Fuxiang Huang

CV
h-index12
20papers
294citations
Novelty46%
AI Score57

20 Papers

CVSep 9, 2024Code
A Survey of Multimodal Composite Editing and Retrieval

Suyan Li, Fuxiang Huang, Lei Zhang

In the real world, where information is abundant and diverse across different modalities, understanding and utilizing various data types to improve retrieval systems is a key focus of research. Multimodal composite retrieval integrates diverse modalities such as text, image and audio, etc. to provide more accurate, personalized, and contextually relevant results. To facilitate a deeper understanding of this promising direction, this survey explores multimodal composite editing and retrieval in depth, covering image-text composite editing, image-text composite retrieval, and other multimodal composite retrieval. In this survey, we systematically organize the application scenarios, methods, benchmarks, experiments, and future directions. Multimodal learning is a hot topic in large model era, and have also witnessed some surveys in multimodal learning and vision-language models with transformers published in the PAMI journal. To the best of our knowledge, this survey is the first comprehensive review of the literature on multimodal composite retrieval, which is a timely complement of multimodal fusion to existing reviews. To help readers' quickly track this field, we build the project page for this survey, which can be found at https://github.com/fuxianghuang1/Multimodal-Composite-Editing-and-Retrieval.

CVMay 29
Cross-Modal Clinical Knowledge Integration for Mammography Report Generation

Jiayi Zhu, Fuxiang Huang, Yu Xie et al.

Breast cancer is a major global health concern, and mammography screening plays a central role in early detection. The large volume of screening examinations creates a substantial workload for radiologists, making accurate and consistent report generation a critical clinical challenge. Existing automated mammography report generation methods primarily focus on direct visual-to-text mapping, while overlooking the structured clinical reasoning process followed by radiologists in real-world practice. To address this limitation, we propose MammoRG, a mammography report generation framework that explicitly simulates the clinical reporting workflow by following the BI-RADS guideline and incorporating prior clinical knowledge to produce diagnostic reports. Specifically, MammoRG adopts a two-stage training framework. In the first stage, the model learns to integrate clinically relevant prior knowledge from a patient's four-view mammograms through classification-based supervision. In the second stage, a terminology-aware supervised fine-tuning strategy is introduced to model mammography-specific clinical terms as atomic semantic units, enabling the generation of high-quality reports with improved clinical consistency. To facilitate clinical efficacy evaluation of generated reports, we further develop MammoRGTool, a dedicated mammography report parsing tool that extracts structured clinical information from free-text reports. Extensive experiments demonstrate that MammoRG consistently outperforms existing methods across multiple clinical efficacy metrics, particularly in diagnosis-related BI-RADS F1, where it surpasses the second-best model by 2.73%, 2.04%, 1.90%, and 3.27% on the internal, external 1, external 2, and VinDr-Mammo datasets, respectively.

CYApr 4, 2024Code
Foundation Model for Advancing Healthcare: Challenges, Opportunities, and Future Directions

Yuting He, Fuxiang Huang, Xinrui Jiang et al.

Foundation model, which is pre-trained on broad data and is able to adapt to a wide range of tasks, is advancing healthcare. It promotes the development of healthcare artificial intelligence (AI) models, breaking the contradiction between limited AI models and diverse healthcare practices. Much more widespread healthcare scenarios will benefit from the development of a healthcare foundation model (HFM), improving their advanced intelligent healthcare services. Despite the impending widespread deployment of HFMs, there is currently a lack of clear understanding about how they work in the healthcare field, their current challenges, and where they are headed in the future. To answer these questions, a comprehensive and deep survey of the challenges, opportunities, and future directions of HFMs is presented in this survey. It first conducted a comprehensive overview of the HFM including the methods, data, and applications for a quick grasp of the current progress. Then, it made an in-depth exploration of the challenges present in data, algorithms, and computing infrastructures for constructing and widespread application of foundation models in healthcare. This survey also identifies emerging and promising directions in this field for future development. We believe that this survey will enhance the community's comprehension of the current progress of HFM and serve as a valuable source of guidance for future development in this field. The latest HFM papers and related resources are maintained on our website: https://github.com/YutingHe-list/Awesome-Foundation-Models-for-Advancing-Healthcare.

