8.8CVJul 1Code
CPR: Chained Perceptual Refinement for Coarse-to-Fine Medical Image ClassificationSi-Yuan Lu, Hanruo Zhu, Ziquan Zhu et al.
High resolution medical images contain fine grained, spatially sparse cues that are critical for diagnosis, yet preserving full resolution incurs substantial computational and memory costs. Most deep models process images uniformly, leading to redundant computation or loss of diagnostic detail under downsampling. We propose Chained Perceptual Refinement, CPR, a coarse to fine framework that formulates medical image analysis as a sequential global to local decision process. Starting from a low resolution global view, CPR dynamically predicts the location and spatial extent of refinement regions, extracts high resolution evidence from the original image, and incrementally integrates it with global context. By keeping the backbone input size fixed while contracting the perceptual field, CPR preserves diagnostic fidelity with constant peak GPU memory. Extensive experiments on five medical imaging datasets and multiple backbone architectures demonstrate that CPR consistently outperforms both fixed resolution and multi scale state of the art baselines, achieving improvements of up to 2.27 percentage points over the second best method. It also achieves up to a 19.6 fold reduction in GFLOPs at matched accuracy, establishing a superior accuracy and efficiency trade off for high resolution medical image analysis. The code is available on GitHub.
VLM-CASE: Vision-Language Model Enabled Context-Adaptive Safety Envelopes for Anticipatory Safe Autonomous DrivingTianjia Yang, Ke Li, Ruwen Qin et al.
Adverse driving conditions, such as bad weather, remain a principal barrier to autonomous driving because they degrade two things at once: what the vehicle can perceive and what it can physically do. Human drivers cope by anticipation, reasoning about the scene and re-budgeting speed, following distance, and steering before grip or sight is lost, whereas current autonomous driving systems at best react after the fact. This paper proposes VLM-CASE, a framework that gives an autonomous vehicle this anticipatory capacity while keeping its motion bounded by a formal safety model at all times. A vision-language model (VLM), fine-tuned with low-rank adaptation (LoRA), reasons about the scene from the front-camera image and reports the road surface and visibility conditions. This output parametrizes a context-adaptive safety envelope (CASE), derived from physical limits and the guarantees of responsibility-sensitive safety, that couples braking and steering through a shared friction budget. A model predictive controller then drives freely within the envelope, while the VLM runs asynchronously so it never blocks the real-time control loop. We validate the framework in closed-loop CARLA simulation on tasks that demand both lateral and longitudinal control, across a range of weather, road-surface, and lighting conditions. The resulting controller, VLM-CASE-MPC, completes all trials, outperforming a conventional MPC baseline and a state-of-the-art VLM-integrated controller. Ablations confirm that the gains come from context adaptation, with the friction and visibility adaptations proving complementary. Furthermore, the framework is controller-agnostic and pairs with almost any low-level controller, offering a promising direction for safe autonomous driving. The dataset and supplementary materials for VLM-CASE are available at https://github.com/ytj254/VLM-CASE.