AAAI 2026 Papers

AAAI Conference on Artificial Intelligence

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4,436papers

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DualScope: Capturing Critical Spatial and Temporal Cues for Distracted Driving Activity Recognition

Zhijie Qiu, Shuaibo Li, Laixin Zhang, Xuming Hu, Wei Ma

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Accurately recognizing distracted driving activities in real-world scenarios is essential for improving road and pedestrian safety. However, existing approaches are prone to attending to irrelevant scene context and are susceptible to interference from redundant frames, compromising their robustness in complex driving environments. To overcome these limitations, we propose DualScope, a novel framework that captures behaviorally critical information from both spatial and temporal perspectives. In the spatial domain, we introduce a Synergistic Behavior-Centric Distillation mechanism that leverages two key information sources: (1) position-aware knowledge derived from the SAM model, which enhances the perception of critical regions and their semantic interaction structures; and (2) fine-grained visual details obtained from cropped key regions, which improve the model's ability to capture detailed patterns within behavior-relevant areas. In the temporal domain, we present the Saliency-Aware Fine-to-Coarse Temporal Modeling module, comprising three components: a Fine-Grained Motion Encoder for capturing local inter-frame dependencies; a Dynamic Difference Extractor for generating salient motion dynamics; and a Saliency-Aware Temporal Pyramid Mamba for integrating these representations to enable multi-scale temporal modeling. This design effectively captures both short-term motions and long-term behavioral patterns. Furthermore, incorporating salient dynamics enhances the model's focus on significant behavioral variations. Extensive experiments on seven publicly available DDAR datasets demonstrate that DualScope consistently outperforms state-of-the-art methods, validating its effectiveness in capturing behavioral cues across spatial and temporal dimensions.

Technical
Rectification Reimagined: A Unified Mamba Model for Image Correction and Rectangling with Prompts

Linwei Qiu, Gongzhe Li, Xiaozhe Zhang, Qilin Sun, Fengying Xie

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Image correction and rectangling are valuable tasks in practical photography systems such as smartphones. Recent remarkable advancements in deep learning have undeniably brought about substantial performance improvements in these fields. Nevertheless, existing methods mainly rely on task-specific architectures. This significantly restricts their generalization ability and effective application across a wide range of different tasks. In this paper, we introduce the Unified Rectification Framework (UniRect), a comprehensive approach that addresses these practical tasks from a consistent distortion rectification perspective. Our approach incorporates various task-specific inverse problems into a general distortion model by simulating different types of lenses. To handle diverse distortions, UniRect adopts one task-agnostic rectification framework with a dual-component structure: a Deformation Module, which utilizes a novel Residual Progressive Thin-Plate Spline (RP-TPS) model to address complex geometric deformations, and a subsequent Restoration Module, which employs Residual Mamba Blocks (RMBs) to counteract the degradation caused by the deformation process and enhance the fidelity of the output image. Moreover, a Sparse Mixture-of-Experts (SMoEs) structure is designed to circumvent heavy task competition in multi-task learning due to varying distortions. Extensive experiments demonstrate that our models have achieved state-of-the-art performance compared with other up-to-date methods.

Technical
AerialFusion: Co-Motion-Driven Unified Registration and Fusion on Multi-modal Data Streams from Aerial View

Junhui Qiu, Xiang Xiang, Hongyun Wang, Jiaqi Gui

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Aerial multi-modal visual streams registration and fusion can generate more comprehensive scene information representations for UAVs' cross-modal perception. However, current challenges lie primarily in the essential difficulty of joint spatiotemporal representation learning from dynamic background and moving targets, and a critical shortage exists in large-scale, well-annotated multi-modal visual streams benchmark for UAV platforms. In this paper, we propose AerialFusion, a co-motion-driven unified UAVs visual streams registration and fusion that fully mines modality-invariant common features based on motion-aware, enabling spatiotemporally coherent registration and fusion. Specifically, 1) a Skewed Motion Distribution Field Co-Motion-Driven Image Registration, 2) a Co-Motion Generative Fusion, 3) a Streams-based Unified Learning. Furthermore, we introduce EUM3D, a registration and fusion benchmark for UAVs cross-modal perception. This benchmark contains 60 synchronized visible-infrared visual streams, or 122k spatially and temporally aligned pairs, most of which were taken at low-light scenes. And EUM3D provides pixel-level alignment guarantees via perspective-transform ground-truth. Extensive experiments reveal that AerialFusion surpasses current focus on image and static background fusion methods in aerial sequence scenarios, addressing spatiotemporal mismatches while suppressing cross-modal interference.

