Ling Zhang

Yang Liu, Jiajin Zhang, Danyang Tu et al.

Breast cancer remains a leading cause of cancer-related mortality among women. Its clinical management requires multimodal reasoning across a clinical workflow that spans \textit{screening}, \textit{diagnosis} and \textit{treatment planning}, where each stage involves distinct imaging modalities, task objectives, and reasoning patterns. However, constrained by data scarcity and model versatility, existing medical MLLMs are typically evaluated on isolated modalities or narrow task families, limiting their ability to support workflow-level clinical reasoning. In this work, we first introduce \textbf{BreastStage}, a workflow-aligned breast imaging instruction corpus comprising 1.86M instruction-following pairs curated from 17 sub-datasets across 5 imaging modalities and 136 task templates. Its held-out split, \textbf{BreastStage-Bench}, provides a comprehensive benchmark for evaluating multimodal reasoning across the breast cancer care continuum. Building on this corpus, we propose \textbf{BreastGPT}, a unified MLLM equipped with a dual-branch visual encoder and concept-preserving token compression to bridge the scale gap between standard radiology and gigapixel pathology. On BreastStage-Bench, BreastGPT achieves 75.66\% closed-ended accuracy and 89.92\% open-ended score, outperforming both general-purpose and medical-specific MLLMs across clinical stages and task formats. These results suggest that workflow-aligned data and cross-scale visual modeling are critical for clinically grounded medical MLLMs. All data, code, and model checkpoints are released at https://yangyy-liu.github.io/BreastGPT.io.

Jieneng Chen, Yingda Xia, Jiawen Yao et al.

Human readers or radiologists routinely perform full-body multi-organ multi-disease detection and diagnosis in clinical practice, while most medical AI systems are built to focus on single organs with a narrow list of a few diseases. This might severely limit AI's clinical adoption. A certain number of AI models need to be assembled non-trivially to match the diagnostic process of a human reading a CT scan. In this paper, we construct a Unified Tumor Transformer (CancerUniT) model to jointly detect tumor existence & location and diagnose tumor characteristics for eight major cancers in CT scans. CancerUniT is a query-based Mask Transformer model with the output of multi-tumor prediction. We decouple the object queries into organ queries, tumor detection queries and tumor diagnosis queries, and further establish hierarchical relationships among the three groups. This clinically-inspired architecture effectively assists inter- and intra-organ representation learning of tumors and facilitates the resolution of these complex, anatomically related multi-organ cancer image reading tasks. CancerUniT is trained end-to-end using a curated large-scale CT images of 10,042 patients including eight major types of cancers and occurring non-cancer tumors (all are pathology-confirmed with 3D tumor masks annotated by radiologists). On the test set of 631 patients, CancerUniT has demonstrated strong performance under a set of clinically relevant evaluation metrics, substantially outperforming both multi-disease methods and an assembly of eight single-organ expert models in tumor detection, segmentation, and diagnosis. This moves one step closer towards a universal high performance cancer screening tool.

Fanxing Liu, Cheng Zeng, Le Zhang et al.

Time series anomaly detection strives to uncover potential abnormal behaviors and patterns from temporal data, and has fundamental significance in diverse application scenarios. Constructing an effective detection model usually requires adequate training data stored in a centralized manner, however, this requirement sometimes could not be satisfied in realistic scenarios. As a prevailing approach to address the above problem, federated learning has demonstrated its power to cooperate with the distributed data available while protecting the privacy of data providers. However, it is still unclear that how existing time series anomaly detection algorithms perform with decentralized data storage and privacy protection through federated learning. To study this, we conduct a federated time series anomaly detection benchmark, named FedTADBench, which involves five representative time series anomaly detection algorithms and four popular federated learning methods. We would like to answer the following questions: (1)How is the performance of time series anomaly detection algorithms when meeting federated learning? (2) Which federated learning method is the most appropriate one for time series anomaly detection? (3) How do federated time series anomaly detection approaches perform on different partitions of data in clients? Numbers of results as well as corresponding analysis are provided from extensive experiments with various settings. The source code of our benchmark is publicly available at https://github.com/fanxingliu2020/FedTADBench.

Mingze Yuan, Yingda Xia, Hexin Dong et al.

Real-world medical image segmentation has tremendous long-tailed complexity of objects, among which tail conditions correlate with relatively rare diseases and are clinically significant. A trustworthy medical AI algorithm should demonstrate its effectiveness on tail conditions to avoid clinically dangerous damage in these out-of-distribution (OOD) cases. In this paper, we adopt the concept of object queries in Mask Transformers to formulate semantic segmentation as a soft cluster assignment. The queries fit the feature-level cluster centers of inliers during training. Therefore, when performing inference on a medical image in real-world scenarios, the similarity between pixels and the queries detects and localizes OOD regions. We term this OOD localization as MaxQuery. Furthermore, the foregrounds of real-world medical images, whether OOD objects or inliers, are lesions. The difference between them is less than that between the foreground and background, possibly misleading the object queries to focus redundantly on the background. Thus, we propose a query-distribution (QD) loss to enforce clear boundaries between segmentation targets and other regions at the query level, improving the inlier segmentation and OOD indication. Our proposed framework is tested on two real-world segmentation tasks, i.e., segmentation of pancreatic and liver tumors, outperforming previous state-of-the-art algorithms by an average of 7.39% on AUROC, 14.69% on AUPR, and 13.79% on FPR95 for OOD localization. On the other hand, our framework improves the performance of inlier segmentation by an average of 5.27% DSC when compared with the leading baseline nnUNet.

Mauricio Santillana, Ling Zhang, Robert Yantosca

We present upper bounds for the numerical errors introduced when using operator splitting methods to integrate transport and non-linear chemistry processes in global chemical transport models (CTM). We show that (a) operator splitting strategies that evaluate the stiff non-linear chemistry operator at the end of the time step are more accurate, and (b) the results of numerical simulations that use different operator splitting strategies differ by at most 10 percent, in a prototype one-dimensional non-linear chemistry-transport model. We find similar upper bounds in operator splitting numerical errors in global CTM simulations.

Ke Yan, Xiaoli Yin, Yingda Xia et al.

Liver tumor segmentation and classification are important tasks in computer aided diagnosis. We aim to address three problems: liver tumor screening and preliminary diagnosis in non-contrast computed tomography (CT), and differential diagnosis in dynamic contrast-enhanced CT. A novel framework named Pixel-Lesion-pAtient Network (PLAN) is proposed. It uses a mask transformer to jointly segment and classify each lesion with improved anchor queries and a foreground-enhanced sampling loss. It also has an image-wise classifier to effectively aggregate global information and predict patient-level diagnosis. A large-scale multi-phase dataset is collected containing 939 tumor patients and 810 normal subjects. 4010 tumor instances of eight types are extensively annotated. On the non-contrast tumor screening task, PLAN achieves 95% and 96% in patient-level sensitivity and specificity. On contrast-enhanced CT, our lesion-level detection precision, recall, and classification accuracy are 92%, 89%, and 86%, outperforming widely used CNN and transformers for lesion segmentation. We also conduct a reader study on a holdout set of 250 cases. PLAN is on par with a senior human radiologist, showing the clinical significance of our results.

Fakai Wang, Chi-Tung Cheng, Chien-Wei Peng et al.

Liver cancer has high morbidity and mortality rates in the world. Multi-phase CT is a main medical imaging modality for detecting/identifying and diagnosing liver tumors. Automatically detecting and classifying liver lesions in CT images have the potential to improve the clinical workflow. This task remains challenging due to liver lesions' large variations in size, appearance, image contrast, and the complexities of tumor types or subtypes. In this work, we customize a multi-object labeling tool for multi-phase CT images, which is used to curate a large-scale dataset containing 1,631 patients with four-phase CT images, multi-organ masks, and multi-lesion (six major types of liver lesions confirmed by pathology) masks. We develop a two-stage liver lesion detection pipeline, where the high-sensitivity detecting algorithms in the first stage discover as many lesion proposals as possible, and the lesion-reclassification algorithms in the second stage remove as many false alarms as possible. The multi-sensitivity lesion detection algorithm maximizes the information utilization of the individual probability maps of segmentation, and the lesion-shuffle augmentation effectively explores the texture contrast between lesions and the liver. Independently tested on 331 patient cases, the proposed model achieves high sensitivity and specificity for malignancy classification in the multi-phase contrast-enhanced CT (99.2%, 97.1%, diagnosis setting) and in the noncontrast CT (97.3%, 95.7%, screening setting).

