Dong Yang

Kun Cheng, Songshuo Lu, Sicong Liao et al.

Native GPU kernel generation turns high-level tensor programs into executable, efficient low-level code. Existing Large Language Models (LLMs) struggle with this task, while execution-based reinforcement learning suffers from sparse rewards, reward hacking, and training instability. We present MusaCoder, a full-stack training framework for native GPU kernel generation on CUDA and MUSA backends. MusaCoder combines progressive kernel-oriented data synthesis, diversity-preserving rejection fine-tuning, and execution-feedback Reinforcement Learning (RL) through MooreEval, a distributed verifier and reward environment. To stabilize RL, MusaCoder introduces PrimeEcho for first-turn-anchored multi-turn rewards, Buffered Dynamic Retry for recovering signals from all-failed hard samples, and MirrorPop for off-policy sequence filtering. Experiments on KernelBench and a MUSA-ported variant show that MusaCoder outperforms strong open-source and proprietary baselines in both correctness and empirical speedup, with the 9B model matching or exceeding frontier closed-source models and the 27B model establishing a new state of the art. These results demonstrate not only the effectiveness of full-stack execution-feedback training for native kernel generation, but also the capability of Moore Threads GPUs to support the complete LLM post-training stack, providing a practical foundation for large-model training and optimization on emerging accelerators.

Holger R. Roth, Yan Cheng, Yuhong Wen et al.

Federated learning (FL) enables building robust and generalizable AI models by leveraging diverse datasets from multiple collaborators without centralizing the data. We created NVIDIA FLARE as an open-source software development kit (SDK) to make it easier for data scientists to use FL in their research and real-world applications. The SDK includes solutions for state-of-the-art FL algorithms and federated machine learning approaches, which facilitate building workflows for distributed learning across enterprises and enable platform developers to create a secure, privacy-preserving offering for multiparty collaboration utilizing homomorphic encryption or differential privacy. The SDK is a lightweight, flexible, and scalable Python package. It allows researchers to apply their data science workflows in any training libraries (PyTorch, TensorFlow, XGBoost, or even NumPy) in real-world FL settings. This paper introduces the key design principles of NVFlare and illustrates some use cases (e.g., COVID analysis) with customizable FL workflows that implement different privacy-preserving algorithms. Code is available at https://github.com/NVIDIA/NVFlare.

Aditi, Niket Agarwal, Arslan Ali et al.

We introduce Cosmos 3, a family of omnimodal world models designed to jointly process and generate language, image, video, audio, and action sequences within a unified mixture-of-transformers architecture. By supporting highly flexible input-output configurations, Cosmos 3 seamlessly unifies critical modalities for Physical AI -- effectively subsuming vision-language models, video generators, world simulators, and world-action models into a single framework. Our evaluation demonstrates that Cosmos 3 establishes a new state-of-the-art across a diverse suite of understanding and generation tasks, demonstrating omnimodal world models as scalable, general-purpose backbones for embodied agents. Our post-trained Cosmos 3 models were ranked as the best open-source Text-to-Image and Image-to-Video models by Artificial Analysis, and the best policy model by RoboArena at the time the technical report was written. To accelerate open research and deployment in Physical AI, we make our code, model checkpoints, curated synthetic datasets, and evaluation benchmark available under the Linux Foundation's OpenMDW-1.1 https://openmdw.ai/license/1-1/ License at https://github.com/nvidia/cosmos}{github.com/nvidia/cosmos and https://huggingface.co/collections/nvidia/cosmos3 . The project website is available at https://research.nvidia.com/labs/cosmos-lab/cosmos3 .

Fobo Shi, Peijun Qing, Dong Yang et al.

Prompt engineering is an essential technique for enhancing the abilities of large language models (LLMs) by providing explicit and specific instructions. It enables LLMs to excel in various tasks, such as arithmetic reasoning, question answering, summarization, relation extraction, machine translation, and sentiment analysis. Researchers have been actively exploring different prompt engineering strategies, such as Chain of Thought (CoT), Zero-CoT, and In-context learning. However, an unresolved problem arises from the fact that current approaches lack a solid mathematical solution for determining optimal prompts. To address this issue in prompt engineering, we propose a new and effective approach called Prompt Space. Our methodology utilizes text embeddings to obtain basis vectors by matrix decomposition, and then constructs a space for representing all prompts. Prompt Space significantly outperforms state-of-the-art prompt paradigms on ten public reasoning benchmarks. Notably, without the help of the CoT method and the prompt "Let's think step by step", Prompt Space shows superior performance over the few-shot method. Overall, our approach provides a robust and effective mathematical framework for selecting simple and effective prompts. This advancement marks a significant step towards improving prompt engineering for a wide variety of applications in LLMs. Our code is publicly available at \textcolor{blue}{\url{https://github.com/YouBLEI/Prompt-Space}}

M. Jorge Cardoso, Wenqi Li, Richard Brown et al.

Artificial Intelligence (AI) is having a tremendous impact across most areas of science. Applications of AI in healthcare have the potential to improve our ability to detect, diagnose, prognose, and intervene on human disease. For AI models to be used clinically, they need to be made safe, reproducible and robust, and the underlying software framework must be aware of the particularities (e.g. geometry, physiology, physics) of medical data being processed. This work introduces MONAI, a freely available, community-supported, and consortium-led PyTorch-based framework for deep learning in healthcare. MONAI extends PyTorch to support medical data, with a particular focus on imaging, and provide purpose-specific AI model architectures, transformations and utilities that streamline the development and deployment of medical AI models. MONAI follows best practices for software-development, providing an easy-to-use, robust, well-documented, and well-tested software framework. MONAI preserves the simple, additive, and compositional approach of its underlying PyTorch libraries. MONAI is being used by and receiving contributions from research, clinical and industrial teams from around the world, who are pursuing applications spanning nearly every aspect of healthcare.

Ali Hatamizadeh, Ziyue Xu, Dong Yang et al.

Vision Transformers (ViT)s have recently become popular due to their outstanding modeling capabilities, in particular for capturing long-range information, and scalability to dataset and model sizes which has led to state-of-the-art performance in various computer vision and medical image analysis tasks. In this work, we introduce a unified framework consisting of two architectures, dubbed UNetFormer, with a 3D Swin Transformer-based encoder and Convolutional Neural Network (CNN) and transformer-based decoders. In the proposed model, the encoder is linked to the decoder via skip connections at five different resolutions with deep supervision. The design of proposed architecture allows for meeting a wide range of trade-off requirements between accuracy and computational cost. In addition, we present a methodology for self-supervised pre-training of the encoder backbone via learning to predict randomly masked volumetric tokens using contextual information of visible tokens. We pre-train our framework on a cohort of $5050$ CT images, gathered from publicly available CT datasets, and present a systematic investigation of various components such as masking ratio and patch size that affect the representation learning capability and performance of downstream tasks. We validate the effectiveness of our pre-training approach by fine-tuning and testing our model on liver and liver tumor segmentation task using the Medical Segmentation Decathlon (MSD) dataset and achieve state-of-the-art performance in terms of various segmentation metrics. To demonstrate its generalizability, we train and test the model on BraTS 21 dataset for brain tumor segmentation using MRI images and outperform other methods in terms of Dice score. Code: https://github.com/Project-MONAI/research-contributions

Defeng Xie, Ruichen Wang, Jian Ma et al.

