Imran Razzak

Zhixiang Lu, Chong Zhang, Yulong Li et al.

The vision of an inclusive World Wide Web is impeded by a severe linguistic divide, particularly for communities in low-resource regions of Southeast Asia. While large language models (LLMs) offer a potential solution for translation, their deployment in data-poor contexts faces a dual challenge: the scarcity of high-quality, culturally relevant data and the prohibitive energy costs of training on massive, noisy web corpora. To resolve the tension between digital inclusion and environmental sustainability, we introduce Sustainable Agent-Guided Expert-tuning (SAGE). This framework pioneers an energy-aware paradigm that prioritizes the "right data" over "big data". Instead of carbon-intensive training on unfiltered datasets, SAGE employs a reinforcement learning (RL) agent, optimized via Group Relative Policy Optimization (GRPO), to autonomously curate a compact training set. The agent utilizes a semantic reward signal derived from a small, expert-constructed set of community dialogues to filter out noise and cultural misalignment. We then efficiently fine-tune open-source LLMs on this curated data using Low-Rank Adaptation (LoRA). We applied SAGE to translation tasks between English and seven low-resource languages (LRLs) in Southeast Asia. Our approach establishes new state-of-the-art performance on BLEU-4 and COMET-22 metrics, effectively capturing local linguistic nuances. Crucially, SAGE surpasses baselines trained on full datasets while reducing data usage by 97.1% and training energy consumption by 95.2%. By delivering high-performance models with a minimal environmental footprint, SAGE offers a scalable and responsible pathway to bridge the digital divide in the Global South.

Ankan Deria, Komal Kumar, Adinath Madhavrao Dukre et al.

Multimodal large language models (MLLMs) have rapidly advanced, yet their adoption in medicine remains limited by gaps in domain coverage, modality alignment, and grounded reasoning. In this work, we introduce MedMO, a medical foundation model built upon a generalized MLLM architecture and trained exclusively on large-scale, domain-specific data. MedMO follows a multi-stage training recipe: (i) cross-modal pretraining to align heterogeneous visual encoders with a medical language backbone; (ii) instruction tuning on multi-task supervision that spans captioning, VQA, report generation, retrieval, and grounded disease localization with bounding boxes; and (iii) reinforcement learning with verifiable rewards that combine factuality checks with a box-level GIoU reward to strengthen spatial grounding and step-by-step reasoning in complex clinical scenarios. MedMO consistently outperforms strong open-source medical MLLMs across multiple modalities and tasks. On VQA benchmarks, MedMO achieves an average accuracy improvement of +13.7% over the baseline and performs within 1.9% of the SOTA Fleming-VL. For text-based QA, it attains +6.9% over the baseline and +14.5% over Fleming-VL. In medical report generation, MedMO delivers significant gains in both semantic and clinical accuracy. Moreover, it exhibits strong grounding capability, achieving an IoU improvement of +40.4 over the baseline and +37.0% over Fleming-VL, underscoring its robust spatial reasoning and localization performance. Evaluations across radiology, ophthalmology, and pathology-microscopy confirm MedMO's broad cross-modality generalization. We release two versions of MedMO: 4B and 8B. Project is available at https://genmilab.github.io/MedMO-Page

Lingzhi Shen, Xiaohao Cai, Yunfei Long et al.

Cultural awareness in language models is the capacity to understand and adapt to diverse cultural contexts. However, most existing approaches treat culture as static background knowledge, overlooking its dynamic and evolving nature. This limitation reduces their reliability in downstream tasks that demand genuine cultural sensitivity. In this work, we introduce CALM, a novel framework designed to endow language models with cultural self-awareness. CALM disentangles task semantics from explicit cultural concepts and latent cultural signals, shaping them into structured cultural clusters through contrastive learning. These clusters are then aligned via cross-attention to establish fine-grained interactions among related cultural features and are adaptively integrated through a Mixture-of-Experts mechanism along culture-specific dimensions. The resulting unified representation is fused with the model's original knowledge to construct a culturally grounded internal identity state, which is further enhanced through self-prompted reflective learning, enabling continual adaptation and self-correction. Extensive experiments conducted on multiple cross-cultural benchmark datasets demonstrate that CALM consistently outperforms state-of-the-art methods.

Zhixiang Lu, Xueyuan Deng, Yiran Liu et al.

