EndoLive: Real-Time Style Transfer for Endoscopic Endonasal Skull Base Surgical Video

Dynamic endoscopic reconstruction is fundamental to robotic surgery and computer-assisted interventions. While 3D Gaussian Splatting (3DGS) realises real-time rendering, its application to deformable intraoperative environments remains constrained by spurious geometry and varying illuminations. To address these limitations, we introduce EndoPrior-GS, a novel pipeline that explicitly couples frame-extracted vision heuristics and estimated depth maps. EndoPrior-GS derives a joint texture prior from a tool-filtered valid tissue mask, a non-specular photometric filter, and anatomical structural salience, yielding a probability map that guides primitive initialisation and subsequent density control. The prior is further extended to the temporal domain through a texture-aware term that dynamically weighs pairwise primitive contributions during training. We conduct extensive experiments on benchmark datasets EndoNeRF and SCARED, and the obtained results show that our method EndoPrior-GS reduces Flow Error by 27.7% and 25.8% over the representative approaches while preserving competitive rendering quality and real-time rendering speed. Our project website is available at https://jiaqi-huang-77.github.io/EndoPrior-GS/.

Understanding surgical workflow in real time is fundamental for intelligent surgical embodiment, where AI systems continuously perceive and respond as surgery proceeds. In the operating room, critical decisions depend on subtle, moment-to-moment changes, such as fine instrument movements and evolving tissue states, where even slight perceptual delays can limit assistance or compromise safety. Yet existing methods remain offline or operate at coarse temporal scales, generating descriptions only after processing clips, preventing immediate reaction. We address this by proposing SurgOnAir, a streaming vision-language model that processes frames sequentially without future access and progressively generates narration tokens as visual input arrives. SurgOnAir achieves fine-grained frame-to-token generation, enabling instant responsiveness to evolving surgical dynamics. Built upon our curated hierarchical dataset SurgOnAir-11k spanning action-, step-, and phase-level supervision, the model is trained to produce multi-level textual responses that reflect the inherent hierarchy of surgical procedures. Furthermore, special transition tokens are generated to explicitly mark state changes, allowing SurgOnAir to capture and signal key workflow transitions as they occur. Experiments show that SurgOnAir enables real-time understanding through a single vision-language model that unifies streaming across multiple hierarchies of the surgical workflow, generating superior and hierarchy-aware narrations. Code and dataset will be public.

Pose-driven human animation synthesizes a video of a target person from a single reference image and a driving pose stream. Real-time generation is essential for interactive applications such as live streaming, telepresence, and virtual avatars, yet diffusion-based systems require minutes to hours per clip, precluding responsive interaction. We present LiveAnimate, to our knowledge the first animation system to combine real-time streaming with stable long-form generation at billion scale, built on a 14B-parameter video Diffusion Transformer (DiT). A two-stage training pipeline first adapts a pretrained bidirectional DiT into a block-causal autoregressive generator through Reference-Anchored Teacher-Forcing Adaptation, and then reduces the sampling budget to three steps through Block-wise Self-Forcing Distillation. To preserve appearance over extended streams, we introduce Pose-Retrieval Sink Attention (PR-Sink), a bounded KV-cache mechanism combining a Static Sink that permanently anchors the first generated block, a Dynamic Sink that holds a pose-retrieved historical block, and a three-slot Rolling Window. When a pose recurs, PR-Sink restores the relevant appearance context without retaining the entire sequence, so memory and per-block latency remain constant regardless of stream duration. Together with Ulysses sequence parallelism and operator fusion, these designs enable 19.63,FPS streaming inference on two NVIDIA H100 GPUs. On a three-minute benchmark, LiveAnimate maintains nearly constant perceptual quality and identity from the first 30 seconds to the final minute, while prior systems degrade substantially or require hours of offline computation for the same rollout. These results establish a new operating point in quality, latency, and duration for interactive full-body animation.