Advancing Cancer Prognosis with Hierarchical Fusion of Genomic, Proteomic and Pathology Imaging Data from a Systems Biology Perspective

To enhance the precision of cancer prognosis, recent research has increasingly focused on multimodal survival methods by integrating genomic data and histology images. However, current approaches overlook the fact that the proteome serves as an intermediate layer bridging genomic alterations and histopathological features while providing complementary biological information essential for survival prediction. This biological reality exposes another architectural limitation: existing integrative analysis studies fuse these heterogeneous data sources in a flat manner that fails to capture their inherent biological hierarchy. To address these limitations, we propose HFGPI, a hierarchical fusion framework that models the biological progression from genes to proteins to histology images from a systems biology perspective. Specifically, we introduce Molecular Tokenizer, a molecular encoding strategy that integrates identity embeddings with expression profiles to construct biologically informed representations for genes and proteins. We then develop Gene-Regulated Protein Fusion (GRPF), which employs graph-aware cross-attention with structure-preserving alignment to explicitly model gene-protein regulatory relationships and generate gene-regulated protein representations. Additionally, we propose Protein-Guided Hypergraph Learning (PGHL), which establishes associations between proteins and image patches, leveraging hypergraph convolution to capture higher-order protein-morphology relationships. The final features are progressively fused across hierarchical layers to achieve precise survival outcome prediction. Extensive experiments on five benchmark datasets demonstrate the superiority of HFGPI over state-of-the-art methods.

CT-Conditioned Diffusion Prior with Physics-Constrained Sampling for PET Super-Resolution

PET super-resolution is highly under-constrained because paired multi-resolution scans from the same subject are rarely available, and effective resolution is determined by scanner-specific physics (e.g., PSF, detector geometry, and acquisition settings). This limits supervised end-to-end training and makes purely image-domain generative restoration prone to hallucinated structures when anatomical and physical constraints are weak. We formulate PET super-resolution as posterior inference under heterogeneous system configurations and propose a CT-conditioned diffusion framework with physics-constrained sampling. During training, a conditional diffusion prior is learned from high-quality PET/CT pairs using cross-attention for anatomical guidance, without requiring paired LR--HR PET data. During inference, measurement consistency is enforced through a scanner-aware forward model with explicit PSF effects and gradient-based data-consistency refinement. Under both standard and OOD settings, the proposed method consistently improves experimental metrics and lesion-level clinical relevance indicators over strong baselines, while reducing hallucination artifacts and improving structural fidelity.

Authorize-on-Demand: Dynamic Authorization with Legality-Aware Intellectual Property Protection for VLMs

The rapid adoption of vision-language models (VLMs) has heightened the demand for robust intellectual property (IP) protection of these high-value pretrained models. Effective IP protection should proactively confine model deployment within authorized domains and prevent unauthorized transfers. However, existing methods rely on static training-time definitions, limiting flexibility in dynamic environments and often producing opaque responses to unauthorized inputs. To address these limitations, we propose a novel dynamic authorization with legality-aware intellectual property protection (AoD-IP) for VLMs, a framework that supports authorize-on-demand and legality-aware assessment. AoD-IP introduces a lightweight dynamic authorization module that enables flexible, user-controlled authorization, allowing users to actively specify or switch authorized domains on demand at deployment time. This enables the model to adapt seamlessly as application scenarios evolve and provides substantially greater extensibility than existing static-domain approaches. In addition, AoD-IP incorporates a dual-path inference mechanism that jointly predicts input legality-aware and task-specific outputs. Comprehensive experimental results on multiple cross-domain benchmarks demonstrate that AoD-IP maintains strong authorized-domain performance and reliable unauthorized detection, while supporting user-controlled authorization for adaptive deployment in dynamic environments.

