MorVess: Morphology-Aware Pulmonary Vessel Segmentation Network

Accurate pulmonary vessel segmentation remains challenging due to the sparse, tortuous, and multi-scale nature of vascular structures, where small branches are easily lost and topology integrity is difficult to preserve under voxel-wise supervision. Existing deep segmentation models primarily optimize binary masks, lacking explicit geometric constraints, thus struggling to recover continuous tubular morphology and fine vascular connectivity. In this study, we introduce MorVess, a morphology-aware segmentation framework that integrates differentiable geometric priors with large-scale foundation model adaptation to achieve fine-grained vascular parsing. MorVess jointly predicts vessel masks, distance maps, and thickness maps, providing explicit supervision for vascular boundaries, centerline consistency, and smooth diameter transitions. A lightweight 2.5D adapter bridges 3D spatial context and 2D SAM representations, while a global-local fusion block aggregates multi-level semantics and geometric cues for high-fidelity topology reconstruction. Across two challenging pulmonary CT benchmarks, MorVess delivers superior Dice, clDice, and HD95 scores, substantially improving small-vessel recovery and global connectivity. These results demonstrate that embedding geometric intelligence into pretrained vision models offers a principled and scalable pathway toward precise vessel analysis and clinically reliable structural quantification. Our source code is available at https://github.com/MaoFuyou/MorVess.

HEad and neCK TumOR (HECKTOR) 2025: Benchmark of Segmentation, Diagnosis, and Prognosis in Multimodal PET/CT

Head and neck cancers (HNC) represent a significant global health burden, with accurate tumor delineation being essential for effective radiotherapy planning. The complexity of the oropharyngeal anatomy, combined with the heterogeneous appearance of tumors on imaging, makes manual segmentation time-intensive and subject to inter-observer variability. Beyond segmentation, predicting long-term clinical outcomes, such as recurrence-free survival (RFS), and determining human papillomavirus (HPV) status from noninvasive imaging, remain challenging yet clinically valuable goals. The HECKTOR 2025 challenge addresses these needs by establishing a comprehensive benchmark for automated HNC analysis using multimodal PET/CT imaging and electronic health records. Building on previous editions (2020-2022), this challenge features an expanded multi-institutional dataset comprising over 1,100 patients from 10 centers worldwide. Participants were tasked with three complementary objectives: (1) segmenting primary gross tumor volumes (GTVp) and metastatic lymph nodes (GTVn), (2) predicting recurrence-free survival, and (3) classifying HPV status. The challenge attracted 35 registered teams, with 15 final submissions evaluated on a held-out test set. Top-performing algorithms achieved a mean Dice similarity coefficient of 0.75 for segmentation, a concordance index of 0.66 for survival prediction, and a balanced accuracy of 0.56 for HPV classification. This paper presents a comprehensive analysis of the submitted methodologies, evaluates their performance across different lesion characteristics, and discusses their implications for clinical translation in automated oncology workflows and decision support systems.

Mutual Distillation of Dual-Foundation Models for Semi-Supervised PET/CT Segmentation

Organ segmentation from PET/CT is critical for quantitative analysis and radiotherapy planning in oncology. To ease the high annotation cost of PET/CT segmentation, semi-supervised learning (SSL) provides a practical and effective solution for developing deep models with limited labeled data. Recent developments in visual foundation models have demonstrated remarkable adaptability with improved efficiency. In this work, we propose a mutual distillation framework that seamlessly exploits both structural and functional foundation models, which act as modality-specific generalists for distilling knowledge from structural CT and metabolic PET imaging. By bridging the gap between the task-specific precision of student models and the segmentation priors of generalist foundation models, we propose \textbf{MuDuo}, a mutual distillation framework that synergistically leverages SAM-Med3D for CT and SegAnyPET for PET to distill their knowledge into a lightweight student network. Our approach eliminates the need for manual prompts while maximizing the utility of unlabeled data for automatic segmentation, achieving state-of-the-art performance on the AutoPET dataset with only 5 labeled cases. Our source code is available at https://github.com/Wu-beining/MuDuo.

From Experience to Skill: Multi-Agent Generative Engine Optimization via Reusable Strategy Learning

Generative engines (GEs) are reshaping information access by replacing ranked links with citation-grounded answers, yet current Generative Engine Optimization (GEO) methods optimize each instance in isolation, unable to accumulate or transfer effective strategies across tasks and engines. We reframe GEO as a strategy learning problem and propose MAGEO, a multi-agent framework in which coordinated planning, editing, and fidelity-aware evaluation serve as the execution layer, while validated editing patterns are progressively distilled into reusable, engine-specific optimization skills. To enable controlled assessment, we introduce a Twin Branch Evaluation Protocol for causal attribution of content edits and DSV-CF, a dual-axis metric that unifies semantic visibility with attribution accuracy. We further release MSME-GEO-Bench, a multi-scenario, multi-engine benchmark grounded in real-world queries. Experiments on three mainstream engines show that MAGEO substantially outperforms heuristic baselines in both visibility and citation fidelity, with ablations confirming that engine-specific preference modeling and strategy reuse are central to these gains, suggesting a scalable learning-driven paradigm for trustworthy GEO. Code is available at https://github.com/Wu-beining/MAGEO

Cross-modal Medical Image Generation Based on Pyramid Convolutional Attention Network

The integration of multimodal medical imaging can provide complementary and comprehensive information for the diagnosis of Alzheimer's disease (AD). However, in clinical practice, since positron emission tomography (PET) is often missing, multimodal images might be incomplete. To address this problem, we propose a method that can efficiently utilize structural magnetic resonance imaging (sMRI) image information to generate high-quality PET images. Our generation model efficiently utilizes pyramid convolution combined with channel attention mechanism to extract multi-scale local features in sMRI, and injects global correlation information into these features using self-attention mechanism to ensure the restoration of the generated PET image on local texture and global structure. Additionally, we introduce additional loss functions to guide the generation model in producing higher-quality PET images. Through experiments conducted on publicly available ADNI databases, the generated images outperform previous research methods in various performance indicators (average absolute error: 0.0194, peak signal-to-noise ratio: 29.65, structural similarity: 0.9486) and are close to real images. In promoting AD diagnosis, the generated images combined with their corresponding sMRI also showed excellent performance in AD diagnosis tasks (classification accuracy: 94.21 %), and outperformed previous research methods of the same type. The experimental results demonstrate that our method outperforms other competing methods in quantitative metrics, qualitative visualization, and evaluation criteria.