SAM-aware Test-time Adaptation for Universal Medical Image Segmentation

Universal medical image segmentation using the Segment Anything Model (SAM) remains challenging due to its limited adaptability to medical domains. Existing adaptations, such as MedSAM, enhance SAM's performance in medical imaging but at the cost of reduced generalization to unseen data. Therefore, in this paper, we propose SAM-aware Test-Time Adaptation (SAM-TTA), a fundamentally different pipeline that preserves the generalization of SAM while improving its segmentation performance in medical imaging via a test-time framework. SAM-TTA tackles two key challenges: (1) input-level discrepancies caused by differences in image acquisition between natural and medical images and (2) semantic-level discrepancies due to fundamental differences in object definition between natural and medical domains (e.g., clear boundaries vs. ambiguous structures). Specifically, our SAM-TTA framework comprises (1) Self-adaptive Bezier Curve-based Transformation (SBCT), which adaptively converts single-channel medical images into three-channel SAM-compatible inputs while maintaining structural integrity, to mitigate the input gap between medical and natural images, and (2) Dual-scale Uncertainty-driven Mean Teacher adaptation (DUMT), which employs consistency learning to align SAM's internal representations to medical semantics, enabling efficient adaptation without auxiliary supervision or expensive retraining. Extensive experiments on five public datasets demonstrate that our SAM-TTA outperforms existing TTA approaches and even surpasses fully fine-tuned models such as MedSAM in certain scenarios, establishing a new paradigm for universal medical image segmentation. Code can be found at https://github.com/JianghaoWu/SAM-TTA.

TAGS: A Test-Time Generalist-Specialist Framework with Retrieval-Augmented Reasoning and Verification

Recent advances such as Chain-of-Thought prompting have significantly improved large language models (LLMs) in zero-shot medical reasoning. However, prompting-based methods often remain shallow and unstable, while fine-tuned medical LLMs suffer from poor generalization under distribution shifts and limited adaptability to unseen clinical scenarios. To address these limitations, we present TAGS, a test-time framework that combines a broadly capable generalist with a domain-specific specialist to offer complementary perspectives without any model fine-tuning or parameter updates. To support this generalist-specialist reasoning process, we introduce two auxiliary modules: a hierarchical retrieval mechanism that provides multi-scale exemplars by selecting examples based on both semantic and rationale-level similarity, and a reliability scorer that evaluates reasoning consistency to guide final answer aggregation. TAGS achieves strong performance across nine MedQA benchmarks, boosting GPT-4o accuracy by 13.8%, DeepSeek-R1 by 16.8%, and improving a vanilla 7B model from 14.1% to 23.9%. These results surpass several fine-tuned medical LLMs, without any parameter updates. The code will be available at https://github.com/JianghaoWu/TAGS.

Towards Dynamic 3D Reconstruction of Hand-Instrument Interaction in Ophthalmic Surgery

Accurate 3D reconstruction of hands and instruments is critical for vision-based analysis of ophthalmic microsurgery, yet progress has been hampered by the lack of realistic, large-scale datasets and reliable annotation tools. In this work, we introduce OphNet-3D, the first extensive RGB-D dynamic 3D reconstruction dataset for ophthalmic surgery, comprising 41 sequences from 40 surgeons and totaling 7.1 million frames, with fine-grained annotations of 12 surgical phases, 10 instrument categories, dense MANO hand meshes, and full 6-DoF instrument poses. To scalably produce high-fidelity labels, we design a multi-stage automatic annotation pipeline that integrates multi-view data observation, data-driven motion prior with cross-view geometric consistency and biomechanical constraints, along with a combination of collision-aware interaction constraints for instrument interactions. Building upon OphNet-3D, we establish two challenging benchmarks-bimanual hand pose estimation and hand-instrument interaction reconstruction-and propose two dedicated architectures: H-Net for dual-hand mesh recovery and OH-Net for joint reconstruction of two-hand-two-instrument interactions. These models leverage a novel spatial reasoning module with weak-perspective camera modeling and collision-aware center-based representation. Both architectures outperform existing methods by substantial margins, achieving improvements of over 2mm in Mean Per Joint Position Error (MPJPE) and up to 23% in ADD-S metrics for hand and instrument reconstruction, respectively.

