TextReasoningBench: Does Reasoning Really Improve Text Classification in Large Language Models?

Eliciting explicit, step-by-step reasoning traces from large language models (LLMs) has emerged as a dominant paradigm for enhancing model capabilities. Although such reasoning strategies were originally designed for problems requiring explicit multi-step reasoning, they have increasingly been applied to a broad range of NLP tasks. This expansion implicitly assumes that deliberative reasoning uniformly benefits heterogeneous tasks. However, whether such reasoning mechanisms truly benefit classification tasks remains largely underexplored, especially considering their substantial token and time costs. To fill this gap, we introduce TextReasoningBench, a systematic benchmark designed to evaluate the effectiveness and efficiency of reasoning strategies for text classification with LLMs. We compare seven reasoning strategies, namely IO, CoT, SC-CoT, ToT, GoT, BoC, and long-CoT across ten LLMs on five text classification datasets. Beyond traditional metrics such as accuracy and macro-F1, we introduce two cost-aware evaluation metrics that quantify the performance gain per reasoning token and the efficiency of performance improvement relative to token cost growth. Experimental results reveal three notable findings: (1) Reasoning does not universally improve classification performance: while moderate strategies such as CoT and SC-CoT yield consistent but limited gains (typically +1% to +3% on big models), more complex methods (e.g., ToT and GoT) often fail to outperform simpler baselines and can even degrade performance, especially on small models; (2) Reasoning is often inefficient: many reasoning strategies increase token consumption by 10$\times$ to 100$\times$ (e.g., SC-CoT and ToT) while providing only marginal performance improvements.

Multiscale Switch for Semi-Supervised and Contrastive Learning in Medical Ultrasound Image Segmentation

Medical ultrasound image segmentation faces significant challenges due to limited labeled data and characteristic imaging artifacts including speckle noise and low-contrast boundaries. While semi-supervised learning (SSL) approaches have emerged to address data scarcity, existing methods suffer from suboptimal unlabeled data utilization and lack robust feature representation mechanisms. In this paper, we propose Switch, a novel SSL framework with two key innovations: (1) Multiscale Switch (MSS) strategy that employs hierarchical patch mixing to achieve uniform spatial coverage; (2) Frequency Domain Switch (FDS) with contrastive learning that performs amplitude switching in Fourier space for robust feature representations. Our framework integrates these components within a teacher-student architecture to effectively leverage both labeled and unlabeled data. Comprehensive evaluation across six diverse ultrasound datasets (lymph nodes, breast lesions, thyroid nodules, and prostate) demonstrates consistent superiority over state-of-the-art methods. At 5\% labeling ratio, Switch achieves remarkable improvements: 80.04\% Dice on LN-INT, 85.52\% Dice on DDTI, and 83.48\% Dice on Prostate datasets, with our semi-supervised approach even exceeding fully supervised baselines. The method maintains parameter efficiency (1.8M parameters) while delivering superior performance, validating its effectiveness for resource-constrained medical imaging applications. The source code is publicly available at https://github.com/jinggqu/Switch

Symmetry-Reduced Physics-Informed Learning of Tensegrity Dynamics

Tensegrity structures possess intrinsic geometric symmetries that govern their dynamic behavior. However, most existing physics-informed neural network (PINN) approaches for tensegrity dynamics do not explicitly exploit these symmetries, leading to high computational complexity and unstable optimization. In this work, we propose a symmetry-reduced physics-informed neural network (SymPINN) framework that embeds group-theory-based symmetry directly into both the solution expression and the neural network architecture to predict tensegrity dynamics. By decomposing nodes into symmetry orbits and representing free nodal coordinates using a symmetry basis, the proposed method constructs a reduced coordinate representation that preserves geometric symmetry of the structure. The full coordinates are then recovered via symmetry transformations of the reduced solution learned by the network, ensuring that the predicted configurations automatically satisfy the symmetry constraints. In this framework, equivariance is enforced through orbit-based coordinate generation, symmetry-consistent message passing, and physics residual constraints. In addition, SymPINN improves training effectiveness by encoding initial conditions as hard constraints, incorporating Fourier feature encoding to enhance the representation of dynamic motions, and employing a two-stage optimization strategy. Extensive numerical experiments on symmetric T-bars and lander structures demonstrate significantly improved prediction accuracy and computational efficiency compared to standard physics-informed models, indicating the great potential of symmetry-aware learning for structure-preserving modeling of tensegrity dynamics.