We introduce a new generative system called Edit Everything, which can take image and text inputs and produce image outputs. Edit Everything allows users to edit images using simple text instructions. Our system designs prompts to guide the visual module in generating requested images. Experiments demonstrate that Edit Everything facilitates the implementation of the visual aspects of Stable Diffusion with the use of Segment Anything model and CLIP. Our system is publicly available at https://github.com/DefengXie/Edit_Everything.

Yufan He, Pengfei Guo, Yucheng Tang et al.

Since the release of Segment Anything 2 (SAM2), the medical imaging community has been actively evaluating its performance for 3D medical image segmentation. However, different studies have employed varying evaluation pipelines, resulting in conflicting outcomes that obscure a clear understanding of SAM2's capabilities and potential applications. We shortly review existing benchmarks and point out that the SAM2 paper clearly outlines a zero-shot evaluation pipeline, which simulates user clicks iteratively for up to eight iterations. We reproduced this interactive annotation simulation on 3D CT datasets and provided the results and code~\url{https://github.com/Project-MONAI/VISTA}. Our findings reveal that directly applying SAM2 on 3D medical imaging in a zero-shot manner is far from satisfactory. It is prone to generating false positives when foreground objects disappear, and annotating more slices cannot fully offset this tendency. For smaller single-connected objects like kidney and aorta, SAM2 performs reasonably well but for most organs it is still far behind state-of-the-art 3D annotation methods. More research and innovation are needed for 3D medical imaging community to use SAM2 correctly.

Yuxu Lu, Dong Yang, Xiaoyu Li et al.

Maritime intelligent transportation systems (MITS) are essential for ensuring navigation safety and efficiency in busy waterways. However, accurate vessel trajectory prediction remains challenging due to the limitations of single-source data. Automatic identification system (AIS) data is often sparse or unavailable for small vessels, while closed-circuit television (CCTV) data alone cannot fully capture dynamic vessel behavior. To mitigate these challenges, we propose a cross-modal interaction-based vessel trajectory prediction (named CmIVTP) framework to model the intricate interactions between vessel dynamics and environmental constraints. Specifically, we introduce a target-aware scene encoder to extract scene semantic features, effectively capturing vessel-environment interactions and enhancing trajectory prediction accuracy. In addition, we propose a cross-modal interaction transformer, which integrates AIS-derived motion features, CCTV-based environmental features, and scene representations. It leverages cross-modal attention mechanisms to simultaneously capture intra-modal semantics and inter-modal interactions, ensuring dynamically consistent and environmentally feasible predictions. Furthermore, we construct a vessel group trajectory bank by clustering historical AIS trajectories into representative motion patterns, providing an efficient and scalable approach for candidate trajectory generation. Additionally, we introduce the maritime multimodal dataset plus (named Maritime-MmD$^+$), a large-scale dataset that synchronizes AIS data and CCTV video data, providing robust support for multimodal trajectory prediction research. Extensive experiments demonstrate that CmIVTP achieves better performance on multimodal-driven vessel trajectory prediction benchmarks. The code resources for this work can be available at https://github.com/LouisYxLu/CmIVTP.

Pengfei Guo, Can Zhao, Dong Yang et al.

Medical imaging analysis faces challenges such as data scarcity, high annotation costs, and privacy concerns. This paper introduces the Medical AI for Synthetic Imaging (MAISI), an innovative approach using the diffusion model to generate synthetic 3D computed tomography (CT) images to address those challenges. MAISI leverages the foundation volume compression network and the latent diffusion model to produce high-resolution CT images (up to a landmark volume dimension of 512 x 512 x 768 ) with flexible volume dimensions and voxel spacing. By incorporating ControlNet, MAISI can process organ segmentation, including 127 anatomical structures, as additional conditions and enables the generation of accurately annotated synthetic images that can be used for various downstream tasks. Our experiment results show that MAISI's capabilities in generating realistic, anatomically accurate images for diverse regions and conditions reveal its promising potential to mitigate challenges using synthetic data.

Pengfei Guo, Dong Yang, Ali Hatamizadeh et al.

Federated learning (FL) is a distributed machine learning technique that enables collaborative model training while avoiding explicit data sharing. The inherent privacy-preserving property of FL algorithms makes them especially attractive to the medical field. However, in case of heterogeneous client data distributions, standard FL methods are unstable and require intensive hyperparameter tuning to achieve optimal performance. Conventional hyperparameter optimization algorithms are impractical in real-world FL applications as they involve numerous training trials, which are often not affordable with limited compute budgets. In this work, we propose an efficient reinforcement learning (RL)-based federated hyperparameter optimization algorithm, termed Auto-FedRL, in which an online RL agent can dynamically adjust hyperparameters of each client based on the current training progress. Extensive experiments are conducted to investigate different search strategies and RL agents. The effectiveness of the proposed method is validated on a heterogeneous data split of the CIFAR-10 dataset as well as two real-world medical image segmentation datasets for COVID-19 lesion segmentation in chest CT and pancreas segmentation in abdominal CT.

Junqi Liu, Salena Song, Yuhan Wang et al.

Autonomous agents are increasingly expected to support end-to-end medical-AI research workflows, moving beyond isolated prediction tasks or short-form clinical question answering. However, existing medical agent benchmarks primarily evaluate final outputs, providing limited visibility into agent behavior within the research process. To address this gap, we present AutoMedBench, a workflow-aware benchmark for autonomous medical-AI research across diverse medical imaging and multimodal inference tasks, organizing agent execution into a unified five-stage workflow (S1-S5): Plan, Setup, Validate, Inference, and Submit. It comprises long-horizon tasks with each run averaging 33 agent turns, spanning five research tracks: segmentation, image enhancement, visual question answering (VQA), report generation, and lesion detection. Each task is evaluated under two difficulty tiers, Lite and Standard, which use the same data and metrics but differ in the amount of task-brief scaffolding, and each run is scored using both final task performance and S1-S5 stage scores, enabling stage-level analysis from the initial task brief to the final submitted artifact. Across thousands of recorded runs, stage-level scoring reveals that Validate is the weakest workflow stage on average, whereas Setup is the strongest, suggesting that current agents are better at making pipelines executable than at verifying their reliability. Post-run error analysis further shows that verification and submission failures dominate tagged errors, accounting for 37.7% and 38.1% of fired codes respectively, whereas task-understanding errors are rare at 0.9%, and runs with one fired error code have a 48% lower overall score than runs with no error code on average.

Meirui Jiang, Holger R Roth, Wenqi Li et al.

