Abstract:Text-to-image generation has reached photorealistic quality, yet state-of-the-art systems remain unreliable at producing scientific diagrams, whose value depends not on appearance but on physical faithfulness: correct force directions, valid coordinate systems, consistent thermodynamic states, and equations matching the depicted scenario. Trained on web imagery with physically shallow captions, generic models produce diagrams that look plausible but are physically wrong, harmful in education and scientific communication. We present Princigram, a physics-faithful scientific-diagram generator, and its data pipeline. Our central advance is Structured Physical Chain-of-Thought (SP-CoT): a per-subdiscipline schema that decomposes a physics diagram into an explicit multi-step reasoning chain across six subdisciplines, from scene identification through force or process analysis to governing laws and synthesis. Unlike free-form chain-of-thought, SP-CoT follows a fixed schema with strict fidelity rules that separate visually grounded facts from physically inferred reasoning and type all mathematics symbolically; it serves both as dense training supervision and, at inference, as a structured "thinking" prompt. With it we curate and structurally annotate 4.3 million physics images, of which 115,037 carry expert-level annotation, and adapt a unified multimodal backbone. We further introduce VeriphyT2IBench, whose questions are derived from each held-out diagram's own structured annotation: each diagram becomes an item-specific bank of binary questions about its objects, forces, and states, so a judge model's score decomposes into named physical facts rather than one holistic number. On the physics subset of GenExam and on VeriphyT2IBench, Princigram shows that explicit physics-structured supervision improves the physical faithfulness of generated scientific diagrams.
Abstract:Volumetric medical image segmentation is essential for both preoperative diagnosis and intraoperative guidance. While recent years have witnessed rapid progress in segmentation architectures, comparatively little attention is paid to the physical voxel spacing of anatomical data. Indeed, volumetric image resampling is a ubiquitous preprocessing step before segmentation, yet its interaction with downstream segmentation has not been systematically exploited. In this work, we study the correlation between image resampling and segmentation, and propose Consispace, a semantic-aware resampling framework that achieves consistent voxel spacing in the axial direction while preserving anatomical and semantic consistency. Consispace introduces an ODE-based anatomical constraint to model inter-slice dynamics with a continuous interpolator, enabling faithful reconstruction under complex anatomical transitions beyond discrete interpolation. To further couple resampling with segmentation objectives, we leverage dense features from a pretrained vision model to build intra-slice semantic correlation maps and inject class-wise semantic consistency via feature reweighting during resampling. Both intra-slice and inter-slice constraints are integrated into an implicit neural network, supporting arbitrary-scale resampling. Extensive experiments on multiple datasets demonstrate that Consispace achieves superior reconstruction quality and perceptual fidelity, produces smoother inter-slice anatomy, and improves downstream segmentation performance when used as a preprocessing step.
Abstract:Video misinformation increasingly operates at the semantic and evidential level: authentic footage may be selectively edited, temporally reordered, spliced across sources, or augmented with AI-generated content to construct false narratives. Such evidence-dependent manipulations cannot be reliably verified from the input video alone, because the missing, reordered, replaced, or recontextualized evidence lies outside the video itself. We introduce \textbf{EVID-Bench}, a benchmark for search-grounded video misinformation detection, where a system must search the open web for related videos and identify what information is false through cross-video comparison. EVID-Bench comprises 222 videos spanning 9 manipulation types across 3 categories: AI generation, single-source editing, and multi-source editing. All samples are verified to be undetectable by frontier models through visual inspection alone. We evaluate nine frontier multimodal models using a retrieval-augmented verification baseline. The best system achieves only 61.43\% point-level accuracy and 43.24\% video-level accuracy, while AI-generated manipulations remain especially challenging. Error analysis reveals recurring challenges: models fixate on irrelevant anchors, misattribute synthetic content to editorial splicing, and terminate search prematurely before fully explaining the manipulation.
