Ruoyu Chen

Weiyi Zhang, Siyu Huang, Jiancheng Yang et al.

Fundus Fluorescein Angiography (FFA) is a critical tool for assessing retinal vascular dynamics and aiding in the diagnosis of eye diseases. However, its invasive nature and less accessibility compared to Color Fundus (CF) images pose significant challenges. Current CF to FFA translation methods are limited to static generation. In this work, we pioneer dynamic FFA video generation from static CF images. We introduce an autoregressive GAN for smooth, memory-saving frame-by-frame FFA synthesis. To enhance the focus on dynamic lesion changes in FFA regions, we design a knowledge mask based on clinical experience. Leveraging this mask, our approach integrates innovative knowledge mask-guided techniques, including knowledge-boosted attention, knowledge-aware discriminators, and mask-enhanced patchNCE loss, aimed at refining generation in critical areas and addressing the pixel misalignment challenge. Our method achieves the best FVD of 1503.21 and PSNR of 11.81 compared to other common video generation approaches. Human assessment by an ophthalmologist confirms its high generation quality. Notably, our knowledge mask surpasses supervised lesion segmentation masks, offering a promising non-invasive alternative to traditional FFA for research and clinical applications. The code is available at https://github.com/Michi-3000/Fundus2Video.

Ying Mo, Jian Yang, Jiahao Liu et al.

Cross-lingual named entity recognition (CrossNER) faces challenges stemming from uneven performance due to the scarcity of multilingual corpora, especially for non-English data. While prior efforts mainly focus on data-driven transfer methods, a significant aspect that has not been fully explored is aligning both semantic and token-level representations across diverse languages. In this paper, we propose Multi-view Contrastive Learning for Cross-lingual Named Entity Recognition (mCL-NER). Specifically, we reframe the CrossNER task into a problem of recognizing relationships between pairs of tokens. This approach taps into the inherent contextual nuances of token-to-token connections within entities, allowing us to align representations across different languages. A multi-view contrastive learning framework is introduced to encompass semantic contrasts between source, codeswitched, and target sentences, as well as contrasts among token-to-token relations. By enforcing agreement within both semantic and relational spaces, we minimize the gap between source sentences and their counterparts of both codeswitched and target sentences. This alignment extends to the relationships between diverse tokens, enhancing the projection of entities across languages. We further augment CrossNER by combining self-training with labeled source data and unlabeled target data. Our experiments on the XTREME benchmark, spanning 40 languages, demonstrate the superiority of mCL-NER over prior data-driven and model-based approaches. It achieves a substantial increase of nearly +2.0 $F_1$ scores across a broad spectrum and establishes itself as the new state-of-the-art performer.

Ziyu Gao, Xinyuan Wu, Xiaolan Chen et al.

Ophthalmic decision-making depends on subtle lesion-scale cues interpreted across multimodal imaging and over time, yet most medical foundation models remain static and degrade under modality and acquisition shifts. Here we introduce EyeWorld, a generative world model that conceptualizes the eye as a partially observed dynamical system grounded in clinical imaging. EyeWorld learns an observation-stable latent ocular state shared across modalities, unifying fine-grained parsing, structure-preserving cross-modality translation and quality-robust enhancement within a single framework. Longitudinal supervision further enables time-conditioned state transitions, supporting forecasting of clinically meaningful progression while preserving stable anatomy. By moving from static representation learning to explicit dynamical modeling, EyeWorld provides a unified approach to robust multimodal interpretation and prognosis-oriented simulation in medicine.

Ruoyu Chen, Kezheng Xu, Kangyan Zheng et al.

Ultrawide-field fluorescein angiography (UWF-FA) facilitates diabetic retinopathy (DR) detection by providing a clear visualization of peripheral retinal lesions. However, the intravenous dye injection with potential risks hamper its application. We aim to acquire dye-free UWF-FA images from noninvasive UWF retinal imaging (UWF-RI) using generative artificial intelligence (GenAI) and evaluate its effectiveness in DR screening. A total of 18,321 UWF-FA images of different phases were registered with corresponding UWF-RI images and fed into a generative adversarial networks (GAN)-based model for training. The quality of generated UWF-FA images was evaluated through quantitative metrics and human evaluation. The DeepDRiD dataset was used to externally assess the contribution of generated UWF-FA images to DR classification, using area under the receiver operating characteristic curve (AUROC) as outcome metrics. The generated early, mid, and late phase UWF-FA images achieved high authenticity, with multi-scale similarity scores ranging from 0.70 to 0.91 and qualitative visual scores ranging from 1.64 to 1.98 (1=real UWF-FA quality). In fifty randomly selected images, 56% to 76% of the generated images were difficult to distinguish from real images in the Turing test. Moreover, adding these generated UWF-FA images for DR classification significantly increased the AUROC from 0.869 to 0.904 compared to the baseline model using UWF-RI images (P < .001). The model successfully generates realistic multi-frame UWF-FA images for enhancing DR stratification without intravenous dye injection.

