Jiang Liu

Heng Li, Haofeng Liu, Huazhu Fu et al.

Fundus photography is a routine examination in clinics to diagnose and monitor ocular diseases. However, for cataract patients, the fundus image always suffers quality degradation caused by the clouding lens. The degradation prevents reliable diagnosis by ophthalmologists or computer-aided systems. To improve the certainty in clinical diagnosis, restoration algorithms have been proposed to enhance the quality of fundus images. Unfortunately, challenges remain in the deployment of these algorithms, such as collecting sufficient training data and preserving retinal structures. In this paper, to circumvent the strict deployment requirement, a structure-consistent restoration network (SCR-Net) for cataract fundus images is developed from synthesized data that shares an identical structure. A cataract simulation model is firstly designed to collect synthesized cataract sets (SCS) formed by cataract fundus images sharing identical structures. Then high-frequency components (HFCs) are extracted from the SCS to constrain structure consistency such that the structure preservation in SCR-Net is enforced. The experiments demonstrate the effectiveness of SCR-Net in the comparison with state-of-the-art methods and the follow-up clinical applications. The code is available at https://github.com/liamheng/ArcNet-Medical-Image-Enhancement.

Heng Li, Haojin Li, Wei Zhao et al.

The annotation scarcity of medical image segmentation poses challenges in collecting sufficient training data for deep learning models. Specifically, models trained on limited data may not generalize well to other unseen data domains, resulting in a domain shift issue. Consequently, domain generalization (DG) is developed to boost the performance of segmentation models on unseen domains. However, the DG setup requires multiple source domains, which impedes the efficient deployment of segmentation algorithms in clinical scenarios. To address this challenge and improve the segmentation model's generalizability, we propose a novel approach called the Frequency-mixed Single-source Domain Generalization method (FreeSDG). By analyzing the frequency's effect on domain discrepancy, FreeSDG leverages a mixed frequency spectrum to augment the single-source domain. Additionally, self-supervision is constructed in the domain augmentation to learn robust context-aware representations for the segmentation task. Experimental results on five datasets of three modalities demonstrate the effectiveness of the proposed algorithm. FreeSDG outperforms state-of-the-art methods and significantly improves the segmentation model's generalizability. Therefore, FreeSDG provides a promising solution for enhancing the generalization of medical image segmentation models, especially when annotated data is scarce. The code is available at https://github.com/liamheng/Non-IID_Medical_Image_Segmentation.

Haofeng Liu, Heng Li, Huazhu Fu et al.

As an economical and efficient fundus imaging modality, retinal fundus images have been widely adopted in clinical fundus examination. Unfortunately, fundus images often suffer from quality degradation caused by imaging interferences, leading to misdiagnosis. Despite impressive enhancement performances that state-of-the-art methods have achieved, challenges remain in clinical scenarios. For boosting the clinical deployment of fundus image enhancement, this paper proposes the pyramid constraint to develop a degradation-invariant enhancement network (PCE-Net), which mitigates the demand for clinical data and stably enhances unknown data. Firstly, high-quality images are randomly degraded to form sequences of low-quality ones sharing the same content (SeqLCs). Then individual low-quality images are decomposed to Laplacian pyramid features (LPF) as the multi-level input for the enhancement. Subsequently, a feature pyramid constraint (FPC) for the sequence is introduced to enforce the PCE-Net to learn a degradation-invariant model. Extensive experiments have been conducted under the evaluation metrics of enhancement and segmentation. The effectiveness of the PCE-Net was demonstrated in comparison with state-of-the-art methods and the ablation study. The source code of this study is publicly available at https://github.com/HeverLaw/PCENet-Image-Enhancement.

Daize Dong, Junlin Chen, Haolong Jia et al.

Mixture of Experts (MoE) Large Language Models (LLMs) achieve strong performance at scale. However, reinforcement learning (RL) on MoE-based LLMs often suffers from training instability. A root cause is router drift, i.e., expert activations can change drastically across model updates and differ between disaggregated rollout and training phases, causing large rollout--training mismatch and unstable importance sampling weights in PPO-style RL algorithms. Routing replay mitigates this issue by freezing the replay route within each reasoning trajectory, but it ignores how the router evolves under off-policy updates and thus causes router staleness. To address this limitation, we propose Predictive Routing Replay (PR2), which augments each router with a lightweight evolution predictor that learns to anticipate short-horizon router evolution. During the rollout phase, we use the predictive routing distribution to apply top-$k$ routing, enabling gradients to reach experts that are likely to become active after updates. During the training phase, we replay the resulting predicted route to retain consistency for stable importance estimation. Theoretical analysis and experiments support that PR2 reduces routing-induced mismatch, improves RL stability, and yields stronger performance across various reasoning benchmarks.

Lingfeng Yao, Xincong Zhong, Chenpei Huang et al.

With the rise of AI-generated audio, watermarking has become widely used for detecting misuse and protecting intellectual property. However, adversaries may try to remove these watermarks, making it critical to evaluate how well watermarking schemes withstand removal attacks. Existing attacks are often impractical: they either noticeably degrade perceptual quality or require access to the watermarking scheme. We propose DiffErase, a black-box watermark removal attack that assumes no knowledge of the target watermarking scheme while maintaining perceptual quality. DiffErase perturbs watermarked audio to an intermediate diffusion noise level and regenerates it using a pretrained denoising model, effectively suppressing watermark signals. Theoretical analysis and extensive experiments demonstrate that inaudible audio watermarks are highly vulnerable: across multiple audio domains, DiffErase consistently removes watermarks while preserving perceptual quality. These findings highlight the need for future audio watermarking designs to consider diffusion-based threats. Code and demos are available at https://differase.github.io/DiffErase/.

Jinkui Hao, Ting Shen, Xueli Zhu et al.

Automated detection of retinal structures, such as retinal vessels (RV), the foveal avascular zone (FAZ), and retinal vascular junctions (RVJ), are of great importance for understanding diseases of the eye and clinical decision-making. In this paper, we propose a novel Voting-based Adaptive Feature Fusion multi-task network (VAFF-Net) for joint segmentation, detection, and classification of RV, FAZ, and RVJ in optical coherence tomography angiography (OCTA). A task-specific voting gate module is proposed to adaptively extract and fuse different features for specific tasks at two levels: features at different spatial positions from a single encoder, and features from multiple encoders. In particular, since the complexity of the microvasculature in OCTA images makes simultaneous precise localization and classification of retinal vascular junctions into bifurcation/crossing a challenging task, we specifically design a task head by combining the heatmap regression and grid classification. We take advantage of three different \textit{en face} angiograms from various retinal layers, rather than following existing methods that use only a single \textit{en face}. To facilitate further research, part of these datasets with the source code and evaluation benchmark have been released for public access:https://github.com/iMED-Lab/VAFF-Net.

Zhongxi Qiu, Yan Hu, Heng Li et al.

Segmentation is vital for ophthalmology image analysis. But its various modal images hinder most of the existing segmentation algorithms applications, as they rely on training based on a large number of labels or hold weak generalization ability. Based on Segment Anything (SAM), we propose a simple but effective learnable prompt layer suitable for multiple target segmentation in ophthalmology multi-modal images, named Learnable Ophthalmology Segment Anything (SAM). The learnable prompt layer learns medical prior knowledge from each transformer layer. During training, we only train the prompt layer and task head based on a one-shot mechanism. We demonstrate the effectiveness of our thought based on four medical segmentation tasks based on nine publicly available datasets. Moreover, we only provide a new improvement thought for applying the existing fundamental CV models in the medical field. Our codes are available at \href{https://github.com/Qsingle/LearnablePromptSAM}{website}.