Hexin Dong, Jiawen Yao, Yuxing Tang et al.

Pancreatic ductal adenocarcinoma (PDAC) is a highly lethal cancer in which the tumor-vascular involvement greatly affects the resectability and, thus, overall survival of patients. However, current prognostic prediction methods fail to explicitly and accurately investigate relationships between the tumor and nearby important vessels. This paper proposes a novel learnable neural distance that describes the precise relationship between the tumor and vessels in CT images of different patients, adopting it as a major feature for prognosis prediction. Besides, different from existing models that used CNNs or LSTMs to exploit tumor enhancement patterns on dynamic contrast-enhanced CT imaging, we improved the extraction of dynamic tumor-related texture features in multi-phase contrast-enhanced CT by fusing local and global features using CNN and transformer modules, further enhancing the features extracted across multi-phase CT images. We extensively evaluated and compared the proposed method with existing methods in the multi-center (n=4) dataset with 1,070 patients with PDAC, and statistical analysis confirmed its clinical effectiveness in the external test set consisting of three centers. The developed risk marker was the strongest predictor of overall survival among preoperative factors and it has the potential to be combined with established clinical factors to select patients at higher risk who might benefit from neoadjuvant therapy.

Jianpeng Zhang, Xianghua Ye, Jianfeng Zhang et al.

Lung cancer is a leading cause of death worldwide and early screening is critical for improving survival outcomes. In clinical practice, the contextual structure of nodules and the accumulated experience of radiologists are the two core elements related to the accuracy of identification of benign and malignant nodules. Contextual information provides comprehensive information about nodules such as location, shape, and peripheral vessels, and experienced radiologists can search for clues from previous cases as a reference to enrich the basis of decision-making. In this paper, we propose a radiologist-inspired method to simulate the diagnostic process of radiologists, which is composed of context parsing and prototype recalling modules. The context parsing module first segments the context structure of nodules and then aggregates contextual information for a more comprehensive understanding of the nodule. The prototype recalling module utilizes prototype-based learning to condense previously learned cases as prototypes for comparative analysis, which is updated online in a momentum way during training. Building on the two modules, our method leverages both the intrinsic characteristics of the nodules and the external knowledge accumulated from other nodules to achieve a sound diagnosis. To meet the needs of both low-dose and noncontrast screening, we collect a large-scale dataset of 12,852 and 4,029 nodules from low-dose and noncontrast CTs respectively, each with pathology- or follow-up-confirmed labels. Experiments on several datasets demonstrate that our method achieves advanced screening performance on both low-dose and noncontrast scenarios.

Tianwei Lin, Zhongwei Qiu, Jie Cao et al.

Medical vision-language models (VLMs) have rapidly advanced as general-purpose multimodal assistants, yet their deployment in 3D Computed Tomography (CT) analysis remains constrained by a persistent mismatch between optimization objectives and clinical rigor. Current Reinforcement Learning (RL) paradigms still rely on lexical proxy signals that induce ``\textit{Evaluation Hallucinations}'', where models optimize linguistic fluency rather than factual clinical correctness, leading to diagnostically critical errors. To bridge this gap, we introduce the \textbf{Clinical Abnormality Benchmarking Substrate (CABS)}, a structured system that decomposes radiology reports into verifiable clinical semantic units. Using CABS, we identify a ``\textit{Mechanistic Divergence}'' in standard RL, where surface-similarity rewards drive policy gradients to bypass medical facts. We therefore propose \textbf{Trajectory-Integral Feedback GRPO (TIF-GRPO)}, a novel framework integrating control-theoretic principles into policy optimization. By formulating clinical reasoning as a pseudo-temporal trajectory for anomaly discovery, TIF-GRPO regulates anatomy-aware rewards via an integral feedback loop that penalizes persistent omissions as cumulative state errors and suppresses hallucinations as excessive control effort. Experiments on 3D CT benchmarks demonstrate that our approach significantly enhances abnormality detection and clinical faithfulness, establishing a new paradigm for fine-grained regulation in medical VLMs. Our project is available at \href{https://github.com/ZJU4HealthCare/TIF-GRPO}{GitHub}.

Mingze Yuan, Yingda Xia, Xin Chen et al.

Gastric cancer is the third leading cause of cancer-related mortality worldwide, but no guideline-recommended screening test exists. Existing methods can be invasive, expensive, and lack sensitivity to identify early-stage gastric cancer. In this study, we explore the feasibility of using a deep learning approach on non-contrast CT scans for gastric cancer detection. We propose a novel cluster-induced Mask Transformer that jointly segments the tumor and classifies abnormality in a multi-task manner. Our model incorporates learnable clusters that encode the texture and shape prototypes of gastric cancer, utilizing self- and cross-attention to interact with convolutional features. In our experiments, the proposed method achieves a sensitivity of 85.0% and specificity of 92.6% for detecting gastric tumors on a hold-out test set consisting of 100 patients with cancer and 148 normal. In comparison, two radiologists have an average sensitivity of 73.5% and specificity of 84.3%. We also obtain a specificity of 97.7% on an external test set with 903 normal cases. Our approach performs comparably to established state-of-the-art gastric cancer screening tools like blood testing and endoscopy, while also being more sensitive in detecting early-stage cancer. This demonstrates the potential of our approach as a novel, non-invasive, low-cost, and accurate method for opportunistic gastric cancer screening.

Bo Zhou, Yingda Xia, Jiawen Yao et al.

Pancreatic cancer is one of the leading causes of cancer-related death. Accurate detection, segmentation, and differential diagnosis of the full taxonomy of pancreatic lesions, i.e., normal, seven major types of lesions, and other lesions, is critical to aid the clinical decision-making of patient management and treatment. However, existing works focus on segmentation and classification for very specific lesion types (PDAC) or groups. Moreover, none of the previous work considers using lesion prevalence-related non-imaging patient information to assist the differential diagnosis. To this end, we develop a meta-information-aware dual-path transformer and exploit the feasibility of classification and segmentation of the full taxonomy of pancreatic lesions. Specifically, the proposed method consists of a CNN-based segmentation path (S-path) and a transformer-based classification path (C-path). The S-path focuses on initial feature extraction by semantic segmentation using a UNet-based network. The C-path utilizes both the extracted features and meta-information for patient-level classification based on stacks of dual-path transformer blocks that enhance the modeling of global contextual information. A large-scale multi-phase CT dataset of 3,096 patients with pathology-confirmed pancreatic lesion class labels, voxel-wise manual annotations of lesions from radiologists, and patient meta-information, was collected for training and evaluations. Our results show that our method can enable accurate classification and segmentation of the full taxonomy of pancreatic lesions, approaching the accuracy of the radiologist's report and significantly outperforming previous baselines. Results also show that adding the common meta-information, i.e., gender and age, can boost the model's performance, thus demonstrating the importance of meta-information for aiding pancreatic disease diagnosis.

Ling Zhang, Daniel Tabas, Baosen Zhang

In this paper, we consider the scenario-based two-stage stochastic DC optimal power flow (OPF) problem for optimal and reliable dispatch when the load is facing uncertainty. Although this problem is a linear program, it remains computationally challenging to solve due to the large number of scenarios needed to accurately represent the uncertainties. To mitigate the computational issues, many techniques have been proposed to approximate the second-stage decisions so they can be dealt more efficiently. The challenge of finding good policies to approximate the second-stage decisions is that these solutions need to be feasible, which has been difficult to achieve with existing policies. To address these challenges, this paper proposes a learning method to solve the two-stage problem in a more efficient and optimal way. A technique called the gauge map is incorporated into the learning architecture design to guarantee the learned solutions' feasibility to the network constraints. Namely, we can design policies that are feed forward functions and only output feasible solutions. Simulation results on standard IEEE systems show that, compared to iterative solvers and the widely used affine policy, our proposed method not only learns solutions of good quality but also accelerates the computation by orders of magnitude.

