on colonoscopy, yet existing platforms offer limited support for systematically studying the coupled dynamics of operator control, instrument motion, and visual feedback. This gap restricts reproducible closed-loop research in robotic colonoscopy, medical imaging, and emerging vision-language-action (VLA) learning paradigms. To address this challenge, we present OpenRC, an open-source modular robotic colonoscopy framework that retrofits conventional scopes while preserving clinical workflow. The framework supports simultaneous recording of video, operator commands, actuation state, and distal tip pose. We experimentally validated motion consistency and quantified cross-modal latency across sensing streams. Using this platform, we collected a multimodal dataset comprising 1,894 teleoperated episodes ~19 hours across 10 structured task variations of routine navigation, failure events, and recovery behaviors. By unifying open hardware and an aligned multimodal dataset, OpenRC provides a reproducible foundation for research in multimodal robotic colonoscopy and surgical autonomy. Both the hardware design and dataset are available at https://github.com/artslab2019/openrc-robotic-colonoscopy. The dataset has been contributed to the Open-H-Embodiment Initiative by NVIDIA.