CVPR 2026 论文列表

Conference on Computer Vision and Pattern Recognition

录用类型

4,042篇论文

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  • Poster
    3,90496.6%

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X-WIN: Building Chest Radiograph World Model via Predictive Sensing

Zefan Yang, Ge Wang, James Hendler, Mannudeep K. Kalra, Pingkun Yan

展开摘要

Chest X-ray radiography (CXR) is an essential medical imaging technique for disease diagnosis. However, as 2D projectional images, CXRs are limited by structural superposition and hence fail to capture 3D anatomies. This limitation makes representation learning and disease diagnosis challenging. To address this challenge, we propose a novel CXR world model named X-WIN, which distills volumetric knowledge from chest computed tomography (CT) by learning to predict its 2D projections in latent space. The core idea is that a world model with internalized knowledge of 3D anatomical structure can predict CXRs under various transformations in 3D space. During projection prediction, we introduce an affinity-guided contrastive alignment loss that leverages mutual similarities to capture rich, correlated information across projections from the same volume. To improve model adaptability, we incorporate real CXRs into training through masked image modeling and employ a domain classifier to encourage statistically similar representations for real and simulated CXRs. Comprehensive experiments show that X-WIN outperforms existing foundation models on diverse downstream tasks using linear probing and few-shot fine-tuning. X-WIN also demonstrates the ability to render 2D projections for reconstructing a 3D CT volume.

Poster
Multimodal Causality-Driven Representation Learning for Generalizable Medical Image Segmentation

Xusheng Liang, Lihua Zhou, Nianxin Li, Miao Xu, Ziyang Song, DONG Yi, Jinlin Wu, Jiawei Ma, Hongbin Liu, Zhen Lei, Jiebo Luo

展开摘要

Vision-Language Models (VLMs), such as CLIP, have demonstrated remarkable zero-shot capabilities in various computer vision tasks. However, their application to medical imaging remains challenging due to the high variability and complexity of medical data. Specifically, medical images often exhibit significant domain shifts caused by various confounders, including equipment differences, procedure artifacts, and imaging modes, which can lead to poor generalization when models are applied to unseen domains. To address this limitation, we propose Multimodal Causal-Driven Representation Learning (MCDRL), a novel framework that integrates causal inference with the VLM to tackle domain generalization in medical image segmentation. MCDRL is implemented in two steps: first, it leverages CLIP's cross-modal capabilities to identify candidate lesion regions and construct a confounder dictionary through text prompts, specifically designed to represent domain-specific variations; second, it trains a causal intervention network that utilizes this dictionary to identify and eliminate the influence of these domain-specific variations while preserving the anatomical structural information critical for segmentation tasks. Extensive experiments demonstrate that MCDRL consistently outperforms competing methods, yielding superior segmentation accuracy and exhibiting robust generalizability.

Poster
OmniFM: Toward Modality-Robust and Task-Agnostic Federated Learning for Heterogeneous Medical Imaging

Meilin Liu, Jiaying Wang, Jing Shan

展开摘要

Federated learning (FL) has become a promising paradigm for collaborative medical image analysis, yet existing frameworks remain tightly coupled to task-specific backbones and are fragile under heterogeneous imaging modalities. Such constraints hinder real-world deployment, where institutions vary widely in modality distributions and must support diverse downstream tasks. To address this limitation, we propose OmniFM,a modality- and task-agnostic FL framework that unifies training across classification,segmentation, super-resolution, visual question answering,and multimodal fusion without re-engineering the optimization pipeline. OmniFM builds on a key frequency-domain insight: low-frequency spectral components exhibit strong cross-modality consistency and encode modality-invariant anatomical structures. Accordingly, OmniFM integrates(i) Global Spectral Knowledge Retrieval to inject global frequency priors, (ii) Embedding-wise Cross-Attention Fusion to align representations, and (iii) Prefix-Suffix Spectral Prompting to jointly condition global and personalized cues, together regularized by a Spectral-Proximal Alignment objective that stabilizes aggregation. Experiments on real-world datasets show that OmniFM consistently surpasses state-of-the-art FL baselines across intra- and cross-modality heterogeneity, achieving superior results under both fine-tuning and training-from-scratch setups.

