HadBalance: A Plug-and-Play Unified Global Geometric Prior Framework for Generalizable Biomedical Segmentation

Precise biomedical image segmentation is crucial for clinical diagnosis. Geometric cues (e.g., boundary, shape, and topology) can improve structural consistency, yet most are task-specific and lack a unified geometric foundation that generalizes across organs and modalities. We are motivated by the observation that several medical segmentation targets can be approximated as globally near-convex shapes. A convex region is one in which any two interior points can be connected by a line segment entirely contained within the region. In practice, medical targets may exhibit small local concavities or boundary irregularities; we refer to such globally convex-like shapes as near-convex. Motivated by this, we derive Hadwiger Shape Priors from Hadwiger's theorem as an interpretable global regularizer using three 2D measures: area A, perimeter P, and Euler characteristic chi, enabling transfer across organs and modalities. However, because medical datasets are shape-heterogeneous, enforcing near-convex priors uniformly can over-regularize non-convex anatomy with significant concavities, washing out concavities and fine details and degrading segmentation accuracy. To address this challenge, we propose Conflict-Aware Objective Balancing (CAOB), which integrates shape priors with segmentation in a gradient-aware manner. For each prior, CAOB removes only the gradient component that conflicts with segmentation while preserving the remaining aligned component, and adaptively regulates objective influences to prevent prior dominance. This enables stable use of shape priors on shape-heterogeneous data without erasing genuine concavities or fine structural details. We call this plug-and-play framework HadBalance.

PhysScene: A Scene Graph Dataset for Scientific Visual Reasoning in Physics Experiments

Scene Graphs (SGs) provide structured representations of visual scenes by modeling objects and their pairwise relationships. Despite recent progress, existing datasets primarily focus on generic natural contexts, leaving domain-specific and function-oriented scenes largely underexplored. This limitation restricts the evaluation of relational reasoning in scientific experimental scenes, thereby hindering the development of intelligent monitoring, analysis, and related applications in such scenes. To address this gap, we introduce PhysScene, the first SG dataset tailored to physics experiments. PhysScene encompasses specialized instruments, structured experimental setups, and functional relations intrinsic to experimental environments, enabling reasoning that extends beyond spatial co-occurrence to logical dependencies. Rather than pursuing large data scale, PhysScene focuses on strong semantic constraints and high relation density in experimental scenes, posing new challenges for existing scene parsing algorithms while offering opportunities for further improvements. Extensive analyses and experiments show that PhysScene complements existing benchmarks and establishes a valuable testbed for advancing scientific visual reasoning. The dataset is publicly available at https://github.com/ZMH-SDUST/PhysScene.

Disentangled Fine-Grained Prototype Learning for Incomplete Image-Tabular Classification

The missing-modality problem poses a significant challenge in image-tabular multimodal learning across a wide range of multimedia applications, including product understanding, recommendation systems, and medical diagnosis. This challenge is particularly pronounced when the two modalities are highly heterogeneous, as images and tabular attributes differ substantially in their semantic granularity and data distributions. Existing methods learn modality-invariant representations through disentanglement and alignment over global token-averaged features, capturing only coarse cross-modal consistency and overlooking fine-grained semantic and distributional misalignment, which hampers the exploitation of complementary cues under missing modalities. To address this, we propose DFPL, a novel framework for fine-grained prototype learning. Specifically, Shared-Specific Prototype Modeling (SSPM) extracts compact and diverse shared and modality-specific prototypes, and further performs prototype-level disentanglement to suppress redundant intra-modality correlations. Additionally, we propose a Prototype-guided Fine-grained Alignment (PFA) module that jointly enforces prototype-level distribution matching and prototype-to-class semantic alignment within a unified prototype space, thereby preserving both fine-grained distributional and semantic consistency across modalities. We further introduce a Class-aware Multi-scale Aggregation (CMA) module to adaptively aggregate shared semantics and modality-specific characteristics from global and prototype levels for robust predictions. Extensive experiments on three diverse image-tabular benchmarks demonstrate the superiority of our method compared to the previous approaches under various missing-modality settings. Code will be made publicly available.

