new

Get trending papers in your email inbox!

Subscribe

Daily Papers

byAK and the research community

Jan 8

Prostate-Specific Foundation Models for Enhanced Detection of Clinically Significant Cancer

Accurate prostate cancer diagnosis remains challenging. Even when using MRI, radiologists exhibit low specificity and significant inter-observer variability, leading to potential delays or inaccuracies in identifying clinically significant cancers. This leads to numerous unnecessary biopsies and risks of missing clinically significant cancers. Here we present prostate vision contrastive network (ProViCNet), prostate organ-specific vision foundation models for Magnetic Resonance Imaging (MRI) and Trans-Rectal Ultrasound imaging (TRUS) for comprehensive cancer detection. ProViCNet was trained and validated using 4,401 patients across six institutions, as a prostate cancer detection model on radiology images relying on patch-level contrastive learning guided by biopsy confirmed radiologist annotations. ProViCNet demonstrated consistent performance across multiple internal and external validation cohorts with area under the receiver operating curve values ranging from 0.875 to 0.966, significantly outperforming radiologists in the reader study (0.907 versus 0.805, p<0.001) for mpMRI, while achieving 0.670 to 0.740 for TRUS. We also integrated ProViCNet with standard PSA to develop a virtual screening test, and we showed that we can maintain the high sensitivity for detecting clinically significant cancers while more than doubling specificity from 15% to 38% (p<0.001), thereby substantially reducing unnecessary biopsies. These findings highlight that ProViCNet's potential for enhancing prostate cancer diagnosis accuracy and reduce unnecessary biopsies, thereby optimizing diagnostic pathways.

  • 17 authors
·
Feb 1, 2025

X-Ray-CoT: Interpretable Chest X-ray Diagnosis with Vision-Language Models via Chain-of-Thought Reasoning

Chest X-ray imaging is crucial for diagnosing pulmonary and cardiac diseases, yet its interpretation demands extensive clinical experience and suffers from inter-observer variability. While deep learning models offer high diagnostic accuracy, their black-box nature hinders clinical adoption in high-stakes medical settings. To address this, we propose X-Ray-CoT (Chest X-Ray Chain-of-Thought), a novel framework leveraging Vision-Language Large Models (LVLMs) for intelligent chest X-ray diagnosis and interpretable report generation. X-Ray-CoT simulates human radiologists' "chain-of-thought" by first extracting multi-modal features and visual concepts, then employing an LLM-based component with a structured Chain-of-Thought prompting strategy to reason and produce detailed natural language diagnostic reports. Evaluated on the CORDA dataset, X-Ray-CoT achieves competitive quantitative performance, with a Balanced Accuracy of 80.52% and F1 score of 78.65% for disease diagnosis, slightly surpassing existing black-box models. Crucially, it uniquely generates high-quality, explainable reports, as validated by preliminary human evaluations. Our ablation studies confirm the integral role of each proposed component, highlighting the necessity of multi-modal fusion and CoT reasoning for robust and transparent medical AI. This work represents a significant step towards trustworthy and clinically actionable AI systems in medical imaging.

  • 3 authors
·
Aug 17, 2025

State Tuning: State-based Test-Time Scaling on RWKV-7

Test-time scaling has emerged as a prominent research direction in machine learning, enabling models to enhance their expressive capabilities during inference.Transformers, renowned for striking a delicate balance between efficiency and expressiveness, have benefited from test-time scaling techniques that leverage an expanding key-value (KV) cache to significantly improve performance.In this paper, we introduce a novel state-based approach to test-time scaling, which we term state tuning, tailored to the RNN-based RWKV-7 model.By exploiting the unique strengths of RWKV-7, our method achieves state-of-the-art performance on the target task without altering the model's pre-trained weights. Our approach centers on three key innovations. First, we develop an observer framework that allows a smaller model to replicate and learn the state dynamics of the RWKV-7 model. Second, we employ a kernel method to dynamically upscale the state size, enhancing the model's capacity to capture intricate patterns. Third, we integrate Decorrelated Backpropagation (DBP) to optimize the upscaled state matrix, thereby improving convergence and expressivity. By tuning only the state matrix, we demonstrate that a smaller model can outperform larger models on the given task. This method preserves the efficiency of the original RWKV-7 architecture while harnessing the power of test-time scaling to deliver superior results. Our findings underscore the potential of state tuning as an effective strategy for advancing model performance in resource-constrained settings. Our code is https://github.com/TorchRWKV/flash-linear-attention.

