#01Jul 30, 2026
cs.CV
MIND: Multimodal Intent-Driven Network via Diffusion Transformers for Medical Image Fusion
Yunzhan Fu, Xiangyu Shen, Yifei Sun and 3 more
Medical image fusion aims to integrate complementary information from diverse imaging modalities to support clinical diagnosis. Existing methods typically apply uniform fusion rules globally, lacking a deep understanding of diagnostic intents and pathological structures. To address these limitations, we propose MIND, a Multimodal Intent-Driven Network via Diffusion Transformers (DiTs) for medical image fusion. Specifically, we utilize BioMedGPT to generate intent-driven fusion texts from source images, guiding the fusion process with pathology-aware diagnostic intents. To combat the loss of 2D spatial continuity caused by 1D sequence flattening in DiTs, we design a Multi-scale Latent Adapter. This module explicitly extracts source image features before serialization, injecting them into the network via strict dimensional alignment to effectively supplement image features. To resolve the semantic shift caused by decoupling image outputs from diagnostic intents, we design a medical semantic consistency loss. This loss ensures deep semantic locking between fused images and fusion texts while maintaining the stability of the underlying physical manifold reconstruction. Comprehensive experiments on the Harvard, BraTS, and GFP datasets reveal that MIND delivers superior fusion quality, significantly improves downstream brain tumor segmentation accuracy, and enables flexible interactive fusion, holding significant promise for intent-driven intelligent clinical decision support systems.
#02Jul 30, 2026
cs.AI
OSReward: Instituting Standardized Evaluation for Cross-Platform Computer-Use Reward Models
Qiushi Sun, Kanzhi Cheng, Yian Wang and 20 more
Computer-using agents (CUAs) are advancing rapidly across the digital world. A CUA trajectory records the agent's actions, states, and reasoning. Verifying whether it fulfilled the task instruction is central to CUA evaluation, data curation, and reinforcement learning. Neither human-written verifiers nor human annotators can provide such verification at scale, so the field increasingly turns to vision-language models (VLMs) as judges of CUA trajectories. But a fundamental question has long gone unexamined: are these VLM judges reliable enough? To study it systematically, we introduce OSReward, a realistic, high-quality benchmark that evaluates VLM judges on CUA trajectories. The trajectories come from diverse agent backbones executing human-verified instructions across platforms, then rigorously labeled with ground-truth verdicts through multi-stage human annotation. Building on it, we derive OSReward-Hard, a challenge set concentrating genuinely hard cases, and OSReward-Multi for fine-grained efficiency and alignment scoring. The most comprehensive evaluation of VLM judges to date finds even state-of-the-art models fall short of an ideal judge, sharing a systematic leniency bias that mislabels failed runs as successes. The few reliable enough to trust are too expensive to run at scale, while affordable open models trail far behind. To close this gap, we construct and release OS-Shepherd-100K, an open corpus of reasoning-annotated trajectory judgments for the CUA community. On it, we train OS-Shepherd (9B and 35B), open reward models that supply low-cost, stable, and reliable reward signals, matching commercial judges at 30-60% lower cost than the frontier. Extensive analyses further inform the design of reliable CUA reward at scale. Our code, benchmark, dataset, and model checkpoints are available at https://os-copilot.github.io/OSReward-Home/.
#03Jul 30, 2026
cs.CV
ScaFE: Data-Efficient Scar Classification with LLM-Generated Clinical Feature Programs
Ruman Wang, Hangting Ye
Classifying pathological scars from clinical photographs requires distinguishing keloids from hypertrophic scars despite limited expert-labeled data and substantial acquisition variation across hospitals. End-to-end image models remain data-dependent, whereas sending photographs to a hosted vision-language model (VLM) may conflict with local data-governance requirements and yields decisions that are difficult to reproduce and audit. We introduce ScaFE (Scar Feature Engineering), which transfers clinical knowledge from a large language model (LLM) into deterministic, executable feature programs instead of asking the model to diagnose images. A web-enabled LLM retrieves clinical evidence and synthesizes programs that measure visually assessable scar attributes. Candidate programs execute in a restricted local environment, and only aggregate validation statistics and feature-level SHAP summaries are returned for iterative repair and refinement; raw images and patient-level outputs remain local. A lightweight Random Forest then operates on the resulting structured representation. On 600 photographs from three hospitals under leave-one-site-out evaluation, ScaFE achieves 81.0% site-macro balanced accuracy, exceeding the strongest baseline, BiomedCLIP, by 10.0 percentage points. With only 10% of the development data, ScaFE retains 72.0% balanced accuracy and an 11.8-point lead. Iterative refinement also raises the executable-program rate from 66.7% to 95.0%, with verified evidence for 91.7% of the final features. These results show that LLM knowledge can support data-efficient, cross-site medical image classification through local and auditable feature programs rather than direct VLM decisions.
