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arXiv subjects

Mingzhe Hu

Publications and source records attributed to Mingzhe Hu.

At least 19 recordsLinked to original sources

A radiographic world model for clinical reasoning and evidence generation

Medical imaging artificial intelligence (AI) is commonly developed as separate mappings from radiographs to diagnostic outputs or from clinical descriptions to generated images, although both arise from the same underlying radiographic state. A world-model formulation instead seeks to learn an internal representation of this state that can support both clinical readout and conditional simulation of radiographic observations. Here we introduce MedDream, a radiographic world model that learns a shared continuous latent state from paired chest radiograph-text observations for diagnostic reasoning and report-conditioned evidence generation. MedDream was pretrained on 2.65 million leakage-controlled chest radiograph-text pairs curated from 4.40 million candidates. Across eight clinical datasets and two independent reader cohorts, MedDream outperformed leading diagnostic and generative comparators. For diagnostic reasoning, MedDream showed strong generalization across disease recognition, label-scarce adaptation, severity assessment, and localization, while MedDream-supported review increased mean resident concordance with independent radiologist consensus from 56.3% to 63.0%. For evidence generation, MedDream produced radiographs that preserved clinically relevant pathology and improved downstream performance on held-out real data, with synthetic augmentation increasing external VinDr-CXR macro-AUROC from 76.4% to 81.4%. More importantly, conditioning generation on prespecified subgroup performance gaps enabled targeted evidence construction, increasing weighted F1 by 3.1 percentage points in Asian patients, whereas matched-volume unguided augmentation decreased it by 2.3 points. These findings establish radiographic world models as a path toward medical AI that learns clinically meaningful internal states for interpreting, simulating, and constructing evidence for clinical use.

cs.AI

MRI super-resolution in ten sampling steps using a diffusion bridge model

Objective. MRI provides excellent soft-tissue contrast, but long acquisition times can cause patient discomfort and lead to motion artifacts, forcing a trade-off between spatial resolution and scan time. Diffusion-based super-resolution (SR) reconstructs high-resolution (HR) images from low-resolution (LR) inputs, but typically needs many sampling steps and initializes from a Gaussian prior ill-suited to image restoration. We developed an efficient diffusion framework that reconstructs HR MRI directly from LR data. Approach. We propose super-resolution diffusion bridge model (SR-DBM), a super-resolution diffusion bridge model that casts SR as a stochastic transport between the LR and HR image distributions. Through a Doob's h-transform of a mean-reverting stochastic differential equation, SR-DBM pins the process to the paired HR and LR images at its endpoints, initializing reconstruction from the measured anatomy rather than from Gaussian noise. The HR image is recovered by a deterministic reverse trajectory in which a network predicts the clean image at each of only ten sampling steps. We evaluated SR-DBM on ultra-high-field 7T brain T1 MP2RAGE maps and pelvic T2-weighted prostate images against nine comparison methods using PSNR, SSIM, GMSD, and LPIPS. Main results. SR-DBM attained the highest PSNR and SSIM and the lowest GMSD on both datasets (brain: 27.66+-1.52 dB, 0.96+-0.02, 7.96+-1.86$; prostate: 27.87+-2.29 dB, 0.80+-0.05, 8.38+- 1.44), with statistically significant gains over every comparison method (two-sided Wilcoxon signed-rank test with Holm correction, p<0.05). The strongest baseline, SR-EMamba, ranked second. Qualitatively, SR-DBM produced the smallest residual errors and best preserved fine structures and lesions.

cs.CV

One-for-All Adaptive Radiotherapy Planning Agent: A Foundation Framework for Daily CBCT-guided Radiotherapy

In this work, we introduce the One-for-All Adaptive Radiotherapy Planning Agent, a unified foundation-model-based system that performs complete, treatment-specific online adaptive planning directly from daily cone-beam CT in under two minutes. The agent first autonomously predicts all essential planning components, including synthetic CT generation, multimodal alignment, and tumor/organ segmentation. It then intelligently leverages these outputs to execute the final clinical plan design, providing a comprehensive, automated solution for daily treatment. We also demonstrate that the agent enables clinicians to define planning with intent and intervene at critical decision points, ensuring a "human-in-the-loop" framework that generates acceptable plans before final approval. Evaluated on multiple datasets spanning head-and-neck, lung, abdominal, and prostate cancers with both photon and proton therapy, the proposed framework achieves clinically acceptable accuracy and plan quality comparable to clinically generated treatment plans, with target dose errors (D98) generally within 2.0 Gy of the reference plan. The strong performance of the One-for-All agent highlights the promise of a unified foundation-model approach and opens opportunities for fast, scalable, and fully automated online adaptive radiotherapy across diverse clinical scenarios.

