ESICA: A Scalable Framework for Text-Guided 3D Medical Image Segmentation

Text guided 3D medical image segmentation offers a flexible alternative to class based and spatial prompt based models by allowing users to specify regions of interest directly in natural language. This paradigm avoids reliance on predefined label sets, reduces ambiguous outputs, and aligns more naturally with clinical workflows. However, existing text guided frameworks are often computationally expensive, exhibit weak text volume feature alignment, and fail to capture fine anatomical details. We propose ESICA, a lightweight and scalable framework that addresses these challenges through three innovations: (1) a similarity matrix based mask prediction formulation that enhances semantic alignment, (2) an efficient decomposed decoder with adapter modules for accurate volumetric decoding, and (3) a two pass refinement strategy that sharpens boundaries and resolves uncertain regions. To improve training stability and generalization, ESICA adopts a two stage scheme consisting of positive only pretraining followed by balanced fine tuning. On the CVPR BiomedSegFM benchmark spanning five imaging modalities (CT, MRI, PET, ultrasound, and microscopy), ESICA achieves state of the art segmentation accuracy, while the compact ESICA4 Lite variant attains similar segmentation performance with substantially fewer parameters, yielding a superior efficiency accuracy trade off. Our framework advances text guided segmentation toward efficient, scalable, and clinically deployable systems. Code will be made publicly available at https://github.com/mirthAI/ESICA.

Detoxification for LLM: From Dataset Itself

Existing detoxification methods for large language models mainly focus on post-training stage or inference time, while few tackle the source of toxicity, namely, the dataset itself. Such training-based or controllable decoding approaches cannot completely suppress the model's inherent toxicity, whereas detoxifying the pretraining dataset can fundamentally reduce the toxicity that the model learns during training. Hence, we attempt to detoxify directly on raw corpora with SoCD (Soft Contrastive Decoding), which guides an LLM to localize and rewrite toxic spans in raw data while preserving semantics, in our proposed HSPD (Hierarchical Semantic-Preserving Detoxification) pipeline, yielding a detoxified corpus that can drop-in replace the original for fine-tuning or other training. On GPT2-XL, HSPD attains state-of-the-art detoxification, reducing Toxicity Probability (TP) from 0.42 to 0.18 and Expected Maximum Toxicity (EMT) from 0.43 to 0.20. We further validate consistent best-in-class results on LLaMA2-7B, OPT-6.7B, and Falcon-7B. These findings show that semantics-preserving, corpus-level rewriting with HSPD effectively suppresses downstream toxicity while retaining data utility and allowing seamless source-level mitigation, thereby reducing the cost of later model behavior adjustment. (Code is available at: https://github.com/ntsw2001/data_detox_for_llm)

PARM: Pipeline-Adapted Reward Model

Reward models (RMs) are central to aligning large language models (LLMs) with human preferences, powering RLHF and advanced decoding strategies. While most prior work focuses on single-step generation, real-world applications increasingly adopt multi-stage LLM pipelines, where effective reward guidance remains underexplored. We investigate this through code generation for combinatorial optimization, constructing a pipeline that integrates reward models into both formulation and solution stages. We identify a critical challenge: inconsistency between reward model predictions and actual pipeline execution outcomes. To address this, we propose the Pipeline-Adapted Reward Model (PARM), which leverages pipeline-specific data and direct preference optimization to align rewards with downstream feedback. We instantiate PARM as a two-stage pipeline (formulation -> code generation) and evaluate it on four public optimization benchmarks, measuring execution rate and solving accuracy against baselines and sampling methods. A supplementary cross-domain experiment on GSM8K assesses transferability. Results demonstrate that PARM consistently improves pipeline output quality and stability, providing new insights into reward modeling for multi-stage LLM reasoning.

