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arXiv2026

Physics-Driven Independent Pair Generation for Iterative Self-Supervised Low-Dose CT Denoising

Low-dose computed tomography (LDCT) measurements contain mixed Poisson-Gaussian noise. However, most self-supervised methods rely on generic image statistics and do not explicitly model this noise, which may limit their ability to effectively suppress realistic LDCT noise. To address this issue, we propose a physics-driven framework with cross-domain iteration for self-supervised LDCT denoising. The proposed framework proceeds in three main steps. First, a learned sinogram prior and the LDCT noise model guide posterior inference of photon counts, enabling separation of the Poisson and Gaussian components. Second, the separated Poisson and Gaussian components are respectively processed by binomial thinning and Gaussian data thinning to construct two branches, and residual scaling matches each branch's noise level to that of the observation, yielding a training pair with approximately independent noise realizations from one low-dose measurement. Finally, the pair is used to train an image-domain network whose forward-projected outputs update the prior. Through cross-domain iteration, the prior and the training pair are progressively refined while maintaining consistency with CT acquisition physics. Experiments on simulated data from AAPM, LIDC-IDRI, and LoDoPaB-CT and on real LDCT data show consistent gains over the evaluated self-supervised baselines across dose levels, with performance comparable to the evaluated supervised baseline.

cs.CV↗
arXiv2026

$K$-NeAS: Scalable Multi-Material CT Reconstruction Using Neural SDFs

Computed Tomography (CT) carries significant ionizing radiation risks, driving the need for sparse-view reconstruction. Implicit scene representations (ISRs) address this by recovering continuous volumetric attenuation fields directly from sparse projections, and recent geometry-aware extensions jointly model surface geometry alongside attenuation to improve fidelity and enable clean tissue segmentation without manual thresholding. However, these methods remain limited by manually tuned attenuation bounds and rigid two-material constraints. This paper proposes $K$-NeAS, a unified and scalable architecture for automated, multi-material surface reconstruction. We replace independent material networks with a shared latent backbone and introduce a fully differentiable $K$-material sequential soft selector to model an arbitrary number of overlapping tissues. To eliminate manual tuning, we automate attenuation bounding using a Gaussian Mixture Model (GMM) and implement a scheduled auxiliary floater loss to mitigate geometric hallucinations common under extreme sparsity. Evaluated across four clinical Cone-Beam CT (CBCT) datasets, $K$-NeAS successfully scales to arbitrary material counts, achieving superior 3D volumetric fidelity at $K=3$ materials on complex multi-tissue regions such as the Abdomen ($33.28\text{ dB}$ 3D PSNR vs. $31.40\text{ dB}$ single-material NeAS baseline, a $+1.88\text{ dB}$ improvement). Furthermore, our model exhibits enhanced robustness under sparse-sampling conditions, outperforming baseline 3D PSNR by up to $1.17\text{ dB}$ under 5- and 10-view constraints.

cs.CV↗
arXiv2026

A Specialized Large Multimodal Model for Interpreting PET/CT in Head and Neck Cancer

Background: Diagnosing head and neck cancer using PET/CT is clinically challenging and time-consuming due to the anatomical complexity of the region, motivating computer-aided diagnosis (CAD). Generalist Large Multimodal Models (LMMs) remain limited in medical contexts by insufficient domain-specific knowledge, privacy and security concerns, and verbosity, motivating specialized standalone LMMs. Purpose: We evaluated the feasibility of a specialized LMM for automated PET/CT interpretation in head and neck cancer using a large-scale multi-institutional PET/CT dataset, a tailored training curriculum, and autoregressive training. Methods: LLaVA-NeXT was fine-tuned using a two-level curriculum with image-conversation pairs curated by two radiologists from public data. The dataset included clinically important annotations such as primary tumor presence and metastatic lymph node location. Level 1 used 28,000 image-conversation pairs to learn basic information, including modality type and hypermetabolism. Level 2 used 12,975 pairs to learn primary tumor presence and the existence and anatomical location of cervical lymph node metastases. External validation included four institutions with diverse imaging devices. Results: The specialized LMM substantially outperformed ChatGPT and LLaVA-NeXT. In Level-2 external validation, ROUGE-L, ROUGE-S, Cosine Similarity, Precision, Recall, and F1 were 0.8751, 0.8794, 0.8324, 0.8794, 0.8711, and 0.8751, while generalist models consistently scored below 0.1. Primary tumor classification accuracy was 83.14 +/- 1.15% internally and 69.03 +/- 0.81% externally. For lymph node localization, the corresponding scores were 0.6389, 0.6257, 0.5287, 0.5782, 0.6371, and 0.6648. Conclusion: Specialized LMMs show promising results for fast, accurate PET/CT-based diagnostic support and medical education, highlighting their potential for clinical translation.

