Zongyuan Ge

Yicheng Wu, Zhonghua Wu, Qianyi Wu et al. · ibm-research

Semi-supervised segmentation remains challenging in medical imaging since the amount of annotated medical data is often scarce and there are many blurred pixels near the adhesive edges or in the low-contrast regions. To address the issues, we advocate to firstly constrain the consistency of pixels with and without strong perturbations to apply a sufficient smoothness constraint and further encourage the class-level separation to exploit the low-entropy regularization for the model training. Particularly, in this paper, we propose the SS-Net for semi-supervised medical image segmentation tasks, via exploring the pixel-level smoothness and inter-class separation at the same time. The pixel-level smoothness forces the model to generate invariant results under adversarial perturbations. Meanwhile, the inter-class separation encourages individual class features should approach their corresponding high-quality prototypes, in order to make each class distribution compact and separate different classes. We evaluated our SS-Net against five recent methods on the public LA and ACDC datasets. Extensive experimental results under two semi-supervised settings demonstrate the superiority of our proposed SS-Net model, achieving new state-of-the-art (SOTA) performance on both datasets. The code is available at https://github.com/ycwu1997/SS-Net.

Ruyi Zha, Xuelian Cheng, Hongdong Li et al. · ibm-research

Reconstructing soft tissues from stereo endoscope videos is an essential prerequisite for many medical applications. Previous methods struggle to produce high-quality geometry and appearance due to their inadequate representations of 3D scenes. To address this issue, we propose a novel neural-field-based method, called EndoSurf, which effectively learns to represent a deforming surface from an RGBD sequence. In EndoSurf, we model surface dynamics, shape, and texture with three neural fields. First, 3D points are transformed from the observed space to the canonical space using the deformation field. The signed distance function (SDF) field and radiance field then predict their SDFs and colors, respectively, with which RGBD images can be synthesized via differentiable volume rendering. We constrain the learned shape by tailoring multiple regularization strategies and disentangling geometry and appearance. Experiments on public endoscope datasets demonstrate that EndoSurf significantly outperforms existing solutions, particularly in reconstructing high-fidelity shapes. Code is available at https://github.com/Ruyi-Zha/endosurf.git.

Wei Dong, Junsheng Wu, Yi Luo et al. · ibm-research

The key towards learning informative node representations in graphs lies in how to gain contextual information from the neighbourhood. In this work, we present a simple-yet-effective self-supervised node representation learning strategy via directly maximizing the mutual information between the hidden representations of nodes and their neighbourhood, which can be theoretically justified by its link to graph smoothing. Following InfoNCE, our framework is optimized via a surrogate contrastive loss, where the positive selection underpins the quality and efficiency of representation learning. To this end, we propose a topology-aware positive sampling strategy, which samples positives from the neighbourhood by considering the structural dependencies between nodes and thus enables positive selection upfront. In the extreme case when only one positive is sampled, we fully avoid expensive neighbourhood aggregation. Our methods achieve promising performance on various node classification datasets. It is also worth mentioning by applying our loss function to MLP based node encoders, our methods can be orders of faster than existing solutions. Our codes and supplementary materials are available at https://github.com/dongwei156/n2n.

Lin Wu, Deyin Liu, Wenying Zhang et al. · ibm-research

Person re-identification (re-ID) is of great importance to video surveillance systems by estimating the similarity between a pair of cross-camera person shorts. Current methods for estimating such similarity require a large number of labeled samples for supervised training. In this paper, we present a pseudo-pair based self-similarity learning approach for unsupervised person re-ID without human annotations. Unlike conventional unsupervised re-ID methods that use pseudo labels based on global clustering, we construct patch surrogate classes as initial supervision, and propose to assign pseudo labels to images through the pairwise gradient-guided similarity separation. This can cluster images in pseudo pairs, and the pseudos can be updated during training. Based on pseudo pairs, we propose to improve the generalization of similarity function via a novel self-similarity learning:it learns local discriminative features from individual images via intra-similarity, and discovers the patch correspondence across images via inter-similarity. The intra-similarity learning is based on channel attention to detect diverse local features from an image. The inter-similarity learning employs a deformable convolution with a non-local block to align patches for cross-image similarity. Experimental results on several re-ID benchmark datasets demonstrate the superiority of the proposed method over the state-of-the-arts.

Siyuan Yan, Chi Liu, Zhen Yu et al.

Skin lesion recognition using deep learning has made remarkable progress, and there is an increasing need for deploying these systems in real-world scenarios. However, recent research has revealed that deep neural networks for skin lesion recognition may overly depend on disease-irrelevant image artifacts (i.e., dark corners, dense hairs), leading to poor generalization in unseen environments. To address this issue, we propose a novel domain generalization method called EPVT, which involves embedding prompts into the vision transformer to collaboratively learn knowledge from diverse domains. Concretely, EPVT leverages a set of domain prompts, each of which plays as a domain expert, to capture domain-specific knowledge; and a shared prompt for general knowledge over the entire dataset. To facilitate knowledge sharing and the interaction of different prompts, we introduce a domain prompt generator that enables low-rank multiplicative updates between domain prompts and the shared prompt. A domain mixup strategy is additionally devised to reduce the co-occurring artifacts in each domain, which allows for more flexible decision margins and mitigates the issue of incorrectly assigned domain labels. Experiments on four out-of-distribution datasets and six different biased ISIC datasets demonstrate the superior generalization ability of EPVT in skin lesion recognition across various environments. Code is avaliable at https://github.com/SiyuanYan1/EPVT.

Xuelian Cheng, Huan Xiong, Deng-Ping Fan et al. · ibm-research

We propose a new video camouflaged object detection (VCOD) framework that can exploit both short-term dynamics and long-term temporal consistency to detect camouflaged objects from video frames. An essential property of camouflaged objects is that they usually exhibit patterns similar to the background and thus make them hard to identify from still images. Therefore, effectively handling temporal dynamics in videos becomes the key for the VCOD task as the camouflaged objects will be noticeable when they move. However, current VCOD methods often leverage homography or optical flows to represent motions, where the detection error may accumulate from both the motion estimation error and the segmentation error. On the other hand, our method unifies motion estimation and object segmentation within a single optimization framework. Specifically, we build a dense correlation volume to implicitly capture motions between neighbouring frames and utilize the final segmentation supervision to optimize the implicit motion estimation and segmentation jointly. Furthermore, to enforce temporal consistency within a video sequence, we jointly utilize a spatio-temporal transformer to refine the short-term predictions. Extensive experiments on VCOD benchmarks demonstrate the architectural effectiveness of our approach. We also provide a large-scale VCOD dataset named MoCA-Mask with pixel-level handcrafted ground-truth masks and construct a comprehensive VCOD benchmark with previous methods to facilitate research in this direction. Dataset Link: https://xueliancheng.github.io/SLT-Net-project.

Lie Ju, Yicheng Wu, Wei Feng et al.

Semi-supervised learning (SSL) has attracted much attention since it reduces the expensive costs of collecting adequate well-labeled training data, especially for deep learning methods. However, traditional SSL is built upon an assumption that labeled and unlabeled data should be from the same distribution \textit{e.g.,} classes and domains. However, in practical scenarios, unlabeled data would be from unseen classes or unseen domains, and it is still challenging to exploit them by existing SSL methods. Therefore, in this paper, we proposed a unified framework to leverage these unseen unlabeled data for open-scenario semi-supervised medical image classification. We first design a novel scoring mechanism, called dual-path outliers estimation, to identify samples from unseen classes. Meanwhile, to extract unseen-domain samples, we then apply an effective variational autoencoder (VAE) pre-training. After that, we conduct domain adaptation to fully exploit the value of the detected unseen-domain samples to boost semi-supervised training. We evaluated our proposed framework on dermatology and ophthalmology tasks. Extensive experiments demonstrate our model can achieve superior classification performance in various medical SSL scenarios. The code implementations are accessible at: https://github.com/PyJulie/USSL4MIC.

