arXiv subjects

Zhongwei Qiu

Publications and source records attributed to Zhongwei Qiu.

At least 19 recordsLinked to original sources

arXiv2026

HounsWorld: A Multimodal World Model for Hidden Patient-State Readout, Reconstruction, and Simulation

Clinical intelligence requires estimating a patient's underlying condition from incomplete observations rather than learning isolated mappings from scans to answers. Volumetric medical images provide dense observations of anatomy, attenuation, and lesions, whereas clinical language provides sparse but complementary semantic observations. We formulate CT-centered intelligence as inference over a shared latent patient state, under which readout, reconstruction, and simulation all become state-dependent prediction problems. To operationalize this view, we introduce HounsBench, a computed tomography (CT) centric patient-state benchmark that unifies these three task families with patient-disjoint splits and per-family metrics, and HounsWorld, a 3B multimodal world model that treats volumetric scans and language as observations of the shared state through Joint Understanding-Generation Learning. A shared transformer forms an implicit patient-state estimate and supports three outputs: query-conditioned answers that read out the state, reports and captions that reconstruct it in language, and condition-specific CT volumes for low-dose denoising, virtual contrast enhancement, and anatomy-constrained text-and-mask-to-volume generation. Zero-initialized CT adapters preserve pretrained multimodal mappings, while condition-explicit Hounsfield-unit window sampling exposes clinically meaningful density observations. HounsWorld shows strong performance across all three task families while consistently improving CT understanding through clinically structured completion. Our project is available at https://github.com/byhwhite/HounsWorld.git

cs.CV↗

arXiv2026

EndoVLM: An Endoscopy Vision-Language Pre-training Model via Anatomy-Guided Sparsity and Progressive Alignment

The development of foundation models (FMs) is crucial for advancing endoscopic image analysis. However, existing endoscopy FMs mainly rely on self-supervised learning from uni-modal images or videos, overlooking the rich semantic knowledge contained in clinical reports. Furthermore, effectively leveraging these records is hindered by a fundamental modality gap: structured anatomical descriptions are not naturally mapped to specific frames within the high-redundancy, uncurated visual streams. In this paper, we present EndoVLM, a novel vision-language FM pre-trained on over 348K endoscopic examinations, each pairing a clinical report with its corresponding image collection. An Anatomy-Guided Sparse Pooling mechanism utilizes textual descriptions as queries to drive sparse attention, efficiently aggregating semantically salient frames into anatomy-specific visual representations across redundant image-sets. Next, a Progressive Semantic-Aware Alignment strategy models clinical taxonomy (anatomy and pathological status) via structured soft targets, bridging the gap from global patient-level matching to fine-grained localized alignment. Finally, a Semantic-Concentrated Masked Autoencoder is applied exclusively to these semantic-rich frames, integrating low-level visual precision with robust high-level semantic representation. Extensive experiments across various downstream tasks demonstrate that EndoVLM outperforms existing foundation models and remains competitive with task-specific methods. Remarkably, EndoVLM also exhibits robust zero-shot generalization capabilities, highlighting its potential for broader clinical application.

cs.CV↗

arXiv2026

E-MRL: Cross-view Aligned Evidence-driven Multimodal Reinforcement Learning for Reliable 3D Tumor Analysis

While Vision-Language Models (VLMs) show great promise in volumetric medical report generation, they frequently suffer from visual hallucinations and a lack of grounding in 3D CT data. Current Supervised Fine-Tuning (SFT) and Reinforcement Learning (RL) strategies typically optimize text fidelity alone, essentially rewarding correct diagnoses derived from language priors rather than genuine visual perception. To address this, we propose cross-view aligned Evidence-driven Multimodal Reinforcement Learning (Evidence-MRL, noted as E-MRL), a reliable RL reasoning framework that formulates the generation process as a Markov Decision Process of "diagnosis-localization-verification". Unlike standard approaches, our model is explicitly trained to identify a "key evidence slice" alongside the global diagnostic report, grounding its findings in verifiable visual evidence. Crucially, we introduce a novel cross-view consistency reward, which validates the semantic alignment between the golden-standard report and a local visual re-query of the selected key slice, providing additional rewards for correctly-localized reasoning. Experiments on large-scale 3D CT tumor datasets demonstrate that E-MRL significantly reduces hallucinations and improves diagnostic accuracy compared to SFT and RL baselines, offering a clinically interpretable solution for visually-grounded and tumor analysis.

