CVPR 2026 Papers

Conference on Computer Vision and Pattern Recognition

Decision breakdown

4,042papers

Counted from the official paper list; may differ slightly from the number the conference announced.

  • Oral
    1383.4%
  • Poster
    3,90496.6%

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GeoSANE: Learning Geospatial Representations from Models, Not Data

Joëlle Hanna, Damian Falk, Stella X. Yu, Damian Borth

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Recent advances in remote sensing have led to an increase in the number of available foundation models; each trained on different modalities, datasets, and objectives, yet capturing only part of the vast geospatial knowledge landscape. While these models show strong results within their respective domains, their capabilities remain complementary rather than unified. Therefore, instead of choosing one model over another, we aim to combine their strengths into a single shared representation.We introduce GeoSANE, a geospatial model foundry that learns a unified neural representation from the weights of existing foundation models and task-specific models, able to generate novel neural networks weights on-demand. Given a target architecture, GeoSANE generates weights ready for finetuning for classification, segmentation, and detection tasks across multiple modalities.Models generated by GeoSANE consistently outperform their counterparts trained from scratch, match or surpass state-of-the-art remote sensing foundation models, and outperform models obtained through pruning or knowledge distillation when generating lightweight networks. Evaluations across ten diverse datasets and on GEO-Bench confirm its strong generalization capabilities.By shifting from pre-training to weight generation, GeoSANE introduces a new framework for unifying and transferring geospatial knowledge across models and tasks. Code is available at \href https://hsg-aiml.github.io/GeoSANE/ hsg-aiml.github.io/GeoSANE/ .

Poster
Explaining Object Detectors via Collective Contribution of Pixels

Toshinori Yamauchi, Hiroshi Kera, Kazuhiko Kawamoto

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Visual explanations for object detectors are crucial for enhancing their reliability. Object detectors identify and localize instances by assessing multiple visual features collectively. When generating explanations, overlooking these collective influences in detections may lead to missing compositional cues or capturing spurious correlations. However, existing methods typically focus solely on individual pixel contributions, neglecting the collective contribution of multiple pixels. To address this limitation, we propose a game-theoretic method based on Shapley values and interactions to explicitly capture both individual and collective pixel contributions. Our method provides explanations for both bounding box localization and class determination, highlighting regions crucial for detection. Extensive experiments demonstrate that the proposed method identifies important regions more accurately than state-of-the-art methods. The code is available at https://github.com/tttt-0814/VX-CODE.

Poster
RecTok: Reconstruction Distillation along Rectified Flow

Qingyu Shi, Size Wu, Jinbin Bai, Kaidong Yu, Yujing Wang, Yunhai Tong, Xiangtai Li, Xuelong Li

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Visual tokenizers play a crucial role in diffusion models. The dimensionality of latent space governs both reconstruction fidelity and the semantic expressiveness of the latent feature. However, a fundamental trade-off is inherent between dimensionality and generation quality, constraining existing methods to low-dimensional latent spaces. Although recent works have leveraged vision foundation models (VFMs) to enrich the semantics of visual tokenizers and accelerate convergence, high-dimensional tokenizers still underperform their low-dimensional counterparts. In this work, we propose RecTok, which overcomes the limitations of high-dimensional visual tokenizers through two key innovations: flow semantic distillation and reconstruction-alignment distillation. Our key insight is to make the forward flow in flow matching semantically rich, which serves as the training space of diffusion transformers, rather than focusing on the latent space as in previous works. Specifically, our method distill the semantic information in VFMs into the forward flow trajectories in flow matching. And we further enhance the semantics by introducing a masked feature reconstruction loss. Our RecTok achieves superior image reconstruction, generation quality, and discriminative performance. It achieves state-of-the-art results on the gFID-50K under both with and without classifier-free guidance settings, while maintaining a semantically rich latent space structure. Furthermore, as the latent dimensionality increases, we observe consistent improvements. Code and model will be publicly available.

