Fangxin Shang

Yibin Zhao, Fangxin Shang, Dingrui Yang et al.

Table question answering requires models to recover semantic relations encoded implicitly by two-dimensional layout, merged cells, and hierarchical headers. Current pipelines typically use HTML or Markdown as intermediate table representations, but these layout-oriented serializations introduce markup overhead and require large language models to infer header-cell alignments from row and column spans. We propose Semantic Triplet Restoration (STR), a protocol that rewrites each cell as an atomic fact <item path, feature path, value>, where the item path specifies the row-wise entity, the feature path specifies the hierarchical attribute, and the value contains the cell content. We also present TripletQL, a lightweight query-aware router that uses STR to select an appropriate rendering or filtered subset of triplets for each question. Across four Chinese and English table-QA benchmarks, STR matches or improves upon HTML-based baselines while reducing input tokens. The relative benefit grows for smaller language models and longer table contexts, suggesting that explicit semantic representations are especially useful under constrained inference budgets. Code and data are available at https://github.com/Phoenix-ni/STR.git .

Fangxin Shang, Siqi Wang, Xiaorong Wang et al.

We present an effective method for Intracranial Hemorrhage Detection (IHD) which exceeds the performance of the winner solution in RSNA-IHD competition (2019). Meanwhile, our model only takes quarter parameters and ten percent FLOPs compared to the winner's solution. The IHD task needs to predict the hemorrhage category of each slice for the input brain CT. We review the top-5 solutions for the IHD competition held by the Radiological Society of North America(RSNA) in 2019. Nearly all the top solutions rely on 2D convolutional networks and sequential models (Bidirectional GRU or LSTM) to extract intra-slice and inter-slice features, respectively. All the top solutions enhance the performance by leveraging the model ensemble, and the model number varies from 7 to 31. In the past years, since much progress has been made in the computer vision regime especially Transformer-based models, we introduce the Transformer-based techniques to extract the features in both intra-slice and inter-slice views for IHD tasks. Additionally, a semi-supervised method is embedded into our workflow to further improve the performance. The code is available in the manuscript.

Junde Wu, Huihui Fang, Fangxin Shang et al.

Clinically, the accurate annotation of lesions/tissues can significantly facilitate the disease diagnosis. For example, the segmentation of optic disc/cup (OD/OC) on fundus image would facilitate the glaucoma diagnosis, the segmentation of skin lesions on dermoscopic images is helpful to the melanoma diagnosis, etc. With the advancement of deep learning techniques, a wide range of methods proved the lesions/tissues segmentation can also facilitate the automated disease diagnosis models. However, existing methods are limited in the sense that they can only capture static regional correlations in the images. Inspired by the global and dynamic nature of Vision Transformer, in this paper, we propose Segmentation-Assisted diagnosis Transformer (SeATrans) to transfer the segmentation knowledge to the disease diagnosis network. Specifically, we first propose an asymmetric multi-scale interaction strategy to correlate each single low-level diagnosis feature with multi-scale segmentation features. Then, an effective strategy called SeA-block is adopted to vitalize diagnosis feature via correlated segmentation features. To model the segmentation-diagnosis interaction, SeA-block first embeds the diagnosis feature based on the segmentation information via the encoder, and then transfers the embedding back to the diagnosis feature space by a decoder. Experimental results demonstrate that SeATrans surpasses a wide range of state-of-the-art (SOTA) segmentation-assisted diagnosis methods on several disease diagnosis tasks.

Junde Wu, Huihui Fang, Fangxin Shang et al.

The segmentation of optic disc(OD) and optic cup(OC) from fundus images is an important fundamental task for glaucoma diagnosis. In the clinical practice, it is often necessary to collect opinions from multiple experts to obtain the final OD/OC annotation. This clinical routine helps to mitigate the individual bias. But when data is multiply annotated, standard deep learning models will be inapplicable. In this paper, we propose a novel neural network framework to learn OD/OC segmentation from multi-rater annotations. The segmentation results are self-calibrated through the iterative optimization of multi-rater expertness estimation and calibrated OD/OC segmentation. In this way, the proposed method can realize a mutual improvement of both tasks and finally obtain a refined segmentation result. Specifically, we propose Diverging Model(DivM) and Converging Model(ConM) to process the two tasks respectively. ConM segments the raw image based on the multi-rater expertness map provided by DivM. DivM generates multi-rater expertness map from the segmentation mask provided by ConM. The experiment results show that by recurrently running ConM and DivM, the results can be self-calibrated so as to outperform a range of state-of-the-art(SOTA) multi-rater segmentation methods.

