Daily Papers

LLM agents are increasingly explored for automating root cause analysis (RCA) in cloud-native systems, creating a need to evaluate both diagnostic correctness and the quality of the supporting investigation. Existing static benchmarks offer repeatable inputs but limited system-facing interaction, while live testbeds expose realistic tools but hinder controlled comparison because incident evidence varies across runs; both paradigms focus primarily on final answers. To address these limitations, we present Cloud-OpsBench, an evaluation infrastructure for interactive and evidence-grounded cloud RCA. It comprises 754 runtime-verified cases across 57 fault types on two microservice workloads spanning application services and Kubernetes platform layers. Each fault is captured as a state snapshot and replayed through standard diagnostic interfaces, with outcome labels and diagnostic evidence graphs that enable matched comparisons and process-level analysis. Across ten LLM agents, the strongest Joint RCA Accuracy (JRA) reaches 0.76 on OnlineBoutique and 0.68 on TrainTicket, while the corresponding Evidence Closure Rates (ECR) are only 0.38 and 0.15. This outcome--process gap shows that final-answer correctness alone substantially overestimates agents' ability to perform evidence-grounded diagnosis.

Rheumatoid arthritis (RA) assessment from hand radiographs requires multi-level analysis and modeling of anatomical structures and fine-grained local pathological changes. However, existing public resources do not support such unified multi-level analysis, often lacking full-hand coverage, fine-grained annotations, and consistent integration with clinical scoring systems. In particular, annotations that enable quantitative analysis of bone erosion (BE) remain scarce. RAM-H1200 contains 1,200 hand radiographs collected from six medical centers, with multi-level annotations including (i) whole-hand bone structure instance segmentation, (ii) pixel-level BE masks, (iii) SvdH-defined joint regions of interest, and (iv) joint-level SvdH scores for both BE and joint space narrowing (JSN). It is designed to evaluate whether models can jointly capture anatomical structure, localized erosive pathology, and clinically standardized RA severity from hand radiographs. The proposed BE masks enable, for the first time, quantitative BE analysis beyond coarse categorical grading by providing explicit spatial supervision for lesion extent and morphology. To our knowledge, RAM-H1200 is the first public large-scale benchmark that jointly supports whole-hand bone structure instance segmentation, pixel-level BE delineation, and clinically grounded joint-level SvdH scoring for both BE and JSN. Results across benchmark tasks show that anatomical modeling is substantially more mature than quantitative BE analysis: whole-hand bone segmentation achieves strong performance, whereas BE segmentation remains a major open challenge. By unifying anatomical structure modeling, quantitative lesion analysis, and clinically grounded SvdH scoring, RAM-H1200 provides a single benchmark for comprehensive RA analysis on hand radiographs.

Knee Osteoarthritis (KOA) is a highly prevalent chronic musculoskeletal condition with no currently available treatment. The manifestation of KOA is heterogeneous and prediction of its progression is challenging. Current literature suggests that the use of multi-modal data and advanced modeling methods, such as the ones based on Deep Learning, has promise in tackling this challenge. To date, however, the evidence on the efficacy of this approach is limited. In this study, we leveraged recent advances in Deep Learning and, using a Transformer approach, developed a unified framework for the multi-modal fusion of knee imaging data. Subsequently, we analyzed its performance across a range of scenarios by investigating multiple progression horizons -- from short-term to long-term. We report our findings using a large cohort (n=2421-3967) derived from the Osteoarthritis Initiative dataset. We show that structural knee MRI allows identifying radiographic KOA progressors on par with multi-modal fusion approaches, achieving an area under the ROC curve (ROC AUC) of 0.70-0.76 and Average Precision (AP) of 0.15-0.54 in 2-8 year horizons. Progression within 1 year was better predicted with a multi-modal method using X-ray, structural, and compositional MR images -- ROC AUC of 0.76(0.04), AP of 0.13(0.04) -- or via clinical data. Our follow-up analysis generally shows that prediction from the imaging data is more accurate for post-traumatic subjects, and we further investigate which subject subgroups may benefit the most. The present study provides novel insights into multi-modal imaging of KOA and brings a unified data-driven framework for studying its progression in an end-to-end manner, providing new tools for the design of more efficient clinical trials. The source code of our framework and the pre-trained models are made publicly available.

Radiographic assessment of lower-limb alignment (LLA) is important for predicting joint health and surgical outcomes in total knee arthroplasty. Traditional measurement methods are manual and time-consuming, while recent machine learning approaches typically rely on locating a fixed set of anatomical landmarks. This dependence limits flexibility and may require re-annotation when clinical definitions change. To address this, we propose an automated workflow using Implicit Neural Shape Functions (INSF). Rather than relying on explicit landmark coordinates, we encode the anatomy into a compact latent space and regress clinical alignment measurements directly from these latent codes. This architecture allows for rapid extendability to new tasks without altering the backbone representation. We trained our method on an internal dataset of 566 knee radiographs, each annotated with the outline of the femur and tibia. We evaluated it on both an internal test dataset of 50 patients and a separate external set of 402 preoperative cases from the MRKR dataset. Manual clinical measurements are available for these data, and the MRKR measurements will be made publicly accessible. Performance was comparable to state-of-the-art landmark-based methods and manual agreement, while offering a flexible shape representation that can be extended to additional measurement tasks.

We introduce MURA, a large dataset of musculoskeletal radiographs containing 40,561 images from 14,863 studies, where each study is manually labeled by radiologists as either normal or abnormal. To evaluate models robustly and to get an estimate of radiologist performance, we collect additional labels from six board-certified Stanford radiologists on the test set, consisting of 207 musculoskeletal studies. On this test set, the majority vote of a group of three radiologists serves as gold standard. We train a 169-layer DenseNet baseline model to detect and localize abnormalities. Our model achieves an AUROC of 0.929, with an operating point of 0.815 sensitivity and 0.887 specificity. We compare our model and radiologists on the Cohen's kappa statistic, which expresses the agreement of our model and of each radiologist with the gold standard. Model performance is comparable to the best radiologist performance in detecting abnormalities on finger and wrist studies. However, model performance is lower than best radiologist performance in detecting abnormalities on elbow, forearm, hand, humerus, and shoulder studies. We believe that the task is a good challenge for future research. To encourage advances, we have made our dataset freely available at https://stanfordmlgroup.github.io/competitions/mura .

Rib fractures are common and time-consuming to localize on computed tomography (CT). We ask whether fractures detected independently in two orthogonal CT-derived projections (anteroposterior and lateral) can be paired across views and triangulated into reliable 3D points at a controlled rate of false outputs, and we answer it with a staged diagnostic study. The projection geometry is exact, and given correct correspondence, localization is accurate (median 4.0 mm, 88% within 10 mm, 93.6% rib-exact). On a sealed 55-case cohort, a large share of fractures is in principle recoverable (61.1% dual-view availability, and a correct pair present in the candidate graph for 58.4% of fractures), yet the binding limitation is neither geometry nor localization but confidence-limited cross-view correspondence. A controlled detector-by-correspondence factorial attributes the operational gain to lateral-detector quality rather than the tested matching methods; retraining the lateral detector produces the first nonzero controlled-budget reconstructions. Under a deliberately conservative commitment policy, a pre-specified sealed pass promotes 15 of 601 fractures to correct 3D localizations at 0.436 false points per case (2.50% end-to-end commitment yield), and committed points are accurate (median 1.49 mm, 93% rib-exact). The low yield is a consequence of confidence-gated abstention, not of geometry or detection: the study establishes a reproducible framework for selective 3D localization and identifies cross-view correspondence as the dominant operational bottleneck.

Accurate and reliable C-arm positioning is essential for fluoroscopy-guided interventions. However, clinical workflows rely on manual alignment that increases radiation exposure and procedural delays. In this work, we present a pipeline that autonomously navigates the C-arm to predefined anatomical landmarks utilizing X-ray images. Given an input X-ray image from an arbitrary starting location on the operating table, the model predicts a 3D displacement vector toward each target landmark along the body. To ensure reliable deployment, we capture both aleatoric and epistemic uncertainties in the model's predictions and further calibrate them using conformal prediction. The derived prediction regions are interpreted as 3D confidence regions around the predicted landmark locations. The training framework combines a probabilistic loss with skeletal pose regularization to encourage anatomically plausible outputs. We validate our approach on a synthetic X-ray dataset generated from DeepDRR. Results show not only strong localization accuracy across multiple architectures but also well-calibrated prediction bounds. These findings highlight the pipeline's potential as a component in safe and reliable autonomous C-arm systems. Code is available at https://github.com/AhmadArrabi/C_arm_guidance_APAH

Joint contact forces govern implant longevity, cartilage health, and rehabilitation outcomes, shaping who develops osteoarthritis, who recovers well from joint replacement, and who benefits from biomechanical interventions. Yet they remain measurable only invasively, in a few dozen patients with instrumented implants. I present a physics-free pipeline to predict instantaneous 3D hip and knee contact forces from an uncalibrated monocular video: no markers, force plates, electromyography, subject-specific imaging, or musculoskeletal model. Parametric body meshes are recovered per frame, encoded as kinematic features, and decoded into forces by a transformer whose pose stream is adaptively modulated at every layer by body shape, joint, side, activity text, and self-supervised video tokens (V-JEPA 2), unifying hip and knee in a single model. Under leave-one-subject-out cross-validation across 26 patients and 25 activity categories from the in vivo OrthoLoad database, the pipeline matches the accuracy of subject-specific musculoskeletal simulations (0.32 pm 0.08 BW RMSE for hip; 0.23 pm 0.03 BW for knee) and resolves peak force changes smaller than those reported for gait retraining and osteoarthritis progression. Applied zero-shot to an independent instrumented cohort, it rivals or outperforms prior published methods. Even without curated activity labels, video features alone preserve accuracy and enable end-to-end inference on raw footage. Driven by the predictor, a generative motion prior produces biomechanically plausible variants with reduced peak loading, rediscovering strategies from the predictive simulation literature. This pipeline establishes uncalibrated monocular video as a viable modality for estimating joint loading, opening a path toward retrospective analysis of archived clinical recordings, primary-care screening, and at-home rehabilitation tracking.

The ultimate bound to the accuracy of phase estimates is often assumed to be given by the Heisenberg limit. Recent work seemed to indicate that this bound can be violated, yielding measurements with much higher accuracy than was previously expected. The Heisenberg limit can be restored as a rigorous bound to the accuracy provided one considers the accuracy averaged over the possible values of the unknown phase, as we have recently shown [Phys. Rev. A 85, 041802(R) (2012)]. Here we present an expanded proof of this result together with a number of additional results, including the proof of a previously conjectured stronger bound in the asymptotic limit. Other measures of the accuracy are examined, as well as other restrictions on the generator of the phase shifts. We provide expanded numerical results for the minimum error and asymptotic expansions. The significance of the results claiming violation of the Heisenberg limit is assessed, followed by a detailed discussion of the limitations of the Cramer-Rao bound.

Complete orthogonal predictive coordinates do not by themselves bind a latent direction to a named intervention. We present a mathematical and synthetic audit motivated by vascular device-vessel suitcordance. Capacity-matched least-squares predictors were exactly equivalent under complete fixed output transforms, whereas an anchor-only observer recovered interpretations only within the span of known perturbation signatures. Six three-dimensional configurations across 64 seeds gave a maximum paired prediction discrepancy of 6.7e-15 but a median untransported edit error of 1.513. Coordinate transport removed that error. Noisy and weak anchors constrained calibration stability, and changing the representation basis required recalibration or verified transport. Across 256 additional fits in dimensions 3-24, prediction equivalence persisted within 4.0e-15. We then evaluated nine deliberate runnable fault classes across 64 seeds. All 576 faulty executions completed, but each violated at least one reconstruction, prediction, delivered-edit or scope contract; all 320 valid control records passed. Repeating a faulty implementation gave exact self-agreement despite error against the separately computed simulator expectation. For one omitted-direction defect, probe coverage followed its analytic law, and rank-aware abstention protected unsupported interpretations. Scalar-noise experiments exposed both missed weak faults and excessive rejection under narrow relative tolerances. These controls provide an executable separation of prediction, semantic support and scientific acceptance. They are synthetic numerical audits, not clinical validation, neural JEPA-Anything replication, agent learning or patient treatment-effect estimation.

Vision-language models (VLMs) often produce chain-of-thought (CoT) explanations that sound plausible yet fail to reflect the underlying decision process, undermining trust in high-stakes clinical use. Existing evaluations rarely catch this misalignment, prioritizing answer accuracy or adherence to formats. We present a clinically grounded framework for chest X-ray visual question answering (VQA) that probes CoT faithfulness via controlled text and image modifications across three axes: clinical fidelity, causal attribution, and confidence calibration. In a reader study (n=4), evaluator-radiologist correlations fall within the observed inter-radiologist range for all axes, with strong alignment for attribution (Kendall's tau_b=0.670), moderate alignment for fidelity (tau_b=0.387), and weak alignment for confidence tone (tau_b=0.091), which we report with caution. Benchmarking six VLMs shows that answer accuracy and explanation quality are decoupled, acknowledging injected cues does not ensure grounding, and text cues shift explanations more than visual cues. While some open-source models match final answer accuracy, proprietary models score higher on attribution (25.0% vs. 1.4%) and often on fidelity (36.1% vs. 31.7%), highlighting deployment risks and the need to evaluate beyond final answer accuracy.

Noise plagues many numerical datasets, where the recorded values in the data may fail to match the true underlying values due to reasons including: erroneous sensors, data entry/processing mistakes, or imperfect human estimates. We consider general regression settings with covariates and a potentially corrupted response whose observed values may contain errors. By accounting for various uncertainties, we introduced veracity scores that distinguish between genuine errors and natural data fluctuations, conditioned on the available covariate information in the dataset. We propose a simple yet efficient filtering procedure for eliminating potential errors, and establish theoretical guarantees for our method. We also contribute a new error detection benchmark involving 5 regression datasets with real-world numerical errors (for which the true values are also known). In this benchmark and additional simulation studies, our method identifies incorrect values with better precision/recall than other approaches.

Motion artefacts in magnetic resonance brain images can have a strong impact on diagnostic confidence. The assessment of MR image quality is fundamental before proceeding with the clinical diagnosis. Motion artefacts can alter the delineation of structures such as the brain, lesions or tumours and may require a repeat scan. Otherwise, an inaccurate (e.g. correct pathology but wrong severity) or incorrect diagnosis (e.g. wrong pathology) may occur. "Image quality assessment" as a fast, automated step right after scanning can assist in deciding if the acquired images are diagnostically sufficient. An automated image quality assessment based on the structural similarity index (SSIM) regression through a residual neural network is proposed in this work. Additionally, a classification into different groups - by subdividing with SSIM ranges - is evaluated. Importantly, this method predicts SSIM values of an input image in the absence of a reference ground truth image. The networks were able to detect motion artefacts, and the best performance for the regression and classification task has always been achieved with ResNet-18 with contrast augmentation. The mean and standard deviation of residuals' distribution were mu=-0.0009 and sigma=0.0139, respectively. Whilst for the classification task in 3, 5 and 10 classes, the best accuracies were 97, 95 and 89\%, respectively. The results show that the proposed method could be a tool for supporting neuro-radiologists and radiographers in evaluating image quality quickly.

Accurate hand pose estimation is vital in robotics, advancing dexterous manipulation in human-computer interaction. Toward this goal, this paper presents ReJSHand (which stands for Refined Joint and Skeleton Features), a cutting-edge network formulated for real-time hand pose estimation and mesh reconstruction. The proposed framework is designed to accurately predict 3D hand gestures under real-time constraints, which is essential for systems that demand agile and responsive hand motion tracking. The network's design prioritizes computational efficiency without compromising accuracy, a prerequisite for instantaneous robotic interactions. Specifically, ReJSHand comprises a 2D keypoint generator, a 3D keypoint generator, an expansion block, and a feature interaction block for meticulously reconstructing 3D hand poses from 2D imagery. In addition, the multi-head self-attention mechanism and a coordinate attention layer enhance feature representation, streamlining the creation of hand mesh vertices through sophisticated feature mapping and linear transformation. Regarding performance, comprehensive evaluations on the FreiHand dataset demonstrate ReJSHand's computational prowess. It achieves a frame rate of 72 frames per second while maintaining a PA-MPJPE (Position-Accurate Mean Per Joint Position Error) of 6.3 mm and a PA-MPVPE (Position-Accurate Mean Per Vertex Position Error) of 6.4 mm. Moreover, our model reaches scores of 0.756 for F@05 and 0.984 for F@15, surpassing modern pipelines and solidifying its position at the forefront of robotic hand pose estimators. To facilitate future studies, we provide our source code at ~https://github.com/daishipeng/ReJSHand.

Accurate prediction of knee osteoarthritis (KOA) progression from structural MRI has a potential to enhance disease understanding and support clinical trials. Prior art focused on manually designed imaging biomarkers, which may not fully exploit all disease-related information present in MRI scan. In contrast, our method learns relevant representations from raw data end-to-end using Deep Learning, and uses them for progression prediction. The method employs a 2D CNN to process the data slice-wise and aggregate the extracted features using a Transformer. Evaluated on a large cohort (n=4,866), the proposed method outperforms conventional 2D and 3D CNN-based models and achieves average precision of 0.58pm0.03 and ROC AUC of 0.78pm0.01. This paper sets a baseline on end-to-end KOA progression prediction from structural MRI. Our code is publicly available at https://github.com/MIPT-Oulu/OAProgressionMR.

