Mingxuan Liu

Subhankar Roy, Mingxuan Liu, Zhun Zhong et al.

We study the new task of class-incremental Novel Class Discovery (class-iNCD), which refers to the problem of discovering novel categories in an unlabelled data set by leveraging a pre-trained model that has been trained on a labelled data set containing disjoint yet related categories. Apart from discovering novel classes, we also aim at preserving the ability of the model to recognize previously seen base categories. Inspired by rehearsal-based incremental learning methods, in this paper we propose a novel approach for class-iNCD which prevents forgetting of past information about the base classes by jointly exploiting base class feature prototypes and feature-level knowledge distillation. We also propose a self-training clustering strategy that simultaneously clusters novel categories and trains a joint classifier for both the base and novel classes. This makes our method able to operate in a class-incremental setting. Our experiments, conducted on three common benchmarks, demonstrate that our method significantly outperforms state-of-the-art approaches. Code is available at https://github.com/OatmealLiu/class-iNCD

Mingxuan Liu, Subhankar Roy, Zhun Zhong et al.

Discovering novel concepts in unlabelled datasets and in a continuous manner is an important desideratum of lifelong learners. In the literature such problems have been partially addressed under very restricted settings, where novel classes are learned by jointly accessing a related labelled set (e.g., NCD) or by leveraging only a supervisedly pre-trained model (e.g., class-iNCD). In this work we challenge the status quo in class-iNCD and propose a learning paradigm where class discovery occurs continuously and truly unsupervisedly, without needing any related labelled set. In detail, we propose to exploit the richer priors from strong self-supervised pre-trained models (PTM). To this end, we propose simple baselines, composed of a frozen PTM backbone and a learnable linear classifier, that are not only simple to implement but also resilient under longer learning scenarios. We conduct extensive empirical evaluation on a multitude of benchmarks and show the effectiveness of our proposed baselines when compared with sophisticated state-of-the-art methods. The code is open source.

Zihan Li, Jialan Zheng, Ziyu Li et al.

Understanding the human brain requires access to its microscopic tissue architecture. Diffusion magnetic resonance imaging (MRI) provides the only noninvasive window into whole-brain microstructure in vivo, yet reliable quantitative mapping remains confined to specialized research settings requiring dense sampling and optimized acquisition protocols. To address this gap, we present a physics-informed generative microstructure network (PIGMENT) that learns a universal generative prior of human brain microstructure and adapts it zero-shot to each participant's measured data to recover subject-specific maps. Trained on 11375 scans spanning multiple sites, vendors, and field strengths, PIGMENT enabled reliable quantitative mapping for tensor, kurtosis, and NODDI models across external datasets from five independent centers. It remains effective where conventional fitting becomes unreliable, recovering meaningful maps from extremely sparse acquisitions while supporting downstream tractography and structural connectivity mapping. PIGMENT estimates demonstrated strong biological validity, preserving submillimeter cortical microarchitectural patterns and early-childhood white matter developmental trajectories from 10-fold accelerated scans. Furthermore, PIGMENT enables reliable quantitative tensor mapping on cost-efficient low-field systems and the extraction of tumor-related biomarkers using ultra-fast clinical protocols. Together, these results establish PIGMENT as a physics-informed foundation model that extends quantitative diffusion MRI into regimes traditionally too sparse, heterogeneous, or clinically constrained for reliable analysis.

Mingxuan Liu, Jie Gan, Rui Wen et al. · tsinghua

Spiking neural networks (SNNs) have tremendous potential for energy-efficient neuromorphic chips due to their binary and event-driven architecture. SNNs have been primarily used in classification tasks, but limited exploration on image generation tasks. To fill the gap, we propose a Spiking-Diffusion model, which is based on the vector quantized discrete diffusion model. First, we develop a vector quantized variational autoencoder with SNNs (VQ-SVAE) to learn a discrete latent space for images. In VQ-SVAE, image features are encoded using both the spike firing rate and postsynaptic potential, and an adaptive spike generator is designed to restore embedding features in the form of spike trains. Next, we perform absorbing state diffusion in the discrete latent space and construct a spiking diffusion image decoder (SDID) with SNNs to denoise the image. Our work is the first to build the diffusion model entirely from SNN layers. Experimental results on MNIST, FMNIST, KMNIST, Letters, and Cifar10 demonstrate that Spiking-Diffusion outperforms the existing SNN-based generation model. We achieve FIDs of 37.50, 91.98, 59.23, 67.41, and 120.5 on the above datasets respectively, with reductions of 58.60\%, 18.75\%, 64.51\%, 29.75\%, and 44.88\% in FIDs compared with the state-of-art work. Our code will be available at \url{https://github.com/Arktis2022/Spiking-Diffusion}.

Xiaotian Hu, Mingxuan Liu, Junwei Huang et al.

Automated fetal ultrasound interpretation requires a workflow from visual perception, including plane recognition and anatomical segmentation, to clinical understanding, including biometric measurement and diagnostic reporting. However, the prevailing "one-task, one-model" paradigm limits systematic integration of evidence across this multi-step process. Although multimodal large language models (MLLMs) show promising visual understanding, their limited domain-specific grounding and hallucination risks restrict reliability in fetal ultrasound analysis. To address these limitations, we propose FetUSAgents, a tool-augmented multi-agent system for comprehensive fetal ultrasound interpretation, supporting visual question answering (VQA), report generation, image captioning, and video summarization. FetUSAgents coordinates task-specific visual tools through collaborative LLM agents and decomposes clinical queries into subtasks that progress from anatomical recognition to quantitative measurement. We further introduce Dual-Path Evidence Arbitration (DPEA), which integrates LLM-based deliberative reasoning with structured computational evidence from specialized visual tools. A retrieval-enhanced evidence bank consolidates intermediate findings to support traceable and clinically grounded conclusions. In addition, we construct FetUS-VQA, a dedicated VQA benchmark for fetal ultrasound, comprising 1,892 images and 3,205 question-answer pairs across 10 clinical tasks. Extensive out-of-distribution experiments show that FetUSAgents outperforms general and medical MLLMs, exceeding the strongest baseline by more than 25 percent in VQA accuracy. These results suggest a scalable route toward evidence-driven clinical assistants for prenatal imaging. Code is available.

Mingxuan Liu, Siqi Li, Han Yuan et al.

Objective: The proper handling of missing values is critical to delivering reliable estimates and decisions, especially in high-stakes fields such as clinical research. The increasing diversity and complexity of data have led many researchers to develop deep learning (DL)-based imputation techniques. We conducted a systematic review to evaluate the use of these techniques, with a particular focus on data types, aiming to assist healthcare researchers from various disciplines in dealing with missing values. Methods: We searched five databases (MEDLINE, Web of Science, Embase, CINAHL, and Scopus) for articles published prior to August 2021 that applied DL-based models to imputation. We assessed selected publications from four perspectives: health data types, model backbone (i.e., main architecture), imputation strategies, and comparison with non-DL-based methods. Based on data types, we created an evidence map to illustrate the adoption of DL models. Results: We included 64 articles, of which tabular static (26.6%, 17/64) and temporal data (37.5%, 24/64) were the most frequently investigated. We found that model backbone(s) differed among data types as well as the imputation strategy. The "integrated" strategy, that is, the imputation task being solved concurrently with downstream tasks, was popular for tabular temporal (50%, 12/24) and multi-modal data (71.4%, 5/7), but limited for other data types. Moreover, DL-based imputation methods yielded better imputation accuracy in most studies, compared with non-DL-based methods. Conclusion: DL-based imputation models can be customized based on data type, addressing the corresponding missing patterns, and its associated "integrated" strategy can enhance the efficacy of imputation, especially in scenarios where data is complex. Future research may focus on the portability and fairness of DL-based models for healthcare data imputation.

