Hierarchical Mesh Transformers with Topology-Guided Pretraining for Morphometric Analysis of Brain Structures

Representation learning on large-scale unstructured volumetric and surface meshes poses significant challenges in neuroimaging, especially when models must incorporate diverse vertex-level morphometric descriptors, such as cortical thickness, curvature, sulcal depth, and myelin content, which carry subtle disease-related signals. Current approaches either ignore these clinically informative features or support only a single mesh topology, restricting their use across imaging pipelines. We introduce a hierarchical transformer framework designed for heterogeneous mesh analysis that operates on spatially adaptive tree partitions constructed from simplicial complexes of arbitrary order. This design accommodates both volumetric and surface discretizations within a single architecture, enabling efficient multi-scale attention without topology-specific modifications. A feature projection module maps variable-length per-vertex clinical descriptors into the spatial hierarchy, separating geometric structure from feature dimensionality and allowing seamless integration of different neuroimaging feature sets. Self-supervised pretraining via masked reconstruction of both coordinates and morphometric channels on large unlabeled cohorts yields a transferable encoder backbone applicable to diverse downstream tasks and mesh modalities. We validate our approach on Alzheimer's disease classification and amyloid burden prediction using volumetric brain meshes from ADNI, as well as focal cortical dysplasia detection on cortical surface meshes from the MELD dataset, achieving state-of-the-art results across all benchmarks.

Your Agent is More Brittle Than You Think: Uncovering Indirect Injection Vulnerabilities in Agentic LLMs

The rapid deployment of open-source frameworks has significantly advanced the development of modern multi-agent systems. However, expanded action spaces, including uncontrolled privilege exposure and hidden inter-system interactions, pose severe security challenges. Specifically, Indirect Prompt Injections (IPI), which conceal malicious instructions within third-party content, can trigger unauthorized actions such as data exfiltration during normal operations. While current security evaluations predominantly rely on isolated single-turn benchmarks, the systemic vulnerabilities of these agents within complex dynamic environments remain critically underexplored. To bridge this gap, we systematically evaluate six defense strategies against four sophisticated IPI attack vectors across nine LLM backbones. Crucially, we conduct our evaluation entirely within dynamic multi-step tool-calling environments to capture the true attack surface of modern autonomous agents. Moving beyond binary success rates, our multidimensional analysis reveals a pronounced fragility. Advanced injections successfully bypass nearly all baseline defenses, and some surface-level mitigations even produce counterproductive side effects. Furthermore, while agents execute malicious instructions almost instantaneously, their internal states exhibit abnormally high decision entropy. Motivated by this latent hesitation, we investigate Representation Engineering (RepE) as a robust detection strategy. By extracting hidden states at the tool-input position, we revealed that the RepE-based circuit breaker successfully identifies and intercepts unauthorized actions before the agent commits to them, achieving high detection accuracy across diverse LLM backbones. This study exposes the limitations of current IPI defenses and provides a highly practical paradigm for building resilient multi-agent architectures.

Bridging Restoration and Diagnosis: A Comprehensive Benchmark for Retinal Fundus Enhancement

Over the past decade, generative models have demonstrated success in enhancing fundus images. However, the evaluation of these models remains a challenge. A benchmark for fundus image enhancement is needed for three main reasons:(1) Conventional denoising metrics such as PSNR and SSIM fail to capture clinically relevant features, such as lesion preservation and vessel morphology consistency, limiting their applicability in real-world settings; (2) There is a lack of unified evaluation protocols that address both paired and unpaired enhancement methods, particularly those guided by clinical expertise; and (3) An evaluation framework should provide actionable insights to guide future advancements in clinically aligned enhancement models. To address these gaps, we introduce EyeBench-V2, a benchmark designed to bridge the gap between enhancement model performance and clinical utility. Our work offers three key contributions:(1) Multi-dimensional clinical-alignment through downstream evaluations: Beyond standard enhancement metrics, we assess performance across clinically meaningful tasks including vessel segmentation, diabetic retinopathy (DR) grading, generalization to unseen noise patterns, and lesion segmentation. (2) Expert-guided evaluation design: We curate a novel dataset enabling fair comparisons between paired and unpaired enhancement methods, accompanied by a structured manual assessment protocol by medical experts, which evaluates clinically critical aspects such as lesion structure alterations, background color shifts, and the introduction of artificial structures. (3) Actionable insights: Our benchmark provides a rigorous, task-oriented analysis of existing generative models, equipping clinical researchers with the evidence needed to make informed decisions, while also identifying limitations in current methods to inform the design of next-generation enhancement models.

