arXiv subjects

Xiaomeng Li

Publications and source records attributed to Xiaomeng Li.

At least 37 records · Page 2Linked to original sources

arXiv2026

Escaping the BLEU Trap: A Signal-Grounded Framework with Decoupled Semantic Guidance for EEG-to-Text Decoding

Decoding natural language from non-invasive EEG signals is a promising yet challenging task. However, current state-of-the-art models remain constrained by three fundamental issues: Semantic Bias, where outputs collapse into generic linguistic templates; Signal Neglect, where models rely heavily on LLM priors to hallucinate fluent text even in the absence of meaningful signals; and the "BLEU Trap", where high-frequency stopwords inflate n-gram metrics, masking a lack of true semantic fidelity. To resolve these challenges, we move beyond conventional end-to-end pipelines and propose SemKey, a novel multi-stage framework that enforces signal-grounded generation through four decoupled semantic objectives: sentiment, topic, length, and surprisal. We extract these semantic anchors from EEG embeddings directly, then unify them with an Active Retrieval Decoding mechanism, compelling the LLM to ground its token generation in the neural signals rather than defaulting to linguistic priors. Furthermore, we break the BLEU Trap by establishing a comprehensive evaluation protocol using rigorous retrieval and distribution-based metrics such as Fréchet Distance. Extensive experiments demonstrate that SemKey effectively mitigates hallucinations on noise inputs and achieves SOTA performance on these robust protocols. Code will be released upon acceptance at https://github.com/xmed-lab/SemKey.

cs.CL↗

arXiv2026

TriALS: Triphasic-Aided Liver Lesion Segmentation Benchmark in Non-Contrast CT

Automated segmentation of liver lesions on non-contrast computed tomography (NCCT) is clinically important but fundamentally challenging, particularly in low-resource settings across Africa and Asia where contrast agents are frequently unavailable. Progress has been limited by the absence of annotated NCCT benchmarks. Here we describe the TriALS challenge for automated liver lesion segmentation under contrast-limited conditions, supported by a multi-centre dataset of 150 cases with four-phase CT acquisitions (600 volumes) from Egyptian and Chinese institutions. Algorithms were evaluated on 70 cases from three institutions, including an independent external cohort. The top-performing method achieved a mean venous-phase Dice of 0.754, consistent with human-level performance, yet dropped to 0.57 on NCCT. On external validation, the leading method outperformed off-the-shelf models by up to 28% in Dice on NCCT. Algorithm performance was most strongly predicted by training data scale and pre-training strategy. A cross-year comparison exposed a persistent perceptual barrier on NCCT that scaling pre-training alone cannot overcome. Data, annotations, and code are available at https://github.com/xmed-lab/TriALS.

cs.CV↗

arXiv2026

Injecting Distributional Awareness into MLLMs via Reinforcement Learning for Deep Imbalanced Regression

Multimodal large language models (MLLMs) struggle with numerical regression under long-tailed target distributions. Token-level supervised fine-tuning (SFT) and point-wise regression rewards bias learning toward high-density regions, leading to regression-to-the-mean behavior and poor tail performance. We identify the lack of cross-sample relational supervision as a key limitation of existing MLLM training paradigms. To address it, we propose a distribution-aware reinforcement learning framework based on Group Relative Policy Optimization, which introduces batch-level comparison-based supervision via the Concordance Correlation Coefficient-based reward to align predicted and ground-truth distributions in terms of correlation, scale, and mean. The framework is plug-and-play, requiring no architectural modification. Experiments on a unified suite of long-tailed regression benchmarks show consistent improvements over SFT and existing MLLM regression methods, with particularly strong gains in medium- and few-shot regimes.

cs.CL↗

arXiv2026

EdgeServing: Deadline-Aware Multi-DNN Serving at the Edge

As edge computing expands, serving multiple deep neural network (DNN) models on a single shared GPU has become a common yet challenging scenario, where each scheduling decision affects the tail latency of all concurrent queues. Existing schedulers rely on local heuristics and fail to capture this global impact, while GPU spatial-sharing approaches sacrifice latency predictability. In this paper, we propose EdgeServing, a deadline-aware multi-DNN serving system for edge devices. EdgeServing adopts time-division GPU sharing with early-exit inference for high inference predictability, and introduces a stability score to quantify how each candidate scheduling decision impacts the future queue status. At runtime, it cohesively selects the model, exit point, and batch size to minimize predicted system-wide SLO impact. Experimental results on multiple hardware platforms show that EdgeServing consistently outperforms representative baselines in both SLO violation ratio and P95 latency, enabled by early-exit mechanism, which expands the scheduling action space under tight latency constraints.