Poster
Solving a Nonlinear Blind Inverse Problem for Tagged MRI with Physics and Deep Generative Priors

Zhangxing Bian, Shuwen Wei, Samuel W. Remedios, Junyu Chen, Aaron Carass, Blake Dewey, Jerry L Prince

展开摘要

Tagged MRI enables tracking internal tissue motion non-invasively. It encodes motion by modulating anatomy with periodic tags, which deforms along with tissue. However, the entanglement between anatomy, tags and motion poses significant challenges on post processing. Existence of tags and imaging blur hinders downstream tasks such as segmenting anatomy. Tag fading, due to T1-relaxation, disrupts brightness constancy assumption for motion tracking. For decades, these challenges are handled in isolation and sub-optimally. In contrast, we introduce a blind and nonlinear inverse framework for tagged MRI that, for the first time, unifies these tasks: anatomical image recovery, high-resolution cine image synthesis, and motion estimation. At its core, the synergy of MR physics and generative priors enables us to blindly estimate the unknown forward imaging models, high-resolution underlying anatomy, while simultaneously tracking 3D diffeomorphic Lagrangian motion over time. Experiments on tagged brain MRI demonstrate that our approach yields high-resolution anatomy images, cine images, and more accurate motion than specialized methods.

Poster
Taming Generative Diffusion Model for Task-Oriented Infrared Imaging

Tengyu Ma, Zhilong Dai, Yubo Diao, Guanming An, Long Ma, Jinyuan Liu, Risheng Liu

展开摘要

Infrared imaging is essential for perception in harsh environments. However, dynamically coupled degradation factors severely impair visual quality and downstream semantic accuracy. Although generative diffusion models provide strong image restoration priors, high computational cost and physical inconsistency limit their application in infrared sensing. To bridge these gaps, we reformulate infrared imaging as a single-step diffusion process, aligning degraded observations with trajectory latent states via dynamic timestep estimation to leverage timestep-specific diffusion priors for high-fidelity reconstruction. Meanwhile, we introduce a spectral regularization term to enforce thermal radiation constraints and ensure physical consistency. Subsequently, a task-aware low-rank adaptation mechanism is devised through dynamic prompting to enable efficient transfer across downstream infrared tasks. Experiments demonstrate our method surpasses existing approaches in restoration quality, semantic structure preservation, and task generalization. The code is available at https://github.com/csmty/InfraredIR.

Poster
MedCLIPSeg: Probabilistic Vision-Language Adaptation for Data-Efficient and Generalizable Medical Image Segmentation

Taha Koleilat, Hojat Asgariandehkordi, Omid Nejatimanzari, Berardino Barile, Yiming Xiao, Hassan Rivaz

展开摘要

Medical image segmentation remains challenging due to limited annotations for training, ambiguous anatomical features, and domain shifts. While vision-language models such as CLIP offer strong cross-modal representations, their potential for dense, text-guided medical image segmentation remains underexplored. We present MedCLIPSeg, a novel framework that adapts CLIP for robust, data-efficient, and uncertainty-aware medical image segmentation. Our approach leverages patch-level CLIP embeddings through probabilistic cross-modal attention, enabling bidirectional interaction between image and text tokens and explicit modeling of predictive uncertainty. Together with a soft patch-level contrastive loss that encourages more nuanced semantic learning across diverse textual prompts, MedCLIPSeg effectively improves data efficiency and domain generalizability. Extensive experiments across 16 datasets spanning five imaging modalities and six organs demonstrate that MedCLIPSeg outperforms prior methods in accuracy, efficiency, and robustness, while providing interpretable uncertainty maps that highlight local reliability of segmentation results. This work demonstrates the potential of probabilistic vision-language modeling for text-driven medical image segmentation.

