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Aug 13

Which Tokens Matter? Adaptive Token Selection for RLVR with the Relative Surprisal Index

Reinforcement learning (RL) has become a powerful tool for propelling Large Language Models (LLMs) beyond imitation-based training towards more robust reasoning capabilities. Among existing approaches, RL with Verifiable Rewards (RLVR) has emerged as a pivotal paradigm for advancing LLM reasoning. Despite its empirical success, recent studies have offered different insights. One line of inquiry advocates prioritizing high-entropy token positions during training, while another perspective cautions against allowing low-probability tokens to dominate gradient updates. Notably, although high-entropy tokens are usually correlated with low probability, both paradigms empirically yield substantial performance gains. In this work, we argue that evaluating sampled-token probability or entropy in isolation is insufficient to capture the policy optimization dynamics. To resolve this tension, we introduce the Relative Surprisal Index (RSI), a principled, information-theoretic metric that naturally couples the token's entropy with the probability of the selected token. We show that, under mild conditions, RSI is related to the local ratio between the first-order variations of the logit-gradient norm and predictive entropy under a selected-logit perturbation. Building on RSI, we propose RSI Selection (RSI-S), an entropy-adaptive token filtering method that retains tokens within a stable RSI interval. RSI-S successfully reconciles previous contradictory paradigms and filters out both redundant low-surprisal tokens and unstable high-surprisal tail tokens. Empirical evaluations show that RSI-S achieves higher avg@32 accuracy across different model scales (Qwen2.5-1.5B, 3B, and 7B) on AIME and AMC benchmarks: RSI-S improves avg@32 accuracy by 2--3 percentage points over GRPO. Overall, RSI offers a promising perspective for RLVR improvement.

  • 8 authors
·
Jun 29

Temperature-scaling surprisal estimates improve fit to human reading times -- but does it do so for the "right reasons"?

A wide body of evidence shows that human language processing difficulty is predicted by the information-theoretic measure surprisal, a word's negative log probability in context. However, it is still unclear how to best estimate these probabilities needed for predicting human processing difficulty -- while a long-standing belief held that models with lower perplexity would provide more accurate estimates of word predictability, and therefore lead to better reading time predictions, recent work has shown that for very large models, psycholinguistic predictive power decreases. One reason could be that language models might be more confident of their predictions than humans, because they have had exposure to several magnitudes more data. In this paper, we test what effect temperature-scaling of large language model (LLM) predictions has on surprisal estimates and their predictive power of reading times of English texts. Firstly, we show that calibration of large language models typically improves with model size, i.e. poorer calibration cannot account for poorer fit to reading times. Secondly, we find that temperature-scaling probabilities lead to a systematically better fit to reading times (up to 89% improvement in delta log likelihood), across several reading time corpora. Finally, we show that this improvement in fit is chiefly driven by words that are composed of multiple subword tokens.

  • 3 authors
·
Nov 15, 2023

Surprisal-Guided Selection: Compute-Optimal Test-Time Strategies for Execution-Grounded Code Generation

Test-time training (TTT) adapts language models through gradient-based updates at inference. But is adaptation the right strategy? We study compute-optimal test-time strategies for verifiable execution-grounded (VEG) tasks, domains like GPU kernel optimization where a deterministic evaluator provides dense, continuous reward signals. Using KernelBench as our testbed and a 120B-parameter model (GPT-OSS-120B with LoRA adaptation), we find that search outperforms minimal adaptation (1-5 gradient steps): Best-of-N sampling achieves 90% task success (18/20 tasks) at K=64 across the full KernelBench L1 eval set while TTT's best checkpoint reaches only 30.6% (3-seed mean), with TTT's "equivalent K" falling below 1, worse than single-sample inference. The failure mode is over-sharpening: gradient updates collapse diversity toward mediocre solutions rather than discovering optimal ones. Our main contribution is surprisal-guided selection: selecting the highest-surprisal (lowest-confidence) correct sample yields 80% success vs. 50% for most-confident selection, a 30% improvement. Extending to surprisal-guided-top3 matches oracle performance at 100%. This zero-cost strategy, validated through length-controlled analysis, recovers oracle performance. For dense-reward VEG tasks, compute should be allocated to sample diversity and intelligent selection rather than gradient adaptation. The surprisal-guided selection principle may generalize to other execution-grounded domains where optimal solutions occupy the distribution tail.

  • 1 authors
·
Feb 7 2

Rethinking Image Evaluation in Super-Resolution

While recent advancing image super-resolution (SR) techniques are continually improving the perceptual quality of their outputs, they can usually fail in quantitative evaluations. This inconsistency leads to a growing distrust in existing image metrics for SR evaluations. Though image evaluation depends on both the metric and the reference ground truth (GT), researchers typically do not inspect the role of GTs, as they are generally accepted as `perfect' references. However, due to the data being collected in the early years and the ignorance of controlling other types of distortions, we point out that GTs in existing SR datasets can exhibit relatively poor quality, which leads to biased evaluations. Following this observation, in this paper, we are interested in the following questions: Are GT images in existing SR datasets 100% trustworthy for model evaluations? How does GT quality affect this evaluation? And how to make fair evaluations if there exist imperfect GTs? To answer these questions, this paper presents two main contributions. First, by systematically analyzing seven state-of-the-art SR models across three real-world SR datasets, we show that SR performances can be consistently affected across models by low-quality GTs, and models can perform quite differently when GT quality is controlled. Second, we propose a novel perceptual quality metric, Relative Quality Index (RQI), that measures the relative quality discrepancy of image pairs, thus issuing the biased evaluations caused by unreliable GTs. Our proposed model achieves significantly better consistency with human opinions. We expect our work to provide insights for the SR community on how future datasets, models, and metrics should be developed.