Siyuan Liang, Wei Wang, Ruoyu Chen et al.

With the emergence of foundation models, deep learning-based object detectors have shown practical usability in closed set scenarios. However, for real-world tasks, object detectors often operate in open environments, where crucial factors (e.g., data distribution, objective) that influence model learning are often changing. The dynamic and intricate nature of the open environment poses novel and formidable challenges to object detectors. Unfortunately, current research on object detectors in open environments lacks a comprehensive analysis of their distinctive characteristics, challenges, and corresponding solutions, which hinders their secure deployment in critical real-world scenarios. This paper aims to bridge this gap by conducting a comprehensive review and analysis of object detectors in open environments. We initially identified limitations of key structural components within the existing detection pipeline and propose the open environment object detector challenge framework that includes four quadrants (i.e., out-of-domain, out-of-category, robust learning, and incremental learning) based on the dimensions of the data / target changes. For each quadrant of challenges in the proposed framework, we present a detailed description and systematic analysis of the overarching goals and core difficulties, systematically review the corresponding solutions, and benchmark their performance over multiple widely adopted datasets. In addition, we engage in a discussion of open problems and potential avenues for future research. This paper aims to provide a fresh, comprehensive, and systematic understanding of the challenges and solutions associated with open-environment object detectors, thus catalyzing the development of more solid applications in real-world scenarios. A project related to this survey can be found at https://github.com/LiangSiyuan21/OEOD_Survey.

Ruoyu Chen, Siyuan Liang, Jingzhi Li et al.

Advances in multimodal pre-training have propelled object-level foundation models, such as Grounding DINO and Florence-2, in tasks like visual grounding and object detection. However, interpreting these models' decisions has grown increasingly challenging. Existing interpretable attribution methods for object-level task interpretation have notable limitations: (1) gradient-based methods lack precise localization due to visual-textual fusion in foundation models, and (2) perturbation-based methods produce noisy saliency maps, limiting fine-grained interpretability. To address these, we propose a Visual Precision Search method that generates accurate attribution maps with fewer regions. Our method bypasses internal model parameters to overcome attribution issues from multimodal fusion, dividing inputs into sparse sub-regions and using consistency and collaboration scores to accurately identify critical decision-making regions. We also conducted a theoretical analysis of the boundary guarantees and scope of applicability of our method. Experiments on RefCOCO, MS COCO, and LVIS show our approach enhances object-level task interpretability over SOTA for Grounding DINO and Florence-2 across various evaluation metrics, with faithfulness gains of 23.7%, 31.6%, and 20.1% on MS COCO, LVIS, and RefCOCO for Grounding DINO, and 102.9% and 66.9% on MS COCO and RefCOCO for Florence-2. Additionally, our method can interpret failures in visual grounding and object detection tasks, surpassing existing methods across multiple evaluation metrics. The code will be released at https://github.com/RuoyuChen10/VPS.

Mingxu Chai, Ziyu Shen, Chenyu Liu et al.

Block Diffusion Models (BDMs) support parallel generation, flexible-length output, and KV caching, making them promising for efficient document parsing. However, existing BDMs bind denoising and cache commitment to fixed block boundaries: parallelism shrinks during intra-block denoising, while generated tokens cannot be cached until the whole block is completed. Moreover, intra-block bidirectional denoising conflicts with inter-block autoregression, creating inconsistent information flow that can challenge structure-sensitive recognition. We propose the Prefix-Adaptive Block Diffusion Model (PA-BDM), which replaces intra-block bidirectional denoising with causal denoising from prefix to suffix and treats the block size as a maximum candidate range rather than a fixed commitment unit. PA-BDM uses Confidence-gated Structural Loss (CSL) to build low-entropy prefixes before extending training to longer continuations. During inference, Progressive Prefix Commitment (PPC) then dynamically commits the longest reliable prefix into the KV cache and resets the next candidate range from the updated prefix, restoring a large parallel decoding space at each step. Experiments show that the 3B PA-BDM achieves higher recognition scores on several benchmarks and improves inference throughput by 71.6\% over the 2.5B MinerU-Diffusion.

Ruoyu Chen, Shangquan Sun, Xiaoqing Guo et al.

Reliable models should not only predict correctly, but also justify decisions with acceptable evidence. Yet conventional supervised learning typically provides only class-level labels, allowing models to achieve high accuracy through shortcut correlations rather than the intended evidence. Human priors can help constrain such behavior, but aligning models to these priors remains challenging because learned representations often diverge from human perception. To address this challenge, we propose an attribution-based human prior alignment method. We encode human priors as input regions that the model is expected to rely on (e.g., bounding boxes), and leverage a highly faithful subset-selection-based attribution approach to expose the model's decision evidence during training. When the attribution region deviates substantially from the prior regions, we penalize reliance on off-prior evidence, encouraging the model to shift its attribution toward the intended regions. This is achieved through a training objective that imposes attribution constraints induced by the human prior. We validate our method on both image classification and click decision tasks in MLLM-based GUI agent models. Across conventional classification and autoregressive generation settings, human prior alignment consistently improves task accuracy while also enhancing the model's decision reasonability.

