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arXiv

FaCT-GS: Fast and Scalable CT Reconstruction with Gaussian Splatting

Pawel Tomasz Pieta, Rasmus Juul Pedersen, Sina Borgi, Jakob Sauer Jørgensen, Jens Wenzel Andreasen, Vedrana Andersen Dahl

Gaussian Splatting (GS) has emerged as a dominating technique for image rendering and has quickly been adapted for the X-ray Computed Tomography (CT) reconstruction task. However, despite its growing popularity, the benefits of GS are typically not substantial enough to motivate a transition from well-established reconstruction algorithms. This paper addresses the most significant remaining limitations of the GS-based approach by introducing FaCT-GS, a framework for fast and flexible CT reconstruction. Enabled by an in-depth optimization of the voxelization and rasterization pipelines, our new method is significantly faster than its predecessors and scales well with projection and output volume size. Furthermore, the improved voxelization enables rapid fitting of Gaussians to pre-existing volumes, which can serve as a prior for warm-starting the reconstruction, or simply as an alternative, compressed representation. FaCT-GS is over 4X faster than the State of the Art GS CT reconstruction on standard 512x512 projections, and over 13X faster on 2k projections. Implementation and data available through: https://github.com/PaPieta/fact-gs.

arXiv

Steering Video Diffusion Transformers with Massive Activations

Xianhang Cheng, Yujian Zheng, Zhenyu Xie, Tingting Liao, Hao Li

In this work, we study the role of Massive Activations (MAs), which are rare, high-magnitude spikes confined to a few fixed hidden dimensions in video diffusion transformers (DiTs). We uncover a structured positional hierarchy: MA magnitudes peak at first-frame tokens and recur at the spatial boundary tokens of latent frames, with this pattern being most pronounced during early denoising. We trace this organization to an encoding asymmetry of the video VAEs, whose causal temporal padding and zero spatial padding cause the first latent frame and frame borders to carry reduced content load. Elevated MAs consistently align with these lower-content structural positions. To understand their function, we analyze intermediate representations and find that MAs act as implicit rescalers of residual computation: enlarging MAs suppresses the corresponding self-attention and feed-forward updates, while erasing them amplifies these updates. Together, these observations suggest that MAs serves as a token-level rescaler of residual computation, which video DiTs deploy unevenly, placing the strongest damping at the encoding-asymmetric structural positions. Motivated by this native rescaling behavior, we propose Structured Activation Steering (STAS), a training-free technique that steers MAs at the observed structural positions toward a scaled, model-derived reference during early denoising. STAS requires no additional forward passes and consistently improves video quality and temporal coherence across text-to-video models with negligible overhead.

arXiv

Generated Reality: Human-centric World Simulation using Interactive Video Generation with Hand and Camera Control

Linxi Xie, Lisong C. Sun, Ashley Neall, Tong Wu, Shengqu Cai, Gordon Wetzstein

Extended reality (XR) demands generative models that respond to users' tracked real-world motion, yet current video world models accept only coarse control signals such as text or keyboard input, limiting their utility for embodied interaction. We introduce a human-centric video world model that is conditioned on both tracked head pose and joint-level hand poses. For this purpose, we evaluate existing diffusion transformer conditioning strategies and propose an effective mechanism for 3D head and hand control, enabling dexterous hand--object interactions. We train a bidirectional video diffusion model teacher using this strategy and distill it into a causal, interactive system that generates egocentric virtual environments. We evaluate this generated reality system with human subjects and demonstrate improved task performance as well as a significantly higher level of perceived amount of control over the performed actions compared with relevant baselines.

arXiv

Procedural Knowledge Extraction from Industrial Troubleshooting Guides Using Vision Language Models

