DeCo-MIL: Debiased Counterfactual Reasoning for Long-Tailed Whole Slide Image Analysis

Multiple instance learning (MIL) is widely used for weakly supervised whole slide image (WSI) analysis. However, under long-tailed distributions, MIL-based WSI analysis faces a nested dual long-tail: an inter-slide class long tail and an intra-slide long tail of instance-level discriminative evidence. The two long tails are coupled: tail classes have few training slides, while their limited diagnostic evidence is concentrated in a few patches and obscured by abundant within-bag redundancy. This coupling biases models toward head classes and degrades rare-class recognition. To address this, we propose DeCo-MIL for long-tailed WSI analysis, which jointly alleviates the nested dual long-tail through frequency-debiased counterfactual reasoning. For the inner long tail, DeCo-MIL clusters patches into tissue-morphology anchors, replaces each anchor with its matched normal prototype to perform a counterfactual intervention, and estimates its counterfactual contribution to the ground-truth class using class-frequency-corrected predictions. These contributions guide redundancy masking to preserve scarce discriminative instances. For the outer long tail, DeCo-MIL constructs anchor-stratified pseudo-bags from redundancy-reduced bags and combines tail-aware oversampling with consistency regularization, increasing effective supervision for tail classes while preserving tissue-morphology composition. Extensive experiments on three long-tailed WSI benchmarks demonstrate that DeCo-MIL achieves state-of-the-art performance in both tail-class recognition and overall classification.

MESA:Task-Adaptive Multi-Structure Evidence Selection for Long-Horizon Agent Memory

Long-horizon agents accumulate trajectories spanning hundreds of interleaved reasoning, action, and observation steps, where answering a query may depend on evidence buried far back in the history. External memory stores such trajectories as structured representations, yet each structure provides a distinct and incomplete view. Existing multi-memory systems either read a fixed set of structures for every query, inflating context and introducing noise, or route each query to a single structure, preventing the composition of complementary evidence. A controlled analysis on AMA-Bench shows that the optimal memory configuration is typically neither a single structure nor the full union, but a tailored composition of multiple structural memories that varies with query and task demands. Motivated by these findings, we formulate structure-level dynamic selection: selecting and fusing a query-adaptive subset from a library of specialized memory structures. We propose MESA (a Multi-structure Evidence Selection framework for long-horizon Agent), which builds five complementary structure views of each trajectory and learns from end-to-end answer-level feedback to select and fuse a query-specific subset for a frozen answer model. To learn under this weak supervision, MESA employs harness optimization with prior-guided search and UCB-guided scheduling to balance exploration and exploitation. On AMA-Bench, MESA outperforms the strongest baseline by 8.5% while using 41% fewer evidence tokens than the all-structure alternative.

Location-Aware Fine-Grained Representation Learning for Medical Vision Foundation Models

Fine-grained visual representations are essential for medical image analysis, particularly when diagnostically relevant evidence is subtle and spatially localized. Modern transformer-based medical vision encoders must therefore learn patch-level representations that are both clinically meaningful and spatially consistent. Without these properties, large vision-language models (LVLMs) operate on an ambiguous visual foundation, limiting their ability to generate clinically reliable and spatially grounded responses. However, existing training strategies for medical vision encoders rarely achieve both objectives. Image-text alignment provides clinically meaningful supervision primarily at the image level, leaving the spatial localization of diagnostic evidence weakly constrained. In contrast, self-supervised learning promotes spatial consistency but lacks the semantic supervision needed to distinguish visually similar yet clinically distinct regions. To address this gap, we present LoFi, a medical vision foundation model built on location-aware fine-grained representation learning. LoFi trains a vision encoder with a lightweight large language model under grounding and grounded captioning objectives. Because these objectives require predicting location from clinical text and vice versa, spatial consistency emerges without any explicit patch-level regularization. To enable training at scale, we construct MedG, a large-scale medical grounding dataset of 4.48M image-text-box triplets curated from 84 datasets spanning 7 modalities. Across phrase grounding, visual question answering, and region-based organ classification under perturbations, LoFi consistently outperforms general-purpose and medical vision foundation models as well as state-of-the-art LVLMs. Code is available at https://github.com/myeongkyunkang/lofi-medg.