Pengfei Cao, Mingxuan Yang, Yubo Chen et al.

Understanding why real-world events occur is important for both natural language processing and practical decision-making, yet direct-cause inference remains underexplored in evidence-rich settings. To address this gap, we organized SemEval-2026 Task 12: Abductive Event Reasoning (AER).\footnote{The task data is available at https://github.com/sooo66/semeval2026-task12-dataset.git} The task asks systems to identify the most plausible direct cause of a target event from supporting evidence. We formulate AER as an evidence-grounded multiple-choice benchmark that captures key challenges of real-world causal reasoning, including distributed evidence, indirect background factors, and semantically related but non-causal distractors. The shared task attracted 122 participants and received 518 submissions. This paper presents the task formulation, dataset construction pipeline, evaluation setup, and system results. AER provides a focused benchmark for abductive reasoning over real-world events and highlights challenges for future work on causal reasoning and multi-document understanding.

Jun Li, Mingxuan Liu, Jiazhen Pan et al.

Clinical abnormality grounding for rare diseases is often hindered by data scarcity, making supervised fine-tuning impractical and single-pass inference highly unstable. We propose Dynamic Decision Learning (DDL), a framework that enables frozen large vision-language models (LVLMs) to refine their decisions across both language and visual spaces by optimizing instructions and consolidating predictions under visual perturbations. This process improves localization quality and produces a consensus-based reliability score that quantifies model confidence. Results on brain imaging benchmarks, including a rare-disease dataset with 281 pathology types across models ranging from 3B to 72B parameters, show that DDL improves mAP@75 by up to 105% on rare-disease cases and outperforms adaptation baselines and supervised fine-tuning. Furthermore, DDL demonstrates stronger calibration between reliability scores and localization accuracy under severe distribution shifts and increasing task difficulty. Code is available at: https://lijunrio.github.io/DDL/

Han Yuan, Mingxuan Liu, Lican Kang et al.

Nowadays, the interpretation of why a machine learning (ML) model makes certain inferences is as crucial as the accuracy of such inferences. Some ML models like the decision tree possess inherent interpretability that can be directly comprehended by humans. Others like artificial neural networks (ANN), however, rely on external methods to uncover the deduction mechanism. SHapley Additive exPlanations (SHAP) is one of such external methods, which requires a background dataset when interpreting ANNs. Generally, a background dataset consists of instances randomly sampled from the training dataset. However, the sampling size and its effect on SHAP remain to be unexplored. In our empirical study on the MIMIC-III dataset, we show that the two core explanations - SHAP values and variable rankings fluctuate when using different background datasets acquired from random sampling, indicating that users cannot unquestioningly trust the one-shot interpretation from SHAP. Luckily, such fluctuation decreases with the increase of the background dataset size. Also, we notice an U-shape in the stability assessment of SHAP variable rankings, demonstrating that SHAP is more reliable in ranking the most and least important variables compared to moderately important ones. Overall, our results suggest that users should take into account how background data affects SHAP results, with improved SHAP stability as the background sample size increases.

Yuanhan Wang, Yifei Chen, Beining Wu et al.

Accurate estimation of the Angle of Progression (AoP) from intrapartum transperineal ultrasound is critical for objective assessment of labor progression, yet remains highly sensitive to imaging noise, boundary ambiguities, and the geometric amplification of local segmentation errors. We propose R2AoP, a reliable and robust AoP estimation framework that integrates structurally informed segmentation and confidence-guided geometric modeling to achieve stable and reproducible measurements. A three-branch local-structure-enhanced backbone improves the delineation of the pubic symphysis (PS) and fetal head (FH), while confidence-weighted contour fitting explicitly suppresses the influence of unreliable boundary points in AoP computation. To further improve performance under heterogeneous acquisition conditions, we introduce a lightweight geometry-reliable test-time adaptation strategy as an auxiliary component, enabling stable inference without target annotations. Extensive evaluations on multi-center benchmarks demonstrate consistent reductions in AoP error and boundary metrics compared with state-of-the-art AoP methods. Our source code is available at https://github.com/baiyou1234/R2AoP.

Siqi Li, Yilin Ning, Marcus Eng Hock Ong et al.

We propose FedScore, a privacy-preserving federated learning framework for scoring system generation across multiple sites to facilitate cross-institutional collaborations. The FedScore framework includes five modules: federated variable ranking, federated variable transformation, federated score derivation, federated model selection and federated model evaluation. To illustrate usage and assess FedScore's performance, we built a hypothetical global scoring system for mortality prediction within 30 days after a visit to an emergency department using 10 simulated sites divided from a tertiary hospital in Singapore. We employed a pre-existing score generator to construct 10 local scoring systems independently at each site and we also developed a scoring system using centralized data for comparison. We compared the acquired FedScore model's performance with that of other scoring models using the receiver operating characteristic (ROC) analysis. The FedScore model achieved an average area under the curve (AUC) value of 0.763 across all sites, with a standard deviation (SD) of 0.020. We also calculated the average AUC values and SDs for each local model, and the FedScore model showed promising accuracy and stability with a high average AUC value which was closest to the one of the pooled model and SD which was lower than that of most local models. This study demonstrates that FedScore is a privacy-preserving scoring system generator with potentially good generalizability.

Siwei Li, Mingxuan Liu, Yating Zhang et al. · tsinghua

Image deblurring is a critical task in the field of image restoration, aiming to eliminate blurring artifacts. However, the challenge of addressing non-uniform blurring leads to an ill-posed problem, which limits the generalization performance of existing deblurring models. To solve the problem, we propose a framework SAM-Deblur, integrating prior knowledge from the Segment Anything Model (SAM) into the deblurring task for the first time. In particular, SAM-Deblur is divided into three stages. First, we preprocess the blurred images, obtain segment masks via SAM, and propose a mask dropout method for training to enhance model robustness. Then, to fully leverage the structural priors generated by SAM, we propose a Mask Average Pooling (MAP) unit specifically designed to average SAM-generated segmented areas, serving as a plug-and-play component which can be seamlessly integrated into existing deblurring networks. Finally, we feed the fused features generated by the MAP Unit into the deblurring model to obtain a sharp image. Experimental results on the RealBlurJ, ReloBlur, and REDS datasets reveal that incorporating our methods improves GoPro-trained NAFNet's PSNR by 0.05, 0.96, and 7.03, respectively. Project page is available at GitHub \href{https://hplqaq.github.io/projects/sam-deblur}{HPLQAQ/SAM-Deblur}.

Wenjing Yu, Shuo Jiang, Yifei Chen et al.

