arXiv subjects

Xinpeng Ding

Publications and source records attributed to Xinpeng Ding.

At least 19 recordsLinked to original sources

arXiv2026

CACSurv: Concordance-Aligned Comparative Learning with Large Language Models for Cancer Survival Prediction

Cancer survival prediction supports treatment planning, risk stratification, and follow-up management. Existing methods use structured clinical variables, whole-slide images, genomic profiles, or multimodal inputs, while patient reports remain underexplored. We study report-centric survival prediction using reports that organize pathological, clinical, and molecular evidence. Large language models (LLMs) can reason over such reports, but case-wise time regression introduces two mismatches. First, a formulation mismatch arises because survival evaluation depends on ordering comparable patients, whereas independent time predictions do not enforce ranking consistency. Second, a supervision mismatch arises because a censored patient's observed time indicates survival beyond that point and cannot serve as an exact regression target, although it still implies orderings relative to patients who died earlier. To address these mismatches, we propose CACSurv, a Concordance-Aligned Comparative framework for report-centric survival prediction. CACSurv reformulates survival modeling as mini-cohort comparative reasoning, where an LLM predicts relative prognostic orderings. We introduce concordance-aligned rewards derived from comparable relations under right censoring, enabling censored outcomes to provide ranking supervision without exact event-time targets. At inference, Monte Carlo Reference Aggregation compares each patient with sampled references and aggregates positions into a cohort-level ranking. We establish TCGA-SurvReport, a benchmark covering six TCGA cancer cohorts. CACSurv achieves the highest C-index on all six cohorts and an average C-index of 0.722, outperforming the strongest published survival model by 6.5 percentage points and the strongest LLM time-regression baseline by 4.2 percentage points. Our code, models, and dataset will be available at https://github.com/xmed-lab/CACSurv.

cs.AI↗

arXiv2026

Beyond Frame Selection: Generative Latent Evidence Aggregation for Long-Video Understanding

Long-video understanding commonly compresses videos into a small set of frames or visual tokens for answer generation. Existing compact pipelines focus on retaining relevant visual content as explicit evidence. Yet making evidence available does not ensure that complementary cues across moments are integrated for answering. Our key idea is to organize selected frames into query-relevant cross-frame evidence before generation. We formulate this post-selection stage as a latent evidence interface and instantiate it with GenEvA ($\textbf{Gen}erative$ $Latent$ $\textbf{Ev}idence$ $\textbf{A}ggregation$), a distribution-guided latent evidence aggregation framework. Specifically, GenEvA uses a query-conditioned evidence distribution to focus aggregation on relevant frames, forming compact cross-frame latent evidence from their frame-specific information. Since cross-frame integration is not always needed, the same distribution determines whether to insert this latent complement. Across four benchmarks and two Video-MLLM backbones, GenEvA consistently improves matched-frame baselines. At 8 frames, it raises the four-benchmark LLaVA-Video average by $+5.2$ points and Qwen2.5-VL accuracy on LVBench by $+10.1$ points. These gains require only $0.11\%$--$0.40\%$ average video-token overhead; analyses further show task-aware allocation and benefits from Adaptive Evidence Invocation.

cs.CV↗

arXiv2026

Adversarial Style Optimization: Enhancing VLM Jailbreaks by GRPO-based Stylistic Triggers Optimization

Multimodal Large Language Models (MLLMs) have achieved impressive performance, but their safety alignment remains vulnerable to jailbreak attacks. Existing content-based jailbreaks are often inconsistent and show unsatisfying performance against the rapidly evolving MLLMs, failing to exploit non-content-based vulnerabilities. Unlike previous research, we empirically find that MLLMs exhibit a Stylistic Inconsistency between their comprehension ability and safety ability: MLLMs can robustly understand content regardless of visual style, yet their defense mechanisms can be easily bypassed by specific stylistic triggers. Based on this finding, we propose Adversarial Style Optimization (ASO), a plug-and-play enhancement module to amplify existing visual jailbreaks. ASO fine-tunes an image-editing model to superimpose an optimized stylistic modification onto a given adversarial image, using a Group Relative Policy Optimization (GRPO) agent guided by a Structurally-Tiered Reward Function that combines a logit-based signal for detecting explicit refusals with a high-fidelity semantic evaluation from a powerful judge model. Extensive experiments show that ASO significantly enhances the ASR of SOTA attacks, demonstrating that stylistic biases are a scalable vector for red-teaming MLLMs. Our code is available at https://github.com/bingjunluo/ASO.