Preoperative-to-intraoperative Liver Registration for Laparoscopic Surgery via Latent-Grounded Correspondence Constraints

In laparoscopic liver surgery, augmented reality technology enhances intraoperative anatomical guidance by overlaying 3D liver models from preoperative CT/MRI onto laparoscopic 2D views. However, existing registration methods lack explicit modeling of reliable 2D-3D geometric correspondences supported by latent evidence, leading to limited interpretability and potentially unstable alignment in clinical scenarios. In this work, we introduce Land-Reg, a correspondence-driven deformable registration framework that explicitly learns latent-grounded 2D-3D landmark correspondences as an interpretable intermediate representation to bridge cross-modal alignment. For rigid registration, Land-Reg embraces a Cross-modal Latent Alignment module to map multi-modal features into a unified latent space. Further, an Uncertainty-enhanced Overlap Landmark Detector with similarity matching is proposed to robustly estimate explicit 2D-3D landmark correspondences. For non-rigid registration, we design a novel shape-constrained supervision strategy that anchors shape deformation to matched landmarks through reprojection consistency and incorporates local-isometric regularization to alleviate inherent 2D-3D depth ambiguity, while a rendered-mask alignment enforces global shape consistency. Experimental results on the P2ILF dataset demonstrate the superiority of our method on both rigid pose estimation and non-rigid deformation. Our code will be available at https://github.com/cuiruize/Land-Reg.

When Does Multimodal Learning Help in Healthcare? A Benchmark on EHR and Chest X-Ray Fusion

Machine learning holds promise for advancing clinical decision support, yet it remains unclear when multimodal learning truly helps in practice, particularly under modality missingness and fairness constraints. In this work, we conduct a systematic benchmark of multimodal fusion between Electronic Health Records (EHR) and chest X-rays (CXR) on standardized cohorts from MIMIC-IV and MIMIC-CXR, aiming to answer four fundamental questions: when multimodal fusion improves clinical prediction, how different fusion strategies compare, how robust existing methods are to missing modalities, and whether multimodal models achieve algorithmic fairness. Our study reveals several key insights. Multimodal fusion improves performance when modalities are complete, with gains concentrating in diseases that require complementary information from both EHR and CXR. While cross-modal learning mechanisms capture clinically meaningful dependencies beyond simple concatenation, the rich temporal structure of EHR introduces strong modality imbalance that architectural complexity alone cannot overcome. Under realistic missingness, multimodal benefits rapidly degrade unless models are explicitly designed to handle incomplete inputs. Moreover, multimodal fusion does not inherently improve fairness, with subgroup disparities mainly arising from unequal sensitivity across demographic groups. To support reproducible and extensible evaluation, we further release a flexible benchmarking toolkit that enables plug-and-play integration of new models and datasets. Together, this work provides actionable guidance on when multimodal learning helps, when it fails, and why, laying the foundation for developing clinically deployable multimodal systems that are both effective and reliable. The open-source toolkit can be found at https://github.com/jakeykj/CareBench.

MacNet: An End-to-End Manifold-Constrained Adaptive Clustering Network for Interpretable Whole Slide Image Classification

Whole slide images (WSIs) are the gold standard for pathological diagnosis and sub-typing. Current main-stream two-step frameworks employ offline feature encoders trained without domain-specific knowledge. Among them, attention-based multiple instance learning (MIL) methods are outcome-oriented and offer limited interpretability. Clustering-based approaches can provide explainable decision-making process but suffer from high dimension features and semantically ambiguous centroids. To this end, we propose an end-to-end MIL framework that integrates Grassmann re-embedding and manifold adaptive clustering, where the manifold geometric structure facilitates robust clustering results. Furthermore, we design a prior knowledge guiding proxy instance labeling and aggregation strategy to approximate patch labels and focus on pathologically relevant tumor regions. Experiments on multicentre WSI datasets demonstrate that: 1) our cluster-incorporated model achieves superior performance in both grading accuracy and interpretability; 2) end-to-end learning refines better feature representations and it requires acceptable computation resources.

FourierPET: Deep Fourier-based Unrolled Network for Low-count PET Reconstruction

Low-count positron emission tomography (PET) reconstruction is a challenging inverse problem due to severe degradations arising from Poisson noise, photon scarcity, and attenuation correction errors. Existing deep learning methods typically address these in the spatial domain with an undifferentiated optimization objective, making it difficult to disentangle overlapping artifacts and limiting correction effectiveness. In this work, we perform a Fourier-domain analysis and reveal that these degradations are spectrally separable: Poisson noise and photon scarcity cause high-frequency phase perturbations, while attenuation errors suppress low-frequency amplitude components. Leveraging this insight, we propose FourierPET, a Fourier-based unrolled reconstruction framework grounded in the Alternating Direction Method of Multipliers. It consists of three tailored modules: a spectral consistency module that enforces global frequency alignment to maintain data fidelity, an amplitude-phase correction module that decouples and compensates for high-frequency phase distortions and low-frequency amplitude suppression, and a dual adjustment module that accelerates convergence during iterative reconstruction. Extensive experiments demonstrate that FourierPET achieves state-of-the-art performance with significantly fewer parameters, while offering enhanced interpretability through frequency-aware correction.