Technical
Beyond Euclidean Assumptions: Geometry-Aware Adaptive Routing for Remote Sensing Segmentation

Jie Qiu, Dizuo Cao, Linwei Dai, Xin Li, Fan Yang, Dong Yu, Changying Wang, Zongheng Wen, Youqin Chen, Jianzhang Chen

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Remote sensing imagery poses a distinct challenge for semantic segmentation due to its inherent fractal complexity and the diversity of geometric structures present in real-world geospatial scenes. Euclidean-based models typically assume spatial uniformity; however, such assumptions often break down when confronted with objects exhibiting markedly different structural characteristics—such as roads versus vegetation—thereby complicating the feature representation process. Hyperbolic space offers a theoretically grounded alternative for modeling such hierarchical and heterogeneous patterns, yet fully replacing Euclidean geometry incurs significant computational overhead. We therefore introduce Geometry-Aware Adaptive Routing (GAAR), a novel module that facilitates geometry-aware routing by dynamically allocating high-level features to either Euclidean or Hyperbolic subspaces through a learnable binary gating mechanism, informed by structural priors learned during training. To further promote routing stability and geometric consistency, we introduce Geometry-Aware Deterministic Regularization (GADR), a regularization strategy that encourages confident, structure-aligned assignments. GAAR is plug-and-play and integrates seamlessly into existing segmentation architectures. Experiments on three challenging Remote Sensing Image Semantic Segmentation (RSISS) benchmarks demonstrate that our approach consistently outperforms state-of-the-art (SOTA) methods, particularly in geometrically complex regions, offering a scalable and effective solution to the limitations of purely Euclidean modeling.

Technical
Ego-PMOVE: Prompt-aware Mixture of View Experts Network for Egocentric Gaze Prediction

Heqian Qiu, Lanxiao Wang, Taijin Zhao, Zhaofeng Shi, Xiang Li, Linfeng Xu, Hongliang Li

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Egocentric gaze prediction serves as a critical indicator for decoding human visual attention and cognitive processes, but its inherently limited field of view creates prediction challenges. Although exo-view data provides supplementary contextual information, it exhibits significant spatial and semantic gaps. Existing methods focus solely on isolated feature encoding in single-view paradigms, neglecting cross-view gaze correlations. To make up for this gap, we make the first exploration of cross-view gaze relationship for egocentric gaze prediction, and propose Ego-PMOVE, a novel Prompt-aware Mixture of View Experts network. Unlike prior cross-view studies that forcibly align cross-view features thereby introducing inference noise, we leverage the popular Mixture-of-Experts (MoE) and a set of flexible prompts to disentangle features from different views into three parallel experts: a view-shared expert directly modeling common semantic relationships, a view-discrepancy expert adaptively adjusting the spatial position, scale and shifts based on different view-specific features, and an egocentric expert extracting independent features to compensate for the case of missing exocentric data. To balance these experts, we further design a soft router to dynamically weight them for mining useful information while suppressing noise. A view-query gaze decoder then generates view-specific gaze attention maps, jointly optimized by gaze-heamap and cross-view contrastive loss that regularize both shared and divergent features for accurate gaze prediction. Extensive experiments across the multi-view EgoMe dataset and single-view Ego4D and EGTEA Gaze++ datasets demonstrate the effectiveness and generalizability of our approach.

