Department of Computer and Data Science, Case Western Reserve University, Cleveland, Ohio 44106, United States, Department of Biomedical Engineering, Case Western Reserve University, Cleveland, Ohio 44106, United States
Abstract:Due to the scarcity of expert-annotated data, Semi-Supervised Medical Image Segmentation (SSMIS) has emerged as a promising approach. Many anatomical structures in medical images exhibit significant intra-class heterogeneity, with different regions showing heterogeneous intensity patterns within the same structure. However, existing methods inadequately exploit this intensity-manifested intra-class heterogeneity, resulting in uniform structural representations and imprecise segmentation. Furthermore, the scarcity of labeled data makes it more difficult to effectively capture such complex heterogeneity. To address this, we propose Multiple Prototype Contrastive Learning (MPCL), an SSMIS framework that possesses better diversity and better precision. It consists of three novel designs: First, we provide structural representations with better diversity and propose Intensity-aligned Heterogeneous Prototype Generation (IHPG) that effectively models intra-class heterogeneity by generating multiple prototypes aligned with intensity characteristics. Second, we further enhance more diverse structural representations and build a solid foundation for more precise segmentation through Prototypical Space Optimization (PSO) that systematically optimizes a more discriminative and generalizable prototypical space. Finally, we achieve segmentation results with better precision through Dual-branch Knowledge Alignment (DKA) that efficiently promotes intra-class heterogeneity knowledge transfer from prototypical space to the segmentation network. Extensive experiments on three medical image datasets with significant intra-class heterogeneity demonstrate that MPCL significantly outperforms existing methods, especially under extremely limited labeled data.
Abstract:Large Language Models (LLMs) have shown promise for automated penetration testing, yet existing end-to-end black-box evaluations are highly susceptible to error cascading: failures in early reconnaissance can mask an agent's actual ability to exploit vulnerabilities. To more accurately characterize these capabilities, we propose a two-stage decoupled evaluation framework that separates exploit execution from reconnaissance. Using ground-truth injection and knowledge-driven ablation across 70 high-fidelity web vulnerability testbeds, our framework isolates exploitation performance from reconnaissance noise. We empirically evaluate five open-source penetration-testing agents, covering multiagent, monolithic, and graph-driven architectures, on a strictly aligned subset of 50 representative vulnerabilities. The results reveal a substantial capability gap. With accurate vulnerability context, agents achieve a functional success rate of up to 90.0%, whereas autonomous reconnaissance, measured by targeted vulnerability recall, plateaus at approximately 50.0%, primarily due to failures in parsing unstructured telemetry. Cross-architectural analysis further reveals distinct capability niches: multi-agent isolation is more effective for long-sequence interactions such as de-serialization, while monolithic and graph-driven designs perform better on short-chain injections and cross-session access-control vulnerabilities, respectively. This decoupled evaluation work provides a fine-grained benchmarking protocol and an empirical basis for designing next-generation automated offensive security agents.
Abstract:In multi-object text-to-image (T2I) diffusion, ensuring semantic consistency between textual prompts and generated visual content is crucial for image synthesis. However, such consistency constraint is often underemphasized in the denoising process of diffusion models. Although token supervised diffusion models can mitigate this issue by learning object-wise consistency between the image content and object segmentation maps, it tends to suffer from the problems of segmentation map bias and semantic overlap conflict, especially when involving multiple objects. In this paper, we propose ELDiff, a new evidential learning-supervised T2I diffusion model, which leverages the advantages of uncertainty metric and conflict detection to enhance the fault tolerance of unreliable segmentation maps and suppress semantic conflicts, strengthening object-wise consistency learning. Specifically, a pixel evidence loss is proposed to restrain overconfidence in unreliable labels through evidential regularization, and a token conflict loss is designed to weaken the contradiction between semantics through optimizing a measured conflict factor. Extensive experiments show that our ELDiff outperforms existing training based and train-free based T2I diffusion models on SD v1.4, SD v2.1, SDXL, SD v3.5, and Qwen-Image, without requiring additional inference-time manipulations. Notably, ELDiff can be seamlessly extended to the existing training pipeline of T2I diffusion models. Code can be found at https://github.com/QingtaoPan/ELDiff.
