Agentic AI-powered flexible fiber-bundle endoscopy for high-resolution NIR-II fluorescence imaging in vivo

Fiber-bundle endoscopy offers a compact and flexible route for clinical fluorescence imaging through natural human orifices, but since its first report in the 1950s, it has remained limited by low spatial resolution, honeycomb artifacts, and inter-core crosstalk. The crosstalk becomes more pronounced at near-infrared-II wavelengths (NIR-II, 1000-3000 nm), a spectral window that offers superior contrast, resolution, and tissue penetration depth for biomedical imaging. Here, we present an AI-powered flexible endoscopy platform that overcomes these constraints through optical-computational co-design: optimizing ultrathin fiber bundles to mitigate crosstalk-induced image blur and enable high-fidelity image transmission across the visible-to-NIR-II spectral range, and developing an Agent-Guided Mixture-of-Experts (GAME) pipeline for honeycomb-artifact removal and image restoration. GAME provides a single restoration entry point for diverse biomedical images acquired with our endoscope, spanning cell, mouse and human samples. It dynamically routes each input to suitable restoration experts via a vision-language model, facilitating image reconstruction with a fourfold resolution improvement beyond the NyquistShannon sampling limit. The utility of our endoscope is demonstrated through in vivo NIR-II imaging of anatomical structures in mice, as well as imaging of the digital micromirror device (DMD)-projected human gastric tube and lymphatic system, paving the way for future clinical translation.

CoNav-UAV: Cooperative Dual-Altitude Aerial Navigation via Stackelberg Learning

Target-oriented vision-and-language navigation (VLN) on aerial platforms is attracting growing attention for missions such as disaster rescue, infrastructure inspection, and security patrol. In this task, an unmanned aerial vehicle (UAV) needs to locate targets given only a concise description of their appearance and surroundings. This requires global exploration and grounding as well as collision-free close-range approach, two interleaved processes difficult to reconcile within a single agent. Most existing methods transfer the ground VLN paradigm to a low-altitude UAV and compensate for its inefficient exploration with external assistance. A recent attempt deploys two UAVs at complementary altitudes yet still relies on privileged information and trains its two agents independently, precluding any mutual adaptation essential for cooperation. Here we propose CoNav-UAV, which explicitly models the task as a Stackelberg game between a high-altitude leader and a low-altitude follower, with the system operating on onboard visual and linguistic inputs alone. To solve this game, we introduce Iterative Stackelberg Learning. The leader's high-level vision-language reasoning is refined via memory-based in-context learning, while the follower's precise motion control is updated via DAgger-style expert distillation. The alternation drives both agents toward a Stackelberg equilibrium. CoNav-UAV consistently outperforms single- and dual-agent baselines across three high-fidelity urban scenes from the AerialVLN benchmark. Success rate improves by up to 30.8 points on the learning scene, and 9.0 points under cross-scene transfer while using about 3x less adaptation data. Further analyses validate the complementary gains of the leader and follower updates and reveal robust gains yet distinct learning dynamics across VLM backbones.

BoxCtrl: 3D-Aware Visual Prompting for Geometric Image Editing

As instruction-based editing models and multimodal large language models advance, diverse image editing tasks have become feasible. However, achieving precise and consistent geometric image editing, such as translating, scaling, and rotating in 3D space, remains a major challenge. In this work, we introduce BoxCtrl, a 3D-aware visual prompting framework. Unlike text-only or coarse 2D-guided approaches, our method introduces informative RGB 3D bounding boxes projected onto 2D images as visual prompts. The three orthogonal faces of each box are painted with distinct RGB colors, simultaneously encoding position, size, and orientation to provide a compact, intuitive in-context visual example. The key to BoxCtrl's success lies in these well-designed bounding boxes, which decouple geometric control from appearance control. This enables the model to learn consistent correspondences between faces of the same color in the latent space, leading to a precise understanding of geometric intentions and accurate editing results. We introduce a two-stage training paradigm: Supervised Fine-Tuning (SFT) followed by Reinforcement Learning (RL). To address paired data scarcity, we construct a large-scale synthetic dataset for SFT, equipping the model with fundamental editing capabilities. To bridge the synthetic-to-real domain gap, we incorporate an online RL stage leveraging unpaired real-world data. Guided by a reward function evaluating geometric accuracy and visual fidelity, our SFT-RL strategy significantly enhances geometric precision while maintaining photorealistic quality. Extensive experiments demonstrate that BoxCtrl achieves state-of-the-art performance across translation, rotation, scaling, and composite editing tasks.