eess.IV↗

arXiv2026

Regulating Anatomy-Aware Rewards via Trajectory-Integral Feedback for Volumetric Computed Tomography Analysis

Medical vision-language models (VLMs) have rapidly advanced as general-purpose multimodal assistants, yet their deployment in 3D Computed Tomography (CT) analysis remains constrained by a persistent mismatch between optimization objectives and clinical rigor. Current Reinforcement Learning (RL) paradigms still rely on lexical proxy signals that induce ``\textit{Evaluation Hallucinations}'', where models optimize linguistic fluency rather than factual clinical correctness, leading to diagnostically critical errors. To bridge this gap, we introduce the \textbf{Clinical Abnormality Benchmarking Substrate (CABS)}, a structured system that decomposes radiology reports into verifiable clinical semantic units. Using CABS, we identify a ``\textit{Mechanistic Divergence}'' in standard RL, where surface-similarity rewards drive policy gradients to bypass medical facts. We therefore propose \textbf{Trajectory-Integral Feedback GRPO (TIF-GRPO)}, a novel framework integrating control-theoretic principles into policy optimization. By formulating clinical reasoning as a pseudo-temporal trajectory for anomaly discovery, TIF-GRPO regulates anatomy-aware rewards via an integral feedback loop that penalizes persistent omissions as cumulative state errors and suppresses hallucinations as excessive control effort. Experiments on 3D CT benchmarks demonstrate that our approach significantly enhances abnormality detection and clinical faithfulness, establishing a new paradigm for fine-grained regulation in medical VLMs. Our project is available at \href{https://github.com/ZJU4HealthCare/TIF-GRPO}{GitHub}.

cs.CV↗

arXiv2026

TumorChain: Interleaved Multimodal Chain-of-Thought Reasoning for Traceable Clinical Tumor Analysis

Accurate tumor analysis is central to clinical radiology and precision oncology, where early detection, reliable lesion characterization, and pathology-level risk assessment guide diagnosis and treatment planning. Chain-of-Thought (CoT) reasoning is particularly important in this setting because it enables step-by-step interpretation from imaging findings to clinical impressions and pathology conclusions, improving traceability and reducing diagnostic errors. Here, we target the clinical tumor analysis task and build a large-scale benchmark that operationalizes a multimodal reasoning pipeline, spanning findings, impressions, and pathology predictions. We curate TumorCoT, a large-scale dataset of 1.5M CoT-labeled VQA instructions paired with 3D CT scans, with step-aligned rationales and cross-modal alignments along the trajectory from findings to impression to pathology, enabling evaluation of both answer accuracy and reasoning consistency. We further propose TumorChain, a multimodal interleaved reasoning framework that tightly couples 3D imaging encoders, clinical text understanding, and organ-level vision-language alignment. Through cross-modal alignment and iterative interleaved causal reasoning, TumorChain grounds visual evidence, aggregates conclusions, and issues pathology predictions after multiple rounds of self-refinement, improving traceability and reducing hallucination risk. Experiments show consistent improvements over strong baselines in lesion detection, impression generation, and pathology classification, and demonstrate strong generalization on the DeepTumorVQA benchmark. These results highlight the potential of multimodal reasoning for reliable and interpretable tumor analysis in clinical practice. Detailed information about our project can be found on our project homepage at https://github.com/ZJU4HealthCare/TumorChain.

