CPathAgent: An Agent-based Foundation Model for Interpretable High-Resolution Pathology Image Analysis Mimicking Pathologists' Diagnostic Logic

Recent advances in computational pathology have led to the emergence of numerous foundation models. However, these approaches fail to replicate the diagnostic process of pathologists, as they either simply rely on general-purpose encoders with multi-instance learning for classification or directly apply multimodal models to generate reports from images. A significant limitation is their inability to emulate the diagnostic logic employed by pathologists, who systematically examine slides at low magnification for overview before progressively zooming in on suspicious regions to formulate comprehensive diagnoses. To address this gap, we introduce CPathAgent, an innovative agent-based model that mimics pathologists' reasoning processes by autonomously executing zoom-in/out and navigation operations across pathology images based on observed visual features. To achieve this, we develop a multi-stage training strategy unifying patch-level, region-level, and whole-slide capabilities within a single model, which is essential for mimicking pathologists, who require understanding and reasoning capabilities across all three scales. This approach generates substantially more detailed and interpretable diagnostic reports compared to existing methods, particularly for huge region understanding. Additionally, we construct an expert-validated PathMMU-HR$^{2}$, the first benchmark for huge region analysis, a critical intermediate scale between patches and whole slides, as diagnosticians typically examine several key regions rather than entire slides at once. Extensive experiments demonstrate that CPathAgent consistently outperforms existing approaches across three scales of benchmarks, validating the effectiveness of our agent-based diagnostic approach and highlighting a promising direction for the future development of computational pathology.

A Planning Framework for Stable Robust Multi-Contact Manipulation

While modeling multi-contact manipulation as a quasi-static mechanical process transitioning between different contact equilibria, we propose formulating it as a planning and optimization problem, explicitly evaluating (i) contact stability and (ii) robustness to sensor noise. Specifically, we conduct a comprehensive study on multi-manipulator control strategies, focusing on dual-arm execution in a planar peg-in-hole task and extending it to the Multi-Manipulator Multiple Peg-in-Hole (MMPiH) problem to explore increased task complexity. Our framework employs Dynamic Movement Primitives (DMPs) to parameterize desired trajectories and Black-Box Optimization (BBO) with a comprehensive cost function incorporating friction cone constraints, squeeze forces, and stability considerations. By integrating parallel scenario training, we enhance the robustness of the learned policies. To evaluate the friction cone cost in experiments, we test the optimal trajectories computed for various contact surfaces, i.e., with different coefficients of friction. The stability cost is analytical explained and tested its necessity in simulation. The robustness performance is quantified through variations of hole pose and chamfer size in simulation and experiment. Results demonstrate that our approach achieves consistently high success rates in both the single peg-in-hole and multiple peg-in-hole tasks, confirming its effectiveness and generalizability. The video can be found at https://youtu.be/IU0pdnSd4tE.

Enhancing Embedding Representation Stability in Recommendation Systems with Semantic ID

The exponential growth of online content has posed significant challenges to ID-based models in industrial recommendation systems, ranging from extremely high cardinality and dynamically growing ID space, to highly skewed engagement distributions, to prediction instability as a result of natural id life cycles (e.g, the birth of new IDs and retirement of old IDs). To address these issues, many systems rely on random hashing to handle the id space and control the corresponding model parameters (i.e embedding table). However, this approach introduces data pollution from multiple ids sharing the same embedding, leading to degraded model performance and embedding representation instability. This paper examines these challenges and introduces Semantic ID prefix ngram, a novel token parameterization technique that significantly improves the performance of the original Semantic ID. Semantic ID prefix ngram creates semantically meaningful collisions by hierarchically clustering items based on their content embeddings, as opposed to random assignments. Through extensive experimentation, we demonstrate that Semantic ID prefix ngram not only addresses embedding instability but also significantly improves tail id modeling, reduces overfitting, and mitigates representation shifts. We further highlight the advantages of Semantic ID prefix ngram in attention-based models that contextualize user histories, showing substantial performance improvements. We also report our experience of integrating Semantic ID into Meta production Ads Ranking system, leading to notable performance gains and enhanced prediction stability in live deployments.

