Abstract:Spatio-temporal fetal brain atlases are important for characterizing normative neurodevelopment and identifying congenital anomalies. However, existing atlas construction pipelines necessitate days for slice-to-volume reconstruction (SVR) to generate high-resolution 3D brain volumes and several additional days for iterative volume registration, thereby rendering atlas construction from large-scale cohorts prohibitively impractical. We address these limitations with INFANiTE, an Implicit Neural Representation (INR) framework for high-resolution Fetal brain spatio-temporal Atlas learNing from clinical Thick-slicE MRI scans, bypassing both the costly SVR and the iterative non-rigid registration steps entirely, thereby substantially accelerating atlas construction. Extensive experiments demonstrate that INFANiTE outperforms existing baselines in subject consistency, reference fidelity, intrinsic quality and biological plausibility, even under challenging sparse-data settings. Additionally, INFANiTE reduces the end-to-end processing time (i.e., from raw scans to the final atlas) from days to hours compared to the traditional 3D volume-based pipeline (e.g., SyGN), facilitating large-scale population-level fetal brain analysis. Our code is publicly available at: https://anonymous.4open.science/r/INFANiTE-5D74
Abstract:Background: Prenatal germinal matrix-intraventricular hemorrhage (GMH-IVH) is a leading cause of infant mortality and neurodevelopmental impairment. Manual diagnosis and lesion segmentation are labor-intensive and error-prone. Deep learning models offer potential for automation but typically require large annotated datasets, which are challenging to obtain. Purpose: To develop and validate an annotation-free deep learning framework for automated detection and segmentation of GMH-IVH on brain MRI. Materials and Methods: This retrospective study analyzed 2D T2-weighted MRI data from pregnant women collected from October 2015 to October 2023 at one hospital (internal validation) and two hospitals (external validation). Eligible participants included healthy fetuses and those with GMH-IVH. FreeHemoSeg was developed and trained using pseudo GMH-IVH images synthesized from normal fetal data guided by medical priors. Primary outcomes included diagnostic accuracy (area under the ROC curve [AUROC], sensitivity, specificity) and segmentation accuracy (Dice similarity coefficient [DSC]). A reader study evaluated clinical utility. Results: A total of 1674 stacks from 558 pregnant women were analyzed. FreeHemoSeg achieved the highest performance in both internal (sensitivity: 0.914, 95% CI 0.869-0.945; specificity: 0.966, 95% CI 0.946-0.978; DSC: 0.559, 95% CI 0.546-0.571) and external validation (sensitivity: 0.824, 95% CI 0.739-0.885; specificity: 0.943, 95% CI 0.913-0.964; DSC: 0.512, 95% CI 0.497-0.526), outperforming supervised and unsupervised methods. FreeHemoSeg assistance improved radiologists' sensitivity (from 0.882 to 0.941-1.000) and diagnostic confidence while reducing interpretation time by 16.0-52.7%. Conclusion: FreeHemoSeg accurately detects and localizes fetal brain hemorrhages without annotated training data, enabling earlier diagnosis and supporting timely clinical management.
Abstract:Generative modelling is a demanding test of foundation models, because it requires robust, holistic representation learning for a given data modality, rather than optimisation for a supervised prediction target alone. While recent work on tabular foundation models has achieved remarkable progress in predictive modelling, generative tabular foundation models remain underexplored. Existing tabular foundation generators, in particular, have not yet consistently matched strong dataset-specific generators in synthetic data quality. A key reason is their misalignment with the distinctive causal structural prior of heterogeneous tabular data. In this paper, we address this gap by introducing a novel tabular foundation model, \textbf{TabFORGE}, built on pretrained \textbf{Tab}ular \textbf{FO}undational \textbf{R}epresentations for \textbf{GE}neration. TabFORGE is designed to utilise the implicitly learned causal information underlying diverse tabular datasets in a unified latent space induced by a pretrained causality-aware feature encoder. It further decouples latent modelling from decoding through a two-stage design: we first pretrain a score-based diffusion transformer, and then pretrain a denoising-aligned decoder using the denoised latent embeddings. This design elegantly mitigates the distribution shifts in latent embeddings that typically arise between training and inference. We evaluate TabFORGE comprehensively against 22 benchmark methods on 45 real-world datasets. Our results show that TabFORGE effectively learns and leverages generalisable tabular representations, enabling efficient generation of high-quality synthetic tabular data, particularly with strong structural fidelity.