Technical
Graph-Semantic Guided Learning for Virtual Immunohistochemistry Staining on Consecutive Histology Sections

Fanhao Qiu, Yangyang Zhang, Zhengxia Wang

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Virtual Immunohistochemistry (IHC) staining technology employs generative models to directly synthesize IHC images from Hematoxylin and Eosin (H&E) images, reducing reliance on chemical staining while improving diagnostic efficiency and reducing costs. However, existing virtual staining methods relying on adjacent sections face two critical challenges: insufficient mining of pathological semantics and the spatial misalignment of pathological semantics due to physical discrepancies between sections. To address these, we propose GSGStain, a Graph-Semantic Guided Learning for virtual Staining. Our method innovatively transforms the problem from pixel space to graph space, enabling semantic noise correction for spatial misalignment features. Specifically, to capture the rich pathological semantics, we construct a cell graph from the H&E image to encode tissue architecture, annotating nodes with noisy biomarker semantic features derived from misaligned adjacent IHC sections. Furthermore, to correct for the semantic misalignment, a Graph Semantic Rectification Module (GSRM) then refines these features using graph contextual reasoning, while a Graph Semantic Consistency Loss ensures alignment between generated IHC images and rectified semantics. Additionally, we propose a dual-branch discriminator to compel the generator to match the empirical distribution of real images, significantly improving generation quality. Extensive experiments on two public benchmarks demonstrate that GSGStain significantly outperforms state-of-the-art methods in both image quality and pathological consistency. This work establishes a new paradigm for semantically robust virtual staining.

Technical
MAPI-GNN: Multi-Activation Plane Interaction Graph Neural Network for Multimodal Medical Diagnosis

Ziwei Qin, Xuhui Song, Deqing Huang, Na Qin, Jun Li

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Graph neural networks are increasingly applied to multimodal medical diagnosis for their inherent relational modeling capabilities. However, their efficacy is often compromised by the prevailing reliance on a single, static graph built from indiscriminate features, hindering the ability to model patient-specific pathological relationships. To this end, the proposed Multi-Activation Plane Interaction Graph Neural Network (MAPI-GNN) reconstructs this single-graph paradigm by learning a multifaceted graph profile from semantically disentangled feature subspaces. The framework first uncovers latent graph-aware patterns via a multi-dimensional discriminator; these patterns then guide the dynamic construction of a stack of activation graphs; and this multifaceted profile is finally aggregated and contextualized by a relational fusion engine for a robust diagnosis. Extensive experiments on two diverse tasks, comprising over 1300 patient samples, demonstrate that MAPI-GNN significantly outperforms state-of-the-art methods.

Technical
Sharp Eyes and Memory for VideoLLMs: Information-Aware Visual Token Pruning for Efficient and Reliable VideoLLM Reasoning

Jialong Qin, Xin Zou, Di Lu, Yibo Yan, Xuming Hu

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Current Video Large Language Models (VideoLLMs) suffer from quadratic computational complexity and key-value cache scaling, due to their reliance on processing excessive redundant visual tokens. To address this problem, we propose SharpV, a minimalist and efficient method for adaptive pruning of visual tokens and KV cache. Different from most uniform compression approaches, SharpV dynamically adjusts pruning ratios based on spatial-temporal information. Remarkably, this adaptive mechanism occasionally achieves performance gains over dense models, offering a novel paradigm for adaptive pruning. During the KV cache pruning stage, based on observations of visual information degradation, SharpV prunes degraded visual features via a self-calibration manner, guided by similarity to original visual features. In this way, SharpV achieves hierarchical cache pruning from the perspective of information bottleneck, offering a new insight into VideoLLMs' information flow. Experiments on multiple public benchmarks demonstrate the superiority of SharpV. Moreover, to the best of our knowledge, SharpV is notably the first two-stage pruning framework that operates without requiring access to exposed attention scores, ensuring full compatibility with hardware acceleration techniques like Flash Attention.

