Self-supervision drives representational convergence in medical foundation models more than clinical supervision

By: Soroosh Tayebi Arasteh, Sebastian Ziegelmayer, Mahshad Lotfinia, Lisa Adams, Sven Nebelung, Jakob Nikolas Kather, Daniel Truhn

Medical image encoders from different groups are increasingly treated as interchangeable, on the assumption that scale and clinical supervision concentrate their representations onto a shared structure. Whether this convergence is real, what produces it, and whether it is clinically usable are untested, and the similarity measures behind such claims are fragile. We present a controlled dissection across 18 image and 7 text encoders, all open-... more
Medical image encoders from different groups are increasingly treated as interchangeable, on the assumption that scale and clinical supervision concentrate their representations onto a shared structure. Whether this convergence is real, what produces it, and whether it is clinically usable are untested, and the similarity measures behind such claims are fragile. We present a controlled dissection across 18 image and 7 text encoders, all open-weight and run locally, spanning 7M to 27B parameters and five imaging modalities, including 650,982 chest radiographs from six datasets. To isolate cause, we train encoders that vary only the objective under fixed data, architecture, and scale, and reproduce the effect in a synthetic model. Convergence is modest but above a random floor, driven by the self-supervised objective, not clinical supervision: matched self-supervised encoders aligned most (40.4% on chest radiography), with label-supervised (21.1%) and image-text (3.3%) far lower, and did not grow with size (Spearman 0.302, p=0.223) or capability. It is within-modality, does not reach clinical language, and does not reproduce how radiologists judge case similarity. Yet a linear classifier transfers across encoders and to five held-out hospitals, retaining about 85% of within-encoder performance. Convergence in medical imaging is therefore set by the pretraining objective, not inherited from scale or clinical supervision. Interoperability is accordingly something to design for through that objective, and to validate where the shared geometry is weakest, across patient subgroups and against clinical judgment. less
Online Neural Space Time Memory for Dynamic Novel View Synthesis

By: Baback Elmieh, Lynn Tsai, Zeman Li, Srinivas Kaza, Tiancheng Sun, Gabor Csapo, Ali Behrouz, Yuan Deng, Stephen Lombardi, Steven M. Seitz, Xuan Luo

Online novel view synthesis from multi-view streaming videos faces a fundamental trade-off: maintaining a persistent, long-horizon memory to reconstruct temporarily occluded regions while operating under strict real-time constraints. While Test-Time Training (TTT) offers a powerful memory mechanism, standard models mandate gradient-based memory updates at every frame to adapt to the changing motion in dynamic scenes. The computational cost of... more
Online novel view synthesis from multi-view streaming videos faces a fundamental trade-off: maintaining a persistent, long-horizon memory to reconstruct temporarily occluded regions while operating under strict real-time constraints. While Test-Time Training (TTT) offers a powerful memory mechanism, standard models mandate gradient-based memory updates at every frame to adapt to the changing motion in dynamic scenes. The computational cost of heavy memory updates precludes real-time application and can lead to instability over long contexts. Given that memory updates are more demanding than memory application and video content is largely redundant, we propose to decouple the frequencies of these two processes. Our approach performs periodic memory updates while applying the memory on a per-frame basis, using cross-view attention to manage deformations between the prior memory state and the current frame. To lock in the historical context, we introduce two critical mechanisms: an auxiliary Memory Loss that forces persistent internalization of the scene, and a Memory Caching strategy that regularizes active weights against catastrophic drift. Our method demonstrates real-time, state-of-the-art performance on scenes with dynamic human motion as well as minute-scale online memorization. less
MeanFlowNFT: Bringing Forward-Process RL to Average-Velocity Generators

By: Yushi Huang, Xiangxin Zhou, Jun Zhang, Liefeng Bo, Tianyu Pang

MeanFlow generators achieve fast few-step sampling by predicting average velocities over time intervals, making them attractive for efficient generation. Reinforcement learning (RL) has become a powerful way to align diffusion and flow models with human preferences and task-specific objectives. In particular, DiffusionNFT offers an efficient forward-process RL framework that does not require reverse-process trajectories or likelihood estimati... more
MeanFlow generators achieve fast few-step sampling by predicting average velocities over time intervals, making them attractive for efficient generation. Reinforcement learning (RL) has become a powerful way to align diffusion and flow models with human preferences and task-specific objectives. In particular, DiffusionNFT offers an efficient forward-process RL framework that does not require reverse-process trajectories or likelihood estimation. However, applying such RL methods to MeanFlow remains underexplored. DiffusionNFT optimizes instantaneous velocities, whereas MeanFlow samples with average velocities. To bridge this gap, we introduce MeanFlowNFT. Inspired by the MeanFlow identity, which bridges average and instantaneous velocities, we construct an induced instantaneous-velocity predictor. We apply the DiffusionNFT objective to this predictor, making reward optimization well-defined for MeanFlow. Sampling remains based on the average velocity, preserving MeanFlow's fast few-step generation. We further prove that MeanFlowNFT inherits DiffusionNFT's strict policy-improvement guarantee. Experiments on image and video generation show that MeanFlowNFT consistently improves baselines. Moreover, it outperforms prior state-of-the-art RL-tuned few-step generators on most metrics ($6$ of $8$ on SD3.5-M), and can even surpass multi-step RL-tuned diffusion while using only a few sampling steps. For instance, on Wan 2.1, $4$-step MeanFlowNFT reaches a VBench score of $84.33$, surpassing $50$-step LongCat-Video RL ($82.57$). less
Steering Optimisation Trajectories in Diffusion Representation Learning

