arXiv subjects

Yutong Xie

Publications and source records attributed to Yutong Xie.

At least 55 records · Page 3Linked to original sources

arXiv2025

Surgical Scene Understanding in the Era of Foundation AI Models: A Comprehensive Review

Recent advancements in machine learning (ML) and deep learning (DL), particularly through the introduction of Foundation Models (FMs), have significantly enhanced surgical scene understanding within minimally invasive surgery (MIS). This paper surveys the integration of state-of-the-art ML and DL technologies, including Convolutional Neural Networks (CNNs), Vision Transformers (ViTs), and Foundation Models like the Segment Anything Model (SAM), into surgical workflows. These technologies improve segmentation accuracy, instrument tracking, and phase recognition in surgical scene understanding. The paper explores the challenges these technologies face, such as data variability and computational demands, and discusses ethical considerations and integration hurdles in clinical settings. Highlighting the roles of FMs, we bridge the technological capabilities with clinical needs and outline future research directions to enhance the adaptability, efficiency, and ethical alignment of AI applications in surgery. Our findings suggest that substantial progress has been made; however, more focused efforts are required to achieve seamless integration of these technologies into clinical workflows, ensuring they complement surgical practice by enhancing precision, reducing risks, and optimizing patient outcomes.

cs.CV↗

arXiv2025

Robust Atypical Mitosis Classification with DenseNet121: Stain-Aware Augmentation and Hybrid Loss for Domain Generalization

Atypical mitotic figures are important biomarkers of tumor aggressiveness in histopathology, yet reliable recognition remains challenging due to severe class imbalance and variability across imaging domains. We present a DenseNet-121-based framework tailored for atypical mitosis classification in the MIDOG 2025 (Track 2) setting. Our method integrates stain-aware augmentation (Macenko), geometric and intensity transformations, and imbalance-aware learning via weighted sampling with a hybrid objective combining class-weighted binary cross-entropy and focal loss. Trained end-to-end with AdamW and evaluated across multiple independent domains, the model demonstrates strong generalization under scanner and staining shifts, achieving balanced accuracy 85.0%, AUROC 0.927, sensitivity 89.2%, and specificity 80.9% on the official test set. These results indicate that combining DenseNet-121 with stain-aware augmentation and imbalance-adaptive objectives yields a robust, domain-generalizable framework for atypical mitosis classification suitable for real-world computational pathology workflows.

cs.CV↗

arXiv2025

Position: Towards Bidirectional Human-AI Alignment

Recent advances in general-purpose AI underscore the urgent need to align AI systems with human goals and values. Yet, the lack of a clear, shared understanding of what constitutes "alignment" limits meaningful progress and cross-disciplinary collaboration. In this position paper, we argue that the research community should explicitly define and critically reflect on "alignment" to account for the bidirectional and dynamic relationship between humans and AI. Through a systematic review of over 400 papers spanning HCI, NLP, ML, and more, we examine how alignment is currently defined and operationalized. Building on this analysis, we introduce the Bidirectional Human-AI Alignment framework, which not only incorporates traditional efforts to align AI with human values but also introduces the critical, underexplored dimension of aligning humans with AI -- supporting cognitive, behavioral, and societal adaptation to rapidly advancing AI technologies. Our findings reveal significant gaps in current literature, especially in long-term interaction design, human value modeling, and mutual understanding. We conclude with three central challenges and actionable recommendations to guide future research toward more nuanced, reciprocal, and human-AI alignment approaches.

cs.HC↗

arXiv2025

Lang2Morph: Language-Driven Morphological Design of Robotic Hands

Designing robotic hand morphologies for diverse manipulation tasks requires balancing dexterity, manufacturability, and task-specific functionality. While open-source frameworks and parametric tools support reproducible design, they still rely on expert heuristics and manual tuning. Automated methods using optimization are often compute-intensive, simulation-dependent, and rarely target dexterous hands. Large language models (LLMs), with their broad knowledge of human-object interactions and strong generative capabilities, offer a promising alternative for zero-shot design reasoning. In this paper, we present Lang2Morph, a language-driven pipeline for robotic hand design. It uses LLMs to translate natural-language task descriptions into symbolic structures and OPH-compatible parameters, enabling 3D-printable task-specific morphologies. The pipeline consists of: (i) Morphology Design, which maps tasks into semantic tags, structural grammars, and OPH-compatible parameters; and (ii) Selection and Refinement, which evaluates design candidates based on semantic alignment and size compatibility, and optionally applies LLM-guided refinement when needed. We evaluate Lang2Morph across varied tasks, and results show that our approach can generate diverse, task-relevant morphologies. To our knowledge, this is the first attempt to develop an LLM-based framework for task-conditioned robotic hand design.