cs.DC↗

arXiv2026

Divide-then-Diagnose: Weaving Clinician-Inspired Contexts for Ultra-Long Capsule Endoscopy Videos

Capsule endoscopy (CE) enables non-invasive gastrointestinal screening, but current CE research remains largely limited to frame-level classification and detection, leaving video-level analysis underexplored. To bridge this gap, we introduce and formally define a new task, diagnosis-driven CE video summarization, which requires extracting key evidence frames that covers clinically meaningful findings and making accurate diagnoses from those evidence frames. This setting is challenging because diagnostically relevant events are extremely sparse and can be overwhelmed by tens of thousands of redundant normal frames, while individual observations are often ambiguous due to motion blur, debris, specular highlights, and rapid viewpoint changes. To facilitate research in this direction, we introduce VideoCAP, the first CE dataset with diagnosis-driven annotations derived from real clinical reports. VideoCAP comprises 240 full-length videos and provides realistic supervision for both key evidence frame extraction and diagnosis. To address this task, we further propose DiCE, a clinician-inspired framework that mirrors the standard CE reading workflow. DiCE first performs efficient candidate screening over the raw video, then uses a Context Weaver to organize candidates into coherent diagnostic contexts that preserve distinct lesion events, and an Evidence Converger to aggregate multi-frame evidence within each context into robust clip-level judgments. Experiments show that DiCE consistently outperforms state-of-the-art methods, producing concise and clinically reliable diagnostic summaries. These results highlight diagnosis-driven contextual reasoning as a promising paradigm for ultra-long CE video summarization.

cs.CV↗

arXiv2026

Into the Gray Zone: Domain Contexts Can Blur LLM Safety Boundaries

A central goal of LLM alignment is to balance helpfulness with harmlessness, yet these objectives conflict when the same knowledge serves both legitimate and malicious purposes. This tension is amplified by context-sensitive alignment: we observe that domain-specific contexts (e.g., chemistry) selectively relax defenses for domain-relevant harmful knowledge, while safety-research contexts (e.g., jailbreak studies) trigger broader relaxation spanning all harm categories. To systematically exploit this vulnerability, we propose Jargon, a framework combining safety-research contexts with multi-turn adversarial interactions that achieves attack success rates exceeding 93% across seven frontier models, including GPT-5.2, Claude-4.5, and Gemini-3, substantially outperforming existing methods. Activation space analysis reveals that Jargon queries occupy an intermediate region between benign and harmful inputs, a gray zone where refusal decisions become unreliable. To mitigate this vulnerability, we design a policy-guided safeguard that steers models toward helpful yet harmless responses, and internalize this capability through alignment fine-tuning, reducing attack success rates while preserving helpfulness.

cs.CR↗

arXiv2026

Parallelism and Generation Order in Masked Diffusion Language Models: Limits Today, Potential Tomorrow

Masked Diffusion Language Models (MDLMs) promise parallel token generation and arbitrary-order decoding, yet it remains unclear to what extent current models truly realize these capabilities. We characterize MDLM behavior along two dimensions -- parallelism strength and generation order -- using Average Finalization Parallelism (AFP) and Kendall's tau. We evaluate eight mainstream MDLMs (up to 100B parameters) on 58 benchmarks spanning knowledge, reasoning, and programming. The results show that MDLMs still lag behind comparably sized autoregressive models, mainly because parallel probabilistic modeling weakens inter-token dependencies. Meanwhile, MDLMs exhibit adaptive decoding behavior: their parallelism and generation order vary significantly with the task domain, the stage of reasoning, and whether the output is correct. On tasks that require "backward information" (e.g., Sudoku), MDLMs adopt a solution order that tends to fill easier Sudoku blanks first, highlighting their advantages. Finally, we provide theoretical motivation and design insights supporting a Generate-then-Edit paradigm, which mitigates dependency loss while retaining the efficiency of parallel decoding.