A Pathology Foundation Model for Gastric Cancer with Real-World Validation

Gastric cancer remains a major cause of cancer mortality, yet its histological and molecular heterogeneity complicates diagnosis and risk stratification. General-purpose pathology foundation models (PFMs) often plateau on fine-grained endpoints central to gastric cancer care, and few have undergone rigorous prospective validation or clinical reader studies. We present GRACE, a Gastric-specific foundation model for Real-world Assessment and Clinical dEcision support. GRACE was developed from multicenter gastric pathology datasets totaling 48,364 primarily HE-stained whole-slide images from 37,493 patients. When evaluated on 28 clinically relevant tasks, GRACE consistently outperformed representative pancancer PFMs, achieving a macro-AUC of 0.9188, with strong performance for precancerous lesion diagnosis (macro-AUC 0.9322), tumor histopathological assessment (macro-AUC 0.9119), molecular profiling (macro-AUC 0.8682), and prognostic prediction. Beyond benchmarking, GRACE's translational value was substantiated through a rigorous evidence chain. Under safety-gated criteria requiring 100% NPV for rule-out and 100% PPV for rule-in, GRACE streamlined review for up to 69.6% of malignancy-diagnosis cases and triaged 46.8% of MMR-IHC follow-up requests. This translational feasibility was further strengthened by a randomized crossover reader study of pathologist-AI collaboration. With GRACE assistance, diagnostic accuracy improved from 82.0% to 89.9%, yielding nearly twofold higher adjusted odds of a correct diagnosis (OR 1.987) alongside concurrent gains in sensitivity and specificity. AI assistance also reduced diagnostic time by 14.9%, elevated diagnostic confidence by 9.0%, and markedly improved inter-rater agreement. When calibrated to maintain non-inferior performance to senior pathologists, the AI-assisted workflow could triage 60.7% of atrophy and 82.7% of intestinal metaplasia cases.

Decoupled Residual Denoising Diffusion Models for Unified and Data Efficient Image-to-Image Translation

We propose Decoupled Residual Denoising Diffusion models (DRDD) for unified and data-efficient image-to-image (I2I) translation. While diffusion models have advanced I2I translation in terms of quality and diversity, we uncover a previously under-explored property in diffusion models. Crucially, beyond its conventional role of manifold lifting (i.e., moving data off low-dimensional manifolds), injecting Gaussian noise facilitates domain harmonization by implicitly aligning feature distributions across domains, a property particularly advantageous for unified I2I translation. However, existing diffusion models prematurely erode this harmonization effect, as noise and residuals are simultaneously removed in a single coupled diffusion process. To address this, DRDD decouples the diffusion process into two sequential and independent diffusion stages: (1) a stochastic noise diffusion for domain harmonization and manifold lifting, and (2) a deterministic residual diffusion that learns the core semantic mapping entirely within the fixed-noise domain. This decoupling preserves harmonization and manifold lifting effects throughout the transformation, substantially simplifying the learning of unified mappings across diverse tasks and domains. Notably, the noise diffusion stage is trained exclusively on abundant, unpaired target-domain images, greatly improving data efficiency. Comprehensive theoretical and empirical analysis demonstrates that DRDD is broadly compatible with mainstream diffusion models and consistently delivers robust, unified I2I translation, even under limited paired data. Our code is available at https://github.com/HKU-HealthAI/DRDD.

PrAda-GAN: A Private Adaptive Generative Adversarial Network with Bayes Network Structure

We revisit the problem of generating synthetic data under differential privacy. To address the core limitations of marginal-based methods, we propose the Private Adaptive Generative Adversarial Network with Bayes Network Structure (PrAda-GAN), which integrates the strengths of both GAN-based and marginal-based approaches. Our method adopts a sequential generator architecture to capture complex dependencies among variables, while adaptively regularizing the learned structure to promote sparsity in the underlying Bayes network. Theoretically, we establish diminishing bounds on the parameter distance, variable selection error, and Wasserstein distance. Our analysis shows that leveraging dependency sparsity leads to significant improvements in convergence rates. Empirically, experiments on both synthetic and real-world datasets demonstrate that PrAda-GAN outperforms existing tabular data synthesis methods in terms of the privacy-utility trade-off.