CVAug 1, 2024
Gradient Harmonization in Unsupervised Domain Adaptation

Fuxiang Huang, Suqi Song, Lei Zhang

Unsupervised domain adaptation (UDA) intends to transfer knowledge from a labeled source domain to an unlabeled target domain. Many current methods focus on learning feature representations that are both discriminative for classification and invariant across domains by simultaneously optimizing domain alignment and classification tasks. However, these methods often overlook a crucial challenge: the inherent conflict between these two tasks during gradient-based optimization. In this paper, we delve into this issue and introduce two effective solutions known as Gradient Harmonization, including GH and GH++, to mitigate the conflict between domain alignment and classification tasks. GH operates by altering the gradient angle between different tasks from an obtuse angle to an acute angle, thus resolving the conflict and trade-offing the two tasks in a coordinated manner. Yet, this would cause both tasks to deviate from their original optimization directions. We thus further propose an improved version, GH++, which adjusts the gradient angle between tasks from an obtuse angle to a vertical angle. This not only eliminates the conflict but also minimizes deviation from the original gradient directions. Finally, for optimization convenience and efficiency, we evolve the gradient harmonization strategies into a dynamically weighted loss function using an integral operator on the harmonized gradient. Notably, GH/GH++ are orthogonal to UDA and can be seamlessly integrated into most existing UDA models. Theoretical insights and experimental analyses demonstrate that the proposed approaches not only enhance popular UDA baselines but also improve recent state-of-the-art models.

CVApr 16, 2023
Language Guided Local Infiltration for Interactive Image Retrieval

Fuxiang Huang, Lei Zhang

Interactive Image Retrieval (IIR) aims to retrieve images that are generally similar to the reference image but under the requested text modification. The existing methods usually concatenate or sum the features of image and text simply and roughly, which, however, is difficult to precisely change the local semantics of the image that the text intends to modify. To solve this problem, we propose a Language Guided Local Infiltration (LGLI) system, which fully utilizes the text information and penetrates text features into image features as much as possible. Specifically, we first propose a Language Prompt Visual Localization (LPVL) module to generate a localization mask which explicitly locates the region (semantics) intended to be modified. Then we introduce a Text Infiltration with Local Awareness (TILA) module, which is deployed in the network to precisely modify the reference image and generate image-text infiltrated representation. Extensive experiments on various benchmark databases validate that our method outperforms most state-of-the-art IIR approaches.

CVDec 11, 2023Code
Dynamic Weighted Combiner for Mixed-Modal Image Retrieval

Fuxiang Huang, Lei Zhang, Xiaowei Fu et al.

Mixed-Modal Image Retrieval (MMIR) as a flexible search paradigm has attracted wide attention. However, previous approaches always achieve limited performance, due to two critical factors are seriously overlooked. 1) The contribution of image and text modalities is different, but incorrectly treated equally. 2) There exist inherent labeling noises in describing users' intentions with text in web datasets from diverse real-world scenarios, giving rise to overfitting. We propose a Dynamic Weighted Combiner (DWC) to tackle the above challenges, which includes three merits. First, we propose an Editable Modality De-equalizer (EMD) by taking into account the contribution disparity between modalities, containing two modality feature editors and an adaptive weighted combiner. Second, to alleviate labeling noises and data bias, we propose a dynamic soft-similarity label generator (SSG) to implicitly improve noisy supervision. Finally, to bridge modality gaps and facilitate similarity learning, we propose a CLIP-based mutual enhancement module alternately trained by a mixed-modality contrastive loss. Extensive experiments verify that our proposed model significantly outperforms state-of-the-art methods on real-world datasets. The source code is available at \url{https://github.com/fuxianghuang1/DWC}.

LGNov 14, 2025
Unsupervised Robust Domain Adaptation: Paradigm, Theory and Algorithm

Fuxiang Huang, Xiaowei Fu, Shiyu Ye et al.