Poster
Spectrum from Defocus: Fast Spectral Imaging with Chromatic Focal Stack

M. Kerem Aydin, Yi-Chun Hung, Jaclyn Pytlarz, Qi Guo, Emma Alexander

展开摘要

Hyperspectral cameras rely on spectral filters, dispersive optics, or coded apertures, which reduce light throughput and increase hardware complexity. These systems face harsh trade-offs between spatial, spectral, and temporal resolution in inherently low-photon conditions. Computational imaging systems break through these trade-offs with compressive sensing, but have typically required complex optics and/or extensive computation. We present Spectrum from Defocus (SfD), a chromatic focal sweep method that achieves state-of-the-art hyperspectral imaging using only two off-the-shelf lenses, a grayscale sensor, and less than one second of reconstruction time. By capturing a chromatically-aberrated focal stack that preserves nearly all incident light, and reconstructing it with a fast physics-based iterative algorithm, SfD delivers sharp, accurate hyperspectral images. The combination of photon efficiency, optical simplicity, and physical interpretability makes SfD a promising solution for fast, compact, and interpretable hyperspectral imaging.

Oral
Masked-Diffusion Autoencoders for 3D Medical Vision Representation Learning

Jiachen Tu, Guanghui Qin, Theodore Zhengde Zhao, Jeya Maria Jose Valanarasu, Sheng Zhang, Tristan Naumann, Fan Lam, Sheng Wang, Hoifung Poon

展开摘要

Effective medical image analysis requires representations that capture both global anatomical structure and fine-grained tissue texture. Current self-supervised approaches exhibit limited capacity to address both requirements simultaneously. Invariance-based methods learn through augmentation consistency but face challenges in medical imaging where common augmentations may discard diagnostically relevant intensity patterns. Masked image modeling approaches employ high masking ratios to enforce holistic reasoning, yet inherently limit exposure to fine-grained texture. Recent work in general-domain vision demonstrates that generative and semantic objectives can mutually benefit each other, yet this paradigm remains unexplored for 3D medical imaging. We introduce Masked-Diffusion Autoencoders (MDAE), a self-supervised framework that imposes concurrent spatial masking and diffusion corruption, encouraging the model to learn complementary objectives: masked region reconstruction for structural coherence and visible region denoising for textural characteristics. This dual corruption enables the network to learn structure-texture representations within a unified time-conditioned objective. Evaluated on brain MRI across tumor classification, molecular marker detection, and dense segmentation benchmarks, MDAE consistently outperforms state-of-the-art baselines, with improvements most pronounced in cross-modal generalization tasks.

Poster
3M-TI: High-Quality Mobile Thermal Imaging via Calibration-free Multi-Camera Cross-Modal Diffusion

Minchong Chen, Xiaoyun Yuan, Junzhe Wan, Jianing Zhang, Jun Zhang

展开摘要

The miniaturization of thermal sensors for mobile platforms inherently limits their spatial resolution and textural fidelity, leading to blurry and less informative images. Existing thermal super-resolution (SR) methods can be grouped into single-image and RGB-guided approaches: the former struggles to recover fine structures from limited information, while the latter relies on accurate and laborious cross-camera calibration, which hinders practical deployment and robustness. Here, we propose 3M-TI, a calibration-free Multi-camera cross-Modality diffusion framework for Mobile Thermal Imaging. At its core, 3M-TI integrates a cross-modal self-attention module (CSM) into the diffusion UNet, replacing the original self-attention layers to adaptively align thermal and RGB features throughout the denoising process, without requiring explicit camera calibration. This design enables the diffusion network to leverage its generative prior to enhance spatial resolution, structural fidelity, and texture detail in the super-resolved thermal images. Extensive evaluations on real-world mobile thermal cameras and public benchmarks validate our superior performance, achieving state-of-the-art results in both visual quality and quantitative metrics. More importantly, the thermal images enhanced by 3M-TI lead to substantial gains in critical downstream tasks like object detection and segmentation, underscoring its practical value for robust mobile thermal perception systems.

