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Jing Qin

Publications and source records attributed to Jing Qin.

At least 37 records · Page 2Linked to original sources

Enabling Ultra-Fast Cardiovascular Imaging Across Heterogeneous Clinical Environments with A Generalist Foundation Model and Multimodal Database

Multimodal cardiovascular magnetic resonance (CMR) imaging provides comprehensive and non-invasive insights into cardiovascular disease (CVD) diagnosis and underlying mechanisms. Despite decades of advancements, its widespread clinical adoption remains constrained by prolonged scan times, inconsistent image quality, and heterogeneity across medical environments. This underscores the urgent need for a generalist reconstruction foundation model for ultra-fast CMR imaging, one formulated for physics-constrained inverse problems in the sensor (k-space) domain, capable of adapting across diverse imaging scenarios and serving as the essential substrate for all downstream analyses. To enable this goal, we curate MMCMR-427K, the largest and most comprehensive multimodal CMR k-space database to date, comprising 427,465 multi-coil k-space data paired with structured metadata across 13 international centers, 12 CMR modalities, 15 scanners spanning four field strengths, and 17 CVD categories in populations across three continents. Building on this unprecedented resource, we introduce CardioMM, a generalist reconstruction foundation model capable of dynamically adapting to heterogeneous fast CMR imaging scenarios. CardioMM unifies semantic contextual understanding with physics-informed data consistency to deliver robust reconstructions across varied scanners, protocols, and patient presentations. Comprehensive evaluations demonstrate that CardioMM achieves state-of-the-art performance across internal centers and exhibits strong zero-shot generalization to unseen external settings. Importantly, CardioMM supports acceleration up to 24x, providing the first evidence that such extreme acquisition speed can preserve key cardiac phenotypes, quantitative myocardial biomarkers, and diagnostic image quality without compromising clinical integrity.

eess.IV↗

Commander-GPT: Dividing and Routing for Multimodal Sarcasm Detection

Multimodal sarcasm understanding is a high-order cognitive task. Although large language models (LLMs) have shown impressive performance on many downstream NLP tasks, growing evidence suggests that they struggle with sarcasm understanding. In this paper, we propose Commander-GPT, a modular decision routing framework inspired by military command theory. Rather than relying on a single LLM's capability, Commander-GPT orchestrates a team of specialized LLM agents where each agent will be selectively assigned to a focused sub-task such as keyword extraction, sentiment analysis, etc. Their outputs are then routed back to the commander, which integrates the information and performs the final sarcasm judgment. To coordinate these agents, we introduce three types of centralized commanders: (1) a trained lightweight encoder-based commander (e.g., multi-modal BERT); (2) four small autoregressive language models, serving as moderately capable commanders (e.g., DeepSeek-VL); (3) two large LLM-based commander (Gemini Pro and GPT-4o) that performs task routing, output aggregation, and sarcasm decision-making in a zero-shot fashion. We evaluate Commander-GPT on the MMSD and MMSD 2.0 benchmarks, comparing five prompting strategies. Experimental results show that our framework achieves 4.4% and 11.7% improvement in F1 score over state-of-the-art (SoTA) baselines on average, demonstrating its effectiveness.

cs.AI↗

FourierPET: Deep Fourier-based Unrolled Network for Low-count PET Reconstruction

Low-count positron emission tomography (PET) reconstruction is a challenging inverse problem due to severe degradations arising from Poisson noise, photon scarcity, and attenuation correction errors. Existing deep learning methods typically address these in the spatial domain with an undifferentiated optimization objective, making it difficult to disentangle overlapping artifacts and limiting correction effectiveness. In this work, we perform a Fourier-domain analysis and reveal that these degradations are spectrally separable: Poisson noise and photon scarcity cause high-frequency phase perturbations, while attenuation errors suppress low-frequency amplitude components. Leveraging this insight, we propose FourierPET, a Fourier-based unrolled reconstruction framework grounded in the Alternating Direction Method of Multipliers. It consists of three tailored modules: a spectral consistency module that enforces global frequency alignment to maintain data fidelity, an amplitude-phase correction module that decouples and compensates for high-frequency phase distortions and low-frequency amplitude suppression, and a dual adjustment module that accelerates convergence during iterative reconstruction. Extensive experiments demonstrate that FourierPET achieves state-of-the-art performance with significantly fewer parameters, while offering enhanced interpretability through frequency-aware correction.

