ArthroCut: Autonomous Policy Learning for Robotic Bone Resection in Knee Arthroplasty

Despite rapid commercialization of surgical robots, their autonomy and real-time decision-making remain limited in practice. To address this gap, we propose ArthroCut, an autonomous policy learning framework that upgrades knee arthroplasty robots from assistive execution to context-aware action generation. ArthroCut fine-tunes a Qwen--VL backbone on a self-built, time-synchronized multimodal dataset from 21 complete cases (23,205 RGB--D pairs), integrating preoperative CT/MR, intraoperative NDI tracking of bones and end effector, RGB--D surgical video, robot state, and textual intent. The method operates on two complementary token families -- Preoperative Imaging Tokens (PIT) to encode patient-specific anatomy and planned resection planes, and Time-Aligned Surgical Tokens (TAST) to fuse real-time visual, geometric, and kinematic evidence -- and emits an interpretable action grammar under grammar/safety-constrained decoding. In bench-top experiments on a knee prosthesis across seven trials, ArthroCut achieves an average success rate of 86% over the six standard resections, significantly outperforming strong baselines trained under the same protocol. Ablations show that TAST is the principal driver of reliability while PIT provides essential anatomical grounding, and their combination yields the most stable multi-plane execution. These results indicate that aligning preoperative geometry with time-aligned intraoperative perception and translating that alignment into tokenized, constrained actions is an effective path toward robust, interpretable autonomy in orthopedic robotic surgery.

Using Deep Learning to Generate Semantically Correct Hindi Captions

Automated image captioning using the content from the image is very appealing when done by harnessing the capability of computer vision and natural language processing. Extensive research has been done in the field with a major focus on the English language which gives the scope for further developments in the same with consideration of popular foreign languages. This research utilizes distinct models for translating the image caption into Hindi, the fourth most popular language across the world. Exploring the multi-modal architectures this research comprises local visual features, global visual features, attention mechanisms, and pre-trained models. Using google cloud translator on the image dataset from Flickr8k, Hindi image descriptions have been generated. Pre-trained CNNs like VGG16, ResNet50, and Inception V3 helped in retrieving image characteristics, while the uni-directional and bi-directional techniques of text encoding are used for the text encoding process. An additional Attention layer helps to generate a weight vector and, by multiplying it, combine image characteristics from each time step into a sentence-level feature vector. Bilingual evaluation understudy scores are used to compare the research outcome. Many experiments that serve as a baseline are done for the comparative analysis of the research. An image with a score of BLEU-1 is considered sufficient, whereas one with a score of BLEU-4 is considered to have fluid image captioning. For both BLEU scores, the attention-based bidirectional LSTM with VGG16 produced the best results of 0.59 and 0.19 respectively. The experiments conclude that researchs ability to produce relevant, semantically accurate image captions in Hindi. The research accomplishes the goals and future research can be guided by this research model.

IHF-Harmony: Multi-Modality Magnetic Resonance Images Harmonization using Invertible Hierarchy Flow Model

Retrospective MRI harmonization is limited by poor scalability across modalities and reliance on traveling subject datasets. To address these challenges, we introduce IHF-Harmony, a unified invertible hierarchy flow framework for multi-modality harmonization using unpaired data. By decomposing the translation process into reversible feature transformations, IHF-Harmony guarantees bijective mapping and lossless reconstruction to prevent anatomical distortion. Specifically, an invertible hierarchy flow (IHF) performs hierarchical subtractive coupling to progressively remove artefact-related features, while an artefact-aware normalization (AAN) employs anatomy-fixed feature modulation to accurately transfer target characteristics. Combined with anatomy and artefact consistency loss objectives, IHF-Harmony achieves high-fidelity harmonization that retains source anatomy. Experiments across multiple MRI modalities demonstrate that IHF-Harmony outperforms existing methods in both anatomical fidelity and downstream task performance, facilitating robust harmonization for large-scale multi-site imaging studies. Code will be released upon acceptance.

