An Open Multi-Center Whole-Body FDG PET/CT Foundation Model for Tumor Segmentation

The synergistic interpretation of anatomical information from computed tomography (CT) and metabolic information from positron emission tomography (PET) is important to oncologic imaging. However, existing deep learning methods for PET/CT remain largely task-specific, are often trained on single-center cohorts, or adopt dual-branch fusion schemes that delay cross-modal interaction and underutilize early spatial correspondence between PET and CT. To address these limitations, we present an open-source, multi-center, whole-body FDG PET/CT foundation model utilizing 4,997 harmonized scans from four public datasets. Our framework employs hierarchical UNet-shaped backbones with early channel-wise concatenation, enabling anatomical and metabolic features to interact from the first embedding layer onward. We further introduce a masked autoencoding objective based on zero-mean imputation, combined with a weighted global reconstruction loss. This design avoids non-physical intensity discontinuities at masked-region boundaries that arise from learnable mask tokens. On downstream AutoPET lesion segmentation, the proposed models demonstrate strong label efficiency: with only 10\% of the labeled training data, they achieve performance comparable to models trained from scratch on the full dataset. Under extreme 5-shot linear probing, joint PET/CT pretraining also achieves higher Dice scores than separated-modality pretraining. This multi-center foundation model demonstrates label efficiency and cross-modality representation learning for PET/CT tumor segmentation. It provides a robust, open-source basis for advancing automated oncologic imaging, significantly reducing the need for large-scale manual annotations in clinical practice.

ConceptSeg-R1: Segment Any Concept via Meta-Reinforcement Learning

Recent progress in promptable segmentation has shifted visual perception from object-level localization toward concept-level understanding. However, the notion of a concept remains under-specified, making it unclear whether current methods truly generalize beyond category recognition. In this work, we formalize generalized concept segmentation through a three-level taxonomy consisting of context-independent (CI), context-dependent (CD), and context-reasoning (CR) concepts, which reveals a clear capability gap across increasing levels of cognitive complexity. To address this challenge, we propose ConceptSeg-R1, a unified framework that reformulates concept segmentation as rule-induced concept grounding. At the core of our method is Meta-GRPO, a meta-reinforcement learning mechanism that learns transferable task rules from visual demonstrations and verifies them through proxy reasoning. The inferred reasoning states are then translated into segmentation-ready concept prompts via a lightweight concept translation module, enabling deductive application to target images. A shortcut routing strategy further preserves the native efficiency of segmentation models on simple cases. To systematically evaluate generalized concept segmentation, we conduct extensive experiments across diverse CI, CD, and CR concept segmentation benchmarks spanning natural, industrial, medical and reasoning-intensive domains. Without bells and whistles, ConceptSeg-R1 achieves strong performance across the full concept hierarchy while maintaining the native capability of promptable segmentation backbones. As an initial step toward segmenting any concept, we hope ConceptSeg-R1 can serve as a practical baseline for advancing segmentation from object-level prediction toward concept-level understanding.

GeoCert: Certified Geometric AI for Reliable Forecasting

Forecasting systems in science must be accurate, physically consistent, and certifiably reliable. Most existing models address prediction, constraint enforcement, and verification separately, limiting scalability and interpretability. We introduce GeoCert, a geometric AI framework that unifies forecasting, physical reasoning, and formal verification within a single differentiable computation. GeoCert formulates forecasting as evolution along a hyperbolic manifold, where negative curvature induces contraction dynamics, intrinsic robustness, and logarithmic-time certification. A hierarchical constraint architecture separates universal physical laws from domain-specific dynamics, enabling certified generalization across energy, climate, finance, and transportation systems. GeoCert achieves state-of-the-art accuracy while reducing computational cost by 97.5% and maintaining better certification rates. By embedding verification into the geometry of learning, GeoCert transforms forecasting from empirical approximation to formally verified inference, offering a scalable foundation for trustworthy, reproducible, and physically grounded scientific AI.

