Ontology-Guided Diffusion for Zero-Shot Visual Sim2Real Transfer

Bridging the simulation-to-reality (sim2real) gap remains challenging as labelled real-world data is scarce. Existing diffusion-based approaches rely on unstructured prompts or statistical alignment, which do not capture the structured factors that make images look real. We introduce Ontology- Guided Diffusion (OGD), a neuro-symbolic zero-shot sim2real image translation framework that represents realism as structured knowledge. OGD decomposes realism into an ontology of interpretable traits -- such as lighting and material properties -- and encodes their relationships in a knowledge graph. From a synthetic image, OGD infers trait activations and uses a graph neural network to produce a global embedding. In parallel, a symbolic planner uses the ontology traits to compute a consistent sequence of visual edits needed to narrow the realism gap. The graph embedding conditions a pretrained instruction-guided diffusion model via cross-attention, while the planned edits are converted into a structured instruction prompt. Across benchmarks, our graph-based embeddings better distinguish real from synthetic imagery than baselines, and OGD outperforms state-of-the-art diffusion methods in sim2real image translations. Overall, OGD shows that explicitly encoding realism structure enables interpretable, data-efficient, and generalisable zero-shot sim2real transfer.

Translating MRI to PET through Conditional Diffusion Models with Enhanced Pathology Awareness

Positron emission tomography (PET) is a widely recognized technique for diagnosing neurodegenerative diseases, offering critical functional insights. However, its high costs and radiation exposure hinder its widespread use. In contrast, magnetic resonance imaging (MRI) does not involve such limitations. While MRI also detects neurodegenerative changes, it is less sensitive for diagnosis compared to PET. To overcome such limitations, one approach is to generate synthetic PET from MRI. Recent advances in generative models have paved the way for cross-modality medical image translation; however, existing methods largely emphasize structural preservation while neglecting the critical need for pathology awareness. To address this gap, we propose PASTA, a novel image translation framework built on conditional diffusion models with enhanced pathology awareness. PASTA surpasses state-of-the-art methods by preserving both structural and pathological details through its highly interactive dual-arm architecture and multi-modal condition integration. Additionally, we introduce a novel cycle exchange consistency and volumetric generation strategy that significantly enhances PASTA's ability to produce high-quality 3D PET images. Our qualitative and quantitative results demonstrate the high quality and pathology awareness of the synthesized PET scans. For Alzheimer's diagnosis, the performance of these synthesized scans improves over MRI by 4%, almost reaching the performance of actual PET. Our code is available at https://github.com/ai-med/PASTA.

TuLaBM: Tumor-Biased Latent Bridge Matching for Contrast-Enhanced MRI Synthesis

Contrast-enhanced magnetic resonance imaging (CE-MRI) plays a crucial role in brain tumor assessment; however, its acquisition requires gadolinium-based contrast agents (GBCAs), which increase costs and raise safety concerns. Consequently, synthesizing CE-MRI from non-contrast MRI (NC-MRI) has emerged as a promising alternative. Early Generative Adversarial Network (GAN)-based approaches suffered from instability and mode collapse, while diffusion models, despite impressive synthesis quality, remain computationally expensive and often fail to faithfully reproduce critical tumor contrast patterns. To address these limitations, we propose Tumor-Biased Latent Bridge Matching (TuLaBM), which formulates NC-to-CE MRI translation as Brownian bridge transport between source and target distributions in a learned latent space, enabling efficient training and inference. To enhance tumor-region fidelity, we introduce a Tumor-Biased Attention Mechanism (TuBAM) that amplifies tumor-relevant latent features during bridge evolution, along with a boundary-aware loss that constrains tumor interfaces to improve margin sharpness. While bridge matching has been explored for medical image translation in pixel space, our latent formulation substantially reduces computational cost and inference time. Experiments on BraTS2023-GLI (BraSyn) and Cleveland Clinic (in-house) liver MRI dataset show that TuLaBM consistently outperforms state-of-the-art baselines on both whole-image and tumor-region metrics, generalizes effectively to unseen liver MRI data in zero-shot and fine-tuned settings, and achieves inference times under 0.097 seconds per image.