Heng Li, Haofeng Liu, Yan Hu et al.

Cataracts are the leading cause of vision loss worldwide. Restoration algorithms are developed to improve the readability of cataract fundus images in order to increase the certainty in diagnosis and treatment for cataract patients. Unfortunately, the requirement of annotation limits the application of these algorithms in clinics. This paper proposes a network to annotation-freely restore cataractous fundus images (ArcNet) so as to boost the clinical practicability of restoration. Annotations are unnecessary in ArcNet, where the high-frequency component is extracted from fundus images to replace segmentation in the preservation of retinal structures. The restoration model is learned from the synthesized images and adapted to real cataract images. Extensive experiments are implemented to verify the performance and effectiveness of ArcNet. Favorable performance is achieved using ArcNet against state-of-the-art algorithms, and the diagnosis of ocular fundus diseases in cataract patients is promoted by ArcNet. The capability of properly restoring cataractous images in the absence of annotated data promises the proposed algorithm outstanding clinical practicability.

Jiang Liu, Srivathsa Pasumarthi, Ben Duffy et al.

Multi-contrast magnetic resonance imaging (MRI) is widely used in clinical practice as each contrast provides complementary information. However, the availability of each imaging contrast may vary amongst patients, which poses challenges to radiologists and automated image analysis algorithms. A general approach for tackling this problem is missing data imputation, which aims to synthesize the missing contrasts from existing ones. While several convolutional neural networks (CNN) based algorithms have been proposed, they suffer from the fundamental limitations of CNN models, such as the requirement for fixed numbers of input and output channels, the inability to capture long-range dependencies, and the lack of interpretability. In this work, we formulate missing data imputation as a sequence-to-sequence learning problem and propose a multi-contrast multi-scale Transformer (MMT), which can take any subset of input contrasts and synthesize those that are missing. MMT consists of a multi-scale Transformer encoder that builds hierarchical representations of inputs combined with a multi-scale Transformer decoder that generates the outputs in a coarse-to-fine fashion. The proposed multi-contrast Swin Transformer blocks can efficiently capture intra- and inter-contrast dependencies for accurate image synthesis. Moreover, MMT is inherently interpretable as it allows us to understand the importance of each input contrast in different regions by analyzing the in-built attention maps of Transformer blocks in the decoder. Extensive experiments on two large-scale multi-contrast MRI datasets demonstrate that MMT outperforms the state-of-the-art methods quantitatively and qualitatively.

Tianwei Lin, Jiang Liu, Wenqiao Zhang et al.

While Parameter-Efficient Fine-Tuning (PEFT) methods like LoRA have effectively addressed GPU memory constraints during fine-tuning, their performance often falls short, especially in multidimensional task scenarios. To address this issue, one straightforward solution is to introduce task-specific LoRA modules as domain experts, leveraging the modeling of multiple experts' capabilities and thus enhancing the general capability of multi-task learning. Despite promising, these additional components often add complexity to the training and inference process, contravening the efficient characterization of PEFT designed for. Considering this, we introduce an innovative PEFT method, TeamLoRA, consisting of a collaboration and competition module for experts, and thus achieving the right balance of effectiveness and efficiency: (i) For collaboration, a novel knowledge-sharing and -organizing mechanism is devised to appropriately reduce the scale of matrix operations, thereby boosting the training and inference speed. (ii) For competition, we propose leveraging a game-theoretic interaction mechanism for experts, encouraging experts to transfer their domain-specific knowledge while facing diverse downstream tasks, and thus enhancing the performance. By doing so, TeamLoRA elegantly connects the experts as a "Team" with internal collaboration and competition, enabling a faster and more accurate PEFT paradigm for multi-task learning. To validate the superiority of TeamLoRA, we curate a comprehensive multi-task evaluation(CME) benchmark to thoroughly assess the capability of multi-task learning. Experiments conducted on our CME and other benchmarks indicate the effectiveness and efficiency of TeamLoRA. Our project is available at https://github.com/Lin-Tianwei/TeamLoRA.

Yihao Liang, Ze Wang, Hao Chen et al.

Autoregressive large language models achieve strong results on many benchmarks, but decoding remains fundamentally latency-limited by sequential dependence on previously generated tokens. Diffusion language models (DLMs) promise parallel generation but suffer from a fundamental static-to-dynamic misalignment: Training optimizes local transitions under fixed schedules, whereas efficient inference requires adaptive "long-jump" refinements through unseen states. Our goal is to enable highly parallel decoding for DLMs with low number of function evaluations while preserving generation quality. To achieve this, we propose CD4LM, a framework that decouples training from inference via Discrete-Space Consistency Distillation (DSCD) and Confidence-Adaptive Decoding (CAD). Unlike standard objectives, DSCD trains a student to be trajectory-invariant, mapping diverse noisy states directly to the clean distribution. This intrinsic robustness enables CAD to dynamically allocate compute resources based on token confidence, aggressively skipping steps without the quality collapse typical of heuristic acceleration. On GSM8K, CD4LM matches the LLaDA baseline with a 5.18x wall-clock speedup; across code and math benchmarks, it strictly dominates the accuracy-efficiency Pareto frontier, achieving a 3.62x mean speedup while improving average accuracy. Code is available at https://github.com/yihao-liang/CDLM

Jiang Liu, Hui Ding, Zhaowei Cai et al.

In this work, instead of directly predicting the pixel-level segmentation masks, the problem of referring image segmentation is formulated as sequential polygon generation, and the predicted polygons can be later converted into segmentation masks. This is enabled by a new sequence-to-sequence framework, Polygon Transformer (PolyFormer), which takes a sequence of image patches and text query tokens as input, and outputs a sequence of polygon vertices autoregressively. For more accurate geometric localization, we propose a regression-based decoder, which predicts the precise floating-point coordinates directly, without any coordinate quantization error. In the experiments, PolyFormer outperforms the prior art by a clear margin, e.g., 5.40% and 4.52% absolute improvements on the challenging RefCOCO+ and RefCOCOg datasets. It also shows strong generalization ability when evaluated on the referring video segmentation task without fine-tuning, e.g., achieving competitive 61.5% J&F on the Ref-DAVIS17 dataset.

Hongzhe Huang, Jiang Liu, Zhewen Yu et al.

Recent advances in Multi-modal Large Language Models (MLLMs), such as LLaVA-series models, are driven by massive machine-generated instruction-following data tuning. Such automatic instruction collection pipelines, however, inadvertently introduce significant variability in data quality. This paper introduces a novel instruction curation algorithm, derived from two unique perspectives, human and LLM preference alignment, to compress this vast corpus of machine-generated multimodal instructions to a compact and high-quality form: (i) For human preference alignment, we have collected a machine-generated multimodal instruction dataset and established a comprehensive set of both subjective and objective criteria to guide the data quality assessment critically from human experts. By doing so, a reward model was trained on the annotated dataset to internalize the nuanced human understanding of instruction alignment. (ii) For LLM preference alignment, given the instruction selected by the reward model, we propose leveraging the inner LLM used in MLLM to align the writing style of visual instructions with that of the inner LLM itself, resulting in LLM-aligned instruction improvement. Extensive experiments demonstrate that we can maintain or even improve model performance by compressing synthetic multimodal instructions by up to 90%. Impressively, by aggressively reducing the training instructions from 158k to 14k (9$\times$ smaller), our model consistently outperforms its full-size dataset counterpart across various MLLM benchmarks. Our project is available at https://github.com/DCDmllm/Align2LLaVA.

