Unlocking the Power of Medical Tabular Data via Semantic-Aware Multimodal Pre-training

While vision-language models dominate medical representation learning, unstructured text lacks the dense, quantitative diagnostic phenotypes inherent in structured clinical tables. However, existing multimodal pre-training methods underutilize this potential due to semantic-agnostic designs that treat tabular inputs as flat vectors and employ unstable continuous regression objectives. To overcome this, we propose a novel semantic-aware framework explicitly modeling the intrinsic two-dimensional structure of tabular data. First, addressing the inter-feature hierarchy of varying diagnostic importance, we introduce Importance-Aware Adaptive Masking to construct a label-free curriculum prioritizing salient features. Second, addressing the intra-feature continuity-discreteness duality, we propose a Soft-Label Discretized Module that replaces unstable numerical regression with stable distribution matching, thereby mathematically preserving ordinal relationships. Extensive experiments across large-scale dermatology (SLICE-3D, HOP) and ophthalmology (EyePACS) datasets establish a new state-of-the-art (SOTA), demonstrating exceptional robustness and cross-domain generalizability.

SkelHCC: A Hyperbolic CLIP-Driven Cache Adaptation Framework for Skeleton-based One-Shot Action Recognition

Skeleton-based action recognition aims to understand human behaviors from body joint sequences and is especially challenging in the one-shot setting, where only a single labeled exemplar is available for each novel action. A key challenge is learning representations that capture the hierarchical and compositional structure of human motion while aligning effectively with high-level action semantics under extreme data scarcity. Existing approaches, largely based on Euclidean embeddings and low-level motion cues, struggle to model the tree-like organization of skeleton data, limiting cross-modal alignment and generalization to unseen action categories. We propose SkelHCC, a unified skeleton hyperbolic CLIP-driven cache adaptation framework for one-shot skeleton-based action recognition. SkelHCC introduces an Explicitly Hierarchical Hyperbolic CLIP (EH-HCLIP) module that embeds skeleton sequences and action language into a shared hyperbolic space. By leveraging the negative curvature and exponential volume growth of hyperbolic geometry, EH-HCLIP naturally encodes the joint-part-body hierarchy of human anatomy and yields structurally consistent cross-modal representations. To support efficient one-shot adaptation, SkelHCC further integrates a training-free LLM-guided Multi-granularity Voting Cache (LMV-Cache) for context-aware inference. Experiments on NTU RGB+D 60, NTU RGB+D 120, and PKU-MMD demonstrate that SkelHCC consistently outperforms state-of-the-art methods.

Boosting Skeleton-based Zero-Shot Action Recognition with Training-Free Test-Time Adaptation

We introduce Skeleton-Cache, the first training-free test-time adaptation framework for skeleton-based zero-shot action recognition (SZAR), aimed at improving model generalization to unseen actions during inference. Skeleton-Cache reformulates inference as a lightweight retrieval process over a non-parametric cache that stores structured skeleton representations, combining both global and fine-grained local descriptors. To guide the fusion of descriptor-wise predictions, we leverage the semantic reasoning capabilities of large language models (LLMs) to assign class-specific importance weights. By integrating these structured descriptors with LLM-guided semantic priors, Skeleton-Cache dynamically adapts to unseen actions without any additional training or access to training data. Extensive experiments on NTU RGB+D 60/120 and PKU-MMD II demonstrate that Skeleton-Cache consistently boosts the performance of various SZAR backbones under both zero-shot and generalized zero-shot settings. The code is publicly available at https://github.com/Alchemist0754/Skeleton-Cache.

DynaPURLS: Dynamic Refinement of Part-aware Representations for Skeleton-based Zero-Shot Action Recognition

Zero-shot skeleton-based action recognition (ZS-SAR) is fundamentally constrained by prevailing approaches that rely on aligning skeleton features with static, class-level semantics. This coarse-grained alignment fails to bridge the domain shift between seen and unseen classes, thereby impeding the effective transfer of fine-grained visual knowledge. To address these limitations, we introduce \textbf{DynaPURLS}, a unified framework that establishes robust, multi-scale visual-semantic correspondences and dynamically refines them at inference time to enhance generalization. Our framework leverages a large language model to generate hierarchical textual descriptions that encompass both global movements and local body-part dynamics. Concurrently, an adaptive partitioning module produces fine-grained visual representations by semantically grouping skeleton joints. To fortify this fine-grained alignment against the train-test domain shift, DynaPURLS incorporates a dynamic refinement module. During inference, this module adapts textual features to the incoming visual stream via a lightweight learnable projection. This refinement process is stabilized by a confidence-aware, class-balanced memory bank, which mitigates error propagation from noisy pseudo-labels. Extensive experiments on three large-scale benchmark datasets, including NTU RGB+D 60/120 and PKU-MMD, demonstrate that DynaPURLS significantly outperforms prior art, setting new state-of-the-art records. The source code is made publicly available at https://github.com/Alchemist0754/DynaPURLS