How to ensure fairness is an important topic in federated learning (FL). Recent studies have investigated how to reward clients based on their contribution (collaboration fairness), and how to achieve uniformity of performance across clients (performance fairness). Despite achieving progress on either one, we argue that it is critical to consider them together, in order to engage and motivate more diverse clients joining FL to derive a high-quality global model. In this work, we propose a novel method to optimize both types of fairness simultaneously. Specifically, we propose to estimate client contribution in gradient and data space. In gradient space, we monitor the gradient direction differences of each client with respect to others. And in data space, we measure the prediction error on client data using an auxiliary model. Based on this contribution estimation, we propose a FL method, federated training via contribution estimation (FedCE), i.e., using estimation as global model aggregation weights. We have theoretically analyzed our method and empirically evaluated it on two real-world medical datasets. The effectiveness of our approach has been validated with significant performance improvements, better collaboration fairness, better performance fairness, and comprehensive analytical studies.

An Xu, Wenqi Li, Pengfei Guo et al.

Cross-silo federated learning (FL) has attracted much attention in medical imaging analysis with deep learning in recent years as it can resolve the critical issues of insufficient data, data privacy, and training efficiency. However, there can be a generalization gap between the model trained from FL and the one from centralized training. This important issue comes from the non-iid data distribution of the local data in the participating clients and is well-known as client drift. In this work, we propose a novel training framework FedSM to avoid the client drift issue and successfully close the generalization gap compared with the centralized training for medical image segmentation tasks for the first time. We also propose a novel personalized FL objective formulation and a new method SoftPull to solve it in our proposed framework FedSM. We conduct rigorous theoretical analysis to guarantee its convergence for optimizing the non-convex smooth objective function. Real-world medical image segmentation experiments using deep FL validate the motivations and effectiveness of our proposed method.

Dong Yang, Peijun Qing, Yang Li et al.

Embedding knowledge graphs (KGs) for multi-hop logical reasoning is a challenging problem due to massive and complicated structures in many KGs. Recently, many promising works projected entities and queries into a geometric space to efficiently find answers. However, it remains challenging to model the negation and union operator. The negation operator has no strict boundaries, which generates overlapped embeddings and leads to obtaining ambiguous answers. An additional limitation is that the union operator is non-closure, which undermines the model to handle a series of union operators. To address these problems, we propose a novel probabilistic embedding model, namely Gamma Embeddings (GammaE), for encoding entities and queries to answer different types of FOL queries on KGs. We utilize the linear property and strong boundary support of the Gamma distribution to capture more features of entities and queries, which dramatically reduces model uncertainty. Furthermore, GammaE implements the Gamma mixture method to design the closed union operator. The performance of GammaE is validated on three large logical query datasets. Experimental results show that GammaE significantly outperforms state-of-the-art models on public benchmarks.

Jeya Maria Jose Valanarasu, Yucheng Tang, Dong Yang et al.

Harnessing the power of pre-training on large-scale datasets like ImageNet forms a fundamental building block for the progress of representation learning-driven solutions in computer vision. Medical images are inherently different from natural images as they are acquired in the form of many modalities (CT, MR, PET, Ultrasound etc.) and contain granulated information like tissue, lesion, organs etc. These characteristics of medical images require special attention towards learning features representative of local context. In this work, we focus on designing an effective pre-training framework for 3D radiology images. First, we propose a new masking strategy called local masking where the masking is performed across channel embeddings instead of tokens to improve the learning of local feature representations. We combine this with classical low-level perturbations like adding noise and downsampling to further enable low-level representation learning. To this end, we introduce Disruptive Autoencoders, a pre-training framework that attempts to reconstruct the original image from disruptions created by a combination of local masking and low-level perturbations. Additionally, we also devise a cross-modal contrastive loss (CMCL) to accommodate the pre-training of multiple modalities in a single framework. We curate a large-scale dataset to enable pre-training of 3D medical radiology images (MRI and CT). The proposed pre-training framework is tested across multiple downstream tasks and achieves state-of-the-art performance. Notably, our proposed method tops the public test leaderboard of BTCV multi-organ segmentation challenge.

Meng Ye, Dong Yang, Mikael Kanski et al.

We propose a novel neural deformable model (NDM) targeting at the reconstruction and modeling of 3D bi-ventricular shape of the heart from 2D sparse cardiac magnetic resonance (CMR) imaging data. We model the bi-ventricular shape using blended deformable superquadrics, which are parameterized by a set of geometric parameter functions and are capable of deforming globally and locally. While global geometric parameter functions and deformations capture gross shape features from visual data, local deformations, parameterized as neural diffeomorphic point flows, can be learned to recover the detailed heart shape.Different from iterative optimization methods used in conventional deformable model formulations, NDMs can be trained to learn such geometric parameter functions, global and local deformations from a shape distribution manifold. Our NDM can learn to densify a sparse cardiac point cloud with arbitrary scales and generate high-quality triangular meshes automatically. It also enables the implicit learning of dense correspondences among different heart shape instances for accurate cardiac shape registration. Furthermore, the parameters of NDM are intuitive, and can be used by a physician without sophisticated post-processing. Experimental results on a large CMR dataset demonstrate the improved performance of NDM over conventional methods.

Vishwesh Nath, Dong Yang, Holger R. Roth et al.

Which volume to annotate next is a challenging problem in building medical imaging datasets for deep learning. One of the promising methods to approach this question is active learning (AL). However, AL has been a hard nut to crack in terms of which AL algorithm and acquisition functions are most useful for which datasets. Also, the problem is exacerbated with which volumes to label first when there is zero labeled data to start with. This is known as the cold start problem in AL. We propose two novel strategies for AL specifically for 3D image segmentation. First, we tackle the cold start problem by proposing a proxy task and then utilizing uncertainty generated from the proxy task to rank the unlabeled data to be annotated. Second, we craft a two-stage learning framework for each active iteration where the unlabeled data is also used in the second stage as a semi-supervised fine-tuning strategy. We show the promise of our approach on two well-known large public datasets from medical segmentation decathlon. The results indicate that the initial selection of data and semi-supervised framework both showed significant improvement for several AL strategies.

Jingwei Sun, Ziyue Xu, Dong Yang et al.

Federated learning is a popular collaborative learning approach that enables clients to train a global model without sharing their local data. Vertical federated learning (VFL) deals with scenarios in which the data on clients have different feature spaces but share some overlapping samples. Existing VFL approaches suffer from high communication costs and cannot deal efficiently with limited overlapping samples commonly seen in the real world. We propose a practical vertical federated learning (VFL) framework called \textbf{one-shot VFL} that can solve the communication bottleneck and the problem of limited overlapping samples simultaneously based on semi-supervised learning. We also propose \textbf{few-shot VFL} to improve the accuracy further with just one more communication round between the server and the clients. In our proposed framework, the clients only need to communicate with the server once or only a few times. We evaluate the proposed VFL framework on both image and tabular datasets. Our methods can improve the accuracy by more than 46.5\% and reduce the communication cost by more than 330$\times$ compared with state-of-the-art VFL methods when evaluated on CIFAR-10. Our code will be made publicly available at \url{https://nvidia.github.io/NVFlare/research/one-shot-vfl}.

