Radiology Report Generation for Low-Quality X-Ray Images

Vision-Language Models (VLMs) have significantly advanced automated Radiology Report Generation (RRG). However, existing methods implicitly assume high-quality inputs, overlooking the noise and artifacts prevalent in real-world clinical environments. Consequently, current models exhibit severe performance degradation when processing suboptimal images. To bridge this gap, we propose a robust report generation framework explicitly designed for image quality variations. We first introduce an Automated Quality Assessment Agent (AQAA) to identify low-quality samples within the MIMIC-CXR dataset and establish the Low-quality Radiology Report Generation (LRRG) benchmark. To tackle degradation-induced shifts, we propose a novel Dual-loop Training Strategy leveraging bi-level optimization and gradient consistency. This approach ensures the model learns quality-agnostic diagnostic features by aligning gradient directions across varying quality regimes. Extensive experiments demonstrate that our approach effectively mitigates model performance degradation caused by image quality deterioration. The code and data will be released upon acceptance.

M2StyleGS: Multi-Modality 3D Style Transfer with Gaussian Splatting

Conventional 3D style transfer methods rely on a fixed reference image to apply artistic patterns to 3D scenes. However, in practical applications such as virtual or augmented reality, users often prefer more flexible inputs, including textual descriptions and diverse imagery. In this work, we introduce a novel real-time styling technique M2StyleGS to generate a sequence of precisely color-mapped views. It utilizes 3D Gaussian Splatting (3DGS) as a 3D presentation and multi-modality knowledge refined by CLIP as a reference style. M2StyleGS resolves the abnormal transformation issue by employing a precise feature alignment, namely subdivisive flow, it strengthens the projection of the mapped CLIP text-visual combination feature to the VGG style feature. In addition, we introduce observation loss, which assists in the stylized scene better matching the reference style during the generation, and suppression loss, which suppresses the offset of reference color information throughout the decoding process. By integrating these approaches, M2StyleGS can employ text or images as references to generate a set of style-enhanced novel views. Our experiments show that M2StyleGS achieves better visual quality and surpasses the previous work by up to 32.92% in terms of consistency.

Structure Observation Driven Image-Text Contrastive Learning for Computed Tomography Report Generation

Computed Tomography Report Generation (CTRG) aims to automate the clinical radiology reporting process, thereby reducing the workload of report writing and facilitating patient care. While deep learning approaches have achieved remarkable advances in X-ray report generation, their effectiveness may be limited in CTRG due to larger data volumes of CT images and more intricate details required to describe them. This work introduces a novel two-stage (structure- and report-learning) framework tailored for CTRG featuring effective structure-wise image-text contrasting. In the first stage, a set of learnable structure-specific visual queries observe corresponding structures in a CT image. The resulting observation tokens are contrasted with structure-specific textual features extracted from the accompanying radiology report with a structure-wise image-text contrastive loss. In addition, text-text similarity-based soft pseudo targets are proposed to mitigate the impact of false negatives, i.e., semantically identical image structures and texts from non-paired images and reports. Thus, the model learns structure-level semantic correspondences between CT images and reports. Further, a dynamic, diversity-enhanced negative queue is proposed to guide the network in learning to discriminate various abnormalities. In the second stage, the visual structure queries are frozen and used to select the critical image patch embeddings depicting each anatomical structure, minimizing distractions from irrelevant areas while reducing memory consumption. Also, a text decoder is added and trained for report generation.Our extensive experiments on two public datasets demonstrate that our framework establishes new state-of-the-art performance for CTRG in clinical efficiency, and its components are effective.

