Contour-Guided Query-Based Feature Fusion for Boundary-Aware and Generalizable Cardiac Ultrasound Segmentation

Accurate cardiac ultrasound segmentation is essential for reliable assessment of ventricular function in intelligent healthcare systems. However, echocardiographic images are challenging due to low contrast, speckle noise, irregular boundaries, and domain shifts across devices and patient populations. Existing methods, largely based on appearance-driven learning, often fail to preserve boundary precision and structural consistency under these conditions. To address these issues, we propose a Contour-Guided Query Refinement Network (CGQR-Net) for boundary-aware cardiac ultrasound segmentation. The framework integrates multi-resolution feature representations with contour-derived structural priors. An HRNet backbone preserves high-resolution spatial details while capturing multi-scale context. A coarse segmentation is first generated, from which anatomical contours are extracted and encoded into learnable query embeddings. These contour-guided queries interact with fused feature maps via cross-attention, enabling structure-aware refinement that improves boundary delineation and reduces noise artifacts. A dual-head supervision strategy jointly optimizes segmentation and boundary prediction to enforce structural consistency. The proposed method is evaluated on the CAMUS dataset and further validated on the CardiacNet dataset to assess cross-dataset generalization. Experimental results demonstrate improved segmentation accuracy, enhanced boundary precision, and robust performance across varying imaging conditions. These results highlight the effectiveness of integrating contour-level structural information with feature-level representations for reliable cardiac ultrasound segmentation.

SEA: Evaluating Sketch Abstraction Efficiency via Element-level Commonsense Visual Question Answering

A sketch is a distilled form of visual abstraction that conveys core concepts through simplified yet purposeful strokes while omitting extraneous detail. Despite its expressive power, quantifying the efficiency of semantic abstraction in sketches remains challenging. Existing evaluation methods that rely on reference images, low-level visual features, or recognition accuracy do not capture abstraction, the defining property of sketches. To address these limitations, we introduce SEA (Sketch Evaluation metric for Abstraction efficiency), a reference-free metric that assesses how economically a sketch represents class-defining visual elements while preserving semantic recognizability. These elements are derived per class from commonsense knowledge about features typically depicted in sketches. SEA leverages a visual question answering model to determine the presence of each element and returns a quantitative score that reflects semantic retention under visual economy. To support this metric, we present CommonSketch, the first semantically annotated sketch dataset, comprising 23,100 human-drawn sketches across 300 classes, each paired with a caption and element-level annotations. Experiments show that SEA aligns closely with human judgments and reliably discriminates levels of abstraction efficiency, while CommonSketch serves as a benchmark providing systematic evaluation of element-level sketch understanding across various vision-language models.

VisDoT : Enhancing Visual Reasoning through Human-Like Interpretation Grounding and Decomposition of Thought

Large vision-language models (LVLMs) struggle to reliably detect visual primitives in charts and align them with semantic representations, which severely limits their performance on complex visual reasoning. This lack of perceptual grounding constitutes a major bottleneck for chart-based reasoning. We propose VisDoT, a framework that enhances visual reasoning through human-like interpretation grounding. We formalize four perceptual tasks based on the theory of graphical perception, including position and length. Building on this foundation, we introduce Decomposition-of-Thought (DoT) prompting, which sequentially separates questions into visual perception sub-questions and logic sub-questions. Fine-tuning InternVL with VisDoT achieves a +11.2% improvement on ChartQA and surpasses GPT-4o on the more challenging ChartQAPro benchmark. On the newly introduced VisDoTQA benchmark, the model improves by +33.2%. Furthermore, consistent zero-shot gains on diverse open-domain VQA benchmarks confirm the generalizability of the perception-logic separation strategy for visual question answering. VisDoT leverages human-like perception to enhance visual grounding, achieving state-of-the-art chart understanding and interpretable visual reasoning.

PEEM: Prompt Engineering Evaluation Metrics for Interpretable Joint Evaluation of Prompts and Responses