Jingwei Sun, Ziyue Xu, Hongxu Yin et al.

Pre-trained language models (PLM) have revolutionized the NLP landscape, achieving stellar performances across diverse tasks. These models, while benefiting from vast training data, often require fine-tuning on specific data to cater to distinct downstream tasks. However, this data adaptation process has inherent security and privacy concerns, primarily when leveraging user-generated, device-residing data. Federated learning (FL) provides a solution, allowing collaborative model fine-tuning without centralized data collection. However, applying FL to finetune PLMs is hampered by challenges, including restricted model parameter access, high computational requirements, and communication overheads. This paper introduces Federated Black-box Prompt Tuning (FedBPT), a framework designed to address these challenges. FedBPT does not require the clients to access the model parameters. By focusing on training optimal prompts and utilizing gradient-free optimization methods, FedBPT reduces the number of exchanged variables, boosts communication efficiency, and minimizes computational and storage costs. Experiments highlight the framework's ability to drastically cut communication and memory costs while maintaining competitive performance. Ultimately, FedBPT presents a promising solution for efficient, privacy-preserving fine-tuning of PLM in the age of large language models.

Andriy Myronenko, Dong Yang, Yufan He et al.

Kidney and Kidney Tumor Segmentation Challenge (KiTS) 2023 offers a platform for researchers to compare their solutions to segmentation from 3D CT. In this work, we describe our submission to the challenge using automated segmentation of Auto3DSeg available in MONAI. Our solution achieves the average dice of 0.835 and surface dice of 0.723, which ranks first and wins the KiTS 2023 challenge.

Andriy Myronenko, Md Mahfuzur Rahman Siddiquee, Dong Yang et al.

Head and neck tumor segmentation challenge (HECKTOR) 2022 offers a platform for researchers to compare their solutions to segmentation of tumors and lymph nodes from 3D CT and PET images. In this work, we describe our solution to HECKTOR 2022 segmentation task. We re-sample all images to a common resolution, crop around head and neck region, and train SegResNet semantic segmentation network from MONAI. We use 5-fold cross validation to select best model checkpoints. The final submission is an ensemble of 15 models from 3 runs. Our solution (team name NVAUTO) achieves the 1st place on the HECKTOR22 challenge leaderboard with an aggregated dice score of 0.78802.

Md Mahfuzur Rahman Siddique, Dong Yang, Yufan He et al.

Ischemic Stroke Lesion Segmentation challenge (ISLES 2022) offers a platform for researchers to compare their solutions to 3D segmentation of ischemic stroke regions from 3D MRIs. In this work, we describe our solution to ISLES 2022 segmentation task. We re-sample all images to a common resolution, use two input MRI modalities (DWI and ADC) and train SegResNet semantic segmentation network from MONAI. The final submission is an ensemble of 15 models (from 3 runs of 5-fold cross validation). Our solution (team name NVAUTO) achieves the top place in terms of Dice metric (0.824), and overall rank 2 (based on the combined metric ranking).

Dong Yang, Tomoki Koriyama, Yuki Saito et al.

Pause insertion, also known as phrase break prediction and phrasing, is an essential part of TTS systems because proper pauses with natural duration significantly enhance the rhythm and intelligibility of synthetic speech. However, conventional phrasing models ignore various speakers' different styles of inserting silent pauses, which can degrade the performance of the model trained on a multi-speaker speech corpus. To this end, we propose more powerful pause insertion frameworks based on a pre-trained language model. Our approach uses bidirectional encoder representations from transformers (BERT) pre-trained on a large-scale text corpus, injecting speaker embedding to capture various speaker characteristics. We also leverage duration-aware pause insertion for more natural multi-speaker TTS. We develop and evaluate two types of models. The first improves conventional phrasing models on the position prediction of respiratory pauses (RPs), i.e., silent pauses at word transitions without punctuation. It performs speaker-conditioned RP prediction considering contextual information and is used to demonstrate the effect of speaker information on the prediction. The second model is further designed for phoneme-based TTS models and performs duration-aware pause insertion, predicting both RPs and punctuation-indicated pauses (PIPs) that are categorized by duration. The evaluation results show that our models improve the precision and recall of pause insertion and the rhythm of synthetic speech.

Andriy Myronenko, Dong Yang, Yufan He et al.

Aorta provides the main blood supply of the body. Screening of aorta with imaging helps for early aortic disease detection and monitoring. In this work, we describe our solution to the Segmentation of the Aorta (SEG.A.231) from 3D CT challenge. We use automated segmentation method Auto3DSeg available in MONAI. Our solution achieves an average Dice score of 0.920 and 95th percentile of the Hausdorff Distance (HD95) of 6.013, which ranks first and wins the SEG.A. 2023 challenge.

Md Mahfuzur Rahman Siddiquee, Dong Yang, Yufan He et al.

Intracranial hemorrhage segmentation challenge (INSTANCE 2022) offers a platform for researchers to compare their solutions to segmentation of hemorrhage stroke regions from 3D CTs. In this work, we describe our solution to INSTANCE 2022. We use a 2D segmentation network, SegResNet from MONAI, operating slice-wise without resampling. The final submission is an ensemble of 18 models. Our solution (team name NVAUTO) achieves the top place in terms of Dice metric (0.721), and overall rank 2. It is implemented with Auto3DSeg.

Zhitao Zeng, Mengya Xu, Jian Jiang et al.

Surgical intelligence has the potential to improve the safety and consistency of surgical care, yet most existing surgical AI frameworks remain task-specific and struggle to generalize across procedures and institutions. Although multimodal foundation models, particularly multimodal large language models, have demonstrated strong cross-task capabilities across various medical domains, their advancement in surgery remains constrained by the lack of large-scale, systematically curated multimodal data. To address this challenge, we introduce Surg$Σ$, a spectrum of large-scale multimodal data and foundation models for surgical intelligence. At the core of this framework lies Surg$Σ$-DB, a large-scale multimodal data foundation designed to support diverse surgical tasks. Surg$Σ$-DB consolidates heterogeneous surgical data sources (including open-source datasets, curated in-house clinical collections and web-source data) into a unified schema, aiming to improve label consistency and data standardization across heterogeneous datasets. Surg$Σ$-DB spans 6 clinical specialties and diverse surgical types, providing rich image- and video-level annotations across 18 practical surgical tasks covering understanding, reasoning, planning, and generation, at an unprecedented scale (over 5.98M conversations). Beyond conventional multimodal conversations, Surg$Σ$-DB incorporates hierarchical reasoning annotations, providing richer semantic cues to support deeper contextual understanding in complex surgical scenarios. We further provide empirical evidence through recently developed surgical foundation models built upon Surg$Σ$-DB, illustrating the practical benefits of large-scale multimodal annotations, unified semantic design, and structured reasoning annotations for improving cross-task generalization and interpretability.

Xin Gong, Jintao Peng, Dong Yang et al.

