#01Aug 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
#02Aug 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.
#03Aug 21, 2026
cs.CV
When does fusing hand-crafted knowledge with learned representations pay? A cost-normalized benchmark of stacking, substitution, and interference
Ahmad AlMughrabi, Albert Clop, Benjamin Busam and 2 more
Fusing prior knowledge with data-driven learning is attractive where data is scarce, yet no controlled account says when it helps, is redundant, or harms. We benchmark one fixed hand-crafted knowledge source, a pinned bank of Gabor targets injected only during training at $\sim$2\% overhead, against data-driven alternatives (SimCLR, SimSiam, DINO, ImageNet transfer, augmentation, learned teachers) under one frozen recipe with fixed subsets: 13 datasets, 9 backbones, 150 to 1.28M images, 32--224\,px, 2.5M--86M parameters ($\computeCells$ classification configurations over $\computeRuns$ runs, plus segmentation and detection transplants). Across the training-time combinations we measure, three outcomes recur (decision-level fusion differs). Different-\emph{currency} sources can stack: the prior composes with DeiT augmentation on attention backbones and is worth $+26$ points to ViT-B/16 at $224$\,px, $+6.7$ at twice that budget. Same-currency sources substitute: against effective self-supervised pretraining, the combination never usefully exceeds the better single source. Fusing at full strength into an already-informed initialization interferes in proportion to what it carries: ImageNet transfer, $-15$ to $-17$ points, removed by a weaker auxiliary weight. Frozen-feature diagnostics measured on each source alone separate these outcomes retrospectively but do not predict them: a rule built on them calls one of nine unseen pairs. At a practitioner's own label budget, the frozen-feature gain predicts the end-to-end gain to within $0.17$ points across 30 cells and seven datasets; the underlying decomposition, $Δ= G + \readout(\mathrm{base})$, holds in sign on $\auditRate\%$ of testable cells and is called an unseen backbone family's feature gain in advance. The project page is https://amughrabi.github.io/MomentAux.
#04Aug 21, 2026
cs.CV
Human-JEPA: A Human-Centric Vision Model that Perceives and Anticipates
Hui Wei, Licai Sun, Guoying Zhao
Machines that understand humans should perceive the present and anticipate the future. Existing human-centric vision model are pretrained on human images, set the state of the art in static dense perception, so motion and anticipation are out of reach. Here we present Human-JEPA, a human-centric vision model trained on video by anchored forecasting: dense targets are pinned to a frozen copy of the initialization, preventing a silent collapse of dense perception, and block masks are replaced by a pure past-to-future split, avoiding a five-point action tax and a seventeen-point re-identification collapse. Under frozen probes, Human-JEPA leads the pixel-anchored specialists on pose and person re-identification at 2.7 times fewer parameters, conceding high-resolution dense parsing, and its released predictor head is the first that does not degrade anticipation. A single safely adapted model thus serves both halves of understanding humans.
#05Aug 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.