The Inference Report

Benchmarking is an increasingly critical part of research in machine learning and the domains where it is applied, including healthcare. Yet, despite the steady development of new ultrasound foundation models in recent years, the development of well-designed benchmarks to evaluate them has lagged behind. This deficiency has led to fragmented and inconsistent evaluations of competing models, making it difficult to measure progress. To address this issue, we introduce UltraBench 2, a comprehensive benchmark with wide anatomical and task coverage, and a focus on standardization, reproducibility, and ease-of-use. Using this benchmark, we compare existing vision foundation models for ultrasound image analysis. Our analyses demonstrate that ultrasound-specific pretraining still leads on classification, but that state-of-the-art general-purpose models have drawn level on segmentation.

Encoding input coordinates with sinusoidal functions into multi-layer perceptrons (MLPs) has proven effective for implicit neural representations (INRs) of surfaces defined as zero-level sets. However, existing methods often struggle to balance training efficiency, rendering speed, and noise robustness: single-MLP approaches are expensive at inference, grid-based representations are fast but can limit surface smoothness and overfit input noise, and previous multiscale approaches frequently capture noise and produce artifacts due to hard spectral truncation. To address these limitations, we propose M-plicits, a multiscale framework that models surfaces as a residual sum of MLPs trained via a sequence of nested neighborhoods. Unlike existing residual approaches that rely on standard domain-wide sampling and require costly mesh extraction for visualization, our method strictly localizes supervision to narrow bands around the previous zero-level sets. This nested design naturally provides robustness against noisy input data: the coarse network acts as a low-pass filter that establishes a clean geometric prior, while subsequent residuals progressively refine the geometry without fitting to high-frequency artifacts. We further introduce a multiscale sphere-tracing algorithm and a GEMM-based analytical normal computation that bypasses auto-differentiation entirely, yielding high-fidelity real-time rendering. On Stanford and Thingi32, M-plicits achieves the best mean Chamfer distance in the coarse configuration and the best median Chamfer distance and IoU in the fine configuration, with substantially better noise robustness than iNGP, BACON, and IDF, while using an order of magnitude fewer parameters than grid-based baselines. Code, models, and data will be released at https://github.com/dsilvavinicius/m-plicits.

An estimated 1 billion people worldwide live with vision impairment, yet current vision-language models (VLMs) produce descriptions too vague for safe navigation by blind and low-vision (BLV) users. Large VLMs can generate high-quality audio-description-compliant narrations but cannot run on mobile devices; small VLMs offer competitive latency but lack spatial detail, directional cues, and hazard awareness for navigational assistance. We present Smol-VL-BLV, a compact VLM for blind and low-vision users that closes this gap using a 500M decoder transformer model and two post-training mechanisms: (1) teacher-student distillation and (2) Group Relative Policy Optimization (GRPO) with a composite BLV reward targeting directional language, metric distances, and hazard detection. Because multi-stage post-training can induce catastrophic forgetting, we add a lightweight finetuning stage after the last stage GRPO finetuning to recover general descriptive quality while preserving BLV-specific spatial grounding. Our best model substantially outperforms the baseline across various benchmarks, including tasks: VQA, BLV captioning, OCR, and latency. Compared with the baseline for relative improvement, it improves the Spatial score gain of 19.3%, and the Social score gain of 14.8%. It also increases OCR-Bench by 101.5%, and raises TextVQA accuracy by 44.2%. These results show that BLV-focused post-training improves both accessibility-specific spatial grounding and general visual-text reasoning. Deployed on a mid-range Android smartphone via Mixed-Precision Quantization, the model remains approx. 450 MB and runs entirely on-device, offline and without network dependency, generating descriptions with latency dependent on host hardware capabilities. Our model, dataset, and code is publicly released at https://smol-vl-blv.github.io/Smol-VL-BLV-website/

Current automated gait analysis for clinical applications relies on uninterpretable black-box classifiers. Although Vision-Language Models (VLMs) offer strong reasoning capabilities, applying them directly to gait videos often leads to hallucinations, because they struggle to measure subtle geometric deviations from raw visual contexts. To address this, we introduce DrGait, a training-free agentic framework that shifts the VLM's role from a direct visual reasoner to a clinical planner. DrGait decouples semantic reasoning from geometric perception through a structured Triage-Verification-Synthesis (TVS) workflow. Given an input video and a set of basic spatiotemporal metrics, the DrGait agent first performs a heuristic triage to propose diagnostic hypotheses, which are then verified by autonomously calling deterministic biomechanical tools that operate on reconstructed 3D mesh trajectories, segmented 2D pose tracks, and event-centered video evidence. Finally, a closed-loop mechanism recursively updates the agent's reasoning context based on the feedback. By anchoring VLM's reasoning in verifiable geometric and temporal measurements, DrGait reduces hallucinations, achieving competitive diagnostic accuracy while generating transparent and audit-ready clinical reports.

While various multimodal methods combining imaging and tabular data for Alzheimer's disease (AD) diagnosis were proposed, they are often limited in generalization across cohorts. In-context learning (ICL) has demonstrated excellent generalization performances and high flexibility in foundational tabular models such as TabPFN. To extend TabPFN's ICL to multimodal AD analysis, the main obstacle is that TabPFN is meta-trained on synthetic tabular priors that do not naturally match the statistical structure of image-derived features. We propose M$^2$PFN, an end-to-end framework that turns this tabular foundation model into a multimodal AD predictor. M$^2$PFN (i) performs differentiable inference through TabPFN's transformer, back-propagating task gradients into 3D-MRI and tabular encoders; (ii) aligns the two modalities into a shared subspace, via disentanglement and a contrastive objective, matched to the ICL engine's prior; and (iii) folds in a frozen tabular-only prediction through a learnable gated shortcut. Because the ICL engine stays frozen, its in-context mechanism is preserved for test-time generalization, while end-to-end training shapes the encoders into features it can exploit. On ADNI ($n=2240$, three-class CN/MCI/AD), M$^2$PFN attains $65.55\%$ macro-F1 and $82.21\%$ macro-AUC, surpassing a comprehensive set of unimodal and multimodal baselines. By swapping only the head for a TabPFN regressor, the same architecture regresses baseline MMSE on a $1250$-subject sub-cohort to test MAE $1.743$, outperforming every multimodal baseline. On two external cohorts (OASIS-3 and SCAN) with no retraining, M$^2$PFN achieves the best AUC and the lowest MMSE MAE across all baselines, and transfers even when the cognitive instrument changes.

Textual descriptions can reduce ambiguity in medical image segmentation by specifying the finding and location to be delineated. Existing text-guided methods mainly improve where image and language features interact but generally retain a single learned update pathway across all image-text pairs. We propose MRSeg, a parameter-efficient framework that uses each image-text pair to route the adaptation of visual and textual features before dense prediction. Frozen ConvNeXt-Tiny and PubMedBERT encoders provide multiscale visual features and clinical text tokens. A joint router uses the deepest visual feature and pooled text to predict a sparse mixture over low-rank adapter bases. The resulting route is shared across separate adapter banks for two visual scales and text, coordinating their adaptation while keeping the feature-specific parameters separate. Region Bridge uses text-derived queries to aggregate dense visual tokens into latent regions, refines these regions through self-attention and text cross-attention, and redistributes the refined information back to the feature maps. Finally, a multiscale decoder combines refined semantic features with shallow image evidence. On QaTa-COV19 and MosMedData+, MRSeg achieves 90.90/83.32 and 81.53/68.82 Dice/mIoU, respectively, with 7.11M trainable parameters and 7.60 GFLOPs. Code: https://github.com/maklachur/MRSeg.