#01Nov 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.
#02Nov 5, 2026
cs.RO
VisionSIM: Beyond Idealized Sensors - A Multi-Modal Simulator for Robot Perception
Sacha Jungerman, Kaustubh Sadekar, Avery Gump and 6 more
Robotic perception increasingly relies on heterogeneous sensor suites combining cameras with emerging modalities (event, SPAD, iToF/dToF, and thermal). Yet existing simulators idealize these sensors, hiding critical modality-specific failure modes that limit real-world deployment. We present VisionSIM, a unified, physically grounded simulation platform that elevates sensor realism to a first-class concern by modeling the raw physical measurement process for diverse conventional and emerging modalities. We expose fine-grained control over physical sensor parameters, reproducing failure modes overlooked by general-purpose simulators: pileup and glare for LiDAR; phase wrapping, saturation, and motion artifacts for iToF; refractory drops for event cameras; and history-dependent emission for thermal cameras. This enables principled cross-modality comparison on identical scenes and trajectories. We release the platform and a large indoor dataset with synchronized raw measurements and rich ground-truth annotations.
#03Nov 5, 2026
cs.CV
OraRefer: Segmentation-Guided Multi-Photograph Fusion for Oral Cancer Screening with Guaranteed Patient-Level Sensitivity
Rupam Mukherjee, Mehakdeep Singh, Shirin Dasgupta and 1 more
Oral cancer and the oral potentially malignant disorders (OPMD) that can precede it are visible on the oral mucosa, which makes smartphone photographs a promising tool for screening. Deep learning models for this task classify individual photographs. However, screening refers patients, not photographs: a patient is usually photographed several times, and the referral decision must miss no more than a set share of patients with disease. We propose OraRefer, a patient-level screening model that reads each photograph with a segmentation-guided foundation model that conditions its class decision on the predicted lesion, combines all photographs of a patient with risk factors, and refers through a threshold with a finite-sample sensitivity guarantee. The model localizes the mouth itself, so inference needs no annotation. On 3000 photographs of 714 patients, patient-level fusion reaches an AUROC of 0.919 and outperforms attention-based multiple-instance learning. At a 90% sensitivity target, OraRefer detects 95% of patients with OPMD or cancer and misses 3 of 61 patients with cancer, at a specificity of 0.610. Because the threshold is calibrated without retraining, each clinic can set its own guaranteed operating point on a local calibration sample.
#04Nov 5, 2026
cs.CV
USB Gym: A Gymnasium Testbed for Closed-Loop Ultrasound View Matching
Thanapong Intharah, Zhichao Gao, Yiliang Liu and 1 more
Background and Objective: Our main goal is ultrasound guidance: moving a probe until its image matches a target view. Published methods for each part of a guide are evaluated in separate simulators. We asked whether these methods, combined into one guide, are good enough. Methods: We built USB Gym, a testbed whose standard engine simulates ultrasound from public patient CT, with a network drawing organ textures from CT labels. Its guide has three replaceable parts (slots), an organ segmenter, a controller and a reward, which received 20 published methods, each run on the same 60 episodes of six held-out patients. In each slot, a published method replaced ours only if detectably better on these patients. The better of this combination and our original guide on 20 new CTs is the benchmark baseline. A pose oracle, reading the exact probe pose available only in simulation, set the reference. The results below are exploratory. Results: On these CTs, the probe started on average 16.0 mm from the target view; the pose oracle brought it to 1.5 mm. Of the results known when the combination was fixed, only an image-similarity reward (SSIM) was slightly but detectably better, so the combination was our guide with that reward. This combination was the benchmark baseline, ending at 13.7 mm (16% of the oracle's progress). Conclusions: Combining untuned published methods with ours did not guide the probe near the target view; the task remains under-explored. The testbed accepts new methods; no guide was tested on hardware.
#05Nov 5, 2026
cs.CV
Adaptive Low-Light Enhancement for Road Anomaly Detection: A Multi-Architecture Benchmark and Edge Deployment Study
Obed Honour Eje, Oluwatosin Kolade, Glory Bagai and 1 more
Road anomaly detection systems on autonomous vehicles must function reliably under degraded visual conditions including darkness, rain, and Harmattan dust haze. This paper benchmarks four object detection architectures, YOLOv8n, YOLOv12n, RT-DETR, and Faster R-CNN, under physically grounded lighting and weather degradation, and shows that uniform application of the SCI low-light enhancement network is actively harmful at dusk-level lighting (-16.1% to -30.7% mAP@50). We propose a lightweight, training-free luminance-adaptive router that selects between no enhancement, moderate SCI, and denoising plus strong SCI based on per-frame Rec. 601 luminance, recovering most of the dusk penalty while preserving low-light gains, and we validate the full pipeline on NVIDIA Jetson Nano edge hardware.