Daily Papers

Character Error Rate (CER), the standard metric for OCR and vision-language models (VLMs), charges a typo as much as a wrong name. We introduce semCER, which keeps CER's alignment and denominator and charges each grapheme edit a severity from an LLM judge, with no word segmentation. Normalized CER keeps the score of a whole transcription, where it tracks readers as well as semCER or better, and semCER breaks that score down into named edits. The charges track readers' ratings edit by edit in English, Vietnamese, and Chinese and put the edits readers rate most severe near the top of a sorted list. On pairs drawn where CER and semCER disagreed, readers side with semCER more often than with normalized CER in English and Chinese, and equally often in Vietnamese. Across 16 languages, the judge charges a wrong diacritic or tone mark almost nothing in Spanish but nearly a wrong letter's severity in Telugu. Where we can count real words, a general VLM's wrong letter forms one far above chance while a classical pipeline's stays near it. We release the 61 million judged edits, the aggregated reader ratings, and the distilled scorer at https://github.com/nguyenx2t/semcer.

Reinforcement Learning with Verifiable Rewards (RLVR) improves LLM reasoning, yet growing evidence indicates an exploration ceiling: it often reweights existing solution traces rather than discovering new strategies, limiting gains under large sampling budgets (e.g., pass-at-256). We address this limitation with PSN-RLVR, which perturbs policy parameters before rollout generation to induce temporally consistent, trajectory-level exploration that better preserves long-horizon chain-of-thought coherence than action-space noise. To mitigate the resulting sampling-update mismatch, we incorporate truncated importance sampling (TIS). To avoid expensive KL-based adaptive noise control, we propose a computationally efficient real-time adaptive noise scheduler driven by a lightweight surrogate that combines semantic diversity with normalized self-certainty. Instantiated on GRPO, a widely used RLVR method, PSN-GRPO consistently expands the effective reasoning capability boundary across multiple mathematical reasoning benchmarks and model families, yielding higher pass-at-k under large sampling budgets and outperforming prior exploration-oriented RLVR methods (e.g., Pass-at-k-style training) while remaining orthogonal and thus composable for additional gains.

Metric differential privacy (mDP) strengthens local differential privacy (LDP) by scaling noise to semantic distance, but many machine learning (ML) systems are consumed under joint observation, where model-agnostic, per-record guarantees can miss leakage from evidence aggregation. We introduce metric-normalized posterior leakage (mPL), an attacker-aligned, distance-calibrated measure of posterior-odds shift induced by releases, and show that for single or independent releases, uniformly bounding mPL is equivalent to mDP. Under joint observation, however, satisfying mDP may still leave mPL high because learned aggregators compound evidence across correlated items. To make control practical, we formalize probabilistically bounded mPL (PBmPL), which limits how often mPL may exceed a target budget, and we operationalize it via Adaptive mPL (AmPL), a trust-and-verify framework that perturbs, audits with a learned attacker, and adapts parameters (with optional Bayesian remapping) to balance privacy and utility. In a word-embedding case study, neural adversaries violate mPL under joint consumption despite per-record mDP perturbations, whereas AmPL substantially lowers the frequency of such violations with low utility loss, indicating PBmPL as a practical, certifiable protection for joint-consumption settings.

This paper presents a margin-based multiclass generalization bound for neural networks that scales with their margin-normalized "spectral complexity": their Lipschitz constant, meaning the product of the spectral norms of the weight matrices, times a certain correction factor. This bound is empirically investigated for a standard AlexNet network trained with SGD on the mnist and cifar10 datasets, with both original and random labels; the bound, the Lipschitz constants, and the excess risks are all in direct correlation, suggesting both that SGD selects predictors whose complexity scales with the difficulty of the learning task, and secondly that the presented bound is sensitive to this complexity.

One of the primary challenges in brain tumor segmentation arises from the uncertainty of voxels close to tumor boundaries. However, the conventional process of generating ground truth segmentation masks fails to treat such uncertainties properly. Those "hard labels" with 0s and 1s conceptually influenced the majority of prior studies on brain image segmentation. As a result, tumor segmentation is often solved through voxel classification. In this work, we instead view this problem as a voxel-level regression, where the ground truth represents a certainty mapping from any pixel to the border of the tumor. We propose a novel ground truth label transformation, which is based on a signed geodesic transform, to capture the uncertainty in brain tumors' vicinity. We combine this idea with a Focal-like regression L1-loss that enables effective regression learning in high-dimensional output space by appropriately weighting voxels according to their difficulty. We thoroughly conduct an experimental evaluation to validate the components of our proposed method, compare it to a diverse array of state-of-the-art segmentation models, and show that it is architecture-agnostic. The code of our method is made publicly available (https://github.com/Oulu-IMEDS/SiNGR/).

Transformers have demonstrated remarkable in-context learning (ICL) capabilities. The strong ICL performance of transformers is commonly believed to arise from their ability to implicitly execute certain algorithms on the context, thereby enhancing prediction and generation. In this work, we investigate how transformers with softmax attention perform in-context learning on linear classification data. We first construct a class of multi-layer transformers that can perform in-context logistic regression, with each layer exactly performing one step of normalized gradient descent on an in-context loss. Then, we show that our constructed transformer can be obtained through (i) training a single self-attention layer supervised by one-step gradient descent, and (ii) recurrently applying the trained layer to obtain a looped model. Training convergence guarantees of the self-attention layer and out-of-distribution generalization guarantees of the looped model are provided. Our results advance the theoretical understanding of ICL mechanism by showcasing how softmax transformers can effectively act as in-context learners.

Self-attention lets each token retrieve information from the full context, but its quadratic cost in sequence length limits training and inference at long context. This paper presents a comparative study of softmax attention and four recent recurrent linear-attention architectures: DeltaNet, Gated DeltaNet, Kimi Delta Attention, and Gated DeltaNet-2. We express these mechanisms in a common recurrent-memory notation, making explicit how they differ in expressivity, memory decay, erase and write control, training throughput, and implementation complexity. Our experiments center on 350M-parameter models trained for 15B tokens, and include optimizer and learning-rate comparisons, hybrid-versus-pure stack comparisons, sequence-length runtime measurements, larger DeltaNet runs at 1.3B and 3B parameters, and a small set of downstream evaluations. The reported speed results measure training throughput and iteration time; we do not provide an empirical inference-speed benchmark. Within the reported 350M-parameter, 15B-token sweep, Kimi Delta Attention with Muon reaches the lowest final validation loss, a pure Gated DeltaNet stack trained with AdamW has the highest normalized training throughput, hybrid stacks generally improve loss at a throughput cost, and Muon consistently lowers final validation loss relative to AdamW in the matched architecture settings we evaluate. We introduce and evaluate lightweight cross-layer routing mechanisms for DeltaNet-style memories. The most natural DeltaNet-inspired formulation, forwarding a lower layer's delta-rule write error into the next layer's value target, does not improve over matched baselines. Routing into the aligned hidden stream and forwarding the write value instead yields a modest improvement in the matched runs we report: Cross-Layer Value Routing (CLVR) lowers final validation loss for both DeltaNet and Gated DeltaNet.

In this work, we introduce the Sheet Music Benchmark (SMB), a dataset of six hundred and eighty-five pages specifically designed to benchmark Optical Music Recognition (OMR) research. SMB encompasses a diverse array of musical textures, including monophony, pianoform, quartet, and others, all encoded in Common Western Modern Notation using the Humdrum **kern format. Alongside SMB, we introduce the OMR Normalized Edit Distance (OMR-NED), a new metric tailored explicitly for evaluating OMR performance. OMR-NED builds upon the widely-used Symbol Error Rate (SER), offering a fine-grained and detailed error analysis that covers individual musical elements such as note heads, beams, pitches, accidentals, and other critical notation features. The resulting numeric score provided by OMR-NED facilitates clear comparisons, enabling researchers and end-users alike to identify optimal OMR approaches. Our work thus addresses a long-standing gap in OMR evaluation, and we support our contributions with baseline experiments using standardized SMB dataset splits for training and assessing state-of-the-art methods.

For RL algorithms, appropriate entropy control is crucial to their effectiveness. To control the policy entropy, a commonly used method is entropy regularization, which is adopted in various popular RL algorithms including PPO, SAC and A3C. Although entropy regularization proves effective in robotic and games RL conventionally, studies found that it gives weak to no gains in LLM-RL training. In this work, we study the issues of entropy bonus in LLM-RL setting. Specifically, we first argue that the conventional entropy regularization suffers from the LLM's extremely large response space and the sparsity of the optimal outputs. As a remedy, we propose AEnt, an entropy control method that utilizes a new clamped entropy bonus with an automatically adjusted coefficient. The clamped entropy is evaluated with the re-normalized policy defined on certain smaller token space, which encourages exploration within a more compact response set. In addition, the algorithm automatically adjusts entropy coefficient according to the clamped entropy value, effectively controlling the entropy-induced bias while leveraging the entropy's benefits. AEnt is tested in math-reasoning tasks under different base models and datasets, and it is observed that AEnt outperforms the baselines consistently across multiple benchmarks.

Solving partial differential equations (PDEs) is a central task in scientific computing. Recently, neural network approximation of PDEs has received increasing attention due to its flexible meshless discretization and its potential for high-dimensional problems. One fundamental numerical difficulty is that random samples in the training set introduce statistical errors into the discretization of loss functional which may become the dominant error in the final approximation, and therefore overshadow the modeling capability of the neural network. In this work, we propose a new minmax formulation to optimize simultaneously the approximate solution, given by a neural network model, and the random samples in the training set, provided by a deep generative model. The key idea is to use a deep generative model to adjust random samples in the training set such that the residual induced by the approximate PDE solution can maintain a smooth profile when it is being minimized. Such an idea is achieved by implicitly embedding the Wasserstein distance between the residual-induced distribution and the uniform distribution into the loss, which is then minimized together with the residual. A nearly uniform residual profile means that its variance is small for any normalized weight function such that the Monte Carlo approximation error of the loss functional is reduced significantly for a certain sample size. The adversarial adaptive sampling (AAS) approach proposed in this work is the first attempt to formulate two essential components, minimizing the residual and seeking the optimal training set, into one minmax objective functional for the neural network approximation of PDEs.

Scene graph generation (SGG) aims to predict graph-structured descriptions of input images, in the form of objects and relationships between them. This task is becoming increasingly useful for progress at the interface of vision and language. Here, it is important - yet challenging - to perform well on novel (zero-shot) or rare (few-shot) compositions of objects and relationships. In this paper, we identify two key issues that limit such generalization. Firstly, we show that the standard loss used in this task is unintentionally a function of scene graph density. This leads to the neglect of individual edges in large sparse graphs during training, even though these contain diverse few-shot examples that are important for generalization. Secondly, the frequency of relationships can create a strong bias in this task, such that a blind model predicting the most frequent relationship achieves good performance. Consequently, some state-of-the-art models exploit this bias to improve results. We show that such models can suffer the most in their ability to generalize to rare compositions, evaluating two different models on the Visual Genome dataset and its more recent, improved version, GQA. To address these issues, we introduce a density-normalized edge loss, which provides more than a two-fold improvement in certain generalization metrics. Compared to other works in this direction, our enhancements require only a few lines of code and no added computational cost. We also highlight the difficulty of accurately evaluating models using existing metrics, especially on zero/few shots, and introduce a novel weighted metric.

Portfolio risk assessment ordinarily relies on reliable estimates of cross-asset return covariances, which are difficult to obtain in short, high-dimensional panels. We show that firm-level distribution-valued characteristics can instead provide one-sided certificates of portfolio risk. Under maintained links from characteristics to systematic exposures and from exposures to returns, multi-firm Wasserstein-2 dispersion yields a sharp upper bound on systematic portfolio variance and a corresponding bound for standardized returns. A weighted pairwise relaxation produces an objective that is convex under a checkable condition and requires marginal volatility scales but no cross-asset return covariances. With zero firm-specific slack, the common-map scale changes the certified variance reduction but not the normalized allocation, which depends only on observed information geometry. In a 52-firm panel from 2018-2022, an allocation constructed from Qwen3-Embedding-8B news representations lies between the 0.69th and 1.33rd in-sample variance percentiles across four prespecified capped portfolio populations; equal risk weighting lies between the 21.1st and 28.6th percentiles. The lower in-sample variance ranking relative to equal risk also appears across the reported frozen language-model representations. The framework therefore distribution-valued firm information into a coherent risk bound and an implementable allocation rule constructed without cross-asset return covariances.

Language model pretraining involves training on extensive corpora, where data quality plays a pivotal role. In this work, we aim to directly estimate the contribution of data during pretraining and select pretraining data in an efficient manner. Specifically, we draw inspiration from recent findings showing that compression efficiency (i.e., the normalized loss) of diverse models on certain text correlates strongly with their downstream performance, when the text domain aligns with the downstream benchmark (Huang et al., 2024). Building on this observation, we hypothesize that data on which model losses are predictive of downstream abilities also contribute effectively to learning. To leverage this insight, we introduce data selection based on data's Predictive strength (Preselect), a lightweight and efficient data selection method that requires training and deploying only a fastText-based scorer. Through comprehensive experiments with 1B and 3B parameter models, we demonstrate that models trained on 30B tokens selected with PreSelect surpasses the performance of a vanilla baseline trained on 300B tokens, achieving a 10x reduction in compute requirements. Furthermore, PreSelect significantly outperforms other competitive data selection baselines, such as DCLM and FineWeb-Edu on a scale of 3B models trained on 100B tokens. We open-source our trained data selection scorer along with the curated datasets at https://github.com/hkust-nlp/PreSelect.

Handwritten text recognition (HTR) for Arabic-script languages still lags behind Latin-script HTR, despite recent advances in model architectures, datasets, and benchmarks. We show that data quality is a significant limiting factor in many published datasets and propose CER-HV (CER-based Ranking with Human Verification) as a framework to detect and clean label errors. CER-HV combines a CER-based noise detector, built on a carefully configured Convolutional Recurrent Neural Network (CRNN) with early stopping to avoid overfitting noisy samples, and a human-in-the-loop (HITL) step that verifies high-ranking samples. The framework reveals that several existing datasets contain previously underreported problems, including transcription, segmentation, orientation, and non-text content errors. These have been identified with up to 90 percent precision in the Muharaf and 80-86 percent in the PHTI datasets. We also show that our CRNN achieves state-of-the-art performance across five of the six evaluated datasets, reaching 8.45 percent Character Error Rate (CER) on KHATT (Arabic), 8.26 percent on PHTI (Pashto), 10.66 percent on Ajami, and 10.11 percent on Muharaf (Arabic), all without any data cleaning. We establish a new baseline of 11.3 percent CER on the PHTD (Persian) dataset. Applying CER-HV improves the evaluation CER by 0.3-0.6 percent on the cleaner datasets and 1.0-1.8 percent on the noisier ones. Although our experiments focus on documents written in an Arabic-script language, including Arabic, Persian, Urdu, Ajami, and Pashto, the framework is general and can be applied to other text recognition datasets.

Medical imaging is critical to the diagnosis and treatment of numerous medical problems, including many forms of cancer. Medical imaging reports distill the findings and observations of radiologists, creating an unstructured textual representation of unstructured medical images. Large-scale use of this text-encoded information requires converting the unstructured text to a structured, semantic representation. We explore the extraction and normalization of anatomical information in radiology reports that is associated with radiological findings. We investigate this extraction and normalization task using a span-based relation extraction model that jointly extracts entities and relations using BERT. This work examines the factors that influence extraction and normalization performance, including the body part/organ system, frequency of occurrence, span length, and span diversity. It discusses approaches for improving performance and creating high-quality semantic representations of radiological phenomena.

Medical vision-language pretraining increasingly relies on medical reports as large-scale supervisory signals; however, raw reports often exhibit substantial stylistic heterogeneity, variable length, and a considerable amount of image-irrelevant content. Although text normalization is frequently adopted as a preprocessing step in prior work, its design principles and empirical impact on vision-language pretraining remain insufficiently and systematically examined. In this study, we present MedTri, a deployable normalization framework for medical vision-language pretraining that converts free-text reports into a unified [Anatomical Entity: Radiologic Description + Diagnosis Category] triplet. This structured, anatomy-grounded normalization preserves essential morphological and spatial information while removing stylistic noise and image-irrelevant content, providing consistent and image-grounded textual supervision at scale. Across multiple datasets spanning both X-ray and computed tomography (CT) modalities, we demonstrate that structured, anatomy-grounded text normalization is an important factor in medical vision-language pretraining quality, yielding consistent improvements over raw reports and existing normalization baselines. In addition, we illustrate how this normalization can easily support modular text-level augmentation strategies, including knowledge enrichment and anatomy-grounded counterfactual supervision, which provide complementary gains in robustness and generalization without altering the core normalization process. Together, our results position structured text normalization as a critical and generalizable preprocessing component for medical vision-language learning, while MedTri provides this normalization platform. Code and data will be released at https://github.com/Arturia-Pendragon-Iris/MedTri.

