Daily Papers

The applicability of current lesion segmentation models for chest X-rays (CXRs) has been limited both by a small number of target labels and the reliance on long, detailed expert-level text inputs, creating a barrier to practical use. To address these limitations, we introduce a new paradigm: instruction-guided lesion segmentation (ILS), which is designed to segment diverse lesion types based on simple, user-friendly instructions. Under this paradigm, we construct MIMIC-ILS, the first large-scale instruction-answer dataset for CXR lesion segmentation, using our fully automated multimodal pipeline that generates annotations from chest X-ray images and their corresponding reports. MIMIC-ILS contains 1.1M instruction-answer pairs derived from 192K images and 91K unique segmentation masks, covering seven major lesion types. To empirically demonstrate its utility, we introduce ROSALIA, a vision-language model fine-tuned on MIMIC-ILS. ROSALIA can segment diverse lesions and provide textual explanations in response to user instructions. The model achieves high segmentation and textual accuracy in our newly proposed task, highlighting the effectiveness of our pipeline and the value of MIMIC-ILS as a foundational resource for pixel-level CXR lesion grounding.

The rapid evolution of artificial intelligence, especially in large language models (LLMs), has significantly impacted various domains, including healthcare. In chest X-ray (CXR) analysis, previous studies have employed LLMs, but with limitations: either underutilizing the multi-tasking capabilities of LLMs or lacking clinical accuracy. This paper presents M4CXR, a multi-modal LLM designed to enhance CXR interpretation. The model is trained on a visual instruction-following dataset that integrates various task-specific datasets in a conversational format. As a result, the model supports multiple tasks such as medical report generation (MRG), visual grounding, and visual question answering (VQA). M4CXR achieves state-of-the-art clinical accuracy in MRG by employing a chain-of-thought prompting strategy, in which it identifies findings in CXR images and subsequently generates corresponding reports. The model is adaptable to various MRG scenarios depending on the available inputs, such as single-image, multi-image, and multi-study contexts. In addition to MRG, M4CXR performs visual grounding at a level comparable to specialized models and also demonstrates outstanding performance in VQA. Both quantitative and qualitative assessments reveal M4CXR's versatility in MRG, visual grounding, and VQA, while consistently maintaining clinical accuracy.

Chest X-Ray (CXR) imaging for pulmonary diagnosis raises significant challenges, primarily because bone structures can obscure critical details necessary for accurate diagnosis. Recent advances in deep learning, particularly with diffusion models, offer significant promise for effectively minimizing the visibility of bone structures in CXR images, thereby improving clarity and diagnostic accuracy. Nevertheless, existing diffusion-based methods for bone suppression in CXR imaging struggle to balance the complete suppression of bones with preserving local texture details. Additionally, their high computational demand and extended processing time hinder their practical use in clinical settings. To address these limitations, we introduce a Global-Local Latent Consistency Model (GL-LCM) architecture. This model combines lung segmentation, dual-path sampling, and global-local fusion, enabling fast high-resolution bone suppression in CXR images. To tackle potential boundary artifacts and detail blurring in local-path sampling, we further propose Local-Enhanced Guidance, which addresses these issues without additional training. Comprehensive experiments on a self-collected dataset SZCH-X-Rays, and the public dataset JSRT, reveal that our GL-LCM delivers superior bone suppression and remarkable computational efficiency, significantly outperforming several competitive methods. Our code is available at https://github.com/diaoquesang/GL-LCM.

Lung diseases represent a significant global health challenge, with Chest X-Ray (CXR) being a key diagnostic tool due to their accessibility and affordability. Nonetheless, the detection of pulmonary lesions is often hindered by overlapping bone structures in CXR images, leading to potential misdiagnoses. To address this issue, we developed an end-to-end framework called BS-LDM, designed to effectively suppress bone in high-resolution CXR images. This framework is based on conditional latent diffusion models and incorporates a multi-level hybrid loss-constrained vector-quantized generative adversarial network which is crafted for perceptual compression, ensuring the preservation of details. To further enhance the framework's performance, we introduce offset noise and a temporal adaptive thresholding strategy. These additions help minimize discrepancies in generating low-frequency information, thereby improving the clarity of the generated soft tissue images. Additionally, we have compiled a high-quality bone suppression dataset named SZCH-X-Rays. This dataset includes 818 pairs of high-resolution CXR and dual-energy subtraction soft tissue images collected from a partner hospital. Moreover, we processed 241 data pairs from the JSRT dataset into negative images, which are more commonly used in clinical practice. Our comprehensive experimental and clinical evaluations reveal that BS-LDM excels in bone suppression, underscoring its significant clinical value.

The widespread use of chest X-rays (CXRs), coupled with a shortage of radiologists, has driven growing interest in automated CXR analysis and AI-assisted reporting. While existing vision-language models (VLMs) show promise in specific tasks such as report generation or abnormality detection, they often lack support for interactive diagnostic capabilities. In this work we present RadVLM, a compact, multitask conversational foundation model designed for CXR interpretation. To this end, we curate a large-scale instruction dataset comprising over 1 million image-instruction pairs containing both single-turn tasks -- such as report generation, abnormality classification, and visual grounding -- and multi-turn, multi-task conversational interactions. After fine-tuning RadVLM on this instruction dataset, we evaluate it across different tasks along with re-implemented baseline VLMs. Our results show that RadVLM achieves state-of-the-art performance in conversational capabilities and visual grounding while remaining competitive in other radiology tasks. Ablation studies further highlight the benefit of joint training across multiple tasks, particularly for scenarios with limited annotated data. Together, these findings highlight the potential of RadVLM as a clinically relevant AI assistant, providing structured CXR interpretation and conversational capabilities to support more effective and accessible diagnostic workflows.

Chest X-rays (CXRs) are commonly utilized as a low-dose modality for lung screening. Nonetheless, the efficacy of CXRs is somewhat impeded, given that approximately 75% of the lung area overlaps with bone, which in turn hampers the detection and diagnosis of diseases. As a remedial measure, bone suppression techniques have been introduced. The current dual-energy subtraction imaging technique in the clinic requires costly equipment and subjects being exposed to high radiation. To circumvent these issues, deep learning-based image generation algorithms have been proposed. However, existing methods fall short in terms of producing high-quality images and capturing texture details, particularly with pulmonary vessels. To address these issues, this paper proposes a new bone suppression framework, termed BS-Diff, that comprises a conditional diffusion model equipped with a U-Net architecture and a simple enhancement module to incorporate an autoencoder. Our proposed network cannot only generate soft tissue images with a high bone suppression rate but also possesses the capability to capture fine image details. Additionally, we compiled the largest dataset since 2010, including data from 120 patients with high-definition, high-resolution paired CXRs and soft tissue images collected by our affiliated hospital. Extensive experiments, comparative analyses, ablation studies, and clinical evaluations indicate that the proposed BS-Diff outperforms several bone-suppression models across multiple metrics. Our code can be accessed at https://github.com/Benny0323/BS-Diff.

Radiology reporting is a complex task that requires detailed image understanding, integration of multiple inputs, including comparison with prior imaging, and precise language generation. This makes it ideal for the development and use of generative multimodal models. Here, we extend report generation to include the localisation of individual findings on the image - a task we call grounded report generation. Prior work indicates that grounding is important for clarifying image understanding and interpreting AI-generated text. Therefore, grounded reporting stands to improve the utility and transparency of automated report drafting. To enable evaluation of grounded reporting, we propose a novel evaluation framework - RadFact - leveraging the reasoning capabilities of large language models (LLMs). RadFact assesses the factuality of individual generated sentences, as well as correctness of generated spatial localisations when present. We introduce MAIRA-2, a large multimodal model combining a radiology-specific image encoder with a LLM, and trained for the new task of grounded report generation on chest X-rays. MAIRA-2 uses more comprehensive inputs than explored previously: the current frontal image, the current lateral image, the prior frontal image and prior report, as well as the Indication, Technique and Comparison sections of the current report. We demonstrate that these additions significantly improve report quality and reduce hallucinations, establishing a new state of the art on findings generation (without grounding) on MIMIC-CXR while demonstrating the feasibility of grounded reporting as a novel and richer task.

Chest X-ray (CXR) is the most frequently ordered imaging test, supporting diverse clinical tasks from thoracic disease detection to postoperative monitoring. However, task-specific classification models are limited in scope, require costly labeled data, and lack generalizability to out-of-distribution datasets. To address these challenges, we introduce CheXFound, a self-supervised vision foundation model that learns robust CXR representations and generalizes effectively across a wide range of downstream tasks. We pretrain CheXFound on a curated CXR-1M dataset, comprising over one million unique CXRs from publicly available sources. We propose a Global and Local Representations Integration (GLoRI) module for downstream adaptations, by incorporating disease-specific local features with global image features for enhanced performance in multilabel classification. Our experimental results show that CheXFound outperforms state-of-the-art models in classifying 40 disease findings across different prevalence levels on the CXR-LT 24 dataset and exhibits superior label efficiency on downstream tasks with limited training data. Additionally, CheXFound achieved significant improvements on new tasks with out-of-distribution datasets, including opportunistic cardiovascular disease risk estimation and mortality prediction. These results highlight CheXFound's strong generalization capabilities, enabling diverse adaptations with improved label efficiency. The project source code is publicly available at https://github.com/RPIDIAL/CheXFound.

Despite the progress in automatic detection of radiologic findings from chest X-ray (CXR) images in recent years, a quantitative evaluation of the explainability of these models is hampered by the lack of locally labeled datasets for different findings. With the exception of a few expert-labeled small-scale datasets for specific findings, such as pneumonia and pneumothorax, most of the CXR deep learning models to date are trained on global "weak" labels extracted from text reports, or trained via a joint image and unstructured text learning strategy. Inspired by the Visual Genome effort in the computer vision community, we constructed the first Chest ImaGenome dataset with a scene graph data structure to describe 242,072 images. Local annotations are automatically produced using a joint rule-based natural language processing (NLP) and atlas-based bounding box detection pipeline. Through a radiologist constructed CXR ontology, the annotations for each CXR are connected as an anatomy-centered scene graph, useful for image-level reasoning and multimodal fusion applications. Overall, we provide: i) 1,256 combinations of relation annotations between 29 CXR anatomical locations (objects with bounding box coordinates) and their attributes, structured as a scene graph per image, ii) over 670,000 localized comparison relations (for improved, worsened, or no change) between the anatomical locations across sequential exams, as well as ii) a manually annotated gold standard scene graph dataset from 500 unique patients.

Chest X-rays (CXRs) are the most frequently performed imaging test in clinical practice. Recent advances in the development of vision-language foundation models (FMs) give rise to the possibility of performing automated CXR interpretation, which can assist physicians with clinical decision-making and improve patient outcomes. However, developing FMs that can accurately interpret CXRs is challenging due to the (1) limited availability of large-scale vision-language datasets in the medical image domain, (2) lack of vision and language encoders that can capture the complexities of medical data, and (3) absence of evaluation frameworks for benchmarking the abilities of FMs on CXR interpretation. In this work, we address these challenges by first introducing CheXinstruct - a large-scale instruction-tuning dataset curated from 28 publicly-available datasets. We then present CheXagent - an instruction-tuned FM capable of analyzing and summarizing CXRs. To build CheXagent, we design a clinical large language model (LLM) for parsing radiology reports, a vision encoder for representing CXR images, and a network to bridge the vision and language modalities. Finally, we introduce CheXbench - a novel benchmark designed to systematically evaluate FMs across 8 clinically-relevant CXR interpretation tasks. Extensive quantitative evaluations and qualitative reviews with five expert radiologists demonstrate that CheXagent outperforms previously-developed general- and medical-domain FMs on CheXbench tasks. Furthermore, in an effort to improve model transparency, we perform a fairness evaluation across factors of sex, race and age to highlight potential performance disparities. Our project is at https://stanford-aimi.github.io/chexagent.html.

Chest X-ray imaging (CXR) is an important diagnostic tool used in hospitals to assess patient conditions and monitor changes over time. Generative models, specifically diffusion-based models, have shown promise in generating realistic synthetic X-rays. However, these models mainly focus on conditional generation using single-time-point data, i.e., typically CXRs taken at a specific time with their corresponding reports, limiting their clinical utility, particularly for capturing temporal changes. To address this limitation, we propose a novel framework, EHRXDiff, which predicts future CXR images by integrating previous CXRs with subsequent medical events, e.g., prescriptions, lab measures, etc. Our framework dynamically tracks and predicts disease progression based on a latent diffusion model, conditioned on the previous CXR image and a history of medical events. We comprehensively evaluate the performance of our framework across three key aspects, including clinical consistency, demographic consistency, and visual realism. We demonstrate that our framework generates high-quality, realistic future images that capture potential temporal changes, suggesting its potential for further development as a clinical simulation tool. This could offer valuable insights for patient monitoring and treatment planning in the medical field.

Radiology reports are crucial for planning treatment strategies and enhancing doctor-patient communication, yet manually writing these reports is burdensome for radiologists. While automatic report generation offers a solution, existing methods often rely on single-view radiographs, limiting diagnostic accuracy. To address this problem, we propose MCL, a Multi-view enhanced Contrastive Learning method for chest X-ray report generation. Specifically, we first introduce multi-view enhanced contrastive learning for visual representation by maximizing agreements between multi-view radiographs and their corresponding report. Subsequently, to fully exploit patient-specific indications (e.g., patient's symptoms) for report generation, we add a transitional ``bridge" for missing indications to reduce embedding space discrepancies caused by their presence or absence. Additionally, we construct Multi-view CXR and Two-view CXR datasets from public sources to support research on multi-view report generation. Our proposed MCL surpasses recent state-of-the-art methods across multiple datasets, achieving a 5.0% F1 RadGraph improvement on MIMIC-CXR, a 7.3% BLEU-1 improvement on MIMIC-ABN, a 3.1% BLEU-4 improvement on Multi-view CXR, and an 8.2% F1 CheXbert improvement on Two-view CXR.

Accurately grounding regions of interest (ROIs) is critical for diagnosis and treatment planning in medical imaging. While multimodal large language models (MLLMs) combine visual perception with natural language, current medical-grounding pipelines still rely on supervised fine-tuning with explicit spatial hints, making them ill-equipped to handle the implicit queries common in clinical practice. This work makes three core contributions. We first define Unified Medical Reasoning Grounding (UMRG), a novel vision-language task that demands clinical reasoning and pixel-level grounding. Second, we release U-MRG-14K, a dataset of 14K samples featuring pixel-level masks alongside implicit clinical queries and reasoning traces, spanning 10 modalities, 15 super-categories, and 108 specific categories. Finally, we introduce MedReasoner, a modular framework that distinctly separates reasoning from segmentation: an MLLM reasoner is optimized with reinforcement learning, while a frozen segmentation expert converts spatial prompts into masks, with alignment achieved through format and accuracy rewards. MedReasoner achieves state-of-the-art performance on U-MRG-14K and demonstrates strong generalization to unseen clinical queries, underscoring the significant promise of reinforcement learning for interpretable medical grounding.

Automated radiology report generation offers an effective solution to alleviate radiologists' workload. However, most existing methods focus primarily on single or fixed-view images to model current disease conditions, which limits diagnostic accuracy and overlooks disease progression. Although some approaches utilize longitudinal data to track disease progression, they still rely on single images to analyze current visits. To address these issues, we propose enhanced contrastive learning with Multi-view Longitudinal data to facilitate chest X-ray Report Generation, named MLRG. Specifically, we introduce a multi-view longitudinal contrastive learning method that integrates spatial information from current multi-view images and temporal information from longitudinal data. This method also utilizes the inherent spatiotemporal information of radiology reports to supervise the pre-training of visual and textual representations. Subsequently, we present a tokenized absence encoding technique to flexibly handle missing patient-specific prior knowledge, allowing the model to produce more accurate radiology reports based on available prior knowledge. Extensive experiments on MIMIC-CXR, MIMIC-ABN, and Two-view CXR datasets demonstrate that our MLRG outperforms recent state-of-the-art methods, achieving a 2.3% BLEU-4 improvement on MIMIC-CXR, a 5.5% F1 score improvement on MIMIC-ABN, and a 2.7% F1 RadGraph improvement on Two-view CXR.

