From Text to Forecasts: Bridging Modality Gap with Temporal Evolution Semantic Space

Incorporating textual information into time-series forecasting holds promise for addressing event-driven non-stationarity; however, a fundamental modality gap hinders effective fusion: textual descriptions express temporal impacts implicitly and qualitatively, whereas forecasting models rely on explicit and quantitative signals. Through controlled semi-synthetic experiments, we show that existing methods over-attend to redundant tokens and struggle to reliably translate textual semantics into usable numerical cues. To bridge this gap, we propose TESS, which introduces a Temporal Evolution Semantic Space as an intermediate bottleneck between modalities. This space consists of interpretable, numerically grounded temporal primitives (mean shift, volatility, shape, and lag) extracted from text by an LLM via structured prompting and filtered through confidence-aware gating. Experiments on four real-world datasets demonstrate up to a 29 percent reduction in forecasting error compared to state-of-the-art unimodal and multimodal baselines. The code will be released after acceptance.

TrajAD: Trajectory Anomaly Detection for Trustworthy LLM Agents

We address the problem of runtime trajectory anomaly detection, a critical capability for enabling trustworthy LLM agents. Current safety measures predominantly focus on static input/output filtering. However, we argue that ensuring LLM agents reliability requires auditing the intermediate execution process. In this work, we formulate the task of Trajectory Anomaly Detection. The goal is not merely detection, but precise error localization. This capability is essential for enabling efficient rollback-and-retry. To achieve this, we construct TrajBench, a dataset synthesized via a perturb-and-complete strategy to cover diverse procedural anomalies. Using this benchmark, we investigate the capability of models in process supervision. We observe that general-purpose LLMs, even with zero-shot prompting, struggle to identify and localize these anomalies. This reveals that generalized capabilities do not automatically translate to process reliability. To address this, we propose TrajAD, a specialized verifier trained with fine-grained process supervision. Our approach outperforms baselines, demonstrating that specialized supervision is essential for building trustworthy agents.

DVLA-RL: Dual-Level Vision-Language Alignment with Reinforcement Learning Gating for Few-Shot Learning

Few-shot learning (FSL) aims to generalize to novel categories with only a few samples. Recent approaches incorporate large language models (LLMs) to enrich visual representations with semantic embeddings derived from class names. However, they overlook progressive and adaptive alignment between vision and language from low-level to high-level semantics, resulting in limited semantic gains. To address these challenges, we propose Dual-level Vision-Language Alignment with Reinforcement Learning gating (DVLA-RL), which consists of Dual-level Semantic Construction (DSC) and RL-gated Attention (RLA). Specifically, DSC conditions LLMs on both class names and support samples to generate discriminative attributes, progressively selects the most relevant ones, and then synthesizes them into coherent class descriptions. This process provides complementary low-level attributes and high-level descriptions, enabling both fine-grained grounding and holistic class understanding. To dynamically integrate dual-level semantics along with the visual network layers, RLA formulates cross-modal fusion as a sequential decision process. A lightweight policy trained with episodic REINFORCE adaptively adjusts the contributions of self-attention and cross-attention to integrate textual and visual tokens. As a result, shallow layers refine local attributes and deep layers emphasize global semantics, enabling more precise cross-modal alignment. This achieves class-specific discrimination and generalized representations with merely a few support samples. DVLA-RL achieves new state-of-the-art performance across nine benchmarks in three diverse FSL scenarios.

Revisiting Data Scaling Law for Medical Segmentation

The population loss of trained deep neural networks often exhibits power law scaling with the size of the training dataset, guiding significant performance advancements in deep learning applications. In this study, we focus on the scaling relationship with data size in the context of medical anatomical segmentation, a domain that remains underexplored. We analyze scaling laws for anatomical segmentation across 15 semantic tasks and 4 imaging modalities, demonstrating that larger datasets significantly improve segmentation performance, following similar scaling trends. Motivated by the topological isomorphism in images sharing anatomical structures, we evaluate the impact of deformation-guided augmentation strategies on data scaling laws, specifically random elastic deformation and registration-guided deformation. We also propose a novel, scalable image augmentation approach that generates diffeomorphic mappings from geodesic subspace based on image registration to introduce realistic deformation. Our experimental results demonstrate that both registered and generated deformation-based augmentation considerably enhance data utilization efficiency. The proposed generated deformation method notably achieves superior performance and accelerated convergence, surpassing standard power law scaling trends without requiring additional data. Overall, this work provides insights into the understanding of segmentation scalability and topological variation impact in medical imaging, thereby leading to more efficient model development with reduced annotation and computational costs.

