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Oct 5

Medical Reasoning with Large Language Models: A Survey and MR-Bench

Large language models (LLMs) have achieved strong performance on medical exam-style tasks, motivating growing interest in their deployment in real-world clinical settings. However, clinical decision-making is inherently safety-critical, context-dependent, and conducted under evolving evidence. In such situations, reliable LLM performance depends not on factual recall alone, but on robust medical reasoning. In this work, we present a comprehensive review of medical reasoning with LLMs. Grounded in cognitive theories of clinical reasoning, we conceptualize medical reasoning as an iterative process of abduction, deduction, and induction, and organize existing methods into seven major technical routes spanning training-based and training-free approaches. We further conduct a unified cross-benchmark evaluation of representative medical reasoning models under a consistent experimental setting, enabling a more systematic and comparable assessment of the empirical impact of existing methods. To better assess clinically grounded reasoning, we introduce MR-Bench, a benchmark derived from real-world hospital data. Evaluations on MR-Bench expose a pronounced gap between exam-level performance and accuracy on authentic clinical decision tasks. Overall, this survey provides a unified view of existing medical reasoning methods, benchmarks, and evaluation practices, and highlights key gaps between current model performance and the requirements of real-world clinical reasoning.

  • 7 authors
·
Mar 16

MedNeXt-v2: Scaling 3D ConvNeXts for Large-Scale Supervised Representation Learning in Medical Image Segmentation

Large-scale supervised pretraining is rapidly reshaping 3D medical image segmentation. However, existing efforts focus primarily on increasing dataset size and overlook the question of whether the backbone network is an effective representation learner at scale. In this work, we address this gap by revisiting ConvNeXt-based architectures for volumetric segmentation and introducing MedNeXt-v2, a compound-scaled 3D ConvNeXt that leverages improved micro-architecture and data scaling to deliver state-of-the-art performance. First, we show that routinely used backbones in large-scale pretraining pipelines are often suboptimal. Subsequently, we use comprehensive backbone benchmarking prior to scaling and demonstrate that stronger from scratch performance reliably predicts stronger downstream performance after pretraining. Guided by these findings, we incorporate a 3D Global Response Normalization module and use depth, width, and context scaling to improve our architecture for effective representation learning. We pretrain MedNeXt-v2 on 18k CT volumes and demonstrate state-of-the-art performance when fine-tuning across six challenging CT and MR benchmarks (144 structures), showing consistent gains over seven publicly released pretrained models. Beyond improvements, our benchmarking of these models also reveals that stronger backbones yield better results on similar data, representation scaling disproportionately benefits pathological segmentation, and that modality-specific pretraining offers negligible benefit once full finetuning is applied. In conclusion, our results establish MedNeXt-v2 as a strong backbone for large-scale supervised representation learning in 3D Medical Image Segmentation. Our code and pretrained models are made available with the official nnUNet repository at: https://www.github.com/MIC-DKFZ/nnUNet

  • 7 authors
·
Dec 19, 2025

Decipher-MR: A Vision-Language Foundation Model for 3D MRI Representations

Magnetic Resonance Imaging (MRI) is a critical medical imaging modality in clinical diagnosis and research, yet its complexity and heterogeneity pose challenges for automated analysis, particularly in scalable and generalizable machine learning applications. While foundation models have revolutionized natural language and vision tasks, their application to MRI remains limited due to data scarcity and narrow anatomical focus. In this work, we present Decipher-MR, a 3D MRI-specific vision-language foundation model trained on a large-scale dataset comprising 200,000 MRI series from over 22,000 studies spanning diverse anatomical regions, sequences, and pathologies. Decipher-MR integrates self-supervised vision learning with report-guided text supervision to build robust, generalizable representations, enabling effective adaptation across broad applications. To enable robust and diverse clinical tasks with minimal computational overhead, Decipher-MR supports a modular design that enables tuning of lightweight, task-specific decoders attached to a frozen pretrained encoder. Following this setting, we evaluate Decipher-MR across diverse benchmarks including disease classification, demographic prediction, anatomical localization, and cross-modal retrieval, demonstrating consistent performance gains over existing foundation models and task-specific approaches. Our results establish Decipher-MR as a scalable and versatile foundation for MRI-based AI, facilitating efficient development across clinical and research domains.