Accurate retinal vessel (RV) segmentation is a crucial step in the quantitative assessment of retinal vasculature, which is needed for the early detection of retinal diseases and other conditions. Numerous studies have been conducted to tackle the problem of segmenting vessels automatically using a pixel-wise classification approach. The common practice of creating ground truth labels is to categorize pixels as foreground and background. This approach is, however, biased, and it ignores the uncertainty of a human annotator when it comes to annotating e.g. thin vessels. In this work, we propose a simple and effective method that casts the RV segmentation task as an image-level regression. For this purpose, we first introduce a novel Segmentation Annotation Uncertainty-Aware (SAUNA) transform, which adds pixel uncertainty to the ground truth using the pixel's closeness to the annotation boundary and vessel thickness. To train our model with soft labels, we generalize the earlier proposed Jaccard metric loss to arbitrary hypercubes for soft Jaccard index (Intersection-over-Union) optimization. Additionally, we employ a stable version of the Focal-L1 loss for pixel-wise regression. We conduct thorough experiments and compare our method to a diverse set of baselines across 5 retinal image datasets. Our empirical results indicate that the integration of the SAUNA transform and these segmentation losses led to significant performance boosts for different segmentation models. Particularly, our methodology enables UNet-like architectures to substantially outperform computational-intensive baselines. Our implementation is available at https://github.com/Oulu-IMEDS/SAUNA.

Chest Xray imaging is a widely used diagnostic tool in modern medicine, and its high utilization creates substantial workloads for radiologists. To alleviate this burden, vision language models are increasingly applied to automate Chest Xray radiology report generation (CXRRRG), aiming for clinically accurate descriptions while reducing manual effort. Conventional approaches, however, typically rely on single images, failing to capture the longitudinal context necessary for producing clinically faithful comparison statements. Recently, growing attention has been directed toward incorporating longitudinal data into CXR RRG, enabling models to leverage historical studies in ways that mirror radiologists diagnostic workflows. Nevertheless, existing surveys primarily address single image CXRRRG and offer limited guidance for longitudinal settings, leaving researchers without a systematic framework for model design. To address this gap, this survey provides the first comprehensive review of longitudinal radiology report generation (LRRG). Specifically, we examine dataset construction strategies, report generation architectures alongside longitudinally tailored designs, and evaluation protocols encompassing both longitudinal specific measures and widely used benchmarks. We further summarize LRRG methods performance, alongside analyses of different ablation studies, which collectively highlight the critical role of longitudinal information and architectural design choices in improving model performance. Finally, we summarize five major limitations of current research and outline promising directions for future development, aiming to lay a foundation for advancing this emerging field.

Recent advances in large multimodal models (LMMs) have recognized fine-grained grounding as an imperative factor of visual understanding and dialogue. However, the benefits of such representation in LMMs are limited to the natural image domain, and these models perform poorly for remote sensing (RS). The distinct overhead viewpoint, scale variation, and presence of small objects in high-resolution RS imagery present a unique challenge in region-level comprehension. Moreover, the development of the grounding conversation capability of LMMs within RS is hindered by the lack of granular, RS domain-specific grounded data. Addressing these limitations, we propose GeoPixel - the first end-to-end high resolution RS-LMM that supports pixel-level grounding. This capability allows fine-grained visual perception by generating interleaved masks in conversation. GeoPixel supports up to 4K HD resolution in any aspect ratio, ideal for high-precision RS image analysis. To support the grounded conversation generation (GCG) in RS imagery, we curate a visually grounded dataset GeoPixelD through a semi-automated pipeline that utilizes set-of-marks prompting and spatial priors tailored for RS data to methodically control the data generation process. GeoPixel demonstrates superior performance in pixel-level comprehension, surpassing existing LMMs in both single-target and multi-target segmentation tasks. Our methodological ablation studies validate the effectiveness of each component in the overall architecture. Our code and data will be publicly released.

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.

Vision-Language Models (VLMs) have shown remarkable performance in User Interface (UI) grounding tasks, driven by their ability to process increasingly high-resolution screenshots. However, screenshots are tokenized into thousands of visual tokens (e.g., about 4700 for 2K resolution), incurring significant computational overhead and diluting attention. In contrast, humans typically focus on regions of interest when interacting with UI. In this work, we pioneer the task of efficient UI grounding. Guided by practical analysis of the task's characteristics and challenges, we propose FocusUI, an efficient UI grounding framework that selects patches most relevant to the instruction while preserving positional continuity for precise grounding. FocusUI addresses two key challenges: (1) Eliminating redundant tokens in visual encoding. We construct patch-level supervision by fusing an instruction-conditioned score with a rule-based UI-graph score that down-weights large homogeneous regions to select distinct and instruction-relevant visual tokens. (2) Preserving positional continuity during visual token selection. We find that general visual token pruning methods suffer from severe accuracy degradation on UI grounding tasks due to broken positional information. We introduce a novel PosPad strategy, which compresses each contiguous sequence of dropped visual tokens into a single special marker placed at the sequence's last index to preserve positional continuity. Comprehensive experiments on four grounding benchmarks demonstrate that FocusUI surpasses GUI-specific baselines. On the ScreenSpot-Pro benchmark, FocusUI-7B achieves a performance improvement of 3.7% over GUI-Actor-7B. Even with only 30% visual token retention, FocusUI-7B drops by only 3.2% while achieving up to 1.44x faster inference and 17% lower peak GPU memory.

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.

In recent times, the need for effective super-resolution (SR) techniques has surged, especially for large-scale images ranging 2K to 8K resolutions. For DNN-based SISR, decomposing images into overlapping patches is typically necessary due to computational constraints. In such patch-decomposing scheme, one can allocate computational resources differently based on each patch's difficulty to further improve efficiency while maintaining SR performance. However, this approach has a limitation: computational resources is uniformly allocated within a patch, leading to lower efficiency when the patch contain pixels with varying levels of restoration difficulty. To address the issue, we propose the Pixel-level Classifier for Single Image Super-Resolution (PCSR), a novel method designed to distribute computational resources adaptively at the pixel level. A PCSR model comprises a backbone, a pixel-level classifier, and a set of pixel-level upsamplers with varying capacities. The pixel-level classifier assigns each pixel to an appropriate upsampler based on its restoration difficulty, thereby optimizing computational resource usage. Our method allows for performance and computational cost balance during inference without re-training. Our experiments demonstrate PCSR's advantage over existing patch-distributing methods in PSNR-FLOP trade-offs across different backbone models and benchmarks. The code is available at https://github.com/3587jjh/PCSR.

Despite significant advancements in Large Vision-Language Models (LVLMs)' capabilities, existing pixel-grounding models operate in single-image settings, limiting their ability to perform detailed, fine-grained comparisons across multiple images. Conversely, current multi-image understanding models lack pixel-level grounding. Our work addresses this gap by introducing the task of multi-image pixel-grounded reasoning alongside PRIMA, an LVLM that integrates pixel-level grounding with robust multi-image reasoning to produce contextually rich, pixel-grounded explanations. Central to PRIMA is SQuARE, a vision module that injects cross-image relational context into compact query-based visual tokens before fusing them with the language backbone. To support training and evaluation, we curate M4SEG, a new multi-image reasoning segmentation benchmark consisting of sim744K question-answer pairs that require fine-grained visual understanding across multiple images. PRIMA outperforms state-of-the-art baselines with 7.83% and 11.25% improvements in Recall and S-IoU, respectively. Ablation studies further demonstrate the effectiveness of the proposed SQuARE module in capturing cross-image relationships.

Multimodal large language models (MLLMs) have recently achieved remarkable progress in radiology by integrating visual perception with natural language understanding. However, they often generate clinically unsupported descriptions, known as medical hallucinations, which pose serious risks in medical applications that demand accuracy and image-grounded outputs. Through empirical analysis, we find that prompt-induced hallucinations remain prevalent in radiology MLLMs, largely due to over-sensitivity to clinical sections. To address this, we introduce Clinical Contrastive Cecoding (CCD), a training-free and retrieval-free inference framework that integrates structured clinical signals from task-specific radiology expert models. CCD introduces a dual-stage contrastive mechanism to refine token-level logits during generation, thereby enhancing clinical fidelity without modifying the base MLLM. Experiments on three datasets and multiple models demonstrate that CCD consistently improves overall performance on radiology report generation (RRG). On the MIMIC-CXR dataset, it yields up to a 17% improvement in RadGraph-F1 when applied to state-of-the-art RRG models. Our approach provides a lightweight and generalisable solution for mitigating medical hallucinations, effectively bridging expert models and MLLMs in radiology.

Pixel grounding, encompassing tasks such as Referring Expression Segmentation (RES), has garnered considerable attention due to its immense potential for bridging the gap between vision and language modalities. However, advancements in this domain are currently constrained by limitations inherent in existing datasets, including limited object categories, insufficient textual diversity, and a scarcity of high-quality annotations. To mitigate these limitations, we introduce GroundingSuite, which comprises: (1) an automated data annotation framework leveraging multiple Vision-Language Model (VLM) agents; (2) a large-scale training dataset encompassing 9.56 million diverse referring expressions and their corresponding segmentations; and (3) a meticulously curated evaluation benchmark consisting of 3,800 images. The GroundingSuite training dataset facilitates substantial performance improvements, enabling models trained on it to achieve state-of-the-art results. Specifically, a cIoU of 68.9 on gRefCOCO and a gIoU of 55.3 on RefCOCOm. Moreover, the GroundingSuite annotation framework demonstrates superior efficiency compared to the current leading data annotation method, i.e., 4.5 times faster than the GLaMM.

Remote sensing (RS) visual grounding aims to use natural language expression to locate specific objects (in the form of the bounding box or segmentation mask) in RS images, enhancing human interaction with intelligent RS interpretation systems. Early research in this area was primarily based on horizontal bounding boxes (HBBs), but as more diverse RS datasets have become available, tasks involving oriented bounding boxes (OBBs) and segmentation masks have emerged. In practical applications, different targets require different grounding types: HBB can localize an object's position, OBB provides its orientation, and mask depicts its shape. However, existing specialized methods are typically tailored to a single type of RS visual grounding task and are hard to generalize across tasks. In contrast, large vision-language models (VLMs) exhibit powerful multi-task learning capabilities but struggle to handle dense prediction tasks like segmentation. This paper proposes GeoGround, a novel framework that unifies support for HBB, OBB, and mask RS visual grounding tasks, allowing flexible output selection. Rather than customizing the architecture of VLM, our work aims to elegantly support pixel-level visual grounding output through the Text-Mask technique. We define prompt-assisted and geometry-guided learning to enhance consistency across different signals. To support model training, we present refGeo, a large-scale RS visual instruction-following dataset containing 161k image-text pairs. Experimental results show that GeoGround demonstrates strong performance across four RS visual grounding tasks, matching or surpassing the performance of specialized methods on multiple benchmarks. Code available at https://github.com/zytx121/GeoGround

Chest radiography is an extremely powerful imaging modality, allowing for a detailed inspection of a patient's thorax, but requiring specialized training for proper interpretation. With the advent of high performance general purpose computer vision algorithms, the accurate automated analysis of chest radiographs is becoming increasingly of interest to researchers. However, a key challenge in the development of these techniques is the lack of sufficient data. Here we describe MIMIC-CXR-JPG v2.0.0, a large dataset of 377,110 chest x-rays associated with 227,827 imaging studies sourced from the Beth Israel Deaconess Medical Center between 2011 - 2016. Images are provided with 14 labels derived from two natural language processing tools applied to the corresponding free-text radiology reports. MIMIC-CXR-JPG is derived entirely from the MIMIC-CXR database, and aims to provide a convenient processed version of MIMIC-CXR, as well as to provide a standard reference for data splits and image labels. All images have been de-identified to protect patient privacy. The dataset is made freely available to facilitate and encourage a wide range of research in medical computer vision.

Recent studies in text-to-image customization show great success in generating personalized object variants given several images of a subject. While existing methods focus more on preserving the identity of the subject, they often fall short of controlling the spatial relationship between objects. In this work, we introduce GroundingBooth, a framework that achieves zero-shot instance-level spatial grounding on both foreground subjects and background objects in the text-to-image customization task. Our proposed text-image grounding module and masked cross-attention layer allow us to generate personalized images with both accurate layout alignment and identity preservation while maintaining text-image coherence. With such layout control, our model inherently enables the customization of multiple subjects at once. Our model is evaluated on both layout-guided image synthesis and reference-based customization tasks, showing strong results compared to existing methods. Our work is the first work to achieve a joint grounding on both subject-driven foreground generation and text-driven background generation.

In the field of chest X-ray (CXR) diagnosis, existing works often focus solely on determining where a radiologist looks, typically through tasks such as detection, segmentation, or classification. However, these approaches are often designed as black-box models, lacking interpretability. In this paper, we introduce Interpretable Artificial Intelligence (I-AI) a novel and unified controllable interpretable pipeline for decoding the intense focus of radiologists in CXR diagnosis. Our I-AI addresses three key questions: where a radiologist looks, how long they focus on specific areas, and what findings they diagnose. By capturing the intensity of the radiologist's gaze, we provide a unified solution that offers insights into the cognitive process underlying radiological interpretation. Unlike current methods that rely on black-box machine learning models, which can be prone to extracting erroneous information from the entire input image during the diagnosis process, we tackle this issue by effectively masking out irrelevant information. Our proposed I-AI leverages a vision-language model, allowing for precise control over the interpretation process while ensuring the exclusion of irrelevant features. To train our I-AI model, we utilize an eye gaze dataset to extract anatomical gaze information and generate ground truth heatmaps. Through extensive experimentation, we demonstrate the efficacy of our method. We showcase that the attention heatmaps, designed to mimic radiologists' focus, encode sufficient and relevant information, enabling accurate classification tasks using only a portion of CXR. The code, checkpoints, and data are at https://github.com/UARK-AICV/IAI

In this paper, we propose an efficient multi-level convolution architecture for 3D visual grounding. Conventional methods are difficult to meet the requirements of real-time inference due to the two-stage or point-based architecture. Inspired by the success of multi-level fully sparse convolutional architecture in 3D object detection, we aim to build a new 3D visual grounding framework following this technical route. However, as in 3D visual grounding task the 3D scene representation should be deeply interacted with text features, sparse convolution-based architecture is inefficient for this interaction due to the large amount of voxel features. To this end, we propose text-guided pruning (TGP) and completion-based addition (CBA) to deeply fuse 3D scene representation and text features in an efficient way by gradual region pruning and target completion. Specifically, TGP iteratively sparsifies the 3D scene representation and thus efficiently interacts the voxel features with text features by cross-attention. To mitigate the affect of pruning on delicate geometric information, CBA adaptively fixes the over-pruned region by voxel completion with negligible computational overhead. Compared with previous single-stage methods, our method achieves top inference speed and surpasses previous fastest method by 100\% FPS. Our method also achieves state-of-the-art accuracy even compared with two-stage methods, with +1.13 lead of Acc@0.5 on ScanRefer, and +2.6 and +3.2 leads on NR3D and SR3D respectively. The code is available at https://github.com/GWxuan/TSP3D{https://github.com/GWxuan/TSP3D}.