Technical
Text-guided Controllable Diffusion for Realistic Camouflage Images Generation

Yuhang Qian, Haiyan Chen, Wentong Li, Ningzhong Liu, Jie Qin

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Camouflage Images Generation (CIG) is an emerging research area that focuses on synthesizing images in which objects are harmoniously blended and exhibit high visual consistency with their surroundings. Existing methods perform CIG by either fusing objects into specific backgrounds or outpainting the surroundings via foreground object-guided diffusion. However, they often fail to obtain natural results because they overlook the logical relationship between camouflaged objects and background environments. To address this issue, we propose CT-CIG, a Controllable Text-guided Camouflage Images Generation method that produces realistic and logically plausible camouflage images. Leveraging Large Visual Language Models (VLM), we design a Camouflage-Revealing Dialogue Mechanism (CRDM) to annotate existing camouflage datasets with high-quality text prompts. Subsequently, the constructed image-prompt pairs are utilized to finetune Stable Diffusion, incorporating a lightweight controller to guide the location and shape of camouflaged objects for enhanced camouflage scene fitness. Moreover, we design a Frequency Interaction Refinement Module (FIRM) to capture high-frequency texture features, facilitating the learning of complex camouflage patterns. Extensive experiments, including CLIPScore evaluation and camouflage effectiveness assessment, demonstrate the semantic alignment of our generated text prompts and CT-CIG's ability to produce photorealistic camouflage images.

Technical
SplatSSC: Decoupled Depth-Guided Gaussian Splatting for Semantic Scene Completion

Rui Qian, Haozhi Cao, Tianchen Deng, Shenghai Yuan, Lihua Xie

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Monocular 3D Semantic Scene Completion (SSC) is a challenging yet promising task that aims to infer dense geometric and semantic descriptions of a scene from a single image. While recent object-centric paradigms significantly improve efficiency by leveraging flexible 3D Gaussian primitives, they still rely heavily on a large number of randomly initialized primitives, which inevitably leads to 1) inefficient primitive initialization and 2) outlier primitives that introduce erroneous artifacts. In this paper, we propose SplatSSC, a novel framework that resolves these limitations with a depth-guided initialization strategy and a principled Gaussian aggregator. Instead of random initialization, SplatSSC utilizes a dedicated depth branch composed of a Group-wise Multi-scale Fusion (GMF) module, which integrates multi-scale image and depth features to generate a sparse yet representative set of initial Gaussian primitives. To mitigate noise from outlier primitives, we develop the Decoupled Gaussian Aggregator (DGA), which enhances robustness by decomposing geometric and semantic predictions during the Gaussian-to-voxel splatting process. Complemented with a specialized Probability Scale Loss, our method achieves state-of-the-art performance on the Occ-ScanNet dataset, outperforming prior approaches by over 6.3% in IoU and 4.1% in mIoU, while reducing both latency and memory cost by more than 9.3%.

Technical
WeatherEdit: Controllable Weather Editing with 4D Gaussian Field

Chenghao Qian, Wenjing Li, Yuhu Guo, Gustav Markkula

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In this work, we present WeatherEdit, a novel weather editing pipeline for generating realistic weather effects with controllable types and severity in 3D scenes. Our approach is structured into two key components: weather background editing and weather particle construction. For weather background editing, we introduce an all-in-one adapter that integrates multiple weather styles into a single diffusion model, enabling the generation of diverse weather effects in 2D image backgrounds. During inference, we design a Temporal-View (TV-) attention mechanism that follows a specific order to aggregate temporal and spatial information, ensuring consistent editing across multi-frame and multi-view images. To construct the weather particles, we first reconstruct a 3D scene using the edited images and then introduce a 4D Gaussian field to generate snowflakes, raindrops and fog in the scene. The attributes and dynamics of these particles are controlled through attribute modelling and dynamic simulation, ensuring realistic weather representation and flexible severity adjustments. Finally, we integrate the 4D Gaussian field with the 3D scene to render consistent and highly realistic weather effects. Experiments on multiple driving datasets demonstrate that WeatherEdit can generate diverse weather effects with controllable condition severity, highlighting its potential for autonomous driving simulation in adverse weather.

