#01Aug 13, 2026
cs.LG
Intervention-Aware Clinical World Model for Post-Op Outcome Forecasting in Cardiology
Yunsung Chung, Yingshuo Liu, Abboud F. Hassan and 4 more
Many clinical prediction models treat post-intervention outcomes as a one-step mapping from baseline measurements to a future endpoint. However, recovery after a procedure often unfolds as an irregular trajectory: clinical observations, medication changes, repeat interventions, and physiological measurements are recorded asynchronously and can change risk assessment over time. We propose an intervention-aware clinical world model that represents each patient with a structured latent state and evolves it through time-ordered post-intervention events. The model first encodes baseline imaging into a 3D spatial latent state. It then updates this state using procedural context, static covariates, elapsed time, and peri-event physiological embeddings. Follow-up imaging provides training-only supervision through a latent forecasting objective. We apply the framework to atrial fibrillation ablation. During the 90-day recovery window, irregular post-procedure records provide clinically meaningful evidence for long-term recurrence risk. In repeated internal cross-validation on DECAAF-II, our model achieves AUROC 0.756 and AUPRC 0.777 for recurrence prediction. It also achieves a scar-extent MAE of 2.971 percentage points without requiring follow-up MRI intensities at inference. The learned state supports recurrence-risk queries at different horizons and retrospective input editing of blanking-period records.
#02Aug 13, 2026
cs.CV
Evaluation of Clinically Steerable Retinal Image Generation from Foundation Model Latent Spaces
Zuzanna A. Wakefield-Skórniewska, Bartłomiej W. Papież
Medical foundation models learn latent representations of clinically meaningful phenotypes, yet their ability to support controllable image generation remains largely unexplored. We evaluate four retinal foundation models within the representation tokenizer framework and examine whether demographic and clinical information encoded in latent representations from foundation models is preserved during synthetic image generation. We show that generated representations and images faithfully inherit phenotype information when evaluated within their originating foundation models, consistently outperforming conventional latent diffusion on multiple downstream prediction tasks. However, these gains largely disappear when evaluated using classifiers trained on real images, revealing a previously uncharacterised synthetic-to-real representation gap. These findings demonstrate that foundation-model latent spaces provide a powerful substrate for controllable retinal synthesis while highlighting the need to better align synthetic representations with real-image distributions.
#03Aug 13, 2026
cs.CV
PlayWorld: Benchmarking World Models with Agent Players over Long-Horizon Objectives
Kaixin Ding, Xi Chen, Minghong Cai and 9 more
Video world models simulate future states conditioned on current observations and user actions. Recent systems have demonstrated impressive video consistency and action controllability over long sequences. However, fairly comparing these interactive models remains challenging. In practice, a human player typically evaluates a world model by pursuing long-horizon objectives through interaction. For example, a user may turn around 360 degrees to see whether the environment remains consistent, or walk into the water and inspect whether realistic water ripples are generated. The action sequence required to achieve the same objective may vary substantially between models, making fixed action-conditioned evaluation unsuitable for cross-model comparison. To address this, we employ multi-modal Agent Players to interact with world models toward specified long-horizon objectives. Building on this paradigm, we introduce PlayWorld, a benchmark providing 171 scenarios, each with a specified objective. To evaluate performance thoroughly, we assess models along four core dimensions: geometry consistency, interaction fidelity, out-of-sight evolution, and insight evolution. In addition, we incorporate basic ability metrics for video quality and controllability. Experiments across nine state-of-the-art world models reveal that current models remain unreliable on long-horizon interactive objectives, particularly in maintaining spatial consistency and persistent state evolution. Code and data are available at https://github.com/kxding/PlayWorld.
#04Aug 13, 2026
cs.CV
MLLM-Routed Heterogeneous Ensembles for Robust Cross-Dataset Image Classification
Daniel Perkins, John Squires, Janou Milligan and 2 more
Modern image classification models excel when trained on single task-specific datasets but often struggle to generalize across domains and difficulty levels. We propose ARMDIL, an Adaptive Router for Multi-Domain Image classification with LLMs. ARMDIL is an ensemble that uses a multimodal large language model (MLLM) agent to dynamically route each image to the most suitable vision backbone. Our diverse ensemble employs convolutional neural networks (ResNets), self-supervised representation learners (SSL), and vision-language models (VLMs), each trained on a unified label space constructed from multiple image datasets with differing distributions and characteristics. Empirical evaluations illuminate the distinct capabilities and vulnerabilities of each architecture across disparate visual domains. Crucially, we show that ARMDIL effectively navigates these trade-offs, performing competitively with specialized training-based routers. Furthermore, it drastically improves adaptability by allowing new information to be integrated via simple prompt modifications, while enhancing interpretability through natural language reasoning traces. These advances in cross-dataset image classification pave the way for more reliable general-purpose vision systems such as AI assistants and autonomous robots.
#05Aug 13, 2026
cs.CV
SCULPT: Subtractive Composition for 3D Part Generation
Sikuang Li, Chen Yang, Jiemin Fang and 5 more
Part-aware 3D generation aims to create digital assets that are coherent as complete objects while exposing structural parts for editing, material assignment, animation, and reuse. Existing methods impose this structure outside the native generation loop: segmentation-based methods partition an already generated shape, while additive methods synthesize parts from predefined layouts, boxes, or tokens and then reconcile them into a whole. The former preserves the generated geometry but fixes the object before part boundaries are determined; the latter exposes part cardinality but often leaves shared boundaries vulnerable to gaps, interpenetrations, and material discontinuities. In this paper, we propose SCULPT, a framework that addresses these challenges through subtractive composition. Given a complete object represented in a structured 3D latent space, SCULPT iteratively applies a joint split predictor to generate one extracted part together with the remaining object. The predictor performs a coupled denoising process conditioned on both the image and the current 3D state, so the extracted part and updated remainder are generated together rather than reconciled after generation. The joint split predictor processes both outputs on the union of their native sparse 3D supports, allowing neighboring supports to overlap rather than imposing a disjoint voxel partition. The rollout ends when the remainder support becomes empty or reaches a fixed safety cap, allowing the number of generated parts to adapt to each object within that bound. Extensive experiments demonstrate state-of-the-art geometry on PartObjaverse while preserving strong complete-object reconstruction after part assembly. Results on four dataset images, one text-to-image-generated input, and one real-world photograph further show fine-grained textured part decomposition beyond the benchmark.