Diffusion-based methods, endowed with a formidable generative prior, have received increasing attention in Image Super-Resolution (ISR) recently. However, as low-resolution (LR) images often undergo severe degradation, it is challenging for ISR models to perceive the semantic and degradation information, resulting in restoration images with incorrect content or unrealistic artifacts. To address these issues, we propose a Cross-modal Priors for Super-Resolution (XPSR) framework. Within XPSR, to acquire precise and comprehensive semantic conditions for the diffusion model, cutting-edge Multimodal Large Language Models (MLLMs) are utilized. To facilitate better fusion of cross-modal priors, a Semantic-Fusion Attention is raised. To distill semantic-preserved information instead of undesired degradations, a Degradation-Free Constraint is attached between LR and its high-resolution (HR) counterpart. Quantitative and qualitative results show that XPSR is capable of generating high-fidelity and high-realism images across synthetic and real-world datasets. Codes are released at https://github.com/qyp2000/XPSR.

Visual grounding is essential for precise perception and reasoning in multimodal large language models (MLLMs), especially in medical imaging domains. While existing medical visual grounding benchmarks primarily focus on single-image scenarios, real-world clinical applications often involve sequential images, where accurate lesion localization across different modalities and temporal tracking of disease progression (e.g., pre- vs. post-treatment comparison) require fine-grained cross-image semantic alignment and context-aware reasoning. To remedy the underrepresentation of image sequences in existing medical visual grounding benchmarks, we propose MedSG-Bench, the first benchmark tailored for Medical Image Sequences Grounding. It comprises eight VQA-style tasks, formulated into two paradigms of the grounding tasks, including 1) Image Difference Grounding, which focuses on detecting change regions across images, and 2) Image Consistency Grounding, which emphasizes detection of consistent or shared semantics across sequential images. MedSG-Bench covers 76 public datasets, 10 medical imaging modalities, and a wide spectrum of anatomical structures and diseases, totaling 9,630 question-answer pairs. We benchmark both general-purpose MLLMs (e.g., Qwen2.5-VL) and medical-domain specialized MLLMs (e.g., HuatuoGPT-vision), observing that even the advanced models exhibit substantial limitations in medical sequential grounding tasks. To advance this field, we construct MedSG-188K, a large-scale instruction-tuning dataset tailored for sequential visual grounding, and further develop MedSeq-Grounder, an MLLM designed to facilitate future research on fine-grained understanding across medical sequential images. The benchmark, dataset, and model are available at https://huggingface.co/MedSG-Bench

Automated multi-label chest X-rays (CXR) image classification has achieved substantial progress in clinical diagnosis via utilizing sophisticated deep learning approaches. However, most deep models have high computational demands, which makes them less feasible for compact devices with low computational requirements. To overcome this problem, we propose a knowledge distillation (KD) strategy to create the compact deep learning model for the real-time multi-label CXR image classification. We study different alternatives of CNNs and Transforms as the teacher to distill the knowledge to a smaller student. Then, we employed explainable artificial intelligence (XAI) to provide the visual explanation for the model decision improved by the KD. Our results on three benchmark CXR datasets show that our KD strategy provides the improved performance on the compact student model, thus being the feasible choice for many limited hardware platforms. For instance, when using DenseNet161 as the teacher network, EEEA-Net-C2 achieved an AUC of 83.7%, 87.1%, and 88.7% on the ChestX-ray14, CheXpert, and PadChest datasets, respectively, with fewer parameters of 4.7 million and computational cost of 0.3 billion FLOPS.

GUI grounding, which translates natural language instructions into precise pixel coordinates, is essential for developing practical GUI agents. However, we observe that existing grounding models exhibit significant coordinate prediction instability, minor visual perturbations (e.g. cropping a few pixels) can drastically alter predictions, flipping results between correct and incorrect. This instability severely undermines model performance, especially for samples with high-resolution and small UI elements. To address this issue, we propose Multi-View Prediction (MVP), a training-free framework that enhances grounding performance through multi-view inference. Our key insight is that while single-view predictions may be unstable, aggregating predictions from multiple carefully cropped views can effectively distinguish correct coordinates from outliers. MVP comprises two components: (1) Attention-Guided View Proposal, which derives diverse views guided by instruction-to-image attention scores, and (2) Multi-Coordinates Clustering, which ensembles predictions by selecting the centroid of the densest spatial cluster. Extensive experiments demonstrate MVP's effectiveness across various models and benchmarks. Notably, on ScreenSpot-Pro, MVP boosts UI-TARS-1.5-7B to 56.1%, GTA1-7B to 61.7%, Qwen3VL-8B-Instruct to 65.3%, and Qwen3VL-32B-Instruct to 74.0%. The code is available at https://github.com/ZJUSCL/MVP.

The development of radiance fields (RF), such as 3D Gaussian Splatting (3DGS) and Neural Radiance Fields (NeRF), has revolutionized interactive photorealistic view synthesis and presents enormous opportunities for XR research and applications. However, despite the exponential growth of RF research, RF-related contributions to the XR community remain sparse. To better understand this research gap, we performed a systematic survey of current RF literature to analyze (i) how RF is envisioned for XR applications, (ii) how they have already been implemented, and (iii) the remaining research gaps. We collected 365 RF contributions related to XR from computer vision, computer graphics, robotics, multimedia, human-computer interaction, and XR communities, seeking to answer the above research questions. Among the 365 papers, we performed an analysis of 66 papers that already addressed a detailed aspect of RF research for XR. With this survey, we extended and positioned XR-specific RF research topics in the broader RF research field and provide a helpful resource for the XR community to navigate within the rapid development of RF research.

We present VinDr-CXR-VQA, a large-scale chest X-ray dataset for explainable Medical Visual Question Answering (Med-VQA) with spatial grounding. The dataset contains 17,597 question-answer pairs across 4,394 images, each annotated with radiologist-verified bounding boxes and clinical reasoning explanations. Our question taxonomy spans six diagnostic types-Where, What, Is there, How many, Which, and Yes/No-capturing diverse clinical intents. To improve reliability, we construct a balanced distribution of 41.7% positive and 58.3% negative samples, mitigating hallucinations in normal cases. Benchmarking with MedGemma-4B-it demonstrates improved performance (F1 = 0.624, +11.8% over baseline) while enabling lesion localization. VinDr-CXR-VQA aims to advance reproducible and clinically grounded Med-VQA research. The dataset and evaluation tools are publicly available at huggingface.co/datasets/Dangindev/VinDR-CXR-VQA.

Unified visual grounding pursues a simple and generic technical route to leverage multi-task data with less task-specific design. The most advanced methods typically present boxes and masks as vertex sequences to model referring detection and segmentation as an autoregressive sequential vertex generation paradigm. However, generating high-dimensional vertex sequences sequentially is error-prone because the upstream of the sequence remains static and cannot be refined based on downstream vertex information, even if there is a significant location gap. Besides, with limited vertexes, the inferior fitting of objects with complex contours restricts the performance upper bound. To deal with this dilemma, we propose a parallel vertex generation paradigm for superior high-dimension scalability with a diffusion model by simply modifying the noise dimension. An intuitive materialization of our paradigm is Parallel Vertex Diffusion (PVD) to directly set vertex coordinates as the generation target and use a diffusion model to train and infer. We claim that it has two flaws: (1) unnormalized coordinate caused a high variance of loss value; (2) the original training objective of PVD only considers point consistency but ignores geometry consistency. To solve the first flaw, Center Anchor Mechanism (CAM) is designed to convert coordinates as normalized offset values to stabilize the training loss value. For the second flaw, Angle summation loss (ASL) is designed to constrain the geometry difference of prediction and ground truth vertexes for geometry-level consistency. Empirical results show that our PVD achieves state-of-the-art in both referring detection and segmentation, and our paradigm is more scalable and efficient than sequential vertex generation with high-dimension data.

Chest X-Ray (CXR) report generation is a promising approach to improving the efficiency of CXR interpretation. However, a significant increase in diagnostic accuracy is required before that can be realised. Motivated by this, we propose a framework that is more inline with a radiologist's workflow by considering longitudinal data. Here, the decoder is additionally conditioned on the report from the subject's previous imaging study via a prompt. We also propose a new reward for reinforcement learning based on CXR-BERT, which computes the similarity between reports. We conduct experiments on the MIMIC-CXR dataset. The results indicate that longitudinal data improves CXR report generation. CXR-BERT is also shown to be a promising alternative to the current state-of-the-art reward based on RadGraph. This investigation indicates that longitudinal CXR report generation can offer a substantial increase in diagnostic accuracy. Our Hugging Face model is available at: https://huggingface.co/aehrc/cxrmate and code is available at: https://github.com/aehrc/cxrmate.

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%.

Different from Object Detection, Visual Grounding deals with detecting a bounding box for each text-image pair. This one box for each text-image data provides sparse supervision signals. Although previous works achieve impressive results, their passive utilization of annotation, i.e. the sole use of the box annotation as regression ground truth, results in a suboptimal performance. In this paper, we present SegVG, a novel method transfers the box-level annotation as Segmentation signals to provide an additional pixel-level supervision for Visual Grounding. Specifically, we propose the Multi-layer Multi-task Encoder-Decoder as the target grounding stage, where we learn a regression query and multiple segmentation queries to ground the target by regression and segmentation of the box in each decoding layer, respectively. This approach allows us to iteratively exploit the annotation as signals for both box-level regression and pixel-level segmentation. Moreover, as the backbones are typically initialized by pretrained parameters learned from unimodal tasks and the queries for both regression and segmentation are static learnable embeddings, a domain discrepancy remains among these three types of features, which impairs subsequent target grounding. To mitigate this discrepancy, we introduce the Triple Alignment module, where the query, text, and vision tokens are triangularly updated to share the same space by triple attention mechanism. Extensive experiments on five widely used datasets validate our state-of-the-art (SOTA) performance.

Developing an interpretable system for generating reports in chest X-ray (CXR) analysis is becoming increasingly crucial in Computer-aided Diagnosis (CAD) systems, enabling radiologists to comprehend the decisions made by these systems. Despite the growth of diverse datasets and methods focusing on report generation, there remains a notable gap in how closely these models' generated reports align with the interpretations of real radiologists. In this study, we tackle this challenge by initially introducing Fine-Grained CXR (FG-CXR) dataset, which provides fine-grained paired information between the captions generated by radiologists and the corresponding gaze attention heatmaps for each anatomy. Unlike existing datasets that include a raw sequence of gaze alongside a report, with significant misalignment between gaze location and report content, our FG-CXR dataset offers a more grained alignment between gaze attention and diagnosis transcript. Furthermore, our analysis reveals that simply applying black-box image captioning methods to generate reports cannot adequately explain which information in CXR is utilized and how long needs to attend to accurately generate reports. Consequently, we propose a novel explainable radiologist's attention generator network (Gen-XAI) that mimics the diagnosis process of radiologists, explicitly constraining its output to closely align with both radiologist's gaze attention and transcript. Finally, we perform extensive experiments to illustrate the effectiveness of our method. Our datasets and checkpoint is available at https://github.com/UARK-AICV/FG-CXR.

This paper introduces a novel one-stage end-to-end detector specifically designed to detect small lesions in medical images. Precise localization of small lesions presents challenges due to their appearance and the diverse contextual backgrounds in which they are found. To address this, our approach introduces a new type of pixel-based anchor that dynamically moves towards the targeted lesion for detection. We refer to this new architecture as GravityNet, and the novel anchors as gravity points since they appear to be "attracted" by the lesions. We conducted experiments on two well-established medical problems involving small lesions to evaluate the performance of the proposed approach: microcalcifications detection in digital mammograms and microaneurysms detection in digital fundus images. Our method demonstrates promising results in effectively detecting small lesions in these medical imaging tasks.

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.

Optical Coherence Tomography Angiography (OCTA) and its derived en-face projections provide high-resolution visualization of the retinal and choroidal vasculature, which is critical for the rapid and accurate diagnosis of retinal diseases. However, acquiring high-quality OCTA images is challenging due to motion sensitivity and the high costs associated with software modifications for conventional OCT devices. Moreover, current deep learning methods for OCT-to-OCTA translation often overlook the vascular differences across retinal layers and struggle to reconstruct the intricate, dense vascular details necessary for reliable diagnosis. To overcome these limitations, we propose XOCT, a novel deep learning framework that integrates Cross-Dimensional Supervision (CDS) with a Multi-Scale Feature Fusion (MSFF) network for layer-aware vascular reconstruction. Our CDS module leverages 2D layer-wise en-face projections, generated via segmentation-weighted z-axis averaging, as supervisory signals to compel the network to learn distinct representations for each retinal layer through fine-grained, targeted guidance. Meanwhile, the MSFF module enhances vessel delineation through multi-scale feature extraction combined with a channel reweighting strategy, effectively capturing vascular details at multiple spatial scales. Our experiments on the OCTA-500 dataset demonstrate XOCT's improvements, especially for the en-face projections which are significant for clinical evaluation of retinal pathologies, underscoring its potential to enhance OCTA accessibility, reliability, and diagnostic value for ophthalmic disease detection and monitoring. The code is available at https://github.com/uci-cbcl/XOCT.

Despite recent advancements in semantic segmentation, where and what pixels are hard to segment remains largely unexplored. Existing research only separates an image into easy and hard regions and empirically observes the latter are associated with object boundaries. In this paper, we conduct a comprehensive analysis of hard pixel errors, categorizing them into three types: false responses, merging mistakes, and displacements. Our findings reveal a quantitative association between hard pixels and aliasing, which is distortion caused by the overlapping of frequency components in the Fourier domain during downsampling. To identify the frequencies responsible for aliasing, we propose using the equivalent sampling rate to calculate the Nyquist frequency, which marks the threshold for aliasing. Then, we introduce the aliasing score as a metric to quantify the extent of aliasing. While positively correlated with the proposed aliasing score, three types of hard pixels exhibit different patterns. Here, we propose two novel de-aliasing filter (DAF) and frequency mixing (FreqMix) modules to alleviate aliasing degradation by accurately removing or adjusting frequencies higher than the Nyquist frequency. The DAF precisely removes the frequencies responsible for aliasing before downsampling, while the FreqMix dynamically selects high-frequency components within the encoder block. Experimental results demonstrate consistent improvements in semantic segmentation and low-light instance segmentation tasks. The code is available at: https://github.com/Linwei-Chen/Seg-Aliasing.

Pre-Trained Vision-Language Models (VL-PTMs) have shown promising capabilities in grounding natural language in image data, facilitating a broad variety of cross-modal tasks. However, we note that there exists a significant gap between the objective forms of model pre-training and fine-tuning, resulting in a need for large amounts of labeled data to stimulate the visual grounding capability of VL-PTMs for downstream tasks. To address the challenge, we present Cross-modal Prompt Tuning (CPT, alternatively, Colorful Prompt Tuning), a novel paradigm for tuning VL-PTMs, which reformulates visual grounding into a fill-in-the-blank problem with color-based co-referential markers in image and text, maximally mitigating the gap. In this way, CPT enables strong few-shot and even zero-shot visual grounding capabilities of VL-PTMs. Comprehensive experimental results show that the prompt-tuned VL-PTMs outperform their fine-tuned counterparts by a large margin (e.g., 17.3% absolute accuracy improvement, and 73.8% relative standard deviation reduction on average with one shot in RefCOCO evaluation). We make the data and code for this paper publicly available at https://github.com/thunlp/CPT.

The development of successful artificial intelligence models for chest X-ray analysis relies on large, diverse datasets with high-quality annotations. While several databases of chest X-ray images have been released, most include disease diagnosis labels but lack detailed pixel-level anatomical segmentation labels. To address this gap, we introduce an extensive chest X-ray multi-center segmentation dataset with uniform and fine-grain anatomical annotations for images coming from six well-known publicly available databases: CANDID-PTX, ChestX-ray8, Chexpert, MIMIC-CXR-JPG, Padchest, and VinDr-CXR, resulting in 676,803 segmentation masks. Our methodology utilizes the HybridGNet model to ensure consistent and high-quality segmentations across all datasets. Rigorous validation, including expert physician evaluation and automatic quality control, was conducted to validate the resulting masks. Additionally, we provide individualized quality indices per mask and an overall quality estimation per dataset. This dataset serves as a valuable resource for the broader scientific community, streamlining the development and assessment of innovative methodologies in chest X-ray analysis. The CheXmask dataset is publicly available at: https://physionet.org/content/chexmask-cxr-segmentation-data/.