Zhihong Lin, Danli Shi, Donghao Zhang et al.

Recent studies have validated the association between cardiovascular disease (CVD) risk and retinal fundus images. Combining deep learning (DL) and portable fundus cameras will enable CVD risk estimation in various scenarios and improve healthcare democratization. However, there are still significant issues to be solved. One of the top priority issues is the different camera differences between the databases for research material and the samples in the production environment. Most high-quality retinography databases ready for research are collected from high-end fundus cameras, and there is a significant domain discrepancy between different cameras. To fully explore the domain discrepancy issue, we first collect a Fundus Camera Paired (FCP) dataset containing pair-wise fundus images captured by the high-end Topcon retinal camera and the low-end Mediwork portable fundus camera of the same patients. Then, we propose a cross-laterality feature alignment pre-training scheme and a self-attention camera adaptor module to improve the model robustness. The cross-laterality feature alignment training encourages the model to learn common knowledge from the same patient's left and right fundus images and improve model generalization. Meanwhile, the device adaptation module learns feature transformation from the target domain to the source domain. We conduct comprehensive experiments on both the UK Biobank database and our FCP data. The experimental results show that the CVD risk regression accuracy and the result consistency over two cameras are improved with our proposed method. The code is available here: \url{https://github.com/linzhlalala/CVD-risk-based-on-retinal-fundus-images}

Ming Hu, Lin Wang, Siyuan Yan et al.

The application of deep learning to nursing procedure activity understanding has the potential to greatly enhance the quality and safety of nurse-patient interactions. By utilizing the technique, we can facilitate training and education, improve quality control, and enable operational compliance monitoring. However, the development of automatic recognition systems in this field is currently hindered by the scarcity of appropriately labeled datasets. The existing video datasets pose several limitations: 1) these datasets are small-scale in size to support comprehensive investigations of nursing activity; 2) they primarily focus on single procedures, lacking expert-level annotations for various nursing procedures and action steps; and 3) they lack temporally localized annotations, which prevents the effective localization of targeted actions within longer video sequences. To mitigate these limitations, we propose NurViD, a large video dataset with expert-level annotation for nursing procedure activity understanding. NurViD consists of over 1.5k videos totaling 144 hours, making it approximately four times longer than the existing largest nursing activity datasets. Notably, it encompasses 51 distinct nursing procedures and 177 action steps, providing a much more comprehensive coverage compared to existing datasets that primarily focus on limited procedures. To evaluate the efficacy of current deep learning methods on nursing activity understanding, we establish three benchmarks on NurViD: procedure recognition on untrimmed videos, procedure and action recognition on trimmed videos, and action detection. Our benchmark and code will be available at \url{https://github.com/minghu0830/NurViD-benchmark}.

Xuelian Cheng, Yiran Zhong, Mehrtash Harandi et al. · ibm-research

The self-attention mechanism, successfully employed with the transformer structure is shown promise in many computer vision tasks including image recognition, and object detection. Despite the surge, the use of the transformer for the problem of stereo matching remains relatively unexplored. In this paper, we comprehensively investigate the use of the transformer for the problem of stereo matching, especially for laparoscopic videos, and propose a new hybrid deep stereo matching framework (HybridStereoNet) that combines the best of the CNN and the transformer in a unified design. To be specific, we investigate several ways to introduce transformers to volumetric stereo matching pipelines by analyzing the loss landscape of the designs and in-domain/cross-domain accuracy. Our analysis suggests that employing transformers for feature representation learning, while using CNNs for cost aggregation will lead to faster convergence, higher accuracy and better generalization than other options. Our extensive experiments on Sceneflow, SCARED2019 and dVPN datasets demonstrate the superior performance of our HybridStereoNet.

Peng Xia, Xingtong Yu, Ming Hu et al.

Object categories are typically organized into a multi-granularity taxonomic hierarchy. When classifying categories at different hierarchy levels, traditional uni-modal approaches focus primarily on image features, revealing limitations in complex scenarios. Recent studies integrating Vision-Language Models (VLMs) with class hierarchies have shown promise, yet they fall short of fully exploiting the hierarchical relationships. These efforts are constrained by their inability to perform effectively across varied granularity of categories. To tackle this issue, we propose a novel framework (HGCLIP) that effectively combines CLIP with a deeper exploitation of the Hierarchical class structure via Graph representation learning. We explore constructing the class hierarchy into a graph, with its nodes representing the textual or image features of each category. After passing through a graph encoder, the textual features incorporate hierarchical structure information, while the image features emphasize class-aware features derived from prototypes through the attention mechanism. Our approach demonstrates significant improvements on 11 diverse visual recognition benchmarks. Our codes are fully available at https://github.com/richard-peng-xia/HGCLIP.

Deyin Liu, Lin Yuanbo Wu, Bo Li et al.

In this paper, we present an end-to-end approach to generate high-resolution person images conditioned on texts only. State-of-the-art text-to-image generation models are mainly designed for center-object generation, e.g., flowers and birds. Unlike center-placed objects with similar shapes and orientation, person image generation is a more challenging task, for which we observe the followings: 1) the generated images for the same person exhibit visual details with identity-consistency, e.g., identity-related textures/clothes/shoes across the images, and 2) those images should be discriminant for being robust against the inter-person variations caused by visual ambiguities. To address the above challenges, we develop an effective generative model to produce person images with two novel mechanisms. In particular, our first mechanism (called T-Person-GAN-ID) is to integrate the one-stream generator with an identity-preserving network such that the representations of generated data are regularized in their feature space to ensure the identity-consistency. The second mechanism (called T-Person-GAN-ID-MM) is based on the manifold mix-up to produce mixed images via the linear interpolation across generated images from different manifold identities, and we further enforce such interpolated images to be linearly classified in the feature space. This amounts to learning a linear classification boundary that can perfectly separate images from two identities. Our proposed method is empirically validated to achieve a remarkable improvement in text-to-person image generation. Our architecture is orthogonal to StackGAN++ , and focuses on person image generation, with all of them together to enrich the spectrum of GANs for the image generation task. Codes are available on \url{https://github.com/linwu-github/Person-Image-Generation.git}.

Deval Mehta, Yaniv Gal, Adrian Bowling et al. · ibm-research

Recent years have witnessed a rapid development of automated methods for skin lesion diagnosis and classification. Due to an increasing deployment of such systems in clinics, it has become important to develop a more robust system towards various Out-of-Distribution(OOD) samples (unknown skin lesions and conditions). However, the current deep learning models trained for skin lesion classification tend to classify these OOD samples incorrectly into one of their learned skin lesion categories. To address this issue, we propose a simple yet strategic approach that improves the OOD detection performance while maintaining the multi-class classification accuracy for the known categories of skin lesion. To specify, this approach is built upon a realistic scenario of a long-tailed and fine-grained OOD detection task for skin lesion images. Through this approach, 1) First, we target the mixup amongst middle and tail classes to address the long-tail problem. 2) Later, we combine the above mixup strategy with prototype learning to address the fine-grained nature of the dataset. The unique contribution of this paper is two-fold, justified by extensive experiments. First, we present a realistic problem setting of OOD task for skin lesion. Second, we propose an approach to target the long-tailed and fine-grained aspects of the problem setting simultaneously to increase the OOD performance.

Weiyi Zhang, Siyu Huang, Jiancheng Yang et al.

Fundus Fluorescein Angiography (FFA) is a critical tool for assessing retinal vascular dynamics and aiding in the diagnosis of eye diseases. However, its invasive nature and less accessibility compared to Color Fundus (CF) images pose significant challenges. Current CF to FFA translation methods are limited to static generation. In this work, we pioneer dynamic FFA video generation from static CF images. We introduce an autoregressive GAN for smooth, memory-saving frame-by-frame FFA synthesis. To enhance the focus on dynamic lesion changes in FFA regions, we design a knowledge mask based on clinical experience. Leveraging this mask, our approach integrates innovative knowledge mask-guided techniques, including knowledge-boosted attention, knowledge-aware discriminators, and mask-enhanced patchNCE loss, aimed at refining generation in critical areas and addressing the pixel misalignment challenge. Our method achieves the best FVD of 1503.21 and PSNR of 11.81 compared to other common video generation approaches. Human assessment by an ophthalmologist confirms its high generation quality. Notably, our knowledge mask surpasses supervised lesion segmentation masks, offering a promising non-invasive alternative to traditional FFA for research and clinical applications. The code is available at https://github.com/Michi-3000/Fundus2Video.