physics.med-ph

Real-space identification of distinct magnetic configurations in a candidate d-wave altermagnet

Altermagnetism is an emerging class of magnetic order characterized by momentum-dependent spin-split electronic structures despite vanishing net magnetization. Although momentum-space signatures consistent with altermagnetism have been reported in a growing number of materials, their relationship to the underlying real-space magnetic configurations remains incompletely understood, because similar spin-split electronic structures can arise from distinct magnetic orders. In the candidate d-wave altermagnet KV2Se2O, the magnetic origin of the observed momentum-dependent spin splitting has remained controversial. Here, we employ spin-polarized scanning tunnelling microscopy combined with magnetic-field-dependent quasiparticle interference imaging to determine the magnetic configuration of KV2Se2O at the atomic scale. Spin-resolved quasiparticle interference reveals a checkerboard-like antiparallel spin texture within the V2O layer and determines its interlayer spin arrangement across unit-cell step edges. Remarkably, we identify both C-type and G-type magnetic configurations, both of which generate similar spin-split electronic structures at the single-layer level but correspond to d-wave altermagnetic and conventional antiferromagnetic orders, respectively. These observations reveal a complex magnetic landscape arising from nearly degenerate magnetic states. Our results establish a direct connection between momentum-space spin splitting and real-space magnetic order, providing a framework for identifying the microscopic origin of spin-split electronic structures in altermagnetic materials.

cond-mat.mtrl-sci

BrainDINO: A Brain MRI Foundation Model for Generalizable Clinical Representation Learning

Brain MRI underpins a wide range of neuroscientific and clinical applications, yet most learning-based methods remain task-specific and require substantial labeled data. Here we show that a single self-supervised representation can generalize across heterogeneous brain MRI endpoints. We trained BrainDINO, a self-distilled foundation model, on approximately 6.6 million unlabeled axial slices from 20 datasets encompassing broad variation in population, disease, and acquisition setting. Using a frozen encoder with lightweight task heads, BrainDINO supported transfer across tumor segmentation, neurodegenerative and neurodevelopmental conditions classification, brain age estimation, post-stroke temporal prediction, molecular status prediction, MRI sequence classification, and survival modeling. Across tasks and supervision regimes, BrainDINO consistently equaled or exceeded natural-image and MRI-specific self-supervised baselines, with particularly strong advantages under label scarcity. Representation analyses further showed anatomically organized and pathology-sensitive feature structure in the absence of task-specific supervision. Our findings indicate that large-scale slice-wise self-supervised learning can yield a unified brain MRI representation that supports diverse neuroimaging tasks without volumetric pretraining or full-network fine-tuning, establishing a scalable foundation for robust and data-efficient brain imaging analysis. Code is available at https://github.com/mclwu22/BrainDINO

cs.LG

A Digital Twin Framework for Adaptive Treatment Planning in Radiotherapy

The development of a digital twin (DT) framework for fast online adaptive proton therapy planning in prostate stereotactic body radiation therapy (SBRT) with dominant intraprostatic lesion (DIL) boost represents a significant advancement in personalized radiotherapy. This framework integrates deep learning-based multi-atlas deformable image registration, daily patient anatomy updates via cone-beam CT (CBCT), and knowledge-based plan quality evaluation using the ProKnow scoring system to achieve clinical-equivalent plan quality with substantially reduced reoptimization times compared to traditional clinical workflows. Drawing on a database of 43 prior prostate SBRT cases, the DT framework predicts interfractional anatomical variations for new patients and pre-generates multiple probabilistic treatment plans. Upon acquiring daily CBCT, it enables rapid plan reoptimization, achieving an average reoptimization time of 5.5 [2.8, 8.2] minutes, compared to 19.8 [7.9, 31.7] minutes for clinical plans. The DT-based plans yielded a plan quality score of 157.2 [151.6, 162.8], surpassing or matching clinical plans, with superior dose coverage for the DIL (V100: 99.5%) and clinical target volume (CTV V100: 99.8%). Additionally, the framework minimized doses to organs at risk (OARs), achieving bladder V20.8Gy of 11.4 [7.2, 15.6] cc, rectum V23Gy of 0.7 [0.3, 1.1] cc, and urethra D10 of 90.9% [88.6%, 93.2%], aligning with clinical standards. By addressing interfractional variations efficiently, the DT framework enhances treatment precision, reduces OAR toxicity, and supports real-time adaptive radiotherapy. This transformative approach not only streamlines the planning process but also improves clinical outcomes, offering a scalable solution for prostate SBRT with DIL boost and paving the way for broader applications in adaptive proton therapy.

