搜索医学 AI 论文与资源

ICLR 2026 Poster accepted paper at ICLR 2026. Subject-agnostic brain decoding, which aims to reconstruct continuous visual experiences from fMRI without subject-specific training, holds great potential for clinical applications. However, this direction remains underexplored due to challenges in cross-subject generalization and the complex nature of brain signals. In this work, we propose Visual Cortex Flow Architecture (VCFlow), a novel hierarchical decoding framework that explicitly models the ventral-dorsal architecture of the human visual system to learn multi-dimensional representations. By disentangling and leveraging features from early visual cortex, ventral, and dorsal streams, VCFlow captures diverse and complementary cognitive information essential for visual reconstruction.

ICLR 2026 Poster accepted paper at ICLR 2026. Learning from multi-variate time-series with heterogeneous channel configurations remains a fundamental challenge for deep neural networks, particularly in clinical domains such as intracranial electroencephalography (iEEG), where channel setups vary widely across subjects. In this work, we introduce multi-variate parallel attention (MVPA), a novel self-attention mechanism that disentangles content, temporal, and spatial attention, enabling flexible, generalizable, and efficient modeling of time-series data with varying channel counts and configurations. We use MVPA to build MVPFormer, a generative foundation model for human electrophysiology, trained to predict the evolution of iEEG signals across diverse subjects. To support this and future efforts by the community, we release the SWEC iEEG dataset, the largest publicly available iEEG dataset to date, comprising nearly 10,000 hours of recordings from heterogeneous clinical sources. Code/project link: https://github.com/IBM/multi-variate-parallel-transformer; https://huggingface.co/datasets/NeuroTec/SWEC_iEEG_Dataset

ICLR 2026 Poster accepted paper at ICLR 2026. Brain tumor segmentation in multi-modal MRIs poses significant challenges when one or more modalities are missing. Recent approaches commonly employ parallel fusion strategies; however, these methods often risk losing crucial shared information across modalities, which can degrade segmentation performance. In this paper, we advocate leveraging sequential information bottleneck fusion to effectively preserve shared information across modalities. From an information-theoretic perspective, sequential fusion not only produces more robust fused representations in missing-data scenarios but also achieves a tighter generalization upper bound compared to parallel fusion approaches.

ICLR 2026 Poster accepted paper at ICLR 2026. As large language models (LLMs) continue to revolutionize AI research, there is a growing interest in building large-scale brain foundation models to advance neuroscience. While most existing brain foundation models are pre-trained on time-series signals or connectome features, we propose a novel graph-based pre-training paradigm for constructing a brain graph foundation model. In this paper, we introduce the Brain Graph Foundation Model, termed BrainGFM, a unified framework that leverages graph contrastive learning and graph masked autoencoders for large-scale fMRI-based pre-training. BrainGFM is pre-trained on a diverse mixture of brain atlases with varying parcellations, significantly expanding the pre-training corpus and enhancing the model’s ability to generalize across heterogeneous fMRI-derived brain representations. Code/project link: https://github.com/weixinxu666/BrainGFM

ICLR 2026 Poster accepted paper at ICLR 2026. Modeling neural population dynamics is crucial for foundational neuroscientific research and various clinical applications. Conventional latent variable methods typically model continuous brain dynamics through discretizing time with recurrent architecture, which necessarily results in compounded cumulative prediction errors and failure of capturing instantaneous, nonlinear characteristics of EEGs. We propose ODEBrain, a Neural ODE latent dynamic forecasting framework to overcome these challenges by integrating spatio-temporal-frequency features into spectral graph nodes, followed by a Neural ODE modeling the continuous latent dynamics. Our design ensures that the latent representations can capture stochastic variations of complex brain states at any given time point.

ICLR 2026 Poster accepted paper at ICLR 2026. Predicting spatial gene expression from H\&E histology offers a scalable and clinically accessible alternative to sequencing, but realizing clinical impact requires models that generalize across cancer types and capture biologically coherent signals. Prior work is often limited to per-cancer settings and variance-based evaluation, leaving functional relevance underexplored. We introduce HistoPrism, an efficient transformer-based architecture for pan-cancer prediction of gene expression from histology. To evaluate biological meaning, we introduce a pathway-level benchmark, shifting assessment from isolated gene-level variance to coherent functional pathways.

ICLR 2026 Poster accepted paper at ICLR 2026. Generalist multimodal large language models (MLLMs) have achieved impressive performance across a wide range of vision-language tasks. However, their performance on medical tasks—particularly in zero-shot settings where generalization is critical—remains suboptimal. A key research gap is the limited understanding of why medical MLLMs underperform in medical image interpretation. **In this work**, we present a pioneering systematic investigation into the visual grounding capabilities of state-of-the-art medical MLLMs. To disentangle *visual grounding* from *semantic grounding*, we design VGMED, a novel evaluation dataset developed with expert clinical guidance, explicitly assessing the visual grounding capability of medical MLLMs. Code/project link: https://guimeng-leo-liu.github.io/Medical-MLLMs-Fail/

ICLR 2026 Poster accepted paper at ICLR 2026. In precision medicine, quantitative multi-omic features, topological context, and textual biological knowledge play vital roles in identifying disease-critical signaling pathways and targets, guiding the discovery of novel therapeutics and effective treatment strategies. Existing pipelines capture only one or two of these—numerical omics ignore topological context, text-centric LLMs lack quantitative grounded reasoning, and graph-only models underuse rich node semantics and the generalization power of LLMs—thereby limiting mechanistic interpretability. Although Process Reward Models (PRMs) aim to guide reasoning in LLMs, they remain limited by coarse step definitions, unreliable intermediate evaluation, and vulnerability to reward hacking with added computational cost. These gaps motivate jointly integrating quantitative multi-omic signals, topological structure with node annotations, and literature-scale text via LLMs, using subgraph reasoning as the principle bridge linking numeric evidence, topological knowledge and language context.

