PathMem: Toward Cognition-Aligned Memory Transformation for Pathology MLLMs

Computational pathology demands both visual pattern recognition and dynamic integration of structured domain knowledge, including taxonomy, grading criteria, and clinical evidence. In practice, diagnostic reasoning requires linking morphological evidence with formal diagnostic and grading criteria. Although multimodal large language models (MLLMs) demonstrate strong vision language reasoning capabilities, they lack explicit mechanisms for structured knowledge integration and interpretable memory control. As a result, existing models struggle to consistently incorporate pathology-specific diagnostic standards during reasoning. Inspired by the hierarchical memory process of human pathologists, we propose PathMem, a memory-centric multimodal framework for pathology MLLMs. PathMem organizes structured pathology knowledge as a long-term memory (LTM) and introduces a Memory Transformer that models the dynamic transition from LTM to working memory (WM) through multimodal memory activation and context-aware knowledge grounding, enabling context-aware memory refinement for downstream reasoning. PathMem achieves SOTA performance across benchmarks, improving WSI-Bench report generation (12.8% WSI-Precision, 10.1% WSI-Relevance) and open-ended diagnosis by 9.7% and 8.9% over prior WSI-based models.

Unleashing Foundation Vision Models: Adaptive Transfer for Diverse Data-Limited Scientific Domains

In the big data era, the computer vision field benefits from large-scale datasets such as LAION-2B, LAION-400M, and ImageNet-21K, Kinetics, on which popular models like the ViT and ConvNeXt series have been pre-trained, acquiring substantial knowledge. However, numerous downstream tasks in specialized and data-limited scientific domains continue to pose significant challenges. In this paper, we propose a novel Cluster Attention Adapter (CLAdapter), which refines and adapts the rich representations learned from large-scale data to various data-limited downstream tasks. Specifically, CLAdapter introduces attention mechanisms and cluster centers to personalize the enhancement of transformed features through distribution correlation and transformation matrices. This enables models fine-tuned with CLAdapter to learn distinct representations tailored to different feature sets, facilitating the models' adaptation from rich pre-trained features to various downstream scenarios effectively. In addition, CLAdapter's unified interface design allows for seamless integration with multiple model architectures, including CNNs and Transformers, in both 2D and 3D contexts. Through extensive experiments on 10 datasets spanning domains such as generic, multimedia, biological, medical, industrial, agricultural, environmental, geographical, materials science, out-of-distribution (OOD), and 3D analysis, CLAdapter achieves state-of-the-art performance across diverse data-limited scientific domains, demonstrating its effectiveness in unleashing the potential of foundation vision models via adaptive transfer. Code is available at https://github.com/qklee-lz/CLAdapter.