Unsupervised domain adaptation (UDA) aims to transfer knowledge from a label-rich source domain to an unlabeled target domain by addressing domain shifts. Most UDA approaches emphasize transfer ability, but often overlook robustness against adversarial attacks. Although vanilla adversarial training (VAT) improves the robustness of deep neural networks, it has little effect on UDA. This paper focuses on answering three key questions: 1) Why does VAT, known for its defensive effectiveness, fail in the UDA paradigm? 2) What is the generalization bound theory under attacks and how does it evolve from classical UDA theory? 3) How can we implement a robustification training procedure without complex modifications? Specifically, we explore and reveal the inherent entanglement challenge in general UDA+VAT paradigm, and propose an unsupervised robust domain adaptation (URDA) paradigm. We further derive the generalization bound theory of the URDA paradigm so that it can resist adversarial noise and domain shift. To the best of our knowledge, this is the first time to establish the URDA paradigm and theory. We further introduce a simple, novel yet effective URDA algorithm called Disentangled Adversarial Robustness Training (DART), a two-step training procedure that ensures both transferability and robustness. DART first pre-trains an arbitrary UDA model, and then applies an instantaneous robustification post-training step via disentangled distillation.Experiments on four benchmark datasets with/without attacks show that DART effectively enhances robustness while maintaining domain adaptability, and validate the URDA paradigm and theory.

CRApr 9Code
Multimodal Reasoning with LLM for Encrypted Traffic Interpretation: A Benchmark

Longgang Zhang, Xiaowei Fu, Fuxiang Huang et al.

Network traffic, as a key media format, is crucial for ensuring security and communications in modern internet infrastructure. While existing methods offer excellent performance, they face two key bottlenecks: (1) They fail to capture multidimensional semantics beyond unimodal sequence patterns. (2) Their black box property, i.e., providing only category labels, lacks an auditable reasoning process. We identify a key factor that existing network traffic datasets are primarily designed for classification and inherently lack rich semantic annotations, failing to generate human-readable evidence report. To address data scarcity, this paper proposes a Byte-Grounded Traffic Description (BGTD) benchmark for the first time, combining raw bytes with structured expert annotations. BGTD provides necessary behavioral features and verifiable chains of evidence for multimodal reasoning towards explainable encrypted traffic interpretation. Built upon BGTD, this paper proposes an end-to-end traffic-language representation framework (mmTraffic), a multimodal reasoning architecture bridging physical traffic encoding and semantic interpretation. In order to alleviate modality interference and generative hallucinations, mmTraffic adopts a jointly-optimized perception-cognition architecture. By incorporating a perception-centered traffic encoder and a cognition-centered LLM generator, mmTraffic achieves refined traffic interpretation with guaranteed category prediction. Extensive experiments demonstrate that mmTraffic autonomously generates high-fidelity, human-readable, and evidence-grounded traffic interpretation reports, while maintaining highly competitive classification accuracy comparing to specialized unimodal model (e.g., NetMamba). The source code is available at https://github.com/lgzhangzlg/Multimodal-Reasoning-with-LLM-for-Encrypted-Traffic-Interpretation-A-Benchmark

QMFeb 12
Free Lunch in Medical Image Foundation Model Pre-training via Randomized Synthesis and Disentanglement

Yuhan Wei, Yuting He, Linshan Wu et al.

Medical image foundation models (MIFMs) have demonstrated remarkable potential for a wide range of clinical tasks, yet their development is constrained by the scarcity, heterogeneity, and high cost of large-scale annotated datasets. Here, we propose RaSD (Randomized Synthesis and Disentanglement), a scalable framework for pre-training MIFMs entirely on synthetic data. By modeling anatomical structures and appearance variations with randomized Gaussian distributions, RaSD exposes models to sufficient multi-scale structural and appearance perturbations, forcing them to rely on invariant and task-relevant anatomical cues rather than dataset-specific textures, thereby enabling robust and transferable representation learning. We pre-trained RaSD on 1.2 million 3D volumes and 9.6 million 2D images, and extensively evaluated the resulting models across 6 imaging modalities, 48 datasets, and 56 downstream tasks. Across all evaluated downstream tasks, RaSD consistently outperforms training-from-scratch models, achieves the best performance on 17 tasks, and remains comparable to models pre-trained on large real datasets in most others. These results demonstrate that the capacity of synthetic data alone to drive robust representation learning. Our findings establish a paradigm shift in medical AI, demonstrating that synthetic data can serve as a "free lunch" for scalable, privacy-preserving, and clinically generalizable foundation models.