Jiang Liu, Donghong Ji, Jingye Li et al.

So far, discontinuous named entity recognition (NER) has received increasing research attention and many related methods have surged such as hypergraph-based methods, span-based methods, and sequence-to-sequence (Seq2Seq) methods, etc. However, these methods more or less suffer from some problems such as decoding ambiguity and efficiency, which limit their performance. Recently, grid-tagging methods, which benefit from the flexible design of tagging systems and model architectures, have shown superiority to adapt for various information extraction tasks. In this paper, we follow the line of such methods and propose a competitive grid-tagging model for discontinuous NER. We call our model TOE because we incorporate two kinds of Tag-Oriented Enhancement mechanisms into a state-of-the-art (SOTA) grid-tagging model that casts the NER problem into word-word relationship prediction. First, we design a Tag Representation Embedding Module (TREM) to force our model to consider not only word-word relationships but also word-tag and tag-tag relationships. Concretely, we construct tag representations and embed them into TREM, so that TREM can treat tag and word representations as queries/keys/values and utilize self-attention to model their relationships. On the other hand, motivated by the Next-Neighboring-Word (NNW) and Tail-Head-Word (THW) tags in the SOTA model, we add two new symmetric tags, namely Previous-Neighboring-Word (PNW) and Head-Tail-Word (HTW), to model more fine-grained word-word relationships and alleviate error propagation from tag prediction. In the experiments of three benchmark datasets, namely CADEC, ShARe13 and ShARe14, our TOE model pushes the SOTA results by about 0.83%, 0.05% and 0.66% in F1, demonstrating its effectiveness.

Jiang Liu, Chen Wei, Yuxiang Guo et al.

We propose Instruct2Attack (I2A), a language-guided semantic attack that generates semantically meaningful perturbations according to free-form language instructions. We make use of state-of-the-art latent diffusion models, where we adversarially guide the reverse diffusion process to search for an adversarial latent code conditioned on the input image and text instruction. Compared to existing noise-based and semantic attacks, I2A generates more natural and diverse adversarial examples while providing better controllability and interpretability. We further automate the attack process with GPT-4 to generate diverse image-specific text instructions. We show that I2A can successfully break state-of-the-art deep neural networks even under strong adversarial defenses, and demonstrate great transferability among a variety of network architectures.

Tianwei Lin, Zhongwei Qiu, Jie Cao et al.

Medical vision-language models (VLMs) have rapidly advanced as general-purpose multimodal assistants, yet their deployment in 3D Computed Tomography (CT) analysis remains constrained by a persistent mismatch between optimization objectives and clinical rigor. Current Reinforcement Learning (RL) paradigms still rely on lexical proxy signals that induce ``\textit{Evaluation Hallucinations}'', where models optimize linguistic fluency rather than factual clinical correctness, leading to diagnostically critical errors. To bridge this gap, we introduce the \textbf{Clinical Abnormality Benchmarking Substrate (CABS)}, a structured system that decomposes radiology reports into verifiable clinical semantic units. Using CABS, we identify a ``\textit{Mechanistic Divergence}'' in standard RL, where surface-similarity rewards drive policy gradients to bypass medical facts. We therefore propose \textbf{Trajectory-Integral Feedback GRPO (TIF-GRPO)}, a novel framework integrating control-theoretic principles into policy optimization. By formulating clinical reasoning as a pseudo-temporal trajectory for anomaly discovery, TIF-GRPO regulates anatomy-aware rewards via an integral feedback loop that penalizes persistent omissions as cumulative state errors and suppresses hallucinations as excessive control effort. Experiments on 3D CT benchmarks demonstrate that our approach significantly enhances abnormality detection and clinical faithfulness, establishing a new paradigm for fine-grained regulation in medical VLMs. Our project is available at \href{https://github.com/ZJU4HealthCare/TIF-GRPO}{GitHub}.

Jiang Liu, Hao Fei, Fei Li et al.

Few-shot named entity recognition (NER) exploits limited annotated instances to identify named mentions. Effectively transferring the internal or external resources thus becomes the key to few-shot NER. While the existing prompt tuning methods have shown remarkable few-shot performances, they still fail to make full use of knowledge. In this work, we investigate the integration of rich knowledge to prompt tuning for stronger few-shot NER. We propose incorporating the deep prompt tuning framework with threefold knowledge (namely TKDP), including the internal 1) context knowledge and the external 2) label knowledge & 3) sememe knowledge. TKDP encodes the three feature sources and incorporates them into the soft prompt embeddings, which are further injected into an existing pre-trained language model to facilitate predictions. On five benchmark datasets, our knowledge-enriched model boosts by at most 11.53% F1 over the raw deep prompt method, and significantly outperforms 8 strong-performing baseline systems in 5-/10-/20-shot settings, showing great potential in few-shot NER. Our TKDP can be broadly adapted to other few-shot tasks without effort.

Yujian Liu, Ze Wang, Hao Chen et al.

Computer-use agents can operate computers and automate laborious tasks, but despite recent rapid progress, they still lag behind human users, especially when tasks require domain-specific procedural knowledge about particular applications, platforms, and multi-step workflows. Humans can bridge this gap by watching video tutorials: we search, skim, and selectively imitate short segments that match our current subgoal. In this paper, we study how to enable computer-use agents to learn from online videos at inference time effectively. We propose a framework that retrieves and filters tutorial videos, converts them into structured demonstration trajectories, and dynamically selects trajectories as in-context guidance during execution. Particularly, using a VLM, we infer UI actions, segment videos into short subsequences of actions, and assign each subsequence a textual objective. At inference time, a two-stage selection mechanism dynamically chooses a single trajectory to add in context at each step, focusing the agent on the most helpful local guidance for its next decision. Experiments on two widely used benchmarks show that our framework consistently outperforms strong base agents and variants that use only textual tutorials or transcripts. Analyses highlight the importance of trajectory segmentation and selection, action filtering, and visual information, suggesting that abundant online videos can be systematically distilled into actionable guidance that improves computer-use agents at inference time. Our code is available at https://github.com/UCSB-NLP-Chang/video_demo.

Jiang Liu, Naijun Zhan, Hengjun Zhao

The notion of Lyapunov function plays a key role in design and verification of dynamical systems, as well as hybrid and cyber-physical systems. In this paper, to analyze the asymptotic stability of a dynamical system, we generalize standard Lyapunov functions to relaxed Lyapunov functions (RLFs), by considering higher order Lie derivatives of certain functions along the system's vector field. Furthermore, we present a complete method to automatically discovering polynomial RLFs for polynomial dynamical systems (PDSs). Our method is complete in the sense that it is able to discover all polynomial RLFs by enumerating all polynomial templates for any PDS.

Xiaoqing Zhang, Zunjie Xiao, Xiao Wu et al.

Spatial attention mechanism has been widely incorporated into deep neural networks (DNNs), significantly lifting the performance in computer vision tasks via long-range dependency modeling. However, it may perform poorly in medical image analysis. Unfortunately, existing efforts are often unaware that long-range dependency modeling has limitations in highlighting subtle lesion regions. To overcome this limitation, we propose a practical yet lightweight architectural unit, Pyramid Pixel Context Adaption (PPCA) module, which exploits multi-scale pixel context information to recalibrate pixel position in a pixel-independent manner dynamically. PPCA first applies a well-designed cross-channel pyramid pooling to aggregate multi-scale pixel context information, then eliminates the inconsistency among them by the well-designed pixel normalization, and finally estimates per pixel attention weight via a pixel context integration. By embedding PPCA into a DNN with negligible overhead, the PPCANet is developed for medical image classification. In addition, we introduce supervised contrastive learning to enhance feature representation by exploiting the potential of label information via supervised contrastive loss. The extensive experiments on six medical image datasets show that PPCANet outperforms state-of-the-art attention-based networks and recent deep neural networks. We also provide visual analysis and ablation study to explain the behavior of PPCANet in the decision-making process.