In-Hospital Stroke Prediction from PPG-Derived Hemodynamic Features

The absence of pre-hospital physiological data in standard clinical datasets fundamentally constrains the early prediction of stroke, as patients typically present only after stroke has occurred, leaving the predictive value of continuous monitoring signals such as photoplethysmography (PPG) unvalidated. In this work, we overcome this limitation by focusing on a rare but clinically critical cohort - patients who suffered stroke during hospitalization while already under continuous monitoring - thereby enabling the first large-scale analysis of pre-stroke PPG waveforms aligned to verified onset times. Using MIMIC-III and MC-MED, we develop an LLM-assisted data mining pipeline to extract precise in-hospital stroke onset timestamps from unstructured clinical notes, followed by physician validation, identifying 176 patients (MIMIC) and 158 patients (MC-MED) with high-quality synchronized pre-onset PPG data, respectively. We then extract hemodynamic features from PPG and employ a ResNet-1D model to predict impending stroke across multiple early-warning horizons. The model achieves F1-scores of 0.7956, 0.8759, and 0.9406 at 4, 5, and 6 hours prior to onset on MIMIC-III, and, without re-tuning, reaches 0.9256, 0.9595, and 0.9888 on MC-MED for the same horizons. These results provide the first empirical evidence from real-world clinical data that PPG contains predictive signatures of stroke several hours before onset, demonstrating that passively acquired physiological signals can support reliable early warning, supporting a shift from post-event stroke recognition to proactive, physiology-based surveillance that may materially improve patient outcomes in routine clinical care.

Addressing data annotation scarcity in Brain Tumor Segmentation on 3D MRI scan Using a Semi-Supervised Teacher-Student Framework

Accurate brain tumor segmentation from MRI is limited by expensive annotations and data heterogeneity across scanners and sites. We propose a semi-supervised teacher-student framework that combines an uncertainty-aware pseudo-labeling teacher with a progressive, confidence-based curriculum for the student. The teacher produces probabilistic masks and per-pixel uncertainty; unlabeled scans are ranked by image-level confidence and introduced in stages, while a dual-loss objective trains the student to learn from high-confidence regions and unlearn low-confidence ones. Agreement-based refinement further improves pseudo-label quality. On BraTS 2021, validation DSC increased from 0.393 (10% data) to 0.872 (100%), with the largest gains in early stages, demonstrating data efficiency. The teacher reached a validation DSC of 0.922, and the student surpassed the teacher on tumor subregions (e.g., NCR/NET 0.797 and Edema 0.980); notably, the student recovered the Enhancing class (DSC 0.620) where the teacher failed. These results show that confidence-driven curricula and selective unlearning provide robust segmentation under limited supervision and noisy pseudo-labels.

COME: Dual Structure-Semantic Learning with Collaborative MoE for Universal Lesion Detection Across Heterogeneous Ultrasound Datasets

Conventional single-dataset training often fails with new data distributions, especially in ultrasound (US) image analysis due to limited data, acoustic shadows, and speckle noise. Therefore, constructing a universal framework for multi-heterogeneous US datasets is imperative. However, a key challenge arises: how to effectively mitigate inter-dataset interference while preserving dataset-specific discriminative features for robust downstream task? Previous approaches utilize either a single source-specific decoder or a domain adaptation strategy, but these methods experienced a decline in performance when applied to other domains. Considering this, we propose a Universal Collaborative Mixture of Heterogeneous Source-Specific Experts (COME). Specifically, COME establishes dual structure-semantic shared experts that create a universal representation space and then collaborate with source-specific experts to extract discriminative features through providing complementary features. This design enables robust generalization by leveraging cross-datasets experience distributions and providing universal US priors for small-batch or unseen data scenarios. Extensive experiments under three evaluation modes (single-dataset, intra-organ, and inter-organ integration datasets) demonstrate COME's superiority, achieving significant mean AP improvements over state-of-the-art methods. Our project is available at: https://universalcome.github.io/UniversalCOME/.

HeLo: Heterogeneous Multi-Modal Fusion with Label Correlation for Emotion Distribution Learning

Multi-modal emotion recognition has garnered increasing attention as it plays a significant role in human-computer interaction (HCI) in recent years. Since different discrete emotions may exist at the same time, compared with single-class emotion recognition, emotion distribution learning (EDL) that identifies a mixture of basic emotions has gradually emerged as a trend. However, existing EDL methods face challenges in mining the heterogeneity among multiple modalities. Besides, rich semantic correlations across arbitrary basic emotions are not fully exploited. In this paper, we propose a multi-modal emotion distribution learning framework, named HeLo, aimed at fully exploring the heterogeneity and complementary information in multi-modal emotional data and label correlation within mixed basic emotions. Specifically, we first adopt cross-attention to effectively fuse the physiological data. Then, an optimal transport (OT)-based heterogeneity mining module is devised to mine the interaction and heterogeneity between the physiological and behavioral representations. To facilitate label correlation learning, we introduce a learnable label embedding optimized by correlation matrix alignment. Finally, the learnable label embeddings and label correlation matrices are integrated with the multi-modal representations through a novel label correlation-driven cross-attention mechanism for accurate emotion distribution learning. Experimental results on two publicly available datasets demonstrate the superiority of our proposed method in emotion distribution learning.

