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Wentao Pan

Publications and source records attributed to Wentao Pan.

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Volumetric Radiology AI in the Era of Multimodal Large Language Models

Advances in multimodal large language models (MLLMs) are extending radiological artificial intelligence (AI) beyond task-specific image analysis toward multimodal understanding and reasoning. Volumetric radiology, however, presents a fundamental representational mismatch: clinical interpretation often requires full-volume spatial context and acquisition-dependent quantitative information, whereas current MLLMs are commonly conditioned on selected two-dimensional (2D) images, compressed visual representations, or report-derived text. Reliable volumetric radiology AI therefore requires representations that preserve task-relevant three-dimensional (3D) information and systems that can access, verify, and integrate this information across clinical workflows. In this Review, we examine more than 200 publications through July 2026. We organize the literature around volumetric representation and multimodal understanding at the model level, agentic orchestration at the system level, and their links to clinical applications and evaluation. We review volumetric foundation models, language alignment and compression strategies, and agentic systems that extend MLLMs through planning, tools, memory, and workflow interaction. We distinguish settings in which selected 2D views or report-mediated reasoning may suffice from those that warrant native volumetric modeling. We also introduce a Claim-Design-Validation framework to assess whether technical, workflow, and clinical claims are matched by appropriate design and validation. Across the literature, native volumetric modeling and agentic capabilities depend on the spatial, quantitative, contextual, and workflow requirements of the intended task. Clinical credibility requires faithful volumetric representation, traceable system behavior, claim-aligned validation, and clearly defined human oversight in realistic workflows.

cs.AI

Towards Autonomous and Auditable Medical Imaging Model Development

Large language model (LLM) agents are beginning to automate machine learning engineering (MLE) by coupling planning, code execution, debugging, and empirical feedback. Translating this capability to medical imaging remains difficult because each task imposes modality-specific experimentation and strict requirements for validation protocols and prediction artifacts. Here we introduce AMID, an autonomous multi-agent framework for medical imaging model development. AMID first proposes Data-Conditioned Method Planning, which refines coarse task-level search spaces into executable, parallelizable method lanes grounded in task-specific data analysis and runnable medical-imaging resources. It then develops Verification-Guided Two-Stage Optimization, moving from broad early exploration of diverse method lanes to selective exploitation of promising candidates while enforcing strict verification of validation protocols, metric computation, and prediction artifacts throughout the optimization. Across 20 medical imaging challenge tasks spanning diverse modalities and prediction types, AMID outperformed evaluated general-purpose MLE systems and, on several tasks, approached or matched strong human-designed challenge solutions. These results suggest that AMID can turn task-specific medical imaging model development from bespoke manual engineering into an agentic workflow for producing high-performing and auditable model artifacts across heterogeneous tasks.

cs.CV

SurgVista: Long-Horizon Surgical World Modeling with Plausible Instrument-Tissue Dynamics

Scaling robot policy learning for autonomous surgery is challenging, as expert demonstrations are expensive and in vivo exploration poses substantial safety risks. Surgical world models address this by generating realistic, action-conditioned future frames from an initial observation, but existing methods exhibit two persistent failure modes: spatial interaction incoherence, where visible instrument contact fails to induce spatially consistent tissue deformation, and temporal fidelity collapse, where prediction errors compound across autoregressive rollouts and progressively corrupt visual quality. We present SurgVista, a surgical world model that mitigates both failures through two training recipes. Deformation Consistency Regularization extracts scene-point trajectories from training videos and enforces cross-frame coherence through latent contrastive learning, strengthening physically consistent instrument-tissue dynamics. Drift Adaptation Training mitigates long-horizon drift by perturbing conditioning frames with online prediction residuals and photometric augmentations calibrated to long-horizon drift statistics, sustaining visual fidelity over extended rollouts. To enable rigorous evaluation, we further introduce SurgWorld-Bench, featuring diverse procedure types, long-range rollouts, and decoupled metrics for instrument-motion accuracy and tissue-response fidelity. Extensive experiments show that SurgVista consistently outperforms state-of-the-art methods across visual quality, temporal consistency, and interaction fidelity, with gains widening as the prediction horizon grows.