Ruoyu Chen, Xiaoqing Guo, Kangwei Liu et al.

Multimodal large language models (MLLMs) have demonstrated remarkable capabilities in aligning visual inputs with natural language outputs. Yet, the extent to which generated tokens depend on visual modalities remains poorly understood, limiting interpretability and reliability. In this work, we present EAGLE, a lightweight black-box framework for explaining autoregressive token generation in MLLMs. EAGLE attributes any selected tokens to compact perceptual regions while quantifying the relative influence of language priors and perceptual evidence. The framework introduces an objective function that unifies sufficiency (insight score) and indispensability (necessity score), optimized via greedy search over sparsified image regions for faithful and efficient attribution. Beyond spatial attribution, EAGLE performs modality-aware analysis that disentangles what tokens rely on, providing fine-grained interpretability of model decisions. Extensive experiments across open-source MLLMs show that EAGLE consistently outperforms existing methods in faithfulness, localization, and hallucination diagnosis, while requiring substantially less GPU memory. These results highlight its effectiveness and practicality for advancing the interpretability of MLLMs. The code will be released at https://ruoyuchen10.github.io/EAGLE/.

Youze Wang, Zijun Chen, Ruoyu Chen et al.

Recent advancements in multimodal large language models for video understanding (videoLLMs) have enhanced their capacity to process complex spatiotemporal data. However, challenges such as factual inaccuracies, harmful content, biases, hallucinations, and privacy risks compromise their reliability. This study introduces Trust-videoLLMs, a first comprehensive benchmark evaluating 23 state-of-the-art videoLLMs (5 commercial, 18 open-source) across five critical dimensions: truthfulness, robustness, safety, fairness, and privacy. Comprising 30 tasks with adapted, synthetic, and annotated videos, the framework assesses spatiotemporal risks, temporal consistency and cross-modal impact. Results reveal significant limitations in dynamic scene comprehension, cross-modal perturbation resilience and real-world risk mitigation. While open-source models occasionally outperform, proprietary models generally exhibit superior credibility, though scaling does not consistently improve performance. These findings underscore the need for enhanced training datat diversity and robust multimodal alignment. Trust-videoLLMs provides a publicly available, extensible toolkit for standardized trustworthiness assessments, addressing the critical gap between accuracy-focused benchmarks and demands for robustness, safety, fairness, and privacy.

Zihan Gu, Ruoyu Chen, Hua Zhang et al.

Grokking, referring to the abrupt improvement in test accuracy after extended overfitting, offers valuable insights into the mechanisms of model generalization. Existing researches based on progress measures imply that grokking relies on understanding the optimization dynamics when the loss function is dominated solely by the weight decay term. However, we find that this optimization merely leads to token uniformity, which is not a sufficient condition for grokking. In this work, we investigate the grokking mechanism underlying the Transformer in the task of prime number operations. Based on theoretical analysis and experimental validation, we present the following insights: (i) The weight decay term encourages uniformity across all tokens in the embedding space when it is minimized. (ii) The occurrence of grokking is jointly determined by the uniformity of the embedding space and the distribution of the training dataset. Building on these insights, we provide a unified perspective for understanding various previously proposed progress measures and introduce a novel, concise, and effective progress measure that could trace the changes in test loss more accurately. Finally, to demonstrate the versatility of our theoretical framework, we design a dedicated dataset to validate our theory on ResNet-18, successfully showcasing the occurrence of grokking. The code is released at https://github.com/Qihuai27/Grokking-Insight.

Ruoyu Chen, Siyuan Liang, Jingzhi Li et al.

To develop a trustworthy AI system, which aim to identify the input regions that most influence the models decisions. The primary task of existing attribution methods lies in efficiently and accurately identifying the relationships among input-prediction interactions. Particularly when the input data is discrete, such as images, analyzing the relationship between inputs and outputs poses a significant challenge due to the combinatorial explosion. In this paper, we propose a novel and efficient black-box attribution mechanism, LiMA (Less input is More faithful for Attribution), which reformulates the attribution of important regions as an optimization problem for submodular subset selection. First, to accurately assess interactions, we design a submodular function that quantifies subset importance and effectively captures their impact on decision outcomes. Then, efficiently ranking input sub-regions by their importance for attribution, we improve optimization efficiency through a novel bidirectional greedy search algorithm. LiMA identifies both the most and least important samples while ensuring an optimal attribution boundary that minimizes errors. Extensive experiments on eight foundation models demonstrate that our method provides faithful interpretations with fewer regions and exhibits strong generalization, shows an average improvement of 36.3% in Insertion and 39.6% in Deletion. Our method also outperforms the naive greedy search in attribution efficiency, being 1.6 times faster. Furthermore, when explaining the reasons behind model prediction errors, the average highest confidence achieved by our method is, on average, 86.1% higher than that of state-of-the-art attribution algorithms. The code is available at https://github.com/RuoyuChen10/LIMA.