physics.med-ph

Efficient Vision Mamba for MRI Super-Resolution via Hybrid Selective Scanning

Background: High-resolution MRI is critical for diagnosis, but long acquisition times limit clinical use. Super-resolution (SR) can enhance resolution post-scan, yet existing deep learning methods face fidelity-efficiency trade-offs. Purpose: To develop a computationally efficient and accurate deep learning framework for MRI SR that preserves anatomical detail for clinical integration. Materials and Methods: We propose a novel SR framework combining multi-head selective state-space models (MHSSM) with a lightweight channel MLP. The model uses 2D patch extraction with hybrid scanning to capture long-range dependencies. Each MambaFormer block integrates MHSSM, depthwise convolutions, and gated channel mixing. Evaluation used 7T brain T1 MP2RAGE maps (n=142) and 1.5T prostate T2w MRI (n=334). Comparisons included Bicubic interpolation, GANs (CycleGAN, Pix2pix, SPSR), transformers (SwinIR), Mamba (MambaIR), and diffusion models (I2SB, Res-SRDiff). Results: Our model achieved superior performance with exceptional efficiency. For 7T brain data: SSIM=0.951+-0.021, PSNR=26.90+-1.41 dB, LPIPS=0.076+-0.022, GMSD=0.083+-0.017, significantly outperforming all baselines (p<0.001). For prostate data: SSIM=0.770+-0.049, PSNR=27.15+-2.19 dB, LPIPS=0.190+-0.095, GMSD=0.087+-0.013. The framework used only 0.9M parameters and 57 GFLOPs, reducing parameters by 99.8% and computation by 97.5% versus Res-SRDiff, while outperforming SwinIR and MambaIR in accuracy and efficiency. Conclusion: The proposed framework provides an efficient, accurate MRI SR solution, delivering enhanced anatomical detail across datasets. Its low computational demand and state-of-the-art performance show strong potential for clinical translation.

cs.CV

Evaluating GPT-5 as a Multimodal Clinical Reasoner: A Landscape Commentary

The transition from task-specific artificial intelligence toward general-purpose foundation models raises fundamental questions about their capacity to support the integrated reasoning required in clinical medicine, where diagnosis demands synthesis of ambiguous patient narratives, laboratory data, and multimodal imaging. This landscape commentary provides the first controlled, cross-sectional evaluation of the GPT-5 family (GPT-5, GPT-5 Mini, GPT-5 Nano) against its predecessor GPT-4o across a diverse spectrum of clinically grounded tasks, including medical education examinations, text-based reasoning benchmarks, and visual question-answering in neuroradiology, digital pathology, and mammography using a standardized zero-shot chain-of-thought protocol. GPT-5 demonstrated substantial gains in expert-level textual reasoning, with absolute improvements exceeding 25 percentage-points on MedXpertQA. When tasked with multimodal synthesis, GPT-5 effectively leveraged this enhanced reasoning capacity to ground uncertain clinical narratives in concrete imaging evidence, achieving state-of-the-art or competitive performance across most VQA benchmarks and outperforming GPT-4o by margins of 10-40% in mammography tasks requiring fine-grained lesion characterization. However, performance remained moderate in neuroradiology (44% macro-average accuracy) and lagged behind domain-specific models in mammography, where specialized systems exceed 80% accuracy compared to GPT-5's 52-64%. These findings indicate that while GPT-5 represents a meaningful advance toward integrated multimodal clinical reasoning, mirroring the clinician's cognitive process of biasing uncertain information with objective findings, generalist models are not yet substitutes for purpose-built systems in highly specialized, perception-critical tasks.

