arXiv:2609.09242v1 Announce Type: cross Abstract: Large Language Models (LLMs) often generate natural-language comments while writing code, and these comments become part of the context used to generate the code that follows. However, it remains unclear which properties of comments affect code-generation performance. We study this question through observational analyses and controlled interventions. On LiveCodeBench, neither comment frequency nor broad comment intent reliably predicts pass@1. We then prefill weaker recipient models with comment blocks written by stronger source models, allowing us to separate comment surface form from the solution content they convey. Comments from source solutions that pass the tests raise recipient pass@1 by 17.2% on average. In contrast, comments describing failed solutions provide no reliable gain, while comments written for a different problem reduce pass@1 by 20.8%. Finally, across a wide range of models and prompt variants, most recipient models show no significant recovery of the external-comment gain, and the best case recovers only 24%. These results show that comments help code generation not merely because they are comments, but because they can provide correct solution content that prompting cannot reliably elicit.

arXiv:2509.22404v2 Announce Type: replace-cross Abstract: Anatomical understanding, which is the ability to identify, localize, or segment anatomical structures, is critical in medical image analysis; however, its progress is constrained by the scarcity of expert-labeled data. A promising remedy is to leverage an annotated reference image to guide the interpretation of an unlabeled target. Although recent vision-language models (VLMs) exhibit non-trivial visual reasoning, their reference-based understanding and fine-grained localization remain limited. We introduce RAU, a framework for reference-based anatomical understanding with VLMs. We first show that a VLM learns to identify anatomical regions through relative spatial reasoning between reference and target images, trained on a moderately sized dataset. We validate this capability through visual question answering (VQA) and bounding box prediction. Next, we demonstrate that the VLM-derived spatial cues can be seamlessly integrated with the fine-grained segmentation capability of SAM2, enabling localization and pixel-level segmentation of small anatomical regions, such as vessel segments. Across two in-distribution and two out-of-distribution datasets, RAU consistently outperforms a SAM2 fine-tuning baseline using the same memory setup, yielding more accurate segmentations and more reliable localization. More importantly, its generalization ability to unseen modalities makes it scalable to unseen datasets, a property crucial for medical image applications. To the best of our knowledge, RAU is the first to explore the capability of VLMs for reference-based identification, localization, and segmentation of anatomical structures in medical images. Its promising performance highlights the potential of VLM-driven approaches for anatomical understanding in automated clinical workflows.