Yehui Yang, Dalu Yang, Wenshuo Zhou et al.

As multimodal AI becomes widely used for credit risk assessment and document review, a domain-specific benchmark is urgently needed that (1) reflects documents and workflows specific to financial credit applications, (2) includes credit-specific understanding and real-world robustness, and (3) preserves privacy compliance without sacrificing practical utility. Here, we introduce FCMBench-V1.0 -- a large-scale financial credit multimodal benchmark for real-world applications, covering 18 core certificate types, with 4,043 privacy-compliant images and 8,446 QA samples. The FCMBench evaluation framework consists of three dimensions: Perception, Reasoning, and Robustness, including 3 foundational perception tasks, 4 credit-specific reasoning tasks that require decision-oriented understanding of visual evidence, and 10 real-world acquisition artifact types for robustness stress testing. To reconcile compliance with realism, we construct all samples via a closed synthesis-capture pipeline: we manually synthesize document templates with virtual content and capture scenario-aware images in-house. This design also mitigates pre-training data leakage by avoiding web-sourced or publicly released images. FCMBench can effectively discriminate performance disparities and robustness across modern vision-language models. Extensive experiments were conducted on 23 state-of-the-art vision-language models (VLMs) from 14 top AI companies and research institutes. Among them, Gemini 3 Pro achieves the best F1(\%) score as a commercial model (64.61), Qwen3-VL-235B achieves the best score as an open-source baseline (57.27), and our financial credit-specific model, Qfin-VL-Instruct, achieves the top overall score (64.92). Robustness evaluations show that even top-performing models suffer noticeable performance drops under acquisition artifacts.

Fangxin Shang, Yehui Yang, Dalu Yang et al.

Pre-training is essential to deep learning model performance, especially in medical image analysis tasks where limited training data are available. However, existing pre-training methods are inflexible as the pre-trained weights of one model cannot be reused by other network architectures. In this paper, we propose an architecture-irrelevant hyper-initializer, which can initialize any given network architecture well after being pre-trained for only once. The proposed initializer is a hypernetwork which takes a downstream architecture as input graphs and outputs the initialization parameters of the respective architecture. We show the effectiveness and efficiency of the hyper-initializer through extensive experimental results on multiple medical imaging modalities, especially in data-limited fields. Moreover, we prove that the proposed algorithm can be reused as a favorable plug-and-play initializer for any downstream architecture and task (both classification and segmentation) of the same modality.

Xiaoshuang Huang, Lingdong Shen, Jia Liu et al.

In recent years, Multimodal Large Language Models (MLLM) have achieved notable advancements, demonstrating the feasibility of developing an intelligent biomedical assistant. However, current biomedical MLLMs predominantly focus on image-level understanding and restrict interactions to textual commands, thus limiting their capability boundaries and the flexibility of usage. In this paper, we introduce a novel end-to-end multimodal large language model for the biomedical domain, named MedPLIB, which possesses pixel-level understanding. Excitingly, it supports visual question answering (VQA), arbitrary pixel-level prompts (points, bounding boxes, and free-form shapes), and pixel-level grounding. We propose a novel Mixture-of-Experts (MoE) multi-stage training strategy, which divides MoE into separate training phases for a visual-language expert model and a pixel-grounding expert model, followed by fine-tuning using MoE. This strategy effectively coordinates multitask learning while maintaining the computational cost at inference equivalent to that of a single expert model. To advance the research of biomedical MLLMs, we introduce the Medical Complex Vision Question Answering Dataset (MeCoVQA), which comprises an array of 8 modalities for complex medical imaging question answering and image region understanding. Experimental results indicate that MedPLIB has achieved state-of-the-art outcomes across multiple medical visual language tasks. More importantly, in zero-shot evaluations for the pixel grounding task, MedPLIB leads the best small and large models by margins of 19.7 and 15.6 respectively on the mDice metric. The codes, data, and model checkpoints will be made publicly available at https://github.com/ShawnHuang497/MedPLIB.