eess.IV↗

Cross-modal Proxy Evolving for OOD Detection with Vision-Language Models

Reliable zero-shot detection of out-of-distribution (OOD) inputs is critical for deploying vision-language models in open-world settings. However, the lack of labeled negatives in zero-shot OOD detection necessitates proxy signals that remain effective under distribution shift. Existing negative-label methods rely on a fixed set of textual proxies, which (i) sparsely sample the semantic space beyond in-distribution (ID) classes and (ii) remain static while only visual features drift, leading to cross-modal misalignment and unstable predictions. In this paper, we propose CoEvo, a training- and annotation-free test-time framework that performs bidirectional, sample-conditioned adaptation of both textual and visual proxies. Specifically, CoEvo introduces a proxy-aligned co-evolution mechanism to maintain two evolving proxy caches, which dynamically mines contextual textual negatives guided by test images and iteratively refines visual proxies, progressively realigning cross-modal similarities and enlarging local OOD margins. Finally, we dynamically re-weight the contributions of dual-modal proxies to obtain a calibrated OOD score that is robust to distribution shift. Extensive experiments on standard benchmarks demonstrate that CoEvo achieves state-of-the-art performance, improving AUROC by 1.33% and reducing FPR95 by 45.98% on ImageNet-1K compared to strong negative-label baselines.

cs.CV↗

OSA: Echocardiography Video Segmentation via Orthogonalized State Update and Anatomical Prior-aware Feature Enhancement

Accurate and temporally consistent segmentation of the left ventricle from echocardiography videos is essential for estimating the ejection fraction and assessing cardiac function. However, modeling spatiotemporal dynamics remains difficult due to severe speckle noise and rapid non-rigid deformations. Existing linear recurrent models offer efficient in-context associative recall for temporal tracking, but rely on unconstrained state updates, which cause progressive singular value decay in the state matrix, a phenomenon known as rank collapse, resulting in anatomical details being overwhelmed by noise. To address this, we propose OSA, a framework that constrains the state evolution on the Stiefel manifold. We introduce the Orthogonalized State Update (OSU) mechanism, which formulates the memory evolution as Euclidean projected gradient descent on the Stiefel manifold to prevent rank collapse and maintain stable temporal transitions. Furthermore, an Anatomical Prior-aware Feature Enhancement module explicitly separates anatomical structures from speckle noise through a physics-driven process, providing the temporal tracker with noise-resilient structural cues. Comprehensive experiments on the CAMUS and EchoNet-Dynamic datasets show that OSA achieves state-of-the-art segmentation accuracy and temporal stability, while maintaining real-time inference efficiency for clinical deployment. Codes are available at https://github.com/wangrui2025/OSA.

cs.CV↗

Edu-Values: Towards Evaluating the Chinese Education Values of Large Language Models

In this paper, we present Edu-Values, the first Chinese education values evaluation benchmark that includes seven core values: professional philosophy, teachers' professional ethics, education laws and regulations, cultural literacy, educational knowledge and skills, basic competencies and subject knowledge. We meticulously design 1,418 questions, covering multiple-choice, multi-modal question answering, subjective analysis, adversarial prompts, and Chinese traditional culture (short answer) questions. We conduct human feedback based automatic evaluation over 21 state-of-the-art (SoTA) LLMs, and highlight three main findings: (1) due to differences in educational culture, Chinese LLMs outperform English LLMs, with Qwen 2 ranking the first with a score of 81.37; (2) LLMs often struggle with teachers' professional ethics and professional philosophy; (3) leveraging Edu-Values to build an external knowledge repository for RAG significantly improves LLMs' alignment. This demonstrates the effectiveness of the proposed benchmark.

cs.CL↗

TextReasoningBench: Does Reasoning Really Improve Text Classification in Large Language Models?

