Image-to-image translation is the process of converting an image from one domain to another using deep learning techniques.
As plots play a critical role in modern data visualization and analysis, Plot2API is launched to help non-experts and beginners create their desired plots by directly recommending graphical APIs from reference plot images by neural networks. However, previous works on Plot2API have primarily focused on the recommendation for standard plot images, while overlooking the hand-drawn plot images that are more accessible to non-experts and beginners. To make matters worse, both Plot2API models trained on standard plot images and powerful multi-modal large language models struggle to effectively recommend APIs for hand-drawn plot images due to the domain gap and lack of expertise. To facilitate non-experts and beginners, we introduce a hand-drawn plot dataset named HDpy-13 to improve the performance of graphical API recommendations for hand-drawn plot images. Additionally, to alleviate the considerable strain of parameter growth and computational resource costs arising from multi-domain and multi-language challenges in Plot2API, we propose Plot-Adapter that allows for the training and storage of separate adapters rather than requiring an entire model for each language and domain. In particular, Plot-Adapter incorporates a lightweight CNN block to improve the ability to capture local features and implements projection matrix sharing to reduce the number of fine-tuning parameters further. Experimental results demonstrate both the effectiveness of HDpy-13 and the efficiency of Plot-Adapter.
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.
Optical coherence tomography (OCT) is a non-invasive volumetric imaging modality with high spatial and temporal resolution. For imaging larger tissue structures, OCT probes need to be moved to scan the respective area. For handheld scanning, stitching of the acquired OCT volumes requires overlap to register the images. For robotic scanning and stitching, a typical approach is to restrict the motion to translations, as this avoids a full hand-eye calibration, which is complicated by the small field of view of most OCT probes. However, stitching by registration or by translational scanning are limited when curved tissue surfaces need to be scanned. We propose a marker for full six-dimensional hand-eye calibration of a robot mounted OCT probe. We show that the calibration results in highly repeatable estimates of the transformation. Moreover, we evaluate robotic scanning of two phantom surfaces to demonstrate that the proposed calibration allows for consistent scanning of large, curved tissue surfaces. As the proposed approach is not relying on image registration, it does not suffer from a potential accumulation of errors along a scan path. We also illustrate the improvement compared to conventional 3D-translational robotic scanning.
Coronary artery disease, the leading cause of cardiovascular mortality worldwide, can be assessed non-invasively by coronary computed tomography angiography (CCTA). Despite progress in automated CCTA analysis using deep learning, clinical translation is constrained by the scarcity of expert-annotated datasets. Furthermore, widely adopted label-free pretraining strategies, such as masked image modeling, are intrinsically biased toward global anatomical statistics, frequently failing to capture the spatially localized pathological features of coronary plaques. Here, we introduce CORA, a 3D vision foundation model for comprehensive cardiovascular risk assessment. CORA learns directly from volumetric CCTA via a pathology-centric, synthesis-driven self-supervised framework. By utilizing an anatomy-guided lesion synthesis engine, the model is explicitly trained to detect simulated vascular abnormalities, biasing representation learning toward clinically relevant disease features rather than dominant background anatomy. We trained CORA on a large-scale cohort of 12,801 unlabeled CCTA volumes and comprehensively evaluated the model across multi-center datasets from nine independent hospitals. Across diagnostic and anatomical tasks, including plaque characterization, stenosis detection, and coronary artery segmentation, CORA consistently outperformed the state-of-the-art 3D vision foundation models, achieving up to a 29\% performance gain. Crucially, by coupling the imaging encoder with a large language model, we extended CORA into a multimodal framework that significantly improved 30-day major adverse cardiac event (MACE) risk stratification. Our results establish CORA as a scalable and extensible foundation for unified anatomical assessment and cardiovascular risk prediction.
Radiotherapy workflows for oncological patients increasingly rely on multi-modal medical imaging, commonly involving both Magnetic Resonance Imaging (MRI) and Computed Tomography (CT). MRI-only treatment planning has emerged as an attractive alternative, as it reduces patient exposure to ionizing radiation and avoids errors introduced by inter-modality registration. While nnU-Net-based frameworks are predominantly used for MRI-to-CT synthesis, we explore Mamba-based architectures for this task, aiming to showcase the advantages of state-space modeling for cross-modality translation compared to standard convolutional neural networks. Specifically, we adapt both the U-Mamba and the SegMamba architecture, originally proposed for segmentation, to perform cross-modality image generation. Our 3D Mamba architecture effectively captures complex volumetric features and long-range dependencies, thus allowing accurate CT synthesis while maintaining fast inference times. Experiments were conducted on a subset of SynthRAD2025 dataset, comprising registered single-channel MRI-CT volume pairs across three anatomical regions. Quantitative evaluation is performed via a combination of image similarity metrics computed in Hounsefield Units (HU) and segmentation-based metrics obtained from TotalSegmentator to ensure geometric consistency is preserved. The findings pave the way for the integration of state-space models into radiotherapy workflows.