A Unified Platform and Quality Assurance Framework for 3D Ultrasound Reconstruction with Robotic, Optical, and Electromagnetic Tracking

Three-dimensional (3D) Ultrasound (US) can facilitate diagnosis, treatment planning, and image-guided therapy. However, current studies rarely provide a comprehensive evaluation of volumetric accuracy and reproducibility, highlighting the need for robust Quality Assurance (QA) frameworks, particularly for tracked 3D US reconstruction using freehand or robotic acquisition. This study presents a QA framework for 3D US reconstruction and a flexible open source platform for tracked US research. A custom phantom containing geometric inclusions with varying symmetry properties enables straightforward evaluation of optical, electromagnetic, and robotic kinematic tracking for 3D US at different scanning speeds and insonation angles. A standardised pipeline performs real-time segmentation and 3D reconstruction of geometric targets (DSC = 0.97, FPS = 46) without GPU acceleration, followed by automated registration and comparison with ground-truth geometries. Applying this framework showed that our robotic 3D US achieves state-of-the-art reconstruction performance (DSC-3D = 0.94 +- 0.01, HD95 = 1.17 +- 0.12), approaching the spatial resolution limit imposed by the transducer. This work establishes a flexible experimental platform and a reproducible validation methodology for 3D US reconstruction. The proposed framework enables robust cross-platform comparisons and improved reporting practices, supporting the safe and effective clinical translation of 3D ultrasound in diagnostic and image-guided therapy applications.

EgoForge: Goal-Directed Egocentric World Simulator

Generative world models have shown promise for simulating dynamic environments, yet egocentric video remains challenging due to rapid viewpoint changes, frequent hand-object interactions, and goal-directed procedures whose evolution depends on latent human intent. Existing approaches either focus on hand-centric instructional synthesis with limited scene evolution, perform static view translation without modeling action dynamics, or rely on dense supervision, such as camera trajectories, long video prefixes, synchronized multicamera capture, etc. In this work, we introduce EgoForge, an egocentric goal-directed world simulator that generates coherent, first-person video rollouts from minimal static inputs: a single egocentric image, a high-level instruction, and an optional auxiliary exocentric view. To improve intent alignment and temporal consistency, we propose VideoDiffusionNFT, a trajectory-level reward-guided refinement that optimizes goal completion, temporal causality, scene consistency, and perceptual fidelity during diffusion sampling. Extensive experiments show EgoForge achieves consistent gains in semantic alignment, geometric stability, and motion fidelity over strong baselines, and robust performance in real-world smart-glasses experiments.

Investigating a Policy-Based Formulation for Endoscopic Camera Pose Recovery

In endoscopic surgery, surgeons continuously locate the endoscopic view relative to the anatomy by interpreting the evolving visual appearance of the intraoperative scene in the context of their prior knowledge. Vision-based navigation systems seek to replicate this capability by recovering camera pose directly from endoscopic video, but most approaches do not embody the same principles of reasoning about new frames that makes surgeons successful. Instead, they remain grounded in feature matching and geometric optimization over keyframes, an approach that has been shown to degrade under the challenging conditions of endoscopic imaging like low texture and rapid illumination changes. Here, we pursue an alternative approach and investigate a policy-based formulation of endoscopic camera pose recovery that seeks to imitate experts in estimating trajectories conditioned on the previous camera state. Our approach directly predicts short-horizon relative motions without maintaining an explicit geometric representation at inference time. It thus addresses, by design, some of the notorious challenges of geometry-based approaches, such as brittle correspondence matching, instability in texture-sparse regions, and limited pose coverage due to reconstruction failure. We evaluate the proposed formulation on cadaveric sinus endoscopy. Under oracle state conditioning, we compare short-horizon motion prediction quality to geometric baselines achieving lowest mean translation error and competitive rotational accuracy. We analyze robustness by grouping prediction windows according to texture richness and illumination change indicating reduced sensitivity to low-texture conditions. These findings suggest that a learned motion policy offers a viable alternative formulation for endoscopic camera pose recovery.

