Zongyuan Ge

Xinlin Zhuang, Feilong Tang, Haolin Yang et al.

Supervised Fine-Tuning (SFT) plays a pivotal role in adapting Large Language Models (LLMs) to specialized domains such as medical reasoning. However, existing SFT practices often rely on unfiltered datasets that contain redundant and low-quality samples, leading to substantial computational costs and suboptimal performance. Although existing methods attempt to alleviate this problem by selecting data based on sample difficulty, defined by knowledge and reasoning complexity, they overlook each sample's optimization utility reflected in its gradient. Interestingly, we find that gradient-based influence alone favors easy-to-optimize samples that cause large parameter shifts but lack deep reasoning chains, while difficulty alone selects noisy or overly complex cases that fail to guide stable optimization. Based on this observation, we propose a data selection strategy, Difficulty-Influence Quadrant (DIQ), which prioritizes samples in the high-difficulty-high-influence quadrant to balance complex clinical reasoning with substantial gradient influence, enabling efficient medical reasoning with minimal fine-tuning data. Furthermore, Human and LLM-as-a-judge evaluations show that DIQ-selected subsets demonstrate higher data quality and generate clinical reasoning that is more aligned with expert practices in differential diagnosis, safety check, and evidence citation, as DIQ emphasizes samples that foster expert-like reasoning patterns. Extensive experiments on medical reasoning benchmarks demonstrate that DIQ enables models fine-tuned on only 1% of selected data to match full-dataset performance, while using 10% consistently outperforms baseline methods, highlighting the superiority of principled data selection over brute-force scaling. The code and data are available at https://github.com/mihara-bot/DIQ.

Wenxuan Song, Jiayi Chen, Pengxiang Ding et al.

Vision-Language-Action (VLA) models demonstrate remarkable potential for generalizable robotic manipulation. The performance of VLA models can be improved by integrating with action chunking, a critical technique for effective control. However, action chunking linearly scales up action dimensions in VLA models with increased chunking sizes. This reduces the inference efficiency. To tackle this problem, we propose PD-VLA, the first parallel decoding framework for VLA models integrated with action chunking. Our framework reformulates autoregressive decoding as a nonlinear system solved by parallel fixed-point iterations. This approach preserves model performance with mathematical guarantees while significantly improving decoding speed. In addition, it enables training-free acceleration without architectural changes, as well as seamless synergy with existing acceleration techniques. Extensive simulations validate that our PD-VLA maintains competitive success rates while achieving 2.52 times execution frequency on manipulators (with 7 degrees of freedom) compared with the fundamental VLA model. Furthermore, we experimentally identify the most effective settings for acceleration. Finally, real-world experiments validate its high applicability across different tasks.

Talha Ilyas, Duong Nhu, Allison Thomas et al.

Accurate fetal movement (FM) detection is essential for assessing prenatal health, as abnormal movement patterns can indicate underlying complications such as placental dysfunction or fetal distress. Traditional methods, including maternal perception and cardiotocography (CTG), suffer from subjectivity and limited accuracy. To address these challenges, we propose Contrastive Ultrasound Video Representation Learning (CURL), a novel self-supervised learning framework for FM detection from extended fetal ultrasound video recordings. Our approach leverages a dual-contrastive loss, incorporating both spatial and temporal contrastive learning, to learn robust motion representations. Additionally, we introduce a task-specific sampling strategy, ensuring the effective separation of movement and non-movement segments during self-supervised training, while enabling flexible inference on arbitrarily long ultrasound recordings through a probabilistic fine-tuning approach. Evaluated on an in-house dataset of 92 subjects, each with 30-minute ultrasound sessions, CURL achieves a sensitivity of 78.01% and an AUROC of 81.60%, demonstrating its potential for reliable and objective FM analysis. These results highlight the potential of self-supervised contrastive learning for fetal movement analysis, paving the way for improved prenatal monitoring and clinical decision-making.

Zhongxing Xu, Feilong Tang, Zhe Chen et al.

The application of Contrastive Language-Image Pre-training (CLIP) in Weakly Supervised Semantic Segmentation (WSSS) research powerful cross-modal semantic understanding capabilities. Existing methods attempt to optimize input text prompts for improved alignment of images and text, by finely adjusting text prototypes to facilitate semantic matching. Nevertheless, given the modality gap between text and vision spaces, the text prototypes employed by these methods have not effectively established a close correspondence with pixel-level vision features. In this work, our theoretical analysis indicates that the inherent modality gap results in misalignment of text and region features, and that this gap cannot be sufficiently reduced by minimizing contrast loss in CLIP. To mitigate the impact of the modality gap, we propose a Vision Prototype Learning (VPL) framework, by introducing more representative vision prototypes. The core of this framework is to learn class-specific vision prototypes in vision space with the help of text prototypes, for capturing high-quality localization maps. Moreover, we propose a regional semantic contrast module that contrasts regions embedding with corresponding prototypes, leading to more comprehensive and robust feature learning. Experimental results show that our proposed framework achieves state-of-the-art performance on two benchmark datasets.

Wenxue Li, Xinyu Xiong, Peng Xia et al.

Recent advances in large foundation models, such as the Segment Anything Model (SAM), have demonstrated considerable promise across various tasks. Despite their progress, these models still encounter challenges in specialized medical image analysis, especially in recognizing subtle inter-class differences in Diabetic Retinopathy (DR) lesion segmentation. In this paper, we propose a novel framework that customizes SAM for text-prompted DR lesion segmentation, termed TP-DRSeg. Our core idea involves exploiting language cues to inject medical prior knowledge into the vision-only segmentation network, thereby combining the advantages of different foundation models and enhancing the credibility of segmentation. Specifically, to unleash the potential of vision-language models in the recognition of medical concepts, we propose an explicit prior encoder that transfers implicit medical concepts into explicit prior knowledge, providing explainable clues to excavate low-level features associated with lesions. Furthermore, we design a prior-aligned injector to inject explicit priors into the segmentation process, which can facilitate knowledge sharing across multi-modality features and allow our framework to be trained in a parameter-efficient fashion. Experimental results demonstrate the superiority of our framework over other traditional models and foundation model variants.

Peng Xia, Ze Chen, Juanxi Tian et al.

Artificial intelligence has significantly impacted medical applications, particularly with the advent of Medical Large Vision Language Models (Med-LVLMs), sparking optimism for the future of automated and personalized healthcare. However, the trustworthiness of Med-LVLMs remains unverified, posing significant risks for future model deployment. In this paper, we introduce CARES and aim to comprehensively evaluate the Trustworthiness of Med-LVLMs across the medical domain. We assess the trustworthiness of Med-LVLMs across five dimensions, including trustfulness, fairness, safety, privacy, and robustness. CARES comprises about 41K question-answer pairs in both closed and open-ended formats, covering 16 medical image modalities and 27 anatomical regions. Our analysis reveals that the models consistently exhibit concerns regarding trustworthiness, often displaying factual inaccuracies and failing to maintain fairness across different demographic groups. Furthermore, they are vulnerable to attacks and demonstrate a lack of privacy awareness. We publicly release our benchmark and code in https://cares-ai.github.io/.