  • 14 authors
·
Sep 25, 2025

Complex-valued neural networks to speed-up MR Thermometry during Hyperthermia using Fourier PD and PDUNet

Hyperthermia (HT) in combination with radio- and/or chemotherapy has become an accepted cancer treatment for distinct solid tumour entities. In HT, tumour tissue is exogenously heated to temperatures between 39 and 43 ^circC for 60 minutes. Temperature monitoring can be performed non-invasively using dynamic magnetic resonance imaging (MRI). However, the slow nature of MRI leads to motion artefacts in the images due to the movements of patients during image acquisition. By discarding parts of the data, the speed of the acquisition can be increased - known as undersampling. However, due to the invalidation of the Nyquist criterion, the acquired images might be blurry and can also produce aliasing artefacts. The aim of this work was, therefore, to reconstruct highly undersampled MR thermometry acquisitions with better resolution and with fewer artefacts compared to conventional methods. The use of deep learning in the medical field has emerged in recent times, and various studies have shown that deep learning has the potential to solve inverse problems such as MR image reconstruction. However, most of the published work only focuses on the magnitude images, while the phase images are ignored, which are fundamental requirements for MR thermometry. This work, for the first time, presents deep learning-based solutions for reconstructing undersampled MR thermometry data. Two different deep learning models have been employed here, the Fourier Primal-Dual network and the Fourier Primal-Dual UNet, to reconstruct highly undersampled complex images of MR thermometry. The method reduced the temperature difference between the undersampled MRIs and the fully sampled MRIs from 1.3 ^circC to 0.6 ^circC in full volume and 0.49 ^circC to 0.06 ^circC in the tumour region for an acceleration factor of 10.

  • 9 authors
·
Oct 2, 2023

MR-IQA-2: Faithful Image Quality Reflection via Fine-Grained Credit Assignment

Multimodal large language models (MLLMs) have shown strong potential for image quality assessment (IQA) by improving consistency between quality ratings and their underlying reasoning. However, most approaches supervise reasoning through human-provided ratings and rarely examine whether it faithfully reflects image quality. Rating accuracy alone does not ensure faithful reasoning; a shared reward also obscures supervision sources and may reinforce unfaithful reasoning when a correct rating occurs by chance. To improve the faithfulness and reliability of blind IQA, we aim to (1) decouple credit assignment for reasoning and rating and (2) provide verifiable supervision for faithful reasoning. We introduce MR-IQA-2, an actor-editor-judge framework that operationalizes reasoning-editing-reflection. The actor generates quality reasoning for an input image, and the editor revises the image according to the identified quality factors. A frozen judge compares the original and edited images and provides reflective supervision for the actor's reasoning. MR-IQA-2 further uses fine-grained credit assignment to decouple reasoning and rating supervision. Judge feedback supervises reasoning, whereas human ratings supervise the predicted rating. Masked token-specific updates distinguish these signals while preserving the causal relation from reasoning to rating. Across IQA benchmarks, MR-IQA-2 achieves competitive rating alignment with humans. Visual reflection also enables richer and more faithful visual understanding beyond rating, which may inform image-quality optimization and related downstream tasks. Code is available at https://github.com/RobinY99/MR-IQA-2.