Test time Adaptation is a promising approach for mitigating domain shift in medical image segmentation; however, current evaluations remain limited in terms of modality coverage, task diversity, and methodological consistency. We present MedSeg-TTA, a comprehensive benchmark that examines twenty representative adaptation methods across seven imaging modalities, including MRI, CT, ultrasound, pathology, dermoscopy, OCT, and chest X-ray, under fully unified data preprocessing, backbone configuration, and test time protocols. The benchmark encompasses four significant adaptation paradigms: Input-level Transformation, Feature-level Alignment, Output-level Regularization, and Prior Estimation, enabling the first systematic cross-modality comparison of their reliability and applicability. The results show that no single paradigm performs best in all conditions. Input-level methods are more stable under mild appearance shifts. Feature-level and Output-level methods offer greater advantages in boundary-related metrics, whereas prior-based methods exhibit strong modality dependence. Several methods degrade significantly under large inter-center and inter-device shifts, which highlights the importance of principled method selection for clinical deployment. MedSeg-TTA provides standardized datasets, validated implementations, and a public leaderboard, establishing a rigorous foundation for future research on robust, clinically reliable test-time adaptation. All source codes and open-source datasets are available at https://github.com/wenjing-gg/MedSeg-TTA.

Zehua Han, Jing Xiao, Yiqi Duan et al.

Multimodal Large Language Models have demonstrated powerful cross-modal understanding and reasoning capabilities in general domains. However, in the electromagnetic (EM) domain, they still face challenges such as data scarcity and insufficient integration of domain knowledge. This paper proposes PReD, the first foundation model for the EM domain that covers the intelligent closed-loop of "perception, recognition, decision-making." We constructed a high-quality multitask EM dataset, PReD-1.3M, and an evaluation benchmark, PReD-Bench. The dataset encompasses multi-perspective representations such as raw time-domain waveform, frequency-domain spectrograms, and constellation diagrams, covering typical features of communication and radar signals. It supports a range of core tasks, including signal detection, modulation recognition, parameter estimation, protocol recognition, radio frequency fingerprint recognition, and anti-jamming decision-making. PReD adopts a multi-stage training strategy that unifies multiple tasks for EM signals. It achieves closed-loop optimization from end-to-end signal understanding to language-driven reasoning and decision-making, significantly enhancing EM domain expertise while maintaining general multimodal capabilities. Experimental results show that PReD achieves state-of-the-art performance on PReD-Bench constructed from both open-source and self-collected signal datasets. These results collectively validate the feasibility and potential of vision-aligned foundation models in advancing the understanding and reasoning of EM signals.

Changwei Wu, Yifei Chen, Yuxin Du et al.

Reliable anomaly detection in brain MRI remains challenging due to the scarcity of annotated abnormal cases and the frequent absence of key imaging modalities in real clinical workflows. Existing single-class or multi-class anomaly detection (AD) models typically rely on fixed modality configurations, require repetitive training, or fail to generalize to unseen modality combinations, limiting their clinical scalability. In this work, we present a unified Any-Modality AD framework that performs robust anomaly detection and localization under arbitrary MRI modality availability. The framework integrates a dual-pathway DINOv2 encoder with a feature distribution alignment mechanism that statistically aligns incomplete-modality features with full-modality representations, enabling stable inference even with severe modality dropout. To further enhance semantic consistency, we introduce an Intrinsic Normal Prototypes (INPs) extractor and an INP-guided decoder that reconstruct only normal anatomical patterns while naturally amplifying abnormal deviations. Through randomized modality masking and indirect feature completion during training, the model learns to adapt to all modality configurations without re-training. Extensive experiments on BraTS2018, MU-Glioma-Post, and Pretreat-MetsToBrain-Masks demonstrate that our approach consistently surpasses state-of-the-art industrial and medical AD baselines across 7 modality combinations, achieving superior generalization. This study establishes a scalable paradigm for multimodal medical AD under real-world, imperfect modality conditions. Our source code is available at https://github.com/wuchangw/AnyAD.

Mingxuan Liu, Yilin Ning, Salinelat Teixayavong et al.

Artificial intelligence (AI) has demonstrated the ability to extract insights from data, but the issue of fairness remains a concern in high-stakes fields such as healthcare. Despite extensive discussion and efforts in algorithm development, AI fairness and clinical concerns have not been adequately addressed. In this paper, we discuss the misalignment between technical and clinical perspectives of AI fairness, highlight the barriers to AI fairness' translation to healthcare, advocate multidisciplinary collaboration to bridge the knowledge gap, and provide possible solutions to address the clinical concerns pertaining to AI fairness.

Xinyi Wu, Geng Hong, Yueyue Chen et al.

Web agents, powered by large language models (LLMs), are increasingly deployed to automate complex web interactions. The rise of open-source frameworks (e.g., Browser Use, Skyvern-AI) has accelerated adoption, but also broadened the attack surface. While prior research has focused on model threats such as prompt injection and backdoors, the risks of social engineering remain largely unexplored. We present the first systematic study of social engineering attacks against web automation agents and design a pluggable runtime mitigation solution. On the attack side, we introduce the AgentBait paradigm, which exploits intrinsic weaknesses in agent execution: inducement contexts can distort the agent's reasoning and steer it toward malicious objectives misaligned with the intended task. On the defense side, we propose SUPERVISOR, a lightweight runtime module that enforces environment and intention consistency alignment between webpage context and intended goals to mitigate unsafe operations before execution. Empirical results show that mainstream frameworks are highly vulnerable to AgentBait, with an average attack success rate of 67.5% and peaks above 80% under specific strategies (e.g., trusted identity forgery). Compared with existing lightweight defenses, our module can be seamlessly integrated across different web automation frameworks and reduces attack success rates by up to 78.1% on average while incurring only a 7.7% runtime overhead and preserving usability. This work reveals AgentBait as a critical new threat surface for web agents and establishes a practical, generalizable defense, advancing the security of this rapidly emerging ecosystem. We reported the details of this attack to the framework developers and received acknowledgment before submission.

Songcheng Du, Yang Zou, Jiaxin Li et al.

Pansharpening under thin cloudy conditions is a practically significant yet rarely addressed task, challenged by simultaneous spatial resolution degradation and cloud-induced spectral distortions. Existing methods often address cloud removal and pansharpening sequentially, leading to cumulative errors and suboptimal performance due to the lack of joint degradation modeling. To address these challenges, we propose a Unified Pansharpening Model with Thin Cloud Removal (Pan-TCR), an end-to-end framework that integrates physical priors. Motivated by theoretical analysis in the frequency domain, we design a frequency-decoupled restoration (FDR) block that disentangles the restoration of multispectral image (MSI) features into amplitude and phase components, each guided by complementary degradation-robust prompts: the near-infrared (NIR) band amplitude for cloud-resilient restoration, and the panchromatic (PAN) phase for high-resolution structural enhancement. To ensure coherence between the two components, we further introduce an interactive inter-frequency consistency (IFC) module, enabling cross-modal refinement that enforces consistency and robustness across frequency cues. Furthermore, we introduce the first real-world thin-cloud contaminated pansharpening dataset (PanTCR-GF2), comprising paired clean and cloudy PAN-MSI images, to enable robust benchmarking under realistic conditions. Extensive experiments on real-world and synthetic datasets demonstrate the superiority and robustness of Pan-TCR, establishing a new benchmark for pansharpening under realistic atmospheric degradations.

Mingxuan Liu, Yilin Ning, Han Yuan et al.

