Model Merging for Medical LVLMs: A Benchmark and a Winner-Take-All Approach

Large vision-language models (LVLMs) can be adapted to specialized medical imaging tasks via parameter-efficient fine-tuning approaches such as low-rank adaptation (LoRA), leading to a growing ecosystem of expert models tailored to specific imaging modalities and clinical scenarios. However, deploying multiple expert LVLMs in practice incurs substantial computational and operational overhead. Model merging provides a promising solution by consolidating multiple experts into a single model without retraining, yet it remains largely unexplored in the medical domain. In this work, we present the first systematic study of model merging for medical LVLMs. We introduce MergeMedBench, a comprehensive benchmark spanning eight imaging modalities and diverse clinical task types, comprising 16 LoRA fine-tuned models built upon two mainstream architectures. We conduct an extensive evaluation of existing merging methods and further propose winner-take-all, a simple and hyperparameter-free approach that retains only the most dominant parameters across expert models. By preserving the critical parameters that govern model behavior and discarding weaker ones, our method avoids the information dilution inherent in averaging- or alignment-based strategies. Despite its simplicity, winner-take-all consistently outperforms existing approaches, offering both a new perspective on LoRA merging and a strong practical baseline for future research.

Towards Real-World Ultrasound Understanding: Large Vision-Language Models from Multi-Image Examinations with Long-Form Reports

Large vision-language models (LVLMs) have achieved strong performance across many medical imaging tasks, yet their application to ultrasound remains limited due to its inherent complexity and variability. In this work, we revisit what is truly needed to enable real-world ultrasound understanding. Instead of introducing complex architectures or elaborate training strategies, we show that data scale and clinically faithful data alignment are the key factors. We construct a large-scale dataset of 1.5M real-world ultrasound examinations, containing 17.7M images, multi-organ coverage, and paired uncurated clinical reports. Crucially, we organize the data at the examination level, aligning multiple images with their corresponding reports to reflect real clinical workflows. We then fine-tune a standard LVLM using low-rank adaptation (LoRA) on this dataset without task-specific modifications. Surprisingly, this simple recipe already leads to strong performance across diverse ultrasound understanding tasks, outperforming prior methods designed with more complex pipelines. Beyond these results, we present model and data scaling analyses that provide insights into the role of scale in ultrasound LVLMs.

ToE: A Hierarchical and Explainable Claim Verification Framework with Dynamic Multi-source Evidence Retrieval and Aggregation

The rapid spread of fake news poses increasing threats to information ecosystems, especially as AI-generated misinformation under Generative Engine Optimization (GEO) poisoning allows adversarially crafted content to be systematically surfaced by retrieval systems, contaminating LLM reasoning. In this paper, we propose Tree of Evidence (ToE), a hierarchical evidence reasoning framework for automated fact-checking that models each claim as a dynamically expanding argument tree. ToE integrates a reinforcement learning-driven multi-source retrieval agent, an evidence evaluation agent, and an argument tree aggregation algorithm to iteratively decompose, retrieve, and verify claims through an explainable evidence chain. We further provide a theoretical analysis of the retrieval process, deriving a formal error bound that guarantees the learned policy converges to a neighborhood of the information-theoretically optimal policy. Experiments across multiple datasets and backbone LLMs demonstrate that ToE achieves improvements ranging from 4 to 24 percentage points over competitive baselines, with particularly pronounced gains on adversarially poisoned inputs.

On Revisiting Entropy for Identifying Mislabeled Images

Mislabeled samples in training datasets severely degrade the performance of deep networks, as overparameterized models tend to memorize erroneous labels. We address this challenge by proposing a novel approach for mislabeled data detection that leverages training dynamics. Our method is grounded in the key observation that correctly labeled samples exhibit consistent entropy decrease during training, while mislabeled samples maintain relatively high entropy throughout the training process. Building on this insight, we introduce a signed entropy integral (SEI) statistic that captures both the magnitude and temporal trend of prediction entropy across training epochs. SEI is broadly applicable to classification networks and demonstrates particular effectiveness when integrated with contrastive language-image pretraining (CLIP) architectures. Through extensive experiments on four medical imaging datasets -- a domain particularly susceptible to labeling errors due to diagnostic complexity -- spanning diverse modalities and pathologies, we demonstrate that SEI achieves state-of-the-art performance in mislabeled data identification, outperforming existing methods while maintaining computational efficiency and implementation simplicity. Our code is available at https://github.com/MedAITech/SEI.

LoViF 2026 Challenge on Real-World All-in-One Image Restoration: Methods and Results

This paper presents a review for the LoViF Challenge on Real-World All-in-One Image Restoration. The challenge aimed to advance research on real-world all-in-one image restoration under diverse real-world degradation conditions, including blur, low-light, haze, rain, and snow. It provided a unified benchmark to evaluate the robustness and generalization ability of restoration models across multiple degradation categories within a common framework. The competition attracted 124 registered participants and received 9 valid final submissions with corresponding fact sheets, significantly contributing to the progress of real-world all-in-one image restoration. This report provides a detailed analysis of the submitted methods and corresponding results, emphasizing recent progress in unified real-world image restoration. The analysis highlights effective approaches and establishes a benchmark for future research in real-world low-level vision.