cs.CL↗

arXiv2026

Adapting 2D Multi-Modal Large Language Model for 3D CT Image Analysis

3D medical image analysis is of great importance in disease diagnosis and treatment. Recently, multimodal large language models (MLLMs) have exhibited robust perceptual capacity, strong cross-modal alignment, and promising generalizability. Therefore, they have great potential to improve the performance of medical report generation (MRG) and medical visual question answering (MVQA), which serve as two important tasks in clinical scenarios. However, due to the scarcity of 3D medical images, existing 3D medical MLLMs suffer from insufficiently pretrained vision encoder and inability to extract customized image features for different kinds of tasks. In this paper, we propose to first transfer a 2D MLLM, which is well trained with 2D natural images, to support 3D medical volumetric inputs while reusing all of its pre-trained parameters. To enable the vision encoder to extract tailored image features for various tasks, we then design a Text-Guided Hierarchical MoE (TGH-MoE) framework, which can distinguish tasks under the guidance of the text prompt. Furthermore, we propose a two-stage training strategy to learn both task-shared and task-specific image features. As demonstrated empirically, our method outperforms existing 3D medical MLLMs in both MRG and MVQA tasks. Our code will be released once this paper is accepted.

cs.CV↗

arXiv2026

From Exposure to Internalization: Dual-Stream Calibration for In-context Clinical Reasoning

Contextual clinical reasoning demands robust inference grounded in complex, heterogeneous clinical records. While state-of-the-art fine-tuning, in-context learning (ICL), and retrieval-augmented generation (RAG) enable knowledge exposure, they often fall short of genuine contextual internalization: dynamically adjusting a model's internal representations to the subtle nuances of individual cases at inference time. To address this, we propose Dual-Stream Calibration (DSC), a test-time training framework that transcends superficial knowledge exposure to achieve deep internalization during inference. DSC facilitates input internalization by synergistically aligning two calibration streams. Unlike passive context exposure, the Semantic Calibration Stream enforces a deliberative reflection on core evidence, internalizing semantic anchors by minimizing entropy to stabilize generative trajectories. Simultaneously, the Structural Calibration Stream assimilates latent inferential dependencies through an iterative meta-learning objective. By training on specialized support sets at test-time, this stream enables the model to bridge the gap between external evidence and internal logic, synthesizing fragmented data into a coherent response. Our approach shifts the reasoning paradigm from passive attention-based matching to an active refinement of the latent inferential space. Validated against thirteen clinical datasets, DSC demonstrates superiority across three distinct task paradigms, consistently outstripping state-of-the-art baselines ranging from training-dependent models to test-time learning frameworks.

q-bio.QM↗

arXiv2026

Project Imaging-X: A Survey of 1000+ Open-Access Medical Imaging Datasets for Foundation Model Development

Foundation models have demonstrated remarkable success across diverse domains and tasks, primarily due to the thrive of large-scale, diverse, and high-quality datasets. However, in the field of medical imaging, the curation and assembling of such medical datasets are highly challenging due to the reliance on clinical expertise and strict ethical and privacy constraints, resulting in a scarcity of large-scale unified medical datasets and hindering the development of powerful medical foundation models. In this work, we present the largest survey to date of medical image datasets, covering over 1,000 open-access datasets with a systematic catalog of their modalities, tasks, anatomies, annotations, limitations, and potential for integration. Our analysis exposes a landscape that is modest in scale, fragmented across narrowly scoped tasks, and unevenly distributed across organs and modalities, which in turn limits the utility of existing medical image datasets for developing versatile and robust medical foundation models. To turn fragmentation into scale, we propose a metadata-driven fusion paradigm (MDFP) that integrates public datasets with shared modalities or tasks, thereby transforming multiple small data silos into larger, more coherent resources. Building on MDFP, we release an interactive discovery portal that enables end-to-end, automated medical image dataset integration, and compile all surveyed datasets into a unified, structured table that clearly summarizes their key characteristics and provides reference links, offering the community an accessible and comprehensive repository. By charting the current terrain and offering a principled path to dataset consolidation, our survey provides a practical roadmap for scaling medical imaging corpora, supporting faster data discovery, more principled dataset creation, and more capable medical foundation models.

cs.CV↗

arXiv2026

RadHiera: Semantic Hierarchical Reinforcement Learning for Medical Report Generation

Vision-language models have shown promising results in radiology report generation. However, most existing methods generate reports as flat text and do not explicitly model the semantic dependency between the Findings and Impression sections, which can lead to inconsistencies between clinical observations and diagnostic conclusions. In this paper, we propose RadHiera, a semantic hierarchical reinforcement learning framework for radiology report generation. RadHiera follows the semantic organization of radiology reports by first optimizing overall report quality, then improving the diagnostic accuracy of the Impression section, and finally enforcing consistency between Findings and Impression so that diagnostic conclusions are supported by clinical evidence. Specifically, we begin with a base reward that combines linguistic quality and medical factuality to provide supervision on the whole report. On this basis, we introduce a severity-aware reward for the Impression section that places greater emphasis on errors involving clinically critical conditions, thereby reducing both missed diagnoses and overstatement. We further enforce cross-section consistency using Expert Model-derived label sets, with subset constraints and hallucination penalties to ensure that impressions remain faithful to the findings. Experiments on three public chest X-ray benchmarks show that RadHiera consistently improves diagnostic accuracy and inter-section consistency over state-of-the-art methods, while also demonstrating good adaptability to report generation in ultrasound report generation.