cs.CV↗
arXiv2026

Conditional Diffusion for 3D CT Volume Reconstruction from 2D X-rays

Computed tomography (CT) provides rich 3D anatomical detail but is often constrained by high radiation exposure, substantial costs, and limited availability. Standard chest X-rays are cost-effective and widely accessible, but provide only 2D projections with limited pathological information. Reconstructing 3D CT volumes from 2D X-rays could markedly increase diagnostic accessibility, yet existing methods rely predominantly on synthetic X-ray projections, limiting clinical generalization. We propose AXON, a multi-stage diffusion-based framework that reconstructs 3D CT volumes directly from real X-rays with substantially improved fidelity over existing approaches. AXON follows a coarse-to-fine paradigm: a Brownian Bridge diffusion model first captures global anatomical structure, and a ControlNet-guided refinement stage then enhances local intensity detail and anatomical realism. To alleviate the depth ambiguity inherent in 2D-to-3D reconstruction, AXON incorporates bi-planar X-ray views, enabling more accurate spatial reasoning and structural recovery. A dedicated super-resolution module further increases the spatial resolution of the generated volumes. Experiments on public and external datasets show that AXON consistently surpasses state-of-the-art approaches while generalizing across diverse clinical distributions. At our highest-resolution bi-planar setting, AXON achieves an 11.9% improvement in PSNR and an 11.0% increase in SSIM over the strongest baseline evaluated at that resolution. In the $128^3$ single-planar setting, it maintains a lead of 7.8% in PSNR on LIDC-IDRI, with larger margins on the external clinical dataset of 8.0% in PSNR and 16.9% in SSIM. Our code is available at https://github.com/ai-med/AXON/.

cs.CV↗
arXiv2026

FoundDiff: Foundational Diffusion Model for Generalizable Low-Dose CT Denoising

Low-dose computed tomography (CT) denoising is crucial for reduced radiation exposure while ensuring diagnostically acceptable image quality. Despite significant advancements driven by deep learning (DL) in recent years, existing DL-based methods, typically trained on a specific dose level and anatomical region, struggle to handle diverse noise characteristics and anatomical heterogeneity during varied scanning conditions, limiting their generalizability and robustness in clinical scenarios. In this paper, we propose FoundDiff, a foundational diffusion model for unified and generalizable LDCT denoising across various dose levels and anatomical regions. FoundDiff employs a two-stage strategy: (i) dose-anatomy perception and (ii) adaptive denoising. First, we develop a dose- and anatomy-aware contrastive language-image pre-training model (DA-CLIP) to achieve robust dose and anatomy perception by leveraging specialized contrastive learning strategies to learn continuous representations that quantify ordinal dose variations and identify salient anatomical regions. Second, we design a dose- and anatomy-aware diffusion model (DA-Diff) to perform adaptive and generalizable denoising by synergistically integrating the learned dose and anatomy embeddings from DA-CLIP into diffusion process via a novel dose and anatomy conditional block (DACB) based on Mamba. Extensive experiments on a large simulated multi-dose CT dataset spanning three anatomical regions, together with cross-dataset evaluations on Mayo-2016, CQ500, and piglet datasets, demonstrate superior denoising performance and strong generalization to unseen dose levels and anatomical regions. The codes and models are available at https: //github.com/hao1635/FoundDiff.

cs.CV↗
arXiv2026

Prompt-Guided Interactive Segmentation of Interstitial Lung Disease in Thoracic CT

