Lihao Liu

Lihao Liu, Jean Prost, Lei Zhu et al.

Shadows in videos are difficult to detect because of the large shadow deformation between frames. In this work, we argue that accounting for shadow deformation is essential when designing a video shadow detection method. To this end, we introduce the shadow deformation attention trajectory (SODA), a new type of video self-attention module, specially designed to handle the large shadow deformations in videos. Moreover, we present a new shadow contrastive learning mechanism (SCOTCH) which aims at guiding the network to learn a unified shadow representation from massive positive shadow pairs across different videos. We demonstrate empirically the effectiveness of our two contributions in an ablation study. Furthermore, we show that SCOTCH and SODA significantly outperforms existing techniques for video shadow detection. Code is available at the project page: https://lihaoliu-cambridge.github.io/scotch_and_soda/

Simon Graham, Quoc Dang Vu, Mostafa Jahanifar et al.

Nuclear detection, segmentation and morphometric profiling are essential in helping us further understand the relationship between histology and patient outcome. To drive innovation in this area, we setup a community-wide challenge using the largest available dataset of its kind to assess nuclear segmentation and cellular composition. Our challenge, named CoNIC, stimulated the development of reproducible algorithms for cellular recognition with real-time result inspection on public leaderboards. We conducted an extensive post-challenge analysis based on the top-performing models using 1,658 whole-slide images of colon tissue. With around 700 million detected nuclei per model, associated features were used for dysplasia grading and survival analysis, where we demonstrated that the challenge's improvement over the previous state-of-the-art led to significant boosts in downstream performance. Our findings also suggest that eosinophils and neutrophils play an important role in the tumour microevironment. We release challenge models and WSI-level results to foster the development of further methods for biomarker discovery.

Zhongying Deng, Cheng Tang, Ziyan Huang et al. · pku

Foundation models have demonstrated remarkable success across diverse domains and tasks, primarily due to the thrive of large-scale, diverse, and high-quality datasets. However, in the field of medical imaging, the curation and assembling of such medical datasets are highly challenging due to the reliance on clinical expertise and strict ethical and privacy constraints, resulting in a scarcity of large-scale unified medical datasets and hindering the development of powerful medical foundation models. In this work, we present the largest survey to date of medical image datasets, covering over 1,000 open-access datasets with a systematic catalog of their modalities, tasks, anatomies, annotations, limitations, and potential for integration. Our analysis exposes a landscape that is modest in scale, fragmented across narrowly scoped tasks, and unevenly distributed across organs and modalities, which in turn limits the utility of existing medical image datasets for developing versatile and robust medical foundation models. To turn fragmentation into scale, we propose a metadata-driven fusion paradigm (MDFP) that integrates public datasets with shared modalities or tasks, thereby transforming multiple small data silos into larger, more coherent resources. Building on MDFP, we release an interactive discovery portal that enables end-to-end, automated medical image dataset integration, and compile all surveyed datasets into a unified, structured table that clearly summarizes their key characteristics and provides reference links, offering the community an accessible and comprehensive repository. By charting the current terrain and offering a principled path to dataset consolidation, our survey provides a practical roadmap for scaling medical imaging corpora, supporting faster data discovery, more principled dataset creation, and more capable medical foundation models.

Hui-Yue Yang, Hui Chen, Lihao Liu et al.

Unsupervised anomaly detection (AD) aims to train robust detection models using only normal samples, while can generalize well to unseen anomalies. Recent research focuses on a unified unsupervised AD setting in which only one model is trained for all classes, i.e., n-class-one-model paradigm. Feature-reconstruction-based methods achieve state-of-the-art performance in this scenario. However, existing methods often suffer from a lack of sufficient contextual awareness, thereby compromising the quality of the reconstruction. To address this issue, we introduce a novel Reconstruction as Sequence (RAS) method, which enhances the contextual correspondence during feature reconstruction from a sequence modeling perspective. In particular, based on the transformer technique, we integrate a specialized RASFormer block into RAS. This block enables the capture of spatial relationships among different image regions and enhances sequential dependencies throughout the reconstruction process. By incorporating the RASFormer block, our RAS method achieves superior contextual awareness capabilities, leading to remarkable performance. Experimental results show that our RAS significantly outperforms competing methods, well demonstrating the effectiveness and superiority of our method. Our code is available at https://github.com/Nothingtolose9979/RAS.

Yijun Yang, Shujun Wang, Lihao Liu et al.

Breast cancer is a major cause of cancer death among women, emphasising the importance of early detection for improved treatment outcomes and quality of life. Mammography, the primary diagnostic imaging test, poses challenges due to the high variability and patterns in mammograms. Double reading of mammograms is recommended in many screening programs to improve diagnostic accuracy but increases radiologists' workload. Researchers explore Machine Learning models to support expert decision-making. Stand-alone models have shown comparable or superior performance to radiologists, but some studies note decreased sensitivity with multiple datasets, indicating the need for high generalisation and robustness models. This work devises MammoDG, a novel deep-learning framework for generalisable and reliable analysis of cross-domain multi-center mammography data. MammoDG leverages multi-view mammograms and a novel contrastive mechanism to enhance generalisation capabilities. Extensive validation demonstrates MammoDG's superiority, highlighting the critical importance of domain generalisation for trustworthy mammography analysis in imaging protocol variations.

Chun-Wun Cheng, Christina Runkel, Lihao Liu et al.

Image segmentation is a fundamental task in image analysis and clinical practice. The current state-of-the-art techniques are based on U-shape type encoder-decoder networks with skip connections, called U-Net. Despite the powerful performance reported by existing U-Net type networks, they suffer from several major limitations. Issues include the hard coding of the receptive field size, compromising the performance and computational cost, as well as the fact that they do not account for inherent noise in the data. They have problems associated with discrete layers, and do not offer any theoretical underpinning. In this work we introduce continuous U-Net, a novel family of networks for image segmentation. Firstly, continuous U-Net is a continuous deep neural network that introduces new dynamic blocks modelled by second order ordinary differential equations. Secondly, we provide theoretical guarantees for our network demonstrating faster convergence, higher robustness and less sensitivity to noise. Thirdly, we derive qualitative measures to tailor-made segmentation tasks. We demonstrate, through extensive numerical and visual results, that our model outperforms existing U-Net blocks for several medical image segmentation benchmarking datasets.

Lihao Liu, Zhening Huang, Pietro Liò et al.

Medical image registration and segmentation are critical tasks for several clinical procedures. Manual realisation of those tasks is time-consuming and the quality is highly dependent on the level of expertise of the physician. To mitigate that laborious task, automatic tools have been developed where the majority of solutions are supervised techniques. However, in medical domain, the strong assumption of having a well-representative ground truth is far from being realistic. To overcome this challenge, unsupervised techniques have been investigated. However, they are still limited in performance and they fail to produce plausible results. In this work, we propose a novel unified unsupervised framework for image registration and segmentation that we called PC-SwinMorph. The core of our framework is two patch-based strategies, where we demonstrate that patch representation is key for performance gain. We first introduce a patch-based contrastive strategy that enforces locality conditions and richer feature representation. Secondly, we utilise a 3D window/shifted-window multi-head self-attention module as a patch stitching strategy to eliminate artifacts from the patch splitting. We demonstrate, through a set of numerical and visual results, that our technique outperforms current state-of-the-art unsupervised techniques.

Yanqi Cheng, Lihao Liu, Shujun Wang et al.

