Degradation-Aware Prompt Learning with Cross-Modal Compensation for Adverse Weather Removal

Adverse weather causes diverse and complex image degradations, severely compromising the reliability of computer vision systems. Existing all-in-one restoration models attempt to address multiple degradation types within a unified framework, but often lack explicit spatial and semantic modeling of degradation characteristics, limiting their adaptability to diverse weather conditions. To address this limitation, we propose a Degradation-Aware Cross-Modal Prompt Compensation Network (DCMPC-Net) that leverages cross-modal degradation cues from a pretrained vision-language model to condition restoration features within a unified backbone. Specifically, our DCMPC-Net mainly consists of the Cross-Modal Prompt Generator (CMPG), Prompt-Guided Attention Alignment Module (PGAAM), and Dual Feature Compensation Module (DFCM). The CMPG integrates textual embeddings with visual features to produce degradation-aware prompts that encode degradation-related semantic and contextual cues. These prompts are injected into the decoder via a PGAAM, which adaptively aligns semantic information with degraded regions to facilitate context-aware restoration. To further enhance structural fidelity, DFCM is introduced that disentangles degradation artifacts from scene structures, thereby improving the reconstruction of fine textures and detailed content. By integrating cross-modal semantic guidance with spatial alignment and structural enhancement, DCMPC-Net achieves robust and perceptually consistent restoration across diverse weather conditions. Extensive experiments show that DCMPC-Net outperforms state-of-the-art methods in both task-specific and unified settings, achieving superior accuracy and visual fidelity.

Robust Low-Tubal-Rank Tensor Completion under Cross-Concentrated Sampling

Tensor cross-concentrated sampling (t-CCS) bridges entrywise sampling and t-CUR slice-wise sampling by observing entries only within selected horizontal and lateral slices. Existing t-CCS completion methods, however, assume that the observations are free of gross corruption. In this work, we study robust recovery of a third-order low-tubal-rank tensor from partial t-CCS observations contaminated by sparse, arbitrarily large outliers. We propose Robust Iterative t-CUR (R-ItCUR), a tensor-native algorithm that partitions the sampled tensor cross into two exterior blocks and an intersection block, applies adaptive blockwise Welsch correction for outlier suppression, and updates the low-rank component through projected blockwise gradient descent. By operating directly on the sampled cross, R-ItCUR avoids reconstructing the full tensor throughout the iterations, resulting in substantial memory and computational savings. Experiments on synthetic tensors, cardiac MRI data, and three-dimensional seismic data demonstrate accurate recovery and strong robustness to sparse gross corruptions. The results further highlight the importance of explicitly exploiting the cross-concentrated sampling structure in robust tensor completion.

Agentic AI in medicine: architectures, applications, evaluation, and challenges for clinical translation

Large language models and multimodal foundation models are enabling medical artificial intelligence (AI) systems to move beyond isolated prediction and undertake multistep clinical tasks that require planning, tool use, memory, iterative correction, and coordination among specialized agents. However, the scope of agentic AI in medicine remains unsettled, and current evaluation practices are not yet aligned with the requirements of clinical use. We conducted a scoping review with systematic evidence mapping across five electronic sources, screened 1,649 exportable records, and provisionally included 557 unique studies that met predefined criteria for goal-directed task execution, tool use, interaction with external resources, feedback-based refinement, or multi-agent collaboration. The included studies describe single agents that use external tools, workflows supported by retrieval and external knowledge, multimodal agents, and multi-agent systems applied to medical question answering, image interpretation, electronic health record analysis, drug safety, and clinical trial prediction. The evidence base remains dominated by public benchmarks, simulated settings, retrospective datasets, and small-scale expert evaluation. Process reliability, evidence traceability, uncertainty, safety, workflow impact, and external validity are evaluated less consistently. Clinical translation will depend on clearer definitions, reproducible evaluation, auditable oversight, interoperable system design, and prospective validation in real-world clinical workflows.

