Abstract:Decision-relevant building damage assessment is critical for prioritizing resources and recovery after a disaster, yet most automated methods either flatten damage into a single severity scale (no damage, minor, major, destroyed) or require paired pre- and post-event imagery that is often unavailable for emerging hazards. This paper presents Damage-TriageFormer, a single-image, post-event, footprint-conditioned model that produces a damage typology rather than a severity scale. We contribute: (1) DamageTriage-Bench, a new benchmark built from NOAA Emergency Response Imagery across Hurricane Michael (2018), Hurricane Helene (2024), and the 2025 Los Angeles wildfire complex, with five typology classes that distinguish roof damage from structural damage and, within each, partial from total extent; and (2) Damage-TriageFormer, which extends a DINOv3 ViT-L backbone with a Simple Feature Pyramid for higher-resolution instance pooling, a two-stage gated damage head, and an auxiliary severity-regression objective. Our model achieves macro F1 of 0.624 on validation and 0.619 on a held-out stratified test set, performing strongest where operational triage needs it most, with per-class F1 of 0.91 and 0.84 on undamaged buildings and total structural collapse, respectively. While the rare Total Roof Damage class remains difficult due to its limited examples and an inherently ambiguous label boundary, our results show that single-image post-event imagery can support actionable building damage typing, enabling targeted emergency response and resource allocation without a pre-event reference.
Abstract:Disasters are inevitable and increasingly costly, and effective response depends on querying structured tabular data: precise, information-dense records of hazard, exposure, vulnerability, and lifeline infrastructure that underpin disaster management. Current text-to-SQL methods enable natural-language access to such tables but transfer poorly to the disaster domain, where queries span heterogeneous geospatial schemas and require reasoning over causal relations. We introduce DisasterLex, a knowledge-graph-mediated framework that inserts an Expert Knowledge Graph (EKG) of curated concepts and typed causal edges between the user query and the database, bridged to schema by concept-to-table links. The orchestration runs four stages (identifying query entities, routing to the operational domain, planning over causal edges, and grounding the SQL), restricting the schema passed to the model at each step. We instantiate it on a disaster-analytics database (36 geospatial tables, 150 columns) with an EKG of 107 concepts, 117 causal edges, and 52 concept-to-schema links, evaluated on a 75-query test set. On all seven base models spanning proprietary and open-weight families, DisasterLex beats four state-of-the-art baselines (LightRAG, HippoRAG 2, ReFoRCE, CHESS) by 1.4x to 2.75x, with absolute scores of 1.65 to 3.56 (of 5.0). Error analysis shows baseline failures cluster in routing and multi-table SQL composition, the operations our orchestration explicitly addresses. Code, data, and the EKG artifact are available at https://github.com/YimingXiao98/DisasterLex and on Zenodo at https://doi.org/10.5281/zenodo.20388029.
Abstract:Disasters cause severe societal impacts, demanding rapid coordination of heterogeneous AI tools, from satellite analysis to flood prediction and damage assessment, into coherent multi-step workflows. As LLMs increasingly serve as orchestrators of such pipelines, effective coordination requires more than selecting semantically plausible tools: LLMs must generate executable workflows with correct parameter binding and dependency propagation. We introduce DisasterBench, a benchmark for evaluating structured multi-agent planning over semantically similar but operationally distinct disaster-response tools. To enable step-level failure attribution, we further propose First-Point-of-Failure (FPoF), which localizes the earliest root cause in a predicted workflow, separating primary errors from downstream cascading effects. Our evaluation reveals three findings: planning method effectiveness depends strongly on model capacity; tool mismatch and parameter-binding errors dominate first failures, revealing semantic grounding and execution consistency as distinct bottlenecks; and verbose intermediate reasoning can create instruction clash with structured output requirements, disrupting plan generation. Together, these findings highlight a fundamental gap between semantic reasoning and execution-grounded coordination, underscoring the need for planning frameworks that jointly model semantic intent, execution constraints, and workflow consistency. Code, data, and evaluation resources are available at: https://github.com/TamuChen18/DisasterBench_Open