Yuan Zhang, Jian Cao, Ling Zhang et al.

The event streams generated by dynamic vision sensors (DVS) are sparse and non-uniform in the spatial domain, while still dense and redundant in the temporal domain. Although spiking neural network (SNN), the event-driven neuromorphic model, has the potential to extract spatio-temporal features from the event streams, it is not effective and efficient. Based on the above, we propose an events sparsification spiking framework dubbed as Razor SNN, pruning pointless event frames progressively. Concretely, we extend the dynamic mechanism based on the global temporal embeddings, reconstruct the features, and emphasize the events effect adaptively at the training stage. During the inference stage, eliminate fruitless frames hierarchically according to a binary mask generated by the trained temporal embeddings. Comprehensive experiments demonstrate that our Razor SNN achieves competitive performance consistently on four events-based benchmarks: DVS 128 Gesture, N-Caltech 101, CIFAR10-DVS and SHD.

Zhilin Zheng, Xu Fang, Jiawen Yao et al.

Lymph node (LN) metastasis status is one of the most critical prognostic and cancer staging factors for patients with resectable pancreatic ductal adenocarcinoma (PDAC), or in general, for any types of solid malignant tumors. Preoperative prediction of LN metastasis from non-invasive CT imaging is highly desired, as it might be straightforwardly used to guide the following neoadjuvant treatment decision and surgical planning. Most studies only capture the tumor characteristics in CT imaging to implicitly infer LN metastasis and very few work exploit direct LN's CT imaging information. To the best of our knowledge, this is the first work to propose a fully-automated LN segmentation and identification network to directly facilitate the LN metastasis status prediction task. Nevertheless LN segmentation/detection is very challenging since LN can be easily confused with other hard negative anatomic structures (e.g., vessels) from radiological images. We explore the anatomical spatial context priors of pancreatic LN locations by generating a guiding attention map from related organs and vessels to assist segmentation and infer LN status. As such, LN segmentation is impelled to focus on regions that are anatomically adjacent or plausible with respect to the specific organs and vessels. The metastasized LN identification network is trained to classify the segmented LN instances into positives or negatives by reusing the segmentation network as a pre-trained backbone and padding a new classification head. More importantly, we develop a LN metastasis status prediction network that combines the patient-wise aggregation results of LN segmentation/identification and deep imaging features extracted from the tumor region. Extensive quantitative nested five-fold cross-validation is conducted on a discovery dataset of 749 patients with PDAC.

Sijing Li, Zhongwei Qiu, Jiang Liu et al.

Accurate tumor analysis is central to clinical radiology and precision oncology, where early detection, reliable lesion characterization, and pathology-level risk assessment guide diagnosis and treatment planning. Chain-of-Thought (CoT) reasoning is particularly important in this setting because it enables step-by-step interpretation from imaging findings to clinical impressions and pathology conclusions, improving traceability and reducing diagnostic errors. Here, we target the clinical tumor analysis task and build a large-scale benchmark that operationalizes a multimodal reasoning pipeline, spanning findings, impressions, and pathology predictions. We curate TumorCoT, a large-scale dataset of 1.5M CoT-labeled VQA instructions paired with 3D CT scans, with step-aligned rationales and cross-modal alignments along the trajectory from findings to impression to pathology, enabling evaluation of both answer accuracy and reasoning consistency. We further propose TumorChain, a multimodal interleaved reasoning framework that tightly couples 3D imaging encoders, clinical text understanding, and organ-level vision-language alignment. Through cross-modal alignment and iterative interleaved causal reasoning, TumorChain grounds visual evidence, aggregates conclusions, and issues pathology predictions after multiple rounds of self-refinement, improving traceability and reducing hallucination risk. Experiments show consistent improvements over strong baselines in lesion detection, impression generation, and pathology classification, and demonstrate strong generalization on the DeepTumorVQA benchmark. These results highlight the potential of multimodal reasoning for reliable and interpretable tumor analysis in clinical practice. Detailed information about our project can be found on our project homepage at https://github.com/ZJU4HealthCare/TumorChain.

Ling Zhang, Boxiang Yun, Ting Jin et al.

Prediction of genetic biomarkers, e.g., microsatellite instability in colorectal cancer is crucial for clinical decision making. But, two primary challenges hamper accurate prediction: (1) It is difficult to construct a pathology-aware representation involving the complex interconnections among pathological components. (2) WSIs contain a large proportion of areas unrelated to genetic biomarkers, which make the model easily overfit simple but irrelative instances. We hereby propose a Dictionary-based hierarchical pathology mining with hard-instance-assisted classifier Debiasing framework to address these challenges, dubbed as D2Bio. Our first module, dictionary-based hierarchical pathology mining, is able to mine diverse and very fine-grained pathological contextual interaction without the limit to the distances between patches. The second module, hard-instance-assisted classfier debiasing, learns a debiased classifier via focusing on hard but task-related features, without any additional annotations. Experimental results on five cohorts show the superiority of our method, with over 4% improvement in AUROC compared with the second best on the TCGA-CRC-MSI cohort. Our analysis further shows the clinical interpretability of D2Bio in genetic biomarker diagnosis and potential clinical utility in survival analysis. Code will be available at https://github.com/DeepMed-Lab-ECNU/D2Bio.

Zilin Lu, Ruifeng Yuan, Weiwei Cao et al.

Radiologists highly desire fully automated AI for radiology report generation (R2G), yet existing approaches fall short in clinical utility. Reinforcement learning (RL) holds potential to address these shortcomings, but its adoption in this task remains underexplored. In this paper, we revisit RL in terms of data efficiency and optimization effectiveness for R2G tasks. First, we explore the impact of data quantity and quality on the performance of RL in medical contexts, revealing that data quality plays a more critical role than quantity. To this end, we propose a diagnostic diversity-based data sampling strategy that enables comparable performance with fewer samples. Second, we observe that the majority of tokens in radiology reports are template-like and diagnostically uninformative, whereas the low frequency of clinically critical tokens heightens the risk of being overlooked during optimization. To tackle this, we introduce Diagnostic Token-weighted Policy Optimization (DiTPO), which directly optimizes for clinical accuracy by using a diagnostic F1 score as the reward signal. Unlike standard RL approaches that treat all tokens equally, DiTPO explicitly models the varying importance of different tokens through rule- or gradient-based mechanisms to prioritize clinically relevant content. Extensive experiments on the MIMIC-CXR, IU-Xray, and CheXpert Plus datasets demonstrate that our framework achieves state-of-the-art (SOTA) performance while requiring substantially fewer training samples in RL. Notably, on MIMIC-CXR, our framework attains an F1 score of 0.516 using only 20% of the RL training samples.

Wei Huang, Wei Liu, Xiaoming Zhang et al.

The early detection and precise diagnosis of liver tumors are tasks of critical clinical value, yet they pose significant challenges due to the high heterogeneity and variability of liver tumors. In this work, a precise LIver tumor DIAgnosis network on multi-phase contrast-enhance CT, named LIDIA, is proposed for real-world scenario. To fully utilize all available phases in contrast-enhanced CT, LIDIA first employs the iterative fusion module to aggregate variable numbers of image phases, thereby capturing the features of lesions at different phases for better tumor diagnosis. To effectively mitigate the high heterogeneity problem of liver tumors, LIDIA incorporates asymmetric contrastive learning to enhance the discriminability between different classes. To evaluate our method, we constructed a large-scale dataset comprising 1,921 patients and 8,138 lesions. LIDIA has achieved an average AUC of 93.6% across eight different types of lesions, demonstrating its effectiveness. Besides, LIDIA also demonstrated strong generalizability with an average AUC of 89.3% when tested on an external cohort of 828 patients.

Chunli Li, Xiaoming Zhang, Yuan Gao et al.