Eliciting explicit, step-by-step reasoning traces from large language models (LLMs) has emerged as a dominant paradigm for enhancing model capabilities. Although such reasoning strategies were originally designed for problems requiring explicit multi-step reasoning, they have increasingly been applied to a broad range of NLP tasks. This expansion implicitly assumes that deliberative reasoning uniformly benefits heterogeneous tasks. However, whether such reasoning mechanisms truly benefit classification tasks remains largely underexplored, especially considering their substantial token and time costs. To fill this gap, we introduce TextReasoningBench, a systematic benchmark designed to evaluate the effectiveness and efficiency of reasoning strategies for text classification with LLMs. We compare seven reasoning strategies, namely IO, CoT, SC-CoT, ToT, GoT, BoC, and long-CoT across ten LLMs on five text classification datasets. Beyond traditional metrics such as accuracy and macro-F1, we introduce two cost-aware evaluation metrics that quantify the performance gain per reasoning token and the efficiency of performance improvement relative to token cost growth. Experimental results reveal three notable findings: (1) Reasoning does not universally improve classification performance: while moderate strategies such as CoT and SC-CoT yield consistent but limited gains (typically +1% to +3% on big models), more complex methods (e.g., ToT and GoT) often fail to outperform simpler baselines and can even degrade performance, especially on small models; (2) Reasoning is often inefficient: many reasoning strategies increase token consumption by 10$\times$ to 100$\times$ (e.g., SC-CoT and ToT) while providing only marginal performance improvements.

cs.CL↗

Multiscale Switch for Semi-Supervised and Contrastive Learning in Medical Ultrasound Image Segmentation

Medical ultrasound image segmentation faces significant challenges due to limited labeled data and characteristic imaging artifacts including speckle noise and low-contrast boundaries. While semi-supervised learning (SSL) approaches have emerged to address data scarcity, existing methods suffer from suboptimal unlabeled data utilization and lack robust feature representation mechanisms. In this paper, we propose Switch, a novel SSL framework with two key innovations: (1) Multiscale Switch (MSS) strategy that employs hierarchical patch mixing to achieve uniform spatial coverage; (2) Frequency Domain Switch (FDS) with contrastive learning that performs amplitude switching in Fourier space for robust feature representations. Our framework integrates these components within a teacher-student architecture to effectively leverage both labeled and unlabeled data. Comprehensive evaluation across six diverse ultrasound datasets (lymph nodes, breast lesions, thyroid nodules, and prostate) demonstrates consistent superiority over state-of-the-art methods. At 5\% labeling ratio, Switch achieves remarkable improvements: 80.04\% Dice on LN-INT, 85.52\% Dice on DDTI, and 83.48\% Dice on Prostate datasets, with our semi-supervised approach even exceeding fully supervised baselines. The method maintains parameter efficiency (1.8M parameters) while delivering superior performance, validating its effectiveness for resource-constrained medical imaging applications. The source code is publicly available at https://github.com/jinggqu/Switch

cs.CV↗

Synergistic Bleeding Region and Point Detection in Laparoscopic Surgical Videos

Intraoperative bleeding in laparoscopic surgery causes rapid obscuration of the operative field to hinder the surgical process and increases the risk of postoperative complications. Intelligent detection of bleeding areas can quantify the blood loss to assist decision-making, while locating bleeding points helps surgeons quickly identify the source of bleeding and achieve hemostasis in time to improve surgical success rates. To fill the benchmark gap, we first construct a real-world laparoscopic surgical bleeding detection dataset, named SurgBlood, comprising 5,330 frames from 95 surgical video clips with bleeding region and point annotations. Accordingly, we develop a dual-task synergistic online detector called BlooDet, enabling simultaneous detection of bleeding regions and points in laparoscopic surgery. The baseline embraces a dual-branch bidirectional guid- ance design based on Segment Anything Model 2. The mask branch detects bleeding regions through adaptive edge and point prompt embeddings, while the point branch leverages mask memory to induce bleeding point memory modeling and captures point motion direction via inter-frame optical flow. By coupled bidirectional guidance, our framework explores spatial-temporal correlations while exploiting memory modeling to infer current bleeding status. Extensive experiments indicate that our method outperforms 13 counterparts in bleeding detection.

