arXiv subjects

Xiaoling Luo

Publications and source records attributed to Xiaoling Luo.

At least 19 recordsLinked to original sources

arXiv2026

Text-to-CAD Retrieval: a Strong Baseline

Text-based retrieval of Computer-Aided Design (CAD) models is a critical yet underexplored task for the reuse of legacy industrial designs. Existing CAD repositories are typically searched using filenames or directories, which limits the efficiency, scalability, and accuracy of design retrieval. In this paper, we formally introduce text-to-CAD retrieval as a new cross-modal retrieval task, aiming to retrieve semantically relevant CAD models from large-scale databases given natural language queries. Leveraging paired text-CAD annotations from the Text2CAD dataset, we establish a practical benchmark for this task. To achieve text-based retrieval, we propose a unified framework that learns multi-modal CAD embeddings from both procedural sequences and geometric point clouds. Specifically, a sequence encoder captures the construction logic of CAD models, while a point encoder extracts explicit geometric features. A text encoder is used to learn semantic representations of textual queries. During training, we introduce a novel feature decoder that reconstructs masked sequence features via cross-attention with text and point features, encouraging implicit multi-modal alignment. At inference time, we remove this auxiliary decoder to enable efficient retrieval using concatenated sequence-point features. Our framework serves as a strong baseline for text-to-CAD retrieval and lays the foundation for downstream CAD generation paradigms, such as retrieval-augmented generation. The source code will be released.

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arXiv2026

Computer-Aided Design Generation by Cascaded Discrete Diffusion Model

Recent deep learning approaches seek to automate CAD creation by representing a model as a sequence of discrete commands and parameters, and then generating them using autoregressive models or continuous diffusion operating in Euclidean embedding space. However, continuous diffusion perturbs representations in a continuous Euclidean domain that does not reflect the inherently discrete and heterogeneous nature of CAD tokens, often producing perturbed representations that map to semantically invalid symbols. To overcome this limitation, we propose a cascaded discrete diffusion framework for CAD generation, which consists of a command diffusion for generating CAD commands and a parameter diffusion conditioned on CAD commands. Unlike isotropic Gaussian perturbation, the forward process of our approach operates directly over categorical token distributions using delicate transition matrices. For commands, we adopt an absorbing-state transition matrix that progressively corrupts tokens to a designated symbol; for parameters, we introduce specific transition matrices tailored to heterogeneous attributes: a Gaussian kernel for coordinate continuity, a scale-invariant kernel for dimensional values, and a prior-preserving kernel for boolean attributes. The reverse process is achieved by two denoising networks: a Transformer-based encoder for command recovery, and a parameter network with extra local self-attention for command-level interaction and cross-attention for conditional injection. Experiments on the DeepCAD dataset show that the proposed approach surpasses existing autoregressive and continuous diffusion models on unconditional generation metrics, while qualitative results validate effective controllability in conditional generation tasks. Source codes will be released.

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arXiv2026

Maximizing Incremental Information Entropy for Contrastive Learning

Contrastive learning has achieved remarkable success in self-supervised representation learning, often guided by information-theoretic objectives such as mutual information maximization. Motivated by the limitations of static augmentations and rigid invariance constraints, we propose IE-CL (Incremental-Entropy Contrastive Learning), a framework that explicitly optimizes the entropy gain between augmented views while preserving semantic consistency. Our theoretical framework reframes the challenge by identifying the encoder as an information bottleneck and proposes a joint optimization of two components: a learnable transformation for entropy generation and an encoder regularizer for its preservation. Experiments on CIFAR-10/100, STL-10, and ImageNet demonstrate that IE-CL consistently improves performance under small-batch settings. Moreover, our core modules can be seamlessly integrated into existing frameworks. This work bridges theoretical principles and practice, offering a new perspective in contrastive learning.

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arXiv2026

Learning to Fuse and Reconstruct Multi-View Graphs for Diabetic Retinopathy Grading

Diabetic retinopathy (DR) is one of the leading causes of vision loss worldwide, making early and accurate DR grading critical for timely intervention. Recent clinical practices leverage multi-view fundus images for DR detection with a wide coverage of the field of view (FOV), motivating deep learning methods to explore the potential of multi-view learning for DR grading. However, existing methods often overlook the inter-view correlations when fusing multi-view fundus images, failing to fully exploit the inherent consistency across views originating from the same patient. In this work, we present MVGFDR, an end-to-end Multi-View Graph Fusion framework for DR grading. Different from existing methods that directly fuse visual features from multiple views, MVGFDR is equipped with a novel Multi-View Graph Fusion (MVGF) module to explicitly disentangle the shared and view-specific visual features. Specifically, MVGF comprises three key components: (1) Multi-view Graph Initialization, which constructs visual graphs via residual-guided connections and employs Discrete Cosine Transform (DCT) coefficients as frequency-domain anchors; (2) Multi-view Graph Fusion, which integrates selective nodes across multi-view graphs based on frequency-domain relevance to capture complementary view-specific information; and (3) Masked Cross-view Reconstruction, which leverages masked reconstruction of shared information across views to facilitate view-invariant representation learning. Extensive experimental results on MFIDDR, by far the largest multi-view fundus image dataset, demonstrate the superiority of our proposed approach over existing state-of-the-art approaches in diabetic retinopathy grading.

