Dual Causal Inference: Integrating Backdoor Adjustment and Instrumental Variable Learning for Medical VQA

Medical Visual Question Answering (MedVQA) aims to generate clinically reliable answers conditioned on complex medical images and questions. However, existing methods often overfit to superficial cross-modal correlations, neglecting the intrinsic biases embedded in multimodal medical data. Consequently, models become vulnerable to cross-modal confounding effects, severely hindering their ability to provide trustworthy diagnostic reasoning. To address this limitation, we propose a novel Dual Causal Inference (DCI) framework for MedVQA. To the best of our knowledge, DCI is the first unified architecture that integrates Backdoor Adjustment (BDA) and Instrumental Variable (IV) learning to jointly tackle both observable and unobserved confounders. Specifically, we formulate a Structural Causal Model (SCM) where observable cross-modal biases (e.g., frequent visual and textual co-occurrences) are mitigated via BDA, while unobserved confounders are compensated using an IV learned from a shared latent space. To guarantee the validity of the IV, we design mutual information constraints that maximize its dependence on the fused multimodal representations while minimizing its associations with the unobserved confounders and target answers. Through this dual mechanism, DCI extracts deconfounded representations that capture genuine causal relationships. Extensive experiments on four benchmark datasets, SLAKE, SLAKE-CP, VQA-RAD, and PathVQA, demonstrate that our method consistently outperforms existing approaches, particularly in out-of-distribution (OOD) generalization. Furthermore, qualitative analyses confirm that DCI significantly enhances the interpretability and robustness of cross-modal reasoning by explicitly disentangling true causal effects from spurious cross-modal shortcuts.

Learning to Trim: End-to-End Causal Graph Pruning with Dynamic Anatomical Feature Banks for Medical VQA

Medical Visual Question Answering (MedVQA) models often exhibit limited generalization due to reliance on dataset-specific correlations, such as recurring anatomical patterns or question-type regularities, rather than genuine diagnostic evidence. Existing causal approaches are typically implemented as static adjustments or post-hoc corrections. To address this issue, we propose a Learnable Causal Trimming (LCT) framework that integrates causal pruning into end-to-end optimization. We introduce a Dynamic Anatomical Feature Bank (DAFB), updated via a momentum mechanism, to capture global prototypes of frequent anatomical and linguistic patterns, serving as an approximation of dataset-level regularities. We further design a differentiable trimming module that estimates the dependency between instance-level representations and the global feature bank. Features highly correlated with global prototypes are softly suppressed, while instance-specific evidence is emphasized. This learnable mechanism encourages the model to prioritize causal signals over spurious correlations adaptively. Experiments on VQA-RAD, SLAKE, SLAKE-CP and PathVQA demonstrate that LCT consistently improves robustness and generalization over existing debiasing strategies.

Unlabeled Cross-Center Automatic Analysis for TAAD: An Integrated Framework from Segmentation to Clinical Features

Type A Aortic Dissection (TAAD) is a life-threatening cardiovascular emergency that demands rapid and precise preoperative evaluation. While key anatomical and pathological features are decisive for surgical planning, current research focuses predominantly on improving segmentation accuracy, leaving the reliable, quantitative extraction of clinically actionable features largely under-explored. Furthermore, constructing comprehensive TAAD datasets requires labor-intensive, expert level pixel-wise annotations, which is impractical for most clinical institutions. Due to significant domain shift, models trained on a single center dataset also suffer from severe performance degradation during cross-institutional deployment. This study addresses a clinically critical challenge: the accurate extraction of key TAAD clinical features during cross-institutional deployment in the total absence of target-domain annotations. To this end, we propose an unsupervised domain adaptation (UDA)-driven framework for the automated extraction of TAAD clinical features. The framework leverages limited source-domain labels while effectively adapting to unlabeled data from target domains. Tailored for real-world emergency workflows, our framework aims to achieve stable cross-institutional multi-class segmentation, reliable and quantifiable clinical feature extraction, and practical deployability independent of high-cost annotations. Extensive experiments demonstrate that our method significantly improves cross-domain segmentation performance compared to existing state-of-the-art approaches. More importantly, a reader study involving multiple cardiovascular surgeons confirms that the automatically extracted clinical features provide meaningful assistance for preoperative assessment, highlighting the practical utility of the proposed end-to-end segmentation-to-feature pipeline.