The increasing deployment of AI agents in long-horizon tasks yields massive execution logs. Diagnosing failures within these records is crucial for reliability, as it transforms outcome-level signals into actionable interventions. The sheer scale of the data renders human review impractical, driving the need for automated root-cause attribution (RCA). However, automated RCA methods using LLMs suffer from low diagnostic accuracy, especially as execution traces grow larger. They struggle because relevant information is often sparse, distributed across distant actions, and disconnected from the visible failure, reducing root-cause attribution to a massive search problem. Existing RCA methods typically rely on one-shot LLM judgments to diagnose failures from execution traces. While effective for shorter trajectories, these judges tend to settle on a plausible diagnosis early, leaving critical evidence in longer traces unexamined. We introduce Continual Search, an iterative framework that nudges the judge, over successive turns, to keep searching for unresolved diagnostic evidence. We evaluate Continual Search across four existing RCA benchmarks. Recognizing the lack of massive execution traces in current benchmarks, we introduce MegaRCA-Mix to evaluate RCA at scale. MegaRCA-Mix provides a challenging testbed of 50 human-annotated failure trials spanning long-horizon, execution-heavy tasks. Across multiple benchmark suites and model families, Continual Search consistently improves attribution performance. On MegaRCA-Mix, for example, it improves GPT-5.5's F1 score by more than 40\%, from 0.349 to 0.498. More interestingly, within the same model family, lower-tier models can even surpass their higher-tier counterparts, demonstrating that effective search supersedes raw model scale.

Machine learning classifiers for bearing fault detection produce scalar confidence scores that conflate confident errors with genuinely ambiguous predictions, and the conventional truth/falsity pair (F = 1 - T) is algebraically redundant by construction. We operationalize a refined neutrosophic decomposition of a Random Forest + XGBoost + Logistic Regression ensemble into four indicators -- T-hat (top-class evidence), F-hat (best-competitor evidence), predictive entropy I1-hat, and decision disagreement I2-hat -- evaluated on two bearing benchmarks (CWRU and JNU, 600-1000 rpm) under a leave-one-condition-out protocol. On CWRU, after correcting a file-to-class mapping error, the ensemble reaches 100.00 percent accuracy on three of four held-out loads (92.27 percent on the fourth), leaving too few errors for uncertainty analysis. On JNU, holding out 1000 rpm, accuracy collapses to 40.64 percent, below a majority-class baseline; Logistic Regression (57.91 percent) generalizes far better than the tree ensembles. I1-hat shows a robust association with error beyond T-hat/F-hat, while I2-hat contributes little; standalone Logistic Regression confidence outperforms the full decomposition, a boundary condition we report honestly. Two further results extend this: fusing a time-domain and a frequency-domain model of the same signal and scoring their Jensen-Shannon divergence beats that model own entropy (AURC 0.29 vs. 0.36 on the standard split; 0.54 vs. 0.73 under a harder single-condition reproduction), the only indicator moving correctly under a CWRU-versus-JNU distributional-shift contrast; and, on CWRU alone, literature-verified bearing fault frequencies, correctly demodulated via the envelope spectrum, separate most fault classes almost perfectly (99.57 percent) using three interpretable features. Code, logs, and figures are released for independent verification.

Detection and tracking are the basic tasks of radar systems. Current joint detection tracking methods, which focus on dynamically adjusting detection thresholds from tracking results, still present challenges in fully utilizing the potential of radar signals. These are mainly reflected in the limited capacity of the constant false-alarm rate model to accurately represent information, the insufficient depiction of complex scenes, and the limited information acquired by the tracker. We introduce the Integrated Detection and Tracking based on radar feature (InDT) method, which comprises a network architecture for radar signal detection and a tracker that leverages detection assistance. The InDT detector extracts feature information from each Range-Doppler (RD) matrix and then returns the target position through the feature enhancement module and the detection head. The InDT tracker adaptively updates the measurement noise covariance of the Kalman filter based on detection confidence. The similarity of target RD features is measured by cosine distance, which enhances the data association process by combining location and feature information. Finally, the efficacy of the proposed method was validated through testing on both simulated data and publicly available datasets.

Objective. Deformable image registration remains challenging because corresponding anatomy may exhibit different intensity relationships. Hand-crafted modality-robust descriptors such as Modality-Independent Neighborhood Descriptor with Self-Similarity Context (MIND-SSC) and features from pretrained vision encoders provide distinct representations for correspondence estimation, but how they should be combined remains unclear. We investigate whether tighter integration improves registration over a sequential, scale-separated design. Approach. We introduce FlexiMIND, a training-free and label-free two-stage framework in which frozen FlexiCT-2D encoder features establish contextual correspondence and MIND-SSC refines the deformation within ConvexAdam. Five alternative feature-coupling strategies were evaluated under a protocol across CT-CT (DIR-Lab 4DCT 4DCT, 10 cases), MR-MR (ACDC, 50 patients), and MR-CT (Learn2Reg Abdomen MR-CT, 8 pairs) registration. Performance was assessed using target registration error (TRE), Dice similarity coefficient (Dice), SDlogJ, and local folding. Main results. FlexiMIND achieved a TRE of 1.27 mm on DIR-Lab 4DCT, a DSC of 0.807 on ACDC, and an organ-averaged DSC of 0.825 on Abdomen MR-CT. Across 15 coupling-strategy dataset comparisons, only four outperformed the reference method, with a maximum absolute improvement of 0.0043 in Dice, whereas degradation reached 20.6 % in TRE and 37.9 % in Dice. Changes in registration accuracy were closely associated with changes in deformation-field regularity, and strategies that better preserved regularity generally remained closest to the reference performance. Landmark-level analysis showed that the pretrained encoder stage primarily reduced large correspondence errors rather than uniformly improving local precision. Code is available upon acceptance at https://github.com/mosaf/FlexiMIND.

Understanding how lower-limb muscle groups coordinate is important for studying movement impairment, rehabilitation, and physical performance. Reproducible analysis of this coordination requires multimodal recordings that relate local muscle-related signals with body-level kinematics. Complementing neural-level electrical activation captured by EMG, AMG provides a valuable mechanical approach to monitoring muscle activity. Here, we introduce a synchronized, multimodal dataset for healthy-adult lower-limb activities. For data collection on the left leg, 16 triaxial accelerometers were evenly divided into four muscle-site clusters for AMG recording, complemented by four surface EMG channels. A 15-marker optical motion-capture (MoCap) system captured lower-body kinematics, with the resulting marker trajectories used to compute bilateral knee and ankle joint angles. Our dataset contains 1,918 trials from 30 subjects across 16 task conditions. We benchmark the dataset by estimating four joint angles from 300 ms windows of the 5-100 Hz band-pass-filtered AMG data and assess matched EMG features in a separate modality ablation. In the primary cross subject benchmark, the four reference models achieved mean absolute errors of 8.840^circ-9.591^circ. The benchmark and ablation results characterize performance across subjects, tasks, and joint angles and examine the effects of sensor configuration, modality, the number of training subjects, and frequency representation. The release includes documented timing definitions, processed data, and reproducible benchmark resources. https://dongxutang918-afk.github.io/SAME-Limb/

Some security-development settings require local models that map an objective to an ordered, checkable plan. We present a low-rank decomposition adapter and release a case-disjoint corpus with 24 authored decompositions and 83 derived next-step examples across 24 satellite-security cases. To prevent reference-plan leakage, prompts contain one objective and eight shuffled SPARTA candidates. The evaluation candidate sets are constructed with oracle inclusion of every reference technique, so this study measures selection from a controlled set, not retrieval. On six fixed cases and five decoding seeds, mean scores vary across adapters and prompted Qwen2.5 baselines; a separate greedy check over three adapter training seeds shows non-negligible training variance. A 24-fold greedy leave-one-case-out control at the two compact sizes likewise shows tradeoffs: at 1.5B, adapter precision is 0.583 against 0.480 for two-shot prompting, while recall is 0.586 against 0.660. Case-resampling intervals for adapter precision relative to the strongest prompted baseline cross zero at 1.5B and 7B. The adapter is also substantially more format-compliant, which prevents attributing all score differences to selection. Autoregressive next-step accuracy is 0.08, 0.06, and 0.29 at 0.5B, 1.5B, and 7B. We therefore offer the formulation, leakage-controlled dataset, reproducibility package, and descriptive analysis as a proof of concept, not evidence of a reliable stand-alone decomposition system or a general adapter advantage. A separate diagnostic tests contract reuse.

During lung radiotherapy, the position of infrared reflective objects on the chest can be recorded to estimate the tumor location. However, radiotherapy systems have a latency inherent to robot control limitations that impedes the radiation delivery precision. Prediction with online learning of recurrent neural networks (RNN) allows for adaptation to non-stationary respiratory signals, but classical methods such as RTRL and truncated BPTT are respectively slow and biased. This study investigates the capabilities of unbiased online recurrent optimization (UORO) to forecast respiratory motion and enhance safety in lung radiotherapy. We used 9 observation records of the 3D position of 3 external markers on the chest and abdomen of healthy individuals breathing during intervals from 73s to 222s. The sampling frequency was 10Hz, and the amplitudes of the recorded trajectories range from 6mm to 40mm in the superior-inferior direction. We forecast the 3D location of each marker simultaneously with a horizon value between 0.1s and 2.0s, using an RNN trained with UORO. We compare its performance with an RNN trained with RTRL, LMS, and offline linear regression. We provide closed-form expressions for quantities involved in the loss gradient calculation in UORO, thereby making its implementation efficient. Training and cross-validation were performed during the first minute of each sequence. On average over the horizon values considered and the 9 sequences, UORO achieves the lowest root-mean-square (RMS) error and maximum error among the compared algorithms. These errors are respectively equal to 1.3mm and 8.8mm, and the prediction time per time step was lower than 2.8ms (Dell Intel core i9-9900K 3.60 GHz). Linear regression has the lowest RMS error for the horizon values 0.1s and 0.2s, followed by LMS for horizon values between 0.3s and 0.5s, and UORO for horizon values greater than 0.6s.

Speech deepfake detectors usually emit one score per utterance, but a borderline score does not reveal why two examples differ during retrospective error analysis. We ask whether a final score can be calibrated from component fields while keeping those fields visible for inspection. We build a decision record with a passive detector score and a score from a probe applied to a marked copy. It also includes retrieval support held out of the evaluated family, a margin from a support-set profile, and raw neighbor closeness. A cross-fit calibrator combines these fields and two differences between raw scores into one final score. On matched ASVspoof development data, the calibrated record reduces equal error rate (EER) by 3.48 percentage points relative to the fixed retrieval-augmented rule. It reaches 8.43% EER, whereas a passive WavLM baseline reaches 6.71% on the same subset. The record is therefore not the strongest detector in this comparison. Its value is to retain inspectable component fields while producing one scalar score for retrospective diagnosis.

Knee osteoarthritis (KOA) is a widespread condition that can cause chronic pain and stiffness in the knee joint. Early detection and diagnosis are crucial for successful clinical intervention and management to prevent severe complications, such as loss of mobility. In this paper, we propose an automated approach that employs the Swin Transformer to predict the severity of KOA. Our model uses publicly available radiographic datasets with Kellgren and Lawrence scores to enable early detection and severity assessment. To improve the accuracy of our model, we employ a multi-prediction head architecture that utilizes multi-layer perceptron classifiers. Additionally, we introduce a novel training approach that reduces the data drift between multiple datasets to ensure the generalization ability of the model. The results of our experiments demonstrate the effectiveness and feasibility of our approach in predicting KOA severity accurately.

In sports analytics, accurately capturing both the 3D locations and rotations of body joints is essential for understanding an athlete's biomechanics. While Human Mesh Recovery (HMR) models can estimate joint rotations, they often exhibit lower accuracy in joint localization compared to 3D Human Pose Estimation (HPE) models. Recent work addressed this limitation by combining a 3D HPE model with inverse kinematics (IK) to estimate both joint locations and rotations. However, IK is computationally expensive. To overcome this, we propose a novel 2D-to-3D uplifting model that directly estimates 3D human poses, including joint rotations, in a single forward pass. We investigate multiple rotation representations, loss functions, and training strategies - both with and without access to ground truth rotations. Our models achieve state-of-the-art accuracy in rotation estimation, are 150 times faster than the IK-based approach, and surpass HMR models in joint localization precision.

Pose estimation has promised to impact healthcare by enabling more practical methods to quantify nuances of human movement and biomechanics. However, despite the inherent connection between pose estimation and biomechanics, these disciplines have largely remained disparate. For example, most current pose estimation benchmarks use metrics such as Mean Per Joint Position Error, Percentage of Correct Keypoints, or mean Average Precision to assess performance, without quantifying kinematic and physiological correctness - key aspects for biomechanics. To alleviate this challenge, we develop OpenCapBench to offer an easy-to-use unified benchmark to assess common tasks in human pose estimation, evaluated under physiological constraints. OpenCapBench computes consistent kinematic metrics through joints angles provided by an open-source musculoskeletal modeling software (OpenSim). Through OpenCapBench, we demonstrate that current pose estimation models use keypoints that are too sparse for accurate biomechanics analysis. To mitigate this challenge, we introduce SynthPose, a new approach that enables finetuning of pre-trained 2D human pose models to predict an arbitrarily denser set of keypoints for accurate kinematic analysis through the use of synthetic data. Incorporating such finetuning on synthetic data of prior models leads to twofold reduced joint angle errors. Moreover, OpenCapBench allows users to benchmark their own developed models on our clinically relevant cohort. Overall, OpenCapBench bridges the computer vision and biomechanics communities, aiming to drive simultaneous advances in both areas.

Background and Objective: Radiation pneumonitis (RP) is a side effect of thoracic radiation therapy. Recently, Machine learning (ML) models enhanced with radiomic and dosiomic features provide better predictions by incorporating spatial information beyond DVHs. However, to improve the clinical decision process, we propose to use uncertainty quantification (UQ) to improve the confidence in model prediction. This study evaluates the impact of post hoc UQ methods on the discriminative performance and calibration of ML models for RP prediction. Methods: This study evaluated four ML models: logistic regression (LR), support vector machines (SVM), extreme gradient boosting (XGB), and random forest (RF), using radiomic, dosiomic, and dosimetric features to predict RP. We applied UQ methods, including Patt scaling, isotonic regression, Venn-ABERS predictor, and Conformal Prediction, to quantify uncertainty. Model performance was assessed through Area Under the Receiver Operating Characteristic curve (AUROC), Area Under the Precision-Recall Curve (AUPRC), and Adaptive Calibration Error (ACE) using Leave-One-Out Cross-Validation (LOO-CV). Results: UQ methods enhanced predictive performance, particularly for high-certainty predictions, while also improving calibration. Radiomic and dosiomic features increased model accuracy but introduced calibration challenges, especially for non-linear models like XGB and RF. Performance gains from UQ methods were most noticeable at higher certainty thresholds. Conclusion: Integrating UQ into ML models with radiomic and dosiomic features improves both predictive accuracy and calibration, supporting more reliable clinical decision-making. The findings emphasize the value of UQ methods in enhancing applicability of predictive models for RP in healthcare settings.

During the radiotherapy treatment of patients with lung cancer, the radiation delivered to healthy tissue around the tumor needs to be minimized, which is difficult because of respiratory motion and the latency of linear accelerator systems. In the proposed study, we first use the Lucas-Kanade pyramidal optical flow algorithm to perform deformable image registration of chest computed tomography scan images of four patients with lung cancer. We then track three internal points close to the lung tumor based on the previously computed deformation field and predict their position with a recurrent neural network (RNN) trained using real-time recurrent learning (RTRL) and gradient clipping. The breathing data is quite regular, sampled at approximately 2.5Hz, and includes artificial drift in the spine direction. The amplitude of the motion of the tracked points ranged from 12.0mm to 22.7mm. Finally, we propose a simple method for recovering and predicting 3D tumor images from the tracked points and the initial tumor image based on a linear correspondence model and Nadaraya-Watson non-linear regression. The root-mean-square error, maximum error, and jitter corresponding to the RNN prediction on the test set were smaller than the same performance measures obtained with linear prediction and least mean squares (LMS). In particular, the maximum prediction error associated with the RNN, equal to 1.51mm, is respectively 16.1% and 5.0% lower than the maximum error associated with linear prediction and LMS. The average prediction time per time step with RTRL is equal to 119ms, which is less than the 400ms marker position sampling time. The tumor position in the predicted images appears visually correct, which is confirmed by the high mean cross-correlation between the original and predicted images, equal to 0.955.

Clinicians trace cephalometric radiographs following a structured anatomical workflow, yet no prior system encodes this into computation. We present a five-phase anatomy-guided pipeline producing confidence-weighted spatial priors that shape HRNet-W32 training, achieving 1.04 mm mean radial error on 25 landmarks across 1,502 radiographs from 7+ imaging devices. A training x inference prior matrix isolates the mechanism: anatomical priors maintain a 1% validation-to-test gap versus 88% without priors (1.94 mm), despite identical validation convergence. The matrix establishes that all trained models are inference-independent, the expanded architecture alone provides no benefit, random priors yield partial but unstable improvement (1.72 mm), and only image-specific anatomically correct priors produce the 1.04 mm result -- functioning as a training-time regularizer requiring no automated prior generation at deployment. Five-fold cross-validation (p=0.0015), patient-level permutation testing (p<0.0001, n=151), quantified Grad-CAM analysis (88% vs. 74% in-zone activation, p<0.001), and clinical measurement validation (skeletal classification kappa=0.79-0.84, zero Class II<->III reversals, ICC>0.95) provide converging evidence. Cross-domain experiments on echocardiography, cervical spine, and hand radiography support the hypothesis that prior effectiveness scales with the spatial entropy of the landmark distribution.