Accurate segmentation of interstitial lung disease (ILD) patterns is essential for quantitative disease assessment and longitudinal monitoring. However, existing approaches remain limited by relying on dense annotations and producing static predictions that cannot be refined, motivating interactive approaches. While promptable models show promise in interactive segmentation, their adaptation to ILDs remains largely unexplored. To address this gap, we investigate prompt-guided foundation models for ILD refinement and present, to the best of our knowledge, the first adaptation of MedSAM2 for interactive 3D ILD segmentation on thoracic CT. We investigate three fine-tuning strategies and multiple clinically motivated prompts: bounding-boxes (BBox), point, lasso, and scribble. On a dataset spanning seven ILD patterns and healthy lung tissue, full model fine-tuning performed best, improving the average Dice score by 4.7 percentage points over MedSAM2.While BBox prompts achieve the strongest performance, non-native MedSAM2 interactions such as lasso and scribble prompts also prove effective. Finally, we present and evaluate a proof-of-concept end-to-end workflow in which MedSAM2 is initialized from an automatic segmentation prior and subsequently refined using radiologist prompts. Model weights and plug-ins made available at: https://github.com/AIHNlab/ILD-SemiSegTool.

cs.CV↗
arXiv2026

ImageCAS-X: a dataset and benchmark for coronary artery segmentation and centerline extraction in coronary CT angiography

Accurate segmentation of the coronary vessel lumen is a prerequisite for quantitative assessment of atherosclerotic plaque and perivascular adipose tissue in coronary computed tomography angiography (CCTA). Cardiologists rely on semi-automated methods for this task because manual vessel tracing and segmentation are labour-intensive. Although many automated methods have been proposed, their validation remains limited by the lack of large, high-quality publicly available datasets. We provide a new dataset of voxel-wise annotations of the vessel lumen and coronary segments, alongside centerlines, and mesh surfaces for 800 scans from the publicly available ImageCAS dataset. Using this dataset, we benchmark established lumen segmentation methods against inter-observer variability, stratifying performance by disease, image quality, coronary dominance, coronary segment, vessel diameter, and lumen attenuation. These labels allow segmentation accuracy to be described in anatomical and clinical context rather than reported as a single aggregate score. The dataset supports the development and validation of methods for lumen segmentation, plaque and perivascular quantification, and haemodynamic modelling.

cs.CV↗
arXiv2026

Instance-Guided Report Anchoring for Text-Free 3D Abnormality Segmentation in Chest CT

Accurate 3D abnormality segmentation in chest CT requires dense spatial supervision, but obtaining expert voxel-level labels is costly. Radiology reports, however, are routinely generated during clinical interpretation and contain instance-specific descriptions that can provide additional guidance without new dense annotation. Existing vision-language grounding methods typically require report-derived findings at inference, making localization dependent on paired text and limiting each forward pass to a queried finding. We propose Instance-Guided Report Anchoring (IGRA), a model-agnostic module that preserves the correspondence between each annotated abnormality instance and the report finding that describes it. IGRA pools each instance representation and anchors it to the corresponding finding embedding during training; all text-related components are discarded at inference. We further reformulate free-text grounding on ReXGroundingCT as multi-label volumetric segmentation by merging same-category instances, allowing all abnormality categories to be predicted in one image-only forward pass. IGRA improves Dice by 22.5% over the strongest image-only baseline (30.93 vs. 25.25) and is comparable to VoxTell on the single-finding subset (30.29 vs. 30.43). Applied unchanged to four standard 3D segmentation backbones, IGRA improves Dice and hit rate across all architectures. Zero-shot evaluation on LIDC-IDRI, PleThora, and a private in-house dataset further shows consistent gains over image-only baselines.

cs.CV↗
arXiv2026

BEAM3R: Beam's-eye-view architecture with Mamba-3 for implicit dose reconstruction

To enable accurate and rapid photon control point and proton beamlet dose calculation in the DoseRAD2026 challenge, we present BEAM3R, a dose estimation framework operating in beam's-eye-view (BEV). Our core innovation combines a Mamba-3 state-space depth-sequence core with physics-based transport conditioning to model long-range depth transport without expensive 3D convolutions. BEAM3R shares a 2D CNN encoder-decoder architecture for photon and proton dose tasks, processing per-plane BEV slices. Proton beamlets are conditioned on water equivalent thickness and remaining range, encoding the parameters determining Bragg peak position. Photon models use a bidirectional Mamba-3 core to capture dose contributions from materials downstream of the calculation point, while the proton model uses a forward core with learned energy-prefix tokens and a Bragg-peak refinement module. To reduce interpolation artifacts and support high spatial resolution, we introduce axial grid alignment of BEV lattices with CT slices and an implicit super-resolution representation via sub-pixel phase packing, evaluated by a differentiable Triton-accelerated resampler that reconstructs packed cubic B-spline coefficients directly in CT space. For MRI-based tasks, synthetic CTs (sCT) are generated by a patch-based conditional GAN with a SwinUNETR backbone. On the preliminary DoseRAD2026 test set, CT-to-photon and CT-to-proton models achieved 1%/1 mm local gamma pass rates of 96.8% and 96.0%, with stratified plan-level MAEs of 0.0041 and 0.0079. Substituting sCT reduced gamma pass rates to 89.7% for photon and 75.4% proton plan level doses, with stratified plan-level MAEs of 0.0093 and 0.0336. Standardised runtimes were 23.4 s and 18.4 s for CT-to-photon and CT-to-proton prediction, increasing to 39.7 s and 42.8 s for the corresponding MRI-based pipelines.

