arXiv:2609.09189v1 Announce Type: cross Abstract: High classification accuracy alone is insufficient for clinical image analysis, where calibrated confidence and reliable uncertainty estimates are essential. This study proposes a reliability-aware Hybrid-K ensemble selection framework for multiclass cervical cytology classification using the SIPaKMeD dataset. Nine deep learning architectures were evaluated using a fixed stratified five-fold partition and three training seeds. After post-hoc temperature scaling, models were assessed using macro-F1, accuracy, AUROC, expected calibration error (ECE), worst-class ECE (WC-ECE), area under the risk-coverage curve (AURC), Brier score, and negative log-likelihood (NLL). Models were ranked using an equal-weight composite score, and Hybrid-K ensembles were formed from the top-ranked models using soft voting. Robustness was examined using 5,000 Dirichlet-sampled metric-weight vectors, leave-one-metric-out analysis, and corrected paired testing across 15 fold-by-seed evaluations. The final Hybrid-2 ensemble, comprising Swin-Tiny and TinyViT-5M, reduced AURC by 43%, NLL by 17%, and WC-ECE by 36% relative to the best individual model. It was selected in 96.8% of random weighting scenarios, remained unchanged across all leave-one-metric-out analyses, and improved the full composite score. However, per-metric gains were not statistically significant after Holm-Bonferroni correction (all adjusted p >= 0.168). Because post-hoc calibration did not use a fully independent calibration set, calibration-dependent results should be interpreted as exploratory internal estimates. Overall, the framework identified a compact ensemble robust to alternative metric weightings and improved reliability point estimates under internal validation on a single dataset.

arXiv:2609.09577v1 Announce Type: cross Abstract: Myocardial strain from echocardiography is a key biomarker for cardiac function. Recent deep learning methods show strong performance for myocardial motion tracking but often lack physiological constraints, leading to temporal drift across the cardiac cycle. Consequently, tracked points may not return to their relative initial positions at the end of each cardiac cycle, producing inaccurate strain estimates and even divergence in some cases. We propose a deep learning framework that compensates for drift during myocardial tracking. We extend a state-of-the-art echocardiographic tracking method (TAS-Net) with persistent memory tokens that share information across sliding windows over full cardiac cycles. A teacher-student fine-tuning strategy on real echocardiographic data then enforces physiologically consistent cyclic motion while preserving tracking accuracy. Experiments show reduced global and regional strain drift, improved agreement with clinical references, and better test-retest reproducibility, supporting more reliable myocardial strain estimation in clinical practice.

arXiv:2505.03380v2 Announce Type: replace-cross Abstract: Accurate delineation of tumors and surrounding organs-at-risk is essential for radiotherapy, surgery and treatment response assessment, yet remains time-consuming and expertise-intensive. Existing artificial intelligence systems often require manual spatial prompts or task-specific retraining, while generic class labels provide limited semantic grounding for heterogeneous disease targets. Here we present SyRe, a promptable segmentation foundation model based on Synergistic vision-language Reinforcement. SyRe strengthens bidirectional interaction between visual and linguistic representations to improve semantically grounded spatial understanding. To support large-scale training, we introduce the Color Region Description strategy and construct SyReData, comprising 20 million image-mask-description triplets across 9 modalities and 229 segmentation tasks. Training with diversified prompt forms further enables open-ended prompting, invalid-prompt rejection and flexible switching between single- and multi-target analysis. SyRe achieves accurate text-prompted segmentation across diverse clinical scenarios, with particularly strong performance on disease-related targets. Across 28 unseen external datasets, including 20 cancer types and multinational in-house cohorts, SyRe generalizes robustly under real-world distribution shifts. SyRe-generated masks also preserve clinically relevant quantitative information in pathology and yield radiomics features that stratify survival and improve prognostic modeling across five retrospective CT and MRI tumor cohorts. Finally, clinician-in-the-loop refinement enables efficient case-level correction when greater precision is required. These results establish SyRe as a generalizable foundation for scalable quantitative oncology and clinician-guided segmentation refinement.

