VISTA: Validation-Guided Integration of Spatial and Temporal Foundation Models with Anatomical Decoding for Rare-Pathology VCE Event Detection -- after competition results

Abstract

Capsule endoscopy event detection is challenging because clinically relevant findings are sparse, visually heterogeneous, and evaluated at the event level rather than by frame accuracy. We propose VISTA, a metric-aligned multi-backbone framework for the RAREVISION task. VISTA combines EndoFM-LV for temporal context and DINOv3 ViTL/16 for frame-level visual semantics, followed by a Diverse Head Ensemble (DHE), Validation-Guided Weighted Fusion (VGWF), and Anatomy-Aware Temporal Event Decoding (ATED). The original official submission achieved hidden-test temporal mAP@0.5 of 0.3530 and mAP@0.95 of 0.3235. After the competition, extending local threshold refinement with a global coarse search improved performance to 0.3726 mAP@0.5 and 0.3431 mAP@0.95, ranking Team ACVLab second in the post-competition evaluation.