The Character Error Rate (CER) is a key metric for evaluating the quality of Optical Character Recognition (OCR). However, this metric assumes that text has been perfectly parsed, which is often not the case. Under page-parsing errors, CER becomes undefined, limiting its use as a metric and making evaluating page-level OCR challenging, particularly when using data that do not share a labelling schema. We introduce the Character Error Vector (CEV), a bag-of-characters evaluator for OCR. The CEV can be decomposed into parsing and OCR, and interaction error components. This decomposability allows practitioners to focus on the part of the Document Understanding pipeline that will have the greatest impact on overall text extraction quality. The CEV can be implemented using a variety of methods, of which we demonstrate SpACER (Spatially Aware Character Error Rate) and a Character distribution method using the Jensen-Shannon Distance. We validate the CEV's performance against other metrics: first, the relationship with CER; then, parse quality; and finally, as a direct measure of page-level OCR quality. The validation process shows that the CEV is a valuable bridge between parsing metrics and local metrics like CER. We analyse a dataset of archival newspapers made of degraded images with complex layouts and find that state-of-the-art end-to-end models are outperformed by more traditional pipeline approaches. Whilst the CEV requires character-level positioning for optimal triage, thresholding on easily available values can predict the main error source with an F1 of 0.91. We provide the CEV as part of a Python library to support Document understanding research.

Vision-language pre-training (VLP) has great potential for developing multifunctional and general medical diagnostic capabilities. However, aligning medical images with a low signal-to-noise ratio (SNR) to reports with a high SNR presents a semantic density gap, leading to visual alignment bias. In this paper, we propose boosting vision semantic density to improve alignment effectiveness. On one hand, we enhance visual semantics through disease-level vision contrastive learning, which strengthens the model's ability to differentiate between normal and abnormal samples for each anatomical structure. On the other hand, we introduce an anatomical normality modeling method to model the distribution of normal samples for each anatomy, leveraging VQ-VAE for reconstructing normal vision embeddings in the latent space. This process amplifies abnormal signals by leveraging distribution shifts in abnormal samples, enhancing the model's perception and discrimination of abnormal attributes. The enhanced visual representation effectively captures the diagnostic-relevant semantics, facilitating more efficient and accurate alignment with the diagnostic report. We conduct extensive experiments on two chest CT datasets, CT-RATE and Rad-ChestCT, and an abdominal CT dataset, MedVL-CT69K, and comprehensively evaluate the diagnosis performance across multiple tasks in the chest and abdominal CT scenarios, achieving state-of-the-art zero-shot performance. Notably, our method achieved an average AUC of 84.9% across 54 diseases in 15 organs, significantly surpassing existing methods. Additionally, we demonstrate the superior transfer learning capabilities of our pre-trained model. Code is available at https://github.com/alibaba-damo-academy/ViSD-Boost.

Transformer-based OCR models have shown strong performance on Latin and CJK scripts, but their application to African syllabic writing systems remains limited. We present the first adaptation of TrOCR for printed Tigrinya using the Ge'ez script. Starting from a pre-trained model, we extend the byte-level BPE tokenizer to cover 230 Ge'ez characters and introduce Word-Aware Loss Weighting to resolve systematic word-boundary failures that arise when applying Latin-centric BPE conventions to a new script. The unmodified model produces no usable output on Ge'ez text. After adaptation, the TrOCR-Printed variant achieves 0.22% Character Error Rate and 97.20% exact match accuracy on a held-out test set of 5,000 synthetic images from the GLOCR dataset. An ablation study confirms that Word-Aware Loss Weighting is the critical component, reducing CER by two orders of magnitude compared to vocabulary extension alone. The full pipeline trains in under three hours on a single 8 GB consumer GPU. All code, model weights, and evaluation scripts are publicly released.

Medical imaging artificial intelligence has achieved strong performance in isolated image interpretation, but remains poorly aligned with radiological practice, where diagnosis and follow-up rely on comparison across prior studies and analogous reference cases. Here we formulate radiological comparison as an entity-aware cross-image reasoning problem and introduce a framework that supports both reference-case retrieval and temporal comparative interpretation. We construct MedReCo-DB, a large-scale comparative imaging resource derived from routine image-report pairs, comprising more than 690,000 images from over 160,000 patients across eight institutions, four countries and seven imaging modalities. Reports are decomposed into anatomical structures, abnormal findings and pathological conditions to provide supervision for entity-conditioned retrieval and comparative visual question answering. Using this resource, we develop MedReCo, an entity-aware visual encoder for controllable retrieval of clinically analogous cases, and MedReCo-VLM, a vision--language extension for generative interpretation of interval change. Across internal, external and cross-center evaluations, MedReCo achieved the highest Recall@1 in all 12 internal retrieval settings and improved external retrieval by a mean of 6.0 percentage points. In clinically confusable differential groups, it consistently outperformed the strongest baselines. MedReCo-VLM achieved the best performance across all comparative generation evaluations and improved longitudinal follow-up accuracy by 14.5-46.5 percentage points on chest radiographs and 13.0-27.9 percentage points on CT. These findings suggest that entity-aware comparative reasoning can be learned from routine clinical data at scale and may provide a more clinically aligned foundation for medical imaging AI.

Typed decision models answer schema-constrained questions about a text in one forward pass and return probabilities meant to be thresholded. We ask whether biomedical sentence encoders trained for retrieval are good starting points for such models. We present SBERT2S1, which converts Sentence-Transformers encoders into bi-encoder, cross-head (C) and prior-fused residual (PFR) decision models, together with BIODECIDE, a biomedical typed-decision suite, and MEDLINE-S1, 243k training decisions derived from NLM indexing. Across six parent-retriever pairs, retrieval training improves zero-shot matching of content-bearing options. After fine-tuning, its effect depends on the head: across five pairs and three training-set sizes, retrieval training significantly helps PFR, which keeps the retrieval prior, in 10 of 15 comparisons, but helps C in one and hurts it in five. A matched grid of two heads and five training objectives shows that C outperforms PFR under every objective, and that the released RLCD recipe of open System One models trails cross-entropy by 2.5-3.0 points. The deficit stems mainly from its reward normalisation, which inflates the noisy score-function term 3.6-15-fold; an unbiased leave-one-out estimator recovers most of the gap. After temperature scaling, no objective is clearly better calibrated than cross-entropy. We release the code, the MEDLINE-S1 labels and a model.

Speech enhancement methods are commonly believed to improve the performance of automatic speech recognition (ASR) in noisy environments. However, the effectiveness of these techniques cannot be taken for granted in the case of modern large-scale ASR models trained on diverse, noisy data. We present a systematic evaluation of MetricGAN-plus-voicebank denoising on four state-of-the-art ASR systems: OpenAI Whisper, NVIDIA Parakeet, Google Gemini Flash 2.0, Parrotlet-a using 500 medical speech recordings under nine noise conditions. ASR performance is measured using semantic WER (semWER), a normalized word error rate (WER) metric accounting for domain-specific normalizations. Our results reveal a counterintuitive finding: speech enhancement preprocessing degrades ASR performance across all noise conditions and models. Original noisy audio achieves lower semWER than enhanced audio in all 40 tested configurations (4 models x 10 conditions), with degradations ranging from 1.1% to 46.6% absolute semWER increase. These findings suggest that modern ASR models possess sufficient internal noise robustness and that traditional speech enhancement may remove acoustic features critical for ASR. For practitioners deploying medical scribe systems in noisy clinical environments, our results indicate that preprocessing audio with noise reduction techniques might not just be computationally wasteful but also be potentially harmful to the transcription accuracy.

Radiological similarity depends on disease relationships and on fine details such as laterality, lobe, severity, size, and certainty. Broad biomedical similarity can overlook these qualifiers, particularly when several attributes vary together. We introduce QureRadEmbed, a 4B radiology-aware encoder trained with two complementary signals: RadSim supplies deterministic, attribute-decomposed ranking targets, while RadThought aligns reports with hierarchical evidence and reasoning descriptions. A three-stage curriculum combines these signals with report triplets, finding perturbations, and single- and cross-attribute contrasts. The final model achieves 0.996 mean ordering accuracy across ten controlled synthetic attributes and raises Spearman correlation with the designed joint-attribute targets from 0.501 to 0.976. On external findings-to-impression retrieval, Recall@1 reaches 10.5% on Open-I, 12.4% on testing XR, and 42.9% on testing CT, compared with 6.6%, 5.7%, and 31.4% for its backbone. Frozen embeddings support finding extraction with only 100 labeled testing-XR reports (macro-F1 0.481 versus 0.412 for the backbone). Whole-report comparison costs 8.8 seconds per 1,000 pairs in our benchmark, versus 2,755.1 seconds for the generative evaluator GREEN. Sentence-level comparison improves sensitivity to local discrepancies, although generative evaluation remains stronger on several expert-rated and subtle-error tasks. The results support reusable radiology-aware representations for search, structured report indexing, and efficient report comparison.

Converting free-text cardiac magnetic resonance (CMR) reports into auditable structured data remains a bottleneck for cohort assembly, longitudinal curation, and clinical decision support. We present CMR-EXTR, a lightweight framework that converts free-text CMR reports into structured data and assigns per-field confidence for quality control. A teacher-student distillation pipeline enables fully offline inference while limiting manual annotation. Uncertainty integrates three complementary principles -- distribution plausibility, sampling stability, and cross-field consistency -- to triage human review. Experiments show that CMR-EXTR achieves 99.65% variable-level accuracy, demonstrating both reliable extraction and informative confidence scores. To our knowledge, this is the first CMR-specific extraction system with integrated confidence estimation. The code is available at https://github.com/yuyi1005/CMR-EXTR.

Accelerated magnetic resonance (MR) imaging attempts to reduce acquisition time by collecting data below the Nyquist rate. As an ill-posed inverse problem, many plausible solutions exist, yet the majority of deep learning approaches generate only a single solution. We instead focus on sampling from the posterior distribution, which provides more comprehensive information for downstream inference tasks. To do this, we design a novel conditional normalizing flow (CNF) that infers the signal component in the measurement operator's nullspace, which is later combined with measured data to form complete images. Using fastMRI brain and knee data, we demonstrate fast inference and accuracy that surpasses recent posterior sampling techniques for MRI. Code is available at https://github.com/jwen307/mri_cnf/

Standard unsupervised domain adaptation methods adapt models from a source to a target domain using labeled source data and unlabeled target data jointly. In model adaptation, on the other hand, access to the labeled source data is prohibited, i.e., only the source-trained model and unlabeled target data are available. We investigate normal-to-adverse condition model adaptation for semantic segmentation, whereby image-level correspondences are available in the target domain. The target set consists of unlabeled pairs of adverse- and normal-condition street images taken at GPS-matched locations. Our method -- CMA -- leverages such image pairs to learn condition-invariant features via contrastive learning. In particular, CMA encourages features in the embedding space to be grouped according to their condition-invariant semantic content and not according to the condition under which respective inputs are captured. To obtain accurate cross-domain semantic correspondences, we warp the normal image to the viewpoint of the adverse image and leverage warp-confidence scores to create robust, aggregated features. With this approach, we achieve state-of-the-art semantic segmentation performance for model adaptation on several normal-to-adverse adaptation benchmarks, such as ACDC and Dark Zurich. We also evaluate CMA on a newly procured adverse-condition generalization benchmark and report favorable results compared to standard unsupervised domain adaptation methods, despite the comparative handicap of CMA due to source data inaccessibility. Code is available at https://github.com/brdav/cma.

Homophone normalization, where characters that have the same sound in a writing script are mapped to one character, is a pre-processing step applied in Amharic Natural Language Processing (NLP) literature. While this may improve performance reported by automatic metrics, it also results in models that are not able to understand different forms of writing in a single language. Further, there might be impacts in transfer learning, where models trained on normalized data do not generalize well to other languages. In this paper, we experiment with monolingual training and cross-lingual transfer to understand the impacts of normalization on languages that use the Ge'ez script. We then propose a post-inference intervention in which normalization is applied to model predictions instead of training data. With our simple scheme of post-inference normalization, we show that we can achieve an increase in BLEU score of up to 1.03 while preserving language features in training. Our work contributes to the broader discussion on technology-facilitated language change and calls for more language-aware interventions.

Lightness adaptation is vital to the success of image processing to avoid unexpected visual deterioration, which covers multiple aspects, e.g., low-light image enhancement, image retouching, and inverse tone mapping. Existing methods typically work well on their trained lightness conditions but perform poorly in unknown ones due to their limited generalization ability. To address this limitation, we propose a novel generalized lightness adaptation algorithm that extends conventional normalization techniques through a channel filtering design, dubbed Channel Selective Normalization (CSNorm). The proposed CSNorm purposely normalizes the statistics of lightness-relevant channels and keeps other channels unchanged, so as to improve feature generalization and discrimination. To optimize CSNorm, we propose an alternating training strategy that effectively identifies lightness-relevant channels. The model equipped with our CSNorm only needs to be trained on one lightness condition and can be well generalized to unknown lightness conditions. Experimental results on multiple benchmark datasets demonstrate the effectiveness of CSNorm in enhancing the generalization ability for the existing lightness adaptation methods. Code is available at https://github.com/mdyao/CSNorm.

Background: Cardiovascular care generates large volumes of clinical free-text documentation in local languages. However, clinical natural language processing (NLP) resources remain concentrated in English, and no existing benchmark is cardiology-specific, multilingual, and broad in entity coverage. Methods: We present two contributions. The first is CardioCCC, a corpus of 508 cardiology case reports originally published in Spanish and extended to Czech, Dutch, English, Italian, Romanian, and Swedish through machine translation, annotation projection, and clinician review, with annotations covering diseases, symptoms, procedures, and medications. The second is CardioLM, comprising CardioBERTa, a set of language-specific encoders obtained by continued pretraining on cardiology and biomedical corpora, and CardioNER, a set of named entity recognition (NER) models fine-tuned on CardioCCC. Results: Cardiology-specific pretraining reduced pseudo-perplexity by up to a factor of eight, yet changed strict span-level F1 by at most 0.04, with benefits concentrated in languages whose backbones lacked biomedical coverage. The jointly trained multilingual XLM-RoBERTa-large models achieved the best strict F1 in nearly every language and entity type, exceeding the strongest monolingual system by up to 0.13 F1. A large share of residual errors concerned boundary detection: relaxed matching recovered 0.10-0.23 F1 for disease, procedure, and symptom, but only 0.01-0.07 for medication. Clinicians rated CardioNER well above a rule- and dictionary-based baseline, with the mean rating across entity types rising from 26% to 73%. Conclusions: Specialty-specific pretraining is not the decisive factor for downstream entity recognition, whereas multilingual joint training yields the strongest results in nearly all settings and a simpler deployment path for multi-country clinical information extraction.

Case Report Forms (CRFs) are largely used in medical research as they ensure accuracy, reliability, and validity of results in clinical studies. However, publicly available, wellannotated CRF datasets are scarce, limiting the development of CRF slot filling systems able to fill in a CRF from clinical notes. To mitigate the scarcity of CRF datasets, we propose to take advantage of available datasets annotated for information extraction tasks and to convert them into structured CRFs. We present a semi-automatic conversion methodology, which has been applied to the E3C dataset in two languages (English and Italian), resulting in a new, high-quality dataset for CRF slot filling. Through several experiments on the created dataset, we report that slot filling achieves 59.7% for Italian and 67.3% for English on a closed Large Language Models (zero-shot) and worse performances on three families of open-source models, showing that filling CRFs is challenging even for recent state-of-the-art LLMs. We release the datest at https://huggingface.co/collections/NLP-FBK/e3c-to-crf-67b9844065460cbe42f80166

Normalization stabilizes deep networks by adapting intermediate representations through prescribed centering and scaling rules. We investigate the complementary principle: leave representations in their original coordinates and adapt the geometry of the pointwise operator instead. Motivated by controlled evidence that Batch Normalization changes the learning dynamics of parametric activations, we introduce the Saturated Adaptive Linear Unit (SALU), a smooth bounded operator with two learned scalars per layer. A bijective reparameterization exposes its saturation amplitude S, transition width W, and central gain S/W. These coordinates control the bounded forward amplitude and distribute backward sensitivity over the input domain. In a homogeneous mean-field model, forward variance and backward gradient propagation share the normalized coordinate v/W^2, where v denotes the activation variance, while obeying distinct stability conditions. We reuse the same primitive to construct the SWALU and GALU adaptive gates and define SaluNet by replacing BN or LN with SALU and conventional activations with SALU-based gates. On CIFAR-100, controlled ResNet-18 experiments show that the complete SALU+SWALU construction outperforms its isolated substitutions. Additional experiments demonstrate trainability down to batch size one, while checkpoint-level representation analysis reveals a broader late-stage spectrum than in the matched BN+ReLU model. ImageNet-1K experiments further demonstrate scalability to ResNet-50 and ViT-B/16, including ViT-B/16 training with an effective batch size of 128. Together, these results support learnable pointwise geometry as a common statistics-free mechanism for signal stabilization and adaptive gating across convolutional networks and vision Transformers.

