EXACT: an explainable anomaly-aware vision foundation model for analysis of 3D chest CT

Chest computed tomography (CT) is central to the detection and management of thoracic disease, yet the growing scale and complexity of volumetric imaging increasingly exceed what can be addressed by scan-level prediction alone. Clinically useful AI for CT must not only recognize disease across the whole volume, but also localize abnormalities and provide interpretable visual evidence. Existing vision-language foundation models typically compress scans and reports into global image-text representations, limiting their ability to preserve spatial evidence and support clinically meaningful interpretation. Here we developed EXACT, an explainable anomaly-aware foundation model for three-dimensional chest CT that learns spatially resolved representations from paired clinical scans and radiology reports. EXACT was pre-trained on 25,692 CT-reports pairs using anatomy-aware weak supervision, jointly learning organ segmentation and multi-instance anomaly localization without manual voxel-level annotations. The resulting organ-specific anomaly-aware maps assign each voxel a disease-specific anomaly score confined to its corresponding anatomy, jointly encoding lesion extent and organ-level context. In retrospective multinational and multi-center evaluations, EXACT showed broad and consistent improvements across clinically relevant CT tasks, spanning multi-disease diagnosis, zero-shot anomaly localization, downstream adaptation, and visually grounded report generation, outperforming existing three-dimensional medical foundation models. By transforming routine clinical CT scans and free-text reports into explainable voxel-level representations, EXACT establishes a scalable paradigm for trustworthy volumetric medical AI.

The Fourth Challenge on Image Super-Resolution ($\times$4) at NTIRE 2026: Benchmark Results and Method Overview

This paper presents the NTIRE 2026 image super-resolution ($\times$4) challenge, one of the associated competitions of the NTIRE 2026 Workshop at CVPR 2026. The challenge aims to reconstruct high-resolution (HR) images from low-resolution (LR) inputs generated through bicubic downsampling with a $\times$4 scaling factor. The objective is to develop effective super-resolution solutions and analyze recent advances in the field. To reflect the evolving objectives of image super-resolution, the challenge includes two tracks: (1) a restoration track, which emphasizes pixel-wise fidelity and ranks submissions based on PSNR; and (2) a perceptual track, which focuses on visual realism and evaluates results using a perceptual score. A total of 194 participants registered for the challenge, with 31 teams submitting valid entries. This report summarizes the challenge design, datasets, evaluation protocol, main results, and methods of participating teams. The challenge provides a unified benchmark and offers insights into current progress and future directions in image super-resolution.

The Second Challenge on Real-World Face Restoration at NTIRE 2026: Methods and Results

This paper provides a review of the NTIRE 2026 challenge on real-world face restoration, highlighting the proposed solutions and the resulting outcomes. The challenge focuses on generating natural and realistic outputs while maintaining identity consistency. Its goal is to advance state-of-the-art solutions for perceptual quality and realism, without imposing constraints on computational resources or training data. Performance is evaluated using a weighted image quality assessment (IQA) score and employs the AdaFace model as an identity checker. The competition attracted 96 registrants, with 10 teams submitting valid models; ultimately, 9 teams achieved valid scores in the final ranking. This collaborative effort advances the performance of real-world face restoration while offering an in-depth overview of the latest trends in the field.

MIMIC-Py: An Extensible Tool for Personality-Driven Automated Game Testing with Large Language Models

Modern video games are complex, non-deterministic systems that are difficult to test automatically at scale. Although prior work shows that personality-driven Large Language Model (LLM) agents can improve behavioural diversity and test coverage, existing tools largely remain research prototypes and lack cross-game reusability. This tool paper presents MIMIC-Py, a Python-based automated game-testing tool that transforms personality-driven LLM agents into a reusable and extensible framework. MIMIC-Py exposes personality traits as configurable inputs and adopts a modular architecture that decouples planning, execution, and memory from game-specific logic. It supports multiple interaction mechanisms, enabling agents to interact with games via exposed APIs or synthesized code. We describe the design of MIMIC-Py and show how it enables deployment to new game environments with minimal engineering effort, bridging the gap between research prototypes and practical automated game testing. The source code and a demo video are available on our project webpage: https://mimic-persona.github.io/MIMIC-Py-Home-Page/.

VADMamba++: Efficient Video Anomaly Detection via Hybrid Modeling in Grayscale Space

VADMamba pioneered the introduction of Mamba to Video Anomaly Detection (VAD), achieving high accuracy and fast inference through hybrid proxy tasks. Nevertheless, its heavy reliance on optical flow as auxiliary input and inter-task fusion scoring constrains its applicability to a single proxy task. In this paper, we introduce VADMamba++, an efficient VAD method based on the Gray-to-RGB paradigm that enforces a Single-Channel to Three-Channel reconstruction mapping, designed for a single proxy task and operating without auxiliary inputs. This paradigm compels inferring color appearances from grayscale structures, allowing anomalies to be more effectively revealed through dual inconsistencies between structure and chromatic cues. Specifically, VADMamba++ reconstructs grayscale frames into the RGB space to simultaneously discriminate structural geometry and chromatic fidelity, thereby enhancing sensitivity to explicit visual anomalies. We further design a hybrid modeling backbone that integrates Mamba, CNN, and Transformer modules to capture diverse normal patterns while suppressing the appearance of anomalies. Furthermore, an intra-task fusion scoring strategy integrates explicit future-frame prediction errors with implicit quantized feature errors, further improving accuracy under a single task setting. Extensive experiments on three benchmark datasets demonstrate that VADMamba++ outperforms state-of-the-art methods while meeting performance and efficiency, especially under a strict single-task setting with only frame-level inputs.