Guillermo Gil de Avalle, Laura Maruster, Christos Emmanouilidis

Industrial troubleshooting guides encode diagnostic procedures in flowchart-like diagrams where spatial layout and technical language jointly convey meaning. To integrate this knowledge into operator support systems, which assist shop-floor personnel in diagnosing and resolving equipment issues, the information must first be extracted and structured for machine interpretation. However, when performed manually, this extraction is labor-intensive and error-prone. Vision Language Models offer potential to automate this process by jointly interpreting visual and textual meaning, yet their performance on such guides remains underexplored. This paper evaluates two VLMs on extracting structured knowledge, comparing two prompting strategies: standard instruction-guided versus an augmented approach that cues troubleshooting layout patterns. Results reveal model-specific trade-offs between layout sensitivity and semantic robustness, informing practical deployment decisions.

arXiv

BulletTime: Decoupled Control of Time and Camera Pose for Video Generation

Yiming Wang, Qihang Zhang, Shengqu Cai, Tong Wu, Jan Ackermann, Zhengfei Kuang, Yang Zheng, Frano Rajič, Siyu Tang, Gordon Wetzstein

Emerging video diffusion models achieve high visual fidelity but fundamentally couple scene dynamics with camera motion, limiting their ability to provide precise spatial and temporal control. We introduce a 4D-controllable video diffusion framework that explicitly decouples scene dynamics from camera pose, enabling fine-grained manipulation of both scene dynamics and camera viewpoint. Our framework takes continuous world-time sequences and camera trajectories as conditioning inputs, injecting them into the video diffusion model through a 4D positional encoding in the attention layer and adaptive normalizations for feature modulation. To train this model, we curate a unique dataset in which temporal and camera variations are independently parameterized; this dataset will be made public. Experiments show that our model achieves robust real-world 4D control across diverse timing patterns and camera trajectories, while preserving high generation quality and outperforming prior work in controllability. See our website for codes and video results: https://19reborn.github.io/Bullet4D/

arXiv

Collapse of Patches: Ranking Image Patches for Efficient Visual Modeling

Wei Guo, Shunqi Mao, Zhuonan Liang, Xuanhua Yin, Heng Wang, Weidong Cai

Observing certain patches in an image reduces the uncertainty of others. Their realization lowers the distribution entropy of each remaining patch feature, analogous to collapsing a particle's wave function in quantum mechanics. This phenomenon can intuitively be called patch collapse. To identify which patches are most relied on during a target region's collapse, we learn an autoencoder that softly selects a subset of informative patches during reconstruction. Graphing these learned dependencies for each patch's PageRank score reveals the optimal patch order to realize an image. We show that respecting this order benefits various masked image modeling methods. First, autoregressive image generation can be boosted by finetuning with the ordered generation sequence. Second, we introduce a new setup for image classification by exposing Vision Transformers only to high-rank patches in the collapse order. Seeing 22% of such patches is sufficient to achieve high accuracy. With these experiments, we propose patch collapse as a novel image modeling perspective that promotes vision efficiency.

arXiv

DRBD-Mamba for Robust and Efficient Brain Tumor Segmentation with Analytical Insights

Danish Ali, Ajmal Mian, Naveed Akhtar, Ghulam Mubashar Hassan

Accurate brain tumor segmentation is significant for clinical diagnosis and treatment but remains challenging due to tumor heterogeneity. Mamba-based State Space Models have demonstrated promising performance. However, despite their computational efficiency over other neural architectures, they incur considerable overhead for this task due to their sequential feature computation across multiple spatial axes. Moreover, their robustness across diverse BraTS data partitions remains largely unexplored, leaving a critical gap in reliable evaluation. To address this, we first propose a dual-resolution bi-directional Mamba (DRBD-Mamba), an efficient 3D segmentation model that captures multi-scale long-range dependencies with minimal computational overhead. We leverage a space-filling curve to preserve spatial locality during 3D-to-1D feature mapping, thereby reducing reliance on computationally expensive multi-axial feature scans. To enrich feature representation, we propose a gated fusion module that adaptively integrates forward and reverse contexts, along with a quantization block that improves robustness. We further propose five systematic folds on BraTS2023 for rigorous evaluation of segmentation techniques under diverse conditions and present analysis of common failure scenarios. On the 20% test set used by recent methods, our model achieves Dice improvements of 0.10% for whole tumor, 1.75% for tumor core, and 0.93% for enhancing tumor. Evaluations on the proposed systematic folds demonstrate that our model maintains competitive whole tumor accuracy while achieving clear average Dice gains of 1.16% for tumor core and 1.68% for enhancing tumor over existing state-of-the-art. Furthermore, our model achieves a 15x efficiency improvement while maintaining high segmentation accuracy, highlighting its robustness and computational advantage over existing methods.