Lingdong Shen, Fangxin Shang, Xiaoshuang Huang et al.

In the field of medical image segmentation, tackling Out-of-Distribution (OOD) segmentation tasks in a cost-effective manner remains a significant challenge. Universal segmentation models is a solution, which aim to generalize across the diverse modality of medical images, yet their effectiveness often diminishes when applied to OOD data modalities and tasks, requiring intricate fine-tuning of model for optimal performance. Few-shot learning segmentation methods are typically designed for specific modalities of data and cannot be directly transferred for use with another modality. Therefore, we introduce SegICL, a novel approach leveraging In-Context Learning (ICL) for image segmentation. Unlike existing methods, SegICL has the capability to employ text-guided segmentation and conduct in-context learning with a small set of image-mask pairs, eliminating the need for training the model from scratch or fine-tuning for OOD tasks (including OOD modality and dataset). Extensive experimental demonstrates a positive correlation between the number of shots and segmentation performance on OOD tasks. The performance of segmentation when provided thre-shots is approximately 1.5 times better than the performance in a zero-shot setting. This indicates that SegICL effectively address new segmentation tasks based on contextual information. Additionally, SegICL also exhibits comparable performance to mainstream models on OOD and in-distribution tasks. Our code will be released after paper review.

Runze Cui, Fangxin Shang, Yehui Yang et al.

Document understanding is a critical capability in financial credit review, onboarding, and remote verification, where both decision accuracy and evidence traceability matter. Compared with static document images, document videos present a temporally redundant and sequentially unfolding evidence stream, require evidence integration across frames, and preserve acquisition-process cues relevant to authenticity-sensitive and anti-fraud review. We introduce FCMBench-Video, a benchmark for document-video intelligence that evaluates document perception, temporal grounding, and evidence-grounded reasoning under realistic capture conditions. For privacy-compliant yet realistic data at scale, we organize construction as an atomic-acquisition and composition workflow that records reusable single-document clips, applies controlled degradations, and assembles long-form multi-document videos with prescribed temporal spans. FCMBench-Video is built from 495 atomic videos composed into 1,200 long-form videos paired with 11,322 expert-annotated question--answer instances, covering 28 document types over 20s--60s duration tiers and 5,960 Chinese / 5,362 English instances. Evaluations on nine recent Video-MLLMs show that FCMBench-Video provides meaningful separation across systems and capabilities: counting is the most duration-sensitive task, Cross-Document Validation and Evidence-Grounded Selection probe higher-level evidence integration, and Visual Prompt Injection provides a complementary robustness dimension. The overall score distribution is broad and approximately bell-shaped, indicating a benchmark that is neither saturated nor dominated by trivial cases. Together, these results position FCMBench-Video as a reproducible benchmark for tracking Video-MLLM progress on document-video understanding and probing capability boundaries in authenticity-sensitive credit-domain applications.

Fangxin Shang, Yuan Xia, Dalu Yang et al.

Medical report interpretation plays a crucial role in healthcare, enabling both patient-facing explanations and effective information flow across clinical systems. While recent vision-language models (VLMs) and large language models (LLMs) have demonstrated general document understanding capabilities, there remains a lack of standardized benchmarks to assess structured interpretation quality in medical reports. We introduce MedRepBench, a comprehensive benchmark built from 1,900 de-identified real-world Chinese medical reports spanning diverse departments, patient demographics, and acquisition formats. The benchmark is designed primarily to evaluate end-to-end VLMs for structured medical report understanding. To enable controlled comparisons, we also include a text-only evaluation setting using high-quality OCR outputs combined with LLMs, allowing us to estimate the upper-bound performance when character recognition errors are minimized. Our evaluation framework supports two complementary protocols: (1) an objective evaluation measuring field-level recall of structured clinical items, and (2) an automated subjective evaluation using a powerful LLM as a scoring agent to assess factuality, interpretability, and reasoning quality. Based on the objective metric, we further design a reward function and apply Group Relative Policy Optimization (GRPO) to improve a mid-scale VLM, achieving up to 6% recall gain. We also observe that the OCR+LLM pipeline, despite strong performance, suffers from layout-blindness and latency issues, motivating further progress toward robust, fully vision-based report understanding.

