Jiahao Huang

Jiahao Huang, Fei Cheng, Junfeng Jiang et al.

Self-evolving agents improve over time by reflecting on past failures, but existing evaluation is limited in two ways: it measures only task scores, leaving reflection quality unknown, and it relies on agents' own episode runs, offering no mechanism to target specific failure patterns. We present \textbf{BenchTrace}, a benchmark for evaluating self-evolution ability in LLM agents. BenchTrace is built on a snapshot-reflection dataset of 1,821 annotated episodes spanning six diverse tasks, and comprises a \textbf{Reflection Evaluation} that probes failure identification through targeted QA tasks, and an \textbf{Evolution Evaluation} that tests whether past failure experience translates into avoidance behavior in a controlled self-evolution simulation. Building on BenchTrace, we propose \textbf{failure avoidance rate (FAR)}, a new evaluation metric measuring the fraction of test cases in which the agent successfully avoids the target failure instance. Experiments with Qwen3-32B and GPT-4.1 reveal that both models fall below a 30\% end-to-end pass rate on reflection evaluation, with diagnosis as the primary bottleneck. Evolution evaluation shows that self-evolution methods generally improve FAR over the non-evolving baseline, but agents forget early lessons as noise episodes accumulate, and agents fail to generalize their reflections beyond the specific context, causing negative transfer across task contexts. Our correlation analysis further reveals that only a fully correct reflection is strongly associated with higher FAR. BenchTrace exposes concrete limits of current self-evolution approaches and provides a controlled, model-agnostic framework for targeted evaluation.

Jiahao Huang, Fei Cheng, Junfeng Jiang et al.

Reasoning distillation transfers complex reasoning abilities from large language models (LLMs) to smaller ones, yet its success depends on how well the training data align with the student model. This paper introduces the Data-Model Compatibility (DMC) metric, which can be used to assess the suitability of a dataset for reasoning distillation on a student model. DMC provides an assessment by jointly considering data quality, relative difficulty, and student capability. We validated the effectiveness of DMC from two perspectives: (1) DMC exhibits a strong correlation with reasoning distillation performance; and (2) using DMC as the criterion for data selection leads to improved reasoning distillation performance. Both findings are consistently demonstrated across multiple student models and tasks. Moreover, since the DMC of each dataset dynamically changes during training, our experiments demonstrate that dynamically selecting datasets based on DMC can further enhance performance.

Jiahao Huang, Angelica Aviles-Rivero, Carola-Bibiane Schönlieb et al.

Deep learning has shown the capability to substantially accelerate MRI reconstruction while acquiring fewer measurements. Recently, diffusion models have gained burgeoning interests as a novel group of deep learning-based generative methods. These methods seek to sample data points that belong to a target distribution from a Gaussian distribution, which has been successfully extended to MRI reconstruction. In this work, we proposed a Cold Diffusion-based MRI reconstruction method called CDiffMR. Different from conventional diffusion models, the degradation operation of our CDiffMR is based on \textit{k}-space undersampling instead of adding Gaussian noise, and the restoration network is trained to harness a de-aliaseing function. We also design starting point and data consistency conditioning strategies to guide and accelerate the reverse process. More intriguingly, the pre-trained CDiffMR model can be reused for reconstruction tasks with different undersampling rates. We demonstrated, through extensive numerical and visual experiments, that the proposed CDiffMR can achieve comparable or even superior reconstruction results than state-of-the-art models. Compared to the diffusion model-based counterpart, CDiffMR reaches readily competing results using only $1.6 \sim 3.4\%$ for inference time. The code is publicly available at https://github.com/ayanglab/CDiffMR.

Jiahao Huang, Xiaodan Xing, Zhifan Gao et al.

Fast MRI aims to reconstruct a high fidelity image from partially observed measurements. Exuberant development in fast MRI using deep learning has been witnessed recently. Meanwhile, novel deep learning paradigms, e.g., Transformer based models, are fast-growing in natural language processing and promptly developed for computer vision and medical image analysis due to their prominent performance. Nevertheless, due to the complexity of the Transformer, the application of fast MRI may not be straightforward. The main obstacle is the computational cost of the self-attention layer, which is the core part of the Transformer, can be expensive for high resolution MRI inputs. In this study, we propose a new Transformer architecture for solving fast MRI that coupled Shifted Windows Transformer with U-Net to reduce the network complexity. We incorporate deformable attention to construe the explainability of our reconstruction model. We empirically demonstrate that our method achieves consistently superior performance on the fast MRI task. Besides, compared to state-of-the-art Transformer models, our method has fewer network parameters while revealing explainability. The code is publicly available at https://github.com/ayanglab/SDAUT.

Jiahao Huang, Pedro F. Ferreira, Lichao Wang et al.

In vivo cardiac diffusion tensor imaging (cDTI) is a promising Magnetic Resonance Imaging (MRI) technique for evaluating the micro-structure of myocardial tissue in the living heart, providing insights into cardiac function and enabling the development of innovative therapeutic strategies. However, the integration of cDTI into routine clinical practice is challenging due to the technical obstacles involved in the acquisition, such as low signal-to-noise ratio and long scanning times. In this paper, we investigate and implement three different types of deep learning-based MRI reconstruction models for cDTI reconstruction. We evaluate the performance of these models based on reconstruction quality assessment and diffusion tensor parameter assessment. Our results indicate that the models we discussed in this study can be applied for clinical use at an acceleration factor (AF) of $\times 2$ and $\times 4$, with the D5C5 model showing superior fidelity for reconstruction and the SwinMR model providing higher perceptual scores. There is no statistical difference with the reference for all diffusion tensor parameters at AF $\times 2$ or most DT parameters at AF $\times 4$, and the quality of most diffusion tensor parameter maps are visually acceptable. SwinMR is recommended as the optimal approach for reconstruction at AF $\times 2$ and AF $\times 4$. However, we believed the models discussed in this studies are not prepared for clinical use at a higher AF. At AF $\times 8$, the performance of all models discussed remains limited, with only half of the diffusion tensor parameters being recovered to a level with no statistical difference from the reference. Some diffusion tensor parameter maps even provide wrong and misleading information.

Jiahao Huang, Yingying Fang, Yang Nan et al.

Research studies have shown no qualms about using data driven deep learning models for downstream tasks in medical image analysis, e.g., anatomy segmentation and lesion detection, disease diagnosis and prognosis, and treatment planning. However, deep learning models are not the sovereign remedy for medical image analysis when the upstream imaging is not being conducted properly (with artefacts). This has been manifested in MRI studies, where the scanning is typically slow, prone to motion artefacts, with a relatively low signal to noise ratio, and poor spatial and/or temporal resolution. Recent studies have witnessed substantial growth in the development of deep learning techniques for propelling fast MRI. This article aims to (1) introduce the deep learning based data driven techniques for fast MRI including convolutional neural network and generative adversarial network based methods, (2) survey the attention and transformer based models for speeding up MRI reconstruction, and (3) detail the research in coupling physics and data driven models for MRI acceleration. Finally, we will demonstrate through a few clinical applications, explain the importance of data harmonisation and explainable models for such fast MRI techniques in multicentre and multi-scanner studies, and discuss common pitfalls in current research and recommendations for future research directions.

Lichao Wang, Jiahao Huang, Xiaodan Xing et al.

This study proposes a pipeline that incorporates a novel style transfer model and a simultaneous super-resolution and segmentation model. The proposed pipeline aims to enhance diffusion tensor imaging (DTI) images by translating them into the late gadolinium enhancement (LGE) domain, which offers a larger amount of data with high-resolution and distinct highlighting of myocardium infarction (MI) areas. Subsequently, the segmentation task is performed on the LGE style image. An end-to-end super-resolution segmentation model is introduced to generate high-resolution mask from low-resolution LGE style DTI image. Further, to enhance the performance of the model, a multi-task self-supervised learning strategy is employed to pre-train the super-resolution segmentation model, allowing it to acquire more representative knowledge and improve its segmentation performance after fine-tuning. https: github.com/wlc2424762917/Med_Img

Jiahao Huang, Angelica Aviles-Rivero, Carola-Bibiane Schonlieb et al.