OTPrune: Distribution-Aligned Visual Token Pruning via Optimal Transport

Multi-modal large language models (MLLMs) achieve strong visual-language reasoning but suffer from high inference cost due to redundant visual tokens. Recent work explores visual token pruning to accelerate inference, while existing pruning methods overlook the underlying distributional structure of visual representations. We propose OTPrune, a training-free framework that formulates pruning as distribution alignment via optimal transport (OT). By minimizing the 2-Wasserstein distance between the full and pruned token distributions, OTPrune preserves both local diversity and global representativeness while reducing inference cost. Moreover, we derive a tractable submodular objective that enables efficient optimization, and theoretically prove its monotonicity and submodularity, providing a principled foundation for stable and efficient pruning. We further provide a comprehensive analysis that explains how distributional alignment contributes to stable and semantically faithful pruning. Comprehensive experiments on wider benchmarks demonstrate that OTPrune achieves superior performance-efficiency tradeoffs compared to state-of-the-art methods. The code is available at https://github.com/xiwenc1/OTPrune.

SGW-GAN: Sliced Gromov-Wasserstein Guided GANs for Retinal Fundus Image Enhancement

Retinal fundus photography is indispensable for ophthalmic screening and diagnosis, yet image quality is often degraded by noise, artifacts, and uneven illumination. Recent GAN- and diffusion-based enhancement methods improve perceptual quality by aligning degraded images with high-quality distributions, but our analysis shows that this focus can distort intra-class geometry: clinically related samples become dispersed, disease-class boundaries blur, and downstream tasks such as grading or lesion detection are harmed. The Gromov Wasserstein (GW) discrepancy offers a principled solution by aligning distributions through internal pairwise distances, naturally preserving intra-class structure, but its high computational cost restricts practical use. To overcome this, we propose SGW-GAN, the first framework to incorporate Sliced GW (SGW) into retinal image enhancement. SGW approximates GW via random projections, retaining relational fidelity while greatly reducing cost. Experiments on public datasets show that SGW-GAN produces visually compelling enhancements, achieves superior diabetic retinopathy grading, and reports the lowest GW discrepancy across disease labels, demonstrating both efficiency and clinical fidelity for unpaired medical image enhancement.

AHA: Aligning Large Audio-Language Models for Reasoning Hallucinations via Counterfactual Hard Negatives

Although Large Audio-Language Models (LALMs) deliver state-of-the-art (SOTA) performance, they frequently suffer from hallucinations, e.g. generating text not grounded in the audio input. We analyze these grounding failures and identify a distinct taxonomy: Event Omission, False Event Identity, Temporal Relation Error, and Quantitative Temporal Error. To address this, we introduce the AHA (Audio Hallucination Alignment) framework. By leveraging counterfactual hard negative mining, our pipeline constructs a high-quality preference dataset that forces models to distinguish strict acoustic evidence from linguistically plausible fabrications. Additionally, we establish AHA-Eval, a diagnostic benchmark designed to rigorously test these fine-grained temporal reasoning capabilities. We apply this data to align Qwen2.5-Omni. The resulting model, Qwen-Audio-AHA, achieves a 13.7% improvement on AHA-Eval. Crucially, this benefit generalizes beyond our diagnostic set. Our model shows substantial gains on public benchmarks, including 1.3% on MMAU-Test and 1.6% on MMAR, outperforming latest SOTA methods.