physics.med-ph↗
arXiv2026

Parallel Reference-Centric Continuous-Time Relative Localization with Augmented Clamped Non-Uniform B-Splines

Accurate relative localization is critical for multi-robot cooperation. In robot groups, measurements from different robots arrive asynchronously and with clock time-offsets. Although Continuous-Time (CT) formulations have proved effective for handling asynchronous measurements in single-robot SLAM and calibration, extending CT methods to multi-robot settings faces great challenges in achieving high-accuracy, low-latency, and high-frequency performance. In particular, existing CT methods suffer from the inherent query-time delay of unclamped B-splines and high optimization latency. This paper proposes CT-RIO, a novel Continuous-Time Relative-Inertial Odometry framework. We adopt Clamped Non-Uniform B-splines (C-NUBS) to represent states, eliminating the query-time delay. We further augment C-NUBS with closed-form extension and shrinkage operations that preserve the spline shape, making it suitable for online estimation and enabling flexible knot management. This flexibility leads to the concept of a knot-keyknot strategy, which supports spline extension at high frequency while retaining sparse keyknots for adaptive relative motion modeling. We then formulate a reference-centric sliding-window relative localization problem that operates purely on relative kinematics and inter-robot constraints. To enable low-latency and high-frequency estimation, we decompose the tightly coupled optimization into robot-wise subproblems and solve them in parallel using asynchronous block coordinate descent. Extensive experiments show that CT-RIO converges from time-offsets as large as 264 ms to sub-millisecond within 3 s, and achieves RMSEs of 0.046 m and 1.8 degree. It consistently outperforms evaluated published methods, with improvements of up to 60% under high-speed motion.

cs.RO↗
arXiv2026

Continuous-Time Aggregation of Massive Flexible HVAC Loads Considering Uncertainty for Reserve Provision in Power System Dispatch

Heating, ventilation, and air conditioning (HVAC) loads, with their rapid response capabilities, can provide considerable intra-hour flexibility on the demand side for reserve provision in order to follow the fast variations of renewables. However, scheduling massive HVACs is challenging due to computation complexity and the uncertainty of outdoor temperature. In this paper, we first introduce a novel continuous-time (CT) aggregation model to reveal the potential intra-hour flexibility of HVACs. For accurate aggregation, a new affine transformation is designed to handle the heterogeneity in high-dimensional feasible region. Further, for reliable aggregation in practical environment, the outdoor temperature uncertainty is constructed by distributionally robust chance constrains and integrated into the aggregation model. Secondly, for the tractable calculation of the proposed CT aggregation model, a cascade of tailored reformulation techniques is proposed, including the Bernstein polynomial spline, polytope projection, and linearization transformation. Thirdly, a customized hierarchical dispatch framework is proposed via incorporating the proposed CT aggregation model into reserve provision in power system dispatch, so as to efficiently schedule massive HVACs to cope with the renewable uncertainty. Case studies verify the effectiveness and scalability of the proposed CT aggregation model in aggregation accuracy, intra-hour flexibility utilization, and uncertainty handling.

eess.SY↗
arXiv2026

Sense Once, Serve Many: Common-Trace Factorized Constrained PPO for Online Sensing-Session Consolidation in Multi-Tenant ISAC Networks

