arXiv subjects

Jiazhen Pan

Publications and source records attributed to Jiazhen Pan.

At least 37 records · Page 2Linked to original sources

arXiv2026

SWE Context Bench: A Benchmark for Context Learning in Coding

Large language models are increasingly used as coding agents for software engineering tasks. Current benchmarks mainly evaluate whether the agent can correctly solve the request or fix the bugs. They largely treat tasks as independent and do not assess whether agents can reuse previous experience across related problems. As a result, the efficiency gains from reusing the previous experience remains difficult to measure. We introduce SWE-ContextBench, a benchmark designed to explicitly evaluate context understanding and retrieval in coding agents. SWE-ContextBench consists of 1,100 base tasks with another 376 related tasks derived from real dependency and reference relationships among GitHub issues and pull requests. SWE-ContextBench groups base tasks and related tasks with shared context across 51 unique repositories and 9 programming languages. The benchmark evaluates how accurately and efficiently agents solve related issues when prior cases are available in context. Using SWE-ContextBench, we study the behavior of multiple coding agents across varying context reuse settings and retrieval strategies. Our results show that accurately summarized and retrieved previous experience can significantly improve resolution accuracy and reduce runtime and token cost, particularly on harder tasks. In contrast, unfiltered or incorrectly selected context provides limited or negative benefits. These findings highlight the importance of context management and retrieval accuracy, and position SWE-ContextBench as a principled benchmark for studying context learning in coding agents.

cs.SE↗

arXiv2026

Agentic clinical reasoning over longitudinal myeloma records: a retrospective evaluation against expert consensus

Multiple myeloma is managed through sequential lines of therapy over years to decades, with each decision depending on cumulative disease history distributed across dozens to hundreds of heterogeneous clinical documents. Whether LLM-based systems can synthesise this evidence at a level approaching expert agreement has not been established. A retrospective evaluation was conducted on longitudinal clinical records of 811 myeloma patients treated at a tertiary centre (2001-2026), covering 44,962 documents and 1,334,677 laboratory values, with external validation on MIMIC-IV. An agentic reasoning system was compared against single-pass retrieval-augmented generation (RAG), iterative RAG, and full-context input on 469 patient-question pairs from 48 templates at three complexity levels. Reference labels came from double annotation by four oncologists with senior haematologist adjudication. Iterative RAG and full-context input converged on a shared ceiling (75.4% vs 75.8%, p = 1.00). The agentic system reached 79.6% concordance (95% CI 76.4-82.8), exceeding both baselines (+3.8 and +4.2 pp; p = 0.006 and 0.007). Gains rose with question complexity, reaching +9.4 pp on criteria-based synthesis (p = 0.032), and with record length, reaching +13.5 pp in the top decile (n = 10). The system error rate (12.2%) was comparable to expert disagreement (13.6%), but severity was inverted: 57.8% of system errors were clinically significant versus 18.8% of expert disagreements. Agentic reasoning was the only approach to exceed the shared ceiling, with gains concentrated on the most complex questions and longest records. The greater clinical consequence of residual system errors indicates that prospective evaluation in routine care is required before these findings translate into patient benefit.

cs.AI↗

arXiv2026

Dynamic Decision Learning: Test-Time Evolution for Abnormality Grounding in Rare Diseases

Clinical abnormality grounding for rare diseases is often hindered by data scarcity, making supervised fine-tuning impractical and single-pass inference highly unstable. We propose Dynamic Decision Learning (DDL), a framework that enables frozen large vision-language models (LVLMs) to refine their decisions across both language and visual spaces by optimizing instructions and consolidating predictions under visual perturbations. This process improves localization quality and produces a consensus-based reliability score that quantifies model confidence. Results on brain imaging benchmarks, including a rare-disease dataset with 281 pathology types across models ranging from 3B to 72B parameters, show that DDL improves mAP@75 by up to 105% on rare-disease cases and outperforms adaptation baselines and supervised fine-tuning. Furthermore, DDL demonstrates stronger calibration between reliability scores and localization accuracy under severe distribution shifts and increasing task difficulty. Code is available at: https://lijunrio.github.io/DDL/

cs.CL↗

arXiv2026

Evo-MedAgent: Beyond One-Shot Diagnosis with Agents That Remember, Reflect, and Improve