Objective: Shapley additive explanations (SHAP) is a popular post-hoc technique for explaining black box models. While the impact of data imbalance on predictive models has been extensively studied, it remains largely unknown with respect to SHAP-based model explanations. This study sought to investigate the effects of data imbalance on SHAP explanations for deep learning models, and to propose a strategy to mitigate these effects. Materials and Methods: We propose to adjust class distributions in the background and explanation data in SHAP when explaining black box models. Our data balancing strategy is to compose background data and explanation data with an equal distribution of classes. To evaluate the effects of data adjustment on model explanation, we propose to use the beeswarm plot as a qualitative tool to identify "abnormal" explanation artifacts, and quantitatively test the consistency between variable importance and prediction power. We demonstrated our proposed approach in an empirical study that predicted inpatient mortality using the Medical Information Mart for Intensive Care (MIMIC-III) data and a multilayer perceptron. Results: Using the data balancing strategy would allow us to reduce the number of the artifacts in the beeswarm plot, thus mitigating the negative effects of data imbalance. Additionally, with the balancing strategy, the top-ranked variables from the corresponding importance ranking demonstrated improved discrimination power. Discussion and Conclusion: Our findings suggest that balanced background and explanation data could help reduce the noise in explanation results induced by skewed data distribution and improve the reliability of variable importance ranking. Furthermore, these balancing procedures improve the potential of SHAP in identifying patients with abnormal characteristics in clinical applications.

Yilin Ning, Salinelat Teixayavong, Yuqing Shang et al.

The widespread use of ChatGPT and other emerging technology powered by generative artificial intelligence (GenAI) has drawn much attention to potential ethical issues, especially in high-stakes applications such as healthcare, but ethical discussions are yet to translate into operationalisable solutions. Furthermore, ongoing ethical discussions often neglect other types of GenAI that have been used to synthesise data (e.g., images) for research and practical purposes, which resolved some ethical issues and exposed others. We conduct a scoping review of ethical discussions on GenAI in healthcare to comprehensively analyse gaps in the current research, and further propose to reduce the gaps by developing a checklist for comprehensive assessment and transparent documentation of ethical discussions in GenAI research. The checklist can be readily integrated into the current peer review and publication system to enhance GenAI research, and may be used for ethics-related disclosures for GenAI-powered products, healthcare applications of such products and beyond.

Yilin Ning, Mingxuan Liu, Nan Liu

Current practice in interpretable machine learning often focuses on explaining the final model trained from data, e.g., by using the Shapley additive explanations (SHAP) method. The recently developed Shapley variable importance cloud (ShapleyVIC) extends the current practice to a group of "nearly optimal models" to provide comprehensive and robust variable importance assessments, with estimated uncertainty intervals for a more complete understanding of variable contributions to predictions. ShapleyVIC was initially developed for applications with traditional regression models, and the benefits of ShapleyVIC inference have been demonstrated in real-life prediction tasks using the logistic regression model. However, as a model-agnostic approach, ShapleyVIC application is not limited to such scenarios. In this work, we extend ShapleyVIC implementation for machine learning models to enable wider applications, and propose it as a useful complement to the current SHAP analysis to enable more trustworthy applications of these black-box models.

Shuo Jiang, Yuhao Hong, Chunbo Jiang et al.

Grounding radiology report descriptions to 3D CT volumes is essential for verifiable clinical interpretation, yet remains challenging due to the semantic-spatial gap between free-text narratives and volumetric anatomy. Existing report-assisted and vision-language grounding methods typically rely on phrase-level alignment or dense pixel supervision, resulting in limited lesion-wise correspondence and suboptimal localization accuracy. We propose GLeVE, a graph-guided lesion grounding framework with anatomical prior verification and octree-based autoregressive refinement. GLeVE treats each lesion description as an atomic semantic unit and encodes organ attribution, attributes, and inter-lesion relations through relation-aware graph reasoning to produce discriminative lesion-wise queries. Anatomy-aware proposal generation with region-level verification enforces one-to-one text-lesion alignment, while hierarchical octree refinement progressively improves boundary delineation. Experiments on AbdomenAtlas 3.0 demonstrate consistent gains over classical multimodal foundation models and report-supervised baselines in both segmentation accuracy and lesion-level localization.

Pei Chen, Geng Hong, Xinyi Wu et al.

The emergence of Large Language Model-enhanced Search Engines (LLMSEs) has revolutionized information retrieval by integrating web-scale search capabilities with AI-powered summarization. While these systems demonstrate improved efficiency over traditional search engines, their security implications against well-established black-hat Search Engine Optimization (SEO) attacks remain unexplored. In this paper, we present the first systematic study of SEO attacks targeting LLMSEs. Specifically, we examine ten representative LLMSE products (e.g., ChatGPT, Gemini) and construct SEO-Bench, a benchmark comprising 1,000 real-world black-hat SEO websites, to evaluate both open- and closed-source LLMSEs. Our measurements show that LLMSEs mitigate over 99.78% of traditional SEO attacks, with the phase of retrieval serving as the primary filter, intercepting the vast majority of malicious queries. We further propose and evaluate seven LLMSEO attack strategies, demonstrating that off-the-shelf LLMSEs are vulnerable to LLMSEO attacks, i.e., rewritten-query stuffing and segmented texts double the manipulation rate compared to the baseline. This work offers the first in-depth security analysis of the LLMSE ecosystem, providing practical insights for building more resilient AI-driven search systems. We have responsibly reported the identified issues to major vendors.

Mingxuan Liu, Tyler L. Hayes, Elisa Ricci et al.

Open-vocabulary object detection (OvOD) has transformed detection into a language-guided task, empowering users to freely define their class vocabularies of interest during inference. However, our initial investigation indicates that existing OvOD detectors exhibit significant variability when dealing with vocabularies across various semantic granularities, posing a concern for real-world deployment. To this end, we introduce Semantic Hierarchy Nexus (SHiNe), a novel classifier that uses semantic knowledge from class hierarchies. It runs offline in three steps: i) it retrieves relevant super-/sub-categories from a hierarchy for each target class; ii) it integrates these categories into hierarchy-aware sentences; iii) it fuses these sentence embeddings to generate the nexus classifier vector. Our evaluation on various detection benchmarks demonstrates that SHiNe enhances robustness across diverse vocabulary granularities, achieving up to +31.9% mAP50 with ground truth hierarchies, while retaining improvements using hierarchies generated by large language models. Moreover, when applied to open-vocabulary classification on ImageNet-1k, SHiNe improves the CLIP zero-shot baseline by +2.8% accuracy. SHiNe is training-free and can be seamlessly integrated with any off-the-shelf OvOD detector, without incurring additional computational overhead during inference. The code is open source.

Mingxuan Liu, Tyler L. Hayes, Massimiliano Mancini et al.

Open-vocabulary object detection models allow users to freely specify a class vocabulary in natural language at test time, guiding the detection of desired objects. However, vocabularies can be overly broad or even mis-specified, hampering the overall performance of the detector. In this work, we propose a plug-and-play Vocabulary Adapter (VocAda) to refine the user-defined vocabulary, automatically tailoring it to categories that are relevant for a given image. VocAda does not require any training, it operates at inference time in three steps: i) it uses an image captionner to describe visible objects, ii) it parses nouns from those captions, and iii) it selects relevant classes from the user-defined vocabulary, discarding irrelevant ones. Experiments on COCO and Objects365 with three state-of-the-art detectors show that VocAda consistently improves performance, proving its versatility. The code is open source.

Xiaotian Hu, Junwei Huang, Mingxuan Liu et al.