A common retrieve-and-rerank paradigm involves retrieving relevant candidates from a broad set using a fast bi-encoder (BE), followed by applying expensive but accurate cross-encoders (CE) to a limited candidate set. However, relying on this small subset is often susceptible to error propagation from the bi-encoders, which limits the overall performance. To address these issues, we propose the Comparing Multiple Candidates (CMC) framework. CMC compares a query and multiple embeddings of similar candidates (i.e., neighbors) through shallow self-attention layers, delivering rich representations contextualized to each other. Furthermore, CMC is scalable enough to handle multiple comparisons simultaneously. For example, comparing ~10K candidates with CMC takes a similar amount of time as comparing 16 candidates with CE. Experimental results on the ZeSHEL dataset demonstrate that CMC, when plugged in between bi-encoders and cross-encoders as a seamless intermediate reranker (BE-CMC-CE), can effectively improve recall@k (+4.8%-p, +3.5%-p for R@16, R@64) compared to using only bi-encoders (BE-CE), with negligible slowdown (<7%). Additionally, to verify CMC's effectiveness as the final-stage reranker in improving top-1 accuracy, we conduct experiments on downstream tasks such as entity, passage, and dialogue ranking. The results indicate that CMC is not only faster (11x) but also often more effective than CE, with improved prediction accuracy in Wikipedia entity linking (+0.7%-p) and DSTC7 dialogue ranking (+3.3%-p).

Domain generalization (DG) is a principal task to evaluate the robustness of computer vision models. Many previous studies have used normalization for DG. In normalization, statistics and normalized features are regarded as style and content, respectively. However, it has a content variation problem when removing style because the boundary between content and style is unclear. This study addresses this problem from the frequency domain perspective, where amplitude and phase are considered as style and content, respectively. First, we verify the quantitative phase variation of normalization through the mathematical derivation of the Fourier transform formula. Then, based on this, we propose a novel normalization method, PCNorm, which eliminates style only as the preserving content through spectral decomposition. Furthermore, we propose advanced PCNorm variants, CCNorm and SCNorm, which adjust the degrees of variations in content and style, respectively. Thus, they can learn domain-agnostic representations for DG. With the normalization methods, we propose ResNet-variant models, DAC-P and DAC-SC, which are robust to the domain gap. The proposed models outperform other recent DG methods. The DAC-SC achieves an average state-of-the-art performance of 65.6% on five datasets: PACS, VLCS, Office-Home, DomainNet, and TerraIncognita.

Historical Arabic manuscript transcription is not only a recognition problem. A usable scholarly system must cope with shifting hands and layouts, preserve uncertain readings, distinguish visual evidence from linguistic plausibility, and record the researcher's final decision. We present Phoenix, a 4.99-million-parameter CNN-BiLSTM-CTC recognizer, and Athar, an evidence-aware review workflow built around it. Phoenix is adapted across archival, Maghrebi, and historical manuscript domains using document-aware replay, an expanded 81-symbol codec, and forgetting guards that reject checkpoints that improve a new domain at unacceptable cost to previous domains. In a pre-specified held-out comparison against the preceding checkpoint, frozen before evaluation and scored with greedy decoding and raw references, Phoenix reduced CER from 22.12% to 17.86% on 10,594 Agapet lines and from 17.72% to 11.84% on 11,684 Omar lines, while regressing from 10.39% to 10.72% on 164 TariMa lines. Across the two large held-out sets, character-weighted CER fell from 19.98% to 14.93%, a 25.3% relative error reduction. A separate same-protocol development diagnostic found the lowest CER for Phoenix on four of four comparable domains (9.59% unweighted macro CER). An N-best diagnostic revealed a 2.15-point oracle gap between beam decoding and Oracle@25, while neural text rerankers, consensus MBR, CTC-posterior quality estimation, and local pre-CTC hidden-state quality estimation recovered less than 4% of this gap. Athar therefore preserves the visual reading, exposes bounded alternatives, uses local language models conservatively, retrieves source parallels with unique, ambiguous, or abstain states, and exports auditable TEI and PAGE-XML records. The results support evaluating manuscript HTR as auditable evidence management rather than silent text replacement.

Unlocking medieval archives at scale is bottlenecked by the cost of line-level diplomatic transcriptions and manual abbreviation expansion. Focusing on the registers of Pope Honorius III (1216-1227) over 5,000 letters surviving in full only as manuscript images - we show that existing, line-break-free expert transcriptions (edition drafts) suffice to train end-to-end hand-written text recognition (HTR) that jointly transcribes and expands heavily abbreviated Latin. Using forced alignment on 860 unaligned edition entries across 394 pages of Reg. Vat. 9, we automatically bootstrap 13,122 training lines without manual alignment of segmented lines. While the generic CATMuS baseline struggles on this domain (18.9% CER) and a modular space-free HTR + word-segmentation pipeline (cf. Camps et al. 2021) plateaus at 15.6% WER, our from-scratch hybrid Conformer - combining CTC with bidirectional subword attention decoders, iterative self-realignment and n-best LM rescoring - achieves 4.7% CER and 8.7% WER (8.4% WER with ROVER system combination), nearly halving errors on clause-final words (22.7% to 12.2% WER). These figures are measured on the test lines that align with the transcription (86% of all test lines for the best hybrid). Furthermore, we address a tension between paleographic fidelity and editorial normalization: training on targets that preserve scribal name initials reduces the WER against the manuscript text on the 31 affected test lines from 13.3% to 9.2%, at a small cost against the expanded transcription (WER +0.3 points, CER +0.4). Finally, extensive ablations show that none of an auxiliary diplomatic CTC head, a copy mechanism, a permutation decoder or masked-image pretraining improves on direct end-to-end supervision, while strict padding-mask propagation and per-line beam termination make inference batch-invariant.

Recently computer-aided diagnosis has demonstrated promising performance, effectively alleviating the workload of clinicians. However, the inherent sample imbalance among different diseases leads algorithms biased to the majority categories, leading to poor performance for rare categories. Existing works formulated this challenge as a long-tailed problem and attempted to tackle it by decoupling the feature representation and classification. Yet, due to the imbalanced distribution and limited samples from tail classes, these works are prone to biased representation learning and insufficient classifier calibration. To tackle these problems, we propose a new Long-tailed Medical Diagnosis (LMD) framework for balanced medical image classification on long-tailed datasets. In the initial stage, we develop a Relation-aware Representation Learning (RRL) scheme to boost the representation ability by encouraging the encoder to capture intrinsic semantic features through different data augmentations. In the subsequent stage, we propose an Iterative Classifier Calibration (ICC) scheme to calibrate the classifier iteratively. This is achieved by generating a large number of balanced virtual features and fine-tuning the encoder using an Expectation-Maximization manner. The proposed ICC compensates for minority categories to facilitate unbiased classifier optimization while maintaining the diagnostic knowledge in majority classes. Comprehensive experiments on three public long-tailed medical datasets demonstrate that our LMD framework significantly surpasses state-of-the-art approaches. The source code can be accessed at https://github.com/peterlipan/LMD.

Vision-language models (VLMs) trained on paired chest radiographs and radiology reports learn a shared embedding space that can preserve instance-level image-report correspondence. This poses a privacy risk in settings where radiographs and reports are deliberately kept separate after acquisition, such as image-only data sharing or access-controlled reports, because a de-identified image may be re-linked to its original narrative report through cosine similarity alone. We formalized this as image-to-report retrieval and used public paired cohorts, in which the true pairing is known by design, as ground-truth benchmarks to audit the risk rather than as the privacy scenario. Evaluating VLMs of increasing clinical specialization on 406,241 paired examples from 126,804 patients across MIMIC-CXR (43,793 held-out pairs) and external CheXpert Plus (29,296 pairs), we found that re-linkage rose systematically with specialization: the strongest VLM retrieved the correct report at 15 times chance at a candidate pool of N = 100, 50 times chance at N = 10,000, and well above chance at full-database scale. The signal persisted under pathology-matched hard negatives that removed disease-label shortcuts, indicating correspondence beyond broad diagnostic categories. To reduce it without retraining, we froze both encoders and applied differentially private optimization only to the projection heads defining the alignment layer (epsilon = 0.34, delta = 6x10-6). This reduced Recall@1 by 61.8% at N = 10,000 on MIMIC-CXR and transferred to CheXpert Plus without retraining, while image-side utility was largely preserved: macro AUROC for linear-probe classification across 14 labels shifted only from 79.63% to 79.43%. Targeted DP finetuning of the shared alignment layer can substantially reduce cross-modal re-linkage without materially degrading the image representations that make these models clinically useful.

Medical image segmenters often get worse when sites, scanner vendors, or protocols change. Continual test-time adaptation (CTTA) addresses this problem without target labels, but it can be impossible to update a model on a non-stationary stream and can lead to a lot of errors. We examine a more reasonable and meaningful alternative: parameter-frozen inference enhancement(PIE). We use a source-trained segmenter that learns about anatomy-preserving scale and flip views, maps their predictions back to the native location, and averages the probabilities. We do not modify the weights of the model or the normalization statistics. On a cardiac MRI stream from M\&Ms, which is trained on vendor A and evaluated sequentially on vendors B, C, and D, PIE has 0.7786 mean Dice, compared to 0.7680 for source-only inference and 0.7388--0.7416 for five other online-adaptation baselines. The controlled ablations show that performance saturates at 28 views, and confidence weighting, class-prior correction, connected-component filtering, morphological refinement, and inter-slice smoothing have no effect or cause negative transfer. Qualitative results on cardiac MRI and fundus images are also consistent with the frozen ensemble keeping thinner and nested anatomical structures. These results provide a strong, stable baseline for medical CTTA and expose an important failure mode: adaptation and handcrafted refinement can be less reliable than carefully designed inference.

The paper focuses on deep learning semantic search algorithms applied in the HR domain. The aim of the article is developing a novel approach to training a Siamese network to link the skills mentioned in the job ad with the title. It has been shown that the title normalization process can be based either on classification or similarity comparison approaches. While classification algorithms strive to classify a sample into predefined set of categories, similarity search algorithms take a more flexible approach, since they are designed to find samples that are similar to a given query sample, without requiring pre-defined classes and labels. In this article semantic similarity search to find candidates for title normalization has been used. A pre-trained language model has been adapted while teaching it to match titles and skills based on co-occurrence information. For the purpose of this research fifty billion title-descriptions pairs had been collected for training the model and thirty three thousand title-description-normalized title triplets, where normalized job title was picked up manually by job ad creator for testing purposes. As baselines FastText, BERT, SentenceBert and JobBert have been used. As a metric of the accuracy of the designed algorithm is Recall in top one, five and ten model's suggestions. It has been shown that the novel training objective lets it achieve significant improvement in comparison to other generic and specific text encoders. Two settings with treating titles as standalone strings, and with included skills as additional features during inference have been used and the results have been compared in this article. Improvements by 10% and 21.5% have been achieved using VacancySBERT and VacancySBERT (with skills) respectively. The benchmark has been developed as open-source to foster further research in the area.

We evaluate three simple, normalization-centric changes to improve Transformer training. First, we show that pre-norm residual connections (PreNorm) and smaller initializations enable warmup-free, validation-based training with large learning rates. Second, we propose ell_2 normalization with a single scale parameter (ScaleNorm) for faster training and better performance. Finally, we reaffirm the effectiveness of normalizing word embeddings to a fixed length (FixNorm). On five low-resource translation pairs from TED Talks-based corpora, these changes always converge, giving an average +1.1 BLEU over state-of-the-art bilingual baselines and a new 32.8 BLEU on IWSLT'15 English-Vietnamese. We observe sharper performance curves, more consistent gradient norms, and a linear relationship between activation scaling and decoder depth. Surprisingly, in the high-resource setting (WMT'14 English-German), ScaleNorm and FixNorm remain competitive but PreNorm degrades performance.

Radiology report evaluation is essential for advancing automated report generation. Natural language generation metrics have limited clinical relevance. Clinical efficacy (CE) metrics evaluate important medical findings, but focus mainly on presence and cover only a limited set of entities. Due to heavy reliance on manual annotations, it is difficult for CE metrics to extend clinical entities or attributes. In clinical practice, radiology reports serve as a medium for information transfer. Clinicians use them to perform downstream diagnostic tasks without directly inspecting images. Based on this insight, we propose ReportQA, a clinical-related and flexible radiology report evaluation framework, supporting detailed quantitative analysis of radiology report generation systems. We first collect datasets covering multiple imaging modalities and anatomical regions. We then construct knowledge trees of clinical entities and attributes with radiologist guidance, and use large language models (LLMs) to extract structured information from raw reports. Next, we generate QA pairs from predefined templates and apply quality control through self-filtering and report-based filtering. During evaluation, the report is treated as context, and an LLM acts as a judge model to answer the QA pairs. Based on the resulting QA accuracy, we introduce QAScore metric. Compared with existing metrics, QAScore shows better alignment with radiologist judgments. Experiments on multiple state-of-the-art vision-language models reveal that current report-based inference paradigms struggle to learn fine-grained clinical representations and exhibit strong negative prior biases. In contrast, question-driven inference provides a more effective alternative. For reproducibility and extensibility, we release the knowledge trees, structured reports, and QA pairs, along with the pipeline code for QA construction and evaluation.

Reliable end-to-end clinical report generation has been a longstanding goal of medical ML research. The end goal for this process is to alleviate radiologists' workloads and provide second opinions to clinicians or patients. Thus, a necessary prerequisite for report generation models is a strong general performance and some type of innate grounding capability, to convince clinicians or patients of the veracity of the generated reports. In this paper, we present ASaRG (Automatic Segmentation-assisted Report Generation), an extension of the popular LLaVA architecture that aims to tackle both of these problems. ASaRG proposes to fuse intermediate features and fine-grained segmentation maps created by specialist radiological models into LLaVA's multi-modal projection layer via simple concatenation. With a small number of added parameters, our approach achieves a +0.89\% performance gain (p=0.012) in CE F1 score compared to the LLaVA baseline when using only intermediate features, and +2.77\% performance gain (p<0.001) when adding a combination of intermediate features and fine-grained segmentation maps. Compared with COMG and ORID, two other report generation methods that utilize segmentations, the performance gain amounts to 6.98\% and 6.28\% in F1 score, respectively. ASaRG is not mutually exclusive with other changes made to the LLaVA architecture, potentially allowing our method to be combined with other advances in the field. Finally, the use of an arbitrary number of segmentations as part of the input demonstrably allows tracing elements of the report to the corresponding segmentation maps and verifying the groundedness of assessments. Our code will be made publicly available at a later date.

Machine Learning methods can learn how to reconstruct Magnetic Resonance Images and thereby accelerate acquisition, which is of paramount importance to the clinical workflow. Physics-informed networks incorporate the forward model of accelerated MRI reconstruction in the learning process. With increasing network complexity, robustness is not ensured when reconstructing data unseen during training. We aim to embed data consistency (DC) in deep networks while balancing the degree of network complexity. While doing so, we will assess whether either explicit or implicit enforcement of DC in varying network architectures is preferred to optimize performance. We propose a scheme called Cascades of Independently Recurrent Inference Machines (CIRIM) to assess DC through unrolled optimization. Herein we assess DC both implicitly by gradient descent and explicitly by a designed term. Extensive comparison of the CIRIM to CS as well as to other methods is performed: the E2EVN, CascadeNet, KIKINet, LPDNet, RIM, IRIM, and UNet. Models were trained and evaluated on T1-weighted and FLAIR contrast brain data, and T2-weighted knee data. Both 1D and 2D undersampling patterns were evaluated. Robustness was tested by reconstructing 7.5x prospectively undersampled 3D FLAIR MRI data of Multiple Sclerosis (MS) patients with white matter lesions. The CIRIM performed best when implicitly enforcing DC, while the E2EVN required an explicit DC formulation. In reconstructing MS patient data, prospectively acquired with a sampling pattern unseen during model training, the CIRIM maintained lesion contrast while efficiently denoising the images. The CIRIM showed highly promising generalization capabilities maintaining a very fair trade-off between reconstructed image quality and fast reconstruction times, which is crucial in the clinical workflow.

Normalizing flows (NFs) provide exact likelihoods and deterministic invertible sampling, but have historically lagged behind diffusion models for large-scale image generation. We identify a key obstacle: NFs are required to learn a single invertible transport over the full ambient space, making them highly sensitive to high-dimensional representations. This leads to a semantic-capacity mismatch in modern visual representation spaces, where semantic information is compact but encoded in overcomplete features. We propose SRC-Flow, which introduces a Semantic Representation Compressor (SRC) to compact high-dimensional RAE features into a low-dimensional semantic space before flow modeling and preserve reconstruction through the frozen RAE decoder. This compact space reduces the modeling burden of NFs and enables effective likelihood-based generation in semantic representation space. We further adopt constant noise regularization tailored to the fixed unconditional bijection learned by flows. On ImageNet 256 times 256 and 512 times 512, SRC-Flow achieves state-of-the-art generation quality among normalizing flow methods, with gFID scores of 1.65 and 2.07 under classifier-free guidance, while retaining exact likelihood computation in the compact semantic representation space and deterministic invertible sampling at the flow level. Codes and models will be available at https://github.com/longtaojiang/SRC-Flow.