Rhythm of Opinion: A Hawkes-Graph Framework for Dynamic Propagation Analysis

The rapid development of social media has significantly reshaped the dynamics of public opinion, resulting in complex interactions that traditional models fail to effectively capture. To address this challenge, we propose an innovative approach that integrates multi-dimensional Hawkes processes with Graph Neural Network, modeling opinion propagation dynamics among nodes in a social network while considering the intricate hierarchical relationships between comments. The extended multi-dimensional Hawkes process captures the hierarchical structure, multi-dimensional interactions, and mutual influences across different topics, forming a complex propagation network. Moreover, recognizing the lack of high-quality datasets capable of comprehensively capturing the evolution of public opinion dynamics, we introduce a new dataset, VISTA. It includes 159 trending topics, corresponding to 47,207 posts, 327,015 second-level comments, and 29,578 third-level comments, covering diverse domains such as politics, entertainment, sports, health, and medicine. The dataset is annotated with detailed sentiment labels across 11 categories and clearly defined hierarchical relationships. When combined with our method, it offers strong interpretability by linking sentiment propagation to the comment hierarchy and temporal evolution. Our approach provides a robust baseline for future research.

ScalingNoise: Scaling Inference-Time Search for Generating Infinite Videos

Video diffusion models (VDMs) facilitate the generation of high-quality videos, with current research predominantly concentrated on scaling efforts during training through improvements in data quality, computational resources, and model complexity. However, inference-time scaling has received less attention, with most approaches restricting models to a single generation attempt. Recent studies have uncovered the existence of "golden noises" that can enhance video quality during generation. Building on this, we find that guiding the scaling inference-time search of VDMs to identify better noise candidates not only evaluates the quality of the frames generated in the current step but also preserves the high-level object features by referencing the anchor frame from previous multi-chunks, thereby delivering long-term value. Our analysis reveals that diffusion models inherently possess flexible adjustments of computation by varying denoising steps, and even a one-step denoising approach, when guided by a reward signal, yields significant long-term benefits. Based on the observation, we proposeScalingNoise, a plug-and-play inference-time search strategy that identifies golden initial noises for the diffusion sampling process to improve global content consistency and visual diversity. Specifically, we perform one-step denoising to convert initial noises into a clip and subsequently evaluate its long-term value, leveraging a reward model anchored by previously generated content. Moreover, to preserve diversity, we sample candidates from a tilted noise distribution that up-weights promising noises. In this way, ScalingNoise significantly reduces noise-induced errors, ensuring more coherent and spatiotemporally consistent video generation. Extensive experiments on benchmark datasets demonstrate that the proposed ScalingNoise effectively improves long video generation.

MSWAL: 3D Multi-class Segmentation of Whole Abdominal Lesions Dataset

With the significantly increasing incidence and prevalence of abdominal diseases, there is a need to embrace greater use of new innovations and technology for the diagnosis and treatment of patients. Although deep-learning methods have notably been developed to assist radiologists in diagnosing abdominal diseases, existing models have the restricted ability to segment common lesions in the abdomen due to missing annotations for typical abdominal pathologies in their training datasets. To address the limitation, we introduce MSWAL, the first 3D Multi-class Segmentation of the Whole Abdominal Lesions dataset, which broadens the coverage of various common lesion types, such as gallstones, kidney stones, liver tumors, kidney tumors, pancreatic cancer, liver cysts, and kidney cysts. With CT scans collected from 694 patients (191,417 slices) of different genders across various scanning phases, MSWAL demonstrates strong robustness and generalizability. The transfer learning experiment from MSWAL to two public datasets, LiTS and KiTS, effectively demonstrates consistent improvements, with Dice Similarity Coefficient (DSC) increase of 3.00% for liver tumors and 0.89% for kidney tumors, demonstrating that the comprehensive annotations and diverse lesion types in MSWAL facilitate effective learning across different domains and data distributions. Furthermore, we propose Inception nnU-Net, a novel segmentation framework that effectively integrates an Inception module with the nnU-Net architecture to extract information from different receptive fields, achieving significant enhancement in both voxel-level DSC and region-level F1 compared to the cutting-edge public algorithms on MSWAL. Our dataset will be released after being accepted, and the code is publicly released at https://github.com/tiuxuxsh76075/MSWAL-.

