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Thinking with Gaze: Sequential Eye-Tracking as Visual Reasoning Supervision for Medical VLMs

arXiv:2603.06697v1 Announce Type: cross Abstract: Vision--language models (VLMs) process images as visual tokens, yet their intermediate reasoning is often carried out in text, which can be suboptimal for visually grounded radiology tasks. Radiologists instead diagnose via sequential visual search; eye-tracking captures this process as time-ordered gaze trajectories that reveal how evidence is acquired over time. We use eye-gaze as supervision to guide VLM reasoning by introducing a small set of dedicated gaze tokens. These tokens are trained to predict gaze-selected image patch indices in temporal order, encouraging the model to follow human-like evidence acquisition and integration. Experiments on MIMIC-EYE and multiple external zero-shot benchmarks show consistent gains over baselines, achieving state-of-the-art in-domain performance and improved out-of-domain robustness. These results highlight temporally ordered gaze as an effective supervision signal for learning visually grounded medical reasoning.
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From 2D Alignment to 3D Plausibility: Unifying Heterogeneous 2D Priors and Penetration-Free Diffusion for Occlusion-Robust Two-Hand Reconstruction

arXiv:2503.17788v3 Announce Type: replace-cross Abstract: Two-hand reconstruction from monocular images is hampered by complex poses and severe occlusions, which often cause interaction misalignment and two-hand penetration. We address this by decoupling the problem into 2D structural alignment and 3D spatial interaction alignment, each handled by a tailored component. For 2D alignment, we pioneer the attempt to unify heterogeneous structural priors (keypoints, segmentation, and depth) from vision foundation models as complementary structured guidance for two-hand recovery. Instead of extracting priors prediction as explicit inputs, we propose a fusion-alignment encoder that absorbs their structural knowledge implicitly, achieving foundation-level guidance without foundation-level cost. For 3D spatial alignment, we propose a two-hand penetration-free diffusion model that learns a generative mapping from interpenetrated poses to realistic, collision-free configurations. Guided by collision gradients during denoising, the model converges toward the manifold of valid two-hand interactions, preserving geometric and kinematic coherence. This generative formulation approach enables physically credible reconstructions even under occlusion or ambiguous visual input. Extensive experiments on InterHand2.6M and HIC show state-of-the-art or leading performance in interaction alignment and penetration suppression. Project: https://gaogehan.github.io/A2P/
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