EBV-CAN: Vision--Language Grounding for Contact-Aided Endoscope Navigation

Endoscopic retrograde cholangiopancreatography (ERCP) demands precise endoscopic navigation and stable biliary cannulation within a narrow monocular field characterized by specular reflections, partial occlusions, and frequent tissue contact. Although recent robotic systems and vision-based assistance techniques improve operator ergonomics and provide perceptual cues, their performance degrades under pronounced anatomical variability and safety-critical visual artifacts, which hinders reliable autonomy in cannulation-grade procedures. Here, we present BiliVLA, a scene-aware Vision-Language-Action (VLA) framework that formulates biliary endoscopic navigation as an instruction-conditioned visuomotor learning problem. Given an endoscopic observation and a stage-specific language instruction, BiliVLA jointly predicts the target category, a grounded bounding box, and a discrete three-degree-of-freedom (3-DoF) motor command for a continuum endoscope. The proposed framework incorporates scene-aware supervision to improve semantic target consistency and safety-aware recovery supervision to induce conservative retreat behaviors under luminal wall contact. A key component of BiliVLA is a two-stage training paradigm that combines grounding-enhanced supervised fine-tuning (SFT) with Group Relative Policy Optimization (GRPO), thereby improving action reliability and decision consistency during closed-loop navigation. Across three ERCP subtasks, BiliVLA achieves the best overall performance in physical phantom experiments, with a total mIoU of 0.9625, an overall action precision of 91.96%, and an overall success rate (SR) of 84.85%. These results indicate that integrating semantic grounding, scene-aware learning, and reward-guided optimization strengthens perception--action alignment and enables more robust autonomous biliary endoscopic navigation.

The scan-then-revisit workflow of upper gastrointestinal endoscopy requires bringing a previously observed suspicious region back into view for closer inspection. Acquiring such targets requires translating anatomical and appearance descriptions into camera motions from partial observations of a confined, deformable environment. We present EndoVLA-OOV, a language-conditioned vision-language-action policy for out-of-view target acquisition in robotic endoscopy. The policy adapts a pretrained backbone to continuous two-degree-of-freedom distal bending commands and combines initial, intermediate, and current images to guide search. To support policy learning, we provide an open-source VLA dataset containing 1,050 episodes across six tasks and approximately 262k observation-action pairs. Physical evaluation spans wet-lens and low-light conditions, two unseen stomach phantoms, and cross-embodiment transfer to an unseen ex-vivo environment. In the cross-embodiment evaluation, the full-data policy achieves 93.3% target acquisition success (28/30). In a controlled training-data comparison, expanding the corpus from 312 to 1,050 episodes increases acquisition success from 40.0% to 90.0% under the same model, training, and test configuration. Instruction and observation interventions further support the use of language and temporal context in the evaluated acquisition tasks. These results support language-guided endoscopic revisitation across the evaluated environments and robot embodiments and demonstrate the benefit of expanded task-specific demonstrations.

Vision-and-language navigation (VLN) requires an agent to track progress through an extended instruction, identify landmarks relevant to its current objective, and understand the surrounding spatial structure to act. End-to-end navigation policies typically rely on action supervision to implicitly learn these capabilities. Without explicit guidance on the evidence underlying each decision, however, policies can overfit to correlations predictive of training actions rather than learn the task-relevant grounding and geometry needed for generalization. Our insight is to guide the representations that connect instructions to actions: identifying what remains to be done determines which visual evidence matters, while understanding the geometry around that evidence informs how to move. We introduce GuidedNav, a unified framework that explicitly shapes these representations through training-time guidance. Subtask and landmark guidance steer native pre-action attention toward the active instruction segment and relevant visual regions, grounding action prediction in the current objective. Spatial guidance aligns the policy's internal representations with geometric features that capture long-horizon context and local spatial structure. Together, these objectives strengthen navigation capabilities while avoiding the inference overhead of intermediate textual reasoning and online geometric encoding. We also introduce Guided-R2R and Guided-RxR, two annotation-enriched navigation datasets that support more interpretable VLN research. GuidedNav establishes state-of-the-art performance among the compared monocular RGB policies, improving success rates by 8.1% and 13.1% relative to the strongest prior results on R2R-CE and RxR-CE val-unseen, respectively, while achieving faster inference. Extensive experiments further demonstrate the effectiveness and real-world transferability of our approach.