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Lequan Yu

Publications and source records attributed to Lequan Yu.

At least 19 recordsLinked to original sources

SciFigQual-Bench: A Benchmark for Scientific Figure Quality Assessment with Full-Manuscript Context

Scientific images are the core elements of presenting experimental conclusions, elaborating system architecture, and supporting comparative arguments in scientific papers. However, existing image quality assessment (IQA) methods are predominantly designed for natural photographs or AI-generated content, which cannot be directly applied to scientific papers. The few existing studies on scholarly charts remain confined to visual-surface comparisons, failing to verify caption alignment, citation relevance, or visual misleadingness. To address this, we propose SciFigQual-Bench, a full-text contextual benchmark that evaluates scientific images across five dimensions (clarity, layout, caption fit, context relevance, and misleading risk). The data covers top computer-science conferences from 2020 to 2025; 6,308 images were independently scored by multiple domain experts in five dimensions and aggregated into gold-standard annotations. Unlike previous scientific figure benchmarks, our dataset binds each image to its caption, citing sentence, and manuscript context. To enable automated evaluation on this benchmark, we designed a staged cross-modal evaluation framework SFQ-Agent to achieve auditable and refined scoring through the collection and fusion of modal evidence. Multiple mainstream large models were evaluated on the test subset eval1200, and SFQ-Agent (F3) equipped with GPT-5.6-Sol achieved the lowest overall average absolute error (0.418) and the highest consistency rate (93.4%), consistently outperforming both direct evaluation and auxiliary (Sidecar) visual language model evaluation schemes.

cs.CV

Agentic Visual Reasoning in Whole-Slide Pathology Images via Active Perception

Whole-slide visual reasoning requires identifying sparse diagnostic evidence in gigapixel pathology slides and integrating observations across spatial scales. Existing WSI methods either compress densely sampled patches into global representations or use pretrained vision-language models with heuristic region selection, weakening links between predictions and morphology or lacking pathology-trained observation policies. We present AdaptivePath, an active-perception framework that formulates WSI evidence acquisition as sequential decision making. The Navigator learns question-agnostic abnormality-driven navigation from pathologist-reviewed labels to select observation locations and spatial extents, avoiding costly question-specific trajectory annotations. We train this policy through alternating representation learning and proximal policy optimization, followed by fine-tuning with geometric and appearance consistency objectives to stabilize focus trajectories. During inference, the Navigator hierarchically acquires sparse observations from low to high magnification under a limited ROI budget. A Morphology Interpreter converts observations into question-conditioned evidence, while the Deliberator evaluates evidence and revises intermediate answers across magnifications. The Arbiter integrates deliberation history to produce final answers. AdaptivePath achieves state-of-the-art zero-shot performance on WSI and region pathology VQA benchmarks and reaches 80.14% accuracy for cancer subtype classification across six TCGA cohorts. In a blinded diagnostic-utility study, pathologists using AdaptivePath-selected observation sequences achieve 82.9% accuracy. These results demonstrate that learned active perception enables effective and traceable visual reasoning over gigapixel pathology slides.

cs.CV

MedTextWeaver: Procedural Knowledge Evolution in Agentic Medical Text Editing

Medical text editing is essential for improving communication among diverse stakeholders in clinical settings. However, adapting LLM agents to this task remains challenging because expert supervision is often sparse, fragmented, and distributed across interacting quality dimensions. We identify that direct accumulation or retrieval of individual feedback is insufficient for effective adaptation, as fragmented evaluations do not directly translate into a coherent understanding of medical text quality. Based on this observation, we propose MedTextWeaver, a training-free framework that transforms fragmented evaluative evidence into global quality principles and actionable procedural knowledge for medical text editing. Across three clinical text datasets and a real-world validation experiment, MedTextWeaver consistently improves performance over strong LLM baselines and existing memory-based adaptation approaches. Further analysis demonstrates that the learned knowledge enables more effective adaptation under limited supervision while providing an explicit and interpretable interface between expert evaluations and LLM editing behavior.

cs.CL

LongChart VQA: A Comprehensive Benchmark for MLLMs with Complex Multi-Chart Reasoning

