Qianhan Feng

Qianhan Feng, Zhongzhen Huang, Yakun Zhu et al.

Vision-Language Models (VLMs) show promise in medical diagnosis, yet suffer from reasoning detachment, where linguistically fluent explanations drift from verifiable image evidence, undermining clinical trust. Recent multi-agent frameworks simulate Multidisciplinary Team (MDT) debates to mitigate single-model bias, but open-ended discussions amplify textual noise and computational cost while failing to anchor reasoning to visual evidence, the cornerstone of medical decision-making. We propose UCAgents, a hierarchical multi-agent framework enforcing unidirectional convergence through structured evidence auditing. Inspired by clinical workflows, UCAgents forbids position changes and limits agent interactions to targeted evidence verification, suppressing rhetorical drift while amplifying visual signal extraction. In UCAgents, a one-round inquiry discussion is introduced to uncover potential risks of visual-textual misalignment. This design jointly constrains visual ambiguity and textual noise, a dual-noise bottleneck that we formalize via information theory. Extensive experiments on four medical VQA benchmarks show UCAgents achieves superior accuracy (71.3% on PathVQA, +6.0% over state-of-the-art) with 87.7% lower token cost, the evaluation results further confirm that UCAgents strikes a balance between uncovering more visual evidence and avoiding confusing textual interference. These results demonstrate that UCAgents exhibits both diagnostic reliability and computational efficiency critical for real-world clinical deployment. Code is available at https://github.com/fqhank/UCAgents.

Qianhan Feng, Zhongzhen Huang, Yakun Zhu et al.

Experienced physicians develop diagnostic expertise through clinical practice, acquiring not only disease knowledge but also the ability to differentiate confusable conditions. Current medical vision-language models (VLMs) lack this capability -- their parameters encode static knowledge that does not evolve across diagnostic encounters. We propose MedExpMem, an experience memory framework enabling VLM-based diagnostic agents to accumulate differential diagnosis expertise. Unlike retrieval-augmented generation, which retrieves encyclopedic disease descriptions, MedExpMem memorizes discriminative experience derived from the agent's own diagnostic failures and organizes them as pairwise differential notes encoding key discriminators, actionable decision rules and reasoning error patterns. The framework adopts a two-phase construction process mirroring physician learning: initial practice exposes knowledge gaps, and reflective re-diagnosis refines understanding. When encountering new cases, the agent retrieves experience memory to guide differential reasoning. We evaluate MedExpMem on a radiology benchmark spanning 11 subspecialties. Results demonstrate consistent accuracy improvements, maximum 7.0%, across diverse models and scales. Analytical experiments validate experience quality and robustness, demonstrating MedExpMem as a competitive method addresses medical adaptation needs beyond the reach of parameteric learning.

Qianhan Feng, Wenshuo Li, Tong Lin et al.

Vision-Language Models (VLMs) bring powerful understanding and reasoning capabilities to multimodal tasks. Meanwhile, the great need for capable aritificial intelligence on mobile devices also arises, such as the AI assistant software. Some efforts try to migrate VLMs to edge devices to expand their application scope. Simplifying the model structure is a common method, but as the model shrinks, the trade-off between performance and size becomes more and more difficult. Knowledge distillation (KD) can help models improve comprehensive capabilities without increasing size or data volume. However, most of the existing large model distillation techniques only consider applications on single-modal LLMs, or only use teachers to create new data environments for students. None of these methods take into account the distillation of the most important cross-modal alignment knowledge in VLMs. We propose a method called Align-KD to guide the student model to learn the cross-modal matching that occurs at the shallow layer. The teacher also helps student learn the projection of vision token into text embedding space based on the focus of text. Under the guidance of Align-KD, the 1.7B MobileVLM V2 model can learn rich knowledge from the 7B teacher model with light design of training loss, and achieve an average score improvement of 2.0 across 6 benchmarks under two training subsets respectively. Code is available at: https://github.com/fqhank/Align-KD.

Qianhan Feng, Wenshuo Li, Tong Lin et al.