cs.CL↗

arXiv2026

Enhancing Visual Token Representations for Video Large Language Models via Training-Free Spatial-Temporal Pooling and Gridding

Recent advances in Multimodal Large Language Models (MLLMs) have significantly advanced video understanding tasks, yet challenges remain in efficiently compressing visual tokens while preserving spatiotemporal interactions. Existing methods, such as LLaVA family, utilize simplistic pooling or interpolation techniques that overlook the intricate dynamics of visual tokens. To bridge this gap, we propose ST-GridPool, a novel training-free visual token enhancement method designed specifically for Video LLMs. Our approach integrates Pyramid Temporal Gridding (PTG), which captures multi-grained spatiotemporal interactions through hierarchical temporal gridding, and Norm-based Spatial Pooling (NSP), which preserves high-information visual regions by leveraging the correlation between token norms and semantic richness. Extensive experiments on various benchmarks demonstrate that ST-GridPool consistently enhances performance of Video LLMs without requiring costly retraining. Our method offers an efficient and plug-and-play solution for improving visual token representations. Our code is available in https://github.com/bingjunluo/ST-GridPool.

cs.AI↗

arXiv2026

ST-SimDiff: Balancing Spatiotemporal Similarity and Difference for Efficient Video Understanding with MLLMs

Multimodal Large Language Models (MLLMs) face significant computational overhead when processing long videos due to the massive number of visual tokens required. To improve efficiency, existing methods primarily reduce redundancy by pruning or merging tokens based on importance or similarity. However, these approaches largely overlook a critical dimension of video content, i.e., changes and turning points, and they lack a collaborative model for spatio-temporal relationships. To address this, we propose a new perspective: similarity is for identifying redundancy, while difference is for capturing key events. Based on this, we designed a training-free framework named ST-SimDiff. We first construct a spatio-temporal graph from the visual tokens to uniformly model their complex associations. Subsequently, we employ a parallel dual-selection strategy: 1) similarity-based selection uses community detection to retain representative tokens, compressing static information; 2) temporal difference-based selection precisely locates content-changing points to preserve tokens that capture key dynamic shifts. This allows it to preserve both static and dynamic content with a minimal number of tokens. Extensive experiments show our method significantly outperforms state-of-the-art approaches while substantially reducing computational costs. Our code is available in https://github.com/bingjunluo/ST-SimDiff.

cs.AI↗

arXiv2026

MedHorizon: Towards Long-context Medical Video Understanding in the Wild

Medical multimodal large language models (MLLMs) have advanced image understanding and short-video analysis, but real clinical review often requires full-procedure video understanding. Unlike general long videos, medical procedures contain highly redundant anatomical views, while decisive evidence is temporally sparse, spatially subtle, and context dependent. Existing benchmarks often assume this evidence has already been localized through images, short clips, or pre-segmented videos, leaving the retrieval-before-reasoning problem under-tested. We introduce MedHorizon, an in-the-wild benchmark for long-context medical video understanding. MedHorizon preserves 759 hours of full-length clinical procedures and provides 1,253 evidence-grounded multiple-choice questionsthat jointly evaluate sparse evidence understanding and multi-hop clinical reasoning. Its evidence is extremely sparse, with only 0.166% evidence frames on average, requiring models to search noisy procedural streams before interpreting and aggregating findings. We evaluate representative general-domain, medical-domain, and long-video MLLMs. The best model reaches only 41.1% accuracy, showing that current systems remain far from robust full-procedure understanding. Further analysis yields four key findings: performance does not scale reliably with more frames, evidence retrieval and clinical interpretation remain primary bottlenecks; these bottlenecks are rooted in weak procedural reasoning and attention drift under redundancy, and generic sampling methods only partially balances local detail with global coverage. MedHorizon provides a rigorous testbed for MLLMs that retrieve sparse evidence and reason over complete clinical workflows.