Wenjun Hou, Kaishuai Xu, Yi Cheng et al.

This paper explores the task of radiology report generation, which aims at generating free-text descriptions for a set of radiographs. One significant challenge of this task is how to correctly maintain the consistency between the images and the lengthy report. Previous research explored solving this issue through planning-based methods, which generate reports only based on high-level plans. However, these plans usually only contain the major observations from the radiographs (e.g., lung opacity), lacking much necessary information, such as the observation characteristics and preliminary clinical diagnoses. To address this problem, the system should also take the image information into account together with the textual plan and perform stronger reasoning during the generation process. In this paper, we propose an observation-guided radiology report generation framework (ORGAN). It first produces an observation plan and then feeds both the plan and radiographs for report generation, where an observation graph and a tree reasoning mechanism are adopted to precisely enrich the plan information by capturing the multi-formats of each observation. Experimental results demonstrate that our framework outperforms previous state-of-the-art methods regarding text quality and clinical efficacy

Kaijie Zhu, Yuzhou Nie, Yijiang Li et al.

Executing complex terminal tasks remains a significant challenge for open-weight LLMs, constrained by two fundamental limitations. First, high-fidelity, executable training environments are scarce: environments synthesized from real-world repositories are not diverse and scalable, while trajectories synthesized by LLMs suffer from hallucinations. Second, standard instruction tuning uses expert trajectories that rarely exhibit simple mistakes common to smaller models. This creates a distributional mismatch, leaving student models ill-equipped to recover from their own runtime failures. To bridge these gaps, we introduce TermiGen, an end-to-end pipeline for synthesizing verifiable environments and resilient expert trajectories. Termi-Gen first generates functionally valid tasks and Docker containers via an iterative multi-agent refinement loop. Subsequently, we employ a Generator-Critic protocol that actively injects errors during trajectory collection, synthesizing data rich in error-correction cycles. Fine-tuned on this TermiGen-generated dataset, our TermiGen-Qwen2.5-Coder-32B achieves a 31.3% pass rate on TerminalBench. This establishes a new open-weights state-of-the-art, outperforming existing baselines and notably surpassing capable proprietary models such as o4-mini. Dataset is avaiable at https://github.com/ucsb-mlsec/terminal-bench-env.

Sijing Li, Zhongwei Qiu, Jiang Liu et al.

Accurate tumor analysis is central to clinical radiology and precision oncology, where early detection, reliable lesion characterization, and pathology-level risk assessment guide diagnosis and treatment planning. Chain-of-Thought (CoT) reasoning is particularly important in this setting because it enables step-by-step interpretation from imaging findings to clinical impressions and pathology conclusions, improving traceability and reducing diagnostic errors. Here, we target the clinical tumor analysis task and build a large-scale benchmark that operationalizes a multimodal reasoning pipeline, spanning findings, impressions, and pathology predictions. We curate TumorCoT, a large-scale dataset of 1.5M CoT-labeled VQA instructions paired with 3D CT scans, with step-aligned rationales and cross-modal alignments along the trajectory from findings to impression to pathology, enabling evaluation of both answer accuracy and reasoning consistency. We further propose TumorChain, a multimodal interleaved reasoning framework that tightly couples 3D imaging encoders, clinical text understanding, and organ-level vision-language alignment. Through cross-modal alignment and iterative interleaved causal reasoning, TumorChain grounds visual evidence, aggregates conclusions, and issues pathology predictions after multiple rounds of self-refinement, improving traceability and reducing hallucination risk. Experiments show consistent improvements over strong baselines in lesion detection, impression generation, and pathology classification, and demonstrate strong generalization on the DeepTumorVQA benchmark. These results highlight the potential of multimodal reasoning for reliable and interpretable tumor analysis in clinical practice. Detailed information about our project can be found on our project homepage at https://github.com/ZJU4HealthCare/TumorChain.

Yan Hu, Zhongxi Qiu, Dan Zeng et al.

Vascular segmentation extracts blood vessels from images and serves as the basis for diagnosing various diseases, like ophthalmic diseases. Ophthalmologists often require high-resolution segmentation results for analysis, which leads to super-computational load by most existing methods. If based on low-resolution input, they easily ignore tiny vessels or cause discontinuity of segmented vessels. To solve these problems, the paper proposes an algorithm named SuperVessel, which gives out high-resolution and accurate vessel segmentation using low-resolution images as input. We first take super-resolution as our auxiliary branch to provide potential high-resolution detail features, which can be deleted in the test phase. Secondly, we propose two modules to enhance the features of the interested segmentation region, including an upsampling with feature decomposition (UFD) module and a feature interaction module (FIM) with a constraining loss to focus on the interested features. Extensive experiments on three publicly available datasets demonstrate that our proposed SuperVessel can segment more tiny vessels with higher segmentation accuracy IoU over 6%, compared with other state-of-the-art algorithms. Besides, the stability of SuperVessel is also stronger than other algorithms. We will release the code after the paper is published.

Jiayi Zhang, Xiaoshan Chen, Zhongxi Qiu et al.

Hard exudates (HE) is the most specific biomarker for retina edema. Precise HE segmentation is vital for disease diagnosis and treatment, but automatic segmentation is challenged by its large variation of characteristics including size, shape and position, which makes it difficult to detect tiny lesions and lesion boundaries. Considering the complementary features between segmentation and super-resolution tasks, this paper proposes a novel hard exudates segmentation method named SS-MAF with an auxiliary super-resolution task, which brings in helpful detailed features for tiny lesion and boundaries detection. Specifically, we propose a fusion module named Multi-scale Attention Fusion (MAF) module for our dual-stream framework to effectively integrate features of the two tasks. MAF first adopts split spatial convolutional (SSC) layer for multi-scale features extraction and then utilize attention mechanism for features fusion of the two tasks. Considering pixel dependency, we introduce region mutual information (RMI) loss to optimize MAF module for tiny lesions and boundary detection. We evaluate our method on two public lesion datasets, IDRiD and E-Ophtha. Our method shows competitive performance with low-resolution inputs, both quantitatively and qualitatively. On E-Ophtha dataset, the method can achieve $\geq3\%$ higher dice and recall compared with the state-of-the-art methods.

Shouyue Liu, Jinkui Hao, Yanwu Xu et al.

Optical Coherence Tomography Angiography (OCTA) is a promising tool for detecting Alzheimer's disease (AD) by imaging the retinal microvasculature. Ophthalmologists commonly use region-based analysis, such as the ETDRS grid, to study OCTA image biomarkers and understand the correlation with AD. However, existing studies have used general deep computer vision methods, which present challenges in providing interpretable results and leveraging clinical prior knowledge. To address these challenges, we propose a novel deep-learning framework called Polar-Net. Our approach involves mapping OCTA images from Cartesian coordinates to polar coordinates, which allows for the use of approximate sector convolution and enables the implementation of the ETDRS grid-based regional analysis method commonly used in clinical practice. Furthermore, Polar-Net incorporates clinical prior information of each sector region into the training process, which further enhances its performance. Additionally, our framework adapts to acquire the importance of the corresponding retinal region, which helps researchers and clinicians understand the model's decision-making process in detecting AD and assess its conformity to clinical observations. Through evaluations on private and public datasets, we have demonstrated that Polar-Net outperforms existing state-of-the-art methods and provides more valuable pathological evidence for the association between retinal vascular changes and AD. In addition, we also show that the two innovative modules introduced in our framework have a significant impact on improving overall performance.