Litao Yang, Deval Mehta, Dwarikanath Mahapatra et al. · ibm-research

Recently, a lot of automated white blood cells (WBC) or leukocyte classification techniques have been developed. However, all of these methods only utilize a single modality microscopic image i.e. either blood smear or fluorescence based, thus missing the potential of a better learning from multimodal images. In this work, we develop an efficient multimodal architecture based on a first of its kind multimodal WBC dataset for the task of WBC classification. Specifically, our proposed idea is developed in two steps - 1) First, we learn modality specific independent subnetworks inside a single network only; 2) We further enhance the learning capability of the independent subnetworks by distilling knowledge from high complexity independent teacher networks. With this, our proposed framework can achieve a high performance while maintaining low complexity for a multimodal dataset. Our unique contribution is two-fold - 1) We present a first of its kind multimodal WBC dataset for WBC classification; 2) We develop a high performing multimodal architecture which is also efficient and low in complexity at the same time.

Deval Mehta, Shobi Sivathamboo, Hugh Simpson et al.

In this work, we contribute towards the development of video-based epileptic seizure classification by introducing a novel framework (SETR-PKD), which could achieve privacy-preserved early detection of seizures in videos. Specifically, our framework has two significant components - (1) It is built upon optical flow features extracted from the video of a seizure, which encodes the seizure motion semiotics while preserving the privacy of the patient; (2) It utilizes a transformer based progressive knowledge distillation, where the knowledge is gradually distilled from networks trained on a longer portion of video samples to the ones which will operate on shorter portions. Thus, our proposed framework addresses the limitations of the current approaches which compromise the privacy of the patients by directly operating on the RGB video of a seizure as well as impede real-time detection of a seizure by utilizing the full video sample to make a prediction. Our SETR-PKD framework could detect tonic-clonic seizures (TCSs) in a privacy-preserving manner with an accuracy of 83.9% while they are only half-way into their progression. Our data and code is available at https://github.com/DevD1092/seizure-detection

Zhongying Deng, Cheng Tang, Ziyan Huang et al. · pku

Foundation models have demonstrated remarkable success across diverse domains and tasks, primarily due to the thrive of large-scale, diverse, and high-quality datasets. However, in the field of medical imaging, the curation and assembling of such medical datasets are highly challenging due to the reliance on clinical expertise and strict ethical and privacy constraints, resulting in a scarcity of large-scale unified medical datasets and hindering the development of powerful medical foundation models. In this work, we present the largest survey to date of medical image datasets, covering over 1,000 open-access datasets with a systematic catalog of their modalities, tasks, anatomies, annotations, limitations, and potential for integration. Our analysis exposes a landscape that is modest in scale, fragmented across narrowly scoped tasks, and unevenly distributed across organs and modalities, which in turn limits the utility of existing medical image datasets for developing versatile and robust medical foundation models. To turn fragmentation into scale, we propose a metadata-driven fusion paradigm (MDFP) that integrates public datasets with shared modalities or tasks, thereby transforming multiple small data silos into larger, more coherent resources. Building on MDFP, we release an interactive discovery portal that enables end-to-end, automated medical image dataset integration, and compile all surveyed datasets into a unified, structured table that clearly summarizes their key characteristics and provides reference links, offering the community an accessible and comprehensive repository. By charting the current terrain and offering a principled path to dataset consolidation, our survey provides a practical roadmap for scaling medical imaging corpora, supporting faster data discovery, more principled dataset creation, and more capable medical foundation models.

Siyuan Yan, Zhen Yu, Xuelin Zhang et al.

Deep neural networks have demonstrated promising performance on image recognition tasks. However, they may heavily rely on confounding factors, using irrelevant artifacts or bias within the dataset as the cue to improve performance. When a model performs decision-making based on these spurious correlations, it can become untrustable and lead to catastrophic outcomes when deployed in the real-world scene. In this paper, we explore and try to solve this problem in the context of skin cancer diagnosis. We introduce a human-in-the-loop framework in the model training process such that users can observe and correct the model's decision logic when confounding behaviors happen. Specifically, our method can automatically discover confounding factors by analyzing the co-occurrence behavior of the samples. It is capable of learning confounding concepts using easily obtained concept exemplars. By mapping the black-box model's feature representation onto an explainable concept space, human users can interpret the concept and intervene via first order-logic instruction. We systematically evaluate our method on our newly crafted, well-controlled skin lesion dataset and several public skin lesion datasets. Experiments show that our method can effectively detect and remove confounding factors from datasets without any prior knowledge about the category distribution and does not require fully annotated concept labels. We also show that our method enables the model to focus on clinical-related concepts, improving the model's performance and trustworthiness during model inference.

Wei Feng, Lie Ju, Lin Wang et al. · ibm-research

Existing deep learning models have achieved promising performance in recognizing skin diseases from dermoscopic images. However, these models can only recognize samples from predefined categories, when they are deployed in the clinic, data from new unknown categories are constantly emerging. Therefore, it is crucial to automatically discover and identify new semantic categories from new data. In this paper, we propose a new novel class discovery framework for automatically discovering new semantic classes from dermoscopy image datasets based on the knowledge of known classes. Specifically, we first use contrastive learning to learn a robust and unbiased feature representation based on all data from known and unknown categories. We then propose an uncertainty-aware multi-view cross pseudo-supervision strategy, which is trained jointly on all categories of data using pseudo labels generated by a self-labeling strategy. Finally, we further refine the pseudo label by aggregating neighborhood information through local sample similarity to improve the clustering performance of the model for unknown categories. We conducted extensive experiments on the dermatology dataset ISIC 2019, and the experimental results show that our approach can effectively leverage knowledge from known categories to discover new semantic categories. We also further validated the effectiveness of the different modules through extensive ablation experiments. Our code will be released soon.

Zhen Yu, Toan Nguyen, Yaniv Gal et al.

In practice, many medical datasets have an underlying taxonomy defined over the disease label space. However, existing classification algorithms for medical diagnoses often assume semantically independent labels. In this study, we aim to leverage class hierarchy with deep learning algorithms for more accurate and reliable skin lesion recognition. We propose a hyperbolic network to learn image embeddings and class prototypes jointly. The hyperbola provably provides a space for modeling hierarchical relations better than Euclidean geometry. Meanwhile, we restrict the distribution of hyperbolic prototypes with a distance matrix that is encoded from the class hierarchy. Accordingly, the learned prototypes preserve the semantic class relations in the embedding space and we can predict the label of an image by assigning its feature to the nearest hyperbolic class prototype. We use an in-house skin lesion dataset which consists of around 230k dermoscopic images on 65 skin diseases to verify our method. Extensive experiments provide evidence that our model can achieve higher accuracy with less severe classification errors than models without considering class relations.

Wei Feng, Lin Wang, Lie Ju et al.

Existing unsupervised domain adaptation methods based on adversarial learning have achieved good performance in several medical imaging tasks. However, these methods focus only on global distribution adaptation and ignore distribution constraints at the category level, which would lead to sub-optimal adaptation performance. This paper presents an unsupervised domain adaptation framework based on category-level regularization that regularizes the category distribution from three perspectives. Specifically, for inter-domain category regularization, an adaptive prototype alignment module is proposed to align feature prototypes of the same category in the source and target domains. In addition, for intra-domain category regularization, we tailored a regularization technique for the source and target domains, respectively. In the source domain, a prototype-guided discriminative loss is proposed to learn more discriminative feature representations by enforcing intra-class compactness and inter-class separability, and as a complement to traditional supervised loss. In the target domain, an augmented consistency category regularization loss is proposed to force the model to produce consistent predictions for augmented/unaugmented target images, which encourages semantically similar regions to be given the same label. Extensive experiments on two publicly fundus datasets show that the proposed approach significantly outperforms other state-of-the-art comparison algorithms.