cs.CV↗

arXiv2026

DenseMLLM: Standard Multimodal LLMs for Dense Prediction

Multimodal Large Language Models (MLLMs) have demonstrated exceptional capabilities in high-level visual understanding. However, extending these models to fine-grained dense prediction tasks, such as semantic segmentation and depth estimation, typically necessitates the incorporation of complex, task-specific decoders and other customizations. This architectural fragmentation increases model complexity and deviates from the generalist design of MLLMs, ultimately limiting their practicality. In this work, we challenge this paradigm by accommodating standard MLLMs to perform dense predictions without requiring additional task-specific decoders. The proposed model is called DenseMLLM, grounded in the standard architecture with a novel vision token supervision strategy for multiple labels and tasks. Despite its minimalist design, our model achieves highly competitive performance across a wide range of dense prediction and vision-language benchmarks, demonstrating that a standard, general-purpose MLLM can effectively support dense perception without architectural specialization. This project is available at github.com/Eli-YiLi/DenseMLLM.

cs.CV↗

arXiv2025

Token Activation Map to Visually Explain Multimodal LLMs

Multimodal large language models (MLLMs) are broadly empowering various fields. Despite their advancements, the explainability of MLLMs remains less explored, hindering deeper understanding, model credibility, and effective visualization. Unlike conventional vision models (e.g., CNNs, ViTs, CLIP) that produce a single output, MLLMs generate sequences of tokens progressively, where each generated token depends on the previous context. Therefore, earlier context tokens can introduce redundant activations that interfere with the explanation of later tokens beyond their original information. Existing studies often overlook this issue, but our observations reveal that these redundant correlations can significantly hurt the reliability of explanations. To address this, we propose an estimated causal inference method to mitigate the interference of context to achieve high-quality MLLM explanation, with a novel rank Gaussian filter to further reduce activation noises. We term this method Token Activation Map (TAM) to highlight the consideration of interactions between tokens. TAM also indicates that it excels at explaining multiple tokens of MLLM, which is different from the Class Activation Map (CAM) for a single prediction. Our TAM method significantly outperforms existing SoTA methods, showcasing high-quality visualization results that can be utilized for various scenarios, such as object localization, failure case analysis, video visualization, MLLMs visual comparison, and model understanding (e.g., color, shape, action, location, visual reasoning, multi-turn conversation, etc). The code is available atgithub.com/xmed-lab/TAM.

cs.CV↗

arXiv2025

Multi-Modal Explainable Medical AI Assistant for Trustworthy Human-AI Collaboration

Generalist Medical AI (GMAI) systems have demonstrated expert-level performance in biomedical perception tasks, yet their clinical utility remains limited by inadequate multi-modal explainability and suboptimal prognostic capabilities. Here, we present XMedGPT, a clinician-centric, multi-modal AI assistant that integrates textual and visual interpretability to support transparent and trustworthy medical decision-making. XMedGPT not only produces accurate diagnostic and descriptive outputs, but also grounds referenced anatomical sites within medical images, bridging critical gaps in interpretability and enhancing clinician usability. To support real-world deployment, we introduce a reliability indexing mechanism that quantifies uncertainty through consistency-based assessment via interactive question-answering. We validate XMedGPT across four pillars: multi-modal interpretability, uncertainty quantification, and prognostic modeling, and rigorous benchmarking. The model achieves an IoU of 0.703 across 141 anatomical regions, and a Kendall's tau-b of 0.479, demonstrating strong alignment between visual rationales and clinical outcomes. For uncertainty estimation, it attains an AUC of 0.862 on visual question answering and 0.764 on radiology report generation. In survival and recurrence prediction for lung and glioma cancers, it surpasses prior leading models by 26.9%, and outperforms GPT-4o by 25.0%. Rigorous benchmarking across 347 datasets covers 40 imaging modalities and external validation spans 4 anatomical systems confirming exceptional generalizability, with performance gains surpassing existing GMAI by 20.7% for in-domain evaluation and 16.7% on 11,530 in-house data evaluation. Together, XMedGPT represents a significant leap forward in clinician-centric AI integration, offering trustworthy and scalable support for diverse healthcare applications.