  • 4 authors
·
Aug 18

FACTUAL: A Benchmark for Faithful and Consistent Textual Scene Graph Parsing

Textual scene graph parsing has become increasingly important in various vision-language applications, including image caption evaluation and image retrieval. However, existing scene graph parsers that convert image captions into scene graphs often suffer from two types of errors. First, the generated scene graphs fail to capture the true semantics of the captions or the corresponding images, resulting in a lack of faithfulness. Second, the generated scene graphs have high inconsistency, with the same semantics represented by different annotations. To address these challenges, we propose a novel dataset, which involves re-annotating the captions in Visual Genome (VG) using a new intermediate representation called FACTUAL-MR. FACTUAL-MR can be directly converted into faithful and consistent scene graph annotations. Our experimental results clearly demonstrate that the parser trained on our dataset outperforms existing approaches in terms of faithfulness and consistency. This improvement leads to a significant performance boost in both image caption evaluation and zero-shot image retrieval tasks. Furthermore, we introduce a novel metric for measuring scene graph similarity, which, when combined with the improved scene graph parser, achieves state-of-the-art (SOTA) results on multiple benchmark datasets for the aforementioned tasks. The code and dataset are available at https://github.com/zhuang-li/FACTUAL .

  • 8 authors
·
May 27, 2023

MR-IQA: A Unified Margin View of Regression and Ranking for Blind Image Quality Assessment

Blind image quality assessment (BIQA) is commonly built on two basic learning paradigms: regression and ranking. Regression calibrates absolute scores, whereas ranking recovers quality structure from ordinal relations. Although joint regression-ranking supervision often improves BIQA, the relation between the two paradigms remains largely empirical and underexplored. In this work, we revisit what underlies regression and ranking and identify pairwise relational distance, termed quality margin, as their common bridge. Our derivation shows that, at the objective-optimization level, both paradigms fit quality margins: regression fits margins induced by score endpoints, while ranking fits transformed or sign-level margins through preference probabilities. Motivated by this insight, we propose MR-IQA, a direct quality-margin optimization framework for reinforcement learning (RL)-based BIQA. MR-IQA samples quality scores and optimizes pairwise margin errors as policy rewards, thereby modeling quality structure more explicitly. Experiments on six BIQA benchmarks show competitive general performance, and controlled comparisons demonstrate that MR-IQA achieves the strongest average PLCC/SRCC over regression- or ranking-based RL methods. Our findings provide a new insight into unifying regression and ranking, offering a theoretical basis for understanding quality-structure modeling in BIQA and beyond.

  • 7 authors
·
Jun 28

Benchmarking Vanilla GAN, DCGAN, and WGAN Architectures for MRI Reconstruction: A Quantitative Analysis

Magnetic Resonance Imaging (MRI) is a crucial imaging modality for viewing internal body structures. This research work analyses the performance of popular GAN models for accurate and precise MRI reconstruction by enhancing image quality and improving diagnostic accuracy. Three GAN architectures considered in this study are Vanilla GAN, Deep Convolutional GAN (DCGAN), and Wasserstein GAN (WGAN). They were trained and evaluated using knee, brain, and cardiac MRI datasets to assess their generalizability across body regions. While the Vanilla GAN operates on the fundamentals of the adversarial network setup, DCGAN advances image synthesis by securing the convolutional layers, giving a superior appearance to the prevalent spatial features. Training instability is resolved in WGAN through the Wasserstein distance to minimize an unstable regime, therefore, ensuring stable convergence and high-quality images. The GAN models were trained and tested using 1000 MR images of an anonymized knee, 805 images of Heart, 90 images of Brain MRI dataset. The Structural Similarity Index (SSIM) for Vanilla GAN is 0.84, DCGAN is 0.97, and WGAN is 0.99. The Peak Signal to Noise Ratio (PSNR) for Vanilla GAN is 26, DCGAN is 49.3, and WGAN is 43.5. The results were further statistically validated. This study shows that DCGAN and WGAN-based frameworks are promising in MR image reconstruction because of good image quality and superior accuracy. With the first cross-organ benchmark of baseline GANs under a common preprocessing pipeline, this work provides a reproducible benchmark for future hybrid GANs and clinical MRI applications.