Esophageal varices (EV), a serious health concern resulting from portal hypertension, are traditionally diagnosed through invasive endoscopic procedures. Despite non-contrast computed tomography (NC-CT) imaging being a less expensive and non-invasive imaging modality, it has yet to gain full acceptance as a primary clinical diagnostic tool for EV evaluation. To overcome existing diagnostic challenges, we present the Multi-Organ-cOhesion-Network (MOON), a novel framework enhancing the analysis of critical organ features in NC-CT scans for effective assessment of EV. Drawing inspiration from the thorough assessment practices of radiologists, MOON establishes a cohesive multiorgan analysis model that unifies the imaging features of the related organs of EV, namely esophagus, liver, and spleen. This integration significantly increases the diagnostic accuracy for EV. We have compiled an extensive NC-CT dataset of 1,255 patients diagnosed with EV, spanning three grades of severity. Each case is corroborated by endoscopic diagnostic results. The efficacy of MOON has been substantiated through a validation process involving multi-fold cross-validation on 1,010 cases and an independent test on 245 cases, exhibiting superior diagnostic performance compared to methods focusing solely on the esophagus (for classifying severe grade: AUC of 0.864 versus 0.803, and for moderate to severe grades: AUC of 0.832 versus 0.793). To our knowledge, MOON is the first work to incorporate a synchronized multi-organ NC-CT analysis for EV assessment, providing a more acceptable and minimally invasive alternative for patients compared to traditional endoscopy.

Tianwei Lin, Zhongwei Qiu, Wenqiao Zhang et al.

Computed Tomography (CT) is one of the most widely used and diagnostically information-dense imaging modalities, covering critical organs such as the heart, lungs, liver, and colon. Clinical interpretation relies on both slice-driven local features (e.g., sub-centimeter nodules, lesion boundaries) and volume-driven spatial representations (e.g., tumor infiltration, inter-organ anatomical relations). However, existing Large Vision-Language Models (LVLMs) remain fragmented in CT slice versus volumetric understanding: slice-driven LVLMs show strong generalization but lack cross-slice spatial consistency, while volume-driven LVLMs explicitly capture volumetric semantics but suffer from coarse granularity and poor compatibility with slice inputs. The absence of a unified modeling paradigm constitutes a major bottleneck for the clinical translation of medical LVLMs. We present OmniCT, a powerful unified slice-volume LVLM for CT scenarios, which makes three contributions: (i) Spatial Consistency Enhancement (SCE): volumetric slice composition combined with tri-axial positional embedding that introduces volumetric consistency, and an MoE hybrid projection enables efficient slice-volume adaptation; (ii) Organ-level Semantic Enhancement (OSE): segmentation and ROI localization explicitly align anatomical regions, emphasizing lesion- and organ-level semantics; (iii) MedEval-CT: the largest slice-volume CT dataset and hybrid benchmark integrates comprehensive metrics for unified evaluation. OmniCT consistently outperforms existing methods with a substantial margin across diverse clinical tasks and satisfies both micro-level detail sensitivity and macro-level spatial reasoning. More importantly, it establishes a new paradigm for cross-modal medical imaging understanding.

Xiaoming Zhang, Chunli Li, Jiacheng Hao et al.

Esophageal varices (EV) represent a critical complication of portal hypertension, affecting approximately 60% of cirrhosis patients with a significant bleeding risk of ~30%. While traditionally diagnosed through invasive endoscopy, non-contrast computed tomography (NCCT) presents a potential non-invasive alternative that has yet to be fully utilized in clinical practice. We present Multi-Organ-COhesion Network++ (MOON++), a novel multimodal framework that enhances EV assessment through comprehensive analysis of NCCT scans. Inspired by clinical evidence correlating organ volumetric relationships with liver disease severity, MOON++ synthesizes imaging characteristics of the esophagus, liver, and spleen through multimodal learning. We evaluated our approach using 1,631 patients, those with endoscopically confirmed EV were classified into four severity grades. Validation in 239 patient cases and independent testing in 289 cases demonstrate superior performance compared to conventional single organ methods, achieving an AUC of 0.894 versus 0.803 for the severe grade EV classification (G3 versus <G3) and 0.921 versus 0.793 for the differentiation of moderate to severe grades (>=G2 versus <G2). We conducted a reader study involving experienced radiologists to further validate the performance of MOON++. To our knowledge, MOON++ represents the first comprehensive multi-organ NCCT analysis framework incorporating clinical knowledge priors for EV assessment, potentially offering a promising non-invasive diagnostic alternative.

Xianliang Yang, Ling Zhang, Haolong Qian et al.

Heuristic algorithms play a vital role in solving combinatorial optimization (CO) problems, yet traditional designs depend heavily on manual expertise and struggle to generalize across diverse instances. We introduce \textbf{HeurAgenix}, a two-stage hyper-heuristic framework powered by large language models (LLMs) that first evolves heuristics and then selects among them automatically. In the heuristic evolution phase, HeurAgenix leverages an LLM to compare seed heuristic solutions with higher-quality solutions and extract reusable evolution strategies. During problem solving, it dynamically picks the most promising heuristic for each problem state, guided by the LLM's perception ability. For flexibility, this selector can be either a state-of-the-art LLM or a fine-tuned lightweight model with lower inference cost. To mitigate the scarcity of reliable supervision caused by CO complexity, we fine-tune the lightweight heuristic selector with a dual-reward mechanism that jointly exploits singals from selection preferences and state perception, enabling robust selection under noisy annotations. Extensive experiments on canonical benchmarks show that HeurAgenix not only outperforms existing LLM-based hyper-heuristics but also matches or exceeds specialized solvers. Code is available at https://github.com/microsoft/HeurAgenix.

Wenbo Du, Lingling Han, Ying Xiong et al.

Accurate forecasting of passenger flows is critical for maintaining the efficiency and resilience of airport operations. Recent advances in patch-based Transformer models have shown strong potential in various time series forecasting tasks. However, most existing methods rely on fixed-size patch embedding, making it difficult to model the complex and heterogeneous patterns of airport passenger flows. To address this issue, this paper proposes a deformable temporal-spectral transformer named DTSFormer that integrates a multiscale deformable partitioning module and a joint temporal-spectral filtering module. Specifically, the input sequence is dynamically partitioned into multiscale temporal patches via a novel window function-based masking, enabling the extraction of heterogeneous trends across different temporal stages. Then, within each scale, a frequency-domain attention mechanism is designed to capture both high- and low-frequency components, thereby emphasizing the volatility and periodicity inherent in airport passenger flows. Finally, the resulting multi-frequency features are subsequently fused in the time domain to jointly model short-term fluctuations and long-term trends. Comprehensive experiments are conducted on real-world passenger flow data collected at Beijing Capital International Airport from January 2023 to March 2024. The results indicate that the proposed method consistently outperforms state-of-the-art forecasting models across different prediction horizons. Further analysis shows that the deformable partitioning module aligns patch lengths with dominant periods and heterogeneous trends, enabling superior capture of sudden high-frequency fluctuations.

Weiwei Cao, Jianpeng Zhang, Zhongyi Shui et al.

Vision-language pre-training (VLP) has great potential for developing multifunctional and general medical diagnostic capabilities. However, aligning medical images with a low signal-to-noise ratio (SNR) to reports with a high SNR presents a semantic density gap, leading to visual alignment bias. In this paper, we propose boosting vision semantic density to improve alignment effectiveness. On one hand, we enhance visual semantics through disease-level vision contrastive learning, which strengthens the model's ability to differentiate between normal and abnormal samples for each anatomical structure. On the other hand, we introduce an anatomical normality modeling method to model the distribution of normal samples for each anatomy, leveraging VQ-VAE for reconstructing normal vision embeddings in the latent space. This process amplifies abnormal signals by leveraging distribution shifts in abnormal samples, enhancing the model's perception and discrimination of abnormal attributes. The enhanced visual representation effectively captures the diagnostic-relevant semantics, facilitating more efficient and accurate alignment with the diagnostic report. We conduct extensive experiments on two chest CT datasets, CT-RATE and Rad-ChestCT, and an abdominal CT dataset, MedVL-CT69K, and comprehensively evaluate the diagnosis performance across multiple tasks in the chest and abdominal CT scenarios, achieving state-of-the-art zero-shot performance. Notably, our method achieved an average AUC of 84.9% across 54 diseases in 15 organs, significantly surpassing existing methods. Additionally, we demonstrate the superior transfer learning capabilities of our pre-trained model. Code is available at https://github.com/alibaba-damo-academy/ViSD-Boost.

