Surgical spatio-temporal grounding (STG) requires locating, at each video time specified by a procedural question, the object that the question asks about. Existing approaches face a trade-off: vision language models understand the question context but produce imprecise coordinates, whereas open-set detectors provide localized candidate boxes whose confidence does not reflect which box answers the question. We introduce RefineRank, which closes this gap at the candidate-box level. A compact trainable module, RefineNet, combines the language and regional features of a frozen medical vision language model with the proposals of a frozen open-set detector: it predicts a bounded coordinate correction and a quality score for every candidate box, and a fixed decoding rule returns the original or refined box with the highest score. On the MedVidBench Official Rankings (Verified), RefineRank records 0.421 STG mIoU, the highest displayed STG score, while its global multi-metric rank is 11. In a controlled evaluation on separate training and evaluation videos, coordinate correction raises the candidate oracle upper bound from 0.6772 to 0.7302, and ranking the joint pool of original and refined candidates by their RefineNet scores improves STG mIoU from 0.2719 to 0.4534, whereas separately trained selectors over the same pool reach at most 0.4186. These results show that a small box-level module can reconcile question understanding with precise localization without retraining either backbone. Code is available at [https://github.com/linzhe001/RefineRank](https://github.com/linzhe001/RefineRank).
Stereo-based 3D object detection still faces two critical safety challenges: real-time performance and open-set generalization. Existing stereo 3D methods typically achieve twice the accuracy of monocular methods but suffer from significantly lower inference speeds, making them unsuitable for real-time applications. Meanwhile, recent advances in open-world detection have introduced open-set and open-vocabulary algorithms in monocular 2D and 3D settings, yet stereo-based open-set detection remains largely unexplored. To bridge this gap, we propose DDStereo, a novel Dual-Decoder Stereo Transformer for real-time open-set 3D object detection. DDStereo features two lightweight decoder branches: one for open-set foreground 2D detection and the other for 3D attribute regression. These decoders share object-level queries to achieve unified target-level alignment. To enhance inference efficiency, we designed a compact disparity feature extractor and a streamlined decoder architecture. Experiments on public stereo 3D benchmarks demonstrate that DDStereo achieves state-of-the-art accuracy under both closed-set and open-set protocols. Notably, our method surpasses existing stereo 3D detectors in inference speed and, for the first time, achieves real-time performance comparable to monocular approaches.
Open-Set Object Detection (OSOD) is crucial for autonomous driving, where perception systems must recognize and localize both known and previously unseen objects in complex, dynamic environments. While recent approaches deliver promising results, they often require retraining the detector extensively to learn objectness, which describes the likelihood that a bounding box tightly encloses a valid object, regardless of whether its category was learned during training. Deviating from existing work, we hypothesize that standard off-the-shelf detectors may already contain helpful cues for objectness, owing to their training on numerous and diverse known categories. Building on this idea, we propose NAN-SPOT, a training-light framework that does not require to retrain the base object detector and estimates objectness by leveraging a hidden layer metric called Negative-Aware Norm (NAN), requiring only minutes of training on just hundreds of images. To support comprehensive evaluation, we introduce COCO-Open, an expanded version of the existing COCO-Mixed dataset, increasing unknown object annotations from 433 to 1853, making it the most exhaustively labeled dataset for OSOD to the best of our knowledge. Experimental results demonstrate that NAN-SPOT achieves even better performance on unknown object detection than methods requiring heavy training, without compromising performance on known objects. This efficiency and robustness make NAN-SPOT a promising step towards open-world perception in autonomous driving.