MM2CT: MR-to-CT translation for multi-modal image fusion with mamba

Magnetic resonance (MR)-to-computed tomography (CT) translation offers significant advantages, including the elimination of radiation exposure associated with CT scans and the mitigation of imaging artifacts caused by patient motion. The existing approaches are based on single-modality MR-to-CT translation, with limited research exploring multimodal fusion. To address this limitation, we introduce Multi-modal MR to CT (MM2CT) translation method by leveraging multimodal T1- and T2-weighted MRI data, an innovative Mamba-based framework for multi-modal medical image synthesis. Mamba effectively overcomes the limited local receptive field in CNNs and the high computational complexity issues in Transformers. MM2CT leverages this advantage to maintain long-range dependencies modeling capabilities while achieving multi-modal MR feature integration. Additionally, we incorporate a dynamic local convolution module and a dynamic enhancement module to improve MRI-to-CT synthesis. The experiments on a public pelvis dataset demonstrate that MM2CT achieves state-of-the-art performance in terms of Structural Similarity Index Measure (SSIM) and Peak Signal-to-Noise Ratio (PSNR). Our code is publicly available at https://github.com/Gots-ch/MM2CT.

Image-Guided Surgery: Technology, Quality, Innovation, and Opportunities for Medical Physics

The science and clinical practice of medical physics has been integral to the advancement of radiology and radiation therapy for over a century. In parallel, advances in surgery - including intraoperative imaging, registration, and other technologies within the expertise of medical physicists - have advanced primarily in connection to other disciplines, such as biomedical engineering and computer science, and via somewhat distinct translational paths. This review article briefly traces the parallel and convergent evolution of such scientific, engineering, and clinical domains with an eye to a potentially broader, more impactful role of medical physics in research and clinical practice of surgery. A review of image-guided surgery technologies is offered, including intraoperative imaging, tracking / navigation, image registration, visualization, and surgical robotics across a spectrum of surgical applications. Trends and drivers for research and innovation are traced, including federal funding and academic-industry partnership, and some of the major challenges to achieving major clinical impact are described. Opportunities for medical physicists to expand expertise and contribute to the advancement of surgery in the decade ahead are outlined, including research and innovation, data science approaches, improving efficiency through operations research and optimization, improving patient safety, and bringing rigorous quality assurance to technologies and processes in the circle of care for surgery. Challenges abound but appear tractable, including domain knowledge, professional qualifications, and the need for investment and clinical partnership.

On the Utility of Virtual Staining for Downstream Applications as it relates to Task Network Capacity

Virtual staining, or in-silico-labeling, has been proposed to computationally generate synthetic fluorescence images from label-free images by use of deep learning-based image-to-image translation networks. In most reported studies, virtually stained images have been assessed only using traditional image quality measures such as structural similarity or signal-to-noise ratio. However, in biomedical imaging, images are typically acquired to facilitate an image-based inference, which we refer to as a downstream biological or clinical task. This study systematically investigates the utility of virtual staining for facilitating clinically relevant downstream tasks (like segmentation or classification) with consideration of the capacity of the deep neural networks employed to perform the tasks. Comprehensive empirical evaluations were conducted using biological datasets, assessing task performance by use of label-free, virtually stained, and ground truth fluorescence images. The results demonstrated that the utility of virtual staining is largely dependent on the ability of the segmentation or classification task network to extract meaningful task-relevant information, which is related to the concept of network capacity. Examples are provided in which virtual staining does not improve, or even degrades, segmentation or classification performance when the capacity of the associated task network is sufficiently large. The results demonstrate that task network capacity should be considered when deciding whether to perform virtual staining.

GeoAware-VLA: Implicit Geometry Aware Vision-Language-Action Model

Vision-Language-Action (VLA) models often fail to generalize to novel camera viewpoints, a limitation stemming from their difficulty in inferring robust 3D geometry from 2D images. We introduce GeoAware-VLA, a simple yet effective approach that enhances viewpoint invariance by integrating strong geometric priors into the vision backbone. Instead of training a visual encoder or relying on explicit 3D data, we leverage a frozen, pretrained geometric vision model as a feature extractor. A trainable projection layer then adapts these geometrically-rich features for the policy decoder, relieving it of the burden of learning 3D consistency from scratch. Through extensive evaluations on LIBERO benchmark subsets, we show GeoAware-VLA achieves substantial improvements in zero-shot generalization to novel camera poses, boosting success rates by over 2x in simulation. Crucially, these benefits translate to the physical world; our model shows a significant performance gain on a real robot, especially when evaluated from unseen camera angles. Our approach proves effective across both continuous and discrete action spaces, highlighting that robust geometric grounding is a key component for creating more generalizable robotic agents.

Bangla-Bayanno: A 52K-Pair Bengali Visual Question Answering Dataset with LLM-Assisted Translation Refinement

In this paper, we introduce Bangla-Bayanno, an open-ended Visual Question Answering (VQA) Dataset in Bangla, a widely used, low-resource language in multimodal AI research. The majority of existing datasets are either manually annotated with an emphasis on a specific domain, query type, or answer type or are constrained by niche answer formats. In order to mitigate human-induced errors and guarantee lucidity, we implemented a multilingual LLM-assisted translation refinement pipeline. This dataset overcomes the issues of low-quality translations from multilingual sources. The dataset comprises 52,650 question-answer pairs across 4750+ images. Questions are classified into three distinct answer types: nominal (short descriptive), quantitative (numeric), and polar (yes/no). Bangla-Bayanno provides the most comprehensive open-source, high-quality VQA benchmark in Bangla, aiming to advance research in low-resource multimodal learning and facilitate the development of more inclusive AI systems.

