#01Nov 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.
#02Nov 5, 2026
cs.CV
Interactive Visual Gym: Evaluating Visual Interaction Models with Simulated Users in Interactive Worlds
Chenhao Zheng, Zixian Ma, Kai Li and 11 more
Visual interaction models that support users during ongoing physical tasks require evaluation in closed loop, where assistant responses can change subsequent user behavior and task outcomes. Existing benchmarks largely rely on offline replay and therefore cannot capture these effects. We introduce Interactive Visual Gym, a framework for closed-loop evaluation and training of visual interaction models through joint simulation of executable task environments and human users. We contribute three simulators that recreate everyday tasks and human-aligned action spaces across cooking, household manipulation, and mobile-interface domains, together with a persona-conditioned user simulation harness that collaborates with the assistant while incorporating controlled execution errors and other out-of-plan behaviors. We instantiate the framework as IVG-Bench, a benchmark with 315 interaction scenarios. Evaluating state-of-the-art VLMs as visual interaction models reveals substantial limitations: the best-performing model, Gemini 4 Argon, completes only 53.4% of tasks within the time limit, exhibits significant weaknesses in factual grounding and actionable guidance, and is often too slow to prevent errors when response latency is considered. We verify our evaluation protocol with a human study which finds 78.5% agreement between our interaction-quality metric and participant preferences. We further show that the environments provide useful learning signals: in a proof-of-concept GRPO experiment, closed-loop training improves both task success and interaction quality for Qwen3.5-4B model in our cooking environment.
#03Nov 5, 2026
cs.RO
VFlash: Fast, Accurate Visual Planning via Flash Primitive Decoding
Yu-Cheng Chou, Shihao Wang, Jin Huang and 16 more
Models for physical AI tasks, such as robotics and autonomous driving, need not reason solely in language. They can use visual plans--points, bounding boxes, and trajectories--to represent spatial goals and anticipate motion. However, autoregressive vision-language models generate these plans one coordinate token at a time, making richer predictions increasingly costly. We introduce VFlash, a method for fast, accurate visual planning through Flash Primitive Decoding. VFlash exploits the known structure of visual primitives to predict their coordinates jointly, using a lightweight drafter that generates an entire primitive in one forward pass. The layout adapts to the primitive's type, dimensionality, and length, supporting compact boxes and long, variable-length trajectories. Crucially, spatial accuracy need not require reproducing an autoregressive model's exact token sequence. VFlash therefore trains on annotated primitives and directly accepts structurally valid predictions without target-token agreement. Across the evaluated 2D and 3D robot trajectory tasks, VFlash consistently reduces prediction errors relative to autoregressive decoding. Preliminary single-rollout measurements indicate approximately 25x faster generation for 3D point motion forecasting. A world action model conditioned on VFlash plans achieves 70.2% average success across four MolmoSpaces task suites, compared with 62.6% for the baseline.
#04Nov 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.
#05Nov 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.