cs.CV

EverAnimate: Minute-Scale Human Animation via Latent Flow Restoration

We propose EverAnimate, an efficient post-training method for long-horizon animated video generation that preserves visual quality and character identity. Long-form animation remains challenging because highly dynamic human motion must be synthesized against relatively static environments, making chunk-based generation prone to accumulated drift: (i) low-level quality drift, such as progressive degradation of static backgrounds, and (ii) high-level semantic drift, such as inconsistent character identity and view-dependent attributes. To address this issue, EverAnimate restores drifted flow trajectories by anchoring generation to a persistent latent context memory, consisting of two complementary mechanisms. (i) Persistent Latent Propagation maintains a context memory across chunks to propagate identity and motion in latent space while mitigating temporal forgetting. (ii) Restorative Flow Matching introduces an implicit restoration objective during sampling through velocity adjustment, improving within-chunk fidelity. With only lightweight LoRA tuning, EverAnimate outperforms state-of-the-art long-animation methods in both short- and long-horizon settings: at 10 seconds, it improves PSNR/SSIM by 8%/7% and reduces LPIPS/FID by 22%/11%; at 90 seconds, the gains increase to 15%/15% and 32%/27%, respectively.

cs.CV

Stable Video Infinity: Infinite-Length Video Generation with Error Recycling

We propose Stable Video Infinity (SVI) that is able to generate infinite-length videos with high temporal consistency, plausible scene transitions, and controllable streaming storylines. While existing long-video methods attempt to mitigate accumulated errors via handcrafted anti-drifting (e.g., modified noise scheduler, frame anchoring), they remain limited to single-prompt extrapolation, producing homogeneous scenes with repetitive motions. We identify that the fundamental challenge extends beyond error accumulation to a critical discrepancy between the training assumption (seeing clean data) and the test-time autoregressive reality (conditioning on self-generated, error-prone outputs). To bridge this hypothesis gap, SVI incorporates Error-Recycling Fine-Tuning, a new type of efficient training that recycles the Diffusion Transformer (DiT)'s self-generated errors into supervisory prompts, thereby encouraging DiT to actively identify and correct its own errors. This is achieved by injecting, collecting, and banking errors through closed-loop recycling, autoregressively learning from error-injected feedback. Specifically, we (i) inject historical errors made by DiT to intervene on clean inputs, simulating error-accumulated trajectories in flow matching; (ii) efficiently approximate predictions with one-step bidirectional integration and calculate errors with residuals; (iii) dynamically bank errors into replay memory across discretized timesteps, which are resampled for new input. SVI is able to scale videos from seconds to infinite durations with no additional inference cost, while remaining compatible with diverse conditions (e.g., audio, skeleton, and text streams). We evaluate SVI on three benchmarks, including consistent, creative, and conditional settings, thoroughly verifying its versatility and state-of-the-art role.

cs.CV

MetaScope: Optics-Driven Neural Network for Ultra-Micro Metalens Endoscopy

Miniaturized endoscopy has advanced accurate visual perception within the human body. Prevailing research remains limited to conventional cameras employing convex lenses, where the physical constraints with millimetre-scale thickness impose serious impediments on the micro-level clinical. Recently, with the emergence of meta-optics, ultra-micro imaging based on metalenses (micron-scale) has garnered great attention, serving as a promising solution. However, due to the physical difference of metalens, there is a large gap in data acquisition and algorithm research. In light of this, we aim to bridge this unexplored gap, advancing the novel metalens endoscopy. First, we establish datasets for metalens endoscopy and conduct preliminary optical simulation, identifying two derived optical issues that physically adhere to strong optical priors. Second, we propose MetaScope, a novel optics-driven neural network tailored for metalens endoscopy driven by physical optics. MetaScope comprises two novel designs: Optics-informed Intensity Adjustment (OIA), rectifying intensity decay by learning optical embeddings, and Optics-informed Chromatic Correction (OCC), mitigating chromatic aberration by learning spatial deformations informed by learned Point Spread Function (PSF) distributions. To enhance joint learning, we further deploy a gradient-guided distillation to transfer knowledge from the foundational model adaptively. Extensive experiments demonstrate that MetaScope not only outperforms state-of-the-art methods in both metalens segmentation and restoration but also achieves impressive generalized ability in real biomedical scenes.

cs.CV

TumorGen: Boundary-Aware Tumor-Mask Synthesis with Rectified Flow Matching

Tumor data synthesis offers a promising solution to the shortage of annotated medical datasets. However, current approaches either limit tumor diversity by using predefined masks or employ computationally expensive two-stage processes with multiple denoising steps, causing computational inefficiency. Additionally, these methods typically rely on binary masks that fail to capture the gradual transitions characteristic of tumor boundaries. We present TumorGen, a novel Boundary-Aware Tumor-Mask Synthesis with Rectified Flow Matching for efficient 3D tumor synthesis with three key components: a Boundary-Aware Pseudo Mask Generation module that replaces strict binary masks with flexible bounding boxes; a Spatial-Constraint Vector Field Estimator that simultaneously synthesizes tumor latents and masks using rectified flow matching to ensure computational efficiency; and a VAE-guided mask refiner that enhances boundary realism. TumorGen significantly improves computational efficiency by requiring fewer sampling steps while maintaining pathological accuracy through coarse and fine-grained spatial constraints. Experimental results demonstrate TumorGen's superior performance over existing tumor synthesis methods in both efficiency and realism, offering a valuable contribution to AI-driven cancer diagnostics.

