GLeVE: Graph-Guided Lesion Grounding with Proposal Verification in 3D CT

Grounding radiology report descriptions to 3D CT volumes is essential for verifiable clinical interpretation, yet remains challenging due to the semantic-spatial gap between free-text narratives and volumetric anatomy. Existing report-assisted and vision-language grounding methods typically rely on phrase-level alignment or dense pixel supervision, resulting in limited lesion-wise correspondence and suboptimal localization accuracy. We propose GLeVE, a graph-guided lesion grounding framework with anatomical prior verification and octree-based autoregressive refinement. GLeVE treats each lesion description as an atomic semantic unit and encodes organ attribution, attributes, and inter-lesion relations through relation-aware graph reasoning to produce discriminative lesion-wise queries. Anatomy-aware proposal generation with region-level verification enforces one-to-one text-lesion alignment, while hierarchical octree refinement progressively improves boundary delineation. Experiments on AbdomenAtlas 3.0 demonstrate consistent gains over classical multimodal foundation models and report-supervised baselines in both segmentation accuracy and lesion-level localization.

R2AoP: Reliable and Robust Angle of Progression Estimation from Intrapartum Ultrasound

Accurate estimation of the Angle of Progression (AoP) from intrapartum transperineal ultrasound is critical for objective assessment of labor progression, yet remains highly sensitive to imaging noise, boundary ambiguities, and the geometric amplification of local segmentation errors. We propose R2AoP, a reliable and robust AoP estimation framework that integrates structurally informed segmentation and confidence-guided geometric modeling to achieve stable and reproducible measurements. A three-branch local-structure-enhanced backbone improves the delineation of the pubic symphysis (PS) and fetal head (FH), while confidence-weighted contour fitting explicitly suppresses the influence of unreliable boundary points in AoP computation. To further improve performance under heterogeneous acquisition conditions, we introduce a lightweight geometry-reliable test-time adaptation strategy as an auxiliary component, enabling stable inference without target annotations. Extensive evaluations on multi-center benchmarks demonstrate consistent reductions in AoP error and boundary metrics compared with state-of-the-art AoP methods. Our source code is available at https://github.com/baiyou1234/R2AoP.

ISEP: Implicit Support Expansion for Offline Reinforcement Learning via Stochastic Policy Optimization

Offline reinforcement learning methods typically enforce strict constraints to ensure safety; yet this rigidity often prevents the discovery of optimal behaviors outside the immediate support of the behavior policy. To address this, we propose Implicit Support Expansion via stochastic Policy optimization (ISEP), which leverages a value function interpolated between in-distribution data and policy samples to implicitly expand the feasible action support. This mechanism "densifies" high-reward regions, creating a navigable path for policy improvement while theoretically guaranteeing bounded value error. However, optimizing against this expanded support creates a multimodal landscape where standard deterministic averaging leads to mode collapse and invalid actions. ISEP mitigates this via a stochastic action selection strategy, optimizing the policy by stochastically alternating between conservative cloning and optimistic expansion signals. We instantiate this framework as ISEP-FM using Conditional Flow Matching utilizing classifier-free guidance to effectively capture the interpolated value signal.

HADAR-Based Thermal Infrared Hyperspectral Image Restoration

Thermal-infrared (TIR) hyperspectral imagery (HSI) provides critical scene information for various applications. However, its practical utility is severely limited by unique sensor degradations beyond the capabilities of existing restoration methods, which are ignorant of underlying thermal physics. Here, we propose HAIR (HADAR-based Image Restoration) as a physics-driven framework for ground-based TIR-HSI restoration. HAIR utilizes the HADAR rendering equation (HRE) and combines it with the atmospheric downwelling radiative transfer equation (RTE) to model TIR-HSI using temperature, emissivity, and texture (TeX) physical triplets. This physical model leads to a TeX decompose-synthesize strategy that guarantees physical consistency and spatio-spectral noise resilience, in stark contrast to existing approaches. Moreover, our framework uses a forward-modeled atmospheric downwelling reference, along with spectral smoothness of emissivity and blackbody radiation, to enable spectral calibration and generation that would otherwise be elusive. Our extensive experiments on the outdoor DARPA Invisible Headlights dataset and in-lab FTIR measurements show that HAIR consistently outperforms state-of-the-art methods across denoising, inpainting, spectral calibration, and spectral super-resolution, establishing a benchmark in objective accuracy and visual quality.