Poster
SG-LoRA: Semantic-guided LoRA Parameters Generation

Miaoge Li, Yang Chen, Zhijie Rao, Can Jiang, Kang Wei, Jingcai Guo

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Generating new Low-Rank Adaptation (LoRA) weights from pre-trained LoRAs has demonstrated strong generalization capabilities across various tasks, enabling the efficient transfer of AI models, particularly on resource-constrained edges. However, previous studies either merge base LoRAs via weighting coefficients or train a generative model under the closed-world assumption, limiting their efficiency and flexibility in complex edge user cases. This challenge may further increase when there are significant domain shifts between training and deployment. To this end, we propose Semantic-Guided LoRA Parameter Generation (SG-LoRA), a tuning-free generative framework to efficiently produce task-specific parameters for unseen tasks in a semantic-to-LoRA pipeline. Concretely, SG-LoRA uses task descriptions as the semantic bridge, measuring their proximity to a set of known expert tasks in a shared embedding space. Based on this semantic guidance, it models the target task's LoRA parameter distribution to generate high-performing parameters for novel tasks. SG-LoRA enables the real-time construction of LoRA models aligned with individual intents by distilling knowledge from prominent LoRA experts, while also offering a privacy-preserving solution for personalized model adaptation in a novel zero-shot open-world setting proposed in this work. Extensive experiments on multiple challenging tasks confirm the superior performance and remarkable adaptability of SG-LoRA. The code is attached in the supplementary material.

Poster
Circuit Mechanisms for Spatial Relation Generation in Diffusion Transformers

Binxu Wang, Jingxuan Fan, Xu Pan

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Diffusion Transformers (DiTs) have greatly advanced text-to-image generation, but models still struggle to generate the correct spatial relations between objects as specified in the text prompt. In this study, we adopt a mechanistic interpretability approach to investigate how a DiT can generate correct spatial relations between objects. We train, from scratch, DiTs of different sizes with different text encoders to learn to generate images containing two objects whose attributes and spatial relations are specified in the text prompt. We find that, although all the models can learn this task to near-perfect accuracy, the underlying mechanisms differ drastically depending on the choice of text encoder. When using random text embeddings, we find that the spatial-relation information is passed to image tokens through a two-stage circuit, involving two cross-attention heads that separately read the spatial relation and single-object attributes in the text prompt. When using a pretrained text encoder (T5), we find that the DiT uses a different circuit that leverages information fusion in the text tokens, reading spatial-relation and single-object information together from a single text token. We further show that, although the in-domain performance is similar for the two settings, their robustness to out-of-domain perturbations differs, potentially suggesting the difficulty of generating correct relations in real-world scenarios.

Poster
iMontage: Unified, Versatile, Highly Dynamic Many-to-many Image Generation

Zhoujie Fu, Xianfang Zeng, Jinghong Lan, Xinyao Liao, Cheng Chen, Junyi Chen, Jiacheng Wei, Wei Cheng, Shiyu Liu, Yunuo Chen, Gang Yu, Guosheng Lin

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Pre-trained video models learn powerful priors for generating high-quality, temporally coherent content. While these models excel at temporal coherence, their dynamics are often constrained by the continuous nature of their training data. We hypothesize that by injecting the rich and unconstrained content diversity from image data into this coherent temporal framework, we can generate image sets that feature both natural transitions and a far more expansive dynamic range. To this end, we introduce iMontage, a unified framework designed to repurpose a powerful video model into an all-in-one image generator. The framework consumes and produces variable-length image sets, unifying a wide array of image generation and editing tasks. To achieve this, we propose an elegant and minimally invasive adaptation strategy, complemented by a tailored data curation process and training paradigm. This approach allows the model to acquire broad image manipulation capabilities without corrupting its invaluable original motion priors. iMontage excels across several mainstream many-in-many-out tasks, not only maintaining strong cross-image contextual consistency but also generating scenes with extraordinary dynamics that surpass conventional scopes. Our code and model weights will be made publicly available.

Poster
MICON-Bench: Benchmarking and Enhancing Multi-Image Context Image Generation in Unified Multimodal Models

Mingrui Wu, Hang Liu, Jiayi Ji, Xiaoshuai Sun, Rongrong Ji

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Recent advancements in Unified Multimodal Models (UMMs) have enabled remarkable image understanding and generation capabilities. However, while models like Gemini-2.5-Flash-Image show emerging abilities to reason over multiple related images, existing benchmarks rarely address the challenges of multi-image context generation, focusing mainly on text-to-image or single-image editing tasks. In this work, we introduce MICON-Bench, a comprehensive benchmark covering six tasks that evaluate cross-image composition, contextual reasoning, and identity preservation. We further propose an MLLM-driven Evaluation-by-Checkpoint framework for automatic verification of semantic and visual consistency, where multimodal large language model (MLLM) serves as a verifier. Additionally, we present Dynamic Attention Rebalancing (DAR), a training-free, plug-and-play mechanism that dynamically adjusts attention during inference to enhance coherence and reduce hallucinations. Extensive experiments on various state-of-the-art open-source models demonstrate both the rigor of MICON-Bench in exposing multi-image reasoning challenges and the efficacy of DAR in improving generation quality and cross-image coherence.