Abstract:In modern nuclear physics experiments, identifying events of interest is challenging for nuclear reaction studies with the active target Time Projection Chamber (TPC). In this work, machine learning techniques are employed to analyze the complex data of the 12C + 12C fusion reaction from a TPC named MATE (multi-purpose active-target time projection chamber for nuclear experiments). Specifically, we successfully applied Residual Neural Network (ResNet-50, ResNet-34 and ResNet-18) and Visual Geometry Group (VGG-19) to classify elastic scattering and fusion reaction events from the 12C + 12C reaction. The classification results of the four models are nearly identical, with accuracies of approximately 97% for the simulated data and 90% for the experimental data. Moreover, these approaches successfully identify some events that are misclassified by traditional methods. These models are also applied to classify events from different fusion reaction channels, with classification accuracies of approximately 95% on simulated data. In addition, a Convolutional Neural Network (CNN) model is developed to reconstruct the reaction vertex, providing an alternative strategy for vertex reconstruction. These results indicate that machine learning techniques can effectively classify reaction events from different channels and reconstruct the reaction vertex, thereby paving the way for future analyses of complex nuclear reaction data.
Abstract:Foundation models have demonstrated remarkable success across diverse domains and tasks, primarily due to the thrive of large-scale, diverse, and high-quality datasets. However, in the field of medical imaging, the curation and assembling of such medical datasets are highly challenging due to the reliance on clinical expertise and strict ethical and privacy constraints, resulting in a scarcity of large-scale unified medical datasets and hindering the development of powerful medical foundation models. In this work, we present the largest survey to date of medical image datasets, covering over 1,000 open-access datasets with a systematic catalog of their modalities, tasks, anatomies, annotations, limitations, and potential for integration. Our analysis exposes a landscape that is modest in scale, fragmented across narrowly scoped tasks, and unevenly distributed across organs and modalities, which in turn limits the utility of existing medical image datasets for developing versatile and robust medical foundation models. To turn fragmentation into scale, we propose a metadata-driven fusion paradigm (MDFP) that integrates public datasets with shared modalities or tasks, thereby transforming multiple small data silos into larger, more coherent resources. Building on MDFP, we release an interactive discovery portal that enables end-to-end, automated medical image dataset integration, and compile all surveyed datasets into a unified, structured table that clearly summarizes their key characteristics and provides reference links, offering the community an accessible and comprehensive repository. By charting the current terrain and offering a principled path to dataset consolidation, our survey provides a practical roadmap for scaling medical imaging corpora, supporting faster data discovery, more principled dataset creation, and more capable medical foundation models.
Abstract:Automatic extraction of vessel skeletons is crucial for many clinical applications. However, achieving topologically faithful delineation of thin vessel skeletons remains highly challenging, primarily due to frequent discontinuities and the presence of spurious skeleton segments. To address these difficulties, we propose TopoVST, a topology-fidelitious vessel skeleton tracker. TopoVST constructs multi-scale sphere graphs to sample the input image and employs graph neural networks to jointly estimate tracking directions and vessel radii. The utilization of multi-scale representations is enhanced through a gating-based feature fusion mechanism, while the issue of class imbalance during training is mitigated by embedding a geometry-aware weighting scheme into the directional loss. In addition, we design a wave-propagation-based skeleton tracking algorithm that explicitly mitigates the generation of spurious skeletons through space-occupancy filtering. We evaluate TopoVST on two vessel datasets with different geometries. Extensive comparisons with state-of-the-art baselines demonstrate that TopoVST achieves competitive performance in both overlapping and topological metrics. Our source code is available at: https://github.com/EndoluminalSurgicalVision-IMR/TopoVST.