Traditional agent-based models (ABMs) of opinion dynamics often fail to capture the psychological heterogeneity driving online polarization due to simplistic homogeneity assumptions. This limitation obscures the critical interplay between individual cognitive biases and information propagation, thereby hindering a mechanistic understanding of how ideological divides are amplified. To address this challenge, we introduce the Personality-Refracted Intelligent Simulation Model (PRISM), a hybrid framework coupling stochastic differential equations (SDE) for continuous emotional evolution with a personality-conditional partially observable Markov decision process (PC-POMDP) for discrete decision-making. In contrast to continuous trait approaches, PRISM assigns distinct Myers-Briggs Type Indicator (MBTI) based cognitive policies to multimodal large language model (MLLM) agents, initialized via data-driven priors from large-scale social media datasets. PRISM achieves superior personality consistency aligned with human ground truth, significantly outperforming standard homogeneous and Big Five benchmarks. This framework effectively replicates emergent phenomena such as rational suppression and affective resonance, offering a robust tool for analyzing complex social media ecosystems.

Atharva Rege, Adinath Madhavrao Dukre, Numan Balci et al.

Contrast-enhanced magnetic resonance imaging (CE-MRI) plays a crucial role in brain tumor assessment; however, its acquisition requires gadolinium-based contrast agents (GBCAs), which increase costs and raise safety concerns. Consequently, synthesizing CE-MRI from non-contrast MRI (NC-MRI) has emerged as a promising alternative. Early Generative Adversarial Network (GAN)-based approaches suffered from instability and mode collapse, while diffusion models, despite impressive synthesis quality, remain computationally expensive and often fail to faithfully reproduce critical tumor contrast patterns. To address these limitations, we propose Tumor-Biased Latent Bridge Matching (TuLaBM), which formulates NC-to-CE MRI translation as Brownian bridge transport between source and target distributions in a learned latent space, enabling efficient training and inference. To enhance tumor-region fidelity, we introduce a Tumor-Biased Attention Mechanism (TuBAM) that amplifies tumor-relevant latent features during bridge evolution, along with a boundary-aware loss that constrains tumor interfaces to improve margin sharpness. While bridge matching has been explored for medical image translation in pixel space, our latent formulation substantially reduces computational cost and inference time. Experiments on BraTS2023-GLI (BraSyn) and Cleveland Clinic (in-house) liver MRI dataset show that TuLaBM consistently outperforms state-of-the-art baselines on both whole-image and tumor-region metrics, generalizes effectively to unseen liver MRI data in zero-shot and fine-tuned settings, and achieves inference times under 0.097 seconds per image.

Behzad Bozorgtabar, Dwarikanath Mahapatra, Sudipta Roy et al.

Medical vision-language models (VLMs) are strong zero-shot recognizers for medical imaging, but their reliability under domain shift hinges on calibrated uncertainty with guarantees. Split conformal prediction (SCP) offers finite-sample coverage, yet prediction sets often become large (low efficiency) and class-wise coverage unbalanced-high class-conditioned coverage gap (CCV), especially in few-shot, imbalanced regimes; moreover, naively adapting to calibration labels breaks exchangeability and voids guarantees. We propose \texttt{\textbf{LATA}} (Laplacian-Assisted Transductive Adaptation), a \textit{training- and label-free} refinement that operates on the joint calibration and test pool by smoothing zero-shot probabilities over an image-image k-NN graph using a small number of CCCP mean-field updates, preserving SCP validity via a deterministic transform. We further introduce a \textit{failure-aware} conformal score that plugs into the vision-language uncertainty (ViLU) framework, providing instance-level difficulty and label plausibility to improve prediction set efficiency and class-wise balance at fixed coverage. \texttt{\textbf{LATA}} is black-box (no VLM updates), compute-light (windowed transduction, no backprop), and includes an optional prior knob that can run strictly label-free or, if desired, in a label-informed variant using calibration marginals once. Across \textbf{three} medical VLMs and \textbf{nine} downstream tasks, \texttt{\textbf{LATA}} consistently reduces set size and CCV while matching or tightening target coverage, outperforming prior transductive baselines and narrowing the gap to label-using methods, while using far less compute. Comprehensive ablations and qualitative analyses show that \texttt{\textbf{LATA}} sharpens zero-shot predictions without compromising exchangeability.

Ankan Deria, Komal Kumar, Xilin He et al.