Deep learning models have been widely applied for fast MRI. The majority of existing deep learning models, e.g., convolutional neural networks, work on data with Euclidean or regular grids structures. However, high-dimensional features extracted from MR data could be encapsulated in non-Euclidean manifolds. This disparity between the go-to assumption of existing models and data requirements limits the flexibility to capture irregular anatomical features in MR data. In this work, we introduce a novel Vision GNN type network for fast MRI called Vision GNN U-Net (ViGU). More precisely, the pixel array is first embedded into patches and then converted into a graph. Secondly, a U-shape network is developed using several graph blocks in symmetrical encoder and decoder paths. Moreover, we show that the proposed ViGU can also benefit from Generative Adversarial Networks yielding to its variant ViGU-GAN. We demonstrate, through numerical and visual experiments, that the proposed ViGU and GAN variant outperform existing CNN and GAN-based methods. Moreover, we show that the proposed network readily competes with approaches based on Transformers while requiring a fraction of the computational cost. More importantly, the graph structure of the network reveals how the network extracts features from MR images, providing intuitive explainability.

Giorgos Papanastasiou, Nikolaos Dikaios, Jiahao Huang et al.

Medical imaging is a key component in clinical diagnosis, treatment planning and clinical trial design, accounting for almost 90% of all healthcare data. CNNs achieved performance gains in medical image analysis (MIA) over the last years. CNNs can efficiently model local pixel interactions and be trained on small-scale MI data. The main disadvantage of typical CNN models is that they ignore global pixel relationships within images, which limits their generalisation ability to understand out-of-distribution data with different 'global' information. The recent progress of Artificial Intelligence gave rise to Transformers, which can learn global relationships from data. However, full Transformer models need to be trained on large-scale data and involve tremendous computational complexity. Attention and Transformer compartments (Transf/Attention) which can well maintain properties for modelling global relationships, have been proposed as lighter alternatives of full Transformers. Recently, there is an increasing trend to co-pollinate complementary local-global properties from CNN and Transf/Attention architectures, which led to a new era of hybrid models. The past years have witnessed substantial growth in hybrid CNN-Transf/Attention models across diverse MIA problems. In this systematic review, we survey existing hybrid CNN-Transf/Attention models, review and unravel key architectural designs, analyse breakthroughs, and evaluate current and future opportunities as well as challenges. We also introduced a comprehensive analysis framework on generalisation opportunities of scientific and clinical impact, based on which new data-driven domain generalisation and adaptation methods can be stimulated.

Sergio Calvo-Ordonez, Chun-Wun Cheng, Jiahao Huang et al.

Diffusion Probabilistic Models stand as a critical tool in generative modelling, enabling the generation of complex data distributions. This family of generative models yields record-breaking performance in tasks such as image synthesis, video generation, and molecule design. Despite their capabilities, their efficiency, especially in the reverse process, remains a challenge due to slow convergence rates and high computational costs. In this paper, we introduce an approach that leverages continuous dynamical systems to design a novel denoising network for diffusion models that is more parameter-efficient, exhibits faster convergence, and demonstrates increased noise robustness. Experimenting with Denoising Diffusion Probabilistic Models (DDPMs), our framework operates with approximately a quarter of the parameters, and $\sim$ 30\% of the Floating Point Operations (FLOPs) compared to standard U-Nets in DDPMs. Furthermore, our model is notably faster in inference than the baseline when measured in fair and equal conditions. We also provide a mathematical intuition as to why our proposed reverse process is faster as well as a mathematical discussion of the empirical tradeoffs in the denoising downstream task. Finally, we argue that our method is compatible with existing performance enhancement techniques, enabling further improvements in efficiency, quality, and speed.

Junfeng Jiang, Jiahao Huang, Akiko Aizawa

Recent developments in Japanese large language models (LLMs) primarily focus on general domains, with fewer advancements in Japanese biomedical LLMs. One obstacle is the absence of a comprehensive, large-scale benchmark for comparison. Furthermore, the resources for evaluating Japanese biomedical LLMs are insufficient. To advance this field, we propose a new benchmark including eight LLMs across four categories and 20 Japanese biomedical datasets across five tasks. Experimental results indicate that: (1) LLMs with a better understanding of Japanese and richer biomedical knowledge achieve better performance in Japanese biomedical tasks, (2) LLMs that are not mainly designed for Japanese biomedical domains can still perform unexpectedly well, and (3) there is still much room for improving the existing LLMs in certain Japanese biomedical tasks. Moreover, we offer insights that could further enhance development in this field. Our evaluation tools tailored to our benchmark as well as the datasets are publicly available in https://huggingface.co/datasets/Coldog2333/JMedBench to facilitate future research.

Liutao Yang, Jiahao Huang, Yingying Fang et al.

Sparse-View Computed Tomography (SVCT) offers low-dose and fast imaging but suffers from severe artifacts. Optimizing the sampling strategy is an essential approach to improving the imaging quality of SVCT. However, current methods typically optimize a universal sampling strategy for all types of scans, overlooking the fact that the optimal strategy may vary depending on the specific scanning task, whether it involves particular body scans (e.g., chest CT scans) or downstream clinical applications (e.g., disease diagnosis). The optimal strategy for one scanning task may not perform as well when applied to other tasks. To address this problem, we propose a deep learning framework that learns task-specific sampling strategies with a multi-task approach to train a unified reconstruction network while tailoring optimal sampling strategies for each individual task. Thus, a task-specific sampling strategy can be applied for each type of scans to improve the quality of SVCT imaging and further assist in performance of downstream clinical usage. Extensive experiments across different scanning types provide validation for the effectiveness of task-specific sampling strategies in enhancing imaging quality. Experiments involving downstream tasks verify the clinical value of learned sampling strategies, as evidenced by notable improvements in downstream task performance. Furthermore, the utilization of a multi-task framework with a shared reconstruction network facilitates deployment on current imaging devices with switchable task-specific modules, and allows for easily integrate new tasks without retraining the entire model.

Xiaodan Xing, Jiahao Huang, Yang Nan et al.

The destitution of image data and corresponding expert annotations limit the training capacities of AI diagnostic models and potentially inhibit their performance. To address such a problem of data and label scarcity, generative models have been developed to augment the training datasets. Previously proposed generative models usually require manually adjusted annotations (e.g., segmentation masks) or need pre-labeling. However, studies have found that these pre-labeling based methods can induce hallucinating artifacts, which might mislead the downstream clinical tasks, while manual adjustment could be onerous and subjective. To avoid manual adjustment and pre-labeling, we propose a novel controllable and simultaneous synthesizer (dubbed CS$^2$) in this study to generate both realistic images and corresponding annotations at the same time. Our CS$^2$ model is trained and validated using high resolution CT (HRCT) data collected from COVID-19 patients to realize an efficient infections segmentation with minimal human intervention. Our contributions include 1) a conditional image synthesis network that receives both style information from reference CT images and structural information from unsupervised segmentation masks, and 2) a corresponding segmentation mask synthesis network to automatically segment these synthesized images simultaneously. Our experimental studies on HRCT scans collected from COVID-19 patients demonstrate that our CS$^2$ model can lead to realistic synthesized datasets and promising segmentation results of COVID infections compared to the state-of-the-art nnUNet trained and fine-tuned in a fully supervised manner.

Yinzhe Wu, Jiahao Huang, Fanwen Wang et al.