Fetal ultrasound (US) is the primary imaging modality for prenatal screening, yet its interpretation relies heavily on the expertise of the clinician. Despite advances in deep learning and foundation models, existing automated tools for fetal US analysis struggle to balance task-specific accuracy with the whole-process versatility required to support end-to-end clinical workflows. To address these limitations, we propose FetalAgents, the first multi-agent system for comprehensive fetal US analysis. Through a lightweight, agentic coordination framework, FetalAgents dynamically orchestrates specialized vision experts to maximize performance across diagnosis, measurement, and segmentation. Furthermore, FetalAgents advances beyond static image analysis by supporting end-to-end video stream summarization, where keyframes are automatically identified across multiple anatomical planes, analyzed by coordinated experts, and synthesized with patient metadata into a structured clinical report. Extensive multi-center external evaluations across eight clinical tasks demonstrate that FetalAgents consistently delivers the most robust and accurate performance when compared against specialized models and multimodal large language models (MLLMs), ultimately providing an auditable, workflow-aligned solution for fetal ultrasound analysis and reporting.

Xiaotian Hu, Mingxuan Liu, Hongjia Yang et al.

Spatio-temporal fetal brain atlases are important for characterizing normative neurodevelopment and identifying congenital anomalies. However, existing atlas construction pipelines necessitate days for slice-to-volume reconstruction (SVR) to generate high-resolution 3D brain volumes and several additional days for iterative volume registration, thereby rendering atlas construction from large-scale cohorts prohibitively impractical. We address these limitations with INFANiTE, an Implicit Neural Representation (INR) framework for high-resolution Fetal brain spatio-temporal Atlas learNing from clinical Thick-slicE MRI scans, bypassing both the costly SVR and the iterative non-rigid registration steps entirely, thereby substantially accelerating atlas construction. Extensive experiments demonstrate that INFANiTE outperforms existing baselines in subject consistency, reference fidelity, intrinsic quality and biological plausibility, even under challenging sparse-data settings. Additionally, INFANiTE reduces the end-to-end processing time (i.e., from raw scans to the final atlas) from days to hours compared to the traditional 3D volume-based pipeline (e.g., SyGN), facilitating large-scale population-level fetal brain analysis. Our code is publicly available at: https://anonymous.4open.science/r/INFANiTE-5D74

Mingxuan Liu, Yuhe Ke, Wentao Zhu et al.

The integration of large language models (LLMs) into healthcare holds promise to enhance clinical decision-making, yet their susceptibility to biases remains a critical concern. Gender has long influenced physician behaviors and patient outcomes, raising concerns that LLMs assuming human-like roles, such as clinicians or medical educators, may replicate or amplify gender-related biases. Using case studies from the New England Journal of Medicine Challenge (NEJM), we assigned genders (female, male, or unspecified) to multiple open-source and proprietary LLMs. We evaluated their response consistency across LLM-gender assignments regarding both LLM-based diagnosis and models' judgments on the clinical relevance or necessity of patient gender. In our findings, diagnoses were relatively consistent across LLM genders for most models. However, for patient gender's relevance and necessity in LLM-based diagnosis, all models demonstrated substantial inconsistency across LLM genders, particularly for relevance judgements. Some models even displayed a systematic female-male disparity in their interpretation of patient gender. These findings present an underexplored bias that could undermine the reliability of LLMs in clinical practice, underscoring the need for routine checks of identity-assignment consistency when interacting with LLMs to ensure reliable and equitable AI-supported clinical care.

Yuanhan Wang, Yifei Chen, Shuo Jiang et al.

Reliable brain tumor segmentation in MRI is indispensable for treatment planning and outcome monitoring, yet models trained on curated benchmarks often fail under domain shifts arising from scanner and protocol variability as well as population heterogeneity. Such gaps are especially severe in low-resource and pediatric cohorts, where conventional test-time or source-free adaptation strategies often suffer from instability and structural inconsistency. We propose SmaRT, a style-modulated robust test-time adaptation framework that enables source-free cross-domain generalization. SmaRT integrates style-aware augmentation to mitigate appearance discrepancies, a dual-branch momentum strategy for stable pseudo-label refinement, and structural priors enforcing consistency, integrity, and connectivity. This synergy ensures both adaptation stability and anatomical fidelity under extreme domain shifts. Extensive evaluations on sub-Saharan Africa and pediatric glioma datasets show that SmaRT consistently outperforms state-of-the-art methods, with notable gains in Dice accuracy and boundary precision. Overall, SmaRT bridges the gap between algorithmic advances and equitable clinical applicability, supporting robust deployment of MRI-based neuro-oncology tools in diverse clinical environments. Our source code is available at https://github.com/baiyou1234/SmaRT.

Changwei Wu, Yifei Chen, Yuxin Du et al.

Early diagnosis of Alzheimer's Disease (AD), especially at the mild cognitive impairment (MCI) stage, is vital yet hindered by subjective assessments and the high cost of multimodal imaging modalities. Although deep learning methods offer automated alternatives, their energy inefficiency and computational demands limit real-world deployment, particularly in resource-constrained settings. As a brain-inspired paradigm, spiking neural networks (SNNs) are inherently well-suited for modeling the sparse, event-driven patterns of neural degeneration in AD, offering a promising foundation for interpretable and low-power medical diagnostics. However, existing SNNs often suffer from weak expressiveness and unstable training, which restrict their effectiveness in complex medical tasks. To address these limitations, we propose FasterSNN, a hybrid neural architecture that integrates biologically inspired LIF neurons with region-adaptive convolution and multi-scale spiking attention. This design enables sparse, efficient processing of 3D MRI while preserving diagnostic accuracy. Experiments on benchmark datasets demonstrate that FasterSNN achieves competitive performance with substantially improved efficiency and stability, supporting its potential for practical AD screening. Our source code is available at https://github.com/wuchangw/FasterSNN.

Guodong Sun, Junjie Liu, Mingxuan Liu et al.

Self-supervised monocular depth estimation aims to infer depth information without relying on labeled data. However, the lack of labeled information poses a significant challenge to the model's representation, limiting its ability to capture the intricate details of the scene accurately. Prior information can potentially mitigate this issue, enhancing the model's understanding of scene structure and texture. Nevertheless, solely relying on a single type of prior information often falls short when dealing with complex scenes, necessitating improvements in generalization performance. To address these challenges, we introduce a novel self-supervised monocular depth estimation model that leverages multiple priors to bolster representation capabilities across spatial, context, and semantic dimensions. Specifically, we employ a hybrid transformer and a lightweight pose network to obtain long-range spatial priors in the spatial dimension. Then, the context prior attention is designed to improve generalization, particularly in complex structures or untextured areas. In addition, semantic priors are introduced by leveraging semantic boundary loss, and semantic prior attention is supplemented, further refining the semantic features extracted by the decoder. Experiments on three diverse datasets demonstrate the effectiveness of the proposed model. It integrates multiple priors to comprehensively enhance the representation ability, improving the accuracy and reliability of depth estimation. Codes are available at: \url{https://github.com/MVME-HBUT/MPRLNet}

Pablo Garcia-Fernandez, Lorenzo Vaquero, Mingxuan Liu et al.

Open-vocabulary object detection (OvOD) is set to revolutionize security screening by enabling systems to recognize any item in X-ray scans. However, developing effective OvOD models for X-ray imaging presents unique challenges due to data scarcity and the modality gap that prevents direct adoption of RGB-based solutions. To overcome these limitations, we propose RAXO, a training-free framework that repurposes off-the-shelf RGB OvOD detectors for robust X-ray detection. RAXO builds high-quality X-ray class descriptors using a dual-source retrieval strategy. It gathers relevant RGB images from the web and enriches them via a novel X-ray material transfer mechanism, eliminating the need for labeled databases. These visual descriptors replace text-based classification in OvOD, leveraging intra-modal feature distances for robust detection. Extensive experiments demonstrate that RAXO consistently improves OvOD performance, providing an average mAP increase of up to 17.0 points over base detectors. To further support research in this emerging field, we also introduce DET-COMPASS, a new benchmark featuring bounding box annotations for over 300 object categories, enabling large-scale evaluation of OvOD in X-ray. Code and dataset available at: https://github.com/PAGF188/RAXO.

