Sina Farsiu

Yiqing Wang, Chunming He, Ming-Chen Lu et al.

Medical diagnosis requires the effective synthesis of visual manifestations and clinical metadata. However, existing methods often treat metadata as isolated tags, failing to exploit the rich semantic knowledge embedded in clinical descriptions. We propose PRIMA (Pre-training with Risk-integrated Image-Metadata Alignment), a framework that integrates domain-specific knowledge into multi-modal representation learning. We first curate an expert corpus of risk-disease correlations via Retrieval-Augmented Generation (RAG) to refine Clinical ModernBERT, embedding diagnostic priors into the text encoder. To bridge the modality gap, we introduce a dual-encoder pre-training strategy utilizing DINOv3 and our refined BERT, optimized by a suite of four complementary loss functions. These losses are designed to capture multi-granular semantic alignment and handle the ambiguity of clinical correlations through soft labels. Finally, we leverage Qwen-3 to fuse these aligned features for precise disease classification. Extensive experiments demonstrate that PRIMA effectively harmonizes pixel-level features with abstract clinical expertise, significantly outperforming other state-of-the-art methods. Notably, our framework achieves superior robustness without the need for massive data collection or exhaustive computational resources. Our code will be made public upon acceptance.

Chunming He, Rihan Zhang, Fengyang Xiao et al.

Biological learning proceeds from easy to difficult tasks, gradually reinforcing perception and robustness. Inspired by this principle, we address Context-Entangled Content Segmentation (CECS), a challenging setting where objects share intrinsic visual patterns with their surroundings, as in camouflaged object detection. Conventional segmentation networks predominantly rely on architectural enhancements but often ignore the learning dynamics that govern robustness under entangled data distributions. We introduce CurriSeg, a dual-phase learning framework that unifies curriculum and anti-curriculum principles to improve representation reliability. In the Curriculum Selection phase, CurriSeg dynamically selects training data based on the temporal statistics of sample losses, distinguishing hard-but-informative samples from noisy or ambiguous ones, thus enabling stable capability enhancement. In the Anti-Curriculum Promotion phase, we design Spectral-Blindness Fine-Tuning, which suppresses high-frequency components to enforce dependence on low-frequency structural and contextual cues and thus strengthens generalization. Extensive experiments demonstrate that CurriSeg achieves consistent improvements across diverse CECS benchmarks without adding parameters or increasing total training time, offering a principled view of how progression and challenge interplay to foster robust and context-aware segmentation. Code will be released.