Tool-augmented large language model (LLM) agents can orchestrate specialist classifiers, segmentation models, and visual question-answering modules to interpret chest X-rays. However, these agents still solve each case in isolation: they fail to accumulate experience across cases, correct recurrent reasoning mistakes, or adapt their tool-use behavior without expensive reinforcement learning. While a radiologist naturally improves with every case, current agents remain static. In this work, we propose Evo-MedAgent, a self-evolving memory module that equips a medical agent with the capacity for inter-case learning at test time. Our memory comprises three complementary stores: (1)~\emph{Retrospective Clinical Episodes} that retrieve problem-solving experiences from similar past cases, (2)~an \emph{Adaptive Procedural Heuristics} bank curating priority-tagged diagnostic rules that evolves via reflection, much like a physician refining their internal criteria, and (3)~a \emph{Tool Reliability Controller} that tracks per-tool trustworthiness. On ChestAgentBench, Evo-MedAgent raises multiple-choice question (MCQ) accuracy from 0.68 to 0.79 on GPT-5-mini, and from 0.76 to 0.87 on Gemini-3 Flash. With a strong base model, evolving memory improves performance more effectively than orchestrating external tools on qualitative diagnostic tasks. Because Evo-MedAgent requires no training, its per-case overhead is bounded by one additional retrieval pass and a single reflection call, making it deployable on top of any frozen model.

cs.AI↗

arXiv2026

Med-CMR: A Fine-Grained Benchmark Integrating Visual Evidence and Clinical Logic for Medical Complex Multimodal Reasoning

MLLMs MLLMs are beginning to appear in clinical workflows, but their ability to perform complex medical reasoning remains unclear. We present Med-CMR, a fine-grained Medical Complex Multimodal Reasoning benchmark. Med-CMR distinguishes from existing counterparts by three core features: 1) Systematic capability decomposition, splitting medical multimodal reasoning into fine-grained visual understanding and multi-step reasoning to enable targeted evaluation; 2) Challenging task design, with visual understanding across three key dimensions (small-object detection, fine-detail discrimination, spatial understanding) and reasoning covering four clinically relevant scenarios (temporal prediction, causal reasoning, long-tail generalization, multi-source integration); 3) Broad, high-quality data coverage, comprising 20,653 Visual Question Answering (VQA) pairs spanning 11 organ systems and 12 imaging modalities, validated via a rigorous two-stage (human expert + model-assisted) review to ensure clinical authenticity. We evaluate 18 state-of-the-art MLLMs with Med-CMR, revealing GPT-5 as the top-performing commercial model: 57.81 accuracy on multiple-choice questions (MCQs) and a 48.70 open-ended score, outperforming Gemini 2.5 Pro (49.87 MCQ accuracy, 45.98 open-ended score) and leading open-source model Qwen3-VL-235B-A22B (49.34 MCQ accuracy, 42.62 open-ended score). However, specialized medical MLLMs do not reliably outperform strong general models, and long-tail generalization emerges as the dominant failure mode. Med-CMR thus provides a stress test for visual-reasoning integration and rare-case robustness in medical MLLMs, and a rigorous yardstick for future clinical systems.

cs.AI↗

arXiv2026

TimeFlow: Temporal Conditioning for Longitudinal Brain MRI Registration and Aging Analysis