  • 6 authors
·
Mar 17, 2025 2

Divergent Gaze Patterns in Artistic Viewing: Spatial and Temporal Signatures of Attention Across Autistic Individuals, Artists, and Neurotypical Observers

How different populations visually explore artworks bears on cognitive science and on accessibility design, yet most eye-tracking work in autism has used social scenes rather than art, and has analysed where the eyes land while ignoring when and in what order. We present a comparative free-viewing study across three groups, autistic adults (ASD), trained artists, and neurotypical observers, who each viewed 30 paintings for 15s. We introduce a directed, metric-grounded framework that compares groups along two complementary axes: a spatial axis, in which one group's fixation-density map predicts another's fixations under six saliency metrics (AUC-Judd, NSS, CC, SIM, KL, Information Gain); and a temporal axis, in which individual scanpaths are compared with MultiMatch, ScanMatch, a foveal-disc IoU score (FDISS), and dynamic time warping (DTW). Fixations are extracted uniformly for all groups with a dispersion-threshold algorithm. Three results converge. (i)Artists and neurotypicals are almost indistinguishable in both space (density-map correlation CC=0.96) and time (they form the most alignable scanpath pair), whereas ASD gaze diverges from both. (ii)ASD attention is dissociated: it matches artists' wide spatial exploration (dispersion, explored area) but carries a distinct temporal signature, shorter fixations, less dwell, and the most idiosyncratic (least self-consistent) scanpaths of any group. (iii)ASD gaze is not selectively artist-like on any metric; if anything it is marginally closer to neurotypical. Together these findings indicate that autistic viewing of art is a distinct, group-specific attentional profile in both space and time, and they motivate population-conditioned models of aesthetic attention. We release all analysis code and per-stimulus results.

  • 10 authors
·
Jul 15

Prediction of Alzheimer's Disease Risk Factors from Retinal Images via Deep Learning: Development and Validation of Biologically Relevant Morphological Associations in the UK Biobank

The systemic, metabolic, lifestyle factors have established associations with Alzheimer's Disease (AD) through epidemiologic and AD-specific biomarker studies. Whether colored fundus photography (CFP) contains retinal structural signatures corresponding to these AD-related risk domains remains unclear. To determine whether deep learning (DL) models can predict 12 AD-related risk factors from CFP and to characterize the retinal structures underlying these predictions, thereby assessing whether CFP reflects pathways to AD vulnerability. Using 62,876 CFPs from 44,501 unique participants from the UK Biobank, DL models were trained to predict 12 factors linked to AD incidence: 6 categorical (sex, smoking, sleeplessness, economic status, alcohol use, depression) and 6 continuous (age, age at completing education, BMI, systolic, diastolic blood pressure, HbA1c). Model performance, model saliency, and saliency-derived scores (CAM-Score) were evaluated and compared to retinal morphometry. The scores were also compared between incident-AD cases (average 8.55 years before onset) and matched controls. Performance of DL ranged from AUROC= 0.5654-0.9480 for categorical and R2=-0.0291-0.7620 for continuous factors, outperforming most of the morphometry-machine learning models. Saliency-based score consistently highlighted biologically meaningful regions, particularly the optic nerve head and retinal vasculature. It also aligned with present morphometric variations. Several saliency-based scores differed significantly between incident AD and matched controls, suggesting potential overlap between retinal correlates of risk factors and preclinical AD-associated changes. CFP encodes retinal signatures linked to AD risk factors. Although not diagnostic, DL-derived retinal representations may uncover biologically meaningful risk-related structural changes mirroring the potential AD vulnerability.

  • 4 authors
·
Jun 17 1

OrdinalBench: A Benchmark Dataset for Diagnosing Generalization Limits in Ordinal Number Understanding of Vision-Language Models

Vision-Language Models (VLMs) have advanced across multimodal benchmarks but still show clear gaps in ordinal number understanding, i.e., the ability to track relative positions and generalize to large indices. We present OrdinalBench, a diagnostic benchmark that standardizes ordinal number understanding as an evaluation task for VLMs. The core task is N-th object identification, defined by a starting reference and traversal rule. Task difficulty is controlled along three axes: (i) ordinal magnitude, from small numbers to extreme cases up to 300; (ii) arrangement complexity, from single loops to maze-like paths; and (iii) object count. The benchmark provides 39,000 question-answer pairs, each annotated with a ground-truth reasoning trajectory and balanced across difficulty levels for controlled large-scale testing. Beyond answer-only evaluation, our framework requires models to generate structured stepwise traces of the counting process and provides an open evaluation toolkit that measures both final accuracy and step-level path consistency. Zero-shot evaluations of GPT-5, Gemini 2.5 Flash Lite, Qwen2.5-VL, InternVL3.5, and Molmo reveal sharp degradation under large-ordinal and complex-path conditions, highlighting weak generalization despite strong scores on standard multimodal tasks. By framing ordinal number understanding as a core target, OrdinalBench provides a reproducible benchmark and diagnostic framework for developing VLMs with stronger sequential reasoning. All data and code are available at https://ordinalbench.github.io/