Lie Ju, Yicheng Wu, Lin Wang et al.

Most of the medical tasks naturally exhibit a long-tailed distribution due to the complex patient-level conditions and the existence of rare diseases. Existing long-tailed learning methods usually treat each class equally to re-balance the long-tailed distribution. However, considering that some challenging classes may present diverse intra-class distributions, re-balancing all classes equally may lead to a significant performance drop. To address this, in this paper, we propose a curriculum learning-based framework called Flexible Sampling for the long-tailed skin lesion classification task. Specifically, we initially sample a subset of training data as anchor points based on the individual class prototypes. Then, these anchor points are used to pre-train an inference model to evaluate the per-class learning difficulty. Finally, we use a curriculum sampling module to dynamically query new samples from the rest training samples with the learning difficulty-aware sampling probability. We evaluated our model against several state-of-the-art methods on the ISIC dataset. The results with two long-tailed settings have demonstrated the superiority of our proposed training strategy, which achieves a new benchmark for long-tailed skin lesion classification.

Feilong Tang, Matt Trinh, Annita Duong et al.

Migraine, a prevalent neurological disorder, has been associated with various ocular manifestations suggestive of neuronal and microvascular deficits. However, there is limited understanding of the extent to which retinal imaging may discriminate between individuals with migraines versus without migraines. In this study, we apply convolutional neural networks to color fundus photography (CFP) and optical coherence tomography (OCT) data to investigate differences in the retina that may not be apparent through traditional human-based interpretations of retinal imaging. Retrospective data of CFP type 1 [posterior pole] and type 2 [optic nerve head (ONH)] from 369 and 336 participants respectively were analyzed. All participants had bilaterally normal optic nerves and maculae, with no retinal-involving diseases. CFP images were concatenated with OCT default ONH measurements, then inputted through three convolutional neural networks - VGG-16, ResNet-50, and Inceptionv3. The primary outcome was performance of discriminating between with migraines versus without migraines, using retinal microvascular and neuronal imaging characteristics. Using CFP type 1 data, discrimination (AUC [95% CI]) was high (0.84 [0.8, 0.88] to 0.87 [0.84, 0.91]) and not significantly different between VGG-16, ResNet-50, and Inceptionv3. Using CFP type 2 [ONH] data, discrimination was reduced and ranged from poor to fair (0.69 [0.62, 0.77] to 0.74 [0.67, 0.81]). OCT default ONH measurements overall did not significantly contribute to model performance. Class activation maps (CAMs) highlighted that the paravascular arcades were regions of interest. The findings suggest that individuals with migraines demonstrate microvascular differences more so than neuronal differences in comparison to individuals without migraines.

Jinghan Ru, Siyuan Yan, Yuguo Yin et al.

Multimodal Large Language Models (MLLMs) show promise for medical applications, yet progress in dermatology lags due to limited training data, narrow task coverage, and lack of clinically-grounded supervision that mirrors expert diagnostic workflows. We present a comprehensive framework to address these gaps. First, we introduce DermoInstruct, a large-scale morphology-anchored instruction corpus comprising 211,243 images and 772,675 trajectories across five task formats, capturing the complete diagnostic pipeline from morphological observation and clinical reasoning to final diagnosis. Second, we establish DermoBench, a rigorous benchmark evaluating 11 tasks across four clinical axes: Morphology, Diagnosis, Reasoning, and Fairness, including a challenging subset of 3,600 expert-verified open-ended instances and human performance baselines. Third, we develop DermoGPT, a dermatology reasoning MLLM trained via supervised fine-tuning followed by our Morphologically-Anchored Visual-Inference-Consistent (MAVIC) reinforcement learning objective, which enforces consistency between visual observations and diagnostic conclusions. At inference, we deploy Confidence-Consistency Test-time adaptation (CCT) for robust predictions. Experiments show DermoGPT significantly outperforms 16 representative baselines across all axes, achieving state-of-the-art performance while substantially narrowing the human-AI gap. DermoInstruct, DermoBench and DermoGPT will be made publicly available at https://github.com/mendicant04/DermoGPT upon acceptance.

Xieji Li, Siyuan Yan, Yingsheng Liu et al.

Vision-language pretraining (VLP) has emerged as a powerful paradigm in medical image analysis, enabling representation learning from large-scale image-text pairs without relying on expensive manual annotations. However, existing methods often struggle with the noise inherent in web-collected data and the complexity of unstructured long medical texts. To address these challenges, we propose a novel VLP framework integrating a Multi-Agent data GENeration (MAGEN) system and Ontology-based Multi-Aspect Knowledge-Enhanced (O-MAKE) pretraining. First, MAGEN enhances data quality by synthesizing knowledge-enriched descriptions via a foundation model-assisted captioning and retrieval-based verification pipeline. Second, O-MAKE addresses the difficulty of learning from long, unstructured texts by decomposing them into distinct knowledge aspects. This facilitates fine-grained alignment at both global and patch levels, while explicitly modeling medical concept relationships through ontology-guided mechanisms. We validate our framework in the field of dermatology, where comprehensive experiments demonstrate the effectiveness of each component. Our approach achieves state-of-the-art zero-shot performance on disease classification and cross-modal retrieval tasks across eight datasets. Our code and the augmented dataset Derm1M-AgentAug, comprising over 400k skin-image-text pairs, will be released at https://github.com/SiyuanYan1/Derm1M.

Yize Liu, Siyuan Yan, Ming Hu et al.

Dermatological diagnosis requires integrating fine-grained visual perception with expert clinical knowledge. Although Multimodal Large Language Models (MLLMs) facilitate interactive medical image analysis, their application in dermatology is hindered by insufficient domain-specific grounding and hallucinations. To address these issues, we propose DermAgent, a collaborative multi-tool agent that orchestrates seven specialized vision and language modules within a Plan-Execute-Reflect framework. DermAgent delivers stepwise, traceable diagnostic reasoning through three core components. First, it employs complementary visual perception tools for comprehensive morphological description, dermoscopic concept annotation, and disease diagnosis. Second, to overcome the lack of domain prior, a dual-modality retrieval module anchors every prediction in external evidence by cross-referencing 413,210 diagnosed image cases and 3,199 clinical guideline chunks. To further mitigate hallucinations, a deterministic critic module conducts strict post-hoc auditing via confidence, coverage, and conflict gates, automatically detecting inter-source disagreements to trigger targeted self-correction. Extensive experiments on five dermatology benchmarks demonstrate that DermAgent consistently outperforms state-of-the-art MLLMs and medical agent baselines across zero-shot fine-grained disease diagnosis, concept annotation, and clinical captioning tasks, exceeding GPT-4o by 17.6% in skin disease diagnostic accuracy and 3.15% in captioning ROUGE-L. Our code is available at https://github.com/YizeezLiu/DermAgent.

Lin Wang, Xiufen Ye, Donghao Zhang et al.