Echocardiography is the most widely used non-invasive cardiac imaging modality, providing essential information for cardiovascular diagnosis. Interpreting an echocardiogram requires synthesizing complementary evidence across multiple heart views to identify abnormalities and produce structured clinical reports. While recent efforts focus on improving classification performance, most models lack explicit diagnostic reasoning and spatially grounded anatomical evidence, limiting clinician trust. We present EchoSonar-R, a multi-view reasoning-enabled vision-language model that jointly performs multi-label disease classification and report generation from echocardiography studies. EchoSonar-R combines a spatiotemporal video encoder with a structure-aware cardiac detector that provides spatially grounded anatomical cues to improve interpretability and clinician trust during cross-view reasoning. EchoSonar-R is trained in two stages: supervised fine-tuning (SFT) on reasoning-annotated targets, followed by Group Relative Policy Optimization (GRPO) with task-specific rewards that jointly align classification and report generation within a unified reinforcement-learning framework. Across a private multi-view dataset and two public benchmarks, EchoSonar-R improves macro balanced accuracy by 17.1% on the private set and 6.1% on MIMICEchoQA over the strongest baseline, achieves a GREEN clinical faithfulness score of 0.800, and produces interpretable reasoning traces grounded in multi-view visual evidence.

Large language models (LLMs) have achieved expert-level performance on standardized examinations, yet multiple-choice accuracy poorly reflects real-world clinical utility and safety. As patients and clinicians increasingly use LLMs for guidance on complex conditions such as pancreatic cancer, evaluation must extend beyond general medical knowledge. Existing frameworks, such as HealthBench, rely on simulated queries and lack disease-specific depth. Moreover, high rubric-based scores do not ensure factual correctness, underscoring the need to assess hallucinations. We developed a human-in-the-loop pipeline to create expert rubrics for de-identified patient questions from the Pancreatic Cancer Action Network (PanCAN). The resulting benchmark, PanCanBench, includes 3,130 question-specific criteria across 282 authentic patient questions. We evaluated 22 proprietary and open-source LLMs using an LLM-as-a-judge framework, measuring clinical completeness, factual accuracy, and web-search integration. Models showed substantial variation in rubric-based completeness, with scores ranging from 46.5% to 82.3%. Factual errors were common, with hallucination rates (the percentages of responses containing at least one factual error) ranging from 6.0% for Gemini-2.5 Pro and GPT-4o to 53.8% for Llama-3.1-8B. Importantly, newer reasoning-optimized models did not consistently improve factuality: although o3 achieved the highest rubric score, it produced inaccuracies more frequently than other GPT-family models. Web-search integration did not inherently guarantee better responses. The average score changed from 66.8% to 63.9% for Gemini-2.5 Pro and from 73.8% to 72.8% for GPT-5 when web search was enabled. Synthetic AI-generated rubrics inflated absolute scores by 17.9 points on average while generally maintaining similar relative ranking.

Robotic ultrasound couples a high-rate contact-force loop with slower, delayed image feedback, so image-guided ultrasound probe rotation can perturb contact force before the resulting image response is observed. We derive a closed-form orientation-rate limit that bounds the modeled rotation-induced estimated-force excursion over a finite horizon while accounting for disturbance rejection by the fast force loop. The limit depends on local contact stiffness, force-loop gains, a conservative rotation-to-force gain bound, the excursion budget, and the prediction horizon. We implement this model in a dual-rate controller with timestamp-based delay reconstruction and joint-torque-based force estimation, and evaluate it on a curved gelatin phantom using paired controller comparisons and component ablations. Relative to unconstrained image guidance, the proposed rate-limited controller reduced first-second root-mean-square (RMS) estimated-force error by 0.40 N while increasing cue-convergence time by 0.94 s. A fixed rate cap near the analytically predicted ceiling produced no resolvable difference in force error and converged 0.32 s faster, indicating that the principal practical value of the model is the rate-design rule rather than online prediction. Delay reconstruction had no resolvable effect at the tested latency. A single-subject popliteal scan demonstrated feasibility, although the image cue was noise-limited on heterogeneous tissue.

Despite the popularity of guitar effects, there is very little existing research on classification and parameter estimation of specific plugins or effect units from guitar recordings. In this paper, convolutional neural networks were used for classification and parameter estimation for 13 overdrive, distortion and fuzz guitar effects. A novel dataset of processed electric guitar samples was assembled, with four sub-datasets consisting of monophonic or polyphonic samples and discrete or continuous settings values, for a total of about 250 hours of processed samples. Results were compared for networks trained and tested on the same or on a different sub-dataset. We found that discrete datasets could lead to equally high performance as continuous ones, whilst being easier to design, analyse and modify. Classification accuracy was above 80\%, with confusion matrices reflecting similarities in the effects timbre and circuits design. With parameter values between 0.0 and 1.0, the mean absolute error is in most cases below 0.05, while the root mean square error is below 0.1 in all cases but one.

Large language models (LLMs) offer a promising pre-screening tool, improving early disease detection and providing enhanced healthcare access for underprivileged communities. The early diagnosis of various diseases continues to be a significant challenge in healthcare, primarily due to the nonspecific nature of early symptoms, the shortage of expert medical practitioners, and the need for prolonged clinical evaluations, all of which can delay treatment and adversely affect patient outcomes. With impressive accuracy in prediction across a range of diseases, LLMs have the potential to revolutionize clinical pre-screening and decision-making for various medical conditions. In this work, we study the diagnostic capability of LLMs for Rheumatoid Arthritis (RA) with real world patients data. Patient data was collected alongside diagnoses from medical experts, and the performance of LLMs was evaluated in comparison to expert diagnoses for RA disease prediction. We notice an interesting pattern in disease diagnosis and find an unexpected misalignment between prediction and explanation. We conduct a series of multi-round analyses using different LLM agents. The best-performing model accurately predicts rheumatoid arthritis (RA) diseases approximately 95\% of the time. However, when medical experts evaluated the reasoning generated by the model, they found that nearly 68\% of the reasoning was incorrect. This study highlights a clear misalignment between LLMs high prediction accuracy and its flawed reasoning, raising important questions about relying on LLM explanations in clinical settings. LLMs provide incorrect reasoning to arrive at the correct answer for RA disease diagnosis.

Background: Thyroid ultrasound is commonly performed using a combination of static images and cine clips (video recordings). However, the exact utility and impact of cine images remains unknown. This study aimed to evaluate the impact of cine imaging on accuracy and consistency of thyroid nodule assessment, using the American College of Radiology Thyroid Reporting and Data System (ACR TI-RADS). Methods: 50 benign and 50 malignant thyroid nodules with cytopathology results were included. A reader study with 4 specialty-trained radiologists was then conducted over 3 rounds, assessing only static images in the first two rounds and both static and cine images in the third round. TI-RADS scores and the consequent management recommendations were then evaluated by comparing them to the malignancy status of the nodules. Results: Mean sensitivity for malignancy detection was 0.65 for static images and 0.67 with both static and cine images (p>0.5). Specificity was 0.20 for static images and 0.22 with both static and cine images (p>0.5). Management recommendations were similar with and without cine images. Intrareader agreement on feature assignments remained consistent across all rounds, though TI-RADS point totals were slightly higher with cine images. Conclusion: The inclusion of cine imaging for thyroid nodule assessment on ultrasound did not significantly change diagnostic performance. Current practice guidelines, which do not mandate cine imaging, are sufficient for accurate diagnosis.

Purpose: Accurate 3D hand pose estimation supports surgical applications such as skill assessment, robot-assisted interventions, and geometry-aware workflow analysis. However, surgical environments pose severe challenges, including intense and localized lighting, frequent occlusions by instruments or staff, and uniform hand appearance due to gloves, combined with a scarcity of annotated datasets for reliable model training. Method: We propose a robust multi-view pipeline for 3D hand pose estimation in surgical contexts that requires no domain-specific fine-tuning and relies solely on off-the-shelf pretrained models. The pipeline integrates reliable person detection, whole-body pose estimation, and state-of-the-art 2D hand keypoint prediction on tracked hand crops, followed by a constrained 3D optimization. In addition, we introduce a novel surgical benchmark dataset comprising over 68,000 frames and 3,000 manually annotated 2D hand poses with triangulated 3D ground truth, recorded in a replica operating room under varying levels of scene complexity. Results: Quantitative experiments demonstrate that our method consistently outperforms baselines, achieving a 31% reduction in 2D mean joint error and a 76% reduction in 3D mean per-joint position error. Conclusion: Our work establishes a strong baseline for 3D hand pose estimation in surgery, providing both a training-free pipeline and a comprehensive annotated dataset to facilitate future research in surgical computer vision.

Benchmark contamination is diagnosed with n-gram overlap, likelihood-based membership inference, or canary strings, and each needs something usually unavailable: the training corpus, a well-chosen test statistic, or foresight at release. A recent alternative reads it off a linear probe on internal activations. We show the natural way to do this does not work, specify one that survives measurement, then find that the correction making it work carries more variance than the null it is tested against. The protocol reports a zero-sum contrast on the depth profile of probe accuracy, recentred on a level-matched placebo baseline, tested against a label-permutation null, with the reference set twice the size of the suspect set. Each choice replaces a simpler alternative we rejected on measurement. Reporting the level of excess separability rather than its shape makes the false positive rate track the size of the analyst's own control set, 0.03 to 0.99 under a true null. Contrasting against a flat depth profile rejects a true null 0.72 of the time when surface decodability rises with depth, and loses all power when it falls. On real transformers the protocol fails a test the simulations did not pose. The recentring subtracts an estimate, and the permutation null holds it fixed. Re-estimated across split seeds on four audits of contaminated checkpoints, its standard deviation is 1.30 to 1.56 times the null's own in every arm: what is subtracted to remove a bias is more variable than what it corrects. The one nominally significant result, p = 0.0075, becomes 0.0745 once that variance is propagated, and no verdict is issued. The simulations missed this because their surface key is the covariate driving item variation; on real text it is a proxy, and degrading key quality in simulation reproduces it. We add a companion measurement and a widened null. No arm shows contamination.

A-mode ultrasound (US) is a promising sensing modality for Virtual Reality (VR) interaction, as it enables the mapping of muscular activity into control commands while retaining the benefits of wearable sensing. However, existing approaches still face limitations in terms of wearability and interaction complexity, often relying on external hardware such as cameras. In this work, we propose a fully wearable multimodal interface for real-time VR-interaction, based on concurrent US and inertial (accelerometry) sensing from the forearm and upper arm. The system is built on the WULPUS platform and integrates an end-to-end software framework for real-time acquisition, visualization, and communication with a Unity-based VR environment. A multimodal learning pipeline is introduced for concurrent hand pose and forearm position estimation in 2D space. The interface is evaluated through offline and online experiments with five subjects, during the execution of three functional tasks: cylinder grasping (gross motor) and relocation, marble pinching (fine motor) and relocation, and liquid pouring. For offline experiments, we collect 5 acquisition sessions across multiple days, achieving an average inter-session accuracy across subjects of 80pm6\% for hand pose estimation and 77pm7\% for forearm position estimation. Online validation with minimal fine-tuning (5 min) demonstrates success rates of 92.0pm16.0\%, 88.0pm9.8\%, and 96.0pm8.0\% for the three tasks, respectively. With a power consumption of only 19.9~mW, our system enables more than 2.5 days of continuous use on a small 350 mAh LiPo battery without the need for recharge, enabling truly wearable, multimodal, and functionally meaningful VR interaction.

Wrist Fracture is the most common type of fracture with a high incidence rate. Conventional radiography (i.e. X-ray imaging) is used for wrist fracture detection routinely, but occasionally fracture delineation poses issues and an additional confirmation by computed tomography (CT) is needed for diagnosis. Recent advances in the field of Deep Learning (DL), a subfield of Artificial Intelligence (AI), have shown that wrist fracture detection can be automated using Convolutional Neural Networks. However, previous studies did not pay close attention to the difficult cases which can only be confirmed via CT imaging. In this study, we have developed and analyzed a state-of-the-art DL-based pipeline for wrist (distal radius) fracture detection -- DeepWrist, and evaluated it against one general population test set, and one challenging test set comprising only cases requiring confirmation by CT. Our results reveal that a typical state-of-the-art approach, such as DeepWrist, while having a near-perfect performance on the general independent test set, has a substantially lower performance on the challenging test set -- average precision of 0.99 (0.99-0.99) vs 0.64 (0.46-0.83), respectively. Similarly, the area under the ROC curve was of 0.99 (0.98-0.99) vs 0.84 (0.72-0.93), respectively. Our findings highlight the importance of a meticulous analysis of DL-based models before clinical use, and unearth the need for more challenging settings for testing medical AI systems.

A decision model can give probabilities that sum to one for every question yet disagree with itself when the same decision is broken into smaller steps. We study this form of probabilistic coherence in Jev and the English Laya checkpoint, using 2,500 matched examples per system across TREC, CLINC150, and MASSIVE. Across 72,000 classification questions, we compare direct fine-label predictions with broad-category probabilities and predictions reconstructed through those categories. Both systems show substantial disagreement: mean category-level total variation ranges from 0.219 to 0.349 for Jev and from 0.424 to 0.689 for Laya, on a scale where zero means exact agreement. The consequences differ sharply. On CLINC150, reconstruction reduces Jev's accuracy by 22.9 percentage points (paired 95% bootstrap interval: [-24.9, -20.9]) and improves Laya's by 21.3 points ([18.0, 24.5]). The same directions hold across all three datasets, with all six unadjusted accuracy-change intervals excluding zero. Improved accuracy can also accompany less reliable confidence: on MASSIVE, Laya gains 9.2 accuracy points while its expected calibration error rises from 0.046 to 0.124. Error analysis identifies both broad-category mistakes and within-category confusions. These findings show why decision systems need joint evaluation of accuracy, confidence calibration, and probability coherence in the workflow used by an application.

This article focuses on estimating relative transfer functions (RTFs) for beamforming applications. Traditional methods often assume that spectra are uncorrelated, an assumption that is often violated in practical scenarios due to factors such as time-domain windowing or the non-stationary nature of signals, as observed in speech. To overcome these limitations, we propose an RTF estimation technique that leverages spectral and spatial correlations through subspace analysis. Additionally, we derive Cram\'er--Rao bounds (CRBs) for the RTF estimation task, providing theoretical insights into the achievable estimation accuracy. These bounds reveal that channel estimation can be performed more accurately if the noise or the target signal exhibits spectral correlations. Experiments with both real and synthetic data show that our technique outperforms the narrowband maximum-likelihood estimator, known as covariance whitening (CW), when the target exhibits spectral correlations. Although the proposed algorithm generally achieves accuracy close to the theoretical bound, there is potential for further improvement, especially in scenarios with highly spectrally correlated noise. While channel estimation has various applications, we demonstrate the method using a minimum variance distortionless (MVDR) beamformer for multichannel speech enhancement. A free Python implementation is also provided.

Effective rehabilitation assessment is essential for monitoring patient progress, particularly in home-based settings. Existing systems often face challenges such as data imbalance and difficulty detecting subtle movement errors. This paper introduces Error-Guided Pose Augmentation (EGPA), a method that generates synthetic skeleton data by simulating clinically relevant movement mistakes. Unlike standard augmentation techniques, EGPA targets biomechanical errors observed in rehabilitation. Combined with an attention-based graph convolutional network, EGPA improves performance across multiple evaluation metrics. Experiments demonstrate reductions in mean absolute error of up to 27.6 percent and gains in error classification accuracy of 45.8 percent. Attention visualizations show that the model learns to focus on clinically significant joints and movement phases, enhancing both accuracy and interpretability. EGPA offers a promising approach for improving automated movement quality assessment in both clinical and home-based rehabilitation contexts.

Automatic estimation of cardiac ultrasound image quality can be beneficial for guiding operators and ensuring the accuracy of clinical measurements. Previous work often fails to distinguish the view correctness of the echocardiogram from the image quality. Additionally, previous studies only provide a global image quality value, which limits their practical utility. In this work, we developed and compared three methods to estimate image quality: 1) classic pixel-based metrics like the generalized contrast-to-noise ratio (gCNR) on myocardial segments as region of interest and left ventricle lumen as background, obtained using a U-Net segmentation 2) local image coherence derived from a U-Net model that predicts coherence from B-Mode images 3) a deep convolutional network that predicts the quality of each region directly in an end-to-end fashion. We evaluate each method against manual regional image quality annotations by three experienced cardiologists. The results indicate poor performance of the gCNR metric, with Spearman correlation to the annotations of rho = 0.24. The end-to-end learning model obtains the best result, rho = 0.69, comparable to the inter-observer correlation, rho = 0.63. Finally, the coherence-based method, with rho = 0.58, outperformed the classical metrics and is more generic than the end-to-end approach.

We describe our submission to the MedReason 2026 challenge, covering multiple-choice (MCQ) and open-ended (OE) medical visual question answering (VQA) under fully offline, containerized inference. Our first finding is that MCQ retrieval must compare answer semantics rather than answer labels: labels are independently assigned per question, so copying a retrieved neighbor's label transfers no useful information, whereas scoring each current option's text against correct-answer text from similar training cases raises retrieval-only accuracy from 20.0\% to 57.5\% on a 200-case retrieval-excluded development holdout. Our second finding attributes the submitted system's accuracy: holding the task-specific MCQ Low-Rank Adaptation (LoRA) adapter fixed and varying the number \(k\) of in-prompt retrieved examples changes accuracy by at most one case --- 187/200 (93.5\%) at both \(k=0\) and the adapter's training-time \(k=1\), 188/200 (94.0\%) at the packaged runtime's default \(k=3\) --- and the submitted confidence-gated override adds no net accuracy on top of \(k=3\), selecting the VLM in 198/200 cases. With the final MCQ adapter fixed, retrieval changes accuracy by at most one case, and gating provides no net gain. On 20 OE cases, token-F1 and RaTEScore~zhao2024ratescore decrease as \(k\) grows, but paired sign tests on token-F1 differences are nonsignificant (\(p \ge 0.29\)); a single-annotator comparison found 6/20 wrong-anchor errors for the final configuration and 14/20 for an earlier configuration that jointly differed in routing, adapter, and prompting. The system reaches 94.0\% MCQ accuracy on the development holdout and 93.20\% on the organizer's official pre-evaluation, versus 29.43\% for the off-the-shelf reference baseline, while both of the organizer's open-ended scores are lower than that baseline's (ground-truth agreement 1.245 versus 1.588, visual accuracy 1.995 versus 2.696, each out of 4).