  • 2 authors
·
Mar 8

Recognizability Embedding Enhancement for Very Low-Resolution Face Recognition and Quality Estimation

Very low-resolution face recognition (VLRFR) poses unique challenges, such as tiny regions of interest and poor resolution due to extreme standoff distance or wide viewing angle of the acquisition devices. In this paper, we study principled approaches to elevate the recognizability of a face in the embedding space instead of the visual quality. We first formulate a robust learning-based face recognizability measure, namely recognizability index (RI), based on two criteria: (i) proximity of each face embedding against the unrecognizable faces cluster center and (ii) closeness of each face embedding against its positive and negative class prototypes. We then devise an index diversion loss to push the hard-to-recognize face embedding with low RI away from unrecognizable faces cluster to boost the RI, which reflects better recognizability. Additionally, a perceptibility attention mechanism is introduced to attend to the most recognizable face regions, which offers better explanatory and discriminative traits for embedding learning. Our proposed model is trained end-to-end and simultaneously serves recognizability-aware embedding learning and face quality estimation. To address VLRFR, our extensive evaluations on three challenging low-resolution datasets and face quality assessment demonstrate the superiority of the proposed model over the state-of-the-art methods.

  • 5 authors
·
Apr 19, 2023

Disentanglement and Assessment of Shortcuts in Ophthalmological Retinal Imaging Exams

Diabetic retinopathy (DR) is a leading cause of vision loss in working-age adults. While screening reduces the risk of blindness, traditional imaging is often costly and inaccessible. Artificial intelligence (AI) algorithms present a scalable diagnostic solution, but concerns regarding fairness and generalization persist. This work evaluates the fairness and performance of image-trained models in DR prediction, as well as the impact of disentanglement as a bias mitigation technique, using the diverse mBRSET fundus dataset. Three models, ConvNeXt V2, DINOv2, and Swin V2, were trained on macula images to predict DR and sensitive attributes (SAs) (e.g., age and gender/sex). Fairness was assessed between subgroups of SAs, and disentanglement was applied to reduce bias. All models achieved high DR prediction performance in diagnosing (up to 94% AUROC) and could reasonably predict age and gender/sex (91% and 77% AUROC, respectively). Fairness assessment suggests disparities, such as a 10% AUROC gap between age groups in DINOv2. Disentangling SAs from DR prediction had varying results, depending on the model selected. Disentanglement improved DINOv2 performance (2% AUROC gain), but led to performance drops in ConvNeXt V2 and Swin V2 (7% and 3%, respectively). These findings highlight the complexity of disentangling fine-grained features in fundus imaging and emphasize the importance of fairness in medical imaging AI to ensure equitable and reliable healthcare solutions.

  • 5 authors
·
Jul 13, 2025

Novel quantitative indicators of digital ophthalmoscopy image quality

With the advent of smartphone indirect ophthalmoscopy, teleophthalmology - the use of specialist ophthalmology assets at a distance from the patient - has experienced a breakthrough, promising enormous benefits especially for healthcare in distant, inaccessible or opthalmologically underserved areas, where specialists are either unavailable or too few in number. However, accurate teleophthalmology requires high-quality ophthalmoscopic imagery. This paper considers three feature families - statistical metrics, gradient-based metrics and wavelet transform coefficient derived indicators - as possible metrics to identify unsharp or blurry images. By using standard machine learning techniques, the suitability of these features for image quality assessment is confirmed, albeit on a rather small data set. With the increased availability and decreasing cost of digital ophthalmoscopy on one hand and the increased prevalence of diabetic retinopathy worldwide on the other, creating tools that can determine whether an image is likely to be diagnostically suitable can play a significant role in accelerating and streamlining the teleophthalmology process. This paper highlights the need for more research in this area, including the compilation of a diverse database of ophthalmoscopic imagery, annotated with quality markers, to train the Point of Acquisition error detection algorithms of the future.

  • 1 authors
·
Mar 6, 2019

FunduSegmenter: Leveraging the RETFound Foundation Model for Joint Optic Disc and Optic Cup Segmentation in Retinal Fundus Images

