arXiv subjects

Ke Chen

Publications and source records attributed to Ke Chen.

4 recordsLinked to original sources

arXiv2026

A visual large language foundational model for medical image recognition using clinician-oriented social media

Large language models (LLMs) have demonstrated strong capabilities across diverse domains, showing considerable potential in medicine. However, their application in medical settings remains limited by the scarcity of visual question answering (VQA) datasets that capture clinical reasoning and explicit image-text alignment. Here, we leverage de-identified medical images and expert commentaries shared on clinician-oriented social media. By combining an advanced LLM with clinician-in-the-loop verification, we established a rigorous pipeline to construct ThoughtMed-1M, a long-form medical VQA dataset containing over one million VQA pairs and designed to capture structured clinical logic and medical image-text alignment. To demonstrate its utility, we developed a FOundational LLM Trained on ThoughtMed-1M (FOLTMed). FOLTMed achieved state-of-the-art performance across 42 medical VQA benchmark datasets, with a macro accuracy of 85.4%, and generated more clinically coherent responses on the ThoughtMed-1M test set. It outperformed state-of-the-art models by 3--5% across factuality and similarity metrics, highlighting a scalable paradigm for advancing research on clinically grounded multimodal LLMs.

cs.AI↗

arXiv2026

OccAnyScene: Towards Unified Indoor-Outdoor 3D Occupancy Prediction

3D occupancy prediction is fundamental to scene understanding, yet existing 3D semantic occupancy methods are typically specialized to fixed scene types and occupancy protocols. We introduce Cross-Scene 3D Semantic Occupancy Prediction, a new task setting which requires a single model to handle heterogeneous indoor and outdoor scenes with varying cameras, spatial ranges, voxel specifications, and semantic taxonomies. This setting poses a fundamental challenge: achieving metric-consistent yet scene-adaptive image-to-3D lifting across varying camera configurations and scene scales. To address this challenge, we propose OccAnyScene, a pixel-frustum-centered Gaussian framework built upon a pretrained depth foundation model. Specifically, the framework employs Pixel-Aligned Frustum Feature Aggregation to construct a camera-aware frustum query for each feature pixel, and Frustum-Parameterized Gaussian Construction to decode each query into multiple Gaussians whose positions and sizes are constrained by the predicted pixel depth and corresponding frustum geometry. OccAnyScene sets new state-of-the-art results, achieving 59.92% mIoU on the indoor Occ-ScanNet and 23.06% mIoU on the outdoor SurroundOcc-nuScenes.

cs.CV↗

arXiv2026

CoLT-Drive: Counterfactual Long-Tail Benchmarking and Knowledge-Preserving Adaptation for Driving Affordance Prediction

Long-tail autonomous driving failures are often framed as rare-object recognition errors. We argue that this view is incomplete: the decision-critical question is not only whether a model recognizes an unusual object, but whether it infers how that object changes the ego vehicle's feasible high-level actions. We formalize this problem as decision-level driving affordance prediction, where a model maps a front-view image, ego-motion history, and navigation command to a structured longitudinal--lateral meta-action. To evaluate this capability, we introduce CoLT-Drive, a 3,536-sample counterfactual long-tail benchmark that inserts rare objects into otherwise fixed driving scenes and measures whether models predict acceptable action pairs. To improve deployable small VLMs, we propose KPA, a knowledge-preserving adaptation framework that combines structured perception-to-decision prompting, SLERP-based expert merging, and RegMoE, a regime-aware LoRA mixture-of-experts module. KPA preserves the pretrained model's open-world knowledge while allocating lightweight adaptation capacity to different driving decision regimes. Experiments on an in-domain driving split and CoLT-Drive show that KPA achieves 60.8\% pair accuracy on CoLT-Drive, outperforming the pretrained Qwen3-VL-2B baseline (50.3\%) and LoRA SFT (32.4\%) while maintaining competitive in-domain accuracy. Our benchmark and code are available at https://huggingface.co/datasets/tangzx2024/CoLT-Drive and https://github.com/tangzhengxu/CoLT-Drive.

cs.CV↗

arXiv2026

Beyond Textual Chain-of-Thought: A Survey on Action-Grounded Reasoning in Autonomous Driving

Chain-of-thought (CoT) reasoning powers generative models by eliciting intermediate steps before producing an answer. In autonomous driving, the answer is a continuous action. Thus its reasoning must share the same spatiotemporal structure as the physical world. This survey studies the resulting shift from textual CoT to action-grounded reasoning. Surveying 171 papers, including 130 method papers and 41 benchmarks, datasets, surveys, and analysis papers, we propose a representation-centered taxonomy that treats the form of the intermediate state as the organizing axis. We systematize the 130 methods into four categories: language-based, visual-spatial, latent-dynamic, and externalized reasoning, further divided into 13 subtypes tied to distinct regions of interests. Our synthesis shows that the open frontier of reasoning in driving agents lies in intermediate representations that can be grounded in the real world, coupled to real-time action, and verified under safety-critical systems. Project page: https://github.com/tangzhengxu/awesome-av-cot.

cs.CV↗