Ruoyu Chen, Hua Zhang, Siyuan Liang et al.

Image attribution algorithms aim to identify important regions that are highly relevant to model decisions. Although existing attribution solutions can effectively assign importance to target elements, they still face the following challenges: 1) existing attribution methods generate inaccurate small regions thus misleading the direction of correct attribution, and 2) the model cannot produce good attribution results for samples with wrong predictions. To address the above challenges, this paper re-models the above image attribution problem as a submodular subset selection problem, aiming to enhance model interpretability using fewer regions. To address the lack of attention to local regions, we construct a novel submodular function to discover more accurate small interpretation regions. To enhance the attribution effect for all samples, we also impose four different constraints on the selection of sub-regions, i.e., confidence, effectiveness, consistency, and collaboration scores, to assess the importance of various subsets. Moreover, our theoretical analysis substantiates that the proposed function is in fact submodular. Extensive experiments show that the proposed method outperforms SOTA methods on two face datasets (Celeb-A and VGG-Face2) and one fine-grained dataset (CUB-200-2011). For correctly predicted samples, the proposed method improves the Deletion and Insertion scores with an average of 4.9% and 2.5% gain relative to HSIC-Attribution. For incorrectly predicted samples, our method achieves gains of 81.0% and 18.4% compared to the HSIC-Attribution algorithm in the average highest confidence and Insertion score respectively. The code is released at https://github.com/RuoyuChen10/SMDL-Attribution.

Le Yang, Ruoyu Chen, Haijun Liu et al.

End-to-end autonomous driving models generate future trajectories from multi-view inputs, improving system integration but introducing opaque decisions and hard-to-localize risks. Existing methods either rely on auxiliary monitoring models or generate textual explanations, but are decoupled from the planning process and fail to reveal the visual evidence underlying trajectory generation. While attribution offers a direct alternative, planning differs from image classification by taking six-view camera images as input and predicting continuous multi-step trajectories, requiring attribution to capture both critical views and regions and their influence on outputs. Moreover, whether attribution maps can support risk identification remains underexplored. To address this, we propose a hierarchical attribution framework for end-to-end planning. Specifically, using L2 consistency with the original trajectory as the objective, we design a coarse-to-fine region attribution strategy that searches candidate regions across the full six-view input and refines attribution within them. We further extract three attribution statistics as predictive signals for planning risk, including attribution entropy to measure how concentrated the planner's reliance is over the joint visual space, within-camera spatial variance to characterize how spread out the attribution is within each view, and cross-camera Gini coefficient to quantify how unevenly attribution is distributed across the six cameras. Experiments on BridgeAD, UniAD, and GenAD show that these statistics correlate with planning risk, achieving Spearman correlations of $0.30 \pm 0.07$ with trajectory error and AUROC of $0.77 \pm 0.04$ for collision detection. The signal generalizes to held-out scenes with negligible degradation and remains stable under an alternative attribution baseline.

Zirui Tang, Xuanhe Zhou, Yumou Liu et al.

Workspace learning requires AI agents to identify, reason over, exploit, and update explicit and implicit dependencies among heterogeneous files in a worker's workspace, enabling them to complete both routine and advanced tasks effectively. Despite its importance, existing relevant benchmarks largely evaluate agents on pre-specified or synthesized files with limited real-world dependencies, leaving workspace-level evaluation underexplored. To this end, we introduce Workspace-Bench, a benchmark for evaluating AI agents on Workspace Learning invOlving Large-Scale File Dependencies. We construct realistic workspaces with 5 worker profiles, 74 file types, 20,476 files (up to 20GB) and curate 388 tasks, each with its own file dependency graph, evaluated across 7,399 total rubrics that require cross-file retrieval, contextual reasoning, and adaptive decision-making. We further provide Workspace-Bench-Lite, a 100-task subset that preserves the benchmark distribution while reducing evaluation costs by about 70%. We evaluate 4 popular agent harnesses and 7 foundation models. Experimental results show that current agents remain far from reliable workspace learning, where the best reaches only 68.7%, substantially below the human result of 80.7%, and the average performance across agents is only 47.4%.

Yannan Chen, Ruoyu Chen, Bin Zeng et al.