Poster
PG-VTON: Single-Pass Training-Free Virtual Try-On via Patch-Guided Reference Alignment

Guohao Zhao, Yuxin Peng

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Virtual try-on (VTON) aims to render a target garment onto a person while preserving pose, identity, and fine-grained appearance. Most existing methods rely on supervised paired data, limiting cross-domain generalization, while recent training-free approaches, though more robust, require multiple diffusion calls and complex compositing, making deployment impractical. We propose PG-VTON, a single-pass, training-free framework based on Patch-Guided Reference Alignment. Our key insight is that modern inpainting diffusion models already possess strong in-context completion: given a masked person and a small garment patch, they can synthesize plausible, pose-consistent clothing without task-specific training. PG-VTON exploits this capability with two lightweight components: Patch-Anchored Identity Priming (PIP) injects a localized garment patch only in early denoising steps to anchor garment identity, and Reference-Aware Attention (RAA) strengthens attention from masked-region tokens to garment tokens to enhance detail transfer, all without modifying model weights. With a single diffusion pass, PG-VTON achieves state-of-the-art performance among training-free methods on DressCode and VITON-HD and generalizes effectively to subject insertion. Code is available at \href https://github.com/PKU-ICST-MIPL/PG-VTON_CVPR2026 https://github.com/PKU-ICST-MIPL/PG-VTON_CVPR2026 .

Poster
DuoGen: Towards Autonomous Interleaved Multimodal Generation

Min Shi, Xiaohui Zeng, Jiannan Huang, Yin Cui, Francesco Ferroni, Jialuo Li, Zhaoshuo Li, Yogesh Balaji, Haoxiang Wang, Tsung-Yi Lin, Xiao Fu, Yue Zhao, Chieh-Yun Chen, Ming-Yu Liu, Humphrey Shi

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Interleaved multimodal generation enables capabilities beyond unimodal generation models, such as step-by-step instructional guides, visual planning, and generating visual drafts for reasoning. However, the quality of existing interleaved generation models under general instructions remains limited by insufficient training data and base model capacity. We present DuoGen, an interleaved generation framework that systematically addresses data curation, architecture design, and evaluation. On the data side, we build a large-scale, high-quality instruction-tuning dataset by combining multimodal conversations rewritten from curated raw websites, and diverse synthetic examples covering everyday scenarios. Architecturally, DuoGen leverages the strong visual understanding of a pretrained multimodal LLM and the visual generation capabilities of a diffusion transformer (DiT) pretrained on video generation, avoiding costly unimodal pretraining and enabling flexible base model selection. A two-stage decoupled strategy first instruction-tunes the MLLM, then aligns DiT with it using curated interleaved image-text sequences. Across public and newly proposed benchmarks, DuoGen outperforms prior open-source models in text quality, image fidelity, and image-context alignment, and also achieves state-of-the-art performance on text-to-image and image editing among unified generation models. Data and code are released at https://research.nvidia.com/labs/dir/duogen/

Poster
CodePercept: Code-Grounded Visual STEM Perception for MLLMs

Tongkun Guan, Zhibo Yang, Jianqiang Wan, Mingkun Yang, Zhentao Guo, Zijian Hu, Ruilin Luo, Ruizhe Chen, Songtao Jiang, Peng Wang, Wei Shen, Junyang Lin, Xiaokang Yang

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When MLLMs fail at Science, Technology, Engineering, and Mathematics (STEM) visual reasoning, a fundamental question arises: is it due to perceptual deficiencies or reasoning limitations? Through systematic scaling analysis that independently scales perception and reasoning components, we uncover a critical insight: scaling perception consistently outperforms scaling reasoning. This reveals perception as the true lever limiting current STEM visual reasoning. Motivated by this insight, our work focuses on systematically enhancing the perception capabilities of MLLMs by establishing code as a powerful perceptual medium--executable code provides precise semantics that naturally align with the structured nature of STEM visuals. Specifically, we construct ICC-1M, a large-scale dataset comprising 1M Image-Caption-Code triplets that materializes this code-as-perception paradigm through two complementary approaches: (1) Code-Grounded Caption Generation treats executable code as ground truth for image captions, eliminating the hallucinations inherent in existing knowledge distillation methods; (2) STEM Image-to-Code Translation prompts models to generate reconstruction code, mitigating the ambiguity of natural language for perception enhancement. To validate this paradigm, we further introduce STEM2Code-Eval, a novel benchmark that directly evaluates visual perception in STEM domains. Unlike existing work relying on problem-solving accuracy as a proxy that only measures problem-relevant understanding, our benchmark requires comprehensive visual comprehension through executable code generation for image reconstruction, providing deterministic and verifiable assessment. Code is available at https://github.com/TongkunGuan/Qwen-CodePercept.

