PathNavigate: A Training-Free Pathology Agent with Surprise-Guided Scan and Shared Slide Memory for Whole-Slide Image VQA

Whole-slide image visual question answering (WSI-VQA) frames pathology as an extreme-context search problem: to answer a free-form clinical query, a system must first navigate a gigapixel slide under a strict inspection budget to locate sparse, high-resolution evidence. Existing approaches largely fall into two paradigms: i) supervised pathology multimodal large language models (MLLMs) and agents can absorb localization and reasoning into learned modules, but they often couple navigation to task-specific supervision and retraining, limiting their practicality; ii) training-free pathology agents avoid this cost by keeping core models frozen, but often follow a question-first design, constructing the initial candidate set mainly from query-conditioned relevance. This can miss decisive morphology that is not named in the question, and force heavier inference-time scaffolding. To address this challenge, we introduce PathNavigate, a training-free pathology agent built around a scan-search-readout routine. Before question matching, PathNavigate scans the current slide at low magnification with a shared online memory module over frozen pathology features, producing a slide-specific surprise field that marks an abnormal-region pool. It then applies question-conditioned PLIP relevance only within this pool to select high-magnification search targets. Finally, it extracts local high-magnification evidence and answers with a frozen perceptor-adjudicator stack, using the same online memory as slide-level context. Experiments on WSI-VQA and SlideBench-BCNB show that the proposed scan-search-readout design improves answer accuracy and yields more interpretable evidence-selection trajectories with higher efficiency.The code is available online.

CausalGaze: Unveiling Hallucinations via Counterfactual Graph Intervention in Large Language Models

Despite the groundbreaking advancements made by large language models (LLMs), hallucination remains a critical bottleneck for their deployment in high-stakes domains. Existing classification-based methods mainly rely on static and passive signals from internal states, which often captures the noise and spurious correlations, while overlooking the underlying causal mechanisms. To address this limitation, we shift the paradigm from passive observation to active intervention by introducing CausalGaze, a novel hallucination detection framework based on structural causal models (SCMs). CausalGaze models LLMs' internal states as dynamic causal graphs and employs counterfactual interventions to disentangle causal reasoning paths from incidental noise, thereby enhancing model interpretability. Extensive experiments across four datasets and three widely used LLMs demonstrate the effectiveness of CausalGaze, especially achieving over 5.2\% improvement in AUROC on the TruthfulQA dataset compared to state-of-the-art baselines.

From Selection to Scheduling: Federated Geometry-Aware Correction Makes Exemplar Replay Work Better under Continual Dynamic Heterogeneity

Exemplar replay has become an effective strategy for mitigating catastrophic forgetting in federated continual learning (FCL) by retaining representative samples from past tasks. Existing studies focus on designing sample-importance estimation mechanisms to identify information-rich samples. However, they typically overlook strategies for effectively utilizing the selected exemplars, which limits their performance under continual dynamic heterogeneity across clients and tasks. To address this issue, this paper proposes a Federated gEometry-Aware correcTion method, termed FEAT, which alleviates imbalance-induced representation collapse that drags rare-class features toward frequent classes across clients. Specifically, it consists of two key modules: 1) the Geometric Structure Alignment module performs structural knowledge distillation by aligning the pairwise angular similarities between feature representations and their corresponding Equiangular Tight Frame prototypes, which are fixed and shared across clients to serve as a class-discriminative reference structure. This encourages geometric consistency across tasks and helps mitigate representation drift; 2) the Energy-based Geometric Correction module removes task-irrelevant directional components from feature embeddings, which reduces prediction bias toward majority classes. This improves sensitivity to minority classes and enhances the model's robustness under class-imbalanced distributions.