  • 5 authors
·
Jan 30

Cross-modality (CT-MRI) prior augmented deep learning for robust lung tumor segmentation from small MR datasets

Lack of large expert annotated MR datasets makes training deep learning models difficult. Therefore, a cross-modality (MR-CT) deep learning segmentation approach that augments training data using pseudo MR images produced by transforming expert-segmented CT images was developed. Eighty-One T2-weighted MRI scans from 28 patients with non-small cell lung cancers were analyzed. Cross-modality prior encoding the transformation of CT to pseudo MR images resembling T2w MRI was learned as a generative adversarial deep learning model. This model augmented training data arising from 6 expert-segmented T2w MR patient scans with 377 pseudo MRI from non-small cell lung cancer CT patient scans with obtained from the Cancer Imaging Archive. A two-dimensional Unet implemented with batch normalization was trained to segment the tumors from T2w MRI. This method was benchmarked against (a) standard data augmentation and two state-of-the art cross-modality pseudo MR-based augmentation and (b) two segmentation networks. Segmentation accuracy was computed using Dice similarity coefficient (DSC), Hausdroff distance metrics, and volume ratio. The proposed approach produced the lowest statistical variability in the intensity distribution between pseudo and T2w MR images measured as Kullback-Leibler divergence of 0.069. This method produced the highest segmentation accuracy with a DSC of 0.75 and the lowest Hausdroff distance on the test dataset. This approach produced highly similar estimations of tumor growth as an expert (P = 0.37). A novel deep learning MR segmentation was developed that overcomes the limitation of learning robust models from small datasets by leveraging learned cross-modality priors to augment training. The results show the feasibility of the approach and the corresponding improvement over the state-of-the-art methods.

  • 7 authors
·
Jan 31, 2019

$\mathtt{M^3VIR}$: A Large-Scale Multi-Modality Multi-View Synthesized Benchmark Dataset for Image Restoration and Content Creation

The gaming and entertainment industry is rapidly evolving, driven by immersive experiences and the integration of generative AI (GAI) technologies. Training such models effectively requires large-scale datasets that capture the diversity and context of gaming environments. However, existing datasets are often limited to specific domains or rely on artificial degradations, which do not accurately capture the unique characteristics of gaming content. Moreover, benchmarks for controllable video generation remain absent. To address these limitations, we introduce M^3VIR, a large-scale, multi-modal, multi-view dataset specifically designed to overcome the shortcomings of current resources. Unlike existing datasets, M^3VIR provides diverse, high-fidelity gaming content rendered with Unreal Engine 5, offering authentic ground-truth LR-HR paired and multi-view frames across 80 scenes in 8 categories. It includes M^3VIR_MR for super-resolution (SR), novel view synthesis (NVS), and combined NVS+SR tasks, and M^3VIR_{MS}, the first multi-style, object-level ground-truth set enabling research on controlled video generation. Additionally, we benchmark several state-of-the-art SR and NVS methods to establish performance baselines. While no existing approaches directly handle controlled video generation, M^3VIR provides a benchmark for advancing this area. By releasing the dataset, we aim to facilitate research in AI-powered restoration, compression, and controllable content generation for next-generation cloud gaming and entertainment.

  • 6 authors
·
Sep 20, 2025

MosaicMRI: A Diverse Dataset and Benchmark for Raw Musculoskeletal MRI

Deep learning underpins a wide range of applications in MRI, including reconstruction, artifact removal, and segmentation. However, progress has been driven largely by public datasets focused on brain and knee imaging, shaping how models are trained and evaluated. As a result, careful studies of the reliability of these models across diverse anatomical settings remain limited. In this work, we introduce MosaicMRI, a large and diverse collection of fully sampled raw musculoskeletal (MSK) MR measurements designed for training and evaluating machine-learning-based methods. MosaicMRI is the largest open-source raw MSK MRI dataset to date, comprising 2,671 volumes and 80,156 slices. The dataset offers substantial diversity in volume orientation (e.g., axial, sagittal), imaging contrasts (e.g., PD, T1, T2), anatomies (e.g., spine, knee, hip, ankle, and others), and numbers of acquisition coils. Using VarNet as a baseline for accelerated reconstruction task, we perform a comprehensive set of experiments to study scaling behavior with respect to both model capacity and dataset size. Interestingly, models trained on the combined anatomies significantly outperform anatomy-specific models in low-sample regimes, highlighting the benefits of anatomical diversity and the presence of exploitable cross-anatomical correlations. We further evaluate robustness and cross-anatomy generalization by training models on one anatomy (e.g., spine) and testing them on another (e.g., knee). Notably, we identify groups of body parts (e.g., foot and elbow) that generalize well with each other, and highlight that performance under domain shifts depends on both training set size, anatomy, and protocol-specific factors.