Normalization layers in modern large language models (LLMs) consist of a deterministic normalization operation and a learnable scale vector. While the normalization operation has been extensively studied, the scale vector remains poorly understood despite its ubiquitous use. In this work, we present a systematic study of scale vectors in LLMs from the perspectives of expressivity, optimization, and architectural structure. First, we show empirically that although scale vectors constitute only a negligible fraction of model parameters, removing them substantially degrades LLM pre-training. Our theory further shows that, in Pre-Norm architectures, scale vectors do not increase expressivity; instead, they improve optimization through a self-amplifying preconditioning effect on subsequent linear mappings. Second, we investigate the role of weight decay for scale vectors. By distinguishing Input-Norm and Output-Norm layers, we theoretically show that weight decay is beneficial for the former but harmful for the latter, due to their distinct roles in optimization and expressivity. Third, motivated by this understanding, we propose three lightweight and complementary improvements to scale vectors: branch-specific heterogeneity, improved placement around linear mappings, and magnitude-direction reparameterization. Both theory and experiments show that each improvement yields consistent gains. Finally, we combine these improvements into a unified scale-vector strategy and evaluate it through extensive LLM pre-training experiments on dense and mixture-of-experts models ranging from 0.12B to 2B parameters, across multiple optimizers and learning rate schedules, under industrial-scale token budgets. The unified strategy consistently achieves lower terminal loss than well-tuned baselines and exhibits more favorable scaling behavior, while adding negligible parameter and computational overhead.

Normalizing flows are powerful non-parametric statistical models that function as a hybrid between density estimators and generative models. Current learning algorithms for normalizing flows assume that data points are sampled independently, an assumption that is frequently violated in practice, which may lead to erroneous density estimation and data generation. We propose a likelihood objective of normalizing flows incorporating dependencies between the data points, for which we derive a flexible and efficient learning algorithm suitable for different dependency structures. We show that respecting dependencies between observations can improve empirical results on both synthetic and real-world data, and leads to higher statistical power in a downstream application to genome-wide association studies.

This paper introduces a novel, entity-aware metric, termed as Radiological Report (Text) Evaluation (RaTEScore), to assess the quality of medical reports generated by AI models. RaTEScore emphasizes crucial medical entities such as diagnostic outcomes and anatomical details, and is robust against complex medical synonyms and sensitive to negation expressions. Technically, we developed a comprehensive medical NER dataset, RaTE-NER, and trained an NER model specifically for this purpose. This model enables the decomposition of complex radiological reports into constituent medical entities. The metric itself is derived by comparing the similarity of entity embeddings, obtained from a language model, based on their types and relevance to clinical significance. Our evaluations demonstrate that RaTEScore aligns more closely with human preference than existing metrics, validated both on established public benchmarks and our newly proposed RaTE-Eval benchmark.

Text-Video Retrieval aims to find the most relevant text (or video) candidate given a video (or text) query from large-scale online databases. Recent work leverages multi-modal large language models (MLLMs) to improve retrieval, especially for long or complex query-candidate pairs. However, we observe that the naive application of MLLMs, i.e., retrieval based on candidate likelihood, introduces candidate prior bias, favoring candidates with inherently higher priors over those more relevant to the query. To this end, we propose a novel retrieval framework, Bidirectional Likelihood Estimation with MLLM (BLiM), which leverages both query and candidate likelihoods by training the model to generate text from a given video as well as video features from a given text. Furthermore, we introduce Candidate Prior Normalization (CPN), a simple yet effective training-free score calibration module designed to mitigate candidate prior bias in candidate likelihood. On four Text-Video Retrieval benchmarks, our BLiM equipped with CPN outperforms previous state-of-the-art models by 6.4 R@1 on average, effectively alleviating candidate prior bias and emphasizing query-candidate relevance. Our in-depth analysis across various multi-modal tasks beyond retrieval highlights the broad applicability of CPN which enhances visual understanding by reducing reliance on textual priors. Code is available at https://github.com/mlvlab/BLiM.

Advances in natural language processing techniques, such as named entity recognition and normalization to widely used standardized terminologies like UMLS or SNOMED-CT, along with the digitalization of electronic health records, have significantly advanced clinical text analysis. This study presents ClinLinker, a novel approach employing a two-phase pipeline for medical entity linking that leverages the potential of in-domain adapted language models for biomedical text mining: initial candidate retrieval using a SapBERT-based bi-encoder and subsequent re-ranking with a cross-encoder, trained by following a contrastive-learning strategy to be tailored to medical concepts in Spanish. This methodology, focused initially on content in Spanish, substantially outperforming multilingual language models designed for the same purpose. This is true even for complex scenarios involving heterogeneous medical terminologies and being trained on a subset of the original data. Our results, evaluated using top-k accuracy at 25 and other top-k metrics, demonstrate our approach's performance on two distinct clinical entity linking Gold Standard corpora, DisTEMIST (diseases) and MedProcNER (clinical procedures), outperforming previous benchmarks by 40 points in DisTEMIST and 43 points in MedProcNER, both normalized to SNOMED-CT codes. These findings highlight our approach's ability to address language-specific nuances and set a new benchmark in entity linking, offering a potent tool for enhancing the utility of digital medical records. The resulting system is of practical value, both for large scale automatic generation of structured data derived from clinical records, as well as for exhaustive extraction and harmonization of predefined clinical variables of interest.

Tumor delineation is required for radiotherapy planning, yet automatic segmentation is limited by errors, predominantly false positives, that distort dose and increase editing time. The radiology report accompanies the scan and localizes disease at the suborgan level, but existing text-promptable models condition on short referring phrases, and most operate in 2D. We present RepConTUR, a single native-3D early-fusion multimodal model that conditions volumetric abdominal tumor segmentation on the narrative report. We extend AbdomenAtlas 3.0 to a suborgan-level promptable segmentation dataset and generate report-based VQA pairs, yielding four report-derived tasks on the same annotations: referring segmentation (RES), report-grounded segmentation (GSEG), report generation (RRG), and visual question answering (VQA). We train RepConTUR, comprising a 3D CT encoder, an early-fusion language model, and a native-3D segmentation module, jointly on the four tasks. Across liver, kidney and pancreas, RepConTUR attains the highest Dice similarity coefficient (DSC), instance-wise precision, and detection F1 among the text-promptable baselines, and adding the report raises mean precision while leaving recall comparable. Against two vision-only specialists, nnU-Net and the report-supervised R-Super, RepConTUR attains the highest value on every in-domain metric for liver and pancreas and the highest mean DSC, recall, precision, and detection F1 over the four out-of-distribution public cohorts. Ablations indicate that conditioning on the narrative report raises detection F1 from 0.499 to 0.528 within the same model, that joint GSEG training raises RES F1 from 0.450 to 0.482, and that the native-3D segmentation module raises GSEG F1 from 0.139 to 0.528 over its 2D counterpart. Code is available at https://github.com/Oncosoft-Research/RepConTUR.

The label scarcity problem is the main challenge that hinders the wide application of deep learning systems in automatic cardiovascular diseases (CVDs) detection using electrocardiography (ECG). Tuning pre-trained models alleviates this problem by transferring knowledge learned from large datasets to downstream small datasets. However, bottlenecks in computational efficiency and detection performance limit its clinical applications. It is difficult to improve the detection performance without significantly sacrificing the computational efficiency during model training. Here, we propose a computation-efficient semi-supervised learning paradigm (CE-SSL) for robust and computation-efficient CVDs detection using ECG. It enables a robust adaptation of pre-trained models on downstream datasets with limited supervision and high computational efficiency. First, a random-deactivation technique is developed to achieve robust and fast low-rank adaptation of pre-trained weights. Subsequently, we propose a one-shot rank allocation module to determine the optimal ranks for the update matrices of the pre-trained weights. Finally, a lightweight semi-supervised learning pipeline is introduced to enhance model performance by leveraging labeled and unlabeled data with high computational efficiency. Extensive experiments on four downstream datasets demonstrate that CE-SSL not only outperforms the state-of-the-art methods in multi-label CVDs detection but also consumes fewer GPU footprints, training time, and parameter storage space. As such, this paradigm provides an effective solution for achieving high computational efficiency and robust detection performance in the clinical applications of pre-trained models under limited supervision. Code and Supplementary Materials are available at https://github.com/KAZABANA/CE-SSL

Low-resource language translation is a challenging but socially valuable NLP task. Building on recent work adapting the Transformer's normalization to this setting, we propose QKNorm, a normalization technique that modifies the attention mechanism to make the softmax function less prone to arbitrary saturation without sacrificing expressivity. Specifically, we apply ell_2 normalization along the head dimension of each query and key matrix prior to multiplying them and then scale up by a learnable parameter instead of dividing by the square root of the embedding dimension. We show improvements averaging 0.928 BLEU over state-of-the-art bilingual benchmarks for 5 low-resource translation pairs from the TED Talks corpus and IWSLT'15.

BACKGROUND: Radiology reports are typically written in a free-text format, making clinical information difficult to extract and use. Recently the adoption of structured reporting (SR) has been recommended by various medical societies thanks to the advantages it offers, e.g. standardization, completeness and information retrieval. We propose a pipeline to extract information from free-text radiology reports, that fits with the items of the reference SR registry proposed by a national society of interventional and medical radiology, focusing on CT staging of patients with lymphoma. METHODS: Our work aims to leverage the potential of Natural Language Processing (NLP) and Transformer-based models to deal with automatic SR registry filling. With the availability of 174 radiology reports, we investigate a rule-free generative Question Answering approach based on a domain-specific version of T5 (IT5). Two strategies (batch-truncation and ex-post combination) are implemented to comply with the model's context length limitations. Performance is evaluated in terms of strict accuracy, F1, and format accuracy, and compared with the widely used GPT-3.5 Large Language Model. A 5-point Likert scale questionnaire is used to collect human-expert feedback on the similarity between medical annotations and generated answers. RESULTS: The combination of fine-tuning and batch splitting allows IT5 to achieve notable results; it performs on par with GPT-3.5 albeit its size being a thousand times smaller in terms of parameters. Human-based assessment scores show a high correlation (Spearman's correlation coefficients>0.88, p-values<0.001) with AI performance metrics (F1) and confirm the superior ability of LLMs (i.e., GPT-3.5, 175B of parameters) in generating plausible human-like statements.

Cross-modal retrieval (CMR) has been extensively applied in various domains, such as multimedia search engines and recommendation systems. Most existing CMR methods focus on image-to-text retrieval, whereas audio-to-text retrieval, a less explored domain, has posed a great challenge due to the difficulty to uncover discriminative features from audio clips and texts. Existing studies are restricted in the following two ways: 1) Most researchers utilize contrastive learning to construct a common subspace where similarities among data can be measured. However, they considers only cross-modal transformation, neglecting the intra-modal separability. Besides, the temperature parameter is not adaptively adjusted along with semantic guidance, which degrades the performance. 2) These methods do not take latent representation reconstruction into account, which is essential for semantic alignment. This paper introduces a novel audio-text oriented CMR approach, termed Contrastive Latent Space Reconstruction Learning (CLSR). CLSR improves contrastive representation learning by taking intra-modal separability into account and adopting an adaptive temperature control strategy. Moreover, the latent representation reconstruction modules are embedded into the CMR framework, which improves modal interaction. Experiments in comparison with some state-of-the-art methods on two audio-text datasets have validated the superiority of CLSR.

Recent advancements in digital pathology have led to the development of numerous foundational models that utilize self-supervised learning on patches extracted from gigapixel whole slide images (WSIs). While this approach leverages vast amounts of unlabeled data, we have discovered a significant issue: features extracted from these self-supervised models tend to cluster by individual WSIs, a phenomenon we term WSI-specific feature collapse. This problem can potentially limit the model's generalization ability and performance on various downstream tasks. To address this issue, we introduce Stain Normalized Pathology Foundational Model, a novel foundational model trained on patches that have undergone stain normalization. Stain normalization helps reduce color variability arising from different laboratories and scanners, enabling the model to learn more consistent features. Stain Normalized Pathology Foundational Model is trained using 285,153,903 patches extracted from a total of 34,795 WSIs, combining data from The Cancer Genome Atlas (TCGA) and the Genotype-Tissue Expression (GTEx) project. Our experiments demonstrate that Stain Normalized Pathology Foundational Model significantly mitigates the feature collapse problem, indicating that the model has learned more generalized features rather than overfitting to individual WSI characteristics. We compared Stain Normalized Pathology Foundational Model with state-of-the-art models across six downstream task datasets, and our results show that Stain Normalized Pathology Foundational Model achieves excellent performance relative to the number of WSIs used and the model's parameter count. This suggests that the application of stain normalization has substantially improved the model's efficiency and generalization capabilities.

Multiphasic contrast-enhanced CT (CECT) is widely used for abdominal lesion characterization, yet it carries inherent risks of contrast-induced nephropathy, escalates acquisition burden, and heavily contributes to radiologist workload. To address these challenges, we introduce a novel multi-center benchmark for multi-organ abdominal disease diagnosis and automated radiology report generation, which learns to synthesize contrast-enhanced findings from single-phase non-contrast CT (NCCT). To support this, we curated a large-scale dataset of paired NCCT-CECT studies and their corresponding contrast-enhanced radiology reports from two centers, partitioned into internal sets and an external validation cohort. Under a unified evaluation protocol, we benchmarked five contemporary deep learning architectures encompassing chest-specific, abdomen-specific, and general-purpose multimodal domains. Extensive experiments demonstrate that NCCT retains diagnostic signals, achieving an average multi-organ AUC of 69.1% on the internal cohort and 63.1% on the external cohort, respectively. By releasing this dataset and standardized benchmark publicly, this study aims to catalyze future research into safer, resource-efficient, and globally accessible contrast-free abdominal imaging workflows. Code is available at: https://github.com/xmed-lab/TriALS-Report.

Online Normalization is a new technique for normalizing the hidden activations of a neural network. Like Batch Normalization, it normalizes the sample dimension. While Online Normalization does not use batches, it is as accurate as Batch Normalization. We resolve a theoretical limitation of Batch Normalization by introducing an unbiased technique for computing the gradient of normalized activations. Online Normalization works with automatic differentiation by adding statistical normalization as a primitive. This technique can be used in cases not covered by some other normalizers, such as recurrent networks, fully connected networks, and networks with activation memory requirements prohibitive for batching. We show its applications to image classification, image segmentation, and language modeling. We present formal proofs and experimental results on ImageNet, CIFAR, and PTB datasets.

Layer Normalization (LayerNorm) is an inherent component in all Transformer-based models. In this paper, we show that LayerNorm is crucial to the expressivity of the multi-head attention layer that follows it. This is in contrast to the common belief that LayerNorm's only role is to normalize the activations during the forward pass, and their gradients during the backward pass. We consider a geometric interpretation of LayerNorm and show that it consists of two components: (a) projection of the input vectors to a d-1 space that is orthogonal to the left[1,1,...,1right] vector, and (b) scaling of all vectors to the same norm of d. We show that each of these components is important for the attention layer that follows it in Transformers: (a) projection allows the attention mechanism to create an attention query that attends to all keys equally, offloading the need to learn this operation by the attention; and (b) scaling allows each key to potentially receive the highest attention, and prevents keys from being "un-select-able". We show empirically that Transformers do indeed benefit from these properties of LayeNorm in general language modeling and even in computing simple functions such as "majority". Our code is available at https://github.com/tech-srl/layer_norm_expressivity_role .

Purpose: Recent advancements in large language models (LLMs) have expanded their capabilities in a multimodal fashion, potentially replicating the image interpretation of human radiologists. This study aimed to develop open-source multimodal large language model for interpreting chest X-ray images (CXR-LLaVA). We also examined the effect of prompt engineering and model parameters such as temperature and nucleus sampling. Materials and Methods: For training, we collected 659,287 publicly available CXRs: 417,336 CXRs had labels for certain radiographic abnormalities (dataset 1); 241,951 CXRs provided free-text radiology reports (dataset 2). After pre-training the Resnet50 as an image encoder, the contrastive language-image pre-training was used to align CXRs and corresponding radiographic abnormalities. Then, the Large Language Model Meta AI-2 was fine-tuned using dataset 2, which were refined using GPT-4, with generating various question answering scenarios. The code can be found at https://github.com/ECOFRI/CXR_LLaVA. Results: In the test set, we observed that the model's performance fluctuated based on its parameters. On average, it achieved F1 score of 0.34 for five pathologic findings (atelectasis, cardiomegaly, consolidation, edema, and pleural effusion), which was improved to 0.46 through prompt engineering. In the independent set, the model achieved an average F1 score of 0.30 for the same pathologic findings. Notably, for the pediatric chest radiograph dataset, which was unseen during training, the model differentiated abnormal radiographs with an F1 score ranging from 0.84 to 0.85. Conclusion: CXR-LLaVA demonstrates promising potential in CXR interpretation. Both prompt engineering and model parameter adjustments can play pivotal roles in interpreting CXRs.

Contrastive representation learning struggles on physiological signals when each subject contributes a distinct baseline pattern. If class differences overlap with subject differences,class-level objectives such as supervised contrastive learning tend to merge per-subject structure into a single per-class cluster,removing the individual variation that a model needs to generalize to unseen patients. We study this problem in the setting of Paroxysmal Atrial Fibrillation(PAF) detection from RR-interval(RRI) sequences and propose a patient-aware contrastive objective that forms positive pairs only from same-patient, same-class segments, preserving each patient's own sinus rhythm(SR) baseline while still pushing the two classes apart. Examining the learned embeddings directly, our objective achieves the most consistent per-patient SR structure (cohesion 0.850 vs. 0.800 for supervised contrastive loss (SupCon) and 0.772 for binary cross-entropy (BCE)). We also identify that BCE produces the cleanest global class separation yet the most disordered per-patient structure. This is precisely why a linear probe trained on its features breaks down on unseen patients. On the IRIDIA-AF dataset, the resulting representation reaches a patient-independent Area Under the Receiver Operating Characteristic Curve (AUROC) of 0.989 pm 0.003 with 2.6times lower seed variance than supervised contrastive baselines.These results highlight that per-subject geometric consistency, rather than global class separability, is key to robust cross-patient generalization.