Fronto-parietal and fronto-temporal EEG coherence as predictive neuromarkers of transcutaneous auricular vagus nerve stimulation response in treatment-resistant schizophrenia: A machine learning study

Response variability limits the clinical utility of transcutaneous auricular vagus nerve stimulation (taVNS) for negative symptoms in treatment-resistant schizophrenia (TRS). This study aimed to develop an electroencephalography (EEG)-based machine learning (ML) model to predict individual response and explore associated neurophysiological mechanisms. We used ML to develop and validate predictive models based on pre-treatment EEG data features (power, coherence, and dynamic functional connectivity) from 50 TRS patients enrolled in the taVNS trial, within a nested cross-validation framework. Participants received 20 sessions of active or sham taVNS (n = 25 each) over two weeks, followed by a two-week follow-up. The prediction target was the percentage change in the positive and negative syndrome scale-factor score for negative symptoms (PANSS-FSNS) from baseline to post-treatment, with further evaluation of model specificity and neurophysiological relevance.The optimal model accurately predicted taVNS response in the active group, with predicted PANSS-FSNS changes strongly correlated with observed changes (r = 0.87, p < .001); permutation testing confirmed performance above chance (p < .001). Nine consistently retained features were identified, predominantly fronto-parietal and fronto-temporal coherence features. Negligible predictive performance in the sham group and failure to predict positive symptom change support the predictive specificity of this oscillatory signature for taVNS-related negative symptom improvement. Two coherence features within fronto-parietal-temporal networks showed post-taVNS changes significantly associated with symptom improvement, suggesting dual roles as predictors and potential therapeutic targets. EEG oscillatory neuromarkers enable accurate prediction of individual taVNS response in TRS, supporting mechanism-informed precision neuromodulation strategies.

LLM-Bootstrapped Targeted Finding Guidance for Factual MLLM-based Medical Report Generation

The automatic generation of medical reports utilizing Multimodal Large Language Models (MLLMs) frequently encounters challenges related to factual instability, which may manifest as the omission of findings or the incorporation of inaccurate information, thereby constraining their applicability in clinical settings. Current methodologies typically produce reports based directly on image features, which inherently lack a definitive factual basis. In response to this limitation, we introduce Fact-Flow, an innovative framework that separates the process of visual fact identification from the generation of reports. This is achieved by initially predicting clinical findings from the image, which subsequently directs the MLLM to produce a report that is factually precise. A pivotal advancement of our approach is a pipeline that leverages a Large Language Model (LLM) to autonomously create a dataset of labeled medical findings, effectively eliminating the need for expensive manual annotation. Extensive experimental evaluations conducted on two disease-focused medical datasets validate the efficacy of our method, demonstrating a significant enhancement in factual accuracy compared to state-of-the-art models, while concurrently preserving high standards of text quality.

Unsupervised Causal Prototypical Networks for De-biased Interpretable Dermoscopy Diagnosis

Despite the success of deep learning in dermoscopy image analysis, its inherent black-box nature hinders clinical trust, motivating the use of prototypical networks for case-based visual transparency. However, inevitable selection bias in clinical data often drives these models toward shortcut learning, where environmental confounders are erroneously encoded as predictive prototypes, generating spurious visual evidence that misleads medical decision-making. To mitigate these confounding effects, we propose CausalProto, an Unsupervised Causal Prototypical Network that fundamentally purifies the visual evidence chain. Framed within a Structural Causal Model, we employ an Information Bottleneck-constrained encoder to enforce strict unsupervised orthogonal disentanglement between pathological features and environmental confounders. By mapping these decoupled representations into independent prototypical spaces, we leverage the learned spurious dictionary to perform backdoor adjustment via do-calculus, transforming complex causal interventions into efficient expectation pooling to marginalize environmental noise. Extensive experiments on multiple dermoscopy datasets demonstrate that CausalProto achieves superior diagnostic performance and consistently outperforms standard black box models, while simultaneously providing transparent and high purity visual interpretability without suffering from the traditional accuracy compromise.

ArtPro: Self-Supervised Articulated Object Reconstruction with Adaptive Integration of Mobility Proposals

Reconstructing articulated objects into high-fidelity digital twins is crucial for applications such as robotic manipulation and interactive simulation. Recent self-supervised methods using differentiable rendering frameworks like 3D Gaussian Splatting remain highly sensitive to the initial part segmentation. Their reliance on heuristic clustering or pre-trained models often causes optimization to converge to local minima, especially for complex multi-part objects. To address these limitations, we propose ArtPro, a novel self-supervised framework that introduces adaptive integration of mobility proposals. Our approach begins with an over-segmentation initialization guided by geometry features and motion priors, generating part proposals with plausible motion hypotheses. During optimization, we dynamically merge these proposals by analyzing motion consistency among spatial neighbors, while a collision-aware motion pruning mechanism prevents erroneous kinematic estimation. Extensive experiments on both synthetic and real-world objects demonstrate that ArtPro achieves robust reconstruction of complex multi-part objects, significantly outperforming existing methods in accuracy and stability.