Weakly-supervised Temporal Action Localization (WSTAL) aims to localize actions in untrimmed videos using only video-level supervision. Latest WSTAL methods introduce pseudo label learning framework to bridge the gap between classification-based training and inferencing targets at localization, and achieve cutting-edge results. In these frameworks, a classification-based model is used to generate pseudo labels for a regression-based student model to learn from. However, the quality of pseudo labels in the framework, which is a key factor to the final result, is not carefully studied. In this paper, we propose a set of simple yet efficient pseudo label quality enhancement mechanisms to build our FuSTAL framework. FuSTAL enhances pseudo label quality at three stages: cross-video contrastive learning at proposal Generation-Stage, prior-based filtering at proposal Selection-Stage and EMA-based distillation at Training-Stage. These designs enhance pseudo label quality at different stages in the framework, and help produce more informative, less false and smoother action proposals. With the help of these comprehensive designs at all stages, FuSTAL achieves an average mAP of 50.8% on THUMOS'14, outperforming the previous best method by 1.2%, and becomes the first method to reach the milestone of 50%.

Yakun Zhu, Zhongzhen Huang, Qianhan Feng et al.

Medical care follows complex clinical pathways that extend beyond isolated physician-patient encounters, emphasizing decision-making and transitions between different stages. Current benchmarks focusing on static exams or isolated dialogues inadequately evaluate large language models (LLMs) in dynamic clinical scenarios. We introduce CP-Env, a controllable agentic hospital environment designed to evaluate LLMs across end-to-end clinical pathways. CP-Env simulates a hospital ecosystem with patient and physician agents, constructing scenarios ranging from triage and specialist consultation to diagnostic testing and multidisciplinary team meetings for agent interaction. Following real hospital adaptive flow of healthcare, it enables branching, long-horizon task execution. We propose a three-tiered evaluation framework encompassing Clinical Efficacy, Process Competency, and Professional Ethics. Results reveal that most models struggle with pathway complexity, exhibiting hallucinations and losing critical diagnostic details. Interestingly, excessive reasoning steps can sometimes prove counterproductive, while top models tend to exhibit reduced tool dependency through internalized knowledge. CP-Env advances medical AI agents development through comprehensive end-to-end clinical evaluation. We provide the benchmark and evaluation tools for further research and development at https://github.com/SPIRAL-MED/CP_ENV.

Qianhan Feng, Lujing Xie, Shijie Fang et al.

Semi-supervised Learning (SSL) reduces the need for extensive annotations in deep learning, but the more realistic challenge of imbalanced data distribution in SSL remains largely unexplored. In Class Imbalanced Semi-supervised Learning (CISSL), the bias introduced by unreliable pseudo-labels can be exacerbated by imbalanced data distributions. Most existing methods address this issue at instance-level through reweighting or resampling, but the performance is heavily limited by their reliance on biased backbone representation. Some other methods do perform feature-level adjustments like feature blending but might introduce unfavorable noise. In this paper, we discuss the bonus of a more balanced feature distribution for the CISSL problem, and further propose a Balanced Feature-Level Contrastive Learning method (BaCon). Our method directly regularizes the distribution of instances' representations in a well-designed contrastive manner. Specifically, class-wise feature centers are computed as the positive anchors, while negative anchors are selected by a straightforward yet effective mechanism. A distribution-related temperature adjustment is leveraged to control the class-wise contrastive degrees dynamically. Our method demonstrates its effectiveness through comprehensive experiments on the CIFAR10-LT, CIFAR100-LT, STL10-LT, and SVHN-LT datasets across various settings. For example, BaCon surpasses instance-level method FixMatch-based ABC on CIFAR10-LT with a 1.21% accuracy improvement, and outperforms state-of-the-art feature-level method CoSSL on CIFAR100-LT with a 0.63% accuracy improvement. When encountering more extreme imbalance degree, BaCon also shows better robustness than other methods.

Shijie Fang, Qianhan Feng, Tong Lin

Despite the progress of Semi-supervised Learning (SSL), existing methods fail to utilize unlabeled data effectively and efficiently. Many pseudo-label-based methods select unlabeled examples based on inaccurate confidence scores from the classifier. Most prior work also uses all available unlabeled data without pruning, making it difficult to handle large amounts of unlabeled data. To address these issues, we propose two methods: Variational Confidence Calibration (VCC) and Influence-Function-based Unlabeled Sample Elimination (INFUSE). VCC is an universal plugin for SSL confidence calibration, using a variational autoencoder to select more accurate pseudo labels based on three types of consistency scores. INFUSE is a data pruning method that constructs a core dataset of unlabeled examples under SSL. Our methods are effective in multiple datasets and settings, reducing classification errors rates and saving training time. Together, VCC-INFUSE reduces the error rate of FlexMatch on the CIFAR-100 dataset by 1.08% while saving nearly half of the training time.