Egocentric video supports diverse applications, including robot learning, augmented reality, and human activity understanding. Recovering metric 3D hand trajectories from such video requires estimating both hand motion and camera egomotion to express the hands in a consistent reference frame. Many existing pipelines recover hand and camera motion in separate stages, combining hand detection, hand reconstruction, camera tracking, and trajectory refinement. We present V-JEPA Hand, a simple feed-forward video model that jointly reconstructs bilateral hand motion and camera motion from egocentric clips. It uses a self-supervised V-JEPA 2.1 encoder to extract spatio-temporal features from full-frame video and a query-based predictor to decode these features into per-frame hand poses, hand presence, and camera motion. We use the predicted camera motion to express the hand trajectories in a common world frame. The model accepts known focal lengths or predicts them when unavailable. It reconstructs each clip in a single forward pass. We train both components end to end in a single stage on a mixture of diverse pseudo-labelled videos and high-precision 3D annotations. A single model achieves the lowest coverage-aware mean per-joint position error (MPJPE) among comparable baselines on ARCTIC, HOT3D, and EgoStandard. It also yields lower world-frame trajectory errors than the compared SLAM-based pipelines. Ablations support the benefits of video pretraining, temporal context, and mixed supervision. V-JEPA Hand achieves a forward-pass throughput of 93.4 FPS on a single RTX A6000. Project page: https://qft-333.github.io/V-JEPA-Hand-Page/.

Gesture recognition on video is normally posed as classification: label each frame, then act on the label. That is adequate for control, where a command may be obeyed several frames late without a user noticing, and inadequate for synchronisation, where an output must be aligned to the frame on which the gesture physically occurred. We take the synchronisation problem for one common movement, the rotation of an open hand about its long axis, and show that it admits an exact solution needing no classifier, no training data and no calibration. Let s be the normalised two-dimensional cross product of the two palm edges at the wrist and the outer knuckles, under the projection the camera already performs. We prove that s factorises as k(theta)cos(theta) with |k| > 0 everywhere, so s vanishes exactly when the palm is edge-on and its sign tracks the face presented to the camera. Detection is therefore a zero crossing of one scalar, which yields an instant rather than an interval, and we prove the criterion invariant to image mirroring, hand scale and handedness, all from its algebraic form rather than from the landmark estimator. A two-handed interaction uses four fingertips as a window onto a restyled version of the same scene. We give a coverage predicate that stays correct when the hands cross, where the usual triangulation does not, and derive each free parameter of the three stylisation operators from a noise statistic rather than by inspection. Against a corpus with exact ground truth the criterion detects 95% of flips with no false positive in 240 near-miss sequences, and places each within 6.7 ms on average of the instant it occurred, a sixth of the interval at which the hand is observed, against 23.0 ms for reporting the bracketing sample. Reporting an event more finely than one samples follows from treating a gesture as the zero of a continuous quantity rather than a label.

This paper investigates the use of deep learning approaches to estimate the femur caput-collum-diaphyseal (CCD) angle from X-ray images. The CCD angle is an important measurement in the diagnosis of hip problems, and correct prediction can help in the planning of surgical procedures. Manual measurement of this angle, on the other hand, can be time-intensive and vulnerable to inter-observer variability. In this paper, we present a deep-learning algorithm that can reliably estimate the femur CCD angle from X-ray images. To train and test the performance of our model, we employed an X-ray image dataset with associated femur CCD angle measurements. Furthermore, we built a prototype to display the resulting predictions and to allow the user to interact with the predictions. As this is happening in a sterile setting during surgery, we expanded our interface to the possibility of being used only by voice commands. Our results show that our deep learning model predicts the femur CCD angle on X-ray images with great accuracy, with a mean absolute error of 4.3 degrees on the left femur and 4.9 degrees on the right femur on the test dataset. Our results suggest that deep learning has the potential to give a more efficient and accurate technique for predicting the femur CCD angle, which might have substantial therapeutic implications for the diagnosis and management of hip problems.

Geometric alignment scores based on Gram determinants provide a compact way to model higher-order consistency among modalities, yet how such scores respond to modality degradation is poorly understood. This paper asks whether the response of a multimodal geometric score is determined primarily by the magnitude of the perturbation-induced displacement. Using frozen cohorts from MSR-VTT (N=878) and DiDeMo (N=980), we apply controlled video blur and audio noise and analyze the response in the relational geometry on which the score is defined. Displacement magnitude explains at most 15% of the out-of-sample variance in the absolute response, and magnitude-matched pairs respond systematically differently, so scalar magnitude does not organize the response. The closed-form first-order expansion of the Gramian volume yields the Directional Geometric Response (DGR): the projection of the displacement onto the local volume gradient, which jointly captures the clean operating point, displacement magnitude, and displacement direction. The absolute first-order DGR term explains the observed response with out-of-sample R^2 of 0.838-0.969, matched-magnitude ranking accuracies of 0.864-0.963, and response-sign accuracies of 0.909-0.989, whereas the tested direction-free alternatives remain weak or unstable under the corresponding evaluation protocols. A pre-specified gain-normalization candidate, V/(g_V+eps), fails its predictability and clean-order gates. DGR uses the observed degraded-state displacement and is therefore an explanatory quantity, not a deployment-time predictor: geometric response depends on where the representation operates, how far degradation moves the relational geometry, and in which direction it moves.

We propose an adaptive training scheme for unsupervised medical image registration. Existing methods rely on image reconstruction as the primary supervision signal. However, nuisance variables (e.g. noise and covisibility), violation of the Lambertian assumption in physical waves (e.g. ultrasound), and inconsistent image acquisition can all cause a loss of correspondence between medical images. As the unsupervised learning scheme relies on intensity constancy between images to establish correspondence for reconstruction, this introduces spurious error residuals that are not modeled by the typical training objective. To mitigate this, we propose an adaptive framework that re-weights the error residuals with a correspondence scoring map during training, preventing the parametric displacement estimator from drifting away due to noisy gradients, which leads to performance degradation. To illustrate the versatility and effectiveness of our method, we tested our framework on three representative registration architectures across three medical image datasets along with other baselines. Our adaptive framework consistently outperforms other methods both quantitatively and qualitatively. Paired t-tests show that our improvements are statistically significant. Code available at: https://voldemort108x.github.io/AdaCS/.

Purpose: To develop and evaluate TotalSynth, a reusable pretrained framework for whole-body synthetic CT (sCT) generation from MRI and cone-beam CT (CBCT) images. Materials and Methods: In this retrospective technical study, the dataset was assembled between 2020 and 2026 from SynthRAD challenge data, four prostate cohorts, and BIC-MAC. After registration quality control, 1450 of 1800 public challenge pairs were retained; 350 were excluded for insufficient registration quality or major source/CT mismatch. The corpus also included 84 additional prostate MRI/CT and 60 external BIC-MAC MRI/CT cases. Three 5-fold model families were evaluated with image-domain, anatomy-aware, registration-based, and uncertainty metrics. Age and sex were not consistently available across public datasets. Results: The released MRI-to-CT model achieved an overall MAE of 67.49 HU, SSIM of 0.920, and PSNR of 29.28 dB. The CBCT-to-CT model achieved an overall MAE of 53.55 HU, SSIM of 0.939, and PSNR of 32.09 dB. The unified model maintained similar performance on MRI inputs (MAE, 67.68 HU) and CBCT inputs (MAE, 54.22 HU). On external BIC-MAC data, MRI-to-CT MAE was 100.91 HU without fine-tuning and 62.21 HU after fine-tuning. Conclusion: TotalSynth provides reusable MRI- and CBCT-based CT synthesis models with broad anatomical coverage, while external evaluation highlights the need for local validation and optional fine-tuning under domain shift.

With the emergence of large-scale vision language models (VLM), it is now possible to produce realistic-looking radiology reports for chest X-ray images. However, their clinical translation has been hampered by the factual errors and hallucinations in the produced descriptions during inference. In this paper, we present a novel phrase-grounded fact-checking model (FC model) that detects errors in findings and their indicated locations in automatically generated chest radiology reports. Specifically, we simulate the errors in reports through a large synthetic dataset derived by perturbing findings and their locations in ground truth reports to form real and fake findings-location pairs with images. A new multi-label cross-modal contrastive regression network is then trained on this dataset. We present results demonstrating the robustness of our method in terms of accuracy of finding veracity prediction and localization on multiple X-ray datasets. We also show its effectiveness for error detection in reports of SOTA report generators on multiple datasets achieving a concordance correlation coefficient of 0.997 with ground truth-based verification, thus pointing to its utility during clinical inference in radiology workflows.

We investigate how looped transformers encode human preference, training lightweight evaluator heads on frozen Ouro-2.6B loop-iteration states on Anthropic HH-RLHF. v2: an erratum is prepended; the original manuscript is unchanged. A post-publication audit found the three headline results inflated by two independent evaluation errors. The 95.2% pairwise evaluator accuracy is a canonical-ordering artifact: the data were correctly split, but the evaluator learned to prefer the first-presented argument; its strict antisymmetrized accuracy on the full 8,552-pair test set is 63.9%. The 84.5% pairwise probe and the below-chance 21.75% pointwise probe were source-item leaks (orientation rows and pair partners crossing the train/test split); corrected pair-disjoint values are 56.5% and 54.2% -- above chance, so the "inverted polarity" finding is withdrawn. The central finding survives at much smaller magnitude: preference is decoded more accurately relationally than pointwise (paired +2.3 points, 95% CI [+1.3, +3.3]), and the antisymmetrized evaluator still beats the linear probe, but no corrected readout rivals end-to-end reward models. The methodological findings stand (constant-output degeneracy, flip test, swap-protocol metric deflation), with one correction: antisymmetrized accuracy, not antisymmetry correlation, certifies relational discrimination. The two errors are mutually invisible -- a split audit cannot see an ordering prior, antisymmetrization cannot see a leak -- so both checks are required. Full audit in the follow-up work (Kirin, 2026, in preparation).

Conformal prediction (CP) provides distribution-free prediction intervals for fixed forecasters, but its standard calibration procedure is often inefficient for time series data, where forecast errors are temporally dependent and change across time and operating conditions. Recent time series CP methods improve local calibration using recent, weighted, or localized residuals. Yet local calibration can remain indirect, since broad residual weighting or additional adaptation procedures may dilute the evidence most relevant to the current prediction. This motivates a simple retrieval and correction strategy that selects similar past residuals as local evidence and then corrects the coverage error left by retrieval. In this paper, we propose Retrieval--Corrected Conformal Prediction (RCCP), a retrieval-augmented calibration method for time series prediction intervals. RCCP builds an asymmetric interval from retrieved one-sided residuals and calibrates its normalized retrieval error with a scalar conformal correction. Thus, retrieval provides local residual evidence, while conformal correction determines the final scale needed for coverage. We provide a coverage-gap bound based on the stability of the normalized retrieval error distribution. Across standard benchmarks and backbone forecasters, RCCP attains the target coverage in every setting and achieves the lowest Winkler scores, with fewer severe misses. RCCP also achieves low calibration and inference overhead, showing that retrieval-corrected calibration is an effective and scalable approach to uncertainty quantification in time series forecasting. Code is available at https://github.com/jinsaaang/rccp.

In computer vision, reference datasets have been highly successful in promoting algorithmic development in stereo reconstruction. Surgical scenes gives rise to specific problems, including the lack of clear corner features, highly specular surfaces and the presence of blood and smoke. Publicly available datasets have been produced using CT and either phantom images or biological tissue samples covering a relatively small region of the endoscope field-of-view. We present a stereo-endoscopic reconstruction validation dataset based on CT (SERV-CT). Two {\it ex vivo} small porcine full torso cadavers were placed within the view of the endoscope with both the endoscope and target anatomy visible in the CT scan. Orientation of the endoscope was manually aligned to the stereoscopic view. Reference disparities and occlusions were calculated for 8 stereo pairs from each sample. For the second sample an RGB surface was acquired to aid alignment of smooth, featureless surfaces. Repeated manual alignments showed an RMS disparity accuracy of ~2 pixels and a depth accuracy of ~2mm. The reference dataset includes endoscope image pairs with corresponding calibration, disparities, depths and occlusions covering the majority of the endoscopic image and a range of tissue types. Smooth specular surfaces and images with significant variation of depth are included. We assessed the performance of various stereo algorithms from online available repositories. There is a significant variation between algorithms, highlighting some of the challenges of surgical endoscopic images. The SERV-CT dataset provides an easy to use stereoscopic validation for surgical applications with smooth reference disparities and depths with coverage over the majority of the endoscopic images. This complements existing resources well and we hope will aid the development of surgical endoscopic anatomical reconstruction algorithms.

Exploring spatial-temporal dependencies from observed motions is one of the core challenges of human motion prediction. Previous methods mainly focus on dedicated network structures to model the spatial and temporal dependencies. This paper considers a new direction by introducing a model learning framework with auxiliary tasks. In our auxiliary tasks, partial body joints' coordinates are corrupted by either masking or adding noise and the goal is to recover corrupted coordinates depending on the rest coordinates. To work with auxiliary tasks, we propose a novel auxiliary-adapted transformer, which can handle incomplete, corrupted motion data and achieve coordinate recovery via capturing spatial-temporal dependencies. Through auxiliary tasks, the auxiliary-adapted transformer is promoted to capture more comprehensive spatial-temporal dependencies among body joints' coordinates, leading to better feature learning. Extensive experimental results have shown that our method outperforms state-of-the-art methods by remarkable margins of 7.2%, 3.7%, and 9.4% in terms of 3D mean per joint position error (MPJPE) on the Human3.6M, CMU Mocap, and 3DPW datasets, respectively. We also demonstrate that our method is more robust under data missing cases and noisy data cases. Code is available at https://github.com/MediaBrain-SJTU/AuxFormer.

Authorship verification (AV) is the task of determining whether two texts were written by the same author. In a forensic context, the strength of AV evidence can be quantified using likelihood ratios. Most AV methods are score-based and deriving well-calibrated likelihood ratios from these scores requires a separate calibration model. This, in turn, requires additional amounts of case-relevant data, which is often time-consuming to obtain and prepare. This study proposes two novel normalisation techniques, the Square Root Correction and the Hapax Correction, for deriving likelihood ratios from the AV method LambdaG without the need of a calibration model (Nini et al. 2026). These corrections are designed to mitigate the overestimation of evidential strength that may result from long or highly repetitive texts. Performance is evaluated against logistic regression calibration across fifteen corpora and a range of text lengths (100-9,500 tokens), using the log-likelihood ratio cost (Cllr). The proposed methods achieve performance comparable to logistic regression calibration, with the Hapax Correction outperforming it in approximately 45% of tests (weighted by corpora). Furthermore, performance was more frequently close (within 5%) when the Hapax Correction was outperformed by logistic regression calibration, compared with the reverse comparison. Eliminating the need to train a calibration model reduces data-requirements, time and complexity, thereby increasing the accessibility and transparency of forensic text comparison. This combination of empirical performance and practical advantages supports the adoption of the proposed methods in forensic settings.

Respiratory motion complicates accurate irradiation of thoraco-abdominal tumors during radiotherapy, as treatment-system latency entails target-location uncertainties. This work addresses frame forecasting in chest and liver cine MRI to compensate for such delays. We investigate RNNs trained with online learning algorithms, enabling adaptation to changing respiratory patterns via on-the-fly parameter updates, and transformers, increasingly common in time-series forecasting for their ability to capture long-term dependencies. Experiments used 12 sagittal thoracic and upper-abdominal cine-MRI sequences from ETH Zürich and OvGU; the OvGU data exhibited higher motion variability, noise, and lower contrast. PCA decomposes the Lucas-Kanade optical-flow field into static deformation modes and low-dimensional, time-dependent weights. We compare various methods for forecasting these weights: linear filters, population and sequence-specific transformer encoders, and RNNs trained with real-time recurrent learning (RTRL), unbiased online recurrent optimization, decoupled neural interfaces, and sparse one-step approximation (SnAp-1). Predicted displacements were used to warp the reference frame and generate future images. Prediction accuracy decreased with the horizon h. Linear regression performed best at short horizons (1.3mm geometrical error at h=0.32s, ETH Zürich dataset), while RTRL and SnAp-1 outperformed the other algorithms at medium-to-long horizons, with geometrical errors below 1.4mm and 2.8mm on the sequences from ETH Zürich and OvGU, respectively. The sequence-specific transformer was competitive for low-to-medium horizons, but transformers remained overall limited by data scarcity and domain shift between datasets. Predicted frames visually resembled the ground truth, with notable errors occurring near the diaphragm at end-inspiration and regions affected by out-of-plane motion.

Visual-inertial localization is a key problem in computer vision and robotics applications such as virtual reality, self-driving cars, and aerial vehicles. The goal is to estimate an accurate pose of an object when either the environment or the dynamics are known. Absolute pose regression (APR) techniques directly regress the absolute pose from an image input in a known scene using convolutional and spatio-temporal networks. Odometry methods perform relative pose regression (RPR) that predicts the relative pose from a known object dynamic (visual or inertial inputs). The localization task can be improved by retrieving information from both data sources for a cross-modal setup, which is a challenging problem due to contradictory tasks. In this work, we conduct a benchmark to evaluate deep multimodal fusion based on pose graph optimization and attention networks. Auxiliary and Bayesian learning are utilized for the APR task. We show accuracy improvements for the APR-RPR task and for the RPR-RPR task for aerial vehicles and hand-held devices. We conduct experiments on the EuRoC MAV and PennCOSYVIO datasets and record and evaluate a novel industry dataset.

