SegDINO: Introducing Multi-Scale Structure into DINO for Efficient Medical Image Segmentation

Self-supervised DINO models provide strong transferable visual representations, yet applying them directly to image segmentation remains challenging. Existing approaches commonly rely on heavy decoders with complex upsampling, introducing substantial parameter and computational overhead. We observe that introducing scale into DINO features is far more critical than increasing decoder capacity. In this work, we present SegDINO, an efficient segmentation framework that integrates a DINOv3 backbone with lightweight scale modeling. SegDINO introduces Token Pyramid Adaptation (TPA) to reorganize intermediate DINO features into a pseudo multi-scale hierarchy, and Scale-Aware Decoding (SAD) for efficient intra-scale refinement and top-down multi-scale propagation. We further curate PanCT, a new CT dataset containing 284 patients with expert-annotated pancreatic tumors, to assess SegDINO's ability to handle difficult small-lesion cases. Extensive experiments on PanCT and three public benchmarks demonstrate that SegDINO achieves state-of-the-art results with high efficiency. The code is available at https://github.com/script-Yang/segdino_v2.

SCOPE: Simulating Cross-game Operations in Playable Environments for FPS World Models

Interactive world models for first-person shooter (FPS) games must resolve high-frequency overlapping control signals at every frame without disrupting unaffected regions. Existing methods inject actions globally and train on single titles, failing under dense FPS inputs. We observe that FPS actions are spatially selective: discrete events such as firing or reloading affect only a localized region around the weapon (the scope), while continuous camera and movement signals govern stable surroundings. We propose SCOPE, which inserts a conditioning module into each transformer block of a pretrained video diffusion model. It reshapes features into per-pixel temporal sequences so that each position computes its action response from local visual content. This separates in-scope effects from out-of-scope generation without segmentation labels. We also introduce CrossFPS, the first multi-game FPS dataset with frame-aligned action telemetry. It comprises 69K clips from 7 titles with 10-DoF controller signals, curated to remove gameplay bias. The model learns general visual-to-action mappings rather than game-specific patterns, enabling zero-shot transfer to unseen scenes. Experiments confirm strong action responsiveness, precise scope separation, and effective cross-game generalization.

EchoPilot: Training-Free Ultrasound Video Segmentation via Scale-Space Semantic Prompting and Reliability-Gated Memory

Ultrasound video segmentation is clinically valuable yet difficult due to speckle noise, weak boundaries, and rapid anatomical deformation. Recent promptable foundation models enable point-guided segmentation, but their direct deployment in ultrasound remains unreliable: a single point provides insufficient spatial context to resolve scale ambiguity, and greedy memory updates amplify early errors into severe temporal drift. We present EchoPilot, a training-free framework for ultrasound video segmentation under sparse first-frame interaction, requiring only a single point click and an anatomical category name. EchoPilot orchestrates a frozen medical vision-language model (VLM) for semantic localization, a vision foundation model (VFM) for dense geometric feature extraction, and a promptable video segmentor for mask prediction and propagation. To resolve initialization ambiguity, we propose Scale-Space Semantic Prompting, which first selects an optimal contextual view via a parameter-free S.E.E.D. (Semantic Energy-Entropy Density) criterion, and then synthesizes geometrically precise auxiliary point prompts from dense foundation features without additional user interaction. To reduce propagation drift, a Reliability-Gated Memory update is further introduced to selectively freeze the segmentor's memory bank under uncertain predictions, preventing error accumulation. We also contribute the first dynamic fetal placenta ultrasound video segmentation dataset with 671 annotated frames. Across three ultrasound video datasets, EchoPilot achieves state-of-the-art performance under the sparse-interactive setting, consistently outperforming training-free baselines and finetuned specialists.

GenEvolve: Self-Evolving Image Generation Agents via Tool-Orchestrated Visual Experience Distillation