Surgical action triplet recognition provides a better understanding of the surgical scene. This task is of high relevance as it provides the surgeon with context-aware support and safety. The current go-to strategy for improving performance is the development of new network mechanisms. However, the performance of current state-of-the-art techniques is substantially lower than other surgical tasks. Why is this happening? This is the question that we address in this work. We present the first study to understand the failure of existing deep learning models through the lens of robustness and explainability. Firstly, we study current existing models under weak and strong $δ-$perturbations via an adversarial optimisation scheme. We then analyse the failure modes via feature based explanations. Our study reveals that the key to improving performance and increasing reliability is in the core and spurious attributes. Our work opens the door to more trustworthy and reliable deep learning models in surgical data science.

Zhongying Deng, Yanqi Chen, Lihao Liu et al.

Traffic flow analysis is revolutionising traffic management. Qualifying traffic flow data, traffic control bureaus could provide drivers with real-time alerts, advising the fastest routes and therefore optimising transportation logistics and reducing congestion. The existing traffic flow datasets have two major limitations. They feature a limited number of classes, usually limited to one type of vehicle, and the scarcity of unlabelled data. In this paper, we introduce a new benchmark traffic flow image dataset called TrafficCAM. Our dataset distinguishes itself by two major highlights. Firstly, TrafficCAM provides both pixel-level and instance-level semantic labelling along with a large range of types of vehicles and pedestrians. It is composed of a large and diverse set of video sequences recorded in streets from eight Indian cities with stationary cameras. Secondly, TrafficCAM aims to establish a new benchmark for developing fully-supervised tasks, and importantly, semi-supervised learning techniques. It is the first dataset that provides a vast amount of unlabelled data, helping to better capture traffic flow qualification under a low cost annotation requirement. More precisely, our dataset has 4,402 image frames with semantic and instance annotations along with 59,944 unlabelled image frames. We validate our new dataset through a large and comprehensive range of experiments on several state-of-the-art approaches under four different settings: fully-supervised semantic and instance segmentation, and semi-supervised semantic and instance segmentation tasks. Our benchmark dataset will be released.

Lihao Liu, Yanqi Cheng, Zhongying Deng et al.

Multi-object tracking in traffic videos is a crucial research area, offering immense potential for enhancing traffic monitoring accuracy and promoting road safety measures through the utilisation of advanced machine learning algorithms. However, existing datasets for multi-object tracking in traffic videos often feature limited instances or focus on single classes, which cannot well simulate the challenges encountered in complex traffic scenarios. To address this gap, we introduce TrafficMOT, an extensive dataset designed to encompass diverse traffic situations with complex scenarios. To validate the complexity and challenges presented by TrafficMOT, we conducted comprehensive empirical studies using three different settings: fully-supervised, semi-supervised, and a recent powerful zero-shot foundation model Tracking Anything Model (TAM). The experimental results highlight the inherent complexity of this dataset, emphasising its value in driving advancements in the field of traffic monitoring and multi-object tracking.

Lihao Liu, Yanqi Cheng, Dongdong Chen et al.

Traffic videos inherently differ from generic videos in their stationary camera setup, thus providing a strong motion prior where objects often move in a specific direction over a short time interval. Existing works predominantly employ generic video object detection framework for traffic video object detection, which yield certain advantages such as broad applicability and robustness to diverse scenarios. However, they fail to harness the strength of motion prior to enhance detection accuracy. In this work, we propose two innovative methods to exploit the motion prior and boost the performance of both fully-supervised and semi-supervised traffic video object detection. Firstly, we introduce a new self-attention module that leverages the motion prior to guide temporal information integration in the fully-supervised setting. Secondly, we utilise the motion prior to develop a pseudo-labelling mechanism to eliminate noisy pseudo labels for the semi-supervised setting. Both of our motion-prior-centred methods consistently demonstrates superior performance, outperforming existing state-of-the-art approaches by a margin of 2% in terms of mAP.

Lihao Liu, Chenyang Hong, Angelica I. Aviles-Rivero et al.

We address the problem of automated nuclear segmentation, classification, and quantification from Haematoxylin and Eosin stained histology images, which is of great relevance for several downstream computational pathology applications. In this work, we present a solution framed as a simultaneous semantic and instance segmentation framework. Our solution is part of the Colon Nuclei Identification and Counting (CoNIC) Challenge. We first train a semantic and instance segmentation model separately. Our framework uses as backbone HoverNet and Cascade Mask-RCNN models. We then ensemble the results with a custom Non-Maximum Suppression embedding (NMS). In our framework, the semantic model computes a class prediction for the cells whilst the instance model provides a refined segmentation. We demonstrate, through our experimental results, that our model outperforms the provided baselines by a large margin.

Jing Zou, Noémie Debroux, Lihao Liu et al.

Deformable image registration is a fundamental task in medical image analysis and plays a crucial role in a wide range of clinical applications. Recently, deep learning-based approaches have been widely studied for deformable medical image registration and achieved promising results. However, existing deep learning image registration techniques do not theoretically guarantee topology-preserving transformations. This is a key property to preserve anatomical structures and achieve plausible transformations that can be used in real clinical settings. We propose a novel framework for deformable image registration. Firstly, we introduce a novel regulariser based on conformal-invariant properties in a nonlinear elasticity setting. Our regulariser enforces the deformation field to be smooth, invertible and orientation-preserving. More importantly, we strictly guarantee topology preservation yielding to a clinical meaningful registration. Secondly, we boost the performance of our regulariser through coordinate MLPs, where one can view the to-be-registered images as continuously differentiable entities. We demonstrate, through numerical and visual experiments, that our framework is able to outperform current techniques for image registration.

Ao Wang, Lihao Liu, Hui Chen et al.

Object detection and segmentation are widely employed in computer vision applications, yet conventional models like YOLO series, while efficient and accurate, are limited by predefined categories, hindering adaptability in open scenarios. Recent open-set methods leverage text prompts, visual cues, or prompt-free paradigm to overcome this, but often compromise between performance and efficiency due to high computational demands or deployment complexity. In this work, we introduce YOLOE, which integrates detection and segmentation across diverse open prompt mechanisms within a single highly efficient model, achieving real-time seeing anything. For text prompts, we propose Re-parameterizable Region-Text Alignment (RepRTA) strategy. It refines pretrained textual embeddings via a re-parameterizable lightweight auxiliary network and enhances visual-textual alignment with zero inference and transferring overhead. For visual prompts, we present Semantic-Activated Visual Prompt Encoder (SAVPE). It employs decoupled semantic and activation branches to bring improved visual embedding and accuracy with minimal complexity. For prompt-free scenario, we introduce Lazy Region-Prompt Contrast (LRPC) strategy. It utilizes a built-in large vocabulary and specialized embedding to identify all objects, avoiding costly language model dependency. Extensive experiments show YOLOE's exceptional zero-shot performance and transferability with high inference efficiency and low training cost. Notably, on LVIS, with 3$\times$ less training cost and 1.4$\times$ inference speedup, YOLOE-v8-S surpasses YOLO-Worldv2-S by 3.5 AP. When transferring to COCO, YOLOE-v8-L achieves 0.6 AP$^b$ and 0.4 AP$^m$ gains over closed-set YOLOv8-L with nearly 4$\times$ less training time. Code and models are available at https://github.com/THU-MIG/yoloe.

Jiyao Liu, Shangqi Gao, Yuxin Li et al.

