Haiqing Li

Haiqing Li, Yuzhi Guo, Feng Jiang et al.

Early-stage scoliosis is often difficult to detect, particularly in adolescents, where delayed diagnosis can lead to serious health issues. Traditional X-ray-based methods carry radiation risks and rely heavily on clinical expertise, limiting their use in large-scale screenings. To overcome these challenges, we propose a Text-Guided Multi-Instance Learning Network (TG-MILNet) for non-invasive scoliosis detection using gait videos. To handle temporal misalignment in gait sequences, we employ Dynamic Time Warping (DTW) clustering to segment videos into key gait phases. To focus on the most relevant diagnostic features, we introduce an Inter-Bag Temporal Attention (IBTA) mechanism that highlights critical gait phases. Recognizing the difficulty in identifying borderline cases, we design a Boundary-Aware Model (BAM) to improve sensitivity to subtle spinal deviations. Additionally, we incorporate textual guidance from domain experts and large language models (LLM) to enhance feature representation and improve model interpretability. Experiments on the large-scale Scoliosis1K gait dataset show that TG-MILNet achieves state-of-the-art performance, particularly excelling in handling class imbalance and accurately detecting challenging borderline cases. The code is available at https://github.com/lhqqq/TG-MILNet

Haiqing Li, Yuzhi Guo, Feng Jiang et al.

Scoliosis is a spinal curvature disorder that is difficult to detect early and can compress the chest cavity, impacting respiratory function and cardiac health. Especially for adolescents, delayed detection and treatment result in worsening compression. Traditional scoliosis detection methods heavily rely on clinical expertise, and X-ray imaging poses radiation risks, limiting large-scale early screening. We propose an Attention-Guided Deep Multi-Instance Learning method (Gait-MIL) to effectively capture discriminative features from gait patterns, which is inspired by ScoNet-MT's pioneering use of gait patterns for scoliosis detection. We evaluate our method on the first large-scale dataset based on gait patterns for scoliosis classification. The results demonstrate that our study improves the performance of using gait as a biomarker for scoliosis detection, significantly enhances detection accuracy for the particularly challenging Neutral cases, where subtle indicators are often overlooked. Our Gait-MIL also performs robustly in imbalanced scenarios, making it a promising tool for large-scale scoliosis screening.

Peidong Liu, Junjiang Lin, Shaowen Wang et al.

Contextual Markov Decision Processes (CMDPs) offer a framework for sequential decision-making under external signals, but existing methods often fail to generalize in high-dimensional or unstructured contexts, resulting in excessive computation and unstable performance. We propose an information-theoretic summarization approach that uses large language models (LLMs) to compress contextual inputs into low-dimensional, semantically rich summaries. These summaries augment states by preserving decision-critical cues while reducing redundancy. Building on the notion of approximate context sufficiency, we provide, to our knowledge, the first regret bounds and a latency-entropy trade-off characterization for CMDPs. Our analysis clarifies how informativeness impacts computational cost. Experiments across discrete, continuous, visual, and recommendation benchmarks show that our method outperforms raw-context and non-context baselines, improving reward, success rate, and sample efficiency, while reducing latency and memory usage. These findings demonstrate that LLM-based summarization offers a scalable and interpretable solution for efficient decision-making in context-rich, resource-constrained environments.