Granite Embedding Models

We introduce the Granite Embedding models, a family of encoder-based embedding models designed for retrieval tasks, spanning dense-retrieval and sparse retrieval architectures, with both English and Multilingual capabilities. This report provides the technical details of training these highly effective 12 layer embedding models, along with their efficient 6 layer distilled counterparts. Extensive evaluations show that the models, developed with techniques like retrieval oriented pretraining, contrastive finetuning, knowledge distillation, and model merging significantly outperform publicly available models of similar sizes on both internal IBM retrieval and search tasks, and have equivalent performance on widely used information retrieval benchmarks, while being trained on high-quality data suitable for enterprise use. We publicly release all our Granite Embedding models under the Apache 2.0 license, allowing both research and commercial use at https://huggingface.co/collections/ibm-granite.

FACTR: Force-Attending Curriculum Training for Contact-Rich Policy Learning

Many contact-rich tasks humans perform, such as box pickup or rolling dough, rely on force feedback for reliable execution. However, this force information, which is readily available in most robot arms, is not commonly used in teleoperation and policy learning. Consequently, robot behavior is often limited to quasi-static kinematic tasks that do not require intricate force-feedback. In this paper, we first present a low-cost, intuitive, bilateral teleoperation setup that relays external forces of the follower arm back to the teacher arm, facilitating data collection for complex, contact-rich tasks. We then introduce FACTR, a policy learning method that employs a curriculum which corrupts the visual input with decreasing intensity throughout training. The curriculum prevents our transformer-based policy from over-fitting to the visual input and guides the policy to properly attend to the force modality. We demonstrate that by fully utilizing the force information, our method significantly improves generalization to unseen objects by 43\% compared to baseline approaches without a curriculum. Video results and instructions at https://jasonjzliu.com/factr/

MMRC: A Large-Scale Benchmark for Understanding Multimodal Large Language Model in Real-World Conversation

Recent multimodal large language models (MLLMs) have demonstrated significant potential in open-ended conversation, generating more accurate and personalized responses. However, their abilities to memorize, recall, and reason in sustained interactions within real-world scenarios remain underexplored. This paper introduces MMRC, a Multi-Modal Real-world Conversation benchmark for evaluating six core open-ended abilities of MLLMs: information extraction, multi-turn reasoning, information update, image management, memory recall, and answer refusal. With data collected from real-world scenarios, MMRC comprises 5,120 conversations and 28,720 corresponding manually labeled questions, posing a significant challenge to existing MLLMs. Evaluations on 20 MLLMs in MMRC indicate an accuracy drop during open-ended interactions. We identify four common failure patterns: long-term memory degradation, inadequacies in updating factual knowledge, accumulated assumption of error propagation, and reluctance to say no. To mitigate these issues, we propose a simple yet effective NOTE-TAKING strategy, which can record key information from the conversation and remind the model during its responses, enhancing conversational capabilities. Experiments across six MLLMs demonstrate significant performance improvements.

Decoding the Flow: CauseMotion for Emotional Causality Analysis in Long-form Conversations

Long-sequence causal reasoning seeks to uncover causal relationships within extended time series data but is hindered by complex dependencies and the challenges of validating causal links. To address the limitations of large-scale language models (e.g., GPT-4) in capturing intricate emotional causality within extended dialogues, we propose CauseMotion, a long-sequence emotional causal reasoning framework grounded in Retrieval-Augmented Generation (RAG) and multimodal fusion. Unlike conventional methods relying only on textual information, CauseMotion enriches semantic representations by incorporating audio-derived features-vocal emotion, emotional intensity, and speech rate-into textual modalities. By integrating RAG with a sliding window mechanism, it effectively retrieves and leverages contextually relevant dialogue segments, thus enabling the inference of complex emotional causal chains spanning multiple conversational turns. To evaluate its effectiveness, we constructed the first benchmark dataset dedicated to long-sequence emotional causal reasoning, featuring dialogues with over 70 turns. Experimental results demonstrate that the proposed RAG-based multimodal integrated approach, the efficacy of substantially enhances both the depth of emotional understanding and the causal inference capabilities of large-scale language models. A GLM-4 integrated with CauseMotion achieves an 8.7% improvement in causal accuracy over the original model and surpasses GPT-4o by 1.2%. Additionally, on the publicly available DiaASQ dataset, CauseMotion-GLM-4 achieves state-of-the-art results in accuracy, F1 score, and causal reasoning accuracy.