Long Phan, Alice Gatti, Ziwen Han et al. · amazon-science, apple-ml

Benchmarks are important tools for tracking the rapid advancements in large language model (LLM) capabilities. However, benchmarks are not keeping pace in difficulty: LLMs now achieve over 90\% accuracy on popular benchmarks like MMLU, limiting informed measurement of state-of-the-art LLM capabilities. In response, we introduce Humanity's Last Exam (HLE), a multi-modal benchmark at the frontier of human knowledge, designed to be the final closed-ended academic benchmark of its kind with broad subject coverage. HLE consists of 2,500 questions across dozens of subjects, including mathematics, humanities, and the natural sciences. HLE is developed globally by subject-matter experts and consists of multiple-choice and short-answer questions suitable for automated grading. Each question has a known solution that is unambiguous and easily verifiable, but cannot be quickly answered via internet retrieval. State-of-the-art LLMs demonstrate low accuracy and calibration on HLE, highlighting a significant gap between current LLM capabilities and the expert human frontier on closed-ended academic questions. To inform research and policymaking upon a clear understanding of model capabilities, we publicly release HLE at https://lastexam.ai.

Ling Zhang, Boxiang Yun, Qingli Li et al.

Automated pathology report generation from Whole Slide Images (WSIs) faces two key challenges: (1) lack of semantic content in visual features and (2) inherent information redundancy in WSIs. To address these issues, we propose a novel Historical Report Guided \textbf{Bi}-modal Concurrent Learning Framework for Pathology Report \textbf{Gen}eration (BiGen) emulating pathologists' diagnostic reasoning, consisting of: (1) A knowledge retrieval mechanism to provide rich semantic content, which retrieves WSI-relevant knowledge from pre-built medical knowledge bank by matching high-attention patches and (2) A bi-modal concurrent learning strategy instantiated via a learnable visual token and a learnable textual token to dynamically extract key visual features and retrieved knowledge, where weight-shared layers enable cross-modal alignment between visual features and knowledge features. Our multi-modal decoder integrates both modals for comprehensive diagnostic reports generation. Experiments on the PathText (BRCA) dataset demonstrate our framework's superiority, achieving state-of-the-art performance with 7.4\% relative improvement in NLP metrics and 19.1\% enhancement in classification metrics for Her-2 prediction versus existing methods. Ablation studies validate the necessity of our proposed modules, highlighting our method's ability to provide WSI-relevant rich semantic content and suppress information redundancy in WSIs. Code is publicly available at https://github.com/DeepMed-Lab-ECNU/BiGen.

Yuanfang Peng, Jingjing Fu, Chuheng Zhang et al.

Reinforcement learning (RL) fine-tuning has shown promise for Vision-Language-Action (VLA) models in robotic manipulation, but deployment-time visual shifts pose practical challenges. A key difficulty is that standard task rewards supervise task success, but offer limited guidance on whether a visual change is task-irrelevant or changes the behavior required for manipulation. We propose PAIR-VLA (Paired Action Invariance & Sensitivity for Visually Robust VLA), an RL fine-tuning framework to address this difficulty by adding two auxiliary objectives over paired visual variants during PPO optimization: an invariance term that reduces the discrepancy between action distributions for a task-preserving pair (e.g., different distractors), and a sensitivity objective that encourages separable action distributions for a task-altering pair (e.g., target object in a different pose). Together, these objectives turn visual variants from mere observation diversity into behavior-level guidance on policy responses during RL fine-tuning. We evaluate on ManiSkill3 across two representative VLA architectures, OpenVLA and $π_{0.5}$, under diverse out-of-distribution visual shifts including unseen distractors, texture changes, target object pose variation, viewpoint shifts, and lighting changes. Our method consistently improves over standard PPO, achieving average improvements of 16.62% on $π_{0.5}$ and 9.10% on OpenVLA. Notably, ablations further show generalization across visual shifts: invariance guidance learned from distractor and texture variants transfers to target-pose and lighting shifts, while adding sensitivity guidance on target-pose variants further improves robustness to nuisance shifts, highlighting the broader transferability of behavior-level RL guidance.

Sijia Li, Yuchen Huang, Zifan Liu et al.

Reinforcement learning has become a widely used post-training approach for LLM agents, where training commonly relies on outcome-level rewards that provide only coarse supervision. While finer-grained credit assignment is promising for effective policy updates, obtaining reliable local credit and assigning it to the right parts of the long-horizon trajectory remains an open challenge. In this paper, we propose Granularity-adaptivE Advantage Reweighting (GEAR), an adaptive-granularity credit assignment framework that reshapes the trajectory-level GRPO advantage using token- and segment-level signals derived from self-distillation. GEAR compares an on-policy student with a ground-truth-conditioned teacher to obtain a reference-guided divergence signal for identifying adaptive segment boundaries and modulating local advantage weights. This divergence often spikes at the onset of a semantic deviation, while later tokens in the same autoregressive continuation may return to low divergence. GEAR therefore treats such spikes as anchors for adaptive credit regions: where the student remains aligned with the teacher, token-level resolution is preserved; where it departs, GEAR groups the corresponding continuation into an adaptive segment and uses the divergence at the departure point to modulate the segment' s advantage. Experiments across eight mathematical reasoning and agentic tool-use benchmarks with Qwen3 4B and 8B models show that GEAR consistently outperforms standard GRPO, self-distillation-only baselines, and token- or turn-level credit-assignment methods. The gains are especially strong on benchmarks with lower GRPO baseline accuracy, reaching up to around 20\% over GRPO, suggesting that the proposed adaptive reweighting scheme is especially useful in more challenging long-horizon settings.

Ling Zhang, Boxiang Yun, Xingran Xie et al.

Prediction of genetic biomarkers, e.g., microsatellite instability and BRAF in colorectal cancer is crucial for clinical decision making. In this paper, we propose a whole slide image (WSI) based genetic biomarker prediction method via prompting techniques. Our work aims at addressing the following challenges: (1) extracting foreground instances related to genetic biomarkers from gigapixel WSIs, and (2) the interaction among the fine-grained pathological components in WSIs.Specifically, we leverage large language models to generate medical prompts that serve as prior knowledge in extracting instances associated with genetic biomarkers. We adopt a coarse-to-fine approach to mine biomarker information within the tumor microenvironment. This involves extracting instances related to genetic biomarkers using coarse medical prior knowledge, grouping pathology instances into fine-grained pathological components and mining their interactions. Experimental results on two colorectal cancer datasets show the superiority of our method, achieving 91.49% in AUC for MSI classification. The analysis further shows the clinical interpretability of our method. Code is publicly available at https://github.com/DeepMed-Lab-ECNU/PromptBio.

Ling Zhang, Zhigang Zhu

To alleviate the cost of collecting and annotating large-scale point cloud datasets, we propose an unsupervised learning approach to learn features from unlabeled point cloud "3D object" dataset by using part contrasting and object clustering with deep graph neural networks (GNNs). In the contrast learning step, all the samples in the 3D object dataset are cut into two parts and put into a "part" dataset. Then a contrast learning GNN (ContrastNet) is trained to verify whether two randomly sampled parts from the part dataset belong to the same object. In the cluster learning step, the trained ContrastNet is applied to all the samples in the original 3D object dataset to extract features, which are used to group the samples into clusters. Then another GNN for clustering learning (ClusterNet) is trained to predict the cluster ID of all the training samples. The contrasting learning forces the ContrastNet to learn high-level semantic features of objects but probably ignores low-level features, while the ClusterNet improves the quality of learned features by being trained to discover objects that probably belong to the same semantic categories by the use of cluster IDs. We have conducted extensive experiments to evaluate the proposed framework on point cloud classification tasks. The proposed unsupervised learning approach obtained comparable performance to the state-of-the-art unsupervised learning methods that used much more complicated network structures. The code of this work is publicly available via: https://github.com/lingzhang1/ContrastNet.

