PathNavigate: A Training-Free Pathology Agent with Surprise-Guided Scan and Shared Slide Memory for Whole-Slide Image VQA

Whole-slide image visual question answering (WSI-VQA) frames pathology as an extreme-context search problem: to answer a free-form clinical query, a system must first navigate a gigapixel slide under a strict inspection budget to locate sparse, high-resolution evidence. Existing approaches largely fall into two paradigms: i) supervised pathology multimodal large language models (MLLMs) and agents can absorb localization and reasoning into learned modules, but they often couple navigation to task-specific supervision and retraining, limiting their practicality; ii) training-free pathology agents avoid this cost by keeping core models frozen, but often follow a question-first design, constructing the initial candidate set mainly from query-conditioned relevance. This can miss decisive morphology that is not named in the question, and force heavier inference-time scaffolding. To address this challenge, we introduce PathNavigate, a training-free pathology agent built around a scan-search-readout routine. Before question matching, PathNavigate scans the current slide at low magnification with a shared online memory module over frozen pathology features, producing a slide-specific surprise field that marks an abnormal-region pool. It then applies question-conditioned PLIP relevance only within this pool to select high-magnification search targets. Finally, it extracts local high-magnification evidence and answers with a frozen perceptor-adjudicator stack, using the same online memory as slide-level context. Experiments on WSI-VQA and SlideBench-BCNB show that the proposed scan-search-readout design improves answer accuracy and yields more interpretable evidence-selection trajectories with higher efficiency.The code is available online.

Thinking in Scales: Accelerating Gigapixel Pathology Image Analysis via Adaptive Continuous Reasoning

Traditional whole slide image (WSI) analysis methods typically rely on the multiple instance learning (MIL) paradigm, which extracts patch-level features at high magnification and aggregates them for slide-level prediction. However, such exhaustive patch-level processing is computationally expensive, severely limiting the efficiency and scalability of WSI analysis. To address this challenge, we propose PathCTM (a Pathology-oriented Continuous Thought Model) that enables token-efficient scale-space continuous reasoning for gigapixel WSIs. PathCTM formulates diagnostic inference as a dynamic sequential information pursuit. It progressively transitions from low-magnification global to high-magnification local inspection, and adaptively terminates inference when sufficient evidence is gathered to effectively bound decision uncertainty. Specifically, it uses conditional computation for dynamic scale switching with attention-guided region pruning, coupled with confidence-aware early stopping. Extensive experiments demonstrate that, compared with standard MIL-based methods, PathCTM reduces the number of required image patches by 95.95% and shortens inference time by approximately 95.62%, while maintaining AUC without degradation. Code is available at https://github.com/JSGe-AI/PathCTM.

Vision Transformers for Preoperative CT-Based Prediction of Histopathologic Chemotherapy Response Score in High-Grade Serous Ovarian Carcinoma

Purpose. High-grade serous ovarian carcinoma (HGSOC) is characterized by pronounced biological and spatial heterogeneity and is frequently diagnosed at an advanced stage. Neoadjuvant chemotherapy (NACT) followed by delayed primary surgery is commonly employed in patients unsuitable for primary cytoreduction. The Chemotherapy Response Score (CRS) is a validated histopathological biomarker of response to NACT, but it is only available postoperatively. In this study, we investigate whether pre-treatment computed tomography (CT) imaging and clinical data can be used to predict CRS as an investigational decision-support adjunct to inform multidisciplinary team (MDT) discussions regarding expected treatment response. Methods. We proposed a 2.5D multimodal deep learning framework that processes lesion-dense omental slices using a pre-trained Vision Transformer encoder and integrates the resulting visual representations with clinical variables through an intermediate fusion module to predict CRS. Results. Our multimodal model, integrating imaging and clinical data, achieved a ROC-AUC of 0.95 alongside 95% accuracy and 80% precision on the internal test cohort (IEO, n=41 patients). On the external test set (OV04, n=70 patients), it achieved a ROC-AUC of 0.68, alongside 67% accuracy and 75% precision. Conclusion. These preliminary results demonstrate the feasibility of transformer-based deep learning for preoperative prediction of CRS in HGSOC using routine clinical data and CT imaging. As an investigational, pre-treatment decision-support tool, this approach may assist MDT discussions by providing early, non-invasive estimates of treatment response.