Rate-Distortion Signatures of Generalization and Information Trade-offs

Generalization to novel visual conditions remains a central challenge for both human and machine vision, yet standard robustness metrics offer limited insight into how systems trade accuracy for robustness. We introduce a rate-distortion-theoretic framework that treats stimulus-response behavior as an effective communication channel, derives rate-distortion (RD) frontiers from confusion matrices, and summarizes each system with two interpretable geometric signatures - slope ($β$) and curvature ($κ$) - which capture the marginal cost and abruptness of accuracy-robustness trade-offs. Applying this framework to human psychophysics and 18 deep vision models under controlled image perturbations, we compare generalization geometry across model architectures and training regimes. We find that both biological and artificial systems follow a common lossy-compression principle but occupy systematically different regions of RD space. In particular, humans exhibit smoother, more flexible trade-offs, whereas modern deep networks operate in steeper and more brittle regimes even at matched accuracy. Across training regimes, robustness training induces systematic but dissociable shifts in beta/kappa, revealing cases where improved robustness or accuracy does not translate into more human-like generalization geometry. These results demonstrate that RD geometry provides a compact, model-agnostic lens for comparing generalization behavior across systems beyond standard accuracy-based metrics.

Spectral Collapse in Diffusion Inversion

Conditional diffusion inversion provides a powerful framework for unpaired image-to-image translation. However, we demonstrate through an extensive analysis that standard deterministic inversion (e.g. DDIM) fails when the source domain is spectrally sparse compared to the target domain (e.g., super-resolution, sketch-to-image). In these contexts, the recovered latent from the input does not follow the expected isotropic Gaussian distribution. Instead it exhibits a signal with lower frequencies, locking target sampling to oversmoothed and texture-poor generations. We term this phenomenon spectral collapse. We observe that stochastic alternatives attempting to restore the noise variance tend to break the semantic link to the input, leading to structural drift. To resolve this structure-texture trade-off, we propose Orthogonal Variance Guidance (OVG), an inference-time method that corrects the ODE dynamics to enforce the theoretical Gaussian noise magnitude within the null-space of the structural gradient. Extensive experiments on microscopy super-resolution (BBBC021) and sketch-to-image (Edges2Shoes) demonstrate that OVG effectively restores photorealistic textures while preserving structural fidelity.

MammoWise: Multi-Model Local RAG Pipeline for Mammography Report Generation

Screening mammography is high volume, time sensitive, and documentation heavy. Radiologists must translate subtle visual findings into consistent BI-RADS assessments, breast density categories, and structured narrative reports. While recent Vision Language Models (VLMs) enable image-to-text reporting, many rely on closed cloud systems or tightly coupled architectures that limit privacy, reproducibility, and adaptability. We present MammoWise, a local multi-model pipeline that transforms open source VLMs into mammogram report generators and multi-task classifiers. MammoWise supports any Ollama-hosted VLM and mammography dataset, and enables zero-shot, few-shot, and Chain-of-Thought prompting, with optional multimodal Retrieval Augmented Generation (RAG) using a vector database for case-specific context. We evaluate MedGemma, LLaVA-Med, and Qwen2.5-VL on VinDr-Mammo and DMID datasets, assessing report quality (BERTScore, ROUGE-L), BI-RADS classification, breast density, and key findings. Report generation is consistently strong and improves with few-shot prompting and RAG. Classification is feasible but sensitive to model and dataset choice. Parameter-efficient fine-tuning (QLoRA) of MedGemma improves reliability, achieving BI-RADS accuracy of 0.7545, density accuracy of 0.8840, and calcification accuracy of 0.9341 while preserving report quality. MammoWise provides a practical and extensible framework for deploying local VLMs for mammography reporting within a unified and reproducible workflow.

XMorph: Explainable Brain Tumor Analysis Via LLM-Assisted Hybrid Deep Intelligence

Deep learning has significantly advanced automated brain tumor diagnosis, yet clinical adoption remains limited by interpretability and computational constraints. Conventional models often act as opaque ''black boxes'' and fail to quantify the complex, irregular tumor boundaries that characterize malignant growth. To address these challenges, we present XMorph, an explainable and computationally efficient framework for fine-grained classification of three prominent brain tumor types: glioma, meningioma, and pituitary tumors. We propose an Information-Weighted Boundary Normalization (IWBN) mechanism that emphasizes diagnostically relevant boundary regions alongside nonlinear chaotic and clinically validated features, enabling a richer morphological representation of tumor growth. A dual-channel explainable AI module combines GradCAM++ visual cues with LLM-generated textual rationales, translating model reasoning into clinically interpretable insights. The proposed framework achieves a classification accuracy of 96.0%, demonstrating that explainability and high performance can co-exist in AI-based medical imaging systems. The source code and materials for XMorph are all publicly available at: https://github.com/ALSER-Lab/XMorph.