Wenjun Hou, Yi Cheng, Kaishuai Xu et al.

Automating radiology report generation can significantly alleviate radiologists' workloads. Previous research has primarily focused on realizing highly concise observations while neglecting the precise attributes that determine the severity of diseases (e.g., small pleural effusion). Since incorrect attributes will lead to imprecise radiology reports, strengthening the generation process with precise attribute modeling becomes necessary. Additionally, the temporal information contained in the historical records, which is crucial in evaluating a patient's current condition (e.g., heart size is unchanged), has also been largely disregarded. To address these issues, we propose RECAP, which generates precise and accurate radiology reports via dynamic disease progression reasoning. Specifically, RECAP first predicts the observations and progressions (i.e., spatiotemporal information) given two consecutive radiographs. It then combines the historical records, spatiotemporal information, and radiographs for report generation, where a disease progression graph and dynamic progression reasoning mechanism are devised to accurately select the attributes of each observation and progression. Extensive experiments on two publicly available datasets demonstrate the effectiveness of our model.

Jiansheng Fang, Jingwen Wang, Anwei Li et al.

In the management of lung nodules, we are desirable to predict nodule evolution in terms of its diameter variation on Computed Tomography (CT) scans and then provide a follow-up recommendation according to the predicted result of the growing trend of the nodule. In order to improve the performance of growth trend prediction for lung nodules, it is vital to compare the changes of the same nodule in consecutive CT scans. Motivated by this, we screened out 4,666 subjects with more than two consecutive CT scans from the National Lung Screening Trial (NLST) dataset to organize a temporal dataset called NLSTt. In specific, we first detect and pair regions of interest (ROIs) covering the same nodule based on registered CT scans. After that, we predict the texture category and diameter size of the nodules through models. Last, we annotate the evolution class of each nodule according to its changes in diameter. Based on the built NLSTt dataset, we propose a siamese encoder to simultaneously exploit the discriminative features of 3D ROIs detected from consecutive CT scans. Then we novelly design a spatial-temporal mixer (STM) to leverage the interval changes of the same nodule in sequential 3D ROIs and capture spatial dependencies of nodule regions and the current 3D ROI. According to the clinical diagnosis routine, we employ hierarchical loss to pay more attention to growing nodules. The extensive experiments on our organized dataset demonstrate the advantage of our proposed method. We also conduct experiments on an in-house dataset to evaluate the clinical utility of our method by comparing it against skilled clinicians.

Wei Dai, Jiang Liu, Lanhao Wang

Fault diagnosis of rolling bearings is of great significance for post-maintenance in rotating machinery, but it is a challenging work to diagnose faults efficiently with a few samples. Additionally, faults commonly occur with randomness and fuzziness due to the complexity of the external environment and the structure of rolling bearings, hindering effective mining of fault characteristics and eventually restricting accuracy of fault diagnosis. To overcome these problems, stochastic configuration network (SCN) based cloud ensemble learning, called SCN-CEL, is developed in this work. Concretely, a cloud feature extraction method is first developed by using a backward cloud generator of normal cloud model to mine the uncertainty of fault information. Then, a cloud sampling method, which generates enough cloud droplets using bidirectional cloud generator, is proposed to extend the cloud feature samples. Finally, an ensemble model with SCNs is developed to comprehensively characterize the uncertainty of fault information and advance the generalization performance of fault diagnosis machine. Experimental results demonstrate that the proposed method indeed performs favorably for distinguishing fault categories of rolling bearings in the few shot scenarios.

Jiansheng Fang, Anwei Li, Pu-Yun OuYang et al.

Radiation encephalopathy (REP) is the most common complication for nasopharyngeal carcinoma (NPC) radiotherapy. It is highly desirable to assist clinicians in optimizing the NPC radiotherapy regimen to reduce radiotherapy-induced temporal lobe injury (RTLI) according to the probability of REP onset. To the best of our knowledge, it is the first exploration of predicting radiotherapy-induced REP by jointly exploiting image and non-image data in NPC radiotherapy regimen. We cast REP prediction as a survival analysis task and evaluate the predictive accuracy in terms of the concordance index (CI). We design a deep multimodal survival network (MSN) with two feature extractors to learn discriminative features from multimodal data. One feature extractor imposes feature selection on non-image data, and the other learns visual features from images. Because the priorly balanced CI (BCI) loss function directly maximizing the CI is sensitive to uneven sampling per batch. Hence, we propose a novel weighted CI (WCI) loss function to leverage all REP samples effectively by assigning their different weights with a dual average operation. We further introduce a temperature hyper-parameter for our WCI to sharpen the risk difference of sample pairs to help model convergence. We extensively evaluate our WCI on a private dataset to demonstrate its favourability against its counterparts. The experimental results also show multimodal data of NPC radiotherapy can bring more gains for REP risk prediction.

Hongyang Jiang, Mengdi Gao, Zirong Liu et al.

Early-stage diabetic retinopathy (DR) presents challenges in clinical diagnosis due to inconspicuous and minute microangioma lesions, resulting in limited research in this area. Additionally, the potential of emerging foundation models, such as the segment anything model (SAM), in medical scenarios remains rarely explored. In this work, we propose a human-in-the-loop, label-free early DR diagnosis framework called GlanceSeg, based on SAM. GlanceSeg enables real-time segmentation of microangioma lesions as ophthalmologists review fundus images. Our human-in-the-loop framework integrates the ophthalmologist's gaze map, allowing for rough localization of minute lesions in fundus images. Subsequently, a saliency map is generated based on the located region of interest, which provides prompt points to assist the foundation model in efficiently segmenting microangioma lesions. Finally, a domain knowledge filter refines the segmentation of minute lesions. We conducted experiments on two newly-built public datasets, i.e., IDRiD and Retinal-Lesions, and validated the feasibility and superiority of GlanceSeg through visualized illustrations and quantitative measures. Additionally, we demonstrated that GlanceSeg improves annotation efficiency for clinicians and enhances segmentation performance through fine-tuning using annotations. This study highlights the potential of GlanceSeg-based annotations for self-model optimization, leading to enduring performance advancements through continual learning.

Hongyang Jiang, Mengdi Gao, Yan Hu et al.

Deep neural networks (DNNs) have been widely applied in medical image classification and achieve remarkable classification performance. These achievements heavily depend on large-scale accurately annotated training data. However, label noise is inevitably introduced in the medical image annotation, as the labeling process heavily relies on the expertise and experience of annotators. Meanwhile, DNNs suffer from overfitting noisy labels, degrading the performance of models. Therefore, in this work, we innovatively devise noise-robust training approach to mitigate the adverse effects of noisy labels in medical image classification. Specifically, we incorporate contrastive learning and intra-group attention mixup strategies into the vanilla supervised learning. The contrastive learning for feature extractor helps to enhance visual representation of DNNs. The intra-group attention mixup module constructs groups and assigns self-attention weights for group-wise samples, and subsequently interpolates massive noisy-suppressed samples through weighted mixup operation. We conduct comparative experiments on both synthetic and real-world noisy medical datasets under various noise levels. Rigorous experiments validate that our noise-robust method with contrastive learning and attention mixup can effectively handle with label noise, and is superior to state-of-the-art methods. An ablation study also shows that both components contribute to boost model performance. The proposed method demonstrates its capability of curb label noise and has certain potential toward real-world clinic applications.