VasGuideNet: Vascular Topology-Guided Couinaud Liver Segmentation with Structural Contrastive Loss

Accurate Couinaud liver segmentation is critical for preoperative surgical planning and tumor localization.However, existing methods primarily rely on image intensity and spatial location cues, without explicitly modeling vascular topology. As a result, they often produce indistinct boundaries near vessels and show limited generalization under anatomical variability.We propose VasGuideNet, the first Couinaud segmentation framework explicitly guided by vascular topology. Specifically, skeletonized vessels, Euclidean distance transform (EDT)--derived geometry, and k-nearest neighbor (kNN) connectivity are encoded into topology features using Graph Convolutional Networks (GCNs). These features are then injected into a 3D encoder--decoder backbone via a cross-attention fusion module. To further improve inter-class separability and anatomical consistency, we introduce a Structural Contrastive Loss (SCL) with a global memory bank.On Task08_HepaticVessel and our private LASSD dataset, VasGuideNet achieves Dice scores of 83.68% and 76.65% with RVDs of 1.68 and 7.08, respectively. It consistently outperforms representative baselines including UNETR, Swin UNETR, and G-UNETR++, delivering higher Dice/mIoU and lower RVD across datasets, demonstrating its effectiveness for anatomically consistent segmentation. Code is available at https://github.com/Qacket/VasGuideNet.git.

Directed Ordinal Diffusion Regularization for Progression-Aware Diabetic Retinopathy Grading

Diabetic Retinopathy (DR) progresses as a continuous and irreversible deterioration of the retina, following a well-defined clinical trajectory from mild to severe stages. However, most existing ordinal regression approaches model DR severity as a set of static, symmetric ranks, capturing relative order while ignoring the inherent unidirectional nature of disease progression. As a result, the learned feature representations may violate biological plausibility, allowing implausible proximity between non-consecutive stages or even reverse transitions. To bridge this gap, we propose Directed Ordinal Diffusion Regularization (D-ODR), which explicitly models the feature space as a directed flow by constructing a progression-constrained directed graph that strictly enforces forward disease evolution. By performing multi-scale diffusion on this directed structure, D-ODR imposes penalties on score inversions along valid progression paths, thereby effectively preventing the model from learning biologically inconsistent reverse transitions. This mechanism aligns the feature representation with the natural trajectory of DR worsening. Extensive experiments demonstrate that D-ODR yields superior grading performance compared to state-of-the-art ordinal regression and DR-specific grading methods, offering a more clinically reliable assessment of disease severity. Our code is available on https://github.com/HovChen/D-ODR.

Smoothness Adaptivity in Constant-Depth Neural Networks: Optimal Rates via Smooth Activations

Smooth activation functions are ubiquitous in modern deep learning, yet their theoretical advantages over non-smooth counterparts remain poorly understood. In this work, we characterize both approximation and statistical properties of neural networks with smooth activations over the Sobolev space $W^{s,\infty}([0,1]^d)$ for arbitrary smoothness $s>0$. We prove that constant-depth networks equipped with smooth activations automatically exploit arbitrarily high orders of target function smoothness, achieving the minimax-optimal approximation and estimation error rates (up to logarithmic factors). In sharp contrast, networks with non-smooth activations, such as ReLU, lack this adaptivity: their attainable approximation order is strictly limited by depth, and capturing higher-order smoothness requires proportional depth growth. These results identify activation smoothness as a fundamental mechanism, alternative to depth, for attaining statistical optimality. Technically, our results are established via a constructive approximation framework that produces explicit neural network approximators with carefully controlled parameter norms and model size. This complexity control ensures statistical learnability under empirical risk minimization (ERM) and removes the impractical sparsity constraints commonly required in prior analyses.