Poster
Medic-AD: Towards Medical Vision-Language Model's Clinical Intelligence

Woohyeon Park, Jaeik Kim, Sunghwan Steve Cho, Pa Hong, Wookyoung Jeong, Yoojin Nam, NamJoon Kim, Ginny Y. Wong, Ka Chun Cheung, Jaeyoung Do

展开摘要

Lesion detection, symptom tracking, and visual explainability are central to real-world medical image analysis, yet current medical Vision-Language Models (VLMs) still lack mechanisms that translate their broad knowledge into clinically actionable outputs. To bridge this gap, we present Medic-AD, a clinically oriented VLM that strengthens these three capabilities through a stage-wise framework. First, learnable anomaly-aware tokens (Ano) encourage the model to focus on abnormal regions and build more discriminative lesion centered representations. Second, inter-image difference tokens (Diff) explicitly encode temporal changes between studies, allowing the model to distinguish worsening, improvement, and stability in disease burden. Finally, a dedicated explainability stage trains the model to generate heatmaps that highlight lesion-related regions, offering clear visual evidence that is consistent with the model's reasoning. Through our staged design, Medic-AD steadily boosts performance across anomaly detection, symptom tracking, and anomaly segmentation, achieving state-of-the-art results compared with both closed source and medical-specialized baselines. Evaluations on real longitudinal clinical data collected from real hospital workflows further show that Medic-AD delivers stable predictions and clinically faithful explanations in practical patient-monitoring and decision-support workflows.

Oral
Beyond the Static-World: Lifelong Learning for All-in-One Medical Image Restoration

Shihao Shan, Hongying Liu, Fanhua Shang, Liang Wan, Jingjing Deng

展开摘要

All-in-one Medical Image Restoration (MedIR) models offer a promising path towards generalized medical imaging intelligence but face two critical spatiotemporal challenges: 1) Spatial modality interference, where conflicting gradients from diverse modalities (e.g., MRI, CT, PET) degrade performance; and 2) a temporal static-world assumption that ignores the continual data streams in real-world clinical settings, leading to catastrophic forgetting. To address this dual challenge, we propose a novel lifelong learning framework (called Resilient On-the-fly Medical Enhancement, ROME) governed by a "disentangle-optimize-consolidate" paradigm. ROME first resolves the foundational modality conflict via the Modality-Invariant Disentanglement via Adversarial Balancing (MIDAB) module. It establishes a strategic "adversarial balance" between a "content preservation force" and a "modality erasure force" to optimize a disentangled, unified feature manifold. Building on this stable foundation, the Adaptive Feature Consolidation (AFC) module combats forgetting. AFC dynamically locates an optimal feature consolidation point via a prediction network, enforced by a novel diversity loss to ensure robust continuous learning. Experiments demonstrate that ROME not only achieves SOTA performance in static settings but also exhibits superior resilience in rigorous domain-incremental benchmarks, reducing the average catastrophic performance degradation by over 10%.

Poster
OralGPT-Omni: A Versatile Dental Multimodal Large Language Model

Jing Hao, Yuci Liang, Lizhuo Lin, Yuxuan Fan, Wenkai Zhou, Kaixin Guo, Zanting Ye, Yanpeng Sun, Xinyu Zhang, Yanqi Yang, Qiankun Li, Hao Tang, James Kit-Hon Tsoi, Linlin Shen, Kuo Feng Hung

展开摘要

Multimodal Large Language Models (MLLMs) have exhibited immense potential across numerous medical specialties, yet dentistry remains underexplored, in part due to limited domain-specific data, scarce dental expert annotations, insufficient modality-specific modeling, and challenges in reliability. In this paper, we present OralGPT-Omni, the first dental-specialized MLLM designed for comprehensive and trustworthy analysis across diverse dental imaging modalities and clinical tasks. To explicitly capture dentists' diagnostic reasoning, we construct TRACE-CoT, a clinically grounded chain-of-thought dataset that mirrors dental radiologists' decision-making processes. This reasoning supervision, combined with our proposed four-stage training paradigm, substantially strengthens the model's capacity for dental image understanding and analysis. In parallel, we introduce MMOral-Uni, the first unified multimodal benchmark for dental image analysis. It comprises 2,809 open-ended question-answer pairs spanning five modalities and five tasks, offering a comprehensive evaluation suite to date for MLLMs in digital dentistry. OralGPT-Omni achieves an overall score of 51.84 on the MMOral-Uni benchmark and 45.31 on the MMOral-OPG benchmark, dramatically outperforming the scores of GPT-5. Our work promotes intelligent dentistry and paves the way for future advances in dental image analysis. All code, benchmark, and models will be made publicly available.