Mingxuan Liu, Yingqi Hao, Yi Liao et al.

Background: Prenatal germinal matrix-intraventricular hemorrhage (GMH-IVH) is a leading cause of infant mortality and neurodevelopmental impairment. Manual diagnosis and lesion segmentation are labor-intensive and error-prone. Deep learning models offer potential for automation but typically require large annotated datasets, which are challenging to obtain. Purpose: To develop and validate an annotation-free deep learning framework for automated detection and segmentation of GMH-IVH on brain MRI. Materials and Methods: This retrospective study analyzed 2D T2-weighted MRI data from pregnant women collected from October 2015 to October 2023 at one hospital (internal validation) and two hospitals (external validation). Eligible participants included healthy fetuses and those with GMH-IVH. FreeHemoSeg was developed and trained using pseudo GMH-IVH images synthesized from normal fetal data guided by medical priors. Primary outcomes included diagnostic accuracy (area under the ROC curve [AUROC], sensitivity, specificity) and segmentation accuracy (Dice similarity coefficient [DSC]). A reader study evaluated clinical utility. Results: A total of 1674 stacks from 558 pregnant women were analyzed. FreeHemoSeg achieved the highest performance in both internal (sensitivity: 0.914, 95% CI 0.869-0.945; specificity: 0.966, 95% CI 0.946-0.978; DSC: 0.559, 95% CI 0.546-0.571) and external validation (sensitivity: 0.824, 95% CI 0.739-0.885; specificity: 0.943, 95% CI 0.913-0.964; DSC: 0.512, 95% CI 0.497-0.526), outperforming supervised and unsupervised methods. FreeHemoSeg assistance improved radiologists' sensitivity (from 0.882 to 0.941-1.000) and diagnostic confidence while reducing interpretation time by 16.0-52.7%. Conclusion: FreeHemoSeg accurately detects and localizes fetal brain hemorrhages without annotated training data, enabling earlier diagnosis and supporting timely clinical management.

Xiangjian Jiang, Mingxuan Liu, Nikola Simidjievski et al.

Generative modelling is a demanding test of foundation models, because it requires robust, holistic representation learning for a given data modality, rather than optimisation for a supervised prediction target alone. While recent work on tabular foundation models has achieved remarkable progress in predictive modelling, generative tabular foundation models remain underexplored. Existing tabular foundation generators, in particular, have not yet consistently matched strong dataset-specific generators in synthetic data quality. A key reason is their misalignment with the distinctive causal structural prior of heterogeneous tabular data. In this paper, we address this gap by introducing a novel tabular foundation model, \textbf{TabFORGE}, built on pretrained \textbf{Tab}ular \textbf{FO}undational \textbf{R}epresentations for \textbf{GE}neration. TabFORGE is designed to utilise the implicitly learned causal information underlying diverse tabular datasets in a unified latent space induced by a pretrained causality-aware feature encoder. It further decouples latent modelling from decoding through a two-stage design: we first pretrain a score-based diffusion transformer, and then pretrain a denoising-aligned decoder using the denoised latent embeddings. This design elegantly mitigates the distribution shifts in latent embeddings that typically arise between training and inference. We evaluate TabFORGE comprehensively against 22 benchmark methods on 45 real-world datasets. Our results show that TabFORGE effectively learns and leverages generalisable tabular representations, enabling efficient generation of high-quality synthetic tabular data, particularly with strong structural fidelity.

Mingxuan Liu, Jiankai Tang, Yongli Chen et al. · tsinghua

Artificial neural networks (ANNs) can help camera-based remote photoplethysmography (rPPG) in measuring cardiac activity and physiological signals from facial videos, such as pulse wave, heart rate and respiration rate with better accuracy. However, most existing ANN-based methods require substantial computing resources, which poses challenges for effective deployment on mobile devices. Spiking neural networks (SNNs), on the other hand, hold immense potential for energy-efficient deep learning owing to their binary and event-driven architecture. To the best of our knowledge, we are the first to introduce SNNs into the realm of rPPG, proposing a hybrid neural network (HNN) model, the Spiking-PhysFormer, aimed at reducing power consumption. Specifically, the proposed Spiking-PhyFormer consists of an ANN-based patch embedding block, SNN-based transformer blocks, and an ANN-based predictor head. First, to simplify the transformer block while preserving its capacity to aggregate local and global spatio-temporal features, we design a parallel spike transformer block to replace sequential sub-blocks. Additionally, we propose a simplified spiking self-attention mechanism that omits the value parameter without compromising the model's performance. Experiments conducted on four datasets-PURE, UBFC-rPPG, UBFC-Phys, and MMPD demonstrate that the proposed model achieves a 12.4\% reduction in power consumption compared to PhysFormer. Additionally, the power consumption of the transformer block is reduced by a factor of 12.2, while maintaining decent performance as PhysFormer and other ANN-based models.

Xuguang Bai, Mingxuan Liu, Tongxi Song et al.

Chest computed tomography (CT) is central to the detection and management of thoracic disease, yet the growing scale and complexity of volumetric imaging increasingly exceed what can be addressed by scan-level prediction alone. Clinically useful AI for CT must not only recognize disease across the whole volume, but also localize abnormalities and provide interpretable visual evidence. Existing vision-language foundation models typically compress scans and reports into global image-text representations, limiting their ability to preserve spatial evidence and support clinically meaningful interpretation. Here we developed EXACT, an explainable anomaly-aware foundation model for three-dimensional chest CT that learns spatially resolved representations from paired clinical scans and radiology reports. EXACT was pre-trained on 25,692 CT-reports pairs using anatomy-aware weak supervision, jointly learning organ segmentation and multi-instance anomaly localization without manual voxel-level annotations. The resulting organ-specific anomaly-aware maps assign each voxel a disease-specific anomaly score confined to its corresponding anatomy, jointly encoding lesion extent and organ-level context. In retrospective multinational and multi-center evaluations, EXACT showed broad and consistent improvements across clinically relevant CT tasks, spanning multi-disease diagnosis, zero-shot anomaly localization, downstream adaptation, and visually grounded report generation, outperforming existing three-dimensional medical foundation models. By transforming routine clinical CT scans and free-text reports into explainable voxel-level representations, EXACT establishes a scalable paradigm for trustworthy volumetric medical AI.

Ziwen Wang, Jin Wee Lee, Tanujit Chakraborty et al.