Risk-Routed Implicit Boundary Refinement for Robust Ultrasound Image Segmentation

Medical ultrasound (US) image segmentation faces significant challenges due to speckle noise, low-contrast boundaries, acoustic shadowing, and acquisition variation across operators and clinical centers. Although encoder-decoder and transformer-based networks have achieved strong performance, many methods recover boundary details through dense decoders or larger backbones, which may still produce over-smoothed contours or unstable predictions under external distribution shifts. In this article, we propose Risk-routed Implicit Boundary Refinement (RIBR), a compact segmentation framework that uses implicit neural representation as a risk-routed residual correction rather than an unconstrained full-mask predictor. RIBR combines boundary-refinement implicit residuals, risk-routed residual control, and geometry- and speckle-aware boundary regularization to refine uncertain contours while suppressing non-boundary oscillations. Evaluation on nine US datasets covering lymph nodes, breast lesions, thyroid nodules, and prostate shows that RIBR achieves the best overall macro-average and consistently reduces boundary error across grouped and organ-specific comparisons under a compact parameter budget. These findings suggest that controlled implicit residual learning is a practical strategy for resource-constrained and boundary-sensitive US segmentation. Source code is available at https://github.com/jinggqu/ribr.

Energy-Based Physics-Informed Form Finding for Clustered Tensegrity Structures

Tensegrity form-finding and physical property prediction are fundamental inverse problems in structural mechanics, which aim to determine equilibrium configurations and internal force distributions. These problems are challenging due to strong nonlinearity arising from the coupling between geometry and forces, the need to ensure structural stability, and the enforcement of constraints such as boundary conditions and symmetry. Moreover, traditional methods often lack robustness to noise and outliers. This paper proposes an energy-based learning framework for clustered tensegrity form finding and physical property prediction. The proposed approach incorporates total potential energy minimization and constitutive relations into the training objective, enabling the simultaneous prediction of equilibrium nodal configurations and associated physical quantities, including member forces and force densities. By incorporating energy-based physical losses directly into the learning process, the framework improves physical consistency, robustness, and data efficiency. Numerical experiments on tensegrity structures, including prism and lander systems, show the great potential of the proposed approach and demonstrate its capability for scalable form finding and accurate prediction of structural properties.

FlowPET: Physics-Informed Symplectic Flow Matching for Low-Count PET Reconstruction

Low-count Positron Emission Tomography (PET) reconstruction is severely hindered by the dissipative nature of prevailing generative models, where the inherent phase-space contraction leads to the numerical extinction (``wash-out'') of weak but diagnostically critical lesion signals. To overcome this geometric limitation, we propose \textbf{FlowPET}, a physics-informed framework that reformulates reconstruction as volume-preserving transport in a symplectic phase space. By parameterizing the posterior dynamics via a Separable Hamiltonian System, our approach guarantees a divergence-free vector field by construction, theoretically immunizing weak signals against probability mass collapse. To steer this conservative flow, we introduce conjugate boundary conditions based on the Range-Null space decomposition of the PET operator; this strictly enforces data consistency in the range space while confining stochastic uncertainty injection to the unobserved null space. We train the model via symplectic flow matching and perform inference using a symplectic leapfrog integrator. Extensive experiments on BrainWeb, clinical pediatric, and UDPET datasets demonstrate that \textbf{FlowPET} not only surpasses state-of-the-art deterministic and stochastic baselines in SSIM and PSNR but, more crucially, exhibits superior recovery of low-contrast lesions. The results confirm that imposing Hamiltonian structural constraints offers a robust geometric safeguard for medical inverse problems in high-noise regimes.

Learning Label-Efficient Interpretable Medical Image Diagnosis via Semi-supervised Hypergraph Concept Bottleneck Model

Deep learning has revolutionized medical image analysis, delivering exceptional diagnostic accuracy across diverse applications. Yet, the lack of interpretability in its decision-making hinders clinical adoption, particularly in high-stakes medical contexts where transparency is paramount for trustworthiness. For example, in Placenta Accreta Spectrum (PAS), subtle cues in ultrasound imaging challenge reliable diagnosis, rendering black-box models untrustworthy for accurate scoring. To address this, Concept Bottleneck Models (CBMs) offer a promising avenue by embedding clinically meaningful intermediate concepts into the diagnosis pipeline, enabling clinicians to scrutinize and refine model outputs. However, conventional CBMs falter in capturing complex inter-concept dependencies and demand costly, expert-driven concept annotations, limiting their scalability. This study introduces a novel semi-supervised CBM framework designed for medical imaging, which leverages dual-level hypergraph learning to model high-order concept dependencies and generate domain-adaptive pseudo-labels. Our approach achieves superior interpretability and performance by integrating a concept-level hypergraph for enhanced reasoning and an image-level hypergraph for robust pseudo-label generation. Experiments on a newly annotated PAS ultrasound dataset and a breast ultrasound public dataset demonstrate the effectiveness of the proposed concept label-efficient interpretable framework. Its universality is further validated on the dermoscopic image dataset SkinCon. The code is available at https://github.com/scott-yjyang/HyperCBM.

