Collapsing Sequence-Level Data-Policy Coverage via Poisoning Attack in Offline Reinforcement Learning

Offline reinforcement learning (RL) heavily relies on the coverage of pre-collected data over the target policy's distribution. Existing studies aim to improve data-policy coverage to mitigate distributional shifts, but overlook security risks from insufficient coverage, and the single-step analysis is not consistent with the multi-step decision-making nature of offline RL. To address this, we introduce the sequence-level concentrability coefficient to quantify coverage, and reveal its exponential amplification on the upper bound of estimation errors through theoretical analysis. Building on this, we propose the Collapsing Sequence-Level Data-Policy Coverage (CSDPC) poisoning attack. Considering the continuous nature of offline RL data, we convert state-action pairs into decision units, and extract representative decision patterns that capture multi-step behavior. We identify rare patterns likely to cause insufficient coverage, and poison them to reduce coverage and exacerbate distributional shifts. Experiments show that poisoning just 1% of the dataset can degrade agent performance by 90%. This finding provides new perspectives for analyzing and safeguarding the security of offline RL.

Efficient MedSAMs: Segment Anything in Medical Images on Laptop

Promptable segmentation foundation models have emerged as a transformative approach to addressing the diverse needs in medical images, but most existing models require expensive computing, posing a big barrier to their adoption in clinical practice. In this work, we organized the first international competition dedicated to promptable medical image segmentation, featuring a large-scale dataset spanning nine common imaging modalities from over 20 different institutions. The top teams developed lightweight segmentation foundation models and implemented an efficient inference pipeline that substantially reduced computational requirements while maintaining state-of-the-art segmentation accuracy. Moreover, the post-challenge phase advanced the algorithms through the design of performance booster and reproducibility tasks, resulting in improved algorithms and validated reproducibility of the winning solution. Furthermore, the best-performing algorithms have been incorporated into the open-source software with a user-friendly interface to facilitate clinical adoption. The data and code are publicly available to foster the further development of medical image segmentation foundation models and pave the way for impactful real-world applications.

PMP-Swin: Multi-Scale Patch Message Passing Swin Transformer for Retinal Disease Classification

Retinal disease is one of the primary causes of visual impairment, and early diagnosis is essential for preventing further deterioration. Nowadays, many works have explored Transformers for diagnosing diseases due to their strong visual representation capabilities. However, retinal diseases exhibit milder forms and often present with overlapping signs, which pose great difficulties for accurate multi-class classification. Therefore, we propose a new framework named Multi-Scale Patch Message Passing Swin Transformer for multi-class retinal disease classification. Specifically, we design a Patch Message Passing (PMP) module based on the Message Passing mechanism to establish global interaction for pathological semantic features and to exploit the subtle differences further between different diseases. Moreover, considering the various scale of pathological features we integrate multiple PMP modules for different patch sizes. For evaluation, we have constructed a new dataset, named OPTOS dataset, consisting of 1,033 high-resolution fundus images photographed by Optos camera and conducted comprehensive experiments to validate the efficacy of our proposed method. And the results on both the public dataset and our dataset demonstrate that our method achieves remarkable performance compared to state-of-the-art methods.