In current visual model training, models often rely on only limited sufficient causes for their predictions, which makes them sensitive to distribution shifts or the absence of key features. Attribution methods can accurately identify a model's critical regions. However, masking these areas to create counterfactuals often causes the model to misclassify the target, while humans can still easily recognize it. This divergence highlights that the model's learned dependencies may not be sufficiently causal. To address this issue, we propose Subset-Selected Counterfactual Augmentation (SS-CA), which integrates counterfactual explanations directly into the training process for targeted intervention. Building on the subset-selection-based LIMA attribution method, we develop Counterfactual LIMA to identify minimal spatial region sets whose removal can selectively alter model predictions. Leveraging these attributions, we introduce a data augmentation strategy that replaces the identified regions with natural background, and we train the model jointly on both augmented and original samples to mitigate incomplete causal learning. Extensive experiments across multiple ImageNet variants show that SS-CA improves generalization on in-distribution (ID) test data and achieves superior performance on out-of-distribution (OOD) benchmarks such as ImageNet-R and ImageNet-S. Under perturbations including noise, models trained with SS-CA also exhibit enhanced generalization, demonstrating that our approach effectively uses interpretability insights to correct model deficiencies and improve both performance and robustness.

Zihan Gu, Ruoyu Chen, Junchi Zhang et al.

Attribution is essential for interpreting object-level foundation models. Recent methods based on submodular subset selection have achieved high faithfulness, but their efficiency limitations hinder practical deployment in real-world scenarios. To address this, we propose PhaseWin, a novel phase-window search algorithm that enables faithful region attribution with near-linear complexity. PhaseWin replaces traditional quadratic-cost greedy selection with a phased coarse-to-fine search, combining adaptive pruning, windowed fine-grained selection, and dynamic supervision mechanisms to closely approximate greedy behavior while dramatically reducing model evaluations. Theoretically, PhaseWin retains near-greedy approximation guarantees under mild monotone submodular assumptions. Empirically, PhaseWin achieves over 95% of greedy attribution faithfulness using only 20% of the computational budget, and consistently outperforms other attribution baselines across object detection and visual grounding tasks with Grounding DINO and Florence-2. PhaseWin establishes a new state of the art in scalable, high-faithfulness attribution for object-level multimodal models.

Ruoyu Chen, Weiyi Zhang, Bowen Liu et al.

The rising prevalence of vision-threatening retinal diseases poses a significant burden on the global healthcare systems. Deep learning (DL) offers a promising solution for automatic disease screening but demands substantial data. Collecting and labeling large volumes of ophthalmic images across various modalities encounters several real-world challenges, especially for rare diseases. Here, we introduce EyeDiff, a text-to-image model designed to generate multimodal ophthalmic images from natural language prompts and evaluate its applicability in diagnosing common and rare diseases. EyeDiff is trained on eight large-scale datasets using the advanced latent diffusion model, covering 14 ophthalmic image modalities and over 80 ocular diseases, and is adapted to ten multi-country external datasets. The generated images accurately capture essential lesional characteristics, achieving high alignment with text prompts as evaluated by objective metrics and human experts. Furthermore, integrating generated images significantly enhances the accuracy of detecting minority classes and rare eye diseases, surpassing traditional oversampling methods in addressing data imbalance. EyeDiff effectively tackles the issue of data imbalance and insufficiency typically encountered in rare diseases and addresses the challenges of collecting large-scale annotated images, offering a transformative solution to enhance the development of expert-level diseases diagnosis models in ophthalmic field.

Weiyi Zhang, Jiancheng Yang, Ruoyu Chen et al.

Fundus fluorescein angiography (FFA) is crucial for diagnosing and monitoring retinal vascular issues but is limited by its invasive nature and restricted accessibility compared to color fundus (CF) imaging. Existing methods that convert CF images to FFA are confined to static image generation, missing the dynamic lesional changes. We introduce Fundus2Video, an autoregressive generative adversarial network (GAN) model that generates dynamic FFA videos from single CF images. Fundus2Video excels in video generation, achieving an FVD of 1497.12 and a PSNR of 11.77. Clinical experts have validated the fidelity of the generated videos. Additionally, the model's generator demonstrates remarkable downstream transferability across ten external public datasets, including blood vessel segmentation, retinal disease diagnosis, systemic disease prediction, and multimodal retrieval, showcasing impressive zero-shot and few-shot capabilities. These findings position Fundus2Video as a powerful, non-invasive alternative to FFA exams and a versatile retinal generative foundation model that captures both static and temporal retinal features, enabling the representation of complex inter-modality relationships.

Xinyuan Wu, Lili Wang, Ruoyu Chen et al.

