INFANiTE: Implicit Neural representation for high-resolution Fetal brain spatio-temporal Atlas learNing from clinical Thick-slicE MRI

Spatio-temporal fetal brain atlases are important for characterizing normative neurodevelopment and identifying congenital anomalies. However, existing atlas construction pipelines necessitate days for slice-to-volume reconstruction (SVR) to generate high-resolution 3D brain volumes and several additional days for iterative volume registration, thereby rendering atlas construction from large-scale cohorts prohibitively impractical. We address these limitations with INFANiTE, an Implicit Neural Representation (INR) framework for high-resolution Fetal brain spatio-temporal Atlas learNing from clinical Thick-slicE MRI scans, bypassing both the costly SVR and the iterative non-rigid registration steps entirely, thereby substantially accelerating atlas construction. Extensive experiments demonstrate that INFANiTE outperforms existing baselines in subject consistency, reference fidelity, intrinsic quality and biological plausibility, even under challenging sparse-data settings. Additionally, INFANiTE reduces the end-to-end processing time (i.e., from raw scans to the final atlas) from days to hours compared to the traditional 3D volume-based pipeline (e.g., SyGN), facilitating large-scale population-level fetal brain analysis. Our code is publicly available at: https://anonymous.4open.science/r/INFANiTE-5D74

Any2Any 3D Diffusion Models with Knowledge Transfer: A Radiotherapy Planning Study

Voxel-wise dose prediction is a critical yet challenging task in practical radiotherapy (RT) planning, as bespoke models trained from scratch often struggle to generalize across diverse clinical settings. Meanwhile, generative models trained on billion-scale datasets from vision domains have achieved impressive performance. Herein, we propose DiffKT3D, a unified Any2Any 3D diffusion framework that leverages prior knowledge from pretrained video diffusion models for efficient and clinically meaningful dose prediction. To enable flexible conditioning across multiple clinical modalities (CT, anatomical structures, body, beam settings, etc.), we introduce an Any2Any conditional paradigm utilizing modality-specific embeddings without cross-attention overhead. Further, we design a novel reinforcement learning (RL) post-training mechanism guided by a clinically-informed Scorecard explicitly tailored to institutional treatment preferences. Compared with winner of GDP-HMM challenge, DiffKT3D sets a new state-of-the-art in dose prediction by reducing voxel-level MAE from 2.07 to 1.93. In addition, DiffKT3D achieves superior image quality and preference match. These results demonstrate that transferring diffusion priors via modality-aware conditioning and clinically aligned RL post-training can provide a robust and generalizable solution for RT planning across various clinical scenarios.

Annotation-free deep learning for detection and segmentation of fetal germinal matrix-intraventricular hemorrhage in brain MRI

Background: Prenatal germinal matrix-intraventricular hemorrhage (GMH-IVH) is a leading cause of infant mortality and neurodevelopmental impairment. Manual diagnosis and lesion segmentation are labor-intensive and error-prone. Deep learning models offer potential for automation but typically require large annotated datasets, which are challenging to obtain. Purpose: To develop and validate an annotation-free deep learning framework for automated detection and segmentation of GMH-IVH on brain MRI. Materials and Methods: This retrospective study analyzed 2D T2-weighted MRI data from pregnant women collected from October 2015 to October 2023 at one hospital (internal validation) and two hospitals (external validation). Eligible participants included healthy fetuses and those with GMH-IVH. FreeHemoSeg was developed and trained using pseudo GMH-IVH images synthesized from normal fetal data guided by medical priors. Primary outcomes included diagnostic accuracy (area under the ROC curve [AUROC], sensitivity, specificity) and segmentation accuracy (Dice similarity coefficient [DSC]). A reader study evaluated clinical utility. Results: A total of 1674 stacks from 558 pregnant women were analyzed. FreeHemoSeg achieved the highest performance in both internal (sensitivity: 0.914, 95% CI 0.869-0.945; specificity: 0.966, 95% CI 0.946-0.978; DSC: 0.559, 95% CI 0.546-0.571) and external validation (sensitivity: 0.824, 95% CI 0.739-0.885; specificity: 0.943, 95% CI 0.913-0.964; DSC: 0.512, 95% CI 0.497-0.526), outperforming supervised and unsupervised methods. FreeHemoSeg assistance improved radiologists' sensitivity (from 0.882 to 0.941-1.000) and diagnostic confidence while reducing interpretation time by 16.0-52.7%. Conclusion: FreeHemoSeg accurately detects and localizes fetal brain hemorrhages without annotated training data, enabling earlier diagnosis and supporting timely clinical management.

