arXiv subjects

Zhuoyun Liu

Publications and source records attributed to Zhuoyun Liu.

4 recordsLinked to original sources

arXiv2026

SAM Meets VLM: Parameter-Decoupled Full-Parameter Training for Unified Medical Reasoning and Segmentation

Medical multimodal large language models (MLLMs) are increasingly expected not only to answer clinical questions, but also to localize the visual evidence behind their predictions. A common strategy connects a vision--language model (VLM) with SAM-style segmentation through a special token, yet full-parameter training of this unified architecture is difficult because image-level reasoning and pixel-level segmentation impose different requirements on the shared representation space. To address this issue, we propose a parameter-decoupled training framework for unified medical reasoning and segmentation. The framework treats the hidden state as a semantic-to-spatial prompt for the mask decoder and encourages it to become separable from generic language states, reducing ambiguous segmentation prompts and potential disruption to reasoning representations. It first performs medical shallow alignment to adapt visual features to clinical language without disturbing the LLM; then controlled instruction tuning shapes separable prompt states, monitored by the Davies--Bouldin Index (DBI), while scaling segmentation gradients entering the language backbone; finally, the SAM branch is specialized with the VLM frozen to improve mask precision without altering reasoning parameters. Experiments on medical referring segmentation, grounding, visual QA, and textual QA benchmarks show that our framework achieves strong language-conditioned segmentation while preserving competitive reasoning ability. Ablations show that two-phase instruction tuning, gradient scaling, and segmentation specialization all contribute to the model.

cs.CV↗

arXiv2026

RadSEM: A Finding-by-Finding Metric for Clinical Consistency in Radiology Reports

Radiology report evaluation must distinguish clinical compatibility from surface similarity, because negation, laterality, or normal-abnormal polarity can reverse a finding. We propose RadSEM (Radiology Sentence-Level Evaluation Metric), a constrained LLM-assisted metric for reference-based evaluation of radiology Findings. RadSEM rewrites reference and generated reports into ordered atomic finding sentences, each expressing one site-finding proposition. It then performs contradiction-constrained many-to-many matching: incompatible pairs such as "effusion" and "no effusion" receive no credit, while compatible granularity differences can receive partial credit. A deterministic stage weights pairs by part-whole and abnormal-detail relationships, counts unmatched findings, and produces an abnormal-focused weighted F1 score. Thus, the LLM supports structured rewriting and local alignment rather than acting as an opaque judge. We evaluate RadSEM with SSREE, a controlled monotonicity stress test built from 2,448 de-identified reports expanded into five graded corruption levels. RadSEM achieves Kendall tau_b of 0.957, all-pairs concordance of 97.8%, adjacent concordance of 95.0%, and strict five-level ordering for 81.9% of reports, outperforming radiology-specific and general text metrics while avoiding the failure in which polarity-inverted reports regain lexical overlap. On the same SSREE set, RadSEM outperforms the Ref-anchored RadSEM-Alt policy, improving adjacent concordance from 90.7% to 95.0% and strict ordering from 67.2% to 81.9%. On a 599-triplet synonym/antonym subset, RadSEM prefers synonyms in 597 cases (99.67%). These results suggest that explicit finding units, contradiction-aware matching, and abnormal-focused deterministic scoring make report scoring more interpretable and sensitive to clinically meaningful errors. Code is available at https://github.com/jdh-algo/RadSEM.

q-bio.QM↗

arXiv2025

Citrus-V: Advancing Medical Foundation Models with Unified Medical Image Grounding for Clinical Reasoning

Medical imaging provides critical evidence for clinical diagnosis, treatment planning, and surgical decisions, yet most existing imaging models are narrowly focused and require multiple specialized networks, limiting their generalization. Although large-scale language and multimodal models exhibit strong reasoning and multi-task capabilities, real-world clinical applications demand precise visual grounding, multimodal integration, and chain-of-thought reasoning. We introduce Citrus-V, a multimodal medical foundation model that combines image analysis with textual reasoning. The model integrates detection, segmentation, and multimodal chain-of-thought reasoning, enabling pixel-level lesion localization, structured report generation, and physician-like diagnostic inference in a single framework. We propose a novel multimodal training approach and release a curated open-source data suite covering reasoning, detection, segmentation, and document understanding tasks. Evaluations demonstrate that Citrus-V outperforms existing open-source medical models and expert-level imaging systems across multiple benchmarks, delivering a unified pipeline from visual grounding to clinical reasoning and supporting precise lesion quantification, automated reporting, and reliable second opinions.

cs.CV↗

arXiv2024

GaussianProperty: Integrating Physical Properties to 3D Gaussians with LMMs

Estimating physical properties for visual data is a crucial task in computer vision, graphics, and robotics, underpinning applications such as augmented reality, physical simulation, and robotic grasping. However, this area remains under-explored due to the inherent ambiguities in physical property estimation. To address these challenges, we introduce GaussianProperty, a training-free framework that assigns physical properties of materials to 3D Gaussians. Specifically, we integrate the segmentation capability of SAM with the recognition capability of GPT-4V(ision) to formulate a global-local physical property reasoning module for 2D images. Then we project the physical properties from multi-view 2D images to 3D Gaussians using a voting strategy. We demonstrate that 3D Gaussians with physical property annotations enable applications in physics-based dynamic simulation and robotic grasping. For physics-based dynamic simulation, we leverage the Material Point Method (MPM) for realistic dynamic simulation. For robot grasping, we develop a grasping force prediction strategy that estimates a safe force range required for object grasping based on the estimated physical properties. Extensive experiments on material segmentation, physics-based dynamic simulation, and robotic grasping validate the effectiveness of our proposed method, highlighting its crucial role in understanding physical properties from visual data. Online demo, code, more cases and annotated datasets are available on \href{https://Gaussian-Property.github.io}{this https URL}.

cs.RO↗