cs.RO↗

arXiv2025

A Multimodal and Multi-centric Head and Neck Cancer Dataset for Segmentation, Diagnosis and Outcome Prediction

We present a publicly available multimodal dataset for head and neck cancer research, comprising 1123 annotated Positron Emission Tomography/Computed Tomography (PET/CT) studies from patients with histologically confirmed disease, acquired from 10 international medical centers. All studies contain co-registered PET/CT scans with varying acquisition protocols, reflecting real-world clinical diversity from a long-term, multi-institution retrospective collection. Primary gross tumor volumes (GTVp) and involved lymph nodes (GTVn) were manually segmented by experienced radiation oncologists and radiologists following established guidelines. We provide anonymized NifTi files, expert-annotated segmentation masks, comprehensive clinical metadata, and radiotherapy dose distributions for a patient subset. The metadata include TNM staging, HPV status, demographics, long-term follow-up outcomes, survival times, censoring indicators, and treatment information. To demonstrate its utility, we benchmark three key clinical tasks: automated tumor segmentation, recurrence-free survival prediction, and HPV status classification, using state-of-the-art deep learning models like UNet, SegResNet, and multimodal prognostic frameworks.

cs.CV↗

arXiv2025

MedCutMix: A Data-Centric Approach to Improve Radiology Vision-Language Pre-training with Disease Awareness

Vision-Language Pre-training (VLP) is drawing increasing interest for its ability to minimize manual annotation requirements while enhancing semantic understanding in downstream tasks. However, its reliance on image-text datasets poses challenges due to privacy concerns and the high cost of obtaining paired annotations. Data augmentation emerges as a viable strategy to address this issue, yet existing methods often fall short of capturing the subtle and complex variations in medical data due to limited diversity. To this end, we propose MedCutMix, a novel multi-modal disease-centric data augmentation method. MedCutMix performs diagnostic sentence CutMix within medical reports and establishes the cross-attention between the diagnostic sentence and medical image to guide attentive manifold mix within the imaging modality. Our approach surpasses previous methods across four downstream radiology diagnosis datasets, highlighting its effectiveness in enhancing performance and generalizability in radiology VLP.

cs.CV↗

arXiv2025

A Knowledge-driven Adaptive Collaboration of LLMs for Enhancing Medical Decision-making

Medical decision-making often involves integrating knowledge from multiple clinical specialties, typically achieved through multidisciplinary teams. Inspired by this collaborative process, recent work has leveraged large language models (LLMs) in multi-agent collaboration frameworks to emulate expert teamwork. While these approaches improve reasoning through agent interaction, they are limited by static, pre-assigned roles, which hinder adaptability and dynamic knowledge integration. To address these limitations, we propose KAMAC, a Knowledge-driven Adaptive Multi-Agent Collaboration framework that enables LLM agents to dynamically form and expand expert teams based on the evolving diagnostic context. KAMAC begins with one or more expert agents and then conducts a knowledge-driven discussion to identify and fill knowledge gaps by recruiting additional specialists as needed. This supports flexible, scalable collaboration in complex clinical scenarios, with decisions finalized through reviewing updated agent comments. Experiments on two real-world medical benchmarks demonstrate that KAMAC significantly outperforms both single-agent and advanced multi-agent methods, particularly in complex clinical scenarios (i.e., cancer prognosis) requiring dynamic, cross-specialty expertise. Our code is publicly available at: https://github.com/XiaoXiao-Woo/KAMAC.

cs.AI↗

arXiv2025

Meta-Learned Modality-Weighted Knowledge Distillation for Robust Multi-Modal Learning with Missing Data

