GuangQuan Zhou

Xinran Chen, Xiyuan Wang, Guangquan Zhou et al.

While echocardiography is essential for cardiovascular diagnosis, inherent speckle noise and low signal-to-noise ratio often lead to ambiguous semantic features and fragmented boundaries. These limitations significantly hinder the segmentation accuracy of deep learning models in complex clinical cases. Moreover, temporal motion of the heart plays a critical role in recognizing anatomical structures. To address these challenges, we designed a STLSF module which comprises a window-matching-based semantic correction component and a semantics-guided texture enhancement component. By leveraging local transition probability correlations to correct semantics and employing semantics-guided texture enhancement, the STLSF module effectively mitigates texture instability and ambiguous semantic interpretations caused by disadvantaged echocardiography quality. Additionally, to facilitate the encoder's adaptation to the intrinsic priors of ultrasound-specific imaging patterns, we propose a frequency-aware denoising pre-training method. The entire work builds a convolution-based network with locality inductive bias and long-range dependencies. Extensive experiments confirm our SOTA performance, achieving 93.87\% Dice on CAMUS and 92.62\% on EchoNet-Dynamic, with respective HD95 values of 3.29mm and 2.73mm.

Yongchang Zhang, Xianzheng Ma, Tianyi Liu et al.

Recent large vision-language models (LVLMs) have demonstrated impressive reasoning ability by generating long chain-of-thought (CoT) responses. However, CoT reasoning in multimodal contexts is highly vulnerable to visual hallucination propagation: once an intermediate reasoning step becomes inconsistent with the visual evidence, subsequent steps-even if logically valid-can still lead to incorrect final answers. Existing solutions attempt to mitigate this issue by training models to "think with images" via reinforcement learning (RL). While effective, these methods are costly, model-specific, and difficult to generalize across architectures. Differently, we present a lightweight method that bypasses RL training and provides an iterative, training-free, plug-and-play framework for visually-grounded multimodal reasoning. Our key idea is to supervise each reasoning step at test time with visual evidence, ensuring that every decoded token is justified by corresponding visual cues. Concretely, we construct a textual visual-evidence pool that guides the model's reasoning generation. When existing evidence is insufficient, a visual decider module dynamically extracts additional relevant evidence from the image based on the ongoing reasoning context, expanding the pool until the model achieves sufficient visual certainty to terminate reasoning and produce the final answer. Extensive experiments on multiple LVLM backbones and benchmarks demonstrate the effectiveness of our approach. Our method achieves 16.5%-29.5% improvements on TreeBench and 13.7% RH-AUC gains on RH-Bench, substantially reducing hallucination rates while improving reasoning accuracy without additional training.

Changjin Sun, Zhuo Hu, Kaini Wang et al.

Reconstructing anatomically faithful vascular structures from clinically accessible imaging modalities is of substantial clinical significance. However, existing cross-modal translation methods mainly emphasize pixel-level fidelity or visual realism and treat structure preservation as a property of the final output rather than an invariant of the generative process. This limitation often leads to structural discontinuities and artifacts, compromising anatomical coherence and clinical reliability. In this work, we propose a Structure-Preserving Mean Flow (SPMF) framework that formulates vascular image translation as a topology-invariant transport process. Based on a structural invariance principle, we derive an orthogonality constraint on the flow velocity field that formally separates appearance transport from topological distortion. We implement this constraint as a time-weighted surrogate objective within a Brownian bridge diffusion model to preserve topology at every diffusion step. Moreover, we propose a Prototype-Guided Structural Refinement (PGSR) module to align degraded inference-time structures with reliable training-time structures. Experiments on paired NIRII-to-2PF and fundus datasets demonstrate consistent improvements over state-of-the-art methods, achieving peak PSNR values of 24.96 dB and 24.83 dB, respectively.

Enguang Wang, Hao Zhou, Shuo Gao et al.

Abdominal ultrasound is indispensable for rapid, noninvasive trauma triage. However, interpreting the subtle dynamic cues embedded in continuous scanning is time-intensive and operator-dependent. Parameter-Efficient Image-to-Video Transfer Learning (PEIVTL), which efficiently adapts pre-trained image models to the video domain, notably through visual-textual alignment, offers a promising paradigm for ultrasound video analysis. Nevertheless, substantial spatiotemporal and semantic variations arising from physician-dependent scanning practices continue to limit the effectiveness and generalizability of this framework. We propose TRUST, a scan-aware PEIVTL framework that explicitly models fine-grained spatiotemporal variations to enable reliable ultrasound video understanding. First, we introduce a Cross-Frequency Collaborative Adapter (CFCA) that establishes mutual constraints between low- and high-frequency components, enhancing discriminative spatial feature extraction under heavy speckle corruption. Second, we design a Multi-Granularity Motion-Aware (MGMA) module that integrates local temporal convolutions with motion-prior-guided global self-attention, jointly capturing stable intra-view patterns and abrupt inter-view transitions to characterize complex scanning dynamics. Third, a Visual Query Semantic Aggregation (VQSA) module dynamically generates text prototypes conditioned on visual features, enabling adaptive visual-textual alignment robust to intra-class variability under diverse scanning conditions. Experiments on in-house ultrasound trauma datasets demonstrate that TRUST outperforms state-of-the-art methods by 9.63% with superior computational efficiency.