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arXiv2026

Vision KAN: Towards an Attention-Free Backbone for Vision with Kolmogorov-Arnold Networks

Attention mechanisms have become a key module in modern vision backbones due to their ability to model long-range dependencies. However, their quadratic complexity in sequence length and the difficulty of interpreting attention weights limit both scalability and clarity. Recent attention-free architectures demonstrate that strong performance can be achieved without pairwise attention, motivating the search for alternatives. In this work, we introduce Vision KAN (ViK), an attention-free backbone inspired by the Kolmogorov-Arnold Networks. At its core lies MultiPatch-RBFKAN, a unified token mixer that combines (a) patch-wise nonlinear transform with Radial Basis Function-based KANs, (b) axis-wise separable mixing for efficient local propagation, and (c) low-rank global mapping for long-range interaction. Employing as a drop-in replacement for attention modules, this formulation tackles the prohibitive cost of full KANs on high-resolution features by adopting a patch-wise grouping strategy with lightweight operators to restore cross-patch dependencies. Experiments on ImageNet-1K show that ViK achieves competitive accuracy with linear complexity, demonstrating the potential of KAN-based token mixing as an efficient and theoretically grounded alternative to attention.

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arXiv2026

MMedExpert-R1: Strengthening Multimodal Medical Reasoning via Domain-Specific Adaptation and Clinical Guideline Reinforcement

Medical Vision-Language Models (MedVLMs) excel at perception tasks but struggle with complex clinical reasoning required in real-world scenarios. While reinforcement learning (RL) has been explored to enhance reasoning capabilities, existing approaches face critical mismatches: the scarcity of deep reasoning data, cold-start limits multi-specialty alignment, and standard RL algorithms fail to model clinical reasoning diversity. We propose MMedExpert-R1, a novel reasoning MedVLM that addresses these challenges through domain-specific adaptation and clinical guideline reinforcement. We construct MMedExpert, a high-quality dataset of 10K samples across four specialties with step-by-step reasoning traces. Our Domain-Specific Adaptation (DSA) creates specialty-specific LoRA modules to provide diverse initialization, while Guideline-Based Advantages (GBA) explicitly models different clinical reasoning perspectives to align with real-world diagnostic strategies. Conflict-Aware Capability Integration then merges these specialized experts into a unified agent, ensuring robust multi-specialty alignment. Comprehensive experiments demonstrate state-of-the-art performance, with our 7B model achieving 27.50 on MedXpert-MM and 83.03 on OmniMedVQA, establishing a robust foundation for reliable multimodal medical reasoning systems.

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arXiv2026

Benchmarking Egocentric Clinical Intent Understanding Capability for Medical Multimodal Large Language Models

Medical Multimodal Large Language Models (Med-MLLMs) require egocentric clinical intent understanding for real-world deployment, yet existing benchmarks fail to evaluate this critical capability. To address these challenges, we introduce MedGaze-Bench, the first benchmark leveraging clinician gaze as a Cognitive Cursor to assess intent understanding across surgery, emergency simulation, and diagnostic interpretation. Our benchmark addresses three fundamental challenges: visual homogeneity of anatomical structures, strict temporal-causal dependencies in clinical workflows, and implicit adherence to safety protocols. We propose a Three-Dimensional Clinical Intent Framework evaluating: (1) Spatial Intent: discriminating precise targets amid visual noise, (2) Temporal Intent: inferring causal rationale through retrospective and prospective reasoning, and (3) Standard Intent: verifying protocol compliance through safety checks. Beyond accuracy metrics, we introduce Trap QA mechanisms to stress-test clinical reliability by penalizing hallucinations and cognitive sycophancy. Experiments reveal current MLLMs struggle with egocentric intent due to over-reliance on global features, leading to fabricated observations and uncritical acceptance of invalid instructions.