Open-ended image generation is no longer a simple prompt-to-image problem. High-quality generation often requires an agent to combine a model's internal generative ability with external resources. As requests become more diverse and demanding, we aim to develop a general image-generation agent that can self-evolve through trajectories and use tools more effectively across varied generation challenges. To this end, we propose GenEvolve, a self-evolving framework based on Tool-Orchestrated Visual Experience Distillation. In GenEvolve, each generation attempt is modeled as a tool-orchestrated trajectory, where the agent gathers evidence, selects references, invokes generation skills, and composes them into a prompt-reference program. Unlike existing agentic generation methods that mainly rely on image-level scalar rewards, GenEvolve compares multiple trajectories for the same request and abstracts best-worst differences into structured visual experience, provided only to a privileged teacher branch. Inspired by on-policy self-distillation, Visual Experience Distillation provides dense token-level supervision, helping the student internalize better search, knowledge activation, reference selection, and prompt construction. We further construct GenEvolve-Data and GenEvolve-Bench. Experiments on public benchmarks and GenEvolve-Bench show substantial gains over strong baselines, achieving state-of-the-art performance among current image-generation frameworks. Our website is as follows: https://ephemeral182.github.io/GenEvolve/

Incantation: Natural Language as the Action Interface for Multi-Entity Video World Models

Modern interactive video world models have achieved impressive visual fidelity, yet lack fine-grained multi-entity control and cross-entity, cross-world generalization. We trace this gap to the action interface: standard control protocols (e.g. animation IDs, device inputs, scene-level captions) bind action semantics to specific entities or engines at design time. We propose natural language as the interface to unlock expressiveness that no prior interface can achieve, and we present Incantation, the first interactive video world model with per-latent-frame (0.25 s) natural-language conditioning that supports simultaneous multi-entity control and concept-level cross-entity transfer beyond any fixed rendering pipeline. We pair a pretrained bidirectional video backbone with frame-local text cross-attention, and enable real-time long-horizon streaming through ODE-initialized Self-Forcing distillation with a RoPE-decoupled sliding KV-cache. We surpass the Action-Index baseline on cross-entity transfer (89% vs. 43%) and out-of-vocabulary prompts (90% vs. 0%), and our 2-step student sustains 19.7 FPS at 480p with stable FVD over 2-hour rollouts. We further apply the same architecture and training recipe to The King of Fighters, changing only the per-entity action vocabulary slots. We have released a preview subset of the Incantation dataset at https://huggingface.co/datasets/zhush/incantation-elden-ring-scenes, containing manually collected Elden Ring player-boss combat clips with structured action-oriented metadata. Larger-scale Elden Ring and KOF data will be released with the full project.

SegRap2025: A Benchmark of Gross Tumor Volume and Lymph Node Clinical Target Volume Segmentation for Radiotherapy Planning of Nasopharyngeal Carcinoma

Accurate delineation of Gross Tumor Volume (GTV), Lymph Node Clinical Target Volume (LN CTV), and Organ-at-Risk (OAR) from Computed Tomography (CT) scans is essential for precise radiotherapy planning in Nasopharyngeal Carcinoma (NPC). Building upon SegRap2023, which focused on OAR and GTV segmentation using single-center paired non-contrast CT (ncCT) and contrast-enhanced CT (ceCT) scans, the SegRap2025 challenge aims to enhance the generalizability and robustness of segmentation models across imaging centers and modalities. SegRap2025 comprises two tasks: Task01 addresses GTV segmentation using paired CT from the SegRap2023 dataset, with an additional external testing set to evaluate cross-center generalization, and Task02 focuses on LN CTV segmentation using multi-center training data and an unseen external testing set, where each case contains paired CT scans or a single modality, emphasizing both cross-center and cross-modality robustness. This paper presents the challenge setup and provides a comprehensive analysis of the solutions submitted by ten participating teams. For GTV segmentation task, the top-performing models achieved average Dice Similarity Coefficient (DSC) of 74.61% and 56.79% on the internal and external testing cohorts, respectively. For LN CTV segmentation task, the highest average DSC values reached 60.24%, 60.50%, and 57.23% on paired CT, ceCT-only, and ncCT-only subsets, respectively. SegRap2025 establishes a large-scale multi-center, multi-modality benchmark for evaluating the generalization and robustness in radiotherapy target segmentation, providing valuable insights toward clinically applicable automated radiotherapy planning systems. The benchmark is available at: https://hilab-git.github.io/SegRap2025_Challenge.