Our approach, which we call Embeddings for Language/Image-aligned X-Rays, or ELIXR, leverages a language-aligned image encoder combined or grafted onto a fixed LLM, PaLM 2, to perform a broad range of tasks. We train this lightweight adapter architecture using images paired with corresponding free-text radiology reports from the MIMIC-CXR dataset. ELIXR achieved state-of-the-art performance on zero-shot chest X-ray (CXR) classification (mean AUC of 0.850 across 13 findings), data-efficient CXR classification (mean AUCs of 0.893 and 0.898 across five findings (atelectasis, cardiomegaly, consolidation, pleural effusion, and pulmonary edema) for 1% (~2,200 images) and 10% (~22,000 images) training data), and semantic search (0.76 normalized discounted cumulative gain (NDCG) across nineteen queries, including perfect retrieval on twelve of them). Compared to existing data-efficient methods including supervised contrastive learning (SupCon), ELIXR required two orders of magnitude less data to reach similar performance. ELIXR also showed promise on CXR vision-language tasks, demonstrating overall accuracies of 58.7% and 62.5% on visual question answering and report quality assurance tasks, respectively. These results suggest that ELIXR is a robust and versatile approach to CXR AI.

Laboratory test results are an important and generally high dimensional component of a patient's Electronic Health Record (EHR). We train embedding representations (via Word2Vec and GloVe) for LOINC codes of laboratory tests from the EHRs of about 80,000 patients at a cancer center. To include information about lab test outcomes, we also train embeddings on the concatenation of a LOINC code with a symbol indicating normality or abnormality of the result. We observe several clinically meaningful similarities among LOINC embeddings trained over our data. For the embeddings of the concatenation of LOINCs with abnormality codes, we evaluate the performance for mortality prediction tasks and the ability to preserve ordinality properties: i.e. a lab test with normal outcome should be more similar to an abnormal one than to the a very abnormal one.

Content-based image retrieval (CBIR) in neuroimaging enables the identification of structurally similar brain scans, supporting diagnosis, prognosis, and treatment planning; however, existing methods are often limited to small datasets, single brain regions, or coarse class labels, thereby restricting their clinical utility and generalizability. Here, we present NeuroCBIR, a framework for fast and flexible retrieval of both whole-brain and region-specific 3D T1w MRI scans. A total of 103 cortical and subcortical regions are extracted to enable both whole-brain and region-level queries. NeuroCBIR leverages latent representations learned by a variational autoencoder (VAE) combined with contrastive learning, producing scan-specific embeddings that capture anatomical patterns. These embeddings were evaluated for subject re-identification, zero-shot age prediction, and zero-shot multi-class pathology stratification. Re-identification performance was high across both whole-brain and brain-region levels (mean average precision across the top-5 retrieved images (mAP@5) >= 98.4%), with robust generalization across datasets and acquisition conditions. While NeuroCBIR is not trained for age prediction or pathology stratification, zero-shot evaluations for these two tasks demonstrate that the embeddings encode meaningful information for downstream tasks. Embedding extraction on a 4-core CPU required approximately 18.7 s per scan, whereas similarity search was effectively instantaneous (less than 0.01 s). NeuroCBIR is publicly available for brain MRI with more than 26,000 precomputed T1w MRI embeddings. It supports reproducible research, region-specific flexibility, and clinically meaningful personalized diagnostic support. The software is available at https://github.com/minnelab/NeuroCBIR.

Fast and effective automated indexing is critical for search and personalized services. Key phrases that consist of one or more words and represent the main concepts of the document are often used for the purpose of indexing. In this paper, we investigate the use of additional semantic features and pre-processing steps to improve automatic key phrase extraction. These features include the use of signal words and freebase categories. Some of these features lead to significant improvements in the accuracy of the results. We also experimented with 2 forms of document pre-processing that we call light filtering and co-reference normalization. Light filtering removes sentences from the document, which are judged peripheral to its main content. Co-reference normalization unifies several written forms of the same named entity into a unique form. We also needed a "Gold Standard" - a set of labeled documents for training and evaluation. While the subjective nature of key phrase selection precludes a true "Gold Standard", we used Amazon's Mechanical Turk service to obtain a useful approximation. Our data indicates that the biggest improvements in performance were due to shallow semantic features, news categories, and rhetorical signals (nDCG 78.47% vs. 68.93%). The inclusion of deeper semantic features such as Freebase sub-categories was not beneficial by itself, but in combination with pre-processing, did cause slight improvements in the nDCG scores.

Virtual contrast enhancement (VCE) synthesizes enhanced breast MR images from pre-contrast acquisitions. Modern latent generators offer strong image priors, but their bounded natural-image autoencoders conflict with the non-canonical intensity scale of MRI. We show that the upper bound can alter radiomic fidelity before generation, while scaling source and target independently creates a coordinate inconsistency. We propose Predictive Enhancement Calibration (PEC), which represents each pair in a shared, case-adaptive coordinate during training and predicts its unavailable upper endpoint from the pre-contrast image at inference. We integrate PEC with a pretrained FLUX latent flow transformer via parameter-efficient reference conditioning. Target round trips first isolate representation loss before generation; near-matched conditional models then compare PEC with fixed-wide and separate coordinates under comparable training budgets and backbone settings. On the fixed internal MAMA100 development cohort, PEC improves all eight point estimates in this source-only VCE setting, with paired evidence strongest for MSE and LPIPS.\noindentCode: https://github.com/tanlei0/pec-breast-mri-vce

Linear attention has emerged as a viable alternative to softmax attention by reducing complexity from quadratic to linear in sequence length. To preserve two fundamental properties of softmax, non-negativity and entropy reduction, current works employ various linearly separatable kernel functions with L1 normalization instead of softmax operator. However, query norms are neglected by the normalization operation in linear attention, such degradation heavily leads to an entropy gap. Meanwhile, existing works inhibit negative values of query and key vectors resulting in a missing inner-product interactions after being mapped. To address these dual challenges, we propose a novel Norm-Aware Linear Attention mechanism serving to restore norm-guided dynamic spikiness and recover kernel-perturbed norm distributions. Specifically, we first decouple query and key matrices into two components: norm and direction, to achieve norm-aware spikiness control and norm consistency, respectively. We mathematically reveal that the extent of entropy reduction varies with the query norm in softmax normalization, motivating a query-norm aware kernel function for dynamic control over entropy reduction. Furthermore, to ensure norm consistency and enforce non-negativity constraints, we employ a norm-preserving mapping to project all elements of the angular matrix into positive values, leveraging cosine similarity to inhibit dimensions with opposite directions. We conduct extensive experiments demonstrating that the NaLaFormer improves performance on vision and language tasks, enhancing both expressiveness and efficiency by up to 4.2\%.

Large Language Model (LLM) inference is typically memory-intensive, especially when processing large batch sizes and long sequences, due to the large size of key-value (KV) cache. Vector Quantization (VQ) is recently adopted to alleviate this issue, but we find that the existing approach is susceptible to distribution shift due to its reliance on calibration datasets. To address this limitation, we introduce NSNQuant, a calibration-free Vector Quantization (VQ) technique designed for low-bit compression of the KV cache. By applying a three-step transformation-1) a token-wise normalization (Normalize), 2) a channel-wise centering (Shift), and 3) a second token-wise normalization (Normalize)-with Hadamard transform, NSNQuant effectively aligns the token distribution with the standard normal distribution. This alignment enables robust, calibration-free vector quantization using a single reusable codebook. Extensive experiments show that NSNQuant consistently outperforms prior methods in both 1-bit and 2-bit settings, offering strong generalization and up to 3times throughput gain over full-precision baselines.

Joint punctuated and normalized automatic speech recognition (ASR) aims at outputing transcripts with and without punctuation and casing. This task remains challenging due to the lack of paired speech and punctuated text data in most ASR corpora. We propose two approaches to train an end-to-end joint punctuated and normalized ASR system using limited punctuated data. The first approach uses a language model to convert normalized training transcripts into punctuated transcripts. This achieves a better performance on out-of-domain test data, with up to 17% relative Punctuation-Case-aware Word Error Rate (PC-WER) reduction. The second approach uses a single decoder conditioned on the type of output. This yields a 42% relative PC-WER reduction compared to Whisper-base and a 4% relative (normalized) WER reduction compared to the normalized output of a punctuated-only model. Additionally, our proposed model demonstrates the feasibility of a joint ASR system using as little as 5% punctuated training data with a moderate (2.42% absolute) PC-WER increase.

Optical character recognition (OCR) remains inaccessible to many low-resource scripts because annotated document images are unavailable and synthetic training data can fail to preserve script-specific visual structure. We present a data-centric framework that builds end-to-end OCR for such scripts from only an unannotated text corpus and digital fonts, without manually annotating a single training image. A synthetic data engine renders word, line and page images with correct complex-script shaping and automatically derived labels; a YOLOv8 word detector and a convolutional recurrent recognizer trained with connectionist temporal classification learn from these images; and a stage-gate evaluation protocol isolates recognition error before detection is introduced. We demonstrate the framework on Kashmiri, a Perso-Arabic Nastaliq script with approximately 6.8 million speakers that none of six widely used OCR engines supports. Three line-level recognizers, including one transferred from Arabic, stalled between 41% and 79% character error rate (CER), motivating a word-level formulation; subsequent improvements came primarily from rendering fidelity, diacritic-preserving crop margins and tuned non-maximum suppression. The resulting system achieves 0.39% CER on held-out words, 10.0% on synthetic pages and 13.5% on browser-rendered digital pages, and establishes reference results of 18.45% on typeset book pages and 49.8% on degraded historical documents. We publicly release the trained models, the inference code and a synthetic dataset of 285,864 Kashmiri text-line images, and we describe a step-by-step procedure for building OCR for other unsupported scripts.

Biomedical ontology normalization maps free-text expressions to standardized concepts, enabling consistent integration and analysis of biomedical data. This task remains challenging because lexical variation and subtle distinctions among hierarchically related concepts can obscure concept boundaries. We present OntologyAligner, a three-stage framework that combines ontology-aligned retrieval, large language model candidate reranking, and selective hierarchy-guided refinement. We also construct PhenoNormBench, a unified benchmark comprising 13,390 samples from seven Human Phenotype Ontology datasets. OntologyAligner achieved state-of-the-art performance on HPO normalization, with 88.78% Macro Top-1 Accuracy and 86.75% Micro Top-1 Accuracy, exceeding the strongest baseline by 4.85 and 5.07 percentage points, respectively. Ablation analyses showed complementary contributions from all three stages, and sensitivity analyses demonstrated stability across candidate-set sizes and model backbones. Applications to MONDO, MEDIC, and NCBITaxon further established portability to other ontologies. OntologyAligner offers a generalizable framework for accurate mapping of biomedical text to structured ontology concepts. PhenoNormBench and the code are publicly available at https://github.com/zhelishisongjie/OntologyAligner.

Referring expression comprehension aims to localize the object instance described by a natural language expression. Current referring expression methods have achieved good performance. However, none of them is able to achieve real-time inference without accuracy drop. The reason for the relatively slow inference speed is that these methods artificially split the referring expression comprehension into two sequential stages including proposal generation and proposal ranking. It does not exactly conform to the habit of human cognition. To this end, we propose a novel Realtime Cross-modality Correlation Filtering method (RCCF). RCCF reformulates the referring expression comprehension as a correlation filtering process. The expression is first mapped from the language domain to the visual domain and then treated as a template (kernel) to perform correlation filtering on the image feature map. The peak value in the correlation heatmap indicates the center points of the target box. In addition, RCCF also regresses a 2-D object size and 2-D offset. The center point coordinates, object size and center point offset together to form the target bounding box. Our method runs at 40 FPS while achieving leading performance in RefClef, RefCOCO, RefCOCO+ and RefCOCOg benchmarks. In the challenging RefClef dataset, our methods almost double the state-of-the-art performance (34.70% increased to 63.79%). We hope this work can arouse more attention and studies to the new cross-modality correlation filtering framework as well as the one-stage framework for referring expression comprehension.

Medical imaging is frequently used in clinical practice and trials for diagnosis and treatment. Writing imaging reports is time-consuming and can be error-prone for inexperienced radiologists. Therefore, automatically generating radiology reports is highly desired to lighten the workload of radiologists and accordingly promote clinical automation, which is an essential task to apply artificial intelligence to the medical domain. In this paper, we propose to generate radiology reports with memory-driven Transformer, where a relational memory is designed to record key information of the generation process and a memory-driven conditional layer normalization is applied to incorporating the memory into the decoder of Transformer. Experimental results on two prevailing radiology report datasets, IU X-Ray and MIMIC-CXR, show that our proposed approach outperforms previous models with respect to both language generation metrics and clinical evaluations. Particularly, this is the first work reporting the generation results on MIMIC-CXR to the best of our knowledge. Further analyses also demonstrate that our approach is able to generate long reports with necessary medical terms as well as meaningful image-text attention mappings.

In this article, we introduce a novel normalization technique for neural network weight matrices, which we term weight conditioning. This approach aims to narrow the gap between the smallest and largest singular values of the weight matrices, resulting in better-conditioned matrices. The inspiration for this technique partially derives from numerical linear algebra, where well-conditioned matrices are known to facilitate stronger convergence results for iterative solvers. We provide a theoretical foundation demonstrating that our normalization technique smoothens the loss landscape, thereby enhancing convergence of stochastic gradient descent algorithms. Empirically, we validate our normalization across various neural network architectures, including Convolutional Neural Networks (CNNs), Vision Transformers (ViT), Neural Radiance Fields (NeRF), and 3D shape modeling. Our findings indicate that our normalization method is not only competitive but also outperforms existing weight normalization techniques from the literature.

This paper explores the pitfalls in evaluating multilingual automatic speech recognition (ASR) models, with a particular focus on Indic language scripts. We investigate the text normalization routine employed by leading ASR models, including OpenAI Whisper, Meta's MMS, Seamless, and Assembly AI's Conformer, and their unintended consequences on performance metrics. Our research reveals that current text normalization practices, while aiming to standardize ASR outputs for fair comparison, by removing inconsistencies such as variations in spelling, punctuation, and special characters, are fundamentally flawed when applied to Indic scripts. Through empirical analysis using text similarity scores and in-depth linguistic examination, we demonstrate that these flaws lead to artificially improved performance metrics for Indic languages. We conclude by proposing a shift towards developing text normalization routines that leverage native linguistic expertise, ensuring more robust and accurate evaluations of multilingual ASR models.

Automated radiology report generation from 3D computed tomography (CT) volumes is challenging due to extreme sequence lengths, severe class imbalance, and the tendency of large language models (LLMs) to ignore visual tokens in favor of linguistic priors. We present Ker-VLJEPA-3B, a four-phase curriculum learning framework for free-text report generation from thoracic CT volumes. A phased training curriculum progressively adapts a Llama 3.2 3B decoder to ground its output in visual features from a frozen, self-supervised encoder. Our visual backbone (LeJEPA ViT-Large) is trained via self-supervised joint-embedding prediction on unlabeled CTs, without text supervision. Unlike contrastive models (CLIP, BiomedCLIP), this language-free backbone yields modality-pure representations. Vision-language alignment is deferred to the curriculum's bridge and generation phases. This modality-agnostic design can integrate any self-supervised encoder into an LLM without paired text during foundation training. Methodological innovations include: (1) zone-constrained cross-attention compressing slice embeddings into 32 spatially-grounded visual tokens; (2) PCA whitening of anisotropic LLM embeddings; (3) a positive-findings-only strategy eliminating posterior collapse; (4) warm bridge initialization transferring projection weights; and (5) selective cross-attention freezing with elastic weight consolidation to prevent catastrophic forgetting. Evaluated on the CT-RATE benchmark (2,984 validation volumes, 18 classes), Ker-VLJEPA-3B achieves a macro F1 of 0.429, surpassing the state-of-the-art (U-VLM, macro F1 = 0.414) by 3.6%, and reaching 0.448 (+8.2%) with threshold optimization. Ablation studies confirm 56.6% of generation quality derives from patient-specific visual content. Code and weights are available.

Accurate interpretation of lab results is crucial in clinical medicine, yet most patient portals use universal normal ranges, ignoring conditional factors like age and gender. This study introduces Lab-AI, an interactive system that offers personalized normal ranges using retrieval-augmented generation (RAG) from credible health sources. Lab-AI has two modules: factor retrieval and normal range retrieval. We tested these on 122 lab tests: 40 with conditional factors and 82 without. For tests with factors, normal ranges depend on patient-specific information. Our results show GPT-4-turbo with RAG achieved a 0.948 F1 score for factor retrieval and 0.995 accuracy for normal range retrieval. GPT-4-turbo with RAG outperformed the best non-RAG system by 33.5% in factor retrieval and showed 132% and 100% improvements in question-level and lab-level performance, respectively, for normal range retrieval. These findings highlight Lab-AI's potential to enhance patient understanding of lab results.