Purpose: This study introduces the first adaptation of RETFound for joint optic disc (OD) and optic cup (OC) segmentation. RETFound is a well-known foundation model developed for fundus camera and optical coherence tomography images, which has shown promising performance in disease diagnosis. Methods: We propose FunduSegmenter, a model integrating a series of novel modules with RETFound, including a Pre-adapter, a Decoder, a Post-adapter, skip connections with Convolutional Block Attention Module and a Vision Transformer block adapter. The model is evaluated on a proprietary dataset, GoDARTS, and four public datasets, IDRiD, Drishti-GS, RIM-ONE-r3, and REFUGE, through internal verification, external verification and domain generalization experiments. Results: An average Dice similarity coefficient of 90.51% was achieved in internal verification, which outperformed all baselines, some substantially (nnU-Net: 82.91%; DUNet: 89.17%; TransUNet: 87.91%). In all external verification experiments, the average results were about 3% higher than those of the best baseline, and our model was also competitive in domain generalization. Conclusions: This study explored the potential of the latent general representations learned by RETFound for OD and OC segmentation in fundus camera images. Our FunduSegmenter generally outperformed state-of-the-art baseline methods. The proposed modules are general and can be extended to fine-tuning other foundation models. Translational Relevance: The model shows strong stability and generalization on both in-distribution and out-of-distribution data, providing stable OD and OC segmentation. This is an essential step for many automated tasks, from setting the accurate retinal coordinate to biomarker discovery. The code and trained weights are available at: https://github.com/JusticeZzy/FunduSegmenter.

  • 3 authors
·
Apr 22

Déjà Cue: Localizing States in Object Histories via Vocabulary-Relative Coordinates

Tracking links observations of the same object through visual change, yet cannot by itself determine when the object is empty or filled, intact or cut. We formulate identity-conditioned state-moment retrieval: given a tracked-object history and alternative state descriptions, localize an interval in which each described state holds. Absolute image-text similarity scores descriptions independently; because every visible frame depicts the same target, shared object compatibility can obscure the state evidence needed to identify the target interval. The alternatives provide the missing reference: evidence for one state should be measured against the others. We introduce Déjà Cue, a training-free framework that turns these alternatives into a vocabulary-relative coordinate system. It subtracts their state-balanced centroid from each description, calibrates frame scores, and scans multiple durations within contiguous visible runs using a frozen encoder. On 78 VOST histories, holding the temporal scan fixed and changing only the query reference nearly doubles R@1 at tIoU 0.5 from 10.3\% to 20.5\% and raises Top-1 tIoU from 16.0\% to 21.5\%. Candidate-rank analyses show that vocabulary-relative queries rank useful intervals higher within the same candidate set. Related state descriptions can therefore serve as an object-specific, query-time coordinate system for reading frozen visual representations.

  • 6 authors
·
Aug 2

REVEAL++: Differentiable Phenotypic Grouping for Vision-Language Retinal Modeling of Alzheimer's Disease Risk

The retina offers a noninvasive window into neurodegenerative disease, capturing subtle structural patterns associated with a risk of future cognitive decline. Vision-language alignment frameworks such as REVEAL have shown that pairing retinal fundus images with structured clinical risk narratives improves early prediction of Alzheimer's disease (AD). A key design choice in these approaches is the use of phenotypic grouping, where individuals with similar risk profiles are treated as multi-positive pairs during contrastive learning. However, existing methods operationalize phenotypic similarity as a discrete construct, relying on hard group assignments that impose rigid supervision and decouple group formation from representation learning. We propose a continuous formulation of phenotypic structure within contrastive learning. Rather than assigning samples to fixed clusters, we model inter-subject similarity as a differentiable weighting function derived from intra-modality embedding similarities in both retinal images and risk profiles. These weights define soft multi-positive relationships through a continuous aggregation operator, enabling graded supervision that reflects the spectrum nature of disease risk. We further introduce a soft-target contrastive objective that jointly learns cross-modal alignment and phenotypic structure in an end-to-end manner. Evaluated on UK Biobank retinal imaging data for incident AD prediction, the proposed framework consistently outperforms discrete group-based contrastive learning and standard vision-language baselines. By treating phenotypic similarity as a learnable, continuous signal rather than a fixed grouping rule, our approach provides a principled and robust foundation for population-scale neurodegenerative risk modeling from multi-modal retinal and clinical data.

  • 4 authors
·
Jun 16

Specialist vision-language models for clinical ophthalmology

Clinicians spend a significant amount of time reviewing medical images and transcribing their findings regarding patient diagnosis, referral and treatment in text form. Vision-language models (VLMs), which automatically interpret images and summarize their findings as text, have enormous potential to alleviate clinical workloads and increase patient access to high-quality medical care. While foundational models have stirred considerable interest in the medical community, it is unclear whether their general capabilities translate to real-world clinical utility. In this work, we show that foundation VLMs markedly underperform compared to practicing ophthalmologists on specialist tasks crucial to the care of patients with age-related macular degeneration (AMD). To address this, we initially identified the essential capabilities required for image-based clinical decision-making, and then developed a curriculum to selectively train VLMs in these skills. The resulting model, RetinaVLM, can be instructed to write reports that significantly outperform those written by leading foundation medical VLMs in disease staging (F1 score of 0.63 vs. 0.11) and patient referral (0.67 vs. 0.39), and approaches the diagnostic performance of junior ophthalmologists (who achieve 0.77 and 0.78 on the respective tasks). Furthermore, in a reader study involving two senior ophthalmologists with up to 32 years of experience, RetinaVLM's reports were found to be similarly correct (78.6% vs. 82.1%) and complete (both 78.6%) as reports written by junior ophthalmologists with up to 10 years of experience. These results demonstrate that our curriculum-based approach provides a blueprint for specializing generalist foundation medical VLMs to handle real-world clinical tasks.