Usually, lesions are not isolated but are associated with the surrounding tissues. For example, the growth of a tumour can depend on or infiltrate into the surrounding tissues. Due to the pathological nature of the lesions, it is challenging to distinguish their boundaries in medical imaging. However, these uncertain regions may contain diagnostic information. Therefore, the simple binarization of lesions by traditional binary segmentation can result in the loss of diagnostic information. In this work, we introduce the image matting into the 3D scenes and use the alpha matte, i.e., a soft mask, to describe lesions in a 3D medical image. The traditional soft mask acted as a training trick to compensate for the easily mislabelled or under-labelled ambiguous regions. In contrast, 3D matting uses soft segmentation to characterize the uncertain regions more finely, which means that it retains more structural information for subsequent diagnosis and treatment. The current study of image matting methods in 3D is limited. To address this issue, we conduct a comprehensive study of 3D matting, including both traditional and deep-learning-based methods. We adapt four state-of-the-art 2D image matting algorithms to 3D scenes and further customize the methods for CT images to calibrate the alpha matte with the radiodensity. Moreover, we propose the first end-to-end deep 3D matting network and implement a solid 3D medical image matting benchmark. Its efficient counterparts are also proposed to achieve a good performance-computation balance. Furthermore, there is no high-quality annotated dataset related to 3D matting, slowing down the development of data-driven deep-learning-based methods. To address this issue, we construct the first 3D medical matting dataset. The validity of the dataset was verified through clinicians' assessments and downstream experiments.

Siyuan Yan, Xieji Li, Dan Mo et al.

Medical foundation models have shown promise in controlled benchmarks, yet widespread deployment remains hindered by reliance on task-specific fine-tuning. Here, we introduce DermFM-Zero, a dermatology vision-language foundation model trained via masked latent modelling and contrastive learning on over 4 million multimodal data points. We evaluated DermFM-Zero across 20 benchmarks spanning zero-shot diagnosis and multimodal retrieval, achieving state-of-the-art performance without task-specific adaptation. We further evaluated its zero-shot capabilities in three multinational reader studies involving over 1,100 clinicians. In primary care settings, AI assistance enabled general practitioners to nearly double their differential diagnostic accuracy across 98 skin conditions. In specialist settings, the model significantly outperformed board-certified dermatologists in multimodal skin cancer assessment. In collaborative workflows, AI assistance enabled non-experts to surpass unassisted experts while improving management appropriateness. Finally, we show that DermFM-Zero's latent representations are interpretable: sparse autoencoders unsupervisedly disentangle clinically meaningful concepts that outperform predefined-vocabulary approaches and enable targeted suppression of artifact-induced biases, enhancing robustness without retraining. These findings demonstrate that a foundation model can provide effective, safe, and transparent zero-shot clinical decision support.

Xin Zhang, Deval Mehta, Yanan Hu et al.

Survival analysis holds a crucial role across diverse disciplines, such as economics, engineering and healthcare. It empowers researchers to analyze both time-invariant and time-varying data, encompassing phenomena like customer churn, material degradation and various medical outcomes. Given the complexity and heterogeneity of such data, recent endeavors have demonstrated successful integration of deep learning methodologies to address limitations in conventional statistical approaches. However, current methods typically involve cluttered probability distribution function (PDF), have lower sensitivity in censoring prediction, only model static datasets, or only rely on recurrent neural networks for dynamic modelling. In this paper, we propose a novel survival regression method capable of producing high-quality unimodal PDFs without any prior distribution assumption, by optimizing novel Margin-Mean-Variance loss and leveraging the flexibility of Transformer to handle both temporal and non-temporal data, coined UniSurv. Extensive experiments on several datasets demonstrate that UniSurv places a significantly higher emphasis on censoring compared to other methods.

Yuan Ma, Junlin Hou, Chao Zhang et al.

Learning from noisy labels remains a major challenge in medical image analysis, where annotation demands expert knowledge and substantial inter-observer variability often leads to inconsistent or erroneous labels. Despite extensive research on learning with noisy labels (LNL), the robustness of existing methods in medical imaging has not been systematically assessed. To address this gap, we introduce LNMBench, a comprehensive benchmark for Label Noise in Medical imaging. LNMBench encompasses \textbf{10} representative methods evaluated across 7 datasets, 6 imaging modalities, and 3 noise patterns, establishing a unified and reproducible framework for robustness evaluation under realistic conditions. Comprehensive experiments reveal that the performance of existing LNL methods degrades substantially under high and real-world noise, highlighting the persistent challenges of class imbalance and domain variability in medical data. Motivated by these findings, we further propose a simple yet effective improvement to enhance model robustness under such conditions. The LNMBench codebase is publicly released to facilitate standardized evaluation, promote reproducible research, and provide practical insights for developing noise-resilient algorithms in both research and real-world medical applications.The codebase is publicly available on https://github.com/myyy777/LNMBench.

Yunyan Xing, Benjamin J. Meyer, Mehrtash Harandi et al.

Content-based medical image retrieval is an important diagnostic tool that improves the explainability of computer-aided diagnosis systems and provides decision making support to healthcare professionals. Medical imaging data, such as radiology images, are often multimorbidity; a single sample may have more than one pathology present. As such, image retrieval systems for the medical domain must be designed for the multi-label scenario. In this paper, we propose a novel multi-label metric learning method that can be used for both classification and content-based image retrieval. In this way, our model is able to support diagnosis by predicting the presence of diseases and provide evidence for these predictions by returning samples with similar pathological content to the user. In practice, the retrieved images may also be accompanied by pathology reports, further assisting in the diagnostic process. Our method leverages proxy feature vectors, enabling the efficient learning of a robust feature space in which the distance between feature vectors can be used as a measure of the similarity of those samples. Unlike existing proxy-based methods, training samples are able to assign to multiple proxies that span multiple class labels. This multi-label proxy assignment results in a feature space that encodes the complex relationships between diseases present in medical imaging data. Our method outperforms state-of-the-art image retrieval systems and a set of baseline approaches. We demonstrate the efficacy of our approach to both classification and content-based image retrieval on two multimorbidity radiology datasets.

Xiang An, Yin Xie, Feilong Tang et al.

We introduce LLaVA-OneVision-2 (LLaVA-OV-2), the most capable vision-language model in the LLaVA-OneVision series to date, achieving superior performance across a broad range of multimodal benchmarks. The model builds on a native OneVision-Encoder and incorporates Windowed Attention for efficient local computation while maintaining native resolution. Its key advance is codec-stream tokenization: it treats compressed video as a continuous bit-cost stream, where bit-cost dynamics determine adaptive temporal groups, and motion-residual cues select salient spatial evidence into compact visual canvases. This allocation concentrates a limited token budget on event-bearing content, enabling more stable long-video token compression than fixed groups of pictures. A shared 3D RoPE further places codec canvases, sampled frames, and images in a unified spatiotemporal coordinate system. Furthermore, we build the LLaVA-OV-2 data and training stack around large-scale open supervision: approximately 8M re-captioned video samples for pretraining, a 4M-sample spatial corpus for fine-tuning. We also introduce JumpScore, a temporal-localization benchmark targeting fine-grained grounding in high-frequency, densely repeated motion, a regime underrepresented by existing video evaluations. A standout capability of LLaVA-OV-2 is its unified perception across video understanding, temporal grounding, spatial grounding, and manipulation-trace reasoning. On JumpScore, LLaVA-OneVision-2-8B reaches 74.9 JumpScore mAP, surpassing Qwen3-VL-8B (30.1) by +44.8 points; under matched visual-token budgets on the same benchmark, codec-stream inputs improve temporal grounding over frame sampling by +9.7 points. Across standard benchmarks, LLaVA-OneVision-2-8B further outperforms Qwen3-VL-8B by +4.3 average points on video tasks, +5.3 on spatial tasks, and +15.6 average J&F on tracking tasks.

Ming Kang, Fung Fung Ting, Raphaël C. -W. Phan et al.