Multi-modal Magnetic Resonance Imaging (MRI) translation leverages information from source MRI sequences to generate target modalities, enabling comprehensive diagnosis while overcoming the limitations of acquiring all sequences. While existing deep-learning-based multi-modal MRI translation methods have shown promising potential, they still face two key challenges: 1) lack of reliable uncertainty quantification for synthesized images, and 2) limited robustness when deployed across different medical centers. To address these challenges, we propose a novel framework that reformulates multi-modal MRI translation as a multi-modal evidential regression problem with distribution calibration. Our approach incorporates two key components: 1) an evidential regression module that estimates uncertainties from different source modalities and an explicit distribution mixture strategy for transparent multi-modal fusion, and 2) a distribution calibration mechanism that adapts to source-target mapping shifts to ensure consistent performance across different medical centers. Extensive experiments on three datasets from the BraTS2023 challenge demonstrate that our framework achieves superior performance and robustness across domains.

Donghao Zhou, Jingyu Lin, Guibao Shen et al.

Recent visual generative models enable story generation with consistent characters from text, but human-centric story generation faces additional challenges, such as maintaining detailed and diverse human face consistency and coordinating multiple characters across different images. This paper presents IdentityStory, a framework for human-centric story generation that ensures consistent character identity across multiple sequential images. By taming identity-preserving generators, the framework features two key components: Iterative Identity Discovery, which extracts cohesive character identities, and Re-denoising Identity Injection, which re-denoises images to inject identities while preserving desired context. Experiments on the ConsiStory-Human benchmark demonstrate that IdentityStory outperforms existing methods, particularly in face consistency, and supports multi-character combinations. The framework also shows strong potential for applications such as infinite-length story generation and dynamic character composition.

Yanzhou Su, Tianbin Li, Jiyao Liu et al.

Recent advances in general medical AI have made significant strides, but existing models often lack the reasoning capabilities needed for complex medical decision-making. This paper presents GMAI-VL-R1, a multimodal medical reasoning model enhanced by reinforcement learning (RL) to improve its reasoning abilities. Through iterative training, GMAI-VL-R1 optimizes decision-making, significantly boosting diagnostic accuracy and clinical support. We also develop a reasoning data synthesis method, generating step-by-step reasoning data via rejection sampling, which further enhances the model's generalization. Experimental results show that after RL training, GMAI-VL-R1 excels in tasks such as medical image diagnosis and visual question answering. While the model demonstrates basic memorization with supervised fine-tuning, RL is crucial for true generalization. Our work establishes new evaluation benchmarks and paves the way for future advancements in medical reasoning models. Code, data, and model will be released at \href{https://github.com/uni-medical/GMAI-VL-R1}{this link}.

Lihao Liu, Tianyue Feng, Xingyu Xing et al.

Black-box functions are broadly used to model complex problems that provide no explicit information but the input and output. Despite existing studies of black-box function optimization, the solution set satisfying an inequality with a black-box function plays a more significant role than only one optimum in many practical situations. Covering as much as possible of the solution set through limited evaluations to the black-box objective function is defined as the Black-Box Coverage (BBC) problem in this paper. We formalized this problem in a sample-based search paradigm and constructed a coverage criterion with Confusion Matrix Analysis. Further, we propose LAMBDA (Latent-Action Monte-Carlo Beam Search with Density Adaption) to solve BBC problems. LAMBDA can focus around the solution set quickly by recursively partitioning the search space into accepted and rejected sub-spaces. Compared with La-MCTS, LAMBDA introduces density information to overcome the sampling bias of optimization and obtain more exploration. Benchmarking shows, LAMBDA achieved state-of-the-art performance among all baselines and was at most 33x faster to get 95% coverage than Random Search. Experiments also demonstrate that LAMBDA has a promising future in the verification of autonomous systems in virtual tests.

Jiuming Liu, Jinru Han, Lihao Liu et al.

Point cloud videos can faithfully capture real-world spatial geometries and temporal dynamics, which are essential for enabling intelligent agents to understand the dynamically changing world. However, designing an effective 4D backbone remains challenging, mainly due to the irregular and unordered distribution of points and temporal inconsistencies across frames. Also, recent transformer-based 4D backbones commonly suffer from large computational costs due to their quadratic complexity, particularly for long video sequences. To address these challenges, we propose a novel point cloud video understanding backbone purely based on the State Space Models (SSMs). Specifically, we first disentangle space and time in 4D video sequences and then establish the spatio-temporal correlation with our designed Mamba blocks. The Intra-frame Spatial Mamba module is developed to encode locally similar geometric structures within a certain temporal stride. Subsequently, locally correlated tokens are delivered to the Inter-frame Temporal Mamba module, which integrates long-term point features across the entire video with linear complexity. Our proposed Mamba4d achieves competitive performance on the MSR-Action3D action recognition (+10.4% accuracy), HOI4D action segmentation (+0.7 F1 Score), and Synthia4D semantic segmentation (+0.19 mIoU) datasets. Especially, for long video sequences, our method has a significant efficiency improvement with 87.5% GPU memory reduction and 5.36 times speed-up. Codes will be released at https://github.com/IRMVLab/Mamba4D.

Ao Wang, Hui Chen, Lihao Liu et al.

Over the past years, YOLOs have emerged as the predominant paradigm in the field of real-time object detection owing to their effective balance between computational cost and detection performance. Researchers have explored the architectural designs, optimization objectives, data augmentation strategies, and others for YOLOs, achieving notable progress. However, the reliance on the non-maximum suppression (NMS) for post-processing hampers the end-to-end deployment of YOLOs and adversely impacts the inference latency. Besides, the design of various components in YOLOs lacks the comprehensive and thorough inspection, resulting in noticeable computational redundancy and limiting the model's capability. It renders the suboptimal efficiency, along with considerable potential for performance improvements. In this work, we aim to further advance the performance-efficiency boundary of YOLOs from both the post-processing and model architecture. To this end, we first present the consistent dual assignments for NMS-free training of YOLOs, which brings competitive performance and low inference latency simultaneously. Moreover, we introduce the holistic efficiency-accuracy driven model design strategy for YOLOs. We comprehensively optimize various components of YOLOs from both efficiency and accuracy perspectives, which greatly reduces the computational overhead and enhances the capability. The outcome of our effort is a new generation of YOLO series for real-time end-to-end object detection, dubbed YOLOv10. Extensive experiments show that YOLOv10 achieves state-of-the-art performance and efficiency across various model scales. For example, our YOLOv10-S is 1.8$\times$ faster than RT-DETR-R18 under the similar AP on COCO, meanwhile enjoying 2.8$\times$ smaller number of parameters and FLOPs. Compared with YOLOv9-C, YOLOv10-B has 46\% less latency and 25\% fewer parameters for the same performance.

Huihui Xu, Yuanpeng Nie, Hualiang Wang et al.

Medical Image Grounding (MIG), which involves localizing specific regions in medical images based on textual descriptions, requires models to not only perceive regions but also deduce spatial relationships of these regions. Existing Vision-Language Models (VLMs) for MIG often rely on Supervised Fine-Tuning (SFT) with large amounts of Chain-of-Thought (CoT) reasoning annotations, which are expensive and time-consuming to acquire. Recently, DeepSeek-R1 demonstrated that Large Language Models (LLMs) can acquire reasoning abilities through Group Relative Policy Optimization (GRPO) without requiring CoT annotations. In this paper, we adapt the GRPO reinforcement learning framework to VLMs for Medical Image Grounding. We propose the Spatial-Semantic Rewarded Group Relative Policy Optimization to train the model without CoT reasoning annotations. Specifically, we introduce Spatial-Semantic Rewards, which combine spatial accuracy reward and semantic consistency reward to provide nuanced feedback for both spatially positive and negative completions. Additionally, we propose to use the Chain-of-Box template, which integrates visual information of referring bounding boxes into the <think> reasoning process, enabling the model to explicitly reason about spatial regions during intermediate steps. Experiments on three datasets MS-CXR, ChestX-ray8, and M3D-RefSeg demonstrate that our method achieves state-of-the-art performance in Medical Image Grounding. Ablation studies further validate the effectiveness of each component in our approach. Code, checkpoints, and datasets are available at https://github.com/bio-mlhui/MedGround-R1

Lihao Liu, Yan Wang, Biao Yang et al.