  • 16 authors
·
Jul 11, 2024

Periodontal Bone Loss Analysis via Keypoint Detection With Heuristic Post-Processing

This study proposes a deep learning framework and annotation methodology for the automatic detection of periodontal bone loss landmarks, associated conditions, and staging. 192 periapical radiographs were collected and annotated with a stage agnostic methodology, labelling clinically relevant landmarks regardless of disease presence or extent. We propose a heuristic post-processing module that aligns predicted keypoints to tooth boundaries using an auxiliary instance segmentation model. An evaluation metric, Percentage of Relative Correct Keypoints (PRCK), is proposed to capture keypoint performance in dental imaging domains. Four donor pose estimation models were adapted with fine-tuning for our keypoint problem. Post-processing improved fine-grained localisation, raising average PRCK^{0.05} by +0.028, but reduced coarse performance for PRCK^{0.25} by -0.0523 and PRCK^{0.5} by -0.0345. Orientation estimation shows excellent performance for auxiliary segmentation when filtered with either stage 1 object detection model. Periodontal staging was detected sufficiently, with the best mesial and distal Dice scores of 0.508 and 0.489, while furcation involvement and widened periodontal ligament space tasks remained challenging due to scarce positive samples. Scalability is implied with similar validation and external set performance. The annotation methodology enables stage agnostic training with balanced representation across disease severities for some detection tasks. The PRCK metric provides a domain-specific alternative to generic pose metrics, while the heuristic post-processing module consistently corrected implausible predictions with occasional catastrophic failures. The proposed framework demonstrates the feasibility of clinically interpretable periodontal bone loss assessment, with potential to reduce diagnostic variability and clinician workload.

  • 7 authors
·
Oct 19, 2025

A General Model for Retinal Segmentation and Quantification

Retinal imaging is fast, non-invasive, and widely available, offering quantifiable structural and vascular signals for ophthalmic and systemic health assessment. This accessibility creates an opportunity to study how quantitative retinal phenotypes relate to ocular and systemic diseases. However, such analyses remain difficult at scale due to the limited availability of public multi-label datasets and the lack of a unified segmentation-to-quantification pipeline. We present RetSAM, a general retinal segmentation and quantification framework for fundus imaging. It delivers robust multi-target segmentation and standardized biomarker extraction, supporting downstream ophthalmologic studies and oculomics correlation analyses. Trained on over 200,000 fundus images, RetSAM supports three task categories and segments five anatomical structures, four retinal phenotypic patterns, and more than 20 distinct lesion types. It converts these segmentation results into over 30 standardized biomarkers that capture structural morphology, vascular geometry, and degenerative changes. Trained with a multi-stage strategy using both private and public fundus data, RetSAM achieves superior segmentation performance on 17 public datasets. It improves on prior best methods by 3.9 percentage points in DSC on average, with up to 15 percentage points on challenging multi-task benchmarks, and generalizes well across diverse populations, imaging devices, and clinical settings. The resulting biomarkers enable systematic correlation analyses across major ophthalmic diseases, including diabetic retinopathy, age-related macular degeneration, glaucoma, and pathologic myopia. Together, RetSAM transforms fundus images into standardized, interpretable quantitative phenotypes, enabling large-scale ophthalmic research and translation.

PSP: An Interpretable Per-Dimension Accent Benchmark for Indic Text-to-Speech

Standard text-to-speech (TTS) evaluation measures intelligibility (WER, CER) and overall naturalness (MOS, UTMOS) but does not quantify accent. A synthesiser may score well on all four yet sound non-native on features that are phonemic in the target language. For Indic languages, these features include retroflex articulation, aspiration, vowel length, and the Tamil retroflex approximant (letter zha). We present PSP, the Phoneme Substitution Profile, an interpretable, per-phonological-dimension accent benchmark for Indic TTS. PSP decomposes accent into six complementary dimensions: retroflex collapse rate (RR), aspiration fidelity (AF), vowel-length fidelity (LF), Tamil-zha fidelity (ZF), Frechet Audio Distance (FAD), and prosodic signature divergence (PSD). The first four are measured via forced alignment plus native-speaker-centroid acoustic probes over Wav2Vec2-XLS-R layer-9 embeddings; the latter two are corpus-level distributional distances. In this v1 we benchmark four commercial and open-source systems (ElevenLabs v3, Cartesia Sonic-3, Sarvam Bulbul, Indic Parler-TTS) on Hindi, Telugu, and Tamil pilot sets, with a fifth system (Praxy Voice) included on all three languages, plus an R5->R6 case study on Telugu. Three findings: (i) retroflex collapse grows monotonically with phonological difficulty Hindi < Telugu < Tamil (~1%, ~40%, ~68%); (ii) PSP ordering diverges from WER ordering -- commercial WER-leaders do not uniformly lead on retroflex or prosodic fidelity; (iii) no single system is Pareto-optimal across all six dimensions. We release native reference centroids (500 clips per language), 1000-clip embeddings for FAD, 500-clip prosodic feature matrices for PSD, 300-utterance golden sets per language, scoring code under MIT, and centroids under CC-BY. Formal MOS-correlation is deferred to v2; v1 reports five internal-consistency signals plus a native-audio sanity check.