Longitudinal brain analysis is essential for understanding healthy aging and identifying pathological deviations. Longitudinal registration of sequential brain MRI underpins such analyses. However, existing methods are limited by reliance on densely sampled time series, a trade-off between accuracy and temporal smoothness, and an inability to prospectively forecast future brain states. To overcome these challenges, we introduce \emph{TimeFlow}, a learning-based framework for longitudinal brain MRI registration. TimeFlow uses a U-Net backbone with temporal conditioning to model neuroanatomy as a continuous function of age. Given only two scans from an individual, TimeFlow estimates accurate and temporally coherent deformation fields, enabling non-linear extrapolation to predict future brain states. This is achieved by our proposed inter-/extra-polation consistency constraints applied to both the deformation fields and deformed images. Remarkably, these constraints preserve temporal consistency and continuity without requiring explicit smoothness regularizers or densely sampled sequential data. Extensive experiments demonstrate that TimeFlow outperforms state-of-the-art methods in terms of both future timepoint forecasting and registration accuracy. Moreover, TimeFlow supports novel biological brain aging analyses by differentiating neurodegenerative trajectories from normal aging without requiring segmentation, thereby eliminating the need for labor-intensive annotations and mitigating segmentation inconsistency. TimeFlow offers an accurate, data-efficient, and annotation-free framework for longitudinal analysis of brain aging and chronic diseases, capable of forecasting brain changes beyond the observed study period.

eess.IV↗

arXiv2026

Opportunistic Cardiac Health Assessment: Estimating Phenotypes from Localizer MRI through Multi-Modal Representations

Cardiovascular diseases are the leading cause of death. Cardiac phenotypes (CPs), e.g., ejection fraction, are the gold standard for assessing cardiac health, but they are derived from cine cardiac magnetic resonance imaging (CMR), which is costly and requires high spatio-temporal resolution. Every magnetic resonance (MR) examination begins with rapid and coarse localizers for scan planning, which are discarded thereafter. Despite non-diagnostic image quality and lack of temporal information, localizers can provide valuable structural information rapidly. In addition to imaging, patient-level information, including demographics and lifestyle, influence the cardiac health assessment. Electrocardiograms (ECGs) are inexpensive, routinely ordered in clinical practice, and capture the temporal activity of the heart. Here, we introduce C-TRIP (Cardiac Tri-modal Representations for Imaging Phenotypes), a multi-modal framework that aligns localizer MRI, ECG signals, and tabular metadata to learn a robust latent space and predict CPs using localizer images as an opportunistic alternative to CMR. By combining these three modalities, we leverage cheap spatial and temporal information from localizers, and ECG, respectively while benefiting from patient-specific context provided by tabular data. Our pipeline consists of three stages. First, encoders are trained independently to learn uni-modal representations. The second stage fuses the pre-trained encoders to unify the latent space. The final stage uses the enriched representation space for CP prediction, with inference performed exclusively on localizer MRI. Proposed C-TRIP yields accurate functional CPs, and high correlations for structural CPs. Since localizers are inherently rapid and low-cost, our C-TRIP framework could enable better accessibility for CP estimation.

cs.CV↗

arXiv2026

No Image, No Problem: End-to-End Multi-Task Cardiac Analysis from Undersampled k-Space

Conventional clinical CMR pipelines rely on a sequential "reconstruct-then-analyze" paradigm, forcing an ill-posed intermediate step that introduces avoidable artifacts and information bottlenecks. This creates a fundamental mathematical paradox: it attempts to recover high-dimensional pixel arrays (i.e., images) from undersampled k-space, rather than directly extracting the low-dimensional physiological labels actually required for diagnosis. To unlock the direct diagnostic potential of k-space, we propose k-MTR (k-space Multi-Task Representation), a k-space representation learning framework that aligns undersampled k-space data and fully-sampled images into a shared semantic manifold. Leveraging a large-scale controlled simulation of 42,000 subjects, k-MTR forces the k-space encoder to restore anatomical information lost to undersampling directly within the latent space, bypassing the explicit inverse problem for downstream analysis. We demonstrate that this latent alignment enables the dense latent space embedded with high-level physiological semantics directly from undersampled frequencies. Across continuous phenotype regression, disease classification, and anatomical segmentation, k-MTR achieves highly competitive performance against state-of-the-art image-domain baselines. By showcasing that precise spatial geometries and multi-task features can be successfully recovered directly from the k-space representations, k-MTR provides a robust architectural blueprint for task-aware cardiac MRI workflows.