In multi-modal learning, some modalities are more influential than others, and their absence can have a significant impact on classification/segmentation accuracy. Addressing this challenge, we propose a novel approach called Meta-learned Modality-weighted Knowledge Distillation (MetaKD), which enables multi-modal models to maintain high accuracy even when key modalities are missing. MetaKD adaptively estimates the importance weight of each modality through a meta-learning process. These learned importance weights guide a pairwise modality-weighted knowledge distillation process, allowing high-importance modalities to transfer knowledge to lower-importance ones, resulting in robust performance despite missing inputs. Unlike previous methods in the field, which are often task-specific and require significant modifications, our approach is designed to work in multiple tasks (e.g., segmentation and classification) with minimal adaptation. Experimental results on five prevalent datasets, including three Brain Tumor Segmentation datasets (BraTS2018, BraTS2019 and BraTS2020), the Alzheimer's Disease Neuroimaging Initiative (ADNI) classification dataset and the Audiovision-MNIST classification dataset, demonstrate the proposed model is able to outperform the compared models by a large margin. The code is available at https://github.com/billhhh/MetaKD.

cs.CV↗

arXiv2025

Seeing the Trees for the Forest: Rethinking Weakly-Supervised Medical Visual Grounding

Visual grounding (VG) is the capability to identify the specific regions in an image associated with a particular text description. In medical imaging, VG enhances interpretability by highlighting relevant pathological features corresponding to textual descriptions, improving model transparency and trustworthiness for wider adoption of deep learning models in clinical practice. Current models struggle to associate textual descriptions with disease regions due to inefficient attention mechanisms and a lack of fine-grained token representations. In this paper, we empirically demonstrate two key observations. First, current VLMs assign high norms to background tokens, diverting the model's attention from regions of disease. Second, the global tokens used for cross-modal learning are not representative of local disease tokens. This hampers identifying correlations between the text and disease tokens. To address this, we introduce simple, yet effective Disease-Aware Prompting (DAP) process, which uses the explainability map of a VLM to identify the appropriate image features. This simple strategy amplifies disease-relevant regions while suppressing background interference. Without any additional pixel-level annotations, DAP improves visual grounding accuracy by 20.74% compared to state-of-the-art methods across three major chest X-ray datasets.

cs.CV↗

arXiv2025

A Machine Learning Approach to Predict Biological Age and its Longitudinal Drivers

Predicting an individual's aging trajectory is a central challenge in preventative medicine and bioinformatics. While machine learning models can predict chronological age from biomarkers, they often fail to capture the dynamic, longitudinal nature of the aging process. In this work, we developed and validated a machine learning pipeline to predict age using a longitudinal cohort with data from two distinct time periods (2019-2020 and 2021-2022). We demonstrate that a model using only static, cross-sectional biomarkers has limited predictive power when generalizing to future time points. However, by engineering novel features that explicitly capture the rate of change (slope) of key biomarkers over time, we significantly improved model performance. Our final LightGBM model, trained on the initial wave of data, successfully predicted age in the subsequent wave with high accuracy ($R^2 = 0.515$ for males, $R^2 = 0.498$ for females), significantly outperforming both traditional linear models and other tree-based ensembles. SHAP analysis of our successful model revealed that the engineered slope features were among the most important predictors, highlighting that an individual's health trajectory, not just their static health snapshot, is a key determinant of biological age. Our framework paves the way for clinical tools that dynamically track patient health trajectories, enabling early intervention and personalized prevention strategies for age-related diseases.

cs.LG↗

arXiv2025

How Effectively Can Large Language Models Connect SNP Variants and ECG Phenotypes for Cardiovascular Risk Prediction?

Cardiovascular disease (CVD) prediction remains a tremendous challenge due to its multifactorial etiology and global burden of morbidity and mortality. Despite the growing availability of genomic and electrophysiological data, extracting biologically meaningful insights from such high-dimensional, noisy, and sparsely annotated datasets remains a non-trivial task. Recently, LLMs has been applied effectively to predict structural variations in biological sequences. In this work, we explore the potential of fine-tuned LLMs to predict cardiac diseases and SNPs potentially leading to CVD risk using genetic markers derived from high-throughput genomic profiling. We investigate the effect of genetic patterns associated with cardiac conditions and evaluate how LLMs can learn latent biological relationships from structured and semi-structured genomic data obtained by mapping genetic aspects that are inherited from the family tree. By framing the problem as a Chain of Thought (CoT) reasoning task, the models are prompted to generate disease labels and articulate informed clinical deductions across diverse patient profiles and phenotypes. The findings highlight the promise of LLMs in contributing to early detection, risk assessment, and ultimately, the advancement of personalized medicine in cardiac care.