Praxel Praxel
·
Apr 27 2

Generalist versus Specialist Vision Foundation Models for Ocular Disease and Oculomics

Medical foundation models, pre-trained with large-scale clinical data, demonstrate strong performance in diverse clinically relevant applications. RETFound, trained on nearly one million retinal images, exemplifies this approach in applications with retinal images. However, the emergence of increasingly powerful and multifold larger generalist foundation models such as DINOv2 and DINOv3 raises the question of whether domain-specific pre-training remains essential, and if so, what gap persists. To investigate this, we systematically evaluated the adaptability of DINOv2 and DINOv3 in retinal image applications, compared to two specialist RETFound models, RETFound-MAE and RETFound-DINOv2. We assessed performance on ocular disease detection and systemic disease prediction using two adaptation strategies: fine-tuning and linear probing. Data efficiency and adaptation efficiency were further analysed to characterise trade-offs between predictive performance and computational cost. Our results show that although scaling generalist models yields strong adaptability across diverse tasks, RETFound-DINOv2 consistently outperforms these generalist foundation models in ocular-disease detection and oculomics tasks, demonstrating stronger generalisability and data efficiency. These findings suggest that specialist retinal foundation models remain the most effective choice for clinical applications, while the narrowing gap with generalist foundation models suggests that continued data and model scaling can deliver domain-relevant gains and position them as strong foundations for future medical foundation models.

  • 23 authors
·
Sep 3, 2025

Perceptual Scales Predicted by Fisher Information Metrics

Perception is often viewed as a process that transforms physical variables, external to an observer, into internal psychological variables. Such a process can be modeled by a function coined perceptual scale. The perceptual scale can be deduced from psychophysical measurements that consist in comparing the relative differences between stimuli (i.e. difference scaling experiments). However, this approach is often overlooked by the modeling and experimentation communities. Here, we demonstrate the value of measuring the perceptual scale of classical (spatial frequency, orientation) and less classical physical variables (interpolation between textures) by embedding it in recent probabilistic modeling of perception. First, we show that the assumption that an observer has an internal representation of univariate parameters such as spatial frequency or orientation while stimuli are high-dimensional does not lead to contradictory predictions when following the theoretical framework. Second, we show that the measured perceptual scale corresponds to the transduction function hypothesized in this framework. In particular, we demonstrate that it is related to the Fisher information of the generative model that underlies perception and we test the predictions given by the generative model of different stimuli in a set a of difference scaling experiments. Our main conclusion is that the perceptual scale is mostly driven by the stimulus power spectrum. Finally, we propose that this measure of perceptual scale is a way to push further the notion of perceptual distances by estimating the perceptual geometry of images i.e. the path between images instead of simply the distance between those.

  • 2 authors
·
Oct 18, 2023

Auditing Multimodal LLM Raters: Central Tendency Bias in Clinical Ordinal Scoring

Multimodal large language models (LLMs) are increasingly explored as automated evaluators in clinical settings, yet their scoring behavior on ordinal clinical scales remains poorly understood. We benchmark three frontier LLM families against supervised deep learning models for scoring Clock Drawing Test (CDT) images on two public datasets using the Shulman rubric. While fully fine-tuned Vision Transformers achieve the best calibration (MAE 0.52, within-1 accuracy 91%), zero-shot LLMs remain competitive on tolerance-based agreement (GPT-5 MAE 0.67, within-1 accuracy 92%) despite higher absolute error. However, per-score analysis reveals that all three LLM families exhibit a pronounced central tendency effect (systematic endpoint compression): predictions are systematically compressed toward the middle of the scale, with over-prediction at the low end (score 0 to 1) and under-prediction at the high end (score 5 to 4). This effect disproportionately affects the clinically critical extremes where accurate scoring most impacts screening decisions for cognitive impairment. Targeted ablations show that neither few-shot exemplars spanning the full score range nor removing clinical terminology from the prompt eliminates the effect. Our findings extend the LLM-as-a-judge bias literature from NLP evaluation to clinical assessment, and highlight the need for calibration-aware evaluation and post-hoc calibration before deploying LLM-based raters in high-stakes screening workflows.

Glance and Focus Reinforcement for Pan-cancer Screening

Pan-cancer screening in large-scale CT scans remains challenging for existing AI methods, primarily due to the difficulty of localizing diverse types of tiny lesions in large CT volumes. The extreme foreground-background imbalance significantly hinders models from focusing on diseased regions, while redundant focus on healthy regions not only decreases the efficiency but also increases false positives. Inspired by radiologists' glance and focus diagnostic strategy, we introduce GF-Screen, a Glance and Focus reinforcement learning framework for pan-cancer screening. GF-Screen employs a Glance model to localize the diseased regions and a Focus model to precisely segment the lesions, where segmentation results of the Focus model are leveraged to reward the Glance model via Reinforcement Learning (RL). Specifically, the Glance model crops a group of sub-volumes from the entire CT volume and learns to select the sub-volumes with lesions for the Focus model to segment. Given that the selecting operation is non-differentiable for segmentation training, we propose to employ the segmentation results to reward the Glance model. To optimize the Glance model, we introduce a novel group relative learning paradigm, which employs group relative comparison to prioritize high-advantage predictions and discard low-advantage predictions within sub-volume groups, not only improving efficiency but also reducing false positives. In this way, for the first time, we effectively extend cutting-edge RL techniques to tackle the specific challenges in pan-cancer screening. Extensive experiments on 16 internal and 7 external datasets across 9 lesion types demonstrated the effectiveness of GF-Screen. Notably, GF-Screen leads the public validation leaderboard of MICCAI FLARE25 pan-cancer challenge, surpassing the FLARE24 champion solution by a large margin (+25.6% DSC and +28.2% NSD).

