Modeling Beyond MOS: Quality Assessment Models Must Integrate Context, Reasoning, and Multimodality

This position paper argues that Mean Opinion Score (MOS), while historically foundational, is no longer sufficient as the sole supervisory signal for multimedia quality assessment models. MOS reduces rich, context-sensitive human judgments to a single scalar, obscuring semantic failures, user intent, and the rationale behind quality decisions. We contend that modern quality assessment models must integrate three interdependent capabilities: (1) context-awareness, to adapt evaluations to task-specific goals and viewing conditions; (2) reasoning, to produce interpretable, evidence-grounded justifications for quality judgments; and (3) multimodality, to align perceptual and semantic cues using vision-language models. We critique the limitations of current MOS-centric benchmarks and propose a roadmap for reform: richer datasets with contextual metadata and expert rationales, and new evaluation metrics that assess semantic alignment, reasoning fidelity, and contextual sensitivity. By reframing quality assessment as a contextual, explainable, and multimodal modeling task, we aim to catalyze a shift toward more robust, human-aligned, and trustworthy evaluation systems.

Shifts in Doctors' Eye Movements Between Real and AI-Generated Medical Images

Eye-tracking analysis plays a vital role in medical imaging, providing key insights into how radiologists visually interpret and diagnose clinical cases. In this work, we first analyze radiologists' attention and agreement by measuring the distribution of various eye-movement patterns, including saccades direction, amplitude, and their joint distribution. These metrics help uncover patterns in attention allocation and diagnostic strategies. Furthermore, we investigate whether and how doctors' gaze behavior shifts when viewing authentic (Real) versus deep-learning-generated (Fake) images. To achieve this, we examine fixation bias maps, focusing on first, last, short, and longest fixations independently, along with detailed saccades patterns, to quantify differences in gaze distribution and visual saliency between authentic and synthetic images.

MoEDiff-SR: Mixture of Experts-Guided Diffusion Model for Region-Adaptive MRI Super-Resolution

Magnetic Resonance Imaging (MRI) at lower field strengths (e.g., 3T) suffers from limited spatial resolution, making it challenging to capture fine anatomical details essential for clinical diagnosis and neuroimaging research. To overcome this limitation, we propose MoEDiff-SR, a Mixture of Experts (MoE)-guided diffusion model for region-adaptive MRI Super-Resolution (SR). Unlike conventional diffusion-based SR models that apply a uniform denoising process across the entire image, MoEDiff-SR dynamically selects specialized denoising experts at a fine-grained token level, ensuring region-specific adaptation and enhanced SR performance. Specifically, our approach first employs a Transformer-based feature extractor to compute multi-scale patch embeddings, capturing both global structural information and local texture details. The extracted feature embeddings are then fed into an MoE gating network, which assigns adaptive weights to multiple diffusion-based denoisers, each specializing in different brain MRI characteristics, such as centrum semiovale, sulcal and gyral cortex, and grey-white matter junction. The final output is produced by aggregating the denoised results from these specialized experts according to dynamically assigned gating probabilities. Experimental results demonstrate that MoEDiff-SR outperforms existing state-of-the-art methods in terms of quantitative image quality metrics, perceptual fidelity, and computational efficiency. Difference maps from each expert further highlight their distinct specializations, confirming the effective region-specific denoising capability and the interpretability of expert contributions. Additionally, clinical evaluation validates its superior diagnostic capability in identifying subtle pathological features, emphasizing its practical relevance in clinical neuroimaging. Our code is available at https://github.com/ZWang78/MoEDiff-SR.

Eyes Tell the Truth: GazeVal Highlights Shortcomings of Generative AI in Medical Imaging

The demand for high-quality synthetic data for model training and augmentation has never been greater in medical imaging. However, current evaluations predominantly rely on computational metrics that fail to align with human expert recognition. This leads to synthetic images that may appear realistic numerically but lack clinical authenticity, posing significant challenges in ensuring the reliability and effectiveness of AI-driven medical tools. To address this gap, we introduce GazeVal, a practical framework that synergizes expert eye-tracking data with direct radiological evaluations to assess the quality of synthetic medical images. GazeVal leverages gaze patterns of radiologists as they provide a deeper understanding of how experts perceive and interact with synthetic data in different tasks (i.e., diagnostic or Turing tests). Experiments with sixteen radiologists revealed that 96.6% of the generated images (by the most recent state-of-the-art AI algorithm) were identified as fake, demonstrating the limitations of generative AI in producing clinically accurate images.

Feasibility study for reconstruction of knee MRI from one corresponding X-ray via CNN

Generally, X-ray, as an inexpensive and popular medical imaging technique, is widely chosen by medical practitioners. With the development of medical technology, Magnetic Resonance Imaging (MRI), an advanced medical imaging technique, has already become a supplementary diagnostic option for the diagnosis of KOA. We propose in this paper a deep-learning-based approach for generating MRI from one corresponding X-ray. Our method uses the hidden variables of a Convolutional Auto-Encoder (CAE) model, trained for reconstructing X-ray image, as inputs of a generator model to provide 3D MRI.