Multimodal Large Language Models (MLLMs) have shown remarkable success in comprehension tasks such as visual description and visual question answering. However, their direct application to embedding-based tasks like retrieval remains challenging due to the discrepancy between output formats and optimization objectives. Previous approaches often employ contrastive fine-tuning to adapt MLLMs for retrieval, but at the cost of losing their generative capabilities. We argue that both generative and embedding tasks fundamentally rely on shared cognitive mechanisms, specifically cross-modal representation alignment and contextual comprehension. To this end, we propose CREM (Compression-driven Representation Enhanced Model), with a unified framework that enhances multimodal representations for retrieval while preserving generative ability. Specifically, we introduce a compression-based prompt design with learnable chorus tokens to aggregate multimodal semantics and a compression-driven training strategy that integrates contrastive and generative objectives through compression-aware attention. Extensive experiments demonstrate that CREM achieves state-of-the-art retrieval performance on MMEB while maintaining strong generative performance on multiple comprehension benchmarks. Our findings highlight that generative supervision can further improve the representational quality of MLLMs under the proposed compression-driven paradigm.

Wenlong Hou, Sheng Bi, Guangqian Yang et al.

Alzheimer's disease (AD) is a growing global health challenge as populations age, and timely, accurate diagnosis is essential to reduce individual and societal burden. However, real-world AD assessment is hampered by incomplete, heterogeneous multimodal data and variability across sites and patient demographics. Although large language models (LLMs) have shown promise in biomedicine, their use in AD has largely been confined to answering narrow, disease-specific questions rather than generating comprehensive diagnostic reports that support clinical decision-making. Here we expand LLM capabilities for clinical decision support by introducing AD-CARE, a modality-agnostic agent that performs guideline-grounded diagnostic assessment from incomplete, heterogeneous inputs without imputing missing modalities. By dynamically orchestrating specialized diagnostic tools and embedding clinical guidelines into LLM-driven reasoning, AD-CARE generates transparent, report-style outputs aligned with real-world clinical workflows. Across six cohorts comprising 10,303 cases, AD-CARE achieved 84.9% diagnostic accuracy, delivering 4.2%-13.7% relative improvements over baseline methods. Despite cohort-level differences, dataset-specific accuracies remain robust (80.4%-98.8%), and the agent consistently outperforms all baselines. AD-CARE reduced performance disparities across racial and age subgroups, decreasing the average dispersion of four metrics by 21%-68% and 28%-51%, respectively. In a controlled reader study, the agent improved neurologist and radiologist accuracy by 6%-11% and more than halved decision time. The framework yielded 2.29%-10.66% absolute gains over eight backbone LLMs and converges their performance. These results show that AD-CARE is a scalable, practically deployable framework that can be integrated into routine clinical workflows for multimodal decision support in AD.

Lihao Liu, Juexiao Feng, Hui Chen et al.

Traditional object detection models are constrained by the limitations of closed-set datasets, detecting only categories encountered during training. While multimodal models have extended category recognition by aligning text and image modalities, they introduce significant inference overhead due to cross-modality fusion and still remain restricted by predefined vocabulary, leaving them ineffective at handling unknown objects in open-world scenarios. In this work, we introduce Universal Open-World Object Detection (Uni-OWD), a new paradigm that unifies open-vocabulary and open-world object detection tasks. To address the challenges of this setting, we propose YOLO-UniOW, a novel model that advances the boundaries of efficiency, versatility, and performance. YOLO-UniOW incorporates Adaptive Decision Learning to replace computationally expensive cross-modality fusion with lightweight alignment in the CLIP latent space, achieving efficient detection without compromising generalization. Additionally, we design a Wildcard Learning strategy that detects out-of-distribution objects as "unknown" while enabling dynamic vocabulary expansion without the need for incremental learning. This design empowers YOLO-UniOW to seamlessly adapt to new categories in open-world environments. Extensive experiments validate the superiority of YOLO-UniOW, achieving achieving 34.6 AP and 30.0 APr on LVIS with an inference speed of 69.6 FPS. The model also sets benchmarks on M-OWODB, S-OWODB, and nuScenes datasets, showcasing its unmatched performance in open-world object detection. Code and models are available at https://github.com/THU-MIG/YOLO-UniOW.

Junzhi Ning, Cheng Tang, Kaijing Zhou et al.

The scarcity of high-quality, labelled retinal imaging data, which presents a significant challenge in the development of machine learning models for ophthalmology, hinders progress in the field. Existing methods for synthesising Colour Fundus Photographs (CFPs) largely rely on predefined disease labels, which restricts their ability to generate images that reflect fine-grained anatomical variations, subtle disease stages, and diverse pathological features beyond coarse class categories. To overcome these challenges, we first introduce an innovative pipeline that creates a large-scale, captioned retinal dataset comprising 1.4 million entries, called RetinaLogos-1400k. Specifically, RetinaLogos-1400k uses the visual language model(VLM) to describe retinal conditions and key structures, such as optic disc configuration, vascular distribution, nerve fibre layers, and pathological features. Building on this dataset, we employ a novel three-step training framework, RetinaLogos, which enables fine-grained semantic control over retinal images and accurately captures different stages of disease progression, subtle anatomical variations, and specific lesion types. Through extensive experiments, our method demonstrates superior performance across multiple datasets, with 62.07% of text-driven synthetic CFPs indistinguishable from real ones by ophthalmologists. Moreover, the synthetic data improves accuracy by 5%-10% in diabetic retinopathy grading and glaucoma detection. Codes are available at https://github.com/uni-medical/retina-text2cfp.

Wei Li, Ming Hu, Guoan Wang et al.

In ophthalmic surgery, developing an AI system capable of interpreting surgical videos and predicting subsequent operations requires numerous ophthalmic surgical videos with high-quality annotations, which are difficult to collect due to privacy concerns and labor consumption. Text-guided video generation (T2V) emerges as a promising solution to overcome this issue by generating ophthalmic surgical videos based on surgeon instructions. In this paper, we present Ophora, a pioneering model that can generate ophthalmic surgical videos following natural language instructions. To construct Ophora, we first propose a Comprehensive Data Curation pipeline to convert narrative ophthalmic surgical videos into a large-scale, high-quality dataset comprising over 160K video-instruction pairs, Ophora-160K. Then, we propose a Progressive Video-Instruction Tuning scheme to transfer rich spatial-temporal knowledge from a T2V model pre-trained on natural video-text datasets for privacy-preserved ophthalmic surgical video generation based on Ophora-160K. Experiments on video quality evaluation via quantitative analysis and ophthalmologist feedback demonstrate that Ophora can generate realistic and reliable ophthalmic surgical videos based on surgeon instructions. We also validate the capability of Ophora for empowering downstream tasks of ophthalmic surgical workflow understanding. Code is available at https://github.com/uni-medical/Ophora.

Pengze Li, Jiaquan Zhang, Yunbo Long et al.

Recovering analytical solutions of physical fields from visual observations is a fundamental yet underexplored capability for AI-assisted scientific reasoning. We study visual-to-symbolic analytical solution inference (ViSA) for two-dimensional linear steady-state fields: given field visualizations (and first-order derivatives) plus minimal auxiliary metadata, the model must output a single executable SymPy expression with fully instantiated numeric constants. We introduce ViSA-R2 and align it with a self-verifying, solution-centric chain-of-thought pipeline that follows a physicist-like pathway: structural pattern recognition solution-family (ansatz) hypothesis parameter derivation consistency verification. We also release ViSA-Bench, a VLM-ready synthetic benchmark covering 30 linear steady-state scenarios with verifiable analytical/symbolic annotations, and evaluate predictions by numerical accuracy, expression-structure similarity, and character-level accuracy. Using an 8B open-weight Qwen3-VL backbone, ViSA-R2 outperforms strong open-source baselines and the evaluated closed-source frontier VLMs under a standardized protocol.

