How to make Medical AI Systems safer? Simulating Vulnerabilities, and Threats in Multimodal Medical RAG System

Large Vision-Language Models (LVLMs) augmented with Retrieval-Augmented Generation (RAG) are increasingly employed in medical AI to enhance factual grounding through external clinical image-text retrieval. However, this reliance creates a significant attack surface. We propose MedThreatRAG, a novel multimodal poisoning framework that systematically probes vulnerabilities in medical RAG systems by injecting adversarial image-text pairs. A key innovation of our approach is the construction of a simulated semi-open attack environment, mimicking real-world medical systems that permit periodic knowledge base updates via user or pipeline contributions. Within this setting, we introduce and emphasize Cross-Modal Conflict Injection (CMCI), which embeds subtle semantic contradictions between medical images and their paired reports. These mismatches degrade retrieval and generation by disrupting cross-modal alignment while remaining sufficiently plausible to evade conventional filters. While basic textual and visual attacks are included for completeness, CMCI demonstrates the most severe degradation. Evaluations on IU-Xray and MIMIC-CXR QA tasks show that MedThreatRAG reduces answer F1 scores by up to 27.66% and lowers LLaVA-Med-1.5 F1 rates to as low as 51.36%. Our findings expose fundamental security gaps in clinical RAG systems and highlight the urgent need for threat-aware design and robust multimodal consistency checks. Finally, we conclude with a concise set of guidelines to inform the safe development of future multimodal medical RAG systems.

Video-RTS: Rethinking Reinforcement Learning and Test-Time Scaling for Efficient and Enhanced Video Reasoning

Despite advances in reinforcement learning (RL)-based video reasoning with large language models (LLMs), data collection and finetuning remain significant challenges. These methods often rely on large-scale supervised fine-tuning (SFT) with extensive video data and long Chain-of-Thought (CoT) annotations, making them costly and hard to scale. To address this, we present Video-RTS, a new approach to improve video reasoning capability with drastically improved data efficiency by combining data-efficient RL with a video-adaptive test-time scaling (TTS) strategy. Based on observations about the data scaling of RL samples, we skip the resource-intensive SFT step and employ efficient pure-RL training with output-based rewards, requiring no additional annotations or extensive fine-tuning. Furthermore, to utilize computational resources more efficiently, we introduce a sparse-to-dense video TTS strategy that improves inference by iteratively adding frames based on output consistency. We validate our approach on multiple video reasoning benchmarks, showing that Video-RTS surpasses existing video reasoning models by an average of 2.4% in accuracy using only 3.6% training samples. For example, Video-RTS achieves a 4.2% improvement on Video-Holmes, a recent and challenging video reasoning benchmark, and a 2.6% improvement on MMVU. Notably, our pure RL training and adaptive video TTS offer complementary strengths, enabling Video-RTS's strong reasoning performance.

Mitigating Posterior Salience Attenuation in Long-Context LLMs with Positional Contrastive Decoding

While Large Language Models (LLMs) support long contexts, they struggle with performance degradation within the context window. Current solutions incur prohibitive training costs, leaving statistical behaviors and cost-effective approaches underexplored. From the decoding perspective, we identify the Posterior Salience Attenuation (PSA) phenomenon, where the salience ratio correlates with long-text performance degradation. Notably, despite the attenuation, gold tokens still occupy high-ranking positions in the decoding space. Motivated by it, we propose the training-free Positional Contrastive Decoding (PCD) that contrasts the logits derived from long-aware attention with those from designed local-aware attention, enabling the model to focus on the gains introduced by large-scale short-to-long training. Through the analysis of long-term decay simulation, we demonstrate that PCD effectively alleviates attention score degradation. Experimental results show that PCD achieves state-of-the-art performance on long-context benchmarks.

