# EndoWAM: A Grounded World-Action Model for Generalizable Endoscopic Navigation

arXiv: https://arxiv.org/abs/2608.01221 · HTML: https://mlsanity.com/paper/2608.01221/

## Key facts

- Cited by 1 papers in the map (data through 14 Oct 2026).
- Placed in Medical and surgical world models, one of 11 directions in World models.
- Builds on 19 of its 39 references that are in the map.
- First posted on arXiv 2 Aug 2026.

## Placed in

- World models / [Medical and surgical world models](https://mlsanity.com/wm/medical-and-surgical-world-models/)

## Builds on (most cited first, 19 of 19)

- [Qwen3-VL Technical Report](https://mlsanity.com/paper/2511.21631/) (2025)
- [π0: A Vision-Language-Action Flow Model for General Robot Control](https://mlsanity.com/paper/2410.24164/) (2024)
- [π0.5: a Vision-Language-Action Model with Open-World Generalization](https://mlsanity.com/paper/2504.16054/) (2025)
- [GR00T N1: An Open Foundation Model for Generalist Humanoid Robots](https://mlsanity.com/paper/2503.14734/) (2025)
- [Cosmos World Foundation Model Platform for Physical AI](https://mlsanity.com/paper/2501.03575/) (2025)
- [V-JEPA 2: Self-Supervised Video Models Enable Understanding, Prediction and Planning](https://mlsanity.com/paper/2506.09985/) (2025)
- [YOLOv11: An Overview of the Key Architectural Enhancements](https://mlsanity.com/paper/2410.17725/) (2024)
- [WorldVLA: Towards Autoregressive Action World Model](https://mlsanity.com/paper/2506.21539/) (2025)
- [Causal World Modeling for Robot Control](https://mlsanity.com/paper/2601.21998/) (2026)
- [Cosmos Policy: Fine-Tuning Video Models for Visuomotor Control and Planning](https://mlsanity.com/paper/2601.16163/) (2026)
- [Motus: A Unified Latent Action World Model](https://mlsanity.com/paper/2512.13030/) (2025)
- [Unified Video Action Model](https://mlsanity.com/paper/2503.00200/) (2025)
- [GigaWorld-Policy: An Efficient Action-Centered World--Action Model](https://mlsanity.com/paper/2603.17240/) (2026)
- [GraspVLA: a Grasping Foundation Model Pre-trained on Billion-scale Synthetic Action Data](https://mlsanity.com/paper/2505.03233/) (2025)
- [ReconVLA: Reconstructive Vision-Language-Action Model as Effective Robot Perceiver](https://mlsanity.com/paper/2508.10333/) (2025)
- [DiT4DiT: Jointly Modeling Video Dynamics and Actions for Generalizable Robot Control](https://mlsanity.com/paper/2603.10448/) (2026)
- [Surgical Robot Transformer (SRT): Imitation Learning for Surgical Tasks](https://mlsanity.com/paper/2407.12998/) (2024)
- [Autonomous Soft Tissue Retraction Using Demonstration-Guided Reinforcement Learning](https://mlsanity.com/paper/2309.00837/) (2023)
- [BiliVLA: Scene-Aware Vision-Language-Action Model with Reinforcement Learning for Autonomous Biliary Endoscopic Navigation](https://mlsanity.com/paper/2606.23531/) (2026)

## Built on by (most cited first, 1 of 1)

- [EndoLIFT: Language-Disambiguated Latent-Conditioned Rectified Flow for Bidirectional Endoscopic Control](https://mlsanity.com/paper/2608.20478/) (2026)

## Abstract (arXiv)

Autonomous endoscopic navigation can reduce clinicians' operational burden, yet robust control remains challenging due to tissue deformation, transient occlusions, and rapidly changing viewpoints. Existing learning-based policies typically predict actions from current observations without explicitly modeling future dynamics, limiting their robustness and reliability in safety-critical settings. World Action Models (WAMs) offer a promising alternative by coupling predictive visual dynamics with action generation, but extending them to robotic endoscopy remains challenging due to limited training data, restricted viewpoint diversity, deformable anatomy, and high inference latency. We present EndoWAM, which is, to our knowledge, the first WAM for generalizable robotic endoscopic navigation. EndoWAM introduces future grounding, which predicts task-relevant target regions in future observations from intermediate denoising features of a video world model. Specifically, EndoWAM couples a lightweight diffusion transformer for future target-region prediction with a discrete action expert through a shared predictive representation. This design injects target-aware supervision into predictive dynamics modeling, improving robustness to visual degradation and viewpoint changes while enabling real-time control in a single denoising pass. We further introduce EndoMotion, a robotic endoscopic motion dataset spanning three anatomically distinct procedures: ureteroscopy, esophagoscopy, and endoscopic retrograde cholangiopancreatography (ERCP). EndoWAM consistently outperforms all baselines and alternative grounding strategies, while demonstrating strong zero-shot generalization to unseen viewpoints, environments, and targets. These results establish EndoWAM as a predictive, target-grounded framework for accurate, generalizable, and long-horizon navigation in visually constrained endoscopic environments.