Pushing the Frontier of Black-Box LVLM Attacks via Fine-Grained Detail Targeting

Black-box adversarial attacks on Large Vision-Language Models (LVLMs) are challenging due to missing gradients and complex multimodal boundaries. While prior state-of-the-art transfer-based approaches like M-Attack perform well using local crop-level matching between source and target images, we find this induces high-variance, nearly orthogonal gradients across iterations, violating coherent local alignment and destabilizing optimization. We attribute this to (i) ViT translation sensitivity that yields spike-like gradients and (ii) structural asymmetry between source and target crops. We reformulate local matching as an asymmetric expectation over source transformations and target semantics, and build a gradient-denoising upgrade to M-Attack. On the source side, Multi-Crop Alignment (MCA) averages gradients from multiple independently sampled local views per iteration to reduce variance. On the target side, Auxiliary Target Alignment (ATA) replaces aggressive target augmentation with a small auxiliary set from a semantically correlated distribution, producing a smoother, lower-variance target manifold. We further reinterpret momentum as Patch Momentum, replaying historical crop gradients; combined with a refined patch-size ensemble (PE+), this strengthens transferable directions. Together these modules form M-Attack-V2, a simple, modular enhancement over M-Attack that substantially improves transfer-based black-box attacks on frontier LVLMs: boosting success rates on Claude-4.0 from 8% to 30%, Gemini-2.5-Pro from 83% to 97%, and GPT-5 from 98% to 100%, outperforming prior black-box LVLM attacks. Code and data are publicly available at: https://github.com/vila-lab/M-Attack-V2.

Foundation Models for Medical Imaging: Status, Challenges, and Directions

Foundation models (FMs) are rapidly reshaping medical imaging, shifting the field from narrowly trained, task-specific networks toward large, general-purpose models that can be adapted across modalities, anatomies, and clinical tasks. In this review, we synthesize the emerging landscape of medical imaging FMs along three major axes: principles of FM design, applications of FMs, and forward-looking challenges and opportunities. Taken together, this review provides a technically grounded, clinically aware, and future-facing roadmap for developing FMs that are not only powerful and versatile but also trustworthy and ready for responsible translation into clinical practice.

Imaging-Derived Coronary Fractional Flow Reserve: Advances in Physics-Based, Machine-Learning, and Physics-Informed Methods

Purpose of Review Imaging derived fractional flow reserve (FFR) is rapidly evolving beyond conventional computational fluid dynamics (CFD) based pipelines toward machine learning (ML), deep learning (DL), and physics informed approaches that enable fast, wire free, and scalable functional assessment of coronary stenosis. This review synthesizes recent advances in CT and angiography based FFR, with particular emphasis on emerging physics informed neural networks and neural operators (PINNs and PINOs) and key considerations for their clinical translation. Recent Findings ML/DL approaches have markedly improved automation and computational speed, enabling prediction of pressure and FFR from anatomical descriptors or angiographic contrast dynamics. However, their real-world performance and generalizability can remain variable and sensitive to domain shift, due to multi-center heterogeneity, interpretability challenges, and differences in acquisition protocols and image quality. Physics informed learning introduces conservation structure and boundary condition consistency into model training, improving generalizability and reducing dependence on dense supervision while maintaining rapid inference. Recent evaluation trends increasingly highlight deployment oriented metrics, including calibration, uncertainty quantification, and quality control gatekeeping, as essential for safe clinical use. Summary The field is converging toward imaging derived FFR methods that are faster, more automated, and more reliable. While ML/DL offers substantial efficiency gains, physics informed frameworks such as PINNs and PINOs may provide a more robust balance between speed and physical consistency. Prospective multi center validation and standardized evaluation will be critical to support broad and safe clinical adoption.