Cross-modal Proxy Evolving for OOD Detection with Vision-Language Models

Reliable zero-shot detection of out-of-distribution (OOD) inputs is critical for deploying vision-language models in open-world settings. However, the lack of labeled negatives in zero-shot OOD detection necessitates proxy signals that remain effective under distribution shift. Existing negative-label methods rely on a fixed set of textual proxies, which (i) sparsely sample the semantic space beyond in-distribution (ID) classes and (ii) remain static while only visual features drift, leading to cross-modal misalignment and unstable predictions. In this paper, we propose CoEvo, a training- and annotation-free test-time framework that performs bidirectional, sample-conditioned adaptation of both textual and visual proxies. Specifically, CoEvo introduces a proxy-aligned co-evolution mechanism to maintain two evolving proxy caches, which dynamically mines contextual textual negatives guided by test images and iteratively refines visual proxies, progressively realigning cross-modal similarities and enlarging local OOD margins. Finally, we dynamically re-weight the contributions of dual-modal proxies to obtain a calibrated OOD score that is robust to distribution shift. Extensive experiments on standard benchmarks demonstrate that CoEvo achieves state-of-the-art performance, improving AUROC by 1.33% and reducing FPR95 by 45.98% on ImageNet-1K compared to strong negative-label baselines.

Enabling Ultra-Fast Cardiovascular Imaging Across Heterogeneous Clinical Environments with a Generalist Foundation Model and Multimodal Database

Multimodal cardiovascular magnetic resonance (CMR) imaging provides comprehensive and non-invasive insights into cardiovascular disease (CVD) diagnosis and underlying mechanisms. Despite decades of advancements, its widespread clinical adoption remains constrained by prolonged scan times and heterogeneity across medical environments. This underscores the urgent need for a generalist reconstruction foundation model for ultra-fast CMR imaging, one capable of adapting across diverse imaging scenarios and serving as the essential substrate for all downstream analyses. To enable this goal, we curate MMCMR-427K, the largest and most comprehensive multimodal CMR k-space database to date, comprising 427,465 multi-coil k-space data paired with structured metadata across 13 international centers, 12 CMR modalities, 15 scanners, and 17 CVD categories in populations across three continents. Building on this unprecedented resource, we introduce CardioMM, a generalist reconstruction foundation model capable of dynamically adapting to heterogeneous fast CMR imaging scenarios. CardioMM unifies semantic contextual understanding with physics-informed data consistency to deliver robust reconstructions across varied scanners, protocols, and patient presentations. Comprehensive evaluations demonstrate that CardioMM achieves state-of-the-art performance in the internal centers and exhibits strong zero-shot generalization to unseen external settings. Even at imaging acceleration up to 24x, CardioMM reliably preserves key cardiac phenotypes, quantitative myocardial biomarkers, and diagnostic image quality, enabling a substantial increase in CMR examination throughput without compromising clinical integrity. Together, our open-access MMCMR-427K database and CardioMM framework establish a scalable pathway toward high-throughput, high-quality, and clinically accessible cardiovascular imaging.

GDKVM: Echocardiography Video Segmentation via Spatiotemporal Key-Value Memory with Gated Delta Rule

Accurate segmentation of cardiac chambers in echocardiography sequences is crucial for the quantitative analysis of cardiac function, aiding in clinical diagnosis and treatment. The imaging noise, artifacts, and the deformation and motion of the heart pose challenges to segmentation algorithms. While existing methods based on convolutional neural networks, Transformers, and space-time memory networks have improved segmentation accuracy, they often struggle with the trade-off between capturing long-range spatiotemporal dependencies and maintaining computational efficiency with fine-grained feature representation. In this paper, we introduce GDKVM, a novel architecture for echocardiography video segmentation. The model employs Linear Key-Value Association (LKVA) to effectively model inter-frame correlations, and introduces Gated Delta Rule (GDR) to efficiently store intermediate memory states. Key-Pixel Feature Fusion (KPFF) module is designed to integrate local and global features at multiple scales, enhancing robustness against boundary blurring and noise interference. We validated GDKVM on two mainstream echocardiography video datasets (CAMUS and EchoNet-Dynamic) and compared it with various state-of-the-art methods. Experimental results show that GDKVM outperforms existing approaches in terms of segmentation accuracy and robustness, while ensuring real-time performance. Code is available at https://github.com/wangrui2025/GDKVM.