Medical imaging provides critical evidence for clinical diagnosis, treatment planning, and surgical decisions, yet most existing imaging models are narrowly focused and require multiple specialized networks, limiting their generalization. Although large-scale language and multimodal models exhibit strong reasoning and multi-task capabilities, real-world clinical applications demand precise visual grounding, multimodal integration, and chain-of-thought reasoning. We introduce Citrus-V, a multimodal medical foundation model that combines image analysis with textual reasoning. The model integrates detection, segmentation, and multimodal chain-of-thought reasoning, enabling pixel-level lesion localization, structured report generation, and physician-like diagnostic inference in a single framework. We propose a novel multimodal training approach and release a curated open-source data suite covering reasoning, detection, segmentation, and document understanding tasks. Evaluations demonstrate that Citrus-V outperforms existing open-source medical models and expert-level imaging systems across multiple benchmarks, delivering a unified pipeline from visual grounding to clinical reasoning and supporting precise lesion quantification, automated reporting, and reliable second opinions.

Recent advances of large multi-modality models (LMM) have greatly improved the ability of image quality assessment (IQA) method to evaluate and explain the quality of visual content. However, these advancements are mostly focused on overall quality assessment, and the detailed examination of local quality, which is crucial for comprehensive visual understanding, is still largely unexplored. In this work, we introduce Q-Ground, the first framework aimed at tackling fine-scale visual quality grounding by combining large multi-modality models with detailed visual quality analysis. Central to our contribution is the introduction of the QGround-100K dataset, a novel resource containing 100k triplets of (image, quality text, distortion segmentation) to facilitate deep investigations into visual quality. The dataset comprises two parts: one with human-labeled annotations for accurate quality assessment, and another labeled automatically by LMMs such as GPT4V, which helps improve the robustness of model training while also reducing the costs of data collection. With the QGround-100K dataset, we propose a LMM-based method equipped with multi-scale feature learning to learn models capable of performing both image quality answering and distortion segmentation based on text prompts. This dual-capability approach not only refines the model's understanding of region-aware image quality but also enables it to interactively respond to complex, text-based queries about image quality and specific distortions. Q-Ground takes a step towards sophisticated visual quality analysis in a finer scale, establishing a new benchmark for future research in the area. Codes and dataset are available at https://github.com/Q-Future/Q-Ground.

Point-interactive image colorization aims to colorize grayscale images when a user provides the colors for specific locations. It is essential for point-interactive colorization methods to appropriately propagate user-provided colors (i.e., user hints) in the entire image to obtain a reasonably colorized image with minimal user effort. However, existing approaches often produce partially colorized results due to the inefficient design of stacking convolutional layers to propagate hints to distant relevant regions. To address this problem, we present iColoriT, a novel point-interactive colorization Vision Transformer capable of propagating user hints to relevant regions, leveraging the global receptive field of Transformers. The self-attention mechanism of Transformers enables iColoriT to selectively colorize relevant regions with only a few local hints. Our approach colorizes images in real-time by utilizing pixel shuffling, an efficient upsampling technique that replaces the decoder architecture. Also, in order to mitigate the artifacts caused by pixel shuffling with large upsampling ratios, we present the local stabilizing layer. Extensive quantitative and qualitative results demonstrate that our approach highly outperforms existing methods for point-interactive colorization, producing accurately colorized images with a user's minimal effort. Official codes are available at https://pmh9960.github.io/research/iColoriT

Automated structured radiology report generation (SRRG) from chest X-ray images offers significant potential to reduce workload of radiologists by generating reports in structured formats that ensure clarity, consistency, and adherence to clinical reporting standards. While radiologists effectively utilize available clinical contexts in their diagnostic reasoning, existing SRRG systems overlook these essential elements. This fundamental gap leads to critical problems including temporal hallucinations when referencing non-existent clinical contexts. To address these limitations, we propose contextualized SRRG (C-SRRG) that comprehensively incorporates rich clinical context for SRRG. We curate C-SRRG dataset by integrating comprehensive clinical context encompassing 1) multi-view X-ray images, 2) clinical indication, 3) imaging techniques, and 4) prior studies with corresponding comparisons based on patient histories. Through extensive benchmarking with state-of-the-art multimodal large language models, we demonstrate that incorporating clinical context with the proposed C-SRRG significantly improves report generation quality. We publicly release dataset, code, and checkpoints to facilitate future research for clinically-aligned automated RRG at https://github.com/vuno/contextualized-srrg.

Medical image grounding aims to align natural language phrases with specific regions in medical images, serving as a foundational task for intelligent diagnosis, visual question answering (VQA), and automated report generation (MRG). However, existing research is constrained by limited modality coverage, coarse-grained annotations, and the absence of a unified, generalizable grounding framework. To address these challenges, we construct a large-scale medical grounding dataset Med-GLIP-5M comprising over 5.3 million region-level annotations across seven imaging modalities, covering diverse anatomical structures and pathological findings. The dataset supports both segmentation and grounding tasks with hierarchical region labels, ranging from organ-level boundaries to fine-grained lesions. Based on this foundation, we propose Med-GLIP, a modality-aware grounding framework trained on Med-GLIP-5M. Rather than relying on explicitly designed expert modules, Med-GLIP implicitly acquires hierarchical semantic understanding from diverse training data -- enabling it to recognize multi-granularity structures, such as distinguishing lungs from pneumonia lesions. Extensive experiments demonstrate that Med-GLIP consistently outperforms state-of-the-art baselines across multiple grounding benchmarks. Furthermore, integrating its spatial outputs into downstream tasks, including medical VQA and report generation, leads to substantial performance gains. Our dataset will be released soon.

We present a radiology-specific multimodal model for the task for generating radiological reports from chest X-rays (CXRs). Our work builds on the idea that large language model(s) can be equipped with multimodal capabilities through alignment with pre-trained vision encoders. On natural images, this has been shown to allow multimodal models to gain image understanding and description capabilities. Our proposed model (MAIRA-1) leverages a CXR-specific image encoder in conjunction with a fine-tuned large language model based on Vicuna-7B, and text-based data augmentation, to produce reports with state-of-the-art quality. In particular, MAIRA-1 significantly improves on the radiologist-aligned RadCliQ metric and across all lexical metrics considered. Manual review of model outputs demonstrates promising fluency and accuracy of generated reports while uncovering failure modes not captured by existing evaluation practices. More information and resources can be found on the project website: https://aka.ms/maira.

Scene understanding based on image segmentation is a crucial component of autonomous vehicles. Pixel-wise semantic segmentation of RGB images can be advanced by exploiting complementary features from the supplementary modality (X-modality). However, covering a wide variety of sensors with a modality-agnostic model remains an unresolved problem due to variations in sensor characteristics among different modalities. Unlike previous modality-specific methods, in this work, we propose a unified fusion framework, CMX, for RGB-X semantic segmentation. To generalize well across different modalities, that often include supplements as well as uncertainties, a unified cross-modal interaction is crucial for modality fusion. Specifically, we design a Cross-Modal Feature Rectification Module (CM-FRM) to calibrate bi-modal features by leveraging the features from one modality to rectify the features of the other modality. With rectified feature pairs, we deploy a Feature Fusion Module (FFM) to perform sufficient exchange of long-range contexts before mixing. To verify CMX, for the first time, we unify five modalities complementary to RGB, i.e., depth, thermal, polarization, event, and LiDAR. Extensive experiments show that CMX generalizes well to diverse multi-modal fusion, achieving state-of-the-art performances on five RGB-Depth benchmarks, as well as RGB-Thermal, RGB-Polarization, and RGB-LiDAR datasets. Besides, to investigate the generalizability to dense-sparse data fusion, we establish an RGB-Event semantic segmentation benchmark based on the EventScape dataset, on which CMX sets the new state-of-the-art. The source code of CMX is publicly available at https://github.com/huaaaliu/RGBX_Semantic_Segmentation.

Radiologists play a crucial role by translating medical images into medical reports. However, the field faces staffing shortages and increasing workloads. While automated approaches using vision-language models (VLMs) show promise as assistants, they require exceptionally high accuracy. Most current VLMs in radiology rely solely on supervised fine-tuning (SFT). Meanwhile, in the general domain, additional preference fine-tuning has become standard practice. The challenge in radiology lies in the prohibitive cost of obtaining radiologist feedback. We propose a scalable automated preference alignment technique for VLMs in radiology, focusing on chest X-ray (CXR) report generation. Our method leverages publicly available datasets with an LLM-as-a-Judge mechanism, eliminating the need for additional expert radiologist feedback. We evaluate and benchmark five direct alignment algorithms (DAAs). Our results show up to a 57.4% improvement in average GREEN scores, a LLM-based metric for evaluating CXR reports, and a 9.2% increase in an average across six metrics (domain specific and general), compared to the SFT baseline. We study reward overoptimization via length exploitation, with reports lengthening by up to 3.2x. To assess a potential alignment tax, we benchmark on six additional diverse tasks, finding no significant degradations. A reader study involving four board-certified radiologists indicates win rates of up to 0.62 over the SFT baseline, while significantly penalizing verbosity. Our analysis provides actionable insights for the development of VLMs in high-stakes fields like radiology.

3D visual grounding aims to locate objects based on natural language descriptions in 3D scenes. Existing methods rely on a pre-defined Object Lookup Table (OLT) to query Visual Language Models (VLMs) for reasoning about object locations, which limits the applications in scenarios with undefined or unforeseen targets. To address this problem, we present OpenGround, a novel zero-shot framework for open-world 3D visual grounding. Central to OpenGround is the Active Cognition-based Reasoning (ACR) module, which is designed to overcome the fundamental limitation of pre-defined OLTs by progressively augmenting the cognitive scope of VLMs. The ACR module performs human-like perception of the target via a cognitive task chain and actively reasons about contextually relevant objects, thereby extending VLM cognition through a dynamically updated OLT. This allows OpenGround to function with both pre-defined and open-world categories. We also propose a new dataset named OpenTarget, which contains over 7000 object-description pairs to evaluate our method in open-world scenarios. Extensive experiments demonstrate that OpenGround achieves competitive performance on Nr3D, state-of-the-art on ScanRefer, and delivers a substantial 17.6% improvement on OpenTarget. Project Page at https://why-102.github.io/openground.io/.

GUI grounding, the task of mapping natural-language instructions to pixel coordinates, is crucial for autonomous agents, yet remains difficult for current VLMs. The core bottleneck is reliable patch-to-pixel mapping, which breaks when extrapolating to high-resolution displays unseen during training. Current approaches generate coordinates as text tokens directly from visual features, forcing the model to infer complex position-to-pixel mappings implicitly; as a result, accuracy degrades and failures proliferate on new resolutions. We address this with two complementary innovations. First, RULER tokens serve as explicit coordinate markers, letting the model reference positions similar to gridlines on a map and adjust rather than generate coordinates from scratch. Second, Interleaved MRoPE (I-MRoPE) improves spatial encoding by ensuring that width and height dimensions are represented equally, addressing the asymmetry of standard positional schemes. Experiments on ScreenSpot, ScreenSpot-V2, and ScreenSpot-Pro show consistent gains in grounding accuracy, with the largest improvements on high-resolution interfaces. By providing explicit spatial guidance rather than relying on implicit learning, our approach enables more reliable GUI automation across diverse resolutions and platforms.

Large Language Models (LLMs) demonstrate strong capabilities in broad knowledge representation, yet they are inherently deficient in pixel-level perceptual understanding. Although the Segment Anything Model (SAM) represents a significant advancement in visual-prompt-driven image segmentation, it exhibits notable limitations in multi-mask prediction and category-specific segmentation tasks, and it cannot integrate all segmentation tasks within a unified model architecture. To address these limitations, we present X-SAM, a streamlined Multimodal Large Language Model (MLLM) framework that extends the segmentation paradigm from segment anything to any segmentation. Specifically, we introduce a novel unified framework that enables more advanced pixel-level perceptual comprehension for MLLMs. Furthermore, we propose a new segmentation task, termed Visual GrounDed (VGD) segmentation, which segments all instance objects with interactive visual prompts and empowers MLLMs with visual grounded, pixel-wise interpretative capabilities. To enable effective training on diverse data sources, we present a unified training strategy that supports co-training across multiple datasets. Experimental results demonstrate that X-SAM achieves state-of-the-art performance on a wide range of image segmentation benchmarks, highlighting its efficiency for multimodal, pixel-level visual understanding. Code is available at https://github.com/wanghao9610/X-SAM.

Chest X-rays (CXR) are the most common medical imaging study and are used to diagnose multiple medical conditions. This study examines the impact of synthetic data supplementation, using diffusion models, on the performance of deep learning (DL) classifiers for CXR analysis. We employed three datasets: CheXpert, MIMIC-CXR, and Emory Chest X-ray, training conditional denoising diffusion probabilistic models (DDPMs) to generate synthetic frontal radiographs. Our approach ensured that synthetic images mirrored the demographic and pathological traits of the original data. Evaluating the classifiers' performance on internal and external datasets revealed that synthetic data supplementation enhances model accuracy, particularly in detecting less prevalent pathologies. Furthermore, models trained on synthetic data alone approached the performance of those trained on real data. This suggests that synthetic data can potentially compensate for real data shortages in training robust DL models. However, despite promising outcomes, the superiority of real data persists.

Existing visual perception systems focus on region-level segmentation in single-turn dialogues, relying on complex and explicit query instructions. Such systems cannot reason at the pixel level and comprehend dynamic user intent that changes over interaction. Our work tackles this issue by introducing a novel task, Pixel-level Reasoning Segmentation (Pixel-level RS) based on multi-turn conversations, tracking evolving user intent via multi-turn interactions for fine-grained segmentation. To establish a benchmark for this novel task, we build a Pixel-level ReasonIng Segmentation Dataset Based on Multi-Turn Conversations (PRIST), comprising 24k utterances from 8.3k multi-turn conversational scenarios with segmentation targets. Building on PRIST, we further propose MIRAS, a Multi-turn Interactive ReAsoning Segmentation framework, integrates pixel-level segmentation with robust multi-turn conversation understanding, generating pixel-grounded explanations aligned with user intent. The PRIST dataset and MIRSA framework fill the gap in pixel-level reasoning segmentation. Experimental results on the PRIST dataset demonstrate that our method outperforms current segmentation-specific baselines in terms of segmentation and LLM-based reasoning metrics. The code and data are available at: https://github.com/ccccai239/PixelRIST.

Power batteries are essential components in electric vehicles, where internal structural defects can pose serious safety risks. We conduct a comprehensive study on a new task, power battery detection (PBD), which aims to localize the dense endpoints of cathode and anode plates from industrial X-ray images for quality inspection. Manual inspection is inefficient and error-prone, while traditional vision algorithms struggle with densely packed plates, low contrast, scale variation, and imaging artifacts. To address this issue and drive more attention into this meaningful task, we present PBD5K, the first large-scale benchmark for this task, consisting of 5,000 X-ray images from nine battery types with fine-grained annotations and eight types of real-world visual interference. To support scalable and consistent labeling, we develop an intelligent annotation pipeline that combines image filtering, model-assisted pre-labeling, cross-verification, and layered quality evaluation. We formulate PBD as a point-level segmentation problem and propose MDCNeXt, a model designed to extract and integrate multi-dimensional structure clues including point, line, and count information from the plate itself. To improve discrimination between plates and suppress visual interference, MDCNeXt incorporates two state space modules. The first is a prompt-filtered module that learns contrastive relationships guided by task-specific prompts. The second is a density-aware reordering module that refines segmentation in regions with high plate density. In addition, we propose a distance-adaptive mask generation strategy to provide robust supervision under varying spatial distributions of anode and cathode positions. The source code and datasets will be publicly available at https://github.com/Xiaoqi-Zhao-DLUT/X-ray-PBD{PBD5K}.