cs.CV

RisConFix: LLM-based Automated Repair of Risk-Prone Drone Configurations

Flight control software is typically designed with numerous configurable parameters governing multiple functionalities, enabling flexible adaptation to mission diversity and environmental uncertainty. Although developers and manufacturers usually provide recommendations for these parameters to ensure safe and stable operations, certain combinations of parameters with recommended values may still lead to unstable flight behaviors, thereby degrading the drone's robustness. To this end, we propose a Large Language Model (LLM) based approach for real-time repair of risk-prone configurations (named RisConFix) that degrade drone robustness. RisConFix continuously monitors the drone's operational state and automatically triggers a repair mechanism once abnormal flight behaviors are detected. The repair mechanism leverages an LLM to analyze relationships between configuration parameters and flight states, and then generates corrective parameter updates to restore flight stability. To ensure the validity of the updated configuration, RisConFix operates as an iterative process; it continuously monitors the drone's flight state and, if an anomaly persists after applying an update, automatically triggers the next repair cycle. We evaluated RisConFix through a case study of ArduPilot (with 1,421 groups of misconfigurations). Experimental results show that RisConFix achieved a best repair success rate of 97% and an optimal average number of repairs of 1.17, demonstrating its capability to effectively and efficiently repair risk-prone configurations in real time.

cs.SE

Foundation Models in Medical Image Analysis: A Systematic Review and Meta-Analysis

Recent advancements in artificial intelligence (AI), particularly foundation models (FMs), have revolutionized medical image analysis, demonstrating strong zero- and few-shot performance across diverse medical imaging tasks, from segmentation to report generation. Unlike traditional task-specific AI models, FMs leverage large corpora of labeled and unlabeled multimodal datasets to learn generalized representations that can be adapted to various downstream clinical applications with minimal fine-tuning. However, despite the rapid proliferation of FM research in medical imaging, the field remains fragmented, lacking a unified synthesis that systematically maps the evolution of architectures, training paradigms, and clinical applications across modalities. To address this gap, this review article provides a comprehensive and structured analysis of FMs in medical image analysis. We systematically categorize studies into vision-only and vision-language FMs based on their architectural foundations, training strategies, and downstream clinical tasks. Additionally, a quantitative meta-analysis of the studies was conducted to characterize temporal trends in dataset utilization and application domains. We also critically discuss persistent challenges, including domain adaptation, efficient fine-tuning, computational constraints, and interpretability along with emerging solutions such as federated learning, knowledge distillation, and advanced prompting. Finally, we identify key future research directions aimed at enhancing the robustness, explainability, and clinical integration of FMs, thereby accelerating their translation into real-world medical practice.

cs.CV

MedDINOv3: How to adapt vision foundation models for medical image segmentation?

Accurate segmentation of organs and tumors in CT and MRI scans is essential for diagnosis, treatment planning, and disease monitoring. While deep learning has advanced automated segmentation, most models remain task-specific, lacking generalizability across modalities and institutions. Vision foundation models (FMs) pretrained on billion-scale natural images offer powerful and transferable representations. However, adapting them to medical imaging faces two key challenges: (1) the ViT backbone of most foundation models still underperform specialized CNNs on medical image segmentation, and (2) the large domain gap between natural and medical images limits transferability. We introduce MedDINOv3, a simple and effective framework for adapting DINOv3 to medical segmentation. We first revisit plain ViTs and design a simple and effective architecture with multi-scale token aggregation. Then, we perform domain-adaptive pretraining on CT-3M, a curated collection of 3.87M axial CT slices, using a multi-stage DINOv3 recipe to learn robust dense features. MedDINOv3 matches or exceeds state-of-the-art performance across four segmentation benchmarks, demonstrating the potential of vision foundation models as unified backbones for medical image segmentation. The code is available at https://github.com/ricklisz/MedDINOv3.

cs.CV

Pronounced orbital-selective electron-electron correlation and electron-phonon coupling in V2Se2O

