ProgFormer: Hierarchical Voxel Diffusion Transformer for Longitudinal Brain MRI Prediction

Predicting future structural MRI of a brain is challenging because longitudinal changes are often subtle and confined to specific anatomical regions, while most subject-specific brain structure remains stable over time. An effective model should therefore preserve global brain structural consistency while remaining sensitive to fine-grained disease progression. Existing latent-space-based methods improve computational efficiency, but suffer from information loss during their compression-reconstruction procedure. In contrast, direct voxel-space methods avoid latent reconstruction but commonly use a unified prediction pathway to model brain structure and progression-related changes. Subtle local changes may therefore be overshadowed by the dominant stable brain structure. To address these challenges, we propose ProgFormer, a hierarchical voxel-space Diffusion Transformer for longitudinal brain MRI prediction. ProgFormer uses a coarse pathway to perform the primary volumetric prediction from 3D patch tokens. This pathway models overall brain structure and longitudinal context. The fine pathway then uses the coarse representations as spatio-temporal grounding for voxel-level refinement within individual patches. The two pathways jointly estimate a velocity field directly in voxel space through conditional flow matching, enabling end-to-end prediction without a separately learned image autoencoder. The predicted future scan is then generated from Gaussian noise by integrating the estimated velocity field over a sequence of Euler steps. Extensive experimental results on three widely used benchmarks, ADNI, AIBL, and OASIS, under both pairwise and trajectory settings demonstrate favourable performance compared against several state-of-the-art methods.

Multimodal Visual Surrogate Compression for Alzheimer's Disease Classification

High-dimensional structural MRI (sMRI) images are widely used for Alzheimer's Disease (AD) diagnosis. Most existing methods for sMRI representation learning rely on 3D architectures (e.g., 3D CNNs), slice-wise feature extraction with late aggregation, or apply training-free feature extractions using 2D foundation models (e.g., DINO). However, these three paradigms suffer from high computational cost, loss of cross-slice relations, and limited ability to extract discriminative features, respectively. To address these challenges, we propose Multimodal Visual Surrogate Compression (MVSC). It learns to compress and adapt large 3D sMRI volumes into compact 2D features, termed as visual surrogates, which are better aligned with frozen 2D foundation models to extract powerful representations for final AD classification. MVSC has two key components: a Volume Context Encoder that captures global cross-slice context under textual guidance, and an Adaptive Slice Fusion module that aggregates slice-level information in a text-enhanced, patch-wise manner. Extensive experiments on three large-scale Alzheimer's disease benchmarks demonstrate our MVSC performs favourably on both binary and multi-class classification tasks compared against state-of-the-art methods.

LEGO: Learnable Expansion of Graph Operators for Multi-Modal Feature Fusion

In computer vision tasks, features often come from diverse representations, domains, and modalities, such as text, images, and videos. Effectively fusing these features is essential for robust performance, especially with the availability of powerful pre-trained models like vision-language models. However, common fusion methods, such as concatenation, element-wise operations, and non-linear techniques, often fail to capture structural relationships, deep feature interactions, and suffer from inefficiency or misalignment of features across domains. In this paper, we shift from high-dimensional feature space to a lower-dimensional, interpretable graph space by constructing similarity graphs that encode feature relationships at different levels, e.g., clip, frame, patch, token, etc. To capture deeper interactions, we use graph power expansions and introduce a learnable graph fusion operator to combine these graph powers for more effective fusion. Our approach is relationship-centric, operates in a homogeneous space, and is mathematically principled, resembling element-wise similarity score aggregation via multilinear polynomials. We demonstrate the effectiveness of our graph-based fusion method on video anomaly detection, showing strong performance across multi-representational, multi-modal, and multi-domain feature fusion tasks.