Fundus fluorescein angiography (FFA) is critical for diagnosing retinal vascular diseases, but beginners often struggle with image interpretation. This study develops FFA Sora, a text-to-video model that converts FFA reports into dynamic videos via a Wavelet-Flow Variational Autoencoder (WF-VAE) and a diffusion transformer (DiT). Trained on an anonymized dataset, FFA Sora accurately simulates disease features from the input text, as confirmed by objective metrics: Frechet Video Distance (FVD) = 329.78, Learned Perceptual Image Patch Similarity (LPIPS) = 0.48, and Visual-question-answering Score (VQAScore) = 0.61. Specific evaluations showed acceptable alignment between the generated videos and textual prompts, with BERTScore of 0.35. Additionally, the model demonstrated strong privacy-preserving performance in retrieval evaluations, achieving an average Recall@K of 0.073. Human assessments indicated satisfactory visual quality, with an average score of 1.570(scale: 1 = best, 5 = worst). This model addresses privacy concerns associated with sharing large-scale FFA data and enhances medical education.

Jingzhi Li, Changjiang Luo, Ruoyu Chen et al.

Recent advances in multimodal large language models (MLLMs) have demonstrated strong capabilities in understanding general visual content. However, these general-domain MLLMs perform poorly in face perception tasks, often producing inaccurate or misleading responses to face-specific queries. To address this gap, we propose FaceInsight, the versatile face perception MLLM that provides fine-grained facial information. Our approach introduces visual-textual alignment of facial knowledge to model both uncertain dependencies and deterministic relationships among facial information, mitigating the limitations of language-driven reasoning. Additionally, we incorporate face segmentation maps as an auxiliary perceptual modality, enriching the visual input with localized structural cues to enhance semantic understanding. Comprehensive experiments and analyses across three face perception tasks demonstrate that FaceInsight consistently outperforms nine compared MLLMs under both training-free and fine-tuned settings.

Ruoyu Chen, Hua Zhang, Jingzhi Li et al.

The objective of few-shot object detection (FSOD) is to detect novel objects with few training samples. The core challenge of this task is how to construct a generalized feature space for novel categories with limited data on the basis of the base category space, which could adapt the learned detection model to unknown scenarios. However, limited by insufficient samples for novel categories, two issues still exist: (1) the features of the novel category are easily implicitly represented by the features of the base category, leading to inseparable classifier boundaries, (2) novel categories with fewer data are not enough to fully represent the distribution, where the model fine-tuning is prone to overfitting. To address these issues, we introduce the side information to alleviate the negative influences derived from the feature space and sample viewpoints and formulate a novel generalized feature representation learning method for FSOD. Specifically, we first utilize embedding side information to construct a knowledge matrix to quantify the semantic relationship between the base and novel categories. Then, to strengthen the discrimination between semantically similar categories, we further develop contextual semantic supervised contrastive learning which embeds side information. Furthermore, to prevent overfitting problems caused by sparse samples, a side-information guided region-aware masked module is introduced to augment the diversity of samples, which finds and abandons biased information that discriminates between similar categories via counterfactual explanation, and refines the discriminative representation space further. Extensive experiments using ResNet and ViT backbones on PASCAL VOC, MS COCO, LVIS V1, FSOD-1K, and FSVOD-500 benchmarks demonstrate that our model outperforms the previous state-of-the-art methods, significantly improving the ability of FSOD in most shots/splits.

Bowen Liu, Weiyi Zhang, Peranut Chotcomwongse et al.

Optical Coherence Tomography (OCT) provides high-resolution, 3D, and non-invasive visualization of retinal layers in vivo, serving as a critical tool for lesion localization and disease diagnosis. However, its widespread adoption is limited by equipment costs and the need for specialized operators. In comparison, 2D color fundus photography offers faster acquisition and greater accessibility with less dependence on expensive devices. Although generative artificial intelligence has demonstrated promising results in medical image synthesis, translating 2D fundus images into 3D OCT images presents unique challenges due to inherent differences in data dimensionality and biological information between modalities. To advance generative models in the fundus-to-3D-OCT setting, the Asia Pacific Tele-Ophthalmology Society (APTOS-2024) organized a challenge titled Artificial Intelligence-based OCT Generation from Fundus Images. This paper details the challenge framework (referred to as APTOS-2024 Challenge), including: the benchmark dataset, evaluation methodology featuring two fidelity metrics-image-based distance (pixel-level OCT B-scan similarity) and video-based distance (semantic-level volumetric consistency), and analysis of top-performing solutions. The challenge attracted 342 participating teams, with 42 preliminary submissions and 9 finalists. Leading methodologies incorporated innovations in hybrid data preprocessing or augmentation (cross-modality collaborative paradigms), pre-training on external ophthalmic imaging datasets, integration of vision foundation models, and model architecture improvement. The APTOS-2024 Challenge is the first benchmark demonstrating the feasibility of fundus-to-3D-OCT synthesis as a potential solution for improving ophthalmic care accessibility in under-resourced healthcare settings, while helping to expedite medical research and clinical applications.

Danli Shi, Bowen Liu, Zhen Tian et al.

