Model Merging for Medical LVLMs: A Benchmark and a Winner-Take-All Approach

Large vision-language models (LVLMs) can be adapted to specialized medical imaging tasks via parameter-efficient fine-tuning approaches such as low-rank adaptation (LoRA), leading to a growing ecosystem of expert models tailored to specific imaging modalities and clinical scenarios. However, deploying multiple expert LVLMs in practice incurs substantial computational and operational overhead. Model merging provides a promising solution by consolidating multiple experts into a single model without retraining, yet it remains largely unexplored in the medical domain. In this work, we present the first systematic study of model merging for medical LVLMs. We introduce MergeMedBench, a comprehensive benchmark spanning eight imaging modalities and diverse clinical task types, comprising 16 LoRA fine-tuned models built upon two mainstream architectures. We conduct an extensive evaluation of existing merging methods and further propose winner-take-all, a simple and hyperparameter-free approach that retains only the most dominant parameters across expert models. By preserving the critical parameters that govern model behavior and discarding weaker ones, our method avoids the information dilution inherent in averaging- or alignment-based strategies. Despite its simplicity, winner-take-all consistently outperforms existing approaches, offering both a new perspective on LoRA merging and a strong practical baseline for future research.

Towards Real-World Ultrasound Understanding: Large Vision-Language Models from Multi-Image Examinations with Long-Form Reports

Large vision-language models (LVLMs) have achieved strong performance across many medical imaging tasks, yet their application to ultrasound remains limited due to its inherent complexity and variability. In this work, we revisit what is truly needed to enable real-world ultrasound understanding. Instead of introducing complex architectures or elaborate training strategies, we show that data scale and clinically faithful data alignment are the key factors. We construct a large-scale dataset of 1.5M real-world ultrasound examinations, containing 17.7M images, multi-organ coverage, and paired uncurated clinical reports. Crucially, we organize the data at the examination level, aligning multiple images with their corresponding reports to reflect real clinical workflows. We then fine-tune a standard LVLM using low-rank adaptation (LoRA) on this dataset without task-specific modifications. Surprisingly, this simple recipe already leads to strong performance across diverse ultrasound understanding tasks, outperforming prior methods designed with more complex pipelines. Beyond these results, we present model and data scaling analyses that provide insights into the role of scale in ultrasound LVLMs.

On Revisiting Entropy for Identifying Mislabeled Images

Mislabeled samples in training datasets severely degrade the performance of deep networks, as overparameterized models tend to memorize erroneous labels. We address this challenge by proposing a novel approach for mislabeled data detection that leverages training dynamics. Our method is grounded in the key observation that correctly labeled samples exhibit consistent entropy decrease during training, while mislabeled samples maintain relatively high entropy throughout the training process. Building on this insight, we introduce a signed entropy integral (SEI) statistic that captures both the magnitude and temporal trend of prediction entropy across training epochs. SEI is broadly applicable to classification networks and demonstrates particular effectiveness when integrated with contrastive language-image pretraining (CLIP) architectures. Through extensive experiments on four medical imaging datasets -- a domain particularly susceptible to labeling errors due to diagnostic complexity -- spanning diverse modalities and pathologies, we demonstrate that SEI achieves state-of-the-art performance in mislabeled data identification, outperforming existing methods while maintaining computational efficiency and implementation simplicity. Our code is available at https://github.com/MedAITech/SEI.

ReasonAudio: A Benchmark for Evaluating Reasoning Beyond Matching in Text-Audio Retrieval

As multimodal content continues to expand at a rapid pace, audio retrieval has emerged as a key enabling technology for media search, content organization, and intelligent assistants. However, most existing benchmarks concentrate on semantic matching and fail to capture the fact that real-world queries often demand advanced reasoning abilities, including negation understanding, temporal ordering, concurrent event recognition, and duration discrimination. To address this gap, we introduce ReasonAudio, the first reasoning-intensive benchmark for Text-Audio Retrieval, comprising 1,000 queries and 10,000 composite audio clips across five fundamental reasoning tasks: Negation, Order, Overlap, Duration, and Mix. Despite their intuitive nature for humans and straightforward construction, these tasks pose significant challenges to current models. Our evaluation of ten state-of-the-art models reveals the following findings: All models struggle with reasoning-intensive audio retrieval, performing particularly poorly on Negation and Duration while showing relatively better results on Overlap and Order. Moreover, Multimodal Large Language Model-based embedding models fail to inherit the reasoning capabilities of their backbones through contrastive fine-tuning, suggesting that current training paradigms are insufficient to preserve reasoning capacity in retrieval settings

COSMO-Agent: Tool-Augmented Agent for Closed-loop Optimization,Simulation,and Modeling Orchestration

Iterative industrial design-simulation optimization is bottlenecked by the CAD-CAE semantic gap: translating simulation feedback into valid geometric edits under diverse, coupled constraints. To fill this gap, we propose COSMO-Agent (Closed-loop Optimization, Simulation, and Modeling Orchestration), a tool-augmented reinforcement learning (RL) framework that teaches LLMs to complete the closed-loop CAD-CAE process. Specifically, we cast CAD generation, CAE solving, result parsing, and geometry revision as an interactive RL environment, where an LLM learns to orchestrate external tools and revise parametric geometries until constraints are satisfied. To make this learning stable and industrially usable, we design a multi-constraint reward that jointly encourages feasibility, toolchain robustness, and structured output validity. In addition, we contribute an industry-aligned dataset that covers 25 component categories with executable CAD-CAE tasks to support realistic training and evaluation. Experiments show that COSMO-Agent training substantially improves small open-source LLMs for constraint-driven design, exceeding large open-source and strong closed-source models in feasibility, efficiency, and stability.