Egocentric video has become a primary source of supervision for embodied models, and its value rests on recovering hand motion in world coordinates, which camera motion and hand occlusion make difficult. Existing reconstruction pipelines typically separate hand and scene estimation, leave interaction attributes to separate task-specific models, and invoke several models per video, so no prior reconstruction model estimates these attributes and throughput becomes a practical constraint on large-scale annotation. We therefore introduce EgoFound3R, a unified end-to-end model that estimates world-space hand geometry in a metric scale shared with the scene, and predicts point-wise interaction attributes, including visibility, contact, and distance. The model integrates three designs: (i) structured hand prompts that transfer pretrained geometric priors to world-space hand reconstruction; (ii) an explicit hand representation that decodes hand geometry and interaction attributes; and (iii) a shared-parameter multi-rate design that lowers inference cost. Together, these designs predict hand geometry and point-wise attributes in one pass. On OakInk-v2, TACO, and HOI4D, EgoFound3R reduces the mean per-joint position error (MPJPE) by 43.2%, 22.4%, and 11.6% over previous methods and predicts point-wise contact and distance alongside the geometry in the same pass, while attaining approximately 6x higher throughput.

Bone overlap can obscure abnormalities in chest radiographs, while scarce paired training data limit supervised bone suppression. We address this challenge with a digitally reconstructed radiograph (DRR) framework that converts chest computed tomography (CT) into paired supervision for component suppression. A novel bone segmentation algorithm enables CT decomposition into bone, non-lung soft-tissue, and lung components, which are projected separately. Their weighted combination yields synthetic radiographs with pixel-registered component images that sum exactly to the full DRR. Models trained on these data suppress bone or lung components by predicting the target component and recovering the remainder by subtraction, transferring to real radiographs without real paired training data. As an extension, their outputs on real radiographs provide target domains for unpaired, component-wise DRR translation, reducing the appearance gap while retaining anatomical details. Across multiple public datasets, downstream detection experiments demonstrate the utility of bone suppression, with gains concentrated on abnormalities with substantial bone overlap. Compared with open-source DRR engines applied to the same CTs, our unmodified DRRs achieve comparable realism and preservation of label-relevant anatomy, while translated DRRs achieve the best Fréchet inception distance (FID), lung-field sharpness, and agreement with source-CT anatomy among the evaluated methods. Models and inference code: https://huggingface.co/qureaiorg/bone-suppression; Translated projections: https://huggingface.co/datasets/qureaiorg/ct2xr-projections.

We participated in the SynthRAD2025 challenge (Tasks 1 and 2) with a unified pipeline for synthetic CT (sCT) generation from MRI and CBCT, implemented using the KonfAI framework. Our model is a 2.5D U-Net++ with a ResNet-34 encoder, trained jointly across anatomical regions and fine-tuned per region. The loss function combined pixel-wise L1 loss with IMPACT-Synth, a perceptual loss derived from SAM and TotalSegmentator to enhance structural fidelity. Training was performed using AdamW (initial learning rate = 0.001, halved every 25k steps) on patch-based, normalized, body-masked inputs (320x320 for MRI, 256x256 for CBCT), with random flipping as the only augmentation. No post-processing was applied. Final predictions leveraged test-time augmentation and five-fold ensembling. The best model was selected based on validation MAE. Two registration strategies were evaluated: (i) Elastix with mutual information, consistent with the challenge pipeline, and (ii) IMPACT, a feature-based similarity metric leveraging pretrained segmentation networks. On the local test sets, IMPACT-based registration achieved more accurate and anatomically consistent alignments than mutual-information-based registration, resulting in improved sCT synthesis with lower MAE and more realistic anatomical structures. On the public validation set, however, models trained with Elastix-aligned data achieved higher scores, reflecting a registration bias favoring alignment strategies consistent with the evaluation pipeline. This highlights how registration errors can propagate into supervised learning, influencing both training and evaluation, and potentially inflating performance metrics at the expense of anatomical fidelity. By promoting anatomically consistent alignment, IMPACT helps mitigate this bias and supports the development of more robust and generalizable sCT synthesis models.

The proliferation of XR devices has made egocentric hand pose estimation a vital task, yet this perspective is inherently challenged by frequent finger occlusions. To address this, we propose a novel approach that leverages the rich information in dorsal hand skin deformation, unlocked by recent advances in dense visual featurizers. We introduce a dual-stream delta encoder that learns pose by contrasting features from a dynamic hand with a baseline relaxed position. Our evaluation demonstrates that, using only cropped dorsal images, our method reduces the Mean Per Joint Angle Error (MPJAE) by 18% in self-occluded scenarios (fingers >= 50% occluded) compared to state-of-the-art techniques that depend on the whole hand's geometry and large model backbones. Consequently, our method not only enhances the reliability of downstream tasks like index finger pinch and tap estimation in occluded scenarios but also unlocks new interaction paradigms, such as detecting isometric force for a surface "click" without visible movement while minimizing model size.

Longitudinal analysis has great potential to reveal developmental trajectories and monitor disease progression in medical imaging. This process relies on consistent and robust joint 4D segmentation. Traditional techniques are dependent on the similarity of images over time and the use of subject-specific priors to reduce random variation and improve the robustness and sensitivity of the overall longitudinal analysis. This is however slow and computationally intensive as subject-specific templates need to be rebuilt every time. The focus of this work to accelerate this analysis with the use of deep learning. The proposed approach is based on deep CNNs and incorporates semantic segmentation and provides a longitudinal relationship for the same subject. The proposed approach is based on deep CNNs and incorporates semantic segmentation and provides a longitudinal relationship for the same subject. The state of art using 3D patches as inputs to modified Unet provides results around {0.91 pm 0.5} Dice and using multi-view atlas in CNNs provide around the same results. In this work, different models are explored, each offers better accuracy and fast results while increasing the segmentation quality. These methods are evaluated on 135 scans from the EADC-ADNI Harmonized Hippocampus Protocol. Proposed CNN based segmentation approaches demonstrate how 2D segmentation using prior slices can provide similar results to 3D segmentation while maintaining good continuity in the 3D dimension and improved speed. Just using 2D modified sagittal slices provide us a better Dice and longitudinal analysis for a given subject. For the ADNI dataset, using the simple UNet CNN technique gives us {0.84 pm 0.5} and while using modified CNN techniques on the same input yields {0.89 pm 0.5}. Rate of atrophy and RMS error are calculated for several test cases using various methods and analyzed.

Cross-machine deployment of industrial world models requires transfer across changes in dynamics, sensing interfaces, sampling regimes, and control units. We study a schema-adaptive action-conditioned Joint-Embedding Predictive Architecture (SAAC-JEPA) for CNC dynamics, where the source machine has 17 canonical sensor channels and the target shares only 10. Evaluation uses group-disjoint source splits, source-only normalization, held-out self-supervised validation, unit audits, and a sealed target test after model locking. Across five seeds, JEPA pretraining gives no clean-source forecasting gain: scratch and pretrained-body models obtain \(RMSE=0.811\pm0.022\) and \(0.813\pm0.022\). A source-only search over 20 candidates selects a schema-consistent action-conditioned JEPA after seven-seed stability checks. On the confirmatory target pass, the locked model reaches zero-shot \(RMSE=0.546\), \(R^2=0.012\), and \(NLL=0.52\), outperforming persistence but not RevIN-equipped PatchTST and iTransformer baselines (\(0.503\) and \(0.498\)). A pre-declared paired ablation shows that RevIN in the same architecture improves RMSE to \(0.495\pm0.004\) over three seeds, but degrades target calibration (\(NLL=20.6\)) on stationary context windows. A pre-lock adaptation sweep further reduces RMSE to \(0.520\) with limited target support. These results show that source-domain forecasting accuracy alone is insufficient to assess industrial predictive representations, and that cross-machine adaptation under partial sensor overlap is a distinct evaluation axis.

The Kov\'ats Retention index (RI) is a quantity measured using gas chromatography and commonly used in the identification of chemical structures. Creating libraries of observed RI values is a laborious task, so we explore the use of a deep neural network for predicting RI values from structure for standard semipolar columns. This network generated predictions with a mean absolute error of 15.1 and, in a quantification of the tail of the error distribution, a 95th percentile absolute error of 46.5. Because of the Artificial Intelligence Retention Indices (AIRI) network's accuracy, it was used to predict RI values for the NIST EI-MS spectral libraries. These RI values are used to improve chemical identification methods and the quality of the library. Estimating uncertainty is an important practical need when using prediction models. To quantify the uncertainty of our network for each individual prediction, we used the outputs of an ensemble of 8 networks to calculate a predicted standard deviation for each RI value prediction. This predicted standard deviation was corrected to follow the error between observed and predicted RI values. The Z scores using these predicted standard deviations had a standard deviation of 1.52 and a 95th percentile absolute Z score corresponding to a mean RI value of 42.6.

Knee osteoarthritis (OA) is one of the highest disability factors in the world. This musculoskeletal disorder is assessed from clinical symptoms, and typically confirmed via radiographic assessment. This visual assessment done by a radiologist requires experience, and suffers from moderate to high inter-observer variability. The recent literature has shown that deep learning methods can reliably perform the OA severity assessment according to the gold standard Kellgren-Lawrence (KL) grading system. However, these methods require large amounts of labeled data, which are costly to obtain. In this study, we propose the Semixup algorithm, a semi-supervised learning (SSL) approach to leverage unlabeled data. Semixup relies on consistency regularization using in- and out-of-manifold samples, together with interpolated consistency. On an independent test set, our method significantly outperformed other state-of-the-art SSL methods in most cases. Finally, when compared to a well-tuned fully supervised baseline that yielded a balanced accuracy (BA) of 70.9pm0.8% on the test set, Semixup had comparable performance -- BA of 71pm0.8% (p=0.368) while requiring 6 times less labeled data. These results show that our proposed SSL method allows building fully automatic OA severity assessment tools with datasets that are available outside research settings.

A benchmark score credits final answers, but not the route by which an item can be answered. In medical multimodal multiple-choice questions (MCQs), this distinction matters because a correct answer can be supported by the intended image finding or by benchmark-preserved cues in the wording of answers, non-visual clinical text, visible image text, artificial annotations, or device/context artifacts. We call the resulting score-level overinterpretation reasoning inflation. Here, a route is an observable input path that can support answer selection, not a claim about the model's hidden cognition. Across six medical multimodal MCQ datasets, we separate candidate cues from behavioral evidence through prompt- and image-side audits, modality ablations, and matched repairs that preserve the medical target and answer key. In a 13-configuration open-model panel, full-input accuracy is 62.63%, while text-only and options-only settings achieve 53.96% and 29.71%, respectively. Removing length-gap, absolute/conspicuous, and spatial/prepositional cues lowers accuracy by 6.58, 3.50, and 4.77 percentage points. We also construct MedQA-MM, a 1,000-item shortcut-mitigated subset, where text-only and options-only accuracy fall to 5.21% and 12.33%. This does not imply that models never use images; it shows that medical image-reasoning claims require route-level evidence.

Aggregate accuracy summarizes how often a model is correct, but not which judgments remain correct when requests change. We evaluate Jev and nine language models on ContractNLI, with repeated requests that preserve the contract and target while varying visible hypotheses, requested answers, and output order. A four-model follow-up adds an equal-call repetition control and coverage of the remaining test contracts. Corrections and regressions can cancel, leaving unchanged accuracy despite changed decisions; consistent answers can also preserve errors. Majority voting over recorded responses yields small, uncertain gains, with repeated wrong answers accounting for much of the observed error. Gold-class diagnostics further reveal different error profiles behind aggregate model rankings. Resource comparisons add distinct trade-offs: Jev is cheapest and fastest for the joint baseline, while hosted language models achieve higher accuracy. Together, these findings connect decision-level evaluation to whether additional calls improve correctness and what the resulting decisions cost.

Photoacoustic computed tomography (PACT) is a non-invasive imaging modality, similar to ultrasound, with wide-ranging medical applications. Conventional PACT images are degraded by wavefront distortion caused by the heterogeneous speed of sound (SOS) in tissue. Accounting for these effects can improve image quality and provide medically useful information, but measuring the SOS directly is burdensome and the existing joint reconstruction method is computationally expensive. Traditional supervised learning techniques are currently inaccessible in this data-starved domain. In this work, we introduce an efficient, self-supervised joint reconstruction method that recovers SOS and high-quality images for ring array PACT systems. To solve this semi-blind inverse problem, we parametrize the SOS using either a pixel grid or a neural field (NF) and update it directly by backpropagating the gradients through a differentiable imaging forward model. Our method removes SOS aberrations more accurately and 35x faster than the current SOTA. We demonstrate the success of our method quantitatively in simulation and qualitatively on experimentally-collected and in vivo data. Our code and synthetic numerical phantoms are available on our project page: https://lukeli0425.github.io/Coord-SoS-PACT/.

Robot demonstration learning requires accurate and temporally complete end-effector localization during close-range manipulation and camera occlusion. Existing SLAM benchmarks emphasize navigation motions, whereas manipulation datasets prioritize policy learning over localization evaluation. We introduce MILD, a Manipulation-Interface Localization Dataset with real-world and simulation sequences. The real-world subset provides 86 sensor sequences from Insta360 X5 and Insight9 across 15 repeated tabletop tasks, calibration assets, and a per-execution robot end-effector reference trajectory. The simulation subset, MILD-Sim, extends task coverage in Isaac Sim for controlled manipulation-replay studies. Benchmarking visual-inertial and fiducial-aided systems on instrumented real-world recordings reveals large differences in both TCP-relative trajectory error and temporal coverage, even under the same nominal task. To support marker-augmented teaching workspaces without a pre-surveyed fiducial map, we present AprilVINS, which combines fisheye visual-inertial estimation with sequence-local AprilTag geometry and separates prior admission from guarded export of the jointly optimized state. On Insta360 AprilTag4 recordings, AprilVINS(full) under a unified protocol with sequence-specific profiles reaches millimeter-level SE(3)-aligned TCP-relative APE RMSE with high time completion and lower reported error than the tested routes under their respective protocols, whereas fisheye VIO without tag factors remains at centimeter scale. Ablations separate accuracy from exportability, and a MILD-Sim replay study provides task-specific tolerance references for interpreting those error magnitudes. Together, MILD and AprilVINS provide a diagnostic benchmarking framework for UMI-style demonstration collection. Code, datasets, and evaluation manifests will be released upon acceptance.

Surgical phase recognition is a basic component for different context-aware applications in computer- and robot-assisted surgery. In recent years, several methods for automatic surgical phase recognition have been proposed, showing promising results. However, a meaningful comparison of these methods is difficult due to differences in the evaluation process and incomplete reporting of evaluation details. In particular, the details of metric computation can vary widely between different studies. To raise awareness of potential inconsistencies, this paper summarizes common deviations in the evaluation of phase recognition algorithms on the Cholec80 benchmark. In addition, a structured overview of previously reported evaluation results on Cholec80 is provided, taking known differences in evaluation protocols into account. Greater attention to evaluation details could help achieve more consistent and comparable results on the surgical phase recognition task, leading to more reliable conclusions about advancements in the field and, finally, translation into clinical practice.

In lung radiotherapy, infrared cameras can track reflective objects on the chest to estimate tumor motion due to breathing, but treatment system latencies hinder radiation beam precision. Real-time recurrent learning (RTRL) is a potential solution that can learn patterns within non-stationary respiratory data but has high complexity. This study assesses the capabilities of resource-efficient online RNN algorithms, namely unbiased online recurrent optimization (UORO), sparse-1 step approximation (SnAp-1), and decoupled neural interfaces (DNI) to forecast respiratory motion during radiotherapy treatment accurately. We use time series containing the 3D positions of external markers on the chest of healthy subjects. We propose efficient implementations for SnAp-1 and DNI that compress the influence and immediate Jacobian matrices and accurately update the linear coefficients used in credit assignment estimation, respectively. Data was originally sampled at 10Hz; we resampled it at 3.33Hz and 30Hz to analyze the effect of the sampling rate on performance. We use UORO, SnAp-1, and DNI to forecast each marker's 3D position with horizons h<=2.1s (the time interval in advance for which the prediction is made) and compare them with RTRL, least mean squares, kernel support vector regression, and linear regression. RNNs trained online achieved similar or better accuracy than most previous works using larger training databases and deep learning, even though we used only the first minute of each sequence to predict motion within that exact sequence. SnAp-1 had the lowest normalized root mean square errors (nRMSEs) averaged over the horizon values considered, equal to 0.335 and 0.157, at 3.33Hz and 10.0Hz, respectively. Similarly, UORO had the lowest nRMSE at 30Hz, equal to 0.086. DNI's inference time (6.8ms per time step at 30Hz, Intel Core i7-13700 CPU) was the lowest among the RNN methods.