Unveiling the Superior Paradigm: A Comparative Study of Source-Free Domain Adaptation and Unsupervised Domain Adaptation

In domain adaptation, there are two popular paradigms: Unsupervised Domain Adaptation (UDA), which aligns distributions using source data, and Source-Free Domain Adaptation (SFDA), which leverages pre-trained source models without accessing source data. Evaluating the superiority of UDA versus SFDA is an open and timely question with significant implications for deploying adaptive algorithms in practical applications. In this study, we demonstrate through predictive coding theory and extensive experiments on multiple benchmark datasets that SFDA generally outperforms UDA in real-world scenarios. Specifically, SFDA offers advantages in time efficiency, storage requirements, targeted learning objectives, reduced risk of negative transfer, and increased robustness against overfitting. Notably, SFDA is particularly effective in mitigating negative transfer when there are substantial distribution discrepancies between source and target domains. Additionally, we introduce a novel data-model fusion scenario, where data sharing among stakeholders varies (e.g., some provide raw data while others provide only models), and reveal that traditional UDA and SFDA methods do not fully exploit their potential in this context. To address this limitation and capitalize on the strengths of SFDA, we propose a novel weight estimation method that effectively integrates available source data into multi-SFDA (MSFDA) approaches, thereby enhancing model performance within this scenario. This work provides a thorough analysis of UDA versus SFDA and advances a practical approach to model adaptation across diverse real-world environments.

Improving Representation of High-frequency Components for Medical Foundation Models

Foundation models have recently attracted significant attention for their impressive generalizability across diverse downstream tasks. However, these models are demonstrated to exhibit great limitations in representing high-frequency components and fine-grained details. In many medical imaging tasks, the precise representation of such information is crucial due to the inherently intricate anatomical structures, sub-visual features, and complex boundaries involved. Consequently, the limited representation of prevalent foundation models can result in significant performance degradation or even failure in these tasks. To address these challenges, we propose a novel pretraining strategy, named Frequency-advanced Representation Autoencoder (Frepa). Through high-frequency masking and low-frequency perturbation combined with adversarial learning, Frepa encourages the encoder to effectively represent and preserve high-frequency components in the image embeddings. Additionally, we introduce an innovative histogram-equalized image masking strategy, extending the Masked Autoencoder approach beyond ViT to other architectures such as Swin Transformer and convolutional networks. We develop Frepa across nine medical modalities and validate it on 32 downstream tasks for both 2D images and 3D volume data. Without fine-tuning, Frepa can outperform other self-supervised pretraining methods and, in some cases, even surpasses task-specific trained models. This improvement is particularly significant for tasks involving fine-grained details, such as achieving up to a +15% increase in DSC for retina vessel segmentation and a +7% increase in IoU for lung nodule detection. Further experiments quantitatively reveal that Frepa enables superior high-frequency representations and preservation in the embeddings, underscoring its potential for developing more generalized and universal medical image foundation models.

SkinCAP: A Multi-modal Dermatology Dataset Annotated with Rich Medical Captions

With the widespread application of artificial intelligence (AI), particularly deep learning (DL) and vision-based large language models (VLLMs), in skin disease diagnosis, the need for interpretability becomes crucial. However, existing dermatology datasets are limited in their inclusion of concept-level meta-labels, and none offer rich medical descriptions in natural language. This deficiency impedes the advancement of LLM-based methods in dermatological diagnosis. To address this gap and provide a meticulously annotated dermatology dataset with comprehensive natural language descriptions, we introduce SkinCAP: a multi-modal dermatology dataset annotated with rich medical captions. SkinCAP comprises 4,000 images sourced from the Fitzpatrick 17k skin disease dataset and the Diverse Dermatology Images dataset, annotated by board-certified dermatologists to provide extensive medical descriptions and captions. Notably, SkinCAP represents the world's first such dataset and is publicly available at https://huggingface.co/datasets/joshuachou/SkinCAP.

