Physically-Grounded Manifold Projection Model for Generalizable Metal Artifact Reduction in Dental CBCTZhi Li, Yaqi Wang, Bingtao Ma et al.
Metal artifacts in Dental CBCT severely obscure anatomical structures, hindering diagnosis. Current deep learning for Metal Artifact Reduction (MAR) faces limitations: supervised methods suffer from spectral blurring due to "regression-to-the-mean", while unsupervised ones risk structural hallucinations. Denoising Diffusion Models (DDPMs) offer realism but rely on slow, stochastic iterative sampling, unsuitable for clinical use. To resolve this, we propose the Physically-Grounded Manifold Projection (PGMP) framework. First, our Anatomically-Adaptive Physics Simulation (AAPS) pipeline synthesizes high-fidelity training pairs via Monte Carlo spectral modeling and patient-specific digital twins, bridging the synthetic-to-real gap. Second, our DMP-Former adapts the Direct x-Prediction paradigm, reformulating restoration as a deterministic manifold projection to recover clean anatomy in a single forward pass, eliminating stochastic sampling. Finally, a Semantic-Structural Alignment (SSA) module anchors the solution using priors from medical foundation models (MedDINOv3), ensuring clinical plausibility. Experiments on synthetic and multi-center clinical datasets show PGMP outperforms state-of-the-art methods on unseen anatomy, setting new benchmarks in efficiency and diagnostic reliability. Code and data: https://github.com/ricoleehduu/PGMP.
6.4CRDec 30, 2025
RepetitionCurse: Measuring and Understanding Router Imbalance in Mixture-of-Experts LLMs under DoS StressRuixuan Huang, Qingyue Wang, Hantao Huang et al.
Mixture-of-Experts architectures have become the standard for scaling large language models due to their superior parameter efficiency. To accommodate the growing number of experts in practice, modern inference systems commonly adopt expert parallelism to distribute experts across devices. However, the absence of explicit load balancing constraints during inference allows adversarial inputs to trigger severe routing concentration. We demonstrate that out-of-distribution prompts can manipulate the routing strategy such that all tokens are consistently routed to the same set of top-$k$ experts, which creates computational bottlenecks on certain devices while forcing others to idle. This converts an efficiency mechanism into a denial-of-service attack vector, leading to violations of service-level agreements for time to first token. We propose RepetitionCurse, a low-cost black-box strategy to exploit this vulnerability. By identifying a universal flaw in MoE router behavior, RepetitionCurse constructs adversarial prompts using simple repetitive token patterns in a model-agnostic manner. On widely deployed MoE models like Mixtral-8x7B, our method increases end-to-end inference latency by 3.063x, degrading service availability significantly.