Diffusion Tensor Cardiac Magnetic Resonance (DT-CMR) is the only in vivo method to non-invasively examine the microstructure of the human heart. Current research in DT-CMR aims to improve the understanding of how the cardiac microstructure relates to the macroscopic function of the healthy heart as well as how microstructural dysfunction contributes to disease. To get the final DT-CMR metrics, we need to acquire diffusion weighted images of at least 6 directions. However, due to DWI's low signal-to-noise ratio, the standard voxel size is quite big on the scale for microstructures. In this study, we explored the potential of deep-learning-based methods in improving the image quality volumetrically (x4 in all dimensions). This study proposed a novel framework to enable volumetric super-resolution, with an additional model input of high-resolution b0 DWI. We demonstrated that the additional input could offer higher super-resolved image quality. Going beyond, the model is also able to super-resolve DWIs of unseen b-values, proving the model framework's generalizability for cardiac DWI superresolution. In conclusion, we would then recommend giving the model a high-resolution reference image as an additional input to the low-resolution image for training and inference to guide all super-resolution frameworks for parametric imaging where a reference image is available.

Zhibo Jin, Jiayu Zhang, Zhiyu Zhu et al.

In recent times, the swift evolution of adversarial attacks has captured widespread attention, particularly concerning their transferability and other performance attributes. These techniques are primarily executed at the sample level, frequently overlooking the intrinsic parameters of models. Such neglect suggests that the perturbations introduced in adversarial samples might have the potential for further reduction. Given the essence of adversarial attacks is to impair model integrity with minimal noise on original samples, exploring avenues to maximize the utility of such perturbations is imperative. Against this backdrop, we have delved into the complexities of adversarial attack algorithms, dissecting the adversarial process into two critical phases: the Directional Supervision Process (DSP) and the Directional Optimization Process (DOP). While DSP determines the direction of updates based on the current samples and model parameters, it has been observed that existing model parameters may not always be conducive to adversarial attacks. The impact of models on adversarial efficacy is often overlooked in current research, leading to the neglect of DSP. We propose that under certain conditions, fine-tuning model parameters can significantly enhance the quality of DSP. For the first time, we propose that under certain conditions, fine-tuning model parameters can significantly improve the quality of the DSP. We provide, for the first time, rigorous mathematical definitions and proofs for these conditions, and introduce multiple methods for fine-tuning model parameters within DSP. Our extensive experiments substantiate the effectiveness of the proposed P3A method. Our code is accessible at: https://anonymous.4open.science/r/P3A-A12C/

Yihao Luo, Dario Sesia, Fanwen Wang et al.

Mesh reconstruction of the cardiac anatomy from medical images is useful for shape and motion measurements and biophysics simulations to facilitate the assessment of cardiac function and health. However, 3D medical images are often acquired as 2D slices that are sparsely sampled and noisy, and mesh reconstruction on such data is a challenging task. Traditional voxel-based approaches rely on pre- and post-processing that compromises image fidelity, while mesh-level deep learning approaches require mesh annotations that are difficult to get. Therefore, direct cross-domain supervision from 2D images to meshes is a key technique for advancing 3D learning in medical imaging, but it has not been well-developed. While there have been attempts to approximate the optimized meshes' slicing, few existing methods directly use 2D slices to supervise mesh reconstruction in a differentiable manner. Here, we propose a novel explicit differentiable voxelization and slicing (DVS) algorithm that allows gradient backpropagation to a mesh from its slices, facilitating refined mesh optimization directly supervised by the losses defined on 2D images. Further, we propose an innovative framework for extracting patient-specific left ventricle (LV) meshes from medical images by coupling DVS with a graph harmonic deformation (GHD) mesh morphing descriptor of cardiac shape that naturally preserves mesh quality and smoothness during optimization. Experimental results demonstrate that our method achieves state-of-the-art performance in cardiac mesh reconstruction tasks from CT and MRI, with an overall Dice score of 90% on multi-datasets, outperforming existing approaches. The proposed method can further quantify clinically useful parameters such as ejection fraction and global myocardial strains, closely matching the ground truth and surpassing the traditional voxel-based approach in sparse images.

Lichao Wang, Jiahao Huang, Xiaodan Xing et al.

Medical image segmentation is a crucial task in the field of medical image analysis. Harmonizing the convolution and multi-head self-attention mechanism is a recent research focus in this field, with various combination methods proposed. However, the lack of interpretability of these hybrid models remains a common pitfall, limiting their practical application in clinical scenarios. To address this issue, we propose to incorporate the Shifted Window (Swin) Deformable Attention into a hybrid architecture to improve segmentation performance while ensuring explainability. Our proposed Swin Deformable Attention Hybrid UNet (SDAH-UNet) demonstrates state-of-the-art performance on both anatomical and lesion segmentation tasks. Moreover, we provide a direct and visual explanation of the model focalization and how the model forms it, enabling clinicians to better understand and trust the decision of the model. Our approach could be a promising solution to the challenge of developing accurate and interpretable medical image segmentation models.

Zhibo Jin, Jiayu Zhang, Zhiyu Zhu et al.

Transferable adversarial attacks pose significant threats to deep neural networks, particularly in black-box scenarios where internal model information is inaccessible. Studying adversarial attack methods helps advance the performance of defense mechanisms and explore model vulnerabilities. These methods can uncover and exploit weaknesses in models, promoting the development of more robust architectures. However, current methods for transferable attacks often come with substantial computational costs, limiting their deployment and application, especially in edge computing scenarios. Adversarial generative models, such as Generative Adversarial Networks (GANs), are characterized by their ability to generate samples without the need for retraining after an initial training phase. GE-AdvGAN, a recent method for transferable adversarial attacks, is based on this principle. In this paper, we propose a novel general framework for gradient editing-based transferable attacks, named GE-AdvGAN+, which integrates nearly all mainstream attack methods to enhance transferability while significantly reducing computational resource consumption. Our experiments demonstrate the compatibility and effectiveness of our framework. Compared to the baseline AdvGAN, our best-performing method, GE-AdvGAN++, achieves an average ASR improvement of 47.8. Additionally, it surpasses the latest competing algorithm, GE-AdvGAN, with an average ASR increase of 5.9. The framework also exhibits enhanced computational efficiency, achieving 2217.7 FPS, outperforming traditional methods such as BIM and MI-FGSM. The implementation code for our GE-AdvGAN+ framework is available at https://github.com/GEAdvGANP

Jiahao Huang, Liutao Yang, Fanwen Wang et al.

The recent Mamba model has shown remarkable adaptability for visual representation learning, including in medical imaging tasks. This study introduces MambaMIR, a Mamba-based model for medical image reconstruction, as well as its Generative Adversarial Network-based variant, MambaMIR-GAN. Our proposed MambaMIR inherits several advantages, such as linear complexity, global receptive fields, and dynamic weights, from the original Mamba model. The innovated arbitrary-mask mechanism effectively adapt Mamba to our image reconstruction task, providing randomness for subsequent Monte Carlo-based uncertainty estimation. Experiments conducted on various medical image reconstruction tasks, including fast MRI and SVCT, which cover anatomical regions such as the knee, chest, and abdomen, have demonstrated that MambaMIR and MambaMIR-GAN achieve comparable or superior reconstruction results relative to state-of-the-art methods. Additionally, the estimated uncertainty maps offer further insights into the reliability of the reconstruction quality. The code is publicly available at https://github.com/ayanglab/MambaMIR.

Liutao Yang, Jiahao Huang, Guang Yang et al.

