#01Nov 4, 2026
cs.CV
Trick-or-Treat: Adversarial Evaluation of Multimodal Medical Reasoning with Synthetic Images
Oishi Banerjee, Eujin Lee, Sung Eun Kim and 4 more
We used medical image synthesis to create a challenging multimodal evaluation framework that exposes hallucination behaviors in frontier models. Evaluating multimodal reasoning has historically been difficult because existing medical datasets rarely pair different image modalities, such as radiographs and external clinical photographs. To address this gap, we introduce Trick-or-Treat, an adversarial multimodal medical benchmark that pairs real chest radiographs with synthetic clinical photographs to challenge models' cross-modal reasoning. For each of a wide range of conditions, we created two pairs of images, where the pairs share a single chest radiograph but contain different external photographs. In matched pairs, the chest radiograph and photograph both contain findings suggesting the same disease (e.g., varicella pneumonia suggested by lung opacities and crusted skin lesions seen in chickenpox). In mismatched pairs, the photograph depicts an alternative clinical finding that would not lead to the same unifying diagnosis (e.g. replacing crusted skin lesions with ordinary acne). Synthetic photograph generation allows clinical findings to be varied while the person's features and photographic setting stay consistent, reducing confounding. In an investigation of three frontier models, we found that models hallucinated clinically significant photograph findings in 45-57.5% of mismatched pairs, up from 25-37.5% for the same photographs shown alone. When faced with mismatched pairs, models tended to ignore mismatches and instead hallucinated findings that better matched the radiograph (e.g. misreading acne as crusted skin lesions to justify diagnosing chickenpox). Trick-or-Treat both demonstrates concerning error pattern in frontier models' medical reasoning and provides a proof of concept for the use of synthetic images in adversarial multimodal evaluation.
#02Nov 4, 2026
cs.CV
CounterFactual Retrieval for Evidence-Aware Individual Animal Identification
Ankit K. Upadhyay, Aleksandr Algasov, Ekaterina Nepovinnykh and 5 more
Automated identification of individual animals is moving from small curated studies toward shared benchmarks and reusable foundation models. This progress is useful, but current evaluation leaves the evidence behind a match unresolved, i.e., high retrieval accuracy does not show whether a model used animal features or identity-correlated shortcuts. We address this with Counterfactual Foreground Retrieval (CFR), an evidence-aware evaluation protocol. CFR evaluates the same query-gallery task under different views: full image, foreground-only, and shortcut-only. The full-image measures standard retrieval performance; the foreground-only measures foreground-supported retrieval; and shortcut-only view measure how much identity signal is recoverable from background, or silhouette. This turns a retrieval score into an evidence profile: how well the model performs on the original images, how much of that performance remains when only the animal is visible, and how much identity signal remains recoverable when the animal is removed. We release around 0.5M masks for 34 datasets and code for mask generation and CFR evaluation.
#03Nov 4, 2026
cs.CV
Motion-guided Contrastive Regularization For Latent World Models
Yiwen Chen, Qiqi Hou, Jisoo Jeong and 3 more
JEPA-style world models learn action-conditioned latent dynamics without reconstructing observations, but distributional regularization alone does not ensure that their representations preserve information needed for control. We identify static collapse, a failure mode in which the encoder preserves episode-specific static content while suppressing manipulation-relevant state changes. Because static content is temporally predictable yet diverse across episodes, this failure can persist despite regularizers such as SIGReg. A controlled study on OGBench-Cube shows that introducing randomized backgrounds substantially degrades planning performance while leaving the underlying manipulation task unchanged. To address this problem, we propose motion-guided contrastive regularization. Our approach compares predicted latent transitions with transitions to candidate observations from the same episode, reducing the usefulness of static background identity for distinguishing action outcomes. Optical-flow similarities provide soft contrastive targets, allowing candidates with similar motion to receive similar supervision. Combined with latent prediction and SIGReg, our objective encourages representations to preserve within-episode state distinctions and similarities between related transitions. Our method improves planning success over LeWorldModel (LeWM) from 52% to 78% on OGBench-Cube with randomized backgrounds and from 14% to 54% on LIBERO-Object, while maintaining comparable performance on four other visual-control benchmarks.
#04Nov 4, 2026
cs.CV
Context-Aware Autoregressive Image Generation for Emerging Reasoning Properties
Jixuan Ying, Haoyu Liu, Timing Yang and 7 more
Autoregressive image generation has recently emerged as a competitive visual generation paradigm, yet its generation order is often predefined or heuristic, such as next-patch prediction, random-order prediction, or one-step generation for specific scales. We observe that these strategies can cause models to overlook important structural dependencies in images, thereby limiting both structural robustness and reasoning capability. In this work, we propose a context-aware autoregressive generation framework, where the model dynamically determines the next token location based on global context and current local information. Rather than following a fixed or random order, our method allows the generation process to adapt to image structure and semantic dependencies. Extensive experiments show that context-aware generation significantly improves structural robustness across different image AR paradigms, including masked autoregressive and scale-wise autoregressive models. Beyond quantitative improvements, we further observe emerging reasoning properties: the model can better understand complex semantic instructions and generate images that more faithfully follow the given guidance. These findings suggest that generation order is a critical yet underexplored factor in image autoregressive modeling, and that context-aware decoding can unlock stronger reasoning-aware visual generation capabilities. Code is available at https://github.com/Hpesojyjx/Saccades-AR.
#05Nov 4, 2026
cs.CV
CardioDrift: Automatic Cardiac Motion Tracking on a 3D Atlas Mesh via Shape-aware Coherent Point Drift with Slice Shift Correction
Reza Akbari Movahed, Abuzar Rezaee, Shatha Alamri and 3 more
Automatic cardiac motion tracking from cine cardiac magnetic resonance (CMR) imaging is essential for quantifying myocardial motion abnormalities associated with cardiovascular disease. Existing methods fall into two groups: those that represent motion without anatomical correspondence across subjects and therefore limit inter-subject motion assessment; and those that represent motion with globally corresponding points, which typically require a time-consuming and error-prone semi-automatic step to fit a cardiac atlas to the subject space. To address these limitations, this study proposes CardioDrift, a fully automatic, atlas-based probabilistic framework that represents subject-specific cardiac motion on a 3D atlas mesh with globally corresponding points. The Coherent Point Drift (CPD) formulation is generalised to jointly register the atlas surfaces of multiple cardiac regions to the anatomically corresponding contours extracted from cine CMR segmentation maps throughout the cardiac cycle. Slice-shift correction is embedded in the same probabilistic model, estimating slice-wise translations that suppress the misalignment artefact limiting atlas-fitting accuracy. Evaluation on 1301 randomly selected UK Biobank subjects and the M&M dataset, CardioDrift attains Dice similarity coefficients (DSCs) of $92.23\pm8.70\%$, $82.11\pm7.56\%$, and $88.69\pm4.13\%$ for the left ventricle (LV), myocardium (Myo), and right ventricle (RV), exceeding the strongest baseline on every distance and overlap metric of both datasets.