Xiaoshuang Huang, Haifeng Huang, Lingdong Shen et al.

With the rapid development of multimodal large language models (MLLMs), especially their capabilities in visual chat through refer and ground functionalities, their significance is increasingly recognized. However, the biomedical field currently exhibits a substantial gap in this area, primarily due to the absence of a dedicated refer and ground dataset for biomedical images. To address this challenge, we devised the Med-GRIT-270k dataset. It comprises 270k question-and-answer pairs and spans eight distinct medical imaging modalities. Most importantly, it is the first dedicated to the biomedical domain and integrating refer and ground conversations. The key idea is to sample large-scale biomedical image-mask pairs from medical segmentation datasets and generate instruction datasets from text using chatGPT. Additionally, we introduce a Refer-and-Ground Multimodal Large Language Model for Biomedicine (BiRD) by using this dataset and multi-task instruction learning. Extensive experiments have corroborated the efficacy of the Med-GRIT-270k dataset and the multi-modal, fine-grained interactive capabilities of the BiRD model. This holds significant reference value for the exploration and development of intelligent biomedical assistants.

Junde Wu, Huihui Fang, Dalu Yang et al.

With the advancement of deep learning techniques, an increasing number of methods have been proposed for optic disc and cup (OD/OC) segmentation from the fundus images. Clinically, OD/OC segmentation is often annotated by multiple clinical experts to mitigate the personal bias. However, it is hard to train the automated deep learning models on multiple labels. A common practice to tackle the issue is majority vote, e.g., taking the average of multiple labels. However such a strategy ignores the different expertness of medical experts. Motivated by the observation that OD/OC segmentation is often used for the glaucoma diagnosis clinically, in this paper, we propose a novel strategy to fuse the multi-rater OD/OC segmentation labels via the glaucoma diagnosis performance. Specifically, we assess the expertness of each rater through an attentive glaucoma diagnosis network. For each rater, its contribution for the diagnosis will be reflected as an expertness map. To ensure the expertness maps are general for different glaucoma diagnosis models, we further propose an Expertness Generator (ExpG) to eliminate the high-frequency components in the optimization process. Based on the obtained expertness maps, the multi-rater labels can be fused as a single ground-truth which we dubbed as Diagnosis First Ground-truth (DiagFirstGT). Experimental results show that by using DiagFirstGT as ground-truth, OD/OC segmentation networks will predict the masks with superior glaucoma diagnosis performance.

Yehui Yang, Fangxin Shang, Binghong Wu et al.

Diabetic retinopathy (DR) grading from fundus images has attracted increasing interest in both academic and industrial communities. Most convolutional neural network (CNN) based algorithms treat DR grading as a classification task via image-level annotations. However, these algorithms have not fully explored the valuable information in the DR-related lesions. In this paper, we present a robust framework, which collaboratively utilizes patch-level and image-level annotations, for DR severity grading. By an end-to-end optimization, this framework can bi-directionally exchange the fine-grained lesion and image-level grade information. As a result, it exploits more discriminative features for DR grading. The proposed framework shows better performance than the recent state-of-the-art algorithms and three clinical ophthalmologists with over nine years of experience. By testing on datasets of different distributions (such as label and camera), we prove that our algorithm is robust when facing image quality and distribution variations that commonly exist in real-world practice. We inspect the proposed framework through extensive ablation studies to indicate the effectiveness and necessity of each motivation. The code and some valuable annotations are now publicly available.

Fangxin Shang, Hao Zhang

Training recurrent neural networks (RNNs) with backpropagation through time (BPTT) has known drawbacks such as being difficult to capture longterm dependencies in sequences. Successful alternatives to BPTT have not yet been discovered. Recently, BP with synthetic gradients by a decoupled neural interface module has been proposed to replace BPTT for training RNNs. On the other hand, it has been shown that the representations learned with synthetic and real gradients are different though they are functionally identical. In this project, we explore ways of combining synthetic and real gradients with application to neural language modeling tasks. Empirically, we demonstrate the effectiveness of alternating training with synthetic and real gradients after periodic warm restarts on language modeling tasks.