arXiv

Spatio-Temporal Parallelism for Diffusion Model Inference on Heterogeneous Multi-GPU Systems

Han Liang, Jiahui Zhou, Zicheng Zhou, Xiaoxi Zhang, Xu Chen

The widespread adoption of diffusion models for image generation necessitates efficient parallel inference to manage their substantial computational overhead. However, current parallel inference paradigms primarily target homogeneous clusters, often failing to maintain high efficiency in realistic, heterogeneous multi-GPU environments where hardware disparities and fluctuating background workloads cause severe straggler effects. This paper introduces Orchestra, a robust framework that orchestrates fine-grained parallelism across both temporal and spatial dimensions to harmonize computational loads in such settings. Temporally, Orchestra employs a novel computation-aware step allocator using a tiered step reduction strategy, intelligently pruning denoising steps on slower devices after warmup phases and execution synchronization. Spatially, Orchestra performs an elastic patch parallelism mechanism which adaptively adjusts the spatial workload intensity by assigning non-uniform image patches tailored to GPUs according to their computational capability. Extensive experiments on load-imbalanced and heterogeneous clusters validate Orchestra's efficacy in mitigating performance bottlenecks. Compared to patch parallelism, a state-of-the-art diffusion inference framework, our method reduces end-to-end latency by up to 45% and significantly boosts resource utilization on heterogeneous GPUs.

arXiv

Imitating Radiological Scrolling: A Global-Local Attention Model for 3D Chest CT Volumes Multi-Label Anomaly Classification

Theo Di Piazza, Carole Lazarus, Olivier Nempont, Loic Boussel

The rapid increase in the number of Computed Tomography (CT) scan examinations has created an urgent need for automated tools, such as organ segmentation, anomaly classification, and report generation, to assist radiologists with their growing workload. Multi-label classification of Three-Dimensional (3D) CT scans is a challenging task due to the volumetric nature of the data and the variety of anomalies to be detected. Existing deep learning methods based on Convolutional Neural Networks (CNNs) struggle to capture long-range dependencies effectively, while Vision Transformers require extensive pre-training, posing challenges for practical use. Additionally, these existing methods do not explicitly model the radiologist's navigational behavior while scrolling through CT scan slices, which requires both global context understanding and local detail awareness. In this study, we present CT-Scroll, a novel global-local attention model specifically designed to emulate the scrolling behavior of radiologists during the analysis of 3D CT scans. Our approach is evaluated on two public datasets, demonstrating its efficacy through comprehensive experiments and an ablation study that highlights the contribution of each model component.

arXiv

Fairness-Aware Low-Rank Representation Fine-Tuning

Parameswaran Kamalaruban, Mark Anderson, Stuart Burrell, Maeve Madigan, Piotr Skalski, David Sutton

