Deep neural networks (DNNs) frequently fail to generalize to out-of-distribution (OOD) medical images because of variations in scanners and acquisition protocols. Retraining DNN models to address these distribution shifts is often impractical due to the high cost of acquiring and annotating new medical datasets. To address this, we introduce VarDeepPCA, a novel lightweight variational DNN framework designed to restore/refine degraded segmentation maps by leveraging intrinsic geometric priors. Unlike existing approaches that require target-domain data or extensive pre-training, our VarDeepPCA explicitly learns a distribution of valid anatomical geometries using only small in-distribution (ID) datasets. Theoretically, our novel variational learning framework leverages a reinterpretation of the softmax mapping to implicitly perform exact distribution modeling, thereby enabling computationally efficient, sampling-free learning and inference. This also enables VarDeepPCA to provide uncertainty estimates associated with its restored segmentation maps. We empirically validate our framework across 4 distinct clinical applications, using 14 publicly available datasets, involving segmentation of the myocardium, neuroretinal rim, prostate, and fetal head. Comparisons against 15 existing methods demonstrate that VarDeepPCA consistently restores segmentation maps produced by the existing methods on OOD data to (i) significantly improve anatomical plausibility of geometries and clinical utility of the segmentations, and (ii) significantly reduce errors, without needing any more training data than that used by existing methods.

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Benchmarks for out-of-distribution (OOD) generalization frequently show a strong positive correlation between in-distribution (ID) and OOD accuracy across models, termed "accuracy-on-the-line." This pattern is often taken to imply that spurious correlations--correlations that improve ID but reduce OOD performance--are rare in practice. We find that this positive correlation is often an artifact of aggregating heterogeneous OOD examples. Using a simple gradient-based method, OODSelect, we identify semantically coherent OOD subsets where accuracy on the line does not hold. Across widely used distribution shift benchmarks, the OODSelect uncovers subsets, sometimes up to over half of the standard OOD set, where higher ID accuracy predicts lower OOD accuracy. Our findings indicate that aggregate metrics can obscure important failure modes of OOD robustness. We release code and the identified subsets to facilitate further research.

Deep neural networks achieve state-of-the-art results for accelerated MRI reconstruction. Most research on deep learning based imaging focuses on improving neural network architectures trained and evaluated on fixed and homogeneous training and evaluation data. In this work, we investigate data curation strategies for improving MRI reconstruction. We assemble a large dataset of raw k-space data from 18 public sources consisting of 1.1M images and construct a diverse evaluation set comprising 48 test sets, capturing variations in anatomy, contrast, number of coils, and other key factors. We propose and study different data filtering strategies to enhance performance of current state-of-the-art neural networks for accelerated MRI reconstruction. Our experiments show that filtering the training data leads to consistent, albeit modest, performance gains. These performance gains are robust across different training set sizes and accelerations, and we find that filtering is particularly beneficial when the proportion of in-distribution data in the unfiltered training set is low.

The scarcity of annotated medical imaging data has driven significant progress in semi-supervised learning to alleviate reliance on expensive expert labeling. While foundational vision models such as the Segment Anything Model (SAM) exhibit robust generalization in generic segmentation tasks, their direct application to medical images often results in suboptimal performance. To address this challenge, in this work, we propose a novel fully SAM-based semi-supervised medical image segmentation framework and develop the corresponding knowledge distillationbased learning strategy. Specifically, we first employ an efficient SAM variant as the backbone network of the semi-supervised framework and update the default prompt embedding of SAM to unleash its full potential. Then, we utilize an original SAM, which is rich in prior knowledge, as the teacher to optimize our efficient student SAM backbone through hierarchical knowledge distillation and a dynamic loss weighting strategy. Extensive experiments on various medical datasets demonstrate that our method outperforms state-of-the-art semi-supervised segmentation approaches. Especially, our model requires less than 10% of the parameter size of the original SAM, enabling substantially lower deployment and storage overhead in real-world clinical settings.

Physiological signals are often corrupted by motion artifacts, baseline drift, and other low-SNR disturbances, which pose significant challenges for analysis. Additionally, these signals exhibit strong non-stationarity, with sharp peaks and abrupt changes that evolve continuously, making them difficult to represent using traditional time-domain or filtering methods. To address these issues, a novel waveletbased approach for physiological signal analysis is presented, aiming to capture multi-scale time-frequency features in various physiological signals. Leveraging this technique, two large-scale pretrained models specific to EMG and ECG are introduced for the first time, achieving superior performance and setting new baselines in downstream tasks. Additionally, a unified multi-modal framework is constructed by integrating pretrained EEG model, where each modality is guided through its dedicated branch and fused via learnable weighted fusion. This design effectively addresses challenges such as low signal-to-noise ratio, high inter-subject variability, and device mismatch, outperforming existing methods on multi-modal tasks. The proposed wavelet-based architecture lays a solid foundation for analysis of diverse physiological signals, while the multi-modal design points to nextgeneration physiological signal processing with potential impact on wearable health monitoring, clinical diagnostics, and broader biomedical applications.

Multi-modal image segmentation faces real-world deployment challenges from incomplete/corrupted modalities degrading performance. While existing methods address training-inference modality gaps via specialized per-combination models, they introduce high deployment costs by requiring exhaustive model subsets and model-modality matching. In this work, we propose a unified modality-relax segmentation network (UniMRSeg) through hierarchical self-supervised compensation (HSSC).

Developing effective multimodal fusion approaches has become increasingly essential in many real-world scenarios, such as health care and finance. The key challenge is how to preserve the feature expressiveness in each modality while learning cross-modal interactions. Previous approaches primarily focus on the cross-modal alignment, while over-emphasis on the alignment of marginal distributions of modalities may impose excess regularization and obstruct meaningful representations within each modality. The Dirichlet process (DP) mixture model is a powerful Bayesian non-parametric method that can amplify the most prominent features by its richer-gets-richer property, which allocates increasing weights to them. Inspired by this unique characteristic of DP, we propose a new DP-driven multimodal learning framework that automatically achieves an optimal balance between prominent intra-modal representation learning and cross-modal alignment. Specifically, we assume that each modality follows a mixture of multivariate Gaussian distributions and further adopt DP to calculate the mixture weights for all the components. This paradigm allows DP to dynamically allocate the contributions of features and select the most prominent ones, leveraging its richer-gets-richer property, thus facilitating multimodal feature fusion. Extensive experiments on several multimodal datasets demonstrate the superior performance of our model over other competitors.

We present 4KAgent, a unified agentic super-resolution generalist system designed to universally upscale any image to 4K resolution (and even higher, if applied iteratively). Our system can transform images from extremely low resolutions with severe degradations, for example, highly distorted inputs at 256 256, into crystal-clear, photorealistic 4K outputs.

Safe deployment of machine learning (ML) models in safety-critical domains such as medical imaging requires detecting inputs with characteristics not seen during training, known as out-of-distribution (OOD) detection, to prevent unreliable predictions. Effective OOD detection after deployment could benefit from access to the training data, enabling direct comparison between test samples and the training data distribution to identify differences. State-of-the-art OOD detection methods, however, either discard the training data after deployment or assume that test samples and training data are centrally stored together, an assumption that rarely holds in real-world settings. This is because shipping the training data with the deployed model is usually impossible due to the size of training databases, as well as proprietary or privacy constraints. We introduce the Isolation Network, an OOD detection framework that quantifies the difficulty of separating a target test sample from the training data by solving a binary classification task.