Abstract:Blood vessel segmentation is a core task in medical image analysis for the care of vascular diseases and surgical planning, yet the challenges of providing expert vascular annotations pose a major obstacle for the progress of related deep learning techniques. To address this, we propose VesselSim, a two-stage framework for universal 3D blood vessel segmentation that eliminates the need for real annotated data during training. First, we introduce a stochastic, geometry-driven vascular simulation framework that models recursive branching, curvature-controlled growth, and collision-aware topology, followed by domain-randomized intensity synthesis to generate 16,500 anatomically plausible 3D angiographic volumes. Second, a 3D U-Net is trained solely on this synthetic data. To bridge the domain gap from synthetic to real images at inference time, we introduce a test-time adaptation strategy via a self-supervised mask reconstruction decoder, enabling adaptation to unseen clinical scans without prior domain knowledge. We evaluate VesselSim in a zero-shot setting on multiple real-world datasets spanning MR and CT across several anatomical regions, including the brain and kidneys. Despite being trained exclusively on synthetic data, VesselSim achieves performance competitive with state-of-the-art vascular segmentation foundation models. These findings suggest that learning vessel geometry from synthetic tubular structures is effective for robust cross-domain generalization, substantially reducing the reliance on acquired medical imaging data and more importantly, expert annotations.
Abstract:Parameter-efficient adaptation of vision-language foundation models is crucial for precise multimodal understanding of biomedical images, yet existing methods remain deterministic and often struggle under domain shift or ambiguous image-text alignment. This limitation is particularly critical in the clinic, where models should remain robust in low-data regimes and domain shifts. We present Evi-Steer, an evidential cross-modal low-dimensional steering framework for BiomedCLIP that enables uncertainty-aware parameter-efficient fine-tuning while updating only 0.11% of total model parameters. Our approach performs lightweight low-dimensional token updates in both vision and text encoders while simultaneously estimating epistemic uncertainty. These uncertainty estimates update gate residuals, allowing the model to adapt conservatively when evidence is weak. Furthermore, we introduce cross-modal confidence fusion based on Dempster-Shafer theory, enabling visual adaptation to be conditioned on textual confidence and suppressing conflicting or uncertain cross-modal updates. We conduct a comprehensive evaluation on 15 biomedical imaging datasets spanning 8 organs and 8 imaging modalities under few-shot learning and domain generalization settings. Evi-Steer consistently outperforms state-of-the-art methods under few-shot learning and domain shift settings, demonstrating a practical and robust pathway for deploying vision-language models in real-world clinical settings. Code is available at https://github.com/HealthX-Lab/Evi-Steer.
Abstract:Infrared-visible object detection improves detection performance by combining complementary features from multispectral images. Existing backbone-specific and backbone-shared approaches still suffer from the problems of severe bias of modality-shared features and the insufficiency of modality-specific features. To address these issues, we propose a novel detection framework WD-FQDet that explicitly decouples modality-shared and modality-specific information from infrared and visible modalities in the new view of low- and high-frequency domains, allowing fusion strategies tailored to their frequency characteristics. Specifically, a low-frequency homogeneity alignment module is proposed to align modality-shared features across modalities via a cross-modal attention mechanism, and a high-frequency specificity retention module is proposed to preserve modality-specific features through the multi-scale gradient consistency loss. To reinforce the feature representation in the frequency domain, we propose a hybrid feature enhancement module that incorporates spatial cues. Furthermore, considering that the contributions of homogeneous and modality-specific features to object detection vary across scenarios, we propose a frequency-aware query selection module to dynamically regulate their contributions. Experimental results on the FLIR, LLVIP, and M3FD datasets demonstrate that WD-FQDet achieves state-of-the-art performance across multiple evaluation metrics.