Jiyao Liu, Shangqi Gao, Lihao Liu et al.

Real-world MRI reconstruction systems face the open-world challenge: test data from unseen imaging centers, anatomical structures, or acquisition protocols can differ drastically from training data, causing severe performance degradation. Existing methods struggle with this challenge. To address this, we propose BiasRecon, a bias-calibrated adaptation framework grounded in the minimal intervention principle: preserve what transfers, calibrate what does not. Concretely, BiasRecon formulates open-world adaptation as an alternating optimization framework that jointly optimizes three components: (1) frequency-guided prior calibration that introduces layer-wise calibration variables to selectively modulate frequency-specific features of the pre-trained score network via self-supervised k-space signals, (2) score-based denoising that leverages the calibrated generative prior for high-fidelity image reconstruction, and (3) adaptive regularization that employs Stein's Unbiased Risk Estimator to dynamically balance the prior-measurement trade-off, matching test-time noise characteristics without requiring ground truth. By intervening minimally and precisely through this alternating scheme, BiasRecon achieves robust adaptation with fewer than 100 tunable parameters. Extensive experiments across four datasets demonstrate state-of-the-art performance on open-world reconstruction tasks.

Chenglong Ma, Yuanfeng Ji, Jin Ye et al.

Advanced autoregressive models have reshaped multimodal AI. However, their transformative potential in medical imaging remains largely untapped due to the absence of a unified visual tokenizer -- one capable of capturing fine-grained visual structures for faithful image reconstruction and realistic image synthesis, as well as rich semantics for accurate diagnosis and image interpretation. To this end, we present MedITok, the first unified tokenizer tailored for medical images, encoding both low-level structural details and high-level clinical semantics within a unified latent space. To balance these competing objectives, we introduce a novel two-stage training framework: a visual representation alignment stage that cold-starts the tokenizer reconstruction learning with a visual semantic constraint, followed by a textual semantic representation alignment stage that infuses detailed clinical semantics into the latent space. Trained on the meticulously collected large-scale dataset with over 30 million medical images and 2 million image-caption pairs, MedITok achieves state-of-the-art performance on more than 30 datasets across 9 imaging modalities and 4 different tasks. By providing a unified token space for autoregressive modeling, MedITok supports a wide range of tasks in clinical diagnostics and generative healthcare applications. Model and code will be made publicly available at: https://github.com/Masaaki-75/meditok.

Jiyao Liu, Junzhi Ning, Wanying Qu et al.

Medical image quality assessment (Med-IQA) is a prerequisite for clinical AI deployment, yet multimodal large language models (MLLMs) still fall substantially short of human experts, particularly when required to provide descriptive assessments with clinical reasoning beyond simple quality scores. However, improving them is hindered by the high cost of acquiring descriptive annotations and by the inability of one-time data collection to adapt to the model's evolving weaknesses. To address these challenges, we propose MedQ-Engine, a closed-loop data engine that iteratively evaluates the model to discover failure prototypes via data-driven clustering, explores a million-scale image pool using these prototypes as retrieval anchors with progressive human-in-the-loop annotation, and evolves through quality-assured fine-tuning, forming a self-improving cycle. Models are evaluated on complementary perception and description tasks. An entropy-guided routing mechanism triages annotations to minimize labeling cost. Experiments across five medical imaging modalities show that MedQ-Engine elevates an 8B-parameter model to surpass GPT-4o by over 13% and narrow the gap with human experts to only 4.34%, using only 10K annotations with more than 4x sample efficiency over random sampling.

Jiyao Liu, Junzhi Ning, Wanying Qu et al.

Existing medical image restoration (Med-IR) methods are typically modality-specific or degradation-specific, failing to generalize across the heterogeneous degradations encountered in clinical practice. We argue this limitation stems from the isolation of Med-IR from medical image quality assessment (Med-IQA), as restoration models without explicit quality understanding struggle to adapt to diverse degradation types across modalities. To address these challenges, we propose MedQ-UNI, a unified vision-language model that follows an assess-then-restore paradigm, explicitly leveraging Med-IQA to guide Med-IR across arbitrary modalities and degradation types. MedQ-UNI adopts a multimodal autoregressive dual-expert architecture with shared attention: a quality assessment expert first identifies degradation issues through structured natural language descriptions, and a restoration expert then conditions on these descriptions to perform targeted image restoration. To support this paradigm, we construct a large-scale dataset of approximately 50K paired samples spanning three imaging modalities and five restoration tasks, each annotated with structured quality descriptions for joint Med-IQA and Med-IR training, along with a 2K-sample benchmark for evaluation. Extensive experiments demonstrate that a single MedQ-UNI model, without any task-specific adaptation, achieves state-of-the-art restoration performance across all tasks while generating superior descriptions, confirming that explicit quality understanding meaningfully improves restoration fidelity and interpretability.

Junzhi Ning, Wei Li, Cheng Tang et al.

Medical diagnostic applications require models that can process multimodal medical inputs (images, patient histories, lab results) and generate diverse outputs including both textual reports and visual content (annotations, segmentation masks, and images). Despite this need, existing medical AI systems disrupt this unified process: medical image understanding models interpret images but cannot generate visual outputs, while medical image generation models synthesize images but cannot provide textual explanations. This leads to gaps in data representation, feature integration, and task-level multimodal capabilities. To this end, we propose a multi-level framework that draws inspiration from diagnostic workflows through the Observation-Knowledge-Analysis (OKA) paradigm. Specifically, at the observation level, we construct UniMed-5M, a dataset comprising over 5.6M samples that reformat diverse unimodal data into multimodal pairs for foundational observation. At the knowledge level, we propose Progressive Curriculum Learning that systematically introduces medical multimodal knowledge. At the analysis level, we introduce UniMedVL, the first medical unified multimodal model for the simultaneous analysis of image understanding and generation tasks within a single architecture. UniMedVL achieves superior performance on five medical image understanding benchmarks, while matching specialized models in generation quality across eight medical imaging modalities. Crucially, our unified architecture enables bidirectional knowledge sharing: generation tasks enhance visual understanding features, demonstrating that integrating traditionally separate capabilities within a single medical framework unlocks improvements across diverse medical vision-language tasks. Code is available at https://github.com/uni-medical/UniMedVL.

Jialin Gao, Donghao Zhou, Mingjian Liang et al.

3D indoor layout synthesis is crucial for creating virtual environments. Traditional methods struggle with generalization due to fixed datasets. While recent LLM and VLM-based approaches offer improved semantic richness, they often lack robust and flexible refinement, resulting in suboptimal layouts. We develop DisCo-Layout, a novel framework that disentangles and coordinates physical and semantic refinement. For independent refinement, our Semantic Refinement Tool (SRT) corrects abstract object relationships, while the Physical Refinement Tool (PRT) resolves concrete spatial issues via a grid-matching algorithm. For collaborative refinement, a multi-agent framework intelligently orchestrates these tools, featuring a planner for placement rules, a designer for initial layouts, and an evaluator for assessment. Experiments demonstrate DisCo-Layout's state-of-the-art performance, generating realistic, coherent, and generalizable 3D indoor layouts. Our code will be publicly available.