Rethinking Artificial Intelligence in Medical Imaging: Assumptions, Reality, and Reframing

Medical imaging has served as primary proving ground for clinical artificial intelligence (AI), yet a decade of intense research has not translated into proportionate bedside impact. We argue that this gap is not primarily a product of insufficient algorithmic performance, inadequate regulation, or limited explainability. Rather, it reflects a structural misalignment, between how AI systems are designed and evaluated, and how clinical decisions are made. This Perspective identifies six interconnected dimensions of this misalignment: the dominance of pixel-only models in a multimodal clinical world; the erosion of physician trust through opaque and inflexible systems; the unfulfilled promise of foundation models in data-sparse medical domains; the persistent bottleneck of non-shareable, under-curated datasets; the gap between validated algorithms and deployable clinical platforms; and the failure of prediction-centric AI to generate actionable clinical guidance. For each dimension, we reframe the problem and propose a path forward, culminating in a vision of agentic, physician-aligned AI that extends, rather than replaces, clinical judgment.

CPInj: Uncovering Prompt Injection Risks in Textual Collaborative Prompt Optimization

Textual Collaborative Prompt Optimization (TCPO) extends Textgrad (Yuksekgonul et al., 2025) to a decentralized setting by allowing multiple clients to jointly improve prompts for large language models (LLMs) while keeping their data locally. Its reliance on free-form textual updating and aggregation introduces a new and largely unexplored attack surface, i.e., malicious instructions can be injected into local prompts and propagated through server-side prompt aggregation. Unlike conventional prompt injection attacks, attacking TCPO targets the collaborative optimization loop in TCPO. This setting is more challenging because malicious instructions must survive aggregation, persist through subsequent benign prompt optimization, and evade server-side defenses. To expose this risk, we propose CPInj, a collaborative prompt injection attack that contaminates the aggregated global prompt with malicious instructions, degrades downstream task performance, resists purification by prompt optimization on benign clients, and evades advanced detection-based defenses on the server. We find that current defense methods are ineffective against CPInj. To mitigate this attack, we further propose a defense-oriented aggregation method, i.e., APAgg, which purifies malicious instructions and partially recovers TCPO utility. We conduct extensive experiments across three LLM families and five reasoning tasks in math, logic, and medicine. The results demonstrate that our proposed attack reveals a critical vulnerability in TCPO. Although we take a first step toward mitigation, the attack remains highly effective and far from fully resolved, calling for more robust defense for TCPO.

The tttAI System for the TSA-ASR Task of the SmartGlasses Challenge 2026

This paper presents the tttAI system submitted to the TSA-ASR task of the SmartGlasses Challenge 2026, evaluated on both two-person dialogues (Track 1) and multi-party meetings (Track 2). The task requires time-stamped speaker-attributed speech recognition from smart-glasses recordings. This is particularly challenging due to long-form audio, multiple speakers, and frequent overlapping speech. We proposed a cascaded architecture consisting of speaker diarization, overlap detection, target-speaker extraction, post-processing, and automatic speech recognition. The diarization module extracts features via WavLM-Large, performs frame-wise speaker classification with a Conformer encoder, and then generates global speaker segments through embedding clustering. For overlapped regions, we apply a WeSep-based target-speaker extraction model with ECAPA-TDNN speaker embeddings. When the extraction is unreliable, a dominant-speaker fallback strategy is used. The final system uses FireRedASR2-AED with the first microphone channel. The submitted system has a total parameter count of approximately 1.53B. On Track 1, our system achieves a tcpCER of 7.10%. On Track 2, it achieves a tcpCER of 34.04% and ranks second on the leaderboard.

UltraVR: A Diagnostic Ultra-Resolution Image-VQA Benchmark for Evidence-Grounded Reasoning