Nuclei panoptic segmentation supports cancer diagnostics by integrating both semantic and instance segmentation of different cell types to analyze overall tissue structure and individual nuclei in histopathology images. Major challenges include detecting small objects, handling ambiguous boundaries, and addressing class imbalance. To address these issues, we propose PanopMamba, a novel hybrid encoder-decoder architecture that integrates Mamba and Transformer with additional feature-enhanced fusion via state space modeling. We design a multiscale Mamba backbone and a State Space Model (SSM)-based fusion network to enable efficient long-range perception in pyramid features, thereby extending the pure encoder-decoder framework while facilitating information sharing across multiscale features of nuclei. The proposed SSM-based feature-enhanced fusion integrates pyramid feature networks and dynamic feature enhancement across different spatial scales, enhancing the feature representation of densely overlapping nuclei in both semantic and spatial dimensions. To the best of our knowledge, this is the first Mamba-based approach for panoptic segmentation. Additionally, we introduce alternative evaluation metrics, including image-level Panoptic Quality ($i$PQ), boundary-weighted PQ ($w$PQ), and frequency-weighted PQ ($fw$PQ), which are specifically designed to address the unique challenges of nuclei segmentation and thereby mitigate the potential bias inherent in vanilla PQ. Experimental evaluations on two multiclass nuclei segmentation benchmark datasets, MoNuSAC2020 and NuInsSeg, demonstrate the superiority of PanopMamba for nuclei panoptic segmentation over state-of-the-art methods. Consequently, the robustness of PanopMamba is validated across various metrics, while the distinctiveness of PQ variants is also demonstrated. Code is available at https://github.com/mkang315/PanopMamba.

Lin Wang, Xiufen Ye, Donghao Zhang et al.

Three-dimensional (3D) images, such as CT, MRI, and PET, are common in medical imaging applications and important in clinical diagnosis. Semantic ambiguity is a typical feature of many medical image labels. It can be caused by many factors, such as the imaging properties, pathological anatomy, and the weak representation of the binary masks, which brings challenges to accurate 3D segmentation. In 2D medical images, using soft masks instead of binary masks generated by image matting to characterize lesions can provide rich semantic information, describe the structural characteristics of lesions more comprehensively, and thus benefit the subsequent diagnoses and analyses. In this work, we introduce image matting into the 3D scenes to describe the lesions in 3D medical images. The study of image matting in 3D modality is limited, and there is no high-quality annotated dataset related to 3D matting, therefore slowing down the development of data-driven deep-learning-based methods. To address this issue, we constructed the first 3D medical matting dataset and convincingly verified the validity of the dataset through quality control and downstream experiments in lung nodules classification. We then adapt the four selected state-of-the-art 2D image matting algorithms to 3D scenes and further customize the methods for CT images. Also, we propose the first end-to-end deep 3D matting network and implement a solid 3D medical image matting benchmark, which will be released to encourage further research.

Talha Ilyas, Deval Mehta, Zongyuan Ge

Skeleton-based human activity recognition has achieved strong empirical performance, yet most existing models remain black boxes and difficult to interpret. In this work, we introduce a neurosymbolic formulation of skeleton-based HAR that reframes action recognition as concept-driven first-order logical reasoning over motion primitives. Our framework bridges representation learning and symbolic inference by grounding first-order logic predicates in learnable spatial and temporal motion concepts. Specifically, we employ a standard spatio-temporal skeleton encoder to extract latent motion representations, which are then mapped to interpretable concept predicates via a spatio-temporal concept decoder that explicitly separates pose-centric and dynamics-centric abstractions. These concept predicates are composed through differentiable first-order logic layers, enabling the model to learn human-readable logical rules that govern action semantics. To impose semantic structure on the learned concepts, we align skeleton representations with LLM-derived descriptions of atomic motion primitives, establishing a shared conceptual space for perception and reasoning. Extensive experiments on NTU RGB+D 60/120 and NW-UCLA demonstrate that our approach achieves competitive recognition performance while providing explicit, interpretable explanations grounded in logical structure. Our results highlight neurosymbolic reasoning as an effective paradigm for interpretable spatio-temporal action understanding. Code: https://github.com/Mr-TalhaIlyas/REASON

Behzad Bozorgtabar, Dwarikanath Mahapatra, Sudipta Roy et al.

Medical vision-language models (VLMs) are strong zero-shot recognizers for medical imaging, but their reliability under domain shift hinges on calibrated uncertainty with guarantees. Split conformal prediction (SCP) offers finite-sample coverage, yet prediction sets often become large (low efficiency) and class-wise coverage unbalanced-high class-conditioned coverage gap (CCV), especially in few-shot, imbalanced regimes; moreover, naively adapting to calibration labels breaks exchangeability and voids guarantees. We propose \texttt{\textbf{LATA}} (Laplacian-Assisted Transductive Adaptation), a \textit{training- and label-free} refinement that operates on the joint calibration and test pool by smoothing zero-shot probabilities over an image-image k-NN graph using a small number of CCCP mean-field updates, preserving SCP validity via a deterministic transform. We further introduce a \textit{failure-aware} conformal score that plugs into the vision-language uncertainty (ViLU) framework, providing instance-level difficulty and label plausibility to improve prediction set efficiency and class-wise balance at fixed coverage. \texttt{\textbf{LATA}} is black-box (no VLM updates), compute-light (windowed transduction, no backprop), and includes an optional prior knob that can run strictly label-free or, if desired, in a label-informed variant using calibration marginals once. Across \textbf{three} medical VLMs and \textbf{nine} downstream tasks, \texttt{\textbf{LATA}} consistently reduces set size and CCV while matching or tightening target coverage, outperforming prior transductive baselines and narrowing the gap to label-using methods, while using far less compute. Comprehensive ablations and qualitative analyses show that \texttt{\textbf{LATA}} sharpens zero-shot predictions without compromising exchangeability.

Yuzhuo Zhou, Chi Liu, Sheng Shen et al.

Automated diagnosis based on color fundus photography is essential for large-scale glaucoma screening. However, existing deep learning models are typically data-driven and lack explicit integration of retinal anatomical knowledge, which limits their robustness across heterogeneous clinical datasets. Moreover, pathological cues in fundus images may appear beyond predefined anatomical regions, making fixed-region feature extraction insufficient for reliable diagnosis. To address these challenges, we propose a retinal knowledge-oriented glaucoma screening framework that integrates dynamic multi-scale feature learning with domain-specific retinal priors. The framework adopts a tri-branch structure to capture complementary retinal representations, including global retinal context, structural features of the optic disc/cup, and dynamically localized pathological regions. A Dynamic Window Mechanism is devised to adaptively identify diagnostically informative regions, while a Knowledge-Enhanced Convolutional Attention Module incorporates retinal priors extracted from a pre-trained foundation model to guide attention learning. Extensive experiments on the large-scale AIROGS dataset demonstrate that the proposed method outperforms diverse baselines, achieving an AUC of 98.5% and an accuracy of 94.6%. Additional evaluations on multiple datasets from the SMDG-19 benchmark further confirm its strong cross-domain generalization capability, indicating that knowledge-guided attention combined with adaptive lesion localization can significantly improve the robustness of automated glaucoma screening systems.

Deval Mehta, Brigid Betz-Stablein, Toan D Nguyen et al.

The surge in developing deep learning models for diagnosing skin lesions through image analysis is notable, yet their clinical black faces challenges. Current dermatology AI models have limitations: limited number of possible diagnostic outputs, lack of real-world testing on uncommon skin lesions, inability to detect out-of-distribution images, and over-reliance on dermoscopic images. To address these, we present an All-In-One \textbf{H}ierarchical-\textbf{O}ut of Distribution-\textbf{C}linical Triage (HOT) model. For a clinical image, our model generates three outputs: a hierarchical prediction, an alert for out-of-distribution images, and a recommendation for dermoscopy if clinical image alone is insufficient for diagnosis. When the recommendation is pursued, it integrates both clinical and dermoscopic images to deliver final diagnosis. Extensive experiments on a representative cutaneous lesion dataset demonstrate the effectiveness and synergy of each component within our framework. Our versatile model provides valuable decision support for lesion diagnosis and sets a promising precedent for medical AI applications.

Zhongxing Xu, Zhonghua Wang, Zhe Qian et al.