PathVQ: Reforming Computational Pathology Foundation Model for Whole Slide Image Analysis via Vector Quantization

Computational pathology and whole-slide image (WSI) analysis are pivotal in cancer diagnosis and prognosis. However, the ultra-high resolution of WSIs presents significant modeling challenges. Recent advancements in pathology foundation models have improved performance, yet most approaches rely on [CLS] token representation of tile ViT as slide-level inputs (16x16 pixels is refereed as patch and 224x224 pixels as tile). This discards critical spatial details from patch tokens, limiting downstream WSI analysis tasks. We find that leveraging all spatial patch tokens benefits WSI analysis but incurs nearly 200x higher storage and training costs (e.g., 196 tokens in ViT$_{224}$). To address this, we introduce vector quantized (VQ) distillation on patch feature, which efficiently compresses spatial patch tokens using discrete indices and a decoder. Our method reduces token dimensionality from 1024 to 16, achieving a 64x compression rate while preserving reconstruction fidelity. Furthermore, we employ a multi-scale VQ (MSVQ) strategy, which not only enhances VQ reconstruction performance but also serves as a Self-supervised Learning (SSL) supervision for a seamless slide-level pretraining objective. Built upon the quantized patch features and supervision targets of tile via MSVQ, we develop a progressive convolutional module and slide-level SSL to extract representations with rich spatial-information for downstream WSI tasks. Extensive evaluations on multiple datasets demonstrate the effectiveness of our approach, achieving state-of-the-art performance in WSI analysis. Code will be available soon.

Learning and generalization of robotic dual-arm manipulation of boxes from demonstrations via Gaussian Mixture Models (GMMs)

Learning from demonstration (LfD) is an effective method to teach robots to move and manipulate objects in a human-like manner. This is especially true when dealing with complex robotic systems, such as those with dual arms employed for their improved payload capacity and manipulability. However, a key challenge is in expanding the robotic movements beyond the learned scenarios to adapt to minor and major variations from the specific demonstrations. In this work, we propose a learning and novel generalization approach that adapts the learned Gaussian Mixture Model (GMM)-parameterized policy derived from human demonstrations. Our method requires only a small number of human demonstrations and eliminates the need for a robotic system during the demonstration phase, which can significantly reduce both cost and time. The generalization process takes place directly in the parameter space, leveraging the lower-dimensional representation of GMM parameters. With only three parameters per Gaussian component, this process is computationally efficient and yields immediate results upon request. We validate our approach through real-world experiments involving a dual-arm robotic manipulation of boxes. Starting with just five demonstrations for a single task, our approach successfully generalizes to new unseen scenarios, including new target locations, orientations, and box sizes. These results highlight the practical applicability and scalability of our method for complex manipulations.

Towards Effective and Efficient Context-aware Nucleus Detection in Histopathology Whole Slide Images

Nucleus detection in histopathology whole slide images (WSIs) is crucial for a broad spectrum of clinical applications. Current approaches for nucleus detection in gigapixel WSIs utilize a sliding window methodology, which overlooks boarder contextual information (eg, tissue structure) and easily leads to inaccurate predictions. To address this problem, recent studies additionally crops a large Filed-of-View (FoV) region around each sliding window to extract contextual features. However, such methods substantially increases the inference latency. In this paper, we propose an effective and efficient context-aware nucleus detection algorithm. Specifically, instead of leveraging large FoV regions, we aggregate contextual clues from off-the-shelf features of historically visited sliding windows. This design greatly reduces computational overhead. Moreover, compared to large FoV regions at a low magnification, the sliding window patches have higher magnification and provide finer-grained tissue details, thereby enhancing the detection accuracy. To further improve the efficiency, we propose a grid pooling technique to compress dense feature maps of each patch into a few contextual tokens. Finally, we craft OCELOT-seg, the first benchmark dedicated to context-aware nucleus instance segmentation. Code, dataset, and model checkpoints will be available at https://github.com/windygoo/PathContext.