Zhongyi Shui, Jianpeng Zhang, Weiwei Cao et al.

Artificial intelligence (AI) shows great potential in assisting radiologists to improve the efficiency and accuracy of medical image interpretation and diagnosis. However, a versatile AI model requires large-scale data and comprehensive annotations, which are often impractical in medical settings. Recent studies leverage radiology reports as a naturally high-quality supervision for medical images, using contrastive language-image pre-training (CLIP) to develop language-informed models for radiological image interpretation. Nonetheless, these approaches typically contrast entire images with reports, neglecting the local associations between imaging regions and report sentences, which may undermine model performance and interoperability. In this paper, we propose a fine-grained vision-language model (fVLM) for anatomy-level CT image interpretation. Specifically, we explicitly match anatomical regions of CT images with corresponding descriptions in radiology reports and perform contrastive pre-training for each anatomy individually. Fine-grained alignment, however, faces considerable false-negative challenges, mainly from the abundance of anatomy-level healthy samples and similarly diseased abnormalities. To tackle this issue, we propose identifying false negatives of both normal and abnormal samples and calibrating contrastive learning from patient-level to disease-aware pairing. We curated the largest CT dataset to date, comprising imaging and report data from 69,086 patients, and conducted a comprehensive evaluation of 54 major and important disease diagnosis tasks across 15 main anatomies. Experimental results demonstrate the substantial potential of fVLM in versatile medical image interpretation. In the zero-shot classification task, we achieved an average AUC of 81.3% on 54 diagnosis tasks, surpassing CLIP and supervised methods by 12.9% and 8.0%, respectively.

Wei Fang, Yuxing Tang, Heng Guo et al.

In the realm of medical 3D data, such as CT and MRI images, prevalent anisotropic resolution is characterized by high intra-slice but diminished inter-slice resolution. The lowered resolution between adjacent slices poses challenges, hindering optimal viewing experiences and impeding the development of robust downstream analysis algorithms. Various volumetric super-resolution algorithms aim to surmount these challenges, enhancing inter-slice resolution and overall 3D medical imaging quality. However, existing approaches confront inherent challenges: 1) often tailored to specific upsampling factors, lacking flexibility for diverse clinical scenarios; 2) newly generated slices frequently suffer from over-smoothing, degrading fine details, and leading to inter-slice inconsistency. In response, this study presents CycleINR, a novel enhanced Implicit Neural Representation model for 3D medical data volumetric super-resolution. Leveraging the continuity of the learned implicit function, the CycleINR model can achieve results with arbitrary up-sampling rates, eliminating the need for separate training. Additionally, we enhance the grid sampling in CycleINR with a local attention mechanism and mitigate over-smoothing by integrating cycle-consistent loss. We introduce a new metric, Slice-wise Noise Level Inconsistency (SNLI), to quantitatively assess inter-slice noise level inconsistency. The effectiveness of our approach is demonstrated through image quality evaluations on an in-house dataset and a downstream task analysis on the Medical Segmentation Decathlon liver tumor dataset.

Tony C. W. Mok, Zi Li, Yunhao Bai et al.

Establishing dense anatomical correspondence across distinct imaging modalities is a foundational yet challenging procedure for numerous medical image analysis studies and image-guided radiotherapy. Existing multi-modality image registration algorithms rely on statistical-based similarity measures or local structural image representations. However, the former is sensitive to locally varying noise, while the latter is not discriminative enough to cope with complex anatomical structures in multimodal scans, causing ambiguity in determining the anatomical correspondence across scans with different modalities. In this paper, we propose a modality-agnostic structural representation learning method, which leverages Deep Neighbourhood Self-similarity (DNS) and anatomy-aware contrastive learning to learn discriminative and contrast-invariance deep structural image representations (DSIR) without the need for anatomical delineations or pre-aligned training images. We evaluate our method on multiphase CT, abdomen MR-CT, and brain MR T1w-T2w registration. Comprehensive results demonstrate that our method is superior to the conventional local structural representation and statistical-based similarity measures in terms of discriminability and accuracy.

Weiwei Cao, Jianpeng Zhang, Yingda Xia et al.

Radiologists highly desire fully automated versatile AI for medical imaging interpretation. However, the lack of extensively annotated large-scale multi-disease datasets has hindered the achievement of this goal. In this paper, we explore the feasibility of leveraging language as a naturally high-quality supervision for chest CT imaging. In light of the limited availability of image-report pairs, we bootstrap the understanding of 3D chest CT images by distilling chest-related diagnostic knowledge from an extensively pre-trained 2D X-ray expert model. Specifically, we propose a language-guided retrieval method to match each 3D CT image with its semantically closest 2D X-ray image, and perform pair-wise and semantic relation knowledge distillation. Subsequently, we use contrastive learning to align images and reports within the same patient while distinguishing them from the other patients. However, the challenge arises when patients have similar semantic diagnoses, such as healthy patients, potentially confusing if treated as negatives. We introduce a robust contrastive learning that identifies and corrects these false negatives. We train our model with over 12,000 pairs of chest CT images and radiology reports. Extensive experiments across multiple scenarios, including zero-shot learning, report generation, and fine-tuning processes, demonstrate the model's feasibility in interpreting chest CT images.

Ruifeng Yuan, Wanxing Chang, Weiwei Cao et al.

The evaluation of generated reports remains a critical challenge in Computed Tomography (CT) report generation, due to the large volume of text, the diversity and complexity of findings, and the presence of fine-grained, disease-oriented attributes. Conventional evaluation metrics offer only coarse measures of lexical overlap or entity matching and fail to reflect the granular diagnostic accuracy required for clinical use. To address this gap, we propose CT-FineBench, a benchmark built from CT-RATE and Merlin to evaluate the fine-grained factual consistency of CT reports, constructed from CT-RATE and Merlin. Our benchmark is constructed through a meticulous, Question-Answering (QA) based process: first, we identify and structure key, finding-specific clinical attributes (like location, size, margin). Second, we systematically transform these attributes into a QA dataset, where questions probe for specific clinical details grounded in gold-standard reports. The evaluation protocol for CT-FineBench involves using this QA dataset to query a machine-generated report and scoring the correctness of the answers. This allows for a comprehensive, interpretable, and clinically-relevant assessment, moving beyond superficial lexical overlap to pinpoint specific clinical errors. Experiments show that CT-FineBench correlates better with expert clinical assessment and is substantially more sensitive to fine-grained factual errors than prior metrics.

Jingyang Lin, Yingda Xia, Jianpeng Zhang et al.

Medical Vision-Language Pretraining (Med-VLP) establishes a connection between visual content from medical images and the relevant textual descriptions. Existing Med-VLP methods primarily focus on 2D images depicting a single body part, notably chest X-rays. In this paper, we extend the scope of Med-VLP to encompass 3D images, specifically targeting full-body scenarios, by using a multimodal dataset of CT images and reports. Compared with the 2D counterpart, 3D VLP is required to effectively capture essential semantics from significantly sparser representation in 3D imaging. In this paper, we introduce CT-GLIP (Grounded Language-Image Pretraining with CT scans), a novel method that constructs organ-level image-text pairs to enhance multimodal contrastive learning, aligning grounded visual features with precise diagnostic text. Additionally, we developed an abnormality dictionary to augment contrastive learning with diverse contrastive pairs. Our method, trained on a multimodal CT dataset comprising 44,011 organ-level vision-text pairs from 17,702 patients across 104 organs, demonstrates it can identify organs and abnormalities in a zero-shot manner using natural languages. The performance of CT-GLIP is validated on a separate test set of 1,130 patients, focusing on the 16 most frequent abnormalities across 7 organs. The experimental results show our model's superior performance over the standard CLIP framework across zero-shot and fine-tuning scenarios, using both CNN and ViT architectures.

