#01Nov 5, 2026
cs.CV
Multimodal Hierarchical Mixture-of-Experts for 3D Medical Vision-Language Modeling
Gizem Mert, Szymon Płotka, Pedro R. A. S. Bassi and 5 more
Medical 3D scans and reports are inherently hierarchical, with diagnostic cues concentrated in specific anatomical regions across multiple levels of organization. Yet, most medical vision-language models ignore this structure and fail to focus on clinically relevant anatomy. We introduce MedHiVE, which combines hierarchical vision-language Soft Mixture-of-Experts (SMoE) with contrastive learning to jointly model fine-grained anatomy and global scan context. To our knowledge, MedHiVE is the first framework to route both vision and text tokens through a two-level SMoE hierarchy organized by anatomical scale, coupling this with report-derived anatomy-level contrastive alignment for 3D medical imaging. This replaces the direct region-text alignment of statically pooled features and vision-only hierarchical routing of prior work with dynamic, slot-based cross-modal information flow across anatomical scales. MedHiVE operates via a two-level, learnable token-routing mechanism, where local image and text features are first routed through a local SMoE and then fused by a global SMoE into unified multimodal representations. Contrastive learning aligns both anatomy-level and global vision-language representations in a unified space. Pre-trained on 25,000+ CT scans with anatomical supervision, MedHiVE consistently surpasses 11 state-of-the-art methods across 6 datasets on 3 tasks: segmentation, classification, and detection, demonstrating the importance of hierarchical modeling. The code for MedHiVE is at github.com/szczurek-lab/MedHiVE.
#02Nov 5, 2026
cs.CV
EgoGeneralist: Unifying Egocentric Action-Video Tasks through Video-Native Modeling
Yanlin Jin, Bowen Yang, Cheng Zhang and 4 more
Modern video models possess strong visual priors, yet do not natively represent human action in metric 3D space. We present EgoGeneralist, which adapts pretrained video generators to unify action-conditioned egocentric video generation, pose estimation, and joint action-video generation. Our role-adaptive action renderer provides video-native representations for multidirectional action-video learning, making metric motion usable as both a spatial control signal and a recoverable generation target. Cross-stream action-video coupling establishes close correspondence between metric motion and visual dynamics through lightweight adaptation while preserving the pretrained visual prior. Together, these designs establish a generalist framework spanning five action-video tasks. Despite adaptation only on controlled laboratory recordings, EgoGeneralist generalizes to diverse unseen scenes and interactions with effective action control and visual quality, bridging pretrained visual knowledge and metric 3D human motion.
#03Nov 5, 2026
cs.LG
Interpretable Multimodal MRI-Clinical Fusion for Functional Outcome Prediction After Acute Ischemic Stroke
Sina Raeisadigh, Henning Müller, Abderrahmane Hedjoudje
This study evaluates the added prognostic value of day-1 multimodal MRI for predicting three-month functional outcome after acute ischemic stroke (AIS). Sixty-six AIS patients with ADC, DWI, FLAIR, and clinical data were analyzed. Three-dimensional pretrained ResNet embeddings were extracted from each MRI modality, reduced using fold-isolated principal component analysis, and combined with structured clinical variables and ADC-derived lesion biomarkers. Linear support vector machines were evaluated using eight-fold stratified group cross-validation across MRI modality combinations. Clinical-only modeling achieved strong performance (AUC = $0.899 \pm 0.151$), while MRI-only models showed limited discrimination (AUC $\approx$ $0.67$-$0.73$). Among multimodal configurations, FLAIR-clinical fusion achieved the highest mean cross-validated performance (AUC = $0.948 \pm 0.061$), followed by ADC-clinical fusion (AUC = $0.941 \pm 0.094$). Full ADC-DWI-FLAIR fusion did not consistently outperform single-modality clinical fusion. Feature-importance analysis identified age, NIHSS subscores, ADC lesion burden, and learned FLAIR representations as key contributors, while qualitative FLAIR activation maps showed responses over lesion-like regions. These findings suggest that compact day-1 FLAIR and ADC representations provide complementary prognostic information beyond clinical variables and support interpretable, data-efficient outcome prediction in AIS.
#04Nov 5, 2026
cs.CV
Improving Context-Shift Robustness of Convolutional Networks via Context-Regularized Cross-Entropy
Jinen Setpal, Chaoyue Liu
Image classification models often encounter objects in diverse and unpredictable contexts at test time, which may differ substantially from those seen during training. This phenomenon, termed context shift, exposes a key fragility in neural networks: when models rely on non-causal contextual cues for prediction, shifts in context can lead to significant performance degradation. In this paper, we propose a novel training framework to improve the robustness of convolutional neural networks under context shift. Our approach leverages spatial feature attribution to guide models toward making predictions that rely less on contextual regions and more on object-relevant features. As a first step, recognizing a theoretical limitation of existing feature attribution methods we introduce a new variant, ContrastiveCAMs, which produces more faithful attribution maps of model predictions. Building on ContrastiveCAMs, we further propose Context-Regularized Cross-Entropy (CR-CE), a modification of the standard cross-entropy loss that regularizes the model's attention by suppressing the influence of contextual regions, thereby improving robustness to context shift. We evaluate the effectiveness of our approach on several medium-to-large scale datasets (Waterbirds, Spawrious, ImageNet/ImageNet-BG, Hard-ImageNet), and report consistent improvements in context-shift robustness.
#05Nov 5, 2026
cs.CV
Hierarchical Incremental Beta Splatting for Online Reconstruction
Linus Franke
Online 3D Gaussian Splatting reconstructs a scene during capture: each keyframe spawns primitives once and refines them for only a few dozen iterations, leaving little chance to fix poor initialization or missing detail. Gaussians are also inherently soft, needing many overlaps for solid surfaces. We present Hierarchical Incremental Beta Splatting (HIBS), which brings beta kernels to incremental reconstruction. Their shape parameter interpolates between a soft, Gaussian-like profile and a flat-topped, near-opaque surfel, acting as a confidence dial for geometry. Our confidence-aware spawning uses geometric observability and multi-view depth agreement to initialize both opacity and shape, producing solid primitives where geometry is verifiable and soft, correctable primitives where it is not. As online densification, error-driven relocation recycles stale primitives into photometric-error hotspots. Bounded beta kernel support enables exact tile culling and faster rasterization, and a closed-form, shape-preserving merging formulation provides a level-of-detail (LOD) hierarchy for fast optimization and real-time rendering. On Mip-NeRF 360 in the on-the-fly protocol, HIBS improves PSNR by up to 0.8 dB while reducing optimization time by up to 40%. Project page: https://linus-franke.com/hibs/