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Jingxian Xu

Publications and source records attributed to Jingxian Xu.

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Rethinking Medical Landmark Localization with Prototype Learning-based Progressive Offset Correction

Accurate landmark localization in medical images is a fundamental step for quantitative clinical measurement and downstream analysis. Existing localization methods have advanced, among which multi-stage refinement is a superior solution. Although this strategy mitigates the anatomical ambiguity inherent in single-stage global predictions, its high computational cost limits practical applicability. In this work, we propose a parameter-economic model, PPOC-LL, which leverages Prototype learning-based Progressive Offset Correction for Landmark Localization. Our contribution is three-fold. First, to drive coarse-to-fine landmark optimization, we introduce a multi-scale dynamic perception strategy for patch-level feature pyramid modeling. Second, to effectively handle anatomically similar patterns, we design a similarity-driven prototype learning mechanism that captures informative local semantics for robust offset prediction. Last, to stabilize the model learning and improve the overall performance, we incorporate a novel error-aware reliability regularization via tolerance-based balancing. We collected a large validation cohort, including two public and one private datasets spanning X-ray and ultrasound modalities, covering cephalometric, symphysis-fetal head, and fetal heart landmarks. Extensive experiments demonstrate that PPOC-LL achieves satisfactory performance with a favorable trade-off between accuracy and model complexity.

cs.CV

Formula-R1: Incentivizing LLM Reasoning over Complex Tables with Numerical Computation via Formula-Driven Reinforcement Learning

Tables are a fundamental medium for organizing and analyzing data, making table reasoning a critical capability for intelligent systems. Although large language models (LLMs) exhibit strong general reasoning abilities, they still struggle with accurate numerical reasoning over tabular data, particularly in complex table settings beyond simple relational lookup. Spreadsheet formulas provide a powerful and expressive interface for executable symbolic operations, enabling rich reasoning patterns that remain largely underexplored by existing LLMs. In this paper, we introduce Formula-R1, a model trained via Formula Tuning (Fortune), a formula-driven reinforcement learning (RL) framework for table reasoning. Formula Tuning trains LLMs to generate executable spreadsheet formulas for question answering over general tabular data, using execution success and answer correctness as reward signals, thereby reducing reliance on supervised formula annotations. We demonstrate the effectiveness of Formula Tuning through extensive experiments on seven table reasoning benchmarks. It substantially improves LLM performance on table reasoning, particularly for tasks involving complex tables and multi-step numerical computation. Moreover, Formula-R1 consistently outperforms prior methods under controlled comparison settings. Beyond empirical gains, our extensive analyses provide insights into the role of RL in formula-driven table reasoning, highlighting the broader potential of formula-driven RL to enhance reasoning capabilities in LLMs.

cs.AI

TwT: Thinking without Tokens by Habitual Reasoning Distillation with Multi-Teachers' Guidance

Large Language Models (LLMs) have made significant strides in problem-solving by incorporating reasoning processes. However, this enhanced reasoning capability results in an increased number of output tokens during inference, leading to higher computational costs. To address this challenge, we propose TwT (Thinking without Tokens), a method that reduces inference-time costs through habitual reasoning distillation with multi-teachers' guidance, while maintaining high performance. Our approach introduces a Habitual Reasoning Distillation method, which internalizes explicit reasoning into the model's habitual behavior through a Teacher-Guided compression strategy inspired by human cognition. Additionally, we propose Dual-Criteria Rejection Sampling (DCRS), a technique that generates a high-quality and diverse distillation dataset using multiple teacher models, making our method suitable for unsupervised scenarios. Experimental results demonstrate that TwT effectively reduces inference costs while preserving superior performance, achieving up to a 13.6% improvement in accuracy with fewer output tokens compared to other distillation methods, offering a highly practical solution for efficient LLM deployment.

cs.CL

Medical-Knowledge Driven Multiple Instance Learning for Classifying Severe Abdominal Anomalies on Prenatal Ultrasound

Fetal abdominal malformations are serious congenital anomalies that require accurate diagnosis to guide pregnancy management and reduce mortality. Although AI has demonstrated significant potential in medical diagnosis, its application to prenatal abdominal anomalies remains limited. Most existing studies focus on image-level classification and rely on standard plane localization, placing less emphasis on case-level diagnosis. In this paper, we develop a case-level multiple instance learning (MIL)-based method, free of standard plane localization, for classifying fetal abdominal anomalies in prenatal ultrasound. Our contribution is three-fold. First, we adopt a mixture-of-attention-experts module (MoAE) to weight different attention heads for various planes. Secondly, we propose a medical-knowledge-driven feature selection module (MFS) to align image features with medical knowledge, performing self-supervised image token selection at the case-level. Finally, we propose a prompt-based prototype learning (PPL) to enhance the MFS. Extensively validated on a large prenatal abdominal ultrasound dataset containing 2,419 cases, with a total of 24,748 images and 6 categories, our proposed method outperforms the state-of-the-art competitors. Codes are available at:https://github.com/LL-AC/AAcls.

cs.CV

UltraTwin: Towards Cardiac Anatomical Twin Generation from Multi-view 2D Ultrasound

Echocardiography is routine for cardiac examination. However, 2D ultrasound (US) struggles with accurate metric calculation and direct observation of 3D cardiac structures. Moreover, 3D US is limited by low resolution, small field of view and scarce availability in practice. Constructing the cardiac anatomical twin from 2D images is promising to provide precise treatment planning and clinical quantification. However, it remains challenging due to the rare paired data, complex structures, and US noises. In this study, we introduce a novel generative framework UltraTwin, to obtain cardiac anatomical twin from sparse multi-view 2D US. Our contribution is three-fold. First, pioneered the construction of a real-world and high-quality dataset containing strictly paired multi-view 2D US and CT, and pseudo-paired data. Second, we propose a coarse-to-fine scheme to achieve hierarchical reconstruction optimization. Last, we introduce an implicit autoencoder for topology-aware constraints. Extensive experiments show that UltraTwin reconstructs high-quality anatomical twins versus strong competitors. We believe it advances anatomical twin modeling for potential applications in personalized cardiac care.

eess.IV