Myopia, projected to affect 50% population globally by 2050, is a leading cause of vision loss. Eyes with pathological myopia exhibit distinctive shape distributions, which are closely linked to the progression of vision-threatening complications. Recent understanding of eye-shape-based biomarkers requires magnetic resonance imaging (MRI), however, it is costly and unrealistic in routine ophthalmology clinics. We present Fundus2Globe, the first AI framework that synthesizes patient-specific 3D eye globes from ubiquitous 2D color fundus photographs (CFPs) and routine metadata (axial length, spherical equivalent), bypassing MRI dependency. By integrating a 3D morphable eye model (encoding biomechanical shape priors) with a latent diffusion model, our approach achieves submillimeter accuracy in reconstructing posterior ocular anatomy efficiently. Fundus2Globe uniquely quantifies how vision-threatening lesions (e.g., staphylomas) in CFPs correlate with MRI-validated 3D shape abnormalities, enabling clinicians to simulate posterior segment changes in response to refractive shifts. External validation demonstrates its robust generation performance, ensuring fairness across underrepresented groups. By transforming 2D fundus imaging into 3D digital replicas of ocular structures, Fundus2Globe is a gateway for precision ophthalmology, laying the foundation for AI-driven, personalized myopia management.

Xiaolan Chen, Ruoyu Chen, Pusheng Xu et al.

Accurate diagnosis of ophthalmic diseases relies heavily on the interpretation of multimodal ophthalmic images, a process often time-consuming and expertise-dependent. Visual Question Answering (VQA) presents a potential interdisciplinary solution by merging computer vision and natural language processing to comprehend and respond to queries about medical images. This review article explores the recent advancements and future prospects of VQA in ophthalmology from both theoretical and practical perspectives, aiming to provide eye care professionals with a deeper understanding and tools for leveraging the underlying models. Additionally, we discuss the promising trend of large language models (LLM) in enhancing various components of the VQA framework to adapt to multimodal ophthalmic tasks. Despite the promising outlook, ophthalmic VQA still faces several challenges, including the scarcity of annotated multimodal image datasets, the necessity of comprehensive and unified evaluation methods, and the obstacles to achieving effective real-world applications. This article highlights these challenges and clarifies future directions for advancing ophthalmic VQA with LLMs. The development of LLM-based ophthalmic VQA systems calls for collaborative efforts between medical professionals and AI experts to overcome existing obstacles and advance the diagnosis and care of eye diseases.

Jiawei Liang, Ruoyu Chen, Xianghao Jiao et al.

Multimodal Large Language Models (MLLMs) have achieved remarkable success across diverse vision-language tasks, yet their internal decision-making mechanisms remain insufficiently understood. Existing interpretability research has primarily focused on cross-modal attribution, identifying which image regions the model attends to during output generation. However, these approaches often overlook intra-modal dependencies. In the visual modality, attributing importance to isolated image patches ignores spatial context due to limited receptive fields, resulting in fragmented and noisy explanations. In the textual modality, reliance on preceding tokens introduces spurious activations. Failing to effectively mitigate these interference compromises attribution fidelity. To address these limitations, we propose enhancing interpretability by leveraging intra-modal interaction. For the visual branch, we introduce \textit{Multi-Scale Explanation Aggregation} (MSEA), which aggregates attributions over multi-scale inputs to dynamically adjust receptive fields, producing more holistic and spatially coherent visual explanations. For the textual branch, we propose \textit{Activation Ranking Correlation} (ARC), which measures the relevance of contextual tokens to the current token via alignment of their top-$k$ prediction rankings. ARC leverages this relevance to suppress spurious activations from irrelevant contexts while preserving semantically coherent ones. Extensive experiments across state-of-the-art MLLMs and benchmark datasets demonstrate that our approach consistently outperforms existing interpretability methods, yielding more faithful and fine-grained explanations of model behavior.

Hua Zhang, Changjiang Luo, Ruoyu Chen

Video camouflaged object detection (VCOD) is challenging due to dynamic environments. Existing methods face two main issues: (1) SAM-based methods struggle to separate camouflaged object edges due to model freezing, and (2) MLLM-based methods suffer from poor object separability as large language models merge foreground and background. To address these issues, we propose a novel VCOD method based on SAM and MLLM, called Phantom-Insight. To enhance the separability of object edge details, we represent video sequences with temporal and spatial clues and perform feature fusion via LLM to increase information density. Next, multiple cues are generated through the dynamic foreground visual token scoring module and the prompt network to adaptively guide and fine-tune the SAM model, enabling it to adapt to subtle textures. To enhance the separability of objects and background, we propose a decoupled foreground-background learning strategy. By generating foreground and background cues separately and performing decoupled training, the visual token can effectively integrate foreground and background information independently, enabling SAM to more accurately segment camouflaged objects in the video. Experiments on the MoCA-Mask dataset show that Phantom-Insight achieves state-of-the-art performance across various metrics. Additionally, its ability to detect unseen camouflaged objects on the CAD2016 dataset highlights its strong generalization ability.