arXiv:2605.24769v1 Announce Type: cross Abstract: Hyperspectral image restoration faces several challenges, including limited training data, strong sensor specificity, and high spectral dimensionality. These limitations hinder the learning of robust hyperspectral priors, motivating the reuse of priors learned from large-scale RGB data. In this work, we propose a minimally trained, lightweight adapter that repurposes frozen pretrained RGB denoisers for hyperspectral restoration through a projection mapping. The method denoises low-dimensional spectral projections and reconstructs the hyperspectral cube through constrained linear aggregation, while preserving plug-and-play compatibility and the stability properties of the underlying RGB denoiser. Experiments on denoising, deblurring, and super-resolution across multiple datasets demonstrate consistent improvements over hyperspectral-specific baselines, showing the strong transferability of large-scale RGB priors.

arXiv:2605.24913v1 Announce Type: cross Abstract: Retinal imaging provides a non-invasive window into systemic microvascular health and has emerged as a potential biomarker for systemic diseases. However, whether retinal features encode biologically meaningful systemic signals that can be reliably interpreted using explainable artificial intelligence (XAI) remains unclear. An explainable multi-task deep learning framework was developed to investigate associations between retinal microvascular features and systemic abnormalities in Type 2 Diabetes Mellitus. A total of 11,011 fundus images from 2,719 individuals were analysed using a shared neural network with task-specific heads for glycaemic status, kidney abnormality, and multi-system involvement. Model interpretability was evaluated using Gradient-weighted Class Activation Mapping (Grad-CAM), anatomical masking, and vessel alignment analysis. The framework demonstrated task-dependent predictive performance, with the best discrimination observed for kidney abnormality (AUC up to 0.63), whereas glycaemic status prediction showed limited performance (AUC = 0.49-0.61). Explainability analyses consistently localized model attention to retinal vessels and peripapillary regions. Masking experiments showed that occlusion of vascular regions caused the greatest performance decline, indicating that retinal vessels were the primary predictive source. Different architectures exhibited heterogeneous attention patterns, suggesting multiple representational pathways for systemic signal encoding. This pilot study demonstrates that retinal microvascular features contain measurable signals associated with systemic abnormalities, particularly microvascular damage. By integrating multi-task learning with quantitative XAI validation, this framework advances retinal imaging toward interpretable digital biomarkers for systemic risk stratification in diabetes.

arXiv:2605.25168v1 Announce Type: cross Abstract: This study presents a methodology for constructing a clinically verified dataset of dermatoscopic images for medical informatics research. The relevance of the work is driven by the fact that the performance of automated diagnostic support systems depends not only on the volume of images, but also on the reproducibility of the image acquisition procedure, the completeness of structured metadata, and the reliability of diagnostic labels. International collections were primarily created under conditions that differ substantially from routine Russian outpatient practice and mobile dermatoscopy. The proposed methodology integrates three interconnected components: (1) a standard operating procedure (SOP) for acquiring images via mobile dermatoscopy, (2) an information model comprising 16 structured metadata fields organized into six clinically oriented blocks in ISIC-compatible notation, and (3) a multi-stage expert verification of diagnostic labels (initial clinical annotation, consensus review by three specialists, and histological confirmation of all malignant neoplasms). Using this methodology, a dataset of 1,026 unique dermatoscopic images from 443 patients was collected between June 2025 and May 2026. From 1,044 initial records, 18 duplicates were excluded. The dataset includes nine nosological categories; all 39 malignant lesions (18 melanomas, 15 basal cell carcinomas, and 6 squamous cell carcinomas) were histologically verified. Patient age ranged from 2 to 90 years (median 38), with 279 females (63%) and 164 males (37%). Each image is accompanied by expert-annotated dermatoscopic structures and an explicit verification_stage field indicating the level of diagnostic confirmation. The resulting dataset serves as a pilot clinically verified resource suitable for independent model evaluation, domain shift analysis, interpretability studies, and further expansion.