Structure-Adaptive Sparse Diffusion in Voxel Space for 3D Medical Image Enhancement

Three-dimensional (3D) medical image enhancement, including denoising and super-resolution, is critical for clinical diagnosis in CT, PET, and MRI. Although diffusion models have shown remarkable success in 2D medical imaging, scaling them to high-resolution 3D volumes remains computationally prohibitive due to lengthy diffusion trajectories over high-dimensional volumetric data. We observe that in conditional enhancement, strong anatomical priors in the degraded input render dense noise schedules largely redundant. Leveraging this insight, we propose a sparse voxel-space diffusion framework that trains and samples on a compact set of uniformly subsampled timesteps. The network predicts clean data directly on the data manifold, supervised in velocity space for stable gradient scaling. A lightweight Structure-aware Trajectory Modulation (STM) module recalibrates time embeddings at each network block based on local anatomical content, enabling structure-adaptive denoising over the shared sparse schedule. Operating directly in voxel space, our framework preserves fine anatomical detail without lossy compression while achieving up to $10\times$ training acceleration. Experiments on four datasets spanning CT, PET, and MRI demonstrate state-of-the-art performance on both denoising and super-resolution tasks. Our code is publicly available at: https://github.com/mirthAI/sparse-3d-diffusion.

How Well Does Generative Recommendation Generalize?

A widely held hypothesis for why generative recommendation (GR) models outperform conventional item ID-based models is that they generalize better. However, there is few systematic way to verify this hypothesis beyond a superficial comparison of overall performance. To address this gap, we categorize each data instance based on the specific capability required for a correct prediction: either memorization (reusing item transition patterns observed during training) or generalization (composing known patterns to predict unseen item transitions). Extensive experiments show that GR models perform better on instances that require generalization, whereas item ID-based models perform better when memorization is more important. To explain this divergence, we shift the analysis from the item level to the token level and show that what appears to be item-level generalization often reduces to token-level memorization for GR models. Finally, we show that the two paradigms are complementary. We propose a simple memorization-aware indicator that adaptively combines them on a per-instance basis, leading to improved overall recommendation performance.

Towards Privacy-Preserving Machine Translation at the Inference Stage: A New Task and Benchmark

Current online translation services require sending user text to cloud servers, posing a risk of privacy leakage when the text contains sensitive information. This risk hinders the application of online translation services in privacy-sensitive scenarios. One way to mitigate this risk for online translation services is introducing privacy protection mechanisms targeting the inference stage of translation models. However, compared to subfields of NLP like text classification and summarization, the machine translation research community has limited exploration of privacy protection during the inference stage. There is no clearly defined privacy protection task for the inference stage, dedicated evaluation datasets and metrics, and reference benchmark methods. The absence of these elements has seriously constrained researchers' in-depth exploration of this direction. To bridge this gap, this paper proposes a novel "Privacy-Preserving Machine Translation" (PPMT) task, aiming to protect the private information in text during the model inference stage. For this task, we constructed three benchmark test datasets, designed corresponding evaluation metrics, and proposed a series of benchmark methods as a starting point for this task. The definition of privacy is complex and diverse. Considering that named entities often contain a large amount of personal privacy and commercial secrets, we have focused our research on protecting only the named entity's privacy in the text. We expect this research work will provide a new perspective and a solid foundation for the privacy protection problem in machine translation.

Advancing Cancer Prognosis with Hierarchical Fusion of Genomic, Proteomic and Pathology Imaging Data from a Systems Biology Perspective

To enhance the precision of cancer prognosis, recent research has increasingly focused on multimodal survival methods by integrating genomic data and histology images. However, current approaches overlook the fact that the proteome serves as an intermediate layer bridging genomic alterations and histopathological features while providing complementary biological information essential for survival prediction. This biological reality exposes another architectural limitation: existing integrative analysis studies fuse these heterogeneous data sources in a flat manner that fails to capture their inherent biological hierarchy. To address these limitations, we propose HFGPI, a hierarchical fusion framework that models the biological progression from genes to proteins to histology images from a systems biology perspective. Specifically, we introduce Molecular Tokenizer, a molecular encoding strategy that integrates identity embeddings with expression profiles to construct biologically informed representations for genes and proteins. We then develop Gene-Regulated Protein Fusion (GRPF), which employs graph-aware cross-attention with structure-preserving alignment to explicitly model gene-protein regulatory relationships and generate gene-regulated protein representations. Additionally, we propose Protein-Guided Hypergraph Learning (PGHL), which establishes associations between proteins and image patches, leveraging hypergraph convolution to capture higher-order protein-morphology relationships. The final features are progressively fused across hierarchical layers to achieve precise survival outcome prediction. Extensive experiments on five benchmark datasets demonstrate the superiority of HFGPI over state-of-the-art methods.

