Differential Attention-Augmented BiomedCLIP with Asymmetric Focal Optimization for Imbalanced Multi-Label Video Capsule Endoscopy Classification

This work presents a multi-label classification framework for video capsule endoscopy (VCE) that addresses the extreme class imbalance inherent in the Galar dataset through a combination of architectural and optimization-level strategies. Our approach modifies BiomedCLIP, a biomedical vision-language foundation model, by replacing its standard multi-head self-attention with a differential attention mechanism that computes the difference between two softmax attention maps to suppress attention noise. To counteract the skewed label distribution, where pathological findings constitute less than 0.1% of all annotated frames, a sqrt-frequency weighted sampler, asymmetric focal loss, mixup regularization, and per-class threshold optimization are employed. Temporal coherence is enforced through median-filter smoothing and gap merging prior to event-level JSON generation. On the held-out RARE-VISION test set comprising three NaviCam examinations (161,025 frames), the pipeline achieves an overall temporal mAP@0.5 of 0.2456 and mAP@0.95 of 0.2353, with total inference completed in approximately 8.6 minutes on a single GPU.

Demographic-Aware Self-Supervised Anomaly Detection Pretraining for Equitable Rare Cardiac Diagnosis

Rare cardiac anomalies are difficult to detect from electrocardiograms (ECGs) due to their long-tailed distribution with extremely limited case counts and demographic disparities in diagnostic performance. These limitations contribute to delayed recognition and uneven quality of care, creating an urgent need for a generalizable framework that enhances sensitivity while ensuring equity across diverse populations. In this study, we developed an AI-assisted two-stage ECG framework integrating self-supervised anomaly detection with demographic-aware representation learning. The first stage performs self-supervised anomaly detection pretraining by reconstructing masked global and local ECG signals, modeling signal trends, and predicting patient attributes to learn robust ECG representations without diagnostic labels. The pretrained model is then fine-tuned for multi-label ECG classification using asymmetric loss to better handle long-tail cardiac abnormalities, and additionally produces anomaly score maps for localization, with CPU-based optimization enabling practical deployment. Evaluated on a longitudinal cohort of over one million clinical ECGs, our method achieves an AUROC of 94.7% for rare anomalies and reduces the common-rare performance gap by 73%, while maintaining consistent diagnostic accuracy across age and sex groups. In conclusion, the proposed equity-aware AI framework demonstrates strong clinical utility, interpretable anomaly localization, and scalable performance across multiple cohorts, highlighting its potential to mitigate diagnostic disparities and advance equitable anomaly detection in biomedical signals and digital health. Source code is available at https://github.com/MediaBrain-SJTU/Rare-ECG.

An Extreme Multi-label Text Classification (XMTC) Library Dataset: What if we took "Use of Practical AI in Digital Libraries" seriously?

Subject indexing is vital for discovery but hard to sustain at scale and across languages. We release a large bilingual (English/German) corpus of catalog records annotated with the Integrated Authority File (GND), plus a machine-actionable GND taxonomy. The resource enables ontology-aware multi-label classification, mapping text to authority terms, and agent-assisted cataloging with reproducible, authority-grounded evaluation. We provide a brief statistical profile and qualitative error analyses of three systems. We invite the community to assess not only accuracy but usefulness and transparency, toward authority-anchored AI co-pilots that amplify catalogers' work.

ACE-LoRA: Graph-Attentive Context Enhancement for Parameter-Efficient Adaptation of Medical Vision-Language Models

The success of CLIP-like vision-language models (VLMs) on natural images has inspired medical counterparts, yet existing approaches largely fall into two extremes: specialist models trained on single-domain data, which capture domain-specific details but generalize poorly, and generalist medical VLMs trained on multi-domain data, which retain broad semantics but dilute fine-grained diagnostic cues. Bridging this specialization-generalization trade-off remains challenging. To address this problem, we propose ACE-LoRA, a parameter-efficient adaptation framework for generalist medical VLMs that maintains robust zero-shot generalization. ACE-LoRA integrates Low-Rank Adaptation (LoRA) modules into frozen image-text encoders and introduces an Attention-based Context Enhancement Hypergraph Neural Network (ACE-HGNN) module that captures higher-order contextual interactions beyond pairwise similarity to enrich global representations with localized diagnostic cues, addressing a key limitation of prior Parameter-Efficient Fine-Tuning (PEFT) methods that overlook fine-grained details. To further enhance cross-modal alignment, we formulate a label-guided InfoNCE loss to effectively suppress false negatives between semantically related image-text pairs. Despite adding only 0.95M trainable parameters, ACE-LoRA consistently outperforms state-of-the-art medical VLMs and PEFT baselines across zero-shot classification, segmentation, and detection benchmarks spanning multiple domains. Our code is available at https://github.com/icon-lab/ACE-LoRA.