This paper introduces Grounding DINO 1.5, a suite of advanced open-set object detection models developed by IDEA Research, which aims to advance the "Edge" of open-set object detection. The suite encompasses two models: Grounding DINO 1.5 Pro, a high-performance model designed for stronger generalization capability across a wide range of scenarios, and Grounding DINO 1.5 Edge, an efficient model optimized for faster speed demanded in many applications requiring edge deployment. The Grounding DINO 1.5 Pro model advances its predecessor by scaling up the model architecture, integrating an enhanced vision backbone, and expanding the training dataset to over 20 million images with grounding annotations, thereby achieving a richer semantic understanding. The Grounding DINO 1.5 Edge model, while designed for efficiency with reduced feature scales, maintains robust detection capabilities by being trained on the same comprehensive dataset. Empirical results demonstrate the effectiveness of Grounding DINO 1.5, with the Grounding DINO 1.5 Pro model attaining a 54.3 AP on the COCO detection benchmark and a 55.7 AP on the LVIS-minival zero-shot transfer benchmark, setting new records for open-set object detection. Furthermore, the Grounding DINO 1.5 Edge model, when optimized with TensorRT, achieves a speed of 75.2 FPS while attaining a zero-shot performance of 36.2 AP on the LVIS-minival benchmark, making it more suitable for edge computing scenarios. Model examples and demos with API will be released at https://github.com/IDEA-Research/Grounding-DINO-1.5-API

This paper presents a comprehensive evaluation of GPT-4V's capabilities across diverse medical imaging tasks, including Radiology Report Generation, Medical Visual Question Answering (VQA), and Visual Grounding. While prior efforts have explored GPT-4V's performance in medical image analysis, to the best of our knowledge, our study represents the first quantitative evaluation on publicly available benchmarks. Our findings highlight GPT-4V's potential in generating descriptive reports for chest X-ray images, particularly when guided by well-structured prompts. Meanwhile, its performance on the MIMIC-CXR dataset benchmark reveals areas for improvement in certain evaluation metrics, such as CIDEr. In the domain of Medical VQA, GPT-4V demonstrates proficiency in distinguishing between question types but falls short of the VQA-RAD benchmark in terms of accuracy. Furthermore, our analysis finds the limitations of conventional evaluation metrics like the BLEU scores, advocating for the development of more semantically robust assessment methods. In the field of Visual Grounding, GPT-4V exhibits preliminary promise in recognizing bounding boxes, but its precision is lacking, especially in identifying specific medical organs and signs. Our evaluation underscores the significant potential of GPT-4V in the medical imaging domain, while also emphasizing the need for targeted refinements to fully unlock its capabilities.

We present layered ray intersections (LaRI), a new method for unseen geometry reasoning from a single image. Unlike conventional depth estimation that is limited to the visible surface, LaRI models multiple surfaces intersected by the camera rays using layered point maps. Benefiting from the compact and layered representation, LaRI enables complete, efficient, and view-aligned geometric reasoning to unify object- and scene-level tasks. We further propose to predict the ray stopping index, which identifies valid intersecting pixels and layers from LaRI's output. We build a complete training data generation pipeline for synthetic and real-world data, including 3D objects and scenes, with necessary data cleaning steps and coordination between rendering engines. As a generic method, LaRI's performance is validated in two scenarios: It yields comparable object-level results to the recent large generative model using 4% of its training data and 17% of its parameters. Meanwhile, it achieves scene-level occluded geometry reasoning in only one feed-forward.

The primary aim of single-image super-resolution is to construct high-resolution (HR) images from corresponding low-resolution (LR) inputs. In previous approaches, which have generally been supervised, the training objective typically measures a pixel-wise average distance between the super-resolved (SR) and HR images. Optimizing such metrics often leads to blurring, especially in high variance (detailed) regions. We propose an alternative formulation of the super-resolution problem based on creating realistic SR images that downscale correctly. We present an algorithm addressing this problem, PULSE (Photo Upsampling via Latent Space Exploration), which generates high-resolution, realistic images at resolutions previously unseen in the literature. It accomplishes this in an entirely self-supervised fashion and is not confined to a specific degradation operator used during training, unlike previous methods (which require supervised training on databases of LR-HR image pairs). Instead of starting with the LR image and slowly adding detail, PULSE traverses the high-resolution natural image manifold, searching for images that downscale to the original LR image. This is formalized through the "downscaling loss," which guides exploration through the latent space of a generative model. By leveraging properties of high-dimensional Gaussians, we restrict the search space to guarantee realistic outputs. PULSE thereby generates super-resolved images that both are realistic and downscale correctly. We show proof of concept of our approach in the domain of face super-resolution (i.e., face hallucination). We also present a discussion of the limitations and biases of the method as currently implemented with an accompanying model card with relevant metrics. Our method outperforms state-of-the-art methods in perceptual quality at higher resolutions and scale factors than previously possible.

Recent advancements in Large Vision-Language Models are accelerating the development of Graphical User Interface (GUI) agents that utilize human-like vision perception capabilities to enhance productivity on digital devices. Compared to approaches predicated on GUI metadata, which are platform-dependent and vulnerable to implementation variations, vision-based approaches offer broader applicability. In this vision-based paradigm, the GUI instruction grounding, which maps user instruction to the location of corresponding element on the given screenshot, remains a critical challenge, particularly due to limited public training dataset and resource-intensive manual instruction data annotation. In this paper, we delve into unexplored challenges in this task including element-to-screen ratio, unbalanced element type, and implicit instruction. To address these challenges, we introduce a large-scale data synthesis pipeline UI-E2I-Synth for generating varying complex instruction datasets using GPT-4o instead of human annotators. Furthermore, we propose a new GUI instruction grounding benchmark UI-I2E-Bench, which is designed to address the limitations of existing benchmarks by incorporating diverse annotation aspects. Our model, trained on the synthesized data, achieves superior performance in GUI instruction grounding, demonstrating the advancements of proposed data synthesis pipeline. The proposed benchmark, accompanied by extensive analyses, provides practical insights for future research in GUI grounding. We will release corresponding artifacts at https://colmon46.github.io/i2e-bench-leaderboard/ .

We introduce RegionFocus, a visual test-time scaling approach for Vision Language Model Agents. Understanding webpages is challenging due to the visual complexity of GUI images and the large number of interface elements, making accurate action selection difficult. Our approach dynamically zooms in on relevant regions, reducing background clutter and improving grounding accuracy. To support this process, we propose an image-as-map mechanism that visualizes key landmarks at each step, providing a transparent action record and enables the agent to effectively choose among action candidates. Even with a simple region selection strategy, we observe significant performance gains of 28+\% on Screenspot-pro and 24+\% on WebVoyager benchmarks on top of two state-of-the-art open vision language model agents, UI-TARS and Qwen2.5-VL, highlighting the effectiveness of visual test-time scaling in interactive settings. We achieve a new state-of-the-art grounding performance of 61.6\% on the ScreenSpot-Pro benchmark by applying RegionFocus to a Qwen2.5-VL-72B model. Our code will be released publicly at https://github.com/tiangeluo/RegionFocus.

RGBA images, with the additional alpha channel, are crucial for any application that needs blending, masking, or transparency effects, making them more versatile than standard RGB images. Nevertheless, existing image inpainting methods are designed exclusively for RGB images. Conventional approaches to transparent image inpainting typically involve placing a background underneath RGBA images and employing a two-stage process: image inpainting followed by image matting. This pipeline, however, struggles to preserve transparency consistency in edited regions, and matting can introduce jagged edges along transparency boundaries. To address these challenges, we propose Trans-Adapter, a plug-and-play adapter that enables diffusion-based inpainting models to process transparent images directly. Trans-Adapter also supports controllable editing via ControlNet and can be seamlessly integrated into various community models. To evaluate our method, we introduce LayerBench, along with a novel non-reference alpha edge quality evaluation metric for assessing transparency edge quality. We conduct extensive experiments on LayerBench to demonstrate the effectiveness of our approach.

We introduce a novel training-free spatial grounding technique for text-to-image generation using Diffusion Transformers (DiT). Spatial grounding with bounding boxes has gained attention for its simplicity and versatility, allowing for enhanced user control in image generation. However, prior training-free approaches often rely on updating the noisy image during the reverse diffusion process via backpropagation from custom loss functions, which frequently struggle to provide precise control over individual bounding boxes. In this work, we leverage the flexibility of the Transformer architecture, demonstrating that DiT can generate noisy patches corresponding to each bounding box, fully encoding the target object and allowing for fine-grained control over each region. Our approach builds on an intriguing property of DiT, which we refer to as semantic sharing. Due to semantic sharing, when a smaller patch is jointly denoised alongside a generatable-size image, the two become "semantic clones". Each patch is denoised in its own branch of the generation process and then transplanted into the corresponding region of the original noisy image at each timestep, resulting in robust spatial grounding for each bounding box. In our experiments on the HRS and DrawBench benchmarks, we achieve state-of-the-art performance compared to previous training-free spatial grounding approaches.

Current AI-assisted skin image diagnosis has achieved dermatologist-level performance in classifying skin cancer, driven by rapid advancements in deep learning architectures. However, unlike traditional vision tasks, skin images in general present unique challenges due to the limited availability of well-annotated datasets, complex variations in conditions, and the necessity for detailed interpretations to ensure patient safety. Previous segmentation methods have sought to reduce image noise and enhance diagnostic performance, but these techniques require fine-grained, pixel-level ground truth masks for training. In contrast, with the rise of foundation models, the Segment Anything Model (SAM) has been introduced to facilitate promptable segmentation, enabling the automation of the segmentation process with simple yet effective prompts. Efforts applying SAM predominantly focus on dermatoscopy images, which present more easily identifiable lesion boundaries than clinical photos taken with smartphones. This limitation constrains the practicality of these approaches to real-world applications. To overcome the challenges posed by noisy clinical photos acquired via non-standardized protocols and to improve diagnostic accessibility, we propose a novel Cross-Attentive Fusion framework for interpretable skin lesion diagnosis. Our method leverages SAM to generate visual concepts for skin diseases using prompts, integrating local visual concepts with global image features to enhance model performance. Extensive evaluation on two skin disease datasets demonstrates our proposed method's effectiveness on lesion diagnosis and interpretability.

Level 5 autonomy for self-driving cars requires a robust visual perception system that can parse input images under any visual condition. However, existing semantic segmentation datasets are either dominated by images captured under normal conditions or are small in scale. To address this, we introduce ACDC, the Adverse Conditions Dataset with Correspondences for training and testing semantic segmentation methods on adverse visual conditions. ACDC consists of a large set of 4006 images which are equally distributed between four common adverse conditions: fog, nighttime, rain, and snow. Each adverse-condition image comes with a high-quality fine pixel-level semantic annotation, a corresponding image of the same scene taken under normal conditions, and a binary mask that distinguishes between intra-image regions of clear and uncertain semantic content. Thus, ACDC supports both standard semantic segmentation and the newly introduced uncertainty-aware semantic segmentation. A detailed empirical study demonstrates the challenges that the adverse domains of ACDC pose to state-of-the-art supervised and unsupervised approaches and indicates the value of our dataset in steering future progress in the field. Our dataset and benchmark are publicly available.

Generative super-resolution (GSR) currently sets the state-of-the-art in terms of perceptual image quality, overcoming the "regression-to-the-mean" blur of prior non-generative models. However, from a human perspective, such models do not fully conform to the optimal balance between quality and fidelity. Instead, a different class of artifacts, in which generated details fail to perceptually match the low resolution image (LRI) or ground-truth image (GTI), is a critical but under studied issue in GSR, limiting its practical deployments. In this work, we focus on measuring, analyzing, and mitigating these artifacts (i.e., "hallucinations"). We observe that hallucinations are not well-characterized with existing image metrics or quality models, as they are orthogonal to both exact fidelity and no-reference quality. Instead, we take advantage of a multimodal large language model (MLLM) by constructing a prompt that assesses hallucinatory visual elements and generates a "Hallucination Score" (HS). We find that our HS is closely aligned with human evaluations, and also provides complementary insights to prior image metrics used for super-resolution (SR) models. In addition, we find certain deep feature distances have strong correlations with HS. We therefore propose to align the GSR models by using such features as differentiable reward functions to mitigate hallucinations.

Current large multimodal models (LMMs) face challenges in grounding, which requires the model to relate language components to visual entities. Contrary to the common practice that fine-tunes LMMs with additional grounding supervision, we find that the grounding ability can in fact emerge in LMMs trained without explicit grounding supervision. To reveal this emerging grounding, we introduce an "attend-and-segment" method which leverages attention maps from standard LMMs to perform pixel-level segmentation. Furthermore, to enhance the grounding ability, we propose DIFFLMM, an LMM utilizing a diffusion-based visual encoder, as opposed to the standard CLIP visual encoder, and trained with the same weak supervision. Without being constrained by the biases and limited scale of grounding-specific supervision data, our approach is more generalizable and scalable. We achieve competitive performance on both grounding-specific and general visual question answering benchmarks, compared with grounding LMMs and generalist LMMs, respectively. Notably, we achieve a 44.2 grounding mask recall on grounded conversation generation without any grounding supervision, outperforming the extensively supervised model GLaMM. Project page: https://GroundLMM-ICCV.github.io.

In this work, we present LesionLocator, a framework for zero-shot longitudinal lesion tracking and segmentation in 3D medical imaging, establishing the first end-to-end model capable of 4D tracking with dense spatial prompts. Our model leverages an extensive dataset of 23,262 annotated medical scans, as well as synthesized longitudinal data across diverse lesion types. The diversity and scale of our dataset significantly enhances model generalizability to real-world medical imaging challenges and addresses key limitations in longitudinal data availability. LesionLocator outperforms all existing promptable models in lesion segmentation by nearly 10 dice points, reaching human-level performance, and achieves state-of-the-art results in lesion tracking, with superior lesion retrieval and segmentation accuracy. LesionLocator not only sets a new benchmark in universal promptable lesion segmentation and automated longitudinal lesion tracking but also provides the first open-access solution of its kind, releasing our synthetic 4D dataset and model to the community, empowering future advancements in medical imaging. Code is available at: www.github.com/MIC-DKFZ/LesionLocator

Existing super-resolution (SR) models primarily focus on restoring local texture details, often neglecting the global semantic information within the scene. This oversight can lead to the omission of crucial semantic details or the introduction of inaccurate textures during the recovery process. In our work, we introduce the Cognitive Super-Resolution (CoSeR) framework, empowering SR models with the capacity to comprehend low-resolution images. We achieve this by marrying image appearance and language understanding to generate a cognitive embedding, which not only activates prior information from large text-to-image diffusion models but also facilitates the generation of high-quality reference images to optimize the SR process. To further improve image fidelity, we propose a novel condition injection scheme called "All-in-Attention", consolidating all conditional information into a single module. Consequently, our method successfully restores semantically correct and photorealistic details, demonstrating state-of-the-art performance across multiple benchmarks. Code: https://github.com/VINHYU/CoSeR

Chest X-ray (CXR) classification in clinical practice is often limited by imperfect supervision, arising from (i) extreme long-tailed multi-label disease distributions and (ii) missing annotations for rare or previously unseen findings. The CXR-LT 2026 challenge addresses these issues on a PadChest-based benchmark with a 36-class label space split into 30 in-distribution classes for training and 6 out-of-distribution (OOD) classes for zero-shot evaluation. We present task-specific solutions tailored to the distinct supervision regimes. For Task 1 (long-tailed multi-label classification), we adopt an imbalance-aware multi-label learning strategy to improve recognition of tail classes while maintaining stable performance on frequent findings. For Task 2 (zero-shot OOD recognition), we propose a prediction approach that produces scores for unseen disease categories without using any supervised labels or examples from the OOD classes during training. Evaluated with macro-averaged mean Average Precision (mAP), our method achieves strong performance on both tasks, ranking first on the public leaderboard of the development phase. Code and pre-trained models are available at https://github.com/hieuphamha19/CXR_LT.

