Hierarchical Text-Guided Brain Tumor Segmentation via Sub-Region-Aware Prompts

Brain tumor segmentation remains challenging because the three standard sub-regions, i.e., whole tumor (WT), tumor core (TC), and enhancing tumor (ET), often exhibit ambiguous visual boundaries. Integrating radiological description texts with imaging has shown promise. However, most multimodal approaches typically compress a report into a single global text embedding shared across all sub-regions, overlooking their distinct clinical characteristics. We propose TextCSP (text-modulated soft cascade architecture), a hierarchical text-guided framework that builds on the TextBraTS baseline with three novel components: (1) a text-modulated soft cascade decoder that predicts WT->TC->ET in a coarse-to-fine manner consistent with their anatomical containment hierarchy. (2) sub-region-aware prompt tuning, which uses learnable soft prompts with a LoRA-adapted BioBERT encoder to generate specialized text representations tailored for each sub-region; (3) text-semantic channel modulators that convert the aforementioned representations into channel-wise refinement signals, enabling the decoder to emphasize features aligned with clinically described patterns. Experiments on the TextBraTS dataset demonstrate consistent improvements across all sub-regions against state-of-the-art methods by 1.7% and 6% on the main metrics Dice and HD95.

Overthinking Causes Hallucination: Tracing Confounder Propagation in Vision Language Models

Vision Language models (VLMs) often hallucinate non-existent objects. Detecting hallucination is analogous to detecting deception: a single final statement is insufficient, one must examine the underlying reasoning process. Yet existing detectors rely mostly on final-layer signals. Attention-based methods assume hallucinated tokens exhibit low attention, while entropy-based ones use final-step uncertainty. Our analysis reveals the opposite: hallucinated objects can exhibit peaked attention due to contextual priors; and models often express high confidence because intermediate layers have already converged to an incorrect hypothesis. We show that the key to hallucination detection lies within the model's thought process, not its final output. By probing decoder layers, we uncover a previously overlooked behavior, overthinking: models repeatedly revise object hypotheses across layers before committing to an incorrect answer. Once the model latches onto a confounded hypothesis, it can propagate through subsequent layers, ultimately causing hallucination. To capture this behavior, we introduce the Overthinking Score, a metric to measure how many competing hypotheses the model entertains and how unstable these hypotheses are across layers. This score significantly improves hallucination detection: 78.9% F1 on MSCOCO and 71.58% on AMBER.

EMAG: Self-Rectifying Diffusion Sampling with Exponential Moving Average Guidance

In diffusion and flow-matching generative models, guidance techniques are widely used to improve sample quality and consistency. Classifier-free guidance (CFG) is the de facto choice in modern systems and achieves this by contrasting conditional and unconditional samples. Recent work explores contrasting negative samples at inference using a weaker model, via strong/weak model pairs, attention-based masking, stochastic block dropping, or perturbations to the self-attention energy landscape. While these strategies refine the generation quality, they still lack reliable control over the granularity or difficulty of the negative samples, and target-layer selection is often fixed. We propose Exponential Moving Average Guidance (EMAG), a training-free mechanism that modifies attention at inference time in diffusion transformers, with a statistics-based, adaptive layer-selection rule. Unlike prior methods, EMAG produces harder, semantically faithful negatives (fine-grained degradations), surfacing difficult failure modes, enabling the denoiser to refine subtle artifacts, boosting the quality and human preference score (HPS) by +0.46 over CFG. We further demonstrate that EMAG naturally composes with advanced guidance techniques, such as APG and CADS, further improving HPS.

Seeing the Trees for the Forest: Rethinking Weakly-Supervised Medical Visual Grounding

Visual grounding (VG) is the capability to identify the specific regions in an image associated with a particular text description. In medical imaging, VG enhances interpretability by highlighting relevant pathological features corresponding to textual descriptions, improving model transparency and trustworthiness for wider adoption of deep learning models in clinical practice. Current models struggle to associate textual descriptions with disease regions due to inefficient attention mechanisms and a lack of fine-grained token representations. In this paper, we empirically demonstrate two key observations. First, current VLMs assign high norms to background tokens, diverting the model's attention from regions of disease. Second, the global tokens used for cross-modal learning are not representative of local disease tokens. This hampers identifying correlations between the text and disease tokens. To address this, we introduce simple, yet effective Disease-Aware Prompting (DAP) process, which uses the explainability map of a VLM to identify the appropriate image features. This simple strategy amplifies disease-relevant regions while suppressing background interference. Without any additional pixel-level annotations, DAP improves visual grounding accuracy by 20.74% compared to state-of-the-art methods across three major chest X-ray datasets.