Integrated sensing and communication (ISAC) networks can serve compatible requests through shared sensing sessions, but consolidation couples admission, reuse, profile selection, sensing service-level agreements (SLAs), communication quality of service (QoS), and future commitments. We formulate this problem as a constrained Markov decision process and propose Common-Trace Factorized Constrained Proximal Policy Optimization (CT-PPO). During training, stochastic policy replicas share the same primitive workload trace; leave-one-out discounted Monte Carlo return contrasts provide reward credit to applicable actor factors, while constraint credit remains factor/prefix-specific. Across five training seeds and matched workloads, CT-PPO achieves the highest mean macro return, exceeding matched Joint-Credit PPO (JC-PPO) by 0.934 (95% confidence interval [0.702, 1.164]) and SLA-Aware Greedy by 1.847; versus JC-PPO, it reduces sensing-resource cost by 6.277 and raises accepted requests per created session by 0.0806. A four-way ablation shows that the factorized surrogate alone yields no detectable macro-return gain, whereas adding common-trace reward credit produces the dominant improvement. Without retraining, CT-PPO retains a return advantage at low, nominal, and high arrival loads, with the strongest gain under clustered arrivals. Deployment uses public observations and hard masks; CT-PPO's extra parameters are training-side, its actor footprint matches JC-PPO, and actor-only CPU latency is effectively unchanged.

cs.NI↗
arXiv2026

Beyond Transfer Accuracy: Mechanism-Guided Controlled Adaptation for Low-Resource Languages

Existing circuit discovery methods rely on templated tasks with clean counterfactuals, limiting their use on diverse natural text. We adapt Contextual Decomposition for Transformers (CD-T) for unstructured settings via label-balanced activation means and task-directional relevance scoring, enabling counterfactual-free circuit discovery. We leverage the discovered circuits for Circuit-Targeted Supervised Fine-Tuning (CT-SFT), restricting parameter updates to task-relevant heads and LayerNorm. Experiments on NusaX cross-lingual sentiment transfer show that CT-SFT is highly competitive for low-resource adaptation. While non-circuit sparse updates and full fine-tuning sometimes match target accuracy through capacity recruitment, CT-SFT most consistently avoids catastrophic forgetting, preserving source-language and related-task performance. Extensions to XNLI support the source-retention and intervention findings on a harder task and two model families, showing that circuit-targeted adaptation provides a more controlled, intervention-supported alternative to global fine-tuning.

cs.CL↗
arXiv2026

Report Supervision

Segmentation models can surpass radiologists, classification models, and vision-language models in tumor detection. Importantly, segmentation models outline tumors, allowing radiologists to better verify and trust the AI output. Their main limitation is the scarcity of tumor masks: creating one 3D tumor mask takes up to 30 minutes, so most public CT datasets contain only a few hundred masks, and even the largest private datasets contain only a couple of thousand. Tumor masks are not produced in clinical routine, but radiology reports are. Public datasets contain tens of thousands of CT-Report pairs, and hospitals contain hundreds of thousands. These reports describe tumors in detail, providing large-scale, informative training data. Here, we introduce Report Supervision (R-Super), a training framework that uses reports to directly supervise and improve tumor segmentation. R-Super introduces new loss functions that teach segmentation models to segment tumors that match report descriptions of tumor count, sizes, and locations. Reports are only used for training. We evaluated R-Super on kidney and pancreatic tumor segmentation, exploring diverse training data sizes, up to 41,418 CT-Report plus 3,488 pancreatic tumor CT-Mask pairs. On external validation, R-Super increased tumor detection F1-Score and segmentation DSC by up to +15% with respect to mask-only training. It also surpassed alternative methods such as CLIP and multi-task learning. Leveraging numerous readily available reports to supplement scarce masks, R-Super strongly improves AI performance when very few training masks are available (e.g., 50), and when many masks are available (e.g., 3,488), unlocking scale in tumor segmentation.

cs.CV↗
arXiv2026

WorldBench: Culturally Grounded Benchmark for Multilingual Agents

Despite the growing use of LLM-powered agents to solve multi-step tasks in complex environments, existing benchmarks rarely test state preservation, performance across languages, and application to realistic, grounded scenarios. To address these concerns, we present WorldBench: a comprehensive, multilingual benchmark of genuine, persona-grounded everyday workflows, where agents can act in a sandbox via structured actions. WorldBench comprises 1,600 tasks across seven languages and eight cultures, filtered and refined through feedback from human annotators with language- and culture-specific expertise. For evaluation, we extend metrics from previous works and introduce Constrained Task Success (CTS), which combines natural language instructions and testbeds to score task completion, minimal modification, and other complementary metrics through deterministic and LLM-as-a-Judge evaluations. Our experiments show that frontier models reach only 49.2% CTS, with all models demonstrating large gaps between correctness and environment preservation. We thereby show that current agents remain brittle in multilingual, agentic scenarios, especially for long-horizon tasks and under state-preservation constraints

cs.AI↗
arXiv2026

LISynSeg: Data-Centric Label-to-Image Synthesis for Cross-Modality Whole-Heart Segmentation