cs.CV↗

arXiv2025

PaMi-VDPO: Mitigating Video Hallucinations by Prompt-Aware Multi-Instance Video Preference Learning

Direct Preference Optimization (DPO) helps reduce hallucinations in Video Multimodal Large Language Models (VLLMs), but its reliance on offline preference data limits adaptability and fails to capture true video-response misalignment. We propose Video Direct Preference Optimization (VDPO), an online preference learning framework that eliminates the need for preference annotation by leveraging video augmentations to generate rejected samples while keeping responses fixed. However, selecting effective augmentations is non-trivial, as some clips may be semantically identical to the original under specific prompts, leading to false rejections and disrupting alignment. To address this, we introduce Prompt-aware Multi-instance Learning VDPO (PaMi-VDPO), which selects augmentations based on prompt context. Instead of a single rejection, we construct a candidate set of augmented clips and apply a close-to-far selection strategy, initially ensuring all clips are semantically relevant while then prioritizing the most prompt-aware distinct clip. This allows the model to better capture meaningful visual differences, mitigating hallucinations, while avoiding false rejections, and improving alignment. PaMi-VDPOseamlessly integrates into existing VLLMs without additional parameters, GPT-4/human supervision. With only 10k SFT data, it improves the base model by 5.3% on VideoHallucer, surpassing GPT-4o, while maintaining stable performance on general video benchmarks.

cs.CV↗

arXiv2025

HiLM-D: Enhancing MLLMs with Multi-Scale High-Resolution Details for Autonomous Driving

Recent efforts to use natural language for interpretable driving focus mainly on planning, neglecting perception tasks. In this paper, we address this gap by introducing ROLISP (Risk Object Localization and Intention and Suggestion Prediction), which towards interpretable risk object detection and suggestion for ego car motions. Accurate ROLISP implementation requires extensive reasoning to identify critical traffic objects and infer their intentions, prompting us to explore the capabilities of multimodal large language models (MLLMs). However, the limited perception performance of CLIP-ViT vision encoders in existing MLLMs struggles with capturing essential visual perception information, e.g., high-resolution, multi-scale and visual-related inductive biases, which are important for autonomous driving. Addressing these challenges, we introduce HiLM-D, a resource-efficient framework that enhances visual information processing in MLLMs for ROLISP. Our method is motivated by the fact that the primary variations in autonomous driving scenarios are the motion trajectories rather than the semantic or appearance information (e.g., the shapes and colors) of objects. Hence, the visual process of HiLM-D is a two-stream framework: (i) a temporal reasoning stream, receiving low-resolution dynamic video content, to capture temporal semantics, and (ii) a spatial perception stream, receiving a single high-resolution frame, to capture holistic visual perception-related information. The spatial perception stream can be made very lightweight by a well-designed P-Adapter, which is lightweight, training-efficient, and easily integrated into existing MLLMs. Experiments on the DRAMA-ROLISP dataset show HiLM-D's significant improvements over current MLLMs, with a 3.7% in BLEU-4 for captioning and 8.7% in mIoU for detection.

cs.CV↗

arXiv2024

Tri-Plane Mamba: Efficiently Adapting Segment Anything Model for 3D Medical Images

General networks for 3D medical image segmentation have recently undergone extensive exploration. Behind the exceptional performance of these networks lies a significant demand for a large volume of pixel-level annotated data, which is time-consuming and labor-intensive. The emergence of the Segment Anything Model (SAM) has enabled this model to achieve superior performance in 2D medical image segmentation tasks via parameter- and data-efficient feature adaptation. However, the introduction of additional depth channels in 3D medical images not only prevents the sharing of 2D pre-trained features but also results in a quadratic increase in the computational cost for adapting SAM. To overcome these challenges, we present the Tri-Plane Mamba (TP-Mamba) adapters tailored for the SAM, featuring two major innovations: 1) multi-scale 3D convolutional adapters, optimized for efficiently processing local depth-level information, 2) a tri-plane mamba module, engineered to capture long-range depth-level representation without significantly increasing computational costs. This approach achieves state-of-the-art performance in 3D CT organ segmentation tasks. Remarkably, this superior performance is maintained even with scarce training data. Specifically using only three CT training samples from the BTCV dataset, it surpasses conventional 3D segmentation networks, attaining a Dice score that is up to 12% higher.