FetalAgents: A Multi-Agent System for Fetal Ultrasound Image and Video Analysis

Fetal ultrasound (US) is the primary imaging modality for prenatal screening, yet its interpretation relies heavily on the expertise of the clinician. Despite advances in deep learning and foundation models, existing automated tools for fetal US analysis struggle to balance task-specific accuracy with the whole-process versatility required to support end-to-end clinical workflows. To address these limitations, we propose FetalAgents, the first multi-agent system for comprehensive fetal US analysis. Through a lightweight, agentic coordination framework, FetalAgents dynamically orchestrates specialized vision experts to maximize performance across diagnosis, measurement, and segmentation. Furthermore, FetalAgents advances beyond static image analysis by supporting end-to-end video stream summarization, where keyframes are automatically identified across multiple anatomical planes, analyzed by coordinated experts, and synthesized with patient metadata into a structured clinical report. Extensive multi-center external evaluations across eight clinical tasks demonstrate that FetalAgents consistently delivers the most robust and accurate performance when compared against specialized models and multimodal large language models (MLLMs), ultimately providing an auditable, workflow-aligned solution for fetal ultrasound analysis and reporting.

From Verification to Amplification: Auditing Reverse Image Search as Algorithmic Gatekeeping in Visual Misinformation Fact-checking

As visual misinformation becomes increasingly prevalent, platform algorithms act as intermediaries that curate information for users' verification practices. Yet, it remains unclear how algorithmic gatekeeping tools, such as reverse image search (RIS), shape users' information exposure during fact-checking. This study systematically audits Google RIS by reversely searching newly identified misleading images over a 15-day window and analyzing 34,486 collected top-ranked search results. We find that Google RIS returns a substantial volume of irrelevant information and repeated misinformation, whereas debunking content constitutes less than 30% of search results. Debunking content faces visibility challenges in rankings amid repeated misinformation and irrelevant information. Our findings also indicate an inverted U-shaped curve of RIS results page quality over time, likely due to search engine "data voids" when visual falsehoods first appear. These findings contribute to scholarship of visual misinformation verification, and extend algorithmic gatekeeping research to the visual domain.

Compliant In-hand Rolling Manipulation Using Tactile Sensing

We investigate in-hand rolling manipulation using a multifingered robot hand, where each finger is compliant and equipped with a tactile fingertip providing contact location and wrench information. We derive the equations of motion for compliant quasistatic in-hand rolling manipulation and formulate a fingertip rolling manipulation controller for multiple fingers to achieve a desired object twist within a grasp. The contact mechanics are demonstrated in simulation and the controller is tested on an experimental robot system.

VANGUARD: Vehicle-Anchored Ground Sample Distance Estimation for UAVs in GPS-Denied Environments

Autonomous aerial robots operating in GPS-denied or communication-degraded environments frequently lose access to camera metadata and telemetry, leaving onboard perception systems unable to recover the absolute metric scale of the scene. As LLM/VLM-based planners are increasingly adopted as high-level agents for embodied systems, their ability to reason about physical dimensions becomes safety-critical -- yet our experiments show that five state-of-the-art VLMs suffer from spatial scale hallucinations, with median area estimation errors exceeding 50%. We propose VANGUARD, a lightweight, deterministic Geometric Perception Skill designed as a callable tool that any LLM-based agent can invoke to recover Ground Sample Distance (GSD) from ubiquitous environmental anchors: small vehicles detected via oriented bounding boxes, whose modal pixel length is robustly estimated through kernel density estimation and converted to GSD using a pre-calibrated reference length. The tool returns both a GSD estimate and a composite confidence score, enabling the calling agent to autonomously decide whether to trust the measurement or fall back to alternative strategies. On the DOTA~v1.5 benchmark, VANGUARD achieves 6.87% median GSD error on 306~images. Integrated with SAM-based segmentation for downstream area measurement, the pipeline yields 19.7% median error on a 100-entry benchmark -- with 2.6x lower category dependence and 4x fewer catastrophic failures than the best VLM baseline -- demonstrating that equipping agents with deterministic geometric tools is essential for safe autonomous spatial reasoning.

Directed Ordinal Diffusion Regularization for Progression-Aware Diabetic Retinopathy Grading

Diabetic Retinopathy (DR) progresses as a continuous and irreversible deterioration of the retina, following a well-defined clinical trajectory from mild to severe stages. However, most existing ordinal regression approaches model DR severity as a set of static, symmetric ranks, capturing relative order while ignoring the inherent unidirectional nature of disease progression. As a result, the learned feature representations may violate biological plausibility, allowing implausible proximity between non-consecutive stages or even reverse transitions. To bridge this gap, we propose Directed Ordinal Diffusion Regularization (D-ODR), which explicitly models the feature space as a directed flow by constructing a progression-constrained directed graph that strictly enforces forward disease evolution. By performing multi-scale diffusion on this directed structure, D-ODR imposes penalties on score inversions along valid progression paths, thereby effectively preventing the model from learning biologically inconsistent reverse transitions. This mechanism aligns the feature representation with the natural trajectory of DR worsening. Extensive experiments demonstrate that D-ODR yields superior grading performance compared to state-of-the-art ordinal regression and DR-specific grading methods, offering a more clinically reliable assessment of disease severity. Our code is available on https://github.com/HovChen/D-ODR.