Multimodal large language models (MLLMs) are rapidly evolving with expanded context windows and stronger reasoning capabilities, enabling multi-chart understanding and multi-step inference. These abilities are increasingly important as MLLMs are adopted in complex agentic tasks. However, existing benchmarks largely emphasize single-chart perception, while simple chart-to-chart connections are insufficient to evaluate these capabilities. To capture multi-chart complexity while ensuring consistency and validity, we design a synthesis pipeline supported by latent graphs. Building on this pipeline, we introduce LongChart, a benchmark whose VQA sets contain an average of 6.5 images and 31.2 questions. We evaluate 10 state-of-the-art MLLMs and examine three factors that influence performance: reasoning patterns, auxiliary tools, and robustness to image perturbations. Our results show that MLLM accuracy decreases and varies substantially as computational complexity increases, highlighting directions for future research in multi-chart reasoning.

cs.CL

Evidence-Grounded AI for Musculoskeletal Care

Musculoskeletal diseases are among the leading causes of disability and drive the greatest global need for rehabilitation. Because recovery, remodelling and degeneration of bones, joints and related tissues unfold over months to years, care requires longitudinal management rather than isolated decisions. Clinicians must repeatedly integrate evolving patient evidence, medical knowledge and stage-specific functional goals, yet evidence is often fragmented across visits, departments and hospital systems, disrupting continuous, individualised management. Here we report OrthoPilot, a clinical artificial intelligence (AI) system powered by a large language model (LLM) that integrates hospital data streams with authoritative external knowledge for continuous musculoskeletal care. It autonomously retrieves real-time imaging, laboratory, pathology and order data and translates evolving patient states into evidence-based decisions from admission diagnosis through rehabilitation planning. We established a specialist-validated benchmark from real-world electronic health records (EHRs) spanning 1,000 disease codes. In a full-pathway reader study against 81 orthopaedic physicians, OrthoPilot outperformed experts with 25 years of experience in diagnostic reasoning, clinical decision-making and management planning. This advantage generalised across 60 external clinical centres, where OrthoPilot surpassed all evaluated intelligent systems. In a prospective physician decision-making study of 1,870 complex cases, OrthoPilot improved full-chain management success by 10.6%. In a randomised deployment involving 8,240 inpatients, integration into routine care increased cumulative cases per bed by 9.7% and improved patient-reported access to health information. These results move clinical AI from predicting isolated events toward executing longitudinal management across complete musculoskeletal care pathways.

cs.AI

Open-AoE: An Open Egocentric Manipulation Dataset and Toolchain for Embodied Learning

Egocentric videos of human manipulation provide scalable supervision for embodied intelligence, yet existing resources rarely combine low-cost continuous capture, manipulation-level structured annotations, and reusable tools for robot learning. We present Open-AoE, an open, community-oriented egocentric manipulation dataset and toolchain spanning the full pipeline from smartphone capture to model training. Its first release contains approximately 2,000 hours of manipulation video collected in natural environments by 500+ contributors using 400+ smartphones. The dataset provides text annotations, MANO-based hand poses, camera trajectories, and temporally localized atomic actions. Open-AoE further includes a data processing pipeline that transforms raw recordings into structured samples through temporal action segmentation, semantic annotation, hand reconstruction, and camera trajectory reconstruction. Meanwhile, we provide a separate downstream toolchain supports visualization, cross-embodiment retargeting, model-specific data conversion, and training recipes for VLA policies, WAMs, and World Models. By integrating scalable capture, structured processing, and downstream adaptation, Open-AoE reduces the barriers to both data contribution and reuse, providing practical open infrastructure for embodied model training, human-to-robot transfer, and world modeling.