cs.LG↗

arXiv2025

A High Magnifications Histopathology Image Dataset for Oral Squamous Cell Carcinoma Diagnosis and Prognosis

Oral Squamous Cell Carcinoma (OSCC) is a prevalent and aggressive malignancy where deep learning-based computer-aided diagnosis and prognosis can enhance clinical assessments.However, existing publicly available OSCC datasets often suffer from limited patient cohorts and a restricted focus on either diagnostic or prognostic tasks, limiting the development of comprehensive and generalizable models. To bridge this gap, we introduce Multi-OSCC, a new histopathology image dataset comprising 1,325 OSCC patients, integrating both diagnostic and prognostic information to expand existing public resources. Each patient is represented by six high resolution histopathology images captured at x200, x400, and x1000 magnifications-two per magnification-covering both the core and edge tumor regions.The Multi-OSCC dataset is richly annotated for six critical clinical tasks: recurrence prediction (REC), lymph node metastasis (LNM), tumor differentiation (TD), tumor invasion (TI), cancer embolus (CE), and perineural invasion (PI). To benchmark this dataset, we systematically evaluate the impact of different visual encoders, multi-image fusion techniques, stain normalization, and multi-task learning frameworks. Our analysis yields several key insights: (1) The top-performing models achieve excellent results, with an Area Under the Curve (AUC) of 94.72% for REC and 81.23% for TD, while all tasks surpass 70% AUC; (2) Stain normalization benefits diagnostic tasks but negatively affects recurrence prediction; (3) Multi-task learning incurs a 3.34% average AUC degradation compared to single-task models in our multi-task benchmark, underscoring the challenge of balancing multiple tasks in our dataset. To accelerate future research, we publicly release the Multi-OSCC dataset and baseline models at https://github.com/guanjinquan/OSCC-PathologyImageDataset.

eess.IV↗

arXiv2025

Rattan: An Extensible and Scalable Modular Internet Path Emulator

The rapid growth of Internet paths in heterogeneity, scale, and dynamics has made existing emulators increasingly insufficient in flexibility, scalability, and usability. To address these limitations, we present Rattan, an extensible and scalable software network path emulator for modern Internet conditions. Rattan's core innovation lies in its cell-based architecture: by splitting emulation functions into modular "cells" with well-documented asynchronous interfaces, users are allowed to easily compose different cells by hierarchically linking them and easily construct new cells by using standard cell interfaces. This design enables: (1) scalability, supporting hundreds of concurrent gigabit-level paths on a single machine and cluster-level experiments composed of multiple machines; (2) extensibility, simulating new network conditions by constructing new cells. Rattan empowers developers and researchers to efficiently and confidently evaluate, validate, and diagnose diverse network transport innovations for online services.

cs.NI↗

arXiv2025

Using Large Language Models to Categorize Strategic Situations and Decipher Motivations Behind Human Behaviors

By varying prompts to a large language model, we can elicit the full range of human behaviors in a variety of different scenarios in classic economic games. By analyzing which prompts elicit which behaviors, we can categorize and compare different strategic situations, which can also help provide insight into what different economic scenarios induce people to think about. We discuss how this provides a first step towards a non-standard method of inferring (deciphering) the motivations behind the human behaviors. We also show how this deciphering process can be used to categorize differences in the behavioral tendencies of different populations.