Existing image contrast enhancement methods are typically designed for specific tasks such as under-/over-exposure correction, low-light and backlit image enhancement, etc. The learned models, however, exhibit poor generalization performance across different tasks, even across different datasets of a specific task. It is important to explore whether we can learn a universal and generalized model for various contrast enhancement tasks. In this work, we observe that the common key factor of these tasks lies in the need of exposure and contrast adjustment, which can be well-addressed if high-dynamic range (HDR) inputs are available. We hence collect 46,928 HDR raw images from public sources, and render 328,496 sRGB images to build multi-exposure sequences (MES) and the corresponding pseudo sRGB ground-truths via multi-exposure fusion. Consequently, we train a network to generate an MES from a single sRGB image, followed by training another network to fuse the generated MES into an enhanced image. Our proposed method, namely UNiversal Image Contrast Enhancer (UNICE), is free of costly human labeling. However, it demonstrates significantly stronger generalization performance than existing image contrast enhancement methods across and within different tasks, even outperforming manually created ground-truths in multiple no-reference image quality metrics. The dataset, code and model are available at https://github.com/BeyondHeaven/UNICE.

3D visual grounding is the task of localizing the object in a 3D scene which is referred by a description in natural language. With a wide range of applications ranging from autonomous indoor robotics to AR/VR, the task has recently risen in popularity. A common formulation to tackle 3D visual grounding is grounding-by-detection, where localization is done via bounding boxes. However, for real-life applications that require physical interactions, a bounding box insufficiently describes the geometry of an object. We therefore tackle the problem of dense 3D visual grounding, i.e. referral-based 3D instance segmentation. We propose a dense 3D grounding network ConcreteNet, featuring three novel stand-alone modules which aim to improve grounding performance for challenging repetitive instances, i.e. instances with distractors of the same semantic class. First, we introduce a bottom-up attentive fusion module that aims to disambiguate inter-instance relational cues, next we construct a contrastive training scheme to induce separation in the latent space, and finally we resolve view-dependent utterances via a learned global camera token. ConcreteNet ranks 1st on the challenging ScanRefer online benchmark by a considerable +9.43% accuracy at 50% IoU and has won the ICCV 3rd Workshop on Language for 3D Scenes "3D Object Localization" challenge.

Saliency methods can aid understanding of deep neural networks. Recent years have witnessed many improvements to saliency methods, as well as new ways for evaluating them. In this paper, we 1) present a novel region-based attribution method, XRAI, that builds upon integrated gradients (Sundararajan et al. 2017), 2) introduce evaluation methods for empirically assessing the quality of image-based saliency maps (Performance Information Curves (PICs)), and 3) contribute an axiom-based sanity check for attribution methods. Through empirical experiments and example results, we show that XRAI produces better results than other saliency methods for common models and the ImageNet dataset.

This study investigates the integration of diverse patient data sources into multimodal language models for automated chest X-ray (CXR) report generation. Traditionally, CXR report generation relies solely on CXR images and limited radiology data, overlooking valuable information from patient health records, particularly from emergency departments. Utilising the MIMIC-CXR and MIMIC-IV-ED datasets, we incorporate detailed patient information such as aperiodic vital signs, medications, and clinical history to enhance diagnostic accuracy. We introduce a novel approach to transform these heterogeneous data sources into embeddings that prompt a multimodal language model, significantly enhancing the diagnostic accuracy of generated radiology reports. Our comprehensive evaluation demonstrates the benefits of using a broader set of patient data, underscoring the potential for enhanced diagnostic capabilities and better patient outcomes through the integration of multimodal data in CXR report generation.

Localizing the exact pathological regions in a given medical scan is an important imaging problem that traditionally requires a large amount of bounding box ground truth annotations to be accurately solved. However, there exist alternative, potentially weaker, forms of supervision, such as accompanying free-text reports, which are readily available. The task of performing localization with textual guidance is commonly referred to as phrase grounding. In this work, we use a publicly available Foundation Model, namely the Latent Diffusion Model, to perform this challenging task. This choice is supported by the fact that the Latent Diffusion Model, despite being generative in nature, contains cross-attention mechanisms that implicitly align visual and textual features, thus leading to intermediate representations that are suitable for the task at hand. In addition, we aim to perform this task in a zero-shot manner, i.e., without any training on the target task, meaning that the model's weights remain frozen. To this end, we devise strategies to select features and also refine them via post-processing without extra learnable parameters. We compare our proposed method with state-of-the-art approaches which explicitly enforce image-text alignment in a joint embedding space via contrastive learning. Results on a popular chest X-ray benchmark indicate that our method is competitive with SOTA on different types of pathology, and even outperforms them on average in terms of two metrics (mean IoU and AUC-ROC). Source code will be released upon acceptance at https://github.com/vios-s.

Recent progress in Large Vision-Language Models (LVLMs) has enabled promising applications in medical tasks, such as report generation and visual question answering. However, existing benchmarks focus mainly on the final diagnostic answer, offering limited insight into whether models engage in clinically meaningful reasoning. To address this, we present CheXStruct and CXReasonBench, a structured pipeline and benchmark built on the publicly available MIMIC-CXR-JPG dataset. CheXStruct automatically derives a sequence of intermediate reasoning steps directly from chest X-rays, such as segmenting anatomical regions, deriving anatomical landmarks and diagnostic measurements, computing diagnostic indices, and applying clinical thresholds. CXReasonBench leverages this pipeline to evaluate whether models can perform clinically valid reasoning steps and to what extent they can learn from structured guidance, enabling fine-grained and transparent assessment of diagnostic reasoning. The benchmark comprises 18,988 QA pairs across 12 diagnostic tasks and 1,200 cases, each paired with up to 4 visual inputs, and supports multi-path, multi-stage evaluation including visual grounding via anatomical region selection and diagnostic measurements. Even the strongest of 10 evaluated LVLMs struggle with structured reasoning and generalization, often failing to link abstract knowledge with anatomically grounded visual interpretation. The code is available at https://github.com/ttumyche/CXReasonBench

With the emergence of large-scale vision language models (VLM), it is now possible to produce realistic-looking radiology reports for chest X-ray images. However, their clinical translation has been hampered by the factual errors and hallucinations in the produced descriptions during inference. In this paper, we present a novel phrase-grounded fact-checking model (FC model) that detects errors in findings and their indicated locations in automatically generated chest radiology reports. Specifically, we simulate the errors in reports through a large synthetic dataset derived by perturbing findings and their locations in ground truth reports to form real and fake findings-location pairs with images. A new multi-label cross-modal contrastive regression network is then trained on this dataset. We present results demonstrating the robustness of our method in terms of accuracy of finding veracity prediction and localization on multiple X-ray datasets. We also show its effectiveness for error detection in reports of SOTA report generators on multiple datasets achieving a concordance correlation coefficient of 0.997 with ground truth-based verification, thus pointing to its utility during clinical inference in radiology workflows.

GUI grounding, the task of identifying a precise location on an interface image from a natural language query, plays a crucial role in enhancing the capabilities of Vision-Language Model (VLM) agents. While general VLMs, such as GPT-4V, demonstrate strong performance across various tasks, their proficiency in GUI grounding remains suboptimal. Recent studies have focused on fine-tuning these models specifically for one-shot GUI grounding, yielding significant improvements over baseline performance. We introduce a visual prompting framework called Iterative Narrowing (IN) to further enhance the performance of both general and fine-tuned models in GUI grounding. For evaluation, we tested our method on a comprehensive benchmark comprising different UI platforms.

The ability of large language models (LLMs) to process visual inputs has given rise to general-purpose vision systems, unifying various vision-language (VL) tasks by instruction tuning. However, due to the enormous diversity in input-output formats in the vision domain, existing general-purpose models fail to successfully integrate segmentation and multi-image inputs with coarse-level tasks into a single framework. In this work, we introduce VistaLLM, a powerful visual system that addresses coarse- and fine-grained VL tasks over single and multiple input images using a unified framework. VistaLLM utilizes an instruction-guided image tokenizer that filters global embeddings using task descriptions to extract compressed and refined features from numerous images. Moreover, VistaLLM employs a gradient-aware adaptive sampling technique to represent binary segmentation masks as sequences, significantly improving over previously used uniform sampling. To bolster the desired capability of VistaLLM, we curate CoinIt, a comprehensive coarse-to-fine instruction tuning dataset with 6.8M samples. We also address the lack of multi-image grounding datasets by introducing a novel task, AttCoSeg (Attribute-level Co-Segmentation), which boosts the model's reasoning and grounding capability over multiple input images. Extensive experiments on a wide range of V- and VL tasks demonstrate the effectiveness of VistaLLM by achieving consistent state-of-the-art performance over strong baselines across all downstream tasks. Our project page can be found at https://shramanpramanick.github.io/VistaLLM/.

Agentic systems offer a potential path to solve complex clinical tasks through collaboration among specialized agents, augmented by tool use and external knowledge bases. Nevertheless, for chest X-ray (CXR) interpretation, prevailing methods remain limited: (i) reasoning is frequently neither clinically interpretable nor aligned with guidelines, reflecting mere aggregation of tool outputs; (ii) multimodal evidence is insufficiently fused, yielding text-only rationales that are not visually grounded; and (iii) systems rarely detect or resolve cross-tool inconsistencies and provide no principled verification mechanisms. To bridge the above gaps, we present RadAgents, a multi-agent framework for CXR interpretation that couples clinical priors with task-aware multimodal reasoning. In addition, we integrate grounding and multimodal retrieval-augmentation to verify and resolve context conflicts, resulting in outputs that are more reliable, transparent, and consistent with clinical practice.

Evaluating whether text-to-image models follow explicit spatial instructions is difficult to automate. Object detectors may miss targets or return multiple plausible detections, and simple geometric tests can become ambiguous in borderline cases. Spatial evaluation is naturally a selective prediction problem, the checker may abstain when evidence is weak and report confidence so that results can be interpreted as a risk coverage tradeoff rather than a single score. We introduce SpatialBench-UC, a small, reproducible benchmark for pairwise spatial relations. The benchmark contains 200 prompts (50 object pairs times 4 relations) grouped into 100 counterfactual pairs obtained by swapping object roles. We release a benchmark package, versioned prompts, pinned configs, per-sample checker outputs, and report tables, enabling reproducible and auditable comparisons across models. We also include a lightweight human audit used to calibrate the checker's abstention margin and confidence threshold. We evaluate three baselines, Stable Diffusion 1.5, SD 1.5 BoxDiff, and SD 1.4 GLIGEN. The checker reports pass rate and coverage as well as conditional pass rates on decided samples. The results show that grounding methods substantially improve both pass rate and coverage, while abstention remains a dominant factor due mainly to missing detections.

Visual agent models for automating human activities on Graphical User Interfaces (GUIs) have emerged as a promising research direction, driven by advances in large Vision Language Models (VLMs). A critical challenge in GUI automation is the precise grounding of interface elements across diverse platforms. Existing vision-only GUI agents directly ground elements from large and cluttered screenshots, requiring them to process substantial irrelevant information that compromises their accuracy. In addition, these approaches typically employ basic cross-entropy loss for learning grounding objectives, which fails to effectively capture grounding quality compared to established object detection metrics like Intersection-over-Union (IoU). To address these issues, we introduce R-VLM, a novel GUI grounding approach that leverages zoomed-in region proposals for precise element localization. We also propose an IoU-aware objective function that facilitates model convergence toward high IoU predictions. Our approach bridges the gap between VLMs and conventional object detection techniques, improving the state-of-the-art grounding accuracy by 13% across diverse GUI platforms on the GUI grounding benchmarks ScreenSpot and AgentStudio. In addition, our R-VLM approach shows 3.2-9.7% absolute accuracy improvements in GUI navigation tasks on the AITW and Mind2Web benchmarks.

3D Visual Grounding (3DVG) seeks to locate target objects in 3D scenes using natural language descriptions, enabling downstream applications such as augmented reality and robotics. Existing approaches typically rely on labeled 3D data and predefined categories, limiting scalability to open-world settings. We present SeeGround, a zero-shot 3DVG framework that leverages 2D Vision-Language Models (VLMs) to bypass the need for 3D-specific training. To bridge the modality gap, we introduce a hybrid input format that pairs query-aligned rendered views with spatially enriched textual descriptions. Our framework incorporates two core components: a Perspective Adaptation Module that dynamically selects optimal viewpoints based on the query, and a Fusion Alignment Module that integrates visual and spatial signals to enhance localization precision. Extensive evaluations on ScanRefer and Nr3D confirm that SeeGround achieves substantial improvements over existing zero-shot baselines -- outperforming them by 7.7% and 7.1%, respectively -- and even rivals fully supervised alternatives, demonstrating strong generalization under challenging conditions.

3D visual grounding (3DVG) aims to localize objects in a 3D scene based on natural language queries. In this work, we explore zero-shot 3DVG from multi-view images alone, without requiring any geometric supervision or object priors. We introduce Z3D, a universal grounding pipeline that flexibly operates on multi-view images while optionally incorporating camera poses and depth maps. We identify key bottlenecks in prior zero-shot methods causing significant performance degradation and address them with (i) a state-of-the-art zero-shot 3D instance segmentation method to generate high-quality 3D bounding box proposals and (ii) advanced reasoning via prompt-based segmentation, which utilizes full capabilities of modern VLMs. Extensive experiments on the ScanRefer and Nr3D benchmarks demonstrate that our approach achieves state-of-the-art performance among zero-shot methods. Code is available at https://github.com/col14m/z3d .

Recent advances in multimodal large language models(MLLMs) have led to remarkable progress in visual grounding, enabling fine-grained cross-modal alignment between textual queries and image regions. However, transferring such capabilities to remote sensing imagery remains challenging, as targets are often extremely small within kilometer-scale scenes, and queries typically involve intricate geospatial relations such as relative positions, spatial hierarchies, or contextual dependencies across distant objects. To address these challenges, we propose GeoViS, a Geospatially Rewarded Visual Search framework that reformulates remote sensing visual grounding as a progressive search-and-reasoning process. Rather than directly predicting the target location in a single step, GeoViS actively explores the global image through a tree-structured sequence of visual cues, integrating multimodal perception, spatial reasoning, and reward-guided exploration to refine geospatial hypotheses iteratively. This design enables the model to detect subtle small-scale targets while maintaining holistic scene awareness. Extensive experiments on five remote sensing grounding benchmarks demonstrate that GeoViS achieves precise geospatial understanding and consistently surpasses existing methods across key visual grounding metrics, highlighting its strong cross-domain generalization and interpretability.

Multiple works have emerged to push the boundaries on multi-modal large language models (MLLMs) towards pixel-level understanding. Such approaches have shown strong performance on benchmarks for referring expression segmentation and grounded conversation generation. The current trend in pixel-level MLLMs is to train with pixel-level grounding supervision on large-scale labelled data. However, we show that such MLLMs when evaluated on recent challenging vision centric benchmarks, exhibit a weak ability in visual question answering. Surprisingly, some of these methods even downgrade the grounding ability of MLLMs that were never trained with such supervision. In this work, we propose two novel challenging benchmarks and show that MLLMs without pixel-level grounding supervision can outperform the state of the art in such tasks when evaluating both the pixel-level grounding and visual question answering. We propose simple baselines to extract the grounding information that can be plugged into any MLLM, which we call as PixFoundation. More importantly, we study the research question of "When does grounding emerge in MLLMs that are not trained with pixel-level grounding supervision?" We show that grounding can coincide with object parts or location/appearance information. Code repository is at https://github.com/MSiam/PixFoundation/.