Huihui Xu, Jin Ye, Hongqiu Wang et al.

Recent self-supervised image segmentation models have achieved promising performance on semantic segmentation and class-agnostic instance segmentation. However, their pretraining schedule is multi-stage, requiring a time-consuming pseudo-masks generation process between each training epoch. This time-consuming offline process not only makes it difficult to scale with training dataset size, but also leads to sub-optimal solutions due to its discontinuous optimization routine. To solve these, we first present a novel pseudo-mask algorithm, Fast Universal Agglomerative Pooling (UniAP). Each layer of UniAP can identify groups of similar nodes in parallel, allowing to generate both semantic-level and instance-level and multi-granular pseudo-masks within ens of milliseconds for one image. Based on the fast UniAP, we propose the Scalable Self-Supervised Universal Segmentation (S2-UniSeg), which employs a student and a momentum teacher for continuous pretraining. A novel segmentation-oriented pretext task, Query-wise Self-Distillation (QuerySD), is proposed to pretrain S2-UniSeg to learn the local-to-global correspondences. Under the same setting, S2-UniSeg outperforms the SOTA UnSAM model, achieving notable improvements of AP+6.9 on COCO, AR+11.1 on UVO, PixelAcc+4.5 on COCOStuff-27, RQ+8.0 on Cityscapes. After scaling up to a larger 2M-image subset of SA-1B, S2-UniSeg further achieves performance gains on all four benchmarks. Our code and pretrained models are available at https://github.com/bio-mlhui/S2-UniSeg

Wei Li, Jingyang Zhang, Lihao Liu et al.

Test-Time Adaptation (TTA) has emerged as a promising solution for adapting a source model to unseen medical sites using unlabeled test data, due to the high cost of data annotation. Existing TTA methods consider scenarios where data from one or multiple domains arrives in complete domain units. However, in clinical practice, data usually arrives in domain fragments of arbitrary lengths and in random arrival orders, due to resource constraints and patient variability. This paper investigates a practical Free-Form Test-Time Adaptation (F$^{2}$TTA) task, where a source model is adapted to such free-form domain fragments, with shifts occurring between fragments unpredictably. In this setting, these shifts could distort the adaptation process. To address this problem, we propose a novel Image-level Disentangled Prompt Tuning (I-DiPT) framework. I-DiPT employs an image-invariant prompt to explore domain-invariant representations for mitigating the unpredictable shifts, and an image-specific prompt to adapt the source model to each test image from the incoming fragments. The prompts may suffer from insufficient knowledge representation since only one image is available for training. To overcome this limitation, we first introduce Uncertainty-oriented Masking (UoM), which encourages the prompts to extract sufficient information from the incoming image via masked consistency learning driven by the uncertainty of the source model representations. Then, we further propose a Parallel Graph Distillation (PGD) method that reuses knowledge from historical image-specific and image-invariant prompts through parallel graph networks. Experiments on breast cancer and glaucoma classification demonstrate the superiority of our method over existing TTA approaches in F$^{2}$TTA. Code is available at https://github.com/mar-cry/F2TTA.

Jing Zou, Qingqiu Li, Chenyu Lian et al.

AI-driven models have shown great promise in detecting errors in radiology reports, yet the field lacks a unified benchmark for rigorous evaluation of error detection and further correction. To address this gap, we introduce CorBenchX, a comprehensive suite for automated error detection and correction in chest X-ray reports, designed to advance AI-assisted quality control in clinical practice. We first synthesize a large-scale dataset of 26,326 chest X-ray error reports by injecting clinically common errors via prompting DeepSeek-R1, with each corrupted report paired with its original text, error type, and human-readable description. Leveraging this dataset, we benchmark both open- and closed-source vision-language models,(e.g., InternVL, Qwen-VL, GPT-4o, o4-mini, and Claude-3.7) for error detection and correction under zero-shot prompting. Among these models, o4-mini achieves the best performance, with 50.6 % detection accuracy and correction scores of BLEU 0.853, ROUGE 0.924, BERTScore 0.981, SembScore 0.865, and CheXbertF1 0.954, remaining below clinical-level accuracy, highlighting the challenge of precise report correction. To advance the state of the art, we propose a multi-step reinforcement learning (MSRL) framework that optimizes a multi-objective reward combining format compliance, error-type accuracy, and BLEU similarity. We apply MSRL to QwenVL2.5-7B, the top open-source model in our benchmark, achieving an improvement of 38.3% in single-error detection precision and 5.2% in single-error correction over the zero-shot baseline.

Ming Hu, Chenglong Ma, Wei Li et al. · pku

Scientific Large Language Models (Sci-LLMs) are transforming how knowledge is represented, integrated, and applied in scientific research, yet their progress is shaped by the complex nature of scientific data. This survey presents a comprehensive, data-centric synthesis that reframes the development of Sci-LLMs as a co-evolution between models and their underlying data substrate. We formulate a unified taxonomy of scientific data and a hierarchical model of scientific knowledge, emphasizing the multimodal, cross-scale, and domain-specific challenges that differentiate scientific corpora from general natural language processing datasets. We systematically review recent Sci-LLMs, from general-purpose foundations to specialized models across diverse scientific disciplines, alongside an extensive analysis of over 270 pre-/post-training datasets, showing why Sci-LLMs pose distinct demands -- heterogeneous, multi-scale, uncertainty-laden corpora that require representations preserving domain invariance and enabling cross-modal reasoning. On evaluation, we examine over 190 benchmark datasets and trace a shift from static exams toward process- and discovery-oriented assessments with advanced evaluation protocols. These data-centric analyses highlight persistent issues in scientific data development and discuss emerging solutions involving semi-automated annotation pipelines and expert validation. Finally, we outline a paradigm shift toward closed-loop systems where autonomous agents based on Sci-LLMs actively experiment, validate, and contribute to a living, evolving knowledge base. Collectively, this work provides a roadmap for building trustworthy, continually evolving artificial intelligence (AI) systems that function as a true partner in accelerating scientific discovery.

Chaoyu Liu, Davide Murari, Lihao Liu et al.

Partial Differential Equation (PDE) problems often exhibit strong local spatial structures, and effectively capturing these structures is critical for approximating their solutions. Recently, the Fourier Neural Operator (FNO) has emerged as an efficient approach for solving these PDE problems. By using parametrization in the frequency domain, FNOs can efficiently capture global patterns. However, this approach inherently overlooks the critical role of local spatial features, as frequency-domain parameterized convolutions primarily emphasize global interactions without encoding comprehensive localized spatial dependencies. Although several studies have attempted to address this limitation, their extracted Local Spatial Features (LSFs) remain insufficient, and computational efficiency is often compromised. To address this limitation, we introduce a convolutional neural network (CNN)-based feature pre-extractor to capture LSFs directly from input data, resulting in a hybrid architecture termed \textit{Conv-FNO}. Furthermore, we introduce two novel resizing schemes to make our Conv-FNO resolution invariant. In this work, we focus on demonstrating the effectiveness of incorporating LSFs into FNOs by conducting both a theoretical analysis and extensive numerical experiments. Our findings show that this simple yet impactful modification enhances the representational capacity of FNOs and significantly improves performance on challenging PDE benchmarks.

Tianai Huang, Lu Lu, Jiayuan Chen et al.

