MedARC: Training-Free Adaptive Redundancy Compression of Visual Tokens for 3D Medical Vision-Language Models

Integrating 3D medical images with vision-language models (VLMs) holds substantial promise for computer-aided diagnosis. However, volumetric images generate prohibitively long visual-token sequences with considerable spatial and inter-slice redundancy. Existing token compression methods typically apply uniform reduction or rely on a single importance signal, increasing the risk of removing regions that are clinically relevant to the query or structurally distinctive. To address this limitation, we propose MedARC, a unified, training-free framework for Adaptive Redundancy Compression of visual tokens in 3D medical VLMs. MedARC estimates token importance by integrating three complementary cues: self-attention from the VLM vision encoder, which reflects the model's intrinsic visual focus; similarity between projected visual tokens and text embeddings, which identifies query-relevant regions; and deviations of local visual foundation model features from the volume-level feature center, which highlight structurally distinctive anatomy. The resulting importance distribution guides a saliency-aware merging strategy that preserves informative tokens while consolidating redundant ones rather than simply discarding them. Experiments on CT-RATE and MR-RATE show that MedARC reduces visual-token overhead and inference time while preserving or improving diagnostic performance. Its multi-cue scoring cost is outweighed by the savings from processing fewer tokens, with greater benefits expected for larger language models.

Q-space Guided Collaborative Attention Translation Network for Flexible Diffusion-Weighted Images Synthesis

This study, we propose a novel Q-space Guided Collaborative Attention Translation Networks (Q-CATN) for multi-shell, high-angular resolution DWI (MS-HARDI) synthesis from flexible q-space sampling, leveraging the commonly acquired structural MRI data. Q-CATN employs a collaborative attention mechanism to effectively extract complementary information from multiple modalities and dynamically adjust its internal representations based on flexible q-space information, eliminating the need for fixed sampling schemes. Additionally, we introduce a range of task-specific constraints to preserve anatomical fidelity in DWI, enabling Q-CATN to accurately learn the intrinsic relationships between directional DWI signal distributions and q-space. Extensive experiments on the Human Connectome Project (HCP) dataset demonstrate that Q-CATN outperforms existing methods, including 1D-qDL, 2D-qDL, MESC-SD, and QGAN, in estimating parameter maps and fiber tracts both quantitatively and qualitatively, while preserving fine-grained details. Notably, its ability to accommodate flexible q-space sampling highlights its potential as a promising toolkit for clinical and research applications. Our code is available at https://github.com/Idea89560041/Q-CATN.