Vision-language models (VLMs) excel on visual question answering and multimodal reasoning benchmarks. Yet their capability on ultra-resolution images - where critical evidence is tiny, subtle, spatially distant, or distributed - remains unclear. Existing evaluations largely report final-answer accuracy, offering limited insight into whether models acquire and integrate the necessary visual evidence. We introduce UltraVR, a diagnostic benchmark for evidence-grounded visual reasoning over ultra-resolution images. UltraVR spans four high-value scenarios: CCTV surveillance, remote sensing (RS), whole-slide image (WSI) pathology, and industrial anomaly detection (AD). These domains pose complementary challenges: fine-grained object grounding in crowded CCTV scenes, long-range spatial comparison in RS, multi-scale evidence navigation in WSI, and subtle irregularity detection in repetitive industrial layouts. Beyond standard QA triples, each instance includes a structured ground-truth chain of thought with step-level questions, intermediate answers, and reasoning labels. These labels decompose reasoning into evidence grounding, local perception, quantification, evidence integration, and decision inference, enabling process-level diagnosis over black-box scoring. Using UltraVR, we evaluate frontier VLMs and show that current models remain far from reliable on ultra-resolution reasoning. Importantly, the structured annotations allow us to localize failures across the visual-to-decision pipeline: errors concentrate in evidence grounding and local perception, while downstream inference often recovers when intermediate visual facts are supplied. These findings demonstrate UltraVR as a diagnostic testbed for measuring not only whether VLMs answer correctly, but where their ultra-resolution reasoning process breaks.

Directional Alignment Mitigates Reward Hacking in Reinforcement Learning for Language Models

Reward hacking arises when a model improves a proxy reward by exploiting shortcuts rather than solving the intended task. We study this failure mode through the geometry of reinforcement learning updates in language models and argue that hacking emerges when optimization drifts away from a stable low-dimensional learning trajectory. We analyze this drift through dominant singular directions of parameter updates and show that reward-hacking runs exhibit substantially larger directional change than clean runs. Motivated by this observation, we introduce trusted-direction projection, which constrains gradients to remain within a clean reference subspace. Across reward-hacking experiments on mathematical reasoning, the proposed approach delays shortcut exploitation and better preserves task performance.

Verification Mirage: Mapping the Reliability Boundary of Self-Verification in Medical VQA

Self-verification, re-invoking the same vision language model (VLM) in a fresh context to check its own generated answer, is increasingly used as a default safety layer for medical visual question answering (VQA). We argue that this practice is fundamentally unreliable. We introduce [METHOD NAME], a diagnostic framework for mapping the reliability boundary of medical VLM self-verification by decomposing verifier behavior into discrimination capability and agreement bias. Because the verifier and answer generator are capacity-coupled, the verifier can overly agree with the generator, creating a verification mirage: a regime with both high verifier error and high agreement bias, driven by false acceptance of incorrect answers. Evaluating six open-weight VLMs across five medical VQA datasets and seven medical tasks, we find that this boundary is strongly task-conditioned. Knowledge-intensive clinical tasks fall deepest into the mirage, simpler tasks are more resistant, and perceptual tasks lie in between. Verification also fails to provide an independent safety signal: logistic mixed-effects analysis shows that verifier error and agreement bias become more likely when the generator is wrong, while saliency analyses show that verifiers under-attend to image evidence relative to generators, a phenomenon we call the lazy verifier. Cross-verification reduces but does not eliminate the mirage. Moreover, when verification is reused in multi-turn actor-verifier loops, most initially wrong answers become locked in by false verification. Since our experiments use clean benchmarks, the observed reliability boundary likely underestimates failures in real clinical deployment.

Plug-and-Play Logit Fusion for Heterogeneous Pathology Foundation Models

Pathology foundation models (FMs) have become central to computational histopathology, offering strong transfer performance across a wide range of diagnostic and prognostic tasks. The rapid proliferation of pathology foundation models creates a model-selection bottleneck: no single model is uniformly best, yet exhaustively adapting and validating many candidates for each downstream endpoint is prohibitively expensive. We address this challenge with a lightweight and novel model fusion strategy, LogitProd, which treats independently trained FM-based predictors as fixed experts and learns sample-adaptive fusion weights over their slide-level outputs. The fusion operates purely on logits, requiring no encoder retraining and no feature-space alignment across heterogeneous backbones. We further provide a theoretical analysis showing that the optimal weighted product fusion is guaranteed to perform at least as well as the best individual expert under the training objective. We systematically evaluate LogitProd on \textbf{22} benchmarks spanning WSI-level classification, tile-level classification, gene mutation prediction, and discrete-time survival modeling. LogitProd ranks first on 20/22 tasks and improves the average performance across all tasks by ~3% over the strongest single expert. LogitProd enables practitioners to upgrade heterogeneous FM-based pipelines in a plug-and-play manner, achieving multi-expert gains with $\sim$12$\times$ lower training cost than feature-fusion alternatives.