Poster
Rascene: High-Fidelity 3D Scene Imaging with mmWave Communication Signals

Kunzhe Song, Geo Jie Zhou, Xiaoming Liu, Huacheng Zeng

展开摘要

Robust 3D environmental perception is critical for applications such as autonomous driving and robot navigation. However, optical sensors such as cameras and LiDAR often fail under adverse conditions, including smoke, fog, and non-ideal lighting. Although specialized radar systems can operate in these environments, their reliance on bespoke hardware and licensed spectrum limits scalability and cost-effectiveness. This paper introduces Rascene, an integrated sensing and communication (ISAC) framework that leverages ubiquitous mmWave OFDM communication signals for 3D scene imaging. To overcome the sparse and multipath-ambiguous nature of individual radio frames, Rascene performs multi-frame, spatially adaptive fusion with confidence-weighted forward projection, enabling the recovery of geometric consensus across arbitrary poses. Experimental results demonstrate that our method reconstructs 3D scenes with high precision, offering a new pathway toward low-cost, scalable, and robust 3D perception.

Poster
DK-DDIL: Adaptive Knowledge Retention for Dynamic Domain-Incremental Learning in Medical Imaging

Yuxi Ma, Sujie Liu, Jing Yang, Jiacheng Wang, Yiping Chen, Baptiste Magnier, Liansheng Wang

展开摘要

Large-scale foundation models pretrained on massive datasets have demonstrated strong generalization capabilities in medical image analysis. However, they are typically trained on static datasets and struggle to cope with the continuously evolving nature of clinical data, where new imaging devices, institutions, and disease subtypes constantly emerge. While domain-incremental learning (DIL) provides a solution for sequential adaptation without revisiting historical data, existing methods typically assume fixed label spaces and limited domain heterogeneity, restricting their applicability to real-world clinical scenarios. To address these challenges, we propose DK-DDIL, a rehearsal-free framework for dynamic DIL that integrates two synergistic modules: a Dynamic Adaptation Module (DAM) employing dynamic rank selection and adaptive regularization to flexibly allocate model capacity under domain shifts, and a Knowledge Inheritance and Refinement (KIR) module that stabilizes cross-domain knowledge transfer through selective adapter fusion and prototype-level contrastive refinement. Experiments on the Skin Pathology Diagnosis dataset, the Cyst-X 3D MRI cohort, and the OfficeHome benchmark demonstrate that DK-DDIL consistently outperforms state-of-the-art DIL approaches, highlighting its effectiveness and versatility across dynamic 2D medical, 3D medical, and natural image domains.

Oral
MedMO: Grounding and Understanding Multimodal Large Language Model for Medical Images

Ankan Deria, Komal Kumar, Adinath Madhavrao Dukre, Eran Segal, Salman Khan, Imran Razzak