Fine-tuning Vision-Language-Action (VLA) models for mobile manipulators with heterogeneous joint spaces can produce a counterintuitive result: the checkpoint with the lowest aggregate MSE is not the one that performs best on the real robot. We argue this is a predictable consequence of collapsing heterogeneous joint groups (arm, gripper, head, wheeled base) into a single metric, where easy-to-predict joints can mask joints that still fail. We fine-tune SmolVLA (450M, action-expert only) on the 11-DoF Toyota HSR and compare it against π_{0.5} (3.3B), a stronger pretrained baseline. Per-group analysis exposes two patterns: in SmolVLA, the mobile base converges slowest and limits overall performance. In expert-only fine-tuning of π_{0.5} (training only the action head, backbone frozen), total MSE drops below the baseline but arm accuracy degrades. On 60 real-robot trials (20 per model), π_{0.5} 80k (4.0/4) significantly outperforms both fine-tuned variants (expert-only 3k: 3.75/4; HSR-SmolVLA: 3.5/4; Mann-Whitney p leq 0.010), despite expert-only 3k having the lowest total MSE. This separation is most consistent with the offline arm-group error, not total MSE or base-group error. We conclude that per-group error is a more reliable signal than total MSE for checkpoint selection on robots with heterogeneous action spaces. Code: https://github.com/paumontagut/per-group-mse-vla

As language models shift from single-shot answer generation toward multi-step reasoning that retrieves and consumes evidence mid-inference, evaluating the role of individual retrieved items becomes more important. Existing RAG evaluation typically targets final-answer quality, citation faithfulness, or answer-level attribution, but none of these directly targets the intervention-based, per-evidence-item utility view we study here. We introduce CUE-R, a lightweight intervention-based framework for measuring per-evidence-item operational utility in single-shot RAG using shallow observable retrieval-use traces. CUE-R perturbs individual evidence items via REMOVE, REPLACE, and DUPLICATE operators, then measures changes along three utility axes (correctness, proxy-based grounding faithfulness, and confidence error) plus a trace-divergence signal. We also outline an operational evidence-role taxonomy for interpreting intervention outcomes. Experiments on HotpotQA and 2WikiMultihopQA with Qwen-3 8B and GPT-5.2 reveal a consistent pattern: REMOVE and REPLACE substantially harm correctness and grounding while producing large trace shifts, whereas DUPLICATE is often answer-redundant yet not fully behaviorally neutral. A zero-retrieval control confirms that these effects arise from degradation of meaningful retrieval. A two-support ablation further shows that multi-hop evidence items can interact non-additively: removing both supports harms performance far more than either single removal. Our results suggest that answer-only evaluation misses important evidence effects and that intervention-based utility analysis is a practical complement for RAG evaluation.

Objective: To allow efficient learning using the Recurrent Inference Machine (RIM) for image reconstruction whereas not being strictly dependent on the training data distribution so that unseen modalities and pathologies are still accurately recovered. Methods: Theoretically, the RIM learns to solve the inverse problem of accelerated-MRI reconstruction whereas being robust to variable imaging conditions. The efficiency and generalization capabilities with different training datasets were studied, as well as recurrent network units with decreasing complexity: the Gated Recurrent Unit (GRU), the Minimal Gated Unit (MGU), and the Independently Recurrent Neural Network (IndRNN), to reduce inference times. Validation was performed against Compressed Sensing (CS) and further assessed based on data unseen during training. A pathology study was conducted by reconstructing simulated white matter lesions and prospectively undersampled data of a Multiple Sclerosis patient. Results: Training on a single modality of 3T T_1-weighted brain data appeared sufficient to also reconstruct 7T T_{2}^*-weighted brain and 3T T_2-weighted knee data. The IndRNN is an efficient recurrent unit, reducing inference time by 68\% compared to CS, whereas maintaining performance. The RIM was able to reconstruct lesions unseen during training more accurately than CS when trained on T_2-weighted knee data. Training on T_1-weighted brain data and on combined data slightly enhanced the signal compared to CS. Conclusion: The RIM is efficient when decreasing its complexity, which reduces the inference time, whereas still being able to reconstruct data and pathology that was unseen during training.

Generating accurate 3D reconstructions from endoscopic video is a promising avenue for longitudinal radiation-free analysis of sinus anatomy and surgical outcomes. Several methods for monocular reconstruction have been proposed, yielding visually pleasant 3D anatomical structures by retrieving relative camera poses with structure-from-motion-type algorithms and fusion of monocular depth estimates. However, due to the complex properties of the underlying algorithms and endoscopic scenes, the reconstruction pipeline may perform poorly or fail unexpectedly. Further, acquiring medical data conveys additional challenges, presenting difficulties in quantitatively benchmarking these models, understanding failure cases, and identifying critical components that contribute to their precision. In this work, we perform a quantitative analysis of a self-supervised approach for sinus reconstruction using endoscopic sequences paired with optical tracking and high-resolution computed tomography acquired from nine ex-vivo specimens. Our results show that the generated reconstructions are in high agreement with the anatomy, yielding an average point-to-mesh error of 0.91 mm between reconstructions and CT segmentations. However, in a point-to-point matching scenario, relevant for endoscope tracking and navigation, we found average target registration errors of 6.58 mm. We identified that pose and depth estimation inaccuracies contribute equally to this error and that locally consistent sequences with shorter trajectories generate more accurate reconstructions. These results suggest that achieving global consistency between relative camera poses and estimated depths with the anatomy is essential. In doing so, we can ensure proper synergy between all components of the pipeline for improved reconstructions that will facilitate clinical application of this innovative technology.

We present a framework for gesture customization requiring minimal examples from users, all without degrading the performance of existing gesture sets. To achieve this, we first deployed a large-scale study (N=500+) to collect data and train an accelerometer-gyroscope recognition model with a cross-user accuracy of 95.7% and a false-positive rate of 0.6 per hour when tested on everyday non-gesture data. Next, we design a few-shot learning framework which derives a lightweight model from our pre-trained model, enabling knowledge transfer without performance degradation. We validate our approach through a user study (N=20) examining on-device customization from 12 new gestures, resulting in an average accuracy of 55.3%, 83.1%, and 87.2% on using one, three, or five shots when adding a new gesture, while maintaining the same recognition accuracy and false-positive rate from the pre-existing gesture set. We further evaluate the usability of our real-time implementation with a user experience study (N=20). Our results highlight the effectiveness, learnability, and usability of our customization framework. Our approach paves the way for a future where users are no longer bound to pre-existing gestures, freeing them to creatively introduce new gestures tailored to their preferences and abilities.

RTK-SLAM systems integrate simultaneous localization and mapping (SLAM) with real-time kinematic (RTK) GNSS positioning, promising both relative consistency and globally referenced coordinates for efficient georeferenced surveying. A critical and underappreciated issue is that the standard evaluation metric, Absolute Trajectory Error (ATE), first fits an optimal rigid-body transformation between the estimated trajectory and reference before computing errors. This so-called SE(3) alignment absorbs global drift and systematic errors, making trajectories appear more accurate than they are in practice, and is unsuitable for evaluating the global accuracy of RTK-SLAM. We present a geodetically referenced dataset and evaluation methodology that expose this gap. A key design principle is that the RTK receiver is used solely as a system input, while ground truth is established independently via a geodetic total station. This separation is absent from all existing datasets, where GNSS typically serves as (part of) the ground truth. The dataset is collected with a handheld RTK-SLAM device, comprising two scenes. We evaluate LiDAR-inertial, visual-inertial, and LiDAR-visual-inertial RTK-SLAM systems alongside standalone RTK, reporting direct global accuracy and SE(3)-aligned relative accuracy to make the gap explicit. Results show that SE(3) alignment can underestimate absolute positioning error by up to 76\%. RTK-SLAM achieves centimeter-level absolute accuracy in open-sky conditions and maintains decimeter-level global accuracy indoors, where standalone RTK degrades to tens of meters. The dataset, calibration files, and evaluation scripts are publicly available at https://rtk-slam-dataset.github.io/.

Deep learning has shown strong performance in musculoskeletal imaging, but prior work has largely targeted conditions where diagnosis is relatively straightforward. More challenging problems remain underexplored, such as detecting Bankart lesions (anterior-inferior glenoid labral tears) on standard MRIs. These lesions are difficult to diagnose due to subtle imaging features, often necessitating invasive MRI arthrograms (MRAs). We introduce ScopeMRI, the first publicly available, expert-annotated dataset for shoulder pathologies, and present a deep learning framework for Bankart lesion detection on both standard MRIs and MRAs. ScopeMRI contains shoulder MRIs from patients who underwent arthroscopy, providing ground-truth labels from intraoperative findings, the diagnostic gold standard. Separate models were trained for MRIs and MRAs using CNN- and transformer-based architectures, with predictions ensembled across multiple imaging planes. Our models achieved radiologist-level performance, with accuracy on standard MRIs surpassing radiologists interpreting MRAs. External validation on independent hospital data demonstrated initial generalizability across imaging protocols. By releasing ScopeMRI and a modular codebase for training and evaluation, we aim to accelerate research in musculoskeletal imaging and foster development of datasets and models that address clinically challenging diagnostic tasks.

Post-hoc calibration corrects reported confidence, yet a multiclass calibrator can also change the associated top-1 prediction. Accuracy captures only the net effect of these changes on correctness, not how often predictions change; the Top-1 Prediction Change Rate (TPCR) instead measures this frequency. We propose Calibrator-Output Repair for Top-1 Decision Preservation (CORD), the first post-fit adapter to impose exact prediction preservation by repairing the full calibrated probability vector. From the original and calibrated outputs alone, CORD determines the mass assigned to the original top-1. The calibrated conditional distribution allocates the remaining mass over the other classes, yielding a repaired vector whose own argmax recovers the original prediction. On the calibration split, CORD coordinates the repaired masses to retain the calibrated outputs' mean mass on original predictions whenever attainable. The adapter alters neither the fitted calibrator nor its direct output, fits no additional supervised map, and requires no user- or validation-tuned hyperparameter. Across CIFAR-10/100 and ImageNet-1K, CORD attains zero TPCR by construction and lowers mean ECE, NLL, and Brier relative to the corresponding direct outputs in every dataset; paired gains persist under distribution shift and across calibration-set sizes. CORD thus removes the preservation constraint from calibrator fitting and assigns exact recovery of the original decision to subsequent output repair. Our code is available at https://github.com/labhai/CORD.

Accurate skull-to-array registration is essential for transcranial focused ultrasound (tFUS) because CT-derived skull models must be aligned with the physical-array coordinate system to support patient-specific aberration correction. Current workflows typically use MRI and/or external tracking to establish this spatial relationship, adding imaging infrastructure and coordinate transformations to the treatment workflow. Here, we describe an MRI-free CT-to-ultrasound registration framework using a hybrid hemispherical CMUT tFUS array that combines a sparse therapeutic array with an integrated CMUT US-Cross imaging array. The therapeutic array provides pulse-echo measurements of skull location, while the US-Cross array provides local high-resolution images of the skull surface. The approach was evaluated using a CT-derived outer cortical skull surface across a 25-pose matrix with 10-mm lateral offsets between the skull and array centers and +/-5 degree angular perturbations. Five randomized radial-noise seeds were applied to therapeutic pulse-echo measurements to model measurement or element-placement errors, yielding 125 pose-seed realizations per noise and active-element setting. US-Cross imaging features were generated using Field II and delay-multiply-and-sum plane-wave compounding. Four registration modes were evaluated: Therapeutic only, US-imaging only, Sequential, and Fused registration. Fused registration yielded the best overall performance, with a median total displacement error of 0.271 mm [0.169-0.420] and a median rotation error of 0.904 degrees [0.432-1.639]. These results support an all-ultrasound-based approach using a hybrid CMUT tFUS array for MRI-free CT-US skull registration.

The PI-CAI (Prostate Imaging: Cancer AI) challenge led to expert-level diagnostic algorithms for clinically significant prostate cancer detection. The algorithms receive biparametric MRI scans as input, which consist of T2-weighted and diffusion-weighted scans. These scans can be misaligned due to multiple factors in the scanning process. Image registration can alleviate this issue by predicting the deformation between the sequences. We investigate the effect of image registration on the diagnostic performance of AI-based prostate cancer diagnosis. First, the image registration algorithm, developed in MeVisLab, is analyzed using a dataset with paired lesion annotations. Second, the effect on diagnosis is evaluated by comparing case-level cancer diagnosis performance between using the original dataset, rigidly aligned diffusion-weighted scans, or deformably aligned diffusion-weighted scans. Rigid registration showed no improvement. Deformable registration demonstrated a substantial improvement in lesion overlap (+10% median Dice score) and a positive yet non-significant improvement in diagnostic performance (+0.3% AUROC, p=0.18). Our investigation shows that a substantial improvement in lesion alignment does not directly lead to a significant improvement in diagnostic performance. Qualitative analysis indicated that jointly developing image registration methods and diagnostic AI algorithms could enhance diagnostic accuracy and patient outcomes.

In speech enhancement and source separation, signal-to-noise ratio is a ubiquitous objective measure of denoising/separation quality. A decade ago, the BSS_eval toolkit was developed to give researchers worldwide a way to evaluate the quality of their algorithms in a simple, fair, and hopefully insightful way: it attempted to account for channel variations, and to not only evaluate the total distortion in the estimated signal but also split it in terms of various factors such as remaining interference, newly added artifacts, and channel errors. In recent years, hundreds of papers have been relying on this toolkit to evaluate their proposed methods and compare them to previous works, often arguing that differences on the order of 0.1 dB proved the effectiveness of a method over others. We argue here that the signal-to-distortion ratio (SDR) implemented in the BSS_eval toolkit has generally been improperly used and abused, especially in the case of single-channel separation, resulting in misleading results. We propose to use a slightly modified definition, resulting in a simpler, more robust measure, called scale-invariant SDR (SI-SDR). We present various examples of critical failure of the original SDR that SI-SDR overcomes.

Respiratory motion and the associated deformations of abdominal organs and tumors are essential information in clinical applications. However, inter- and intra-patient multi-organ deformations are complex and have not been statistically formulated, whereas single organ deformations have been widely studied. In this paper, we introduce a multi-organ deformation library and its application to deformation reconstruction based on the shape features of multiple abdominal organs. Statistical multi-organ motion/deformation models of the stomach, liver, left and right kidneys, and duodenum were generated by shape matching their region labels defined on four-dimensional computed tomography images. A total of 250 volumes were measured from 25 pancreatic cancer patients. This paper also proposes a per-region-based deformation learning using the reproducing kernel to predict the displacement of pancreatic cancer for adaptive radiotherapy. The experimental results show that the proposed concept estimates deformations better than general per-patient-based learning models and achieves a clinically acceptable estimation error with a mean distance of 1.2 pm 0.7 mm and a Hausdorff distance of 4.2 pm 2.3 mm throughout the respiratory motion.

Bone density prediction via CT scans to estimate T-scores is crucial, providing a more precise assessment of bone health compared to traditional methods like X-ray bone density tests, which lack spatial resolution and the ability to detect localized changes. However, CT-based prediction faces two major challenges: the high computational complexity of transformer-based architectures, which limits their deployment in portable and clinical settings, and the imbalanced, long-tailed distribution of real-world hospital data that skews predictions. To address these issues, we introduce MedConv, a convolutional model for bone density prediction that outperforms transformer models with lower computational demands. We also adapt Bal-CE loss and post-hoc logit adjustment to improve class balance. Extensive experiments on our AustinSpine dataset shows that our approach achieves up to 21% improvement in accuracy and 20% in ROC AUC over previous state-of-the-art methods.

Spatial audio quality is a highly multifaceted concept, with many interactions between environmental, geometrical, anatomical, psychological, and contextual considerations. Methods for characterization or evaluation of the geometrical components of spatial audio quality, however, remain scarce, despite being perhaps the least subjective aspect of spatial audio quality to quantify. By considering interchannel time and level differences relative to a reference signal, it is possible to construct a signal model to isolate some of the spatial distortion. By using a combination of least-square optimization and heuristics, we propose a signal decomposition method to isolate the spatial error from a processed signal, in terms of interchannel gain leakages and changes in relative delays. This allows the computation of simple energy-ratio metrics, providing objective measures of spatial and non-spatial signal qualities, with minimal assumptions and no dataset dependency. Experiments demonstrate the robustness of the method against common spatial signal degradation introduced by, e.g., audio compression and music source separation. Implementation is available at https://github.com/karnwatcharasupat/spauq.

A common approach to localize 3D human joints in a synchronized and calibrated multi-view setup consists of two-steps: (1) apply a 2D detector separately on each view to localize joints in 2D, and (2) perform robust triangulation on 2D detections from each view to acquire the 3D joint locations. However, in step 1, the 2D detector is limited to solving challenging cases which could potentially be better resolved in 3D, such as occlusions and oblique viewing angles, purely in 2D without leveraging any 3D information. Therefore, we propose the differentiable "epipolar transformer", which enables the 2D detector to leverage 3D-aware features to improve 2D pose estimation. The intuition is: given a 2D location p in the current view, we would like to first find its corresponding point p' in a neighboring view, and then combine the features at p' with the features at p, thus leading to a 3D-aware feature at p. Inspired by stereo matching, the epipolar transformer leverages epipolar constraints and feature matching to approximate the features at p'. Experiments on InterHand and Human3.6M show that our approach has consistent improvements over the baselines. Specifically, in the condition where no external data is used, our Human3.6M model trained with ResNet-50 backbone and image size 256 x 256 outperforms state-of-the-art by 4.23 mm and achieves MPJPE 26.9 mm.

We introduce RJUA-QA, a novel medical dataset for question answering (QA) and reasoning with clinical evidence, contributing to bridge the gap between general large language models (LLMs) and medical-specific LLM applications. RJUA-QA is derived from realistic clinical scenarios and aims to facilitate LLMs in generating reliable diagnostic and advice. The dataset contains 2,132 curated Question-Context-Answer pairs, corresponding about 25,000 diagnostic records and clinical cases. The dataset covers 67 common urological disease categories, where the disease coverage exceeds 97.6\% of the population seeking medical services in urology. Each data instance in RJUA-QA comprises: (1) a question mirroring real patient to inquiry about clinical symptoms and medical conditions, (2) a context including comprehensive expert knowledge, serving as a reference for medical examination and diagnosis, (3) a doctor response offering the diagnostic conclusion and suggested examination guidance, (4) a diagnosed clinical disease as the recommended diagnostic outcome, and (5) clinical advice providing recommendations for medical examination. RJUA-QA is the first medical QA dataset for clinical reasoning over the patient inquiries, where expert-level knowledge and experience are required for yielding diagnostic conclusions and medical examination advice. A comprehensive evaluation is conducted to evaluate the performance of both medical-specific and general LLMs on the RJUA-QA dataset.