EXACT: an explainable anomaly-aware vision foundation model for analysis of 3D chest CT

Chest computed tomography (CT) is central to the detection and management of thoracic disease, yet the growing scale and complexity of volumetric imaging increasingly exceed what can be addressed by scan-level prediction alone. Clinically useful AI for CT must not only recognize disease across the whole volume, but also localize abnormalities and provide interpretable visual evidence. Existing vision-language foundation models typically compress scans and reports into global image-text representations, limiting their ability to preserve spatial evidence and support clinically meaningful interpretation. Here we developed EXACT, an explainable anomaly-aware foundation model for three-dimensional chest CT that learns spatially resolved representations from paired clinical scans and radiology reports. EXACT was pre-trained on 25,692 CT-reports pairs using anatomy-aware weak supervision, jointly learning organ segmentation and multi-instance anomaly localization without manual voxel-level annotations. The resulting organ-specific anomaly-aware maps assign each voxel a disease-specific anomaly score confined to its corresponding anatomy, jointly encoding lesion extent and organ-level context. In retrospective multinational and multi-center evaluations, EXACT showed broad and consistent improvements across clinically relevant CT tasks, spanning multi-disease diagnosis, zero-shot anomaly localization, downstream adaptation, and visually grounded report generation, outperforming existing three-dimensional medical foundation models. By transforming routine clinical CT scans and free-text reports into explainable voxel-level representations, EXACT establishes a scalable paradigm for trustworthy volumetric medical AI.

DPEPO: Diverse Parallel Exploration Policy Optimization for LLM-based Agents

Large language model (LLM) agents that follow the sequential "reason-then-act" paradigm have achieved superior performance in many complex tasks.However, these methods suffer from limited exploration and incomplete environmental understanding, as they interact with only a single environment per step. In this paper, we first introduce a novel paradigm that enables an agent to interact with multiple environments simultaneously and share cross-trajectory experiences. Building upon this paradigm, we further propose DPEPO, a reinforcement learning (RL) algorithm that encourages the agent to perform diverse parallel exploration. There are two stages in DPEPO: initial supervised fine-tuning (SFT) imparts basic parallel reasoning and action generation, followed by reinforcement learning stage with a hierarchical reward scheme. We design a parallel trajectory-level success reward and two step-level rewards: Diverse Action Reward and Diverse State Transition Reward, which actively penalize behavioral redundancy and promote broad exploration. Extensive experiments on ALFWorld and ScienceWorld show that DPEPO achieves state-of-the-art (SOTA) success rates, while maintaining comparable efficiency to strong sequential baselines. (Code is available at https://github.com/LePanda026/Code-for-DPEPO)

Understanding Secret Leakage Risks in Code LLMs: A Tokenization Perspective

Code secrets are sensitive assets for software developers, and their leakage poses significant cybersecurity risks. While the rapid development of AI code assistants powered by Code Large Language Models (CLLMs), CLLMs are shown to inadvertently leak such secrets due to a notorious memorization phenomenon. This study first reveals that Byte-Pair Encoding (BPE) tokenization leads to unexpected behavior of secret memorization, which we term as \textit{gibberish bias}. Specifically, we identified that some secrets are among the easiest for CLLMs to memorize. These secrets yield high character-level entropy, but low token-level entropy. Then, this paper supports the biased claim with numerical data. We identified that the roots of the bias are the token distribution shift between the CLLM training data and the secret data. We further discuss how gibberish bias manifests under the ``larger vocabulary'' trend. To conclude the paper, we discuss potential mitigation strategies and the broader implications on current tokenizer design.

