Ruocheng Li

Huangwei Chen, Junhao Jia, Ruocheng Li et al.

Diabetic Retinopathy (DR) progresses as a continuous and irreversible deterioration of the retina, following a well-defined clinical trajectory from mild to severe stages. However, most existing ordinal regression approaches model DR severity as a set of static, symmetric ranks, capturing relative order while ignoring the inherent unidirectional nature of disease progression. As a result, the learned feature representations may violate biological plausibility, allowing implausible proximity between non-consecutive stages or even reverse transitions. To bridge this gap, we propose Directed Ordinal Diffusion Regularization (D-ODR), which explicitly models the feature space as a directed flow by constructing a progression-constrained directed graph that strictly enforces forward disease evolution. By performing multi-scale diffusion on this directed structure, D-ODR imposes penalties on score inversions along valid progression paths, thereby effectively preventing the model from learning biologically inconsistent reverse transitions. This mechanism aligns the feature representation with the natural trajectory of DR worsening. Extensive experiments demonstrate that D-ODR yields superior grading performance compared to state-of-the-art ordinal regression and DR-specific grading methods, offering a more clinically reliable assessment of disease severity. Our code is available on https://github.com/HovChen/D-ODR.

Chaojie Shen, Jingjun Gu, Zihao Zhao et al.

Accurate Couinaud liver segmentation is critical for preoperative surgical planning and tumor localization.However, existing methods primarily rely on image intensity and spatial location cues, without explicitly modeling vascular topology. As a result, they often produce indistinct boundaries near vessels and show limited generalization under anatomical variability.We propose VasGuideNet, the first Couinaud segmentation framework explicitly guided by vascular topology. Specifically, skeletonized vessels, Euclidean distance transform (EDT)--derived geometry, and k-nearest neighbor (kNN) connectivity are encoded into topology features using Graph Convolutional Networks (GCNs). These features are then injected into a 3D encoder--decoder backbone via a cross-attention fusion module. To further improve inter-class separability and anatomical consistency, we introduce a Structural Contrastive Loss (SCL) with a global memory bank.On Task08_HepaticVessel and our private LASSD dataset, VasGuideNet achieves Dice scores of 83.68% and 76.65% with RVDs of 1.68 and 7.08, respectively. It consistently outperforms representative baselines including UNETR, Swin UNETR, and G-UNETR++, delivering higher Dice/mIoU and lower RVD across datasets, demonstrating its effectiveness for anatomically consistent segmentation. Code is available at https://github.com/Qacket/VasGuideNet.git.

Wenjie Luo, Ruocheng Li, Shanshan Zhu et al.

Despite significant advancements, current large language models (LLMs) and vision-language models (LVLMs) continue to struggle with complex, multi-step, cross-modal common sense reasoning tasks, often exhibiting a lack of "deliberative thinking." They tend to rely on superficial associations rather than deep, chained inference, particularly when integrating visual information with abstract concepts. To address this, we propose the Coherent Multimodal Reasoning Framework (CMRF), a novel approach that enhances LVLMs' common sense reasoning capabilities through an iterative, self-evaluating inference mechanism. CMRF mimics human problem-solving by decomposing complex queries, generating step-by-step inferences, and self-correcting errors. Our framework integrates three key modules: a Reasoning Decomposition Unit (RDU) for breaking down problems into sub-questions, a Contextual Inference Engine (CIE) for contextual inference, and a Coherence Assessment Module (CAM) for evaluating logical consistency and confidence. Coupled with an Adaptive Iterative Refinement strategy, CMRF systematically refines its reasoning paths. Built upon LLaVA-1.6-34B and trained on a novel Multimodal Daily Activity Reasoning (MDAR) dataset, CMRF achieves state-of-the-art performance among open-source LVLMs on challenging benchmarks like VCR, A-OKVQA, and DailyLife-MRC. It attains an average accuracy of 69.4%, surpassing the best open-source baseline by +2.4 percentage points, with particular strength in complex reasoning scenarios. Extensive ablation studies and human evaluations confirm the critical contributions of each module and the effectiveness of iterative refinement in fostering more coherent and accurate reasoning.