Toward Effective Reinforcement Learning Fine-Tuning for Medical VQA in Vision-Language Models

Recently, reinforcement learning (RL)-based tuning has shifted the trajectory of Multimodal Large Language Models (MLLMs), particularly following the introduction of Group Relative Policy Optimization (GRPO). However, directly applying it to medical tasks remains challenging for achieving clinically grounded model behavior. Motivated by the need to align model response with clinical expectations, we investigate four critical dimensions that affect the effectiveness of RL-based tuning in medical visual question answering (VQA): base model initialization strategy, the role of medical semantic alignment, the impact of length-based rewards on long-chain reasoning, and the influence of bias. We conduct extensive experiments to analyze these factors for medical MLLMs, providing new insights into how models are domain-specifically fine-tuned. Additionally, our results also demonstrate that GRPO-based RL tuning consistently outperforms standard supervised fine-tuning (SFT) in both accuracy and reasoning quality.

DRA-GRPO: Exploring Diversity-Aware Reward Adjustment for R1-Zero-Like Training of Large Language Models

Recent advances in reinforcement learning for language model post-training, such as Group Relative Policy Optimization (GRPO), have shown promise in low-resource settings. However, GRPO typically relies on solution-level and scalar reward signals that fail to capture the semantic diversity among sampled completions. This leads to what we identify as a diversity-quality inconsistency, where distinct reasoning paths may receive indistinguishable rewards. To address this limitation, we propose $\textit{Diversity-aware Reward Adjustment}$ (DRA), a method that explicitly incorporates semantic diversity into the reward computation. DRA uses Submodular Mutual Information (SMI) to downweight redundant completions and amplify rewards for diverse ones. This encourages better exploration during learning, while maintaining stable exploitation of high-quality samples. Our method integrates seamlessly with both GRPO and its variant DR.~GRPO, resulting in $\textit{DRA-GRPO}$ and $\textit{DGA-DR.~GRPO}$. We evaluate our method on five mathematical reasoning benchmarks and find that it outperforms recent strong baselines. It achieves state-of-the-art performance with an average accuracy of 58.2%, using only 7,000 fine-tuning samples and a total training cost of approximately $55. The code is available at https://github.com/xiwenc1/DRA-GRPO.

FIC-TSC: Learning Time Series Classification with Fisher Information Constraint

Analyzing time series data is crucial to a wide spectrum of applications, including economics, online marketplaces, and human healthcare. In particular, time series classification plays an indispensable role in segmenting different phases in stock markets, predicting customer behavior, and classifying worker actions and engagement levels. These aspects contribute significantly to the advancement of automated decision-making and system optimization in real-world applications. However, there is a large consensus that time series data often suffers from domain shifts between training and test sets, which dramatically degrades the classification performance. Despite the success of (reversible) instance normalization in handling the domain shifts for time series regression tasks, its performance in classification is unsatisfactory. In this paper, we propose \textit{FIC-TSC}, a training framework for time series classification that leverages Fisher information as the constraint. We theoretically and empirically show this is an efficient and effective solution to guide the model converge toward flatter minima, which enhances its generalizability to distribution shifts. We rigorously evaluate our method on 30 UEA multivariate and 85 UCR univariate datasets. Our empirical results demonstrate the superiority of the proposed method over 14 recent state-of-the-art methods.

Talk Before You Retrieve: Agent-Led Discussions for Better RAG in Medical QA

Medical question answering (QA) is a reasoning-intensive task that remains challenging for large language models (LLMs) due to hallucinations and outdated domain knowledge. Retrieval-Augmented Generation (RAG) provides a promising post-training solution by leveraging external knowledge. However, existing medical RAG systems suffer from two key limitations: (1) a lack of modeling for human-like reasoning behaviors during information retrieval, and (2) reliance on suboptimal medical corpora, which often results in the retrieval of irrelevant or noisy snippets. To overcome these challenges, we propose Discuss-RAG, a plug-and-play module designed to enhance the medical QA RAG system through collaborative agent-based reasoning. Our method introduces a summarizer agent that orchestrates a team of medical experts to emulate multi-turn brainstorming, thereby improving the relevance of retrieved content. Additionally, a decision-making agent evaluates the retrieved snippets before their final integration. Experimental results on four benchmark medical QA datasets show that Discuss-RAG consistently outperforms MedRAG, especially significantly improving answer accuracy by up to 16.67% on BioASQ and 12.20% on PubMedQA. The code is available at: https://github.com/LLM-VLM-GSL/Discuss-RAG.