cs.CV↗

arXiv2026

OmniCT: Towards a Unified Slice-Volume LVLM for Comprehensive CT Analysis

Computed Tomography (CT) is one of the most widely used and diagnostically information-dense imaging modalities, covering critical organs such as the heart, lungs, liver, and colon. Clinical interpretation relies on both slice-driven local features (e.g., sub-centimeter nodules, lesion boundaries) and volume-driven spatial representations (e.g., tumor infiltration, inter-organ anatomical relations). However, existing Large Vision-Language Models (LVLMs) remain fragmented in CT slice versus volumetric understanding: slice-driven LVLMs show strong generalization but lack cross-slice spatial consistency, while volume-driven LVLMs explicitly capture volumetric semantics but suffer from coarse granularity and poor compatibility with slice inputs. The absence of a unified modeling paradigm constitutes a major bottleneck for the clinical translation of medical LVLMs. We present OmniCT, a powerful unified slice-volume LVLM for CT scenarios, which makes three contributions: (i) Spatial Consistency Enhancement (SCE): volumetric slice composition combined with tri-axial positional embedding that introduces volumetric consistency, and an MoE hybrid projection enables efficient slice-volume adaptation; (ii) Organ-level Semantic Enhancement (OSE): segmentation and ROI localization explicitly align anatomical regions, emphasizing lesion- and organ-level semantics; (iii) MedEval-CT: the largest slice-volume CT dataset and hybrid benchmark integrates comprehensive metrics for unified evaluation. OmniCT consistently outperforms existing methods with a substantial margin across diverse clinical tasks and satisfies both micro-level detail sensitivity and macro-level spatial reasoning. More importantly, it establishes a new paradigm for cross-modal medical imaging understanding. Our project is available at https://github.com/ZJU4HealthCare/OmniCT.

cs.CV↗

arXiv2025

MM-NeRF: Multimodal-Guided 3D Multi-Style Transfer of Neural Radiance Field

3D style transfer aims to generate stylized views of 3D scenes with specified styles, which requires high-quality generating and keeping multi-view consistency. Existing methods still suffer the challenges of high-quality stylization with texture details and stylization with multimodal guidance. In this paper, we reveal that the common training method of stylization with NeRF, which generates stylized multi-view supervision by 2D style transfer models, causes the same object in supervision to show various states (color tone, details, etc.) in different views, leading NeRF to tend to smooth the texture details, further resulting in low-quality rendering for 3D multi-style transfer. To tackle these problems, we propose a novel Multimodal-guided 3D Multi-style transfer of NeRF, termed MM-NeRF. First, MM-NeRF projects multimodal guidance into a unified space to keep the multimodal styles consistency and extracts multimodal features to guide the 3D stylization. Second, a novel multi-head learning scheme is proposed to relieve the difficulty of learning multi-style transfer, and a multi-view style consistent loss is proposed to track the inconsistency of multi-view supervision data. Finally, a novel incremental learning mechanism is proposed to generalize MM-NeRF to any new style with small costs. Extensive experiments on several real-world datasets show that MM-NeRF achieves high-quality 3D multi-style stylization with multimodal guidance, and keeps multi-view consistency and style consistency between multimodal guidance.

cs.CV↗

arXiv2024

From Pixels to Gigapixels: Bridging Local Inductive Bias and Long-Range Dependencies with Pixel-Mamba

Histopathology plays a critical role in medical diagnostics, with whole slide images (WSIs) offering valuable insights that directly influence clinical decision-making. However, the large size and complexity of WSIs may pose significant challenges for deep learning models, in both computational efficiency and effective representation learning. In this work, we introduce Pixel-Mamba, a novel deep learning architecture designed to efficiently handle gigapixel WSIs. Pixel-Mamba leverages the Mamba module, a state-space model (SSM) with linear memory complexity, and incorporates local inductive biases through progressively expanding tokens, akin to convolutional neural networks. This enables Pixel-Mamba to hierarchically combine both local and global information while efficiently addressing computational challenges. Remarkably, Pixel-Mamba achieves or even surpasses the quantitative performance of state-of-the-art (SOTA) foundation models that were pretrained on millions of WSIs or WSI-text pairs, in a range of tumor staging and survival analysis tasks, {\bf even without requiring any pathology-specific pretraining}. Extensive experiments demonstrate the efficacy of Pixel-Mamba as a powerful and efficient framework for end-to-end WSI analysis.

cs.CV↗

arXiv2024

From Histopathology Images to Cell Clouds: Learning Slide Representations with Hierarchical Cell Transformer