Pre-trained foundation models can be efficiently adapted for specific tasks using Low-Rank Adaptation (LoRA), but the fairness properties of these adapted classifiers remain underexplored. Existing fairness-aware fine-tuning methods assume that sensitive attribute labels are available alongside downstream task labels, which often fails in practice due to user consent limitations or privacy constraints. To address this gap, we investigate fairness-aware LoRA fine-tuning using separate datasets for downstream tasks and sensitive attributes. We introduce four fairness-aware LoRA strategies: sensitive unlearning, adversarial debiasing, orthogonality-based disentanglement, and entropy maximization. Through comprehensive experiments on standard algorithmic fairness datasets using an ImageNet pre-trained ViT-Base model, we evaluate these methods across multiple utility and fairness metrics. Our orthogonality-based disentanglement and entropy maximization approaches consistently outperform standard fine-tuning in both overall utility and fairness, while adversarial debiasing shows less consistent improvements and sensitive unlearning proves ineffective for classification tasks. However, fairness-aware methods underperform on certain metrics like subgroup-wise false-positive rate ratios, highlighting fundamental incompatibilities between fairness objectives. These findings demonstrate the potential of fairness-aware LoRA fine-tuning while revealing inherent challenges of simultaneously optimizing multiple fairness criteria in parameter-efficient adaptation.

arXiv

Expert-level vision-language foundation model for real-world radiology and comprehensive evaluation

Xiaohong Liu, Guoxing Yang, Yulin Luo, Jiaji Mao, Xiang Zhang, Haibo Wang, Zhiyang He, Ming Gao, Shanghang Zhang, Jun Shen, Guangyu Wang

Radiology is a vital and complex component of modern clinical workflow and covers many tasks. Recently, vision-language (VL) foundation models in medicine have shown potential in processing multimodal information, offering a unified solution for various radiology tasks. However, existing studies either pre-trained VL models on natural data or did not fully integrate vision-language architecture and pretraining, often neglecting the unique multimodal complexity in radiology images and their textual contexts. Additionally, their practical applicability in real-world scenarios remains underexplored. Here, we present RadFound, a large and open-source vision-language foundation model tailored for radiology, that is trained on the most extensive dataset of over 8.1 million images and 250,000 image-text pairs, covering 19 major organ systems and 10 imaging modalities. To establish expert-level multimodal perception and generation capabilities, RadFound introduces an enhanced vision encoder to capture intra-image local features and inter-image contextual information, and a unified cross-modal learning design tailored to radiology. To fully assess the models' capability, we construct a benchmark, RadVLBench, including radiology interpretation tasks like medical vision-language question-answering, as well as text generation tasks ranging from captioning to report generation. We also propose a human evaluation framework. When evaluated on the real-world benchmark involving three representative modalities, 2D images (chest X-rays), multi-view images (mammograms), and 3D images (thyroid CT scans), RadFound significantly outperforms other VL foundation models on both quantitative metrics and human evaluation. In summary, the development of RadFound represents an advancement in radiology generalists, demonstrating broad applicability potential for integration into clinical workflows.

arXiv

Arbitrarily Shaped Scene Text Detection: A Decade of Advances and Systematic Analysis

Pengwen Dai, Feiyang He, Chaolang Li, Xugong Qin, Wenqi Ren, Xiaochun Cao

Scene text detection has become an important research area in computer vision. However, dynamic changes in scenes and the complex diversity of text appearances make accurate scene text detection highly challenging. Although numerous arbitrary-shaped scene text detection methods have been proposed in recent years, with most claiming state-of-the-art performance, these performance comparisons are often unfair due to various inconsistent settings (e.g., training data, backbones, multi-scale feature fusion, evaluation protocols, etc.). Such discrepancies tend to obscure the strengths and weaknesses of the core techniques being proposed, further hindering progress in the field. In this paper, we first review the development of scene text detection in the deep learning era, systematically tracing and summarizing the technical evolution of the field. Then, we carefully examine and analyze the aforementioned inconsistent settings and propose unified frameworks for bottom-up and top-down scene text detection methods, respectively. Under the unified frameworks, we keep the settings of non-core modules consistent and focus on exploring representations of arbitrary-shaped scene text, aiming to standardize future research and ensure fair comparisons. Finally, we discuss valuable future research directions, with the goal of inspiring subsequent researchers. As the first comprehensive survey dedicated to arbitrary-shaped scene text detection, this paper seeks to eliminate the barriers to performance comparison among existing methods through investigation and detailed analysis, to reveal the strengths and weaknesses of prior models under fair comparisons, and thereby better promote the development of the field.