Zunjie Xiao, Xiaoqing Zhang, Risa Higashita et al.

Ophthalmic image segmentation serves as a critical foundation for ocular disease diagnosis. Although fully convolutional neural networks (CNNs) are commonly employed for segmentation, they are constrained by inductive biases and face challenges in establishing long-range dependencies. Transformer-based models address these limitations but introduce substantial computational overhead. Recently, a simple yet efficient Multilayer Perceptron (MLP) architecture was proposed for image classification, achieving competitive performance relative to advanced transformers. However, its effectiveness for ophthalmic image segmentation remains unexplored. In this paper, we introduce MM-UNet, an efficient Mixed MLP model tailored for ophthalmic image segmentation. Within MM-UNet, we propose a multi-scale MLP (MMLP) module that facilitates the interaction of features at various depths through a grouping strategy, enabling simultaneous capture of global and local information. We conducted extensive experiments on both a private anterior segment optical coherence tomography (AS-OCT) image dataset and a public fundus image dataset. The results demonstrated the superiority of our MM-UNet model in comparison to state-of-the-art deep segmentation networks.

Yuxiang Guo, Anshul Shah, Jiang Liu et al.

Gait recognition holds the promise to robustly identify subjects based on walking patterns instead of appearance information. In recent years, this field has been dominated by learning methods based on two principal input representations: dense silhouette masks or sparse pose keypoints. In this work, we propose a novel, point-based Contour-Pose representation, which compactly expresses both body shape and body parts information. We further propose a local-to-global architecture, called GaitContour, to leverage this novel representation and efficiently compute subject embedding in two stages. The first stage consists of a local transformer that extracts features from five different body regions. The second stage then aggregates the regional features to estimate a global human gait representation. Such a design significantly reduces the complexity of the attention operation and improves efficiency and performance simultaneously. Through large scale experiments, GaitContour is shown to perform significantly better than previous point-based methods, while also being significantly more efficient than silhouette-based methods. On challenging datasets with significant distractors, GaitContour can even outperform silhouette-based methods.

Wei Zhou, Yixiao Li, Hadi Amirpour et al.

Single-image super-resolution (SR) has achieved remarkable progress with deep learning, yet most approaches rely on distortion-oriented losses or heuristic perceptual priors, which often lead to a trade-off between fidelity and visual quality. To address this issue, we propose an \textit{Efficient Perceptual Bi-directional Attention Network (Efficient-PBAN)} that explicitly optimizes SR towards human-preferred quality. Unlike patch-based quality models, Efficient-PBAN avoids extensive patch sampling and enables efficient image-level perception. The proposed framework is trained on our self-constructed SR quality dataset that covers a wide range of state-of-the-art SR methods with corresponding human opinion scores. Using this dataset, Efficient-PBAN learns to predict perceptual quality in a way that correlates strongly with subjective judgments. The learned metric is further integrated into SR training as a differentiable perceptual loss, enabling closed-loop alignment between reconstruction and perceptual assessment. Extensive experiments demonstrate that our approach delivers superior perceptual quality. Code is publicly available at https://github.com/Lighting-YXLI/Efficient-PBAN.

Aizihaierjiang Yusufu, Jiang Liu, Kamran Aziz et al.

In recent years, aspect-based sentiment analysis (ABSA) has made rapid progress and shown strong practical value. However, existing research and benchmarks are largely concentrated on high-resource languages, leaving fine-grained sentiment extraction in low-resource languages under-explored. To address this gap, we constructed the first Low-resource languages Aspect-based Sentiment Quadruple dataset, named LASQ, which includes two low-resource languages: Uzbek and Uyghur. Secondly, it includes a fine-grained target-aspect-opinion-sentiment quadruple extraction task. To facilitate future research, we designed a grid-tagging model that integrates syntactic knowledge. This model incorporates part-of-speech (POS) and dependency knowledge into the model through our designed Syntax Knowledge Embedding Module (SKEM), thereby alleviating the lexical sparsity problem caused by agglutinative languages. Experiments on LASQ demonstrate consistent gains over competitive baselines, validating both the dataset's utility and the effectiveness of the proposed modeling approach.

Aniket Roy, Maiterya Suin, Anshul Shah et al.

Diffusion models have advanced generative AI significantly in terms of editing and creating naturalistic images. However, efficiently improving generated image quality is still of paramount interest. In this context, we propose a generic "naturalness" preserving loss function, viz., kurtosis concentration (KC) loss, which can be readily applied to any standard diffusion model pipeline to elevate the image quality. Our motivation stems from the projected kurtosis concentration property of natural images, which states that natural images have nearly constant kurtosis values across different band-pass versions of the image. To retain the "naturalness" of the generated images, we enforce reducing the gap between the highest and lowest kurtosis values across the band-pass versions (e.g., Discrete Wavelet Transform (DWT)) of images. Note that our approach does not require any additional guidance like classifier or classifier-free guidance to improve the image quality. We validate the proposed approach for three diverse tasks, viz., (1) personalized few-shot finetuning using text guidance, (2) unconditional image generation, and (3) image super-resolution. Integrating the proposed KC loss has improved the perceptual quality across all these tasks in terms of both FID, MUSIQ score, and user evaluation.

Hongyang Jiang, Jingqi Huang, Chen Tang et al.

Deep neural networks (DNNs) have promoted the development of computer aided diagnosis (CAD) systems for fundus diseases, helping ophthalmologists reduce missed diagnosis and misdiagnosis rate. However, the majority of CAD systems are data-driven but lack of medical prior knowledge which can be performance-friendly. In this regard, we innovatively proposed a human-in-the-loop (HITL) CAD system by leveraging ophthalmologists' eye-tracking information, which is more efficient and accurate. Concretely, the HITL CAD system was implemented on the multiple instance learning (MIL), where eye-tracking gaze maps were beneficial to cherry-pick diagnosis-related instances. Furthermore, the dual-cross-attention MIL (DCAMIL) network was utilized to curb the adverse effects of noisy instances. Meanwhile, both sequence augmentation module and domain adversarial module were introduced to enrich and standardize instances in the training bag, respectively, thereby enhancing the robustness of our method. We conduct comparative experiments on our newly constructed datasets (namely, AMD-Gaze and DR-Gaze), respectively for the AMD and early DR detection. Rigorous experiments demonstrate the feasibility of our HITL CAD system and the superiority of the proposed DCAMIL, fully exploring the ophthalmologists' eye-tracking information. These investigations indicate that physicians' gaze maps, as medical prior knowledge, is potential to contribute to the CAD systems of clinical diseases.

Xingyue Wang, Bo Liu, Meng Wang et al.

Visual Question Answering (VQA) holds great promise for clinical support, particularly in ophthalmology, where retinal fundus photography is essential for diagnosis. However, ophthalmic VQA benchmarks primarily emphasize answer accuracy, neglecting the explicit visual evidence necessary for clinical interpretability. In this work, we introduce FundusGround, a new benchmark for clinically interpretable ophthalmic VQA with spatially-grounded lesion evidence. Specifically, we propose a three-stage pipeline that collects 10,719 fundus images with 15,595 image-level meticulously annotated lesions. To ensure anatomical consistency and clinical validity, all lesions are spatially localized using the Early Treatment Diabetic Retinopathy Study (ETDRS) grid, enabling standardized mapping to nine clinically meaningful retinal regions. Built upon this structured lesion evidence, 72,706 questions are then generated spanning four formats: open-ended, closed-ended, single-choice, and multiple-choice. We further benchmark multiple general- and medical- large vision-language models using dual metrics for answer accuracy and lesion-level reasoning. The experiments demonstrate that incorporating lesion-level visual evidence consistently improves model performance and transparency, highlighting the necessity of explicit spatial grounding for reliable and explainable ophthalmic VQA.