Recent advancements in multimodal large reasoning models (MLRMs) have significantly improved performance in visual question answering. However, we observe that transition words (e.g., because, however, and wait) are closely associated with hallucinations and tend to exhibit high-entropy states. We argue that adequate contextual reasoning information can be directly extracted from the token probability distribution. Inspired by superposed representation theory, we propose leveraging latent superposed reasoning to integrate multiple candidate semantics and maintain latent reasoning trajectories. The hypothesis is that reliance on discrete textual inputs may drive the model toward sequential explicit reasoning, underutilizing dense contextual cues during high-entropy reasoning stages. Therefore, we propose constructing rich semantic representations from the token probability distributions to enhance in-context reasoning. With this goal, we present Latent Entropy-Aware Decoding (LEAD), an efficient plug-and-play decoding strategy that leverages semantic context to achieve reliable reasoning. The heart of our method lies in entropy-aware reasoning mode switching. The model employs probability-weighted continuous embeddings under high-entropy states and transitions back to discrete token embeddings as entropy decreases. Moreover, we propose a prior-guided visual anchor injection strategy that encourages the model to focus on visual information. Extensive experiments show that LEAD effectively mitigates hallucinations across various MLRMs on multiple benchmarks.

Feilong Tang, Xiang An, Yunyao Yan et al.

Hypothesis. Artificial general intelligence is, at its core, a compression problem. Effective compression demands resonance: deep learning scales best when its architecture aligns with the fundamental structure of the data. These are the fundamental principles. Yet, modern vision architectures have strayed from these truths: visual signals are highly redundant, while discriminative information, the surprise, is sparse. Current models process dense pixel grids uniformly, wasting vast compute on static background rather than focusing on the predictive residuals that define motion and meaning. We argue that to solve visual understanding, we must align our architectures with the information-theoretic principles of video, i.e., Codecs. Method. OneVision-Encoder encodes video by compressing predictive visual structure into semantic meaning. By adopting Codec Patchification, OV-Encoder abandons uniform computation to focus exclusively on the 3.1%-25% of regions rich in signal entropy. To unify spatial and temporal reasoning under irregular token layouts, OneVision-Encoder employs a shared 3D RoPE and is trained with a large-scale cluster discrimination objective over more than one million semantic concepts, jointly capturing object permanence and motion dynamics. Evidence. The results validate our core hypothesis: efficiency and accuracy are not a trade-off; they are positively correlated. When integrated into LLM, it consistently outperforms strong vision backbones such as Qwen3-ViT and SigLIP2 across 16 image, video, and document understanding benchmarks, despite using substantially fewer visual tokens and pretraining data. Notably, on video understanding tasks, OV-Encoder achieves an average improvement of 4.1% over Qwen3-ViT. Codec-aligned, patch-level sparsity is a foundational principle, enabling OV-Encoder as a scalable engine for next-generation visual generalists.

Feilong Tang, Zhongxing Xu, Zhaojun Qu et al.

Recent weakly supervised semantic segmentation (WSSS) methods strive to incorporate contextual knowledge to improve the completeness of class activation maps (CAM). In this work, we argue that the knowledge bias between instances and contexts affects the capability of the prototype to sufficiently understand instance semantics. Inspired by prototype learning theory, we propose leveraging prototype awareness to capture diverse and fine-grained feature attributes of instances. The hypothesis is that contextual prototypes might erroneously activate similar and frequently co-occurring object categories due to this knowledge bias. Therefore, we propose to enhance the prototype representation ability by mitigating the bias to better capture spatial coverage in semantic object regions. With this goal, we present a Context Prototype-Aware Learning (CPAL) strategy, which leverages semantic context to enrich instance comprehension. The core of this method is to accurately capture intra-class variations in object features through context-aware prototypes, facilitating the adaptation to the semantic attributes of various instances. We design feature distribution alignment to optimize prototype awareness, aligning instance feature distributions with dense features. In addition, a unified training framework is proposed to combine label-guided classification supervision and prototypes-guided self-supervision. Experimental results on PASCAL VOC 2012 and MS COCO 2014 show that CPAL significantly improves off-the-shelf methods and achieves state-of-the-art performance. The project is available at https://github.com/Barrett-python/CPAL.

Zhe Qian, Yanbiao Ma, Zhuohan Ouyang et al.

Multimodal Large Reasoning Models (MLRMs) have achieved remarkable strides in visual reasoning through test time compute scaling, yet long chain reasoning remains prone to hallucinations. We identify a concerning phenomenon termed the Reasoning Vision Truth Disconnect (RVTD): hallucinations are strongly correlated with cognitive bifurcation points that often exhibit high entropy states. We attribute this vulnerability to a breakdown in visual semantic anchoring, localized within the network's intermediate layers; specifically, during these high uncertainty transitions, the model fails to query visual evidence, reverting instead to language priors. Consequently, we advocate a shift from solely outcome level supervision to augmenting it with fine grained internal attention guidance. To this end, we propose V-STAR (Visual Structural Training with Attention Reinforcement), a lightweight, holistic training paradigm designed to internalize visually aware reasoning capabilities. Central to our approach is the Hierarchical Visual Attention Reward (HVAR), integrated within the GRPO framework. Upon detecting high entropy states, this mechanism dynamically incentivizes visual attention across critical intermediate layers, thereby anchoring the reasoning process back to the visual input. Furthermore, we introduce the Forced Reflection Mechanism (FRM), a trajectory editing strategy that disrupts cognitive inertia by triggering reflection around high entropy cognitive bifurcation points and encouraging verification of subsequent steps against the visual input, thereby translating external debiasing interventions into an intrinsic capability for hallucination mitigation.

Nathasha Naranpanawa, H. Peter Soyer, Adam Mothershaw et al.

An ugly duckling is an obviously different skin lesion from surrounding lesions of an individual, and the ugly duckling sign is a criterion used to aid in the diagnosis of cutaneous melanoma by differentiating between highly suspicious and benign lesions. However, the appearance of pigmented lesions, can change drastically from one patient to another, resulting in difficulties in visual separation of ugly ducklings. Hence, we propose DMT-Quadruplet - a deep metric learning network to learn lesion features at two tiers - patient-level and lesion-level. We introduce a patient-specific quadruplet mining approach together with a tiered quadruplet network, to drive the network to learn more contextual information both globally and locally between the two tiers. We further incorporate a dynamic margin within the patient-specific mining to allow more useful quadruplets to be mined within individuals. Comprehensive experiments show that our proposed method outperforms traditional classifiers, achieving 54% higher sensitivity than a baseline ResNet18 CNN and 37% higher than a naive triplet network in classifying ugly duckling lesions. Visualisation of the data manifold in the metric space further illustrates that DMT-Quadruplet is capable of classifying ugly duckling lesions in both patient-specific and patient-agnostic manner successfully.

Zongyuan Ge, Chenwaner Zhang, Haoyang Li et al.

Forecasting aurora borealis visibility matters for space weather research and aurora tourism. Visibility at a site and night depends on two distinct factors: (1) whether aurora is physically occurring, driven by solar wind-magnetosphere coupling, and (2) whether observing conditions allow naked-eye detection, mainly cloud cover and lunar illumination. We present Aurora Hunter, a two-stage cascade that decouples these factors. Stage 1 predicts P(occurring) with XGBoost using 51 physics-driven features trained on joint Tromso+Kiruna data (about 16,600 hourly samples, 2015-2023) with labels from the Tromso AI all-sky image classifier. Stage 2 predicts P(clear observation given occurring) with logistic regression using 21 cloud-cover and lunar-illumination features trained only on aurora-occurring hours. The cascade P(visible)=P(occurring)*P(clear|occurring) reaches ROC-AUC 0.937 (Tromso test, 2019-2020) and 0.905 (independent Kiruna, 2024), improving a single-stage baseline by +0.087. Held-out Skibotn data (2022-2025) confirm cross-site generalization. SHAP identifies the Kp x nightside interaction, MLT position, and auroral oval distance as dominant predictors (39% combined). Prototype: https://aurora-hunter.onrender.com.

Siyuan Yan, Zhen Yu, Clare Primiero et al.