Seeing Through the Tool: A Controlled Benchmark for Occlusion Robustness in Foundation Segmentation Models

Occlusion, where target structures are partially hidden by surgical instruments or overlapping tissues, remains a critical yet underexplored challenge for foundation segmentation models in clinical endoscopy. We introduce OccSAM-Bench, a benchmark designed to systematically evaluate SAM-family models under controlled, synthesized surgical occlusion. Our framework simulates two occlusion types (i.e., surgical tool overlay and cutout) across three calibrated severity levels on three public polyp datasets. We propose a novel three-region evaluation protocol that decomposes segmentation performance into full, visible-only, and invisible targets. This metric exposes behaviors that standard amodal evaluation obscures, revealing two distinct model archetypes: Occluder-Aware models (SAM, SAM 2, SAM 3, MedSAM3), which prioritize visible tissue delineation and reject instruments, and Occluder-Agnostic models (MedSAM, MedSAM2), which confidently predict into occluded regions. SAM-Med2D aligns with neither and underperforms across all conditions. Ultimately, our results demonstrate that occlusion robustness is not uniform across architectures, and model selection must be driven by specific clinical intent-whether prioritizing conservative visible-tissue segmentation or the amodal inference of hidden anatomy.

Unsupervised Adaptation from FDG to PSMA PET/CT for 3D Lesion Detection under Label Shift

In this work, we propose an unsupervised domain adaptation (UDA) framework for 3D volumetric lesion detection that adapts a detector trained on labeled FDG PET/CT to unlabeled PSMA PET/CT. Beyond covariate shift, cross tracer adaptation also exhibits label shift in both lesion size composition and the number of lesions per subject. We introduce self-training with two mechanisms that explicitly model and compensate for this label shift. First, we adaptively adjust the detection anchor shapes by re-estimating target domain box scales from selected pseudo labels and updating anchors with an exponential moving average. This increases positive anchor coverage for small PSMA lesions and stabilizes box regression. Second, instead of a fixed confidence threshold for pseudo-label selection, we allocate size bin-wise quotas according to the estimated target domain histogram over lesion volumes. The self-training alternates between supervised learning with prior-guided pseudo labeling on PSMA and supervised learning on labeled FDG. On AutoPET 2024, adapting from 501 labeled FDG studies to 369 $^{18}$F-PSMA studies, the proposed method improves both AP and FROC over the source-only baseline and conventional self-training without label-shift mitigation, indicating that modeling target lesion prevalence and size composition is an effective path to robust cross-tracer detection.

Multimodal MRI Report Findings Supervised Brain Lesion Segmentation with Substructures

Report-supervised (RSuper) learning seeks to alleviate the need for dense tumor voxel labels with constraints derived from radiology reports (e.g., volumes, counts, sizes, locations). In MRI studies of brain tumors, however, we often involve multi-parametric scans and substructures. Here, fine-grained modality/parameter-wise reports are usually provided along with global findings and are correlated with different substructures. Moreover, the reports often describe only the largest lesion and provide qualitative or uncertain cues (``mild,'' ``possible''). Classical RSuper losses (e.g., sum volume consistency) can over-constrain or hallucinate unreported findings under such incompleteness, and are unable to utilize these hierarchical findings or exploit the priors of varied lesion types in a merged dataset. We explicitly parse the global quantitative and modality-wise qualitative findings and introduce a unified, one-sided, uncertainty-aware formulation (MS-RSuper) that: (i) aligns modality-specific qualitative cues (e.g., T1c enhancement, FLAIR edema) with their corresponding substructures using existence and absence losses; (ii) enforces one-sided lower-bounds for partial quantitative cues (e.g., largest lesion size, minimal multiplicity); and (iii) adds extra- vs. intra-axial anatomical priors to respect cohort differences. Certainty tokens scale penalties; missing cues are down-weighted. On 1238 report-labeled BraTS-MET/MEN scans, our MS-RSuper largely outperforms both a sparsely-supervised baseline and a naive RSuper method.