  • 5 authors
·
Apr 12

A 3D Cross-modal Keypoint Descriptor for MR-US Matching and Registration

Intraoperative registration of real-time ultrasound (iUS) to preoperative Magnetic Resonance Imaging (MRI) remains an unsolved problem due to severe modality-specific differences in appearance, resolution, and field-of-view. To address this, we propose a novel 3D cross-modal keypoint descriptor for MRI-iUS matching and registration. Our approach employs a patient-specific matching-by-synthesis approach, generating synthetic iUS volumes from preoperative MRI. This enables supervised contrastive training to learn a shared descriptor space. A probabilistic keypoint detection strategy is then employed to identify anatomically salient and modality-consistent locations. During training, a curriculum-based triplet loss with dynamic hard negative mining is used to learn descriptors that are i) robust to iUS artifacts such as speckle noise and limited coverage, and ii) rotation-invariant. At inference, the method detects keypoints in MR and real iUS images and identifies sparse matches, which are then used to perform rigid registration. Our approach is evaluated using 3D MRI-iUS pairs from the ReMIND dataset. Experiments show that our approach outperforms state-of-the-art keypoint matching methods across 11 patients, with an average precision of 69.8%. For image registration, our method achieves a competitive mean Target Registration Error of 2.39 mm on the ReMIND2Reg benchmark. Compared to existing iUS-MR registration approaches, our framework is interpretable, requires no manual initialization, and shows robustness to iUS field-of-view variation. Code, data and model weights are available at https://github.com/morozovdd/CrossKEY.

  • 3 authors
·
Mar 31

Improving the Performance of Radiology Report De-identification with Large-Scale Training and Benchmarking Against Cloud Vendor Methods

Objective: To enhance automated de-identification of radiology reports by scaling transformer-based models through extensive training datasets and benchmarking performance against commercial cloud vendor systems for protected health information (PHI) detection. Materials and Methods: In this retrospective study, we built upon a state-of-the-art, transformer-based, PHI de-identification pipeline by fine-tuning on two large annotated radiology corpora from Stanford University, encompassing chest X-ray, chest CT, abdomen/pelvis CT, and brain MR reports and introducing an additional PHI category (AGE) into the architecture. Model performance was evaluated on test sets from Stanford and the University of Pennsylvania (Penn) for token-level PHI detection. We further assessed (1) the stability of synthetic PHI generation using a "hide-in-plain-sight" method and (2) performance against commercial systems. Precision, recall, and F1 scores were computed across all PHI categories. Results: Our model achieved overall F1 scores of 0.973 on the Penn dataset and 0.996 on the Stanford dataset, outperforming or maintaining the previous state-of-the-art model performance. Synthetic PHI evaluation showed consistent detectability (overall F1: 0.959 [0.958-0.960]) across 50 independently de-identified Penn datasets. Our model outperformed all vendor systems on synthetic Penn reports (overall F1: 0.960 vs. 0.632-0.754). Discussion: Large-scale, multimodal training improved cross-institutional generalization and robustness. Synthetic PHI generation preserved data utility while ensuring privacy. Conclusion: A transformer-based de-identification model trained on diverse radiology datasets outperforms prior academic and commercial systems in PHI detection and establishes a new benchmark for secure clinical text processing.

