arXiv:2604.01612v1 Announce Type: cross Abstract: Volumetric CT imaging is essential for clinical diagnosis, yet annotating 3D volumes is expensive and time-consuming, motivating self-supervised learning (SSL) from unlabeled data. However, applying SSL to 3D CT remains challenging due to the high memory cost of full-volume transformers and the anisotropic spatial structure of CT data, which is not well captured by conventional masking strategies. We propose NEMESIS, a masked autoencoder (MAE) framework that operates on local 128x128x128 superpatches, enabling memory-efficient training while preserving anatomical detail. NEMESIS introduces three key components: (i) noise-enhanced reconstruction as a pretext task, (ii) Masked Anatomical Transformer Blocks (MATB) that perform dual-masking through parallel plane-wise and axis-wise token removal, and (iii) NEMESIS Tokens (NT) for cross-scale context aggregation. On the BTCV multi-organ classification benchmark, NEMESIS with a frozen backbone and a linear classifier achieves a mean AUROC of 0.9633, surpassing fully fine-tuned SuPreM (0.9493) and VoCo (0.9387). Under a low-label regime with only 10% of available annotations, it retains an AUROC of 0.9075, demonstrating strong label efficiency. Furthermore, the superpatch-based design reduces computational cost to 31.0 GFLOPs per forward pass, compared to 985.8 GFLOPs for the full-volume baseline, providing a scalable and robust foundation for 3D medical imaging.

arXiv:2603.29356v1 Announce Type: cross Abstract: The rapid progress of generative adversarial networks (GANs) and diffusion models has enabled the creation of synthetic faces that are increasingly difficult to distinguish from real images. This progress, however, has also amplified the risks of misinformation, fraud, and identity abuse, underscoring the urgent need for detectors that remain robust across diverse generative models. In this work, we introduce Counterfeit Image Pattern High-level Examination via Representation(CIPHER), a deepfake detection framework that systematically reuses and fine-tunes discriminators originally trained for image generation. By extracting scale-adaptive features from ProGAN discriminators and temporal-consistency features from diffusion models, CIPHER captures generation-agnostic artifacts that conventional detectors often overlook. Through extensive experiments across nine state-of-the-art generative models, CIPHER demonstrates superior cross-model detection performance, achieving up to 74.33% F1-score and outperforming existing ViT-based detectors by over 30% in F1-score on average. Notably, our approach maintains robust performance on challenging datasets where baseline methods fail, with up to 88% F1-score on CIFAKE compared to near-zero performance from conventional detectors. These results validate the effectiveness of discriminator reuse and cross-model fine-tuning, establishing CIPHER as a promising approach toward building more generalizable and robust deepfake detection systems in an era of rapidly evolving generative technologies.

arXiv:2603.29449v1 Announce Type: cross Abstract: Minimizing invasive diagnostic procedures to reduce the risk of patient injury and infection is a central goal in medical imaging. And yet, noninvasive diagnosis of perineural invasion (PNI), a critical prognostic factor involving infiltration of tumor cells along the surrounding nerve, still remains challenging, due to the lack of clear and consistent imaging criteria criteria for identifying PNI. To address this challenge, we present NeoNet, an integrated end-to-end 3D deep learning framework for PNI prediction in cholangiocarcinoma that does not rely on predefined image features. NeoNet integrates three modules: (1) NeoSeg, utilizing a Tumor-Localized ROI Crop (TLCR) algorithm; (2) NeoGen, a 3D Latent Diffusion Model (LDM) with ControlNet, conditioned on anatomical masks to generate synthetic image patches, specifically balancing the dataset to a 1:1 ratio; and (3) NeoCls, the final prediction module. For NeoCls, we developed the PNI-Attention Network (PattenNet), which uses the frozen LDM encoder and specialized 3D Dual Attention Blocks (DAB) designed to detect subtle intensity variations and spatial patterns indicative of PNI. In 5-fold cross-validation, NeoNet outperformed baseline 3D models and achieved the highest performance with a maximum AUC of 0.7903.