cs.CV↗

Symmetry-Reduced Physics-Informed Learning of Tensegrity Dynamics

Tensegrity structures possess intrinsic geometric symmetries that govern their dynamic behavior. However, most existing physics-informed neural network (PINN) approaches for tensegrity dynamics do not explicitly exploit these symmetries, leading to high computational complexity and unstable optimization. In this work, we propose a symmetry-reduced physics-informed neural network (SymPINN) framework that embeds group-theory-based symmetry directly into both the solution expression and the neural network architecture to predict tensegrity dynamics. By decomposing nodes into symmetry orbits and representing free nodal coordinates using a symmetry basis, the proposed method constructs a reduced coordinate representation that preserves geometric symmetry of the structure. The full coordinates are then recovered via symmetry transformations of the reduced solution learned by the network, ensuring that the predicted configurations automatically satisfy the symmetry constraints. In this framework, equivariance is enforced through orbit-based coordinate generation, symmetry-consistent message passing, and physics residual constraints. In addition, SymPINN improves training effectiveness by encoding initial conditions as hard constraints, incorporating Fourier feature encoding to enhance the representation of dynamic motions, and employing a two-stage optimization strategy. Extensive numerical experiments on symmetric T-bars and lander structures demonstrate significantly improved prediction accuracy and computational efficiency compared to standard physics-informed models, indicating the great potential of symmetry-aware learning for structure-preserving modeling of tensegrity dynamics.

cs.LG↗

Integration of Individual Participant and Aggregate Data Under Dataset Shift: Summary Statistic Comparison and Scalable Computation

Integrated IPD-AD analysis, which combines individual participant data (IPD) with aggregate data (AD), is increasingly recognized as an effective strategy for generating more reliable and generalizable inferences from heterogeneous studies. While most existing work has focused on algorithmic approaches, this paper investigates a complementary yet underexplored question: how different forms of AD influence the efficiency of data integration. Working within a constrained maximum likelihood estimation framework, we compare commonly reported summary statistics and show that subgroup-specific summaries can substantially improve estimation efficiency. In particular, we find that AD derived from outcome-stratified subgroups (e.g., cases and controls) consistently yield greater efficiency gains than those based on covariate-stratified subgroups (e.g., age or exposure categories), especially when the outcome is continuous. Although outcome-stratified summaries are commonly reported for discrete outcomes, they are rarely provided when the outcome is continuous. Our findings therefore support the routine inclusion of outcome-stratified summaries for continuous endpoints in trial reports and public data repositories to facilitate more efficient evidence synthesis. We further extend the constrained maximum likelihood framework to accommodate dataset shift and develop a fast, non-iterative estimation procedure to improve numerical stability and scalability. We illustrate the proposed methodology with two applications: an analysis of income data under covariate shift and an analysis of housing data under prior probability shift.

stat.ME↗

Preoperative-to-intraoperative Liver Registration for Laparoscopic Surgery via Latent-Grounded Correspondence Constraints

In laparoscopic liver surgery, augmented reality technology enhances intraoperative anatomical guidance by overlaying 3D liver models from preoperative CT/MRI onto laparoscopic 2D views. However, existing registration methods lack explicit modeling of reliable 2D-3D geometric correspondences supported by latent evidence, leading to limited interpretability and potentially unstable alignment in clinical scenarios. In this work, we introduce Land-Reg, a correspondence-driven deformable registration framework that explicitly learns latent-grounded 2D-3D landmark correspondences as an interpretable intermediate representation to bridge cross-modal alignment. For rigid registration, Land-Reg embraces a Cross-modal Latent Alignment module to map multi-modal features into a unified latent space. Further, an Uncertainty-enhanced Overlap Landmark Detector with similarity matching is proposed to robustly estimate explicit 2D-3D landmark correspondences. For non-rigid registration, we design a novel shape-constrained supervision strategy that anchors shape deformation to matched landmarks through reprojection consistency and incorporates local-isometric regularization to alleviate inherent 2D-3D depth ambiguity, while a rendered-mask alignment enforces global shape consistency. Experimental results on the P2ILF dataset demonstrate the superiority of our method on both rigid pose estimation and non-rigid deformation. Our code will be available at https://github.com/cuiruize/Land-Reg.