Sparse views X-ray computed tomography has emerged as a contemporary technique to mitigate radiation dose. Because of the reduced number of projection views, traditional reconstruction methods can lead to severe artifacts. Recently, research studies utilizing deep learning methods has made promising progress in removing artifacts for Sparse-View Computed Tomography (SVCT). However, given the limitations on the generalization capability of deep learning models, current methods usually train models on fixed sampling rates, affecting the usability and flexibility of model deployment in real clinical settings. To address this issue, our study proposes a adaptive reconstruction method to achieve high-performance SVCT reconstruction at any sampling rate. Specifically, we design a novel imaging degradation operator in the proposed sampling diffusion model for SVCT (CT-SDM) to simulate the projection process in the sinogram domain. Thus, the CT-SDM can gradually add projection views to highly undersampled measurements to generalize the full-view sinograms. By choosing an appropriate starting point in diffusion inference, the proposed model can recover the full-view sinograms from any sampling rate with only one trained model. Experiments on several datasets have verified the effectiveness and robustness of our approach, demonstrating its superiority in reconstructing high-quality images from sparse-view CT scans across various sampling rates.

Zhiyu Zhu, Zhibo Jin, Jiayu Zhang et al.

The task of identifying multimodal image-text representations has garnered increasing attention, particularly with models such as CLIP (Contrastive Language-Image Pretraining), which demonstrate exceptional performance in learning complex associations between images and text. Despite these advancements, ensuring the interpretability of such models is paramount for their safe deployment in real-world applications, such as healthcare. While numerous interpretability methods have been developed for unimodal tasks, these approaches often fail to transfer effectively to multimodal contexts due to inherent differences in the representation structures. Bottleneck methods, well-established in information theory, have been applied to enhance CLIP's interpretability. However, they are often hindered by strong assumptions or intrinsic randomness. To overcome these challenges, we propose the Narrowing Information Bottleneck Theory, a novel framework that fundamentally redefines the traditional bottleneck approach. This theory is specifically designed to satisfy contemporary attribution axioms, providing a more robust and reliable solution for improving the interpretability of multimodal models. In our experiments, compared to state-of-the-art methods, our approach enhances image interpretability by an average of 9%, text interpretability by an average of 58.83%, and accelerates processing speed by 63.95%. Our code is publicly accessible at https://github.com/LMBTough/NIB.

Fan Gao, Sherry T. Tong, Jiwoong Sohn et al.

While reasoning-enhanced large language models perform strongly on English medical tasks, a persistent multilingual gap remains, with substantially weaker reasoning in local languages, limiting equitable global medical deployment. To bridge this gap, we introduce Med-CoReasoner, a language-informed co-reasoning framework that elicits parallel English and local-language reasoning, abstracts them into structured concepts, and integrates local clinical knowledge into an English logical scaffold via concept-level alignment and retrieval. This design combines the structural robustness of English reasoning with the practice-grounded expertise encoded in local languages. To evaluate multilingual medical reasoning beyond multiple-choice settings, we construct MultiMed-X, a benchmark covering seven languages with expert-annotated long-form question answering and natural language inference tasks, comprising 350 instances per language. Experiments across three benchmarks show that Med-CoReasoner improves multilingual reasoning performance by an average of 5%, with particularly substantial gains in low-resource languages. Moreover, model distillation and expert evaluation analysis further confirm that Med-CoReasoner produces clinically sound and culturally grounded reasoning traces.

Julian Schnitzler, Xanh Ho, Jiahao Huang et al.

Most existing multi-hop datasets are extractive answer datasets, where the answers to the questions can be extracted directly from the provided context. This often leads models to use heuristics or shortcuts instead of performing true multi-hop reasoning. In this paper, we propose a new multi-hop dataset, MoreHopQA, which shifts from extractive to generative answers. Our dataset is created by utilizing three existing multi-hop datasets: HotpotQA, 2WikiMultihopQA, and MuSiQue. Instead of relying solely on factual reasoning, we enhance the existing multi-hop questions by adding another layer of questioning that involves one, two, or all three of the following types of reasoning: commonsense, arithmetic, and symbolic. Our dataset is created through a semi-automated process, resulting in a dataset with 1,118 samples that have undergone human verification. We then use our dataset to evaluate five different large language models: Mistral 7B, Gemma 7B, Llama 3 (8B and 70B), and GPT-4. We also design various cases to analyze the reasoning steps in the question-answering process. Our results show that models perform well on initial multi-hop questions but struggle with our extended questions, indicating that our dataset is more challenging than previous ones. Our analysis of question decomposition reveals that although models can correctly answer questions, only a portion - 38.7% for GPT-4 and 33.4% for Llama3-70B - achieve perfect reasoning, where all corresponding sub-questions are answered correctly. Evaluation code and data are available at https://github.com/Alab-NII/morehopqa

Zhenxuan Zhang, Hongjie Wu, Jiahao Huang et al.

Multi-contrast magnetic resonance imaging (MRI) plays a vital role in brain tumor segmentation and diagnosis by leveraging complementary information from different contrasts. Each contrast highlights specific tumor characteristics, enabling a comprehensive understanding of tumor morphology, edema, and pathological heterogeneity. However, existing methods still face the challenges of multi-level specificity perception across different contrasts, especially with limited annotations. These challenges include data heterogeneity, granularity differences, and interference from redundant information. To address these limitations, we propose a Task-oriented Uncertainty Collaborative Learning (TUCL) framework for multi-contrast MRI segmentation. TUCL introduces a task-oriented prompt attention (TPA) module with intra-prompt and cross-prompt attention mechanisms to dynamically model feature interactions across contrasts and tasks. Additionally, a cyclic process is designed to map the predictions back to the prompt to ensure that the prompts are effectively utilized. In the decoding stage, the TUCL framework proposes a dual-path uncertainty refinement (DUR) strategy which ensures robust segmentation by refining predictions iteratively. Extensive experimental results on limited labeled data demonstrate that TUCL significantly improves segmentation accuracy (88.2\% in Dice and 10.853 mm in HD95). It shows that TUCL has the potential to extract multi-contrast information and reduce the reliance on extensive annotations. The code is available at: https://github.com/Zhenxuan-Zhang/TUCL_BrainSeg.

Zhenxuan Zhang, Kinhei Lee, Peiyuan Jing et al.

Automatic medical report generation has the potential to support clinical diagnosis, reduce the workload of radiologists, and demonstrate potential for enhancing diagnostic consistency. However, current evaluation metrics often fail to reflect the clinical reliability of generated reports. Early overlap-based methods focus on textual matches between predicted and ground-truth entities but miss fine-grained clinical details (e.g., anatomical location, severity). Some diagnostic metrics are limited by fixed vocabularies or templates, reducing their ability to capture diverse clinical expressions. LLM-based approaches further lack interpretable reasoning steps, making it hard to assess or trust their behavior in safety-critical settings. These limitations hinder the comprehensive assessment of the reliability of generated reports and pose risks in their selection for clinical use. Therefore, we propose a Granular Explainable Multi-Agent Score (GEMA-Score) in this paper, which conducts both objective quantification and subjective evaluation through a large language model-based multi-agent workflow. Our GEMA-Score parses structured reports and employs stable calculations through interactive exchanges of information among agents to assess disease diagnosis, location, severity, and uncertainty. Additionally, an LLM-based scoring agent evaluates completeness, readability, and clinical terminology while providing explanatory feedback. Extensive experiments validate that GEMA-Score achieves the highest correlation with human expert evaluations on a public dataset, demonstrating its effectiveness in clinical scoring (Kendall coefficient = $0.69$ for ReXVal dataset and Kendall coefficient = $0.45$ for RadEvalX dataset). The anonymous project demo is available at: https://github.com/Zhenxuan-Zhang/GEMA_score.

Zhenxuan Zhang, Peiyuan Jing, Coraline Beitone et al.