Harvard Glaucoma Detection and Progression: A Multimodal Multitask Dataset and Generalization-Reinforced Semi-Supervised Learning

Glaucoma is the number one cause of irreversible blindness globally. A major challenge for accurate glaucoma detection and progression forecasting is the bottleneck of limited labeled patients with the state-of-the-art (SOTA) 3D retinal imaging data of optical coherence tomography (OCT). To address the data scarcity issue, this paper proposes two solutions. First, we develop a novel generalization-reinforced semi-supervised learning (SSL) model called pseudo supervisor to optimally utilize unlabeled data. Compared with SOTA models, the proposed pseudo supervisor optimizes the policy of predicting pseudo labels with unlabeled samples to improve empirical generalization. Our pseudo supervisor model is evaluated with two clinical tasks consisting of glaucoma detection and progression forecasting. The progression forecasting task is evaluated both unimodally and multimodally. Our pseudo supervisor model demonstrates superior performance than SOTA SSL comparison models. Moreover, our model also achieves the best results on the publicly available LAG fundus dataset. Second, we introduce the Harvard Glaucoma Detection and Progression (Harvard-GDP) Dataset, a multimodal multitask dataset that includes data from 1,000 patients with OCT imaging data, as well as labels for glaucoma detection and progression. This is the largest glaucoma detection dataset with 3D OCT imaging data and the first glaucoma progression forecasting dataset that is publicly available. Detailed sex and racial analysis are provided, which can be used by interested researchers for fairness learning studies. Our released dataset is benchmarked with several SOTA supervised CNN and transformer deep learning models. The dataset and code are made publicly available via https://ophai.hms.harvard.edu/datasets/harvard-gdp1000.

  • 5 authors
·
Aug 25, 2023

Where Reliability Lives in Vision-Language Models: A Mechanistic Study of Attention, Hidden States, and Causal Circuits

A pervasive intuition holds that vision-language models (VLMs) are most trustworthy when their attention maps look sharp: concentrated attention on the queried region should imply a confident, calibrated answer. We test this Attention-Confidence Assumption directly. We instrument three open-weight VLM families (LLaVA-1.5, PaliGemma, Qwen2-VL; 3-7B parameters) with a unified mechanistic pipeline -- the VLM Reliability Probe (VRP) -- that compares attention structure, generation dynamics, and hidden-state geometry against a single correctness label. Three results emerge. (i) Attention structure is a near-zero predictor of correctness (R_pb(C_k,y)=0.001, 95% CI [-0.034,0.036]; R_pb(H_s,y)=-0.012, [-0.047,0.024] on a pooled n=3,090 split), even though attention remains causally necessary for feature extraction (top-30% patch masking drops accuracy by 8.2-11.3 pp, p<0.001). (ii) Reliability becomes legible later in the computation: a single hidden-state linear probe reaches AUROC>0.95 on POPE for two of three families, and self-consistency at K=10 is the strongest behavioral predictor we measure at 10x inference cost (R_pb=0.43). (iii) Causal neuron-level ablations expose a sharp architectural split with direct monitor-design implications: late-fusion LLaVA concentrates reliability in a fragile late bottleneck (-8.3 pp object-identification accuracy after top-5 probe-neuron ablation), whereas early-fusion PaliGemma and Qwen2-VL distribute it widely and absorb destruction of ~50% of their peak-layer hidden dimension with <=1 pp degradation. The takeaway is narrow but consequential: in 3-7B VLMs, reliability is read more reliably off hidden-state geometry, layer-wise margin formation, and sparse late-layer circuits than off attention-map sharpness.

  • 7 authors
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May 4

MedRepBench: A Comprehensive Benchmark for Medical Report Interpretation

Medical report interpretation plays a crucial role in healthcare, enabling both patient-facing explanations and effective information flow across clinical systems. While recent vision-language models (VLMs) and large language models (LLMs) have demonstrated general document understanding capabilities, there remains a lack of standardized benchmarks to assess structured interpretation quality in medical reports. We introduce MedRepBench, a comprehensive benchmark built from 1,900 de-identified real-world Chinese medical reports spanning diverse departments, patient demographics, and acquisition formats. The benchmark is designed primarily to evaluate end-to-end VLMs for structured medical report understanding. To enable controlled comparisons, we also include a text-only evaluation setting using high-quality OCR outputs combined with LLMs, allowing us to estimate the upper-bound performance when character recognition errors are minimized. Our evaluation framework supports two complementary protocols: (1) an objective evaluation measuring field-level recall of structured clinical items, and (2) an automated subjective evaluation using a powerful LLM as a scoring agent to assess factuality, interpretability, and reasoning quality. Based on the objective metric, we further design a reward function and apply Group Relative Policy Optimization (GRPO) to improve a mid-scale VLM, achieving up to 6% recall gain. We also observe that the OCR+LLM pipeline, despite strong performance, suffers from layout-blindness and latency issues, motivating further progress toward robust, fully vision-based report understanding.