CRMar 31Code
Mean Masked Autoencoder with Flow-Mixing for Encrypted Traffic Classification

Xiao Liu, Xiaowei Fu, Fuxiang Huang et al.

Network traffic classification using self-supervised pre-training models based on Masked Autoencoders (MAE) has demonstrated a huge potential. However, existing methods are confined to isolated byte-level reconstruction of individual flows, lacking adequate perception of the multi-granularity contextual relationship in traffic. To address this limitation, we propose Mean MAE (MMAE), a teacher-student MAE paradigm with flow mixing strategy for building encrypted traffic pre-training model. MMAE employs a self-distillation mechanism for teacher-student interaction, where the teacher provides unmasked flow-level semantic supervision to advance the student from local byte reconstruction to multi-granularity comprehension. To break the information bottleneck in individual flows, we introduce a dynamic Flow Mixing (FlowMix) strategy to replace traditional random masking mechanism. By constructing challenging cross-flow mixed samples with interferences, it compels the model to learn discriminative representations from distorted tokens. Furthermore, we design a Packet-importance aware Mask Predictor (PMP) equipped with an attention bias mechanism that leverages packet-level side-channel statistics to dynamically mask tokens with high semantic density. Numerous experiments on a number of datasets covering encrypted applications, malware, and attack traffic demonstrate that MMAE achieves state-of-the-art performance. The code is available at https://github.com/lx6c78/MMAE

CVJan 19Code
Proxy Robustness in Vision Language Models is Effortlessly Transferable

Xiaowei Fu, Fuxiang Huang, Lei Zhang

As a pivotal technique for improving the defense of deep models, adversarial robustness transfer via distillation has demonstrated remarkable success in conventional image classification tasks. However, this paradigm encounters critical challenges when applied to vision-language models (VLM) (e.g., CLIP): constructing adversarially robust teacher for large-scale multi-modal models demands prohibitively high computational resources. We bridge this gap by revealing an interesting phenomenon: vanilla CLIP (without adversarial training) exhibits intrinsic defensive capabilities against adversarial examples generated by another CLIP with different architectures. We formally define this as proxy adversarial robustness, and naturally propose a Heterogeneous Proxy Transfer (HPT) framework that establishes cross-architectural robustness distillation channels between CLIP variants, effortlessly enabling the VLM robustness transfer from proxy to target models. Yet, such proxy transfer paradigm easily induces severe overfitting, leading to a sharp degradation in zero-shot natural generalization. To resolve that, we design Generalization-Pivot Decoupling (GPD) by leveraging the difference in learning rate scheduling. This decouples the proxy transfer process into a generalization-anchored warm-up that maintains generalization and a generalization-pulled HPT that promotes adversarial robustness, to achieve an equilibrium between natural generalization and adversarial robustness. Extensive experiments on 15 zero-shot datasets demonstrate the effectiveness of our HPT-GPD method. The code is available at the website of github.com/fxw13/HPT-GPD.

CVMar 6, 2020Code
Probability Weighted Compact Feature for Domain Adaptive Retrieval

Fuxiang Huang, Lei Zhang, Yang Yang et al.

Domain adaptive image retrieval includes single-domain retrieval and cross-domain retrieval. Most of the existing image retrieval methods only focus on single-domain retrieval, which assumes that the distributions of retrieval databases and queries are similar. However, in practical application, the discrepancies between retrieval databases often taken in ideal illumination/pose/background/camera conditions and queries usually obtained in uncontrolled conditions are very large. In this paper, considering the practical application, we focus on challenging cross-domain retrieval. To address the problem, we propose an effective method named Probability Weighted Compact Feature Learning (PWCF), which provides inter-domain correlation guidance to promote cross-domain retrieval accuracy and learns a series of compact binary codes to improve the retrieval speed. First, we derive our loss function through the Maximum A Posteriori Estimation (MAP): Bayesian Perspective (BP) induced focal-triplet loss, BP induced quantization loss and BP induced classification loss. Second, we propose a common manifold structure between domains to explore the potential correlation across domains. Considering the original feature representation is biased due to the inter-domain discrepancy, the manifold structure is difficult to be constructed. Therefore, we propose a new feature named Histogram Feature of Neighbors (HFON) from the sample statistics perspective. Extensive experiments on various benchmark databases validate that our method outperforms many state-of-the-art image retrieval methods for domain adaptive image retrieval. The source code is available at https://github.com/fuxianghuang1/PWCF

CVJan 27
Implicit Non-Causal Factors are Out via Dataset Splitting for Domain Generalization Object Detection

Zhilong Zhang, Lei Zhang, Qing He et al.