Given the scarcity and cost of high-field MRI, the synthesis of high-field MRI from low-field MRI holds significant potential when there is limited data for training downstream tasks (e.g. segmentation). Low-field MRI often suffers from a reduced signal-to-noise ratio (SNR) and spatial resolution compared to high-field MRI. However, synthesizing high-field MRI data presents challenges. These involve aligning image features across domains while preserving anatomical accuracy and enhancing fine details. To address these challenges, we propose a Pretext Task Adversarial (PTA) learning framework for high-field MRI synthesis from low-field MRI data. The framework comprises three processes: (1) The slice-wise gap perception (SGP) network aligns the slice inconsistencies of low-field and high-field datasets based on contrastive learning. (2) The local structure correction (LSC) network extracts local structures by restoring the locally rotated and masked images. (3) The pretext task-guided adversarial training process introduces additional supervision and incorporates a discriminator to improve image realism. Extensive experiments on low-field to ultra high-field task demonstrate the effectiveness of our method, achieving state-of-the-art performance (16.892 in FID, 1.933 in IS, and 0.324 in MS-SSIM). This enables the generation of high-quality high-field-like MRI data from low-field MRI data to augment training datasets for downstream tasks. The code is available at: https://github.com/Zhenxuan-Zhang/PTA4Unpaired_HF_MRI_SYN.

Jiahao Huang, Yinzhe Wu, Huanjun Wu et al.

Magnetic resonance imaging (MRI) is a widely used non-radiative and non-invasive method for clinical interrogation of organ structures and metabolism, with an inherently long scanning time. Methods by k-space undersampling and deep learning based reconstruction have been popularised to accelerate the scanning process. This work focuses on investigating how powerful transformers are for fast MRI by exploiting and comparing different novel network architectures. In particular, a generative adversarial network (GAN) based Swin transformer (ST-GAN) was introduced for the fast MRI reconstruction. To further preserve the edge and texture information, edge enhanced GAN based Swin transformer (EES-GAN) and texture enhanced GAN based Swin transformer (TES-GAN) were also developed, where a dual-discriminator GAN structure was applied. We compared our proposed GAN based transformers, standalone Swin transformer and other convolutional neural networks based GAN model in terms of the evaluation metrics PSNR, SSIM and FID. We showed that transformers work well for the MRI reconstruction from different undersampling conditions. The utilisation of GAN's adversarial structure improves the quality of images reconstructed when undersampled for 30% or higher. The code is publicly available at https://github.com/ayanglab/SwinGANMR.

Jiahao Huang, Yingying Fang, Yinzhe Wu et al.

Magnetic resonance imaging (MRI) is an important non-invasive clinical tool that can produce high-resolution and reproducible images. However, a long scanning time is required for high-quality MR images, which leads to exhaustion and discomfort of patients, inducing more artefacts due to voluntary movements of the patients and involuntary physiological movements. To accelerate the scanning process, methods by k-space undersampling and deep learning based reconstruction have been popularised. This work introduced SwinMR, a novel Swin transformer based method for fast MRI reconstruction. The whole network consisted of an input module (IM), a feature extraction module (FEM) and an output module (OM). The IM and OM were 2D convolutional layers and the FEM was composed of a cascaded of residual Swin transformer blocks (RSTBs) and 2D convolutional layers. The RSTB consisted of a series of Swin transformer layers (STLs). The shifted windows multi-head self-attention (W-MSA/SW-MSA) of STL was performed in shifted windows rather than the multi-head self-attention (MSA) of the original transformer in the whole image space. A novel multi-channel loss was proposed by using the sensitivity maps, which was proved to reserve more textures and details. We performed a series of comparative studies and ablation studies in the Calgary-Campinas public brain MR dataset and conducted a downstream segmentation experiment in the Multi-modal Brain Tumour Segmentation Challenge 2017 dataset. The results demonstrate our SwinMR achieved high-quality reconstruction compared with other benchmark methods, and it shows great robustness with different undersampling masks, under noise interruption and on different datasets. The code is publicly available at https://github.com/ayanglab/SwinMR.

Jiahao Huang, Fengyan Lin, Xuechao Yang et al.

The development of affective multimodal language models (MLMs) has long been constrained by a gap between low-level perception and high-level interaction, leading to fragmented affective capabilities and limited generalization. To bridge this gap, we propose a cognitively inspired three-level hierarchy that organizes affective tasks according to their cognitive depth-perception, understanding, and interaction-and provides a unified conceptual foundation for advancing affective modeling. Guided by this hierarchy, we introduce Nano-EmoX, a small-scale multitask MLM, and P2E (Perception-to-Empathy), a curriculum-based training framework. Nano-EmoX integrates a suite of omni-modal encoders, including an enhanced facial encoder and a fusion encoder, to capture key multimodal affective cues and improve cross-task transferability. The outputs are projected into a unified language space via heterogeneous adapters, empowering a lightweight language model to tackle diverse affective tasks. Concurrently, P2E progressively cultivates emotional intelligence by aligning rapid perception with chain-of-thought-driven empathy. To the best of our knowledge, Nano-EmoX is the first compact MLM (2.2B) to unify six core affective tasks across all three hierarchy levels, achieving state-of-the-art or highly competitive performance across multiple benchmarks, demonstrating excellent efficiency and generalization.

Yinzhe Wu, Hongyu Rui, Fanwen Wang et al.

Rotating-view thick-slice acquisition is highly SNR-efficient for mesoscale diffusion MRI (dMRI) but requires numerous rotating views to satisfy Nyquist sampling, resulting in long scan time. We propose a self-supervised Spatial-Angular Implicit Neural Representation (SA-INR) that reconstructs high-resolution dMRI from a single view per diffusion direction, representing a massive acceleration. Our model, an MLP conditioned on a b=0 structural prior and the b-direction via FiLM, is trained end-to-end on the anisotropic input. The framework not only accurately reconstructs the trained b-directions (spatial SR) but also learns a continuous q-space representation, enabling high-fidelity "zero-shot" synthesis of unseen b-directions (angular SR). On simulated data, our method achieved high fidelity for both trained (34.82 dB) and unseen (33.08 dB) directions. Most importantly, the synthesized angular data also improved the quantitative accuracy of downstream DTI model fitting. Our SA-INR framework breaks the classical sampling limits, paving the way for fast, quantitative high-resolution dMRI.

Jiahao Huang, Peilan Xu, Xiaoya Nan et al.

Automating operations research (OR) with large language models (LLMs) remains limited by hand-crafted reasoning--execution workflows. Complex OR tasks require adaptive coordination among problem interpretation, mathematical formulation, solver selection, code generation, and iterative debugging. To address this limitation, we propose EvoOR-Agent, a co-evolutionary framework for automated optimization. The framework represents agent workflows as activity-on-edge (AOE)-style networks, making workflow topology, execution dependencies, and alternative reasoning paths explicit. On this representation, the framework maintains an architecture graph and evolves a population of reasoning individuals through graph-mediated path-conditioned recombination, multi-granularity semantic mutation, and elitist population update. A knowledge-base-assisted experience-acquisition module further injects reusable OR practices into initialization and semantic variation. Empirical results on heterogeneous OR benchmarks show that the proposed framework consistently improves over zero-shot LLMs, fixed-pipeline OR agents, and representative evolutionary agent frameworks. Case studies and ablation analyses further indicate that explicit architecture evolution and graph-supported reasoning-trajectory search contribute to both performance improvement and structural interpretability. These results suggest that treating agent architectures and reasoning trajectories as evolvable objects provides an effective route toward adaptive and interpretable automated optimization.

Andrey Bryutkin, Jiahao Huang, Zhongying Deng et al.

We present a novel graph transformer framework, HAMLET, designed to address the challenges in solving partial differential equations (PDEs) using neural networks. The framework uses graph transformers with modular input encoders to directly incorporate differential equation information into the solution process. This modularity enhances parameter correspondence control, making HAMLET adaptable to PDEs of arbitrary geometries and varied input formats. Notably, HAMLET scales effectively with increasing data complexity and noise, showcasing its robustness. HAMLET is not just tailored to a single type of physical simulation, but can be applied across various domains. Moreover, it boosts model resilience and performance, especially in scenarios with limited data. We demonstrate, through extensive experiments, that our framework is capable of outperforming current techniques for PDEs.