Abstract:Large vision-language models (VLMs) excel on general benchmarks but often lack robustness in medical imaging, where heterogeneous supervision induces cross-dataset interference and sensitivity to data regime (i.e., how the supervisory signals are mixed). In realistic clinical workflows, data and tasks arrive sequentially, so naive continual training further leads to catastrophic forgetting. To address these challenges, we propose MedQwen, a parameter-efficient medical VLM that couples a spectrally routed Mixture-of-Experts (MoE) with a theoretically grounded scaling rule that aligns low-rank updates with a full-rank, fully fine-tuned MoE, without changing the base architecture. Concretely, we initialize each expert from non-overlapping singular value decomposition (SVD) segments of the pretrained weight and introduce a residual compensation and scaling scheme to enable stable expert specialization and consistent routing under distribution shift. Across 23 medical datasets covering visual question answering, report generation, radiology classification, and hallucination mitigation, MedQwen achieves strong, reliable performance: it approaches full fine-tuning on zero-shot classification with 339$\times$ fewer trainable parameters, and reduces sequential forgetting to $\sim$5\% where strong baselines degrade by $>$20-50\%.
Abstract:Medical image segmentation remains challenging due to limited annotations for training, ambiguous anatomical features, and domain shifts. While vision-language models such as CLIP offer strong cross-modal representations, their potential for dense, text-guided medical image segmentation remains underexplored. We present MedCLIPSeg, a novel framework that adapts CLIP for robust, data-efficient, and uncertainty-aware medical image segmentation. Our approach leverages patch-level CLIP embeddings through probabilistic cross-modal attention, enabling bidirectional interaction between image and text tokens and explicit modeling of predictive uncertainty. Together with a soft patch-level contrastive loss that encourages more nuanced semantic learning across diverse textual prompts, MedCLIPSeg effectively improves data efficiency and domain generalizability. Extensive experiments across 16 datasets spanning five imaging modalities and six organs demonstrate that MedCLIPSeg outperforms prior methods in accuracy, efficiency, and robustness, while providing interpretable uncertainty maps that highlight local reliability of segmentation results. This work demonstrates the potential of probabilistic vision-language modeling for text-driven medical image segmentation.
Abstract:Accurate question answering (QA) in disaster management requires reasoning over uncertain and conflicting information, a setting poorly captured by existing benchmarks built on clean evidence. We introduce DisastQA, a large-scale benchmark of 3,000 rigorously verified questions (2,000 multiple-choice and 1,000 open-ended) spanning eight disaster types. The benchmark is constructed via a human-LLM collaboration pipeline with stratified sampling to ensure balanced coverage. Models are evaluated under varying evidence conditions, from closed-book to noisy evidence integration, enabling separation of internal knowledge from reasoning under imperfect information. For open-ended QA, we propose a human-verified keypoint-based evaluation protocol emphasizing factual completeness over verbosity. Experiments with 20 models reveal substantial divergences from general-purpose leaderboards such as MMLU-Pro. While recent open-weight models approach proprietary systems in clean settings, performance degrades sharply under realistic noise, exposing critical reliability gaps for disaster response. All code, data, and evaluation resources are available at https://github.com/TamuChen18/DisastQA_open.
Abstract:Vision-language models (VLMs) like CLIP have shown impressive zero-shot and few-shot learning capabilities across diverse applications. However, adapting these models to new fine-grained domains remains difficult due to reliance on prompt engineering and the high cost of full model fine-tuning. Existing adaptation approaches rely on augmented components, such as prompt tokens and adapter modules, which could limit adaptation quality, destabilize the model, and compromise the rich knowledge learned during pretraining. In this work, we present \textbf{CLIP-SVD}, a novel \textit{multi-modal} and \textit{parameter-efficient} adaptation technique that leverages Singular Value Decomposition (SVD) to modify the internal parameter space of CLIP without injecting additional modules. Specifically, we fine-tune only the singular values of the CLIP parameter matrices to rescale the basis vectors for domain adaptation while retaining the pretrained model. This design enables enhanced adaptation performance using only \textbf{0.04\%} of the model's total parameters and better preservation of its generalization ability. CLIP-SVD achieves state-of-the-art classification results on 11 natural and 10 biomedical datasets, outperforming previous methods in both accuracy and generalization under few-shot settings. Additionally, we leverage a natural language-based approach to analyze the effectiveness and dynamics of the CLIP adaptation to allow interpretability of CLIP-SVD. The code is publicly available at https://github.com/HealthX-Lab/CLIP-SVD.