Daily Papers

Streaming video understanding requires models not only to process temporally incoming frames, but also to anticipate user intention for realistic applications like AR glasses. While prior streaming benchmarks evaluate temporal reasoning, none measure whether MLLMs can interpret or leverage human gaze signals within a streaming setting. To fill this gap, we introduce StreamGaze, the first benchmark designed to evaluate how effectively MLLMs use gaze for temporal and proactive reasoning in streaming videos. StreamGaze introduces gaze-guided past, present, and proactive tasks that comprehensively evaluate streaming video understanding. These tasks assess whether models can use real-time gaze to follow shifting attention and infer user intentions from only past and currently observed frames. To build StreamGaze, we develop a gaze-video QA generation pipeline that aligns egocentric videos with raw gaze trajectories via fixation extraction, region-specific visual prompting, and scanpath construction. This pipeline produces spatio-temporally grounded QA pairs that closely reflect human perceptual dynamics. Across all StreamGaze tasks, we observe substantial performance gaps between state-of-the-art MLLMs and human performance, revealing fundamental limitations in gaze-based temporal reasoning, intention modeling, and proactive prediction. We further provide detailed analyses of gaze-prompting strategies, reasoning behaviors, and task-specific failure modes, offering deeper insight into why current MLLMs struggle and what capabilities future models must develop. All data and code will be publicly released to support continued research in gaze-guided streaming video understanding.

The emergence of advanced multimodal large language models (MLLMs) has significantly enhanced AI assistants' ability to process complex information across modalities. Recently, egocentric videos, by directly capturing user focus, actions, and context in an unified coordinate, offer an exciting opportunity to enable proactive and personalized AI user experiences with MLLMs. However, existing benchmarks overlook the crucial role of gaze as an indicator of user intent. To address this gap, we introduce EgoGazeVQA, an egocentric gaze-guided video question answering benchmark that leverages gaze information to improve the understanding of longer daily-life videos. EgoGazeVQA consists of gaze-based QA pairs generated by MLLMs and refined by human annotators. Our experiments reveal that existing MLLMs struggle to accurately interpret user intentions. In contrast, our gaze-guided intent prompting methods significantly enhance performance by integrating spatial, temporal, and intent-related cues. We further conduct experiments on gaze-related fine-tuning and analyze how gaze estimation accuracy impacts prompting effectiveness. These results underscore the value of gaze for more personalized and effective AI assistants in egocentric settings. Project page: https://taiyi98.github.io/projects/EgoGazeVQA

Despite recent advances in medical vision-language pretraining, existing models still struggle to capture the diagnostic workflow: radiographs are typically treated as context-agnostic images, while radiologists' gaze -- a crucial cue for visual reasoning -- remains largely underexplored by existing methods. These limitations hinder the modeling of disease-specific patterns and weaken cross-modal alignment. To bridge this gap, we introduce CoGaze, a Context- and Gaze-guided vision-language pretraining framework for chest X-rays. We first propose a context-infused vision encoder that models how radiologists integrate clinical context -- including patient history, symptoms, and diagnostic intent -- to guide diagnostic reasoning. We then present a multi-level supervision paradigm that (1) enforces intra- and inter-modal semantic alignment through hybrid-positive contrastive learning, (2) injects diagnostic priors via disease-aware cross-modal representation learning, and (3) leverages radiologists' gaze as probabilistic priors to guide attention toward diagnostically salient regions. Extensive experiments demonstrate that CoGaze consistently outperforms state-of-the-art methods across diverse tasks, achieving up to +2.0% CheXbertF1 and +1.2% BLEU2 for free-text and structured report generation, +23.2% AUROC for zero-shot classification, and +12.2% Precision@1 for image-text retrieval. Code is available at https://github.com/mk-runner/CoGaze.

Surgical phase recognition has gained significant attention due to its potential to offer solutions to numerous demands of the modern operating room. However, most existing methods concentrate on minimally invasive surgery (MIS), leaving surgical phase recognition for open surgery understudied. This discrepancy is primarily attributed to the scarcity of publicly available open surgery video datasets for surgical phase recognition. To address this issue, we introduce a new egocentric open surgery video dataset for phase recognition, named EgoSurgery-Phase. This dataset comprises 15 hours of real open surgery videos spanning 9 distinct surgical phases all captured using an egocentric camera attached to the surgeon's head. In addition to video, the EgoSurgery-Phase offers eye gaze. As far as we know, it is the first real open surgery video dataset for surgical phase recognition publicly available. Furthermore, inspired by the notable success of masked autoencoders (MAEs) in video understanding tasks (e.g., action recognition), we propose a gaze-guided masked autoencoder (GGMAE). Considering the regions where surgeons' gaze focuses are often critical for surgical phase recognition (e.g., surgical field), in our GGMAE, the gaze information acts as an empirical semantic richness prior to guiding the masking process, promoting better attention to semantically rich spatial regions. GGMAE significantly improves the previous state-of-the-art recognition method (6.4% in Jaccard) and the masked autoencoder-based method (3.1% in Jaccard) on EgoSurgery-Phase. The dataset is released at https://github.com/Fujiry0/EgoSurgery.