CoSwin: Convolution Enhanced Hierarchical Shifted Window Attention For Small-Scale Vision

Vision Transformers (ViTs) have achieved impressive results in computer vision by leveraging self-attention to model long-range dependencies. However, their emphasis on global context often comes at the expense of local feature extraction in small datasets, particularly due to the lack of key inductive biases such as locality and translation equivariance. To mitigate this, we propose CoSwin, a novel feature-fusion architecture that augments the hierarchical shifted window attention with localized convolutional feature learning. Specifically, CoSwin integrates a learnable local feature enhancement module into each attention block, enabling the model to simultaneously capture fine-grained spatial details and global semantic structure. We evaluate CoSwin on multiple image classification benchmarks including CIFAR-10, CIFAR-100, MNIST, SVHN, and Tiny ImageNet. Our experimental results show consistent performance gains over state-of-the-art convolutional and transformer-based models. Notably, CoSwin achieves improvements of 2.17% on CIFAR-10, 4.92% on CIFAR-100, 0.10% on MNIST, 0.26% on SVHN, and 4.47% on Tiny ImageNet over the baseline Swin Transformer. These improvements underscore the effectiveness of local-global feature fusion in enhancing the generalization and robustness of transformers for small-scale vision. Code and pretrained weights available at https://github.com/puskal-khadka/coswin

Single-to-mix Modality Alignment with Multimodal Large Language Model for Document Image Machine Translation

Document Image Machine Translation (DIMT) aims to translate text within document images, facing generalization challenges due to limited training data and the complex interplay between visual and textual information. To address these challenges, we introduce M4Doc, a novel single-to-mix modality alignment framework leveraging Multimodal Large Language Models (MLLMs). M4Doc aligns an image-only encoder with the multimodal representations of an MLLM, pre-trained on large-scale document image datasets. This alignment enables a lightweight DIMT model to learn crucial visual-textual correlations during training. During inference, M4Doc bypasses the MLLM, maintaining computational efficiency while benefiting from its multimodal knowledge. Comprehensive experiments demonstrate substantial improvements in translation quality, especially in cross-domain generalization and challenging document image scenarios.

Integrating Anatomical Priors into a Causal Diffusion Model

3D brain MRI studies often examine subtle morphometric differences between cohorts that are hard to detect visually. Given the high cost of MRI acquisition, these studies could greatly benefit from image syntheses, particularly counterfactual image generation, as seen in other domains, such as computer vision. However, counterfactual models struggle to produce anatomically plausible MRIs due to the lack of explicit inductive biases to preserve fine-grained anatomical details. This shortcoming arises from the training of the models aiming to optimize for the overall appearance of the images (e.g., via cross-entropy) rather than preserving subtle, yet medically relevant, local variations across subjects. To preserve subtle variations, we propose to explicitly integrate anatomical constraints on a voxel-level as prior into a generative diffusion framework. Called Probabilistic Causal Graph Model (PCGM), the approach captures anatomical constraints via a probabilistic graph module and translates those constraints into spatial binary masks of regions where subtle variations occur. The masks (encoded by a 3D extension of ControlNet) constrain a novel counterfactual denoising UNet, whose encodings are then transferred into high-quality brain MRIs via our 3D diffusion decoder. Extensive experiments on multiple datasets demonstrate that PCGM generates structural brain MRIs of higher quality than several baseline approaches. Furthermore, we show for the first time that brain measurements extracted from counterfactuals (generated by PCGM) replicate the subtle effects of a disease on cortical brain regions previously reported in the neuroscience literature. This achievement is an important milestone in the use of synthetic MRIs in studies investigating subtle morphological differences.

No Masks Needed: Explainable AI for Deriving Segmentation from Classification

Medical image segmentation is vital for modern healthcare and is a key element of computer-aided diagnosis. While recent advancements in computer vision have explored unsupervised segmentation using pre-trained models, these methods have not been translated well to the medical imaging domain. In this work, we introduce a novel approach that fine-tunes pre-trained models specifically for medical images, achieving accurate segmentation with extensive processing. Our method integrates Explainable AI to generate relevance scores, enhancing the segmentation process. Unlike traditional methods that excel in standard benchmarks but falter in medical applications, our approach achieves improved results on datasets like CBIS-DDSM, NuInsSeg and Kvasir-SEG.

Translation of Text Embedding via Delta Vector to Suppress Strongly Entangled Content in Text-to-Image Diffusion Models

Text-to-Image (T2I) diffusion models have made significant progress in generating diverse high-quality images from textual prompts. However, these models still face challenges in suppressing content that is strongly entangled with specific words. For example, when generating an image of ``Charlie Chaplin", a ``mustache" consistently appears even if explicitly instructed not to include it, as the concept of ``mustache" is strongly entangled with ``Charlie Chaplin". To address this issue, we propose a novel approach to directly suppress such entangled content within the text embedding space of diffusion models. Our method introduces a delta vector that modifies the text embedding to weaken the influence of undesired content in the generated image, and we further demonstrate that this delta vector can be easily obtained through a zero-shot approach. Furthermore, we propose a Selective Suppression with Delta Vector (SSDV) method to adapt delta vector into the cross-attention mechanism, enabling more effective suppression of unwanted content in regions where it would otherwise be generated. Additionally, we enabled more precise suppression in personalized T2I models by optimizing delta vector, which previous baselines were unable to achieve. Extensive experimental results demonstrate that our approach significantly outperforms existing methods, both in terms of quantitative and qualitative metrics.