End-to-end In-Image Machine Translation (IIMT) aims to convert text embedded within an image into a target language while preserving the original visual context, layout, and rendering style. However, existing IIMT benchmarks are largely synthetic and thus fail to reflect real-world complexity, while current evaluation protocols focus on single-modality metrics and overlook cross-modal faithfulness between rendered text and model outputs. To address these shortcomings, we present In-image Machine Translation Benchmark (IMTBench), a new benchmark of 2,500 image translation samples covering four practical scenarios and nine languages. IMTBench supports multi-aspect evaluation, including translation quality, background preservation, overall image quality, and a cross-modal alignment score that measures consistency between the translated text produced by the model and the text rendered in the translated image. We benchmark strong commercial cascade systems, and both closed- and open-source unified multi-modal models, and observe large performance gaps across scenarios and languages, especially on natural scenes and resource-limited languages, highlighting substantial headroom for end-to-end image text translation. We hope IMTBench establishes a standardized benchmark to accelerate progress in this emerging task.
Generative models are widely employed to enhance the photorealism of synthetic data for training computer vision algorithms. However, they often introduce visual artifacts that degrade the accuracy of these algorithms and require high computational resources, limiting their applicability in real-time training or evaluation scenarios. In this paper, we propose Hybrid Patch Enhanced Realism Generative Adversarial Network (HyPER-GAN), a lightweight image-to-image translation method based on a U-Net-style generator designed for real-time inference. The model is trained using paired synthetic and photorealism-enhanced images, complemented by a hybrid training strategy that incorporates matched patches from real-world data to improve visual realism and semantic consistency. Experimental results demonstrate that HyPER-GAN outperforms state-of-the-art paired image-to-image translation methods in terms of inference latency, visual realism, and semantic robustness. Moreover, it is illustrated that the proposed hybrid training strategy indeed improves visual quality and semantic consistency compared to training the model solely with paired synthetic and photorealism-enhanced images. Code and pretrained models are publicly available for download at: https://github.com/stefanos50/HyPER-GAN
Purpose: To develop a computationally viable autofocus method for estimating 3D rigid motion in MR imaging. Theory and Methods: The proposed method, REACT, assumes a piecewise-constant motion trajectory and estimates the rigid motion parameters of individual temporal segments by optimizing an image-quality metric. Coordinate descent is adopted to decompose the high-dimensional optimization problem into a series of subproblems, each updating the motion parameters of a single temporal segment. The cost function of each subproblem is assumed to be approximately locally convex under suitable acquisition conditions. Each subproblem is then solved using a derivative-free solver, thereby avoiding an exhaustive grid search. Numerical simulations were conducted to investigate the local convexity assumption. REACT was evaluated for respiratory motion correction on in vivo free-breathing coronary MR angiography datasets acquired using a 3D cones trajectory with image-based navigators (iNAVs). An autofocus nonrigid motion correction method was also evaluated for comparison. Coronary artery sharpness was quantified using unbounded image edge profile acutance (u-IEPA). Results: In numerical simulations, the objective surfaces of the subproblems were approximately locally convex when the current motion estimate was close to the desired solution. In the in vivo study, REACT yielded higher u-IEPA than the conventional iNAV-based translational motion-estimation method for both the left anterior descending artery (LAD) and right coronary artery. REACT also yielded higher u-IEPA for the LAD than the autofocus nonrigid motion correction method. Conclusion: This study demonstrates the feasibility of coordinate descent for autofocus motion correction in MR imaging.
This paper presents NOIR, a framework that reframes core medical imaging tasks as operator learning between continuous function spaces, challenging the prevailing paradigm of discrete grid-based deep learning. Instead of operating on fixed pixel or voxel grids, NOIR embeds discrete medical signals into shared Implicit Neural Representations and learns a Neural Operator that maps between their latent modulations, enabling resolution-independent function-to-function transformations. We evaluate NOIR across multiple 2D and 3D downstream tasks, including segmentation, shape completion, image-to-image translation, and image synthesis, on several public datasets such as Shenzhen, OASIS-4, SkullBreak, fastMRI, as well as an in-house clinical dataset. It achieves competitive performance at native resolution while demonstrating strong robustness to unseen discretizations, and empirically satisfies key theoretical properties of neural operators. The project page is available here: https://github.com/Sidaty1/NOIR-io.
In the design and safety analysis of advanced reactor systems, constructing input files for system-level thermal-hydraulics codes such as the System Analysis Module (SAM) remains a labor-intensive task. Analysts must extract and reconcile design data from heterogeneous engineering documents and manually translate it into solver-specific syntax. In this paper, we present AutoSAM, an agentic framework that automates SAM input file generation. The framework combines a large language model agent with retrieval-augmented generation over the solver's user guide and theory manual, together with specialized tools for analyzing PDFs, images, spreadsheets, and text files. AutoSAM ingests unstructured engineering documents, including system diagrams, design reports, and data tables, extracts simulation-relevant parameters into a human-auditable intermediate representation, and synthesizes validated, solver-compatible input decks. Its multimodal retrieval pipeline integrates scientific text extraction, vision-based figure interpretation, semantic embedding, and query answering. We evaluate AutoSAM on four case studies of increasing complexity: a single-pipe steady-state model, a solid-fuel channel with temperature reactivity feedback, the Advanced Burner Test Reactor core, and the Molten Salt Reactor Experiment primary loop. Across all cases, the agent produces runnable SAM models consistent with expected thermal-hydraulic behavior while explicitly identifying missing data and labeling assumed values. The framework achieves 100% utilization of structured inputs, about 88% extraction from PDF text, and 100% completeness in vision-based geometric extraction. These results demonstrate a practical path toward prompt-driven reactor modeling, in which analysts provide system descriptions and supporting documentation while the agent translates them into transparent, and executable, SAM simulations.