Weakly supervised pipelines for medical imaging have become increasingly popular over the years. These systems often include multiple stages and components, such as reconstruction, generation, and localization, yet standard evaluation metrics provide limited insight into whether clinically relevant information is preserved across each stage. We present the diagnostic gap framework, a practical evaluation tool that measures decision preservation and explanation preservation as a function of measured reconstruction fidelity. To isolate the effect of reconstruction from localization, we evaluate on curated lesion ROI crops using a fidelity ladder of three class-conditional reconstructors---VQ-VAE-GAN, VAE-GAN, and diffusion (SDEdit)---spanning a twenty-fold range in perceptual distance (LPIPS 0.029--0.584). At autoencoder fidelity, both decision and explanation are preserved: AUC changes remain within $\pm$0.005 and attribution similarity (HiResCAM, Grad-CAM++) stays high. At diffusion fidelity, both collapse: pooled AUC drops by 0.253 and mass-pathology AUC falls below chance. The diagnostic gap is thus a measurable function of reconstruction fidelity rather than an intrinsic cost of reconstruction, and the framework provides an architecture-agnostic instrument for identifying when and where multi-stage pipelines lose diagnostic signal.
https://arxiv.org/abs/2607.22740
Weakly supervised segmentation relies heavily on class activation maps (CAMs) to initially localize target regions. However, CAMs are often noisy and prone to catastrophic failures. Existing remedies typically introduce additional training stages or prototype learning, increasing computational cost and reducing robustness. In this paper, we propose a training-free prototype-free framework that rectifies unreliable CAMs by exploiting temporal and structural coherence in volumetric data as a free lunch. Our approach is built on two key components. First, we introduce Variance-Reduced Activation Aggregation (VRAA) which suppresses noise and amplify coherent semantic signals. We provide a theoretical justification by modeling CAMs as high-dimensional random vectors and show that aggregation yields provable variance reduction. Second, we design a Bidirectional Extremity Rectification (BER) mechanism that detects and rectifies implausible activations through bidirectional extremity checks, effectively mitigating extreme-value failures without learning additional parameters. Our method is model-agnostic and can be seamlessly integrated with existing pipelines. Extensive experiments on multiple public benchmarks demonstrate substantial improvements over state-of-the-art weakly supervised methods, achieving up to 20% Dice and 40% mIoU gains while reducing inference time by more than 5 times. These results indicate that leveraging coherence as an implicit inductive bias yields a principled and efficient approach to stabilizing weakly supervised volumetric segmentation. Our code will be available.
https://arxiv.org/abs/2607.19877
We propose a unified variational framework for image segmentation under sparse pixel-level supervision. Our method is based on a simplex-constrained Potts model with a smooth perimeter regularizer, yielding a convex, smooth energy functional that can be used as a training loss in weakly supervised deep learning paradigms or optimized efficiently using iterative methods. Sparse labels are incorporated into the data fidelity term by constructing a fuzzy membership function via a function extension problem in a Reproducing Kernel Hilbert Space (RKHS), which can effectively capture inhomogeneous intensity statistics. The derived discrete loss for training standard networks demonstrates robustness and consistent improvements over non-training and partial cross-entropy (PCE) baselines in experiments, achieving comparable performance without requiring ground-truth segmentation images.
https://arxiv.org/abs/2607.19669
We propose a weakly supervised 18FFDG PET representation-learning framework for content based medical image retrieval, using H&E derived information during training while preserving PET-only inference. The proposed method was designed to use H&E derived information during training while maintaining PET only inference. A teacher student training strategy was used to learn the PET tumour derived voxel representations, from which global and hotspot conditioned embeddings were generated along with maps of intra tumour heterogeneity in our oesophegeal cancer test case. A progressive ablation strategy was used to evaluate the contribution of different supervision mechanisms. Retrieval performance was assessed across cross-validation folds using metrics including mean average precision, normalised discounted cumulative gain and mean reciprocal rank. Additional analyses evaluated ablation performance, hotspot faithfulness through perturbation/deletion experiments, prototype-specific PET uptake behaviour and indirect patient level concordance between learned PET prototype classes and selected histomic features. Progressive introduction of pathology informed supervision and hotspot modelling improved PET retrieval performance compared with global PET representations and conventional PET baselines. Across the ablation ladder, PET hotspot conditioned representations consistently provided stronger retrieval than global embeddings, indicating that focusing on informative tumour subregions improved sensitivity to intra tumour heterogeneity. Histopathology concordance further showed that the learned classes were not simply high uptake PET regions; instead, they demonstrated distinct heterogeneity in 18F FDG uptake.
