Haoyuan Che

Qiwei Zeng, Hao Wang, Jinghao Lin et al.

Medical vision-language models (VLMs) have shown increasing potential for clinical image interpretation, including lesion detection and report generation. However, their practical utility remains limited by insufficient sensitivity to subtle lesions, whose visual evidence is often sparse, low-contrast, and embedded within complex anatomical context. As local visual tokens are aggregated, these weak lesion cues can become underrepresented in global image representations, making them difficult for medical VLMs to recognize. Existing efforts to improve lesion sensitivity mainly rely on medical-domain vision-encoder pre-training, clinical-term-guided alignment, or trainable pathological representation enhancement. Although effective, these approaches usually require additional training or model-specific adaptation and may overfit to particular disease morphologies, limiting their applicability to frozen medical VLMs. To address these limitations, we propose EasyLens, a training-free plug-and-play subtle-lesion representation amplifier for medical VLMs. EasyLens first constructs EasyBank, a pathology-anatomy prototype space that provides lesion-related prototypes and anatomy-aware normal references for comparing suspicious patches against both pathological and normal anatomical patterns. To avoid blindly amplifying normal tissues, EasyTag selects lesion-relevant patches through counterfactual prototype reasoning. To counteract the dilution of subtle lesion cues in global image representations, EasyAmplifier strengthens the selected lesion-relevant patch representations through morphology-guided residual enhancement, thereby increasing their contribution to the global image embedding. Experiments on multiple medical image datasets and frozen medical VLM backbones show that EasyLens improves subtle-lesion detection and outperforms existing encoder-enhancement baselines.

Wei Xiang, Ziyue Lei, Haoyuan Che et al.

Operational skill learning, inherently physical and reliant on hands-on practice and kinesthetic feedback, has yet to be effectively replicated in large language model (LLM)-supported training. Current LLM training assistants primarily generate customized textual feedback, neglecting the crucial kinesthetic modality. This gap derives from the textual and uncertain nature of LLMs, compounded by concerns on user acceptance of LLM driven body control. To bridge this gap and realize the potential of collaborative human-LLM action, this work explores human experience of LLM driven kinesthetic assistance. Specifically, we introduced an "Align-Analyze-Adjust" strategy and developed FlightAxis, a tool that integrates LLM with Electrical Muscle Stimulation (EMS) for flight skill acquisition, a representative operational skill domain. FlightAxis learns flight skills from manuals and guides forearm movements during simulated flight tasks. Our results demonstrate high user acceptance of LLM-mediated body control and significantly reduced task completion times. Crucially, trainees reported that this kinesthetic assistance enhanced their awareness of operation flaws and fostered increased engagement in the training process, rather than relieving perceived load. This work demonstrated the potential of kinesthetic LLM training in operational skill acquisition.