Motion Compensation for Multiple-Input-Multiple-Output Inverse Synthetic Aperture Imaging of Automotive Targets

Inverse synthetic aperture radar (ISAR) images generated from single-channel automotive radar data provide critical information about the shape and size of automotive targets. However, the quality of ISAR images degrades due to road clutter and when translational and higher order rotational motions of the targets are not suitably compensated. One method to enhance the signal-to-clutter-and-noise ratio (SCNR) of the systems is to leverage the advantages of the multiple-input-multiple-output (MIMO) framework available in commercial automotive radars to generate MIMO-ISAR images. While substantial research has been devoted to motion compensation of single-channel ISAR images, the effectiveness of these methods for MIMO-ISAR has not been studied extensively. This paper analyzes the performance of three popular motion compensation techniques - entropy minimization, cross-correlation, and phase gradient autofocus - on MIMO-ISAR. The algorithms are evaluated on the measurement data collected using Texas Instruments millimeter-wave MIMO radar. The results indicate that the cross-correlation MOCOMP performs better than the other two MOCOMP algorithms in the MIMO configuration, with an overall improvement of 36%.

SCAR: Satellite Imagery-Based Calibration for Aerial Recordings

We introduce SCAR, a method for long-term auto-calibration refinement of aerial visual-inertial systems that exploits georeferenced satellite imagery as a persistent global reference. SCAR estimates both intrinsic and extrinsic parameters by aligning aerial images with 2D--3D correspondences derived from publicly available orthophotos and elevation models. In contrast to existing approaches that rely on dedicated calibration maneuvers or manually surveyed ground control points, our method leverages external geospatial data to detect and correct calibration degradation under field deployment conditions. We evaluate our approach on six large-scale aerial campaigns conducted over two years under diverse seasonal and environmental conditions. Across all sequences, SCAR consistently outperforms established baselines (Kalibr, COLMAP, VINS-Mono), reducing median reprojection error by a large margin, and translating these calibration gains into substantially lower visual localization rotation errors and higher pose accuracy. These results demonstrate that SCAR provides accurate, robust, and reproducible calibration over long-term aerial operations without the need for manual intervention.

Vectra: A New Metric, Dataset, and Model for Visual Quality Assessment in E-Commerce In-Image Machine Translation

In-Image Machine Translation (IIMT) powers cross-border e-commerce product listings; existing research focuses on machine translation evaluation, while visual rendering quality is critical for user engagement. When facing context-dense product imagery and multimodal defects, current reference-based methods (e.g., SSIM, FID) lack explainability, while model-as-judge approaches lack domain-grounded, fine-grained reward signals. To bridge this gap, we introduce Vectra, to the best of our knowledge, the first reference-free, MLLM-driven visual quality assessment framework for e-commerce IIMT. Vectra comprises three components: (1) Vectra Score, a multidimensional quality metric system that decomposes visual quality into 14 interpretable dimensions, with spatially-aware Defect Area Ratio (DAR) quantification to reduce annotation ambiguity; (2) Vectra Dataset, constructed from 1.1M real-world product images via diversity-aware sampling, comprising a 2K benchmark for system evaluation, 30K reasoning-based annotations for instruction tuning, and 3.5K expert-labeled preferences for alignment and evaluation; and (3) Vectra Model, a 4B-parameter MLLM that generates both quantitative scores and diagnostic reasoning. Experiments demonstrate that Vectra achieves state-of-the-art correlation with human rankings, and our model outperforms leading MLLMs, including GPT-5 and Gemini-3, in scoring performance. The dataset and model will be released upon acceptance.

Variational Entropic Optimal Transport

Entropic optimal transport (EOT) in continuous spaces with quadratic cost is a classical tool for solving the domain translation problem. In practice, recent approaches optimize a weak dual EOT objective depending on a single potential, but doing so is computationally not efficient due to the intractable log-partition term. Existing methods typically resolve this obstacle in one of two ways: by significantly restricting the transport family to obtain closed-form normalization (via Gaussian-mixture parameterizations), or by using general neural parameterizations that require simulation-based training procedures. We propose Variational Entropic Optimal Transport (VarEOT), based on an exact variational reformulation of the log-partition $\log \mathbb{E}[\exp(\cdot)]$ as a tractable minimization over an auxiliary positive normalizer. This yields a differentiable learning objective optimized with stochastic gradients and avoids the necessity of MCMC simulations during the training. We provide theoretical guarantees, including finite-sample generalization bounds and approximation results under universal function approximation. Experiments on synthetic data and unpaired image-to-image translation demonstrate competitive or improved translation quality, while comparisons within the solvers that use the same weak dual EOT objective support the benefit of the proposed optimization principle.