展开摘要

Multimodal large language models (MLLMs) have rapidly advanced, yet their adoption in medicine remains limited by gaps in domain coverage, modality alignment, and grounded reasoning. In this work, we introduce MedMO, a medical foundation model built upon a generalized MLLM architecture and trained exclusively on large-scale, domain-specific data. MedMO follows a multi-stage training recipe: (i) cross-modal pretraining to align heterogeneous visual encoders with a medical language backbone; (ii) instruction tuning on multi-task supervision that spans captioning, VQA, report generation, retrieval, and grounded disease localization with bounding boxes; and (iii) reinforcement learning with verifiable rewards that combine factuality checks with a box-level GIoU reward to strengthen spatial grounding and reasoning in complex clinical scenarios. MedMO consistently outperforms strong open-source medical MLLMs across multiple modalities and tasks. On VQA benchmarks, MedMO achieves an average accuracy improvement of +21.3% over the baseline and performs within 0.6% of the SOTA Fleming-VL. For text-based QA, it attains +7.9% over the baseline and +15.6% over Fleming-VL. In medical report generation, MedMO delivers significant gains in both semantic and clinical accuracy. Moreover, it exhibits strong grounding capability, achieving an IoU improvement of +40.4 over the baseline and +37.0% over Fleming-VL, underscoring its robust spatial reasoning and localization performance. Evaluations across radiology, ophthalmology, pathology, and emergency care confirm MedMO's broad cross-modality generalization and reliable spatial reasoning.

Poster
Kaleidoscopic Scintillation Event Imaging

Alex Bocchieri, John Mamish, David Appleyard, Andreas Velten

展开摘要

Scintillators are transparent materials that interact with high-energy particles and emit visible light as a result. They are used in state of the art methods of measuring high-energy particles and radiation sources. Most existing methods use fast single-pixel detectors to detect and time scintillation events. Cameras provide spatial resolution but can only capture an average over many events, making it difficult to image the events associated with an individual particle. Emerging single-photon avalanche diode cameras combine speed and spatial resolution to enable capturing images of individual events. This allows us to use machine vision techniques to analyze events, enabling new types of detectors. The main challenge is the very low brightness of the events. Techniques have to work with a very limited number of photons. We propose a kaleidoscopic scintillator to increase light collection in a single-photon camera while preserving the event's spatial information. The kaleidoscopic geometry creates mirror reflections of the event in known locations for a given event location that are captured by the camera. We introduce theory for imaging an event in a kaleidoscopic scintillator and an algorithm to estimate the event's 3D position. We find that the kaleidoscopic scintillator design provides sufficient light collection to perform high-resolution event measurements for advanced radiation imaging techniques using a commercial CMOS single-photon camera.

Poster
OctoMed: Data Recipes for State-of-the-Art Multimodal Medical Reasoning

Timothy Ossowski, Sheng Zhang, Qianchu Liu, Guanghui Qin, Reuben Tan, Tristan Naumann, Junjie Hu, Hoifung Poon

展开摘要

High-quality and carefully curated data is a cornerstone of training medical large language models, as it directly impacts both generalization and robustness to unseen clinical tasks. We investigate strategies for training and data curation to develop a robust multimodal reasoning model in the medical domain. Our work focuses on supervised fine-tuning (SFT) and explores data recipes that leverage structured reasoning traces. Using our proposed data recipe, we scale experiments to a dataset of over 8 million examples and 6.8 billion response tokens, achieving state-of-the-art performance among open-source models across diverse out-of-distribution medical benchmark tasks. Our results further indicate that curating a high-quality, diverse training dataset with varying structured reasoning trace lengths enables the fine-tuned model to self-calibrate its reasoning trajectory lengths based on the downstream task, without explicit supervision. We present key insights, describe the data curation strategy, and outline next steps toward developing robust medical vision-language reasoning systems.

Poster
Dynamic Stream Network for Combinatorial Explosion Problem in Deformable Medical Image Registration

Shaochen Bi, Yuting He, Weiming Wang, Hao Chen

展开摘要

Combinatorial explosion problem caused by dual inputs presents a critical challenge in Deformable Medical Image Registration (DMIR). Since DMIR processes two images simultaneously as input, the combination relationships between features grow exponentially, ultimately the model considers more irrelevant features during the feature modeling process. Introducing dynamics in the receptive fields and weights of the network enables the model to eliminate the irrelevant features combination and model the potential feature combination relationships. In this paper, we propose the Dynamic Stream Network (DySNet), which enables the receptive fields and weights to be dynamically adjusted. This ultimately enables the model to ignore irrelevant feature combinations and model the potential feature relationships. With two key innovations: 1) Adaptive Stream Basin (AdSB) module dynamically adjusts the shape of the receptive field, thereby enabling the model to focus on the highly correlated feature relationships. 2) Dynamic Stream Attention (DySA) mechanism generates dynamic weights to search for more valuable feature relationships. Extensive experiments have shown that DySNet consistently outperforms the most advanced DMIR methods, highlighting its outstanding generalization ability. Our code is released on the website: https://github.com/ShaochenBi/DySNet.