Diagnosing and treating skin diseases require advanced visual skills across domains and the ability to synthesize information from multiple imaging modalities. While current deep learning models excel at specific tasks like skin cancer diagnosis from dermoscopic images, they struggle to meet the complex, multimodal requirements of clinical practice. Here, we introduce PanDerm, a multimodal dermatology foundation model pretrained through self-supervised learning on over 2 million real-world skin disease images from 11 clinical institutions across 4 imaging modalities. We evaluated PanDerm on 28 diverse benchmarks, including skin cancer screening, risk stratification, differential diagnosis of common and rare skin conditions, lesion segmentation, longitudinal monitoring, and metastasis prediction and prognosis. PanDerm achieved state-of-the-art performance across all evaluated tasks, often outperforming existing models when using only 10% of labeled data. We conducted three reader studies to assess PanDerm's potential clinical utility. PanDerm outperformed clinicians by 10.2% in early-stage melanoma detection through longitudinal analysis, improved clinicians' skin cancer diagnostic accuracy by 11% on dermoscopy images, and enhanced non-dermatologist healthcare providers' differential diagnosis by 16.5% across 128 skin conditions on clinical photographs. These results demonstrate PanDerm's potential to improve patient care across diverse clinical scenarios and serve as a model for developing multimodal foundation models in other medical specialties, potentially accelerating the integration of AI support in healthcare. The code can be found at https://github.com/SiyuanYan1/PanDerm.

Siyuan Yan, Chi Liu, Zhen Yu et al.

Deep learning models for medical image analysis easily suffer from distribution shifts caused by dataset artifacts bias, camera variations, differences in the imaging station, etc., leading to unreliable diagnoses in real-world clinical settings. Domain generalization (DG) methods, which aim to train models on multiple domains to perform well on unseen domains, offer a promising direction to solve the problem. However, existing DG methods assume domain labels of each image are available and accurate, which is typically feasible for only a limited number of medical datasets. To address these challenges, we propose a novel DG framework for medical image classification without relying on domain labels, called Prompt-driven Latent Domain Generalization (PLDG). PLDG consists of unsupervised domain discovery and prompt learning. This framework first discovers pseudo domain labels by clustering the bias-associated style features, then leverages collaborative domain prompts to guide a Vision Transformer to learn knowledge from discovered diverse domains. To facilitate cross-domain knowledge learning between different prompts, we introduce a domain prompt generator that enables knowledge sharing between domain prompts and a shared prompt. A domain mixup strategy is additionally employed for more flexible decision margins and mitigates the risk of incorrect domain assignments. Extensive experiments on three medical image classification tasks and one debiasing task demonstrate that our method can achieve comparable or even superior performance than conventional DG algorithms without relying on domain labels. Our code will be publicly available upon the paper is accepted.

Stephanie Fong, Zimu Wang, Guilherme C. Oliveira et al.

The medical adoption of NLP tools requires interpretability by end users, yet traditional explainable AI (XAI) methods are misaligned with clinical reasoning and lack clinician input. We introduce CHiRPE (Clinical High-Risk Prediction with Explainability), an NLP pipeline that takes transcribed semi-structured clinical interviews to: (i) predict psychosis risk; and (ii) generate novel SHAP explanation formats co-developed with clinicians. Trained on 944 semi-structured interview transcripts across 24 international clinics of the AMP-SCZ study, the CHiRPE pipeline integrates symptom-domain mapping, LLM summarisation, and BERT classification. CHiRPE achieved over 90% accuracy across three BERT variants and outperformed baseline models. Explanation formats were evaluated by 28 clinical experts who indicated a strong preference for our novel concept-guided explanations, especially hybrid graph-and-text summary formats. CHiRPE demonstrates that clinically-guided model development produces both accurate and interpretable results. Our next step is focused on real-world testing across our 24 international sites.

Yicheng Wu, Xiangde Luo, Zhe Xu et al.

Annotation ambiguity due to inherent data uncertainties such as blurred boundaries in medical scans and different observer expertise and preferences has become a major obstacle for training deep-learning based medical image segmentation models. To address it, the common practice is to gather multiple annotations from different experts, leading to the setting of multi-rater medical image segmentation. Existing works aim to either merge different annotations into the "groundtruth" that is often unattainable in numerous medical contexts, or generate diverse results, or produce personalized results corresponding to individual expert raters. Here, we bring up a more ambitious goal for multi-rater medical image segmentation, i.e., obtaining both diversified and personalized results. Specifically, we propose a two-stage framework named D-Persona (first Diversification and then Personalization). In Stage I, we exploit multiple given annotations to train a Probabilistic U-Net model, with a bound-constrained loss to improve the prediction diversity. In this way, a common latent space is constructed in Stage I, where different latent codes denote diversified expert opinions. Then, in Stage II, we design multiple attention-based projection heads to adaptively query the corresponding expert prompts from the shared latent space, and then perform the personalized medical image segmentation. We evaluated the proposed model on our in-house Nasopharyngeal Carcinoma dataset and the public lung nodule dataset (i.e., LIDC-IDRI). Extensive experiments demonstrated our D-Persona can provide diversified and personalized results at the same time, achieving new SOTA performance for multi-rater medical image segmentation. Our code will be released at https://github.com/ycwu1997/D-Persona.

He-Yang Xu, Pengyuan Zhang, Zongyuan Ge et al.

Fine-grained manipulation marks a regime where global scene context no longer suffices, and success hinges on the tight coupling of local attribute grounding, high-fidelity spatial perception, and constraint-respecting motor execution. However, current embodied AI benchmarks collapse these capacities into binary success rates, systematically inflating reported capabilities by up to 70% and masking the architectural bottlenecks that impede real-world deployment. We introduce MetaFine, a diagnostic meta-evaluation framework that disentangles manipulation competency along three axes: understanding, perception, and controlled behavior. Built on a compositional task graph, MetaFine absorbs heterogeneous external benchmarks and reconstructs them into diagnostic scenarios of varying complexity under a unified protocol. Evaluating state-of-the-art vision-language-action (VLA) models through this lens exposes severe dimension-specific failures invisible to conventional metrics. Through targeted causal intervention, we identify the visual encoder's ability to preserve local spatial structure as a key bottleneck for fine-grained precision: improving it directly unlocks previously inaccessible manipulation capabilities without modifying downstream policies. MetaFine further supports hybrid real-sim validation, using limited paired real-world rollouts to calibrate scalable simulation-based estimates for more stable physical benchmarking. By shifting evaluation from ranking to diagnosis, MetaFine turns benchmarking into an actionable compass for repairing the layered capacities underlying genuine physical dexterity. The MetaFine framework, benchmarks, and supporting resources will be publicly released at our project page: https://metafine.github.io/.

Siyuan Yan, Ming Hu, Yiwen Jiang et al.

The emergence of vision-language models has transformed medical AI, enabling unprecedented advances in diagnostic capability and clinical applications. However, progress in dermatology has lagged behind other medical domains due to the lack of standard image-text pairs. Existing dermatological datasets are limited in both scale and depth, offering only single-label annotations across a narrow range of diseases instead of rich textual descriptions, and lacking the crucial clinical context needed for real-world applications. To address these limitations, we present Derm1M, the first large-scale vision-language dataset for dermatology, comprising 1,029,761 image-text pairs. Built from diverse educational resources and structured around a standard ontology collaboratively developed by experts, Derm1M provides comprehensive coverage for over 390 skin conditions across four hierarchical levels and 130 clinical concepts with rich contextual information such as medical history, symptoms, and skin tone. To demonstrate Derm1M potential in advancing both AI research and clinical application, we pretrained a series of CLIP-like models, collectively called DermLIP, on this dataset. The DermLIP family significantly outperforms state-of-the-art foundation models on eight diverse datasets across multiple tasks, including zero-shot skin disease classification, clinical and artifacts concept identification, few-shot/full-shot learning, and cross-modal retrieval. Our dataset and code will be publicly available at https://github.com/SiyuanYan1/Derm1M upon acceptance.