StealthMark: Harmless and Stealthy Ownership Verification for Medical Segmentation via Uncertainty-Guided Backdoors

Annotating medical data for training AI models is often costly and limited due to the shortage of specialists with relevant clinical expertise. This challenge is further compounded by privacy and ethical concerns associated with sensitive patient information. As a result, well-trained medical segmentation models on private datasets constitute valuable intellectual property requiring robust protection mechanisms. Existing model protection techniques primarily focus on classification and generative tasks, while segmentation models-crucial to medical image analysis-remain largely underexplored. In this paper, we propose a novel, stealthy, and harmless method, StealthMark, for verifying the ownership of medical segmentation models under black-box conditions. Our approach subtly modulates model uncertainty without altering the final segmentation outputs, thereby preserving the model's performance. To enable ownership verification, we incorporate model-agnostic explanation methods, e.g. LIME, to extract feature attributions from the model outputs. Under specific triggering conditions, these explanations reveal a distinct and verifiable watermark. We further design the watermark as a QR code to facilitate robust and recognizable ownership claims. We conducted extensive experiments across four medical imaging datasets and five mainstream segmentation models. The results demonstrate the effectiveness, stealthiness, and harmlessness of our method on the original model's segmentation performance. For example, when applied to the SAM model, StealthMark consistently achieved ASR above 95% across various datasets while maintaining less than a 1% drop in Dice and AUC scores, significantly outperforming backdoor-based watermarking methods and highlighting its strong potential for practical deployment. Our implementation code is made available at: https://github.com/Qinkaiyu/StealthMark.

Excavate the potential of Single-Scale Features: A Decomposition Network for Water-Related Optical Image Enhancement

Underwater image enhancement (UIE) techniques aim to improve visual quality of images captured in aquatic environments by addressing degradation issues caused by light absorption and scattering effects, including color distortion, blurring, and low contrast. Current mainstream solutions predominantly employ multi-scale feature extraction (MSFE) mechanisms to enhance reconstruction quality through multi-resolution feature fusion. However, our extensive experiments demonstrate that high-quality image reconstruction does not necessarily rely on multi-scale feature fusion. Contrary to popular belief, our experiments show that single-scale feature extraction alone can match or surpass the performance of multi-scale methods, significantly reducing complexity. To comprehensively explore single-scale feature potential in underwater enhancement, we propose an innovative Single-Scale Decomposition Network (SSD-Net). This architecture introduces an asymmetrical decomposition mechanism that disentangles input image into clean layer along with degradation layer. The former contains scene-intrinsic information and the latter encodes medium-induced interference. It uniquely combines CNN's local feature extraction capabilities with Transformer's global modeling strengths through two core modules: 1) Parallel Feature Decomposition Block (PFDB), implementing dual-branch feature space decoupling via efficient attention operations and adaptive sparse transformer; 2) Bidirectional Feature Communication Block (BFCB), enabling cross-layer residual interactions for complementary feature mining and fusion. This synergistic design preserves feature decomposition independence while establishing dynamic cross-layer information pathways, effectively enhancing degradation decoupling capacity.

Are Spatial-Temporal Graph Convolution Networks for Human Action Recognition Over-Parameterized?

Spatial-temporal graph convolutional networks (ST-GCNs) showcase impressive performance in skeleton-based human action recognition (HAR). However, despite the development of numerous models, their recognition performance does not differ significantly after aligning the input settings. With this observation, we hypothesize that ST-GCNs are over-parameterized for HAR, a conjecture subsequently confirmed through experiments employing the lottery ticket hypothesis. Additionally, a novel sparse ST-GCNs generator is proposed, which trains a sparse architecture from a randomly initialized dense network while maintaining comparable performance levels to the dense components. Moreover, we generate multi-level sparsity ST-GCNs by integrating sparse structures at various sparsity levels and demonstrate that the assembled model yields a significant enhancement in HAR performance. Thorough experiments on four datasets, including NTU-RGB+D 60(120), Kinetics-400, and FineGYM, demonstrate that the proposed sparse ST-GCNs can achieve comparable performance to their dense components. Even with 95% fewer parameters, the sparse ST-GCNs exhibit a degradation of <1% in top-1 accuracy. Meanwhile, the multi-level sparsity ST-GCNs, which require only 66% of the parameters of the dense ST-GCNs, demonstrate an improvement of >1% in top-1 accuracy. The code is available at https://github.com/davelailai/Sparse-ST-GCN.