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arXiv2025

Text Condition Embedded Regression Network for Automated Dental Abutment Design

The abutment is an important part of artificial dental implants, whose design process is time-consuming and labor-intensive. Long-term use of inappropriate dental implant abutments may result in implant complications, including peri-implantitis. Using artificial intelligence to assist dental implant abutment design can quickly improve the efficiency of abutment design and enhance abutment adaptability. In this paper, we propose a text condition embedded abutment design framework (TCEAD), the novel automated abutment design solution available in literature. The proposed study extends the self-supervised learning framework of the mesh mask autoencoder (MeshMAE) by introducing a text-guided localization (TGL) module to facilitate abutment area localization. As the parameter determination of the abutment is heavily dependent on local fine-grained features (the width and height of the implant and the distance to the opposing tooth), we pre-train the encoder using oral scan data to improve the model's feature extraction ability. Moreover, considering that the abutment area is only a small part of the oral scan data, we designed a TGL module, which introduces the description of the abutment area through the text encoder of Contrastive Language-Image Pre-training (CLIP), enabling the network to quickly locate the abutment area. We validated the performance of TCEAD on a large abutment design dataset. Extensive experiments demonstrate that TCEAD achieves an Intersection over Union (IoU) improvement of 0.8%-12.85% over other mainstream methods, underscoring its potential in automated dental abutment design.

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arXiv2025

SurvAgent: Hierarchical CoT-Enhanced Case Banking and Dichotomy-Based Multi-Agent System for Multimodal Survival Prediction

Survival analysis is critical for cancer prognosis and treatment planning, yet existing methods lack the transparency essential for clinical adoption. While recent pathology agents have demonstrated explainability in diagnostic tasks, they face three limitations for survival prediction: inability to integrate multimodal data, ineffective region-of-interest exploration, and failure to leverage experiential learning from historical cases. We introduce SurvAgent, the first hierarchical chain-of-thought (CoT)-enhanced multi-agent system for multimodal survival prediction. SurvAgent consists of two stages: (1) WSI-Gene CoT-Enhanced Case Bank Construction employs hierarchical analysis through Low-Magnification Screening, Cross-Modal Similarity-Aware Patch Mining, and Confidence-Aware Patch Mining for pathology images, while Gene-Stratified analysis processes six functional gene categories. Both generate structured reports with CoT reasoning, storing complete analytical processes for experiential learning. (2) Dichotomy-Based Multi-Expert Agent Inference retrieves similar cases via RAG and integrates multimodal reports with expert predictions through progressive interval refinement. Extensive experiments on five TCGA cohorts demonstrate SurvAgent's superority over conventional methods, proprietary MLLMs, and medical agents, establishing a new paradigm for explainable AI-driven survival prediction in precision oncology.

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arXiv2025

Enhancing Multimodal Protein Function Prediction Through Dual-Branch Dynamic Selection with Reconstructive Pre-Training

Multimodal protein features play a crucial role in protein function prediction. However, these features encompass a wide range of information, ranging from structural data and sequence features to protein attributes and interaction networks, making it challenging to decipher their complex interconnections. In this work, we propose a multimodal protein function prediction method (DSRPGO) by utilizing dynamic selection and reconstructive pre-training mechanisms. To acquire complex protein information, we introduce reconstructive pre-training to mine more fine-grained information with low semantic levels. Moreover, we put forward the Bidirectional Interaction Module (BInM) to facilitate interactive learning among multimodal features. Additionally, to address the difficulty of hierarchical multi-label classification in this task, a Dynamic Selection Module (DSM) is designed to select the feature representation that is most conducive to current protein function prediction. Our proposed DSRPGO model improves significantly in BPO, MFO, and CCO on human datasets, thereby outperforming other benchmark models.

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arXiv2025

A Survey of Multimodal Ophthalmic Diagnostics: From Task-Specific Approaches to Foundational Models

Visual impairment represents a major global health challenge, with multimodal imaging providing complementary information that is essential for accurate ophthalmic diagnosis. This comprehensive survey systematically reviews the latest advances in multimodal deep learning methods in ophthalmology up to the year 2025. The review focuses on two main categories: task-specific multimodal approaches and large-scale multimodal foundation models. Task-specific approaches are designed for particular clinical applications such as lesion detection, disease diagnosis, and image synthesis. These methods utilize a variety of imaging modalities including color fundus photography, optical coherence tomography, and angiography. On the other hand, foundation models combine sophisticated vision-language architectures and large language models pretrained on diverse ophthalmic datasets. These models enable robust cross-modal understanding, automated clinical report generation, and decision support. The survey critically examines important datasets, evaluation metrics, and methodological innovations including self-supervised learning, attention-based fusion, and contrastive alignment. It also discusses ongoing challenges such as variability in data, limited annotations, lack of interpretability, and issues with generalizability across different patient populations. Finally, the survey outlines promising future directions that emphasize the use of ultra-widefield imaging and reinforcement learning-based reasoning frameworks to create intelligent, interpretable, and clinically applicable AI systems for ophthalmology.