Toward Real-World High-Precision Image Matting and Segmentation

High-precision scene parsing tasks, including image matting and dichotomous segmentation, aim to accurately predict masks with extremely fine details (such as hair). Most existing methods focus on salient, single foreground objects. While interactive methods allow for target adjustment, their class-agnostic design restricts generalization across different categories. Furthermore, the scarcity of high-quality annotation has led to a reliance on inharmonious synthetic data, resulting in poor generalization to real-world scenarios. To this end, we propose a Foreground Consistent Learning model, dubbed as FCLM, to address the aforementioned issues. Specifically, we first introduce a Depth-Aware Distillation strategy where we transfer the depth-related knowledge for better foreground representation. Considering the data dilemma, we term the processing of synthetic data as domain adaptation problem where we propose a domain-invariant learning strategy to focus on foreground learning. To support interactive prediction, we contribute an Object-Oriented Decoder that can receive both visual and language prompts to predict the referring target. Experimental results show that our method quantitatively and qualitatively outperforms SOTA methods.

VQ-Seg: Vector-Quantized Token Perturbation for Semi-Supervised Medical Image Segmentation

Consistency learning with feature perturbation is a widely used strategy in semi-supervised medical image segmentation. However, many existing perturbation methods rely on dropout, and thus require a careful manual tuning of the dropout rate, which is a sensitive hyperparameter and often difficult to optimize and may lead to suboptimal regularization. To overcome this limitation, we propose VQ-Seg, the first approach to employ vector quantization (VQ) to discretize the feature space and introduce a novel and controllable Quantized Perturbation Module (QPM) that replaces dropout. Our QPM perturbs discrete representations by shuffling the spatial locations of codebook indices, enabling effective and controllable regularization. To mitigate potential information loss caused by quantization, we design a dual-branch architecture where the post-quantization feature space is shared by both image reconstruction and segmentation tasks. Moreover, we introduce a Post-VQ Feature Adapter (PFA) to incorporate guidance from a foundation model (FM), supplementing the high-level semantic information lost during quantization. Furthermore, we collect a large-scale Lung Cancer (LC) dataset comprising 828 CT scans annotated for central-type lung carcinoma. Extensive experiments on the LC dataset and other public benchmarks demonstrate the effectiveness of our method, which outperforms state-of-the-art approaches. Code available at: https://github.com/script-Yang/VQ-Seg.

K-Stain: Keypoint-Driven Correspondence for H&E-to-IHC Virtual Staining

Virtual staining offers a promising method for converting Hematoxylin and Eosin (H&E) images into Immunohistochemical (IHC) images, eliminating the need for costly chemical processes. However, existing methods often struggle to utilize spatial information effectively due to misalignment in tissue slices. To overcome this challenge, we leverage keypoints as robust indicators of spatial correspondence, enabling more precise alignment and integration of structural details in synthesized IHC images. We introduce K-Stain, a novel framework that employs keypoint-based spatial and semantic relationships to enhance synthesized IHC image fidelity. K-Stain comprises three main components: (1) a Hierarchical Spatial Keypoint Detector (HSKD) for identifying keypoints in stain images, (2) a Keypoint-aware Enhancement Generator (KEG) that integrates these keypoints during image generation, and (3) a Keypoint Guided Discriminator (KGD) that improves the discriminator's sensitivity to spatial details. Our approach leverages contextual information from adjacent slices, resulting in more accurate and visually consistent IHC images. Extensive experiments show that K-Stain outperforms state-of-the-art methods in quantitative metrics and visual quality.

Toward Medical Deepfake Detection: A Comprehensive Dataset and Novel Method

The rapid advancement of generative AI in medical imaging has introduced both significant opportunities and serious challenges, especially the risk that fake medical images could undermine healthcare systems. These synthetic images pose serious risks, such as diagnostic deception, financial fraud, and misinformation. However, research on medical forensics to counter these threats remains limited, and there is a critical lack of comprehensive datasets specifically tailored for this field. Additionally, existing media forensic methods, which are primarily designed for natural or facial images, are inadequate for capturing the distinct characteristics and subtle artifacts of AI-generated medical images. To tackle these challenges, we introduce \textbf{MedForensics}, a large-scale medical forensics dataset encompassing six medical modalities and twelve state-of-the-art medical generative models. We also propose \textbf{DSKI}, a novel \textbf{D}ual-\textbf{S}tage \textbf{K}nowledge \textbf{I}nfusing detector that constructs a vision-language feature space tailored for the detection of AI-generated medical images. DSKI comprises two core components: 1) a cross-domain fine-trace adapter (CDFA) for extracting subtle forgery clues from both spatial and noise domains during training, and 2) a medical forensic retrieval module (MFRM) that boosts detection accuracy through few-shot retrieval during testing. Experimental results demonstrate that DSKI significantly outperforms both existing methods and human experts, achieving superior accuracy across multiple medical modalities.