arXiv:2605.25348v1 Announce Type: cross Abstract: Low-dose computed tomography (LDCT) reconstruction faces a critical tradeoff between reconstruction quality and resource requirements. While recent deep learning methods achieve state-of-the-art performance, they typically rely on over 500,000 parameters trained on large-scale datasets exceeding 35,000 scans. This work investigates whether graph-based regularization can provide meaningful noise reduction under strict resource constraints. We propose Deep Graph Laplacian Regularization (Deep GLR), integrating quadratic graph regularization into a Proximal Forward-Backward Splitting optimization framework with three lightweight CNN modules. Evaluated on the LoDoPaB-CT benchmark, Deep GLR achieves 30.70 dB PSNR, representing a 6.33 dB improvement over filtered backprojection, while using only 91,848 parameters trained on 1000 samples (2.8\% of standard training set). Compared to benchmark methods, this represents 5.8 times better parameter efficiency and 30 times better data efficiency per dB improvement. The learned graph bandwidth parameter ($\epsilon$=1.25) converges to interpretable values, suggesting the method captures meaningful image priors rather than overfitting. While a 13 dB gap remains versus state-of-the-art methods, results demonstrate that graph-based regularization provides a favorable efficiency-quality tradeoff for resource-constrained medical imaging scenarios.

arXiv:2507.14760v2 Announce Type: replace-cross Abstract: While deep learning offers tremendous promise for scientific and medical imaging, any failures and hallucinations (predictions that do not coincide with reality) are hard to pinpoint and can have serious downstream consequences. Uncertainty estimation techniques, such as conformal prediction, can help by predicting statistically valid error bars for a model's prediction. However, popular conformal prediction methods were not designed for high-dimensional image-valued problems and do not take into account spatial correlations within an image during conformal calibration, resulting in larger-than-necessary uncertainty intervals. We propose a practical simultaneous quantile regression method that enables non-linear, spatially-adaptive scaling during conformal calibration. Our method, QUTCC uses a U-Net architecture with a quantile embedding to learn a full conditional quantile distribution during training, and then leverages this non-linear, learned function for spatially-adaptive conformal calibration. At test time, our method can efficiently estimate uncertainty intervals with pixel-marginal coverage guarantees. In addition, QUTCC can also predict pixel-wise conditional probability density estimates without any built-in distributional assumptions. We evaluate our method on several denoising problems, accelerated magnetic resonance imaging, and quantitative phase microscopy. Our method consistently produces tighter uncertainty intervals than prior conformal methods at the same coverage level, can predict plausible conditional distributions for different tasks, and in some cases, high-uncertainty regions can help us locate hallucinations in a model's prediction.

arXiv:2509.25339v3 Announce Type: replace-cross Abstract: Is basic visual understanding really solved in state-of-the-art VLMs? We present VisualOverload, a slightly different visual question answering (VQA) benchmark comprising 2,720 question-answer pairs, with privately held ground-truth responses. Unlike prior VQA datasets that typically focus on near global image understanding, VisualOverload challenges models to perform simple, knowledge-free vision tasks in densely populated (or, overloaded) scenes. Our dataset consists of high-resolution scans of public-domain paintings that are populated with multiple figures, actions, and unfolding subplots set against elaborately detailed backdrops. We manually annotated these images with questions across six task categories to probe for a thorough understanding of the scene. We hypothesize that current benchmarks overestimate the performance of VLMs, and encoding and reasoning over details is still a challenging task for them, especially if they are confronted with densely populated scenes. Indeed, we observe that even the best model (o3) out of 37 tested models only achieves 19.6% accuracy on our hardest test split and overall 69.5% accuracy on all questions. Beyond a thorough evaluation, we complement our benchmark with an error analysis that reveals multiple failure modes, including a lack of counting skills, failure in OCR, and striking logical inconsistencies under complex tasks. Altogether, VisualOverload exposes a critical gap in current vision models and offers a crucial resource for the community to develop better models. Benchmark: http://paulgavrikov.github.io/visualoverload

arXiv:2510.07343v3 Announce Type: replace-cross Abstract: Diffusion Posterior Sampling (DPS) provides a principled Bayesian approach to inverse problems by sampling from $p(x_0 \mid y)$. While posterior sampling is valuable for capturing uncertainty and multi-modality, many classical and practical inverse problem settings ultimately prioritize accurate point estimation -- most notably the MAP estimator, which has long served as a standard reconstruction objective in imaging and scientific applications. We introduce Local MAP Sampling (LMAPS), a new inference framework that iteratively solves local MAP subproblems along the diffusion trajectory. This perspective clarifies their connection to global MAP and DPS, offering a unified probabilistic interpretation for optimization-based methods. Building on this foundation, we develop practical algorithms with a covariance approximation motivated by a Gaussian prior assumption, and a reformulated objective for stability and interpretability. Across a broad set of image restoration and scientific tasks, LMAPS achieves state-of-the-art performance.