SegTTA: Training-Free Test-Time Augmentation for Zero-Shot Medical Imaging Segmentation

Increasingly advanced data augmentation techniques have greatly aided clinical medical research, increasing data diversity and improving model generalization capabilities. Although most current basic models exhibit strong generalization abilities, image quality varies due to differences in equipment and operators. To address these challenges, we present SegTTA, a framework that improves medical image segmentation without model retraining by combining four augmentations (Gamma correction, Contrast enhancement, Gaussian blur, Gaussian noise) with weighted voting across multiple MedSAM2 checkpoints. Experiments demonstrate consistent improvements across three diverse datasets: healthy uterus segmentation, uterine myoma detection, and multi class hepatic structure segmentation. Ablation studies reveal that large organs benefit from intensity augmentations while small lesions require noise augmentations. The voting threshold controls the coverage precision trade off, enabling task specific optimization for different clinical requirements. Ultimately, on a multiclass hepatic vessel dataset, compared to MedSAM2 baselines, our method achieves an increase of 1.6 in mIoU and 1.9 in aIoU, along with a reduction of approximately 2.0 in HD95. Code will be available at https://github.com/AIGeeksGroup/SegTTA.

NTIRE 2026 The Second Challenge on Day and Night Raindrop Removal for Dual-Focused Images: Methods and Results

This paper presents an overview of the NTIRE 2026 Second Challenge on Day and Night Raindrop Removal for Dual-Focused Images. Building upon the success of the first edition, this challenge attracted a wide range of impressive solutions, all developed and evaluated on our real-world Raindrop Clarity dataset~\cite{jin2024raindrop}. For this edition, we adjust the dataset with 14,139 images for training, 407 images for validation, and 593 images for testing. The primary goal of this challenge is to establish a strong and practical benchmark for the removal of raindrops under various illumination and focus conditions. In total, 168 teams have registered for the competition, and 17 teams submitted valid final solutions and fact sheets for the testing phase. The submitted methods achieved strong performance on the Raindrop Clarity dataset, demonstrating the growing progress in this challenging task.

Learning Domain-Aware Task Prompt Representations for Multi-Domain All-in-One Image Restoration

Recently, significant breakthroughs have been made in all-in-one image restoration (AiOIR), which can handle multiple restoration tasks with a single model. However, existing methods typically focus on a specific image domain, such as natural scene, medical imaging, or remote sensing. In this work, we aim to extend AiOIR to multiple domains and propose the first multi-domain all-in-one image restoration method, DATPRL-IR, based on our proposed Domain-Aware Task Prompt Representation Learning. Specifically, we first construct a task prompt pool containing multiple task prompts, in which task-related knowledge is implicitly encoded. For each input image, the model adaptively selects the most relevant task prompts and composes them into an instance-level task representation via a prompt composition mechanism (PCM). Furthermore, to endow the model with domain awareness, we introduce another domain prompt pool and distill domain priors from multimodal large language models into the domain prompts. PCM is utilized to combine the adaptively selected domain prompts into a domain representation for each input image. Finally, the two representations are fused to form a domain-aware task prompt representation which can make full use of both specific and shared knowledge across tasks and domains to guide the subsequent restoration process. Extensive experiments demonstrate that our DATPRL-IR significantly outperforms existing SOTA image restoration methods, while exhibiting strong generalization capabilities. Code is available at https://github.com/GuangluDong0728/DATPRL-IR.

Dual Distillation for Few-Shot Anomaly Detection

Anomaly detection is a critical task in computer vision with profound implications for medical imaging, where identifying pathologies early can directly impact patient outcomes. While recent unsupervised anomaly detection approaches show promise, they require substantial normal training data and struggle to generalize across anatomical contexts. We introduce D$^2$4FAD, a novel dual distillation framework for few-shot anomaly detection that identifies anomalies in previously unseen tasks using only a small number of normal reference images. Our approach leverages a pre-trained encoder as a teacher network to extract multi-scale features from both support and query images, while a student decoder learns to distill knowledge from the teacher on query images and self-distill on support images. We further propose a learn-to-weight mechanism that dynamically assesses the reference value of each support image conditioned on the query, optimizing anomaly detection performance. To evaluate our method, we curate a comprehensive benchmark dataset comprising 13,084 images across four organs, four imaging modalities, and five disease categories. Extensive experiments demonstrate that D$^2$4FAD significantly outperforms existing approaches, establishing a new state-of-the-art in few-shot medical anomaly detection. Code is available at https://github.com/ttttqz/D24FAD.

RELATE: A Reinforcement Learning-Enhanced LLM Framework for Advertising Text Generation

In online advertising, advertising text plays a critical role in attracting user engagement and driving advertiser value. Existing industrial systems typically follow a two-stage paradigm, where candidate texts are first generated and subsequently aligned with online performance metrics such as click-through rate(CTR). This separation often leads to misaligned optimization objectives and low funnel efficiency, limiting global optimality. To address these limitations, we propose RELATE, a reinforcement learning-based end-to-end framework that unifies generation and objective alignment within a single model. Instead of decoupling text generation from downstream metric alignment, RELATE integrates performance and compliance objectives directly into the generation process via policy learning. To better capture ultimate advertiser value beyond click-level signals, We incorporate conversion-oriented metrics into the objective and jointly model them with compliance constraints as multi-dimensional rewards, enabling the model to generate high-quality ad texts that improve conversion performance under policy constraints. Extensive experiments on large-scale industrial datasets demonstrate that RELATE consistently outperforms baselines. Furthermore, online deployment on a production advertising platform yields statistically significant improvements in click-through conversion rate(CTCVR) under strict policy constraints, validating the robustness and real-world effectiveness of the proposed framework.