Abstract:Clinical abnormality grounding for rare diseases is often hindered by data scarcity, making supervised fine-tuning impractical and single-pass inference highly unstable. We propose Dynamic Decision Learning (DDL), a framework that enables frozen large vision-language models (LVLMs) to refine their decisions across both language and visual spaces by optimizing instructions and consolidating predictions under visual perturbations. This process improves localization quality and produces a consensus-based reliability score that quantifies model confidence. Results on brain imaging benchmarks, including a rare-disease dataset with 281 pathology types across models ranging from 3B to 72B parameters, show that DDL improves mAP@75 by up to 105% on rare-disease cases and outperforms adaptation baselines and supervised fine-tuning. Furthermore, DDL demonstrates stronger calibration between reliability scores and localization accuracy under severe distribution shifts and increasing task difficulty. Code is available at: https://lijunrio.github.io/DDL/
Abstract:Chest computed tomography (CT) is central to the detection and management of thoracic disease, yet the growing scale and complexity of volumetric imaging increasingly exceed what can be addressed by scan-level prediction alone. Clinically useful AI for CT must not only recognize disease across the whole volume, but also localize abnormalities and provide interpretable visual evidence. Existing vision-language foundation models typically compress scans and reports into global image-text representations, limiting their ability to preserve spatial evidence and support clinically meaningful interpretation. Here we developed EXACT, an explainable anomaly-aware foundation model for three-dimensional chest CT that learns spatially resolved representations from paired clinical scans and radiology reports. EXACT was pre-trained on 25,692 CT-reports pairs using anatomy-aware weak supervision, jointly learning organ segmentation and multi-instance anomaly localization without manual voxel-level annotations. The resulting organ-specific anomaly-aware maps assign each voxel a disease-specific anomaly score confined to its corresponding anatomy, jointly encoding lesion extent and organ-level context. In retrospective multinational and multi-center evaluations, EXACT showed broad and consistent improvements across clinically relevant CT tasks, spanning multi-disease diagnosis, zero-shot anomaly localization, downstream adaptation, and visually grounded report generation, outperforming existing three-dimensional medical foundation models. By transforming routine clinical CT scans and free-text reports into explainable voxel-level representations, EXACT establishes a scalable paradigm for trustworthy volumetric medical AI.
Abstract:Multimodal Large Language Models have demonstrated powerful cross-modal understanding and reasoning capabilities in general domains. However, in the electromagnetic (EM) domain, they still face challenges such as data scarcity and insufficient integration of domain knowledge. This paper proposes PReD, the first foundation model for the EM domain that covers the intelligent closed-loop of "perception, recognition, decision-making." We constructed a high-quality multitask EM dataset, PReD-1.3M, and an evaluation benchmark, PReD-Bench. The dataset encompasses multi-perspective representations such as raw time-domain waveform, frequency-domain spectrograms, and constellation diagrams, covering typical features of communication and radar signals. It supports a range of core tasks, including signal detection, modulation recognition, parameter estimation, protocol recognition, radio frequency fingerprint recognition, and anti-jamming decision-making. PReD adopts a multi-stage training strategy that unifies multiple tasks for EM signals. It achieves closed-loop optimization from end-to-end signal understanding to language-driven reasoning and decision-making, significantly enhancing EM domain expertise while maintaining general multimodal capabilities. Experimental results show that PReD achieves state-of-the-art performance on PReD-Bench constructed from both open-source and self-collected signal datasets. These results collectively validate the feasibility and potential of vision-aligned foundation models in advancing the understanding and reasoning of EM signals.
