#01Aug 21, 2026
cs.CV
A Modular Agent for Reliable and Auditable Spatial Relation Verification in CT Scans
Simon Vincent Abel, Heiko Hillenhagen, Michael Götz and 3 more
Reliable spatial understanding is an important prerequisite for future medical vision-language systems that aim to support radiological report generation and structured image understanding. While modern vision-language models (VLMs) show promising performance on many medical imaging tasks, recent evidence suggests they remain weak in controlled spatial reasoning and often fail to reliably ground spatial relations in image evidence. Given that radiological reasoning hinges on understanding the relative positions of anatomical structures and findings, this spatial weakness poses risks to diagnostic accuracy. We present a modular medical imaging agent for binary spatial relation verification in axial CT slices. Instead of directly predicting spatial answers end-to-end, the system decomposes the task into explicit stages: language parsing, anatomical localization, and deterministic geometric verification. Natural-language queries are converted into structured relation tuples, queried organs are localized with a YOLO-based detector, and the final spatial decision is computed from object centers using deterministic geometric rules. We evaluate the approach on the held-out MIRP spatial QA benchmark and compare it against representative end-to-end VLM baselines. The best-performing hybrid configuration reaches 94.1% accuracy and 94.2% F1, outperforming direct Qwen2-VL prompting by 42.5 percentage points in accuracy, while preserving interpretable intermediate representations and auditable reasoning stages. The results suggest that explicit modular spatial verification can serve as a promising building block for future report-oriented medical imaging agents.
#02Aug 21, 2026
cs.CV
When Adaptation Hurts: Connecting Representational Drift to OOD Failures in MedSAM Fine-Tuning
Marko Haralović, Sounic Akkaraju, Carlo Baretta and 2 more
Foundation models for medical image segmentation, like prompt-based MedSAM, generalize well across domains and modalities, often in zero or few-shot setups. However, their performance depends on the quality of prompts and the adaptation of the models to custom datasets. This work systematically examines how MedSAM generalizes across diverse medical imaging benchmarks, with six adaptation strategies: full-model and encoder-only LoRA, shallow and deep visual prompt tuning (VPT), and decoder-only and full fine-tuning. Models are trained on the International Skin Imaging Collaboration Challenge (ISIC 2018) dataset and evaluated under clean and increasingly noisy prompts on IN and Out-of-Distribution (OOD) datasets: close-OOD PH2 (dermoscopy), far-OOD BUSI (Breast Ultrasound Images Dataset) and CBIS-DDSM (Curated Breast Imaging Subset of the Digital Database for Screening Mammography). We show that adaptation improves performance on IN and close-OOD data but often reduces performance on far-OOD data. Full fine-tuning provides the best tradeoff, while encoder-only LoRA is the strongest parameter-efficient alternative, outperforming standard LoRA and VPT under far-OOD shifts. Using Centered Kernel Alignment (CKA), we show that far-OOD degradation is strongly associated with drift in decoder representations, whereas encoder similarity alone does not explain robustness. This suggests encoder-only LoRA provides stronger robustness than standard LoRA by adapting the encoder to distribution shift in visual features, while preserving the decoder pathway. We further show that random 0-100 pixel jitter on prompts produces more robust and better performing models. We thus conclude that robust MedSAM adaptation requires the combined consideration of prompt noise exposure, domain shift, and representation preservation. We release our code: https://github.com/ImSounic/medsam-vpt
#03Aug 21, 2026
cs.CV
CoST: Semantic-Aware Urban Understanding via Spatial-Temporal Alignment
Yutian Jiang, Jiabo Liu, Xixuan Hao and 1 more
Geospatial representation learning from satellite imagery is a fundamental problem for large-scale urban analysis and real-world applications. Despite recent advances, current methods struggle with cross-region generalization and semantic interpretability due to their reliance on region-specific auxiliary data and the neglect of semantic alignment within multi-temporal urban imagery. Therefore, we present CoST, a novel \underline{Co}ntrastive-based \underline{S}patial-\underline{T}emporal framework that aligns spatial context with multi-temporal semantics to extract universal geographic regularities shared across regions. Specifically, CoST explicitly models spatial correlations to capture transferable geographic structures and exploits multi-year urban change semantics to align learned representations with high-level geo-semantics. Extensive experiments demonstrate that CoST consistently achieves superior performance across various downstream tasks and in unseen scenario, yielding an average relative gain of 8.7\% over the strongest competing methods across eight city-indicator settings. The code is available in \href{https://github.com/Arandinglv/CoST}{this repo}.