Abstract:Modeling medical vessel-like anatomy is challenging due to its intricate topology and sensitivity to dataset shifts. Consequently, task-specific models often suffer from topological inconsistencies, including artificial disconnections and spurious merges. Motivated by the promise of multimodal large language models (MLLMs) for zero-shot generalization, we propose TubeMLLM, a unified foundation model that couples structured understanding with controllable generation for medical vessel-like anatomy. By integrating topological priors through explicit natural language prompting and aligning them with visual representations in a shared-attention architecture, TubeMLLM significantly enhances topology-aware perception. Furthermore, we construct TubeMData, a pionner multimodal benchmark comprising comprehensive topology-centric tasks, and introduce an adaptive loss weighting strategy to emphasize topology-critical regions during training. Extensive experiments on fifteen diverse datasets demonstrate our superiority. Quantitatively, TubeMLLM achieves state-of-the-art out-of-distribution performance, substantially reducing global topological discrepancies on color fundus photography (decreasing the $β_{0}$ number error from 37.42 to 8.58 compared to baselines). Notably, TubeMLLM exhibits exceptional zero-shot cross-modality transferring ability on unseen X-ray angiography, achieving a Dice score of 67.50% while significantly reducing the $β_{0}$ error to 1.21. TubeMLLM also maintains robustness against degradations such as blur, noise, and low resolution. Furthermore, in topology-aware understanding tasks, the model achieves 97.38% accuracy in evaluating mask topological quality, significantly outperforming standard vision-language baselines.
Abstract:Accurate intraoperative navigation is essential for robot-assisted endoluminal intervention, but remains difficult because of limited endoscopic field of view and dynamic artifacts. Existing navigation platforms often rely on external localization technologies, such as electromagnetic tracking or shape sensing, which increase hardware complexity and remain vulnerable to intraoperative anatomical mismatch. We present a vision-only autonomy framework that performs long-horizon bronchoscopic navigation using preoperative CT-derived virtual targets and live endoscopic video, without external tracking during navigation. The framework uses hierarchical long-short agents: a short-term reactive agent for continuous low-latency motion control, and a long-term strategic agent for decision support at anatomically ambiguous points. When their recommendations conflict, a world-model critic predicts future visual states for candidate actions and selects the action whose predicted state best matches the target view. We evaluated the system in a high-fidelity airway phantom, three ex vivo porcine lungs, and a live porcine model. The system reached all planned segmental targets in the phantom, maintained 80\% success to the eighth generation ex vivo, and achieved in vivo navigation performance comparable to the expert bronchoscopist. These results support the preclinical feasibility of sensor-free autonomous bronchoscopic navigation.
Abstract:Robot-assisted endoluminal procedures are increasingly used for early cancer intervention. However, the intricate, narrow and tortuous pathways within the luminal anatomy pose substantial difficulties for robot navigation. Vision-based navigation offers a promising solution, but existing localization approaches are error-prone due to tissue deformation, in vivo artifacts and a lack of distinctive landmarks for consistent localization. This paper presents a novel EndoSERV localization method to address these challenges. It includes two main parts, \textit{i.e.}, \textbf{SE}gment-to-structure and \textbf{R}eal-to-\textbf{V}irtual mapping, and hence the name. For long-range and complex luminal structures, we divide them into smaller sub-segments and estimate the odometry independently. To cater for label insufficiency, an efficient transfer technique maps real image features to the virtual domain to use virtual pose ground truth. The training phases of EndoSERV include an offline pretraining to extract texture-agnostic features, and an online phase that adapts to real-world conditions. Extensive experiments based on both public and clinical datasets have been performed to demonstrate the effectiveness of the method even without any real pose labels.
Abstract:Automated radiology report generation is key for reducing radiologist workload and improving diagnostic consistency, yet generating accurate reports for 3D medical imaging remains challenging. Existing vision-language models face two limitations: they do not leverage segmentation-pretrained encoders, and they inject visual features only at the input layer of language models, losing multi-scale information. We propose U-VLM, which enables hierarchical vision-language modeling in both training and architecture: (1) progressive training from segmentation to classification to report generation, and (2) multi-layer visual injection that routes U-Net encoder features to corresponding language model layers. Each training stage can leverage different datasets without unified annotations. U-VLM achieves state-of-the-art performance on CT-RATE (F1: 0.414 vs 0.258, BLEU-mean: 0.349 vs 0.305) and AbdomenAtlas 3.0 (F1: 0.624 vs 0.518 for segmentation-based detection) using only a 0.1B decoder trained from scratch, demonstrating that well-designed vision encoder pretraining outweighs the benefits of 7B+ pre-trained language models. Ablation studies show that progressive pretraining significantly improves F1, while multi-layer injection improves BLEU-mean. Code is available at https://github.com/yinghemedical/U-VLM.