Survival analysis is essential for studying time-to-event outcomes and providing a dynamic understanding of the probability of an event occurring over time. Various survival analysis techniques, from traditional statistical models to state-of-the-art machine learning algorithms, support healthcare intervention and policy decisions. However, there remains ongoing discussion about their comparative performance. We conducted a comparative study of several survival analysis methods, including Cox proportional hazards (CoxPH), stepwise CoxPH, elastic net penalized Cox model, Random Survival Forests (RSF), Gradient Boosting machine (GBM) learning, AutoScore-Survival, DeepSurv, time-dependent Cox model based on neural network (CoxTime), and DeepHit survival neural network. We applied the concordance index (C-index) for model goodness-of-fit, and integral Brier scores (IBS) for calibration, and considered the model interpretability. As a case study, we performed a retrospective analysis of patients admitted through the emergency department of a tertiary hospital from 2017 to 2019, predicting 90-day all-cause mortality based on patient demographics, clinicopathological features, and historical data. The results of the C-index indicate that deep learning achieved comparable performance, with DeepSurv producing the best discrimination (DeepSurv: 0.893; CoxTime: 0.892; DeepHit: 0.891). The calibration of DeepSurv (IBS: 0.041) performed the best, followed by RSF (IBS: 0.042) and GBM (IBS: 0.0421), all using the full variables. Moreover, AutoScore-Survival, using a minimal variable subset, is easy to interpret, and can achieve good discrimination and calibration (C-index: 0.867; IBS: 0.044). While all models were satisfactory, DeepSurv exhibited the best discrimination and calibration. In addition, AutoScore-Survival offers a more parsimonious model and excellent interpretability.

Jasmine Chiat Ling Ong, Yilin Ning, Mingxuan Liu et al.

The integration of generative AI (GenAI) and large language models (LLMs) in healthcare presents both unprecedented opportunities and challenges, necessitating innovative regulatory approaches. GenAI and LLMs offer broad applications, from automating clinical workflows to personalizing diagnostics. However, the non-deterministic outputs, broad functionalities and complex integration of GenAI and LLMs challenge existing medical device regulatory frameworks, including the total product life cycle (TPLC) approach. Here we discuss the constraints of the TPLC approach to GenAI and LLM-based medical device regulation, and advocate for global collaboration in regulatory science research. This serves as the foundation for developing innovative approaches including adaptive policies and regulatory sandboxes, to test and refine governance in real-world settings. International harmonization, as seen with the International Medical Device Regulators Forum, is essential to manage implications of LLM on global health, including risks of widening health inequities driven by inherent model biases. By engaging multidisciplinary expertise, prioritizing iterative, data-driven approaches, and focusing on the needs of diverse populations, global regulatory science research enables the responsible and equitable advancement of LLM innovations in healthcare.

Kegang Wang, Jiankai Tang, Yantao Wei et al. · tsinghua

Remote photoplethysmography (rPPG) extracts PPG signals from subtle color changes in facial videos, showing strong potential for health applications. However, most rPPG methods rely on intensity differences between consecutive frames, missing long-term signal variations affected by motion or lighting artifacts, which reduces accuracy. This paper introduces Temporal Normalization (TN), a flexible plug-and-play module compatible with any end-to-end rPPG network architecture. By capturing long-term temporally normalized features following detrending, TN effectively mitigates motion and lighting artifacts, significantly boosting the rPPG prediction performance. When integrated into four state-of-the-art rPPG methods, TN delivered performance improvements ranging from 34.3% to 94.2% in heart rate measurement tasks across four widely-used datasets. Notably, TN showed even greater performance gains in smaller models. We further discuss and provide insights into the mechanisms behind TN's effectiveness.

Mingxuan Liu, Zhun Zhong, Jun Li et al.

In this work, we introduce and study the novel task of Open-ended Semantic Multiple Clustering (OpenSMC). Given a large, unstructured image collection, the goal is to automatically discover several, diverse semantic clustering criteria (e.g., Activity or Location) from the images, and subsequently organize them according to the discovered criteria, without requiring any human input. Our framework, X-Cluster: eXploratory Clustering, treats text as a reasoning proxy: it concurrently scans the entire image collection, proposes candidate criteria in natural language, and groups images into meaningful clusters per criterion. This radically differs from previous works, which either assume predefined clustering criteria or fixed cluster counts. To evaluate X-Cluster, we create two new benchmarks, COCO-4C and Food-4C, each annotated with four distinct grouping criteria and corresponding cluster labels. Experiments show that X-Cluster can effectively reveal meaningful partitions on several datasets. Finally, we use X-Cluster to achieve various real-world applications, including uncovering hidden biases in text-to-image (T2I) generative models and analyzing image virality on social media. Project page: https://oatmealliu.github.io/xcluster.html

Mingxuan Liu, Yilin Ning, Yuhe Ke et al.

The escalating integration of machine learning in high-stakes fields such as healthcare raises substantial concerns about model fairness. We propose an interpretable framework - Fairness-Aware Interpretable Modeling (FAIM), to improve model fairness without compromising performance, featuring an interactive interface to identify a "fairer" model from a set of high-performing models and promoting the integration of data-driven evidence and clinical expertise to enhance contextualized fairness. We demonstrated FAIM's value in reducing sex and race biases by predicting hospital admission with two real-world databases, MIMIC-IV-ED and SGH-ED. We show that for both datasets, FAIM models not only exhibited satisfactory discriminatory performance but also significantly mitigated biases as measured by well-established fairness metrics, outperforming commonly used bias-mitigation methods. Our approach demonstrates the feasibility of improving fairness without sacrificing performance and provides an a modeling mode that invites domain experts to engage, fostering a multidisciplinary effort toward tailored AI fairness.

Yitong Zhang, Yuhan Xiang, Mingxuan Liu

From a pragmatic perspective, this study systematically evaluates the differences in performance among representative large language models (LLMs) in recognizing politeness, impoliteness, and mock politeness phenomena in Chinese. Addressing the existing gaps in pragmatic comprehension, the research adopts the frameworks of Rapport Management Theory and the Model of Mock Politeness to construct a three-category dataset combining authentic and simulated Chinese discourse. Six representative models, including GPT-5.1 and DeepSeek, were selected as test subjects and evaluated under four prompting conditions: zero-shot, few-shot, knowledge-enhanced, and hybrid strategies. This study serves as a meaningful attempt within the paradigm of ``Great Linguistics,'' offering a novel approach to applying pragmatic theory in the age of technological transformation. It also responds to the contemporary question of how technology and the humanities may coexist, representing an interdisciplinary endeavor that bridges linguistic technology and humanistic reflection.

Mingxuan Liu, Yilin Ning, Haoyuan Wang et al.

As machine learning models become increasingly integrated into healthcare, structural inequities and social biases embedded in clinical data can be perpetuated or even amplified by data-driven models. In survival analysis, censoring and time dynamics can further add complexity to fair model development. Additionally, algorithmic fairness approaches often overlook disparities in cross-group rankings, e.g., high-risk Black patients may be ranked below lower-risk White patients who do not experience the event of mortality. Such misranking can reinforce biological essentialism and undermine equitable care. We propose a Fairness-Aware Survival Modeling (FASM), designed to mitigate algorithmic bias regarding both intra-group and cross-group risk rankings over time. Using breast cancer prognosis as a representative case and applying FASM to SEER breast cancer data, we show that FASM substantially improves fairness while preserving discrimination performance comparable to fairness-unaware survival models. Time-stratified evaluations show that FASM maintains stable fairness over a 10-year horizon, with the greatest improvements observed during the mid-term of follow-up. Our approach enables the development of survival models that prioritize both accuracy and equity in clinical decision-making, advancing fairness as a core principle in clinical care.

Mingxuan Liu, Honglin He, Elisa Ricci et al.

