MedTri: A Platform for Structured Medical Report Normalization to Enhance Vision-Language Pretraining

Medical vision-language pretraining increasingly relies on medical reports as large-scale supervisory signals; however, raw reports often exhibit substantial stylistic heterogeneity, variable length, and a considerable amount of image-irrelevant content. Although text normalization is frequently adopted as a preprocessing step in prior work, its design principles and empirical impact on vision-language pretraining remain insufficiently and systematically examined. In this study, we present MedTri, a deployable normalization framework for medical vision-language pretraining that converts free-text reports into a unified [Anatomical Entity: Radiologic Description + Diagnosis Category] triplet. This structured, anatomy-grounded normalization preserves essential morphological and spatial information while removing stylistic noise and image-irrelevant content, providing consistent and image-grounded textual supervision at scale. Across multiple datasets spanning both X-ray and computed tomography (CT) modalities, we demonstrate that structured, anatomy-grounded text normalization is an important factor in medical vision-language pretraining quality, yielding consistent improvements over raw reports and existing normalization baselines. In addition, we illustrate how this normalization can easily support modular text-level augmentation strategies, including knowledge enrichment and anatomy-grounded counterfactual supervision, which provide complementary gains in robustness and generalization without altering the core normalization process. Together, our results position structured text normalization as a critical and generalizable preprocessing component for medical vision-language learning, while MedTri provides this normalization platform. Code and data will be released at https://github.com/Arturia-Pendragon-Iris/MedTri.

Monocular Normal Estimation via Shading Sequence Estimation

Monocular normal estimation aims to estimate the normal map from a single RGB image of an object under arbitrary lights. Existing methods rely on deep models to directly predict normal maps. However, they often suffer from 3D misalignment: while the estimated normal maps may appear to have a correct appearance, the reconstructed surfaces often fail to align with the geometric details. We argue that this misalignment stems from the current paradigm: the model struggles to distinguish and reconstruct varying geometry represented in normal maps, as the differences in underlying geometry are reflected only through relatively subtle color variations. To address this issue, we propose a new paradigm that reformulates normal estimation as shading sequence estimation, where shading sequences are more sensitive to various geometric information. Building on this paradigm, we present RoSE, a method that leverages image-to-video generative models to predict shading sequences. The predicted shading sequences are then converted into normal maps by solving a simple ordinary least-squares problem. To enhance robustness and better handle complex objects, RoSE is trained on a synthetic dataset, MultiShade, with diverse shapes, materials, and light conditions. Experiments demonstrate that RoSE achieves state-of-the-art performance on real-world benchmark datasets for object-based monocular normal estimation.