Technical
Event-Guided Scene Text Image Super-Resolution

Zihan Qi, Zeyu Xiao, Haoyi Zhao, Yang Zhao, Feng Xue, Wei Jia

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Scene text image super-resolution aims to enhance text legibility by recovering high-resolution text images from low-resolution inputs. However, maintaining fine details such as text strokes, edges, and textual accuracy remains challenging, particularly in low-light environments and high-speed motion scenarios, where degradation is more severe. Event cameras, with their high temporal resolution and ability to capture intensity changes, offer a promising solution for restoring lost fine details and mitigating degradation in these challenging conditions. In this paper, we propose EvTSR, the first framework that integrates Event data for scene Text image Super-Resolution. The core of EvTSR is the dual-stream frequency boost (DSFB) mechanism, which separates image features into high- and low-frequency components. High-frequency details like edges and strokes are enhanced using event data via the event-guided high-frequency (EGH) mechanism, while low-frequency components, responsible for global structure, are refined using the Text-Guided Low-frequency (TGL) mechanism with a pre-trained text recognizer, ensuring textual coherence. To further improve cross-modal integration, we introduce the cross-modal fusion (CMF) mechanism, which effectively aligns event and image features, enabling robust information fusion. Extensive experiments demonstrate that EvTSR achieves superior performance over existing methods.

Technical
Game Ground Bench: Probing the Limits of LVLMs in Complex Semantic Grounding Across Game Universes

Zhangyang Qi, Jinsong Li, Hongjian Wu, Jiaqi Wang, Hengshuang Zhao

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Large Vision-Language Models (LVLMs) have demonstrated remarkable capabilities, yet their ability to ground language in complex, interactive environments such as video games remains a critical frontier. Existing benchmarks are inadequate for this purpose: real-world datasets like RefCOCO introduce a domain gap; GUI-centric benchmarks lack the complexity of modern game interfaces; and existing game-specific benchmarks are often too simplistic or narrow, failing to assess fine-grained, generalizable grounding capabilities. To address this issue, we propose GGBench — a large-scale, cross-genre benchmark designed to probe the grounding capabilities of LVLMs in diverse gaming scenarios. GGBench features unprecedented genre diversity, encompassing 10 categories including card games, first-person shooters, and role-playing games, with a total of 1335 test images. It focuses on tasks that require connecting natural language instructions to specific in-game objects and UI elements. Experimental results show existing models perform poorly on GGBench, with weak grounding abilities, especially in complex game scenarios. Due to limited data scale, fine-tuning them for gaming scenarios is also challenging. To address this, we propose Game-R1, a novel training method centered on the Grounded Reinforcement Policy Optimization (GRPO) algorithm. GRPO maximizes limited interaction data utility and enables robust few-shot generalization across games. Extensive experiments show Game-R1 significantly outperforms existing LVLMs on GGBench, validating our approach. GGBench provides a solid and comprehensive evaluation platform for subsequent research on agents in gaming environments, which strongly promotes development in this field.

Technical
What to Trust? A Trust-aware Knowledge-guided Method for Zero-shot Object State Understanding in Videos

Yayun Qi, Xinxiao Wu

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Object state understanding aims at recognizing the co-occurrence and transitions of multiple object states in videos. While learning from videos handles seen object states well, it struggles with novel ones. We address this task in a zero-shot setting by extracting state-specific knowledge from pre-trained models and using Vision-Language Models (VLMs) to verify whether such knowledge is visually grounded in videos. However, the extracted knowledge varies in its ability to distinguish states, and VLM observations are not always trustworthy. To address this issue, we propose a trust-aware knowledge-guided method to model knowledge trustworthiness and emphasize highly discriminative knowledge that VLMs can reliably observe. Specifically, we collect spatial knowledge for each object state from retrieved images and cues generated from a Large Language Model, then use VLMs to vote on each knowledge element by scoring its visual consistency with the video. In addition to a single scene, temporal dependencies of object states across scenes are also captured using a generative VLM. Under spatial and temporal constraints, we propose an adaptive knowledge refinement module that iteratively updates knowledge reliability weights to achieve a global consensus in object state inference across the video. Finally, object states are inferred by combining the refined weights with VLM voting results. Experiments on two datasets demonstrate the effectiveness of our method.