https://arxiv.org/abs/2607.18762
Group Relative Policy Optimization (GRPO) has shown strong effectiveness in reinforcement learning from verifiable feedback, where sampled rollouts can be compared within a group using task-provided correctness signals. However, extending group-relative optimization beyond verifiable settings is challenging because success in many tasks is not captured by a single correctness criterion. We propose \textbf{Reference-Relative Policy Optimization (RRPO)}, which generalizes GRPO by replacing direct correctness-based advantage construction with reference-relative contrastive comparisons. RRPO first uses \emph{stratified conditional rollouts} to construct positive and negative anchor sets, and then trains a metric projection head with a set-contrastive objective to compare candidate rollouts against these anchors. The resulting alignment scores directly define contrastive advantages: during policy optimization, the projection head is frozen, and the scores are centered within each rollout group in a standard group-relative objective. We evaluate RRPO using anchor-based contrastive advantages throughout policy optimization, without relying on task ground-truth verifiers. Across verifiable reasoning, open-ended generation, and post-SFT settings, RRPO remains competitive with verifier-based optimization, improves over weakly supervised baselines, and provides additional gains after supervised fine-tuning.
https://arxiv.org/abs/2607.18470
All-in-one image restoration aims to recover clean images degraded by multiple corruption types using a single unified model. Existing methods typically rely on image-level prompts or shared guidance to handle diverse degradations. However, such a paradigm becomes inadequate when degradations are spatially heterogeneous or even coexist in mixed forms within a single image. Yet spatially adaptive guidance alone is not sufficient, since accurate restoration also requires each spatial query to reliably aggregate complementary information from local neighborhoods and global contexts. To this end, we propose QuReC, a unified framework for all-in-one image restoration. QuReC consists of a Degradation-Guided Query Reconstruction Module (DQRM) and a Local-Global Response Calibration Module (LGRCM). Specifically, DQRM matches each spatial query against a degradation prototype space to reconstruct a query-specific degradation-aware representation, thereby providing fine-grained spatially adaptive restoration guidance. To further stabilize this query-wise matching process, we introduce a weakly supervised prototype matching learning strategy to improve optimization stability and degradation semantic consistency. Meanwhile, LGRCM performs local-global dual-branch aggregation and calibrates the aggregated responses with learnable priors, improving the reliability of feature aggregation and the coordination between local detail modeling and global context modeling. Extensive experiments demonstrate that QuReC achieves superior performance on multiple all-in-one image restoration benchmarks. The code is released at this https URL.
https://arxiv.org/abs/2607.15097
Multiple instance learning (MIL) has become the main paradigm for whole-slide image (WSI) analysis in computational pathology. However, existing MIL aggregators are still typically trained from scratch for each downstream task, relying on limited slide-level labels to learn both aggregation mechanisms and downstream discriminative representations simultaneously. As a result, they often suffer from unstable optimization, overfitting, and limited transferability. Similar to pretrained ResNet and Vision Transformer models in natural image learning, MIL also requires reusable pretrained initialization. However, high-quality slide-level pretraining data remain scarce, and MIL models are usually lightweight and weakly supervised, making large-scale pretraining difficult in practice. To address this challenge, we propose a distillation-based pretraining framework for MIL, which leverages two slide-level foundation models, TITAN and CARE, as teachers to transfer their representational knowledge into a diverse set of MIL architectures. To effectively balance supervision from different teachers, we further introduce an angular dispersion normalized distillation loss. The distilled weights are then used as initialization for downstream adaptation. We conduct systematic evaluations on 15 benchmark datasets under both linear probing and full-parameter fine-tuning, and further validate its advantages in few-shot scenarios. Experimental results show that pretraining generally improves MIL aggregators over from scratch training, especially in linear-probing and few-shot settings, while maintaining the computational efficiency of lightweight MIL models. Code is available at this https URL.