Poster
mmWaveFlow: Unified Enhancement and Generation of mmWave Human Point Clouds

Chang Su, Beihong Jin, Qiwen Shi, Zhi Wang

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Millimeter-wave (mmWave) point clouds have attracted increasing interest in human sensing due to their robustness, privacy preservation, and low cost. However, their practical adoption is hindered by the inherent sparsity of data and the lack of large-scale annotated dataset. We revisit generative modeling and propose a unified flow-matching framework mmWaveFlow that unifies enhancement and generation of mmWave point clouds by learning an invertible transport between dense and sparse point clouds. We leverage paired data and a Cross-modal Latent Alignment module to enforce semantic alignment and bridge the modality gap. We find that condition-free flow matching is more vulnerable to latent path crossings, which impair transport. Therefore, we propose Origin-Aware Flow Matching (OA-Flow) by conditioning transport on the path origin to mitigate ambiguity in bidirectional transport. Results of experiments across multiple datasets demonstrate the effectiveness of mmWaveFlow for mmWave human point clouds generation and enhancement. We also observe consistent gains in downstream tasks, highlighting the promise of our framework for human sensing. Codes are available at https://github.com/suchang-99/mmWaveFlow.

Poster
LAMP: Language-Assisted Motion Planning for Controllable Video Generation

Muhammed Burak Kizil, Enes Sanli, Niloy J. Mitra, Erkut Erdem, Aykut Erdem, Duygu Ceylan

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Video generation has achieved remarkable progress in visual fidelity and controllability, enabling conditioning on text, layout, or motion. Among these, motion control -- specifying object dynamics and camera trajectories -- is essential for composing complex, cinematic scenes, yet existing interfaces remain limited. We introduce LAMP, that leverages large language models (LLMs) as motion planners to translate natural language descriptions into explicit 3D trajectories for dynamic objects and (relatively defined) cameras. LAMP defines a motion domain-specific language (DSL), inspired by cinematography conventions. By harnessing program synthesis capabilities of LLMs, LAMP generates structured motion programs from natural language, which are deterministically mapped to 3D trajectories. We construct a large-scale procedural dataset pairing natural text descriptions with corresponding motion programs and 3D trajectories. Experiments demonstrate LAMP's improved performance in motion controllability and alignment with user intent compared to state-of-the-art alternatives, establishing the first framework for generating both object and camera motions directly from natural language specifications. Video and code are available at the project page at https://cyberiada.github.io/LAMP/ .

Poster
Self-Corrected Image Generation with Explainable Latent Rewards

Yinyi Luo, Hrishikesh Gokhale, Marios Savvides, Jindong Wang, Shengfeng He

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Despite significant progress in text-to-image generation, aligning outputs with complex prompts remains challenging, particularly for fine-grained semantics and spatial relations. This difficulty stems from the feed-forward nature of generation, which requires anticipating alignment without fully understanding the output. In contrast, evaluating generated images is more tractable. Motivated by this asymmetry, we propose xLARD, a self-correcting framework that uses multimodal large language models to guide generation through Explainable Latent Rewards. xLARD introduces a lightweight corrector that refines latent representations based on structured feedback from model-generated references. A key component is a differentiable mapping from latent edits to interpretable reward signals, enabling continuous latent-level guidance from non-differentiable image-level evaluations. This mechanism allows the model to understand, assess, and correct itself during generation. Experiments across diverse generation and editing tasks show that xLARD improves semantic alignment and visual fidelity while maintaining generative priors, offering a data-efficient and generalizable solution to bridging the gap between comprehension and synthesis.

Poster
DextER: Language-driven Dexterous Grasp Generation with Embodied Reasoning

Junha Lee, Eunha Park, Minsu Cho

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Language-driven dexterous grasp generation requires the models to understand task semantics, 3D geometry, and complex hand-object interactions. While vision-language models have been applied to this problem, existing approaches directly map observations to grasp parameters without intermediate reasoning about physical interactions. We present DextER, Dexterous Grasp Generation with Embodied Reasoning, which introduces contact-based embodied reasoning for multi-finger manipulation. Our key insight is that predicting which hand links contact where on the object surface provides an embodiment-aware intermediate representation, bridging task semantics with physical constraints. DextER autoregressively generates embodied contact tokens specifying which finger links contact where on the object surface, followed by grasp tokens encoding the hand configuration. On DexGYS, DextER achieves 67.14% success rate, outperforming state-of-the-art by 3.83 p.p. with 96.4% improvement in intention alignment. We also demonstrate steerable generation through partial contact specification, providing fine-grained control over grasp synthesis.

