Towards Clinically Faithful Medical Image Captioning via Enhanced Vision-Language Alignment

Medical image captioning is a technique that accelerates early-stage diagnostic workflows and enhances the interpretability of medical diagnostic AI systems. However, unlike general image captioning, clinically reliable captioning remains challenging due to grayscale-based modalities, subtle anatomical cues, specialized medical phrasing, and variations in data quality. Despite recent advances in large vision-language models, fluent outputs do not necessarily guarantee sufficient alignment with clinical concept spaces or evaluation criteria. To address this issue, we propose a framework that strengthens clinical alignment by separating and enhancing training-time alignment and inference-time alignment. We build a medical image captioning pipeline that integrates single/dual vision encoders based on BioMedCLIP and SigLIP2, a Q-Former, and a LLaMA-based decoder, and examine the contribution of auxiliary learning for UMLS concept/type prediction. At inference, we apply single-embedding-based reranking to select the best caption among candidates, while at training we introduce MedPAIR-SCST, which combines clinically relevant rewards to shift the generative distribution toward improved clinical alignment. Our experiments show that complementary visual representations with a multi-encoder design and concept-level auxiliary learning help preserve clinically meaningful information. Furthermore, inference-time reranking provides a practical way to improve semantic and clinical alignment without additional training, whereas MedPAIR-SCST goes beyond selection by directly improving the model's distribution to generate more consistent and clinically grounded captions. These findings suggest that jointly leveraging selection-based alignment and reinforcement-learning-based alignment can promote more trustworthy medical image captioning even in data-constrained settings.

SAM2Dual: Training-Free, Dual Memory for Long-Term Video Object Segmentation

Long-term video object segmentation (VOS) remains challenging due to error accumulation under extended occlusions, re-appearance, and scene changes. Although SAM2 provides strong zero-shot performance, its streaming memory can amplify drift over long horizons when recent, unreliable predictions dominate the memory state. We propose SAM2Dual, a training-free, plug-and-play inference-time enhancement that improves long-video robustness without updating model weights. SAM2Dual introduces a Dual Memory design that explicitly separates (i) short-term memory for rapid local adaptation and (ii) long-term memory built via interval-based sampling to preserve global identity cues, combined through a gated fusion strategy. In addition, we present Text-Aware Memory (TAM), which extracts a compact word-level cue from early frames and uses text embeddings to reweight memory contributions based on semantic compatibility, supporting identity preservation when visual evidence becomes weak or ambiguous. Across long-term benchmarks, SAM2Dual consistently improves stability on long videos, raising J&F from 49.33 to 50.65 on MOSEv2 and achieving consistent gains on LVOSv2.

Clinically Structured Surrogate Rewards for Post-SFT Medical Image Captioning

Medical image captioning requires translating heterogeneous visual evidence into concise clinical descriptions, where errors in findings, assertion states, or anatomical relations can alter clinical meaning despite surface-level fluency. Sequence-level policy optimization can directly optimize complete captions, but common rewards rely on global text similarity, direct image-caption compatibility, or unordered concept overlap, leaving visual neighborhoods and clinical-claim structure implicit. We propose a clinically structured surrogate reward framework for post-SFT medical image captioning. The framework combines biomedical semantic and short-range lexical fidelity with two structured rewards: distributional image-neighborhood alignment, which matches the medical-image-bank distributions induced by reference and generated captions, and clinical graph consistency, which applies maximum-weight one-to-one matching to entities, assertion states, and typed relations. The four rewards are independently normalized within each rollout group, combined with fixed relative weights, and optimized with GDPO. Across organizer-evaluated hidden test sets for the Standard and Synthetical ImageCLEFmedical Caption tracks and three vision-language backbones, the method improves Overall, Relevance, and Factuality over matched SFT baselines in all six backbone-track combinations, with average relative gains of 3.4%, 2.1%, and 5.8%, respectively. Ablations and paired diagnostics indicate that the structured rewards provide complementary signals, reducing image-neighborhood divergence and improving entity-assertion-relation consistency.

Continuity-Driven Representation Learning for Industrial Defect Detection

Industrial defect detection differs from natural-image object detection because inspection images are captured under controlled conditions and contain large normal-dominant regions with repetitive structures. Defects therefore appear as localized disruptions of otherwise predictable patterns, while conventional detectors rely mainly on sparse bounding-box supervision, resulting in weakly constrained normal-region representations. We propose a continuity-driven representation regularization framework that exploits normal-dominant regions as dense auxiliary supervision. The framework introduces two detector-agnostic objectives: Multi-Continuity Loss, which combines 1D patch-sequence prediction and 2D masked spatial prediction, and Differencing Loss, which regularizes first-order feature variation and second-order curvature between neighboring patch embeddings. Both objectives are applied with box-derived region weighting to stabilize normal-region representations while preserving defect-related discontinuities. Experiments on two real-world industrial datasets and the public NEU-DET benchmark, using six detector architectures including YOLO-family models, MambaYOLO, and DETR, demonstrate consistent improvements over native detector baselines. In the full-data setting, the proposed regularizers improve average mAP@0.5:0.95 by up to 3.49 percentage points on Industrial Metal, 5.38 percentage points on MEA, and 5.03 percentage points on NEU-DET. Under limited-data conditions, the gains become more pronounced, with Differencing Loss achieving improvements of up to 21.07 percentage points in mAP@0.5 and 8.23 percentage points in mAP@0.5:0.95 on NEU-DET using only 25% of the training data. These results suggest that continuity-driven regularization provides an effective prior for improving industrial defect detection, particularly when annotated data are scarce.

Comparing effectiveness of regularization methods on text classification: Simple and complex model in data shortage situation

Text classification is the task of assigning a document to a predefined class. However, it is expensive to acquire enough labeled documents or to label them. In this paper, we study the regularization methods' effects on various classification models when only a few labeled data are available. We compare a simple word embedding-based model, which is simple but effective, with complex models (CNN and BiLSTM). In supervised learning, adversarial training can further regularize the model. When an unlabeled dataset is available, we can regularize the model using semi-supervised learning methods such as the Pi model and virtual adversarial training. We evaluate the regularization effects on four text classification datasets (AG news, DBpedia, Yahoo! Answers, Yelp Polarity), using only 0.1% to 0.5% of the original labeled training documents. The simple model performs relatively well in fully supervised learning, but with the help of adversarial training and semi-supervised learning, both simple and complex models can be regularized, showing better results for complex models. Although the simple model is robust to overfitting, a complex model with well-designed prior beliefs can be also robust to overfitting.