cs.AI↗

arXiv2026

Small Talk, Big Impact? LLM-based Conversational Agents to Mitigate Passive Fatigue in Conditional Automated Driving

Passive fatigue during conditional automated driving can compromise driver readiness and safety. This paper presents findings from a test-track study with 40 participants in a real-world automated driving scenario. In this scenario, a Large Language Model (LLM) based conversational agent (CA) was designed to check in with drivers and re-engage them with their surroundings. Drawing on in-car video recordings, sleepiness ratings and interviews, we analysed how drivers interacted with the agent and how these interactions shaped alertness. Results show the CA is helpful for supporting vigilance during passive fatigue. Thematic analysis of acceptability further revealed three user preference profiles that implicate future intention to use CAs. Positioning empirically observed profiles within existing CA archetype frameworks highlights the need for adaptive design sensitive to diverse user groups. This work underscores the potential of CAs as proactive Human-Machine Interface (HMI) interventions, demonstrating how natural language can support context-aware interaction during automated driving.

cs.HC↗

arXiv2026

DeepSparse: A Foundation Model for Sparse-View CBCT Reconstruction

Cone-beam computed tomography (CBCT) is a critical 3D imaging technology in the medical field, while the high radiation exposure required for high-quality imaging raises significant concerns, particularly for vulnerable populations. Sparse-view reconstruction reduces radiation by using fewer X-ray projections while maintaining image quality, yet existing methods face challenges such as high computational demands and poor generalizability to different datasets. To overcome these limitations, we propose DeepSparse, the first foundation model for sparse-view CBCT reconstruction, featuring DiCE (Dual-Dimensional Cross-Scale Embedding), a novel network that integrates multi-view 2D features and multi-scale 3D features. Additionally, we introduce the HyViP (Hybrid View Sampling Pretraining) framework, which pretrains the model on large datasets with both sparse-view and dense-view projections, and a two-step finetuning strategy to adapt and refine the model for new datasets. Extensive experiments and ablation studies demonstrate that our proposed DeepSparse achieves superior reconstruction quality compared to state-of-the-art methods, paving the way for safer and more efficient CBCT imaging.

eess.IV↗

arXiv2026

Which Tool Response Should I Trust? Tool-Expertise-Aware Chest X-ray Agent with Multimodal Agentic Learning

AI agents with tool-use capabilities show promise for integrating the domain expertise of various tools. In the medical field, however, tools are usually AI models that are inherently error-prone and can produce contradictory responses. Existing research on medical agents lacks sufficient understanding of the tools' realistic reliability and thus cannot effectively resolve tool conflicts. To address this gap, this paper introduces a framework that enables an agent to interact with tools and empirically learn their practical trustworthiness across different types of multimodal queries via agentic learning. As a concrete instantiation, we focus on chest X-ray analysis and present a tool-expertise-aware chest X-ray agent (TEA-CXA). When tool outputs disagree, the agent experimentally accepts or rejects multimodal tool results, receives rewards, and learns which tool to trust for each query type. Importantly, TEA-CXA extends existing codebases for reinforcement learning with multi-turn tool-calling that focus on textual inputs, to support multimodal contexts effectively. In addition, we enhance the codebase for medical use scenarios by supporting multiple tool calls in one turn, parallel tool inference, and multi-image accommodation within a single user query. Our code framework is applicable to general medical research on multi-turn tool-calling reinforcement learning in multimodal settings. Experiments show that TEA-CXA outperforms the state-of-the-art methods and a comprehensive set of baselines. Code will be released.

cs.CV↗

arXiv2026

A Cognitive Process-Inspired Architecture for Subject-Agnostic Brain Visual Decoding

