Bing Li

Xiaodi Shen, Qingzhu Zheng, Yaoyang Qiu et al.

Background: Automated 3D segmentation of muscles and adipose tissue from CT is vital for body composition analysis, but multi-source data heterogeneity and high CPU memory demands hinder clinical deployment. Methods: We propose a coarse-to-fine hierarchical framework to segment ten tissue structures. Efficiency is optimized using Dynamic Spacing and Anisotropic Patching, a Group Inference mechanism for low-memory sliding-window processing, and Topology-Aware Asymmetric Resampling for fast post-processing. Results: The framework was trained on 1,558 CT volumes from seven public and two private datasets, and evaluated on an independent test cohort (N=105), per-structure Dice coefficients ranged from 0.924 to 0.982. Eight major structures met the +-10% relative error clinical acceptance limit. On a 12-core CPU workstation, the GPU-free pipeline averaged 44.5 seconds per volume with 4.73 GB peak memory. Conclusion: This framework balances accuracy and efficiency, enabling robust, large-scale body composition analysis on standard CPU workstations.

Tao Zhang, Ziqi Zhang, Zongyang Ma et al.

Knowledge-based Visual Question Answering (KB-VQA) requires models to retrieve visual entities matching the query image from large-scale encyclopedic knowledge bases and answer related questions. Existing multimodal Retrieval Augmented Generation (mRAG) methods rely on global visual features to match candidate entities, yet when the knowledge base contains numerous visually similar entities, the retriever struggles to distinguish them, populating the candidate set with visually similar but factually mismatched distractors. Since subsequent processing steps such as noise filtering are also confined to this fixed candidate set, errors from failed retrieval inevitably propagate to the final answer. To address these challenges, we propose MMAgent-R$^2$, an agentic mRAG framework that integrates visual reranking and active rejection as its internal verification mechanism. Visual reranking directly compares query and candidate images, capturing discriminative details beyond textual descriptions to precisely identify the target entity among similar candidates; active rejection discards unreliable results and retrieves additional candidates when no confident match is found, moving beyond the fixed candidate pool. We design a composite reward function with step-level verification rewards and achieve joint optimization of external retrieval, internal verification, and answer generation via GRPO training. Experiments on InfoSeek, E-VQA, and MMhops demonstrate that \ours{} achieves state-of-the-art performance, with particularly notable advantages in challenging retrieval scenarios and complex multi-image multi-hop reasoning tasks.