cs.CV↗

When Does Multimodal Learning Help in Healthcare? A Benchmark on EHR and Chest X-Ray Fusion

Machine learning holds promise for advancing clinical decision support, yet it remains unclear when multimodal learning truly helps in practice, particularly under modality missingness and fairness constraints. In this work, we conduct a systematic benchmark of multimodal fusion between Electronic Health Records (EHR) and chest X-rays (CXR) on standardized cohorts from MIMIC-IV and MIMIC-CXR, aiming to answer four fundamental questions: when multimodal fusion improves clinical prediction, how different fusion strategies compare, how robust existing methods are to missing modalities, and whether multimodal models achieve algorithmic fairness. Our study reveals several key insights. Multimodal fusion improves performance when modalities are complete, with gains concentrating in diseases that require complementary information from both EHR and CXR. While cross-modal learning mechanisms capture clinically meaningful dependencies beyond simple concatenation, the rich temporal structure of EHR introduces strong modality imbalance that architectural complexity alone cannot overcome. Under realistic missingness, multimodal benefits rapidly degrade unless models are explicitly designed to handle incomplete inputs. Moreover, multimodal fusion does not inherently improve fairness, with subgroup disparities mainly arising from unequal sensitivity across demographic groups. To support reproducible and extensible evaluation, we further release a flexible benchmarking toolkit that enables plug-and-play integration of new models and datasets. Together, this work provides actionable guidance on when multimodal learning helps, when it fails, and why, laying the foundation for developing clinically deployable multimodal systems that are both effective and reliable. The open-source toolkit can be found at https://github.com/jakeykj/CareBench.

cs.LG↗

MacNet: An End-to-End Manifold-Constrained Adaptive Clustering Network for Interpretable Whole Slide Image Classification

Whole slide images (WSIs) are the gold standard for pathological diagnosis and sub-typing. Current main-stream two-step frameworks employ offline feature encoders trained without domain-specific knowledge. Among them, attention-based multiple instance learning (MIL) methods are outcome-oriented and offer limited interpretability. Clustering-based approaches can provide explainable decision-making process but suffer from high dimension features and semantically ambiguous centroids. To this end, we propose an end-to-end MIL framework that integrates Grassmann re-embedding and manifold adaptive clustering, where the manifold geometric structure facilitates robust clustering results. Furthermore, we design a prior knowledge guiding proxy instance labeling and aggregation strategy to approximate patch labels and focus on pathologically relevant tumor regions. Experiments on multicentre WSI datasets demonstrate that: 1) our cluster-incorporated model achieves superior performance in both grading accuracy and interpretability; 2) end-to-end learning refines better feature representations and it requires acceptable computation resources.

cs.CV↗

NurValues: Real-World Nursing Values Evaluation for Large Language Models in Clinical Context

While LLMs have demonstrated medical knowledge and conversational ability, their deployment in clinical practice raises new risks: patients may place greater trust in LLM-generated responses than in nurses' professional judgments, potentially intensifying nurse-patient conflicts. Such risks highlight the urgent need of evaluating whether LLMs align with the core nursing values upheld by human nurses. This work introduces the first benchmark for nursing value alignment, consisting of five core value dimensions distilled from international nursing codes: Altruism, Human Dignity, Integrity, Justice, and Professionalism. We define two-level tasks on the benchmark, considering the two characteristics of emerging nurse-patient conflicts. The Easy-Level dataset consists of 2,200 value-aligned and value-violating instances, which are collected through a five-month longitudinal field study across three hospitals of varying tiers; The Hard-Level dataset is comprised of 2,200 dialogue-based instances that embed contextual cues and subtle misleading signals, which increase adversarial complexity and better reflect the subjectivity and bias of narrators in the context of emerging nurse-patient conflicts. We evaluate a total of 23 SoTA LLMs on their ability to align with nursing values, and find that general LLMs outperform medical ones, and Justice is the hardest value dimension. As the first real-world benchmark for healthcare value alignment, NurValues provides novel insights into how LLMs navigate ethical challenges in clinician-patient interactions.

