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/

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, 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.

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.

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.

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.

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.

Chen Zhang, Yilu An, Ying Chen et al.

Spatial Transcriptomics (ST) merges the benefits of pathology images and gene expression, linking molecular profiles with tissue structure to analyze spot-level function comprehensively. Predicting gene expression from histology images is a cost-effective alternative to expensive ST technologies. However, existing methods mainly focus on spot-level image-to-gene matching but fail to leverage the full hierarchical structure of ST data, especially on the gene expression side, leading to incomplete image-gene alignment. Moreover, a challenge arises from the inherent information asymmetry: gene expression profiles contain more molecular details that may lack salient visual correlates in histological images, demanding a sophisticated representation learning approach to bridge this modality gap. We propose HyperST, a framework for ST prediction that learns multi-level image-gene representations by modeling the data's inherent hierarchy within hyperbolic space, a natural geometric setting for such structures. First, we design a Multi-Level Representation Extractors to capture both spot-level and niche-level representations from each modality, providing context-aware information beyond individual spot-level image-gene pairs. Second, a Hierarchical Hyperbolic Alignment module is introduced to unify these representations, performing spatial alignment while hierarchically structuring image and gene embeddings. This alignment strategy enriches the image representations with molecular semantics, significantly improving cross-modal prediction. HyperST achieves state-of-the-art performance on four public datasets from different tissues, paving the way for more scalable and accurate spatial transcriptomics prediction.

Yangming Li, Chaoyu Liu, Lihao Liu et al.

A few recent works explored incorporating geometric priors to regularize the optimization of Gaussian splatting, further improving its performance. However, those early studies mainly focused on the use of low-order geometric priors (e.g., normal vector), and they might also be unreliably estimated by noise-sensitive methods, like local principal component analysis. To address their limitations, we first present GeoSplat, a general geometry-constrained optimization framework that exploits both first-order and second-order geometric quantities to improve the entire training pipeline of Gaussian splatting, including Gaussian initialization, gradient update, and densification. As an example, we initialize the scales of 3D Gaussian primitives in terms of principal curvatures, leading to a better coverage of the object surface than random initialization. Secondly, based on certain geometric structures (e.g., local manifold), we introduce efficient and noise-robust estimation methods that provide dynamic geometric priors for our framework. We conduct extensive experiments on multiple datasets for novel view synthesis, showing that our framework, GeoSplat, significantly improves the performance of Gaussian splatting and outperforms previous baselines.

Pengze Li, Lihao Liu, Carola-Bibiane Schönlieb et al.

In this paper, part of the DREAMING Challenge - Diminished Reality for Emerging Applications in Medicine through Inpainting, we introduce a refined video inpainting technique optimised from the ProPainter method to meet the specialised demands of medical imaging, specifically in the context of oral and maxillofacial surgery. Our enhanced algorithm employs the zero-shot ProPainter, featuring optimized parameters and pre-processing, to adeptly manage the complex task of inpainting surgical video sequences, without requiring any training process. It aims to produce temporally coherent and detail-rich reconstructions of occluded regions, facilitating clearer views of operative fields. The efficacy of our approach is evaluated using comprehensive metrics, positioning it as a significant advancement in the application of diminished reality for medical purposes.

Lipei Zhang, Yanqi Cheng, Lihao Liu et al.

Recent advances in deep learning have significantly improved brain tumour segmentation techniques; however, the results still lack confidence and robustness as they solely consider image data without biophysical priors or pathological information. Integrating biophysics-informed regularisation is one effective way to change this situation, as it provides an prior regularisation for automated end-to-end learning. In this paper, we propose a novel approach that designs brain tumour growth Partial Differential Equation (PDE) models as a regularisation with deep learning, operational with any network model. Our method introduces tumour growth PDE models directly into the segmentation process, improving accuracy and robustness, especially in data-scarce scenarios. This system estimates tumour cell density using a periodic activation function. By effectively integrating this estimation with biophysical models, we achieve better capture of tumour characteristics. This approach not only aligns the segmentation closer to actual biological behaviour but also strengthens the model's performance under limited data conditions. We demonstrate the effectiveness of our framework through extensive experiments on the BraTS 2023 dataset, showcasing significant improvements in both precision and reliability of tumour segmentation.