CIV-DG: Conditional Instrumental Variables for Domain Generalization in Medical Imaging

Cross-site generalizability in medical AI is fundamentally compromised by selection bias, a structural mechanism where patient demographics (e.g., age, severity) non-randomly dictate hospital assignment. Conventional Domain Generalization (DG) paradigms, which predominantly target image-level distribution shifts, fail to address the resulting spurious correlations between site-specific variations and diagnostic labels. To surmount this identifiability barrier, we propose CIV-DG, a causal framework that leverages Conditional Instrumental Variables to disentangle pathological semantics from scanner-induced artifacts. By relaxing the strict random assignment assumption of standard IV methods, CIV-DG accommodates complex clinical scenarios where hospital selection is endogenously driven by patient demographics. We instantiate this theory via a Deep Generalized Method of Moments (DeepGMM) architecture, employing a conditional critic to minimize moment violations and enforce instrument-error orthogonality within demographic strata. Extensive experiments on the Camelyon17 benchmark and large-scale Chest X-Ray datasets demonstrate that CIV-DG significantly outperforms leading baselines, validating the efficacy of conditional causal mechanisms in resolving structural confounding for robust medical AI.

SynForceNet: A Force-Driven Global-Local Latent Representation Framework for Lithium-Ion Battery Fault Diagnosis

Online safety fault diagnosis is essential for lithium-ion batteries in electric vehicles(EVs), particularly under complex and rare safety-critical conditions in real-world operation. In this work, we develop an online battery fault diagnosis network based on a deep anomaly detection framework combining kernel one-class classification and minimum-volume estimation. Mechanical constraints and spike-timing-dependent plasticity(STDP)-based dynamic representations are introduced to improve complex fault characterization and enable a more compact normal-state boundary. The proposed method is validated using 8.6 million valid data points collected from 20 EVs. Compared with several advanced baseline methods, it achieves average improvements of 7.59% in TPR, 27.92% in PPV, 18.28% in F1 score, and 23.68% in AUC. In addition, we analyze the spatial separation of fault representations before and after modeling, and further enhance framework robustness by learning the manifold structure in the latent space. The results also suggest the possible presence of shared causal structures across different fault types, highlighting the promise of integrating deep learning with physical constraints and neural dynamics for battery safety diagnosis.

Mask-Guided Attention Regulation for Anatomically Consistent Counterfactual CXR Synthesis

Counterfactual generation for chest X-rays (CXR) aims to simulate plausible pathological changes while preserving patient-specific anatomy. However, diffusion-based editing methods often suffer from structural drift, where stable anatomical semantics propagate globally through attention and distort non-target regions, and unstable pathology expression, since subtle and localized lesions induce weak and noisy conditioning signals. We present an inference-time attention regulation framework for reliable counterfactual CXR synthesis. An anatomy-aware attention regularization module gates self-attention and anatomy-token cross-attention with organ masks, confining structural interactions to anatomical ROIs and reducing unintended distortions. A pathology-guided module enhances pathology-token cross-attention within target lung regions during early denoising and performs lightweight latent corrections driven by an attention-concentration energy, enabling controllable lesion localization and extent. Extensive evaluations on CXR datasets show improved anatomical consistency and more precise, controllable pathological edits compared with standard diffusion editing, supporting localized counterfactual analysis and data augmentation for downstream tasks.

ABPolicy: Asynchronous B-Spline Flow Policy for Real-Time and Smooth Robotic Manipulation

Robotic manipulation requires policies that are smooth and responsive to evolving observations. However, synchronous inference in the raw action space introduces several challenges, including intra-chunk jitter, inter-chunk discontinuities, and stop-and-go execution. These issues undermine a policy's smoothness and its responsiveness to environmental changes. We propose ABPolicy, an asynchronous flow-matching policy that operates in a B-spline control-point action space. First, the B-spline representation ensures intra-chunk smoothness. Second, we introduce bidirectional action prediction coupled with refitting optimization to enforce inter-chunk continuity. Finally, by leveraging asynchronous inference, ABPolicy delivers real-time, continuous updates. We evaluate ABPolicy across seven tasks encompassing both static settings and dynamic settings with moving objects. Empirical results indicate that ABPolicy reduces trajectory jerk, leading to smoother motion and improved performance. Project website: https://teee000.github.io/ABPolicy/.

