#01Aug 4, 2026
cs.CV
CARE-X: Towards Clinically Useful Radiology VLMs with Auxiliary Supervision, Reward-Aligned Learning, and Tool-Augmented Measurement
Mercy Prasanna Ranjit, Anirban Porya, Sathvik Joel and 8 more
A clinically useful chest X-ray system must go beyond fluent report generation: it should classify findings with tunable decision thresholds, localize them spatially, and derive the anatomical measurements upon which many diagnoses depend. Today's Vision-Language Models (VLMs) treat these as separate problems, if they address them at all, leaving a gap between what radiologists need and what generative models provide. We introduce CARE-X, a chest X-ray VLM that narrows this gap by unifying auxiliary discriminative supervision with reward-aligned generation. CARE-X augments its generative backbone with focal-loss classification and composite-loss grounding heads, co-trained alongside the language-modeling objective. This auxiliary supervision produces discriminative diagnostic predictions with tunable decision thresholds and precise spatial localization while also improving report quality, providing evidence that structured prediction and generation reinforce one another. Building on this foundation, Decoupled Clip and Dynamic Sampling Policy Optimization (DAPO) leverages task-specific reward signals for report generation, visual question answering (VQA), and spatial grounding, directly optimizing the clinical quality metrics that matter in practice. The result is state-of-the-art performance on the majority of metrics across four report-generation benchmarks, 94.0% VQA accuracy on ReXVQA (+6.0 pp over the next-best baseline), and generative spatial decoding that reaches near parity with dedicated detection heads. Separately, to address measurement-dependent diagnoses, we couple Qwen3-VL-4B-Instruct with native tool-calling capabilities for invoking deterministic measurement tools, while retaining full visual access to the image. This hybrid inference yields +43.6 pp average F1 over perception-only baselines across five measurement-dependent conditions.
#02Aug 4, 2026
eess.IV
Unsupervised Adversarial Domain Adaptation for Uterine layer Segmentation: From Labeled Cine to Unlabeled Dynamic EPI MRI
Smiti Tripathy, Milauni Desai, Jordina Aviles Verdera and 1 more
Uterine peristalsis is a key physiological phenomenon responsible for various functions across the menstrual cycle, intimately linked to uterine wall microstructure. Alterations in uterine motion and tissue properties are implicated in the etiology of gynecological diseases, yet these processes have been studied in isolation. We introduce a dynamic multi-echo gradient echo EPI framework for simultaneous characterization and correlation of uterine peristaltic activity and time-resolved T2* changes at 0.55T. Inherent susceptibility artifacts, reduced resolution, and burden of manual uterine layer annotation are addressed by an unsupervised adversarial domain adaptation framework, transferring segmentation knowledge from labeled cine MRI to unlabeled dynamic EPI. We implemented Unet-LSTM with multi-scale domain discriminators that exploits temporal layer dynamics. A Dice score of 0.88 and Jaccard index of 0.80 was achieved. Mean T2* values were 108ms, 76ms, and 124ms for the myometrium, junctional zone, and endometrium. A negative correlation between junctional zone area and T2* was observed in 14/39 cases, providing first insights into oxygenation patterns associated with junctional zone contraction and motion, demonstrating feasibility of assessing the interplay between contractility and dynamic T2* changes.
#03Aug 4, 2026
cs.CV
TDVR: Joint Text Disambiguation and Viewpoint Reasoning for Zero-Shot 3D Visual Grounding
Qingxi Du, Junbo Wang, Yuke Li and 1 more
Zero-shot 3D visual grounding aims to localize specific objects based on textual descriptions and 3D visual input. However, the effectiveness of existing methods is significantly hindered by the ambiguous query text and deficient viewpoints. To address these issues, we propose TDVR, a training-free reasoning framework that disambiguates the input text and infers accurate viewpoints for zero-shot 3D visual grounding. First, we construct semantic 3D scene graph from the detected instances in the 3D point cloud. Subsequently, we put the original query, appearance and spatial relationship descriptions into the LLM for fusion, thereby disambiguating the initial input. We leverage chain-of-thought reasoning to generate the structured representation of disambiguated query. Then taking the scene graph and structured query as input, we get the optimal view via viewpoint reasoning to solve the problem of missing viewpoints during grounding. Based on the obtained optimal viewpoint, we further discriminate the distracting objects, enabling the model with the ability to distinguish similar instances. After that, we match the category text and appearance images with the query by computing the similarity of feature vectors. Finally, the target object was identified by integrating the viewpoint score, confusion score, category score, and appearance score. Compared with previous methods, our TDVR has stronger capabilities in viewpoint reasoning, similar object discrimination, and ambiguous query understanding. Experimental results on the public ScanRefer dataset show that our method outperforms the existing state-of-the-art methods by 15.25% and 14.46% in Acc@0.25 and Acc@0.5 respectively, demonstrating the effectiveness of our TDVR in addressing ambiguous query text and deficient viewpoints.
#04Aug 4, 2026
cs.CV
Attention is Case-Sensitive
Maximilian Dillitzer, Tin Stribor Sohn, Jason J. Corso and 1 more
In human visual perception, uppercase lettering serves as a natural salience cue that captures attention within lowercase text. In this paper, we present a systematic empirical characterization study revealing that Large Language Models (LLMs) exhibit an analogous property: letter casing modulates internal attention allocation. Through analysis across 13 models, nine LLMs and four Vision-Language Models (VLMs), with diverse tokenization schemes, we show that formatting target information in alternating or uppercase against a lowercase context concentrates attention on those textual spans. In text this effect is universal, holding across every evaluated non-reasoning model. We frame it as a previously under-explored latent property of pretrained transformers rather than a prescriptive method. Our investigation reveals a central attention-performance divergence: while this "casing effect" robustly shifts attention, its impact on downstream accuracy is non-trivial, increased concentration does not inherently improve task accuracy and, in high-entropy contexts like alternating case, can degrade it. We further identify a boundary condition: the deliberative "thinking" phase in reasoning models acts as a semantic buffer that mitigates typographic sensitivity in text. Extending the study to VLMs, we find the effect transfers partially: the same prompt-side casing reorganizes cross-modal attention along two coupled axes, predominantly a macroscopic disengagement from the image toward the text prompt, and secondarily a concentration of the residual visual attention on the target region. By isolating casing as a zero-shot mechanism for attention steering that requires no model access or fine-tuning, we provide a new foundational understanding of how pretraining internalizes typographic emphasis.
#05Aug 4, 2026
cs.CV
GeoMAR: Unleashing Geometrically Aligned Features for Masked Autoregressive Blind Face Restoration
Lu Gan, Hanyu Yan, Chaofeng Chen and 2 more
Codebook-based blind face restoration (BFR) often suffers from ambiguous conditioning features and a fragile prediction mechanism under severe degradation. To address these challenges, we propose GeoMAR, a framework designed to unleash geometrically aligned features with masked autoregressive (MAR) refinement for robust face restoration. For feature conditioning, we introduce a dual-input extraction pipeline to extract component-based geometric descriptions with explicit, spatially faithful anchors. These textual priors are integrated with low-quality (LQ) features via an Aligned Geometric Priors Injector, which employs a KV-Q exchange strategy to generate geometrically aligned features. For prediction mechanism, we reformulate the one-step mapping into a multi-step MAR process. This coarse-to-fine generation progressively refines complex facial regions based on increasingly reliable context. Experiments on one synthetic and three real-world benchmarks demonstrate that GeoMAR achieves highly competitive perceptual quality and coherent visual structures compared with existing methods. The code is available at https://github.com/BRL-SYSU/GeoMAR.git.