A Clinician-Friendly Platform for Ophthalmic Image Analysis Without Technical Barriers

Artificial intelligence (AI) shows remarkable potential in medical imaging diagnostics, but current models typically require retraining when deployed across different clinical centers, limiting their widespread adoption. We introduce GlobeReady, a clinician-friendly AI platform that enables ocular disease diagnosis without retraining/fine-tuning or technical expertise. GlobeReady achieves high accuracy across imaging modalities: 93.9-98.5% for an 11-category fundus photo dataset and 87.2-92.7% for a 15-category OCT dataset. Through training-free local feature augmentation, it addresses domain shifts across centers and populations, reaching an average accuracy of 88.9% across five centers in China, 86.3% in Vietnam, and 90.2% in the UK. The built-in confidence-quantifiable diagnostic approach further boosted accuracy to 94.9-99.4% (fundus) and 88.2-96.2% (OCT), while identifying out-of-distribution cases at 86.3% (49 CFP categories) and 90.6% (13 OCT categories). Clinicians from multiple countries rated GlobeReady highly (average 4.6 out of 5) for its usability and clinical relevance. These results demonstrate GlobeReady's robust, scalable diagnostic capability and potential to support ophthalmic care without technical barriers.

Incomplete Modality Disentangled Representation for Ophthalmic Disease Grading and Diagnosis

Ophthalmologists typically require multimodal data sources to improve diagnostic accuracy in clinical decisions. However, due to medical device shortages, low-quality data and data privacy concerns, missing data modalities are common in real-world scenarios. Existing deep learning methods tend to address it by learning an implicit latent subspace representation for different modality combinations. We identify two significant limitations of these methods: (1) implicit representation constraints that hinder the model's ability to capture modality-specific information and (2) modality heterogeneity, causing distribution gaps and redundancy in feature representations. To address these, we propose an Incomplete Modality Disentangled Representation (IMDR) strategy, which disentangles features into explicit independent modal-common and modal-specific features by guidance of mutual information, distilling informative knowledge and enabling it to reconstruct valuable missing semantics and produce robust multimodal representations. Furthermore, we introduce a joint proxy learning module that assists IMDR in eliminating intra-modality redundancy by exploiting the extracted proxies from each class. Experiments on four ophthalmology multimodal datasets demonstrate that the proposed IMDR outperforms the state-of-the-art methods significantly.

Self-adaptive vision-language model for 3D segmentation of pulmonary artery and vein

Accurate segmentation of pulmonary structures iscrucial in clinical diagnosis, disease study, and treatment planning. Significant progress has been made in deep learning-based segmentation techniques, but most require much labeled data for training. Consequently, developing precise segmentation methods that demand fewer labeled datasets is paramount in medical image analysis. The emergence of pre-trained vision-language foundation models, such as CLIP, recently opened the door for universal computer vision tasks. Exploiting the generalization ability of these pre-trained foundation models on downstream tasks, such as segmentation, leads to unexpected performance with a relatively small amount of labeled data. However, exploring these models for pulmonary artery-vein segmentation is still limited. This paper proposes a novel framework called Language-guided self-adaptive Cross-Attention Fusion Framework. Our method adopts pre-trained CLIP as a strong feature extractor for generating the segmentation of 3D CT scans, while adaptively aggregating the cross-modality of text and image representations. We propose a s pecially designed adapter module to fine-tune pre-trained CLIP with a self-adaptive learning strategy to effectively fuse the two modalities of embeddings. We extensively validate our method on a local dataset, which is the largest pulmonary artery-vein CT dataset to date and consists of 718 labeled data in total. The experiments show that our method outperformed other state-of-the-art methods by a large margin. Our data and code will be made publicly available upon acceptance.

CathAction: A Benchmark for Endovascular Intervention Understanding

Real-time visual feedback from catheterization analysis is crucial for enhancing surgical safety and efficiency during endovascular interventions. However, existing datasets are often limited to specific tasks, small scale, and lack the comprehensive annotations necessary for broader endovascular intervention understanding. To tackle these limitations, we introduce CathAction, a large-scale dataset for catheterization understanding. Our CathAction dataset encompasses approximately 500,000 annotated frames for catheterization action understanding and collision detection, and 25,000 ground truth masks for catheter and guidewire segmentation. For each task, we benchmark recent related works in the field. We further discuss the challenges of endovascular intentions compared to traditional computer vision tasks and point out open research questions. We hope that CathAction will facilitate the development of endovascular intervention understanding methods that can be applied to real-world applications. The dataset is available at https://airvlab.github.io/cathdata/.