In this article, we describe the design and implementation of a publicly accessible dermatology image analysis benchmark challenge. The goal of the challenge is to sup- port research and development of algorithms for automated diagnosis of melanoma, a lethal form of skin cancer, from dermoscopic images. The challenge was divided into sub-challenges for each task involved in image analysis, including lesion segmentation, dermoscopic feature detection within a lesion, and classification of melanoma. Training data included 900 images. A separate test dataset of 379 images was provided to measure resultant performance of systems developed with the training data. Ground truth for both training and test sets was generated by a panel of dermoscopic experts. In total, there were 79 submissions from a group of 38 participants, making this the largest standardized and comparative study for melanoma diagnosis in dermoscopic images to date. While the official challenge duration and ranking of participants has concluded, the datasets remain available for further research and development.

Gaussian Splatting (GS), a recent technique for converting discrete points into continuous spatial representations, has shown promising results in 3D scene modeling and 2D image super-resolution. In this paper, we explore its untapped potential for image inpainting, which demands both locally coherent pixel synthesis and globally consistent semantic restoration. We propose the first image inpainting framework based on 2D Gaussian Splatting, which encodes incomplete images into a continuous field of 2D Gaussian splat coefficients and reconstructs the final image via a differentiable rasterization process. The continuous rendering paradigm of GS inherently promotes pixel-level coherence in the inpainted results. To improve efficiency and scalability, we introduce a patch-wise rasterization strategy that reduces memory overhead and accelerates inference. For global semantic consistency, we incorporate features from a pretrained DINO model. We observe that DINO's global features are naturally robust to small missing regions and can be effectively adapted to guide semantic alignment in large-mask scenarios, ensuring that the inpainted content remains contextually consistent with the surrounding scene. Extensive experiments on standard benchmarks demonstrate that our method achieves competitive performance in both quantitative metrics and perceptual quality, establishing a new direction for applying Gaussian Splatting to 2D image processing.

Following the impressive development of LLMs, vision-language alignment in LLMs is actively being researched to enable multimodal reasoning and visual IO. This direction of research is particularly relevant to medical imaging because medical image analysis and generation consist of reasoning based on a combination of visual features and prior knowledge. Many recent works have focused on training adapter networks that serve as an information bridge between image processing networks and LLMs; but presumably, in order to achieve maximum reasoning potential of LLMs on visual information as well, visual and language features should be allowed to interact more freely. This is especially important in the medical domain because understanding and generating medical images such as chest X-rays (CXR) require not only accurate visual and language-based reasoning but also a more intimate mapping between the two modalities. Thus, taking inspiration from previous work on the transformer and VQ-GAN combination for bidirectional image and text generation, we build upon this approach and develop a method for instruction-tuning an LLM pre-trained only on text to gain vision-language capabilities for medical images. Specifically, we leverage a pretrained LLM's existing question-answering and instruction-following abilities to teach it to understand visual inputs by instructing it to answer questions about image inputs and, symmetrically, output both text and image responses appropriate to a given query by tuning the LLM with diverse tasks that encompass image-based text-generation and text-based image-generation. We show that our model, LLM-CXR, trained in this approach shows better image-text alignment in both CXR understanding and generation tasks while being smaller in size compared to previously developed models that perform a narrower range of tasks. The code is at https://github.com/hyn2028/llm-cxr.

With the rapid development of mobile devices, modern widely-used mobile phones typically allow users to capture 4K resolution (i.e., ultra-high-definition) images. However, for image demoireing, a challenging task in low-level vision, existing works are generally carried out on low-resolution or synthetic images. Hence, the effectiveness of these methods on 4K resolution images is still unknown. In this paper, we explore moire pattern removal for ultra-high-definition images. To this end, we propose the first ultra-high-definition demoireing dataset (UHDM), which contains 5,000 real-world 4K resolution image pairs, and conduct a benchmark study on current state-of-the-art methods. Further, we present an efficient baseline model ESDNet for tackling 4K moire images, wherein we build a semantic-aligned scale-aware module to address the scale variation of moire patterns. Extensive experiments manifest the effectiveness of our approach, which outperforms state-of-the-art methods by a large margin while being much more lightweight. Code and dataset are available at https://xinyu-andy.github.io/uhdm-page.

Graphical User Interface (GUI) grounding aims to translate natural language instructions into executable screen coordinates, enabling automated GUI interaction. Nevertheless, incorrect grounding can result in costly, hard-to-reverse actions (e.g., erroneous payment approvals), raising concerns about model reliability. In this paper, we introduce SafeGround, an uncertainty-aware framework for GUI grounding models that enables risk-aware predictions through calibrations before testing. SafeGround leverages a distribution-aware uncertainty quantification method to capture the spatial dispersion of stochastic samples from outputs of any given model. Then, through the calibration process, SafeGround derives a test-time decision threshold with statistically guaranteed false discovery rate (FDR) control. We apply SafeGround on multiple GUI grounding models for the challenging ScreenSpot-Pro benchmark. Experimental results show that our uncertainty measure consistently outperforms existing baselines in distinguishing correct from incorrect predictions, while the calibrated threshold reliably enables rigorous risk control and potentials of substantial system-level accuracy improvements. Across multiple GUI grounding models, SafeGround improves system-level accuracy by up to 5.38% percentage points over Gemini-only inference.

In this work, we address the problem of grounding abnormalities in medical images, where the goal is to localize clinical findings based on textual descriptions. While generalist Vision-Language Models (VLMs) excel in natural grounding tasks, they often struggle in the medical domain due to rare, compositional, and domain-specific terms that are poorly aligned with visual patterns. Specialized medical VLMs address this challenge via large-scale domain pretraining, but at the cost of substantial annotation and computational resources. To overcome these limitations, we propose Knowledge to Sight (K2Sight), a framework that introduces structured semantic supervision by decomposing clinical concepts into interpretable visual attributes, such as shape, density, and anatomical location. These attributes are distilled from domain ontologies and encoded into concise instruction-style prompts, which guide region-text alignment during training. Unlike conventional report-level supervision, our approach explicitly bridges domain knowledge and spatial structure, enabling data-efficient training of compact models. We train compact models with 0.23B and 2B parameters using only 1.5\% of the data required by state-of-the-art medical VLMs. Despite their small size and limited training data, these models achieve performance on par with or better than 7B+ medical VLMs, with up to 9.82\% improvement in mAP_{50}. Code and models: https://lijunrio.github.io/K2Sight/{SOTAPink{https://lijunrio.github.io/K2Sight/}}.

Longitudinal multimodal data, including electronic health records (EHR) and sequential chest X-rays (CXRs), is critical for modeling disease progression, yet remains underutilized due to two key challenges: (1) redundancy in consecutive CXR sequences, where static anatomical regions dominate over clinically-meaningful dynamics, and (2) temporal misalignment between sparse, irregular imaging and continuous EHR data. We introduce DiPro, a novel framework that addresses these challenges through region-aware disentanglement and multi-timescale alignment. First, we disentangle static (anatomy) and dynamic (pathology progression) features in sequential CXRs, prioritizing disease-relevant changes. Second, we hierarchically align these static and dynamic CXR features with asynchronous EHR data via local (pairwise interval-level) and global (full-sequence) synchronization to model coherent progression pathways. Extensive experiments on the MIMIC dataset demonstrate that DiPro could effectively extract temporal clinical dynamics and achieve state-of-the-art performance on both disease progression identification and general ICU prediction tasks.

Image restoration (IR) seeks to recover high-quality images from degraded observations caused by a wide range of factors, including noise, blur, compression, and adverse weather. While traditional IR methods have made notable progress by targeting individual degradation types, their specialization often comes at the cost of generalization, leaving them ill-equipped to handle the multifaceted distortions encountered in real-world applications. In response to this challenge, the all-in-one image restoration (AiOIR) paradigm has recently emerged, offering a unified framework that adeptly addresses multiple degradation types. These innovative models enhance the convenience and versatility by adaptively learning degradation-specific features while simultaneously leveraging shared knowledge across diverse corruptions. In this survey, we provide the first in-depth and systematic overview of AiOIR, delivering a structured taxonomy that categorizes existing methods by architectural designs, learning paradigms, and their core innovations. We systematically categorize current approaches and assess the challenges these models encounter, outlining research directions to propel this rapidly evolving field. To facilitate the evaluation of existing methods, we also consolidate widely-used datasets, evaluation protocols, and implementation practices, and compare and summarize the most advanced open-source models. As the first comprehensive review dedicated to AiOIR, this paper aims to map the conceptual landscape, synthesize prevailing techniques, and ignite further exploration toward more intelligent, unified, and adaptable visual restoration systems. A curated code repository is available at https://github.com/Harbinzzy/All-in-One-Image-Restoration-Survey.

Answer grounding is the task of locating relevant visual evidence for the Visual Question Answering task. While a wide variety of attention methods have been introduced for this task, they suffer from the following three problems: designs that do not allow the usage of pre-trained networks and do not benefit from large data pre-training, custom designs that are not based on well-grounded previous designs, therefore limiting the learning power of the network, or complicated designs that make it challenging to re-implement or improve them. In this paper, we propose a novel architectural block, which we term Sentence Attention Block, to solve these problems. The proposed block re-calibrates channel-wise image feature-maps by explicitly modeling inter-dependencies between the image feature-maps and sentence embedding. We visually demonstrate how this block filters out irrelevant feature-maps channels based on sentence embedding. We start our design with a well-known attention method, and by making minor modifications, we improve the results to achieve state-of-the-art accuracy. The flexibility of our method makes it easy to use different pre-trained backbone networks, and its simplicity makes it easy to understand and be re-implemented. We demonstrate the effectiveness of our method on the TextVQA-X, VQS, VQA-X, and VizWiz-VQA-Grounding datasets. We perform multiple ablation studies to show the effectiveness of our design choices.

Large Vision-Language Models (LVLMs) have demonstrated impressive general capabilities across a wide range of multi-modal tasks. However, the reasoning processes of LVLMs often suffer from unreliable outputs and limited interpretability. To address this, grounded visual reasoning has emerged as a promising paradigm that enforces responses anchored on salient visual evidence regions. However, existing approaches typically rely on costly supervision such as bounding box annotations, chain-of-thought rationale or external tool calls, limiting their scalability. In this work, we propose Ground-R1, a reinforcement learning framework that enables grounded visual reasoning without requiring explicit evidence or rationale annotations. Ground-R1 consists of a grounding phase that generates evidence region rollouts based on format constraints, and an answering phase that produces responses guided by both answer correctness and format adherence rewards. Extensive experiments across multiple visual reasoning benchmarks manifest that Ground-R1 achieves superior performance and exhibits emergent cognitive behaviors such as uncertainty awareness, spatial perception, and iterative refinement, offering a scalable and interpretable alternative to existing approaches.

Automatic radiology report generation is booming due to its huge application potential for the healthcare industry. However, existing computer vision and natural language processing approaches to tackle this problem are limited in two aspects. First, when extracting image features, most of them neglect multi-view reasoning in vision and model single-view structure of medical images, such as space-view or channel-view. However, clinicians rely on multi-view imaging information for comprehensive judgment in daily clinical diagnosis. Second, when generating reports, they overlook context reasoning with multi-modal information and focus on pure textual optimization utilizing retrieval-based methods. We aim to address these two issues by proposing a model that better simulates clinicians' perspectives and generates more accurate reports. Given the above limitation in feature extraction, we propose a Globally-intensive Attention (GIA) module in the medical image encoder to simulate and integrate multi-view vision perception. GIA aims to learn three types of vision perception: depth view, space view, and pixel view. On the other hand, to address the above problem in report generation, we explore how to involve multi-modal signals to generate precisely matched reports, i.e., how to integrate previously predicted words with region-aware visual content in next word prediction. Specifically, we design a Visual Knowledge-guided Decoder (VKGD), which can adaptively consider how much the model needs to rely on visual information and previously predicted text to assist next word prediction. Hence, our final Intensive Vision-guided Network (IVGN) framework includes a GIA-guided Visual Encoder and the VKGD. Experiments on two commonly-used datasets IU X-Ray and MIMIC-CXR demonstrate the superior ability of our method compared with other state-of-the-art approaches.

Despite the significant progress made by deep models in various image restoration tasks, existing image restoration networks still face challenges in terms of task generality. An intuitive manifestation is that networks which excel in certain tasks often fail to deliver satisfactory results in others. To illustrate this point, we select five representative networks and conduct a comparative study on five classic image restoration tasks. First, we provide a detailed explanation of the characteristics of different image restoration tasks and backbone networks. Following this, we present the benchmark results and analyze the reasons behind the performance disparity of different models across various tasks. Drawing from this comparative study, we propose that a general image restoration backbone network needs to meet the functional requirements of diverse tasks. Based on this principle, we design a new general image restoration backbone network, X-Restormer. Extensive experiments demonstrate that X-Restormer possesses good task generality and achieves state-of-the-art performance across a variety of tasks.

Pixel-wise predictions are required in a wide variety of tasks such as image restoration, image segmentation, or disparity estimation. Common models involve several stages of data resampling, in which the resolution of feature maps is first reduced to aggregate information and then increased to generate a high-resolution output. Previous works have shown that resampling operations are subject to artifacts such as aliasing. During downsampling, aliases have been shown to compromise the prediction stability of image classifiers. During upsampling, they have been leveraged to detect generated content. Yet, the effect of aliases during upsampling has not yet been discussed w.r.t. the stability and robustness of pixel-wise predictions. While falling under the same term (aliasing), the challenges for correct upsampling in neural networks differ significantly from those during downsampling: when downsampling, some high frequencies can not be correctly represented and have to be removed to avoid aliases. However, when upsampling for pixel-wise predictions, we actually require the model to restore such high frequencies that can not be encoded in lower resolutions. The application of findings from signal processing is therefore a necessary but not a sufficient condition to achieve the desirable output. In contrast, we find that the availability of large spatial context during upsampling allows to provide stable, high-quality pixel-wise predictions, even when fully learning all filter weights.

Deep learning methods have shown outstanding classification accuracy in medical imaging problems, which is largely attributed to the availability of large-scale datasets manually annotated with clean labels. However, given the high cost of such manual annotation, new medical imaging classification problems may need to rely on machine-generated noisy labels extracted from radiology reports. Indeed, many Chest X-ray (CXR) classifiers have already been modelled from datasets with noisy labels, but their training procedure is in general not robust to noisy-label samples, leading to sub-optimal models. Furthermore, CXR datasets are mostly multi-label, so current noisy-label learning methods designed for multi-class problems cannot be easily adapted. In this paper, we propose a new method designed for the noisy multi-label CXR learning, which detects and smoothly re-labels samples from the dataset, which is then used to train common multi-label classifiers. The proposed method optimises a bag of multi-label descriptors (BoMD) to promote their similarity with the semantic descriptors produced by BERT models from the multi-label image annotation. Our experiments on diverse noisy multi-label training sets and clean testing sets show that our model has state-of-the-art accuracy and robustness in many CXR multi-label classification benchmarks.

Detecting and classifying cells in histopathology H\&E stained whole-slide images is a core task in computational pathology, as it provides valuable insight into the tumor microenvironment. In this work we investigate the impact of ground truth formats on the models performance. Additionally, cell-tissue interactions are considered by providing tissue segmentation predictions as input to the cell detection model. We find that a "soft", probability-map instance segmentation ground truth leads to best model performance. Combined with cell-tissue interaction and test-time augmentation our Soft Cell-Tissue-Model (SoftCTM) achieves 0.7172 mean F1-Score on the Overlapped Cell On Tissue (OCELOT) test set, achieving the third best overall score in the OCELOT 2023 Challenge. The source code for our approach is made publicly available at https://github.com/lely475/ocelot23algo.