Open world object detection faces a significant challenge in domain-invariant representation, i.e., implicit non-causal factors. Most domain generalization (DG) methods based on domain adversarial learning (DAL) pay much attention to learn domain-invariant information, but often overlook the potential non-causal factors. We unveil two critical causes: 1) The domain discriminator-based DAL method is subject to the extremely sparse domain label, i.e., assigning only one domain label to each dataset, thus can only associate explicit non-causal factor, which is incredibly limited. 2) The non-causal factors, induced by unidentified data bias, are excessively implicit and cannot be solely discerned by conventional DAL paradigm. Based on these key findings, inspired by the Granular-Ball perspective, we propose an improved DAL method, i.e., GB-DAL. The proposed GB-DAL utilizes Prototype-based Granular Ball Splitting (PGBS) module to generate more dense domains from limited datasets, akin to more fine-grained granular balls, indicating more potential non-causal factors. Inspired by adversarial perturbations akin to non-causal factors, we propose a Simulated Non-causal Factors (SNF) module as a means of data augmentation to reduce the implicitness of non-causal factors, and facilitate the training of GB-DAL. Comparative experiments on numerous benchmarks demonstrate that our method achieves better generalization performance in novel circumstances.

CVMar 22, 2024
An Open-World, Diverse, Cross-Spatial-Temporal Benchmark for Dynamic Wild Person Re-Identification

Lei Zhang, Xiaowei Fu, Fuxiang Huang et al.

Person re-identification (ReID) has made great strides thanks to the data-driven deep learning techniques. However, the existing benchmark datasets lack diversity, and models trained on these data cannot generalize well to dynamic wild scenarios. To meet the goal of improving the explicit generalization of ReID models, we develop a new Open-World, Diverse, Cross-Spatial-Temporal dataset named OWD with several distinct features. 1) Diverse collection scenes: multiple independent open-world and highly dynamic collecting scenes, including streets, intersections, shopping malls, etc. 2) Diverse lighting variations: long time spans from daytime to nighttime with abundant illumination changes. 3) Diverse person status: multiple camera networks in all seasons with normal/adverse weather conditions and diverse pedestrian appearances (e.g., clothes, personal belongings, poses, etc.). 4) Protected privacy: invisible faces for privacy critical applications. To improve the implicit generalization of ReID, we further propose a Latent Domain Expansion (LDE) method to develop the potential of source data, which decouples discriminative identity-relevant and trustworthy domain-relevant features and implicitly enforces domain-randomized identity feature space expansion with richer domain diversity to facilitate domain invariant representations. Our comprehensive evaluations with most benchmark datasets in the community are crucial for progress, although this work is far from the grand goal toward open-world and dynamic wild applications.

CVJun 3, 2025
Large-scale Self-supervised Video Foundation Model for Intelligent Surgery

Shu Yang, Fengtao Zhou, Leon Mayer et al.