  • 3 authors
·
Apr 7, 2025

I Am Aligned, But With Whom? MENA Values Benchmark for Evaluating Cultural Alignment and Multilingual Bias in LLMs

We introduce MENAValues, a novel benchmark designed to evaluate the cultural alignment and multilingual biases of large language models (LLMs) with respect to the beliefs and values of the Middle East and North Africa (MENA) region, an underrepresented area in current AI evaluation efforts. Drawing from large-scale, authoritative human surveys, we curate a structured dataset that captures the sociocultural landscape of MENA with population-level response distributions from 16 countries. To probe LLM behavior, we evaluate diverse models across multiple conditions formed by crossing three perspective framings (neutral, personalized, and third-person/cultural observer) with two language modes (English and localized native languages: Arabic, Persian, Turkish). Our analysis reveals three critical phenomena: "Cross-Lingual Value Shifts" where identical questions yield drastically different responses based on language, "Reasoning-Induced Degradation" where prompting models to explain their reasoning worsens cultural alignment, and "Logit Leakage" where models refuse sensitive questions while internal probabilities reveal strong hidden preferences. We further demonstrate that models collapse into simplistic linguistic categories when operating in native languages, treating diverse nations as monolithic entities. MENAValues offers a scalable framework for diagnosing cultural misalignment, providing both empirical insights and methodological tools for developing more culturally inclusive AI.

  • 2 authors
·
Oct 15, 2025

Multimodal LLM-Guided Semantic Correction in Text-to-Image Diffusion

Diffusion models have become the mainstream architecture for text-to-image generation, achieving remarkable progress in visual quality and prompt controllability. However, current inference pipelines generally lack interpretable semantic supervision and correction mechanisms throughout the denoising process. Most existing approaches rely solely on post-hoc scoring of the final image, prompt filtering, or heuristic resampling strategies-making them ineffective in providing actionable guidance for correcting the generative trajectory. As a result, models often suffer from object confusion, spatial errors, inaccurate counts, and missing semantic elements, severely compromising prompt-image alignment and image quality. To tackle these challenges, we propose MLLM Semantic-Corrected Ping-Pong-Ahead Diffusion (PPAD), a novel framework that, for the first time, introduces a Multimodal Large Language Model (MLLM) as a semantic observer during inference. PPAD performs real-time analysis on intermediate generations, identifies latent semantic inconsistencies, and translates feedback into controllable signals that actively guide the remaining denoising steps. The framework supports both inference-only and training-enhanced settings, and performs semantic correction at only extremely few diffusion steps, offering strong generality and scalability. Extensive experiments demonstrate PPAD's significant improvements.

  • 6 authors
·
May 26, 2025

MaskSearch: A Universal Pre-Training Framework to Enhance Agentic Search Capability

Retrieval-Augmented Language Models (RALMs) represent a classic paradigm where models enhance generative capabilities using external knowledge retrieved via a specialized module. Recent advancements in Agent techniques enable Large Language Models (LLMs) to autonomously utilize tools for retrieval, planning, and reasoning. While existing training-based methods show promise, their agentic abilities are limited by inherent characteristics of the task-specific data used during training. To further enhance the universal search capability of agents, we propose a novel pre-training framework, MaskSearch. In the pre-training stage, we introduce the Retrieval Augmented Mask Prediction (RAMP) task, where the model learns to leverage search tools to fill masked spans on a large number of pre-training data, thus acquiring universal retrieval and reasoning capabilities for LLMs. After that, the model is trained on downstream tasks to achieve further improvement. We apply both Supervised Fine-tuning (SFT) and Reinforcement Learning (RL) for training. For SFT, we combine agent-based and distillation-based methods to generate training data, starting with a multi-agent system consisting of a planner, rewriter, observer, and followed by a self-evolving teacher model. While for RL, we employ DAPO as the training framework and adopt a hybrid reward system consisting of answer rewards and format rewards. Additionally, we introduce a curriculum learning approach that allows the model to learn progressively from easier to more challenging instances based on the number of masked spans. We evaluate the effectiveness of our framework in the scenario of open-domain multi-hop question answering. Through extensive experiments, we demonstrate that MaskSearch significantly enhances the performance of LLM-based search agents on both in-domain and out-of-domain downstream tasks.

  • 9 authors
·
May 26, 2025 2

Estimating Time Series Foundation Model Transferability via In-Context Learning

Time series foundation models (TSFMs) offer strong zero-shot forecasting via large-scale pre-training, yet fine-tuning remains critical for boosting performance in domains with limited public data. With the growing number of TSFMs, efficiently identifying the best model for downstream fine-tuning becomes increasingly challenging. In this work, we introduce TimeTic, a transferability estimation framework that recasts model selection as an in-context-learning problem: given observations on known (source) datasets, it predicts how a TSFM will perform after fine-tuning on a downstream (target) dataset. TimeTic flexibly organizes the observed model-data relationships as contextual information, allowing it to adapt seamlessly to various test-time scenarios. Leveraging the natural tabular structure formed by dataset meta-features, model characteristics, and fine-tuned performance, we employ tabular foundation models to serve as in-context learners. We further introduce a novel model characterization based on entropy evolution across model layers, capturing embedding-space distinctions and enabling TimeTic to generalize across arbitrary model sets. We establish a comprehensive benchmark for transferability estimation including 10 datasets, 10 foundation models, and 3 forecasting tasks. On this benchmark, TimeTic's estimation demonstrates strong alignment with actual fine-tuned performance for previously unseen datasets, achieving a mean rank correlation of approximately 0.6 and a 30% improvement compared to using zero-shot performance as the transferability score.

  • 6 authors
·
Sep 28, 2025 2