Poster
OmniBrainBench: A Comprehensive Multimodal Benchmark for Brain Imaging Analysis Across Multi-stage Clinical Tasks

ZHIHAO PENG, Cheng Wang, Shengyuan Liu, Zhiying Liang, Zanting Ye, Min Jie Ju, Peter YM Woo, Yixuan Yuan

展开摘要

Brain imaging analysis is crucial for diagnosing and treating brain disorders, and multimodal large language models (MLLMs) are increasingly supporting it. However, current brain imaging visual question-answering (VQA) benchmarks either cover a limited number of imaging modalities or are restricted to coarse-grained pathological descriptions, hindering a comprehensive assessment of MLLMs across the full clinical continuum. To address these, we introduce OmniBrainBench, the first comprehensive multimodal VQA benchmark specifically designed to assess the multimodal comprehension capabilities of MLLMs in brain imaging analysis with closed- and open-ended evaluations. OmniBrainBench comprises 15 distinct brain imaging modalities collected from 30 verified medical sources, yielding 9,527 validated VQA pairs and 31,706 images. It simulates clinical workflows and encompasses 15 multi-stage clinical tasks rigorously validated by a professional radiologist. Evaluations of 24 state-of-the-art models, including open-source general-purpose, medical, and proprietary MLLMs, highlight the substantial challenges posed by OmniBrainBench. Experiments reveal that proprietary MLLMs like Gemini-2.5-Pro (66.58%) outperform open-source and medical MLLMs yet lag far behind physicians (91.35%), while medical MLLMs show wide variance in closed- and open-ended VQA. Open-source general-purpose MLLMs generally trail but excel in specific tasks, and all MLLMs fall short in complex preoperative reasoning, revealing a critical visual-to-clinical gap. OmniBrainBench establishes a new standard to assess MLLMs in brain imaging analysis, highlighting the gaps against physicians. We publicly release our benchmark and code at link.

Poster
SegMoTE: Token-Level Mixture of Experts for Medical Image Segmentation

Yujie Lu, Jingwen Li, Sibo Ju, Yanzhou Su, He Yao, Yisong Liu, Min Zhu, Junlong Cheng

展开摘要

Medical image segmentation is vital for clinical diagnosis and quantitative analysis, yet remains challenging due to the heterogeneity of imaging modalities and the high cost of pixel-level annotations. Although general interactive segmentation models like SAM have achieved remarkable progress, their transfer to medical imaging still faces two key bottlenecks: (i) the lack of adaptive mechanisms for modality- and anatomy-specific tasks, which limits generalization in out-of-distribution medical scenarios; and (ii) current medical adaptation methods fine-tune on large, heterogeneous datasets without selection, leading to noisy supervision, higher cost, and negative transfer. To address these issues, we propose SegMoTE, an efficient and adaptive framework for medical image segmentation. SegMoTE preserves SAM's original prompt interface, efficient inference, and zero-shot generalization while introducing only a small number of learnable parameters to dynamically adapt across modalities and tasks. In addition, we design a progressive prompt tokenization mechanism that enables fully automatic segmentation, significantly reducing annotation dependence. Trained on MedSeg-HQ, a curated dataset less than 1% of existing large-scale datasets, SegMoTE achieves SOTA performance across diverse imaging modalities and anatomical tasks. It represents the first efficient, robust, and scalable adaptation of general segmentation models to the medical domain under extremely low annotation cost, advancing the practical deployment of foundation vision models in clinical applications.

Oral