eess.IV

Semi-supervised Semantic Segmentation Meets Masked Modeling:Fine-grained Locality Learning Matters in Consistency Regularization

Semi-supervised semantic segmentation aims to utilize limited labeled images and abundant unlabeled images to achieve label-efficient learning, wherein the weak-to-strong consistency regularization framework, popularized by FixMatch, is widely used as a benchmark scheme. Despite its effectiveness, we observe that such scheme struggles with satisfactory segmentation for the local regions. This can be because it originally stems from the image classification task and lacks specialized mechanisms to capture fine-grained local semantics that prioritizes in dense prediction. To address this issue, we propose a novel framework called \texttt{MaskMatch}, which enables fine-grained locality learning to achieve better dense segmentation. On top of the original teacher-student framework, we design a masked modeling proxy task that encourages the student model to predict the segmentation given the unmasked image patches (even with 30\% only) and enforces the predictions to be consistent with pseudo-labels generated by the teacher model using the complete image. Such design is motivated by the intuition that if the predictions are more consistent given insufficient neighboring information, stronger fine-grained locality perception is achieved. Besides, recognizing the importance of reliable pseudo-labels in the above locality learning and the original consistency learning scheme, we design a multi-scale ensembling strategy that considers context at different levels of abstraction for pseudo-label generation. Extensive experiments on benchmark datasets demonstrate the superiority of our method against previous approaches and its plug-and-play flexibility.

cs.CV

Human-machine Interactive Tissue Prototype Learning for Label-efficient Histopathology Image Segmentation

Recently, deep neural networks have greatly advanced histopathology image segmentation but usually require abundant annotated data. However, due to the gigapixel scale of whole slide images and pathologists' heavy daily workload, obtaining pixel-level labels for supervised learning in clinical practice is often infeasible. Alternatively, weakly-supervised segmentation methods have been explored with less laborious image-level labels, but their performance is unsatisfactory due to the lack of dense supervision. Inspired by the recent success of self-supervised learning methods, we present a label-efficient tissue prototype dictionary building pipeline and propose to use the obtained prototypes to guide histopathology image segmentation. Particularly, taking advantage of self-supervised contrastive learning, an encoder is trained to project the unlabeled histopathology image patches into a discriminative embedding space where these patches are clustered to identify the tissue prototypes by efficient pathologists' visual examination. Then, the encoder is used to map the images into the embedding space and generate pixel-level pseudo tissue masks by querying the tissue prototype dictionary. Finally, the pseudo masks are used to train a segmentation network with dense supervision for better performance. Experiments on two public datasets demonstrate that our human-machine interactive tissue prototype learning method can achieve comparable segmentation performance as the fully-supervised baselines with less annotation burden and outperform other weakly-supervised methods. Codes will be available upon publication.

cs.CV

Learn2Reg: comprehensive multi-task medical image registration challenge, dataset and evaluation in the era of deep learning

Image registration is a fundamental medical image analysis task, and a wide variety of approaches have been proposed. However, only a few studies have comprehensively compared medical image registration approaches on a wide range of clinically relevant tasks. This limits the development of registration methods, the adoption of research advances into practice, and a fair benchmark across competing approaches. The Learn2Reg challenge addresses these limitations by providing a multi-task medical image registration data set for comprehensive characterisation of deformable registration algorithms. A continuous evaluation will be possible at https://learn2reg.grand-challenge.org. Learn2Reg covers a wide range of anatomies (brain, abdomen, and thorax), modalities (ultrasound, CT, MR), availability of annotations, as well as intra- and inter-patient registration evaluation. We established an easily accessible framework for training and validation of 3D registration methods, which enabled the compilation of results of over 65 individual method submissions from more than 20 unique teams. We used a complementary set of metrics, including robustness, accuracy, plausibility, and runtime, enabling unique insight into the current state-of-the-art of medical image registration. This paper describes datasets, tasks, evaluation methods and results of the challenge, as well as results of further analysis of transferability to new datasets, the importance of label supervision, and resulting bias. While no single approach worked best across all tasks, many methodological aspects could be identified that push the performance of medical image registration to new state-of-the-art performance. Furthermore, we demystified the common belief that conventional registration methods have to be much slower than deep-learning-based methods.

eess.IV