Orbital-selective many-body effects, in which electrons occupying different orbitals experience distinct interaction strengths, play a crucial role in correlated multiorbital materials. However, these effects usually manifest in a complex manner, obscuring their microscopic origins. Here, by combining angle-resolved photoemission spectroscopy measurements with theoretical calculations, we reveal pronounced orbital selectivity in both electron-electron correlation and electron-phonon coupling in the van der Waals material V2Se2O. Electron correlation induces distinct bandwidth renormalization exclusively in the V d_xy-derived band, while the bands mainly composed of the other d orbitals remain essentially unrenormalized. Orbital-resolved analyses identify that the filling number and the bandwidth are decisive factors governing orbital-dependent correlation. Simultaneously, the d_(xz/yz)-derived band exhibits a sharp kink anomaly, arising from enhanced coupling to high-energy phonon modes dominated by oxygen vibrations. Such pronounced orbital selectivity positions V2Se2O as a rare and prototypical platform for unravelling the microscopic mechanisms of orbital-selective electron-electron and electron-phonon interactions, and offers guiding principles for the design of correlated multiorbital materials.

cond-mat.str-el

DINOv3 with Test-Time Training for Medical Image Registration

Prior medical image registration approaches, particularly learning-based methods, often require large amounts of training data, which constrains clinical adoption. To overcome this limitation, we propose a training-free pipeline that relies on a frozen DINOv3 encoder and test-time optimization of the deformation field in feature space. Across two representative benchmarks, the method is accurate and yields regular deformations. On Abdomen MR-CT, it attained the best mean Dice score (DSC) of 0.790 together with the lowest 95th percentile Hausdorff Distance (HD95) of 4.9+-5.0 and the lowest standard deviation of Log-Jacobian (SDLogJ) of 0.08+-0.02. On ACDC cardiac MRI, it improves mean DSC to 0.769 and reduces SDLogJ to 0.11 and HD95 to 4.8, a marked gain over the initial alignment. The results indicate that operating in a compact foundation feature space at test time offers a practical and general solution for clinical registration without additional training.

cs.CV

Experimental demonstration of drone-based quantum key distribution

Quantum state transferring has been demonstrated using drones via entanglement distribution. Here we demonstrate the first drone-based quantum task, for quantum key distribution (QKD). Compact and polarization-maintaining acquisition, pointing, and tracking system and QKD modules are developed and loaded on a home-made octocopter, within takeoff weight of 30 kg. Real-time QKD is performed over 200 m distance with 8.48 kHz average secret key rate, using polarization-coded decoy-state BB84 protocol. With the capability of secret key distribution using a drone, wireless communication can be expected with enhanced security in the quantum approach, between mobile nodes towards a network.

quant-ph

Is ChatGPT-5 Ready for Mammogram VQA?

Mammogram visual question answering (VQA) integrates image interpretation with clinical reasoning and has potential to support breast cancer screening. We systematically evaluated the GPT-5 family and GPT-4o model on four public mammography datasets (EMBED, InBreast, CMMD, CBIS-DDSM) for BI-RADS assessment, abnormality detection, and malignancy classification tasks. GPT-5 consistently was the best performing model but lagged behind both human experts and domain-specific fine-tuned models. On EMBED, GPT-5 achieved the highest scores among GPT variants in density (56.8%), distortion (52.5%), mass (64.5%), calcification (63.5%), and malignancy (52.8%) classification. On InBreast, it attained 36.9% BI-RADS accuracy, 45.9% abnormality detection, and 35.0% malignancy classification. On CMMD, GPT-5 reached 32.3% abnormality detection and 55.0% malignancy accuracy. On CBIS-DDSM, it achieved 69.3% BI-RADS accuracy, 66.0% abnormality detection, and 58.2% malignancy accuracy. Compared with human expert estimations, GPT-5 exhibited lower sensitivity (63.5%) and specificity (52.3%). While GPT-5 exhibits promising capabilities for screening tasks, its performance remains insufficient for high-stakes clinical imaging applications without targeted domain adaptation and optimization. However, the tremendous improvements in performance from GPT-4o to GPT-5 show a promising trend in the potential for general large language models (LLMs) to assist with mammography VQA tasks.

cs.CV

Benchmarking GPT-5 for Zero-Shot Multimodal Medical Reasoning in Radiology and Radiation Oncology