cs.RO

Auditing medical multi-agent AI reveals risks of false consensus

Large language models are increasingly being assembled into medical multi-agent systems that emulate multidisciplinary consultation through specialist roles, peer review and consensus formation. In clinical decision support, however, apparent consensus is not enough. Clinicians also need to know whether agents checked the evidence, addressed disagreement and kept uncertainty visible. Current evaluations largely score final accuracy, leaving the safety of the collaborative process untested. Here we introduce MedAgentAudit, a clinically grounded workflow audit framework for diagnosing and quantifying collaborative failure modes in medical multi-agent systems. From 3,600 execution logs, we derive an expert-validated taxonomy of ten recurrent failures spanning task comprehension, collaborative discussion, and synthesis and decision-making. We then deploy an expert-validated automated auditor as non-interventional probes across 14,400 cases, covering six multi-agent architectures, six medical text and vision datasets, and four large language model settings per modality. Across systems, collaboration yields uneven accuracy gains and frequent process failures. Unsupported observations affect 16.63% of cases and propagate downstream. In discussion, agents repeat initial views in 98.42% of cases rather than re-examining evidence, and fail to activate specialist reasoning in 42.73%. During synthesis, final answers often substitute authority or majority count for evidence checking, showing authority bias in 28.76% (rising from 35.30% to 68.75% across rounds), self-contradiction in 18.53%, contradiction neglect in 5.48% and minority suppression in 5.11%. MedAgentAudit reframes medical AI evaluation from output scoring to process-level safety and accountability, providing a practical foundation for transparent, auditable and clinician-supervised agentic systems in medicine.

cs.CL

Context-driven Missing-Modality Learning for Robust Medical Diagnosis with Image-Tabular Data

While multimodal data integrating diverse imaging and clinical tabular records is crucial for accurate medical diagnosis, the arbitrary absence of specific modalities is prevalent in clinical practice, severely degrading the performance of multimodal models. Existing methods either discard missing modalities, leading to information loss, or struggle to synthesize them without capturing complex inter-modal dependencies. To address these limitations, we propose a novel Context-driven Missing-Modality Learning (CMML) framework, which sequentially performs modality synthesis and semantic alignment to achieve robust diagnosis under arbitrary missing conditions. Specifically, we design a Cascade Residual Transformer-based Autoencoder (CRTA) that leverages learnable context tokens acting as dataset-level semantic prior to capture inter-modal dependencies and synthesize key missing representations. These representations are further enriched by modality-specific memory banks. To resolve the discrepancy between original available and synthesized representations, we transform the learned context tokens into instance-adaptive semantic references by infusing multimodal representations from the CRTA's outputs. This reference guides the alignment of heterogeneous modality representations into a unified space, where class-aware contrastive refinement is finally applied to explore discriminative diagnostic cues. Extensive evaluations on skin lesion (Derm7pt), ocular disease (ODIR), and meningioma (MEN) datasets demonstrate that CMML significantly outperforms state-of-the-art (SOTA) methods, yielding AVG AUC improvements of 1.26%, 0.97%, and 1.32%, respectively.

cs.CV

CORA: Conformal Risk-Controlled Agents for Safeguarded Mobile GUI Automation

Graphical user interface (GUI) agents powered by vision language models (VLMs) are rapidly moving from passive assistance to autonomous operation. However, this unrestricted action space exposes users to severe and irreversible financial, privacy or social harm. Existing safeguards rely on prompt engineering, brittle heuristics and VLM-as-critic lack formal verification and user-tunable guarantees. We propose CORA (COnformal Risk-controlled GUI Agent), a post-policy, pre-action safeguarding framework that provides statistical guarantees on harmful executed actions. CORA reformulates safety as selective action execution: we train a Guardian model to estimate action-conditional risk for each proposed step. Rather than thresholding raw scores, we leverage Conformal Risk Control to calibrate an execute/abstain boundary that satisfies a user-specified risk budget and route rejected actions to a trainable Diagnostician model, which performs multimodal reasoning over rejected actions to recommend interventions (e.g., confirm, reflect, or abort) to minimize user burden. A Goal-Lock mechanism anchors assessment to a clarified, frozen user intent to resist visual injection attacks. To rigorously evaluate this paradigm, we introduce Phone-Harm, a new benchmark of mobile safety violations with step-level harm labels under real-world settings. Experiments on Phone-Harm and public benchmarks against diverse baselines validate that CORA improves the safety--helpfulness--interruption Pareto frontier, offering a practical, statistically grounded safety paradigm for autonomous GUI execution. Code and benchmark are available at cora-agent.github.io.

cs.LG

Project Imaging-X: A Survey of 1000+ Open-Access Medical Imaging Datasets for Foundation Model Development