Recent vision-language models (VLMs) typically rely on a single vision encoder trained with contrastive image-text objectives, such as CLIP-style pretraining. While contrastive encoders are effective for cross-modal alignment and retrieval, self-supervised visual encoders often capture richer dense semantics and exhibit stronger robustness on recognition and understanding tasks. In this work, we investigate how to scale the fusion of these complementary visual representations for vision-language modeling. We propose CoME-VL: Complementary Multi-Encoder Vision-Language, a modular fusion framework that integrates a contrastively trained vision encoder with a self-supervised DINO encoder. Our approach performs representation-level fusion by (i) entropy-guided multi-layer aggregation with orthogonality-constrained projections to reduce redundancy, and (ii) RoPE-enhanced cross-attention to align heterogeneous token grids and produce compact fused visual tokens. The fused tokens can be injected into a decoder-only LLM with minimal changes to standard VLM pipelines. Extensive experiments across diverse vision-language benchmarks demonstrate that CoME-VL consistently outperforms single-encoder baselines. In particular, we observe an average improvement of 4.9% on visual understanding tasks and 5.4% on grounding tasks. Our method achieves state-of-the-art performance on RefCOCO for detection while improving over the baseline by a large margin. Finally, we conduct ablation studies on layer merging, non-redundant feature mixing, and fusion capacity to evaluate how complementary contrastive and self-supervised signals affect VLM performance.

Tong Wang, Yaolei Qi, Siwen Wang et al.

Video polyp segmentation (VPS) is an important task in computer-aided colonoscopy, as it helps doctors accurately locate and track polyps during examinations. However, VPS remains challenging because polyps often look similar to surrounding mucosa, leading to weak semantic discrimination. In addition, large changes in polyp position and scale across video frames make stable and accurate segmentation difficult. To address these challenges, we propose a robust VPS framework named CMSA-Net. The proposed network introduces a Causal Multi-scale Aggregation (CMA) module to effectively gather semantic information from multiple historical frames at different scales. By using causal attention, CMA ensures that temporal feature propagation follows strict time order, which helps reduce noise and improve feature reliability. Furthermore, we design a Dynamic Multi-source Reference (DMR) strategy that adaptively selects informative and reliable reference frames based on semantic separability and prediction confidence. This strategy provides strong multi-frame guidance while keeping the model efficient for real-time inference. Extensive experiments on the SUN-SEG dataset demonstrate that CMSA-Net achieves state-of-the-art performance, offering a favorable balance between segmentation accuracy and real-time clinical applicability.

Muhammad Zafar Iqbal, Ghazanfar Farooq Siddiqui, Anwar Ul Haq et al.

Deformable medical image registration is a fundamental task in medical image analysis with applications in disease diagnosis, treatment planning, and image-guided interventions. Despite significant advances in deep learning based registration methods, accurately aligning images with large deformations while preserving anatomical plausibility remains a challenging task. In this paper, we propose a novel Attention-Driven Framework for Non-Rigid Medical Image Registration (AD-RegNet) that employs attention mechanisms to guide the registration process. Our approach combines a 3D UNet backbone with bidirectional cross-attention, which establishes correspondences between moving and fixed images at multiple scales. We introduce a regional adaptive attention mechanism that focuses on anatomically relevant structures, along with a multi-resolution deformation field synthesis approach for accurate alignment. The method is evaluated on two distinct datasets: DIRLab for thoracic 4D CT scans and IXI for brain MRI scans, demonstrating its versatility across different anatomical structures and imaging modalities. Experimental results demonstrate that our approach achieves performance competitive with state-of-the-art methods on the IXI and DIRLab datasets. The proposed method maintains a favorable balance between registration accuracy and computational efficiency, making it suitable for clinical applications. A comprehensive evaluation using normalized cross-correlation (NCC), mean squared error (MSE), structural similarity (SSIM), Jacobian determinant, and target registration error (TRE) indicates that attention-guided registration improves alignment accuracy while ensuring anatomically plausible deformations.

Xiwei Liu, Yulong Li, Feilong Tang et al.

