PerFact: Perception-Derived Fact Prompting for 3D Brain MRI Report Generation

Radiology report generation has matured almost entirely on 2D chest radiographs, where the default route to better reports is a larger backbone or a pre-training one on medical data. We revisit that assumption on 3D multi-sequence brain MRI, a volumetric multi-disease regime, and find that the model is not the lever. Zero-shot medical and radiology vision-language models transfer poorly to brain MRI, with chest radiograph specialists failing most conspicuously, and five backbones fine-tuned identically across three model families and an order of magnitude in scale differ only marginally. What determines the quality of the report is the information injected into the prompt. We delegate perception to upstream 3D segmentation and classification, serialize their outputs into a structured fact sentence, and prompt a LoRA-adapted vision-language model with it; we call this \textbf{PerFact}. In a controlled study that fixes the backbone, data split, target reports, and adaptation while varying only the injected grounding, perception-derived facts outperform retrieved prior reports, retrieval becomes redundant once facts are present, and end-to-end predicted facts remain effective without any ground-truth annotation at inference. The residual gap between predicted and oracle facts is explained by the granularity of the facts rather than by the generator. Closed-ended visual question answering comes at no measurable cost to report quality, though the grounding source has little effect on it. On 3D brain MRI, grounding information, not model choice, is the dominant controllable factor in report quality.

Teaching Foundation Models to Read mmWave: Pose-Guided Kinematic Representation for Human Behavior Understanding

Large language model agents need to perceive human behavior in physical environments. Millimeter-wave (mmWave) radar provides a privacy-friendly and contactless sensing modality, but radar observations are difficult to align with language. Existing radar-language methods often rely on synthetic data or lack explicit supervision for human body structure and motion. We present mmMind, a radar-language model that uses synchronized 3D pose as training-only supervision. A spatio-temporal radar encoder is pretrained to capture body configuration and motion dynamics, after which the pose head is removed so that inference requires radar alone. The learned radar representations are then aligned with an LLM for behavior captioning and spatio-temporal question answering. We also introduce mmMind-Bench, a real-world mmWave-language benchmark containing 17.9 hours of recordings from 23 participants across seven indoor environments. Experiments on captioning, question answering, and unseen-action generalization show that mmMind consistently outperforms existing radar-language baselines, while ablations confirm the importance of pose-guided pretraining.