Whole-heart segmentation (WHS) in computed tomography (CT) and magnetic resonance imaging (MRI) is affected by acquisition shifts and heterogeneous cardiac annotations. Existing WHS systems combine architectural design, transfer learning, and generic spatial or intensity augmentation. We investigate whether changes to data augmentation and training supervision can improve cross-modality WHS while the segmentation architecture is held constant. We present LISynSeg, a data-centric approach that augments real-image nnU-Net training with label-to-image synthesis. Synthetic volumes are generated from cardiac label maps using contrast and acquisition perturbations calibrated to the training cohort, then mixed with real images to retain thoracic context absent from the labels (and thus the synthesized images). We model cardiac label variation through controlled changes in myocardial wall thickness and partial supervision of uncertain vessel endpoints. On the CARE Whole-Heart benchmark, synthetic-only training performs worse than the real-image nnU-Net baseline, whereas calibrated real-synthetic training improves cross-modality segmentation without changing the architecture; the improvement is larger for MRI than for CT. The results show that modifying the training data strategy can benefit model development for heterogeneous cardiac data. Code and trained weights will be released at https://github.com/MedICL-VU/Care26_LISynSeg.

cs.CV↗
arXiv2026

Do Medical Vision Models Reason About Anatomy? Probing the Spatial Inductive Biases of Learned Visual Representations

Interpreting a CT scan means comparing structures on either side, judging how far apart organs sit, and knowing where each one belongs. Medical vision encoders are evaluated on diagnostic accuracy, or through assembled multimodal systems where a failure is hard to attribute, so it remains unclear whether their representations support any of this. We construct SPAR-Bench, eight probes over multi-organ abdominal CT that separate coordinate localization, relational reasoning, and spatial queries, and apply them to five architectural configurations and three medical foundation models, frozen and finetuned. Probes that ask for a comparison within the slice stay at chance, and neither pretraining scale, finetuning, nor architecture closes the gap. Probes that appear solved in domain fall to chance under zero-shot transfer, indicating that their accuracy reflects recall of canonical anatomy rather than computation over the image. Reading the same frozen features with a pooled head rather than the full set of tokens moves relational recovery from 0.7% to 67.8%, so pooled probing understates what a representation holds. Questions the encoders answer well are answered at chance by four open-weight MLLMs. Our results suggest these encoders carry a map of where organs usually lie, and little of the machinery for comparing structures within a particular patient. Code and data will be available at https://spar-bench.github.io.

eess.IV↗
arXiv2026

Pretrained, Curriculum-Tuned, and Ensembled: A Tracer-Aware Interactive Segmentation Pipeline for AutoPET V

Interactive lesion segmentation in whole-body PET/CT requires a model to provide a strong initial prediction while also responding efficiently to sparse corrective scribbles during inference. This setting is particularly challenging because tracer distributions, physiological uptake patterns, lesion appearance, and acquisition characteristics differ substantially between FDG and PSMA studies. We present TRIAGE, Tracer-aware Refinement via Interactive Anatomy-Guided sEgmentation. The core backbone is a 3D STU-Net initialized through masked autoencoding pre-training with an asynchronous masking strategy, aiming to learn transferable anatomical and cross-modal representations before task-specific fine-tuning. In parallel, we train an auxiliary organ segmentation model whose predictions provide explicit anatomical context and help distinguish physiological uptake from malignant lesions. A dedicated tracer classifier first routes each study to an FDG- or PSMA-specific branch. Within each branch, a first-stage segmentation model consumes CT, PET, and organ context to generate an initial lesion mask. The initial prediction is then combined with cumulative foreground/background scribbles and refined by a second interactive segmentation network. The FDG and PSMA branches share the same overall processing pipeline but are trained independently to account for tracer-specific appearance and error modes. We additionally employ curriculum-style training and model ensembling to improve robustness across interaction steps and heterogeneous cohorts. Experiments are conducted using the official AutoPET V data and ten-fold split; quantitative results, ablations, and final test-set performance are left as placeholders to be completed after the challenge evaluation. Code: https://github.com/Liiiii2101/AUTOPET2026-MEDAI.

cs.CV↗