RuleSmith: Multi-Agent LLMs for Automated Game Balancing

Game balancing is a longstanding challenge requiring repeated playtesting, expert intuition, and extensive manual tuning. We introduce RuleSmith, the first framework that achieves automated game balancing by leveraging the reasoning capabilities of multi-agent LLMs. It couples a game engine, multi-agent LLMs self-play, and Bayesian optimization operating over a multi-dimensional rule space. As a proof of concept, we instantiate RuleSmith on CivMini, a simplified civilization-style game containing heterogeneous factions, economy systems, production rules, and combat mechanics, all governed by tunable parameters. LLM agents interpret textual rulebooks and game states to generate actions, to conduct fast evaluation of balance metrics such as win-rate disparities. To search the parameter landscape efficiently, we integrate Bayesian optimization with acquisition-based adaptive sampling and discrete projection: promising candidates receive more evaluation games for accurate assessment, while exploratory candidates receive fewer games for efficient exploration. Experiments show that RuleSmith converges to highly balanced configurations and provides interpretable rule adjustments that can be directly applied to downstream game systems. Our results illustrate that LLM simulation can serve as a powerful surrogate for automating design and balancing in complex multi-agent environments.

GTFMN: Guided Texture and Feature Modulation Network for Low-Light Image Enhancement and Super-Resolution

Low-light image super-resolution (LLSR) is a challenging task due to the coupled degradation of low resolution and poor illumination. To address this, we propose the Guided Texture and Feature Modulation Network (GTFMN), a novel framework that decouples the LLSR task into two sub-problems: illumination estimation and texture restoration. First, our network employs a dedicated Illumination Stream whose purpose is to predict a spatially varying illumination map that accurately captures lighting distribution. Further, this map is utilized as an explicit guide within our novel Illumination Guided Modulation Block (IGM Block) to dynamically modulate features in the Texture Stream. This mechanism achieves spatially adaptive restoration, enabling the network to intensify enhancement in poorly lit regions while preserving details in well-exposed areas. Extensive experiments demonstrate that GTFMN achieves the best performance among competing methods on the OmniNormal5 and OmniNormal15 datasets, outperforming them in both quantitative metrics and visual quality.

U-Harmony: Enhancing Joint Training for Segmentation Models with Universal Harmonization

In clinical practice, medical segmentation datasets are often limited and heterogeneous, with variations in modalities, protocols, and anatomical targets across institutions. Existing deep learning models struggle to jointly learn from such diverse data, often sacrificing either generalization or domain-specific knowledge. To overcome these challenges, we propose a joint training method called Universal Harmonization (U-Harmony), which can be integrated into deep learning-based architectures with a domain-gated head, enabling a single segmentation model to learn from heterogeneous datasets simultaneously. By integrating U-Harmony, our approach sequentially normalizes and then denormalizes feature distributions to mitigate domain-specific variations while preserving original dataset-specific knowledge. More appealingly, our framework also supports universal modality adaptation, allowing the seamless learning of new imaging modalities and anatomical classes. Extensive experiments on cross-institutional brain lesion datasets demonstrate the effectiveness of our approach, establishing a new benchmark for robust and adaptable 3D medical image segmentation models in real-world clinical settings.

MODE: Efficient Time Series Prediction with Mamba Enhanced by Low-Rank Neural ODEs

Time series prediction plays a pivotal role across diverse domains such as finance, healthcare, energy systems, and environmental modeling. However, existing approaches often struggle to balance efficiency, scalability, and accuracy, particularly when handling long-range dependencies and irregularly sampled data. To address these challenges, we propose MODE, a unified framework that integrates Low-Rank Neural Ordinary Differential Equations (Neural ODEs) with an Enhanced Mamba architecture. As illustrated in our framework, the input sequence is first transformed by a Linear Tokenization Layer and then processed through multiple Mamba Encoder blocks, each equipped with an Enhanced Mamba Layer that employs Causal Convolution, SiLU activation, and a Low-Rank Neural ODE enhancement to efficiently capture temporal dynamics. This low-rank formulation reduces computational overhead while maintaining expressive power. Furthermore, a segmented selective scanning mechanism, inspired by pseudo-ODE dynamics, adaptively focuses on salient subsequences to improve scalability and long-range sequence modeling. Extensive experiments on benchmark datasets demonstrate that MODE surpasses existing baselines in both predictive accuracy and computational efficiency. Overall, our contributions include: (1) a unified and efficient architecture for long-term time series modeling, (2) integration of Mamba's selective scanning with low-rank Neural ODEs for enhanced temporal representation, and (3) substantial improvements in efficiency and scalability enabled by low-rank approximation and dynamic selective scanning.