X-ray Insights Unleashed: Pioneering the Enhancement of Multi-Label Long-Tail Data

Long-tailed pulmonary anomalies in chest radiography present formidable diagnostic challenges. Despite the recent strides in diffusion-based methods for enhancing the representation of tailed lesions, the paucity of rare lesion exemplars curtails the generative capabilities of these approaches, thereby leaving the diagnostic precision less than optimal. In this paper, we propose a novel data synthesis pipeline designed to augment tail lesions utilizing a copious supply of conventional normal X-rays. Specifically, a sufficient quantity of normal samples is amassed to train a diffusion model capable of generating normal X-ray images. This pre-trained diffusion model is subsequently utilized to inpaint the head lesions present in the diseased X-rays, thereby preserving the tail classes as augmented training data. Additionally, we propose the integration of a Large Language Model Knowledge Guidance (LKG) module alongside a Progressive Incremental Learning (PIL) strategy to stabilize the inpainting fine-tuning process. Comprehensive evaluations conducted on the public lung datasets MIMIC and CheXpert demonstrate that the proposed method sets a new benchmark in performance.

MetaTPT: Meta Test-time Prompt Tuning for Vision-Language Models

Vision-language models (VLMs) such as CLIP exhibit strong zero-shot generalization but remain sensitive to domain shifts at test time. Test-time prompt tuning (TPT) mitigates this issue by adapting prompts with fixed augmentations, which may falter in more challenging settings. In this work, we propose Meta Test-Time Prompt Tuning (MetaTPT), a meta-learning framework that learns a self-supervised auxiliary task to guide test-time prompt tuning. The auxiliary task dynamically learns parameterized augmentations for each sample, enabling more expressive transformations that capture essential features in target domains. MetaTPT adopts a dual-loop optimization paradigm: an inner loop learns a self-supervised task that generates informative views, while the outer loop performs prompt tuning by enforcing consistency across these views. By coupling augmentation learning with prompt tuning, MetaTPT improves test-time adaptation under domain shifts. Extensive experiments demonstrate that MetaTPT achieves state-of-the-art performance on domain generalization and cross-dataset benchmarks.

A Hybrid Framework Bridging CNN and ViT based on Theory of Evidence for Diabetic Retinopathy Grading

Diabetic retinopathy (DR) is a leading cause of vision loss among middle-aged and elderly people, which significantly impacts their daily lives and mental health. To improve the efficiency of clinical screening and enable the early detection of DR, a variety of automated DR diagnosis systems have been recently established based on convolutional neural network (CNN) or vision Transformer (ViT). However, due to the own shortages of CNN / ViT, the performance of existing methods using single-type backbone has reached a bottleneck. One potential way for the further improvements is integrating different kinds of backbones, which can fully leverage the respective strengths of them (\emph{i.e.,} the local feature extraction capability of CNN and the global feature capturing ability of ViT). To this end, we propose a novel paradigm to effectively fuse the features extracted by different backbones based on the theory of evidence. Specifically, the proposed evidential fusion paradigm transforms the features from different backbones into supporting evidences via a set of deep evidential networks. With the supporting evidences, the aggregated opinion can be accordingly formed, which can be used to adaptively tune the fusion pattern between different backbones and accordingly boost the performance of our hybrid model. We evaluated our method on two publicly available DR grading datasets. The experimental results demonstrate that our hybrid model not only improves the accuracy of DR grading, compared to the state-of-the-art frameworks, but also provides the excellent interpretability for feature fusion and decision-making.

Rethinking Brain Tumor Segmentation from the Frequency Domain Perspective

Precise segmentation of brain tumors, particularly contrast-enhancing regions visible in post-contrast MRI (areas highlighted by contrast agent injection), is crucial for accurate clinical diagnosis and treatment planning but remains challenging. However, current methods exhibit notable performance degradation in segmenting these enhancing brain tumor areas, largely due to insufficient consideration of MRI-specific tumor features such as complex textures and directional variations. To address this, we propose the Harmonized Frequency Fusion Network (HFF-Net), which rethinks brain tumor segmentation from a frequency-domain perspective. To comprehensively characterize tumor regions, we develop a Frequency Domain Decomposition (FDD) module that separates MRI images into low-frequency components, capturing smooth tumor contours and high-frequency components, highlighting detailed textures and directional edges. To further enhance sensitivity to tumor boundaries, we introduce an Adaptive Laplacian Convolution (ALC) module that adaptively emphasizes critical high-frequency details using dynamically updated convolution kernels. To effectively fuse tumor features across multiple scales, we design a Frequency Domain Cross-Attention (FDCA) integrating semantic, positional, and slice-specific information. We further validate and interpret frequency-domain improvements through visualization, theoretical reasoning, and experimental analyses. Extensive experiments on four public datasets demonstrate that HFF-Net achieves an average relative improvement of 4.48\% (ranging from 2.39\% to 7.72\%) in the mean Dice scores across the three major subregions, and an average relative improvement of 7.33% (ranging from 5.96% to 8.64%) in the segmentation of contrast-enhancing tumor regions, while maintaining favorable computational efficiency and clinical applicability. Code: https://github.com/VinyehShaw/HFF.