eess.IV↗

arXiv2024

HiRes-LLaVA: Restoring Fragmentation Input in High-Resolution Large Vision-Language Models

High-resolution inputs enable Large Vision-Language Models (LVLMs) to discern finer visual details, enhancing their comprehension capabilities. To reduce the training and computation costs caused by high-resolution input, one promising direction is to use sliding windows to slice the input into uniform patches, each matching the input size of the well-trained vision encoder. Although efficient, this slicing strategy leads to the fragmentation of original input, i.e., the continuity of contextual information and spatial geometry is lost across patches, adversely affecting performance in cross-patch context perception and position-specific tasks. To overcome these shortcomings, we introduce HiRes-LLaVA, a novel framework designed to efficiently process any size of high-resolution input without altering the original contextual and geometric information. HiRes-LLaVA comprises two innovative components: (i) a SliceRestore adapter that reconstructs sliced patches into their original form, efficiently extracting both global and local features via down-up-sampling and convolution layers, and (ii) a Self-Mining Sampler to compresses the vision tokens based on themselves, preserving the original context and positional information while reducing training overhead. To assess the ability of handling context fragmentation, we construct a new benchmark, EntityGrid-QA, consisting of edge-related and position-related tasks. Our comprehensive experiments demonstrate the superiority of HiRes-LLaVA on both existing public benchmarks and on EntityGrid-QA, particularly on document-oriented tasks, establishing new standards for handling high-resolution inputs.

cs.CV↗

arXiv2024

C^2RV: Cross-Regional and Cross-View Learning for Sparse-View CBCT Reconstruction

Cone beam computed tomography (CBCT) is an important imaging technology widely used in medical scenarios, such as diagnosis and preoperative planning. Using fewer projection views to reconstruct CT, also known as sparse-view reconstruction, can reduce ionizing radiation and further benefit interventional radiology. Compared with sparse-view reconstruction for traditional parallel/fan-beam CT, CBCT reconstruction is more challenging due to the increased dimensionality caused by the measurement process based on cone-shaped X-ray beams. As a 2D-to-3D reconstruction problem, although implicit neural representations have been introduced to enable efficient training, only local features are considered and different views are processed equally in previous works, resulting in spatial inconsistency and poor performance on complicated anatomies. To this end, we propose C^2RV by leveraging explicit multi-scale volumetric representations to enable cross-regional learning in the 3D space. Additionally, the scale-view cross-attention module is introduced to adaptively aggregate multi-scale and multi-view features. Extensive experiments demonstrate that our C^2RV achieves consistent and significant improvement over previous state-of-the-art methods on datasets with diverse anatomy.

eess.IV↗

arXiv2024

EtC: Temporal Boundary Expand then Clarify for Weakly Supervised Video Grounding with Multimodal Large Language Model

Early weakly supervised video grounding (WSVG) methods often struggle with incomplete boundary detection due to the absence of temporal boundary annotations. To bridge the gap between video-level and boundary-level annotation, explicit-supervision methods, i.e., generating pseudo-temporal boundaries for training, have achieved great success. However, data augmentations in these methods might disrupt critical temporal information, yielding poor pseudo boundaries. In this paper, we propose a new perspective that maintains the integrity of the original temporal content while introducing more valuable information for expanding the incomplete boundaries. To this end, we propose EtC (Expand then Clarify), first use the additional information to expand the initial incomplete pseudo boundaries, and subsequently refine these expanded ones to achieve precise boundaries. Motivated by video continuity, i.e., visual similarity across adjacent frames, we use powerful multimodal large language models (MLLMs) to annotate each frame within initial pseudo boundaries, yielding more comprehensive descriptions for expanded boundaries. To further clarify the noise of expanded boundaries, we combine mutual learning with a tailored proposal-level contrastive objective to use a learnable approach to harmonize a balance between incomplete yet clean (initial) and comprehensive yet noisy (expanded) boundaries for more precise ones. Experiments demonstrate the superiority of our method on two challenging WSVG datasets.

