#01Oct 23, 2026
cs.CV
Cross-Architectural Feature Fusion for Coronary Artery Stenosis Detection in X-ray Angiography
Haobo Zhu, Mojtaba Lashgari, Jason Chai and 3 more
Coronary artery disease remains a leading cause of mortality, with stenosis detection from invasive X-ray Coronary Angiography (XCA) critical for diagnosis. Manual interpretation is time-consuming, subjective, and variable, especially under low contrast and vessel overlap. Existing deep learning methods often rely solely on detection or segmentation, limiting performance.We propose a hybrid framework, Fusion-YOLOv11-L, combining a YOLOv11-L detector with a pretrained UNet++ via a channel attention gating module. This enables fusion of semantic and vessel-aware structural features, improving localisation of stenotic regions. The UNet++ is pretrained on ARCADE vessel segmentation dataset to provide anatomically informed representations. Experiments on the relabeled ARCADE (ARCADE*) dataset show improved performance over YOLOv11-L, achieving AP@50 of 0.585 and F1-score of 0.596. Cross-domain evaluation on a dataset from the Oxford Acute Myocardial Infarction (OxAMI) Study reveals performance degradation due to domain shift, mitigated using test-time adaptation and augmentation. Test-time augmentation improves AP@50 from 0.434 to 0.480, indicating better generalisability. These results show that cross-architecture feature fusion and lightweight adaptation improve robustness and generalisability of automated stenosis detection in XCA.
#02Oct 23, 2026
cs.CV
Multimodal Generative AI Assists Comprehensive Echocardiographic Interpretation
Yi Qin, Marawan Elbatel, Shanshan Song and 28 more
Echocardiography is the cornerstone of cardiovascular diagnostics, yet its global utility is constrained by a critical shortage of experienced interpreters. Current artificial intelligence (AI) solutions remain limited, typically operating as opaque "black boxes" or focusing on narrow tasks that fail to capture the holistic, guideline-driven reasoning of a clinician. Here we introduce EchoChat, a generative multimodal vision-language model that performs comprehensive echocardiographic analysis to support clinician interpretation. By emulating the cognitive workflow of a cardiologist, EchoChat integrates vast medical knowledge with a chain-of-thought reasoning mechanism to explicitly ground its conclusions in visual evidence. Trained on echocardiography-instruction pairs from 46,358 examinations, our model establishes a new state-of-the-art across diverse cohorts from six international medical centers. It supports the broadest diagnostic scope of 33 cardiac conditions and findings, including 15 newly added conditions for which it achieves an average F1 of 73.7% across available external evaluations. It surpasses existing best-performing foundation models in cardiac condition recognition (improving average recall by 13.54% on shared tasks) and quantification (average R2 score increase of 0.275 on shared tasks). Furthermore, in a source-blinded echocardiographer reader study, echocardiography reports co-generated with EchoChat were rated higher in diagnostic accuracy and completeness by two senior echocardiographers, and improved diagnostic performance from 72.78% to 82.75% in terms of F1 score over routine-reader only reports. These results demonstrate that integrating clinical reasoning into multimodal AI can democratize specialist expertise and transform the standard of cardiovascular care.
#03Oct 23, 2026
cs.CV
SREdit: Scene Response Guided Appearance Editing for Projection Mapping
Yuqiao Xia, Yuchen Deng, Ziheng Chang and 1 more
Projection-based appearance editing changes selected visual attributes of a physical object through projection mapping (PM). To display a desired appearance, PM typically uses projector compensation, which computes a projector input that counteracts the geometric and photometric distortions of the scene. Compensation can only approximate this appearance within the available projection range, and it cannot revise the appearance itself. Pretrained LLM-based image editors provide a direct way to produce the desired appearance from a text prompt or reference image; projector compensation can then attempt to reproduce the edited result through projection. However, these editors do not have an accurate measure of the scene geometry or scene response. Therefore, their outputs may contain geometric misalignment, inconsistent shading, or changes outside the available projection range, which downstream projector compensation cannot correct. To address this problem, we introduce SREdit, an efficient response-guided framework for projection-based appearance editing. SREdit estimates a scene response map from the reconstructed scene that reflects how strongly projected illumination can affect different surface regions. SREdit uses the source appearance to constrain the early sampling process and preserve registration with the fixed physical object, while the scene response map adapts the amount of editing across surface regions. Experiments across two pretrained image editors show that SREdit improves projected appearance quality and reproduction fidelity. It adds less than one second per image with negligible VRAM overhead. Participants also consistently preferred the results produced with SREdit in our user study.
#04Oct 23, 2026
cs.CV
Flownomaly: Single-Step Conditional-Mean Recovery for Few-Shot Anomaly Detection
Bernardo Perrone Ribeiro, Erkut Akdag, Egor Bondarev
Few-shot industrial anomaly detection requires modeling category-specific normality from only a handful of defect-free images. Common approaches tie inference to stored exemplars, impose rigid linear structure, or risk reproducing anomalous content. Flownomaly instead casts the problem as normal-counterpart recovery in frozen DINOv2 feature space. Given normal supports, a velocity field is learned through conditional flow matching over frozen patch tokens to transport Gaussian noise toward normal features. Along straight paths, a single recovery step using one evaluation of the optimal field yields the posterior mean of the clean normal token without trajectory integration. The operating time governs how strongly recovery modifies a query token. With no anomalous validation samples available for tuning, a normal-only Jacobian gain-to-noise criterion selects this time from the supports alone. Squared residuals between query tokens and their recovered counterparts yield anomaly signals for both dense localization and image-level detection. Across 1-, 2-, and 4-shot benchmarks on MVTec-AD and VisA, together with sample-shot evaluations on Real-IAD, Flownomaly achieves state-of-the-art performance against recent category-specific methods. In the 1-shot setting, image- and pixel-level AUROC reach 97.8% and 98.0% on MVTec-AD and 95.3% and 98.7% on VisA, with a 2.1-point image-level AUROC improvement over the strongest baseline on VisA. Code is available at https://github.com/b-rbmp/Flownomaly.
#05Oct 23, 2026
cs.CV
Consommé: Conditioned Token Merging for Split Inference
Man Ngo, Jan S. Rellermeyer
Split inference partitions a Vision Transformer between a resource-constrained edge device and a server. However, transmitting intermediate tokens across the communication channel is costly. Deploying fine-tuned backbones to every endpoint becomes expensive as well. We study token reduction for split inference under a frozen backbone, where only a small adapter is shipped. We observe that the CLS token plays a dual role: it acts as the global summary the receiver needs for classification, and it serves as a signal on which patches to keep. We propose Consommé, a method utilizing both characteristics. There, an information bottleneck compresses the CLS token into a compact latent which is transmitted in place of the full CLS token and conditions a learned patch gate merging patches into exactly $k$ tokens via soft assignment. It reaches any budget in a single step, thus escaping the per-layer cap of bipartite matching (BPM). On DeiT-S/T, it leads all methods at aggressive token budgets and remains operable at shallow splits where BPM cannot operate, while matching fine-tuned methods at gentle budgets at a fraction of their deployment cost.