Attenuation-Resilient Alternating Optimization for Laparoscopic Liver Landmark Detection

Liver surface landmark detection is a fundamental prerequisite for anatomical guidance in laparoscopic liver surgery. However, it remains unreliable in practice due to two pervasive challenges: illumination attenuation in underexposed regions and the structural mismatch between pixel-wise localization and continuous curvilinear geometry. To address these limitations, we propose A2ONet, an attenuation-resilient alternating optimization network for robust liver landmark detection. To mitigate illumination attenuation, A2ONet embraces an illumination field compensation (IFC) block that adaptively enhances dark regions while preserving structural consistency. Meanwhile, we introduce a lightweight frequency-orientation selective filter (FOSF) to suppress repetitive texture interference and preserve salient curvilinear cues. Building upon these resilient representations, we design an alternating seg-curve optimization (ASCO) decoder that iteratively couples dense segmentation with explicit curve modeling, enabling mutual guidance to optimize both structural continuity and endpoint localization. Extensive evaluations on L3D-2K, L3D, and P2ILF demonstrate consistent improvements over competitive methods, establishing a more reliable foundation for intraoperative anatomy guidance. Our code will be available at https://github.com/hyperiondk115/A2ONet.

Concept-Guided Noisy Negative Suppression for Zero-Shot Classification and Grounding of Chest X-Ray Findings

Vision-language alignment using chest X-rays and radiology reports has emerged as an advanced paradigm for zero-shot classification and grounding of chest X-ray findings. However, standard contrastive learning typically treats radiographs and reports from different patients simply as negative pairs. This assumption introduces noisy negatives, as different patients frequently exhibit similar findings. Such noisy negatives cause semantic ambiguity and degrade performance in zero-shot understanding tasks. To address this challenge, we propose CoNNS, a concept-guided noisy-negative suppression framework. To support the negative suppression mechanism, unlike previous methods that use raw reports or templatized texts, we construct a hierarchical concept ontology using large language models. The ontology structures 41 key clinical concepts by explicitly modeling presence, attributes (location and characteristics), and texts (evidential segment and presence statement). Leveraging this ontology, we implement a cross-patient pair relabeling strategy comprising three steps: (1) Fine-Grained Breakdown to categorize pairs based on finding presence; (2) Noisy Negative Filtering to resolve semantic conflicts by removing false negatives; and (3) Hard Negative Mining to identify subtle attribute discrepancies using a lightweight language model. Finally, we propose a Concept-Aware NCE loss to align visual features with text while suppressing the identified noisy negatives. Extensive experiments across multi-granularity zero-shot grounding tasks and five zero-shot classification datasets validate that CoNNS outperforms existing state-of-the-art models. The code is available at https://github.com/DopamineLcy/conns.

Evidential Reasoning Advances Interpretable Real-World Disease Screening

Disease screening is critical for early detection and timely intervention in clinical practice. However, most current screening models for medical images suffer from limited interpretability and suboptimal performance. They often lack effective mechanisms to reference historical cases or provide transparent reasoning pathways. To address these challenges, we introduce EviScreen, an evidential reasoning framework for disease screening that leverages region-level evidence from historical cases. The proposed EviScreen offers retrospection interpretability through regional evidence retrieved from dual knowledge banks. Using this evidential mechanism, the subsequent evidence-aware reasoning module makes predictions using both the current case and evidence from historical cases, thereby enhancing disease screening performance. Furthermore, rather than relying on post-hoc saliency maps, EviScreen enhances localization interpretability by leveraging abnormality maps derived from contrastive retrieval. Our method achieves superior performance on our carefully established benchmarks for real-world disease screening, yielding notably higher specificity at clinical-level recall. Code is publicly available at https://github.com/DopamineLcy/EviScreen.