Large language models (LLMs) excel in various NLP tasks and modern medicine, but their evaluation in traditional Chinese medicine (TCM) is underexplored. To address this, we introduce TCM3CEval, a benchmark assessing LLMs in TCM across three dimensions: core knowledge mastery, classical text understanding, and clinical decision-making. We evaluate diverse models, including international (e.g., GPT-4o), Chinese (e.g., InternLM), and medical-specific (e.g., PLUSE). Results show a performance hierarchy: all models have limitations in specialized subdomains like Meridian & Acupoint theory and Various TCM Schools, revealing gaps between current capabilities and clinical needs. Models with Chinese linguistic and cultural priors perform better in classical text interpretation and clinical reasoning. TCM-3CEval sets a standard for AI evaluation in TCM, offering insights for optimizing LLMs in culturally grounded medical domains. The benchmark is available on Medbench's TCM track, aiming to assess LLMs' TCM capabilities in basic knowledge, classic texts, and clinical decision-making through multidimensional questions and real cases.

Jinjie Wei, Jiyao Liu, Lihao Liu et al.

Graphical User Interface (GUI) agents have made significant progress in automating digital tasks through the utilization of computer vision and language models. Nevertheless, existing agent systems encounter notable limitations. Firstly, they predominantly depend on trial and error decision making rather than progressive reasoning, thereby lacking the capability to learn and adapt from interactive encounters. Secondly, these systems are assessed using overly simplistic single step accuracy metrics, which do not adequately reflect the intricate nature of real world GUI interactions. In this paper, we present CogniGUI, a cognitive framework developed to overcome these limitations by enabling adaptive learning for GUI automation resembling human-like behavior. Inspired by Kahneman's Dual Process Theory, our approach combines two main components: (1) an omni parser engine that conducts immediate hierarchical parsing of GUI elements through quick visual semantic analysis to identify actionable components, and (2) a Group based Relative Policy Optimization (GRPO) grounding agent that assesses multiple interaction paths using a unique relative reward system, promoting minimal and efficient operational routes. This dual-system design facilitates iterative ''exploration learning mastery'' cycles, enabling the agent to enhance its strategies over time based on accumulated experience. Moreover, to assess the generalization and adaptability of agent systems, we introduce ScreenSeek, a comprehensive benchmark that includes multi application navigation, dynamic state transitions, and cross interface coherence, which are often overlooked challenges in current benchmarks. Experimental results demonstrate that CogniGUI surpasses state-of-the-art methods in both the current GUI grounding benchmarks and our newly proposed benchmark.

Dingkang Yang, Jinjie Wei, Mingcheng Li et al.

In healthcare intelligence, the ability to fuse heterogeneous, multi-intent information from diverse clinical sources is fundamental to building reliable decision-making systems. Large Language Model (LLM)-driven information interaction systems currently showing potential promise in the healthcare domain. Nevertheless, they often suffer from information redundancy and coupling when dealing with complex medical intents, leading to severe hallucinations and performance bottlenecks. To this end, we propose MedAide, an LLM-based medical multi-agent collaboration framework designed to enable intent-aware information fusion and coordinated reasoning across specialized healthcare domains. Specifically, we introduce a regularization-guided module that combines syntactic constraints with retrieval augmented generation to decompose complex queries into structured representations, facilitating fine-grained clinical information fusion and intent resolution. Additionally, a dynamic intent prototype matching module is proposed to utilize dynamic prototype representation with a semantic similarity matching mechanism to achieve adaptive recognition and updating of the agent's intent in multi-round healthcare dialogues. Ultimately, we design a rotation agent collaboration mechanism that introduces dynamic role rotation and decision-level information fusion across specialized medical agents. Extensive experiments are conducted on four medical benchmarks with composite intents. Experimental results from automated metrics and expert doctor evaluations show that MedAide outperforms current LLMs and improves their medical proficiency and strategic reasoning.

Xiaoyi Liang, Mouxiao Bian, Moxin Chen et al.

In recent years, large language models (LLMs) have demonstrated remarkable potential across various medical applications. Building on this foundation, multimodal large language models (MLLMs) integrate LLMs with visual models to process diverse inputs, including clinical data and medical images. In ophthalmology, LLMs have been explored for analyzing optical coherence tomography (OCT) reports, assisting in disease classification, and even predicting treatment outcomes. However, existing MLLM benchmarks often fail to capture the complexities of real-world clinical practice, particularly in the analysis of OCT images. Many suffer from limitations such as small sample sizes, a lack of diverse OCT datasets, and insufficient expert validation. These shortcomings hinder the accurate assessment of MLLMs' ability to interpret OCT scans and their broader applicability in ophthalmology. Our dataset, curated through rigorous quality control and expert annotation, consists of 439 fundus images and 75 OCT images. Using a standardized API-based framework, we assessed seven mainstream MLLMs and observed significant variability in diagnostic accuracy across different diseases. While some models performed well in diagnosing conditions such as diabetic retinopathy and age-related macular degeneration, they struggled with others, including choroidal neovascularization and myopia, highlighting inconsistencies in performance and the need for further refinement. Our findings emphasize the importance of developing clinically relevant benchmarks to provide a more accurate assessment of MLLMs' capabilities. By refining these models and expanding their scope, we can enhance their potential to transform ophthalmic diagnosis and treatment.

Xinzheng Wu, Junyi Chen, Xingyu Xing et al.

Scenario-based virtual testing is one of the most significant methods to test and evaluate the safety of automated driving systems (ADSs). However, it is impractical to enumerate all concrete scenarios in a logical scenario space and test them exhaustively. Recently, Black-Box Optimization (BBO) was introduced to accelerate the scenario-based test of ADSs by utilizing the historical test information to generate new test cases. However, a single optimum found by the BBO algorithm is insufficient for the purpose of a comprehensive safety evaluation of ADSs in a logical scenario. In fact, all the subspaces representing danger in the logical scenario space, rather than only the most critical concrete scenario, play a more significant role for the safety evaluation. Covering as many of the critical concrete scenarios in a logical scenario space through a limited number of tests is defined as the Black-Box Coverage (BBC) problem in this paper. We formalized this problem in a sample-based search paradigm and constructed a coverage criterion with Confusion Matrix Analysis. Furthermore, we propose LAMBDA (Latent-Action Monte-Carlo Beam Search with Density Adaption) to solve BBC problems. LAMBDA can quickly focus on critical subspaces by recursively partitioning the logical scenario space into accepted and rejected parts. Compared with its predecessor LaMCTS, LAMBDA introduces sampling density to overcome the sampling bias from optimization and Beam Search to obtain more parallelizability. Experimental results show that LAMBDA achieves state-of-the-art performance among all baselines and can reach at most 33 and 6000 times faster than Random Search to get 95% coverage of the critical areas in 2- and 5-dimensional synthetic functions, respectively. Experiments also demonstrate that LAMBDA has a promising future in the safety evaluation of ADSs in virtual tests.

Linrui Gong, Jiuming Liu, Junyi Ma et al.

Diffusion models have shown the great potential in the point cloud registration (PCR) task, especially for enhancing the robustness to challenging cases. However, existing diffusion-based PCR methods primarily focus on instance-level scenarios and struggle with outdoor LiDAR points, where the sparsity, irregularity, and huge point scale inherent in LiDAR points pose challenges to establishing dense global point-to-point correspondences. To address this issue, we propose a novel framework named EADReg for efficient and robust registration of LiDAR point clouds based on autoregressive diffusion models. EADReg follows a coarse-to-fine registration paradigm. In the coarse stage, we employ a Bi-directional Gaussian Mixture Model (BGMM) to reject outlier points and obtain purified point cloud pairs. BGMM establishes correspondences between the Gaussian Mixture Models (GMMs) from the source and target frames, enabling reliable coarse registration based on filtered features and geometric information. In the fine stage, we treat diffusion-based PCR as an autoregressive process to generate robust point correspondences, which are then iteratively refined on upper layers. Despite common criticisms of diffusion-based methods regarding inference speed, EADReg achieves runtime comparable to convolutional-based methods. Extensive experiments on the KITTI and NuScenes benchmark datasets highlight the state-of-the-art performance of our proposed method. Codes will be released upon publication.