Prompt design is a primary control interface for large language models (LLMs), yet standard evaluations largely reduce performance to answer correctness, obscuring why a prompt succeeds or fails and providing little actionable guidance. We propose PEEM (Prompt Engineering Evaluation Metrics), a unified framework for joint and interpretable evaluation of both prompts and responses. PEEM defines a structured rubric with 9 axes: 3 prompt criteria (clarity/structure, linguistic quality, fairness) and 6 response criteria (accuracy, coherence, relevance, objectivity, clarity, conciseness), and uses an LLM-based evaluator to output (i) scalar scores on a 1-5 Likert scale and (ii) criterion-specific natural-language rationales grounded in the rubric. Across 7 benchmarks and 5 task models, PEEM's accuracy axis strongly aligns with conventional accuracy while preserving model rankings (aggregate Spearman rho about 0.97, Pearson r about 0.94, p < 0.001). A multi-evaluator study with four models shows consistent relative judgments (pairwise rho = 0.68-0.85), supporting evaluator-agnostic deployment. Beyond alignment, PEEM captures complementary linguistic failure modes and remains informative under prompt perturbations: prompt-quality trends track downstream accuracy under iterative rewrites, semantic adversarial manipulations induce clear score degradation, and meaning-preserving paraphrases yield high stability (robustness rate about 76.7-80.6%). Finally, using only PEEM scores and rationales as feedback, a zero-shot prompt rewriting loop improves downstream accuracy by up to 11.7 points, outperforming supervised and RL-based prompt-optimization baselines. Overall, PEEM provides a reproducible, criterion-driven protocol that links prompt formulation to response behavior and enables systematic diagnosis and optimization of LLM interactions.

Evaluating Demographic Misrepresentation in Image-to-Image Portrait Editing

Demographic bias in text-to-image (T2I) generation is well studied, yet demographic-conditioned failures in instruction-guided image-to-image (I2I) editing remain underexplored. We examine whether identical edit instructions yield systematically different outcomes across subject demographics in open-weight I2I editors. We formalize two failure modes: Soft Erasure, where edits are silently weakened or ignored in the output image, and Stereotype Replacement, where edits introduce unrequested, stereotype-consistent attributes. We introduce a controlled benchmark that probes demographic-conditioned behavior by generating and editing portraits conditioned on race, gender, and age using a diagnostic prompt set, and evaluate multiple editors with vision-language model (VLM) scoring and human evaluation. Our analysis shows that identity preservation failures are pervasive, demographically uneven, and shaped by implicit social priors, including occupation-driven gender inference. Finally, we demonstrate that a prompt-level identity constraint, without model updates, can substantially reduce demographic change for minority groups while leaving majority-group portraits largely unchanged, revealing asymmetric identity priors in current editors. Together, our findings establish identity preservation as a central and demographically uneven failure mode in I2I editing and motivate demographic-robust editing systems. Project page: https://seochan99.github.io/i2i-demographic-bias

VL-OrdinalFormer: Vision Language Guided Ordinal Transformers for Interpretable Knee Osteoarthritis Grading

Knee osteoarthritis (KOA) is a leading cause of disability worldwide, and accurate severity assessment using the Kellgren Lawrence (KL) grading system is critical for clinical decision making. However, radiographic distinctions between early disease stages, particularly KL1 and KL2, are subtle and frequently lead to inter-observer variability among radiologists. To address these challenges, we propose VLOrdinalFormer, a vision language guided ordinal learning framework for fully automated KOA grading from knee radiographs. The proposed method combines a ViT L16 backbone with CORAL based ordinal regression and a Contrastive Language Image Pretraining (CLIP) driven semantic alignment module, allowing the model to incorporate clinically meaningful textual concepts related to joint space narrowing, osteophyte formation, and subchondral sclerosis. To improve robustness and mitigate overfitting, we employ stratified five fold cross validation, class aware re weighting to emphasize challenging intermediate grades, and test time augmentation with global threshold optimization. Experiments conducted on the publicly available OAI kneeKL224 dataset demonstrate that VLOrdinalFormer achieves state of the art performance, outperforming CNN and ViT baselines in terms of macro F1 score and overall accuracy. Notably, the proposed framework yields substantial performance gains for KL1 and KL2 without compromising classification accuracy for mild or severe cases. In addition, interpretability analyses using Grad CAM and CLIP similarity maps confirm that the model consistently attends to clinically relevant anatomical regions. These results highlight the potential of vision language aligned ordinal transformers as reliable and interpretable tools for KOA grading and disease progression assessment in routine radiological practice.

Unified Review and Benchmark of Deep Segmentation Architectures for Cardiac Ultrasound on CAMUS

