Jingyu Shen | Searcharxiv

arXiv2026

THA-Flow Generative Model: Prosthesis Geometry Prediction from Preoperative CT

Preoperative planning for total hip arthroplasty (THA) is commonly framed as selecting a single prosthesis configuration and placement for a patient's osseous anatomy. In practice, however, the same anatomy may admit several clinically reasonable solutions, making planning inherently a one-to-many problem that is better represented by a conditional probability distribution. We present THA-Flow, a conditional flow-matching model that generates three-dimensional prosthesis geometry directly from preoperative CT. Separate AutoencoderKL models compress preoperative bone anatomy and prosthesis geometry, while a three-dimensional UNet learns a rectified flow from Gaussian noise to the prosthesis latent space under spatial bone conditioning and optional structured prosthesis parameters. The retrospective cohort comprised 1,355 hips from 1,149 patients undergoing primary THA. Following rigid registration of postoperative CT to preoperative CT, the actual postoperative prostheses were transformed independently according to the pelvic and femoral registrations and represented as a dual-channel truncated signed distance field. The prosthesis autoencoder achieved a peak signal-to-noise ratio of 47.11 dB and a structural similarity index of 0.9964 on the validation set. Complete acetabular and femoral geometries were generated across seven major stem models representing 93.4% of the cohort. Repeated bone-conditioned sampling preserved component position, alignment, and the principal bone-prosthesis interfaces while allowing limited local geometric variation. To our knowledge, THA-Flow represents the first application of generative AI to three-dimensional surgical planning for THA.

cs.CV↗

arXiv2026

Let It Flow: Agentic Crafting on Rock and Roll, Building the ROME Model within an Open Agentic Learning Ecosystem

Agentic crafting requires LLMs to operate in real-world environments over multiple turns by taking actions, observing outcomes, and iteratively refining artifacts. Despite its importance, the open-source community lacks a principled, end-to-end ecosystem to streamline agent development. We introduce the Agentic Learning Ecosystem (ALE), a foundational infrastructure that optimizes the production pipeline for agentic model. ALE consists of three components: ROLL, a post-training framework for weight optimization; ROCK, a sandbox environment manager for trajectory generation; and iFlow CLI, an agent framework for efficient context engineering. We release ROME, an open-source agent grounded by ALE and trained on over one million trajectories. Our approach includes data composition protocols for synthesizing complex behaviors and a novel policy optimization algorithm, Interaction-Perceptive Agentic Policy Optimization (IPA), which assigns credit over semantic interaction chunks rather than individual tokens to improve long-horizon training stability. Empirically, we evaluate ROME within a structured setting and introduce Terminal Bench Pro, a benchmark with improved scale and contamination control. ROME demonstrates strong performance across benchmarks like SWE-bench Verified and Terminal Bench, proving the effectiveness of ALE.

cs.AI↗