With the development of multimodal reasoning models, Computer Use Agents (CUAs), akin to Jarvis from "Iron Man", are becoming a reality. GUI grounding is a core component for CUAs to execute actual actions, similar to mechanical control in robotics, and it directly leads to the success or failure of the system. It determines actions such as clicking and typing, as well as related parameters like the coordinates for clicks. Current end-to-end grounding models still achieve less than 65\% accuracy on challenging benchmarks like ScreenSpot-pro and UI-Vision, indicating they are far from being ready for deployment. % , as a single misclick can result in unacceptable consequences. In this work, we conduct an empirical study on the training of grounding models, examining details from data collection to model training. Ultimately, we developed the Phi-Ground model family, which achieves state-of-the-art performance across all five grounding benchmarks for models under 10B parameters in agent settings. In the end-to-end model setting, our model still achieves SOTA results with scores of \textbf{43.2} on ScreenSpot-pro and \textbf{27.2} on UI-Vision. We believe that the various details discussed in this paper, along with our successes and failures, not only clarify the construction of grounding models but also benefit other perception tasks. Project homepage: https://zhangmiaosen2000.github.io/Phi-Ground/{https://zhangmiaosen2000.github.io/Phi-Ground/}

Most advanced visual grounding methods rely on Transformers for visual-linguistic feature fusion. However, these Transformer-based approaches encounter a significant drawback: the computational costs escalate quadratically due to the self-attention mechanism in the Transformer Encoder, particularly when dealing with high-resolution images or long context sentences. This quadratic increase in computational burden restricts the applicability of visual grounding to more intricate scenes, such as conversation-based reasoning segmentation, which involves lengthy language expressions. In this paper, we propose an efficient and effective multi-task visual grounding (EEVG) framework based on Transformer Decoder to address this issue, which reduces the cost in both language and visual aspects. In the language aspect, we employ the Transformer Decoder to fuse visual and linguistic features, where linguistic features are input as memory and visual features as queries. This allows fusion to scale linearly with language expression length. In the visual aspect, we introduce a parameter-free approach to reduce computation by eliminating background visual tokens based on attention scores. We then design a light mask head to directly predict segmentation masks from the remaining sparse feature maps. Extensive results and ablation studies on benchmarks demonstrate the efficiency and effectiveness of our approach. Code is available in https://github.com/chenwei746/EEVG.

Modern deep learning-based inpainting enables realistic local image manipulation, raising critical challenges for reliable detection. However, we observe that current detectors primarily rely on global artifacts that appear as inpainting side effects, rather than on locally synthesized content. We show that this behavior occurs because VAE-based reconstruction induces a subtle but pervasive spectral shift across the entire image, including unedited regions. To isolate this effect, we introduce Inpainting Exchange (INP-X), an operation that restores original pixels outside the edited region while preserving all synthesized content. We create a 90K test dataset including real, inpainted, and exchanged images to evaluate this phenomenon. Under this intervention, pretrained state-of-the-art detectors, including commercial ones, exhibit a dramatic drop in accuracy (e.g., from 91\% to 55\%), frequently approaching chance level. We provide a theoretical analysis linking this behavior to high-frequency attenuation caused by VAE information bottlenecks. Our findings highlight the need for content-aware detection. Indeed, training on our dataset yields better generalization and localization than standard inpainting. Our dataset and code are publicly available at https://github.com/emirhanbilgic/INP-X.

The automated generation of imaging reports proves invaluable in alleviating the workload of radiologists. A clinically applicable reports generation algorithm should demonstrate its effectiveness in producing reports that accurately describe radiology findings and attend to patient-specific indications. In this paper, we introduce a novel method, Structural Entities extraction and patient indications Incorporation (SEI) for chest X-ray report generation. Specifically, we employ a structural entities extraction (SEE) approach to eliminate presentation-style vocabulary in reports and improve the quality of factual entity sequences. This reduces the noise in the following cross-modal alignment module by aligning X-ray images with factual entity sequences in reports, thereby enhancing the precision of cross-modal alignment and further aiding the model in gradient-free retrieval of similar historical cases. Subsequently, we propose a cross-modal fusion network to integrate information from X-ray images, similar historical cases, and patient-specific indications. This process allows the text decoder to attend to discriminative features of X-ray images, assimilate historical diagnostic information from similar cases, and understand the examination intention of patients. This, in turn, assists in triggering the text decoder to produce high-quality reports. Experiments conducted on MIMIC-CXR validate the superiority of SEI over state-of-the-art approaches on both natural language generation and clinical efficacy metrics.

Realistic image super-resolution (Real-ISR) aims to reproduce perceptually realistic image details from a low-quality input. The commonly used adversarial training based Real-ISR methods often introduce unnatural visual artifacts and fail to generate realistic textures for natural scene images. The recently developed generative stable diffusion models provide a potential solution to Real-ISR with pre-learned strong image priors. However, the existing methods along this line either fail to keep faithful pixel-wise image structures or resort to extra skipped connections to reproduce details, which requires additional training in image space and limits their extension to other related tasks in latent space such as image stylization. In this work, we propose a pixel-aware stable diffusion (PASD) network to achieve robust Real-ISR as well as personalized stylization. In specific, a pixel-aware cross attention module is introduced to enable diffusion models perceiving image local structures in pixel-wise level, while a degradation removal module is used to extract degradation insensitive features to guide the diffusion process together with image high level information. By simply replacing the base diffusion model with a personalized one, our method can generate diverse stylized images without the need to collect pairwise training data. PASD can be easily integrated into existing diffusion models such as Stable Diffusion. Experiments on Real-ISR and personalized stylization demonstrate the effectiveness of our proposed approach. The source code and models can be found at https://github.com/yangxy/PASD.

The objective of image super-resolution is to generate clean and high-resolution images from degraded versions. Recent advancements in diffusion modeling have led to the emergence of various image super-resolution techniques that leverage pretrained text-to-image (T2I) models. Nevertheless, due to the prevalent severe degradation in low-resolution images and the inherent characteristics of diffusion models, achieving high-fidelity image restoration remains challenging. Existing methods often exhibit issues including semantic loss, artifacts, and the introduction of spurious content not present in the original image. To tackle this challenge, we propose Cascaded diffusion for Super-Resolution, CasSR , a novel method designed to produce highly detailed and realistic images. In particular, we develop a cascaded controllable diffusion model that aims to optimize the extraction of information from low-resolution images. This model generates a preliminary reference image to facilitate initial information extraction and degradation mitigation. Furthermore, we propose a multi-attention mechanism to enhance the T2I model's capability in maximizing the restoration of the original image content. Through a comprehensive blend of qualitative and quantitative analyses, we substantiate the efficacy and superiority of our approach.

This work aims at designing a lightweight convolutional neural network for image super resolution (SR). With simplicity bare in mind, we construct a pretty concise and effective network with a newly proposed pixel attention scheme. Pixel attention (PA) is similar as channel attention and spatial attention in formulation. The difference is that PA produces 3D attention maps instead of a 1D attention vector or a 2D map. This attention scheme introduces fewer additional parameters but generates better SR results. On the basis of PA, we propose two building blocks for the main branch and the reconstruction branch, respectively. The first one - SC-PA block has the same structure as the Self-Calibrated convolution but with our PA layer. This block is much more efficient than conventional residual/dense blocks, for its twobranch architecture and attention scheme. While the second one - UPA block combines the nearest-neighbor upsampling, convolution and PA layers. It improves the final reconstruction quality with little parameter cost. Our final model- PAN could achieve similar performance as the lightweight networks - SRResNet and CARN, but with only 272K parameters (17.92% of SRResNet and 17.09% of CARN). The effectiveness of each proposed component is also validated by ablation study. The code is available at https://github.com/zhaohengyuan1/PAN.

Recent advancements in local Implicit Neural Representation (INR) demonstrate its exceptional capability in handling images at various resolutions. However, frequency discrepancies between high-resolution (HR) and ground-truth images, especially at larger scales, result in significant artifacts and blurring in HR images. This paper introduces Frequency Consistency for Implicit Neural Representation (FreqINR), an innovative Arbitrary-scale Super-resolution method aimed at enhancing detailed textures by ensuring spectral consistency throughout both training and inference. During training, we employ Adaptive Discrete Cosine Transform Frequency Loss (ADFL) to minimize the frequency gap between HR and ground-truth images, utilizing 2-Dimensional DCT bases and focusing dynamically on challenging frequencies. During inference, we extend the receptive field to preserve spectral coherence between low-resolution (LR) and ground-truth images, which is crucial for the model to generate high-frequency details from LR counterparts. Experimental results show that FreqINR, as a lightweight approach, achieves state-of-the-art performance compared to existing Arbitrary-scale Super-resolution methods and offers notable improvements in computational efficiency. The code for our method will be made publicly available.

Implicit Neural Representation (INR) has been successfully employed for Arbitrary-scale Super-Resolution (ASR). However, INR-based models need to query the multi-layer perceptron module numerous times and render a pixel in each query, resulting in insufficient representation capability and computational efficiency. Recently, Gaussian Splatting (GS) has shown its advantages over INR in both visual quality and rendering speed in 3D tasks, which motivates us to explore whether GS can be employed for the ASR task. However, directly applying GS to ASR is exceptionally challenging because the original GS is an optimization-based method through overfitting each single scene, while in ASR we aim to learn a single model that can generalize to different images and scaling factors. We overcome these challenges by developing two novel techniques. Firstly, to generalize GS for ASR, we elaborately design an architecture to predict the corresponding image-conditioned Gaussians of the input low-resolution image in a feed-forward manner. Each Gaussian can fit the shape and direction of an area of complex textures, showing powerful representation capability. Secondly, we implement an efficient differentiable 2D GPU/CUDA-based scale-aware rasterization to render super-resolved images by sampling discrete RGB values from the predicted continuous Gaussians. Via end-to-end training, our optimized network, namely GSASR, can perform ASR for any image and unseen scaling factors. Extensive experiments validate the effectiveness of our proposed method.

The widespread use of vector graphics creates a significant demand for vectorization methods. While recent learning-based techniques have shown their capability to create vector images of clear topology, filling these primitives with gradients remains a challenge. In this paper, we propose a segmentation-guided vectorization framework to convert raster images into concise vector graphics with radial gradient fills. With the guidance of an embedded gradient-aware segmentation subroutine, our approach progressively appends gradient-filled B\'ezier paths to the output, where primitive parameters are initiated with our newly designed initialization technique and are optimized to minimize our novel loss function. We build our method on a differentiable renderer with traditional segmentation algorithms to develop it as a model-free tool for raster-to-vector conversion. It is tested on various inputs to demonstrate its feasibility, independent of datasets, to synthesize vector graphics with improved visual quality and layer-wise topology compared to prior work.

This paper introduces Qwen-GUI-3B, a lightweight Vision-Language Model (VLM) specifically designed for Graphical User Interface grounding tasks, achieving performance competitive with significantly larger models. Unlike large-scale VLMs (>7B parameters) that are computationally intensive and impractical for consumer-grade hardware, Qwen-GUI-3B delivers strong grounding accuracy while being fully trainable on a single GPU (RTX 4090). The model incorporates several key innovations: (i) combine cross-platform, multi-resolution dataset of 24K examples from diverse sources including mobile, desktop, and web GUI screenshots to effectively address data scarcity in high-resolution desktop environments; (ii) a two-stage fine-tuning strategy, where initial cross-platform training establishes robust GUI understanding, followed by specialized fine-tuning on high-resolution data to significantly enhance model adaptability; and (iii) data curation and redundancy reduction strategies, demonstrating that randomly sampling a smaller subset with reduced redundancy achieves performance comparable to larger datasets, emphasizing data diversity over sheer volume. Empirical evaluation on standard GUI grounding benchmarks-including ScreenSpot, ScreenSpot-v2, and the challenging ScreenSpot-Pro, highlights Qwen-GUI-3B's exceptional accuracy, achieving 84.9% on ScreenSpot and 86.4% on ScreenSpot-v2, surpassing prior models under 4B parameters. Ablation studies validate the critical role of balanced sampling and two-stage fine-tuning in enhancing robustness, particularly in high-resolution desktop scenarios. The Qwen-GUI-3B is available at: https://github.com/Han1018/Qwen-GUI-3B

Graphical User Interface (GUI) grounding, the task of mapping natural language instructions to precise screen coordinates, is fundamental to autonomous GUI agents. While existing methods achieve strong performance through extensive supervised training or reinforcement learning with labeled rewards, they remain constrained by the cost and availability of pixel-level annotations. We observe that when models generate multiple predictions for the same GUI element, the spatial overlap patterns reveal implicit confidence signals that can guide more accurate localization. Leveraging this insight, we propose GUI-RC (Region Consistency), a test-time scaling method that constructs spatial voting grids from multiple sampled predictions to identify consensus regions where models show highest agreement. Without any training, GUI-RC improves accuracy by 2-3% across various architectures on ScreenSpot benchmarks. We further introduce GUI-RCPO (Region Consistency Policy Optimization), which transforms these consistency patterns into rewards for test-time reinforcement learning. By computing how well each prediction aligns with the collective consensus, GUI-RCPO enables models to iteratively refine their outputs on unlabeled data during inference. Extensive experiments demonstrate the generality of our approach: GUI-RC boosts Qwen2.5-VL-3B-Instruct from 80.11% to 83.57% on ScreenSpot-v2, while GUI-RCPO further improves it to 85.14% through self-supervised optimization. Our approach reveals the untapped potential of test-time scaling and test-time reinforcement learning for GUI grounding, offering a promising path toward more robust and data-efficient GUI agents.

Synthetic medical data generation has opened up new possibilities in the healthcare domain, offering a powerful tool for simulating clinical scenarios, enhancing diagnostic and treatment quality, gaining granular medical knowledge, and accelerating the development of unbiased algorithms. In this context, we present a novel approach called ViewXGen, designed to overcome the limitations of existing methods that rely on general domain pipelines using only radiology reports to generate frontal-view chest X-rays. Our approach takes into consideration the diverse view positions found in the dataset, enabling the generation of chest X-rays with specific views, which marks a significant advancement in the field. To achieve this, we introduce a set of specially designed tokens for each view position, tailoring the generation process to the user's preferences. Furthermore, we leverage multi-view chest X-rays as input, incorporating valuable information from different views within the same study. This integration rectifies potential errors and contributes to faithfully capturing abnormal findings in chest X-ray generation. To validate the effectiveness of our approach, we conducted statistical analyses, evaluating its performance in a clinical efficacy metric on the MIMIC-CXR dataset. Also, human evaluation demonstrates the remarkable capabilities of ViewXGen, particularly in producing realistic view-specific X-rays that closely resemble the original images.

Image inpainting is a fundamental research area between image editing and image generation. Recent state-of-the-art (SOTA) methods have explored novel attention mechanisms, lightweight architectures, and context-aware modeling, demonstrating impressive performance. However, they often struggle with complex structure (e.g., texture, shape, spatial relations) and semantics (e.g., color consistency, object restoration, and logical correctness), leading to artifacts and inappropriate generation. To address this challenge, we design a simple yet effective inpainting paradigm called latent categories guidance, and further propose a diffusion-based model named PixelHacker. Specifically, we first construct a large dataset containing 14 million image-mask pairs by annotating foreground and background (potential 116 and 21 categories, respectively). Then, we encode potential foreground and background representations separately through two fixed-size embeddings, and intermittently inject these features into the denoising process via linear attention. Finally, by pre-training on our dataset and fine-tuning on open-source benchmarks, we obtain PixelHacker. Extensive experiments show that PixelHacker comprehensively outperforms the SOTA on a wide range of datasets (Places2, CelebA-HQ, and FFHQ) and exhibits remarkable consistency in both structure and semantics. Project page at https://hustvl.github.io/PixelHacker.