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.

Semantic Bridging Domains: Pseudo-Source as Test-Time Connector

Distribution shifts between training and testing data are a critical bottleneck limiting the practical utility of models, especially in real-world test-time scenarios. To adapt models when the source domain is unknown and the target domain is unlabeled, previous works constructed pseudo-source domains via data generation and translation, then aligned the target domain with them. However, significant discrepancies exist between the pseudo-source and the original source domain, leading to potential divergence when correcting the target directly. From this perspective, we propose a Stepwise Semantic Alignment (SSA) method, viewing the pseudo-source as a semantic bridge connecting the source and target, rather than a direct substitute for the source. Specifically, we leverage easily accessible universal semantics to rectify the semantic features of the pseudo-source, and then align the target domain using the corrected pseudo-source semantics. Additionally, we introduce a Hierarchical Feature Aggregation (HFA) module and a Confidence-Aware Complementary Learning (CACL) strategy to enhance the semantic quality of the SSA process in the absence of source and ground truth of target domains. We evaluated our approach on tasks like semantic segmentation and image classification, achieving a 5.2% performance boost on GTA2Cityscapes over the state-of-the-art.

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.

Controlling Your Image via Simplified Vector Graphics

Recent advances in image generation have achieved remarkable visual quality, while a fundamental challenge remains: Can image generation be controlled at the element level, enabling intuitive modifications such as adjusting shapes, altering colors, or adding and removing objects? In this work, we address this challenge by introducing layer-wise controllable generation through simplified vector graphics (VGs). Our approach first efficiently parses images into hierarchical VG representations that are semantic-aligned and structurally coherent. Building on this representation, we design a novel image synthesis framework guided by VGs, allowing users to freely modify elements and seamlessly translate these edits into photorealistic outputs. By leveraging the structural and semantic features of VGs in conjunction with noise prediction, our method provides precise control over geometry, color, and object semantics. Extensive experiments demonstrate the effectiveness of our approach in diverse applications, including image editing, object-level manipulation, and fine-grained content creation, establishing a new paradigm for controllable image generation. Project page: https://guolanqing.github.io/Vec2Pix/

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.

Towards Autonomous Robotic Kidney Ultrasound: Spatial-Efficient Volumetric Imaging via Template Guided Optimal Pivoting

Medical ultrasound (US) imaging is a frontline tool for the diagnosis of kidney diseases. However, traditional freehand imaging procedure suffers from inconsistent, operator-dependent outcomes, lack of 3D localization information, and risks of work-related musculoskeletal disorders. While robotic ultrasound (RUS) systems offer the potential for standardized, operator-independent 3D kidney data acquisition, the existing scanning methods lack the ability to determine the optimal imaging window for efficient imaging. As a result, the scan is often blindly performed with excessive probe footprint, which frequently leads to acoustic shadowing and incomplete organ coverage. Consequently, there is a critical need for a spatially efficient imaging technique that can maximize the kidney coverage through minimum probe footprint. Here, we propose an autonomous workflow to achieve efficient kidney imaging via template-guided optimal pivoting. The system first performs an explorative imaging to generate partial observations of the kidney. This data is then registered to a kidney template to estimate the organ pose. With the kidney localized, the robot executes a fixed-point pivoting sweep where the imaging plane is aligned with the kidney long axis to minimize the probe translation. The proposed method was validated in simulation and in-vivo. Simulation results indicate that a 60% exploration ratio provides optimal balance between kidney localization accuracy and scanning efficiency. In-vivo evaluation on two male subjects demonstrates a kidney localization accuracy up to 7.36 mm and 13.84 degrees. Moreover, the optimal pivoting approach shortened the probe footprint by around 75 mm when compared with the baselines. These results valid our approach of leveraging anatomical templates to align the probe optimally for volumetric sweep.

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.

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.

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.