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arXiv2025

Wavelet-based Global-Local Interaction Network with Cross-Attention for Multi-View Diabetic Retinopathy Detection

Multi-view diabetic retinopathy (DR) detection has recently emerged as a promising method to address the issue of incomplete lesions faced by single-view DR. However, it is still challenging due to the variable sizes and scattered locations of lesions. Furthermore, existing multi-view DR methods typically merge multiple views without considering the correlations and redundancies of lesion information across them. Therefore, we propose a novel method to overcome the challenges of difficult lesion information learning and inadequate multi-view fusion. Specifically, we introduce a two-branch network to obtain both local lesion features and their global dependencies. The high-frequency component of the wavelet transform is used to exploit lesion edge information, which is then enhanced by global semantic to facilitate difficult lesion learning. Additionally, we present a cross-view fusion module to improve multi-view fusion and reduce redundancy. Experimental results on large public datasets demonstrate the effectiveness of our method. The code is open sourced on https://github.com/HuYongting/WGLIN.

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arXiv2025

HySurvPred: Multimodal Hyperbolic Embedding with Angle-Aware Hierarchical Contrastive Learning and Uncertainty Constraints for Survival Prediction

Multimodal learning that integrates histopathology images and genomic data holds great promise for cancer survival prediction. However, existing methods face key limitations: 1) They rely on multimodal mapping and metrics in Euclidean space, which cannot fully capture the hierarchical structures in histopathology (among patches from different resolutions) and genomics data (from genes to pathways). 2) They discretize survival time into independent risk intervals, which ignores its continuous and ordinal nature and fails to achieve effective optimization. 3) They treat censorship as a binary indicator, excluding censored samples from model optimization and not making full use of them. To address these challenges, we propose HySurvPred, a novel framework for survival prediction that integrates three key modules: Multimodal Hyperbolic Mapping (MHM), Angle-aware Ranking-based Contrastive Loss (ARCL) and Censor-Conditioned Uncertainty Constraint (CUC). Instead of relying on Euclidean space, we design the MHM module to explore the inherent hierarchical structures within each modality in hyperbolic space. To better integrate multimodal features in hyperbolic space, we introduce the ARCL module, which uses ranking-based contrastive learning to preserve the ordinal nature of survival time, along with the CUC module to fully explore the censored data. Extensive experiments demonstrate that our method outperforms state-of-the-art methods on five benchmark datasets. The source code is to be released.

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arXiv2025

MedKAN: An Advanced Kolmogorov-Arnold Network for Medical Image Classification

Recent advancements in deep learning for image classification predominantly rely on convolutional neural networks (CNNs) or Transformer-based architectures. However, these models face notable challenges in medical imaging, particularly in capturing intricate texture details and contextual features. Kolmogorov-Arnold Networks (KANs) represent a novel class of architectures that enhance nonlinear transformation modeling, offering improved representation of complex features. In this work, we present MedKAN, a medical image classification framework built upon KAN and its convolutional extensions. MedKAN features two core modules: the Local Information KAN (LIK) module for fine-grained feature extraction and the Global Information KAN (GIK) module for global context integration. By combining these modules, MedKAN achieves robust feature modeling and fusion. To address diverse computational needs, we introduce three scalable variants--MedKAN-S, MedKAN-B, and MedKAN-L. Experimental results on nine public medical imaging datasets demonstrate that MedKAN achieves superior performance compared to CNN- and Transformer-based models, highlighting its effectiveness and generalizability in medical image analysis.

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arXiv2024

DAMPER: A Dual-Stage Medical Report Generation Framework with Coarse-Grained MeSH Alignment and Fine-Grained Hypergraph Matching

Medical report generation is crucial for clinical diagnosis and patient management, summarizing diagnoses and recommendations based on medical imaging. However, existing work often overlook the clinical pipeline involved in report writing, where physicians typically conduct an initial quick review followed by a detailed examination. Moreover, current alignment methods may lead to misaligned relationships. To address these issues, we propose DAMPER, a dual-stage framework for medical report generation that mimics the clinical pipeline of report writing in two stages. In the first stage, a MeSH-Guided Coarse-Grained Alignment (MCG) stage that aligns chest X-ray (CXR) image features with medical subject headings (MeSH) features to generate a rough keyphrase representation of the overall impression. In the second stage, a Hypergraph-Enhanced Fine-Grained Alignment (HFG) stage that constructs hypergraphs for image patches and report annotations, modeling high-order relationships within each modality and performing hypergraph matching to capture semantic correlations between image regions and textual phrases. Finally,the coarse-grained visual features, generated MeSH representations, and visual hypergraph features are fed into a report decoder to produce the final medical report. Extensive experiments on public datasets demonstrate the effectiveness of DAMPER in generating comprehensive and accurate medical reports, outperforming state-of-the-art methods across various evaluation metrics.