cs.CV↗

arXiv2026

Evo: Autoregressive-Diffusion Large Language Models with Evolving Balance

We introduce \textbf{Evo}, a duality latent trajectory model that bridges autoregressive (AR) and diffusion-based language generation within a continuous evolutionary generative framework. Rather than treating AR decoding and diffusion generation as separate paradigms, Evo reconceptualizes text generation as a latent flow: each token is associated with a vector-valued embedding that evolves over a progression variable $t_i \in [0, 1]$, indicating its semantic maturity. Low $t_i$ values correspond to confident AR-like refinement, while high values invoke diffusion-style planning, allowing the model to adaptively balance AR and diffusion based on uncertainty. Theoretically, we show that both AR and diffusion models emerge as discretizations of a shared probability flow, and we derive Evo's training objective from a unified variational ELBO. The model is implemented as a time-conditioned Transformer governed by a shared vector field, trained end-to-end to jointly infer latent codes and their progression times. During decoding, Evo performs efficient, semantics-aware refinement, achieving high-quality outputs without sacrificing speed. Empirically, Evo 8B achieves state-of-the-art or highly competitive results on 15 diverse benchmarks, including reasoning (GSM8K, ARC-C), code generation (HumanEval, MBPP), and general language understanding, while maintaining fast inference speed. Our results demonstrate that Evo delivers a new paradigm for LLM design with strong generation quality, robust symbolic reasoning, and decoding efficiency.

cs.LG↗

arXiv2026

RiskAgent: Synergizing Language Models with Validated Tools for Evidence-Based Risk Prediction

Large Language Models (LLMs) achieve competitive results compared to human experts in medical examinations. However, it remains a challenge to apply LLMs to complex clinical decision-making, which requires a deep understanding of medical knowledge and differs from the standardized, exam-style scenarios commonly used in current efforts. A common approach is to fine-tune LLMs for target tasks, which, however, not only requires substantial data and computational resources but also remains prone to generating `hallucinations'. In this work, we present RiskAgent, which synergizes language models with hundreds of validated clinical decision tools supported by evidence-based medicine, to provide generalizable and faithful recommendations. Our experiments show that RiskAgent not only achieves superior performance on a broad range of clinical risk predictions across diverse scenarios and diseases, but also demonstrates robust generalization in tool learning on the external MedCalc-Bench dataset, as well as in medical reasoning and question answering on three representative benchmarks, MedQA, MedMCQA, and MMLU.

cs.LG↗

arXiv2026

Does DINOv3 Set a New Medical Vision Standard? Benchmarking 2D and 3D Classification, Segmentation, and Registration

The advent of large-scale vision foundation models, pre-trained on diverse natural images, has marked a paradigm shift in computer vision. However, how the frontier vision foundation models' efficacies transfer to specialised domains such as medical imaging remains an open question. This report investigates whether DINOv3, a state-of-the-art self-supervised vision transformer (ViT) pre-trained on natural images, can directly serve as a powerful, unified encoder for medical vision tasks without domain-specific fine-tuning. To answer this, we benchmark DINOv3 across common medical vision tasks, including 2D and 3D classification, segmentation, and registration on a wide range of medical imaging modalities. We systematically analyse its scalability by varying model sizes and input image resolutions. Our findings reveal that DINOv3 shows impressive performance and establishes a formidable new baseline. Remarkably, it can even outperform medical-specific foundation models like BiomedCLIP and CT-Net on several tasks, despite being trained solely on natural images. However, we identify clear limitations: The model's features degrade in scenarios requiring deep domain specialisation, such as in whole-slide images (WSIs), electron microscopy (EM), and positron emission tomography (PET). Furthermore, we observe that DINOv3 does not consistently follow the scaling law in the medical domain. Its performance does not reliably increase with larger models or finer feature resolutions, showing diverse scaling behaviours across tasks. Overall, our work establishes DINOv3 as a strong baseline, whose powerful visual features can serve as a robust prior for multiple medical tasks. This opens promising future directions, such as leveraging its features to enforce multiview consistency in 3D reconstruction.

