MAGIS: Evidence-Based Multi-Agent Reasoning for Interpretable Strabismus Clinical Decision-Making

Strabismus is a common ocular disorder that requires fine-grained subtype diagnosis for individualized treatment planning. However, existing deep learning methods mainly provide diagnostic predictions without transparent reasoning, while recent large vision-language models (LVLMs), although promising for joint image understanding and report generation, remain highly prone to hallucination in this evidence-sensitive and rule-driven medical task. To address these challenges, we propose MAGIS, an evidence-based Multi-AGent reasoning for Interpretable Strabismus diagnosis framework. MAGIS transforms black-box end-to-end generation into a structured diagnostic process consisting of candidate hypothesis generation, dual-evidence constrained context, evidence-based corrective verification, and report generation. Specifically, we introduce a Dual-Evidence Constrained Context (DECC) mechanism that jointly organizes visual evidence from the photograph of the nine cardinal positions of gaze and evidence-based clinical diagnostic rules into a constrained context for reliable diagnostic reasoning. We further develop an Evidence-Based Corrective Verification (EBCV) mechanism that verifies whether the current diagnostic hypothesis is supported by visual evidence, heatmap-based visual cues, and evidence-based clinical diagnostic rules. Hypothesis refinement is triggered when inconsistency is detected. Experiments on a fine-grained strabismus benchmark demonstrate that MAGIS not only significantly outperforms other state-of-the-art diagnostic systems, improving the weighted F1 score from 72.0% to 91.3%, but also substantially improves the clinical reliability (consistency, alignment, and completeness) of generated diagnostic reports. These results demonstrate that MAGIS provides an effective solution for building accurate, evidence-based, and clinically interpretable strabismus diagnosis systems.

Shedding the Facades, Connecting the Domains: Detecting Shifting Multimodal Hate Video with Test-Time Adaptation

Hate Video Detection (HVD) is crucial for online ecosystems. Existing methods assume identical distributions between training (source) and inference (target) data. However, hateful content often evolves into irregular and ambiguous forms to evade censorship, resulting in substantial semantic drift and rendering previously trained models ineffective. Test-Time Adaptation (TTA) offers a solution by adapting models during inference to narrow the cross-domain gap, while conventional TTA methods target mild distribution shifts and struggle with the severe semantic drift in HVD. To tackle these challenges, we propose SCANNER, the first TTA framework tailored for HVD. Motivated by the insight that, despite the evolving nature of hateful manifestations, their underlying cores remain largely invariant (i.e., targeting is still based on characteristics like gender, race, etc), we leverage these stable cores as a bridge to connect the source and target domains. Specifically, SCANNER initially reveals the stable cores from the ambiguous layout in evolving hateful content via a principled centroid-guided alignment mechanism. To alleviate the impact of outlier-like samples that are weakly correlated with centroids during the alignment process, SCANNER enhances the prior by incorporating a sample-level adaptive centroid alignment strategy, promoting more stable adaptation. Furthermore, to mitigate semantic collapse from overly uniform outputs within clusters, SCANNER introduces an intra-cluster diversity regularization that encourages the cluster-wise semantic richness. Experiments show that SCANNER outperforms all baselines, with an average gain of 4.69% in Macro-F1 over the best.

VPNeXt -- Rethinking Dense Decoding for Plain Vision Transformer

We present VPNeXt, a new and simple model for the Plain Vision Transformer (ViT). Unlike the many related studies that share the same homogeneous paradigms, VPNeXt offers a fresh perspective on dense representation based on ViT. In more detail, the proposed VPNeXt addressed two concerns about the existing paradigm: (1) Is it necessary to use a complex Transformer Mask Decoder architecture to obtain good representations? (2) Does the Plain ViT really need to depend on the mock pyramid feature for upsampling? For (1), we investigated the potential underlying reasons that contributed to the effectiveness of the Transformer Decoder and introduced the Visual Context Replay (VCR) to achieve similar effects efficiently. For (2), we introduced the ViTUp module. This module fully utilizes the previously overlooked ViT real pyramid feature to achieve better upsampling results compared to the earlier mock pyramid feature. This represents the first instance of such functionality in the field of semantic segmentation for Plain ViT. We performed ablation studies on related modules to verify their effectiveness gradually. We conducted relevant comparative experiments and visualizations to show that VPNeXt achieved state-of-the-art performance with a simple and effective design. Moreover, the proposed VPNeXt significantly exceeded the long-established mIoU wall/barrier of the VOC2012 dataset, setting a new state-of-the-art by a large margin, which also stands as the largest improvement since 2015.