arXiv:2601.13236v2 Announce Type: replace-cross Abstract: Parallel imaging techniques reduce magnetic resonance imaging (MRI) scan time but image quality degrades as the acceleration factor increases. In clinical practice, conservative acceleration factors are chosen because no mechanism exists to automatically assess the diagnostic quality of undersampled reconstructions. This work introduces a general framework for pixel-wise uncertainty quantification in parallel MRI reconstructions, enabling automatic identification of unreliable regions without access to any ground-truth reference image. Our method integrates conformal quantile regression with image reconstruction methods to estimate statistically rigorous pixel-wise uncertainty intervals. We trained and evaluated our model on Cartesian undersampled brain and knee data obtained from the fastMRI dataset using acceleration factors ranging from 2 to 10. An end-to-end Variational Network was used for image reconstruction. Quantitative experiments demonstrate strong agreement between predicted uncertainty maps and true reconstruction error. Using our method, the corresponding Pearson correlation coefficient was higher than 90% at acceleration levels at and above four-fold; whereas it dropped to less than 70% when the uncertainty was computed using a simpler a heuristic notion (magnitude of the residual). Qualitative examples further show the uncertainty maps based on quantile regression capture the magnitude and spatial distribution of reconstruction errors across acceleration factors, with regions of elevated uncertainty aligning with pathologies and artifacts. The proposed framework enables evaluation of reconstruction quality without access to fully-sampled ground-truth reference images. It represents a step toward adaptive MRI acquisition protocols that may be able to dynamically balance scan time and diagnostic reliability.

arXiv:2604.04078v1 Announce Type: cross Abstract: Cardiac magnetic resonance (CMR) is a cornerstone for diagnosing cardiovascular disease. However, it remains underutilized due to complex, time-consuming interpretation across multi-sequences, phases, quantitative measures that heavily reliant on specialized expertise. Here, we present BAAI Cardiac Agent, a multimodal intelligent system designed for end-to-end CMR interpretation. The agent integrates specialized cardiac expert models to perform automated segmentation of cardiac structures, functional quantification, tissue characterization and disease diagnosis, and generates structured clinical reports within a unified workflow. Evaluated on CMR datasets from two hospitals (2413 patients) spanning 7-types of major cardiovascular diseases, the agent achieved an area under the receiver-operating-characteristic curve exceeding 0.93 internally and 0.81 externally. In the task of estimating left ventricular function indices, the results generated by this system for core parameters such as ejection fraction, stroke volume, and left ventricular mass are highly consistent with clinical reports, with Pearson correlation coefficients all exceeding 0.90. The agent outperformed state-of-the-art models in segmentation and diagnostic tasks, and generated clinical reports showing high concordance with expert radiologists (six readers across three experience levels). By dynamically orchestrating expert models for coordinated multimodal analysis, this agent framework enables accurate, efficient CMR interpretation and highlights its potentials for complex clinical imaging workflows. Code is available at https://github.com/plantain-herb/Cardiac-Agent.

arXiv:2604.04470v1 Announce Type: cross Abstract: Microcalcification (MC) analysis is clinically important in screening mammography because clustered puncta can be an early sign of malignancy, yet dense MC segmentation remains challenging: targets are extremely small and sparse, dense pixel-level labels are expensive and ambiguous, and cross-site shift often induces texture-driven false positives and missed puncta in dense tissue. We propose MC-GenRef, a real dense-label-free framework that combines high-fidelity synthetic supervision with test-time generative posterior refinement (TT-GPR). During training, real negative mammogram patches are used as backgrounds, and physically plausible MC patterns are injected through a lightweight image formation model with local contrast modulation and blur, yielding exact image-mask pairs without real dense annotation. Using only these synthetic labeled pairs, MC-GenRef trains a base segmentor and a seed-conditioned rectified-flow (RF) generator that serves as a controllable generative prior. During inference, TT-GPR treats segmentation as approximate posterior inference: it derives a sparse seed from the current prediction, forms seed-consistent RF projections, converts them into case-specific surrogate targets through the frozen segmentor, and iteratively refines the logits with overlap-consistent and edge-aware regularization. On INbreast, the synthetic-only initializer achieved the best Dice without real dense annotations, while TT-GPR improved miss-sensitive performance to Recall and FNR, with strong class-balanced behavior (Bal.Acc., G-Mean). On an external private Yonsei cohort ( n=50 ), TT-GPR consistently improved the synthetic-only initializer under cross-site shift, increasing Dice and Recall while reducing FNR. These results suggest that test-time generative posterior refinement is a practical route to reduce MC misses and improve robustness without additional real dense labeling.