cs.AI↗

arXiv2025

NavBench: Probing Multimodal Large Language Models for Embodied Navigation

Multimodal Large Language Models (MLLMs) have demonstrated strong generalization in vision-language tasks, yet their ability to understand and act within embodied environments remains underexplored. We present NavBench, a benchmark to evaluate the embodied navigation capabilities of MLLMs under zero-shot settings. NavBench consists of two components: (1) navigation comprehension, assessed through three cognitively grounded tasks including global instruction alignment, temporal progress estimation, and local observation-action reasoning, covering 3,200 question-answer pairs; and (2) step-by-step execution in 432 episodes across 72 indoor scenes, stratified by spatial, cognitive, and execution complexity. To support real-world deployment, we introduce a pipeline that converts MLLMs' outputs into robotic actions. We evaluate both proprietary and open-source models, finding that GPT-4o performs well across tasks, while lighter open-source models succeed in simpler cases. Results also show that models with higher comprehension scores tend to achieve better execution performance. Providing map-based context improves decision accuracy, especially in medium-difficulty scenarios. However, most models struggle with temporal understanding, particularly in estimating progress during navigation, which may pose a key challenge.

cs.CV↗

arXiv2025

Be.FM: Open Foundation Models for Human Behavior

Despite their success in numerous fields, the potential of foundation models for modeling and understanding human behavior remains largely unexplored. We introduce Be.FM, one of the first open foundation models designed for human behavior modeling. Built upon open-source large language models and fine-tuned on a diverse range of behavioral data, Be.FM can be used to understand and predict human decision-making. We construct a comprehensive set of benchmark tasks for testing the capabilities of behavioral foundation models. Our results demonstrate that Be.FM can predict behaviors, infer characteristics of individuals and populations, generate insights about contexts, and apply behavioral science knowledge.

cs.AI↗

arXiv2025

Interpreting Chest X-rays Like a Radiologist: A Benchmark with Clinical Reasoning

Artificial intelligence (AI)-based chest X-ray (CXR) interpretation assistants have demonstrated significant progress and are increasingly being applied in clinical settings. However, contemporary medical AI models often adhere to a simplistic input-to-output paradigm, directly processing an image and an instruction to generate a result, where the instructions may be integral to the model's architecture. This approach overlooks the modeling of the inherent diagnostic reasoning in chest X-ray interpretation. Such reasoning is typically sequential, where each interpretive stage considers the images, the current task, and the contextual information from previous stages. This oversight leads to several shortcomings, including misalignment with clinical scenarios, contextless reasoning, and untraceable errors. To fill this gap, we construct CXRTrek, a new multi-stage visual question answering (VQA) dataset for CXR interpretation. The dataset is designed to explicitly simulate the diagnostic reasoning process employed by radiologists in real-world clinical settings for the first time. CXRTrek covers 8 sequential diagnostic stages, comprising 428,966 samples and over 11 million question-answer (Q&A) pairs, with an average of 26.29 Q&A pairs per sample. Building on the CXRTrek dataset, we propose a new vision-language large model (VLLM), CXRTrekNet, specifically designed to incorporate the clinical reasoning flow into the VLLM framework. CXRTrekNet effectively models the dependencies between diagnostic stages and captures reasoning patterns within the radiological context. Trained on our dataset, the model consistently outperforms existing medical VLLMs on the CXRTrek benchmarks and demonstrates superior generalization across multiple tasks on five diverse external datasets. The dataset and model can be found in our repository (https://github.com/guanjinquan/CXRTrek).

cs.CV↗

arXiv2025

TAGS: A Test-Time Generalist-Specialist Framework with Retrieval-Augmented Reasoning and Verification

Recent advances such as Chain-of-Thought prompting have significantly improved large language models (LLMs) in zero-shot medical reasoning. However, prompting-based methods often remain shallow and unstable, while fine-tuned medical LLMs suffer from poor generalization under distribution shifts and limited adaptability to unseen clinical scenarios. To address these limitations, we present TAGS, a test-time framework that combines a broadly capable generalist with a domain-specific specialist to offer complementary perspectives without any model fine-tuning or parameter updates. To support this generalist-specialist reasoning process, we introduce two auxiliary modules: a hierarchical retrieval mechanism that provides multi-scale exemplars by selecting examples based on both semantic and rationale-level similarity, and a reliability scorer that evaluates reasoning consistency to guide final answer aggregation. TAGS achieves strong performance across nine MedQA benchmarks, boosting GPT-4o accuracy by 13.8%, DeepSeek-R1 by 16.8%, and improving a vanilla 7B model from 14.1% to 23.9%. These results surpass several fine-tuned medical LLMs, without any parameter updates. The code will be available at https://github.com/JianghaoWu/TAGS.

cs.CL↗