CoCa-CXR: Contrastive Captioners Learn Strong Temporal Structures for Chest X-Ray Vision-Language Understanding

Vision-language models have proven to be of great benefit for medical image analysis since they learn rich semantics from both images and reports. Prior efforts have focused on better alignment of image and text representations to enhance image understanding. However, though explicit reference to a prior image is common in Chest X-Ray (CXR) reports, aligning progression descriptions with the semantics differences in image pairs remains under-explored. In this work, we propose two components to address this issue. (1) A CXR report processing pipeline to extract temporal structure. It processes reports with a large language model (LLM) to separate the description and comparison contexts, and extracts fine-grained annotations from reports. (2) A contrastive captioner model for CXR, namely CoCa-CXR, to learn how to both describe images and their temporal progressions. CoCa-CXR incorporates a novel regional cross-attention module to identify local differences between paired CXR images. Extensive experiments show the superiority of CoCa-CXR on both progression analysis and report generation compared to previous methods. Notably, on MS-CXR-T progression classification, CoCa-CXR obtains 65.0% average testing accuracy on five pulmonary conditions, outperforming the previous state-of-the-art (SOTA) model BioViL-T by 4.8%. It also achieves a RadGraph F1 of 24.2% on MIMIC-CXR, which is comparable to the Med-Gemini foundation model.

I3S: Importance Sampling Subspace Selection for Low-Rank Optimization in LLM Pretraining

Low-rank optimization has emerged as a promising approach to enabling memory-efficient training of large language models (LLMs). Existing low-rank optimization methods typically project gradients onto a low-rank subspace, reducing the memory cost of storing optimizer states. A key challenge in these methods is identifying suitable subspaces to ensure an effective optimization trajectory. Most existing approaches select the dominant subspace to preserve gradient information, as this intuitively provides the best approximation. However, we find that in practice, the dominant subspace stops changing during pretraining, thereby constraining weight updates to similar subspaces. In this paper, we propose importance sampling subspace selection (I3S) for low-rank optimization, which theoretically offers a comparable convergence rate to the dominant subspace approach. Empirically, we demonstrate that I3S significantly outperforms previous methods in LLM pretraining tasks.

Large-scale and Fine-grained Vision-language Pre-training for Enhanced CT Image Understanding

Artificial intelligence (AI) shows great potential in assisting radiologists to improve the efficiency and accuracy of medical image interpretation and diagnosis. However, a versatile AI model requires large-scale data and comprehensive annotations, which are often impractical in medical settings. Recent studies leverage radiology reports as a naturally high-quality supervision for medical images, using contrastive language-image pre-training (CLIP) to develop language-informed models for radiological image interpretation. Nonetheless, these approaches typically contrast entire images with reports, neglecting the local associations between imaging regions and report sentences, which may undermine model performance and interoperability. In this paper, we propose a fine-grained vision-language model (fVLM) for anatomy-level CT image interpretation. Specifically, we explicitly match anatomical regions of CT images with corresponding descriptions in radiology reports and perform contrastive pre-training for each anatomy individually. Fine-grained alignment, however, faces considerable false-negative challenges, mainly from the abundance of anatomy-level healthy samples and similarly diseased abnormalities. To tackle this issue, we propose identifying false negatives of both normal and abnormal samples and calibrating contrastive learning from patient-level to disease-aware pairing. We curated the largest CT dataset to date, comprising imaging and report data from 69,086 patients, and conducted a comprehensive evaluation of 54 major and important disease diagnosis tasks across 15 main anatomies. Experimental results demonstrate the substantial potential of fVLM in versatile medical image interpretation. In the zero-shot classification task, we achieved an average AUC of 81.3% on 54 diagnosis tasks, surpassing CLIP and supervised methods by 12.9% and 8.0%, respectively.

CPath-Omni: A Unified Multimodal Foundation Model for Patch and Whole Slide Image Analysis in Computational Pathology

The emergence of large multimodal models (LMMs) has brought significant advancements to pathology. Previous research has primarily focused on separately training patch-level and whole-slide image (WSI)-level models, limiting the integration of learned knowledge across patches and WSIs, and resulting in redundant models. In this work, we introduce CPath-Omni, the first 15-billion-parameter LMM designed to unify both patch and WSI level image analysis, consolidating a variety of tasks at both levels, including classification, visual question answering, captioning, and visual referring prompting. Extensive experiments demonstrate that CPath-Omni achieves state-of-the-art (SOTA) performance across seven diverse tasks on 39 out of 42 datasets, outperforming or matching task-specific models trained for individual tasks. Additionally, we develop a specialized pathology CLIP-based visual processor for CPath-Omni, CPath-CLIP, which, for the first time, integrates different vision models and incorporates a large language model as a text encoder to build a more powerful CLIP model, which achieves SOTA performance on nine zero-shot and four few-shot datasets. Our findings highlight CPath-Omni's ability to unify diverse pathology tasks, demonstrating its potential to streamline and advance the field of foundation model in pathology.