Quan Liu, Jiawen Yao, Lisha Yao et al.

Colorectal cancer (CRC) micro-satellite instability (MSI) prediction on histopathology images is a challenging weakly supervised learning task that involves multi-instance learning on gigapixel images. To date, radiology images have proven to have CRC MSI information and efficient patient imaging techniques. Different data modalities integration offers the opportunity to increase the accuracy and robustness of MSI prediction. Despite the progress in representation learning from the whole slide images (WSI) and exploring the potential of making use of radiology data, CRC MSI prediction remains a challenge to fuse the information from multiple data modalities (e.g., pathology WSI and radiology CT image). In this paper, we propose $M^{2}$Fusion: a Bayesian-based multimodal multi-level fusion pipeline for CRC MSI. The proposed fusion model $M^{2}$Fusion is capable of discovering more novel patterns within and across modalities that are beneficial for predicting MSI than using a single modality alone, as well as other fusion methods. The contribution of the paper is three-fold: (1) $M^{2}$Fusion is the first pipeline of multi-level fusion on pathology WSI and 3D radiology CT image for MSI prediction; (2) CT images are the first time integrated into multimodal fusion for CRC MSI prediction; (3) feature-level fusion strategy is evaluated on both Transformer-based and CNN-based method. Our approach is validated on cross-validation of 352 cases and outperforms either feature-level (0.8177 vs. 0.7908) or decision-level fusion strategy (0.8177 vs. 0.7289) on AUC score.

Jiaxin Guo, Yuanchang Luo, Daimeng Wei et al.

The field of artificial intelligence has witnessed significant advancements in natural language processing, largely attributed to the capabilities of Large Language Models (LLMs). These models form the backbone of Agents designed to address long-context dependencies, particularly in Document-level Machine Translation (DocMT). DocMT presents unique challenges, with quality, consistency, and fluency being the key metrics for evaluation. Existing approaches, such as Doc2Doc and Doc2Sent, either omit sentences or compromise fluency. This paper introduces Doc-Guided Sent2Sent++, an Agent that employs an incremental sentence-level forced decoding strategy \textbf{to ensure every sentence is translated while enhancing the fluency of adjacent sentences.} Our Agent leverages a Doc-Guided Memory, focusing solely on the summary and its translation, which we find to be an efficient approach to maintaining consistency. Through extensive testing across multiple languages and domains, we demonstrate that Sent2Sent++ outperforms other methods in terms of quality, consistency, and fluency. The results indicate that, our approach has achieved significant improvements in metrics such as s-COMET, d-COMET, LTCR-$1_f$, and document-level perplexity (d-ppl). The contributions of this paper include a detailed analysis of current DocMT research, the introduction of the Sent2Sent++ decoding method, the Doc-Guided Memory mechanism, and validation of its effectiveness across languages and domains.

Guangyu Guo, Jiawen Yao, Yingda Xia et al.

The absence of adequately sufficient expert-level tumor annotations hinders the effectiveness of supervised learning based opportunistic cancer screening on medical imaging. Clinical reports (that are rich in descriptive textual details) can offer a "free lunch'' supervision information and provide tumor location as a type of weak label to cope with screening tasks, thus saving human labeling workloads, if properly leveraged. However, predicting cancer only using such weak labels can be very changeling since tumors are usually presented in small anatomical regions compared to the whole 3D medical scans. Weakly semi-supervised learning (WSSL) utilizes a limited set of voxel-level tumor annotations and incorporates alongside a substantial number of medical images that have only off-the-shelf clinical reports, which may strike a good balance between minimizing expert annotation workload and optimizing screening efficacy. In this paper, we propose a novel text-guided learning method to achieve highly accurate cancer detection results. Through integrating diagnostic and tumor location text prompts into the text encoder of a vision-language model (VLM), optimization of weakly supervised learning can be effectively performed in the latent space of VLM, thereby enhancing the stability of training. Our approach can leverage clinical knowledge by large-scale pre-trained VLM to enhance generalization ability, and produce reliable pseudo tumor masks to improve cancer detection. Our extensive quantitative experimental results on a large-scale cancer dataset, including 1,651 unique patients, validate that our approach can reduce human annotation efforts by at least 70% while maintaining comparable cancer detection accuracy to competing fully supervised methods (AUC value 0.961 versus 0.966).

Shuyu Liu, Ruoxi Wang, Ling Zhang et al.

The advent of Large Language Models (LLMs) offers potential solutions to address problems such as shortage of medical resources and low diagnostic consistency in psychiatric clinical practice. Despite this potential, a robust and comprehensive benchmarking framework to assess the efficacy of LLMs in authentic psychiatric clinical environments is absent. This has impeded the advancement of specialized LLMs tailored to psychiatric applications. In response to this gap, by incorporating clinical demands in psychiatry and clinical data, we proposed a benchmarking system, PsychBench, to evaluate the practical performance of LLMs in psychiatric clinical settings. We conducted a comprehensive quantitative evaluation of 16 LLMs using PsychBench, and investigated the impact of prompt design, chain-of-thought reasoning, input text length, and domain-specific knowledge fine-tuning on model performance. Through detailed error analysis, we identified strengths and potential limitations of the existing models and suggested directions for improvement. Subsequently, a clinical reader study involving 60 psychiatrists of varying seniority was conducted to further explore the practical benefits of existing LLMs as supportive tools for psychiatrists of varying seniority. Through the quantitative and reader evaluation, we show that while existing models demonstrate significant potential, they are not yet adequate as decision-making tools in psychiatric clinical practice. The reader study further indicates that, as an auxiliary tool, LLM could provide particularly notable support for junior psychiatrists, effectively enhancing their work efficiency and overall clinical quality. To promote research in this area, we will make the dataset and evaluation framework publicly available, with the hope of advancing the application of LLMs in psychiatric clinical settings.

Ling Zhang, Xianliang Yang, Juwon Yu et al.

Fine-tuning large pretrained language models is a common approach for aligning them with human preferences, but noisy or off-target examples can dilute supervision. While small, well-chosen datasets often match the performance of much larger ones, systematic and efficient ways to identify high-value training data remain underexplored. Many current methods rely on heuristics or expensive retraining. We present a theoretically grounded, resource-efficient framework for data selection and reweighting. At its core is an In-Context Approximation (ICA) that estimates the holdout loss a model would incur after training on a candidate example by conditioning on a small, curated holdout set in context. ICA requires no reference model and no additional finetuning. Under a local linearization, ICA is equivalent to a first-order update toward the holdout optimum, motivating its use as a proxy for data value. We derive per-example weights from ICA scores, dynamically reweighting gradient updates as model parameters evolve. Across SFT, DPO, and SimPO, and over diverse backbones and datasets, ICA-based reweighting consistently improves model alignment with minimal overhead. We analyze sensitivity to score update frequency and the choice of $k$ holdout examples for in-context demonstrations, and note limitations for rapidly drifting on-policy updates, highlighting directions for future work. Code and prompts will be released.

Ziyu Zhou, Keyan Hu, Ling Zhang et al.

Soil moisture (SM) plays a critical role in hydrological and meteorological processes. High-resolution SM can be obtained by combining coarse passive microwave data with fine-scale auxiliary variables. However, the inversion of SM at the temporal scale is hindered by the incompleteness of surface auxiliary factors. To address this issue, first, we introduce validated high temporal resolution ERA5-Land variables into the downscaling process of the low-resolution SMAP SM product. Subsequently, we design a progressive scale convolutional network (PSCNet), at the core of which are two innovative components: a multi-frequency temporal fusion module (MFTF) for capturing temporal dynamics, and a bespoke squeeze-and-excitation (SE) block designed to preserve fine-grained spatial details. Using this approach, we obtained seamless SM products for the Tibetan Plateau (TP) from 2016 to 2018 at 10-km spatial and 3-hour temporal resolution. The experimental results on the TP demonstrated the following: 1) In the satellite product validation, the PSCNet exhibited comparable accuracy and lower error, with a mean R value of 0.881, outperforming other methods. 2) In the in-situ site validation, PSCNet consistently ranked among the top three models for the R metric across all sites, while also showing superior performance in overall error reduction. 3) In the temporal generalization validation, the feasibility of using high-temporal resolution ERA5-Land variables for downscaling was confirmed, as all methods maintained an average relative error within 6\% for the R metric and 2\% for the ubRMSE metric. 4) In the temporal dynamics and visualization validation, PSCNet demonstrated excellent temporal sensitivity and vivid spatial details. Overall, PSCNet provides a promising solution for spatio-temporal downscaling by effectively modeling the intricate spatio-temporal relationships in SM data.