arXiv

Invocation-Level Reliability of Tool-Using Agents

Afiya Noorain, Subhranshu Mohanty, Amritesh Banerjee, Abhijit Dasgupta

Tool-using agents fail two ways: choosing the wrong tool, or forming wrong arguments, and an early failure of either kind can silently corrupt everything downstream. We measure a correct-invocation rate that separates the two, under both a clean teacher-forced context and the model's own free-running context, on five open-weight models over contamination-free multi-step tasks (depths 1-8). By depth 6, roughly 70% of a model's own clean-context capability is lost to its own earlier mistakes (L6 = 0.686, 0.684). Our central finding concerns the measurement itself. Under exact-match scoring against a fixed gold trajectory, a propagation model's severity and recovery parameters are not merely hard to estimate - they are fixed by the scoring rule. Severity is forced to its boundary (0 of 869 poisoned steps correct); recovery is structurally unobservable (0 of 580 poisoned steps returned on-track, against an expected 0.0058 by chance). Both follow from one mechanism: post-divergence, the gold value is generated by tool constants the model never sees, so it is information the model cannot derive. A fit run anyway returns 0.92 and 0.73 for a quantity that is exactly 1.000 - confident numbers for a parameter the scoring rule already determined. We give the mechanism and a remedy, conditional-on-state scoring, applied retrospectively to cached completions at zero additional cost, which un-pins severity to interior estimates excluding zero (+0.149, +0.316).

arXiv

GreenLeaf Law Embed Tiny: A Compact Embedding Model for Legal Domain Retrieval

Surya Saka

We present GreenLeaf Law Embed Tiny, a 0.6B parameter embedding model for legal domain retrieval. GreenLeaf-Tiny achieves 75.11% on the Massive Legal Embedding Benchmark (MLEB) and 64.38% on MTEB(Law, v1),demonstrating competitive performance among models under 1B parameters. Our approach combines a two-stage training pipeline that first distills knowledge from a larger teacher model into a compact student architecture, then applies domain-specific fine-tuning with hard negative mining; a carefully curated dataset of 3.4 million query-passage pairs, including 150,000 human-curated samples across diverse legal jurisdictions; and an efficient inference architecture supporting multiple quantization levels (BF16, INT8, binary) enabling deployment in resource-constrained environments. We provide detailed analysis of our training methodology, architectural choices, and comprehensive evaluation across legal retrieval tasks. Our results demonstrate that domain-specific training with high-quality data can improve performance for specialized domain applications

arXiv

Auditing the Synthetic Memoir: Measuring Scene-Level Confabulation in LLM-Generated Autobiography Against the Documented Record of the Life It Describes

Heather Renze

When a large language model (LLM) is asked to write a person's life, how much of what it writes actually happened? We present a scene-level case-study audit - the first quantified audit of LLM-generated autobiography against a subject-specific ground-truth corpus that we are aware of, based on an unsystematic literature search. The subject and the author of this paper are the same person: a 366-day "page-a-day" book of first-person anecdotal entries was drafted with a conversational LLM whose documented inputs were a template, two exemplar days, and each day's quote - not her corpus - and every day was subsequently audited at the anecdote-scene level against an independent verification corpus using a four-level rubric fixed before analysis. We define the verification-failure rate as the share of days not rated VERIFIED (scene positively corroborated): 354 of 366 days fail, 96.7% (Wilson 95% CI 94.4-98.1%). Only 12 days contain a corroborated scene; 19 days (5.2%) assert claims actively contradicted by the record; the dominant failure mode is grounded drift - real people, employers, and settings inside invented scenes - though its measured share varies across raters. Independent re-rating replicates the headline (no evidence the original rate was inflated) while showing that the four-way taxonomy has only fair-to-moderate reliability. Regenerating the same days with current named models reproduces 100% verification failure under the same inputs; grounding generation in the subject's corpus significantly improves the verification rate while leaving substantial residual failure (83.3%). We contribute the measurement, a reusable audit instrument whose WEAK/UNVERIFIED boundary we show to be unreliable, and a grounding remedy with quantified effect.