Technical
MSTDiff: Multiscale-Aware Transformer Diffusion Network for Video Object Detection

Qiang Qi, Wenqi Shang, Xiao Wang, Yanjie Liang, Shuyuan Lin

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Video object detection is a fundamental yet challenging task in computer vision. Recently, DETR-based methods have gained prominence in this domain owing to their powerful global modeling capabilities. However, these methods are still confronted with two key limitations: frame-agnostic initialization of object queries and scale-agnostic attention mechanisms, which hinder their capability to capture the appearance variations of dynamic objects and model the temporal consistency across frames. To alleviate these limitations, we propose a multiscale-aware transformer diffusion network (MSTDiff), a novel framework designed for the video object detection task, including two technical improvements over existing methods. First, we design a diffusion-driven adaptive query module, which models the object query distribution through a diffusion process conditioned on input frames, enabling an adaptive and content-aware initialization of object queries. Second, we develop a multiscale-aware transformer encoder module, which combines multi-head convolutional units with attention mechanisms to enhance multi-scale feature representations while preserving global dependence modeling. We conduct extensive experiments on the public ImageNet VID dataset, and the results demonstrate that our MSTDiff achieves 87.7% mAP with ResNet-101, outperforming most previous state-of-the-art video object detection methods.

Technical
Localization-Anchored Instance Discrimination for Domain Adaptive Person Search

Linfeng Qi, Huibing Wang, Jinjia Peng, Jiqing Zhang

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Domain-adaptive person search (DAPS) aims to transfer pedestrian detection and re-identification capabilities from a labeled source domain to an unlabeled target domain, yet faces critical challenges from domain shift: semantic confusion among overlapping instances, over-reliance on shallow features for look-alike targets, and poor discriminability of small-scale instances. To address these issues, we propose the Localization-Anchored Instance Discrimination (LAID) framework, which leverages spatial relationships between bounding boxes as auxiliary signals to enhance instance identity learning. LAID integrates three complementary strategies: 1) Cost-Aware Instance Matching (CAIM) uses IoU-based global optimal assignment to align current detections with historical identities, reducing overlap-induced misassociations; 2) Dual-Scope Contrastive Learning (DSCL) combines spatial separation constraints (for geometrically distant pairs) with global contrastive learning, prompting the model to learn deep discriminative features beyond superficial similarities; 3) Task-Sensitivity Alignment (TSA) aligns confidence distributions of detection and ReID heads via KL divergence, ensuring consistent pseudo-label generation. Extensive experiments on CUHK-SYSU and PRW datasets demonstrate that LAID outperforms state-of-the-art DAPS methods, validating its effectiveness in mitigating domain shift and narrowing the performance gap between supervised and domain-adaptive person search.

Technical
Instance-Guided Scene Adaptation for Unsupervised Person Search

Linfeng Qi, Huibing Wang, Jinjia Peng, Xianping Fu, Jiqing Zhang

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Unsupervised Domain Adaptation (UDA) is a challenging task in person search. It adapts a well-trained model from a labeled source domain to an unlabeled target domain for privacy and efficiency. Currently, most of the state-of-the-art UDA person search methods adopt multi-scale feature alignment techniques to learn domain-invariant representations. However, person search is a multi-granularity task, and such an indiscriminate method of bridging the differences between domains misleads the identity learning process, which significantly limits the model's performance. In this paper, we propose an Instance-Guided Scene Adaptation (IGSA) framework by eradicating scene disparities and focusing the tasks on instances, effectively eliminating the contradiction between person search and domain adaptation. In IGSA, a Scene-Aware Bidirectional Filter (SABF) is designed to divide the image features into background and foreground to perform bidirectional modulations, thereby achieving simultaneous scene elimination and instance enhancement. To further improve the reliability of identity learning, we also propose an Instance Consistency Contrastive Learning (ICCL) method. By performing cross-epoch updates on the instance-level memory bank and re-initializing the cluster-level memory bank, the problem of inconsistent training across epochs caused by instance identity drift can be alleviated. Through the above designs, our method can achieve state-of-the-art performance on two benchmark datasets, with 82.1% mAP and 83.8% top-1 on the CUHK-SYSU dataset and 41.1% mAP and 82.3% top-1 on the PRW dataset, which is even better than some supervised methods.