Organ-Agents: Virtual Human Physiology Simulator via LLMs

Recent advances in large language models (LLMs) have enabled new possibilities in simulating complex physiological systems. We introduce Organ-Agents, a multi-agent framework that simulates human physiology via LLM-driven agents. Each Simulator models a specific system (e.g., cardiovascular, renal, immune). Training consists of supervised fine-tuning on system-specific time-series data, followed by reinforcement-guided coordination using dynamic reference selection and error correction. We curated data from 7,134 sepsis patients and 7,895 controls, generating high-resolution trajectories across 9 systems and 125 variables. Organ-Agents achieved high simulation accuracy on 4,509 held-out patients, with per-system MSEs <0.16 and robustness across SOFA-based severity strata. External validation on 22,689 ICU patients from two hospitals showed moderate degradation under distribution shifts with stable simulation. Organ-Agents faithfully reproduces critical multi-system events (e.g., hypotension, hyperlactatemia, hypoxemia) with coherent timing and phase progression. Evaluation by 15 critical care physicians confirmed realism and physiological plausibility (mean Likert ratings 3.9 and 3.7). Organ-Agents also enables counterfactual simulations under alternative sepsis treatment strategies, generating trajectories and APACHE II scores aligned with matched real-world patients. In downstream early warning tasks, classifiers trained on synthetic data showed minimal AUROC drops (<0.04), indicating preserved decision-relevant patterns. These results position Organ-Agents as a credible, interpretable, and generalizable digital twin for precision diagnosis, treatment simulation, and hypothesis testing in critical care.

A Training-Free Plug-and-Play Watermark Framework for Stable Diffusion

Nowadays, the family of Stable Diffusion (SD) models has gained prominence for its high quality outputs and scalability. This has also raised security concerns on social media, as malicious users can create and disseminate harmful content. Existing approaches involve training components or entire SDs to embed a watermark in generated images for traceability and responsibility attribution. However, in the era of AI-generated content (AIGC), the rapid iteration of SDs renders retraining with watermark models costly. To address this, we propose a training-free plug-and-play watermark framework for SDs. Without modifying any components of SDs, we embed diverse watermarks in the latent space, adapting to the denoising process. Our experimental findings reveal that our method effectively harmonizes image quality and watermark invisibility. Furthermore, it performs robustly under various attacks. We also have validated that our method is generalized to multiple versions of SDs, even without retraining the watermark model.

Dynamic Causal Disentanglement Model for Dialogue Emotion Detection

Emotion detection is a critical technology extensively employed in diverse fields. While the incorporation of commonsense knowledge has proven beneficial for existing emotion detection methods, dialogue-based emotion detection encounters numerous difficulties and challenges due to human agency and the variability of dialogue content.In dialogues, human emotions tend to accumulate in bursts. However, they are often implicitly expressed. This implies that many genuine emotions remain concealed within a plethora of unrelated words and dialogues.In this paper, we propose a Dynamic Causal Disentanglement Model based on hidden variable separation, which is founded on the separation of hidden variables. This model effectively decomposes the content of dialogues and investigates the temporal accumulation of emotions, thereby enabling more precise emotion recognition. First, we introduce a novel Causal Directed Acyclic Graph (DAG) to establish the correlation between hidden emotional information and other observed elements. Subsequently, our approach utilizes pre-extracted personal attributes and utterance topics as guiding factors for the distribution of hidden variables, aiming to separate irrelevant ones. Specifically, we propose a dynamic temporal disentanglement model to infer the propagation of utterances and hidden variables, enabling the accumulation of emotion-related information throughout the conversation. To guide this disentanglement process, we leverage the ChatGPT-4.0 and LSTM networks to extract utterance topics and personal attributes as observed information.Finally, we test our approach on two popular datasets in dialogue emotion detection and relevant experimental results verified the model's superiority.