By: Rajat Rasal, Avinash Kori, Tian Xia, Ben Glocker

We study why diffusion autoencoders can achieve similar image quality while learning substantially different latent structures. We trace this behaviour to optimisation dynamics; we analyse curves of image reconstruction against latent representation quality, revealing trajectories that organise around two distinct regimes early in training. Models in the reconstruction regime prioritise image fidelity early, whereas those in the disentangleme... more
We study why diffusion autoencoders can achieve similar image quality while learning substantially different latent structures. We trace this behaviour to optimisation dynamics; we analyse curves of image reconstruction against latent representation quality, revealing trajectories that organise around two distinct regimes early in training. Models in the reconstruction regime prioritise image fidelity early, whereas those in the disentanglement regime improve reconstruction and disentanglement more gradually. We hypothesise that this behaviour can be influenced by targeting shortcut pathways in the diffusion U-Net and controlling early noise-level exposure, thereby shaping the reconstruction-disentanglement trade-off during training. To steer optimisation toward stronger representations, we introduce SteeringDRL, combining gated residual U-Nets with a simple noise-level exposure curriculum for training. Across disentanglement benchmarks, SteeringDRL improves representation quality and reduces seed sensitivity. Our method further extends to spatial disentanglement in object-centric learning, improving segmentation quality on synthetic and real-world datasets. less
Enhancing Brain MRI Anomaly Detection and Reasoning with ROI Rethink and Synthetic Data

By: Shangkun Li, Jie Xu, Yi Guo, Zeju Li, Yuanyuan Wang

Medical vision-language models typically generate diagnoses through single-pass inference without indicating which image regions support their conclusions. This lack of spatial grounding limits clinical utility: outputs cannot be audited, and models may hallucinate findings on normal scans. We present BrReMark (Brain Rethink via ROI Marking), a framework that introduces explicit region marking into brain MRI diagnosis. The model first generat... more
Medical vision-language models typically generate diagnoses through single-pass inference without indicating which image regions support their conclusions. This lack of spatial grounding limits clinical utility: outputs cannot be audited, and models may hallucinate findings on normal scans. We present BrReMark (Brain Rethink via ROI Marking), a framework that introduces explicit region marking into brain MRI diagnosis. The model first generates hypotheses about potential abnormalities and grounds them through explicit bounding box marking, then verifies conclusions by re-examining the marked evidence. Training combines supervised fine-tuning on structured reasoning trajectories with reinforcement learning using a composite reward over localization accuracy and diagnostic reasoning. Furthermore, we integrate a domain randomization-based pathology synthesis augmentation strategy to improve the model's generalizability to out-of-distribution (OOD) data. On internal benchmark, BrReMark improves mAP50 from 0.74% to 37.54% compared to the base model, while achieving 21.57% Clinical F1 and 45.26% diagnostic accuracy. On NOVA OOD benchmark, it also achieves competitive overall performance with a 45.7% reduction in false positives compared to the state-of-the-art, indicating reduced hallucination on rare pathologies. These findings suggest that explicit hypothesis-verification grounding is a practical path toward trustworthy open-ended brain MRI diagnosis across both in-distribution and OOD settings. less
PhyGround: Benchmarking Physical Reasoning in Generative World Models

By: Juyi Lin, Arash Akbari, Yumei He, Lin Zhao, Haichao Zhang, Arman Akbari, Xingchen Xu, Zoe Y. Lu, Enfu Nan, Hokin Deng, Edmund Yeh, Sarah Ostadabbas, Yun Fu, Jennifer Dy, Pu Zhao, Yanzhi Wang