Foundation models have demonstrated remarkable success across diverse domains and tasks, primarily due to the thrive of large-scale, diverse, and high-quality datasets. However, in the field of medical imaging, the curation and assembling of such medical datasets are highly challenging due to the reliance on clinical expertise and strict ethical and privacy constraints, resulting in a scarcity of large-scale unified medical datasets and hindering the development of powerful medical foundation models. In this work, we present the largest survey to date of medical image datasets, covering over 1,000 open-access datasets with a systematic catalog of their modalities, tasks, anatomies, annotations, limitations, and potential for integration. Our analysis exposes a landscape that is modest in scale, fragmented across narrowly scoped tasks, and unevenly distributed across organs and modalities, which in turn limits the utility of existing medical image datasets for developing versatile and robust medical foundation models. To turn fragmentation into scale, we propose a metadata-driven fusion paradigm (MDFP) that integrates public datasets with shared modalities or tasks, thereby transforming multiple small data silos into larger, more coherent resources. Building on MDFP, we release an interactive discovery portal that enables end-to-end, automated medical image dataset integration, and compile all surveyed datasets into a unified, structured table that clearly summarizes their key characteristics and provides reference links, offering the community an accessible and comprehensive repository. By charting the current terrain and offering a principled path to dataset consolidation, our survey provides a practical roadmap for scaling medical imaging corpora, supporting faster data discovery, more principled dataset creation, and more capable medical foundation models.

cs.CV

AD-CARE: A Guideline-grounded, Modality-agnostic LLM Agent for Real-world Alzheimer's Disease Diagnosis with Multi-cohort Assessment, Fairness Analysis, and Reader Study

Alzheimer's disease (AD) is a growing global health challenge as populations age, and timely, accurate diagnosis is essential to reduce individual and societal burden. However, real-world AD assessment is hampered by incomplete, heterogeneous multimodal data and variability across sites and patient demographics. Although large language models (LLMs) have shown promise in biomedicine, their use in AD has largely been confined to answering narrow, disease-specific questions rather than generating comprehensive diagnostic reports that support clinical decision-making. Here we expand LLM capabilities for clinical decision support by introducing AD-CARE, a modality-agnostic agent that performs guideline-grounded diagnostic assessment from incomplete, heterogeneous inputs without imputing missing modalities. By dynamically orchestrating specialized diagnostic tools and embedding clinical guidelines into LLM-driven reasoning, AD-CARE generates transparent, report-style outputs aligned with real-world clinical workflows. Across six cohorts comprising 10,303 cases, AD-CARE achieved 84.9% diagnostic accuracy, delivering 4.2%-13.7% relative improvements over baseline methods. Despite cohort-level differences, dataset-specific accuracies remain robust (80.4%-98.8%), and the agent consistently outperforms all baselines. AD-CARE reduced performance disparities across racial and age subgroups, decreasing the average dispersion of four metrics by 21%-68% and 28%-51%, respectively. In a controlled reader study, the agent improved neurologist and radiologist accuracy by 6%-11% and more than halved decision time. The framework yielded 2.29%-10.66% absolute gains over eight backbone LLMs and converges their performance. These results show that AD-CARE is a scalable, practically deployable framework that can be integrated into routine clinical workflows for multimodal decision support in AD.

cs.MA

CFCML: A Coarse-to-Fine Crossmodal Learning Framework For Disease Diagnosis Using Multimodal Images and Tabular Data

In clinical practice, crossmodal information including medical images and tabular data is essential for disease diagnosis. There exists a significant modality gap between these data types, which obstructs advancements in crossmodal diagnostic accuracy. Most existing crossmodal learning (CML) methods primarily focus on exploring relationships among high-level encoder outputs, leading to the neglect of local information in images. Additionally, these methods often overlook the extraction of task-relevant information. In this paper, we propose a novel coarse-to-fine crossmodal learning (CFCML) framework to progressively reduce the modality gap between multimodal images and tabular data, by thoroughly exploring inter-modal relationships. At the coarse stage, we explore the relationships between multi-granularity features from various image encoder stages and tabular information, facilitating a preliminary reduction of the modality gap. At the fine stage, we generate unimodal and crossmodal prototypes that incorporate class-aware information, and establish hierarchical anchor-based relationship mining (HRM) strategy to further diminish the modality gap and extract discriminative crossmodal information. This strategy utilize modality samples, unimodal prototypes, and crossmodal prototypes as anchors to develop contrastive learning approaches, effectively enhancing inter-class disparity while reducing intra-class disparity from multiple perspectives. Experimental results indicate that our method outperforms the state-of-the-art (SOTA) methods, achieving improvements of 1.53% and 0.91% in AUC metrics on the MEN and Derm7pt datasets, respectively. The code is available at https://github.com/IsDling/CFCML.