Multiparametric magnetic resonance imaging (mpMRI) has demonstrated promising results in prostate cancer (PCa) detection using deep convolutional neural networks (CNNs). Recently, transformers have achieved competitive performance compared to CNNs in computer vision. Large-scale transformers need abundant annotated data for training, which are difficult to obtain in medical imaging. Self-supervised learning can effectively leverage unlabeled data to extract useful semantic representations without annotation and its associated costs. This can improve model performance on downstream tasks with limited labelled data and increase generalizability. We introduce a novel end-to-end Cross-Shaped windows (CSwin) transformer UNet model, CSwin UNet, to detect clinically significant prostate cancer (csPCa) in prostate bi-parametric MR imaging (bpMRI) and demonstrate the effectiveness of our proposed self-supervised pre-training framework. Using a large prostate bpMRI dataset with 1500 patients, we first pre-train CSwin transformer using multi-task self-supervised learning to improve data-efficiency and network generalizability. We then finetuned using lesion annotations to perform csPCa detection. Five-fold cross validation shows that self-supervised CSwin UNet achieves 0.888 AUC and 0.545 Average Precision (AP), significantly outperforming four state-of-the-art models (Swin UNETR, DynUNet, Attention UNet, UNet). Using a separate bpMRI dataset with 158 patients, we evaluated our model robustness to external hold-out data. Self-supervised CSwin UNet achieves 0.79 AUC and 0.45 AP, still outperforming all other comparable methods and demonstrating generalization to a dataset shift.

Solid results from Transformers have made them prevailing architectures in various natural language and vision tasks. As a default component in Transformers, Layer Normalization (LN) normalizes activations within each token to boost the robustness. However, LN requires on-the-fly statistics calculation in inference as well as division and square root operations, leading to inefficiency on hardware. What is more, replacing LN with other hardware-efficient normalization schemes (e.g., Batch Normalization) results in inferior performance, even collapse in training. We find that this dilemma is caused by abnormal behaviors of activation statistics, including large fluctuations over iterations and extreme outliers across layers. To tackle these issues, we propose Unified Normalization (UN), which can speed up the inference by being fused with other linear operations and achieve comparable performance on par with LN. UN strives to boost performance by calibrating the activation and gradient statistics with a tailored fluctuation smoothing strategy. Meanwhile, an adaptive outlier filtration strategy is applied to avoid collapse in training whose effectiveness is theoretically proved and experimentally verified in this paper. We demonstrate that UN can be an efficient drop-in alternative to LN by conducting extensive experiments on language and vision tasks. Besides, we evaluate the efficiency of our method on GPU. Transformers equipped with UN enjoy about 31% inference speedup and nearly 18% memory reduction. Code will be released at https://github.com/hikvision-research/Unified-Normalization.

Depth is a natural way to increase the computational capacity in Transformers, yet the contribution of deeper layers can diminish as depth grows larger. Recent approaches enhance normalization (e.g., LayerNorm Scaling) or residual connections (e.g., mHC, AttnRes) to enable better information flow and depth utilization. However, it remains unclear whether they truly translate increased architectural depth into effective computational depth, and whether their reported gains stem from better access to information across depth, or unaccounted-for confounding factors. In this paper, we introduce DepthBench, a controlled benchmark for studying computational depth across various architectures. We systematically vary the width--depth aspect ratio (d_{model}/n_{layer}) from shallow--wide to deep--narrow shapes, while keeping the model size and pre-training recipe fixed. Across 10 representative architectures, we find that the benefit of allocating more capacity to depth is strongly architecture-dependent. Standard Pre-LN and most of its norm- and scaling-based variants provide little benefit and can even degrade performance as models become deeper and narrower, whereas HC and Full AttnRes improve consistently even at extreme deep shapes. These gains extend beyond pre-training loss and consistently translate into improved domain-specific performance and effective computation. Controlled layer-level analyses further show that the gains of HC and Full AttnRes are associated with more effective utilization of additional layers, revealing distinct mechanisms of computational depth across architectures. Overall, our results identify residual connection design as a key determinant of whether depth can serve as a meaningful scaling axis by enabling additional architectural depth to translate into effective computation.

Bone overlap can obscure abnormalities in chest radiographs, while scarce paired training data limit supervised bone suppression. We address this challenge with a digitally reconstructed radiograph (DRR) framework that converts chest computed tomography (CT) into paired supervision for component suppression. A novel bone segmentation algorithm enables CT decomposition into bone, non-lung soft-tissue, and lung components, which are projected separately. Their weighted combination yields synthetic radiographs with pixel-registered component images that sum exactly to the full DRR. Models trained on these data suppress bone or lung components by predicting the target component and recovering the remainder by subtraction, transferring to real radiographs without real paired training data. As an extension, their outputs on real radiographs provide target domains for unpaired, component-wise DRR translation, reducing the appearance gap while retaining anatomical details. Across multiple public datasets, downstream detection experiments demonstrate the utility of bone suppression, with gains concentrated on abnormalities with substantial bone overlap. Compared with open-source DRR engines applied to the same CTs, our unmodified DRRs achieve comparable realism and preservation of label-relevant anatomy, while translated DRRs achieve the best Fréchet inception distance (FID), lung-field sharpness, and agreement with source-CT anatomy among the evaluated methods. Models and inference code: https://huggingface.co/qureaiorg/bone-suppression; Translated projections: https://huggingface.co/datasets/qureaiorg/ct2xr-projections.

Information retrieval (IR) is essential in biomedical knowledge acquisition and clinical decision support. While recent progress has shown that language model encoders perform better semantic retrieval, training such models requires abundant query-article annotations that are difficult to obtain in biomedicine. As a result, most biomedical IR systems only conduct lexical matching. In response, we introduce BioCPT, a first-of-its-kind Contrastively Pre-trained Transformer model for zero-shot biomedical IR. To train BioCPT, we collected an unprecedented scale of 255 million user click logs from PubMed. With such data, we use contrastive learning to train a pair of closely-integrated retriever and re-ranker. Experimental results show that BioCPT sets new state-of-the-art performance on five biomedical IR tasks, outperforming various baselines including much larger models such as GPT-3-sized cpt-text-XL. In addition, BioCPT also generates better biomedical article and sentence representations for semantic evaluations. As such, BioCPT can be readily applied to various real-world biomedical IR tasks. BioCPT API and code are publicly available at https://github.com/ncbi/BioCPT.

Handwritten document recognition (HDR) is one of the most challenging tasks in the field of computer vision, due to the various writing styles and complex layouts inherent in handwritten texts. Traditionally, this problem has been approached as two separate tasks, handwritten text recognition and layout analysis, and struggled to integrate the two processes effectively. This paper introduces HAND (Hierarchical Attention Network for Multi-Scale Document), a novel end-to-end and segmentation-free architecture for simultaneous text recognition and layout analysis tasks. Our model's key components include an advanced convolutional encoder integrating Gated Depth-wise Separable and Octave Convolutions for robust feature extraction, a Multi-Scale Adaptive Processing (MSAP) framework that dynamically adjusts to document complexity and a hierarchical attention decoder with memory-augmented and sparse attention mechanisms. These components enable our model to scale effectively from single-line to triple-column pages while maintaining computational efficiency. Additionally, HAND adopts curriculum learning across five complexity levels. To improve the recognition accuracy of complex ancient manuscripts, we fine-tune and integrate a Domain-Adaptive Pre-trained mT5 model for post-processing refinement. Extensive evaluations on the READ 2016 dataset demonstrate the superior performance of HAND, achieving up to 59.8% reduction in CER for line-level recognition and 31.2% for page-level recognition compared to state-of-the-art methods. The model also maintains a compact size of 5.60M parameters while establishing new benchmarks in both text recognition and layout analysis. Source code and pre-trained models are available at : https://github.com/MHHamdan/HAND.

Stain normalization algorithms aim to transform the color and intensity characteristics of a source multi-gigapixel histology image to match those of a target image, mitigating inconsistencies in the appearance of stains used to highlight cellular components in the images. We propose a new approach, StainFuser, which treats this problem as a style transfer task using a novel Conditional Latent Diffusion architecture, eliminating the need for handcrafted color components. With this method, we curate SPI-2M the largest stain normalization dataset to date of over 2 million histology images with neural style transfer for high-quality transformations. Trained on this data, StainFuser outperforms current state-of-the-art GAN and handcrafted methods in terms of the quality of normalized images. Additionally, compared to existing approaches, it improves the performance of nuclei instance segmentation and classification models when used as a test time augmentation method on the challenging CoNIC dataset. Finally, we apply StainFuser on multi-gigapixel Whole Slide Images (WSIs) and demonstrate improved performance in terms of computational efficiency, image quality and consistency across tiles over current methods.

Large clinical language models often require multi-GPU infrastructure, limiting local deployment. We introduce CERTA, a decision-level statistical certificate that determines when a quantized model may substitute for its native BF16 reference and escalates decisions that cannot be certified to it. Across eleven instruction-tuned models, both general-purpose and domain-adapted, from three families (7-72B), we evaluated 2,500 clinical-verification decisions from de-identified patient contexts (2,484 patients), with patient-disjoint calibration and testing. In the higher-power operational analysis, round-to-nearest 8-bit quantization at BF16 storage served 99.8-100% of held-out decisions across all eleven models; formal finite-sample guarantees were assessed separately using the exact split-sample procedure. In the same operational analysis, the class-conditional 4-bit frontier reduced the amortized, BF16-equivalent deployment cost to 25.8% and 27.3% of the BF16 reference for Qwen2.5-72B and HuatuoGPT-o1-72B, respectively, with measured peak memory of 43.0 and 42.7 GB, below the nominal capacity of a single 48 GB accelerator. Deployment on that specific hardware was not directly tested. Under the exact split-sample certificate, which also accounts for configuration selection, these costs were 26.7% and 27.9%. On external disease named-entity benchmarks against human annotations, the frontier-selected NF4 configurations had a mean absolute F1 change of 0.045 on both datasets, with substantial model-specific variation. CERTA converts compression from a fixed precision choice into a risk-controlled deployment policy for this verification task.

Composed Image Retrieval (CIR) aims to find a target image that aligns with user intent, expressed through a reference image and a modification text. While Zero-shot CIR (ZS-CIR) methods sidestep the need for labeled training data by leveraging pretrained vision-language models, they often rely on a single fused query that merges all descriptive cues of what the user wants, tending to dilute key information and failing to account for what they wish to avoid. Moreover, current CIR benchmarks assume a single correct target per query, overlooking the ambiguity in modification texts. To address these challenges, we propose Soft Filtering with Textual constraints (SoFT), a training-free, plug-and-play filtering module for ZS-CIR. SoFT leverages multimodal large language models (LLMs) to extract two complementary constraints from the reference-modification pair: prescriptive (must-have) and proscriptive (must-avoid) constraints. These serve as semantic filters that reward or penalize candidate images to re-rank results, without modifying the base retrieval model or adding supervision. In addition, we construct a two-stage dataset pipeline that refines CIR benchmarks. We first identify multiple plausible targets per query to construct multi-target triplets, capturing the open-ended nature of user intent. Then guide multimodal LLMs to rewrite the modification text to focus on one target, while referencing contrastive distractors to ensure precision. This enables more comprehensive and reliable evaluation under varying ambiguity levels. Applied on top of CIReVL, a ZS-CIR retriever, SoFT raises R@5 to 65.25 on CIRR (+12.94), mAP@50 to 27.93 on CIRCO (+6.13), and R@50 to 58.44 on FashionIQ (+4.59), demonstrating broad effectiveness.

This paper is dedicated to the design and evaluation of the first AMR parser tailored for clinical notes. Our objective was to facilitate the precise transformation of the clinical notes into structured AMR expressions, thereby enhancing the interpretability and usability of clinical text data at scale. Leveraging the colon cancer dataset from the Temporal Histories of Your Medical Events (THYME) corpus, we adapted a state-of-the-art AMR parser utilizing continuous training. Our approach incorporates data augmentation techniques to enhance the accuracy of AMR structure predictions. Notably, through this learning strategy, our parser achieved an impressive F1 score of 88% on the THYME corpus's colon cancer dataset. Moreover, our research delved into the efficacy of data required for domain adaptation within the realm of clinical notes, presenting domain adaptation data requirements for AMR parsing. This exploration not only underscores the parser's robust performance but also highlights its potential in facilitating a deeper understanding of clinical narratives through structured semantic representations.

Recurrent models are a popular choice for video enhancement tasks such as video denoising or super-resolution. In this work, we focus on their stability as dynamical systems and show that they tend to fail catastrophically at inference time on long video sequences. To address this issue, we (1) introduce a diagnostic tool which produces input sequences optimized to trigger instabilities and that can be interpreted as visualizations of temporal receptive fields, and (2) propose two approaches to enforce the stability of a model during training: constraining the spectral norm or constraining the stable rank of its convolutional layers. We then introduce Stable Rank Normalization for Convolutional layers (SRN-C), a new algorithm that enforces these constraints. Our experimental results suggest that SRN-C successfully enforces stability in recurrent video processing models without a significant performance loss.

Vision-language pre-training, i.e., aligning images with paired text, is a powerful paradigm to create encoders that can be directly used for tasks such as classification and retrieval, and for downstream tasks such as segmentation and report generation. In the 3D medical image domain, these capabilities allow vision-language encoders (VLEs) to support radiologists by retrieving patients with similar abnormalities or predicting likelihoods of abnormality. While the methodology holds promise, data availability limits the capabilities of current 3D VLEs. In this paper, we alleviate the lack of data by injecting additional inductive biases: introducing a report generation objective and pairing vision-language pre-training with vision-only pre-training. This allows us to leverage both image-only and paired image-text 3D datasets, increasing the total amount of data to which our model is exposed. Through these additional inductive biases, paired with best practices of the 3D medical imaging domain, we develop the Comprehensive Language-image Pre-training (COLIPRI) encoder family. Our COLIPRI encoders achieve state-of-the-art performance in report generation, classification probing, and zero-shot classification, and remain competitive for semantic segmentation.

Curvilinear object segmentation plays a crucial role across various applications, yet datasets in this domain often suffer from small scale due to the high costs associated with data acquisition and annotation. To address these challenges, this paper introduces a novel approach for expanding curvilinear object segmentation datasets, focusing on enhancing the informativeness of generated data and the consistency between semantic maps and generated images. Our method enriches synthetic data informativeness by generating curvilinear objects through their multiple textual features. By combining textual features from each sample in original dataset, we obtain synthetic images that beyond the original dataset's distribution. This initiative necessitated the creation of the Curvilinear Object Segmentation based on Text Generation (COSTG) dataset. Designed to surpass the limitations of conventional datasets, COSTG incorporates not only standard semantic maps but also some textual descriptions of curvilinear object features. To ensure consistency between synthetic semantic maps and images, we introduce the Semantic Consistency Preserving ControlNet (SCP ControlNet). This involves an adaptation of ControlNet with Spatially-Adaptive Normalization (SPADE), allowing it to preserve semantic information that would typically be washed away in normalization layers. This modification facilitates more accurate semantic image synthesis. Experimental results demonstrate the efficacy of our approach across three types of curvilinear objects (angiography, crack and retina) and six public datasets (CHUAC, XCAD, DCA1, DRIVE, CHASEDB1 and Crack500). The synthetic data generated by our method not only expand the dataset, but also effectively improves the performance of other curvilinear object segmentation models. Source code and dataset are available at https://github.com/tanlei0/COSTG.

We present TransNormerLLM, the first linear attention-based Large Language Model (LLM) that outperforms conventional softmax attention-based models in terms of both accuracy and efficiency. TransNormerLLM evolves from the previous linear attention architecture TransNormer by making advanced modifications that include positional embedding, linear attention acceleration, gating mechanism, tensor normalization, inference acceleration and stabilization. Specifically, we use LRPE together with an exponential decay to avoid attention dilution issues while allowing the model to retain global interactions between tokens. Additionally, we propose Lightning Attention, a cutting-edge technique that accelerates linear attention by more than twice in runtime and reduces memory usage by a remarkable four times. To further enhance the performance of TransNormer, we leverage a gating mechanism to smooth training and a new tensor normalization scheme to accelerate the model, resulting in an impressive acceleration of over 20%. Furthermore, we have developed a robust inference algorithm that ensures numerical stability and consistent inference speed, regardless of the sequence length, showcasing superior efficiency during both training and inference stages. Scalability is at the heart of our model's design, enabling seamless deployment on large-scale clusters and facilitating expansion to even more extensive models, all while maintaining outstanding performance metrics. Rigorous validation of our model design is achieved through a series of comprehensive experiments on our self-collected corpus, boasting a size exceeding 6TB and containing over 2 trillion tokens. To ensure data quality and relevance, we implement a new self-cleaning strategy to filter our collected data. Our pre-trained models will be released to foster community advancements in efficient LLMs.

This paper presents a large publicly available multi-center lumbar spine magnetic resonance imaging (MRI) dataset with reference segmentations of vertebrae, intervertebral discs (IVDs), and spinal canal. The dataset includes 447 sagittal T1 and T2 MRI series from 218 patients with a history of low back pain. It was collected from four different hospitals and was divided into a training (179 patients) and validation (39 patients) set. An iterative data annotation approach was used by training a segmentation algorithm on a small part of the dataset, enabling semi-automatic segmentation of the remaining images. The algorithm provided an initial segmentation, which was subsequently reviewed, manually corrected, and added to the training data. We provide reference performance values for this baseline algorithm and nnU-Net, which performed comparably. We set up a continuous segmentation challenge to allow for a fair comparison of different segmentation algorithms. This study may encourage wider collaboration in the field of spine segmentation, and improve the diagnostic value of lumbar spine MRI.