Interactive Medical Image Analysis with Concept-based Similarity Reasoning

The ability to interpret and intervene model decisions is important for the adoption of computer-aided diagnosis methods in clinical workflows. Recent concept-based methods link the model predictions with interpretable concepts and modify their activation scores to interact with the model. However, these concepts are at the image level, which hinders the model from pinpointing the exact patches the concepts are activated. Alternatively, prototype-based methods learn representations from training image patches and compare these with test image patches, using the similarity scores for final class prediction. However, interpreting the underlying concepts of these patches can be challenging and often necessitates post-hoc guesswork. To address this issue, this paper introduces the novel Concept-based Similarity Reasoning network (CSR), which offers (i) patch-level prototype with intrinsic concept interpretation, and (ii) spatial interactivity. First, the proposed CSR provides localized explanation by grounding prototypes of each concept on image regions. Second, our model introduces novel spatial-level interaction, allowing doctors to engage directly with specific image areas, making it an intuitive and transparent tool for medical imaging. CSR improves upon prior state-of-the-art interpretable methods by up to 4.5\% across three biomedical datasets. Our code is released at https://github.com/tadeephuy/InteractCSR.

ProjectedEx: Enhancing Generation in Explainable AI for Prostate Cancer

Prostate cancer, a growing global health concern, necessitates precise diagnostic tools, with Magnetic Resonance Imaging (MRI) offering high-resolution soft tissue imaging that significantly enhances diagnostic accuracy. Recent advancements in explainable AI and representation learning have significantly improved prostate cancer diagnosis by enabling automated and precise lesion classification. However, existing explainable AI methods, particularly those based on frameworks like generative adversarial networks (GANs), are predominantly developed for natural image generation, and their application to medical imaging often leads to suboptimal performance due to the unique characteristics and complexity of medical image. To address these challenges, our paper introduces three key contributions. First, we propose ProjectedEx, a generative framework that provides interpretable, multi-attribute explanations, effectively linking medical image features to classifier decisions. Second, we enhance the encoder module by incorporating feature pyramids, which enables multiscale feedback to refine the latent space and improves the quality of generated explanations. Additionally, we conduct comprehensive experiments on both the generator and classifier, demonstrating the clinical relevance and effectiveness of ProjectedEx in enhancing interpretability and supporting the adoption of AI in medical settings. Code will be released at https://github.com/Richardqiyi/ProjectedEx

ViMQ: A Vietnamese Medical Question Dataset for Healthcare Dialogue System Development

Existing medical text datasets usually take the form of ques- tion and answer pairs that support the task of natural language gener- ation, but lacking the composite annotations of the medical terms. In this study, we publish a Vietnamese dataset of medical questions from patients with sentence-level and entity-level annotations for the Intent Classification and Named Entity Recognition tasks. The tag sets for two tasks are in medical domain and can facilitate the development of task- oriented healthcare chatbots with better comprehension of queries from patients. We train baseline models for the two tasks and propose a simple self-supervised training strategy with span-noise modelling that substan- tially improves the performance. Dataset and code will be published at https://github.com/tadeephuy/ViMQ

Vietnamese Capitalization and Punctuation Recovery Models

Despite the rise of recent performant methods in Automatic Speech Recognition (ASR), such methods do not ensure proper casing and punctuation for their outputs. This problem has a significant impact on the comprehension of both Natural Language Processing (NLP) algorithms and human to process. Capitalization and punctuation restoration is imperative in pre-processing pipelines for raw textual inputs. For low resource languages like Vietnamese, public datasets for this task are scarce. In this paper, we contribute a public dataset for capitalization and punctuation recovery for Vietnamese; and propose a joint model for both tasks named JointCapPunc. Experimental results on the Vietnamese dataset show the effectiveness of our joint model compare to single model and previous joint learning model. We publicly release our dataset and the implementation of our model at https://github.com/anhtunguyen98/JointCapPunc