Song Wu

Guangyu Wang, Jingkun Yue, Siqi Zhang et al.

A central goal of biomedicine is to understand, predict and ultimately control the dynamic mechanisms by which biological systems respond to perturbations, disease progression and therapeutic intervention. Although foundation models and large language models have accelerated biomedical data interpretation, most current systems remain focused on static pattern recognition rather than prospective simulation of biological futures. Here we propose biomedical world models as a paradigm for AI-driven discovery. These models learn latent representations of molecular, cellular, tissue and clinical states, together with intervention-conditioned dynamics that allow future trajectories to be simulated before actions are taken. We discuss how biomedical world models could function as data engines, environment simulators and scientific planning substrates across applications including virtual cells, organoids, virtual patients and surgical simulation. We outline the data infrastructure, evaluation benchmarks, safety constraints and governance frameworks required. Biomedical world models may provide a foundation for simulation-guided, closed-loop and experimentally actionable biomedical discovery.

Cheng Li, Weijian Huang, Jiarun Liu et al.

The integration of medical imaging and clinical text has enabled the emergence of generalist artificial intelligence (AI) systems for healthcare. However, pervasive biases, such as imbalanced disease prevalence, skewed anatomical region distributions, heterogeneous imaging protocols, and demographic disparities, pose significant challenges to the fairness and reliability of vision-language systems in real-world clinical settings. Here we present BiasCareVL, a bias-aware multimodal learning framework that introduces bias control directly into model design, rather than treating it as a post hoc correction. BiasCareVL incorporates adaptive uncertainty modeling with optional human-in-the-loop refinement to regulate the influence of dominant data patterns and to promote equitable reasoning under distributional imbalance. Trained on 3.44 million samples spanning over 15 imaging modalities, the framework supports diverse clinical tasks, including visual question answering, disease classification, segmentation, and report generation within a unified representation space. Across eight public benchmarks covering dermatology, oncology, radiology, and pathology, BiasCareVL consistently outperforms 20 state-of-the-art methods, with pronounced gains in clinically challenging scenarios, including over 10% accuracy improvement in multi-class skin lesion diagnosis and more than 20% Dice improvement in small tumor segmentation. Furthermore, BiasCareVL achieves diagnostic performance exceeding human accuracy with substantially reduced time requirements when evaluated with board-certified radiologists. By open-sourcing BiasCareVL, we aim to promote a transparent, reproducible, and equitable future for AI in healthcare, paving the way for general-purpose, trustworthy, and clinically reliable AI systems.

Yiwen Hu, Jun Wei, Yuncheng Jiang et al.

Limited by the expensive labeling, polyp segmentation models are plagued by data shortages. To tackle this, we propose the mixed supervised polyp segmentation paradigm (MixPolyp). Unlike traditional models relying on a single type of annotation, MixPolyp combines diverse annotation types (mask, box, and scribble) within a single model, thereby expanding the range of available data and reducing labeling costs. To achieve this, MixPolyp introduces three novel supervision losses to handle various annotations: Subspace Projection loss (L_SP), Binary Minimum Entropy loss (L_BME), and Linear Regularization loss (L_LR). For box annotations, L_SP eliminates shape inconsistencies between the prediction and the supervision. For scribble annotations, L_BME provides supervision for unlabeled pixels through minimum entropy constraint, thereby alleviating supervision sparsity. Furthermore, L_LR provides dense supervision by enforcing consistency among the predictions, thus reducing the non-uniqueness. These losses are independent of the model structure, making them generally applicable. They are used only during training, adding no computational cost during inference. Extensive experiments on five datasets demonstrate MixPolyp's effectiveness.