cs.CV

Dental-TriageBench: Benchmarking Multimodal Reasoning for Hierarchical Dental Triage

Dental triage is a safety-critical clinical routing task that requires integrating multimodal clinical information (e.g., patient complaints and radiographic evidence) to determine complete referral plans. We present Dental-TriageBench, the first expert-annotated benchmark for reasoning-driven multimodal dental triage. Built from authentic outpatient workflows, it contains 246 de-identified cases annotated with expert-authored golden reasoning trajectories, together with hierarchical triage labels. We benchmark 19 proprietary, open-source, and medical-domain MLLMs against three junior dentists serving as the human baseline, and find a substantial human--model gap, on fine-grained treatment-level triage. Further analyses show that accurate triage requires both complaint and OPG information, and that model errors concentrate on cases with multiple referral domains, where MLLMs tend to produce overly narrow referral sets and omission-heavy errors. Dental-TriageBench provides a realistic testbed for developing multimodal clinical AI systems that are more clinically grounded, coverage-aware, and safer for downstream care.

cs.CL

Disentangled Multi-modal Learning of Histology and Transcriptomics for Cancer Characterization

Histopathology remains the gold standard for cancer diagnosis and prognosis. With the advent of transcriptome profiling, multi-modal learning combining transcriptomics with histology offers more comprehensive information. However, existing multi-modal approaches are challenged by intrinsic multi-modal heterogeneity, insufficient multi-scale integration, and reliance on paired data, restricting clinical applicability. To address these challenges, we propose a disentangled multi-modal framework with four contributions: 1) To mitigate multi-modal heterogeneity, we decompose WSIs and transcriptomes into tumor and microenvironment subspaces using a disentangled multi-modal fusion module, and introduce a confidence-guided gradient coordination strategy to balance subspace optimization. 2) To enhance multi-scale integration, we propose an inter-magnification gene-expression consistency strategy that aligns transcriptomic signals across WSI magnifications. 3) To reduce dependency on paired data, we propose a subspace knowledge distillation strategy enabling transcriptome-agnostic inference through a WSI-only student model. 4) To improve inference efficiency, we propose an informative token aggregation module that suppresses WSI redundancy while preserving subspace semantics. Extensive experiments on cancer diagnosis, prognosis, and survival prediction demonstrate our superiority over state-of-the-art methods across multiple settings. Code is available at https://github.com/helenypzhang/Disentangled-Multimodal-Learning.

eess.IV

AssetFormer: Modular 3D Assets Generation with Autoregressive Transformer

The digital industry demands high-quality, diverse modular 3D assets, especially for user-generated content~(UGC). In this work, we introduce AssetFormer, an autoregressive Transformer-based model designed to generate modular 3D assets from textual descriptions. Our pilot study leverages real-world modular assets collected from online platforms. AssetFormer tackles the challenge of creating assets composed of primitives that adhere to constrained design parameters for various applications. By innovatively adapting module sequencing and decoding techniques inspired by language models, our approach enhances asset generation quality through autoregressive modeling. Initial results indicate the effectiveness of AssetFormer in streamlining asset creation for professional development and UGC scenarios. This work presents a flexible framework extendable to various types of modular 3D assets, contributing to the broader field of 3D content generation. The code is available at https://github.com/Advocate99/AssetFormer.

cs.CV

Augmenting Clinical Decision-Making with an Interactive and Interpretable AI Copilot: A Real-World User Study with Clinicians in Nephrology and Obstetrics