PCodeTrans: Translate Decompiled Pseudocode to Compilable and Executable Equivalent

Decompilation is foundational to binary analysis, yet conventional tools prioritize human readability over strict recompilability and verifiable runtime correctness. While recent LLM-based approaches attempt to refine decompiled pseudocode, they typically either optimize solely for readability or rely on static analysis for evaluation. This makes them prone to "semantic hallucinations" that compromise accuracy and fail to resolve actual runtime failures. For critical tasks like software modernization and vulnerability remediation, recovered code must not only compile but replicate the original binary's behavior. We present PCodeTrans, a feedback-driven framework that bridges the gap between decompilation, recompilation, and rigorous function-level dynamic validation. After extracting a minimal yet coherent context to guarantee recompilability, PCodeTrans employs an in situ substitutable engine to hot-swap the compiled function directly into the unmodified binary, natively preserving its authentic execution context and global dependencies. Guided by fine-grained differential tracing, PCodeTrans generates precise runtime feedback to iteratively guide an LLM in repairing semantic discrepancies. Evaluated on Coreutils and Binutils, PCodeTrans achieves unprecedented recovery performance when rectifying raw Hex-Rays outputs, attaining 100% function-level compilability on unstripped binaries alongside 99.55% and 99.89% test-validated behavioral consistency, respectively. In doing so, it resolves 76.56% and 79.74% of logic errors exposed by official test suites. Exhibiting exceptional resilience, PCodeTrans maintains over 96% behavioral consistency even on fully stripped binaries. By significantly outperforming all existing baselines, PCodeTrans paves a practical path to reliably translate decompiled pseudocode into compilable and executable equivalents.

CARE: A Molecular-Guided Foundation Model with Adaptive Region Modeling for Whole Slide Image Analysis

Foundation models have recently achieved impressive success in computational pathology, demonstrating strong generalization across diverse histopathology tasks. However, existing models overlook the heterogeneous and non-uniform organization of pathological regions of interest (ROIs) because they rely on natural image backbones not tailored for tissue morphology. Consequently, they often fail to capture the coherent tissue architecture beyond isolated patches, limiting interpretability and clinical relevance. To address these challenges, we present Cross-modal Adaptive Region Encoder (CARE), a foundation model for pathology that automatically partitions WSIs into several morphologically relevant regions. Specifically, CARE employs a two-stage pretraining strategy: (1) a self-supervised unimodal pretraining stage that learns morphological representations from 34,277 whole-slide images (WSIs) without segmentation annotations, and (2) a cross-modal alignment stage that leverages RNA and protein profiles to refine the construction and representation of adaptive regions. This molecular guidance enables CARE to identify biologically relevant patterns and generate irregular yet coherent tissue regions, selecting the most representative area as ROI. CARE supports a broad range of pathology-related tasks, using either the ROI feature or the slide-level feature obtained by aggregating adaptive regions. Based on only one-tenth of the pretraining data typically used by mainstream foundation models, CARE achieves superior average performance across 33 downstream benchmarks, including morphological classification, molecular prediction, and survival analysis, and outperforms other foundation model baselines overall.

SecCodeBench-V2 Technical Report

We introduce SecCodeBench-V2, a publicly released benchmark for evaluating Large Language Model (LLM) copilots' capabilities of generating secure code. SecCodeBench-V2 comprises 98 generation and fix scenarios derived from Alibaba Group's industrial productions, where the underlying security issues span 22 common CWE (Common Weakness Enumeration) categories across five programming languages: Java, C, Python, Go, and Node.js. SecCodeBench-V2 adopts a function-level task formulation: each scenario provides a complete project scaffold and requires the model to implement or patch a designated target function under fixed interfaces and dependencies. For each scenario, SecCodeBench-V2 provides executable proof-of-concept (PoC) test cases for both functional validation and security verification. All test cases are authored and double-reviewed by security experts, ensuring high fidelity, broad coverage, and reliable ground truth. Beyond the benchmark itself, we build a unified evaluation pipeline that assesses models primarily via dynamic execution. For most scenarios, we compile and run model-generated artifacts in isolated environments and execute PoC test cases to validate both functional correctness and security properties. For scenarios where security issues cannot be adjudicated with deterministic test cases, we additionally employ an LLM-as-a-judge oracle. To summarize performance across heterogeneous scenarios and difficulty levels, we design a Pass@K-based scoring protocol with principled aggregation over scenarios and severity, enabling holistic and comparable evaluation across models. Overall, SecCodeBench-V2 provides a rigorous and reproducible foundation for assessing the security posture of AI coding assistants, with results and artifacts released at https://alibaba.github.io/sec-code-bench. The benchmark is publicly available at https://github.com/alibaba/sec-code-bench.