Abstract:AI agents increasingly access external models, tools, and services through Agentic Routing Infrastructure (ARI) to manage the overhead of heterogeneous interfaces and fragmented subscriptions. Yet, the architecture of ARI introduces fundamental trust risks: it obtains plaintext access to agent queries and service responses, while leaving agents unable to verify that their queries are routed to intended service providers or that requests and responses remain untampered. To address this problem, we present TrustedARI, the first trust-native agentic routing infrastructure for agentic AI. Architecturally, TrustedARI is built upon three core innovations: (i) an ARI-adapted three-party TLS handshake that enables the agent and ARI to jointly authenticate the service provider through role-specific distribution of TLS key materials; (ii) a privacy-preserving query-construction protocol that allows the agent and ARI to collaboratively construct well-formed queries without exposing their respective private inputs; and (iii) a verifiable billing protocol that supports fair usage-based settlement while preserving the integrity and confidentiality of service responses. We implemented and extensively evaluated a prototype of TrustedARI to validate its performance. Experiments confirm that TrustedARI is highly efficient: our ARI-adapted handshake protocol reduces communication overhead by 39.34% compared to the existing three-party TLS handshake. Furthermore, the privacy-preserving query-construction protocol imposes negligible overhead-averaging 0.19 seconds in computation time and 0.58 MB in communication costs-while the verifiable billing protocol speeds up proof generation by 28.20x. Crucially, TrustedARI is readily deployable without any modification to the service providers.
Abstract:Vision Language Model (VLM) has great potential to enhance the quality of pseudo labels in semi-supervised spine segmentation by leveraging textual class prompts to generate segmentation map, but no one has studied it yet. Although promising, it lacks explicit constraints to ensure consistency between spine class prompts and spine unit region, resulting in unsatisfactory performance in multi-class segmentation map generation. In this paper, we propose CPS4, the first text-guided semi-supervised spine segmentation network using class prompts to enhance the quality of spine pseudo labels. Specifically, CPS4 is implemented through two training stages. (i) Class-specific consistency constrained VLM pretraining stage: we propose token- and pixel-level attention loss to optimize the consistency between class prompts and spine units, forcing the textual class prompt to be closely coupled with the target spine unit in the semantic space. (ii) Class Prompt driven semi-supervised spine segmentation stage: using the pretrained vision-text encoder, we derive each class-specific binary segmentation map for the unlabeled spine image and integrate them into an unified multi-class segmentation map, improving the quality of the spine pseudo label generated by the semi-supervised spine segmentation network. Experimental results show that our CPS4 achieves superior spine segmentation performance with Dice of 80.44%, only using 5% labeled data on the public spine segmentation dataset, surpassing popular semi-supervised learning and VLM methods. Our code will be available.
Abstract:While token-level entropy is commonly recognized as effective for credit assignment in text-only reinforcement learning with verifiable rewards (RLVR), it remains unclear whether this mechanism still holds in visual reasoning. Our controlled study shows that this mechanism collapses in visual reasoning due to the omission of vision-sensitive tokens with naturally low entropy. Although existing multimodal RL methods increasingly acknowledge the importance of visual perception, they struggle to satisfy the inherent demand for interleaving precise perceptual grounding with semantic reasoning, either lacking systematic visual measurements or overlooking that token entropy primarily drives semantic exploration. To address this, we introduce VEPO (Vision-Entropy token-selection for Policy Optimization), an effective RL framework explicitly integrating visual sensitivity with token entropy via a principled multiplicative coupling, where VEPO redirects gradient credit toward tokens which are simultaneously visually grounded and highly informative. Extensive experiments demonstrate VEPO's leading performance, significantly outperforming the entropy-only baseline by 2.28 points at 7B-scale and 3.15 points at 3B-scale. Ablations further substantiate the soundness of our method.