Subject-agnostic brain decoding, which aims to reconstruct continuous visual experiences from fMRI without subject-specific training, holds great potential for clinical applications. However, this direction remains underexplored due to challenges in cross-subject generalization and the complex nature of brain signals. In this work, we propose Visual Cortex Flow Architecture (VCFlow), a novel hierarchical decoding framework that explicitly models the ventral-dorsal architecture of the human visual system to learn multi-dimensional representations. By disentangling and leveraging features from early visual cortex, ventral, and dorsal streams, VCFlow captures diverse and complementary cognitive information essential for visual reconstruction. Furthermore, we introduce a feature-level contrastive learning strategy to enhance the extraction of subject-invariant semantic representations, thereby enhancing subject-agnostic applicability to previously unseen subjects. Unlike conventional pipelines that need more than 12 hours of per-subject data and heavy computation, VCFlow sacrifices only 7\% accuracy on average yet generates each reconstructed video in 10 seconds without any retraining, offering a fast and clinically scalable solution. The source code will be released upon acceptance of the paper.

cs.CV↗

arXiv2026

Automatic Network Planning with Digital Radio Twin

Network planning seeks to determine base station parameters that maximize coverage and capacity in cellular networks. However, achieving optimal planning remains challenging due to the diversity of deployment scenarios and the significant simulation-to-reality discrepancy. In this paper, we propose \emph{AutoPlan}, a new automatic network planning framework by leveraging digital radio twin (DRT) techniques. We derive the DRT by finetuning the parameters of building materials to reduce the sim-to-real discrepancy based on crowdsource real-world user data. Leveraging the DRT, we design a Bayesian optimization based algorithm to optimize the deployment parameters of base stations efficiently. Using the field measurement from Husker-Net, we extensively evaluate \emph{AutoPlan} under various deployment scenarios, in terms of both coverage and capacity. The evaluation results show that \emph{AutoPlan} flexibly adapts to different scenarios and achieves performance comparable to exhaustive search, while requiring less than 2\% of its computation time.

cs.NI↗

arXiv2026

Ctrl-GenAug: Controllable Generative Augmentation for Medical Sequence Classification

In the medical field, the limited availability of large-scale datasets and labor-intensive annotation processes hinder the performance of deep models. Diffusion-based generative augmentation approaches present a promising solution to this issue, having been proven effective in advancing downstream medical recognition tasks. Nevertheless, existing works lack sufficient semantic and sequential steerability for challenging video/3D sequence generation, and neglect quality control of noisy synthesized samples, resulting in unreliable synthetic databases and severely limiting the performance of downstream tasks. In this work, we present Ctrl-GenAug, a novel and general generative augmentation framework that enables highly semantic- and sequential-customized sequence synthesis and suppresses incorrectly synthesized samples, to aid medical sequence classification. Specifically, we first design a multimodal conditions-guided sequence generator for controllably synthesizing diagnosis-promotive samples. A sequential augmentation module is integrated to enhance the temporal/stereoscopic coherence of generated samples. Then, we propose a noisy synthetic data filter to suppress unreliable cases at semantic and sequential levels. Extensive experiments on 3 medical datasets, using 11 networks trained on 3 paradigms, comprehensively analyze the effectiveness and generality of Ctrl-GenAug, particularly in underrepresented high-risk populations and out-domain conditions.

cs.CV↗

arXiv2026

Beyond Benchmarks of IUGC: Rethinking Requirements of Deep Learning Methods for Intrapartum Ultrasound Biometry from Fetal Ultrasound Videos

A substantial proportion (45\%) of maternal deaths, neonatal deaths, and stillbirths occur during the intrapartum phase, with a particularly high burden in low- and middle-income countries. Intrapartum biometry plays a critical role in monitoring labor progression; however, the routine use of ultrasound in resource-limited settings is hindered by a shortage of trained sonographers. To address this challenge, the Intrapartum Ultrasound Grand Challenge (IUGC), co-hosted with MICCAI 2024, was launched. The IUGC introduces a clinically oriented multi-task automatic measurement framework that integrates standard plane classification, fetal head-pubic symphysis segmentation, and biometry, enabling algorithms to exploit complementary task information for more accurate estimation. Furthermore, the challenge releases the largest multi-center intrapartum ultrasound video dataset to date, comprising 774 videos (68,106 frames) collected from three hospitals, providing a robust foundation for model training and evaluation. In this study, we present a comprehensive overview of the challenge design, review the submissions from eight participating teams, and analyze their methods from five perspectives: preprocessing, data augmentation, learning strategy, model architecture, and post-processing. In addition, we perform a systematic analysis of the benchmark results to identify key bottlenecks, explore potential solutions, and highlight open challenges for future research. Although encouraging performance has been achieved, our findings indicate that the field remains at an early stage, and further in-depth investigation is required before large-scale clinical deployment. All benchmark solutions and the complete dataset have been publicly released to facilitate reproducible research and promote continued advances in automatic intrapartum ultrasound biometry.

cs.CV↗