Feifan Chen

Shufeng Kong, Zijie Wang, Nuan Cui et al.

Automated interpretation of medical images demands robust modeling of complex visual-semantic relationships while addressing annotation scarcity, label imbalance, and clinical plausibility constraints. We introduce MIRNet (Medical Image Reasoner Network), a novel framework that integrates self-supervised pre-training with constrained graph-based reasoning. Tongue image diagnosis is a particularly challenging domain that requires fine-grained visual and semantic understanding. Our approach leverages self-supervised masked autoencoder (MAE) to learn transferable visual representations from unlabeled data; employs graph attention networks (GAT) to model label correlations through expert-defined structured graphs; enforces clinical priors via constraint-aware optimization using KL divergence and regularization losses; and mitigates imbalance using asymmetric loss (ASL) and boosting ensembles. To address annotation scarcity, we also introduce TongueAtlas-4K, a comprehensive expert-curated benchmark comprising 4,000 images annotated with 22 diagnostic labels--representing the largest public dataset in tongue analysis. Validation shows our method achieves state-of-the-art performance. While optimized for tongue diagnosis, the framework readily generalizes to broader diagnostic medical imaging tasks.

Qiang Liu, Wuganjing Song, Zhenzhou Lin et al.

The reasoning capabilities of Large Language Models (LLMs) are typically developed through the single-turn reinforcement learning, whereas real-world applications often involve multi-turn interactions with human feedback, leading to a potential mismatch between training and deployment conditions. In this work, we study whether multi-turn training with human feedback is necessary for reasoning tasks. We compare conventional single-turn training with three multi-turn strategies and reach contrary conclusions to previous research. We find that models trained in a single-turn setting generalize effectively to both single- and multi-turn evaluations, while models trained with multi-turn strategies exhibit a significant degradation in single-turn reasoning performance. These results suggest that for tasks with complete information, robust single-turn training remains more effective and reliable, as multi-turn training with basic feedback provides limited benefits and can even degrade reasoning capabilities.