Radiology, radiation oncology, and medical physics require decision-making that integrates medical images, textual reports, and quantitative data under high-stakes conditions. With the introduction of GPT-5, it is critical to assess whether recent advances in large multimodal models translate into measurable gains in these safety-critical domains. We present a targeted zero-shot evaluation of GPT-5 and its smaller variants (GPT-5-mini, GPT-5-nano) against GPT-4o across three representative tasks. We present a targeted zero-shot evaluation of GPT-5 and its smaller variants (GPT-5-mini, GPT-5-nano) against GPT-4o across three representative tasks: (1) VQA-RAD, a benchmark for visual question answering in radiology; (2) SLAKE, a semantically annotated, multilingual VQA dataset testing cross-modal grounding; and (3) a curated Medical Physics Board Examination-style dataset of 150 multiple-choice questions spanning treatment planning, dosimetry, imaging, and quality assurance. Across all datasets, GPT-5 achieved the highest accuracy, with substantial gains over GPT-4o up to +20.00% in challenging anatomical regions such as the chest-mediastinal, +13.60% in lung-focused questions, and +11.44% in brain-tissue interpretation. On the board-style physics questions, GPT-5 attained 90.7% accuracy (136/150), exceeding the estimated human passing threshold, while GPT-4o trailed at 78.0%. These results demonstrate that GPT-5 delivers consistent and often pronounced performance improvements over GPT-4o in both image-grounded reasoning and domain-specific numerical problem-solving, highlighting its potential to augment expert workflows in medical imaging and therapeutic physics.

eess.IV

Performance of GPT-5 in Brain Tumor MRI Reasoning

Accurate differentiation of brain tumor types on magnetic resonance imaging (MRI) is critical for guiding treatment planning in neuro-oncology. Recent advances in large language models (LLMs) have enabled visual question answering (VQA) approaches that integrate image interpretation with natural language reasoning. In this study, we evaluated GPT-4o, GPT-5-nano, GPT-5-mini, and GPT-5 on a curated brain tumor VQA benchmark derived from 3 Brain Tumor Segmentation (BraTS) datasets - glioblastoma (GLI), meningioma (MEN), and brain metastases (MET). Each case included multi-sequence MRI triplanar mosaics and structured clinical features transformed into standardized VQA items. Models were assessed in a zero-shot chain-of-thought setting for accuracy on both visual and reasoning tasks. Results showed that GPT-5-mini achieved the highest macro-average accuracy (44.19%), followed by GPT-5 (43.71%), GPT-4o (41.49%), and GPT-5-nano (35.85%). Performance varied by tumor subtype, with no single model dominating across all cohorts. These findings suggest that GPT-5 family models can achieve moderate accuracy in structured neuro-oncological VQA tasks, but not at a level acceptable for clinical use.

cs.CV

Capabilities of GPT-5 on Multimodal Medical Reasoning

Recent advances in large language models (LLMs) have enabled general-purpose systems to perform increasingly complex domain-specific reasoning without extensive fine-tuning. In the medical domain, decision-making often requires integrating heterogeneous information sources, including patient narratives, structured data, and medical images. This study positions GPT-5 as a generalist multimodal reasoner for medical decision support and systematically evaluates its zero-shot chain-of-thought reasoning performance on both text-based question answering and visual question answering tasks under a unified protocol. We benchmark GPT-5, GPT-5-mini, GPT-5-nano, and GPT-4o-2024-11-20 against standardized splits of MedQA, MedXpertQA (text and multimodal), MMLU medical subsets, USMLE self-assessment exams, and VQA-RAD. Results show that GPT-5 consistently outperforms all baselines, achieving state-of-the-art accuracy across all QA benchmarks and delivering substantial gains in multimodal reasoning. On MedXpertQA MM, GPT-5 improves reasoning and understanding scores by +29.26% and +26.18% over GPT-4o, respectively, and surpasses pre-licensed human experts by +24.23% in reasoning and +29.40% in understanding. In contrast, GPT-4o remains below human expert performance in most dimensions. A representative case study demonstrates GPT-5's ability to integrate visual and textual cues into a coherent diagnostic reasoning chain, recommending appropriate high-stakes interventions. Our results show that, on these controlled multimodal reasoning benchmarks, GPT-5 moves from human-comparable to above human-expert performance. This improvement may substantially inform the design of future clinical decision-support systems.

cs.CL