Can We Treat Noisy Labels as Accurate?

Noisy labels significantly hinder the accuracy and generalization of machine learning models, particularly due to ambiguous instance features. Traditional techniques that attempt to correct noisy labels directly, such as those using transition matrices, often fail to address the inherent complexities of the problem sufficiently. In this paper, we introduce EchoAlign, a transformative paradigm shift in learning from noisy labels. Instead of focusing on label correction, EchoAlign treats noisy labels ($\tilde{Y}$) as accurate and modifies corresponding instance features ($X$) to achieve better alignment with $\tilde{Y}$. EchoAlign's core components are (1) EchoMod: Employing controllable generative models, EchoMod precisely modifies instances while maintaining their intrinsic characteristics and ensuring alignment with the noisy labels. (2) EchoSelect: Instance modification inevitably introduces distribution shifts between training and test sets. EchoSelect maintains a significant portion of clean original instances to mitigate these shifts. It leverages the distinct feature similarity distributions between original and modified instances as a robust tool for accurate sample selection. This integrated approach yields remarkable results. In environments with 30% instance-dependent noise, even at 99% selection accuracy, EchoSelect retains nearly twice the number of samples compared to the previous best method. Notably, on three datasets, EchoAlign surpasses previous state-of-the-art techniques with a substantial improvement.

Adapting Large Multimodal Models to Distribution Shifts: The Role of In-Context Learning

Recent studies indicate that large multimodal models (LMMs) are highly robust against natural distribution shifts, often surpassing previous baselines. Despite this, domain-specific adaptation is still necessary, particularly in specialized areas like healthcare. Due to the impracticality of fine-tuning LMMs given their vast parameter space, this work investigates in-context learning (ICL) as an effective alternative for enhancing LMMs' adaptability. We find that the success of ICL heavily relies on the choice of demonstration, mirroring challenges seen in large language models but introducing unique complexities for LMMs facing distribution shifts. Our study addresses this by evaluating an unsupervised ICL method, TopKNearestPR, which selects in-context examples through a nearest example search based on feature similarity. We uncover that its effectiveness is limited by the deficiencies of pre-trained vision encoders under distribution shift scenarios. To address these challenges, we propose InvariantSelectPR, a novel method leveraging Class-conditioned Contrastive Invariance (CCI) for more robust demonstration selection. Specifically, CCI enhances pre-trained vision encoders by improving their discriminative capabilities across different classes and ensuring invariance to domain-specific variations. This enhancement allows the encoders to effectively identify and retrieve the most informative examples, which are then used to guide LMMs in adapting to new query samples under varying distributions. Our experiments show that InvariantSelectPR substantially improves the adaptability of LMMs, achieving significant performance gains on benchmark datasets, with a 34.2%$\uparrow$ accuracy increase in 7-shot on Camelyon17 and 16.9%$\uparrow$ increase in 7-shot on HAM10000 compared to the baseline zero-shot performance.

CLIP-driven Outliers Synthesis for few-shot OOD detection

Few-shot OOD detection focuses on recognizing out-of-distribution (OOD) images that belong to classes unseen during training, with the use of only a small number of labeled in-distribution (ID) images. Up to now, a mainstream strategy is based on large-scale vision-language models, such as CLIP. However, these methods overlook a crucial issue: the lack of reliable OOD supervision information, which can lead to biased boundaries between in-distribution (ID) and OOD. To tackle this problem, we propose CLIP-driven Outliers Synthesis~(CLIP-OS). Firstly, CLIP-OS enhances patch-level features' perception by newly proposed patch uniform convolution, and adaptively obtains the proportion of ID-relevant information by employing CLIP-surgery-discrepancy, thus achieving separation between ID-relevant and ID-irrelevant. Next, CLIP-OS synthesizes reliable OOD data by mixing up ID-relevant features from different classes to provide OOD supervision information. Afterward, CLIP-OS leverages synthetic OOD samples by unknown-aware prompt learning to enhance the separability of ID and OOD. Extensive experiments across multiple benchmarks demonstrate that CLIP-OS achieves superior few-shot OOD detection capability.