Distillation-Driven Diffusion Model for Multi-Scale MRI Super-Resolution: Make 1.5T MRI Great Again

Magnetic Resonance Imaging (MRI) offers critical insights into microstructural details, however, the spatial resolution of standard 1.5T imaging systems is often limited. In contrast, 7T MRI provides significantly enhanced spatial resolution, enabling finer visualization of anatomical structures. Though this, the high cost and limited availability of 7T MRI hinder its widespread use in clinical settings. To address this challenge, a novel Super-Resolution (SR) model is proposed to generate 7T-like MRI from standard 1.5T MRI scans. Our approach leverages a diffusion-based architecture, incorporating gradient nonlinearity correction and bias field correction data from 7T imaging as guidance. Moreover, to improve deployability, a progressive distillation strategy is introduced. Specifically, the student model refines the 7T SR task with steps, leveraging feature maps from the inference phase of the teacher model as guidance, aiming to allow the student model to achieve progressively 7T SR performance with a smaller, deployable model size. Experimental results demonstrate that our baseline teacher model achieves state-of-the-art SR performance. The student model, while lightweight, sacrifices minimal performance. Furthermore, the student model is capable of accepting MRI inputs at varying resolutions without the need for retraining, significantly further enhancing deployment flexibility. The clinical relevance of our proposed method is validated using clinical data from Massachusetts General Hospital. Our code is available at https://github.com/ZWang78/SR.

A Diffusion-based Xray2MRI Model: Generating Pseudo-MRI Volumes From one Single X-ray

Knee osteoarthritis (KOA) is a prevalent musculoskeletal disorder, and X-rays are commonly used for its diagnosis due to their cost-effectiveness. Magnetic Resonance Imaging (MRI), on the other hand, offers detailed soft tissue visualization and has become a valuable supplementary diagnostic tool for KOA. Unfortunately, the high cost and limited accessibility of MRI hinder its widespread use, leaving many patients with KOA reliant solely on X-ray imaging. In this study, we introduce a novel diffusion-based Xray2MRI model capable of generating pseudo-MRI volumes from one single X-ray image. In addition to using X-rays as conditional input, our model integrates target depth, KOA probability distribution, and image intensity distribution modules to guide the synthesis process, ensuring that the generated corresponding slices accurately correspond to the anatomical structures. Experimental results demonstrate that by integrating information from X-rays with additional input data, our proposed approach is capable of generating pseudo-MRI sequences that approximate real MRI scans. Moreover, by increasing the inference times, the model achieves effective interpolation, further improving the continuity and smoothness of the generated MRI sequences, representing one promising initial attempt for cost-effective medical imaging solutions.

Temporal Evolution of Knee Osteoarthritis: A Diffusion-based Morphing Model for X-ray Medical Image Synthesis

Knee Osteoarthritis (KOA) is a common musculoskeletal disorder that significantly affects the mobility of older adults. In the medical domain, images containing temporal data are frequently utilized to study temporal dynamics and statistically monitor disease progression. While deep learning-based generative models for natural images have been widely researched, there are comparatively few methods available for synthesizing temporal knee X-rays. In this work, we introduce a novel deep-learning model designed to synthesize intermediate X-ray images between a specific patient's healthy knee and severe KOA stages. During the testing phase, based on a healthy knee X-ray, the proposed model can produce a continuous and effective sequence of KOA X-ray images with varying degrees of severity. Specifically, we introduce a Diffusion-based Morphing Model by modifying the Denoising Diffusion Probabilistic Model. Our approach integrates diffusion and morphing modules, enabling the model to capture spatial morphing details between source and target knee X-ray images and synthesize intermediate frames along a geodesic path. A hybrid loss consisting of diffusion loss, morphing loss, and supervision loss was employed. We demonstrate that our proposed approach achieves the highest temporal frame synthesis performance, effectively augmenting data for classification models and simulating the progression of KOA.

Enhancing Maritime Trajectory Forecasting via H3 Index and Causal Language Modelling (CLM)

The prediction of ship trajectories is a growing field of study in artificial intelligence. Traditional methods rely on the use of LSTM, GRU networks, and even Transformer architectures for the prediction of spatio-temporal series. This study proposes a viable alternative for predicting these trajectories using only GNSS positions. It considers this spatio-temporal problem as a natural language processing problem. The latitude/longitude coordinates of AIS messages are transformed into cell identifiers using the H3 index. Thanks to the pseudo-octal representation, it becomes easier for language models to learn the spatial hierarchy of the H3 index. The method is compared with a classical Kalman filter, widely used in the maritime domain, and introduces the Fr\'echet distance as the main evaluation metric. We show that it is possible to predict ship trajectories quite precisely up to 8 hours with 30 minutes of context. We demonstrate that this alternative works well enough to predict trajectories worldwide.

Quantization Effects on Neural Networks Perception: How would quantization change the perceptual field of vision models?

Neural network quantization is an essential technique for deploying models on resource-constrained devices. However, its impact on model perceptual fields, particularly regarding class activation maps (CAMs), remains a significant area of investigation. In this study, we explore how quantization alters the spatial recognition ability of the perceptual field of vision models, shedding light on the alignment between CAMs and visual saliency maps across various architectures. Leveraging a dataset of 10,000 images from ImageNet, we rigorously evaluate six diverse foundational CNNs: VGG16, ResNet50, EfficientNet, MobileNet, SqueezeNet, and DenseNet. We uncover nuanced changes in CAMs and their alignment with human visual saliency maps through systematic quantization techniques applied to these models. Our findings reveal the varying sensitivities of different architectures to quantization and underscore its implications for real-world applications in terms of model performance and interpretability. The primary contribution of this work revolves around deepening our understanding of neural network quantization, providing insights crucial for deploying efficient and interpretable models in practical settings.