https://arxiv.org/abs/2607.14703
Human-object interaction detection (HOID) has traditionally been formulated as a supervised detection problem over predefined interaction categories. While such paradigms achieve strong performance on closed-set benchmarks, they fundamentally entangle interaction understanding with dataset-specific supervision, limiting their ability to generalize to open-world and compositional scenarios. Recent HOI detectors attempt to leverage MLLMs through prompting strategies to transfer interaction-specific knowledge. However, such prompt-based approaches primarily focus on extracting discriminative representations from pretrained models, while underexploring their inherent multimodal reasoning capabilities. As a result, they struggle to provide informative contextual reasoning for ambiguous and open-world interaction scenarios. In this work, we present AgentHOI, a training-free, agentic framework that transfers the generalist multimodal reasoning capabilities of foundation models to HOI detection in the wild. Instead of learning interaction classifiers, AgentHOI modularly orchestrates complementary vision foundation modules to perform open-ended semantic reasoning and spatial grounding in a coordinated manner. To address the challenges of incomplete interaction discovery and ambiguous localization in complex scenes, we introduce two key mechanisms: (1) Context-aware Multi-round Reasoning, which progressively refines interaction hypotheses to ensure exhaustive and compositional HOI discovery, and (2) Multifaceted Interaction Localization, which enhances grounding precision by generating instance-specific descriptions that integrate semantic, spatial, and appearance cues. Extensive experiments demonstrate that AgentHOI achieves superior performance over state-of-the-art supervised and weakly supervised methods in real-world settings, despite requiring no HOID data for training.
https://arxiv.org/abs/2607.13881
Life-limiting congenital anomalies require accurate prenatal diagnosis for appropriate clinical decision-making. Prenatal ultrasound (US) examinations involve multiple anatomical planes, and diagnosis depends on identifying anatomical planes and selecting diagnostically relevant planes for each anomaly. Existing automated methods either rely on plane-level annotations or aggregate heterogeneous images without explicitly modeling these diagnostic capabilities. We propose AnomExpert, a prototype-driven framework for prenatal US anomaly diagnosis using only case-level supervision. AnomExpert introduces learnable plane prototypes to organize unordered images into latent representations corresponding to anatomical planes without requiring plane annotations. A disease-aware sparse selection mechanism further selects diagnostically relevant planes for each anomaly. Experiments on a multi-center dataset of 3,654 cases show that AnomExpert consistently outperforms nine representative multi-instance learning methods. Using a ViT-small backbone, it achieves 86.9% accuracy and 84.2% F1-score while maintaining parameter efficiency. These findings indicate that modeling anatomical plane identification and disease-specific plane selection improves weakly supervised multi-plane prenatal US anomaly classification. The code is available at this https URL.
https://arxiv.org/abs/2607.13409
Farm site discovery from satellite imagery is a spatiotemporal candidate ranking problem because farm evidence is distributed across pasture, field boundaries, roads, buildings, and seasonal vegetation patterns. Direct farm labels are often incomplete, which makes fully supervised detection difficult. This paper proposes a weakly supervised pipeline for ranking dairy farm candidate clusters from seasonal Sentinel imagery and open map priors. The method uses aligned spring, summer, and autumn image tiles from County Cork, Ireland, with spectral bands, vegetation indices, built area indices, and a pasture channel. A Barlow Twins encoder learns multi-season tile embeddings without farm labels. In parallel, weak OpenStreetMap farm priors are split into a prior and a held-out set. Prior features support a rule-based tile score that combines farm proximity, seasonal pasture evidence, and summer greenness, while held-out features are reserved only for proxy evaluation. The rule score is smoothed over a spatial representation graph using geographic proximity and embedding similarity, and high-scoring tiles are grouped into ranked candidate clusters. From 26,722 valid tiles, the main run selects 535 high-confidence tiles and forms 71 candidate clusters. The top 5 clusters achieve 0.60 precision within 500 m and 0.80 precision within 1000 m of held-out OpenStreetMap farm features. The top 10 clusters achieve 0.40 precision within 500 m and 0.80 precision within 1000 m. The results show that seasonal representation learning and weak geographic priors can reduce large satellite image collections into compact candidate sets for human review.