CoRegOVCD: Consistency-Regularized Open-Vocabulary Change Detection

Remote sensing change detection (CD) aims to identify where land-cover semantics change across time, but most existing methods still assume a fixed label space and therefore cannot answer arbitrary user-defined queries. Open-vocabulary change detection (OVCD) instead asks for the change mask of a queried concept. In the fully training-free setting, however, dense concept responses are difficult to compare directly across dates: appearance variation, weak cross-concept competition, and the spatial continuity of many land-cover categories often produce noisy, fragmented, and semantically unreliable change evidence. We propose Consistency-Regularized Open-Vocabulary Change Detection (CoRegOVCD), a training-free dense inference framework that reformulates concept-specific change as calibrated posterior discrepancy. Competitive Posterior Calibration (CPC) and the Semantic Posterior Delta (SPD) convert raw concept responses into competition-aware queried-concept posteriors and quantify their cross-temporal discrepancy, making semantic change evidence more comparable without explicit instance matching. Geometry-Token Consistency Gate (GeoGate) and Regional Consensus Discrepancy (RCD) further suppress unsupported responses and improve spatial coherence through geometry-aware structural verification and regional consensus. Across four benchmarks spanning building-oriented and multi-class settings, CoRegOVCD consistently improves over the strongest previous training-free baseline by 2.24 to 4.98 F1$_C$ points and reaches a six-class average of 47.50% F1$_C$ on SECOND.

FetalAgents: A Multi-Agent System for Fetal Ultrasound Image and Video Analysis

Fetal ultrasound (US) is the primary imaging modality for prenatal screening, yet its interpretation relies heavily on the expertise of the clinician. Despite advances in deep learning and foundation models, existing automated tools for fetal US analysis struggle to balance task-specific accuracy with the whole-process versatility required to support end-to-end clinical workflows. To address these limitations, we propose FetalAgents, the first multi-agent system for comprehensive fetal US analysis. Through a lightweight, agentic coordination framework, FetalAgents dynamically orchestrates specialized vision experts to maximize performance across diagnosis, measurement, and segmentation. Furthermore, FetalAgents advances beyond static image analysis by supporting end-to-end video stream summarization, where keyframes are automatically identified across multiple anatomical planes, analyzed by coordinated experts, and synthesized with patient metadata into a structured clinical report. Extensive multi-center external evaluations across eight clinical tasks demonstrate that FetalAgents consistently delivers the most robust and accurate performance when compared against specialized models and multimodal large language models (MLLMs), ultimately providing an auditable, workflow-aligned solution for fetal ultrasound analysis and reporting.

Adaptive Autoguidance for Item-Side Fairness in Diffusion Recommender Systems

Diffusion recommender systems achieve strong recommendation accuracy but often suffer from popularity bias, resulting in unequal item exposure. To address this shortcoming, we introduce A2G-DiffRec, a diffusion recommender that incorporates adaptive autoguidance, where the main model is guided by a less-trained version of itself. Instead of using a fixed guidance weight, A2G-DiffRec learns to adaptively weigh the outputs of the main and weak models during training, supervised by a popularity regularization that promotes balanced exposure across items with different popularity levels. Experimental results on the MovieLens-1M, Foursquare-Tokyo, and Music4All-Onion datasets show that A2G-DiffRec is effective in enhancing item-side fairness at a marginal cost of accuracy reduction compared to existing guided diffusion recommenders and other non-diffusion baselines.

Envy-Free Allocation of Indivisible Goods via Noisy Queries

We introduce a problem of fairly allocating indivisible goods (items) in which the agents' valuations cannot be observed directly, but instead can only be accessed via noisy queries. In the two-agent setting with Gaussian noise and bounded valuations, we derive upper and lower bounds on the required number of queries for finding an envy-free allocation in terms of the number of items, $m$, and the negative-envy of the optimal allocation, $Δ$. In particular, when $Δ$ is not too small (namely, $Δ\gg m^{1/4}$), we establish that the optimal number of queries scales as $\frac{\sqrt m }{(Δ/ m)^2} = \frac{m^{2.5}}{Δ^2}$ up to logarithmic factors. Our upper bound is based on non-adaptive queries and a simple thresholding-based allocation algorithm that runs in polynomial time, while our lower bound holds even under adaptive queries and arbitrary computation time.