Seeing What Matters: Lesion-Aware High-Resolution Patch Discovery and Fusion for Chest X-ray Report Generation

Despite rapid advances in chest X-ray (CXR) foundation models, most radiology report generation (RRG) systems still rely on heavily downsampled inputs (e.g., 256x256) due to the fixed visual token budgets of pretrained vision encoders, suppressing subtle yet clinically important cues present in native-resolution images. However, enabling high-resolution (high-res) perception remains challenging: naive tiling causes prohibitive token inflation, while global compression suppresses subtle lesions and degrades diagnostic fidelity. Inspired by radiologists' workflow, localizing suspicious regions before detailed high-res assessment. We propose Lesion-Aware High-Resolution Patch Discovery and Fusion for Chest X-ray Reporting (LePaX), the first RRG framework that enables efficient high-res CXR perception (up to 1920x1920) without increasing the vision-token count. LePaX formulates high-res perception as a constrained spatial resolution allocation problem under a fixed token budget and introduces two key components: Learnable Spatial Resolution Allocation (LSRA), which learns a spatial utility map that adaptively allocates limited high-res capacity to diagnostically relevant regions, enabling targeted extraction of high-res patches from native CXRs; and Global-Regional Fusion (GRF), which performs token-preserving region-to-global refinement by projecting high-resolution regional evidence back onto the global feature grid through spatially aligned resolution write-back, avoiding token inflation. Experiments on multiple CXR benchmarks demonstrate that LePaX consistently improves both clinical and linguistic metrics while enabling native-resolution CXR perception with over 10x fewer visual tokens than naive high-res tiling.

Remember Me: Bridging the Long-Range Gap in LVLMs with Three-Step Inference-Only Decay Resilience Strategies

Large Vision-Language Models (LVLMs) have achieved impressive performance across a wide range of multimodal tasks. However, they still face critical challenges in modeling long-range dependencies under the usage of Rotary Positional Encoding (ROPE). Although it can facilitate precise modeling of token positions, it induces progressive attention decay as token distance increases, especially with progressive attention decay over distant token pairs, which severely impairs the model's ability to remember global context. To alleviate this issue, we propose inference-only Three-step Decay Resilience Strategies (T-DRS), comprising (1) Semantic-Driven DRS (SD-DRS), amplifying semantically meaningful but distant signals via content-aware residuals, (2) Distance-aware Control DRS (DC-DRS), which can purify attention by smoothly modulating weights based on positional distances, suppressing noise while preserving locality, and (3) re-Reinforce Distant DRS (reRD-DRS), consolidating the remaining informative remote dependencies to maintain global coherence. Together, the T-DRS recover suppressed long-range token pairs without harming local inductive biases. Extensive experiments on Vision Question Answering (VQA) benchmarks demonstrate that T-DRS can consistently improve performance in a training-free manner. The code can be accessed in https://github.com/labixiaoq-qq/Remember-me

NCL-CIR: Noise-aware Contrastive Learning for Composed Image Retrieval

Composed Image Retrieval (CIR) seeks to find a target image using a multi-modal query, which combines an image with modification text to pinpoint the target. While recent CIR methods have shown promise, they mainly focus on exploring relationships between the query pairs (image and text) through data augmentation or model design. These methods often assume perfect alignment between queries and target images, an idealized scenario rarely encountered in practice. In reality, pairs are often partially or completely mismatched due to issues like inaccurate modification texts, low-quality target images, and annotation errors. Ignoring these mismatches leads to numerous False Positive Pair (FFPs) denoted as noise pairs in the dataset, causing the model to overfit and ultimately reducing its performance. To address this problem, we propose the Noise-aware Contrastive Learning for CIR (NCL-CIR), comprising two key components: the Weight Compensation Block (WCB) and the Noise-pair Filter Block (NFB). The WCB coupled with diverse weight maps can ensure more stable token representations of multi-modal queries and target images. Meanwhile, the NFB, in conjunction with the Gaussian Mixture Model (GMM) predicts noise pairs by evaluating loss distributions, and generates soft labels correspondingly, allowing for the design of the soft-label based Noise Contrastive Estimation (NCE) loss function. Consequently, the overall architecture helps to mitigate the influence of mismatched and partially matched samples, with experimental results demonstrating that NCL-CIR achieves exceptional performance on the benchmark datasets.