Urban embodied AI agents, ranging from delivery robots to quadrupeds, are increasingly populating our cities, navigating chaotic streets to provide last-mile connectivity. Training such agents requires diverse, high-fidelity urban environments to scale, yet existing human-crafted or procedurally generated simulation scenes either lack scalability or fail to capture real-world complexity. We introduce UrbanVerse, a data-driven real-to-sim system that converts crowd-sourced city-tour videos into physics-aware, interactive simulation scenes. UrbanVerse consists of: (i) UrbanVerse-100K, a repository of 100k+ annotated urban 3D assets with semantic and physical attributes, and (ii) UrbanVerse-Gen, an automatic pipeline that extracts scene layouts from video and instantiates metric-scale 3D simulations using retrieved assets. Running in IsaacSim, UrbanVerse offers 160 high-quality constructed scenes from 24 countries, along with a curated benchmark of 10 artist-designed test scenes. Experiments show that UrbanVerse scenes preserve real-world semantics and layouts, achieving human-evaluated realism comparable to manually crafted scenes. In urban navigation, policies trained in UrbanVerse exhibit scaling power laws and strong generalization, improving success by +6.3% in simulation and +30.1% in zero-shot sim-to-real transfer comparing to prior methods, accomplishing a 300 m real-world mission with only two interventions.

Jun Li, Che Liu, Wenjia Bai et al.

In this work, we address the problem of grounding abnormalities in medical images, where the goal is to localize clinical findings based on textual descriptions. While generalist Vision-Language Models (VLMs) excel in natural grounding tasks, they often struggle in the medical domain due to rare, compositional, and domain-specific terms that are poorly aligned with visual patterns. Specialized medical VLMs address this challenge via large-scale domain pretraining, but at the cost of substantial annotation and computational resources. To overcome these limitations, we propose \textbf{Knowledge to Sight (K2Sight)}, a framework that introduces structured semantic supervision by decomposing clinical concepts into interpretable visual attributes, such as shape, density, and anatomical location. These attributes are distilled from domain ontologies and encoded into concise instruction-style prompts, which guide region-text alignment during training. Unlike conventional report-level supervision, our approach explicitly bridges domain knowledge and spatial structure, enabling data-efficient training of compact models. We train compact models with 0.23B and 2B parameters using only 1.5\% of the data required by state-of-the-art medical VLMs. Despite their small size and limited training data, these models achieve performance on par with or better than 7B+ medical VLMs, with up to 9.82\% improvement in $mAP_{50}$. Code and models: \href{https://lijunrio.github.io/K2Sight/}{\textcolor{SOTAPink}{https://lijunrio.github.io/K2Sight/}}.

Guodong Sun, Mingjing Li, Dingjie Liu et al.

As an essential component of logistics automation, the automated loading system is becoming a critical technology for enhancing operational efficiency and safety. Precise automatic positioning of the truck compartment, which serves as the loading area, is the primary step in automated loading. However, existing methods have difficulty adapting to truck compartments of various sizes, do not establish a unified coordinate system for LiDAR and mobile manipulators, and often exhibit reliability issues in cluttered environments. To address these limitations, our study focuses on achieving precise automatic positioning of key points in large, medium, and small fence-style truck compartments in cluttered scenarios. We propose an innovative wide field-of-view 3-D LiDAR vehicle compartment automatic localization system. For vehicles of various sizes, this system leverages the LiDAR to generate high-density point clouds within an extensive field-of-view range. By incorporating parking area constraints, our vehicle point cloud segmentation method more effectively segments vehicle point clouds within the scene. Our compartment key point positioning algorithm utilizes the geometric features of the compartments to accurately locate the corner points, providing stackable spatial regions. Extensive experiments on our collected data and public datasets demonstrate that this system offers reliable positioning accuracy and reduced computational resource consumption, leading to its application and promotion in relevant fields.

Yilin Ning, Yian Ma, Mingxuan Liu et al.

Fairness in artificial intelligence (AI) prediction models is increasingly emphasized to support responsible adoption in high-stakes domains such as health care and criminal justice. Guidelines and implementation frameworks highlight the importance of both predictive accuracy and equitable outcomes. However, current fairness toolkits often evaluate classification performance disparities in isolation, with limited attention to other critical aspects such as calibration. To address these gaps, we present seeBias, an R package for comprehensive evaluation of model fairness and predictive performance. seeBias offers an integrated evaluation across classification, calibration, and other performance domains, providing a more complete view of model behavior. It includes customizable visualizations to support transparent reporting and responsible AI implementation. Using public datasets from criminal justice and healthcare, we demonstrate how seeBias supports fairness evaluations, and uncovers disparities that conventional fairness metrics may overlook. The R package is available on GitHub, and a Python version is under development.

Platon Lukyanenko, Joshua Mayourian, Mingxuan Liu et al.

Artificial intelligence applied to electrocardiography (AI-ECG) shows potential for mortality prediction, but heterogeneous approaches and private datasets have limited generalizable insights. To address this, we systematically evaluated model design choices across three large cohorts: Beth Israel Deaconess (MIMIC-IV: n = 795,546 ECGs, United States), Telehealth Network of Minas Gerais (Code-15: n = 345,779, Brazil), and Boston Children's Hospital (BCH: n = 255,379, United States). We evaluated models predicting all-cause mortality, comparing horizon-based classification and deep survival methods with neural architectures including convolutional networks and transformers, benchmarking against demographic-only and gradient boosting baselines. Top models performed well (median concordance: Code-15, 0.83; MIMIC-IV, 0.78; BCH, 0.81). Incorporating age and sex improved performance across all datasets. Classifier-Cox models showed site-dependent sensitivity to horizon choice (median Pearson's R: Code-15, 0.35; MIMIC-IV, -0.71; BCH, 0.37). External validation reduced concordance, and in some cases demographic-only models outperformed externally trained AI-ECG models on Code-15. However, models trained on multi-site data outperformed site-specific models by 5-22%. Findings highlight factors for robust AI-ECG deployment: deep survival methods outperformed horizon-based classifiers, demographic covariates improved predictive performance, classifier-based models required site-specific calibration, and cross-cohort training, even between adult and pediatric cohorts, substantially improved performance. These results emphasize the importance of model type, demographics, and training diversity in developing AI-ECG models reliably applicable across populations.

Rui Yang, Yilin Ning, Emilia Keppo et al.

Generative artificial intelligence (AI) has brought revolutionary innovations in various fields, including medicine. However, it also exhibits limitations. In response, retrieval-augmented generation (RAG) provides a potential solution, enabling models to generate more accurate contents by leveraging the retrieval of external knowledge. With the rapid advancement of generative AI, RAG can pave the way for connecting this transformative technology with medical applications and is expected to bring innovations in equity, reliability, and personalization to health care.

Mingxuan Liu, Subhankar Roy, Wenjing Li et al.

Identifying subordinate-level categories from images is a longstanding task in computer vision and is referred to as fine-grained visual recognition (FGVR). It has tremendous significance in real-world applications since an average layperson does not excel at differentiating species of birds or mushrooms due to subtle differences among the species. A major bottleneck in developing FGVR systems is caused by the need of high-quality paired expert annotations. To circumvent the need of expert knowledge we propose Fine-grained Semantic Category Reasoning (FineR) that internally leverages the world knowledge of large language models (LLMs) as a proxy in order to reason about fine-grained category names. In detail, to bridge the modality gap between images and LLM, we extract part-level visual attributes from images as text and feed that information to a LLM. Based on the visual attributes and its internal world knowledge the LLM reasons about the subordinate-level category names. Our training-free FineR outperforms several state-of-the-art FGVR and language and vision assistant models and shows promise in working in the wild and in new domains where gathering expert annotation is arduous.