  • 8 authors
·
Nov 6, 2025

A Self-supervised Multimodal Deep Learning Approach to Differentiate Post-radiotherapy Progression from Pseudoprogression in Glioblastoma

Accurate differentiation of pseudoprogression (PsP) from True Progression (TP) following radiotherapy (RT) in glioblastoma (GBM) patients is crucial for optimal treatment planning. However, this task remains challenging due to the overlapping imaging characteristics of PsP and TP. This study therefore proposes a multimodal deep-learning approach utilizing complementary information from routine anatomical MR images, clinical parameters, and RT treatment planning information for improved predictive accuracy. The approach utilizes a self-supervised Vision Transformer (ViT) to encode multi-sequence MR brain volumes to effectively capture both global and local context from the high dimensional input. The encoder is trained in a self-supervised upstream task on unlabeled glioma MRI datasets from the open BraTS2021, UPenn-GBM, and UCSF-PDGM datasets to generate compact, clinically relevant representations from FLAIR and T1 post-contrast sequences. These encoded MR inputs are then integrated with clinical data and RT treatment planning information through guided cross-modal attention, improving progression classification accuracy. This work was developed using two datasets from different centers: the Burdenko Glioblastoma Progression Dataset (n = 59) for training and validation, and the GlioCMV progression dataset from the University Hospital Erlangen (UKER) (n = 20) for testing. The proposed method achieved an AUC of 75.3%, outperforming the current state-of-the-art data-driven approaches. Importantly, the proposed approach relies on readily available anatomical MRI sequences, clinical data, and RT treatment planning information, enhancing its clinical feasibility. The proposed approach addresses the challenge of limited data availability for PsP and TP differentiation and could allow for improved clinical decision-making and optimized treatment plans for GBM patients.

  • 22 authors
·
Feb 5, 2025

Multi-view Hybrid Graph Convolutional Network for Volume-to-mesh Reconstruction in Cardiovascular MRI

Cardiovascular magnetic resonance imaging is emerging as a crucial tool to examine cardiac morphology and function. Essential to this endeavour are anatomical 3D surface and volumetric meshes derived from CMR images, which facilitate computational anatomy studies, biomarker discovery, and in-silico simulations. Traditional approaches typically follow complex multi-step pipelines, first segmenting images and then reconstructing meshes, making them time-consuming and prone to error propagation. In response, we introduce HybridVNet, a novel architecture for direct image-to-mesh extraction seamlessly integrating standard convolutional neural networks with graph convolutions, which we prove can efficiently handle surface and volumetric meshes by encoding them as graph structures. To further enhance accuracy, we propose a multi-view HybridVNet architecture which processes both long axis and short axis CMR, showing that it can increase the performance of cardiac MR mesh generation. Our model combines traditional convolutional networks with variational graph generative models, deep supervision and mesh-specific regularisation. Experiments on a comprehensive dataset from the UK Biobank confirm the potential of HybridVNet to significantly advance cardiac imaging and computational cardiology by efficiently generating high-fidelity meshes from CMR images. Multi-view HybridVNet outperforms the state-of-the-art, achieving improvements of up to sim27\% reduction in Mean Contour Distance (from 1.86 mm to 1.35 mm for the LV Myocardium), up to sim18\% improvement in Hausdorff distance (from 4.74 mm to 3.89mm, for the LV Endocardium), and up to sim8\% in Dice Coefficient (from 0.78 to 0.84, for the LV Myocardium), highlighting its superior accuracy.

  • 9 authors
·
Nov 22, 2023

MorphSeek: Fine-grained Latent Representation-Level Policy Optimization for Deformable Image Registration