Poster
MoLingo: Motion-Language Alignment for Text-to-Human Motion Generation

Yannan He, Garvita Tiwari, Xiaohan Zhang, Pankaj Bora, Tolga Birdal, Jan Eric Lenssen, Gerard Pons-Moll

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We introduce MoLingo, a text-to-motion (T2M) model that generates realistic, lifelike human motion by denoising in a continuous latent space. Recent works perform latent space diffusion, either on the whole latent at once or auto-regressively over multiple latents. In this paper, we study how to make diffusion on continuous motion latents work best. We focus on two questions: (1) how to build a semantically aligned latent space so diffusion becomes more effective, and (2) how to best inject text conditioning so the motion follows the description closely. We propose a semantic-aligned motion encoder trained with frame-level text labels so that latents with similar text meaning stay close, which makes the latent space more diffusion-friendly. We also compare single-token conditioning with a multi-token cross-attention scheme and find that cross-attention gives better motion realism and text-motion alignment. With semantically aligned latents, auto-regressive generation, and cross-attention text conditioning, our model sets a new state-of-the-art in human motion generation on standard metrics and in a user study. We will release our code and models for further research and downstream usage.

Poster
Diffusion with a Linguistic Compass: Steering the Generation of Clinically Plausible Future sMRI Representations for Early MCI Conversion Prediction

Zhihao Tang, Chaozhuo Li, Litian Zhang, Xi Zhang

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Early prediction of Mild Cognitive Impairment (MCI) conversion is hampered by a trade-off between immediacy--making fast predictions from a single baseline sMRI--and accuracy--leveraging longitudinal scans to capture disease progression. We propose MCI-Diff, a diffusion-based framework that synthesizes clinically plausible future sMRI representations directly from baseline data, achieving both real-time risk assessment and high predictive performance. First, a multi-task sequence reconstruction strategy trains a shared denoising network on interpolation and extrapolation tasks to handle irregular follow-up sampling and learn robust latent trajectories. Second, an LLM-driven "linguistic compass" is introduced for clinical plausibility sampling: generated feature candidates are quantized, tokenized, and scored by a fine-tuned language model conditioned on expected structural biomarkers, guiding autoregressive generation toward realistic disease patterns. Experiments on ADNI and AIBL cohorts show that MCI-Diff outperforms state-of-the-art baselines, improving early conversion accuracy by 5-12%.

Poster
SwiftTailor: Efficient 3D Garment Generation with Geometry Image Representation

Phuc Pham, Uy Dieu Tran*, Binh-Son Hua, Phong Nguyen

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Realistic and efficient 3D garment generation remains a longstanding challenge in computer vision and digital fashion. Existing methods typically rely on large vision- language models to produce serialized representations of 2D sewing patterns, which are then transformed into simulation-ready 3D meshes using garment modeling framework such as GarmentCode. Although these approaches yield high-quality results, they often suffer from slow inference times, ranging from 30 seconds to a minute. In this work, we introduce SwiftTailor, a novel two-stage framework that unifies sewing-pattern reasoning and geometry-based mesh synthesis through a compact geometry image representation. SwiftTailor comprises two lightweight modules: PatternMaker, an efficient vision-language model that predicts sewing patterns from diverse input modalities, and GarmentSewer, an efficient dense prediction transformer that converts these patterns into a novel Garment Geometry Image, encoding the 3D surface of all garment panels in a unified UV space. The final 3D mesh is reconstructed through an efficient inverse mapping process that incorporates remeshing and dynamic stitching algorithms to directly assemble the garment, thereby amortizing the cost of physical simulation. Extensive experiments on the Multimodal GarmentCodeData demonstrate that SwiftTailor achieves state-of-the-art accuracy and visual fidelity while significantly reducing inference time. This work offers a scalable, interpretable, and high-performance solution for next-generation 3D garment generation.