Clinician skepticism toward opaque AI hinders adoption in high-stakes healthcare. We present AICare, an interactive and interpretable AI copilot for collaborative clinical decision-making. By analyzing longitudinal electronic health records, AICare grounds dynamic risk predictions in scrutable visualizations and LLM-driven diagnostic recommendations. Through a within-subjects counterbalanced study with 16 clinicians across nephrology and obstetrics, we comprehensively evaluated AICare using objective measures (task completion time and error rate), subjective assessments (NASA-TLX, SUS, and confidence ratings), and semi-structured interviews. Our findings indicate AICare's reduced cognitive workload. Beyond performance metrics, qualitative analysis reveals that trust is actively constructed through verification, with interaction strategies diverging by expertise: junior clinicians used the system as cognitive scaffolding to structure their analysis, while experts engaged in adversarial verification to challenge the AI's logic. This work offers design implications for creating AI systems that function as transparent partners, accommodating diverse reasoning styles to augment rather than replace clinical judgment.

cs.HC

FDP: A Frequency-Decomposition Preprocessing Pipeline for Unsupervised Anomaly Detection in Brain MRI

Due to the diversity of brain anatomy and the scarcity of annotated data, supervised anomaly detection for brain MRI remains challenging, driving the development of unsupervised anomaly detection (UAD) approaches. Current UAD methods typically utilize artificially generated noise perturbations on healthy MRIs to train generative models for normal anatomy reconstruction, enabling anomaly detection via residual maps. However, such simulated anomalies lack the biophysical fidelity and morphological complexity characteristic of true clinical lesions. To advance UAD in brain MRI, we conduct the first systematic frequency-domain analysis of pathological signatures, revealing two key properties: (1) anomalies exhibit unique frequency patterns distinguishable from normal anatomy, and (2) low-frequency signals maintain consistent representations across healthy scans. These insights motivate our Frequency-Decomposition Preprocessing (FDP) framework, the first UAD method to leverage frequency-domain reconstruction for simultaneous pathology suppression and anatomical preservation. FDP can integrate seamlessly with existing anomaly simulation techniques, consistently enhancing detection performance across diverse architectures while maintaining diagnostic fidelity. Experimental results demonstrate that FDP consistently improves anomaly detection performance when integrated with existing methods. Notably, FDP achieves a 17.63% increase in DICE score with LDM while maintaining robust improvements across multiple baselines. The code is available at https://github.com/ls1rius/MRI_FDP.

cs.CV

PASS: Probabilistic Agentic Supernet Sampling for Interpretable and Adaptive Chest X-Ray Reasoning

Existing tool-augmented agentic systems are limited in the real world by (i) black-box reasoning steps that undermine trust of decision-making and pose safety risks, (ii) poor multimodal integration, which is inherently critical for healthcare tasks, and (iii) rigid and computationally inefficient agentic pipelines. We introduce PASS (Probabilistic Agentic Supernet Sampling), the first multimodal framework to address these challenges in the context of Chest X-Ray (CXR) reasoning. PASS adaptively samples agentic workflows over a multi-tool graph, yielding decision paths annotated with interpretable probabilities. Given the complex CXR reasoning task with multimodal medical data, PASS leverages its learned task-conditioned distribution over the agentic supernet. Thus, it adaptively selects the most suitable tool at each supernet layer, offering probability-annotated trajectories for post-hoc audits and directly enhancing medical AI safety. PASS also continuously compresses salient findings into an evolving personalized memory, while dynamically deciding whether to deepen its reasoning path or invoke an early exit for efficiency. To optimize a Pareto frontier balancing performance and cost, we design a novel three-stage training procedure, including expert knowledge warm-up, contrastive path-ranking, and cost-aware reinforcement learning. To facilitate rigorous evaluation, we introduce CAB-E, a comprehensive benchmark for multi-step, safety-critical, free-form CXR reasoning. Experiments across various benchmarks validate that PASS significantly outperforms strong baselines in multiple metrics (e.g., accuracy, LLM-Judge, semantic similarity, etc.) while balancing computational costs, pushing a new paradigm shift towards interpretable, adaptive, and multimodal medical agentic systems.

cs.AI