Chao Ding, Mouxiao Bian, Pengcheng Chen et al.

Despite strong performance in medical question-answering, the clinical adoption of Large Language Models (LLMs) is critically hampered by their opaque 'black-box' reasoning, limiting clinician trust. This challenge is compounded by the predominant reliance of current medical LLMs on corpora from scientific literature or synthetic data, which often lack the granular expert validation and high clinical relevance essential for advancing their specialized medical capabilities. To address these critical gaps, we introduce a highly clinically relevant dataset with 31,247 medical question-answer pairs, each accompanied by expert-validated chain-of-thought (CoT) explanations. This resource, spanning multiple clinical domains, was curated via a scalable human-LLM hybrid pipeline: LLM-generated rationales were iteratively reviewed, scored, and refined by medical experts against a structured rubric, with substandard outputs revised through human effort or guided LLM regeneration until expert consensus. This publicly available dataset provides a vital source for the development of medical LLMs that capable of transparent and verifiable reasoning, thereby advancing safer and more interpretable AI in medicine.

Jiyao Liu, Jinjie Wei, Wanying Qu et al.

Medical Image Quality Assessment (IQA) serves as the first-mile safety gate for clinical AI, yet existing approaches remain constrained by scalar, score-based metrics and fail to reflect the descriptive, human-like reasoning process central to expert evaluation. To address this gap, we introduce MedQ-Bench, a comprehensive benchmark that establishes a perception-reasoning paradigm for language-based evaluation of medical image quality with Multi-modal Large Language Models (MLLMs). MedQ-Bench defines two complementary tasks: (1) MedQ-Perception, which probes low-level perceptual capability via human-curated questions on fundamental visual attributes; and (2) MedQ-Reasoning, encompassing both no-reference and comparison reasoning tasks, aligning model evaluation with human-like reasoning on image quality. The benchmark spans five imaging modalities and over forty quality attributes, totaling 2,600 perceptual queries and 708 reasoning assessments, covering diverse image sources including authentic clinical acquisitions, images with simulated degradations via physics-based reconstructions, and AI-generated images. To evaluate reasoning ability, we propose a multi-dimensional judging protocol that assesses model outputs along four complementary axes. We further conduct rigorous human-AI alignment validation by comparing LLM-based judgement with radiologists. Our evaluation of 14 state-of-the-art MLLMs demonstrates that models exhibit preliminary but unstable perceptual and reasoning skills, with insufficient accuracy for reliable clinical use. These findings highlight the need for targeted optimization of MLLMs in medical IQA. We hope that MedQ-Bench will catalyze further exploration and unlock the untapped potential of MLLMs for medical image quality evaluation.

Wenlong Hou, Guangqian Yang, Ye Du et al.

Alzheimer's disease (AD) is a progressive and irreversible neurodegenerative disease. Early and precise diagnosis of AD is crucial for timely intervention and treatment planning to alleviate the progressive neurodegeneration. However, most existing methods rely on single-modality data, which contrasts with the multifaceted approach used by medical experts. While some deep learning approaches process multi-modal data, they are limited to specific tasks with a small set of input modalities and cannot handle arbitrary combinations. This highlights the need for a system that can address diverse AD-related tasks, process multi-modal or missing input, and integrate multiple advanced methods for improved performance. In this paper, we propose ADAgent, the first specialized AI agent for AD analysis, built on a large language model (LLM) to address user queries and support decision-making. ADAgent integrates a reasoning engine, specialized medical tools, and a collaborative outcome coordinator to facilitate multi-modal diagnosis and prognosis tasks in AD. Extensive experiments demonstrate that ADAgent outperforms SOTA methods, achieving significant improvements in accuracy, including a 2.7% increase in multi-modal diagnosis, a 0.7% improvement in multi-modal prognosis, and enhancements in MRI and PET diagnosis tasks.

Yihan Wang, Qiao Yan, Zhenghao Xing et al.

Large language models (LLMs) have demonstrated strong potential in clinical question answering, with recent multi-agent frameworks further improving diagnostic accuracy via collaborative reasoning. However, we identify a recurring issue of Silent Agreement, where agents prematurely converge on diagnoses without sufficient critical analysis, particularly in complex or ambiguous cases. We present a new concept called Catfish Agent, a role-specialized LLM designed to inject structured dissent and counter silent agreement. Inspired by the ``catfish effect'' in organizational psychology, the Catfish Agent is designed to challenge emerging consensus to stimulate deeper reasoning. We formulate two mechanisms to encourage effective and context-aware interventions: (i) a complexity-aware intervention that modulates agent engagement based on case difficulty, and (ii) a tone-calibrated intervention articulated to balance critique and collaboration. Evaluations on nine medical Q&A and three medical VQA benchmarks show that our approach consistently outperforms both single- and multi-agent LLMs frameworks, including leading commercial models such as GPT-4o and DeepSeek-R1.

Jiyao Liu, Junzhi Ning, Chenglong Ma et al.

Despite impressive performance on standard benchmarks, multimodal large language models (MLLMs) face critical challenges in real-world clinical environments where medical images inevitably suffer various quality degradations. Existing benchmarks exhibit two key limitations: (1) absence of large-scale, multidimensional assessment across medical image quality gradients and (2) no systematic confidence calibration analysis. To address these gaps, we present MedQ-Deg, a comprehensive benchmark for evaluating medical MLLMs under image quality degradations. MedQ-Deg provides multi-dimensional evaluation spanning 18 distinct degradation types, 30 fine-grained capability dimensions, and 7 imaging modalities, with 24,894 question-answer pairs. Each degradation is implemented at 3 severity degrees, calibrated by expert radiologists. We further introduce Calibration Shift metric, which quantifies the gap between a model's perceived confidence and actual performance to assess metacognitive reliability under degradation. Our comprehensive evaluation of 40 mainstream MLLMs reveals several critical findings: (1) overall model performance degrades systematically as degradation severity increases, (2) models universally exhibit the AI Dunning-Kruger Effect, maintaining inappropriately high confidence despite severe accuracy collapse, and (3) models display markedly differentiated behavioral patterns across capability dimensions, imaging modalities, and degradation types. We hope MedQ-Deg drives progress toward medical MLLMs that are robust and trustworthy in real clinical practice.

Pengze Li, Jiaqi Liu, Junchi Yu et al.

Large language models (LLMs) are increasingly used in scientific domains. While they can produce reasoning-like content via methods such as chain-of-thought prompting, these outputs are typically unstructured and informal, obscuring whether models truly understand the fundamental reasoning paradigms that underpin scientific inference. To address this, we introduce a novel task named Latent Reasoning Chain Extraction (ARCHE), in which models must decompose complex reasoning arguments into combinations of standard reasoning paradigms in the form of a Reasoning Logic Tree (RLT). In RLT, all reasoning steps are explicitly categorized as one of three variants of Peirce's fundamental inference modes: deduction, induction, or abduction. To facilitate this task, we release ARCHE Bench, a new benchmark derived from 70 Nature Communications articles, including more than 1,900 references and 38,000 viewpoints. We propose two logic-aware evaluation metrics: Entity Coverage (EC) for content completeness and Reasoning Edge Accuracy (REA) for step-by-step logical validity. Evaluations on 10 leading LLMs on ARCHE Bench reveal that models exhibit a trade-off between REA and EC, and none are yet able to extract a complete and standard reasoning chain. These findings highlight a substantial gap between the abilities of current reasoning models and the rigor required for scientific argumentation.