Generative world models are increasingly used for video generation, where learned simulators are expected to capture the physical rules that govern real-world dynamics. However, evaluating whether generated videos actually follow these rules remains challenging. Existing physics-focused video benchmarks have made important progress, but they still face three key challenges, including the coarse evaluation frameworks that hide law-specific fai... more
Generative world models are increasingly used for video generation, where learned simulators are expected to capture the physical rules that govern real-world dynamics. However, evaluating whether generated videos actually follow these rules remains challenging. Existing physics-focused video benchmarks have made important progress, but they still face three key challenges, including the coarse evaluation frameworks that hide law-specific failures, response biases and fatigue that undermine the validity of annotation judgments, and automated evaluators that are insufficiently physics-aware or difficult to audit. To address those challenges, we introduce PhyGround, a criteria-grounded benchmark for evaluating physical reasoning in video generation. The benchmark contains 250 curated prompts, each augmented with an expected physical outcome, and a taxonomy of 13 physical laws across solid-body mechanics, fluid dynamics, and optics. Each law is operationalized through observable sub-questions to enable per-law diagnostics. We evaluate eight modern video generation models through a large-scale, quality-controlled human study, grounded on social science lab experiment design. A total of 459 annotators provided 5,796 complete annotations and over 37.4K fine-grained labels; after quality control, the retained annotations exhibited high split-half model-ranking correlations (Spearman's rho > 0.90). To support reproducible automated evaluation, we release PhyJudge-9B, an open physics-specialized VLM judge. PhyJudge-9B achieves substantially lower aggregate relative bias than Gemini-3.1-Pro (3.3% vs. 16.6%). We release prompts, human annotations, model checkpoints, and evaluation code on the project page https://phyground.github.io/. less
Image Generators are Generalist Vision Learners

By: Valentin Gabeur, Shangbang Long, Songyou Peng, Paul Voigtlaender, Shuyang Sun, Yanan Bao, Karen Truong, Zhicheng Wang, Wenlei Zhou, Jonathan T. Barron, Kyle Genova, Nithish Kannen, Sherry Ben, Yandong Li, Mandy Guo, Suhas Yogin, Yiming Gu, Huizhong Chen, Oliver Wang, Saining Xie, Howard Zhou, Kaiming He, Thomas Funkhouser, Jean-Baptiste Alayrac, Radu Soricut

Recent works show that image and video generators exhibit zero-shot visual understanding behaviors, in a way reminiscent of how LLMs develop emergent capabilities of language understanding and reasoning from generative pretraining. While it has long been conjectured that the ability to create visual content implies an ability to understand it, there has been limited evidence that generative vision models have developed strong understanding ca... more
Recent works show that image and video generators exhibit zero-shot visual understanding behaviors, in a way reminiscent of how LLMs develop emergent capabilities of language understanding and reasoning from generative pretraining. While it has long been conjectured that the ability to create visual content implies an ability to understand it, there has been limited evidence that generative vision models have developed strong understanding capabilities. In this work, we demonstrate that image generation training serves a role similar to LLM pretraining, and lets models learn powerful and general visual representations that enable SOTA performance on various vision tasks. We introduce Vision Banana, a generalist model built by instruction-tuning Nano Banana Pro (NBP) on a mixture of its original training data alongside a small amount of vision task data. By parameterizing the output space of vision tasks as RGB images, we seamlessly reframe perception as image generation. Our generalist model, Vision Banana, achieves SOTA results on a variety of vision tasks involving both 2D and 3D understanding, beating or rivaling zero-shot domain-specialists, including Segment Anything Model 3 on segmentation tasks, and the Depth Anything series on metric depth estimation. We show that these results can be achieved with lightweight instruction-tuning without sacrificing the base model's image generation capabilities. The superior results suggest that image generation pretraining is a generalist vision learner. It also shows that image generation serves as a unified and universal interface for vision tasks, similar to text generation's role in language understanding and reasoning. We could be witnessing a major paradigm shift for computer vision, where generative vision pretraining takes a central role in building Foundational Vision Models for both generation and understanding. less
MM-WebAgent: A Hierarchical Multimodal Web Agent for Webpage Generation

By: Yan Li, Zezi Zeng, Yifan Yang, Yuqing Yang, Ning Liao, Weiwei Guo, Lili Qiu, Mingxi Cheng, Qi Dai, Zhendong Wang, Zhengyuan Yang, Xue Yang, Ji Li, Lijuan Wang, Chong Luo

The rapid progress of Artificial Intelligence Generated Content (AIGC) tools enables images, videos, and visualizations to be created on demand for webpage design, offering a flexible and increasingly adopted paradigm for modern UI/UX. However, directly integrating such tools into automated webpage generation often leads to style inconsistency and poor global coherence, as elements are generated in isolation. We propose MM-WebAgent, a hierarc... more
The rapid progress of Artificial Intelligence Generated Content (AIGC) tools enables images, videos, and visualizations to be created on demand for webpage design, offering a flexible and increasingly adopted paradigm for modern UI/UX. However, directly integrating such tools into automated webpage generation often leads to style inconsistency and poor global coherence, as elements are generated in isolation. We propose MM-WebAgent, a hierarchical agentic framework for multimodal webpage generation that coordinates AIGC-based element generation through hierarchical planning and iterative self-reflection. MM-WebAgent jointly optimizes global layout, local multimodal content, and their integration, producing coherent and visually consistent webpages. We further introduce a benchmark for multimodal webpage generation and a multi-level evaluation protocol for systematic assessment. Experiments demonstrate that MM-WebAgent outperforms code-generation and agent-based baselines, especially on multimodal element generation and integration. Code & Data: https://aka.ms/mm-webagent. less