AMD-HookNet++: Evolution of AMD-HookNet with Hybrid CNN-Transformer Feature Enhancement for Glacier Calving Front Segmentation

The dynamics of glaciers and ice shelf fronts significantly impact the mass balance of ice sheets and coastal sea levels. To effectively monitor glacier conditions, it is crucial to consistently estimate positional shifts of glacier calving fronts. AMD-HookNet firstly introduces a pure two-branch convolutional neural network (CNN) for glacier segmentation. Yet, the local nature and translational invariance of convolution operations, while beneficial for capturing low-level details, restricts the model ability to maintain long-range dependencies. In this study, we propose AMD-HookNet++, a novel advanced hybrid CNN-Transformer feature enhancement method for segmenting glaciers and delineating calving fronts in synthetic aperture radar images. Our hybrid structure consists of two branches: a Transformer-based context branch to capture long-range dependencies, which provides global contextual information in a larger view, and a CNN-based target branch to preserve local details. To strengthen the representation of the connected hybrid features, we devise an enhanced spatial-channel attention module to foster interactions between the hybrid CNN-Transformer branches through dynamically adjusting the token relationships from both spatial and channel perspectives. Additionally, we develop a pixel-to-pixel contrastive deep supervision to optimize our hybrid model by integrating pixelwise metric learning into glacier segmentation. Through extensive experiments and comprehensive quantitative and qualitative analyses on the challenging glacier segmentation benchmark dataset CaFFe, we show that AMD-HookNet++ sets a new state of the art with an IoU of 78.2 and a HD95 of 1,318 m, while maintaining a competitive MDE of 367 m. More importantly, our hybrid model produces smoother delineations of calving fronts, resolving the issue of jagged edges typically seen in pure Transformer-based approaches.

Agentic large language models improve retrieval-based radiology question answering

Clinical decision-making in radiology increasingly benefits from artificial intelligence (AI), particularly through large language models (LLMs). However, traditional retrieval-augmented generation (RAG) systems for radiology question answering (QA) typically rely on single-step retrieval, limiting their ability to handle complex clinical reasoning tasks. Here we propose an agentic RAG framework enabling LLMs to autonomously decompose radiology questions, iteratively retrieve targeted clinical evidence from Radiopaedia, and dynamically synthesize evidence-based responses. We evaluated 24 LLMs spanning diverse architectures, parameter scales (0.5B to >670B), and training paradigms (general-purpose, reasoning-optimized, clinically fine-tuned), using 104 expert-curated radiology questions from previously established RSNA-RadioQA and ExtendedQA datasets. Agentic retrieval significantly improved mean diagnostic accuracy over zero-shot prompting (73% vs. 64%; P<0.001) and conventional online RAG (73% vs. 68%; P<0.001). The greatest gains occurred in mid-sized models (e.g., Mistral Large improved from 72% to 81%) and small-scale models (e.g., Qwen 2.5-7B improved from 55% to 71%), while very large models (>200B parameters) demonstrated minimal changes (<2% improvement). Additionally, agentic retrieval reduced hallucinations (mean 9.4%) and retrieved clinically relevant context in 46% of cases, substantially aiding factual grounding. Even clinically fine-tuned models exhibited meaningful improvements (e.g., MedGemma-27B improved from 71% to 81%), indicating complementary roles of retrieval and fine-tuning. These results highlight the potential of agentic frameworks to enhance factuality and diagnostic accuracy in radiology QA, particularly among mid-sized LLMs, warranting future studies to validate their clinical utility.