Computer-Assisted Intervention (CAI) has the potential to revolutionize modern surgery, with surgical scene understanding serving as a critical component in supporting decision-making, improving procedural efficacy, and ensuring intraoperative safety. While existing AI-driven approaches alleviate annotation burdens via self-supervised spatial representation learning, their lack of explicit temporal modeling during pre-training fundamentally restricts the capture of dynamic surgical contexts, resulting in incomplete spatiotemporal understanding. In this work, we introduce the first video-level surgical pre-training framework that enables joint spatiotemporal representation learning from large-scale surgical video data. To achieve this, we constructed a large-scale surgical video dataset comprising 3,650 videos and approximately 3.55 million frames, spanning more than 20 surgical procedures and over 10 anatomical structures. Building upon this dataset, we propose SurgVISTA (Surgical Video-level Spatial-Temporal Architecture), a reconstruction-based pre-training method that captures intricate spatial structures and temporal dynamics through joint spatiotemporal modeling. Additionally, SurgVISTA incorporates image-level knowledge distillation guided by a surgery-specific expert to enhance the learning of fine-grained anatomical and semantic features. To validate its effectiveness, we established a comprehensive benchmark comprising 13 video-level datasets spanning six surgical procedures across four tasks. Extensive experiments demonstrate that SurgVISTA consistently outperforms both natural- and surgical-domain pre-trained models, demonstrating strong potential to advance intelligent surgical systems in clinically meaningful scenarios.

AIOct 21, 2025
Automated urban waterlogging assessment and early warning through a mixture of foundation models

Chenxu Zhang, Fuxiang Huang, Lei Zhang

With climate change intensifying, urban waterlogging poses an increasingly severe threat to global public safety and infrastructure. However, existing monitoring approaches rely heavily on manual reporting and fail to provide timely and comprehensive assessments. In this study, we present Urban Waterlogging Assessment (UWAssess), a foundation model-driven framework that automatically identifies waterlogged areas in surveillance images and generates structured assessment reports. To address the scarcity of labeled data, we design a semi-supervised fine-tuning strategy and a chain-of-thought (CoT) prompting strategy to unleash the potential of the foundation model for data-scarce downstream tasks. Evaluations on challenging visual benchmarks demonstrate substantial improvements in perception performance. GPT-based evaluations confirm the ability of UWAssess to generate reliable textual reports that accurately describe waterlogging extent, depth, risk and impact. This dual capability enables a shift of waterlogging monitoring from perception to generation, while the collaborative framework of multiple foundation models lays the groundwork for intelligent and scalable systems, supporting urban management, disaster response and climate resilience.

CVSep 24, 2025
A Versatile Foundation Model for AI-enabled Mammogram Interpretation

Fuxiang Huang, Jiayi Zhu, Yunfang Yu et al.

Breast cancer is the most commonly diagnosed cancer and the leading cause of cancer-related mortality in women globally. Mammography is essential for the early detection and diagnosis of breast lesions. Despite recent progress in foundation models (FMs) for mammogram analysis, their clinical translation remains constrained by several fundamental limitations, including insufficient diversity in training data, limited model generalizability, and a lack of comprehensive evaluation across clinically relevant tasks. Here, we introduce VersaMammo, a versatile foundation model for mammograms, designed to overcome these limitations. We curated the largest multi-institutional mammogram dataset to date, comprising 706,239 images from 21 sources. To improve generalization, we propose a two-stage pre-training strategy to develop VersaMammo, a mammogram foundation model. First, a teacher model is trained via self-supervised learning to extract transferable features from unlabeled mammograms. Then, supervised learning combined with knowledge distillation transfers both features and clinical knowledge into VersaMammo. To ensure a comprehensive evaluation, we established a benchmark comprising 92 specific tasks, including 68 internal tasks and 24 external validation tasks, spanning 5 major clinical task categories: lesion detection, segmentation, classification, image retrieval, and visual question answering. VersaMammo achieves state-of-the-art performance, ranking first in 50 out of 68 specific internal tasks and 20 out of 24 external validation tasks, with average ranks of 1.5 and 1.2, respectively. These results demonstrate its superior generalization and clinical utility, offering a substantial advancement toward reliable and scalable breast cancer screening and diagnosis.

CVSep 1, 2025
A Unified Low-level Foundation Model for Enhancing Pathology Image Quality

Ziyi Liu, Zhe Xu, Jiabo Ma et al.

