arXiv:2510.02789v2 Announce Type: replace-cross Abstract: Medical object detection suffers when a single detector is trained on mixed medical modalities (e.g., CXR, CT, MRI) due to heterogeneous statistics and disjoint representation spaces. To address this challenge, we turn to representation alignment, an approach that has proven effective for bringing features from different sources into a shared space. Specifically, we target the representations of DETR-style object queries and propose a simple, detector-agnostic framework to align them with modality context. First, we define modality tokens: compact, text-derived embeddings encoding imaging modality that are lightweight and require no extra annotations. We integrate the modality tokens into the detection process via Multimodality Context Attention (MoCA), mixing object-query representations via self-attention to propagate modality context within the query set. This preserves DETR-style architectures and adds negligible latency while injecting modality cues into object queries. We further introduce QueryREPA, a short pretraining stage that aligns query representations to their modality tokens using a task-specific contrastive objective with modality-balanced batches. Together, MoCA and QueryREPA produce modality-aware, class-faithful queries that transfer effectively to downstream training. Across diverse modalities trained altogether, the proposed approach consistently improves AP with minimal overhead and no architectural modifications, offering a practical path toward robust multimodality medical object detection.

arXiv:2603.03769v1 Announce Type: cross Abstract: Ultra Low Field (64 mT) brain MRI improves accessibility but suffers from reduced image quality compared to 3 T. As paired 64 mT - 3 T scans are scarce, we propose an unpaired 64 mT $\rightarrow$ 3 T translation framework that enhances realism while preserving anatomy. Our method builds upon the Unpaired Neural Schr\"odinge Bridge (UNSB) with multi-step refinement. To strengthen target distribution alignment, we augment the adversarial objective with DMD2-style diffusion-guided distribution matching using a frozen 3T diffusion teacher. To explicitly constrain global structure beyond patch-level correspondence, we combine PatchNCE with an Anatomical Structure Preservation (ASP) regularizer that enforces soft foreground background consistency and boundary aware constraints. Evaluated on two disjoint cohorts, the proposed framework achieves an improved realism structure trade-off, enhancing distribution level realism on unpaired benchmarks while increasing structural fidelity on the paired cohort compared to unpaired baselines.

arXiv:2509.25845v2 Announce Type: replace-cross Abstract: Recent advancements in diffusion and flow-matching models have demonstrated remarkable capabilities in high-fidelity image synthesis. A prominent line of research involves reward-guided guidance, which steers the generation process during inference to align with specific objectives. However, leveraging this reward-guided approach to the task of image editing, which requires preserving the semantic content of the source image while enhancing a target reward, is largely unexplored. In this work, we introduce a novel framework for training-free, reward-guided image editing. We formulate the editing process as a trajectory optimal control problem where the reverse process of a diffusion model is treated as a controllable trajectory originating from the source image, and the adjoint states are iteratively updated to steer the editing process. Through extensive experiments across distinct editing tasks, we demonstrate that our approach significantly outperforms existing inversion-based training-free guidance baselines, achieving a superior balance between reward maximization and fidelity to the source image without reward hacking.