  • 5 authors
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Aug 20, 2025

PRETI: Patient-Aware Retinal Foundation Model via Metadata-Guided Representation Learning

Retinal foundation models have significantly advanced retinal image analysis by leveraging self-supervised learning to reduce dependence on labeled data while achieving strong generalization. Many recent approaches enhance retinal image understanding using report supervision, but obtaining clinical reports is often costly and challenging. In contrast, metadata (e.g., age, gender) is widely available and serves as a valuable resource for analyzing disease progression. To effectively incorporate patient-specific information, we propose PRETI, a retinal foundation model that integrates metadata-aware learning with robust self-supervised representation learning. We introduce Learnable Metadata Embedding (LME), which dynamically refines metadata representations. Additionally, we construct patient-level data pairs, associating images from the same individual to improve robustness against non-clinical variations. To further optimize retinal image representation, we propose Retina-Aware Adaptive Masking (RAAM), a strategy that selectively applies masking within the retinal region and dynamically adjusts the masking ratio during training. PRETI captures both global structures and fine-grained pathological details, resulting in superior diagnostic performance. Extensive experiments demonstrate that PRETI achieves state-of-the-art results across diverse diseases and biomarker predictions using in-house and public data, indicating the importance of metadata-guided foundation models in retinal disease analysis. Our code and pretrained model are available at https://github.com/MICV-yonsei/PRETI

  • 6 authors
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May 17, 2025

Pressure-Testing Deception Probes in LLMs: Scaling, Robustness, and the Geometry of Deceptive Representations

Linear probes trained on LLM activations are increasingly proposed as deception-detection metrics, yet report AUROC exceeding 0.96 on clean benchmarks while collapsing under distributional shift. This paper systematically pressure-tests probe-based metrics across the Gemma 3 model family (1B-27B parameters), diagnosing why they fail rather than merely documenting that they fail. We test four hypotheses about deception encoding: (1) single linear direction, (2) multi-dimensional subspace, (3) convex conic hull, (4) entropy proxy. Our design includes cross-domain transfer matrices, multi-dimensional probe analysis with permutation null baselines, entropy-residualization tests, and distractor evaluations across 8 stylistic shifts. We find that: (a) probes achieve near-perfect AUROC (>=0.998) on clean data but collapse under stylistic shifts; style-augmented probes recover near-perfect detection (mean AUROC 0.979-0.983) on unseen styles; (b) the single-direction hypothesis is rejected (k=1 captures only 0.61-0.80 AUROC), with cross-domain transfer failure confirmed as geometric rather than layer-mismatch-driven; (c) the entropy-proxy hypothesis is rejected (max |rho|=0.454, max Delta-AUROC after residualization=0.004); and (d) deception does not form a significant linear subspace (per-domain k*=0), yet multi-dimensional probes (k>=5) recover the signal through distributed sub-threshold features. Probe fragility reflects distributional narrowness rather than an architectural limitation: style-augmented probes recover near-perfect detection at both 4B and 27B, establishing that the inverse scaling pattern is a training-distribution artifact rather than a genuine scale-dependent phenomenon.

  • 1 authors
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May 27 2

Eccentricity-Constrained CNN Training Reveals Adaptive Information Coding Around the Visual Field

In the primate visual system, center-preferring cortical populations have higher spatial resolution and overlap face- and word-selective regions while periphery-preferring populations have lower spatial resolution and overlap scene-selective regions. This "eccentricity bias" may reflect differential task-relevance: central vision may better support fine-grained tasks like face recognition and reading, while peripheral vision may better support scene understanding. To test whether eccentricity-dependent coding can emerge from natural experience, we used egocentric video and eye-tracking data from the Visual Experience Dataset (VEDB). We trained ResNet-18 models using contrastive learning (SimCLR) on frames modified to isolate different eccentricities (gaze-contingent fovea-only crops, periphery-only crops, and periphery-only crops with a NeuroFovea transform applied). We evaluated downstream task performance and model alignment with human fMRI data (Natural Scenes Dataset; encoding models). In-domain VEDB frame classification showed systematic differences between fovea- and periphery-only models across categories, indicating differential informativeness across tasks. On downstream classification, VEDB-pretrained models generalized better to scene categorization (Places365) than face recognition (VGGFace2), with fovea-only models stronger on both. Across visual cortex, VEDB-pretrained models matched neural predictivity of models trained on mid-sized non-egocentric datasets (ImageNet-100), suggesting egocentric data supports emergence of cortically-aligned representations. In scene-selective cortex (PPA, RSC), periphery-only models held a small but consistent advantage in explained variance over fovea-only models, suggesting these regions are aligned with peripheral statistics. Together, these results suggest egocentric experience may adaptively constrain cortical information processing.

  • 2 authors
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Jul 20