Wei Wen, Kuang-Hung Liu, Igor Fedorov et al.

Neural Architecture Search (NAS) has demonstrated its efficacy in computer vision and potential for ranking systems. However, prior work focused on academic problems, which are evaluated at small scale under well-controlled fixed baselines. In industry system, such as ranking system in Meta, it is unclear whether NAS algorithms from the literature can outperform production baselines because of: (1) scale - Meta ranking systems serve billions of users, (2) strong baselines - the baselines are production models optimized by hundreds to thousands of world-class engineers for years since the rise of deep learning, (3) dynamic baselines - engineers may have established new and stronger baselines during NAS search, and (4) efficiency - the search pipeline must yield results quickly in alignment with the productionization life cycle. In this paper, we present Rankitect, a NAS software framework for ranking systems at Meta. Rankitect seeks to build brand new architectures by composing low level building blocks from scratch. Rankitect implements and improves state-of-the-art (SOTA) NAS methods for comprehensive and fair comparison under the same search space, including sampling-based NAS, one-shot NAS, and Differentiable NAS (DNAS). We evaluate Rankitect by comparing to multiple production ranking models at Meta. We find that Rankitect can discover new models from scratch achieving competitive tradeoff between Normalized Entropy loss and FLOPs. When utilizing search space designed by engineers, Rankitect can generate better models than engineers, achieving positive offline evaluation and online A/B test at Meta scale.

Zunjie Xiao, Xiaoqing Zhang, Risa Higashita et al.

Pathology context and expert experience play significant roles in clinical ocular disease diagnosis. Although deep neural networks (DNNs) have good ocular disease recognition results, they often ignore exploring the clinical pathology context and expert experience priors to improve ocular disease recognition performance and decision-making interpretability. To this end, we first develop a novel Pathology Recalibration Module (PRM) to leverage the potential of pathology context prior via the combination of the well-designed pixel-wise context compression operator and pathology distribution concentration operator; then this paper applies a novel expert prior Guidance Adapter (EPGA) to further highlight significant pixel-wise representation regions by fully mining the expert experience prior. By incorporating PRM and EPGA into the modern DNN, the PCRNet is constructed for automated ocular disease recognition. Additionally, we introduce an Integrated Loss (IL) to boost the ocular disease recognition performance of PCRNet by considering the effects of sample-wise loss distributions and training label frequencies. The extensive experiments on three ocular disease datasets demonstrate the superiority of PCRNet with IL over state-of-the-art attention-based networks and advanced loss methods. Further visualization analysis explains the inherent behavior of PRM and EPGA that affects the decision-making process of DNNs.

Wenqiao Zhang, Tianwei Lin, Jiang Liu et al.

Recent advancements indicate that scaling up Multimodal Large Language Models (MLLMs) effectively enhances performance on downstream multimodal tasks. The prevailing MLLM paradigm, \emph{e.g.}, LLaVA, transforms visual features into text-like tokens using a \emph{static} vision-language mapper, thereby enabling \emph{static} LLMs to develop the capability to comprehend visual information through visual instruction tuning. Although promising, the \emph{static} tuning strategy~\footnote{The static tuning refers to the trained model with static parameters.} that shares the same parameters may constrain performance across different downstream multimodal tasks. In light of this, we introduce HyperLLaVA, which involves adaptive tuning of the projector and LLM parameters, in conjunction with a dynamic visual expert and language expert, respectively. These experts are derived from HyperNetworks, which generates adaptive parameter shifts through visual and language guidance, enabling dynamic projector and LLM modeling in two-stage training. Our experiments demonstrate that our solution significantly surpasses LLaVA on existing MLLM benchmarks, including MME, MMBench, SEED-Bench, and LLaVA-Bench. ~\footnote{Our project is available on the link https://github.com/DCDmllm/HyperLLaVA}.

Zaidao Han, Risa Higashita, Jiang Liu

Camera-based 3D Semantic Scene Completion (SSC) is a critical task for autonomous driving and robotic scene understanding. It aims to infer a complete 3D volumetric representation of both semantics and geometry from a single image. Existing methods typically focus on end-to-end 2D-to-3D feature lifting and voxel completion. However, they often overlook the interference between high-confidence visible-region perception and low-confidence occluded-region reasoning caused by single-image input, which can lead to feature dilution and error propagation. To address these challenges, we introduce an offline Visible Region Label Extraction (VRLE) strategy that explicitly separates and extracts voxel-level supervision for visible regions from dense 3D ground truth. This strategy purifies the supervisory space for two complementary sub-tasks: visible-region perception and occluded-region reasoning. Building on this idea, we propose the Visible-Occluded Interactive Completion Network (VOIC), a novel dual-decoder framework that explicitly decouples SSC into visible-region semantic perception and occluded-region scene completion. VOIC first constructs a base 3D voxel representation by fusing image features with depth-derived occupancy. The visible decoder focuses on generating high-fidelity geometric and semantic priors, while the occlusion decoder leverages these priors together with cross-modal interaction to perform coherent global scene reasoning. Extensive experiments on the SemanticKITTI and SSCBench-KITTI360 benchmarks demonstrate that VOIC outperforms existing monocular SSC methods in both geometric completion and semantic segmentation accuracy, achieving state-of-the-art performance.

Bobo Li, Xudong Han, Jiang Liu et al.

Large language models (LLMs) and multimodal LLMs are changing event extraction (EE): prompting and generation can often produce structured outputs in zero shot or few shot settings. Yet LLM based pipelines face deployment gaps, including hallucinations under weak constraints, fragile temporal and causal linking over long contexts and across documents, and limited long horizon knowledge management within a bounded context window. We argue that EE should be viewed as a system component that provides a cognitive scaffold for LLM centered solutions. Event schemas and slot constraints create interfaces for grounding and verification; event centric structures act as controlled intermediate representations for stepwise reasoning; event links support relation aware retrieval with graph based RAG; and event stores offer updatable episodic and agent memory beyond the context window. This survey covers EE in text and multimodal settings, organizing tasks and taxonomy, tracing method evolution from rule based and neural models to instruction driven and generative frameworks, and summarizing formulations, decoding strategies, architectures, representations, datasets, and evaluation. We also review cross lingual, low resource, and domain specific settings, and highlight open challenges and future directions for reliable event centric systems. Finally, we outline open challenges and future directions that are central to the LLM era, aiming to evolve EE from static extraction into a structurally reliable, agent ready perception and memory layer for open world systems.

Tianwei Lin, Zhongwei Qiu, Wenqiao Zhang et al.