It is clinically crucial and potentially very beneficial to be able to analyze and model directly the spatial distributions of cells in histopathology whole slide images (WSI). However, most existing WSI datasets lack cell-level annotations, owing to the extremely high cost over giga-pixel images. Thus, it remains an open question whether deep learning models can directly and effectively analyze WSIs from the semantic aspect of cell distributions. In this work, we construct a large-scale WSI dataset with more than 5 billion cell-level annotations, termed WSI-Cell5B, and a novel hierarchical Cell Cloud Transformer (CCFormer) to tackle these challenges. WSI-Cell5B is based on 6,998 WSIs of 11 cancers from The Cancer Genome Atlas Program, and all WSIs are annotated per cell by coordinates and types. To the best of our knowledge, WSI-Cell5B is the first WSI-level large-scale dataset integrating cell-level annotations. On the other hand, CCFormer formulates the collection of cells in each WSI as a cell cloud and models cell spatial distribution. Specifically, Neighboring Information Embedding (NIE) is proposed to characterize the distribution of cells within the neighborhood of each cell, and a novel Hierarchical Spatial Perception (HSP) module is proposed to learn the spatial relationship among cells in a bottom-up manner. The clinical analysis indicates that WSI-Cell5B can be used to design clinical evaluation metrics based on counting cells that effectively assess the survival risk of patients. Extensive experiments on survival prediction and cancer staging show that learning from cell spatial distribution alone can already achieve state-of-the-art (SOTA) performance, i.e., CCFormer strongly outperforms other competing methods.

cs.CV↗

arXiv2024

Taylor-Sensus Network: Embracing Noise to Enlighten Uncertainty for Scientific Data

Uncertainty estimation is crucial in scientific data for machine learning. Current uncertainty estimation methods mainly focus on the model's inherent uncertainty, while neglecting the explicit modeling of noise in the data. Furthermore, noise estimation methods typically rely on temporal or spatial dependencies, which can pose a significant challenge in structured scientific data where such dependencies among samples are often absent. To address these challenges in scientific research, we propose the Taylor-Sensus Network (TSNet). TSNet innovatively uses a Taylor series expansion to model complex, heteroscedastic noise and proposes a deep Taylor block for aware noise distribution. TSNet includes a noise-aware contrastive learning module and a data density perception module for aleatoric and epistemic uncertainty. Additionally, an uncertainty combination operator is used to integrate these uncertainties, and the network is trained using a novel heteroscedastic mean square error loss. TSNet demonstrates superior performance over mainstream and state-of-the-art methods in experiments, highlighting its potential in scientific research and noise resistance. It will be open-source to facilitate the community of "AI for Science".

cs.LG↗

arXiv2024

End-to-end Multi-source Visual Prompt Tuning for Survival Analysis in Whole Slide Images

Survival analysis using pathology images poses a considerable challenge, as it requires the localization of relevant information from the multitude of tiles within whole slide images (WSIs). Current methods typically resort to a two-stage approach, where a pre-trained network extracts features from tiles, which are then used by survival models. This process, however, does not optimize the survival models in an end-to-end manner, and the pre-extracted features may not be ideally suited for survival prediction. To address this limitation, we present a novel end-to-end Visual Prompt Tuning framework for survival analysis, named VPTSurv. VPTSurv refines feature embeddings through an efficient encoder-decoder framework. The encoder remains fixed while the framework introduces tunable visual prompts and adaptors, thus permitting end-to-end training specifically for survival prediction by optimizing only the lightweight adaptors and the decoder. Moreover, the versatile VPTSurv framework accommodates multi-source information as prompts, thereby enriching the survival model. VPTSurv achieves substantial increases of 8.7% and 12.5% in the C-index on two immunohistochemical pathology image datasets. These significant improvements highlight the transformative potential of the end-to-end VPT framework over traditional two-stage methods.

eess.IV↗

arXiv2024

Multi-scale Contrastive Adaptor Learning for Segmenting Anything in Underperformed Scenes

