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Curriculum-Driven 3D CT Report Generation via Language-Free Visual Grafting and Zone-Constrained Compression

arXiv:2603.23308v1 Announce Type: cross Abstract: Automated radiology report generation from 3D computed tomography (CT) volumes is challenging due to extreme sequence lengths, severe class imbalance, and the tendency of large language models (LLMs) to ignore visual tokens in favor of linguistic priors. We present Ker-VLJEPA-3B, a four-phase curriculum learning framework for free-text report generation from thoracic CT volumes. A phased training curriculum progressively adapts a Llama 3.2 3B decoder to ground its output in visual features from a frozen, self-supervised encoder. Our visual backbone (LeJEPA ViT-Large) is trained via self-supervised joint-embedding prediction on unlabeled CTs, without text supervision. Unlike contrastive models (CLIP, BiomedCLIP), this language-free backbone yields modality-pure representations. Vision-language alignment is deferred to the curriculum's bridge and generation phases. This modality-agnostic design can integrate any self-supervised encoder into an LLM without paired text during foundation training. Methodological innovations include: (1) zone-constrained cross-attention compressing slice embeddings into 32 spatially-grounded visual tokens; (2) PCA whitening of anisotropic LLM embeddings; (3) a positive-findings-only strategy eliminating posterior collapse; (4) warm bridge initialization transferring projection weights; and (5) selective cross-attention freezing with elastic weight consolidation to prevent catastrophic forgetting. Evaluated on the CT-RATE benchmark (2,984 validation volumes, 18 classes), Ker-VLJEPA-3B achieves a macro F1 of 0.429, surpassing the state-of-the-art (U-VLM, macro F1 = 0.414) by 3.6%, and reaching 0.448 (+8.2%) with threshold optimization. Ablation studies confirm 56.6% of generation quality derives from patient-specific visual content. Code and weights are available.
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Learning The Minimum Action Distance

arXiv:2506.09276v3 Announce Type: replace-cross Abstract: This paper presents a state representation framework for Markov decision processes (MDPs) that can be learned solely from state trajectories, requiring neither reward signals nor the actions executed by the agent. We propose learning the minimum action distance (MAD), defined as the minimum number of actions required to transition between states, as a fundamental metric that captures the underlying structure of an environment. MAD naturally enables critical downstream tasks such as goal-conditioned reinforcement learning and reward shaping by providing a dense, geometrically meaningful measure of progress. Our self-supervised learning approach constructs an embedding space where the distances between embedded state pairs correspond to their MAD, accommodating both symmetric and asymmetric approximations. We evaluate the framework on a comprehensive suite of environments with known MAD values, encompassing both deterministic and stochastic dynamics, as well as discrete and continuous state spaces, and environments with noisy observations. Empirical results demonstrate that the proposed approach not only efficiently learns accurate MAD representations across these diverse settings but also significantly outperforms existing state representation methods in terms of representation quality.
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