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arXiv2024

Activation Space Selectable Kolmogorov-Arnold Networks

The multilayer perceptron (MLP), a fundamental paradigm in current artificial intelligence, is widely applied in fields such as computer vision and natural language processing. However, the recently proposed Kolmogorov-Arnold Network (KAN), based on nonlinear additive connections, has been proven to achieve performance comparable to MLPs with significantly fewer parameters. Despite this potential, the use of a single activation function space results in reduced performance of KAN and related works across different tasks. To address this issue, we propose an activation space Selectable KAN (S-KAN). S-KAN employs an adaptive strategy to choose the possible activation mode for data at each feedforward KAN node. Our approach outperforms baseline methods in seven representative function fitting tasks and significantly surpasses MLP methods with the same level of parameters. Furthermore, we extend the structure of S-KAN and propose an activation space selectable Convolutional KAN (S-ConvKAN), which achieves leading results on four general image classification datasets. Our method mitigates the performance variability of the original KAN across different tasks and demonstrates through extensive experiments that feedforward KANs with selectable activations can achieve or even exceed the performance of MLP-based methods. This work contributes to the understanding of the data-centric design of new AI paradigms and provides a foundational reference for innovations in KAN-based network architectures.

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arXiv2024

GEM: Context-Aware Gaze EstiMation with Visual Search Behavior Matching for Chest Radiograph

Gaze estimation is pivotal in human scene comprehension tasks, particularly in medical diagnostic analysis. Eye-tracking technology facilitates the recording of physicians' ocular movements during image interpretation, thereby elucidating their visual attention patterns and information-processing strategies. In this paper, we initially define the context-aware gaze estimation problem in medical radiology report settings. To understand the attention allocation and cognitive behavior of radiologists during the medical image interpretation process, we propose a context-aware Gaze EstiMation (GEM) network that utilizes eye gaze data collected from radiologists to simulate their visual search behavior patterns throughout the image interpretation process. It consists of a context-awareness module, visual behavior graph construction, and visual behavior matching. Within the context-awareness module, we achieve intricate multimodal registration by establishing connections between medical reports and images. Subsequently, for a more accurate simulation of genuine visual search behavior patterns, we introduce a visual behavior graph structure, capturing such behavior through high-order relationships (edges) between gaze points (nodes). To maintain the authenticity of visual behavior, we devise a visual behavior-matching approach, adjusting the high-order relationships between them by matching the graph constructed from real and estimated gaze points. Extensive experiments on four publicly available datasets demonstrate the superiority of GEM over existing methods and its strong generalizability, which also provides a new direction for the effective utilization of diverse modalities in medical image interpretation and enhances the interpretability of models in the field of medical imaging. https://github.com/Tiger-SN/GEM

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arXiv2024

SSAD: Self-supervised Auxiliary Detection Framework for Panoramic X-ray based Dental Disease Diagnosis

Panoramic X-ray is a simple and effective tool for diagnosing dental diseases in clinical practice. When deep learning models are developed to assist dentist in interpreting panoramic X-rays, most of their performance suffers from the limited annotated data, which requires dentist's expertise and a lot of time cost. Although self-supervised learning (SSL) has been proposed to address this challenge, the two-stage process of pretraining and fine-tuning requires even more training time and computational resources. In this paper, we present a self-supervised auxiliary detection (SSAD) framework, which is plug-and-play and compatible with any detectors. It consists of a reconstruction branch and a detection branch. Both branches are trained simultaneously, sharing the same encoder, without the need for finetuning. The reconstruction branch learns to restore the tooth texture of healthy or diseased teeth, while the detection branch utilizes these learned features for diagnosis. To enhance the encoder's ability to capture fine-grained features, we incorporate the image encoder of SAM to construct a texture consistency (TC) loss, which extracts image embedding from the input and output of reconstruction branch, and then enforces both embedding into the same feature space. Extensive experiments on the public DENTEX dataset through three detection tasks demonstrate that the proposed SSAD framework achieves state-of-the-art performance compared to mainstream object detection methods and SSL methods. The code is available at https://github.com/Dylonsword/SSAD

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