Deformable image registration (DIR) remains a fundamental yet challenging problem in medical image analysis, largely due to the prohibitively high-dimensional deformation space of dense displacement fields and the scarcity of voxel-level supervision. Existing reinforcement learning frameworks often project this space into coarse, low-dimensional representations, limiting their ability to capture spatially variant deformations. We propose MorphSeek, a fine-grained representation-level policy optimization paradigm that reformulates DIR as a spatially continuous optimization process in the latent feature space. MorphSeek introduces a stochastic Gaussian policy head atop the encoder to model a distribution over latent features, facilitating efficient exploration and coarse-to-fine refinement. The framework integrates unsupervised warm-up with weakly supervised fine-tuning through Group Relative Policy Optimization, where multi-trajectory sampling stabilizes training and improves label efficiency. Across three 3D registration benchmarks (OASIS brain MRI, LiTS liver CT, and Abdomen MR-CT), MorphSeek achieves consistent Dice improvements over competitive baselines while maintaining high label efficiency with minimal parameter cost and low step-level latency overhead. Beyond optimizer specifics, MorphSeek advances a representation-level policy learning paradigm that achieves spatially coherent and data-efficient deformation optimization, offering a principled, backbone-agnostic, and optimizer-agnostic solution for scalable visual alignment in high-dimensional settings.

  • 5 authors
·
Mar 15

Spread Love Not Hate: Undermining the Importance of Hateful Pre-training for Hate Speech Detection

Pre-training large neural language models, such as BERT, has led to impressive gains on many natural language processing (NLP) tasks. Although this method has proven to be effective for many domains, it might not always provide desirable benefits. In this paper, we study the effects of hateful pre-training on low-resource hate speech classification tasks. While previous studies on the English language have emphasized its importance, we aim to augment their observations with some non-obvious insights. We evaluate different variations of tweet-based BERT models pre-trained on hateful, non-hateful, and mixed subsets of a 40M tweet dataset. This evaluation is carried out for the Indian languages Hindi and Marathi. This paper is empirical evidence that hateful pre-training is not the best pre-training option for hate speech detection. We show that pre-training on non-hateful text from the target domain provides similar or better results. Further, we introduce HindTweetBERT and MahaTweetBERT, the first publicly available BERT models pre-trained on Hindi and Marathi tweets, respectively. We show that they provide state-of-the-art performance on hate speech classification tasks. We also release hateful BERT for the two languages and a gold hate speech evaluation benchmark HateEval-Hi and HateEval-Mr consisting of manually labeled 2000 tweets each. The models and data are available at https://github.com/l3cube-pune/MarathiNLP .

  • 5 authors
·
Oct 9, 2022

Multidimensional Rubric-oriented Reward Model Learning via Geometric Projection Reference Constraints

The integration of large language models (LLMs) into medical practice holds transformative potential, yet their real-world clinical utility remains limited by critical alignment challenges: (1) a disconnect between static evaluation benchmarks and dynamic clinical cognitive needs, (2) difficulties in adapting to evolving, multi-source medical standards, and (3) the inability of conventional reward models to capture nuanced, multi-dimensional medical quality criteria. To address these gaps, we propose MR-RML (Multidimensional Rubric-oriented Reward Model Learning) via GPRC (Geometric Projection Reference Constraints), a novel alignment framework that integrates medical standards into a structured "Dimensions-Scenarios-Disciplines" matrix to guide data generation and model optimization. MR-RML introduces three core innovations: (1) a "Dimensions-Scenarios-Disciplines" medical standard system that embeds domain standards into the full training pipeline; (2) an independent multi-dimensional reward model that decomposes evaluation criteria, shifting from real-time rubric-based scoring to internalized reward modeling for improved consistency and cost-efficiency; (3) geometric projection reference constraints that transform medical cognitive logic into mathematical regularization, aligning scoring gradients with clinical reasoning and enabling synthetic data-driven training. Through extensive evaluations on the authoritative medical benchmark Healthbench, our method yields substantial performance gains over the base LLM Qwen-32B (45% on the full subset and 85% on Hard subset, respectively). It achieves a SOTA among open-source LLMs with scores of 62.7 (full subset) and 44.7 (hard subset), while also outperforming the majority of closed-source models.