DGFamba: Learning Flow Factorized State Space for Visual Domain Generalization

Domain generalization aims to learn a representation from the source domain, which can be generalized to arbitrary unseen target domains. A fundamental challenge for visual domain generalization is the domain gap caused by the dramatic style variation whereas the image content is stable. The realm of selective state space, exemplified by VMamba, demonstrates its global receptive field in representing the content. However, the way exploiting the domain-invariant property for selective state space is rarely explored. In this paper, we propose a novel Flow Factorized State Space model, dubbed as DG-Famba, for visual domain generalization. To maintain domain consistency, we innovatively map the style-augmented and the original state embeddings by flow factorization. In this latent flow space, each state embedding from a certain style is specified by a latent probability path. By aligning these probability paths in the latent space, the state embeddings are able to represent the same content distribution regardless of the style differences. Extensive experiments conducted on various visual domain generalization settings show its state-of-the-art performance.

A Survey on Industrial Anomalies Synthesis

This paper comprehensively reviews anomaly synthesis methodologies. Existing surveys focus on limited techniques, missing an overall field view and understanding method interconnections. In contrast, our study offers a unified review, covering about 40 representative methods across Hand-crafted, Distribution-hypothesis-based, Generative models (GM)-based, and Vision-language models (VLM)-based synthesis. We introduce the first industrial anomaly synthesis (IAS) taxonomy. Prior works lack formal classification or use simplistic taxonomies, hampering structured comparisons and trend identification. Our taxonomy provides a fine-grained framework reflecting methodological progress and practical implications, grounding future research. Furthermore, we explore cross-modality synthesis and large-scale VLM. Previous surveys overlooked multimodal data and VLM in anomaly synthesis, limiting insights into their advantages. Our survey analyzes their integration, benefits, challenges, and prospects, offering a roadmap to boost IAS with multimodal learning. More resources are available at https://github.com/M-3LAB/awesome-anomaly-synthesis.

SP-SLAM: Neural Real-Time Dense SLAM With Scene Priors

Neural implicit representations have recently shown promising progress in dense Simultaneous Localization And Mapping (SLAM). However, existing works have shortcomings in terms of reconstruction quality and real-time performance, mainly due to inflexible scene representation strategy without leveraging any prior information. In this paper, we introduce SP-SLAM, a novel neural RGB-D SLAM system that performs tracking and mapping in real-time. SP-SLAM computes depth images and establishes sparse voxel-encoded scene priors near the surfaces to achieve rapid convergence of the model. Subsequently, the encoding voxels computed from single-frame depth image are fused into a global volume, which facilitates high-fidelity surface reconstruction. Simultaneously, we employ tri-planes to store scene appearance information, striking a balance between achieving high-quality geometric texture mapping and minimizing memory consumption. Furthermore, in SP-SLAM, we introduce an effective optimization strategy for mapping, allowing the system to continuously optimize the poses of all historical input frames during runtime without increasing computational overhead. We conduct extensive evaluations on five benchmark datasets (Replica, ScanNet, TUM RGB-D, Synthetic RGB-D, 7-Scenes). The results demonstrate that, compared to existing methods, we achieve superior tracking accuracy and reconstruction quality, while running at a significantly faster speed.