cs.CV↗

arXiv2025

AortaDiff: A Unified Multitask Diffusion Framework For Contrast-Free AAA Imaging

While contrast-enhanced CT (CECT) is standard for assessing abdominal aortic aneurysms (AAA), the required iodinated contrast agents pose significant risks, including nephrotoxicity, patient allergies, and environmental harm. To reduce contrast agent use, recent deep learning methods have focused on generating synthetic CECT from non-contrast CT (NCCT) scans. However, most adopt a multi-stage pipeline that first generates images and then performs segmentation, which leads to error accumulation and fails to leverage shared semantic and anatomical structures. To address this, we propose a unified deep learning framework that generates synthetic CECT images from NCCT scans while simultaneously segmenting the aortic lumen and thrombus. Our approach integrates conditional diffusion models (CDM) with multi-task learning, enabling end-to-end joint optimization of image synthesis and anatomical segmentation. Unlike previous multitask diffusion models, our approach requires no initial predictions (e.g., a coarse segmentation mask), shares both encoder and decoder parameters across tasks, and employs a semi-supervised training strategy to learn from scans with missing segmentation labels, a common constraint in real-world clinical data. We evaluated our method on a cohort of 264 patients, where it consistently outperformed state-of-the-art single-task and multi-stage models. For image synthesis, our model achieved a PSNR of 25.61 dB, compared to 23.80 dB from a single-task CDM. For anatomical segmentation, it improved the lumen Dice score to 0.89 from 0.87 and the challenging thrombus Dice score to 0.53 from 0.48 (nnU-Net). These segmentation enhancements led to more accurate clinical measurements, reducing the lumen diameter MAE to 4.19 mm from 5.78 mm and the thrombus area error to 33.85% from 41.45% when compared to nnU-Net. Code is available at https://github.com/yuxuanou623/AortaDiff.git.

cs.CV↗

arXiv2025

Disentangling Progress in Medical Image Registration: Beyond Trend-Driven Architectures towards Domain-Specific Strategies

Medical image registration drives quantitative analysis across organs, modalities, and patient populations. Recent deep learning methods often combine low-level "trend-driven" computational blocks from computer vision, such as large-kernel CNNs, Transformers, and state-space models, with high-level registration-specific designs like motion pyramids, correlation layers, and iterative refinement. Yet, their relative contributions remain unclear and entangled. This raises a central question: should future advances in registration focus on importing generic architectural trends or on refining domain-specific design principles? Through a modular framework spanning brain, lung, cardiac, and abdominal registration, we systematically disentangle the influence of these two paradigms. Our evaluation reveals that low-level "trend-driven" computational blocks offer only marginal or inconsistent gains, while high-level registration-specific designs consistently deliver more accurate, smoother, and more robust deformations. These domain priors significantly elevate the performance of a standard U-Net baseline, far more than variants incorporating "trend-driven" blocks, achieving an average relative improvement of $\sim3\%$. All models and experiments are released within a transparent, modular benchmark that enables plug-and-play comparison for new architectures and registration tasks (https://github.com/BailiangJ/rethink-reg). This dynamic and extensible platform establishes a common ground for reproducible and fair evaluation, inviting the community to isolate genuine methodological contributions from domain priors. Our findings advocate a shift in research emphasis: from following architectural trends to embracing domain-specific design principles as the true drivers of progress in learning-based medical image registration.

eess.IV↗

arXiv2025

Evaluating Reasoning Faithfulness in Medical Vision-Language Models using Multimodal Perturbations

Vision-language models (VLMs) often produce chain-of-thought (CoT) explanations that sound plausible yet fail to reflect the underlying decision process, undermining trust in high-stakes clinical use. Existing evaluations rarely catch this misalignment, prioritizing answer accuracy or adherence to formats. We present a clinically grounded framework for chest X-ray visual question answering (VQA) that probes CoT faithfulness via controlled text and image modifications across three axes: clinical fidelity, causal attribution, and confidence calibration. In a reader study (n=4), evaluator-radiologist correlations fall within the observed inter-radiologist range for all axes, with strong alignment for attribution (Kendall's $τ_b=0.670$), moderate alignment for fidelity ($τ_b=0.387$), and weak alignment for confidence tone ($τ_b=0.091$), which we report with caution. Benchmarking six VLMs shows that answer accuracy and explanation quality can be decoupled, acknowledging injected cues does not ensure grounding, and text cues shift explanations more than visual cues. While some open-source models match final answer accuracy, proprietary models score higher on attribution (25.0% vs. 1.4%) and often on fidelity (36.1% vs. 31.7%), highlighting deployment risks and the need to evaluate beyond final answer accuracy.