Adapting Large Multimodal Models (LMMs) to real-world scenarios poses the dual challenges of learning from sequential data streams while handling frequent modality incompleteness, a task known as Continual Missing Modality Learning (CMML). However, existing works on CMML have predominantly relied on prompt tuning, a technique that struggles with this task due to cross-task interference between its learnable prompts in their shared embedding space. A naive application of Low-Rank Adaptation (LoRA) with modality-shared module will also suffer modality interference from competing gradients. To this end, we propose DeLo, the first framework to leverage a novel dual-decomposed low-rank expert architecture for CMML. Specifically, this architecture resolves modality interference through decomposed LoRA expert, dynamically composing LoRA update matrix with rank-one factors from disentangled modality-specific factor pools. Embedded within a task-partitioned framework that structurally prevents catastrophic forgetting, this expert system is supported by two key mechanisms: a Cross-Modal Guided Routing strategy to handle incomplete data and a Task-Key Memory for efficient, task-agnostic inference. Extensive experiments on established CMML benchmarks demonstrate that our method significantly outperforms state-of-the-art approaches. This highlights the value of a principled, architecturally-aware LoRA design for real-world multimodal challenges.

Yulong Li, Jianxu Chen, Xiwei Liu et al.

Medical foundation models generate narrative explanations but cannot quantify intervention effects, detect evidence conflicts, or validate literature claims, limiting clinical auditability. We propose causal compilation, a paradigm that transforms medical evidence from narrative text into executable code. The paradigm standardizes heterogeneous research evidence into structured estimand objects, each explicitly specifying intervention contrast, effect scale, time horizon, and target population, supporting six executable causal queries: do-calculus, counterfactual reasoning, temporal trajectories, heterogeneous effects, mechanistic decomposition, and joint interventions. We instantiate this paradigm in DoAtlas-1, compiling 1,445 effect kernels from 754 studies through effect standardization, conflict-aware graph construction, and real-world validation (Human Phenotype Project, 10,000 participants). The system achieves 98.5% canonicalization accuracy and 80.5% query executability. This paradigm shifts medical AI from text generation to executable, auditable, and verifiable causal reasoning.

Mohammad Anas Azeez, Ankan Deria, Zohaib Hasan Siddiqui et al.

Multimodal large language models (MLLMs) frequently hallucinate objects that are absent from the visual input, often because attention during decoding is disproportionately drawn to visually dominant or frequently occurring content. We observe that this inequity in attention allocation is a root cause of object hallucination: when rare, small, or contextually peripheral objects receive insufficient attention, the model fails to ground its generation in the full visual scene. We argue that every object in an image, regardless of its size, frequency or visual salience, deserves equal representational opportunity during decoding. To this end, we propose DOP-OBC, a training-free and architecture-agnostic decoding strategy built on the principle of equitable attention. Two complementary object-aware signals work in tandem: a Dominant Object Penalty (DOP) that softly suppresses attention over-concentration on visually dominant regions, and an Outlier Boost Coefficient (OBC) that amplifies attention toward rare yet confidently detected objects. These signals are injected as per-row logit modulations within the causal attention mask, requiring no weight updates and preserving autoregressive decoding properties. Extensive experiments across image and video MLLMs demonstrate consistent reductions in object hallucination on CHAIR and POPE benchmarks, alongside improvements in GPT-4o assessed captioning quality across correctness, consistency, detail, context and temporal dimensions. DOP-OBC establishes that fairness in attention allocation is not merely a design principle but a practical and effective path toward more faithful multimodal generation.

Xiwei Liu, Yulong Li, Xinlin Zhuang et al.

Medical Vision-Language Models have shown promising potential in clinical decision support, yet they remain prone to factual hallucinations due to insufficient grounding in localized pathological evidence. Existing medical alignment methods primarily operate at the response level through preference optimization, improving output correctness but leaving intermediate reasoning weakly connected to visual regions. Although chain-of-thought (CoT) enhances multimodal reasoning, it remains largely text-centric, limiting effective integration of clinical visual cues. To address this gap, we propose ClinCoT, a clinical-aware visual chain-of-thought framework that transforms preference optimization from response-level correction to visual-driven reasoning. We introduce an automatic data generation pipeline that constructs clinically grounded preference pairs through reasoning with hypotheses-driven region proposals. Multiple Med-LLMs evaluators rank and assign scores to each response, and these rankings serve as supervision to train the target model. We further introduce a scoring-based margin-aware optimization strategy that incorporates both preference ranking and score difference to refine region-level reasoning trajectories. To maintain alignment as the model's policy evolves during training, we adopt an iterative learning scheme that dynamically regenerates preference data. Extensive experiments on three medical VQA and report generation benchmarks demonstrate that ClinCoT consistently improves factual grounding and achieves superior performance compared with existing preference-based alignment methods.