Foundational vision models, such as the Segment Anything Model (SAM), have achieved significant breakthroughs through extensive pre-training on large-scale visual datasets. Despite their general success, these models may fall short in specialized tasks with limited data, and fine-tuning such large-scale models is often not feasible. Current strategies involve incorporating adaptors into the pre-trained SAM to facilitate downstream task performance with minimal model adjustment. However, these strategies can be hampered by suboptimal learning approaches for the adaptors. In this paper, we introduce a novel Multi-scale Contrastive Adaptor learning method named MCA-SAM, which enhances adaptor performance through a meticulously designed contrastive learning framework at both token and sample levels. Our Token-level Contrastive adaptor (TC-adaptor) focuses on refining local representations by improving the discriminability of patch tokens, while the Sample-level Contrastive adaptor (SC-adaptor) amplifies global understanding across different samples. Together, these adaptors synergistically enhance feature comparison within and across samples, bolstering the model's representational strength and its ability to adapt to new tasks. Empirical results demonstrate that MCA-SAM sets new benchmarks, outperforming existing methods in three challenging domains: camouflage object detection, shadow segmentation, and polyp segmentation. Specifically, MCA-SAM exhibits substantial relative performance enhancements, achieving a 20.0% improvement in MAE on the COD10K dataset, a 6.0% improvement in MAE on the CAMO dataset, a 15.4% improvement in BER on the ISTD dataset, and a 7.9% improvement in mDice on the Kvasir-SEG dataset.

cs.CV↗

arXiv2024

Bridging the Semantic-Numerical Gap: A Numerical Reasoning Method of Cross-modal Knowledge Graph for Material Property Prediction

Using machine learning (ML) techniques to predict material properties is a crucial research topic. These properties depend on numerical data and semantic factors. Due to the limitations of small-sample datasets, existing methods typically adopt ML algorithms to regress numerical properties or transfer other pre-trained knowledge graphs (KGs) to the material. However, these methods cannot simultaneously handle semantic and numerical information. In this paper, we propose a numerical reasoning method for material KGs (NR-KG), which constructs a cross-modal KG using semantic nodes and numerical proxy nodes. It captures both types of information by projecting KG into a canonical KG and utilizes a graph neural network to predict material properties. In this process, a novel projection prediction loss is proposed to extract semantic features from numerical information. NR-KG facilitates end-to-end processing of cross-modal data, mining relationships and cross-modal information in small-sample datasets, and fully utilizes valuable experimental data to enhance material prediction. We further propose two new High-Entropy Alloys (HEA) property datasets with semantic descriptions. NR-KG outperforms state-of-the-art (SOTA) methods, achieving relative improvements of 25.9% and 16.1% on two material datasets. Besides, NR-KG surpasses SOTA methods on two public physical chemistry molecular datasets, showing improvements of 22.2% and 54.3%, highlighting its potential application and generalizability. We hope the proposed datasets, algorithms, and pre-trained models can facilitate the communities of KG and AI for materials.

cs.LG↗

arXiv2024

DMIS: Dynamic Mesh-based Importance Sampling for Training Physics-Informed Neural Networks

Modeling dynamics in the form of partial differential equations (PDEs) is an effectual way to understand real-world physics processes. For complex physics systems, analytical solutions are not available and numerical solutions are widely-used. However, traditional numerical algorithms are computationally expensive and challenging in handling multiphysics systems. Recently, using neural networks to solve PDEs has made significant progress, called physics-informed neural networks (PINNs). PINNs encode physical laws into neural networks and learn the continuous solutions of PDEs. For the training of PINNs, existing methods suffer from the problems of inefficiency and unstable convergence, since the PDE residuals require calculating automatic differentiation. In this paper, we propose Dynamic Mesh-based Importance Sampling (DMIS) to tackle these problems. DMIS is a novel sampling scheme based on importance sampling, which constructs a dynamic triangular mesh to estimate sample weights efficiently. DMIS has broad applicability and can be easily integrated into existing methods. The evaluation of DMIS on three widely-used benchmarks shows that DMIS improves the convergence speed and accuracy in the meantime. Especially in solving the highly nonlinear Schrödinger Equation, compared with state-of-the-art methods, DMIS shows up to 46% smaller root mean square error and five times faster convergence speed. Code are available at https://github.com/MatrixBrain/DMIS.

