Vibration-Based Energy Metric for Restoring Needle Alignment in Autonomous Robotic Ultrasound

Precise needle alignment is essential for percutaneous needle insertion in robotic ultrasound-guided procedures. However, inherent challenges such as speckle noise, needle-like artifacts, and low image resolution make robust needle detection difficult, particularly when visibility is reduced or lost. In this paper, we propose a method to restore needle alignment when the ultrasound imaging plane and the needle insertion plane are misaligned. Unlike many existing approaches that rely heavily on needle visibility in ultrasound images, our method uses a more robust feature by periodically vibrating the needle using a mechanical system. Specifically, we propose a vibration-based energy metric that remains effective even when the needle is fully out of plane. Using this metric, we develop a control strategy to reposition the ultrasound probe in response to misalignments between the imaging plane and the needle insertion plane in both translation and rotation. Experiments conducted on ex-vivo porcine tissue samples using a dual-arm robotic ultrasound-guided needle insertion system demonstrate the effectiveness of the proposed approach. The experimental results show the translational error of 0.41$\pm$0.27 mm and the rotational error of 0.51$\pm$0.19 degrees.

Large-scale Multi-sequence Pretraining for Generalizable MRI Analysis in Versatile Clinical Applications

Multi-sequence Magnetic Resonance Imaging (MRI) offers remarkable versatility, enabling the distinct visualization of different tissue types. Nevertheless, the inherent heterogeneity among MRI sequences poses significant challenges to the generalization capability of deep learning models. These challenges undermine model performance when faced with varying acquisition parameters, thereby severely restricting their clinical utility. In this study, we present PRISM, a foundation model PRe-trained with large-scale multI-Sequence MRI. We collected a total of 64 datasets from both public and private sources, encompassing a wide range of whole-body anatomical structures, with scans spanning diverse MRI sequences. Among them, 336,476 volumetric MRI scans from 34 datasets (8 public and 26 private) were curated to construct the largest multi-organ multi-sequence MRI pretraining corpus to date. We propose a novel pretraining paradigm that disentangles anatomically invariant features from sequence-specific variations in MRI, while preserving high-level semantic representations. We established a benchmark comprising 44 downstream tasks, including disease diagnosis, image segmentation, registration, progression prediction, and report generation. These tasks were evaluated on 32 public datasets and 5 private cohorts. PRISM consistently outperformed both non-pretrained models and existing foundation models, achieving first-rank results in 39 out of 44 downstream benchmarks with statistical significance improvements. These results underscore its ability to learn robust and generalizable representations across unseen data acquired under diverse MRI protocols. PRISM provides a scalable framework for multi-sequence MRI analysis, thereby enhancing the translational potential of AI in radiology. It delivers consistent performance across diverse imaging protocols, reinforcing its clinical applicability.

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.

ConlangCrafter: Constructing Languages with a Multi-Hop LLM Pipeline

Constructed languages (conlangs) such as Esperanto and Quenya have played diverse roles in art, philosophy, and international communication. Meanwhile, large-scale foundation models have revolutionized creative generation in text, images, and beyond. In this work, we leverage modern LLMs as computational creativity aids for end-to-end conlang creation. We introduce ConlangCrafter, a multi-hop pipeline that decomposes language design into modular stages -- phonology, morphology, syntax, lexicon generation, and translation. At each stage, our method leverages LLMs' meta-linguistic reasoning capabilities, injecting randomness to encourage diversity and leveraging self-refinement feedback to encourage consistency in the emerging language description. We evaluate ConlangCrafter on metrics measuring coherence and typological diversity, demonstrating its ability to produce coherent and varied conlangs without human linguistic expertise.

Advanced Multi-Architecture Deep Learning Framework for BIRADS-Based Mammographic Image Retrieval: Comprehensive Performance Analysis with Super-Ensemble Optimization

Content-based mammographic image retrieval systems require exact BIRADS categorical matching across five distinct classes, presenting significantly greater complexity than binary classification tasks commonly addressed in literature. Current medical image retrieval studies suffer from methodological limitations including inadequate sample sizes, improper data splitting, and insufficient statistical validation that hinder clinical translation. We developed a comprehensive evaluation framework systematically comparing CNN architectures (DenseNet121, ResNet50, VGG16) with advanced training strategies including sophisticated fine-tuning, metric learning, and super-ensemble optimization. Our evaluation employed rigorous stratified data splitting (50%/20%/30% train/validation/test), 602 test queries, and systematic validation using bootstrap confidence intervals with 1,000 samples. Advanced fine-tuning with differential learning rates achieved substantial improvements: DenseNet121 (34.79% precision@10, 19.64% improvement) and ResNet50 (34.54%, 19.58% improvement). Super-ensemble optimization combining complementary architectures achieved 36.33% precision@10 (95% CI: [34.78%, 37.88%]), representing 24.93% improvement over baseline and providing 3.6 relevant cases per query. Statistical analysis revealed significant performance differences between optimization strategies (p<0.001) with large effect sizes (Cohen's d>0.8), while maintaining practical search efficiency (2.8milliseconds). Performance significantly exceeds realistic expectations for 5-class medical retrieval tasks, where literature suggests 20-25% precision@10 represents achievable performance for exact BIRADS matching. Our framework establishes new performance benchmarks while providing evidence-based architecture selection guidelines for clinical deployment in diagnostic support and quality assurance applications.