The ability of gaze estimation models to generalize is often significantly hindered by various factors unrelated to gaze, especially when the training dataset is limited. Current strategies aim to address this challenge through different domain generalization techniques, yet they have had limited success due to the risk of overfitting when solely relying on value labels for regression. Recent progress in pre-trained vision-language models has motivated us to capitalize on the abundant semantic information available. We propose a novel approach in this paper, reframing the gaze estimation task as a vision-language alignment issue. Our proposed framework, named Language-Guided Gaze Estimation (LG-Gaze), learns continuous and geometry-sensitive features for gaze estimation benefit from the rich prior knowledges of vision-language models. Specifically, LG-Gaze aligns gaze features with continuous linguistic features through our proposed multimodal contrastive regression loss, which customizes adaptive weights for different negative samples. Furthermore, to better adapt to the labels for gaze estimation task, we propose a geometry-aware interpolation method to obtain more precise gaze embeddings. Through extensive experiments, we validate the efficacy of our framework in four different cross-domain evaluation tasks.

Vision language models (VLMs) often generate hallucination, i.e., content that cannot be substantiated by either textual or visual inputs. Prior work primarily attributes this to over-reliance on linguistic prior knowledge rather than visual inputs. Some methods attempt to mitigate hallucination by amplifying visual token attention proportionally to their attention scores. However, these methods overlook the visual attention sink problem, where attention is frequently misallocated to task-irrelevant visual regions, and neglect cross-modal fusion balance by enhancing only visual attention without adjusting attention to the user query. This can result in amplifying incorrect areas while failing to properly interpret the user query. To address these challenges, we propose a simple yet effective method called Gaze Shift-Guided Cross-modal Fusion Enhancement (GIFT). GIFT pre-computes a holistic visual saliency map by tracking positive changes in visual attention, or "gaze shifts", during user query comprehension, and leverages this map to amplify attention to both salient visual information and the user query at each decoding step. This reduces the impact of visual attention sink, as irrelevant tokens exhibit minimal shifts, while ensuring balanced cross-modal fusion for well-integrated representation. Extensive experiments show that GIFT effectively mitigates hallucination in VLMs across both generative and classification tasks, achieving up to 20.7% improvement over greedy decoding, while maintaining general vision-language performance with low computational overhead.

Visual search is important in our daily life. The efficient allocation of visual attention is critical to effectively complete visual search tasks. Prior research has predominantly modelled the spatial allocation of visual attention in images at the pixel level, e.g. using a saliency map. However, emerging evidence shows that visual attention is guided by objects rather than pixel intensities. This paper introduces the Object-level Attention Transformer (OAT), which predicts human scanpaths as they search for a target object within a cluttered scene of distractors. OAT uses an encoder-decoder architecture. The encoder captures information about the position and appearance of the objects within an image and about the target. The decoder predicts the gaze scanpath as a sequence of object fixations, by integrating output features from both the encoder and decoder. We also propose a new positional encoding that better reflects spatial relationships between objects. We evaluated OAT on the Amazon book cover dataset and a new dataset for visual search that we collected. OAT's predicted gaze scanpaths align more closely with human gaze patterns, compared to predictions by algorithms based on spatial attention on both established metrics and a novel behavioural-based metric. Our results demonstrate the generalization ability of OAT, as it accurately predicts human scanpaths for unseen layouts and target objects.

Operating rooms (ORs) demand precise coordination among surgeons, nurses, and equipment in a fast-paced, occlusion-heavy environment, necessitating advanced perception models to enhance safety and efficiency. Existing datasets either provide partial egocentric views or sparse exocentric multi-view context, but do not explore the comprehensive combination of both. We introduce EgoExOR, the first OR dataset and accompanying benchmark to fuse first-person and third-person perspectives. Spanning 94 minutes (84,553 frames at 15 FPS) of two emulated spine procedures, Ultrasound-Guided Needle Insertion and Minimally Invasive Spine Surgery, EgoExOR integrates egocentric data (RGB, gaze, hand tracking, audio) from wearable glasses, exocentric RGB and depth from RGB-D cameras, and ultrasound imagery. Its detailed scene graph annotations, covering 36 entities and 22 relations (568,235 triplets), enable robust modeling of clinical interactions, supporting tasks like action recognition and human-centric perception. We evaluate the surgical scene graph generation performance of two adapted state-of-the-art models and offer a new baseline that explicitly leverages EgoExOR's multimodal and multi-perspective signals. This new dataset and benchmark set a new foundation for OR perception, offering a rich, multimodal resource for next-generation clinical perception.

Attention guides our gaze to fixate the proper location of the scene and holds it in that location for the deserved amount of time given current processing demands, before shifting to the next one. As such, gaze deployment crucially is a temporal process. Existing computational models have made significant strides in predicting spatial aspects of observer's visual scanpaths (where to look), while often putting on the background the temporal facet of attention dynamics (when). In this paper we present TPP-Gaze, a novel and principled approach to model scanpath dynamics based on Neural Temporal Point Process (TPP), that jointly learns the temporal dynamics of fixations position and duration, integrating deep learning methodologies with point process theory. We conduct extensive experiments across five publicly available datasets. Our results show the overall superior performance of the proposed model compared to state-of-the-art approaches. Source code and trained models are publicly available at: https://github.com/phuselab/tppgaze.

The ability to anticipate human-object interactions is highly desirable in an intelligent assistive system in order to guide users during daily life activities and understand their short and long-term goals. Creating systems with such capabilities requires to approach several complex challenges. This work addresses the problem of human-object interaction anticipation in Egocentric Vision using Vision Large Language Models (VLLMs). We tackle key limitations in existing approaches by improving visual grounding capabilities through Set-of-Mark prompting and understanding user intent via the trajectory formed by the user's most recent gaze fixations. To effectively capture the temporal dynamics immediately preceding the interaction, we further introduce a novel inverse exponential sampling strategy for input video frames. Experiments conducted on the egocentric dataset HD-EPIC demonstrate that our method surpasses state-of-the-art approaches for the considered task, showing its model-agnostic nature.