Abstract:The CASTLE Challenge @ EgoVis 2026 evaluates long-form egocentric video question answering over 600+ hours of multi-perspective recordings. Each four-choice question requires evidence from videos, transcripts, auxiliary photos, people, days, rooms, and temporal context. We propose an evidence-aware multimodal reasoning pipeline based on Qwen. Our system parses question hints, retrieves ASR chunks, attaches auxiliary images, samples candidate video frames, and routes questions into static visual, speech/text, temporal, and mixed types with specialized prompts. Multiple inference passes are aggregated by confidence-weighted voting and converted into the official Codabench format. In ablation, LoRA improves the score from 0.21 to 0.50, and more sampled frames further raise it to 0.58. Our final system ranks first in the CASTLE Challenge @ EgoVis 2026.
Abstract:Accurate pancreas segmentation is critical for early cancer diagnosis, where annotation scarcity necessitates Semi-Supervised Learning (SSL). However, due to significant inter-sample morphological variability, existing SSL methods face severe generalizability limitations under sparse supervision, leading to the Supervision Bias problem. To address this, we propose Structural Consensus-based KAN Prototype Learning (SCKAN), which constructs the first cross-sample structural consensus learning with Kolmogorov-Arnold Networks (KANs), to achieve more generalizable and accurate segmentation. Specifically, SCKAN contains two key designs: Structure-constrained Prototype Consistency Learning (SPCL), which prompts unbiased structural representation by enforcing cross-sample consistency via prototype-level contrastive optimization, and Consensus-based Kolmogorov-Arnold Fusion (CKaF), which reduces morphology-specific bias by aggregating stable consensus and filtering sample-wise noise via KAN's adaptive B-spline nonlinearity. Extensive experiments on two public pancreas datasets demonstrate the effectiveness of SCKAN. Code is at https://github.com/rhodaliu17/SCKAN.
Abstract:Large language models perform well on static medical examinations, yet clinical diagnosis often requires iterative evidence gathering under uncertainty. Building on prior interactive evaluation efforts, we introduce an OSCE-inspired standardized patient simulator and a controlled, reproducible benchmark for active diagnostic inquiry. Across 468 cases and 15 models in our protocol, we observe that multi-turn evidence seeking reduces diagnostic accuracy by 12.75% and lowers supporting-evidence quality by 24.36% relative to full-context evaluation; error analyses associate these drops with premature diagnostic closure and inefficient questioning. Together, these results suggest that static full-context benchmarks may overestimate performance in interactive evidence-seeking settings, motivating complementary interactive assessment for safer clinical decision support.
Abstract:Multi-modality medical vision (MV) foundation models (FM) are fundamentally challenged by pronounced Non-IID feature statistics across heterogeneous imaging modalities. Monolithic self-supervised optimization on such data induces conflicting gradients, driving representations to collapse toward modality-dominant shortcuts. This work reframes this failure as an imbalance between specialization and coordination in emergent modularity, and proposes Director-Experts (DEX), a modular network that explicitly regulates these dynamics in stacked modules. Each DEX module comprises a pool of experts, dynamically adapted by our image-wise activation strategy, autonomously specializing in modality-dominant statistics, together with a director, updated via our group exponential moving average, which distills multi-expert knowledge into a shared space for semantic integration across modalities, thus driving the emergence of modular representations. We curate a new benchmark, Medical Vision Universe, over 4 million images across 10 modalities, which provides a FM-level pre-training with the broadest coverage of distinct imaging modalities to our DEX. Extensive evaluations on 26 downstream tasks demonstrate improved optimization behavior and transferability, indicating DEX as a principled step toward general-purpose multi-modality medical AI. Our code and dataset will be opened at https://github.com/YutingHe-list/DEX.