Leveraging Image Editing Foundation Models for Data-Efficient CT Metal Artifact Reduction

Metal artifacts from high-attenuation implants severely degrade CT image quality, obscuring critical anatomical structures and posing a challenge for standard deep learning methods that require extensive paired training data. We propose a paradigm shift: reframing artifact reduction as an in-context reasoning task by adapting a general-purpose vision-language diffusion foundation model via parameter-efficient Low-Rank Adaptation (LoRA). By leveraging rich visual priors, our approach achieves effective artifact suppression with only 16 to 128 paired training examples reducing data requirements by two orders of magnitude. Crucially, we demonstrate that domain adaptation is essential for hallucination mitigation; without it, foundation models interpret streak artifacts as erroneous natural objects (e.g., waffles or petri dishes). To ground the restoration, we propose a multi-reference conditioning strategy where clean anatomical exemplars from unrelated subjects are provided alongside the corrupted input, enabling the model to exploit category-specific context to infer uncorrupted anatomy. Extensive evaluation on the AAPM CT-MAR benchmark demonstrates that our method achieves state-of-the-art performance on perceptual and radiological-feature metrics . This work establishes that foundation models, when appropriately adapted, offer a scalable alternative for interpretable, data-efficient medical image reconstruction. Code is available at https://github.com/ahmetemirdagi/CT-EditMAR.

Edit2Interp: Adapting Image Foundation Models from Spatial Editing to Video Frame Interpolation with Few-Shot Learning

Pre-trained image editing models exhibit strong spatial reasoning and object-aware transformation capabilities acquired from billions of image-text pairs, yet they possess no explicit temporal modeling. This paper demonstrates that these spatial priors can be repurposed to unlock temporal synthesis capabilities through minimal adaptation - without introducing any video-specific architecture or motion estimation modules. We show that a large image editing model (Qwen-Image-Edit), originally designed solely for static instruction-based edits, can be adapted for Video Frame Interpolation (VFI) using only 64-256 training samples via Low-Rank Adaptation (LoRA). Our core contribution is revealing that the model's inherent understanding of "how objects transform" in static scenes contains latent temporal reasoning that can be activated through few-shot fine-tuning. While the baseline model completely fails at producing coherent intermediate frames, our parameter-efficient adaptation successfully unlocks its interpolation capability. Rather than competing with task-specific VFI methods trained from scratch on massive datasets, our work establishes that foundation image editing models possess untapped potential for temporal tasks, offering a data-efficient pathway for video synthesis in resource-constrained scenarios. This bridges the gap between image manipulation and video understanding, suggesting that spatial and temporal reasoning may be more intertwined in foundation models than previously recognized

Spatio-Temporal Perception-Distortion Trade-off in Learned Video SR

Perception-distortion trade-off is well-understood for single-image super-resolution. However, its extension to video super-resolution (VSR) is not straightforward, since popular perceptual measures only evaluate naturalness of spatial textures and do not take naturalness of flow (temporal coherence) into account. To this effect, we propose a new measure of spatio-temporal perceptual video quality emphasizing naturalness of optical flow via the perceptual straightness hypothesis (PSH) for meaningful spatio-temporal perception-distortion trade-off. We also propose a new architecture for perceptual VSR (PSVR) to explicitly enforce naturalness of flow to achieve realistic spatio-temporal perception-distortion trade-off according to the proposed measures. Experimental results with PVSR support the hypothesis that a meaningful perception-distortion tradeoff for video should account for the naturalness of motion in addition to naturalness of texture.