Xanh Ho, Jiahao Huang, Florian Boudin et al.

Extractive reading comprehension question answering (QA) datasets are typically evaluated using Exact Match (EM) and F1-score, but these metrics often fail to fully capture model performance. With the success of large language models (LLMs), they have been employed in various tasks, including serving as judges (LLM-as-a-judge). In this paper, we reassess the performance of QA models using LLM-as-a-judge across four reading comprehension QA datasets. We examine different families of LLMs and various answer types to evaluate the effectiveness of LLM-as-a-judge in these tasks. Our results show that LLM-as-a-judge is highly correlated with human judgments and can replace traditional EM/F1 metrics. By using LLM-as-a-judge, the correlation with human judgments improves significantly, from 0.22 (EM) and 0.40 (F1-score) to 0.85. These findings confirm that EM and F1 metrics underestimate the true performance of the QA models. While LLM-as-a-judge is not perfect for more difficult answer types (e.g., job), it still outperforms EM/F1, and we observe no bias issues, such as self-preference, when the same model is used for both the QA and judgment tasks.

Xiaodan Xing, Fadong Shi, Jiahao Huang et al.

Generative Artificial Intelligence (AI) technologies and large models are producing realistic outputs across various domains, such as images, text, speech, and music. Creating these advanced generative models requires significant resources, particularly large and high-quality datasets. To minimise training expenses, many algorithm developers use data created by the models themselves as a cost-effective training solution. However, not all synthetic data effectively improve model performance, necessitating a strategic balance in the use of real versus synthetic data to optimise outcomes. Currently, the previously well-controlled integration of real and synthetic data is becoming uncontrollable. The widespread and unregulated dissemination of synthetic data online leads to the contamination of datasets traditionally compiled through web scraping, now mixed with unlabeled synthetic data. This trend, known as the AI autophagy phenomenon, suggests a future where generative AI systems may increasingly consume their own outputs without discernment, raising concerns about model performance, reliability, and ethical implications. What will happen if generative AI continuously consumes itself without discernment? What measures can we take to mitigate the potential adverse effects? To address these research questions, this study examines the existing literature, delving into the consequences of AI autophagy, analyzing the associated risks, and exploring strategies to mitigate its impact. Our aim is to provide a comprehensive perspective on this phenomenon advocating for a balanced approach that promotes the sustainable development of generative AI technologies in the era of large models.

Lei Xie, Qingrun Zeng, Huajun Zhou et al.

Diffusion MRI tractography is an important tool for identifying and analyzing the intracranial course of cranial nerves (CNs). However, the complex environment of the skull base leads to ambiguous spatial correspondence between diffusion directions and fiber geometry, and existing diffusion tractography methods of CNs identification are prone to producing erroneous trajectories and missing true positive connections. To overcome the above challenge, we propose a novel CNs identification framework with anatomy-guided fiber trajectory distribution, which incorporates anatomical shape prior knowledge during the process of CNs tracing to build diffusion tensor vector fields. We introduce higher-order streamline differential equations for continuous flow field representations to directly characterize the fiber trajectory distribution of CNs from the tract-based level. The experimental results on the vivo HCP dataset and the clinical MDM dataset demonstrate that the proposed method reduces false-positive fiber production compared to competing methods and produces reconstructed CNs (i.e. CN II, CN III, CN V, and CN VII/VIII) that are judged to better correspond to the known anatomy.

Lei Xie, Jiahao Huang, Jiawei Zhang et al.

Cranial nerves (CNs) play a crucial role in various essential functions of the human brain, and mapping their pathways from diffusion MRI (dMRI) provides valuable preoperative insights into the spatial relationships between individual CNs and key tissues. However, mapping a comprehensive and detailed CN atlas is challenging because of the unique anatomical structures of each CN pair and the complexity of the skull base environment.In this work, we present what we believe to be the first study to develop a comprehensive diffusion tractography atlas for automated mapping of CN pathways in the human brain. The CN atlas is generated by fiber clustering by using the streamlines generated by multi-parametric fiber tractography for each pair of CNs. Instead of disposable clustering, we explore a new strategy of multi-stage fiber clustering for multiple analysis of approximately 1,000,000 streamlines generated from the 50 subjects from the Human Connectome Project (HCP). Quantitative and visual experiments demonstrate that our CN atlas achieves high spatial correspondence with expert manual annotations on multiple acquisition sites, including the HCP dataset, the Multi-shell Diffusion MRI (MDM) dataset and two clinical cases of pituitary adenoma patients. The proposed CN atlas can automatically identify 8 fiber bundles associated with 5 pairs of CNs, including the optic nerve CN II, oculomotor nerve CN III, trigeminal nerve CN V and facial-vestibulocochlear nerve CN VII/VIII, and its robustness is demonstrated experimentally. This work contributes to the field of diffusion imaging by facilitating more efficient and automated mapping the pathways of multiple pairs of CNs, thereby enhancing the analysis and understanding of complex brain structures through visualization of their spatial relationships with nearby anatomy.

Yinzhe Wu, Jiahao Huang, Fanwen Wang et al.

Diffusion MRI (dMRI) is essential for studying brain microstructure, but high-resolution imaging remains challenging due to the inherent trade-offs between acquisition time and signal-to-noise ratio (SNR). Conventional methods often optimize only the diffusion-weighted images (DWIs) without considering their relationship with the non-diffusion-weighted (b=0) reference images. However, calculating diffusion metrics, such as the apparent diffusion coefficient (ADC) and diffusion tensor with its derived metrics like fractional anisotropy (FA) and mean diffusivity (MD), relies on the ratio between each DWI and the b=0 image, which is crucial for clinical observation and diagnostics. In this study, we demonstrate that solely enhancing DWIs using a conventional pixel-wise mean squared error (MSE) loss is insufficient, as the error in ratio between generated DWIs and b=0 diverges. We propose a novel ratio loss, defined as the MSE loss between the predicted and ground-truth log of DWI/b=0 ratios. Our results show that incorporating the ratio loss significantly improves the convergence of this ratio error, achieving lower ratio MSE and slightly enhancing the peak signal-to-noise ratio (PSNR) of generated DWIs. This leads to improved dMRI super-resolution and better preservation of b=0 ratio-based features for the derivation of diffusion metrics.

Ruoqi Wen, Jiahao Huang, Rongpeng Li et al.

Autonomous Vehicles (AVs) have attracted significant attention in recent years and Reinforcement Learning (RL) has shown remarkable performance in improving the autonomy of vehicles. In that regard, the widely adopted Model-Free RL (MFRL) promises to solve decision-making tasks in connected AVs (CAVs), contingent on the readiness of a significant amount of data samples for training. Nevertheless, it might be infeasible in practice and possibly lead to learning instability. In contrast, Model-Based RL (MBRL) manifests itself in sample-efficient learning, but the asymptotic performance of MBRL might lag behind the state-of-the-art MFRL algorithms. Furthermore, most studies for CAVs are limited to the decision-making of a single AV only, thus underscoring the performance due to the absence of communications. In this study, we try to address the decision-making problem of multiple CAVs with limited communications and propose a decentralized Multi-Agent Probabilistic Ensembles with Trajectory Sampling algorithm MA-PETS. In particular, in order to better capture the uncertainty of the unknown environment, MA-PETS leverages Probabilistic Ensemble (PE) neural networks to learn from communicated samples among neighboring CAVs. Afterwards, MA-PETS capably develops Trajectory Sampling (TS)-based model-predictive control for decision-making. On this basis, we derive the multi-agent group regret bound affected by the number of agents within the communication range and mathematically validate that incorporating effective information exchange among agents into the multi-agent learning scheme contributes to reducing the group regret bound in the worst case. Finally, we empirically demonstrate the superiority of MA-PETS in terms of the sample efficiency comparable to MFBL.

Yingying Fang, Huichi Zhou, KinHei Lee et al.