#04Jul 30, 2026
cs.LG
KAISEN: Reproducible Subgroup Fairness Auditing for Clinical Risk Models
Sparsh Roy, Samuel Girmachew, Nishita Chavan
Clinical risk models routinely achieve strong aggregate performance while producing materially different error rates across patient subgroups. Audit pipelines have been proposed to catch this, but their components are rarely stress-tested, so it is unclear which parts of an audit can be trusted and under what conditions. We present KAISEN, a five-phase audit pipeline covering subgroup stratification, disparity measurement, mechanism diagnostics, post-hoc mitigation, and drift monitoring, evaluated to the point of failure on a synthetic benchmark of 16 disease tasks, 15 social-determinant axes from Healthy People 2030, and three prespecified intersections. Four findings follow. (i) Significance tracks each axis's gap against its own minimum detectable effect: rank correlation between significance count and raw equalized-odds difference (EOD) across the 15 axes is rho = 0.56, rising to rho = 0.78 once EOD is standardized by that floor. (ii) Per-group threshold optimization reduces EOD in 48 of 48 held-out runs (paired delta = -0.285, 95% CI [-0.313, -0.252]), while group-wise Platt scaling -- the better calibrator -- behaves as a coin flip on EOD (19 of 48 runs improved, 95% CI [0.26, 0.55]) with mean effect near zero, so what an audit should report is the variance, not the average. (iii) The mechanism diagnostic classifies 144 of 144 controlled cases correctly but recovers none of 48 model-driven cases under proxy misspecification, with no signal that it failed. (iv) CUSUM failures and false alarms track cohort realization far more than disease: at the reference threshold, all 27 false alarms and 7 of 8 missed shifts come from different seeds (chi-squared p = 0.002), so a threshold tuned on one cohort fails to transfer. All results are synthetic with known ground truth and do not establish clinical validity. Code, artifacts, and scripts reproducing every number are released.
#05Jul 30, 2026
cs.SE
Change2Task: From Repository Changes to Executable Coding Agent Tasks and Environments
Haomin Qi, Xingliang Wang, Xuanqi Gao and 9 more
Scaling coding agents requires a continuing supply of executable data for training, benchmarking, and continuous evaluation. Each task must couple a realistic software state with a specification, development tools, and reliable verification. To expand this supply, we present Change2Task, a system grounded in repository history that converts merged pull requests into verified tasks on healthy modern revisions of the same repository. It aligns historical evidence with evolved code, reconstructs task states through Patch Reversal, Code Mapping, or Agent Reconstruction, and validates the lifecycle from a healthy base to a task state and a restored state. By deriving multiple tasks grounded in developer evidence from maintained environments, Change2Task provides executable data for coding agent training and evaluation while reducing repeated environment setup, storage, and task construction effort. We evaluate the system through five common and widely adopted coding agent task families: Bug Fix, Feature Addition, Test Generation, Application Programming Interface Migration, and Security Repair. Starting from 1,130 source changes eligible for construction, Change2Task achieves 79.6% verified task construction success across these task families. On a matched candidate set, it recovers 29.2% more verified tasks than a construction baseline based on pull requests. Historical and reconstructed cases achieve up to 98.0% matched outcome agreement under agent evaluation, while reuse of modern bases reduces measured expenditure across the complete pipeline by 10.8%.