FedCARE: Federated Unlearning with Conflict-Aware Projection and Relearning-Resistant Recovery

Federated learning (FL) enables collaborative model training without centralizing raw data, but privacy regulations such as the right to be forgotten require FL systems to remove the influence of previously used training data upon request. Retraining a federated model from scratch is prohibitively expensive, motivating federated unlearning (FU). However, existing FU methods suffer from high unlearning overhead, utility degradation caused by entangled knowledge, and unintended relearning during post-unlearning recovery. In this paper, we propose FedCARE, a unified and low overhead FU framework that enables conflict-aware unlearning and relearning-resistant recovery. FedCARE leverages gradient ascent for efficient forgetting when target data are locally available and employs data free model inversion to construct class level proxies of shared knowledge. Based on these insights, FedCARE integrates a pseudo-sample generator, conflict-aware projected gradient ascent for utility preserving unlearning, and a recovery strategy that suppresses rollback toward the pre-unlearning model. FedCARE supports client, instance, and class level unlearning with modest overhead. Extensive experiments on multiple datasets and model architectures under both IID and non-IID settings show that FedCARE achieves effective forgetting, improved utility retention, and reduced relearning risk compared to state of the art FU baselines.

MedVL-SAM2: A unified 3D medical vision-language model for multimodal reasoning and prompt-driven segmentation

Recent progress in medical vision-language models (VLMs) has achieved strong performance on image-level text-centric tasks such as report generation and visual question answering (VQA). However, achieving fine-grained visual grounding and volumetric spatial reasoning in 3D medical VLMs remains challenging, particularly when aiming to unify these capabilities within a single, generalizable framework. To address this challenge, we proposed MedVL-SAM2, a unified 3D medical multimodal model that concurrently supports report generation, VQA, and multi-paradigm segmentation, including semantic, referring, and interactive segmentation. MedVL-SAM2 integrates image-level reasoning and pixel-level perception through a cohesive architecture tailored for 3D medical imaging, and incorporates a SAM2-based volumetric segmentation module to enable precise multi-granular spatial reasoning. The model is trained in a multi-stage pipeline: it is first pre-trained on a large-scale corpus of 3D CT image-text pairs to align volumetric visual features with radiology-language embeddings. It is then jointly optimized with both language-understanding and segmentation objectives using a comprehensive 3D CT segmentation dataset. This joint training enables flexible interaction via language, point, or box prompts, thereby unifying high-level visual reasoning with spatially precise localization. Our unified architecture delivers state-of-the-art performance across report generation, VQA, and multiple 3D segmentation tasks. Extensive analyses further show that the model provides reliable 3D visual grounding, controllable interactive segmentation, and robust cross-modal reasoning, demonstrating that high-level semantic reasoning and precise 3D localization can be jointly achieved within a unified 3D medical VLM.

Synthetic Forgetting without Access: A Few-shot Zero-glance Framework for Machine Unlearning

Machine unlearning aims to eliminate the influence of specific data from trained models to ensure privacy compliance. However, most existing methods assume full access to the original training dataset, which is often impractical. We address a more realistic yet challenging setting: few-shot zero-glance, where only a small subset of the retained data is available and the forget set is entirely inaccessible. We introduce GFOES, a novel framework comprising a Generative Feedback Network (GFN) and a two-phase fine-tuning procedure. GFN synthesises Optimal Erasure Samples (OES), which induce high loss on target classes, enabling the model to forget class-specific knowledge without access to the original forget data, while preserving performance on retained classes. The two-phase fine-tuning procedure enables aggressive forgetting in the first phase, followed by utility restoration in the second. Experiments on three image classification datasets demonstrate that GFOES achieves effective forgetting at both logit and representation levels, while maintaining strong performance using only 5% of the original data. Our framework offers a practical and scalable solution for privacy-preserving machine learning under data-constrained conditions.