#04Aug 21, 2026
cs.CV
Stream3Dv2: Geometric-Semantic Fusion Enhanced Streaming Zero-Shot 3D Scene Understanding
Jie Xu, Na Zhao
Recently, open-vocabulary zero-shot 3D scene understanding using vision foundation models has emerged as a promising alternative to data-intensive supervised methods. However, deploying these models in real-world scenarios is severely hindered by their inability to efficiently handle streaming RGB-D inputs and their inherent vulnerability to noise 2D segmentation masks. To address these critical limitations, we propose Stream3Dv2, a novel training-free framework designed for robust streaming 3D perception. Stream3Dv2 processes sequential data through an original nested local-to-historical architecture, capturing multi-view consistency while circumventing the high computational overhead so as to support timely responses. At its core, we introduce a comprehensive geometric-semantic fusion mechanism that resolves geometric noise and semantic ambiguity by explicitly utilizing semantic guidance and formulating 3D segmentation as solving point-and-set merging and partitioning problems. Furthermore, we present an innovative manifold-distance-based point cloud refinement strategy. This approach leverages local manifold graphs for point-to-manifold optimization that mitigates the boundary delineation failures caused by Euclidean-distance metrics, and employs geometric bounding boxes to dynamically activate and update historical instances for achieving rapid manifold-to-manifold refinement. Extensive experiments on public datasets demonstrate that Stream3Dv2 consistently outperforms existing baselines in foundational open-vocabulary streaming 3D segmentation and detection. Finally, we show that integrating our framework with an LLM-based agent enables advanced language-driven 3D scene understanding, underscoring its potential for open-world embodied intelligence. Code will be updated at https://github.com/SubmissionsIn/Stream3D.
#05Aug 21, 2026
cs.CV
Just Noticeable Difference Modeling for Token Compression in Vision-Language-Action Models
Zhuoyuan Li, Rui Zhao, Jin Wang and 5 more
Token compression has become a key technique for reducing the inference cost of large foundation models, with approaches such as token pruning and KV-cache reuse widely adopted in vision-language models and recently explored for embodied agents. In embodied agents, tokens not only support perception and semantic understanding but also directly affect latency-sensitive closed-loop robot action prediction. Existing schemes typically guide compression using redundancy or importance cues, such as visual similarity, attention scores, and saliency. However, these cues only indirectly measure the key factor for safe compression: how much a token can change before causing an unacceptable deviation in downstream actions. This receiver-dependent tolerance is closely related to the principle of just noticeable difference (JND). Classical JND characterizes signal tolerance in the human visual system, while machine-oriented JND extends this concept to downstream machine responses. Building on this progression, we introduce Action-JND, which extends JND modeling to embodied perception by defining noticeability through the language-conditioned action response of a vision-language-action (VLA) policy in closed-loop control. A token change is considered admissible only when the induced action deviation remains within a tolerated margin. To realize this concept, we develop a lightweight token-wise JND estimator in deep visual-feature space to predict the maximum tolerable perturbation while preserving policy responses. The resulting action-tolerance score serves as a plug-and-play criterion for VLA compression paradigms, including stale-KV reuse and token pruning, prioritizing action-tolerant tokens for compression. Experiments on the LIBERO benchmark with OpenVLA and OpenVLA-OFT demonstrate that Action-JND consistently improves compression reliability, especially under aggressive compression ratios.