https://arxiv.org/abs/2607.12748
Weakly supervised whole-slide image (WSI) classification is widely used in computational pathology because slide-level labels are easier to obtain than dense region annotations. Existing multiple instance learning (MIL) methods often aggregate large bags of patch embeddings using mainly visual cues, which can retain many non-informative patches and provide weak alignment between instance features and class-level disease semantics. We propose Concept-Guided Pruning and Representation Learning (CGRL), a simple framework that introduces class-level concept prototypes derived from disease prompts into the MIL pipeline. First, concept-relevance pruning ranks patch instances by their similarity to class concepts and retains the top-K concept-relevant patches for downstream MIL aggregation. Second, concept-guided contrastive representation learning constructs class-wise positive and negative patch sets from the same similarity matrix and optimizes target-class, symmetric auxiliary, and cross-class separation objectives, thereby regularizing the projected concept space. We evaluate CGRL on TCGA-BRCA and TCGA-NSCLC using multiple representative MIL methods. Experimental results show that CGRL improves several model-dataset combinations, with gains depending on the downstream MIL model and dataset. It achieves particularly clear improvements in accuracy and macro-F1 while reducing computational cost through concept-relevance pruning. These findings demonstrate that class-level semantic concepts provide an effective and practical prior for patch selection and representation learning in weakly supervised computational pathology.
https://arxiv.org/abs/2607.12556
Whole-slide images (WSIs) provide rich tissue-level and cellular-level information, but storing and transmitting high-magnification pathology data is resource-intensive. Moreover, annotating WSIs at the pixel level is labor-intensive and time-consuming. Therefore, it is important to investigate whether low-magnification pathology images with limited annotations (i.e., image-level instead of pixel-level labels) can achieve performance comparable to high-magnification images. This paper presents a systematic benchmark study on weakly supervised histopathological image segmentation under different low-resolution storage settings. Starting from high-resolution image patches, we simulate lower-magnification inputs and reconstruct them to the original size using interpolation and deep learning-based reconstruction methods before applying the weakly-supervised segmentation pipeline. This framework enables a quantitative evaluation of how weakly supervised methods respond to different levels of resolution degradation. Experimental results show that reconstruction quality metrics alone are insufficient to predict downstream segmentation performance. In particular, the study identifies a critical degradation point where the localization of small-scale structures declines significantly. These findings provide practical guidance for designing efficient digital pathology storage systems while maintaining reliable automated analysis. Code is available at this https URL
https://arxiv.org/abs/2607.10783
Weakly supervised video anomaly detection relies solely on video-level labels for training, making it difficult to accurately localize anomalous events in complex scenes. In real-world videos, anomalous behaviors exhibit large variations in appearance and temporal duration, while scene appearance and action dynamics are often tightly entangled. Consequently, existing models tend to rely on scene-related statistical cues rather than true behavioral deviations, resulting in unstable detection performance. To address this challenge, we propose a Structured Evidence Selection framework (SESAD) that reformulates anomaly detection as a structured reasoning process over clip-level visual evidence. Instead of directly mapping aggregated features to anomaly scores, SESAD reorganizes clip representations into semantically structured candidate evidence and performs context-conditioned selection under scene and action constraints. This mechanism adaptively emphasizes anomaly-relevant semantics while suppressing scene interference, thereby alleviating semantic entanglement under weak supervision. Furthermore, we introduce a lightweight geometric discrimination module that constructs a dual-prototype structure in the embedding space, enabling anomaly decisions through relative geometric relations. Extensive experiments on UBnormal, ShanghaiTech, and UCF-Crime show that SESAD achieves 67.92, 97.99, and 88.46 AUC, respectively, while maintaining high computational efficiency and overall consistently stable anomaly discrimination.