Objective: To enhance automated de-identification of radiology reports by scaling transformer-based models through extensive training datasets and benchmarking performance against commercial cloud vendor systems for protected health information (PHI) detection. Materials and Methods: In this retrospective study, we built upon a state-of-the-art, transformer-based, PHI de-identification pipeline by fine-tuning on two large annotated radiology corpora from Stanford University, encompassing chest X-ray, chest CT, abdomen/pelvis CT, and brain MR reports and introducing an additional PHI category (AGE) into the architecture. Model performance was evaluated on test sets from Stanford and the University of Pennsylvania (Penn) for token-level PHI detection. We further assessed (1) the stability of synthetic PHI generation using a "hide-in-plain-sight" method and (2) performance against commercial systems. Precision, recall, and F1 scores were computed across all PHI categories. Results: Our model achieved overall F1 scores of 0.973 on the Penn dataset and 0.996 on the Stanford dataset, outperforming or maintaining the previous state-of-the-art model performance. Synthetic PHI evaluation showed consistent detectability (overall F1: 0.959 [0.958-0.960]) across 50 independently de-identified Penn datasets. Our model outperformed all vendor systems on synthetic Penn reports (overall F1: 0.960 vs. 0.632-0.754). Discussion: Large-scale, multimodal training improved cross-institutional generalization and robustness. Synthetic PHI generation preserved data utility while ensuring privacy. Conclusion: A transformer-based de-identification model trained on diverse radiology datasets outperforms prior academic and commercial systems in PHI detection and establishes a new benchmark for secure clinical text processing.

Effective medical text retrieval requires both high accuracy and low latency. While LLM-based embedding models possess powerful retrieval capabilities, their prohibitive latency and high computational cost limit their application in real-time scenarios. Furthermore, the lack of comprehensive and high-fidelity benchmarks hinders progress in Chinese medical text retrieval. In this work, we introduce the Chinese Medical Text Embedding Benchmark (CMedTEB), a benchmark spanning three kinds of practical embedding tasks: retrieval, reranking, and semantic textual similarity (STS). Distinct from purely automated datasets, CMedTEB is curated via a rigorous multi-LLM voting pipeline validated by clinical experts, ensuring gold-standard label quality while effectively mitigating annotation noise. On this foundation, we propose the Chinese Medical Asymmetric REtriever (CARE), an asymmetric architecture that pairs a lightweight BERT-style encoder for online query encoding with a powerful LLM-based encoder for offline document encoding. However, optimizing such an asymmetric retriever with two structurally different encoders presents distinctive challenges. To address this, we introduce a novel two-stage training strategy that progressively bridges the query and document representations. Extensive experiments demonstrate that CARE surpasses state-of-the-art symmetric models on CMedTEB, achieving superior retrieval performance without increasing inference latency.

Medical image retrieval is essential for clinical decision-making and translational research, relying on discriminative visual representations. Yet, current methods remain fragmented, relying on separate architectures and training strategies for 2D, 3D, and video-based medical data. This modality-specific design hampers scalability and inhibits the development of unified representations. To enable unified learning, we curate a large-scale hybrid-modality dataset comprising 867,653 medical imaging samples, including 2D X-rays and ultrasounds, RGB endoscopy videos, and 3D CT scans. Leveraging this dataset, we train M3Ret, a unified visual encoder without any modality-specific customization. It successfully learns transferable representations using both generative (MAE) and contrastive (SimDINO) self-supervised learning (SSL) paradigms. Our approach sets a new state-of-the-art in zero-shot image-to-image retrieval across all individual modalities, surpassing strong baselines such as DINOv3 and the text-supervised BMC-CLIP. More remarkably, strong cross-modal alignment emerges without paired data, and the model generalizes to unseen MRI tasks, despite never observing MRI during pretraining, demonstrating the generalizability of purely visual self-supervision to unseen modalities. Comprehensive analyses further validate the scalability of our framework across model and data sizes. These findings deliver a promising signal to the medical imaging community, positioning M3Ret as a step toward foundation models for visual SSL in multimodal medical image understanding.

We systematically explored a spectrum of normalization algorithms related to Batch Normalization (BN) and propose a generalized formulation that simultaneously solves two major limitations of BN: (1) online learning and (2) recurrent learning. Our proposal is simpler and more biologically-plausible. Unlike previous approaches, our technique can be applied out of the box to all learning scenarios (e.g., online learning, batch learning, fully-connected, convolutional, feedforward, recurrent and mixed --- recurrent and convolutional) and compare favorably with existing approaches. We also propose Lp Normalization for normalizing by different orders of statistical moments. In particular, L1 normalization is well-performing, simple to implement, fast to compute, more biologically-plausible and thus ideal for GPU or hardware implementations.

Vision-Language Pre-training (VLP) has shown the merits of analysing medical images, by leveraging the semantic congruence between medical images and their corresponding reports. It efficiently learns visual representations, which in turn facilitates enhanced analysis and interpretation of intricate imaging data. However, such observation is predominantly justified on single-modality data (mostly 2D images like X-rays), adapting VLP to learning unified representations for medical images in real scenario remains an open challenge. This arises from medical images often encompass a variety of modalities, especially modalities with different various number of dimensions (e.g., 3D images like Computed Tomography). To overcome the aforementioned challenges, we propose an Unified Medical Image Pre-training framework, namely UniMedI, which utilizes diagnostic reports as common semantic space to create unified representations for diverse modalities of medical images (especially for 2D and 3D images). Under the text's guidance, we effectively uncover visual modality information, identifying the affected areas in 2D X-rays and slices containing lesion in sophisticated 3D CT scans, ultimately enhancing the consistency across various medical imaging modalities. To demonstrate the effectiveness and versatility of UniMedI, we evaluate its performance on both 2D and 3D images across 10 different datasets, covering a wide range of medical image tasks such as classification, segmentation, and retrieval. UniMedI has demonstrated superior performance in downstream tasks, showcasing its effectiveness in establishing a universal medical visual representation.

Objective: To improve performance of medical entity normalization across many languages, especially when fewer language resources are available compared to English. Materials and Methods: We introduce xMEN, a modular system for cross-lingual medical entity normalization, which performs well in both low- and high-resource scenarios. When synonyms in the target language are scarce for a given terminology, we leverage English aliases via cross-lingual candidate generation. For candidate ranking, we incorporate a trainable cross-encoder model if annotations for the target task are available. We also evaluate cross-encoders trained in a weakly supervised manner based on machine-translated datasets from a high resource domain. Our system is publicly available as an extensible Python toolkit. Results: xMEN improves the state-of-the-art performance across a wide range of multilingual benchmark datasets. Weakly supervised cross-encoders are effective when no training data is available for the target task. Through the compatibility of xMEN with the BigBIO framework, it can be easily used with existing and prospective datasets. Discussion: Our experiments show the importance of balancing the output of general-purpose candidate generators with subsequent trainable re-rankers, which we achieve through a rank regularization term in the loss function of the cross-encoder. However, error analysis reveals that multi-word expressions and other complex entities are still challenging. Conclusion: xMEN exhibits strong performance for medical entity normalization in multiple languages, even when no labeled data and few terminology aliases for the target language are available. Its configuration system and evaluation modules enable reproducible benchmarks. Models and code are available online at the following URL: https://github.com/hpi-dhc/xmen

Vision-language (VL) pretraining using paired chest X-ray (CXR) images and radiology reports has shown strong potential for medical image understanding. However, existing methods often remain dependent on task-specific finetuning because radiology reports are lengthy, clinically dense, and difficult to align with simple zero-shot prompts. Recent sentence-level approaches partially address this limitation using clinical phrases extracted by large language models (LLMs), but they largely overlook the intrinsic characteristics of radiology discourse. In particular, limited positive-pair diversity constrains further gains, while clinically equivalent sentences frequently recur across patients, creating false negatives in contrastive learning. To address these issues, we propose SentZero, an enhanced sentence-centric VL pretraining framework for zero-shot, multi-task CXR analysis. SentZero introduces LLM-based abstract-level sentence structuring and mapping to expand positive-pair diversity, together with an additional loss term to mitigate false negatives. We further introduce sentence-conditioned residual modulation of visual embeddings, enabling visual features to adapt to the semantic characteristics of each input sentence. Across diverse downstream tasks and datasets, SentZero improves zero-shot generalization and outperforms prior multi-task zero-shot methods.

Rerankers decide which documents users and LLMs see, yet their standard metric, nDCG, relies on human relevance labels that are costly, sparse, noisy, and discretely graded. As rerankers approach each other in quality, nDCG on these labels therefore increasingly fails to separate them. LLM judges could supply dense labels. Relative judgments within one query tell even close candidates apart, yet their scores share no scale across queries. Absolute grades share one scale but are too coarse to distinguish documents of similar relevance. We propose Rubric-Calibrated Preferences (RCP), which combine both kinds of judgment. A listwise Bradley-Terry tournament orders each query's documents, and a rubric of yes/no criteria of increasing stringency provides an absolute standard. Item Response Theory (IRT), which scores test-takers based on their answers to common questions, then uses the shared criteria to put all queries' tournament scores on one scale. RCP's retrieval metric, RCP-nDCG, replaces nDCG's discrete labels with the resulting calibrated relevance probabilities. Against blind grades from 46 external annotators, calibration raises the correlation between a query's mean score and its mean human grade from 0.538 to 0.795. The probabilities rank a useful document above a non-useful one with probability 0.910 (AUC, chance 0.5), versus 0.651 for the benchmark labels. When the annotators' grades prefer one of two rerankers and exactly one metric agrees, that metric is RCP-nDCG in 72.4% of 185 comparisons (chance about 53%). On TREC-DL, RCP-nDCG sides with NIST assessors' grades on every reranker pair that these grades separate significantly. RCP-nDCG also resolves many of nDCG's ties and separates 1.9 times as many reranker pairs on NanoBEIR. Rubric calibration thus turns relative LLM judgments into dense relevance labels that are comparable across queries and agree with human judgment.

Despite the growing demand for accurate surface normal estimation models, existing methods use general-purpose dense prediction models, adopting the same inductive biases as other tasks. In this paper, we discuss the inductive biases needed for surface normal estimation and propose to (1) utilize the per-pixel ray direction and (2) encode the relationship between neighboring surface normals by learning their relative rotation. The proposed method can generate crisp - yet, piecewise smooth - predictions for challenging in-the-wild images of arbitrary resolution and aspect ratio. Compared to a recent ViT-based state-of-the-art model, our method shows a stronger generalization ability, despite being trained on an orders of magnitude smaller dataset. The code is available at https://github.com/baegwangbin/DSINE.

Supervised synthetic CT generation from CBCT requires registered training pairs, yet perfect registration between separately acquired scans remains unattainable. This registration bias propagates into trained models and corrupts standard evaluation metrics. This may suggest that superior benchmark performance indicates better reproduction of registration artifacts rather than anatomical fidelity. We propose physics-based CBCT simulation to provide geometrically aligned training pairs by construction, combined with evaluation using geometric alignment metrics against input CBCT rather than biased ground truth. On two independent pelvic datasets, models trained on synthetic data achieved superior geometric alignment (Normalized Mutual Information: 0.31 vs 0.22) despite lower conventional intensity scores. Intensity metrics showed inverted correlations with clinical assessment for deformably registered data, while Normalized Mutual Information consistently predicted observer preference across registration methodologies (rho = 0.31, p < 0.001). Clinical observers preferred synthetic-trained outputs in 87% of cases, demonstrating that geometric fidelity, not intensity agreement with biased ground truth, aligns with clinical requirements.

Referring expression segmentation (RES) aims at segmenting the foreground masks of the entities that match the descriptive natural language expression. Previous datasets and methods for classic RES task heavily rely on the prior assumption that one expression must refer to object-level targets. In this paper, we take a step further to finer-grained part-level RES task. To promote the object-level RES task towards finer-grained vision-language understanding, we put forward a new multi-granularity referring expression segmentation (MRES) task and construct an evaluation benchmark called RefCOCOm by manual annotations. By employing our automatic model-assisted data engine, we build the largest visual grounding dataset namely MRES-32M, which comprises over 32.2M high-quality masks and captions on the provided 1M images. Besides, a simple yet strong model named UniRES is designed to accomplish the unified object-level and part-level grounding task. Extensive experiments on our RefCOCOm for MRES and three datasets (i.e., RefCOCO(+/g) for classic RES task demonstrate the superiority of our method over previous state-of-the-art methods. To foster future research into fine-grained visual grounding, our benchmark RefCOCOm, the MRES-32M dataset and model UniRES will be publicly available at https://github.com/Rubics-Xuan/MRES

Writing systems of Indic languages have orthographic syllables, also known as complex graphemes, as unique horizontal units. A prominent feature of these languages is these complex grapheme units that comprise consonants/consonant conjuncts, vowel diacritics, and consonant diacritics, which, together make a unique Language. Unicode-based writing schemes of these languages often disregard this feature of these languages and encode words as linear sequences of Unicode characters using an intricate scheme of connector characters and font interpreters. Due to this way of using a few dozen Unicode glyphs to write thousands of different unique glyphs (complex graphemes), there are serious ambiguities that lead to malformed words. In this paper, we are proposing two libraries: i) a normalizer for normalizing inconsistencies caused by a Unicode-based encoding scheme for Indic languages and ii) a grapheme parser for Abugida text. It deconstructs words into visually distinct orthographic syllables or complex graphemes and their constituents. Our proposed normalizer is a more efficient and effective tool than the previously used IndicNLP normalizer. Moreover, our parser and normalizer are also suitable tools for general Abugida text processing as they performed well in our robust word-based and NLP experiments. We report the pipeline for the scripts of 7 languages in this work and develop the framework for the integration of more scripts.

Cardiac magnetic resonance (CMR) is a key investigation in clinical cardiovascular medicine and has been used extensively in population research. However, extracting clinically important measurements such as ejection fraction for diagnosing cardiovascular diseases remains time-consuming and subjective. We developed CineMA, a foundation AI model automating these tasks with limited labels. CineMA is a self-supervised autoencoder model trained on 74,916 cine CMR studies to reconstruct images from masked inputs. After fine-tuning, it was evaluated across eight datasets on 23 tasks from four categories: ventricle and myocardium segmentation, left and right ventricle ejection fraction calculation, disease detection and classification, and landmark localisation. CineMA is the first foundation model for cine CMR to match or outperform convolutional neural networks (CNNs). CineMA demonstrated greater label efficiency than CNNs, achieving comparable or better performance with fewer annotations. This reduces the burden of clinician labelling and supports replacing task-specific training with fine-tuning foundation models in future cardiac imaging applications. Models and code for pre-training and fine-tuning are available at https://github.com/mathpluscode/CineMA, democratising access to high-performance models that otherwise require substantial computational resources, promoting reproducibility and accelerating clinical translation.

Medical image arbitrary-scale super-resolution (MIASSR) has recently gained widespread attention, aiming to super sample medical volumes at arbitrary scales via a single model. However, existing MIASSR methods face two major limitations: (i) reliance on high-resolution (HR) volumes and (ii) limited generalization ability, which restricts their application in various scenarios. To overcome these limitations, we propose Cube-based Neural Radiance Field (CuNeRF), a zero-shot MIASSR framework that can yield medical images at arbitrary scales and viewpoints in a continuous domain. Unlike existing MIASSR methods that fit the mapping between low-resolution (LR) and HR volumes, CuNeRF focuses on building a coordinate-intensity continuous representation from LR volumes without the need for HR references. This is achieved by the proposed differentiable modules: including cube-based sampling, isotropic volume rendering, and cube-based hierarchical rendering. Through extensive experiments on magnetic resource imaging (MRI) and computed tomography (CT) modalities, we demonstrate that CuNeRF outperforms state-of-the-art MIASSR methods. CuNeRF yields better visual verisimilitude and reduces aliasing artifacts at various upsampling factors. Moreover, our CuNeRF does not need any LR-HR training pairs, which is more flexible and easier to be used than others. Our code will be publicly available soon.

Hard-negative source selection for dense retrieval is usually decided only after fine-tuning and downstream evaluation. We propose ECI_{sem}, a semantic residual variant of Effective Contrastive Information (ECI) that ranks candidate negative sources using frozen target-encoder embeddings. ECI_{sem} is training-free, not label-free: each scored example requires a query, a labeled positive, and an explicit candidate negative. ECI_{sem} builds a weighted residual information matrix from target consistency, semantic locality, lexical residuality, and a log-determinant diversity objective. On MS MARCO negative sources, in-family ECI_{sem} ranks LLM negatives highest among non-hybrid sources and Dense+LLM highest among hybrid sources, matching the strongest aggregate BEIR transfer results across DistilBERT, E5-base, and Contriever. Controlled ablations show that this alignment depends on using the target encoder family, while additional ablations show stability under sample-size, temperature, tokenizer, and IDF-corpus perturbations. The theory gives a local linearized link to loss reduction, while the empirical study treats downstream evaluation as the final test.