This paper studies the leader-following consensuses of uncertain and nonlinear multi-agent systems against composite attacks (CAs), including Denial of Service (DoS) attacks and actuation attacks (AAs). A double-layer control framework is formulated, where a digital twin layer (TL) is added beside the traditional cyber-physical layer (CPL), inspired by the recent Digital Twin technology. Consequently, the resilient control task against CAs can be divided into two parts: One is distributed estimation against DoS attacks on the TL and the other is resilient decentralized tracking control against actuation attacks on the CPL. %The data-driven scheme is used to deal with both model non-linearity and model uncertainty, in which only the input and output data of the system are employed throughout the whole control process. First, a distributed observer based on switching estimation law against DoS is designed on TL. Second, a distributed model free adaptive control (DMFAC) protocol based on attack compensation against AAs is designed on CPL. Moreover, the uniformly ultimately bounded convergence of consensus error of the proposed double-layer DMFAC algorithm is strictly proved. Finally, the simulation verifies the effectiveness of the resilient double-layer control scheme.

Zhifan Jiang, Dong Yang, Vishwesh Nath et al.

Large vision-language models (VLMs) have evolved from general-purpose applications to specialized use cases such as in the clinical domain, demonstrating potential for decision support in radiology. One promising application is assisting radiologists in decision-making by the analysis of radiology imaging data such as chest X-rays (CXR) via a visual and natural language question-answering (VQA) interface. When longitudinal imaging is available, radiologists analyze temporal changes, which are essential for accurate diagnosis and prognosis. The manual longitudinal analysis is a time-consuming process, motivating the development of a training framework that can provide prognostic capabilities. We introduce a novel training framework LUMEN, that is optimized for longitudinal CXR interpretation, leveraging multi-image and multi-task instruction fine-tuning to enhance prognostic and diagnostic performance. We conduct experiments on the publicly available MIMIC-CXR and its associated Medical-Diff-VQA datasets. We further formulate and construct a novel instruction-following dataset incorporating longitudinal studies, enabling the development of a prognostic VQA task. Our method demonstrates significant improvements over baseline models in diagnostic VQA tasks, and more importantly, shows promising potential for prognostic capabilities. These results underscore the value of well-designed, instruction-tuned VLMs in enabling more accurate and clinically meaningful radiological interpretation of longitudinal radiological imaging data.

Yuxu Lu, Dong Yang, Yuan Gao et al.

Scattering and attenuation of light in no-homogeneous imaging media or inconsistent light intensity will cause insufficient contrast and color distortion in the collected images, which limits the developments such as vision-driven smart urban, autonomous vehicles, and intelligent robots. In this paper, we propose an all-in-one scene recovery network via multi-knowledge integration (termed AoSRNet) to improve the visibility of imaging devices in typical low-visibility imaging scenes (e.g., haze, sand dust, and low light). It combines gamma correction (GC) and optimized linear stretching (OLS) to create the detail enhancement module (DEM) and color restoration module (CRM). Additionally, we suggest a multi-receptive field extraction module (MEM) to attenuate the loss of image texture details caused by GC nonlinear and OLS linear transformations. Finally, we refine the coarse features generated by DEM, CRM, and MEM through Encoder-Decoder to generate the final restored image. Comprehensive experimental results demonstrate the effectiveness and stability of AoSRNet compared to other state-of-the-art methods. The source code is available at \url{https://github.com/LouisYuxuLu/AoSRNet}.

Hanrong Ye, Chao-Han Huck Yang, Arushi Goel et al.

Advancing machine intelligence requires developing the ability to perceive across multiple modalities, much as humans sense the world. We introduce OmniVinci, an initiative to build a strong, open-source, omni-modal LLM. We carefully study the design choices across model architecture and data curation. For model architecture, we present three key innovations: (i) OmniAlignNet for strengthening alignment between vision and audio embeddings in a shared omni-modal latent space; (ii) Temporal Embedding Grouping for capturing relative temporal alignment between vision and audio signals; and (iii) Constrained Rotary Time Embedding for encoding absolute temporal information in omni-modal embeddings. We introduce a curation and synthesis pipeline that generates 24M single-modal and omni-modal conversations. We find that modalities reinforce one another in both perception and reasoning. Our model, OmniVinci, outperforms Qwen2.5-Omni with +19.05 on DailyOmni (cross-modal understanding), +1.7 on MMAR (audio), and +3.9 on Video-MME (vision), while using just 0.2T training tokens - a 6 times reduction compared to Qwen2.5-Omni's 1.2T. We finally demonstrate omni-modal advantages in downstream applications spanning robotics, medical AI, and smart factory.

Can Zhao, Pengfei Guo, Dong Yang et al.

Medical image synthesis is an important topic for both clinical and research applications. Recently, diffusion models have become a leading approach in this area. Despite their strengths, many existing methods struggle with (1) limited generalizability that only work for specific body regions or voxel spacings, (2) slow inference, which is a common issue for diffusion models, and (3) weak alignment with input conditions, which is a critical issue for medical imaging. MAISI, a previously proposed framework, addresses generalizability issues but still suffers from slow inference and limited condition consistency. In this work, we present MAISI-v2, the first accelerated 3D medical image synthesis framework that integrates rectified flow to enable fast and high quality generation. To further enhance condition fidelity, we introduce a novel region-specific contrastive loss to enhance the sensitivity to region of interest. Our experiments show that MAISI-v2 can achieve SOTA image quality with $33 \times$ acceleration for latent diffusion model. We also conducted a downstream segmentation experiment to show that the synthetic images can be used for data augmentation. We release our code, training details, model weights, and a GUI demo to facilitate reproducibility and promote further development within the community.

Nelvin Tan, Yaowen Zhang, James Asikin Cheung et al.

Large language models (LLMs) are becoming useful in many domains due to their impressive abilities that arise from large training datasets and large model sizes. However, research on LLM-based approaches to document inconsistency detection is relatively limited. We address this gap by investigating evidence extraction capabilties of LLMs for document inconsistency detection. To this end, we introduce new comprehensive evidence-extraction metrics and a redact-and-retry framework with constrained filtering that substantially improves evidence extraction performance over other prompting methods. We support our approach with strong experimental results and release a new semi-synthetic dataset for evaluating evidence extraction.

Dong Yang, Yiyi Cai, Haoyu Zhang et al.