arXiv:2604.04490v1 Announce Type: cross Abstract: This paper presents RAVEN, a computationally efficient deep learning architecture for FMCW radar perception. The method processes raw ADC data in a chirp-wise streaming manner, preserves MIMO structure through independent receiver state-space encoders, and uses a learnable cross-antenna mixing module to recover compact virtual-array features. It also introduces an early-exit mechanism so the model can make decisions using only a subset of chirps when the latent state has stabilized. Across automotive radar benchmarks, the approach reports strong object detection and BEV free-space segmentation performance while substantially reducing computation and end-to-end latency compared with conventional frame-based radar pipelines.

arXiv:2604.04670v1 Announce Type: cross Abstract: The rapid rise of LLMs over the last few years has promoted growing experimentation with LLM-driven AI tutors. However, the details of implementation, as well as the benefit in a teaching environment, are still in the early days of exploration. This article addresses these issues in the context of implementation of an AI Teaching Assistant (AI-TA) using Retrieval Augmented Generation (RAG) for Trinity College Dublin's Master's Motion Picture Engineering (MPE) course. We provide details of our implementation (including the prompt to the LLM, and code), and highlight how we designed and tuned our RAG pipeline to meet course needs. We describe our survey instrument and report on the impact of the AI-TA through a number of quantitative metrics. The scale of our experiment (43 students, 296 sessions, 1,889 queries over 7 weeks) was sufficient to have confidence in our findings. Unlike previous studies, we experimented with allowing the use of the AI-TA in open-book examinations. Statistical analysis across three exams showed no performance differences regardless of AI-TA access (p > 0.05), demonstrating that thoughtfully designed assessments can maintain academic validity. Student feedback revealed that the AI-TA was beneficial (mean = 4.22/5), while students had mixed feelings about preferring it over human tutoring (mean = 2.78/5).

arXiv:2506.19591v2 Announce Type: replace-cross Abstract: Cloud cover in multispectral imagery (MSI) poses significant challenges for early season crop mapping, as it leads to missing or corrupted spectral information. Synthetic aperture radar (SAR) data, which is not affected by cloud interference, offers a complementary solution, but lack sufficient spectral detail for precise crop mapping. To address this, we propose a novel framework, Time-series MSI Image Reconstruction using Vision Transformer (ViT), to reconstruct MSI data in cloud-covered regions by leveraging the temporal coherence of MSI and the complementary information from SAR from the attention mechanism. Comprehensive experiments, using rigorous reconstruction evaluation metrics, demonstrate that Time-series ViT framework significantly outperforms baselines that use non-time-series MSI and SAR or time-series MSI without SAR, effectively enhancing MSI image reconstruction in cloud-covered regions.

arXiv:2603.28498v2 Announce Type: replace-cross Abstract: Accurate MRI-to-CT synthesis could enable MR-only pelvic workflows by providing CT-like images with bone details while avoiding additional ionizing radiation. In this work, we investigate recently proposed drifting models for synthesizing pelvis CT images from MRI and benchmark them against convolutional neural networks (UNet, VAE), a generative adversarial network (WGAN-GP), a physics-inspired probabilistic model (PPFM), and diffusion-based methods (FastDDPM, DDIM, DDPM). Experiments are performed on two complementary datasets: Gold Atlas Male Pelvis and the SynthRAD2023 pelvis subset. Image fidelity and structural consistency are evaluated with SSIM, PSNR, and RMSE, complemented by qualitative assessment of anatomically critical regions such as cortical bone and pelvic soft-tissue interfaces. Across both datasets, the proposed drifting model achieves high SSIM and PSNR and low RMSE, surpassing strong diffusion baselines and conventional CNN-, VAE-, GAN-, and PPFM-based methods. Visual inspection shows sharper cortical bone edges, improved depiction of sacral and femoral head geometry, and reduced artifacts or over-smoothing, particularly at bone-air-soft tissue boundaries. Moreover, the drifting model attains these gains with one-step inference and inference times on the order of milliseconds, yielding a more favorable accuracy-efficiency trade-off than iterative diffusion sampling while remaining competitive in image quality. These findings suggest that drifting models are a promising direction for fast, high-quality pelvic synthetic CT generation from MRI and warrant further investigation for downstream applications such as MRI-only radiotherapy planning and PET/MR attenuation correction.