Generating precise diagnostic reports from High-Resolution Computed Tomography (HRCT) is critical for clinical workflow, yet it remains a formidable challenge due to the high pathological diversity and spatial sparsity within 3D volumes. While Video Language Models (VideoLMs) have demonstrated remarkable spatio-temporal reasoning in general domains, their adaptability to domain-specific, high-volume medical interpretation remains underexplored. In this work, we present AbSteering, an abnormality-centric framework that steers VideoLMs toward precise HRCT report generation. Specifically, AbSteering introduces: (i) an abnormality-centric Chain-of-Thought scheme that enforces abnormality reasoning, and (ii) a Direct Preference Optimization objective that utilizes clinically confusable abnormalities as hard negatives to enhance fine-grained discrimination. Our results demonstrate that general-purpose VideoLMs possess strong transferability to high-volume medical imaging when guided by this paradigm. Notably, AbSteering outperforms state-of-the-art domain-specific CT foundation models, which are pretrained with large-scale CTs, achieving superior detection sensitivity while simultaneously mitigating hallucinations. Our data and model weights are released at https://anonymous.4open.science/r/hrct-report-generation-video-vlm-728C/

Zhenxuan Zhang, Peiyuan Jing, Zi Wang et al.

Synthesizing high-quality images from low-field MRI holds significant potential. Low-field MRI is cheaper, more accessible, and safer, but suffers from low resolution and poor signal-to-noise ratio. This synthesis process can reduce reliance on costly acquisitions and expand data availability. However, synthesizing high-field MRI still suffers from a clinical fidelity gap. There is a need to preserve anatomical fidelity, enhance fine-grained structural details, and bridge domain gaps in image contrast. To address these issues, we propose a \emph{cyclic self-supervised diffusion (CSS-Diff)} framework for high-field MRI synthesis from real low-field MRI data. Our core idea is to reformulate diffusion-based synthesis under a cycle-consistent constraint. It enforces anatomical preservation throughout the generative process rather than just relying on paired pixel-level supervision. The CSS-Diff framework further incorporates two novel processes. The slice-wise gap perception network aligns inter-slice inconsistencies via contrastive learning. The local structure correction network enhances local feature restoration through self-reconstruction of masked and perturbed patches. Extensive experiments on cross-field synthesis tasks demonstrate the effectiveness of our method, achieving state-of-the-art performance (e.g., 31.80 $\pm$ 2.70 dB in PSNR, 0.943 $\pm$ 0.102 in SSIM, and 0.0864 $\pm$ 0.0689 in LPIPS). Beyond pixel-wise fidelity, our method also preserves fine-grained anatomical structures compared with the original low-field MRI (e.g., left cerebral white matter error drops from 12.1$\%$ to 2.1$\%$, cortex from 4.2$\%$ to 3.7$\%$). To conclude, our CSS-Diff can synthesize images that are both quantitatively reliable and anatomically consistent.

Yiwei Liu, Emma Jane Pretty, Jiahao Huang et al.

While recent studies explore Large Language Models' (LLMs) performance on Theory of Mind (ToM) reasoning tasks, research on ToM abilities that require more nuanced social context is limited, such as white lies. We introduce TactfulToM, a novel English benchmark designed to evaluate LLMs' ability to understand white lies within real-life conversations and reason about prosocial motivations behind them, particularly when they are used to spare others' feelings and maintain social harmony. Our benchmark is generated through a multi-stage human-in-the-loop pipeline where LLMs expand manually designed seed stories into conversations to maintain the information asymmetry between participants necessary for authentic white lies. We show that TactfulToM is challenging for state-of-the-art models, which perform substantially below humans, revealing shortcomings in their ability to fully comprehend the ToM reasoning that enables true understanding of white lies.

Jiahao Huang, Ruifeng Li, Wenwen Yu et al.

The organization and connectivity of the arcuate fasciculus (AF) in nonhuman primates remain contentious, especially concerning how its anatomy diverges from that of humans. Here, we combined cross-scale single-neuron tracing - using viral-based genetic labeling and fluorescence micro-optical sectioning tomography in macaques (n = 4; age 3 - 11 years) - with whole-brain tractography from 11.7T diffusion MRI. Complemented by spectral embedding analysis of 7.0T MRI in humans, we performed a comparative connectomic analysis of the AF across species. We demonstrate that the macaque AF originates in the temporal-parietal cortex, traverses the auditory cortex and parietal operculum, and projects into prefrontal regions. In contrast, the human AF exhibits greater expansion into the middle temporal gyrus and stronger prefrontal and parietal operculum connectivity - divergences quantified by Kullback-Leibler analysis that likely underpin the evolutionary specialization of human language networks. These interspecies differences - particularly the human AF's broader temporal integration and strengthened frontoparietal linkages - suggest a connectivity-based substrate for the emergence of advanced language processing unique to humans. Furthermore, our findings offer a neuroanatomical framework for understanding AF-related disorders such as aphasia and dyslexia, where aberrant connectivity disrupts language function.

Zhenxuan Zhang, Lipei Zhang, Yanqi Cheng et al.

In motion-robust magnetic resonance imaging (MRI), slice-to-volume reconstruction is critical for recovering anatomically consistent 3D brain volumes from 2D slices, especially under accelerated acquisitions or patient motion. However, this task remains challenging due to hierarchical structural disruptions. It includes local detail loss from k-space undersampling, global structural aliasing caused by motion, and volumetric anisotropy. Therefore, we propose a progressive refinement implicit neural representation (PR-INR) framework. Our PR-INR unifies motion correction, structural refinement, and volumetric synthesis within a geometry-aware coordinate space. Specifically, a motion-aware diffusion module is first employed to generate coarse volumetric reconstructions that suppress motion artifacts and preserve global anatomical structures. Then, we introduce an implicit detail restoration module that performs residual refinement by aligning spatial coordinates with visual features. It corrects local structures and enhances boundary precision. Further, a voxel continuous-aware representation module represents the image as a continuous function over 3D coordinates. It enables accurate inter-slice completion and high-frequency detail recovery. We evaluate PR-INR on five public MRI datasets under various motion conditions (3% and 5% displacement), undersampling rates (4x and 8x) and slice resolutions (scale = 5). Experimental results demonstrate that PR-INR outperforms state-of-the-art methods in both quantitative reconstruction metrics and visual quality. It further shows generalization and robustness across diverse unseen domains.

Rongpeng Li, Jianhang Zhu, Jiahao Huang et al.

Intelligent Transportation Systems (ITSs) have emerged as a promising solution towards ameliorating urban traffic congestion, with Traffic Signal Control (TSC) identified as a critical component. Although Multi-Agent Reinforcement Learning (MARL) algorithms have shown potential in optimizing TSC through real-time decision-making, their scalability and effectiveness often suffer from large-scale and complex environments. Typically, these limitations primarily stem from a fundamental mismatch between the exponential growth of the state space driven by the environmental heterogeneities and the limited modeling capacity of current solutions. To address these issues, this paper introduces a novel MARL framework that integrates Dynamic Graph Neural Networks (DGNNs) and Topological Data Analysis (TDA), aiming to enhance the expressiveness of environmental representations and improve agent coordination. Furthermore, inspired by the Mixture of Experts (MoE) architecture in Large Language Models (LLMs), a topology-assisted spatial pattern disentangling (TSD)-enhanced MoE is proposed, which leverages topological signatures to decouple graph features for specialized processing, thus improving the model's ability to characterize dynamic and heterogeneous local observations. The TSD module is also integrated into the policy and value networks of the Multi-agent Proximal Policy Optimization (MAPPO) algorithm, further improving decision-making efficiency and robustness. Extensive experiments conducted on real-world traffic scenarios, together with comprehensive theoretical analysis, validate the superior performance of the proposed framework, highlighting the model's scalability and effectiveness in addressing the complexities of large-scale TSC tasks.