Metric-induced discrete flow matching (MI-DFM) exploits token-latent geometry for discrete generation, but its practical use is limited by two issues: heuristic schedulers requiring hyperparameter search, and finite-step path-tracking error from its first-order continuous-time Markov chain (CTMC) solver. We address both issues. First, we derive a kinetic-optimal scheduler for prescribed scalar-parameterized probability paths, and instantiate it for MI-DFM as a training-free numerical schedule that traverses the path at constant Fisher-Rao speed. Second, we introduce a finite-step moment correction that adjusts the jump probability while preserving the CTMC jump destination distribution. We validate the resulting method, GibbsTTS, on codec-based zero-shot text-to-speech (TTS). Under controlled comparisons with a unified architecture and large-scale dataset, GibbsTTS achieves the best objective naturalness and is preferred in subjective evaluations over masked discrete generative baselines. Additionally, in comparison with the evaluated state-of-the-art TTS systems, GibbsTTS shows strong speaker similarity, achieving the highest similarity on three of four test sets and ranking second on the fourth. Project page: https://ydqmkkx.github.io/GibbsTTSProject

Dong Yang, Xu Wang, Remzi Celebi

Knowledge base construction entails acquiring structured information to create a knowledge base of factual and relational data, facilitating question answering, information retrieval, and semantic understanding. The challenge called "Knowledge Base Construction from Pretrained Language Models" at International Semantic Web Conference 2023 defines tasks focused on constructing knowledge base using language model. Our focus was on Track 1 of the challenge, where the parameters are constrained to a maximum of 1 billion, and the inclusion of entity descriptions within the prompt is prohibited. Although the masked language model offers sufficient flexibility to extend its vocabulary, it is not inherently designed for multi-token prediction. To address this, we present Vocabulary Expandable BERT for knowledge base construction, which expand the language model's vocabulary while preserving semantic embeddings for newly added words. We adopt task-specific re-pre-training on masked language model to further enhance the language model. Through experimentation, the results show the effectiveness of our approaches. Our framework achieves F1 score of 0.323 on the hidden test set and 0.362 on the validation set, both data set is provided by the challenge. Notably, our framework adopts a lightweight language model (BERT-base, 0.13 billion parameters) and surpasses the model using prompts directly on large language model (Chatgpt-3, 175 billion parameters). Besides, Token-Recode achieves comparable performances as Re-pretrain. This research advances language understanding models by enabling the direct embedding of multi-token entities, signifying a substantial step forward in link prediction task in knowledge graph and metadata completion in data management.

Ibrahim Ethem Hamamci, Sezgin Er, Suprosanna Shit et al.

Recent progress in vision-language modeling for 3D medical imaging has been fueled by large-scale computed tomography (CT) corpora with paired free-text reports, stronger architectures, and powerful pretrained models. This has enabled applications such as automated report generation and text-conditioned 3D image synthesis. Yet, current approaches struggle with high-resolution, long-sequence volumes: contrastive pretraining often yields vision encoders that are misaligned with clinical language, and slice-wise tokenization blurs fine anatomy, reducing diagnostic performance on downstream tasks. We introduce BTB3D (Better Tokens for Better 3D), a causal convolutional encoder-decoder that unifies 2D and 3D training and inference while producing compact, frequency-aware volumetric tokens. A three-stage training curriculum enables (i) local reconstruction, (ii) overlapping-window tiling, and (iii) long-context decoder refinement, during which the model learns from short slice excerpts yet generalizes to scans exceeding 300 slices without additional memory overhead. BTB3D sets a new state-of-the-art on two key tasks: it improves BLEU scores and increases clinical F1 by 40% over CT2Rep, CT-CHAT, and Merlin for report generation; and it reduces FID by 75% and halves FVD compared to GenerateCT and MedSyn for text-to-CT synthesis, producing anatomically consistent 512*512*241 volumes. These results confirm that precise three-dimensional tokenization, rather than larger language backbones alone, is essential for scalable vision-language modeling in 3D medical imaging. The codebase is available at: https://github.com/ibrahimethemhamamci/BTB3D

Hang Shao, Heting Gao, Yunhang Shen et al.

Native multimodal large language models (MLLMs) restructure a single large language model (LLM) into a spoken language model (SLM) capable of both speech and text generation. Compared to modular and aligned MLLMs, native MLLMs preserve richer paralinguistic features such as emotion and prosody, and generate speech responses directly within the backbone LLM rather than using a separate speech decoder. This integration also results in lower response latency and smoother interaction. However, native MLLMs suffer from catastrophic forgetting and performance degradation because the available paired speech-text data is insufficient to support the pretraining of MLLMs compared to the vast amount of text data required to pretrain text LLMs. To address this issue, we propose DeepTalk, a framework for adaptive modality expert learning based on a Mixture of Experts (MoE) architecture. DeepTalk first adaptively distinguishes modality experts according to their modality load within the LLM. Each modality expert then undergoes specialized single-modality training, followed by joint multimodal collaborative training. As a result, DeepTalk incurs only a 5.5% performance drop compared to the original LLM, which is significantly lower than the average performance drop of over 20% typically seen in native MLLMs (such as GLM-4-Voice), and is on par with modular MLLMs. Meanwhile, the end-to-end dialogue latency remains within 0.5 seconds, ensuring a seamless and intelligent speech interaction experience. Code and models are released at https://github.com/talkking/DeepTalk.

Xiangju Li, Dong Yang, Xiaogang Zhu et al.

Span-level emotion-cause-category triplet extraction represents a novel and complex challenge within emotion cause analysis. This task involves identifying emotion spans, cause spans, and their associated emotion categories within the text to form structured triplets. While prior research has predominantly concentrated on clause-level emotion-cause pair extraction and span-level emotion-cause detection, these methods often confront challenges originating from redundant information retrieval and difficulty in accurately determining emotion categories, particularly when emotions are expressed implicitly or ambiguously. To overcome these challenges, this study explores a fine-grained approach to span-level emotion-cause-category triplet extraction and introduces an innovative framework that leverages instruction tuning and data augmentation techniques based on large language models. The proposed method employs task-specific triplet extraction instructions and utilizes low-rank adaptation to fine-tune large language models, eliminating the necessity for intricate task-specific architectures. Furthermore, a prompt-based data augmentation strategy is developed to address data scarcity by guiding large language models in generating high-quality synthetic training data. Extensive experimental evaluations demonstrate that the proposed approach significantly outperforms existing baseline methods, achieving at least a 12.8% improvement in span-level emotion-cause-category triplet extraction metrics. The results demonstrate the method's effectiveness and robustness, offering a promising avenue for advancing research in emotion cause analysis. The source code is available at https://github.com/zxgnlp/InstruDa-LLM.

Yufan He, Pengfei Guo, Yucheng Tang et al.

Foundation models for interactive segmentation in 2D natural images and videos have sparked significant interest in building 3D foundation models for medical imaging. However, the domain gaps and clinical use cases for 3D medical imaging require a dedicated model that diverges from existing 2D solutions. Specifically, such foundation models should support a full workflow that can actually reduce human effort. Treating 3D medical images as sequences of 2D slices and reusing interactive 2D foundation models seems straightforward, but 2D annotation is too time-consuming for 3D tasks. Moreover, for large cohort analysis, it's the highly accurate automatic segmentation models that reduce the most human effort. However, these models lack support for interactive corrections and lack zero-shot ability for novel structures, which is a key feature of "foundation". While reusing pre-trained 2D backbones in 3D enhances zero-shot potential, their performance on complex 3D structures still lags behind leading 3D models. To address these issues, we present VISTA3D, Versatile Imaging SegmenTation and Annotation model, that targets to solve all these challenges and requirements with one unified foundation model. VISTA3D is built on top of the well-established 3D segmentation pipeline, and it is the first model to achieve state-of-the-art performance in both 3D automatic (supporting 127 classes) and 3D interactive segmentation, even when compared with top 3D expert models on large and diverse benchmarks. Additionally, VISTA3D's 3D interactive design allows efficient human correction, and a novel 3D supervoxel method that distills 2D pretrained backbones grants VISTA3D top 3D zero-shot performance. We believe the model, recipe, and insights represent a promising step towards a clinically useful 3D foundation model. Code and weights are publicly available at https://github.com/Project-MONAI/VISTA.