FEAST: Retrieval-Augmented Multi-Hierarchical Food Classification for the FoodEx2 System

Hierarchical text classification (HTC) and extreme multi-label classification (XML) tasks face compounded challenges from complex label interdependencies, data sparsity, and extreme output dimensions. These challenges are exemplified in the European Food Safety Authority's FoodEx2 system-a standardized food classification framework essential for food consumption monitoring and contaminant exposure assessment across Europe. FoodEx2 coding transforms natural language food descriptions into a set of codes from multiple standardized hierarchies, but faces implementation barriers due to its complex structure. Given a food description (e.g., "organic yogurt''), the system identifies its base term ("yogurt''), all the applicable facet categories (e.g., "production method''), and then, every relevant facet descriptors to each category (e.g., "organic production''). While existing models perform adequately on well-balanced and semantically dense hierarchies, no work has been applied on the practical constraints imposed by the FoodEx2 system. The limited literature addressing such real-world scenarios further compounds these challenges. We propose FEAST (Food Embedding And Semantic Taxonomy), a novel retrieval-augmented framework that decomposes FoodEx2 classification into a three-stage approach: (1) base term identification, (2) multi-label facet prediction, and (3) facet descriptor assignment. By leveraging the system's hierarchical structure to guide training and performing deep metric learning, FEASTlearns discriminative embeddings that mitigate data sparsity and improve generalization on rare and fine-grained labels. Evaluated on the multilingual FoodEx2 benchmark, FEAST outperforms the prior European's CNN baseline F1 scores by 12-38 % on rare classes.

Semi-Supervised Few-Shot Adaptation of Vision-Language Models

Vision-language models (VLMs) pre-trained on large, heterogeneous data sources are becoming increasingly popular, providing rich multi-modal embeddings that enable efficient transfer to new tasks. A particularly relevant application is few-shot adaptation, where only a handful of annotated examples are available to adapt the model through multi-modal linear probes. In medical imaging, specialized VLMs have shown promising performance in zero- and few-shot image classification, which is valuable for mitigating the high cost of expert annotations. However, challenges remain in extremely low-shot regimes: the inherent class imbalances in medical tasks often lead to underrepresented categories, penalizing overall model performance. To address this limitation, we propose leveraging unlabeled data by introducing an efficient semi-supervised solver that propagates text-informed pseudo-labels during few-shot adaptation. The proposed method enables lower-budget annotation pipelines for adapting VLMs, reducing labeling effort by >50% in low-shot regimes.

VP-Hype: A Hybrid Mamba-Transformer Framework with Visual-Textual Prompting for Hyperspectral Image Classification

Accurate classification of hyperspectral imagery (HSI) is often frustrated by the tension between high-dimensional spectral data and the extreme scarcity of labeled training samples. While hierarchical models like LoLA-SpecViT have demonstrated the power of local windowed attention and parameter-efficient fine-tuning, the quadratic complexity of standard Transformers remains a barrier to scaling. We introduce VP-Hype, a framework that rethinks HSI classification by unifying the linear-time efficiency of State-Space Models (SSMs) with the relational modeling of Transformers in a novel hybrid architecture. Building on a robust 3D-CNN spectral front-end, VP-Hype replaces conventional attention blocks with a Hybrid Mamba-Transformer backbone to capture long-range dependencies with significantly reduced computational overhead. Furthermore, we address the label-scarcity problem by integrating dual-modal Visual and Textual Prompts that provide context-aware guidance for the feature extraction process. Our experimental evaluation demonstrates that VP-Hype establishes a new state of the art in low-data regimes. Specifically, with a training sample distribution of only 2\%, the model achieves Overall Accuracy (OA) of 99.69\% on the Salinas dataset and 99.45\% on the Longkou dataset. These results suggest that the convergence of hybrid sequence modeling and multi-modal prompting provides a robust path forward for high-performance, sample-efficient remote sensing.