Congren Dai, Huichi Zhou, Jiahao Huang et al.

Online Continual Learning (OCL) presents a complex learning environment in which new data arrives in a batch-to-batch online format, and the risk of catastrophic forgetting can significantly impair model efficacy. In this study, we address OCL by introducing an innovative memory framework that incorporates a short-term memory system to retain dynamic information and a long-term memory system to archive enduring knowledge. Specifically, the long-term memory system comprises a collection of sub-memory buffers, each linked to a cluster prototype and designed to retain data samples from distinct categories. We propose a novel $K$-means-based sample selection method to identify cluster prototypes for each encountered category. To safeguard essential and critical samples, we introduce a novel memory optimisation strategy that selectively retains samples in the appropriate sub-memory buffer by evaluating each cluster prototype against incoming samples through an optimal transportation mechanism. This approach specifically promotes each sub-memory buffer to retain data samples that exhibit significant discrepancies from the corresponding cluster prototype, thereby ensuring the preservation of semantically rich information. In addition, we propose a novel Divide-and-Conquer (DAC) approach that formulates the memory updating as an optimisation problem and divides it into several subproblems. As a result, the proposed DAC approach can solve these subproblems separately and thus can significantly reduce computations of the proposed memory updating process. We conduct a series of experiments across standard and imbalanced learning settings, and the empirical findings indicate that the proposed memory framework achieves state-of-the-art performance in both learning contexts.

Hongyu Rui, Yinzhe Wu, Fanwen Wang et al.

Magnetic Resonance Imaging (MRI) is critical for clinical diagnostics but is often limited by long acquisition times and low signal-to-noise ratios, especially in modalities like diffusion and functional MRI. The multi-contrast nature of MRI presents a valuable opportunity for cross-modal enhancement, where high-resolution (HR) modalities can serve as references to boost the quality of their low-resolution (LR) counterparts-motivating the development of Multi-Contrast Super-Resolution (MCSR) techniques. Prior work has shown that leveraging complementary contrasts can improve SR performance; however, effective feature extraction and fusion across modalities with varying resolutions remains a major challenge. Moreover, existing MCSR methods often assume fixed resolution settings and all require large, perfectly paired training datasets-conditions rarely met in real-world clinical environments. To address these challenges, we propose a novel Modular Multi-Contrast Super-Resolution (MCSR) framework that eliminates the need for paired training data and supports arbitrary upscaling. Our method decouples the MCSR task into two stages: (1) Unpaired Cross-Modal Synthesis (U-CMS), which translates a high-resolution reference modality into a synthesized version of the target contrast, and (2) Unsupervised Super-Resolution (U-SR), which reconstructs the final output using implicit neural representations (INRs) conditioned on spatial coordinates. This design enables scale-agnostic and anatomically faithful reconstruction by bridging un-paired cross-modal synthesis with unsupervised resolution enhancement. Experiments show that our method achieves superior performance at 4x and 8x upscaling, with improved fidelity and anatomical consistency over existing baselines. Our framework demonstrates strong potential for scalable, subject-specific, and data-efficient MCSR in real-world clinical settings.

Lei Xie, Huajun Zhou, Junxiong Huang et al.

The segmentation of cranial nerves (CNs) tract provides a valuable quantitative tool for the analysis of the morphology and trajectory of individual CNs. Multimodal CNs tract segmentation networks, e.g., CNTSeg, which combine structural Magnetic Resonance Imaging (MRI) and diffusion MRI, have achieved promising segmentation performance. However, it is laborious or even infeasible to collect complete multimodal data in clinical practice due to limitations in equipment, user privacy, and working conditions. In this work, we propose a novel arbitrary-modal fusion network for volumetric CNs tract segmentation, called CNTSeg-v2, which trains one model to handle different combinations of available modalities. Instead of directly combining all the modalities, we select T1-weighted (T1w) images as the primary modality due to its simplicity in data acquisition and contribution most to the results, which supervises the information selection of other auxiliary modalities. Our model encompasses an Arbitrary-Modal Collaboration Module (ACM) designed to effectively extract informative features from other auxiliary modalities, guided by the supervision of T1w images. Meanwhile, we construct a Deep Distance-guided Multi-stage (DDM) decoder to correct small errors and discontinuities through signed distance maps to improve segmentation accuracy. We evaluate our CNTSeg-v2 on the Human Connectome Project (HCP) dataset and the clinical Multi-shell Diffusion MRI (MDM) dataset. Extensive experimental results show that our CNTSeg-v2 achieves state-of-the-art segmentation performance, outperforming all competing methods.

Jiahao Huang, Fanwen Wang, Pedro F. Ferreira et al.

Cardiac diffusion tensor imaging (DTI) offers unique insights into cardiomyocyte arrangements, bridging the gap between microscopic and macroscopic cardiac function. However, its clinical utility is limited by technical challenges, including a low signal-to-noise ratio, aliasing artefacts, and the need for accurate quantitative fidelity. To address these limitations, we introduce RSFR (Reconstruction, Segmentation, Fusion & Refinement), a novel framework for cardiac diffusion-weighted image reconstruction. RSFR employs a coarse-to-fine strategy, leveraging zero-shot semantic priors via the Segment Anything Model and a robust Vision Mamba-based reconstruction backbone. Our framework integrates semantic features effectively to mitigate artefacts and enhance fidelity, achieving state-of-the-art reconstruction quality and accurate DT parameter estimation under high undersampling rates. Extensive experiments and ablation studies demonstrate the superior performance of RSFR compared to existing methods, highlighting its robustness, scalability, and potential for clinical translation in quantitative cardiac DTI.

Haosen Zhang, Jiahao Huang, Yinzhe Wu et al.

Magnetic Resonance Imaging (MRI) is crucial for clinical diagnostics but is hindered by prolonged scan times. Current deep learning models enhance MRI reconstruction but are often memory-intensive and unsuitable for resource-limited systems. This paper introduces a lightweight MRI reconstruction model leveraging Kronecker-Parameterized Hypercomplex Neural Networks to achieve high performance with reduced parameters. By integrating Kronecker-based modules, including Kronecker MLP, Kronecker Window Attention, and Kronecker Convolution, the proposed model efficiently extracts spatial features while preserving representational power. We introduce Kronecker U-Net and Kronecker SwinMR, which maintain high reconstruction quality with approximately 50% fewer parameters compared to existing models. Experimental evaluation on the FastMRI dataset demonstrates competitive PSNR, SSIM, and LPIPS metrics, even at high acceleration factors (8x and 16x), with no significant performance drop. Additionally, Kronecker variants exhibit superior generalization and reduced overfitting on limited datasets, facilitating efficient MRI reconstruction on hardware-constrained systems. This approach sets a new benchmark for parameter-efficient medical imaging models.

Zihao Jin, Yingying Fang, Jiahao Huang et al.

The manifestation of symptoms associated with lung diseases can vary in different depths for individual patients, highlighting the significance of 3D information in CT scans for medical image classification. While Vision Transformer has shown superior performance over convolutional neural networks in image classification tasks, their effectiveness is often demonstrated on sufficiently large 2D datasets and they easily encounter overfitting issues on small medical image datasets. To address this limitation, we propose a Diffusion-based 3D Vision Transformer (Diff3Dformer), which utilizes the latent space of the Diffusion model to form the slice sequence for 3D analysis and incorporates clustering attention into ViT to aggregate repetitive information within 3D CT scans, thereby harnessing the power of the advanced transformer in 3D classification tasks on small datasets. Our method exhibits improved performance on two different scales of small datasets of 3D lung CT scans, surpassing the state of the art 3D methods and other transformer-based approaches that emerged during the COVID-19 pandemic, demonstrating its robust and superior performance across different scales of data. Experimental results underscore the superiority of our proposed method, indicating its potential for enhancing medical image classification tasks in real-world scenarios.