Foundation models have revolutionized computational pathology by achieving remarkable success in high-level diagnostic tasks, yet the critical challenge of low-level image enhancement remains largely unaddressed. Real-world pathology images frequently suffer from degradations such as noise, blur, and low resolution due to slide preparation artifacts, staining variability, and imaging constraints, while the reliance on physical staining introduces significant costs, delays, and inconsistency. Although existing methods target individual problems like denoising or super-resolution, their task-specific designs lack the versatility to handle the diverse low-level vision challenges encountered in practice. To bridge this gap, we propose the first unified Low-level Pathology Foundation Model (LPFM), capable of enhancing image quality in restoration tasks, including super-resolution, deblurring, and denoising, as well as facilitating image translation tasks like virtual staining (H&E and special stains), all through a single adaptable architecture. Our approach introduces a contrastive pre-trained encoder that learns transferable, stain-invariant feature representations from 190 million unlabeled pathology images, enabling robust identification of degradation patterns. A unified conditional diffusion process dynamically adapts to specific tasks via textual prompts, ensuring precise control over output quality. Trained on a curated dataset of 87,810 whole slied images (WSIs) across 34 tissue types and 5 staining protocols, LPFM demonstrates statistically significant improvements (p<0.01) over state-of-the-art methods in most tasks (56/66), achieving Peak Signal-to-Noise Ratio (PSNR) gains of 10-15% for image restoration and Structural Similarity Index Measure (SSIM) improvements of 12-18% for virtual staining.

IVJul 23, 2025
A Versatile Pathology Co-pilot via Reasoning Enhanced Multimodal Large Language Model

Zhe Xu, Ziyi Liu, Junlin Hou et al.

Multimodal large language models (MLLMs) have emerged as powerful tools for computational pathology, offering unprecedented opportunities to integrate pathological images with language context for comprehensive diagnostic analysis. These models hold particular promise for automating complex tasks that traditionally require expert interpretation of pathologists. However, current MLLM approaches in pathology demonstrate significantly constrained reasoning capabilities, primarily due to their reliance on expensive chain-of-thought annotations. Additionally, existing methods remain limited to simplex application of visual question answering (VQA) at the region-of-interest (ROI) level, failing to address the full spectrum of diagnostic needs such as ROI classification, detection, segmentation, whole-slide-image (WSI) classification and VQA in clinical practice. In this study, we present SmartPath-R1, a versatile MLLM capable of simultaneously addressing both ROI-level and WSI-level tasks while demonstrating robust pathological reasoning capability. Our framework combines scale-dependent supervised fine-tuning and task-aware reinforcement fine-tuning, which circumvents the requirement for chain-of-thought supervision by leveraging the intrinsic knowledge within MLLM. Furthermore, SmartPath-R1 integrates multiscale and multitask analysis through a mixture-of-experts mechanism, enabling dynamic processing for diverse tasks. We curate a large-scale dataset comprising 2.3M ROI samples and 188K WSI samples for training and evaluation. Extensive experiments across 72 tasks validate the effectiveness and superiority of the proposed approach. This work represents a significant step toward developing versatile, reasoning-enhanced AI systems for precision pathology.

CVJul 4, 2025
Rectifying Adversarial Sample with Low Entropy Prior for Test-Time Defense

Lina Ma, Xiaowei Fu, Fuxiang Huang et al.

Existing defense methods fail to defend against unknown attacks and thus raise generalization issue of adversarial robustness. To remedy this problem, we attempt to delve into some underlying common characteristics among various attacks for generality. In this work, we reveal the commonly overlooked low entropy prior (LE) implied in various adversarial samples, and shed light on the universal robustness against unseen attacks in inference phase. LE prior is elaborated as two properties across various attacks as shown in Fig. 1 and Fig. 2: 1) low entropy misclassification for adversarial samples and 2) lower entropy prediction for higher attack intensity. This phenomenon stands in stark contrast to the naturally distributed samples. The LE prior can instruct existing test-time defense methods, thus we propose a two-stage REAL approach: Rectify Adversarial sample based on LE prior for test-time adversarial rectification. Specifically, to align adversarial samples more closely with clean samples, we propose to first rectify adversarial samples misclassified with low entropy by reverse maximizing prediction entropy, thereby eliminating their adversarial nature. To ensure the rectified samples can be correctly classified with low entropy, we carry out secondary rectification by forward minimizing prediction entropy, thus creating a Max-Min entropy optimization scheme. Further, based on the second property, we propose an attack-aware weighting mechanism to adaptively adjust the strengths of Max-Min entropy objectives. Experiments on several datasets show that REAL can greatly improve the performance of existing sample rectification models.