  • 5 authors
·
Nov 20, 2025

DynFrame: Adaptive Reasoning-Driven Multimodal Framework with Dynamic Frame Augmentation for Complex Video Understanding

Recent video multimodal large language models (MLLMs) increasingly couple step-by-step reasoning with on-demand visual evidence retrieval, allowing models to revisit relevant video segments during inference. However, two structural gaps remain in existing thinking-with-video systems. (i) Sampling density is not a learnable decision: existing methods may let the model decide where to look, but the per-window frame rate is largely fixed. As a result, fine-grained evidence is often recovered through repeated retrieval calls, which increases inference context length and training difficulty. (ii) Retrieval and answer generation are usually optimized with a single trajectory-level advantage, so the "where to look" tokens and the "how to answer" tokens receive the same credit even when one is correct and the other is not. To address these gaps, we present DynFrame, a framework that emits the temporal window and the sampling density as native tokens within a single autoregressive pass. This learnable span-density retrieval enables acquiring multi-granularity evidence with a single retrieval step. Based on the above tokenized retrieval interface, we further introduce Segment-Decoupled GRPO (SD-GRPO), which splits each rollout at the retrieval boundary and assigns role-specific token-level advantages, separately crediting the sampling decision and the answer. Trained on the curated DM-CoT-74k and DM-RL-45k, DynFrame-4B is competitive with strong 7B-8B baselines across six benchmarks (NExT-GQA, Charades-STA, ActivityNet-MR, Video-MME, MLVU, LVBench), and DynFrame-8B sets new state-of-the-art on most metrics. Code is available at https://github.com/zhangguanghao523/DynFrame.

  • 13 authors
·
May 25

MRI Super-Resolution with Deep Learning: A Comprehensive Survey

High-resolution (HR) magnetic resonance imaging (MRI) is crucial for many clinical and research applications. However, achieving it remains costly and constrained by technical trade-offs and experimental limitations. Super-resolution (SR) presents a promising computational approach to overcome these challenges by generating HR images from more affordable low-resolution (LR) scans, potentially improving diagnostic accuracy and efficiency without requiring additional hardware. This survey reviews recent advances in MRI SR techniques, with a focus on deep learning (DL) approaches. It examines DL-based MRI SR methods from the perspectives of computer vision, computational imaging, inverse problems, and MR physics, covering theoretical foundations, architectural designs, learning strategies, benchmark datasets, and performance metrics. We propose a systematic taxonomy to categorize these methods and present an in-depth study of both established and emerging SR techniques applicable to MRI, considering unique challenges in clinical and research contexts. We also highlight open challenges and directions that the community needs to address. Additionally, we provide a collection of essential open-access resources, tools, and tutorials, available on our GitHub: https://github.com/mkhateri/Awesome-MRI-Super-Resolution. IEEE keywords: MRI, Super-Resolution, Deep Learning, Computational Imaging, Inverse Problem, Survey.

Harvard Harvard University
·
Nov 20, 2025 2

EasyRef: Omni-Generalized Group Image Reference for Diffusion Models via Multimodal LLM

Significant achievements in personalization of diffusion models have been witnessed. Conventional tuning-free methods mostly encode multiple reference images by averaging their image embeddings as the injection condition, but such an image-independent operation cannot perform interaction among images to capture consistent visual elements within multiple references. Although the tuning-based Low-Rank Adaptation (LoRA) can effectively extract consistent elements within multiple images through the training process, it necessitates specific finetuning for each distinct image group. This paper introduces EasyRef, a novel plug-and-play adaptation method that enables diffusion models to be conditioned on multiple reference images and the text prompt. To effectively exploit consistent visual elements within multiple images, we leverage the multi-image comprehension and instruction-following capabilities of the multimodal large language model (MLLM), prompting it to capture consistent visual elements based on the instruction. Besides, injecting the MLLM's representations into the diffusion process through adapters can easily generalize to unseen domains, mining the consistent visual elements within unseen data. To mitigate computational costs and enhance fine-grained detail preservation, we introduce an efficient reference aggregation strategy and a progressive training scheme. Finally, we introduce MRBench, a new multi-reference image generation benchmark. Experimental results demonstrate EasyRef surpasses both tuning-free methods like IP-Adapter and tuning-based methods like LoRA, achieving superior aesthetic quality and robust zero-shot generalization across diverse domains.

  • 8 authors
·
Dec 12, 2024 3