R&D: Balancing Reliability and Diversity in Synthetic Data Augmentation for Semantic Segmentation

Collecting and annotating datasets for pixel-level semantic segmentation tasks are highly labor-intensive. Data augmentation provides a viable solution by enhancing model generalization without additional real-world data collection. Traditional augmentation techniques, such as translation, scaling, and color transformations, create geometric variations but fail to generate new structures. While generative models have been employed to extend semantic information of datasets, they often struggle to maintain consistency between the original and generated images, particularly for pixel-level tasks. In this work, we propose a novel synthetic data augmentation pipeline that integrates controllable diffusion models. Our approach balances diversity and reliability data, effectively bridging the gap between synthetic and real data. We utilize class-aware prompting and visual prior blending to improve image quality further, ensuring precise alignment with segmentation labels. By evaluating benchmark datasets such as PASCAL VOC and BDD100K, we demonstrate that our method significantly enhances semantic segmentation performance, especially in data-scarce scenarios, while improving model robustness in real-world applications. Our code is available at \href{https://github.com/chequanghuy/Enhanced-Generative-Data-Augmentation-for-Semantic-Segmentation-via-Stronger-Guidance}{https://github.com/chequanghuy/Enhanced-Generative-Data-Augmentation-for-Semantic-Segmentation-via-Stronger-Guidance}.

Do VLMs Need Vision Transformers? Evaluating State Space Models as Vision Encoders

Large vision--language models (VLMs) often use a frozen vision backbone, whose image features are mapped into a large language model through a lightweight connector. While transformer-based encoders are the standard visual backbone, we ask whether state space model (SSM) vision backbones can be a strong alternative. We systematically evaluate SSM vision backbones for VLMs in a controlled setting. Under matched ImageNet-1K initialization, the SSM backbone achieves the strongest overall performance across both VQA and grounding/localization. We further adapt both SSM and ViT-family backbones with detection or segmentation training and find that dense-task tuning generally improves performance across families; after this adaptation, the SSM backbone remains competitive while operating at a substantially smaller model scale. We further observe that (i) higher ImageNet accuracy or larger backbones do not reliably translate into better VLM performance, and (ii) some visual backbones are unstable in localization. Based on these findings, we propose stabilization strategies that improve robustness for both backbone families and highlight SSM backbones as a strong alternative to transformer-based vision encoders in VLMs.

Universal Skeleton Understanding via Differentiable Rendering and MLLMs

Multimodal large language models (MLLMs) exhibit strong visual-language reasoning, yet remain confined to their native modalities and cannot directly process structured, non-visual data such as human skeletons. Existing methods either compress skeleton dynamics into lossy feature vectors for text alignment, or quantize motion into discrete tokens that generalize poorly across heterogeneous skeleton formats. We present SkeletonLLM, which achieves universal skeleton understanding by translating arbitrary skeleton sequences into the MLLM's native visual modality. At its core is DrAction, a differentiable, format-agnostic renderer that converts skeletal kinematics into compact image sequences. Because the pipeline is end-to-end differentiable, MLLM gradients can directly guide the rendering to produce task-informative visual tokens. To further enhance reasoning capabilities, we introduce a cooperative training strategy: Causal Reasoning Distillation transfers structured, step-by-step reasoning from a teacher model, while Discriminative Finetuning sharpens decision boundaries between confusable actions. SkeletonLLM demonstrates strong generalization on diverse tasks including recognition, captioning, reasoning, and cross-format transfer -- suggesting a viable path for applying MLLMs to non-native modalities. Code will be released upon acceptance.

AU Codes, Language, and Synthesis: Translating Anatomy to Text for Facial Behavior Synthesis

Facial behavior synthesis remains a critical yet underexplored challenge. While text-to-face models have made progress, they often rely on coarse emotion categories, which lack the nuance needed to capture the full spectrum of human nonverbal communication. Action Units (AUs) provide a more precise and anatomically grounded alternative. However, current AU-based approaches typically encode AUs as one-hot vectors, modeling compound expressions as simple linear combinations of individual AUs. This linearity becomes problematic when handling conflicting AUs--defined as those which activate the same facial muscle with opposing actions. Such cases lead to anatomically implausible artifacts and unnatural motion superpositions. To address this, we propose a novel method that represents facial behavior through natural language descriptions of AUs. This approach preserves the expressiveness of the AU framework while enabling explicit modeling of complex and conflicting AUs. It also unlocks the potential of modern text-to-image models for high-fidelity facial synthesis. Supporting this direction, we introduce BP4D-AUText, the first large-scale text-image paired dataset for complex facial behavior. It is synthesized by applying a rule-based Dynamic AU Text Processor to the BP4D and BP4D+ datasets. We further propose VQ-AUFace, a generative model that leverages facial structural priors to synthesize realistic and diverse facial behaviors from text. Extensive quantitative experiments and user studies demonstrate that our approach significantly outperforms existing methods. It excels in generating facial expressions that are anatomically plausible, behaviorally rich, and perceptually convincing, particularly under challenging conditions involving conflicting AUs.