Yuxu Lu, Ai Chen, Dong Yang et al.

Advancements in computer vision technology have facilitated the extensive deployment of intelligent transportation systems and visual surveillance systems across various applications, including autonomous driving, public safety, and environmental monitoring. However, adverse weather conditions such as haze, rain, snow, and more complex mixed degradation can significantly degrade image quality. The degradation compromises the accuracy and reliability of these systems across various scenarios. To tackle the challenge of developing adaptable models for scene restoration, we introduce the unified scene recovery network (USRNet), capable of handling multiple types of image degradation. The USRNet features a sophisticated architecture consisting of a scene encoder, an attention-driven node independent learning mechanism (NILM), an edge decoder, and a scene restoration module. The scene encoder, powered by advanced residual blocks, extracts deep features from degraded images in a progressive manner, ensuring thorough encoding of degradation information. To enhance the USRNet's adaptability in diverse weather conditions, we introduce NILM, which enables the network to learn and respond to different scenarios with precision, thereby increasing its robustness. The edge decoder is designed to extract edge features with precision, which is essential for maintaining image sharpness. Experimental results demonstrate that USRNet surpasses existing methods in handling complex imaging degradations, thereby improving the accuracy and reliability of visual systems across diverse scenarios. The code resources for this work can be accessed in https://github.com/LouisYxLu/USRNet.

Anjany Sekuboyina, Malek E. Husseini, Amirhossein Bayat et al.

Vertebral labelling and segmentation are two fundamental tasks in an automated spine processing pipeline. Reliable and accurate processing of spine images is expected to benefit clinical decision-support systems for diagnosis, surgery planning, and population-based analysis on spine and bone health. However, designing automated algorithms for spine processing is challenging predominantly due to considerable variations in anatomy and acquisition protocols and due to a severe shortage of publicly available data. Addressing these limitations, the Large Scale Vertebrae Segmentation Challenge (VerSe) was organised in conjunction with the International Conference on Medical Image Computing and Computer Assisted Intervention (MICCAI) in 2019 and 2020, with a call for algorithms towards labelling and segmentation of vertebrae. Two datasets containing a total of 374 multi-detector CT scans from 355 patients were prepared and 4505 vertebrae have individually been annotated at voxel-level by a human-machine hybrid algorithm (https://osf.io/nqjyw/, https://osf.io/t98fz/). A total of 25 algorithms were benchmarked on these datasets. In this work, we present the the results of this evaluation and further investigate the performance-variation at vertebra-level, scan-level, and at different fields-of-view. We also evaluate the generalisability of the approaches to an implicit domain shift in data by evaluating the top performing algorithms of one challenge iteration on data from the other iteration. The principal takeaway from VerSe: the performance of an algorithm in labelling and segmenting a spine scan hinges on its ability to correctly identify vertebrae in cases of rare anatomical variations. The content and code concerning VerSe can be accessed at: https://github.com/anjany/verse.

Vishwesh Nath, Wenqi Li, Dong Yang et al.

Generalist vision language models (VLMs) have made significant strides in computer vision, but they fall short in specialized fields like healthcare, where expert knowledge is essential. In traditional computer vision tasks, creative or approximate answers may be acceptable, but in healthcare, precision is paramount.Current large multimodal models like Gemini and GPT-4o are insufficient for medical tasks due to their reliance on memorized internet knowledge rather than the nuanced expertise required in healthcare. VLMs are usually trained in three stages: vision pre-training, vision-language pre-training, and instruction fine-tuning (IFT). IFT has been typically applied using a mixture of generic and healthcare data. In contrast, we propose that for medical VLMs, a fourth stage of specialized IFT is necessary, which focuses on medical data and includes information from domain expert models. Domain expert models developed for medical use are crucial because they are specifically trained for certain clinical tasks, e.g. to detect tumors and classify abnormalities through segmentation and classification, which learn fine-grained features of medical data$-$features that are often too intricate for a VLM to capture effectively especially in radiology. This paper introduces a new framework, VILA-M3, for medical VLMs that utilizes domain knowledge via expert models. Through our experiments, we show an improved state-of-the-art (SOTA) performance with an average improvement of ~9% over the prior SOTA model Med-Gemini and ~6% over models trained on the specific tasks. Our approach emphasizes the importance of domain expertise in creating precise, reliable VLMs for medical applications.

Yilin Wang, Minghao Hu, Zhen Huang et al.

The goal of knowledge graph completion (KGC) is to predict missing facts among entities. Previous methods for KGC re-ranking are mostly built on non-generative language models to obtain the probability of each candidate. Recently, generative large language models (LLMs) have shown outstanding performance on several tasks such as information extraction and dialog systems. Leveraging them for KGC re-ranking is beneficial for leveraging the extensive pre-trained knowledge and powerful generative capabilities. However, it may encounter new problems when accomplishing the task, namely mismatch, misordering and omission. To this end, we introduce KC-GenRe, a knowledge-constrained generative re-ranking method based on LLMs for KGC. To overcome the mismatch issue, we formulate the KGC re-ranking task as a candidate identifier sorting generation problem implemented by generative LLMs. To tackle the misordering issue, we develop a knowledge-guided interactive training method that enhances the identification and ranking of candidates. To address the omission issue, we design a knowledge-augmented constrained inference method that enables contextual prompting and controlled generation, so as to obtain valid rankings. Experimental results show that KG-GenRe achieves state-of-the-art performance on four datasets, with gains of up to 6.7% and 7.7% in the MRR and Hits@1 metric compared to previous methods, and 9.0% and 11.1% compared to that without re-ranking. Extensive analysis demonstrates the effectiveness of components in KG-GenRe.

Xinran Li, Yi Shuai, Chen Liu et al.

