Concept-to-Pixel: Prompt-Free Universal Medical Image Segmentation

Universal medical image segmentation seeks to use a single foundational model to handle diverse tasks across multiple imaging modalities. However, existing approaches often rely heavily on manual visual prompts or retrieved reference images, which limits their automation and robustness. In addition, naive joint training across modalities often fails to address large domain shifts. To address these limitations, we propose Concept-to-Pixel (C2P), a novel prompt-free universal segmentation framework. C2P explicitly separates anatomical knowledge into two components: Geometric and Semantic representations. It leverages Multimodal Large Language Models (MLLMs) to distill abstract, high-level medical concepts into learnable Semantic Tokens and introduces explicitly supervised Geometric Tokens to enforce universal physical and structural constraints. These disentangled tokens interact deeply with image features to generate input-specific dynamic kernels for precise mask prediction. Furthermore, we introduce a Geometry-Aware Inference Consensus mechanism, which utilizes the model's predicted geometric constraints to assess prediction reliability and suppress outliers. Extensive experiments and analysis on a unified benchmark comprising eight diverse datasets across seven modalities demonstrate the significant superiority of our jointly trained approach, compared to universe- or single-model approaches. Remarkably, our unified model demonstrates strong generalization, achieving impressive results not only on zero-shot tasks involving unseen cases but also in cross-modal transfers across similar tasks. Code is available at: https://github.com/Yundi218/Concept-to-Pixel

Fairness-aware PageRank via Edge Reweighting

Link-analysis algorithms, such as PageRank, are instrumental in understanding the structural dynamics of networks by evaluating the importance of individual vertices based on their connectivity. Recently, with the rising importance of responsible AI, the question of fairness in link-analysis algorithms has gained traction. In this paper, we present a new approach for incorporating group fairness into the PageRank algorithm by reweighting the transition probabilities in the underlying transition matrix. We formulate the problem of achieving fair PageRank by seeking to minimize the fairness loss, which is the difference between the original group-wise PageRank distribution and a target PageRank distribution. We further define a group-adapted fairness notion, which accounts for group homophily by considering random walks with group-biased restart for each group. Since the fairness loss is non-convex, we propose an efficient projected gradient-descent method for computing locally-optimal edge weights. Unlike earlier approaches, we do not recommend adding new edges to the network, nor do we adjust the restart vector. Instead, we keep the topology of the underlying network unchanged and only modify the relative importance of existing edges. We empirically compare our approach with state-of-the-art baselines and demonstrate the efficacy of our method, where very small changes in the transition matrix lead to significant improvement in the fairness of the PageRank algorithm.