Clinical MRI encompasses diverse imaging protocols--spanning anatomical targets (cardiac, brain, knee), contrasts (T1, T2, mapping), sampling patterns (Cartesian, radial, spiral, kt-space), and acceleration factors--yet current deep learning reconstructions are typically protocol-specific, hindering generalization and deployment. We introduce Scalable Deep Unrolled Model (SDUM), a universal framework combining a Restormer-based reconstructor, a learned coil sensitivity map estimator (CSME), sampling-aware weighted data consistency (SWDC), universal conditioning (UC) on cascade index and protocol metadata, and progressive cascade expansion training. SDUM exhibits foundation-model-like scaling behavior: reconstruction quality follows PSNR {sim} log(parameters) with correlation r{=}0.986 (R^2{=}0.973) up to 18 cascades, demonstrating predictable performance gains with model depth. A single SDUM trained on heterogeneous data achieves state-of-the-art results across all four CMRxRecon2025 challenge tracks--multi-center, multi-disease, 5T, and pediatric--without task-specific fine-tuning, surpassing specialized baselines by up to {+}1.0~dB. On CMRxRecon2024, SDUM outperforms the winning method PromptMR+ by {+}0.55~dB; on fastMRI brain, it exceeds PC-RNN by {+}1.8~dB. Ablations validate each component: SWDC {+}0.43~dB over standard DC, per-cascade CSME {+}0.51~dB, UC {+}0.38~dB. These results establish SDUM as a practical path toward universal, scalable MRI reconstruction.

A radiology report comprises several sections, including the Findings and Impression of the diagnosis. Automatically generating the Impression from the Findings is crucial for reducing radiologists' workload and improving diagnostic accuracy. Pretrained models that excel in common abstractive summarization problems encounter challenges when applied to specialized medical domains largely due to the complex terminology and the necessity for accurate clinical context. Such tasks in medical domains demand extracting core information, avoiding context shifts, and maintaining proper flow. Misuse of medical terms can lead to drastic clinical errors. To address these issues, we introduce a sequential transfer learning that ensures key content extraction and coherent summarization. Sequential transfer learning often faces challenges like initial parameter decay and knowledge loss, which we resolve with the Fisher matrix regularization. Using MIMIC-CXR and Open-I datasets, our model, CSTRL - Context-driven Sequential TRansfer Learning - achieved state-of-the-art performance, showing 56.2% improvement in BLEU-1, 40.5% in BLEU-2, 84.3% in BLEU-3, 28.9% in ROUGE-1, 41.0% in ROUGE-2 and 26.5% in ROGUE-3 score over benchmark studies. We also analyze factual consistency scores while preserving the medical context. Our code is publicly available at https://github.com/fahmidahossain/Report_Summarization.

Invasive coronary angiography (CAG) is the gold standard for diagnosing coronary artery disease, but interpretation varies substantially among observers. Existing AI systems can improve consistency but lack auditable decision processes and are limited in comprehensive open-ended assessment, undermining clinician trust and clinical adoption readiness. We developed CARDEA, a unified large vision-language model that serves as the inference core of a CAG pipeline. It was trained solely on public datasets and closed-ended tasks in three stages: visual feature alignment, a self-distilled Chain-of-Box (CoB) cold start, and reinforcement learning with verifiable rewards (RLVR) with a CoB reward encouraging bounding-box use in the reasoning trace. We assessed its two study-level diagnoses, dominance classification and complexity assessment, against a dedicated classifier and two interventional cardiologists. Report generation was excluded from training and evaluated zero-shot across stages on an external cohort using vessel-severity macro-F_1. CARDEA trailed the classifier on in-distribution dominance but drew level under domain shift (accuracy, 0.91 [95% confidence interval (CI), 0.86 to 0.95]) and was comparable to the cardiologists on complexity assessment (accuracy, 0.90 [CI, 0.82 to 0.97]). Only RLVR improved zero-shot report generation, raising its vessel-severity macro-F_1 (0.686 [CI, 0.664 to 0.707]) above the untuned base model (0.513) and over twice the always-normal floor (0.312). CARDEA runs an end-to-end CAG pipeline from raw multi-view videos through keyframe selection to study-level diagnosis while exposing auditable spatial evidence behind its conclusions. RLVR on verifiable closed-ended tasks surfaced open-ended reporting ability that supervised imitation did not. Clinical use requires prospective validation against expert cardiologists.

We propose a novel method called SHS-Net for oriented normal estimation of point clouds by learning signed hyper surfaces, which can accurately predict normals with global consistent orientation from various point clouds. Almost all existing methods estimate oriented normals through a two-stage pipeline, i.e., unoriented normal estimation and normal orientation, and each step is implemented by a separate algorithm. However, previous methods are sensitive to parameter settings, resulting in poor results from point clouds with noise, density variations and complex geometries. In this work, we introduce signed hyper surfaces (SHS), which are parameterized by multi-layer perceptron (MLP) layers, to learn to estimate oriented normals from point clouds in an end-to-end manner. The signed hyper surfaces are implicitly learned in a high-dimensional feature space where the local and global information is aggregated. Specifically, we introduce a patch encoding module and a shape encoding module to encode a 3D point cloud into a local latent code and a global latent code, respectively. Then, an attention-weighted normal prediction module is proposed as a decoder, which takes the local and global latent codes as input to predict oriented normals. Experimental results show that our SHS-Net outperforms the state-of-the-art methods in both unoriented and oriented normal estimation on the widely used benchmarks. The code, data and pretrained models are publicly available.

Multimodal models trained on large natural image-text pair datasets have exhibited astounding abilities in generating high-quality images. Medical imaging data is fundamentally different to natural images, and the language used to succinctly capture relevant details in medical data uses a different, narrow but semantically rich, domain-specific vocabulary. Not surprisingly, multi-modal models trained on natural image-text pairs do not tend to generalize well to the medical domain. Developing generative imaging models faithfully representing medical concepts while providing compositional diversity could mitigate the existing paucity of high-quality, annotated medical imaging datasets. In this work, we develop a strategy to overcome the large natural-medical distributional shift by adapting a pre-trained latent diffusion model on a corpus of publicly available chest x-rays (CXR) and their corresponding radiology (text) reports. We investigate the model's ability to generate high-fidelity, diverse synthetic CXR conditioned on text prompts. We assess the model outputs quantitatively using image quality metrics, and evaluate image quality and text-image alignment by human domain experts. We present evidence that the resulting model (RoentGen) is able to create visually convincing, diverse synthetic CXR images, and that the output can be controlled to a new extent by using free-form text prompts including radiology-specific language. Fine-tuning this model on a fixed training set and using it as a data augmentation method, we measure a 5% improvement of a classifier trained jointly on synthetic and real images, and a 3% improvement when trained on a larger but purely synthetic training set. Finally, we observe that this fine-tuning distills in-domain knowledge in the text-encoder and can improve its representation capabilities of certain diseases like pneumothorax by 25%.

Purpose: To introduce a deep learning model capable of multi-organ segmentation in MRI scans, offering a solution to the current limitations in MRI analysis due to challenges in resolution, standardized intensity values, and variability in sequences. Materials and Methods: he model was trained on 1,200 manually annotated MRI scans from the UK Biobank, 221 in-house MRI scans and 1228 CT scans, leveraging cross-modality transfer learning from CT segmentation models. A human-in-the-loop annotation workflow was employed to efficiently create high-quality segmentations. The model's performance was evaluated on NAKO and the AMOS22 dataset containing 600 and 60 MRI examinations. Dice Similarity Coefficient (DSC) and Hausdorff Distance (HD) was used to assess segmentation accuracy. The model will be open sourced. Results: The model showcased high accuracy in segmenting well-defined organs, achieving Dice Similarity Coefficient (DSC) scores of 0.97 for the right and left lungs, and 0.95 for the heart. It also demonstrated robustness in organs like the liver (DSC: 0.96) and kidneys (DSC: 0.95 left, 0.95 right), which present more variability. However, segmentation of smaller and complex structures such as the portal and splenic veins (DSC: 0.54) and adrenal glands (DSC: 0.65 left, 0.61 right) revealed the need for further model optimization. Conclusion: The proposed model is a robust, tool for accurate segmentation of 40 anatomical structures in MRI and CT images. By leveraging cross-modality learning and interactive annotation, the model achieves strong performance and generalizability across diverse datasets, making it a valuable resource for researchers and clinicians. It is open source and can be downloaded from https://github.com/hhaentze/MRSegmentator.

A CT examination captures multiple organs, but many biomedical questions concern abnormalities, prognosis, or longitudinal change in a specific organ. These questions require a separate representation for each organ within the same CT volume. Existing CT foundation models commonly produce a single volume-level representation, while recent anatomy-aware methods either encode pre-separated organ volumes or explicitly disentangle images into organ token groups. The former may remove clinically relevant surrounding context, while the latter does not condition a shared encoder on a selected organ before its features are formed. We introduce OrganLens for organ-specific representation learning through self-supervision. An organ identity conditions a shared CT encoder, while organ-specific distillation and anatomy-mask supervision shape features for anatomy-weighted pooling into organ-specific representations. At inference, the shared model produces 11 organ-specific representations without external segmentation masks. We evaluate OrganLens on CT-RATE, RAD-ChestCT, INSPECT, and NLST across diverse acquisitions and downstream evaluations. Relative to CT-pretrained DINOv2, heart representations raise CT-RATE cardiomegaly AUROC from 0.910 to 0.953, while lung representations improve the Harrell C-index for NLST lung-cancer mortality by 14.2\%. The global representation reaches INSPECT Recall@10 of 33.09\% and 32.04\% for text-to-image and image-to-text retrieval, respectively. Across organ-related tasks, anatomically matched representations provide stronger task-relevant signal, while the global representation retains broad utility. OrganLens offers a scalable approach to organ-specific CT representation learning with a shared encoder. More broadly, it provides the medical research community with a reusable framework for studying organ-specific disease across cohorts and clinical endpoints.

Robust medical image segmentation across imaging modalities is challenging because of large differences in appearance and intensity distributions. Models trained on a single modality often show substantial performance drops when applied to unseen domains. In this work, we develop a unified 3D pancreas segmentation framework that applies domain-adversarial learning to 4,604 heterogeneous CT and MRI scans to learn anatomical representations. A shared nnU-Net encoder-decoder is trained for whole-pancreas segmentation, with a latent domain discriminator encouraging CT-MRI feature alignment. The learned encoder is subsequently transferred to pancreatic head-body-tail segmentation using limited MRI-only subregion annotations. An average Dice score of 87.31% on the in-distribution test set and Dice scores ranging from 84.20% to 88.09% across external OOD datasets were achieved in whole pancreas segmentation. Dice scores of 80.53% on MRI and 83.05% on CT were achieved for downstream subregion segmentation, without using CT subregion annotations. These results demonstrate that a unified anatomical representation can support both cross-modality pancreas segmentation and label-efficient downstream transfer.

With increasingly more powerful compute capabilities and resources in today's devices, traditionally compute-intensive automatic speech recognition (ASR) has been moving from the cloud to devices to better protect user privacy. However, it is still challenging to implement on-device ASR on resource-constrained devices, such as smartphones, smart wearables, and other smart home automation devices. In this paper, we propose a series of model architecture adaptions, neural network graph transformations, and numerical optimizations to fit an advanced Conformer based end-to-end streaming ASR system on resource-constrained devices without accuracy degradation. We achieve over 5.26 times faster than realtime (0.19 RTF) speech recognition on smart wearables while minimizing energy consumption and achieving state-of-the-art accuracy. The proposed methods are widely applicable to other transformer-based server-free AI applications. In addition, we provide a complete theory on optimal pre-normalizers that numerically stabilize layer normalization in any Lp-norm using any floating point precision.

Background: Recent advances in large language models highlight the need for high-quality multilingual medical datasets. While Japan leads globally in CT scanner deployment and utilization, the lack of large-scale Japanese radiology datasets has hindered the development of specialized language models for medical imaging analysis. Objective: To develop a comprehensive Japanese CT report dataset through machine translation and establish a specialized language model for structured finding classification. Additionally, to create a rigorously validated evaluation dataset through expert radiologist review. Methods: We translated the CT-RATE dataset (24,283 CT reports from 21,304 patients) into Japanese using GPT-4o mini. The training dataset consisted of 22,778 machine-translated reports, while the validation dataset included 150 radiologist-revised reports. We developed CT-BERT-JPN based on "tohoku-nlp/bert-base-japanese-v3" architecture for extracting 18 structured findings from Japanese radiology reports. Results: Translation metrics showed strong performance with BLEU scores of 0.731 and 0.690, and ROUGE scores ranging from 0.770 to 0.876 for Findings and from 0.748 to 0.857 for Impression sections. CT-BERT-JPN demonstrated superior performance compared to GPT-4o in 11 out of 18 conditions, including lymphadenopathy (+14.2%), interlobular septal thickening (+10.9%), and atelectasis (+7.4%). The model maintained F1 scores exceeding 0.95 in 14 out of 18 conditions and achieved perfect scores in four conditions. Conclusions: Our study establishes a robust Japanese CT report dataset and demonstrates the effectiveness of a specialized language model for structured finding classification. The hybrid approach of machine translation and expert validation enables the creation of large-scale medical datasets while maintaining high quality.

Transformer attention is typically implemented using softmax normalization, which enforces attention weights with unit sum normalization. While effective in many settings, this constraint can limit flexibility in controlling attention magnitudes and may contribute to overly concentrated or unstable attention patterns during training. Prior work has explored modifications such as attention sinks or gating mechanisms, but these approaches provide only limited or indirect control over attention reweighting. We propose Affine-Scaled Attention, a simple extension to standard attention that introduces input-dependent scaling and a corresponding bias term applied to softmax-normalized attention weights. This design relaxes the strict normalization constraint while maintaining aggregation of value representations, allowing the model to adjust both the relative distribution and the scale of attention in a controlled manner. We empirically evaluate Affine-Scaled Attention in large-scale language model pretraining across multiple model sizes. Experimental results show consistent improvements in training stability, optimization behavior, and downstream task performance compared to standard softmax attention and attention sink baselines. These findings suggest that modest reweighting of attention outputs provides a practical and effective way to improve attention behavior in Transformer models.

Surgical phase recognition is a basic component for different context-aware applications in computer- and robot-assisted surgery. In recent years, several methods for automatic surgical phase recognition have been proposed, showing promising results. However, a meaningful comparison of these methods is difficult due to differences in the evaluation process and incomplete reporting of evaluation details. In particular, the details of metric computation can vary widely between different studies. To raise awareness of potential inconsistencies, this paper summarizes common deviations in the evaluation of phase recognition algorithms on the Cholec80 benchmark. In addition, a structured overview of previously reported evaluation results on Cholec80 is provided, taking known differences in evaluation protocols into account. Greater attention to evaluation details could help achieve more consistent and comparable results on the surgical phase recognition task, leading to more reliable conclusions about advancements in the field and, finally, translation into clinical practice.

Image-Text matching (ITM) is a common task for evaluating the quality of Vision and Language (VL) models. However, existing ITM benchmarks have a significant limitation. They have many missing correspondences, originating from the data construction process itself. For example, a caption is only matched with one image although the caption can be matched with other similar images and vice versa. To correct the massive false negatives, we construct the Extended COCO Validation (ECCV) Caption dataset by supplying the missing associations with machine and human annotators. We employ five state-of-the-art ITM models with diverse properties for our annotation process. Our dataset provides x3.6 positive image-to-caption associations and x8.5 caption-to-image associations compared to the original MS-COCO. We also propose to use an informative ranking-based metric mAP@R, rather than the popular Recall@K (R@K). We re-evaluate the existing 25 VL models on existing and proposed benchmarks. Our findings are that the existing benchmarks, such as COCO 1K R@K, COCO 5K R@K, CxC R@1 are highly correlated with each other, while the rankings change when we shift to the ECCV mAP@R. Lastly, we delve into the effect of the bias introduced by the choice of machine annotator. Source code and dataset are available at https://github.com/naver-ai/eccv-caption

With the rapid growth of video data, Composed Video Retrieval (CVR) has emerged as a novel paradigm in video retrieval and is receiving increasing attention from researchers. Unlike unimodal video retrieval methods, the CVR task takes a multi-modal query consisting of a reference video and a piece of modification text as input. The modification text conveys the user's intended alterations to the reference video. Based on this input, the model aims to retrieve the most relevant target video. In the CVR task, there exists a substantial discrepancy in information density between video and text modalities. Traditional composition methods tend to bias the composed feature toward the reference video, which leads to suboptimal retrieval performance. This limitation is significant due to the presence of three core challenges: (1) modal contribution entanglement, (2) explicit optimization of composed features, and (3) retrieval uncertainty. To address these challenges, we propose the evidence-dRivRn dual-sTream diRectionAl anChor calibration networK (ReTrack). ReTrack is the first CVR framework that improves multi-modal query understanding by calibrating directional bias in composed features. It consists of three key modules: Semantic Contribution Disentanglement, Composition Geometry Calibration, and Reliable Evidence-driven Alignment. Specifically, ReTrack estimates the semantic contribution of each modality to calibrate the directional bias of the composed feature. It then uses the calibrated directional anchors to compute bidirectional evidence that drives reliable composed-to-target similarity estimation. Moreover, ReTrack exhibits strong generalization to the Composed Image Retrieval (CIR) task, achieving SOTA performance across three benchmark datasets in both CVR and CIR scenarios. Codes are available at https://github.com/Lee-zixu/ReTrack