Tumor synthesis can generate examples that AI often misses or over-detects, improving AI performance by training on these challenging cases. However, existing synthesis methods, which are typically unconditional -- generating images from random variables -- or conditioned only by tumor shapes, lack controllability over specific tumor characteristics such as texture, heterogeneity, boundaries, and pathology type. As a result, the generated tumors may be overly similar or duplicates of existing training data, failing to effectively address AI's weaknesses. We propose a new text-driven tumor synthesis approach, termed TextoMorph, that provides textual control over tumor characteristics. This is particularly beneficial for examples that confuse the AI the most, such as early tumor detection (increasing Sensitivity by +8.5%), tumor segmentation for precise radiotherapy (increasing DSC by +6.3%), and classification between benign and malignant tumors (improving Sensitivity by +8.2%). By incorporating text mined from radiology reports into the synthesis process, we increase the variability and controllability of the synthetic tumors to target AI's failure cases more precisely. Moreover, TextoMorph uses contrastive learning across different texts and CT scans, significantly reducing dependence on scarce image-report pairs (only 141 pairs used in this study) by leveraging a large corpus of 34,035 radiology reports. Finally, we have developed rigorous tests to evaluate synthetic tumors, including Text-Driven Visual Turing Test and Radiomics Pattern Analysis, showing that our synthetic tumors is realistic and diverse in texture, heterogeneity, boundaries, and pathology.

Dong Yang, Wenyu Xu, Yuan Gao et al.

High-quality imaging is crucial for ensuring safety supervision and intelligent deployment in fields like transportation and industry. It enables precise and detailed monitoring of operations, facilitating timely detection of potential hazards and efficient management. However, adverse weather conditions, such as atmospheric haziness and precipitation, can have a significant impact on image quality. When the atmosphere contains dense haze or water droplets, the incident light scatters, leading to degraded captured images. This degradation is evident in the form of image blur and reduced contrast, increasing the likelihood of incorrect assessments and interpretations by intelligent imaging systems (IIS). To address the challenge of restoring degraded images in hazy and rainy conditions, this paper proposes a novel multi-view knowledge-guided scene recovery network (termed MvKSR). Specifically, guided filtering is performed on the degraded image to separate high/low-frequency components. Subsequently, an en-decoder-based multi-view feature coarse extraction module (MCE) is used to coarsely extract features from different views of the degraded image. The multi-view feature fine fusion module (MFF) will learn and infer the restoration of degraded images through mixed supervision under different views. Additionally, we suggest an atrous residual block to handle global restoration and local repair in hazy/rainy/mixed scenes. Extensive experimental results demonstrate that MvKSR outperforms other state-of-the-art methods in terms of efficiency and stability for restoring degraded scenarios in IIS.

Andriy Myronenko, Dong Yang, Yufan He et al.

In this work, we describe our solution to the BraTS 2023 cluster of challenges using Auto3DSeg from MONAI. We participated in all 5 segmentation challenges, and achieved the 1st place results in three of them: Brain Metastasis, Brain Meningioma, BraTS-Africa challenges, and the 2nd place results in the remaining two: Adult and Pediatic Glioma challenges.

Pengfei Guo, Can Zhao, Dong Yang et al.

Generating 3D CT volumes from descriptive free-text inputs presents a transformative opportunity in diagnostics and research. In this paper, we introduce Text2CT, a novel approach for synthesizing 3D CT volumes from textual descriptions using the diffusion model. Unlike previous methods that rely on fixed-format text input, Text2CT employs a novel prompt formulation that enables generation from diverse, free-text descriptions. The proposed framework encodes medical text into latent representations and decodes them into high-resolution 3D CT scans, effectively bridging the gap between semantic text inputs and detailed volumetric representations in a unified 3D framework. Our method demonstrates superior performance in preserving anatomical fidelity and capturing intricate structures as described in the input text. Extensive evaluations show that our approach achieves state-of-the-art results, offering promising potential applications in diagnostics, and data augmentation.

Jiawei Mao, Yuhan Wang, Lifeng Chen et al.

Recent advances in generative medical models are constrained by modality-specific scenarios that hinder the integration of complementary evidence from imaging, pathology, and clinical notes. This fragmentation limits their evolution into foundation models that can learn and reason across the full spectrum of biomedical data. We propose MeDiM, the first medical discrete diffusion model that learns shared distributions across modalities without modality-specific components. MeDiM unifies multiple generative tasks: translating between images and text, and jointly producing image-report pairs across domains in response to prompts. Built on a discrete diffusion framework, MeDiM bridges vision and language representations through a shared probabilistic space. To enable unified and flexible medical generation, we employ a multimodal large language model (MLLM) as the diffusion backbone, leveraging its prior knowledge and cross-modal reasoning. Two key designs are introduced: (1) removing the causal attention mask for bidirectional context, and (2) injecting continuous timestep embeddings for diffusion awareness. Experiments demonstrate high-fidelity medical generation (FID 16.60 on MIMIC-CXR and FID 24.19 on PathGen) and accurate report generation (METEOR 0.2650 and 0.2580). Jointly generated image-report pairs further enhance downstream performance (plus6.43 percent BLEU-1, plus18.57 percent BLEU-2, plus31.58 percent BLEU-3, plus4.80 percent METEOR), showing that MeDiM supports coherent and clinically grounded multimodal outputs.

Niklas Bubeck, Suprosanna Shit, Chen Chen et al.

Cardiac Magnetic Resonance (CMR) imaging is a critical tool for diagnosing and managing cardiovascular disease, yet its utility is often limited by the sparse acquisition of 2D short-axis slices, resulting in incomplete volumetric information. Accurate 3D reconstruction from these sparse slices is essential for comprehensive cardiac assessment, but existing methods face challenges, including reliance on predefined interpolation schemes (e.g., linear or spherical), computational inefficiency, and dependence on additional semantic inputs such as segmentation labels or motion data. To address these limitations, we propose a novel Cardiac Latent Interpolation Diffusion (CaLID) framework that introduces three key innovations. First, we present a data-driven interpolation scheme based on diffusion models, which can capture complex, non-linear relationships between sparse slices and improves reconstruction accuracy. Second, we design a computationally efficient method that operates in the latent space and speeds up 3D whole-heart upsampling time by a factor of 24, reducing computational overhead compared to previous methods. Third, with only sparse 2D CMR images as input, our method achieves SOTA performance against baseline methods, eliminating the need for auxiliary input such as morphological guidance, thus simplifying workflows. We further extend our method to 2D+T data, enabling the effective modeling of spatiotemporal dynamics and ensuring temporal coherence. Extensive volumetric evaluations and downstream segmentation tasks demonstrate that CaLID achieves superior reconstruction quality and efficiency. By addressing the fundamental limitations of existing approaches, our framework advances the state of the art for spatio and spatiotemporal whole-heart reconstruction, offering a robust and clinically practical solution for cardiovascular imaging.

Nelvin Tan, Zian Seng, Liang Zhang et al.

Large language models (LLMs) have shown impressive capabilities on numerous natural language processing tasks. However, LLMs still struggle with numerical question answering for financial documents that include tabular and textual data. Recent works have showed the effectiveness of critic agents (i.e., self-correction) for this task given oracle labels. Building upon this framework, this paper examines the effectiveness of the traditional critic agent when oracle labels are not available, and show, through experiments, that this critic agent's performance deteriorates in this scenario. With this in mind, we present an improved critic agent, along with the calculator agent which outperforms the previous state-of-the-art approach (program-of-thought) and is safer. Furthermore, we investigate how our agents interact with each other, and how this interaction affects their performance.