arXiv

From Triage to Discharge: A Survey of NLP Tasks, Methods, and Open Challenges in the Emergency Department

Dipankar Srirag, Aditya Joshi, Salil Kanhere, Padmanesan Narasimhan

Emergency departments (EDs) operate under time pressure, generating multimodal data such as clinical conversations, triage notes, and discharge documents. Recent advances in natural language processing (NLP), particularly pretrained transformers and large language models, have created new opportunities to support language and time-intensive stages of emergency care. Yet existing surveys map clinical NLP across the broader hospital workflow or focus on specific tasks. This survey analyses 46 papers spanning the three phases of ED: triage, diagnosis, and disposition, covering tasks such as triage classification, clinical summarisation, automatic diagnosis, report generation, and discharge documentation. We examine modelling paradigms, evaluation practices, and emerging benchmarks and shared tasks. Across tasks, we identify common trends, including a shift from task-specific neural architectures to pretrained language models, growing interest in interactive clinical systems, and increasing attention to clinically grounded evaluation. Finally, we detail open challenges such as limited generalisability, noisy clinical inputs, and workflow constraints that inform future ED-NLP research.

arXiv

Iteration Without Elaboration: A Simple ReAct Architecture Suffices for Text-to-SQL Generation

Jian Lu, Haiwei Yu, Raymond M Xiong, Anru Zhang, Danyang Zhuo

Modern text-to-SQL systems have become increasingly elaborate, relying on schema-linking modules, retrieval-augmented prompting, candidate generation, and multi-stage refinement pipelines. While effective, these additions introduce substantial latency and engineering overhead. To this end, we present \textbf{ReAct-SQL}, a simple yet effective zero-shot ReAct-style framework built solely on iterative reasoning and a constrained action space defined by a typed Domain-Specific Language (DSL) of 15 relational operations, rather than free-form SQL generation. The model incrementally issues DSL calls, observes compiled-SQL execution feedback, and revises its reasoning through interaction. On corrected BIRD mini-dev and EHR-SQL, ReAct-SQL achieves \textbf{84.5\%} and \textbf{73.9\%} accuracy, respectively, matching substantially more elaborate baselines while running up to $8\times$ faster. Incremental ablations further show that iteration primarily improves grounding, while the DSL improves compositional reliability.

arXiv

GeoRisk-RAG: A Hierarchy-Aware Risk Framework for Improving RAG Reliability through Selective Answering

Meenu Ravi, Shailik Sarkar, Lulwah AlKulaib, Yordanos Tessema, Chang-Tien Lu

Current work on improving reliability in large language model (LLM)- generated answers has primarily leveraged Retrieval-Augmented Generation (RAG), knowledge-graph augmentation, and reinforcement learning. While these methods are adept at enhancing and measuring reliability through semantic similarity and faithfulness, they often struggle to distinguish semantic similarity from geographic validity. This is especially critical in natural hazard management domains where geographic granularity (i.e., town vs. city vs. state) is significant for decision-making, as responses valid in one municipality may not transfer to another. In such domains, a confidently wrong answer carries greater risk than abstaining. We present GeoRisk-RAG, a novel hierarchy-aware framework that addresses this geographic-validity gap through selective answering. This framework explicitly estimates geographic applicability using a Directed Acyclic Graph (DAG)-based distance for context retrieval before response generation. Experiments on a novel held-out wildfire-related question-answering (QA) dataset show that GeoRisk-RAG significantly reduces false confidence rates for location-dependent questions, lowering the rate to 0.009 compared with ~0.090 for standard semantic similarity and reranking baselines, while consistently achieving higher human preference alignment. This work provides a more comprehensive assessment of end-to-end RAG pipelines by integrating geographic validity and selective-answering behavior for safer decision-making in geospatial domains.