Computed Tomography (CT) is one of the most widely used and diagnostically information-dense imaging modalities, covering critical organs such as the heart, lungs, liver, and colon. Clinical interpretation relies on both slice-driven local features (e.g., sub-centimeter nodules, lesion boundaries) and volume-driven spatial representations (e.g., tumor infiltration, inter-organ anatomical relations). However, existing Large Vision-Language Models (LVLMs) remain fragmented in CT slice versus volumetric understanding: slice-driven LVLMs show strong generalization but lack cross-slice spatial consistency, while volume-driven LVLMs explicitly capture volumetric semantics but suffer from coarse granularity and poor compatibility with slice inputs. The absence of a unified modeling paradigm constitutes a major bottleneck for the clinical translation of medical LVLMs. We present OmniCT, a powerful unified slice-volume LVLM for CT scenarios, which makes three contributions: (i) Spatial Consistency Enhancement (SCE): volumetric slice composition combined with tri-axial positional embedding that introduces volumetric consistency, and an MoE hybrid projection enables efficient slice-volume adaptation; (ii) Organ-level Semantic Enhancement (OSE): segmentation and ROI localization explicitly align anatomical regions, emphasizing lesion- and organ-level semantics; (iii) MedEval-CT: the largest slice-volume CT dataset and hybrid benchmark integrates comprehensive metrics for unified evaluation. OmniCT consistently outperforms existing methods with a substantial margin across diverse clinical tasks and satisfies both micro-level detail sensitivity and macro-level spatial reasoning. More importantly, it establishes a new paradigm for cross-modal medical imaging understanding.

Jiang Liu, John Martabano Landy, Yao Xuan et al.

Modern computational advertising platforms typically rely on recommendation systems to predict user responses, such as click-through rates, conversion rates, and other optimization events. To support a wide variety of product surfaces and advertiser goals, these platforms frequently maintain an extensive ecosystem of machine learning (ML) models. However, operating at this scale creates significant development and efficiency challenges. Substantial engineering effort is required to regularly refresh ML models and propagate new techniques, which results in long latencies when deploying ML innovations across the ecosystem. We present a large-scale empirical study comparing model performance, efficiency, and ML technique propagation between a standardized model-building approach and independent per-model optimization in recommendation systems. To facilitate this standardization, we propose the Standard Model Template (SMT) -- a framework that generates high-performance models adaptable to diverse data distributions and optimization events. By utilizing standardized, composable ML model components, SMT reduces technique propagation complexity from $O(n \cdot 2^k)$ to $O(n + k)$ where $n$ is the number of models and $k$ the number of techniques. Evaluating an extensive suite of models over four global development cycles within Meta's production ads ranking ecosystem, our results demonstrate: (1) a 0.63% average improvement in cross-entropy at neutral serving capacity, (2) a 92% reduction in per-model iteration engineering time, and (3) a $6.3\times$ increase in technique-model pair adoption throughput. These findings challenge the conventional wisdom that diverse optimization goals inherently require diversified ML model design.

Sijing Li, Tianwei Lin, Lingshuai Lin et al.

Medical Large Vision-Language Models (Med-LVLMs) demonstrate significant potential in healthcare, but their reliance on general medical data and coarse-grained global visual understanding limits them in intelligent ophthalmic diagnosis. Currently, intelligent ophthalmic diagnosis faces three major challenges: (i) Data. The lack of deeply annotated, high-quality, multi-modal ophthalmic visual instruction data; (ii) Benchmark. The absence of a comprehensive and systematic benchmark for evaluating diagnostic performance; (iii) Model. The difficulty of adapting holistic visual architectures to fine-grained, region-specific ophthalmic lesion identification. In this paper, we propose the Eyecare Kit, which systematically tackles the aforementioned three key challenges with the tailored dataset, benchmark and model: First, we construct a multi-agent data engine with real-life ophthalmology data to produce Eyecare-100K, a high-quality ophthalmic visual instruction dataset. Subsequently, we design Eyecare-Bench, a benchmark that comprehensively evaluates the overall performance of LVLMs on intelligent ophthalmic diagnosis tasks across multiple dimensions. Finally, we develop the EyecareGPT, optimized for fine-grained ophthalmic visual understanding thoroughly, which incorporates an adaptive resolution mechanism and a layer-wise dense connector. Extensive experimental results indicate that the EyecareGPT achieves state-of-the-art performance in a range of ophthalmic tasks, underscoring its significant potential for the advancement of open research in intelligent ophthalmic diagnosis. Our project is available at https://github.com/DCDmllm/EyecareGPT.

Hang Yin, Kuang-Hung Liu, Mengying Sun et al.

Web-scale ranking systems at Meta serving billions of users is complex. Improving ranking models is essential but engineering heavy. Automated Machine Learning (AutoML) can release engineers from labor intensive work of tuning ranking models; however, it is unknown if AutoML is efficient enough to meet tight production timeline in real-world and, at the same time, bring additional improvements to the strong baselines. Moreover, to achieve higher ranking performance, there is an ever-increasing demand to scale up ranking models to even larger capacity, which imposes more challenges on the efficiency. The large scale of models and tight production schedule requires AutoML to outperform human baselines by only using a small number of model evaluation trials (around 100). We presents a sampling-based AutoML method, focusing on neural architecture search and hyperparameter optimization, addressing these challenges in Meta-scale production when building large capacity models. Our approach efficiently handles large-scale data demands. It leverages a lightweight predictor-based searcher and reinforcement learning to explore vast search spaces, significantly reducing the number of model evaluations. Through experiments in large capacity modeling for CTR and CVR applications, we show that our method achieves outstanding Return on Investment (ROI) versus human tuned baselines, with up to 0.09% Normalized Entropy (NE) loss reduction or $25\%$ Query per Second (QPS) increase by only sampling one hundred models on average from a curated search space. The proposed AutoML method has already made real-world impact where a discovered Instagram CTR model with up to -0.36% NE gain (over existing production baseline) was selected for large-scale online A/B test and show statistically significant gain. These production results proved AutoML efficacy and accelerated its adoption in ranking systems at Meta.

Jiang Liu, Jialian Wu, Xiaodong Yu et al.

Large language models (LLMs) have demonstrated remarkable performance across a wide range of tasks, yet the majority of high-performing models remain closed-source or partially open, limiting transparency and reproducibility. In this work, we introduce Instella, a family of fully open three billion parameter language models trained entirely on openly available data and codebase. Powered by AMD Instinct MI300X GPUs, Instella is developed through large-scale pre-training, general-purpose instruction tuning, and alignment with human preferences. Despite using substantially fewer pre-training tokens than many contemporaries, Instella achieves state-of-the-art results among fully open models and is competitive with leading open-weight models of comparable size. We further release two specialized variants: Instella-Long, capable of handling context lengths up to 128K tokens, and Instella-Math, a reasoning-focused model enhanced through supervised fine-tuning and reinforcement learning on mathematical tasks. Together, these contributions establish Instella as a transparent, performant, and versatile alternative for the community, advancing the goal of open and reproducible language modeling research.

King-Siong Si, Lu Sun, Weizhan Zhang et al.

Non-maximum suppression (NMS) is an indispensable post-processing step in object detection. With the continuous optimization of network models, NMS has become the ``last mile'' to enhance the efficiency of object detection. This paper systematically analyzes NMS from a graph theory perspective for the first time, revealing its intrinsic structure. Consequently, we propose two optimization methods, namely QSI-NMS and BOE-NMS. The former is a fast recursive divide-and-conquer algorithm with negligible mAP loss, and its extended version (eQSI-NMS) achieves optimal complexity of $\mathcal{O}(n\log n)$. The latter, concentrating on the locality of NMS, achieves an optimization at a constant level without an mAP loss penalty. Moreover, to facilitate rapid evaluation of NMS methods for researchers, we introduce NMS-Bench, the first benchmark designed to comprehensively assess various NMS methods. Taking the YOLOv8-N model on MS COCO 2017 as the benchmark setup, our method QSI-NMS provides $6.2\times$ speed of original NMS on the benchmark, with a $0.1\%$ decrease in mAP. The optimal eQSI-NMS, with only a $0.3\%$ mAP decrease, achieves $10.7\times$ speed. Meanwhile, BOE-NMS exhibits $5.1\times$ speed with no compromise in mAP.