Magnetic resonance imaging (MRI) is highly susceptible to patient motion due to its relatively long acquisition times and the fact that data are acquired sequentially in k-space. Even small patient movements introduce phase inconsistencies across measurements, leading to severe artifacts such as blurring, ghosting, and geometric distortions that can compromise diagnostic quality. Retrospective motion compensation remains challenging, particularly in accelerated acquisitions, due to the ill-posed nature of the joint reconstruction and motion estimation problem. In this work, we propose a unified Bayesian framework for motion-compensated 3D MRI that jointly estimates the anatomical image, rigid-body motion parameters, and coil sensitivity maps directly from motion-corrupted k-space data. Our approach integrates pretrained 3D complex-valued score-based diffusion models as expressive anatomical image priors within a physics-based forward model. Inference is performed by alternating diffusion posterior image updates with efficient proximal optimization steps for motion and coil sensitivity estimation, enabling fully unsupervised reconstruction without the need for paired motion-free training data. Experiments on simulated and real-motion brain MRI datasets demonstrate that the proposed method achieves improved image quality and motion robustness compared to state-of-the-art classical and learning-based motion correction techniques, particularly in the presence of severe motion and high acceleration.

Retrieval-augmented generation (RAG) evaluations often compare readers after a compressor has changed their evidence. This mixes two questions: which complete pipeline works best, and how much of a reader upgrade survives compression. We show that fixed compression can raise average pipeline accuracy while hiding most of a reader upgrade. We hold questions, retrieved candidates, prompts, scoring, and compressed text fixed while comparing 8-20 readers across five question-answering benchmarks and five compression families. HotpotQA and MuSiQue are the main benchmarks, analyzed under a plan fixed in advance. In the 20-reader HotpotQA panel, the lowest- and highest-scoring readers under raw evidence are 31.8 percentage points (pp) apart before compression but only 7.8pp apart on the same stored output from a HotpotQA-trained RECOMP compressor. On both main benchmarks, lower raw-scoring readers gain more under exact match and token-overlap F1. Reader pairs also change order more often under compressed evidence than in raw replays across question halves. Row-level accounting explains how higher average accuracy and smaller upgrades coexist: compression rescues some wrong answers and damages some correct answers, with a different balance for each reader. We release ragscale to audit declared reader upgrades under raw and fixed compressed evidence. Reader evaluations should run this audit before attributing a compressed-only result to the reader.

Language models often receive a question together with a claim about what another source answered. We audit whether such claims destabilize answers in multiple-choice question answering. For each item, we hold one wrong option fixed across misleading conditions and vary the cue template attached to it. We introduce neutral-conditioned misleading cue adoption rate (NC-MCAR), which measures switches to that option only on valid cued trials where the same model first selected the gold answer under a neutral prompt. This is a measure of answer instability, not proof that the model knew the answer or that all deference is irrational. We evaluate four instruction-following models on MMLU-Pro and IndicMMLU-Pro in English, Hindi, Bengali, Tamil, and Telugu. Across 220{,}000 outputs, the expert template yields 41.1\% aggregate NC-MCAR, compared with 12.5\% for the majority template. These two conditions use the same wrong option and final instruction. Filler accuracy remains well above expert-wrong accuracy, while correct-cue prompts have high valid-response accuracy. The audit documents answer instability relevant to grounding under the tested forced-choice prompts: a bare, unverified source claim can outweigh an answer that was previously consistent with the task evidence.

This paper proposes one of the first clinical applications of multimodal large language models (LLMs) as an assistant for radiologists to check errors in their reports. We created an evaluation dataset from two real-world radiology datasets (MIMIC-CXR and IU-Xray), with 1,000 subsampled reports each. A subset of original reports was modified to contain synthetic errors by introducing various type of mistakes. The evaluation contained two difficulty levels: SIMPLE for binary error-checking and COMPLEX for identifying error types. LLaVA (Large Language and Visual Assistant) variant models, including our instruction-tuned model, were used for the evaluation. Additionally, a domain expert evaluation was conducted on a small test set. At the SIMPLE level, the LLaVA v1.5 model outperformed other publicly available models. Instruction tuning significantly enhanced performance by 47.4% and 25.4% on MIMIC-CXR and IU-Xray data, respectively. The model also surpassed the domain experts accuracy in the MIMIC-CXR dataset by 1.67%. Notably, among the subsets (N=21) of the test set where a clinician did not achieve the correct conclusion, the LLaVA ensemble mode correctly identified 71.4% of these cases. This study marks a promising step toward utilizing multi-modal LLMs to enhance diagnostic accuracy in radiology. The ensemble model demonstrated comparable performance to clinicians, even capturing errors overlooked by humans. Nevertheless, future work is needed to improve the model ability to identify the types of inconsistency.

Chest X-ray (CXR) radiology report generation (RRG) models have shown rapid progress, yet their clinical utility remains uncertain due to limited evaluation by radiologists. We present CXRMate-2, a state-of-the-art CXR RRG model that integrates structured multimodal conditioning and reinforcement learning with a composite reward for semantic alignment with radiologist reports. Across the MIMIC-CXR, CheXpert Plus, and ReXgradient datasets, CXRMate-2 achieves statistically significant improvements over strong benchmarks, including gains of 11.2% and 24.4% in GREEN and RadGraph-XL, respectively, on MIMIC-CXR relative to MedGemma 1.5 (4B). To directly compare CXRMate-2 against radiologist reporting, we conduct a blinded, randomised qualitative retrospective evaluation. Three consultant radiologists compare generated and radiologist reports across 120 studies from the MIMIC-CXR test set. Generated reports were deemed acceptable (defined as preferred or rated equally to radiologist reports) in 45% of ratings, with no statistically significant difference in preference rates between radiologist reports and acceptable generated reports for seven of the eight analysed findings. Preference for radiologist reports was driven primarily by higher recall, while generated reports were often preferred for readability. Together, these results suggest a credible pathway to clinically acceptable CXR RRG. Improvements in recall, alongside better detection of subtle findings (e.g., pulmonary congestion), are likely sufficient to achieve non-inferiority to radiologist reporting. With these targeted advances, CXR RRG systems may be ready for prospective evaluation in assistive roles within radiologist-led workflows.

In recent years, unmanned aerial vehicles (UAVs) equipped with imaging sensors and automated processing algorithms have emerged as a promising tool to accelerate large-area surveys while reducing risk to human operators. Although hyperspectral imaging (HSI) enables material discrimination using spectral signatures, standardized benchmarks for UAV-based landmine detection remain scarce. In this work, we present a systematic benchmark of four classical statistical detection algorithms, including Spectral Angle Mapper (SAM), Matched Filter (MF), Adaptive Cosine Estimator (ACE), and Constrained Energy Minimization (CEM), alongside a proposed lightweight Spectral Neural Network utilizing Parametric Mish activations for PFM-1 landmine detection. We also release pixel-level binary ground truth masks (target/background) to enable standardized, reproducible evaluation. Evaluations were conducted on inert PFM-1 targets across multiple scene crops using a recently released VNIR hyperspectral dataset. Metrics such as receiver operating characteristic (ROC) curve, area under the curve (AUC), precision-recall (PR) curve, and average precision (AP) were used. While all methods achieve high ROC-AUC on an independent test set, the ACE method observes the highest AUC of 0.989. However, because target pixels are extremely sparse relative to background, ROC-AUC alone can be misleading; under precision-focused evaluation (PR and AP), the Spectral-NN outperforms classical detectors, achieving the highest AP. These results emphasize the need for precision-focused evaluation, scene-aware benchmarking, and learning-based spectral models for reliable UAV-based hyperspectral landmine detection. The code and pixel-level annotations will be released.

Respiratory acoustic foundation models (FMs) are benchmarked exclusively on smartphone recordings, yet clinical deployment increasingly targets body-coupled (BC) wearables whose sensors attenuate high-frequency content through tissue and bone, leaving FM reliability uncharacterised. We introduce BCoughBench, evaluating five FMs (OPERA-CT/CE/GT, HeAR, M2D+Resp) on nine classification tasks (AUROC, sensitivity at 95% specificity, Expected Calibration Error) and three age regression tasks (MAE vs. a mean-predictor baseline) across five EBEN-simulated BC sensor conditions on five labeled cough datasets. Mean AUROC declines from 0.785 (smartphone) to 0.689-0.723, degrading most under temple vibration pickup (Δ = -0.096) and least under the soft in-ear (Δ = -0.062). No FM meets the clinical sensitivity threshold (Se@Sp95 geq 0.20) on most disease tasks under any BC sensor. Sex classification on the CIDRZ cohort collapses (AUROC 0.954 to 0.596-0.628, Δ = -0.341) while COVID detection is nearly unaffected (Δ = -0.004). Age regression is robust, improving under the forehead accelerometer on CoughVID (MAE 9.61 to 8.97 yr); HeAR leads on regression and demographic tasks, M2D+Resp on disease and characteristic tasks. BCoughBench provides a reproducible framework for FM evaluation under wearable conditions.

Robotic grasping and surface exploration benefit from simultaneous measurement of normal and tangential forces and from surface information obtained through contact. Here, we present a compact magnetociliary tactile sensor (MagCilia) that combines a flexible magnetic-cilia structure with a Hall sensor for 3D force sensing. Quasi-static finite element analysis is used to investigate structural deformation and magnetic responses under multidirectional loading. To reconstruct forces from the coupled magnetic channels, we propose causal history fusion regression (CHFR), which combines current magnetic-field measurements with their recent changes. Five-fold cross-validation grouped by calibration record yields root-mean-square errors of 0.40, 0.57, and 0.69 N for Fx, Fy, and Fz, respectively, with corresponding coefficients of determination of 0.93, 0.90, and 0.92. Robotic experiments demonstrate tangential-force-guided gripper adjustment and multi-axis load monitoring under external perturbations. Frequency-domain features of the reconstructed forces distinguish six surface categories with 99.39% accuracy in three-fold cross-validation grouped by acquisition session. An online robotic demonstration additionally identifies all six tested surfaces. These results demonstrate 3D force reconstruction, grasping feedback, and surface recognition using a single compact tactile unit.

PURPOSE: Surgical workflow and skill analysis are key technologies for the next generation of cognitive surgical assistance systems. These systems could increase the safety of the operation through context-sensitive warnings and semi-autonomous robotic assistance or improve training of surgeons via data-driven feedback. In surgical workflow analysis up to 91% average precision has been reported for phase recognition on an open data single-center dataset. In this work we investigated the generalizability of phase recognition algorithms in a multi-center setting including more difficult recognition tasks such as surgical action and surgical skill. METHODS: To achieve this goal, a dataset with 33 laparoscopic cholecystectomy videos from three surgical centers with a total operation time of 22 hours was created. Labels included annotation of seven surgical phases with 250 phase transitions, 5514 occurences of four surgical actions, 6980 occurences of 21 surgical instruments from seven instrument categories and 495 skill classifications in five skill dimensions. The dataset was used in the 2019 Endoscopic Vision challenge, sub-challenge for surgical workflow and skill analysis. Here, 12 teams submitted their machine learning algorithms for recognition of phase, action, instrument and/or skill assessment. RESULTS: F1-scores were achieved for phase recognition between 23.9% and 67.7% (n=9 teams), for instrument presence detection between 38.5% and 63.8% (n=8 teams), but for action recognition only between 21.8% and 23.3% (n=5 teams). The average absolute error for skill assessment was 0.78 (n=1 team). CONCLUSION: Surgical workflow and skill analysis are promising technologies to support the surgical team, but are not solved yet, as shown by our comparison of algorithms. This novel benchmark can be used for comparable evaluation and validation of future work.

Bankart lesions, or anterior-inferior glenoid labral tears, are diagnostically challenging on standard MRIs due to their subtle imaging features-often necessitating invasive MRI arthrograms (MRAs). This study develops deep learning (DL) models to detect Bankart lesions on both standard MRIs and MRAs, aiming to improve diagnostic accuracy and reduce reliance on MRAs. We curated a dataset of 586 shoulder MRIs (335 standard, 251 MRAs) from 558 patients who underwent arthroscopy. Ground truth labels were derived from intraoperative findings, the gold standard for Bankart lesion diagnosis. Separate DL models for MRAs and standard MRIs were trained using the Swin Transformer architecture, pre-trained on a public knee MRI dataset. Predictions from sagittal, axial, and coronal views were ensembled to optimize performance. The models were evaluated on a 20% hold-out test set (117 MRIs: 46 MRAs, 71 standard MRIs). Bankart lesions were identified in 31.9% of MRAs and 8.6% of standard MRIs. The models achieved AUCs of 0.87 (86% accuracy, 83% sensitivity, 86% specificity) and 0.90 (85% accuracy, 82% sensitivity, 86% specificity) on standard MRIs and MRAs, respectively. These results match or surpass radiologist performance on our dataset and reported literature metrics. Notably, our model's performance on non-invasive standard MRIs matched or surpassed the radiologists interpreting MRAs. This study demonstrates the feasibility of using DL to address the diagnostic challenges posed by subtle pathologies like Bankart lesions. Our models demonstrate potential to improve diagnostic confidence, reduce reliance on invasive imaging, and enhance accessibility to care.

Scoliosis, a prevalent condition characterized by abnormal spinal curvature leading to deformity, requires precise assessment methods for effective diagnosis and management. The Cobb angle is a widely used scoliosis quantification method that measures the degree of curvature between the tilted vertebrae. Yet, manual measuring of Cobb angles is time-consuming and labor-intensive, fraught with significant interobserver and intraobserver variability. To address these challenges and the lack of interpretability found in certain existing automated methods, we have created fully automated software that not only precisely measures the Cobb angle but also provides clear visualizations of these measurements. This software integrates deep neural network-based spine region detection and segmentation, spine centerline identification, pinpointing the most significantly tilted vertebrae, and direct visualization of Cobb angles on the original images. Upon comparison with the assessments of 7 expert readers, our algorithm exhibited a mean deviation in Cobb angle measurements of 4.17 degrees, notably surpassing the manual approach's average intra-reader discrepancy of 5.16 degrees. The algorithm also achieved intra-class correlation coefficients (ICC) exceeding 0.96 and Pearson correlation coefficients above 0.944, reflecting robust agreement with expert assessments and superior measurement reliability. Through the comprehensive reader study and statistical analysis, we believe this algorithm not only ensures a higher consensus with expert readers but also enhances interpretability and reproducibility during assessments. It holds significant promise for clinical application, potentially aiding physicians in more accurate scoliosis assessment and diagnosis, thereby improving patient care.

Agentic retrieval-augmented reasoning pipelines are increasingly used to structure how large language models (LLMs) incorporate external evidence in clinical decision support. These systems iteratively retrieve curated domain knowledge and synthesize it into structured reports before answer selection. Although such pipelines can improve performance, their impact on reliability under model variability remains unclear. In real-world deployment, heterogeneous models may align, diverge, or synchronize errors in ways not captured by accuracy. We evaluated 34 LLMs on 169 expert-curated publicly available radiology questions, comparing zero-shot inference with a radiology-specific multi-step agentic retrieval condition in which all models received identical structured evidence reports derived from curated radiology knowledge. Agentic inference reduced inter-model decision dispersion (median entropy 0.48 vs. 0.13) and increased robustness of correctness across models (mean 0.74 vs. 0.81). Majority consensus also increased overall (P<0.001). Consensus strength and robust correctness remained correlated under both strategies (ho=0.88 for zero-shot; ho=0.87 for agentic), although high agreement did not guarantee correctness. Response verbosity showed no meaningful association with correctness. Among 572 incorrect outputs, 72% were associated with moderate or high clinically assessed severity, although inter-rater agreement was low (appa=0.02). Agentic retrieval therefore was associated with more concentrated decision distributions, stronger consensus, and higher cross-model robustness of correctness. These findings suggest that evaluating agentic systems through accuracy or agreement alone may not always be sufficient, and that complementary analyses of stability, cross-model robustness, and potential clinical impact are needed to characterize reliability under model variability.

Root Cause Analysis (RCA) in telecommunication networks is a critical task, yet it presents a formidable challenge for Artificial Intelligence (AI) due to its complex, graph-based reasoning requirements and the scarcity of realistic benchmarks.

We propose a modified moment matching algorithm to avoid catastrophic failures for sources with a low signal to noise ratio (SNR). The proposed modifications include a method to eliminate non-physical negative pixel values and a forced single iteration with an initial guess derived from co-add measurements when iterative methods are unstable. We correct for all biases in measurements introduced by the method. We find that the proposed modifications allow the algorithm to avoid catastrophic failures in nearly 100\% of the cases, especially at low signal to noise ratio. Additionally, with a reasonable guess from co-add measurements, the algorithm measures the flux, centroid, size, shape and ellipticity with bias statistically consistent with zero. We show the proposed method allows us to measure sources seven times fainter than traditional methods when applied to images obtained from WIYN-ODI. We also present a scheme to find uncertainties in measurements when using the new method to measure astronomical sources.

Clinical LLMs are often scaled by increasing model size, context length, retrieval complexity, or inference-time compute, with the implicit expectation that higher accuracy implies safer behavior. This assumption is incomplete in medicine, where a few confident, high-risk, or evidence-contradicting errors can matter more than average benchmark performance. We introduce SaFE-Scale, a framework for measuring how clinical LLM safety changes across model scale, evidence quality, retrieval strategy, context exposure, and inference-time compute. To instantiate this framework, we introduce RadSaFE-200, a Radiology Safety-Focused Evaluation benchmark of 200 multiple-choice questions with clinician-defined clean evidence, conflict evidence, and option-level labels for high-risk error, unsafe answer, and evidence contradiction. We evaluated 34 locally deployed LLMs across six deployment conditions: closed-book prompting (zero-shot), clean evidence, conflict evidence, standard RAG, agentic RAG, and max-context prompting. Clean evidence produced the strongest improvement, increasing mean accuracy from 73.5% to 94.1%, while reducing high-risk error from 12.0% to 2.6%, contradiction from 12.7% to 2.3%, and dangerous overconfidence from 8.0% to 1.6%. Standard RAG and agentic RAG did not reproduce this safety profile: agentic RAG improved accuracy over standard RAG and reduced contradiction, but high-risk error and dangerous overconfidence remained elevated. Max-context prompting increased latency without closing the safety gap, and additional inference-time compute produced only limited gains. Worst-case analysis showed that clinically consequential errors concentrated in a small subset of questions. Clinical LLM safety is therefore not a passive consequence of scaling, but a deployment property shaped by evidence quality, retrieval design, context construction, and collective failure behavior.