Abstract:The emergence of Large Language Model-enhanced Search Engines (LLMSEs) has revolutionized information retrieval by integrating web-scale search capabilities with AI-powered summarization. While these systems demonstrate improved efficiency over traditional search engines, their security implications against well-established black-hat Search Engine Optimization (SEO) attacks remain unexplored. In this paper, we present the first systematic study of SEO attacks targeting LLMSEs. Specifically, we examine ten representative LLMSE products (e.g., ChatGPT, Gemini) and construct SEO-Bench, a benchmark comprising 1,000 real-world black-hat SEO websites, to evaluate both open- and closed-source LLMSEs. Our measurements show that LLMSEs mitigate over 99.78% of traditional SEO attacks, with the phase of retrieval serving as the primary filter, intercepting the vast majority of malicious queries. We further propose and evaluate seven LLMSEO attack strategies, demonstrating that off-the-shelf LLMSEs are vulnerable to LLMSEO attacks, i.e., rewritten-query stuffing and segmented texts double the manipulation rate compared to the baseline. This work offers the first in-depth security analysis of the LLMSE ecosystem, providing practical insights for building more resilient AI-driven search systems. We have responsibly reported the identified issues to major vendors.
Abstract:Understanding why real-world events occur is important for both natural language processing and practical decision-making, yet direct-cause inference remains underexplored in evidence-rich settings. To address this gap, we organized SemEval-2026 Task 12: Abductive Event Reasoning (AER).\footnote{The task data is available at https://github.com/sooo66/semeval2026-task12-dataset.git} The task asks systems to identify the most plausible direct cause of a target event from supporting evidence. We formulate AER as an evidence-grounded multiple-choice benchmark that captures key challenges of real-world causal reasoning, including distributed evidence, indirect background factors, and semantically related but non-causal distractors. The shared task attracted 122 participants and received 518 submissions. This paper presents the task formulation, dataset construction pipeline, evaluation setup, and system results. AER provides a focused benchmark for abductive reasoning over real-world events and highlights challenges for future work on causal reasoning and multi-document understanding.
Abstract:Pansharpening under thin cloudy conditions is a practically significant yet rarely addressed task, challenged by simultaneous spatial resolution degradation and cloud-induced spectral distortions. Existing methods often address cloud removal and pansharpening sequentially, leading to cumulative errors and suboptimal performance due to the lack of joint degradation modeling. To address these challenges, we propose a Unified Pansharpening Model with Thin Cloud Removal (Pan-TCR), an end-to-end framework that integrates physical priors. Motivated by theoretical analysis in the frequency domain, we design a frequency-decoupled restoration (FDR) block that disentangles the restoration of multispectral image (MSI) features into amplitude and phase components, each guided by complementary degradation-robust prompts: the near-infrared (NIR) band amplitude for cloud-resilient restoration, and the panchromatic (PAN) phase for high-resolution structural enhancement. To ensure coherence between the two components, we further introduce an interactive inter-frequency consistency (IFC) module, enabling cross-modal refinement that enforces consistency and robustness across frequency cues. Furthermore, we introduce the first real-world thin-cloud contaminated pansharpening dataset (PanTCR-GF2), comprising paired clean and cloudy PAN-MSI images, to enable robust benchmarking under realistic conditions. Extensive experiments on real-world and synthetic datasets demonstrate the superiority and robustness of Pan-TCR, establishing a new benchmark for pansharpening under realistic atmospheric degradations.
Abstract:Fetal ultrasound (US) is the primary imaging modality for prenatal screening, yet its interpretation relies heavily on the expertise of the clinician. Despite advances in deep learning and foundation models, existing automated tools for fetal US analysis struggle to balance task-specific accuracy with the whole-process versatility required to support end-to-end clinical workflows. To address these limitations, we propose FetalAgents, the first multi-agent system for comprehensive fetal US analysis. Through a lightweight, agentic coordination framework, FetalAgents dynamically orchestrates specialized vision experts to maximize performance across diagnosis, measurement, and segmentation. Furthermore, FetalAgents advances beyond static image analysis by supporting end-to-end video stream summarization, where keyframes are automatically identified across multiple anatomical planes, analyzed by coordinated experts, and synthesized with patient metadata into a structured clinical report. Extensive multi-center external evaluations across eight clinical tasks demonstrate that FetalAgents consistently delivers the most robust and accurate performance when compared against specialized models and multimodal large language models (MLLMs), ultimately providing an auditable, workflow-aligned solution for fetal ultrasound analysis and reporting.