Several review papers summarize cardiac imaging and DL advances, few works connect this overview to a unified and reproducible experimental benchmark. In this study, we combine a focused review of cardiac ultrasound segmentation literature with a controlled comparison of three influential architectures, U-Net, Attention U-Net, and TransUNet, on the Cardiac Acquisitions for Multi-Structure Ultrasound Segmentation (CAMUS) echocardiography dataset. Our benchmark spans multiple preprocessing routes, including native NIfTI volumes, 16-bit PNG exports, GPT-assisted polygon-based pseudo-labels, and self-supervised pretraining (SSL) on thousands of unlabeled cine frames. Using identical training splits, losses, and evaluation criteria, a plain U-Net achieved a 94% mean Dice when trained directly on NIfTI data (preserving native dynamic range), while the PNG-16-bit workflow reached 91% under similar conditions. Attention U-Net provided modest improvements on small or low-contrast regions, reducing boundary leakage, whereas TransUNet demonstrated the strongest generalization on challenging frames due to its ability to model global spatial context, particularly when initialized with SSL. Pseudo-labeling expanded the training set and improved robustness after confidence filtering. Overall, our contributions are threefold: a harmonized, apples-to-apples benchmark of U-Net, Attention U-Net, and TransUNet under standardized CAMUS preprocessing and evaluation; practical guidance on maintaining intensity fidelity, resolution consistency, and alignment when preparing ultrasound data; and an outlook on scalable self-supervision and emerging multimodal GPT-based annotation pipelines for rapid labeling, quality assurance, and targeted dataset curation.

Hybrid Ensemble Approaches: Optimal Deep Feature Fusion and Hyperparameter-Tuned Classifier Ensembling for Enhanced Brain Tumor Classification

Magnetic Resonance Imaging (MRI) is widely recognized as the most reliable tool for detecting tumors due to its capability to produce detailed images that reveal their presence. However, the accuracy of diagnosis can be compromised when human specialists evaluate these images. Factors such as fatigue, limited expertise, and insufficient image detail can lead to errors. For example, small tumors might go unnoticed, or overlap with healthy brain regions could result in misidentification. To address these challenges and enhance diagnostic precision, this study proposes a novel double ensembling framework, consisting of ensembled pre-trained deep learning (DL) models for feature extraction and ensembled fine-tuned hyperparameter machine learning (ML) models to efficiently classify brain tumors. Specifically, our method includes extensive preprocessing and augmentation, transfer learning concepts by utilizing various pre-trained deep convolutional neural networks and vision transformer networks to extract deep features from brain MRI, and fine-tune hyperparameters of ML classifiers. Our experiments utilized three different publicly available Kaggle MRI brain tumor datasets to evaluate the pre-trained DL feature extractor models, ML classifiers, and the effectiveness of an ensemble of deep features along with an ensemble of ML classifiers for brain tumor classification. Our results indicate that the proposed feature fusion and classifier fusion improve upon the state of the art, with hyperparameter fine-tuning providing a significant enhancement over the ensemble method. Additionally, we present an ablation study to illustrate how each component contributes to accurate brain tumor classification.

Hierarchical Deep Feature Fusion and Ensemble Learning for Enhanced Brain Tumor MRI Classification

Accurate brain tumor classification is crucial in medical imaging to ensure reliable diagnosis and effective treatment planning. This study introduces a novel double ensembling framework that synergistically combines pre-trained deep learning (DL) models for feature extraction with optimized machine learning (ML) classifiers for robust classification. The framework incorporates comprehensive preprocessing and data augmentation of brain magnetic resonance images (MRI), followed by deep feature extraction using transfer learning with pre-trained Vision Transformer (ViT) networks. The novelty lies in the dual-level ensembling strategy: feature-level ensembling, which integrates deep features from the top-performing ViT models, and classifier-level ensembling, which aggregates predictions from hyperparameter-optimized ML classifiers. Experiments on two public Kaggle MRI brain tumor datasets demonstrate that this approach significantly surpasses state-of-the-art methods, underscoring the importance of feature and classifier fusion. The proposed methodology also highlights the critical roles of hyperparameter optimization (HPO) and advanced preprocessing techniques in improving diagnostic accuracy and reliability, advancing the integration of DL and ML for clinically relevant medical image analysis.

Culture-TRIP: Culturally-Aware Text-to-Image Generation with Iterative Prompt Refinment

Text-to-Image models, including Stable Diffusion, have significantly improved in generating images that are highly semantically aligned with the given prompts. However, existing models may fail to produce appropriate images for the cultural concepts or objects that are not well known or underrepresented in western cultures, such as `hangari' (Korean utensil). In this paper, we propose a novel approach, Culturally-Aware Text-to-Image Generation with Iterative Prompt Refinement (Culture-TRIP), which refines the prompt in order to improve the alignment of the image with such culture nouns in text-to-image models. Our approach (1) retrieves cultural contexts and visual details related to the culture nouns in the prompt and (2) iteratively refines and evaluates the prompt based on a set of cultural criteria and large language models. The refinement process utilizes the information retrieved from Wikipedia and the Web. Our user survey, conducted with 66 participants from eight different countries demonstrates that our proposed approach enhances the alignment between the images and the prompts. In particular, C-TRIP demonstrates improved alignment between the generated images and underrepresented culture nouns. Resource can be found at https://shane3606.github.io/Culture-TRIP.