Shixuan Sun, Siyuan Liang, Ruoyu Chen et al.

Retrieval-Augmented Generation (RAG) and its Multimodal Retrieval-Augmented Generation (MRAG) significantly improve the knowledge coverage and contextual understanding of Large Language Models (LLMs) by introducing external knowledge sources. However, retrieval and multimodal fusion obscure content provenance, rendering existing membership inference methods unable to reliably attribute generated outputs to pre-training, external retrieval, or user input, thus undermining privacy leakage accountability To address these challenges, we propose the first Source-aware Membership Audit (SMA) that enables fine-grained source attribution of generated content in a semi-black-box setting with retrieval control capabilities. To address the environmental constraints of semi-black-box auditing, we further design an attribution estimation mechanism based on zero-order optimization, which robustly approximates the true influence of input tokens on the output through large-scale perturbation sampling and ridge regression modeling. In addition, SMA introduces a cross-modal attribution technique that projects image inputs into textual descriptions via MLLMs, enabling token-level attribution in the text modality, which for the first time facilitates membership inference on image retrieval traces in MRAG systems. This work shifts the focus of membership inference from 'whether the data has been memorized' to 'where the content is sourced from', offering a novel perspective for auditing data provenance in complex generative systems.

Zihan Gu, Han Zhang, Ruoyu Chen et al.

Positional encoding (PE) is essential for enabling Transformers to model sequential structure. However, the mechanisms by which different PE schemes couple token content and positional information-and how these mechanisms influence model dynamics-remain theoretically underexplored. In this work, we present a unified framework that analyzes PE through the spectral properties of Toeplitz and related matrices derived from attention logits. We show that multiplicative content-position coupling-exemplified by Rotary Positional Encoding (RoPE) via a Hadamard product with a Toeplitz matrix-induces spectral contraction, which theoretically improves optimization stability and efficiency. Guided by this theory, we construct synthetic tasks that contrast content-position dependent and content-position independent settings, and evaluate a range of PE methods. Our experiments reveal strong alignment with theory: RoPE consistently outperforms other methods on position-sensitive tasks and induces "single-head deposit" patterns in early layers, indicating localized positional processing. Further analyses show that modifying the method and timing of PE coupling, such as MLA in Deepseek-V3, can effectively mitigate this concentration. These results establish explicit content-relative mixing with relative-position Toeplitz signals as a key principle for effective PE design and provide new insight into how positional structure is integrated in Transformer architectures.

Ruoyu Chen, Ziwei Zhao, Mayinuer Yusufu et al.

Human-in-the-loop (HITL) strategy has been recently introduced into the field of medical image processing. Indocyanine green angiography (ICGA) stands as a well-established examination for visualizing choroidal vasculature and detecting chorioretinal diseases. However, the intricate nature of choroidal vascular networks makes large-scale manual segmentation of ICGA images challenging. Thus, the study aims to develop a high-precision choroidal vessel segmentation model with limited labor using HITL framework. We utilized a multi-source ICGA dataset, including 55 degree view and ultra-widefield ICGA (UWF-ICGA) images for model development. The choroidal vessel network was pre-segmented by a pre-trained vessel segmentation model, and then manually modified by two ophthalmologists. Choroidal vascular diameter, density, complexity, tortuosity, and branching angle were automatically quantified based on the segmentation. We finally conducted four cycles of HITL. One hundred and fifty 55 degree view ICGA images were used for the first three cycles (50 images per cycle), and twenty UWF-ICGA images for the last cycle. The average time needed to manually correct a pre-segmented ICGA image per cycle reduced from 20 minutes to 1 minute. High segmentation accuracy has been achieved on both 55 degree view ICGA and UWF-ICGA images. Additionally, the multi-dimensional choroidal vascular parameters were significantly associated with various chorioretinal diseases. Our study not only demonstrated the feasibility of the HITL strategy in improving segmentation performance with reduced manual labeling, but also innovatively introduced several risk predictors for choroidal abnormalities.

Shuyu Lu, Ruoyu Chen, Wei Wei et al.

Heart failure (HF) is a major cause of mortality. Accurately monitoring HF progress and adjust therapies are critical for improving patient outcomes. An experienced cardiologist can make accurate HF stage diagnoses based on combination of symptoms, signs, and lab results from the electronic health records (EHR) of a patient, without directly measuring heart function. We examined whether machine learning models, more specifically the XGBoost model, can accurately predict patient stage based on EHR, and we further applied the SHapley Additive exPlanations (SHAP) framework to identify informative features and their interpretations. Our results indicate that based on structured data from EHR, our models could predict patients' ejection fraction (EF) scores with moderate accuracy. SHAP analyses identified informative features and revealed potential clinical subtypes of HF. Our findings provide insights on how to design computing systems to accurately monitor disease progression of HF patients through continuously mining patients' EHR data.