MorphSAM: Learning the Morphological Prompts from Atlases for Spine Image Segmentation

Spine image segmentation is crucial for clinical diagnosis and treatment of spine diseases. The complex structure of the spine and the high morphological similarity between individual vertebrae and adjacent intervertebral discs make accurate spine segmentation a challenging task. Although the Segment Anything Model (SAM) has been developed, it still struggles to effectively capture and utilize morphological information, limiting its ability to enhance spine image segmentation performance. To address these challenges, in this paper, we propose a MorphSAM that explicitly learns morphological information from atlases, thereby strengthening the spine image segmentation performance of SAM. Specifically, the MorphSAM includes two fully automatic prompt learning networks, 1) an anatomical prompt learning network that directly learns morphological information from anatomical atlases, and 2) a semantic prompt learning network that derives morphological information from text descriptions converted from the atlases. Then, the two learned morphological prompts are fed into the SAM model to boost the segmentation performance. We validate our MorphSAM on two spine image segmentation tasks, including a spine anatomical structure segmentation task with CT images and a lumbosacral plexus segmentation task with MR images. Experimental results demonstrate that our MorphSAM achieves superior segmentation performance when compared to the state-of-the-art methods.

Bridging Distribution Gaps in Time Series Foundation Model Pretraining with Prototype-Guided Normalization

Foundation models have achieved remarkable success across diverse machine-learning domains through large-scale pretraining on large, diverse datasets. However, pretraining on such datasets introduces significant challenges due to substantial mismatches in data distributions, a problem particularly pronounced with time series data. In this paper, we tackle this issue by proposing a domain-aware adaptive normalization strategy within the Transformer architecture. Specifically, we replace the traditional LayerNorm with a prototype-guided dynamic normalization mechanism (ProtoNorm), where learned prototypes encapsulate distinct data distributions, and sample-to-prototype affinity determines the appropriate normalization layer. This mechanism effectively captures the heterogeneity of time series characteristics, aligning pretrained representations with downstream tasks. Through comprehensive empirical evaluation, we demonstrate that our method significantly outperforms conventional pretraining techniques across both classification and forecasting tasks, while effectively mitigating the adverse effects of distribution shifts during pretraining. Incorporating ProtoNorm is as simple as replacing a single line of code. Extensive experiments on diverse real-world time series benchmarks validate the robustness and generalizability of our approach, advancing the development of more versatile time series foundation models.

Robust Multimodal Survival Prediction with the Latent Differentiation Conditional Variational AutoEncoder

The integrative analysis of histopathological images and genomic data has received increasing attention for survival prediction of human cancers. However, the existing studies always hold the assumption that full modalities are available. As a matter of fact, the cost for collecting genomic data is high, which sometimes makes genomic data unavailable in testing samples. A common way of tackling such incompleteness is to generate the genomic representations from the pathology images. Nevertheless, such strategy still faces the following two challenges: (1) The gigapixel whole slide images (WSIs) are huge and thus hard for representation. (2) It is difficult to generate the genomic embeddings with diverse function categories in a unified generative framework. To address the above challenges, we propose a Conditional Latent Differentiation Variational AutoEncoder (LD-CVAE) for robust multimodal survival prediction, even with missing genomic data. Specifically, a Variational Information Bottleneck Transformer (VIB-Trans) module is proposed to learn compressed pathological representations from the gigapixel WSIs. To generate different functional genomic features, we develop a novel Latent Differentiation Variational AutoEncoder (LD-VAE) to learn the common and specific posteriors for the genomic embeddings with diverse functions. Finally, we use the product-of-experts technique to integrate the genomic common posterior and image posterior for the joint latent distribution estimation in LD-CVAE. We test the effectiveness of our method on five different cancer datasets, and the experimental results demonstrate its superiority in both complete and missing modality scenarios.