Technical
Organ-Aware Routing Mixture-of-Retrieval Augmented Generation for Fetal Ultrasound Reporting

Bin Pu, Siyu Wang, Rongbin Li, Xinpeng Ding, Lei Zhao, Chaoqi Chen, Shengli Li, Kenli Li

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Fetal ultrasound screening is a uniquely complex diagnostic task involving the simultaneous assessment of multiple fetal organs—each with its own anatomical and clinical context—within a single examination. Automating report generation for such cases poses a significant challenge: unlike existing methods that focus on single-organ radiology tasks (e.g., chest X-rays), fetal ultrasound requires reasoning over a structured, multiple-to-multiple setting, i.e., multi-organ images corresponding to a multi-section report. In this paper, we introduce FetusR, the first large-scale dataset for multi-organ fetal ultrasound reporting, containing 15,594 real-world cases with rich organ-wise annotations. To address the intrinsic image-report alignment, we propose Organ-Aware Routing Mixture-of-Retrieval Augmented Generation (ORM-RAG) inspired by the Mixture-of-Experts paradigm. Our method decomposes the complex alignment problem into multiple one-to-one sub-retrieval tasks. Specifically, ORM-RAG integrates (1) an organ-aware mixture-of-retrieval module that partitions the retrieval space into organ-specific corpora for independent retrieval, and (2) a dynamic routing mechanism that selectively aggregates high-confidence organ-specific reports while filtering uncertain ones. Extensive experiments demonstrate that our method significantly outperforms state-of-the-art baselines across both textual similarity and clinical accuracy metrics. Our work opens a new direction for long-form, structured report generation in real-world, multi-organ medical imaging scenarios.

Technical
Unified Mixture-of-Experts Framework for Joint Cardiac and Vascular Ultrasound Analysis and Report Generation

Bin Pu, Jiewen Yang, Xingguo Lv, Kai Xu, Kenli Li

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Echocardiography and vascular ultrasound are essential for comprehensive cardiovascular assessment, yet manual evaluation and writing reports are labor-intensive, time-consuming, and require expertise from both cardiology and vascular surgery departments. Current automated report generation systems mainly focus on X-ray or CT, often neglecting echocardiographic modalities and critical quantitative parameters like aortic diameter and main pulmonary artery diameter, limiting their clinical utility. Moreover, the interdependence between cardiac and peripheral vascular health necessitates cross-departmental insights, which existing methods fail to incorporate. To address these limitations, we first propose the vision-language framework named the Echo-Cardiac-Vascular (ECV), for joint cardiac and vascular ultrasound report generation and parameter measurements. ECV introduces a Mixture-of-Experts vision encoder tailored for distinct ultrasound subtypes, a structured parameter measurement module for accurate quantification, and task-specific decoders that generate interpretable, multimodal diagnostic reports. Our framework, trained on 10K+ paired records, achieves high accuracy, improving diagnostic efficiency, consistency, and cross-disciplinary clinical applicability.

Technical
Topology-Inspired Backward-Free Framework for Test-Time Adaptation in Medical Detection

Bin Pu, Xingguo Lv, Jiewen Yang, Kai Xu, Lei Zhao, Zuozhu Liu, Kenli Li

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Recently, Test-Time Adaptation (TTA) has gained increasing attention in medical imaging due to its ability to improve model generalization under domain shifts without retraining. In particular, directly applying a well-trained model across various medical centers faces significant performance degradation caused by variations in equipment, operators, imaging conditions, and scanning skill levels of sonographers. Existing TTA methods either rely on parameter adaptation that increases computational cost or apply simple prediction fusion that ignores anatomical structure knowledge. To address these limitations, we propose a novel backward-free Topology-aware TTA framework named T^3 that integrates Structural Perception Modeling (SPM) and Box Regression Adaptation (BRA). SPM is implemented through an organ space heatmap generated via Gaussian kernel superposition. This heatmap encodes anatomical topology without requiring additional training or source data. BRA further improves localization and classification by fusing detection outputs based on the contribution of detected results to anatomically meaningful peak points from the heatmaps. Extensive experiments were conducted across six cross-domain scenarios, and the results demonstrate that our method achieves state-of-the-art cross-domain detection performance while maintaining high efficiency, offering a practical and robust solution for real-world medical diagnostic applications.

Technical