arXiv:2401.15855v1 Announce Type: cross Abstract: Remote sensing images present unique challenges to image analysis due to the extensive geographic coverage, hardware limitations, and misaligned multi-scale images. This paper revisits the classical multi-scale representation learning problem but under the general framework of self-supervised learning for remote sensing image understanding. We present Cross-Scale MAE, a self-supervised model built upon the Masked Auto-Encoder (MAE).During pre-training, Cross-Scale MAE employs scale augmentation techniques and enforces cross-scale consistency constraints through both contrastive and generative losses to ensure consistent and meaningful representations well-suited for a wide range of downstream tasks. Further, our implementation leverages the xFormers library to accelerate network pre-training on a single GPU while maintaining the quality of learned representations. Experimental evaluations demonstrate that Cross-Scale MAE exhibits superior performance compared to standard MAE and other state-of-the-art remote sensing MAE methods.

arXiv:2604.01234v1 Announce Type: cross Abstract: Iterative prompt refinement is central to reproducing target images with text to image generative models. Previous studies have incorporated image similarity metrics (ISMs) as additional feedback to human users. Existing ISMs such as LPIPS and CLIP provide objective measures of image likeness but often fail to align with human judgments, particularly in context specific or user driven tasks. In this paper, we introduce Customized Learned Perceptual Image Patch Similarity (CLPIPS), a customized extension of LPIPS that adapts a metric's notion of similarity directly to human judgments. We aim to explore whether lightweight, human augmented fine tuning can meaningfully improve perceptual alignment, positioning similarity metrics as adaptive components for human in the loop workflows with text to image tools. We evaluate CLPIPS on a human subject dataset in which participants iteratively regenerate target images and rank generated outputs by perceived similarity. Using margin ranking loss on human ranked image pairs, we fine tune only the LPIPS layer combination weights and assess alignment via Spearman rank correlation and Intraclass Correlation Coefficient. Our results show that CLPIPS achieves stronger correlation and agreement with human judgments than baseline LPIPS. Rather than optimizing absolute metric performance, our work emphasizes improving alignment consistency between metric predictions and human ranks, demonstrating that even limited human specific fine tuning can meaningfully enhance perceptual alignment in human in the loop text to image workflows.

arXiv:2604.01264v1 Announce Type: cross Abstract: Medical imaging techniques, especially Magnetic Resonance Imaging (MRI), are accepted as the gold standard in the diagnosis and treatment planning of neurological diseases. However, the manual analysis of MRI images is a time-consuming process for radiologists and is prone to human error due to fatigue. In this study, two different Deep Learning approaches were developed and analyzed comparatively for the automatic detection and classification of brain tumors (Glioma, Meningioma, Pituitary, and No Tumor). In the first approach, a custom Convolutional Neural Network (CNN) architecture named "OkanNet", which has a low computational cost and fast training time, was designed from scratch. In the second approach, the Transfer Learning method was applied using the 50-layer ResNet-50 [1] architecture, pre-trained on the ImageNet dataset. In experiments conducted on an extended dataset compiled by Masoud Nickparvar containing a total of $7,023$ MRI images, the Transfer Learning-based ResNet-50 model exhibited superior classification performance, achieving $96.49\%$ Accuracy and $0.963$ Precision. In contrast, the custom OkanNet architecture reached an accuracy rate of $88.10\%$; however, it proved to be a strong alternative for mobile and embedded systems with limited computational power by yielding results approximately $3.2$ times faster ($311$ seconds) than ResNet-50 in terms of training time. This study demonstrates the trade-off between model depth and computational efficiency in medical image analysis through experimental data.