math.NA↗

arXiv2023

HAP: Structure-Aware Masked Image Modeling for Human-Centric Perception

Model pre-training is essential in human-centric perception. In this paper, we first introduce masked image modeling (MIM) as a pre-training approach for this task. Upon revisiting the MIM training strategy, we reveal that human structure priors offer significant potential. Motivated by this insight, we further incorporate an intuitive human structure prior - human parts - into pre-training. Specifically, we employ this prior to guide the mask sampling process. Image patches, corresponding to human part regions, have high priority to be masked out. This encourages the model to concentrate more on body structure information during pre-training, yielding substantial benefits across a range of human-centric perception tasks. To further capture human characteristics, we propose a structure-invariant alignment loss that enforces different masked views, guided by the human part prior, to be closely aligned for the same image. We term the entire method as HAP. HAP simply uses a plain ViT as the encoder yet establishes new state-of-the-art performance on 11 human-centric benchmarks, and on-par result on one dataset. For example, HAP achieves 78.1% mAP on MSMT17 for person re-identification, 86.54% mA on PA-100K for pedestrian attribute recognition, 78.2% AP on MS COCO for 2D pose estimation, and 56.0 PA-MPJPE on 3DPW for 3D pose and shape estimation.

cs.CV↗

arXiv2023

Learning Structure-Guided Diffusion Model for 2D Human Pose Estimation

One of the mainstream schemes for 2D human pose estimation (HPE) is learning keypoints heatmaps by a neural network. Existing methods typically improve the quality of heatmaps by customized architectures, such as high-resolution representation and vision Transformers. In this paper, we propose \textbf{DiffusionPose}, a new scheme that formulates 2D HPE as a keypoints heatmaps generation problem from noised heatmaps. During training, the keypoints are diffused to random distribution by adding noises and the diffusion model learns to recover ground-truth heatmaps from noised heatmaps with respect to conditions constructed by image feature. During inference, the diffusion model generates heatmaps from initialized heatmaps in a progressive denoising way. Moreover, we further explore improving the performance of DiffusionPose with conditions from human structural information. Extensive experiments show the prowess of our DiffusionPose, with improvements of 1.6, 1.2, and 1.2 mAP on widely-used COCO, CrowdPose, and AI Challenge datasets, respectively.

cs.CV↗

arXiv2023

Stable Diffusion is Unstable

Recently, text-to-image models have been thriving. Despite their powerful generative capacity, our research has uncovered a lack of robustness in this generation process. Specifically, the introduction of small perturbations to the text prompts can result in the blending of primary subjects with other categories or their complete disappearance in the generated images. In this paper, we propose Auto-attack on Text-to-image Models (ATM), a gradient-based approach, to effectively and efficiently generate such perturbations. By learning a Gumbel Softmax distribution, we can make the discrete process of word replacement or extension continuous, thus ensuring the differentiability of the perturbation generation. Once the distribution is learned, ATM can sample multiple attack samples simultaneously. These attack samples can prevent the generative model from generating the desired subjects without compromising image quality. ATM has achieved a 91.1% success rate in short-text attacks and an 81.2% success rate in long-text attacks. Further empirical analysis revealed four attack patterns based on: 1) the variability in generation speed, 2) the similarity of coarse-grained characteristics, 3) the polysemy of words, and 4) the positioning of words.

cs.CV↗

arXiv2023

PSVT: End-to-End Multi-person 3D Pose and Shape Estimation with Progressive Video Transformers

Existing methods of multi-person video 3D human Pose and Shape Estimation (PSE) typically adopt a two-stage strategy, which first detects human instances in each frame and then performs single-person PSE with temporal model. However, the global spatio-temporal context among spatial instances can not be captured. In this paper, we propose a new end-to-end multi-person 3D Pose and Shape estimation framework with progressive Video Transformer, termed PSVT. In PSVT, a spatio-temporal encoder (STE) captures the global feature dependencies among spatial objects. Then, spatio-temporal pose decoder (STPD) and shape decoder (STSD) capture the global dependencies between pose queries and feature tokens, shape queries and feature tokens, respectively. To handle the variances of objects as time proceeds, a novel scheme of progressive decoding is used to update pose and shape queries at each frame. Besides, we propose a novel pose-guided attention (PGA) for shape decoder to better predict shape parameters. The two components strengthen the decoder of PSVT to improve performance. Extensive experiments on the four datasets show that PSVT achieves stage-of-the-art results.

cs.CV↗