The detection of human body and its related parts (e.g., face, head or hands) have been intensively studied and greatly improved since the breakthrough of deep CNNs. However, most of these detectors are trained independently, making it a challenging task to associate detected body parts with people. This paper focuses on the problem of joint detection of human body and its corresponding parts. Specifically, we propose a novel extended object representation that integrates the center location offsets of body or its parts, and construct a dense single-stage anchor-based Body-Part Joint Detector (BPJDet). Body-part associations in BPJDet are embedded into the unified representation which contains both the semantic and geometric information. Therefore, BPJDet does not suffer from error-prone association post-matching, and has a better accuracy-speed trade-off. Furthermore, BPJDet can be seamlessly generalized to jointly detect any body part. To verify the effectiveness and superiority of our method, we conduct extensive experiments on the CityPersons, CrowdHuman and BodyHands datasets. The proposed BPJDet detector achieves state-of-the-art association performance on these three benchmarks while maintains high accuracy of detection. Code is in https://github.com/hnuzhy/BPJDet.

In this paper, we introduce a method for reconstructing 3D humans from a single image using a biomechanically accurate skeleton model. To achieve this, we train a transformer that takes an image as input and estimates the parameters of the model. Due to the lack of training data for this task, we build a pipeline to produce pseudo ground truth model parameters for single images and implement a training procedure that iteratively refines these pseudo labels. Compared to state-of-the-art methods for 3D human mesh recovery, our model achieves competitive performance on standard benchmarks, while it significantly outperforms them in settings with extreme 3D poses and viewpoints. Additionally, we show that previous reconstruction methods frequently violate joint angle limits, leading to unnatural rotations. In contrast, our approach leverages the biomechanically plausible degrees of freedom making more realistic joint rotation estimates. We validate our approach across multiple human pose estimation benchmarks. We make the code, models and data available at: https://isshikihugh.github.io/HSMR/

Audio decisions often depend on evidence that a transcript does not preserve, while their probability estimates can depend on how answer options are ordered. AudioJev maps a waveform, question and supplied alternatives directly to a candidate distribution through one shared full-parameter model. We define order calibration as preserving an answer's probability under meaning-preserving option permutations. Random-derangement SKL training pairs each question with a reordered view in which every alternative changes position, supervises both answers, and aligns the two distributions before applying a symmetric KL penalty. Inference retains a single candidate-scoring forward, with no calibration head or order ensemble. Across three training seeds, AudioJev reaches 68.88%/55.33% mean accuracy on complete MMAU/MMAR and reduces random-order SKL by 43.8%/60.5% relative to the single-view removal ablation. The same model handles intent, environmental sound, note properties, speech activity and conversational transitions. Paired removal ablations and multi-order evaluation measure predictive accuracy and probability stability together, establishing a direct audio interface whose calibration objective acts on candidate meaning rather than presentation position. Inference code and model weights are available at https://github.com/SihanLv/AudioJev-Inference and https://huggingface.co/shlv/AudioJev.

Markerless Mobile Augmented Reality (AR) aims to anchor digital content in the physical world without using specific 2D or 3D objects. Absolute Pose Regressors (APR) are end-to-end machine learning solutions that infer the device's pose from a single monocular image. Thanks to their low computation cost, they can be directly executed on the constrained hardware of mobile AR devices. However, APR methods tend to yield significant inaccuracies for input images that are too distant from the training set. This paper introduces KS-APR, a pipeline that assesses the reliability of an estimated pose with minimal overhead by combining the inference results of the APR and the prior images in the training set. Mobile AR systems tend to rely upon visual-inertial odometry to track the relative pose of the device during the experience. As such, KS-APR favours reliability over frequency, discarding unreliable poses. This pipeline can integrate most existing APR methods to improve accuracy by filtering unreliable images with their pose estimates. We implement the pipeline on three types of APR models on indoor and outdoor datasets. The median error on position and orientation is reduced for all models, and the proportion of large errors is minimized across datasets. Our method enables state-of-the-art APRs such as DFNetdm to outperform single-image and sequential APR methods. These results demonstrate the scalability and effectiveness of KS-APR for visual localization tasks that do not require one-shot decisions.

Skeletal motion is stored as every joint's transform at every frame, yet most of it is implied by the body rather than by what the motion is about. Compression is one way to ask what a motion must still say once the body is known, and a production codec must answer it for any skeleton with a stated error bound. Our earlier codec, CurveCodec, matched the mean error of ACL, the production library of modern game engines, with a learned prior over sparse anchors, but not ACL's worst case, and it counted its payload as floats rather than bits. Here we ask where the redundancy of skeletal motion lies and which part of a codec a learned model should take over. Measurements give three answers. At production precision the largest saving comes from predicting each quantized curve from its own past, the second from choosing per joint, in closed loop through the hierarchy, which samples not to code. On the gaps such an encoder leaves, a nearest-neighbour oracle over millions of training samples is no better than linear interpolation, and no learned in-betweener we tried paid for itself. What a network does learn is the distribution of the residuals the codec must send. CurveCodec 2 codes every sub-track as a curve in the log map, quantized in closed loop and thinned to rate-distortion-selected keys, with residuals entropy-coded under a small learned model whose integer inference is bit-exact across platforms. Two contracts are verified on every decoded clip: ACL's own worst case per joint within a stated tolerance, or ACL's mean error per clip. On a held-out test side of 4,472 clips from 33 datasets, CurveCodec 2 needs 0.37x ACL's bytes at ACL's default precision of 0.01 cm under the worst-case contract and 0.22x at 0.1 cm under the mean contract, decodes on one CPU core, and transfers without retraining to a species absent from training. Project page: https://rubbly.cn/publications/curvecodec/

Machine unlearning in Vision-Language Models (VLMs) is required for compliance with the General Data Protection Regulation (GDPR), yet current evaluation practices are inconsistent. We present the first systematic study of metric reliability in multimodal unlearning. Five standard metrics, Forget Accuracy (FA), Retain Accuracy (RA), Membership Inference Attack (MIA), Activation Distance (AD), and JS divergence (JS), yield conflicting method rankings across three VQA benchmarks (MLLMU-Bench, UnLOK-VQA, MMUBench). Kendall tau analysis over 36 unlearned LLaVA-1.5-7B models reveals two opposing clusters, {FA, RA, MIA} and {AD, JS}, with tau_FA_AD = -0.26, reproduced on BLIP-2 OPT-2.7B. Agreement is lower in multimodal VQA (average tau = 0.086) than in unimodal classification (average tau = 0.158; difference = 0.072), indicating that dual image-and-text pathways amplify inconsistency. We introduce the Unified Quality Score (UQS), a composite metric with weights derived from each metric's Spearman correlation with the oracle distance d(M_hat, M_star), where M_star is the oracle model retrained only on the retain set. RA shows the strongest reliability (rho = 0.484, p = 0.003), while FA is negatively correlated (rho = -0.418, p = 0.011). UQS yields stable rankings under 100 random weight perturbations (tau = 0.647 +- 0.262). We release the benchmark, 36 checkpoints, and an interactive leaderboard. Code and pre-computed results are available at https://github.com/neurips26/UnifiedUnl.

We seek to identify the most relevant benefits offered by Medicare Advantage Health Plans that drive membership and market share. As an example, we explore plans operating in a single county in New Jersey between 2018 and 2023. A dataset of benefits from publicly available data sources was created and the variance inflation factor was applied to identify the correlation between the extracted features, to avoid multicollinearity and overparameterization problems. We categorized the variable Market Share and used it as a multinomial response variable with three categories: less than 0.3\%, 0.3\% to 1.5\%, and over 1.5\%. Categories were chosen to achieve approximately uniform distribution of plans (47, 60, and 65 respectively). We built a multinomial Lasso model using 5-fold cross-validation to tune the penalty parameter. Lasso forced some features to be dropped from the model, which reduces the risk of overfitting and increases the interpretability of the results. For each category, important variables are different. Certain brands drive market share, as do PPO plans and prescription drug coverage. Benefits, particularly ancillary benefits that are not part of CMS's required benefits, appear to have little influence, while financial terms such as deductibles, copays, and out-of-pocket limits are associated with higher market share. Finally, we evaluated the predictive accuracy of the Lasso model with the test set. The accuracy is 0.76.

Clinical decision-making in radiology increasingly benefits from artificial intelligence (AI), particularly through large language models (LLMs). However, traditional retrieval-augmented generation (RAG) systems for radiology question answering (QA) typically rely on single-step retrieval, limiting their ability to handle complex clinical reasoning tasks. Here we propose radiology Retrieval and Reasoning (RaR), a multi-step retrieval and reasoning framework designed to improve diagnostic accuracy, factual consistency, and clinical reliability of LLMs in radiology question answering. We evaluated 25 LLMs spanning diverse architectures, parameter scales (0.5B to >670B), and training paradigms (general-purpose, reasoning-optimized, clinically fine-tuned), using 104 expert-curated radiology questions from previously established RSNA-RadioQA and ExtendedQA datasets. To assess generalizability, we additionally tested on an unseen internal dataset of 65 real-world radiology board examination questions. RaR significantly improved mean diagnostic accuracy over zero-shot prompting and conventional online RAG. The greatest gains occurred in small-scale models, while very large models (>200B parameters) demonstrated minimal changes (<2% improvement). Additionally, RaR retrieval reduced hallucinations (mean 9.4%) and retrieved clinically relevant context in 46% of cases, substantially aiding factual grounding. Even clinically fine-tuned models showed gains from RaR (e.g., MedGemma-27B), indicating that retrieval remains beneficial despite embedded domain knowledge. These results highlight the potential of RaR to enhance factuality and diagnostic accuracy in radiology QA, warranting future studies to validate their clinical utility. All datasets, code, and the full RaR framework are publicly available to support open research and clinical translation.

LawZero's Scientist AI trains a Predictor toward the Bayesian posterior, with an objective that penalizes inconsistent probabilities among latent explanations. We ask whether current frontier language models, with no such training, are already consistent in this sense zero-shot: do their probability judgments satisfy the law of total probability, P(X)=sum_z P(z)P(X|z), when the latent z must be inferred from records in the context? In separate single-turn calls, models are asked for P(X), for P(z) over the latent's states, and for P(X|z); a causal family applies the same test to P(y|do(x)) and the back-door adjustment. Every query has an exact ground-truth probability, and a subset of items is asked in three wordings to separate persistent incoherence from rewording noise. Across seven models, GPT-6.1 Sol and Claude Opus 5.5 are the most coherent (mean absolute residual 0.08 and 0.12 log-odds, about 2 percentage points). Claude Haiku 5.5, Gemini 3.8 Flash and DeepSeek V4-Pro show persistent incoherence (0.27-0.35 log-odds) that is mostly item-specific rather than a shared offset. Within every model, larger residuals go with larger errors against the truth (Spearman 0.40-0.62), so the residual, which needs no ground truth, flags unreliable answers. Reasoning length does not predict coherence, across models or within a model across rewordings of the same question. Simple consistency checks pass almost everywhere; the failures are specific to reasoning through a latent variable. Code and data: https://github.com/ppotash/latent-coherence

Detectors trained on closed-set annotations can miss rare moving objects outside the training taxonomy. Automotive radar provides category-independent Doppler motion cues and is less affected by adverse illumination and weather, but sparse, noisy returns hinder class-aware 3D box detection. Surface location and velocity remain useful for motion reasoning and collision avoidance when full box geometry is difficult to recover. We present the Physics-Aware Radar Transformer (PART), a fully sparse radar-only detector that predicts existence confidence, a representative surface point, and 2D ground-plane velocity for each moving-object hypothesis. Doppler-Aware Query Initialization (DAQI) replaces scene-independent learned queries with input-dependent proposals by clustering radar returns in position and velocity, easing query-object assignment in sparse scenes. Physics-Guided Cross-Attention (PGCA) incorporates radial-Doppler consistency and radar cross section (RCS) into query-point association. Uncertainty-aware supervision randomly masks ground-truth objects and assigns soft existence targets to ambiguous radar-supported queries, reducing reliance on exhaustive annotations. With only 1.1 million parameters, PART achieves a class-agnostic average precision (CA-AP) of 0.8827, a mean average surface translation error (mASTE) of 0.3188 m, and a mean average velocity error (mAVE) of 0.8084 m/s on nuScenes. It attains 0.9203 recall on rare and safety-relevant categories excluded from the standard evaluation and remains effective at night, in rain, and under severe occlusion. Inspection of apparent false positives shows that some predictions correspond to moving objects absent from the nuScenes annotations. Code and pretrained model weights will be publicly available at https://github.com/sunyinghao-uestc/PART.

Motion generation from discrete quantization offers many advantages over continuous regression, but at the cost of inevitable approximation errors. Previous methods usually quantize the entire body pose into one code, which not only faces the difficulty in encoding all joints within one vector but also loses the spatial relationship between different joints. Differently, in this work we quantize each individual joint into one vector, which i) simplifies the quantization process as the complexity associated with a single joint is markedly lower than that of the entire pose; ii) maintains a spatial-temporal structure that preserves both the spatial relationships among joints and the temporal movement patterns; iii) yields a 2D token map, which enables the application of various 2D operations widely used in 2D images. Grounded in the 2D motion quantization, we build a spatial-temporal modeling framework, where 2D joint VQVAE, temporal-spatial 2D masking technique, and spatial-temporal 2D attention are proposed to take advantage of spatial-temporal signals among the 2D tokens. Extensive experiments demonstrate that our method significantly outperforms previous methods across different datasets, with a 26.6% decrease of FID on HumanML3D and a 29.9% decrease on KIT-ML. Project page: https://aigc3d.github.io/mogents.

A retrieval-augmented QA system can return different answers after an index expansion even when its requested model identifier, prompt, retrieval policy, evidence depth, rendering, and exposed generation controls are held fixed. Aggregate accuracy may hide these changes when gains and losses cancel, while ordinary generation variability makes one-shot comparisons overstate update effects. We call the hidden phenomenon accuracy-blind answer churn and introduce the Snapshot Compatibility Audit, which estimates excess answer churn by subtracting same-snapshot repeat disagreement from cross-snapshot disagreement. We instantiate it by expanding one frozen FineWeb prefix from one to seven shards. In a preregistered 400-question Natural Questions study, normalized-exact and blinded-semantic excess churn are 6.44 and 10.25 percentage points while exact-match accuracy changes by only -1.50 points. A post-hoc analysis finds repeat-stable semantic flips on 40/400 questions. A separately preregistered 200-question TriviaQA study yields smaller, directionally consistent excess churn while exact-match accuracy moves in the opposite direction. An outcome-blind post-hoc 100-question subset replication with a second DeepSeek generator and serving configuration finds 8.75 pp of semantic excess churn even as exact match rises by 3.00 percentage points. Answer-level compatibility can therefore fail without a conspicuous or consistently directed utility shift. Retrieval-augmented releases should audit compatibility alongside utility.

When a long-horizon agent execution fails, outcome-level evaluation reveals the unsuccessful result but not where the decisive error entered the trajectory. Developers must then inspect the full execution to identify the responsible role and localize the earliest decisive root-cause step. Existing failure-attribution benchmarks largely focus on shorter traces, leaving diagnosis across hundreds of recorded steps underexplored. We introduce LongRCA Bench, comprising 1,140 failed trajectories across five domains without injected errors. It provides independently scored human labels for the responsible role and earliest decisive root-cause step. The median trajectory contains 145 steps, and the strongest baseline reaches only 13.2% exact root-step accuracy. We further present Root-Cause Trajectory Attribution (RCTA), a training-free method that retrieves candidate error steps from segment summaries and traces them to available earlier handoff instructions. Using the same backbone, benchmark instances, and scoring protocol, RCTA reaches 51.1% responsible-role accuracy and 24.1% exact root-step accuracy. These results highlight the need to evaluate responsible-role attribution and exact root-step localization as separate targets in long-trajectory failure diagnosis.

Rotated object detection has made significant progress in the optical remote sensing. However, advancements in the Synthetic Aperture Radar (SAR) field are laggard behind, primarily due to the absence of a large-scale dataset. Annotating such a dataset is inefficient and costly. A promising solution is to employ a weakly supervised model (e.g., trained with available horizontal boxes only) to generate pseudo-rotated boxes for reference before manual calibration. Unfortunately, the existing weakly supervised models exhibit limited accuracy in predicting the object's angle. Previous works attempt to enhance angle prediction by using angle resolvers that decouple angles into cosine and sine encodings. In this work, we first reevaluate these resolvers from a unified perspective of dimension mapping and expose that they share the same shortcomings: these methods overlook the unit cycle constraint inherent in these encodings, easily leading to prediction biases. To address this issue, we propose the Unit Cycle Resolver, which incorporates a unit circle constraint loss to improve angle prediction accuracy. Our approach can effectively improve the performance of existing state-of-the-art weakly supervised methods and even surpasses fully supervised models on existing optical benchmarks (i.e., DOTA-v1.0 dataset). With the aid of UCR, we further annotate and introduce RSAR, the largest multi-class rotated SAR object detection dataset to date. Extensive experiments on both RSAR and optical datasets demonstrate that our UCR enhances angle prediction accuracy. Our dataset and code can be found at: https://github.com/zhasion/RSAR.