FedVLMBench: Benchmarking Federated Fine-Tuning of Vision-Language Models

Vision-Language Models (VLMs) have demonstrated remarkable capabilities in cross-modal understanding and generation by integrating visual and textual information. While instruction tuning and parameter-efficient fine-tuning methods have substantially improved the generalization of VLMs, most existing approaches rely on centralized training, posing challenges for deployment in domains with strict privacy requirements like healthcare. Recent efforts have introduced Federated Learning (FL) into VLM fine-tuning to address these privacy concerns, yet comprehensive benchmarks for evaluating federated fine-tuning strategies, model architectures, and task generalization remain lacking. In this work, we present \textbf{FedVLMBench}, the first systematic benchmark for federated fine-tuning of VLMs. FedVLMBench integrates two mainstream VLM architectures (encoder-based and encoder-free), four fine-tuning strategies, five FL algorithms, six multimodal datasets spanning four cross-domain single-task scenarios and two cross-domain multitask settings, covering four distinct downstream task categories. Through extensive experiments, we uncover key insights into the interplay between VLM architectures, fine-tuning strategies, data heterogeneity, and multi-task federated optimization. Notably, we find that a 2-layer multilayer perceptron (MLP) connector with concurrent connector and LLM tuning emerges as the optimal configuration for encoder-based VLMs in FL. Furthermore, current FL methods exhibit significantly higher sensitivity to data heterogeneity in vision-centric tasks than text-centric ones, across both encoder-free and encoder-based VLM architectures. Our benchmark provides essential tools, datasets, and empirical guidance for the research community, offering a standardized platform to advance privacy-preserving, federated training of multimodal foundation models.

Exploring the Vulnerabilities of Federated Learning: A Deep Dive into Gradient Inversion Attacks

Federated Learning (FL) has emerged as a promising privacy-preserving collaborative model training paradigm without sharing raw data. However, recent studies have revealed that private information can still be leaked through shared gradient information and attacked by Gradient Inversion Attacks (GIA). While many GIA methods have been proposed, a detailed analysis, evaluation, and summary of these methods are still lacking. Although various survey papers summarize existing privacy attacks in FL, few studies have conducted extensive experiments to unveil the effectiveness of GIA and their associated limiting factors in this context. To fill this gap, we first undertake a systematic review of GIA and categorize existing methods into three types, i.e., \textit{optimization-based} GIA (OP-GIA), \textit{generation-based} GIA (GEN-GIA), and \textit{analytics-based} GIA (ANA-GIA). Then, we comprehensively analyze and evaluate the three types of GIA in FL, providing insights into the factors that influence their performance, practicality, and potential threats. Our findings indicate that OP-GIA is the most practical attack setting despite its unsatisfactory performance, while GEN-GIA has many dependencies and ANA-GIA is easily detectable, making them both impractical. Finally, we offer a three-stage defense pipeline to users when designing FL frameworks and protocols for better privacy protection and share some future research directions from the perspectives of attackers and defenders that we believe should be pursued. We hope that our study can help researchers design more robust FL frameworks to defend against these attacks.

Selective Aggregation for Low-Rank Adaptation in Federated Learning

We investigate LoRA in federated learning through the lens of the asymmetry analysis of the learned $A$ and $B$ matrices. In doing so, we uncover that $A$ matrices are responsible for learning general knowledge, while $B$ matrices focus on capturing client-specific knowledge. Based on this finding, we introduce Federated Share-A Low-Rank Adaptation (FedSA-LoRA), which employs two low-rank trainable matrices $A$ and $B$ to model the weight update, but only $A$ matrices are shared with the server for aggregation. Moreover, we delve into the relationship between the learned $A$ and $B$ matrices in other LoRA variants, such as rsLoRA and VeRA, revealing a consistent pattern. Consequently, we extend our FedSA-LoRA method to these LoRA variants, resulting in FedSA-rsLoRA and FedSA-VeRA. In this way, we establish a general paradigm for integrating LoRA with FL, offering guidance for future work on subsequent LoRA variants combined with FL. Extensive experimental results on natural language understanding and generation tasks demonstrate the effectiveness of the proposed method.

A Selective Review on Statistical Methods for Massive Data Computation: Distributed Computing, Subsampling, and Minibatch Techniques

This paper presents a selective review of statistical computation methods for massive data analysis. A huge amount of statistical methods for massive data computation have been rapidly developed in the past decades. In this work, we focus on three categories of statistical computation methods: (1) distributed computing, (2) subsampling methods, and (3) minibatch gradient techniques. The first class of literature is about distributed computing and focuses on the situation, where the dataset size is too huge to be comfortably handled by one single computer. In this case, a distributed computation system with multiple computers has to be utilized. The second class of literature is about subsampling methods and concerns about the situation, where the sample size of dataset is small enough to be placed on one single computer but too large to be easily processed by its memory as a whole. The last class of literature studies those minibatch gradient related optimization techniques, which have been extensively used for optimizing various deep learning models.