A Systematic Review on Data-Driven Brain Deformation Modeling for Image-Guided Neurosurgery

Accurate compensation of brain deformation is a critical challenge for reliable image-guided neurosurgery, as surgical manipulation and tumor resection induce tissue motion that misaligns preoperative planning images with intraoperative anatomy and longitudinal studies. In this systematic review, we synthesize recent AI-driven approaches developed between January 2020 and April 2025 for modeling and correcting brain deformation. A comprehensive literature search was conducted in PubMed, IEEE Xplore, Scopus, and Web of Science, with predefined inclusion and exclusion criteria focused on computational methods applied to brain deformation compensation for neurosurgical imaging, resulting in 41 studies meeting these criteria. We provide a unified analysis of methodological strategies, including deep learning-based image registration, direct deformation field regression, synthesis-driven multimodal alignment, resection-aware architectures addressing missing correspondences, and hybrid models that integrate biomechanical priors. We also examine dataset utilization, reported evaluation metrics, validation protocols, and how uncertainty and generalization have been assessed across studies. While AI-based deformation models demonstrate promising performance and computational efficiency, current approaches exhibit limitations in out-of-distribution robustness, standardized benchmarking, interpretability, and readiness for clinical deployment. Our review highlights these gaps and outlines opportunities for future research aimed at achieving more robust, generalizable, and clinically translatable deformation compensation solutions for neurosurgical guidance. By organizing recent advances and critically evaluating evaluation practices, this work provides a comprehensive foundation for researchers and clinicians engaged in developing and applying AI-based brain deformation methods.

HAAF: Hierarchical Adaptation and Alignment of Foundation Models for Few-Shot Pathology Anomaly Detection

Precision pathology relies on detecting fine-grained morphological abnormalities within specific Regions of Interest (ROIs), as these local, texture-rich cues - rather than global slide contexts - drive expert diagnostic reasoning. While Vision-Language (V-L) models promise data efficiency by leveraging semantic priors, adapting them faces a critical Granularity Mismatch, where generic representations fail to resolve such subtle defects. Current adaptation methods often treat modalities as independent streams, failing to ground semantic prompts in ROI-specific visual contexts. To bridge this gap, we propose the Hierarchical Adaptation and Alignment Framework (HAAF). At its core is a novel Cross-Level Scaled Alignment (CLSA) mechanism that enforces a sequential calibration order: visual features first inject context into text prompts to generate content-adaptive descriptors, which then spatially guide the visual encoder to spotlight anomalies. Additionally, a dual-branch inference strategy integrates semantic scores with geometric prototypes to ensure stability in few-shot settings. Experiments on four benchmarks show HAAF significantly outperforms state-of-the-art methods and effectively scales with domain-specific backbones (e.g., CONCH) in low-resource scenarios.

Unleashing the True Potential of LLMs: A Feedback-Triggered Self-Correction with Long-Term Multipath Decoding

Large Language Models (LLMs) have achieved remarkable performance across diverse tasks, yet their susceptibility to generating incorrect content during inference remains a critical unsolved challenge. While self-correction methods offer potential solutions, their effectiveness is hindered by two inherent limitations: (1) the absence of reliable guidance signals for error localization, and (2) the restricted reasoning depth imposed by conventional next-token decoding paradigms. To address these issues, we propose Feedback-Triggered Regeneration (FTR), a novel framework that synergizes user feedback with enhanced decoding dynamics. Specifically, FTR activates response regeneration only upon receiving negative user feedback, thereby circumventing error propagation from faulty self-assessment while preserving originally correct outputs. Furthermore, we introduce Long-Term Multipath (LTM) decoding, which enables systematic exploration of multiple reasoning trajectories through delayed sequence evaluation, effectively overcoming the myopic decision-making characteristic of standard next-token prediction. Extensive experiments on mathematical reasoning and code generation benchmarks demonstrate that our framework achieves consistent and significant improvements over state-of-the-art prompt-based self-correction methods.

Integrating Pathology and CT Imaging for Personalized Recurrence Risk Prediction in Renal Cancer

Recurrence risk estimation in clear cell renal cell carcinoma (ccRCC) is essential for guiding postoperative surveillance and treatment. The Leibovich score remains widely used for stratifying distant recurrence risk but offers limited patient-level resolution and excludes imaging information. This study evaluates multimodal recurrence prediction by integrating preoperative computed tomography (CT) and postoperative histopathology whole-slide images (WSIs). A modular deep learning framework with pretrained encoders and Cox-based survival modeling was tested across unimodal, late fusion, and intermediate fusion setups. In a real-world ccRCC cohort, WSI-based models consistently outperformed CT-only models, underscoring the prognostic strength of pathology. Intermediate fusion further improved performance, with the best model (TITAN-CONCH with ResNet-18) approaching the adjusted Leibovich score. Random tie-breaking narrowed the gap between the clinical baseline and learned models, suggesting discretization may overstate individualized performance. Using simple embedding concatenation, radiology added value primarily through fusion. These findings demonstrate the feasibility of foundation model-based multimodal integration for personalized ccRCC risk prediction. Future work should explore more expressive fusion strategies, larger multimodal datasets, and general-purpose CT encoders to better match pathology modeling capacity.