EndoWorld-JEPA: Motion-Guided Global-Local Latent World Modeling for Endoscopic Video Representation Learning

Abstract

Endoscopic video contains state transitions induced by camera displacement, deformable tissue, and instrument interaction, yet existing pre-training methods treat dynamics implicitly. Inspired by action-conditioned joint-embedding predictive world models and by the observation that endoscopic optical flow contains both shared image-plane displacement and localized residual motion, we reformulate passive endoscopic video pre-training as causal motion-guided latent-state prediction. We present EndoWorld-JEPA, to our knowledge the first latent world-model pre-training framework designed for general-purpose endoscopic video representation learning. In place of recorded actions, calibrated poses, or robot kinematics, the model conditions prediction of the next latent state on motion observed up to the current state. Its Optical Motion-guided module separates dominant displacement from residual motion and converts the resulting evidence into an ordered temporal motion condition and spatial local-motion weights. Complementary global and motion-local predictors use these outputs: the temporal condition modulates both latent transitions, whereas the local weights define an auxiliary motion-local state that extends prediction from scene-level evolution to spatially selective dynamics. Patch-wise motion weighting emphasizes localized change while retaining anatomical context, and past-motion-window dropout randomly withholds the complete motion condition to reduce dependence on unreliable motion. This global--local formulation learns predictable visual--motion dynamics in representation space without reconstructing stochastic appearance artifacts. Evaluation shows that a common pre-trained checkpoint achieves strong transfer across four downstream benchmarks, supporting motion-guided global--local latent prediction as an effective pre-training paradigm for endoscopic video.