arXiv

Teaching LLMs How ICU Physicians Approach Clinical Reasoning Through OMOP-Aligned Retrieval Improves Reasoning Across Clinical Domains

Miguel Contreras, Scott Siegel, Subhash Nerella, Jessica Sena, Jiaqing Zhang, Heng Sun, Hruday Tej Akkaladevi, Peiyu Lu, Jordan Rosen, Sumit Kapoor, Sasank Desaraju, Grace R. Thompson, Jacob Purcell, Michael Petrauskis, Philip KW. Hong, Meghan Brennan, Sarah Chrabaszcz, Tierra Smith, Ronnie Ren, Michel S. Kabbash, Ceyhun Haziroglu, Rushi Patel, Gabriel Gomez, Charlotte Chaiklin, Randy Leung, Kenneth N. John, Whitman Wiggins, Philip Kayser, Vincent Bird, Maria Bruzzone, Tyler J. Loftus, Azra Bihorac, Parisa Rashidi

Clinical decision-making relies on identifying relevant patient information to guide diagnosis and treatment, a challenge that is especially difficult in the data-dense and rapidly changing intensive care unit (ICU). Large language models (LLMs) could support this task. However, existing applications and datasets mostly emphasize surface-level retrieval or factual recall rather than the inductive and deductive reasoning clinicians practice to select and reason over decision-relevant evidence. We hypothesized that training LLMs on expert ICU reasoning could yield clinical reasoning skills that generalize beyond critical care. Here we introduce ICU-REACT, a reasoning dataset developed with 19 clinicians through a clinician-in-the-loop framework to teach LLMs to perform information retrieval and context-aware clinical reasoning in the ICU. Using ICU-REACT, we fine-tuned Clin-REACT models spanning 8B-70B parameters and three model families. Across five clinical reasoning benchmarks, Clin-REACT consistently outperformed its backbone models and open-source general-purpose and medical LLMs. Gains extended to different tasks including script concordance tests, and downstream diagnosis and treatment tasks. These findings suggest that expert reasoning supervision in critical care can improve broader clinical reasoning, although prospective evaluation is needed before real-world clinical use.

arXiv

Vision-Language Models for Occupational Physical Exposure Assessment: Estimating External Hand Forces in Manual Material Handling Tasks from RGB Video

Mohammad Sadra Rajabi, Aanuoluwapo Ojelade, Sunwook Kim, Maury A. Nussbaum

External hand forces are important inputs to biomechanical analyses of occupational physical exposure and injury risk, yet continuous force measurements during manual material handling (MMH) typically requires instrumented objects or specialized sensing. We evaluated a vision-language model (VLM)-based pipeline that combines task-specific textual cues, visual representations, and known box mass to estimate dynamic, triaxial, bilateral external hand forces from RGB video. Thirty-five healthy young adults performed five MMH tasks involving lifting, carrying, pushing, and pulling with box masses of 6, 9, and 12 kg. The pipeline used text-guided localization of participant and handled-object regions of interest (ROIs), pretrained vision-transformer feature extraction, and transformer-based temporal regression. Performance was evaluated using leave-one-subject-out validation across seven camera-view conditions (three single-view and four multi-view conditions) and four ROI strategies. Overall, root mean square error was ~4.7-5.6 N for the horizontal and mediolateral force components and ~10.6-11.0 N for the vertical component. Including the handled object as a second ROI generally improved force estimation, with some of the largest benefits under single-camera conditions, whereas pixel-level segmentation provided little additional improvement. Multi-camera capture provided the clearest benefit for peak-force estimation, particularly for the vertical component, whereas differences in overall frame-level error among camera configurations were comparatively modest. These findings demonstrate the feasibility of estimating continuous, bilateral, directional hand-force estimates from RGB video and known load mass without requiring sensors on the worker or handled objects as model inputs, supporting the development of more scalable occupational physical exposure and risk assessments.

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