https://arxiv.org/abs/2607.10298
Chest radiography (CXR) remains the most widely used thoracic imaging modality, yet expert interpretation is constrained by a severe shortage of radiologists in Thailand and across Southeast Asia. Local adaptation of deep learning models to Thai data has been shown to substantially improve accuracy on Thai populations. Here we present the development and comprehensive validation of the chest radiograph analysis model in Inspectra CXR version 5, a deep learning system that performs multi-label thoracic disease classification and weakly supervised lesion localization within a single model. The architecture couples a DenseNet-121 backbone with Attend-and-Compare Modules (ACM) and a Probabilistic Class Activation Map (PCAM) aggregation layer, producing a per-condition classification score and heatmap simultaneously. The model was developed on 874,858 frontal chest radiographs with paired radiologist reports from Siriraj Hospital, Bangkok. On a held-out, radiologist-verified in-domain test set of 19,871 cases, it achieved a mean AUROC of 0.994 (mean sensitivity 92.4%, specificity 98.6%) across nine clinically important conditions. On an independent generalization set of 5,992 cases from 13 hospitals across Thailand, the mean AUROC was 0.970, indicating robust transfer across sites. For localization, evaluated on 4,549 radiologist-annotated cases, the model attained a mean lesion-localization fraction (LLF) of 77.9% at 0.59 non-lesion localizations per image. In a usability evaluation with five thoracic radiologists, the system reached a classification concordance of 93.6%, a localization concordance of 94.7%, and a mean System Usability Scale (SUS) score of 89. These results indicate that a locally developed, localization-capable CXR system can deliver high accuracy, generalize across heterogeneous Thai hospitals, and earn the trust of practicing radiologists.
https://arxiv.org/abs/2607.09305
We study 4D generation to synthesize temporally coherent sequences of 3D geometry for animation and content creation. In contrast to existing SDS-based optimization methods and video-driven animation approaches, we adopt a skeleton-driven animation framework aligned with standard industrial pipelines, which enables explicit control and editing. To this end, we propose SkelGen4D, a weakly supervised feed-forward framework for text-driven mesh animation that generates explicit skeleton motions without requiring per-frame skeleton annotations. SkelGen4D first recovers temporally consistent pseudo-skeletons from animated meshes via differentiable fitting, and then generates text-conditioned skeleton motion sequences in a feed-forward manner, further refined with Motion-GRPO to ensure temporally coherent, physically plausible, and articulated animation. We evaluate our method on two large-scale benchmarks, Truebones Zoo and Diffusion4D. Our results show that our weakly supervised skeleton modeling matches or surpasses fully supervised baselines while scaling to diverse object categories for high-quality text-driven mesh animation. Further, our method supports flexible motion editing and is aligned with standard animation production pipelines.
https://arxiv.org/abs/2607.08246
The precise pixel-level localization of 2D material flakes is crucial for high-throughput screening. However, traditional fully supervised methods rely on dense annotations, which are costly and time-consuming, severely limiting the practical deployment of segmentation models. This paper proposes TACoS, a specialized scribble segmentation framework tailored for 2D materials. First, we design a unified framework that integrates semi-supervised consistency learning with structured tree energy constraints. This framework comprises two core components: an unlabeled weak-strong distribution alignment module and a tree energy regularization module. The former employs cosine consistency constraints to enhance prediction alignment across views. Meanwhile, the latter utilizes minimum spanning trees to establish pixel affinity relationships and generate structure-aware soft pseudo labels for online semantic guidance. Next, we introduce asymmetric regional contrast learning. This approach fuses high-confidence predictions from the weak augmentation branch with scribbles to form augmented labels, and construct category prototypes in the representation space. Simultaneously, we prioritize contrastive constraints on challenging pixels in boundary-unlabeled regions. This strategy enhances intra-class cohesion and inter-class separation at the representation level, effectively reducing category confusion in low-contrast edges and complex backgrounds. Experiments conducted on the constructed graphene and MoS2 datasets demonstrate that our method TACoS achieves over 96% of fully supervised performance using less than 0.6% annotated data. Furthermore, it exhibits superior structural coherence and boundary stability in scenarios with weakly contrasting edges and complex backgrounds, providing an efficient and scalable solution for automated high-throughput screening of 2D material flakes.
https://arxiv.org/abs/2607.07169
Pixel-level annotation remains a major bottleneck in medical image segmentation, making weak supervision an attractive yet under-constrained alternative. We propose OBBSeg, an intermediate supervision paradigm guided by Oriented Bounding Boxes (OBBs) that bridges the gap between full and weak supervision. By jointly encoding spatial extent and orientation, OBBs provide compact geometric supervision that better aligns with elongated or anisotropic lesions, reducing the ambiguity of coarse box annotations. To mitigate the inherent rectangular bias of OBBs, we introduce a Mask-to-OBB loss, a differentiable formulation that enforces geometric consistency between predicted masks and OBB regions. Furthermore, we incorporate prompt-driven semantic guidance through two complementary modules-PAFE and DBFE-which enhance foreground representation and suppress background interference. Extensive experiments on 13 datasets across 5 imaging modalities show that OBBSeg not only outperforms existing weakly supervised methods but also achieves performance comparable to fully supervised approaches, demonstrating its potential for efficient and scalable medical image segmentation. The code is available at this https URL.