cs.CL↗

arXiv2025

Reconstruction-free segmentation from undersampled k-space using transformers

Motivation: High acceleration factors place a limit on MRI image reconstruction. This limit is extended to segmentation models when treating these as subsequent independent processes. Goal: Our goal is to produce segmentations directly from sparse k-space measurements without the need for intermediate image reconstruction. Approach: We employ a transformer architecture to encode global k-space information into latent features. The produced latent vectors condition queried coordinates during decoding to generate segmentation class probabilities. Results: The model is able to produce better segmentations across high acceleration factors than image-based segmentation baselines. Impact: Cardiac segmentation directly from undersampled k-space samples circumvents the need for an intermediate image reconstruction step. This allows the potential to assess myocardial structure and function on higher acceleration factors than methods that rely on images as input.

eess.IV↗

arXiv2025

Unsupervised whole-heart function assessment

Motivation: CMR is the golden standard for cardiac diagnosis, and medical data annotation is time-consuming. Thus, screening techniques from unlabeled data can help streamline the cardiac diagnosis process. Goal: This work aims to enable cardiac function assessment from unlabeled cardiac MR images using an unsupervised approach with masked image modeling. Approach: Our model creates a robust latent space by reconstructing sparse 2D+T planes (SAX, 2CH, 3CH, and 4CH views) with 70\% masking, which can be further disentangled into distinct cardiac temporal states. Results: t-SNE visualization and kNN clustering analysis confirm the association between latent space and cardiac phenotypes, highlighting strong temporal feature extraction. Impact: This method offers a scalable approach for cardiac screening by creating a latent space as well as distinct time-segment embeddings, enabling diverse preliminary analysis of cardiac function and potentially advancing research in cardiovascular disease applications.

q-bio.TO↗

arXiv2025

Loss investigations of high frequency lithium niobate Lamb wave resonators at ultralow temperatures

Lamb wave resonators (LWRs) operating at ultralow temperatures serve as promising acoustic platforms for implementing microwave-optical transduction and radio frequency (RF) front-ends in aerospace communications because of the exceptional electromechanical coupling (k^2) and frequency scalability. However, the properties of LWRs at cryogenic temperatures have not been well understood yet. Herein, we experimentally investigate the temperature dependence of the quality factor and resonant frequency in higher order antisymmetric LWRs down to millikelvin temperatures. The high-frequency A1 and A3 mode resonators with spurious-free responses are comprehensively designed, fabricated, and characterized. The quality factors of A1 modes gradually increase upon cryogenic cooling and shows 4 times higher than the room temperature value, while A3 mode resonators exhibit a non-monotonic temperature dependence. Our findings provide new insights into loss mechanisms of cryogenic LWRs, paving the way to strong-coupling quantum acoustodynamics and next-generation satellite wireless communications.

physics.app-ph↗

arXiv2025

MultiMAE for Brain MRIs: Robustness to Missing Inputs Using Multi-Modal Masked Autoencoder

Missing input sequences are common in medical imaging data, posing a challenge for deep learning models reliant on complete input data. In this work, inspired by MultiMAE [2], we develop a masked autoencoder (MAE) paradigm for multi-modal, multi-task learning in 3D medical imaging with brain MRIs. Our method treats each MRI sequence as a separate input modality, leveraging a late-fusion-style transformer encoder to integrate multi-sequence information (multi-modal) and individual decoder streams for each modality for multi-task reconstruction. This pretraining strategy guides the model to learn rich representations per modality while also equipping it to handle missing inputs through cross-sequence reasoning. The result is a flexible and generalizable encoder for brain MRIs that infers missing sequences from available inputs and can be adapted to various downstream applications. We demonstrate the performance and robustness of our method against an MAE-ViT baseline in downstream segmentation and classification tasks, showing absolute improvement of $10.1$ overall Dice score and $0.46$ MCC over the baselines with missing input sequences. Our experiments demonstrate the strength of this pretraining strategy. The implementation is made available.

cs.CV↗