Jiacheng Hao, Xiaoming Zhang, Wei Liu et al.

Focal liver lesions (FLL) are common clinical findings during physical examination. Early diagnosis and intervention of liver malignancies are crucial to improving patient survival. Although the current 3D segmentation paradigm can accurately detect lesions, it faces limitations in distinguishing between malignant and benign liver lesions, primarily due to its inability to differentiate subtle variations between different lesions. Furthermore, existing methods predominantly rely on specialized imaging modalities such as multi-phase contrast-enhanced CT and magnetic resonance imaging, whereas non-contrast CT (NCCT) is more prevalent in routine abdominal imaging. To address these limitations, we propose PLUS, a plug-and-play framework that enhances FLL analysis on NCCT images for arbitrary 3D segmentation models. In extensive experiments involving 8,651 patients, PLUS demonstrated a significant improvement with existing methods, improving the lesion-level F1 score by 5.66%, the malignant patient-level F1 score by 6.26%, and the benign patient-level F1 score by 4.03%. Our results demonstrate the potential of PLUS to improve malignant FLL screening using widely available NCCT imaging substantially.

Jihong Zhang, Xinya Liang, Anqi Deng et al.

Mixed methods research integrates quantitative and qualitative data but faces challenges in aligning their distinct structures, particularly in examining measurement characteristics and individual response patterns. Advances in large language models (LLMs) offer promising solutions by generating synthetic survey responses informed by qualitative data. This study investigates whether LLMs, guided by personal interviews, can reliably predict human survey responses, using the Behavioral Regulations in Exercise Questionnaire (BREQ) and interviews from after-school program staff as a case study. Results indicate that LLMs capture overall response patterns but exhibit lower variability than humans. Incorporating interview data improves response diversity for some models (e.g., Claude, GPT), while well-crafted prompts and low-temperature settings enhance alignment between LLM and human responses. Demographic information had less impact than interview content on alignment accuracy. These findings underscore the potential of interview-informed LLMs to bridge qualitative and quantitative methodologies while revealing limitations in response variability, emotional interpretation, and psychometric fidelity. Future research should refine prompt design, explore bias mitigation, and optimize model settings to enhance the validity of LLM-generated survey data in social science research.

Ling Zhang, Zhichao Hou, Tingxiang Ji et al.

Model interpretability and explainability have garnered substantial attention in recent years, particularly in decision-making applications. However, existing interpretability tools often fall short in delivering satisfactory performance due to limited capabilities or efficiency issues. To address these challenges, we propose a novel post-hoc method: Iterative Kings' Forests (iKF), designed to uncover complex multi-order interactions among variables. iKF iteratively selects the next most important variable, the "King", and constructs King's Forests by placing it at the root node of each tree to identify variables that interact with the "King". It then generates ranked short lists of important variables and interactions of varying orders. Additionally, iKF provides inference metrics to analyze the patterns of the selected interactions and classify them into one of three interaction types: Accompanied Interaction, Synergistic Interaction, and Hierarchical Interaction. Extensive experiments demonstrate the strong interpretive power of our proposed iKF, highlighting its great potential for explainable modeling and scientific discovery across diverse scientific fields.

Xingye Li, Ling Zhang, Zhigang Zhu

Manually annotating complex scene point cloud datasets is both costly and error-prone. To reduce the reliance on labeled data, a new model called SnapshotNet is proposed as a self-supervised feature learning approach, which directly works on the unlabeled point cloud data of a complex 3D scene. The SnapshotNet pipeline includes three stages. In the snapshot capturing stage, snapshots, which are defined as local collections of points, are sampled from the point cloud scene. A snapshot could be a view of a local 3D scan directly captured from the real scene, or a virtual view of such from a large 3D point cloud dataset. Snapshots could also be sampled at different sampling rates or fields of view (FOVs), thus multi-FOV snapshots, to capture scale information from the scene. In the feature learning stage, a new pre-text task called multi-FOV contrasting is proposed to recognize whether two snapshots are from the same object or not, within the same FOV or across different FOVs. Snapshots go through two self-supervised learning steps: the contrastive learning step with both part and scale contrasting, followed by a snapshot clustering step to extract higher level semantic features. Then a weakly-supervised segmentation stage is implemented by first training a standard SVM classifier on the learned features with a small fraction of labeled snapshots. The trained SVM is used to predict labels for input snapshots and predicted labels are converted into point-wise label assignments for semantic segmentation of the entire scene using a voting procedure. The experiments are conducted on the Semantic3D dataset and the results have shown that the proposed method is capable of learning effective features from snapshots of complex scene data without any labels. Moreover, the proposed method has shown advantages when comparing to the SOA method on weakly-supervised point cloud semantic segmentation.

Ling Zhang, Baosen Zhang

Using deep neural networks to predict the solutions of AC optimal power flow (ACOPF) problems has been an active direction of research. However, because the ACOPF is nonconvex, it is difficult to construct a good data set that contains mostly globally optimal solutions. To overcome the challenge that the training data may contain suboptimal solutions, we propose a Lagrangian-based approach. First, we use a neural network to learn the dual variables of the ACOPF problem. Then we use a second neural network to predict solutions of the partial Lagrangian from the predicted dual variables. Since the partial Lagrangian has a much better optimization landscape, we use the predicted solutions from the neural network as a warm start for the ACOPF problem. Using standard and modified IEEE 22-bus, 39-bus, and 118-bus networks, we show that our approach is able to obtain the globally optimal cost even when the training data is mostly comprised of suboptimal solutions.

Yuan Zhang, Jian Cao, Ling Zhang et al.

Learning subtle representation about object parts plays a vital role in fine-grained visual recognition (FGVR) field. The vision transformer (ViT) achieves promising results on computer vision due to its attention mechanism. Nonetheless, with the fixed size of patches in ViT, the class token in deep layer focuses on the global receptive field and cannot generate multi-granularity features for FGVR. To capture region attention without box annotations and compensate for ViT shortcomings in FGVR, we propose a novel method named Adaptive attention multi-scale Fusion Transformer (AFTrans). The Selective Attention Collection Module (SACM) in our approach leverages attention weights in ViT and filters them adaptively to correspond with the relative importance of input patches. The multiple scales (global and local) pipeline is supervised by our weights sharing encoder and can be easily trained end-to-end. Comprehensive experiments demonstrate that AFTrans can achieve SOTA performance on three published fine-grained benchmarks: CUB-200-2011, Stanford Dogs and iNat2017.

Zipei Chen, Chengjiang Long, Ling Zhang et al.

In this paper, we propose a novel two-stage context-aware network named CANet for shadow removal, in which the contextual information from non-shadow regions is transferred to shadow regions at the embedded feature spaces. At Stage-I, we propose a contextual patch matching (CPM) module to generate a set of potential matching pairs of shadow and non-shadow patches. Combined with the potential contextual relationships between shadow and non-shadow regions, our well-designed contextual feature transfer (CFT) mechanism can transfer contextual information from non-shadow to shadow regions at different scales. With the reconstructed feature maps, we remove shadows at L and A/B channels separately. At Stage-II, we use an encoder-decoder to refine current results and generate the final shadow removal results. We evaluate our proposed CANet on two benchmark datasets and some real-world shadow images with complex scenes. Extensive experimental results strongly demonstrate the efficacy of our proposed CANet and exhibit superior performance to state-of-the-arts.