SiLVR: A Simple Language-based Video Reasoning Framework

Recent advances in test-time optimization have led to remarkable reasoning capabilities in Large Language Models (LLMs), enabling them to solve highly complex problems in math and coding. However, the reasoning capabilities of multimodal LLMs (MLLMs) still significantly lag, especially for complex video-language tasks. To address this issue, we present SiLVR, a Simple Language-based Video Reasoning framework that decomposes complex video understanding into two stages. In the first stage, SiLVR transforms raw video into language-based representations using multisensory inputs, such as short clip captions and audio/speech subtitles. In the second stage, language descriptions are fed into a powerful reasoning LLM to solve complex video-language understanding tasks. To handle long-context multisensory inputs, we use an adaptive token reduction scheme, which dynamically determines the temporal granularity with which to sample the tokens. Our simple, modular, and training-free video reasoning framework achieves the best-reported results on Video-MME (long), Video-MMMU (comprehension), Video-MMLU, CGBench, and EgoLife. Furthermore, our empirical study focused on video reasoning capabilities shows that, despite not being explicitly trained on video, strong reasoning LLMs can effectively aggregate multisensory input information from video, speech, and audio for complex temporal, causal, long-context, and knowledge acquisition reasoning tasks in video. Code is available at https://github.com/CeeZh/SILVR.

WikiDBGraph: Large-Scale Database Graph of Wikidata for Collaborative Learning

Tabular data, ubiquitous and rich in informational value, is an increasing focus for deep representation learning, yet progress is hindered by studies centered on single tables or isolated databases, which limits model capabilities due to data scale. While collaborative learning approaches such as federated learning, transfer learning, split learning, and tabular foundation models aim to learn from multiple correlated databases, they are challenged by a scarcity of real-world interconnected tabular resources. Current data lakes and corpora largely consist of isolated databases lacking defined inter-database correlations. To overcome this, we introduce WikiDBGraph, a large-scale graph of 100,000 real-world tabular databases from WikiData, interconnected by 17 million edges and characterized by 13 node and 12 edge properties derived from its database schema and data distribution. WikiDBGraph's weighted edges identify both instance- and feature-overlapped databases. Experiments on these newly identified databases confirm that collaborative learning yields superior performance, thereby offering considerable promise for structured foundation model training while also exposing key challenges and future directions for learning from interconnected tabular data.

Automatic Dataset Generation for Knowledge Intensive Question Answering Tasks

A question-answering (QA) system is to search suitable answers within a knowledge base. Current QA systems struggle with queries requiring complex reasoning or real-time knowledge integration. They are often supplemented with retrieval techniques on a data source such as Retrieval-Augmented Generation (RAG). However, RAG continues to face challenges in handling complex reasoning and logical connections between multiple sources of information. A novel approach for enhancing Large Language Models (LLMs) in knowledge-intensive QA tasks is presented through the automated generation of context-based QA pairs. This methodology leverages LLMs to create fine-tuning data, reducing reliance on human labelling and improving model comprehension and reasoning capabilities. The proposed system includes an automated QA generator and a model fine-tuner, evaluated using perplexity, ROUGE, BLEU, and BERTScore. Comprehensive experiments demonstrate improvements in logical coherence and factual accuracy, with implications for developing adaptable Artificial Intelligence (AI) systems. Mistral-7b-v0.3 outperforms Llama-3-8b with BERT F1, BLEU, and ROUGE scores 0.858, 0.172, and 0.260 of for the LLM generated QA pairs compared to scores of 0.836, 0.083, and 0.139 for the human annotated QA pairs.