FD-DB: Frequency-Decoupled Dual-Branch Network for Unpaired Synthetic-to-Real Domain Translation

Synthetic data provide low-cost, accurately annotated samples for geometry-sensitive vision tasks, but appearance and imaging differences between synthetic and real domains cause severe domain shift and degrade downstream performance. Unpaired synthetic-to-real translation can reduce this gap without paired supervision, yet existing methods often face a trade-off between photorealism and structural stability: unconstrained generation may introduce deformation or spurious textures, while overly rigid constraints limit adaptation to real-domain statistics. We propose FD-DB, a frequency-decoupled dual-branch model that separates appearance transfer into low-frequency interpretable editing and high-frequency residual compensation. The interpretable branch predicts physically meaningful editing parameters (white balance, exposure, contrast, saturation, blur, and grain) to build a stable low-frequency appearance base with strong content preservation. The free branch complements fine details through residual generation, and a gated fusion mechanism combines the two branches under explicit frequency constraints to limit low-frequency drift. We further adopt a two-stage training schedule that first stabilizes the editing branch and then releases the residual branch to improve optimization stability. Experiments on the YCB-V dataset show that FD-DB improves real-domain appearance consistency and significantly boosts downstream semantic segmentation performance while preserving geometric and semantic structures.

OmniCT: Towards a Unified Slice-Volume LVLM for Comprehensive CT Analysis

Computed Tomography (CT) is one of the most widely used and diagnostically information-dense imaging modalities, covering critical organs such as the heart, lungs, liver, and colon. Clinical interpretation relies on both slice-driven local features (e.g., sub-centimeter nodules, lesion boundaries) and volume-driven spatial representations (e.g., tumor infiltration, inter-organ anatomical relations). However, existing Large Vision-Language Models (LVLMs) remain fragmented in CT slice versus volumetric understanding: slice-driven LVLMs show strong generalization but lack cross-slice spatial consistency, while volume-driven LVLMs explicitly capture volumetric semantics but suffer from coarse granularity and poor compatibility with slice inputs. The absence of a unified modeling paradigm constitutes a major bottleneck for the clinical translation of medical LVLMs. We present OmniCT, a powerful unified slice-volume LVLM for CT scenarios, which makes three contributions: (i) Spatial Consistency Enhancement (SCE): volumetric slice composition combined with tri-axial positional embedding that introduces volumetric consistency, and an MoE hybrid projection enables efficient slice-volume adaptation; (ii) Organ-level Semantic Enhancement (OSE): segmentation and ROI localization explicitly align anatomical regions, emphasizing lesion- and organ-level semantics; (iii) MedEval-CT: the largest slice-volume CT dataset and hybrid benchmark integrates comprehensive metrics for unified evaluation. OmniCT consistently outperforms existing methods with a substantial margin across diverse clinical tasks and satisfies both micro-level detail sensitivity and macro-level spatial reasoning. More importantly, it establishes a new paradigm for cross-modal medical imaging understanding.

Adaptive Domain Shift in Diffusion Models for Cross-Modality Image Translation

Cross-modal image translation remains brittle and inefficient. Standard diffusion approaches often rely on a single, global linear transfer between domains. We find that this shortcut forces the sampler to traverse off-manifold, high-cost regions, inflating the correction burden and inviting semantic drift. We refer to this shared failure mode as fixed-schedule domain transfer. In this paper, we embed domain-shift dynamics directly into the generative process. Our model predicts a spatially varying mixing field at every reverse step and injects an explicit, target-consistent restoration term into the drift. This in-step guidance keeps large updates on-manifold and shifts the model's role from global alignment to local residual correction. We provide a continuous-time formulation with an exact solution form and derive a practical first-order sampler that preserves marginal consistency. Empirically, across translation tasks in medical imaging, remote sensing, and electroluminescence semantic mapping, our framework improves structural fidelity and semantic consistency while converging in fewer denoising steps.