INFANiTE: Implicit Neural representation for high-resolution Fetal brain spatio-temporal Atlas learNing from clinical Thick-slicE MRI

Spatio-temporal fetal brain atlases are important for characterizing normative neurodevelopment and identifying congenital anomalies. However, existing atlas construction pipelines necessitate days for slice-to-volume reconstruction (SVR) to generate high-resolution 3D brain volumes and several additional days for iterative volume registration, thereby rendering atlas construction from large-scale cohorts prohibitively impractical. We address these limitations with INFANiTE, an Implicit Neural Representation (INR) framework for high-resolution Fetal brain spatio-temporal Atlas learNing from clinical Thick-slicE MRI scans, bypassing both the costly SVR and the iterative non-rigid registration steps entirely, thereby substantially accelerating atlas construction. Extensive experiments demonstrate that INFANiTE outperforms existing baselines in subject consistency, reference fidelity, intrinsic quality and biological plausibility, even under challenging sparse-data settings. Additionally, INFANiTE reduces the end-to-end processing time (i.e., from raw scans to the final atlas) from days to hours compared to the traditional 3D volume-based pipeline (e.g., SyGN), facilitating large-scale population-level fetal brain analysis. Our code is publicly available at: https://anonymous.4open.science/r/INFANiTE-5D74

Annotation-free deep learning for detection and segmentation of fetal germinal matrix-intraventricular hemorrhage in brain MRI

Background: Prenatal germinal matrix-intraventricular hemorrhage (GMH-IVH) is a leading cause of infant mortality and neurodevelopmental impairment. Manual diagnosis and lesion segmentation are labor-intensive and error-prone. Deep learning models offer potential for automation but typically require large annotated datasets, which are challenging to obtain. Purpose: To develop and validate an annotation-free deep learning framework for automated detection and segmentation of GMH-IVH on brain MRI. Materials and Methods: This retrospective study analyzed 2D T2-weighted MRI data from pregnant women collected from October 2015 to October 2023 at one hospital (internal validation) and two hospitals (external validation). Eligible participants included healthy fetuses and those with GMH-IVH. FreeHemoSeg was developed and trained using pseudo GMH-IVH images synthesized from normal fetal data guided by medical priors. Primary outcomes included diagnostic accuracy (area under the ROC curve [AUROC], sensitivity, specificity) and segmentation accuracy (Dice similarity coefficient [DSC]). A reader study evaluated clinical utility. Results: A total of 1674 stacks from 558 pregnant women were analyzed. FreeHemoSeg achieved the highest performance in both internal (sensitivity: 0.914, 95% CI 0.869-0.945; specificity: 0.966, 95% CI 0.946-0.978; DSC: 0.559, 95% CI 0.546-0.571) and external validation (sensitivity: 0.824, 95% CI 0.739-0.885; specificity: 0.943, 95% CI 0.913-0.964; DSC: 0.512, 95% CI 0.497-0.526), outperforming supervised and unsupervised methods. FreeHemoSeg assistance improved radiologists' sensitivity (from 0.882 to 0.941-1.000) and diagnostic confidence while reducing interpretation time by 16.0-52.7%. Conclusion: FreeHemoSeg accurately detects and localizes fetal brain hemorrhages without annotated training data, enabling earlier diagnosis and supporting timely clinical management.