Learning Domain-Aware Task Prompt Representations for Multi-Domain All-in-One Image Restoration

Recently, significant breakthroughs have been made in all-in-one image restoration (AiOIR), which can handle multiple restoration tasks with a single model. However, existing methods typically focus on a specific image domain, such as natural scene, medical imaging, or remote sensing. In this work, we aim to extend AiOIR to multiple domains and propose the first multi-domain all-in-one image restoration method, DATPRL-IR, based on our proposed Domain-Aware Task Prompt Representation Learning. Specifically, we first construct a task prompt pool containing multiple task prompts, in which task-related knowledge is implicitly encoded. For each input image, the model adaptively selects the most relevant task prompts and composes them into an instance-level task representation via a prompt composition mechanism (PCM). Furthermore, to endow the model with domain awareness, we introduce another domain prompt pool and distill domain priors from multimodal large language models into the domain prompts. PCM is utilized to combine the adaptively selected domain prompts into a domain representation for each input image. Finally, the two representations are fused to form a domain-aware task prompt representation which can make full use of both specific and shared knowledge across tasks and domains to guide the subsequent restoration process. Extensive experiments demonstrate that our DATPRL-IR significantly outperforms existing SOTA image restoration methods, while exhibiting strong generalization capabilities. Code is available at https://github.com/GuangluDong0728/DATPRL-IR.

Dual Distillation for Few-Shot Anomaly Detection

Anomaly detection is a critical task in computer vision with profound implications for medical imaging, where identifying pathologies early can directly impact patient outcomes. While recent unsupervised anomaly detection approaches show promise, they require substantial normal training data and struggle to generalize across anatomical contexts. We introduce D$^2$4FAD, a novel dual distillation framework for few-shot anomaly detection that identifies anomalies in previously unseen tasks using only a small number of normal reference images. Our approach leverages a pre-trained encoder as a teacher network to extract multi-scale features from both support and query images, while a student decoder learns to distill knowledge from the teacher on query images and self-distill on support images. We further propose a learn-to-weight mechanism that dynamically assesses the reference value of each support image conditioned on the query, optimizing anomaly detection performance. To evaluate our method, we curate a comprehensive benchmark dataset comprising 13,084 images across four organs, four imaging modalities, and five disease categories. Extensive experiments demonstrate that D$^2$4FAD significantly outperforms existing approaches, establishing a new state-of-the-art in few-shot medical anomaly detection. Code is available at https://github.com/ttttqz/D24FAD.

Multitask Learning for Earth Observation Data Classification with Hybrid Quantum Network

Quantum machine learning (QML) has gained increasing attention as a potential solution to address the challenges of computation requirements in the future. Earth observation (EO) has entered the era of Big Data, and the computational demands for effectively analyzing large EO data with complex deep learning models have become a bottleneck. Motivated by this, we aim to leverage quantum computing for EO data classification and explore its advantages despite the current limitations of quantum devices. This paper presents a hybrid model that incorporates multitask learning to assist efficient data encoding and employs a location weight module with quantum convolution operations to extract valid features for classification. The validity of our proposed model was evaluated using multiple EO benchmarks. Additionally, we experimentally explored the generalizability of our model and investigated the factors contributing to its advantage, highlighting the potential of QML in EO data analysis.

AutoRegressive Generation with B-rep Holistic Token Sequence Representation

Previous representation and generation approaches for the B-rep relied on graph-based representations that disentangle geometric and topological features through decoupled computational pipelines, thereby precluding the application of sequence-based generative frameworks, such as transformer architectures that have demonstrated remarkable performance. In this paper, we propose BrepARG, the first attempt to encode B-rep's geometry and topology into a holistic token sequence representation, enabling sequence-based B-rep generation with an autoregressive architecture. Specifically, BrepARG encodes B-rep into 3 types of tokens: geometry and position tokens representing geometric features, and face index tokens representing topology. Then the holistic token sequence is constructed hierarchically, starting with constructing the geometry blocks (i.e., faces and edges) using the above tokens, followed by geometry block sequencing. Finally, we assemble the holistic sequence representation for the entire B-rep. We also construct a transformer-based autoregressive model that learns the distribution over holistic token sequences via next-token prediction, using a multi-layer decoder-only architecture with causal masking. Experiments demonstrate that BrepARG achieves state-of-the-art (SOTA) performance. BrepARG validates the feasibility of representing B-rep as holistic token sequences, opening new directions for B-rep generation.

Reconstructing Building Height from Spaceborne TomoSAR Point Clouds Using a Dual-Topology Network

Reliable building height estimation is essential for various urban applications. Spaceborne SAR tomography (TomoSAR) provides weather-independent, side-looking observations that capture facade-level structure, offering a promising alternative to conventional optical methods. However, TomoSAR point clouds often suffer from noise, anisotropic point distributions, and data voids on incoherent surfaces, all of which hinder accurate height reconstruction. To address these challenges, we introduce a learning-based framework for converting raw TomoSAR points into high-resolution building height maps. Our dual-topology network alternates between a point branch that models irregular scatterer features and a grid branch that enforces spatial consistency. By jointly processing these representations, the network denoises the input points and inpaints missing regions to produce continuous height estimates. To our knowledge, this is the first proof of concept for large-scale urban height mapping directly from TomoSAR point clouds. Extensive experiments on data from Munich and Berlin validate the effectiveness of our approach. Moreover, we demonstrate that our framework can be extended to incorporate optical satellite imagery, further enhancing reconstruction quality. The source code is available at https://github.com/zhu-xlab/tomosar2height.