SIDA: Synthetic Image Driven Zero-shot Domain Adaptation

Zero-shot domain adaptation is a method for adapting a model to a target domain without utilizing target domain image data. To enable adaptation without target images, existing studies utilize CLIP's embedding space and text description to simulate target-like style features. Despite the previous achievements in zero-shot domain adaptation, we observe that these text-driven methods struggle to capture complex real-world variations and significantly increase adaptation time due to their alignment process. Instead of relying on text descriptions, we explore solutions leveraging image data, which provides diverse and more fine-grained style cues. In this work, we propose SIDA, a novel and efficient zero-shot domain adaptation method leveraging synthetic images. To generate synthetic images, we first create detailed, source-like images and apply image translation to reflect the style of the target domain. We then utilize the style features of these synthetic images as a proxy for the target domain. Based on these features, we introduce Domain Mix and Patch Style Transfer modules, which enable effective modeling of real-world variations. In particular, Domain Mix blends multiple styles to expand the intra-domain representations, and Patch Style Transfer assigns different styles to individual patches. We demonstrate the effectiveness of our method by showing state-of-the-art performance in diverse zero-shot adaptation scenarios, particularly in challenging domains. Moreover, our approach achieves high efficiency by significantly reducing the overall adaptation time.

Explainable Image Classification with Reduced Overconfidence for Tissue Characterisation

The deployment of Machine Learning models intraoperatively for tissue characterisation can assist decision making and guide safe tumour resections. For image classification models, pixel attribution methods are popular to infer explainability. However, overconfidence in deep learning model's predictions translates to overconfidence in pixel attribution. In this paper, we propose the first approach which incorporates risk estimation into a pixel attribution method for improved image classification explainability. The proposed method iteratively applies a classification model with a pixel attribution method to create a volume of PA maps. This volume is used for the first time, to generate a pixel-wise distribution of PA values. We introduce a method to generate an enhanced PA map by estimating the expectation values of the pixel-wise distributions. In addition, the coefficient of variation (CV) is used to estimate pixel-wise risk of this enhanced PA map. Hence, the proposed method not only provides an improved PA map but also produces an estimation of risk on the output PA values. Performance evaluation on probe-based Confocal Laser Endomicroscopy (pCLE) data and ImageNet verifies that our improved explainability method outperforms the state-of-the-art.

MetaCLIP 2: A Worldwide Scaling Recipe

Contrastive Language-Image Pretraining (CLIP) is a popular foundation model, supporting from zero-shot classification, retrieval to encoders for multimodal large language models (MLLMs). Although CLIP is successfully trained on billion-scale image-text pairs from the English world, scaling CLIP's training further to learning from the worldwide web data is still challenging: (1) no curation method is available to handle data points from non-English world; (2) the English performance from existing multilingual CLIP is worse than its English-only counterpart, i.e., "curse of multilinguality" that is common in LLMs. Here, we present MetaCLIP 2, the first recipe training CLIP from scratch on worldwide web-scale image-text pairs. To generalize our findings, we conduct rigorous ablations with minimal changes that are necessary to address the above challenges and present a recipe enabling mutual benefits from English and non-English world data. In zero-shot ImageNet classification, MetaCLIP 2 ViT-H/14 surpasses its English-only counterpart by 0.8% and mSigLIP by 0.7%, and surprisingly sets new state-of-the-art without system-level confounding factors (e.g., translation, bespoke architecture changes) on multilingual benchmarks, such as CVQA with 57.4%, Babel-ImageNet with 50.2% and XM3600 with 64.3% on image-to-text retrieval.

CONCAP: Seeing Beyond English with Concepts Retrieval-Augmented Captioning

Multilingual vision-language models have made significant strides in image captioning, yet they still lag behind their English counterparts due to limited multilingual training data and costly large-scale model parameterization. Retrieval-augmented generation (RAG) offers a promising alternative by conditioning caption generation on retrieved examples in the target language, reducing the need for extensive multilingual training. However, multilingual RAG captioning models often depend on retrieved captions translated from English, which can introduce mismatches and linguistic biases relative to the source language. We introduce CONCAP, a multilingual image captioning model that integrates retrieved captions with image-specific concepts, enhancing the contextualization of the input image and grounding the captioning process across different languages. Experiments on the XM3600 dataset indicate that CONCAP enables strong performance on low- and mid-resource languages, with highly reduced data requirements. Our findings highlight the effectiveness of concept-aware retrieval augmentation in bridging multilingual performance gaps.

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.