Poster
Frequency-Aware Flow Matching for High-Quality Image Generation

Sucheng Ren, Qihang Yu, Ju He, Xiaohui Shen, Liang-Chieh Chen

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Flow matching models have emerged as a powerful framework for realistic image generation by learning to reverse a corruption process that progressively adds Gaussian noise. However, because noise is injected in the latent domain, its impact on different frequency components is non-uniform. As a result, during inference, flow matching models tend to generate low-frequency components (global structure) in the early stages, while high-frequency components (fine details) emerge only later in the reverse process. Building on this insight, we propose Frequency-Aware Flow Matching (FreqFlow), a novel approach that explicitly incorporates frequency-aware conditioning into the flow matching framework via time-dependent adaptive weighting. We introduce a two-branch architecture: (1) a frequency branch that separately processes low- and high-frequency components to capture global structure and refine textures and edges, and (2) a spatial branch that synthesizes images in the latent domain, guided by the frequency branch's output. By explicitly integrating frequency information into the generation process, FreqFlow ensures that both large-scale coherence and fine-grained details are effectively modeled--low-frequency conditioning reinforces global structure, while high-frequency conditioning enhances texture fidelity and detail sharpness. On the class-conditional ImageNet-256 generation benchmark, our method achieves state-of-the-art performance with an FID of 1.38, surpassing the prior diffusion model DiT and flow matching model SiT by 0.79 and 0.58 FID, respectively. Code is available at https://github.com/OliverRensu/FreqFlow.

Poster
MM-ReCoder: Advancing Chart-to-Code Generation with Reinforcement Learning and Self-Correction

Zitian Tang, Xu Zhang, Jianbo Yuan, Yang Zou, Varad Gunjal, Songyao Jiang, Davide Modolo

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Multimodal Large Language Models (MLLMs) have recently demonstrated promising capabilities in multimodal coding tasks such as chart-to-code generation. However, existing methods primarily rely on supervised fine-tuning (SFT), which requires the model to learn code patterns through chart-code pairs but does not expose the model to a code execution environment. Moreover, while self-correction through execution feedback offers a potential route to improve coding quality, even state-of-the-art MLLMs have been shown to struggle with effective self-correction. In this work, we introduce MM-ReCoder, a chart-to-code generation model trained with reinforcement learning (RL) and equipped with self-correction ability. We propose a two-stage multi-turn self-correction RL strategy based on Group Relative Policy Optimization (GRPO). The first stage enhances the model's self-correction ability via rolling out a shared first turn, while the second stage improves the coding capability with full-trajectory optimization. MM-ReCoder learns to produce more accurate and executable code through the interaction with the environment and by iteratively correcting its own outputs. Our results on three chart-to-code benchmarks demonstrate the state-of-the-art performance of MM-ReCoder.

Poster
MLLM-HWSI: A Multimodal Large Language Model for Hierarchical Whole Slide Image Understanding

Basit Alawode, Arif Mahmood, Muaz Khalifa Al Radi, Shahad Albastaki, Asim Khan, Muhammad Bilal, Moshira Ali Abdalla, Mohammed Bennamoun, Sajid Javed

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Whole Slide Images (WSIs) exhibit hierarchical structure, where diagnostic information emerges from cellular morphology, regional tissue organization, and global context. Existing Computational Pathology (CPath) Multimodal Large Language Models (MLLMs) typically compress an entire WSI into a single embedding, which hinders fine-grained grounding and ignores how pathologists synthesize evidence across different scales. We introduce MLLM-HWSI, a Hierarchical WSI-level MLLM that aligns visual features with pathology language at four distinct scales, cell as word, patch as phrase, region as sentence, and WSI as paragraph to support interpretable evidence-grounded reasoning. MLLM-HWSI decomposes each WSI into multi-scale embeddings with scale-specific projectors and jointly enforces (i) a hierarchical contrastive objective and (ii) a cross-scale consistency loss, preserving semantic coherence from cells to the WSI. We compute diagnostically relevant patches and aggregate segmented cell embeddings into a compact cellular token per-patch using a lightweight Cell-Cell Attention Fusion (CCAF) transformer. The projected multi-scale tokens are fused with text tokens and fed to an instruction-tuned LLM for open-ended reasoning, VQA, report, and caption generation tasks. Trained in three stages, MLLM-HWSI achieves new SOTA results on 13 WSI-level benchmarks across six CPath tasks. By aligning language with multi-scale visual evidence, MLLM-HWSI provides accurate, interpretable outputs that mirror diagnostic workflows and advance holistic WSI understanding. Code is available at: \href https://github.com/BasitAlawode/HWSI-MLLM Github .

Poster