Uni-OPD: Unifying On-Policy Distillation with a Dual-Perspective Recipe

On-policy distillation (OPD) has recently emerged as an effective post-training paradigm for consolidating the capabilities of specialized expert models into a single student model. Despite its empirical success, the conditions under which OPD yields reliable improvement remain poorly understood. In this work, we identify two fundamental bottlenecks that limit effective OPD: insufficient exploration of informative states and unreliable teacher supervision for student rollouts. Building on this insight, we propose Uni-OPD, a unified OPD framework that generalizes across Large Language Models (LLMs) and Multimodal Large Language Models (MLLMs), centered on a dual-perspective optimization strategy. Specifically, from the student's perspective, we adopt two data balancing strategies to promote exploration of informative student-generated states during training. From the teacher's perspective, we show that reliable supervision hinges on whether aggregated token-level guidance remains order-consistent with the outcome reward. To this end, we develop an outcome-guided margin calibration mechanism to restore order consistency between correct and incorrect trajectories. We conduct extensive experiments on 5 domains and 16 benchmarks covering diverse settings, including single-teacher and multi-teacher distillation across LLMs and MLLMs, strong-to-weak distillation, and cross-modal distillation. Our results verify the effectiveness and versatility of Uni-OPD and provide practical insights into reliable OPD.

EXACT: an explainable anomaly-aware vision foundation model for analysis of 3D chest CT

Chest computed tomography (CT) is central to the detection and management of thoracic disease, yet the growing scale and complexity of volumetric imaging increasingly exceed what can be addressed by scan-level prediction alone. Clinically useful AI for CT must not only recognize disease across the whole volume, but also localize abnormalities and provide interpretable visual evidence. Existing vision-language foundation models typically compress scans and reports into global image-text representations, limiting their ability to preserve spatial evidence and support clinically meaningful interpretation. Here we developed EXACT, an explainable anomaly-aware foundation model for three-dimensional chest CT that learns spatially resolved representations from paired clinical scans and radiology reports. EXACT was pre-trained on 25,692 CT-reports pairs using anatomy-aware weak supervision, jointly learning organ segmentation and multi-instance anomaly localization without manual voxel-level annotations. The resulting organ-specific anomaly-aware maps assign each voxel a disease-specific anomaly score confined to its corresponding anatomy, jointly encoding lesion extent and organ-level context. In retrospective multinational and multi-center evaluations, EXACT showed broad and consistent improvements across clinically relevant CT tasks, spanning multi-disease diagnosis, zero-shot anomaly localization, downstream adaptation, and visually grounded report generation, outperforming existing three-dimensional medical foundation models. By transforming routine clinical CT scans and free-text reports into explainable voxel-level representations, EXACT establishes a scalable paradigm for trustworthy volumetric medical AI.

The Fourth Challenge on Image Super-Resolution ($\times$4) at NTIRE 2026: Benchmark Results and Method Overview

This paper presents the NTIRE 2026 image super-resolution ($\times$4) challenge, one of the associated competitions of the NTIRE 2026 Workshop at CVPR 2026. The challenge aims to reconstruct high-resolution (HR) images from low-resolution (LR) inputs generated through bicubic downsampling with a $\times$4 scaling factor. The objective is to develop effective super-resolution solutions and analyze recent advances in the field. To reflect the evolving objectives of image super-resolution, the challenge includes two tracks: (1) a restoration track, which emphasizes pixel-wise fidelity and ranks submissions based on PSNR; and (2) a perceptual track, which focuses on visual realism and evaluates results using a perceptual score. A total of 194 participants registered for the challenge, with 31 teams submitting valid entries. This report summarizes the challenge design, datasets, evaluation protocol, main results, and methods of participating teams. The challenge provides a unified benchmark and offers insights into current progress and future directions in image super-resolution.

The Second Challenge on Real-World Face Restoration at NTIRE 2026: Methods and Results

This paper provides a review of the NTIRE 2026 challenge on real-world face restoration, highlighting the proposed solutions and the resulting outcomes. The challenge focuses on generating natural and realistic outputs while maintaining identity consistency. Its goal is to advance state-of-the-art solutions for perceptual quality and realism, without imposing constraints on computational resources or training data. Performance is evaluated using a weighted image quality assessment (IQA) score and employs the AdaFace model as an identity checker. The competition attracted 96 registrants, with 10 teams submitting valid models; ultimately, 9 teams achieved valid scores in the final ranking. This collaborative effort advances the performance of real-world face restoration while offering an in-depth overview of the latest trends in the field.