OpenRad: a Curated Repository of Open-access AI models for Radiology

The rapid developments in artificial intelligence (AI) research in radiology have produced numerous models that are scattered across various platforms and sources, limiting discoverability, reproducibility and clinical translation. Herein, OpenRad was created, a curated, standardized, open-access repository that aggregates radiology AI models and providing details such as the availability of pretrained weights and interactive applications. Retrospective analysis of peer reviewed literature and preprints indexed in PubMed, arXiv and Scopus was performed until Dec 2025 (n = 5239 records). Model records were generated using a locally hosted LLM (gpt-oss:120b), based on the RSNA AI Roadmap JSON schema, and manually verified by ten expert reviewers. Stability of LLM outputs was assessed on 225 randomly selected papers using text similarity metrics. A total of 1694 articles were included after review. Included models span all imaging modalities (CT, MRI, X-ray, US) and radiology subspecialties. Automated extraction demonstrated high stability for structured fields (Levenshtein ratio > 90%), with 78.5% of record edits being characterized as minor during expert review. Statistical analysis of the repository revealed CNN and transformer architectures as dominant, while MRI was the most commonly used modality (in 621 neuroradiology AI models). Research output was mostly concentrated in China and the United States. The OpenRad web interface enables model discovery via keyword search and filters for modality, subspecialty, intended use, verification status and demo availability, alongside live statistics. The community can contribute new models through a dedicated portal. OpenRad contains approx. 1700 open access, curated radiology AI models with standardized metadata, supplemented with analysis of code repositories, thereby creating a comprehensive, searchable resource for the radiology community.

Seeing to Generalize: How Visual Data Corrects Binding Shortcuts

Vision Language Models (VLMs) are designed to extend Large Language Models (LLMs) with visual capabilities, yet in this work we observe a surprising phenomenon: VLMs can outperform their underlying LLMs on purely text-only tasks, particularly in long-context information retrieval. To investigate this effect, we build a controlled synthetic retrieval task and find that a transformer trained only on text achieves perfect in-distribution accuracy but fails to generalize out of distribution, while subsequent training on an image-tokenized version of the same task nearly doubles text-only OOD performance. Mechanistic interpretability reveals that visual training changes the model's internal binding strategy: text-only training encourages positional shortcuts, whereas image-based training disrupts them through spatial translation invariance, forcing the model to adopt a more robust symbolic binding mechanism that persists even after text-only examples are reintroduced. We further characterize how binding strategies vary across training regimes, visual encoders, and initializations, and show that analogous shifts occur during pretrained LLM-to-VLM transitions. Our findings suggest that cross-modal training can enhance reasoning and generalization even for tasks grounded in a single modality.

Can Agents Distinguish Visually Hard-to-Separate Diseases in a Zero-Shot Setting? A Pilot Study

The rapid progress of multimodal large language models (MLLMs) has led to increasing interest in agent-based systems. While most prior work in medical imaging concentrates on automating routine clinical workflows, we study an underexplored yet clinically significant setting: distinguishing visually hard-to-separate diseases in a zero-shot setting. We benchmark representative agents on two imaging-only proxy diagnostic tasks, (1) melanoma vs. atypical nevus and (2) pulmonary edema vs. pneumonia, where visual features are highly confounded despite substantial differences in clinical management. We introduce a multi-agent framework based on contrastive adjudication. Experimental results show improved diagnostic performance (an 11-percentage-point gain in accuracy on dermoscopy data) and reduced unsupported claims on qualitative samples, although overall performance remains insufficient for clinical deployment. We acknowledge the inherent uncertainty in human annotations and the absence of clinical context, which further limit the translation to real-world settings. Within this controlled setting, this pilot study provides preliminary insights into zero-shot agent performance in visually confounded scenarios.