Cross-Modal Interactive Perception Network with Mamba for Lung Tumor Segmentation in PET-CT Images

Lung cancer is a leading cause of cancer-related deaths globally. PET-CT is crucial for imaging lung tumors, providing essential metabolic and anatomical information, while it faces challenges such as poor image quality, motion artifacts, and complex tumor morphology. Deep learning-based models are expected to address these problems, however, existing small-scale and private datasets limit significant performance improvements for these methods. Hence, we introduce a large-scale PET-CT lung tumor segmentation dataset, termed PCLT20K, which comprises 21,930 pairs of PET-CT images from 605 patients. Furthermore, we propose a cross-modal interactive perception network with Mamba (CIPA) for lung tumor segmentation in PET-CT images. Specifically, we design a channel-wise rectification module (CRM) that implements a channel state space block across multi-modal features to learn correlated representations and helps filter out modality-specific noise. A dynamic cross-modality interaction module (DCIM) is designed to effectively integrate position and context information, which employs PET images to learn regional position information and serves as a bridge to assist in modeling the relationships between local features of CT images. Extensive experiments on a comprehensive benchmark demonstrate the effectiveness of our CIPA compared to the current state-of-the-art segmentation methods. We hope our research can provide more exploration opportunities for medical image segmentation. The dataset and code are available at https://github.com/mj129/CIPA.

DiffKAN-Inpainting: KAN-based Diffusion model for brain tumor inpainting

Brain tumors delay the standard preprocessing workflow for further examination. Brain inpainting offers a viable, although difficult, solution for tumor tissue processing, which is necessary to improve the precision of the diagnosis and treatment. Most conventional U-Net-based generative models, however, often face challenges in capturing the complex, nonlinear latent representations inherent in brain imaging. In order to accomplish high-quality healthy brain tissue reconstruction, this work proposes DiffKAN-Inpainting, an innovative method that blends diffusion models with the Kolmogorov-Arnold Networks architecture. During the denoising process, we introduce the RePaint method and tumor information to generate images with a higher fidelity and smoother margin. Both qualitative and quantitative results demonstrate that as compared to the state-of-the-art methods, our proposed DiffKAN-Inpainting inpaints more detailed and realistic reconstructions on the BraTS dataset. The knowledge gained from ablation study provide insights for future research to balance performance with computing cost.

Spectral Enhancement and Pseudo-Anchor Guidance for Infrared-Visible Person Re-Identification

The development of deep learning has facilitated the application of person re-identification (ReID) technology in intelligent security. Visible-infrared person re-identification (VI-ReID) aims to match pedestrians across infrared and visible modality images enabling 24-hour surveillance. Current studies relying on unsupervised modality transformations as well as inefficient embedding constraints to bridge the spectral differences between infrared and visible images, however, limit their potential performance. To tackle the limitations of the above approaches, this paper introduces a simple yet effective Spectral Enhancement and Pseudo-anchor Guidance Network, named SEPG-Net. Specifically, we propose a more homogeneous spectral enhancement scheme based on frequency domain information and greyscale space, which avoids the information loss typically caused by inefficient modality transformations. Further, a Pseudo Anchor-guided Bidirectional Aggregation (PABA) loss is introduced to bridge local modality discrepancies while better preserving discriminative identity embeddings. Experimental results on two public benchmark datasets demonstrate the superior performance of SEPG-Net against other state-of-the-art methods. The code is available at https://github.com/1024AILab/ReID-SEPG.

SlimGPT: Layer-wise Structured Pruning for Large Language Models

Large language models (LLMs) have garnered significant attention for their remarkable capabilities across various domains, whose vast parameter scales present challenges for practical deployment. Structured pruning is an effective method to balance model performance with efficiency, but performance restoration under computational resource constraints is a principal challenge in pruning LLMs. Therefore, we present a low-cost and fast structured pruning method for LLMs named SlimGPT based on the Optimal Brain Surgeon framework. We propose Batched Greedy Pruning for rapid and near-optimal pruning, which enhances the accuracy of head-wise pruning error estimation through grouped Cholesky decomposition and improves the pruning efficiency of FFN via Dynamic Group Size, thereby achieving approximate local optimal pruning results within one hour. Besides, we explore the limitations of layer-wise pruning from the perspective of error accumulation and propose Incremental Pruning Ratio, a non-uniform pruning strategy to reduce performance degradation. Experimental results on the LLaMA benchmark show that SlimGPT outperforms other methods and achieves state-of-the-art results.