Global-Local Dual Perception for MLLMs in High-Resolution Text-Rich Image Translation

Text Image Machine Translation (TIMT) aims to translate text embedded in images in the source-language into target-language, requiring synergistic integration of visual perception and linguistic understanding. Existing TIMT methods, whether cascaded pipelines or end-to-end multimodal large language models (MLLMs),struggle with high-resolution text-rich images due to cluttered layouts, diverse fonts, and non-textual distractions, resulting in text omission, semantic drift, and contextual inconsistency. To address these challenges, we propose GLoTran, a global-local dual visual perception framework for MLLM-based TIMT. GLoTran integrates a low-resolution global image with multi-scale region-level text image slices under an instruction-guided alignment strategy, conditioning MLLMs to maintain scene-level contextual consistency while faithfully capturing fine-grained textual details. Moreover, to realize this dual-perception paradigm, we construct GLoD, a large-scale text-rich TIMT dataset comprising 510K high-resolution global-local image-text pairs covering diverse real-world scenarios. Extensive experiments demonstrate that GLoTran substantially improves translation completeness and accuracy over state-of-the-art MLLMs, offering a new paradigm for fine-grained TIMT under high-resolution and text-rich conditions.

Structure-to-Image: Zero-Shot Depth Estimation in Colonoscopy via High-Fidelity Sim-to-Real Adaptation

Monocular depth estimation (MDE) for colonoscopy is hampered by the domain gap between simulated and real-world images. Existing image-to-image translation methods, which use depth as a posterior constraint, often produce structural distortions and specular highlights by failing to balance realism with structure consistency. To address this, we propose a Structure-to-Image paradigm that transforms the depth map from a passive constraint into an active generative foundation. We are the first to introduce phase congruency to colonoscopic domain adaptation and design a cross-level structure constraint to co-optimize geometric structures and fine-grained details like vascular textures. In zero-shot evaluations conducted on a publicly available phantom dataset, the MDE model that was fine-tuned on our generated data achieved a maximum reduction of 44.18% in RMSE compared to competing methods. Our code is available at https://github.com/YyangJJuan/PC-S2I.git.

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.

Scalable Multilingual Multimodal Machine Translation with Speech-Text Fusion

Multimodal Large Language Models (MLLMs) have achieved notable success in enhancing translation performance by integrating multimodal information. However, existing research primarily focuses on image-guided methods, whose applicability is constrained by the scarcity of multilingual image-text pairs. The speech modality overcomes this limitation due to its natural alignment with text and the abundance of existing speech datasets, which enable scalable language coverage. In this paper, we propose a Speech-guided Machine Translation (SMT) framework that integrates speech and text as fused inputs into an MLLM to improve translation quality. To mitigate reliance on low-resource data, we introduce a Self-Evolution Mechanism. The core components of this framework include a text-to-speech model, responsible for generating synthetic speech, and an MLLM capable of classifying synthetic speech samples and iteratively optimizing itself using positive samples. Experimental results demonstrate that our framework surpasses all existing methods on the Multi30K multimodal machine translation benchmark, achieving new state-of-the-art results. Furthermore, on general machine translation datasets, particularly the FLORES-200, it achieves average state-of-the-art performance in 108 translation directions. Ablation studies on CoVoST-2 confirms that differences between synthetic and authentic speech have negligible impact on translation quality. The code and models are released at https://github.com/yxduir/LLM-SRT.

TherA: Thermal-Aware Visual-Language Prompting for Controllable RGB-to-Thermal Infrared Translation

Despite the inherent advantages of thermal infrared(TIR) imaging, large-scale data collection and annotation remain a major bottleneck for TIR-based perception. A practical alternative is to synthesize pseudo TIR data via image translation; however, most RGB-to-TIR approaches heavily rely on RGB-centric priors that overlook thermal physics, yielding implausible heat distributions. In this paper, we introduce TherA, a controllable RGB-to-TIR translation framework that produces diverse and thermally plausible images at both scene and object level. TherA couples TherA-VLM with a latent-diffusion-based translator. Given a single RGB image and a user-prompted condition pair, TherA-VLM yields a thermal-aware embedding that encodes scene, object, material, and heat-emission context reflecting the input scene-condition pair. Conditioning the diffusion model on this embedding enables realistic TIR synthesis and fine-grained control across time of day, weather, and object state. Compared to other baselines, TherA achieves state-of-the-art translation performance, demonstrating improved zero-shot translation performance up to 33% increase averaged across all metrics.

FlowFixer: Towards Detail-Preserving Subject-Driven Generation

We present FlowFixer, a refinement framework for subject-driven generation (SDG) that restores fine details lost during generation caused by changes in scale and perspective of a subject. FlowFixer proposes direct image-to-image translation from visual references, avoiding ambiguities in language prompts. To enable image-to-image training, we introduce a one-step denoising scheme to generate self-supervised training data, which automatically removes high-frequency details while preserving global structure, effectively simulating real-world SDG errors. We further propose a keypoint matching-based metric to properly assess fidelity in details beyond semantic similarities usually measured by CLIP or DINO. Experimental results demonstrate that FlowFixer outperforms state-of-the-art SDG methods in both qualitative and quantitative evaluations, setting a new benchmark for high-fidelity subject-driven generation.

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.

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.

WildSVG: Towards Reliable SVG Generation Under Real-Word Conditions

We introduce the task of SVG extraction, which consists in translating specific visual inputs from an image into scalable vector graphics. Existing multimodal models achieve strong results when generating SVGs from clean renderings or textual descriptions, but they fall short in real-world scenarios where natural images introduce noise, clutter, and domain shifts. A central challenge in this direction is the lack of suitable benchmarks. To address this need, we introduce the WildSVG Benchmark, formed by two complementary datasets: Natural WildSVG, built from real images containing company logos paired with their SVG annotations, and Synthetic WildSVG, which blends complex SVG renderings into real scenes to simulate difficult conditions. Together, these resources provide the first foundation for systematic benchmarking SVG extraction. We benchmark state-of-the-art multimodal models and find that current approaches perform well below what is needed for reliable SVG extraction in real scenarios. Nonetheless, iterative refinement methods point to a promising path forward, and model capabilities are steadily improving

Decoupling Vision and Language: Codebook Anchored Visual Adaptation

Large Vision-Language Models (LVLMs) use their vision encoders to translate images into representations for downstream reasoning, but the encoders often underperform in domain-specific visual tasks such as medical image diagnosis or fine-grained classification, where representation errors can cascade through the language model, leading to incorrect responses. Existing adaptation methods modify the continuous feature interface between encoder and language model through projector tuning or other parameter-efficient updates, which still couples the two components and requires re-alignment whenever the encoder changes. We introduce CRAFT (Codebook RegulAted Fine-Tuning), a lightweight method that fine-tunes the encoder using a discrete codebook that anchors visual representations to a stable token space, achieving domain adaptation without modifying other parts of the model. This decoupled design allows the adapted encoder to seamlessly boost the performance of LVLMs with different language architectures, as long as they share the same codebook. Empirically, CRAFT achieves an average gain of 13.51% across 10 domain-specific benchmarks such as VQARAD and PlantVillage, while preserving the LLM's linguistic capabilities and outperforming peer methods that operate on continuous tokens.