A Scalable Curiosity-Driven Game-Theoretic Framework for Long-Tail Multi-Label Learning in Data Mining

The long-tail distribution, where a few head labels dominate while rare tail labels abound, poses a persistent challenge for large-scale Multi-Label Classification (MLC) in real-world data mining applications. Existing resampling and reweighting strategies often disrupt inter-label dependencies or require brittle hyperparameter tuning, especially as the label space expands to tens of thousands of labels. To address this issue, we propose Curiosity-Driven Game-Theoretic Multi-Label Learning (CD-GTMLL), a scalable cooperative framework that recasts long-tail MLC as a multi-player game - each sub-predictor ("player") specializes in a partition of the label space, collaborating to maximize global accuracy while pursuing intrinsic curiosity rewards based on tail label rarity and inter-player disagreement. This mechanism adaptively injects learning signals into under-represented tail labels without manual balancing or tuning. We further provide a theoretical analysis showing that our CD-GTMLL converges to a tail-aware equilibrium and formally links the optimization dynamics to improvements in the Rare-F1 metric. Extensive experiments across 7 benchmarks, including extreme multi-label classification datasets with 30,000+ labels, demonstrate that CD-GTMLL consistently surpasses state-of-the-art methods, with gains up to +1.6% P@3 on Wiki10-31K. Ablation studies further confirm the contributions of both game-theoretic cooperation and curiosity-driven exploration to robust tail performance. By integrating game theory with curiosity mechanisms, CD-GTMLL not only enhances model efficiency in resource-constrained environments but also paves the way for more adaptive learning in imbalanced data scenarios across industries like e-commerce and healthcare.

MUSE: Harnessing Precise and Diverse Semantics for Few-Shot Whole Slide Image Classification

In computational pathology, few-shot whole slide image classification is primarily driven by the extreme scarcity of expert-labeled slides. Recent vision-language methods incorporate textual semantics generated by large language models, but treat these descriptions as static class-level priors that are shared across all samples and lack sample-wise refinement. This limits both the diversity and precision of visual-semantic alignment, hindering generalization under limited supervision. To overcome this, we propose the stochastic MUlti-view Semantic Enhancement (MUSE), a framework that first refines semantic precision via sample-wise adaptation and then enhances semantic richness through retrieval-augmented multi-view generation. Specifically, MUSE introduces Sample-wise Fine-grained Semantic Enhancement (SFSE), which yields a fine-grained semantic prior for each sample through MoE-based adaptive visual-semantic interaction. Guided by this prior, Stochastic Multi-view Model Optimization (SMMO) constructs an LLM-generated knowledge base of diverse pathological descriptions per class, then retrieves and stochastically integrates multiple matched textual views during training. These dynamically selected texts serve as enriched semantic supervisions to stochastically optimize the vision-language model, promoting robustness and mitigating overfitting. Experiments on three benchmark WSI datasets show that MUSE consistently outperforms existing vision-language baselines in few-shot settings, demonstrating that effective few-shot pathology learning requires not only richer semantic sources but also their active and sample-aware semantic optimization. Our code is available at: https://github.com/JiahaoXu-god/CVPR2026_MUSE.

Handling Supervision Scarcity in Chest X-ray Classification: Long-Tailed and Zero-Shot Learning

Chest X-ray (CXR) classification in clinical practice is often limited by imperfect supervision, arising from (i) extreme long-tailed multi-label disease distributions and (ii) missing annotations for rare or previously unseen findings. The CXR-LT 2026 challenge addresses these issues on a PadChest-based benchmark with a 36-class label space split into 30 in-distribution classes for training and 6 out-of-distribution (OOD) classes for zero-shot evaluation. We present task-specific solutions tailored to the distinct supervision regimes. For Task 1 (long-tailed multi-label classification), we adopt an imbalance-aware multi-label learning strategy to improve recognition of tail classes while maintaining stable performance on frequent findings. For Task 2 (zero-shot OOD recognition), we propose a prediction approach that produces scores for unseen disease categories without using any supervised labels or examples from the OOD classes during training. Evaluated with macro-averaged mean Average Precision (mAP), our method achieves strong performance on both tasks, ranking first on the public leaderboard of the development phase. Code and pre-trained models are available at https://github.com/hieuphamha19/CXR_LT.