cs.CL↗

GDKVM: Echocardiography Video Segmentation via Spatiotemporal Key-Value Memory with Gated Delta Rule

Accurate segmentation of cardiac chambers in echocardiography sequences is crucial for the quantitative analysis of cardiac function, aiding in clinical diagnosis and treatment. The imaging noise, artifacts, and the deformation and motion of the heart pose challenges to segmentation algorithms. While existing methods based on convolutional neural networks, Transformers, and space-time memory networks have improved segmentation accuracy, they often struggle with the trade-off between capturing long-range spatiotemporal dependencies and maintaining computational efficiency with fine-grained feature representation. In this paper, we introduce GDKVM, a novel architecture for echocardiography video segmentation. The model employs Linear Key-Value Association (LKVA) to effectively model inter-frame correlations, and introduces Gated Delta Rule (GDR) to efficiently store intermediate memory states. Key-Pixel Feature Fusion (KPFF) module is designed to integrate local and global features at multiple scales, enhancing robustness against boundary blurring and noise interference. We validated GDKVM on two mainstream echocardiography video datasets (CAMUS and EchoNet-Dynamic) and compared it with various state-of-the-art methods. Experimental results show that GDKVM outperforms existing approaches in terms of segmentation accuracy and robustness, while ensuring real-time performance. Code is available at https://github.com/wangrui2025/GDKVM.

cs.CV↗

Towards Modality- and Sampling-Universal Learning Strategies for Accelerating Cardiovascular Imaging: Summary of the CMRxRecon2024 Challenge

Cardiovascular health is vital to human well-being, and cardiac magnetic resonance (CMR) imaging is considered the {clinical reference standard} for diagnosing cardiovascular disease. However, its adoption is hindered by long scan times, complex contrasts, and inconsistent quality. While deep learning methods perform well on specific CMR imaging {sequences}, they often fail to generalize across modalities and sampling schemes. The lack of benchmarks for high-quality, fast CMR image reconstruction further limits technology comparison and adoption. The CMRxRecon2024 challenge, attracting over 200 teams from 18 countries, addressed these issues with two tasks: generalization to unseen {modalities} and robustness to diverse undersampling patterns. We introduced the largest public multi-{modality} CMR raw dataset, an open benchmarking platform, and shared code. Analysis of the best-performing solutions revealed that prompt-based adaptation and enhanced physics-driven consistency enabled strong cross-scenario performance. These findings establish principles for generalizable reconstruction models and advance clinically translatable AI in cardiovascular imaging.

eess.IV↗

A Novel Attention-Augmented Wavelet YOLO System for Real-time Brain Vessel Segmentation on Transcranial Color-coded Doppler

The Circle of Willis (CoW), vital for ensuring consistent blood flow to the brain, is closely linked to ischemic stroke. Accurate assessment of the CoW is important for identifying individuals at risk and guiding appropriate clinical management. Among existing imaging methods, Transcranial Color-coded Doppler (TCCD) offers unique advantages due to its radiation-free nature, affordability, and accessibility. However, reliable TCCD assessments depend heavily on operator expertise for identifying anatomical landmarks and performing accurate angle correction, which limits its widespread adoption. To address this challenge, we propose an AI-powered, real-time CoW auto-segmentation system capable of efficiently capturing cerebral arteries. No prior studies have explored AI-driven cerebrovascular segmentation using TCCD. In this work, we introduce a novel Attention-Augmented Wavelet YOLO (AAW-YOLO) network tailored for TCCD data, designed to provide real-time guidance for brain vessel segmentation in the CoW. We prospectively collected TCCD data comprising 738 annotated frames and 3,419 labeled artery instances to establish a high-quality dataset for model training and evaluation. The proposed AAW-YOLO demonstrated strong performance in segmenting both ipsilateral and contralateral CoW vessels, achieving an average Dice score of 0.901, IoU of 0.823, precision of 0.882, recall of 0.926, and mAP of 0.953, with a per-frame inference speed of 14.199 ms. This system offers a practical solution to reduce reliance on operator experience in TCCD-based cerebrovascular screening, with potential applications in routine clinical workflows and resource-constrained settings. Future research will explore bilateral modeling and larger-scale validation.

eess.IV↗