cs.CV↗

arXiv2024

Holistic Autonomous Driving Understanding by Bird's-Eye-View Injected Multi-Modal Large Models

The rise of multimodal large language models (MLLMs) has spurred interest in language-based driving tasks. However, existing research typically focuses on limited tasks and often omits key multi-view and temporal information which is crucial for robust autonomous driving. To bridge these gaps, we introduce NuInstruct, a novel dataset with 91K multi-view video-QA pairs across 17 subtasks, where each task demands holistic information (e.g., temporal, multi-view, and spatial), significantly elevating the challenge level. To obtain NuInstruct, we propose a novel SQL-based method to generate instruction-response pairs automatically, which is inspired by the driving logical progression of humans. We further present BEV-InMLLM, an end-to-end method for efficiently deriving instruction-aware Bird's-Eye-View (BEV) features, language-aligned for large language models. BEV-InMLLM integrates multi-view, spatial awareness, and temporal semantics to enhance MLLMs' capabilities on NuInstruct tasks. Moreover, our proposed BEV injection module is a plug-and-play method for existing MLLMs. Our experiments on NuInstruct demonstrate that BEV-InMLLM significantly outperforms existing MLLMs, e.g. around 9% improvement on various tasks. We plan to release our NuInstruct for future research development.

cs.CV↗

arXiv2023

Uniformly Distributed Category Prototype-Guided Vision-Language Framework for Long-Tail Recognition

Recently, large-scale pre-trained vision-language models have presented benefits for alleviating class imbalance in long-tailed recognition. However, the long-tailed data distribution can corrupt the representation space, where the distance between head and tail categories is much larger than the distance between two tail categories. This uneven feature space distribution causes the model to exhibit unclear and inseparable decision boundaries on the uniformly distributed test set, which lowers its performance. To address these challenges, we propose the uniformly category prototype-guided vision-language framework to effectively mitigate feature space bias caused by data imbalance. Especially, we generate a set of category prototypes uniformly distributed on a hypersphere. Category prototype-guided mechanism for image-text matching makes the features of different classes converge to these distinct and uniformly distributed category prototypes, which maintain a uniform distribution in the feature space, and improve class boundaries. Additionally, our proposed irrelevant text filtering and attribute enhancement module allows the model to ignore irrelevant noisy text and focus more on key attribute information, thereby enhancing the robustness of our framework. In the image recognition fine-tuning stage, to address the positive bias problem of the learnable classifier, we design the class feature prototype-guided classifier, which compensates for the performance of tail classes while maintaining the performance of head classes. Our method outperforms previous vision-language methods for long-tailed learning work by a large margin and achieves state-of-the-art performance.

cs.CV↗

arXiv2023

GL-Fusion: Global-Local Fusion Network for Multi-view Echocardiogram Video Segmentation

Cardiac structure segmentation from echocardiogram videos plays a crucial role in diagnosing heart disease. The combination of multi-view echocardiogram data is essential to enhance the accuracy and robustness of automated methods. However, due to the visual disparity of the data, deriving cross-view context information remains a challenging task, and unsophisticated fusion strategies can even lower performance. In this study, we propose a novel Gobal-Local fusion (GL-Fusion) network to jointly utilize multi-view information globally and locally that improve the accuracy of echocardiogram analysis. Specifically, a Multi-view Global-based Fusion Module (MGFM) is proposed to extract global context information and to explore the cyclic relationship of different heartbeat cycles in an echocardiogram video. Additionally, a Multi-view Local-based Fusion Module (MLFM) is designed to extract correlations of cardiac structures from different views. Furthermore, we collect a multi-view echocardiogram video dataset (MvEVD) to evaluate our method. Our method achieves an 82.29% average dice score, which demonstrates a 7.83% improvement over the baseline method, and outperforms other existing state-of-the-art methods. To our knowledge, this is the first exploration of a multi-view method for echocardiogram video segmentation. Code available at: https://github.com/xmed-lab/GL-Fusion

cs.CV↗