https://arxiv.org/abs/2607.06007
Synthesizing hand motion that matches the full body motion and the semantic labels is a difficult task due to their high degrees of freedom and the lack of semantic labels. To cope with this issue, we propose a prior-first, condition-second framework for body-conditioned hand motion completion. Our framework first learns a generic body-hand kinematic prior from large-scale unstructured and unlabeled motion data, capturing the intrinsic coordination between global body dynamics and hand articulation. Semantic control is then introduced through lightweight adaptation on top of the frozen prior, avoiding the need to relearn kinematic structure for each control interface. Our framework centers on a streaming, autoregressive body-hand prior that generates coherent, kinematically consistent hand motion from body dynamics in real time, using structured kinematic modeling to maintain mechanical body-hand coupling. To enable practical controllability under limited supervision, we introduce semantically-layered adapters that inject conditioning signals at appropriate kinematic levels, supporting both self-supervised attribute control and weakly supervised text-driven control with only a few hours of labeled data. Extensive evaluations demonstrate that our framework improves kinematic plausibility, robustness, and controllability compared to end-to-end conditioned baselines, particularly in low-resource and cross-dataset settings. We further showcase real-time inference and an interactive authoring workflow, highlighting the applicability to production animation pipelines. Homepage: this https URL
https://arxiv.org/abs/2607.05938
Time-domain surveys generate many transient candidates, making Real-Bogus classification a critical step in automated discovery pipelines. Reliable labels are costly, while community labels can be noisy and survey-dependent. We aim to develop a Real-Bogus classification framework that can be trained without human-labeled data using injected transients and bogus-dominated survey data, remains robust under strong class contamination, and provides calibrated uncertainty quantification. We combine simulated transient injections with a contaminated survey class and train a dual-network model using asymmetric co-teaching for classes with different label-noise levels. We evaluate performance on a benchmark subset and analyze the learned representation with latent-space visualization tools. For uncertainty quantification (UQ), we compare MC dropout and deep ensembles and propose a low-cost hybrid strategy that exploits the dual-network setting to improve calibration. We extend the evaluation to the light-curve domain to assess recovery of light-curve classes. The method achieves strong Real-Bogus performance on the labeled subset and remains stable under severe class contamination. It recovers transient light-curve classes with high fidelity, while single-source identification is limited by ambiguity in light-curve-derived labels. Our hybrid UQ approach achieves competitive calibration relative to more expensive ensemble baselines. Latent-space analyses indicate that uncertainty aligns with the decision boundary and reveal subclasses within the bogus population. Our results show that injection-driven, weakly supervised training can enable scalable and consistent Real-Bogus classification without human-labeled training data while providing calibrated uncertainties. The method is suited for transfer to forthcoming surveys by re-running the injection-based training pipeline.
https://arxiv.org/abs/2607.05393
Referring expression comprehension (REC) aims to localize the object in an image described by natural language. In Weakly supervised REC (WREC), existing approaches primarily operate on anchor-level visual representations. Even when enriched with auxiliary cues, relational interactions remain implicitly encoded within individual anchor features. The resulting visual representation remains flat and unary-only, limiting its ability to align with the structured nature of language. In this work, we propose a Structured Visual Compositional Representation (SVCR) learning framework for WREC. Rather than implicitly encoding relations within unary anchors, the proposed SVCR explicitly models both unary object embeddings and pairwise relational embeddings, forming a structured visual representation space. We further introduce a compositional alignment mechanism that matches unary and pairwise visual representations with their corresponding textual embeddings in a unified manner, enabling compositional visual-textual matching under weak supervision. Extensive experiments on RefCOCO, RefCOCO+, and RefCOCOg show that the proposed SVCR achieves state-of-the-art performance. These results demonstrate the effectiveness of explicit structured visual representations and visual-textual alignment for WREC.
https://arxiv.org/abs/2607.04638