ICLR 2026 Poster accepted paper at ICLR 2026. Foundation models are reshaping EEG analysis, yet an important problem of EEG tokenization remains a challenge. This paper presents TFM-Tokenizer, a novel tokenization framework that learns a vocabulary of time-frequency motifs from *single-channel* EEG signals and encodes them into discrete tokens. We propose a dual-path architecture with time–frequency masking to capture robust motif representations, and it is model-agnostic, supporting both lightweight transformers and existing foundation models for downstream tasks. Our study demonstrates three key benefits: *Accuracy:* Experiments on four diverse EEG benchmarks demonstrate consistent performance gains across both single- and multi-dataset pretraining settings, achieving up to $11\%$ improvement in Cohen’s Kappa over strong baselines. Code/project link: https://github.com/Jathurshan0330/TFM-Tokenizer

ICLR 2026 Poster accepted paper at ICLR 2026. Segmentation in pathology image requires handling out-of-domain tissue morphologies and new pathologies beyond training distributions, where traditional closed-set segmentation approaches fail to generalize. Reasoning segmentation enables zero-shot generalization via prompting with text queries. However, existing reasoning segmentation models face three barriers when applied to pathology: (1) the vision encoder lack pathology-specific knowledge and robustness to staining variations, (2) the large language model (LLM) backbone for reasoning fails to identify whether it has gathered sufficient semantic context to trigger the segmentation output, and (3) no reasoning segmentation benchmarks and datasets exist for pathology analysis. Consequently, we introduce PathChat-SegR1, a reasoning segmentation model built upon pathology-specific vision encoders trained with a novel stain-invariant self-distillation for robust pathology image representations.

ICLR 2026 Poster accepted paper at ICLR 2026. Alzheimer’s Disease (AD) is a progressive neurodegenerative disorder and a leading cause of dementia worldwide. Accurate diagnosis requires integrating diverse patient data modalities. With the rapid advancement of foundation models in neurobiology and medicine, integrating foundation models from various modalities has emerged as a promising yet underexplored direction for multi-modal AD diagnosis. A central challenge is enabling effective interaction among these models without disrupting the robust, modality-specific representations learned from large-scale pretraining. To address this, we propose a novel multi-modal framework for AD diagnosis that enables joint interaction among uni-modal foundation models through modality-anchored interaction.

ICLR 2026 Oral accepted paper at ICLR 2026. Biosignals offer valuable insights into the physiological states of the human body. Although biosignal modalities differ in functionality, signal fidelity, sensor comfort, and cost, they are often intercorrelated, reflecting the holistic and interconnected nature of human physiology. This opens up the possibility of performing the same tasks using alternative biosignal modalities, thereby improving the accessibility, usability, and adaptability of health monitoring systems. However, the limited availability of large labeled datasets presents challenges for training models tailored to specific tasks and modalities of interest.

ICLR 2026 Oral accepted paper at ICLR 2026. Medical question answering (QA) benchmarks often focus on multiple-choice or fact-based tasks, leaving open-ended answers to real patient questions underexplored. This gap is particularly critical in mental health, where patient questions often mix symptoms, treatment concerns, and emotional needs, requiring answers that balance clinical caution with contextual sensitivity. We present CounselBench, a large-scale benchmark developed with 100 mental health professionals to evaluate and stress-test large language models (LLMs) in realistic help-seeking scenarios. The first component, CounselBench-EVAL, contains 2,000 expert evaluations of answers from GPT-4, LLaMA 3, Gemini, and online human therapists on patient questions from the public forum CounselChat.

ICLR 2026 Poster accepted paper at ICLR 2026. Accurate prediction of the need for invasive mechanical ventilation (IMV) in intensive care units (ICUs) patients is crucial for timely interventions and resource allocation. However, variability in patient populations, clinical practices, and electronic health record (EHR) systems across institutions introduces domain shifts that degrade the generalization performance of predictive models during deployment. Test-Time Training (TTT) has emerged as a promising approach to mitigate such shifts by adapting models dynamically during inference without requiring labeled target-domain data. In this work, we introduce Adaptive Test-Time Training (AdaTTT), an enhanced TTT framework tailored for EHR-based IMV prediction in ICU settings.

ICLR 2026 Poster accepted paper at ICLR 2026. Recent advances in vision-language models (VLMs) have achieved remarkable performance on standard medical benchmarks, yet their true clinical reasoning ability remains unclear. Existing datasets predominantly emphasize classification accuracy, creating an evaluation illusion in which models appear proficient while still failing at high-stakes diagnostic reasoning. We introduce Neural-MedBench, a compact yet reasoning-intensive benchmark specifically designed to probe the limits of multimodal clinical reasoning in neurology. Neural-MedBench integrates multi-sequence MRI scans, structured electronic health records, and clinical notes, and encompasses three core task families: differential diagnosis, lesion recognition, and rationale generation. Code/project link: https://neuromedbench.github.io/

ICLR 2026 Poster accepted paper at ICLR 2026. Pretrained medical foundation models (FMs) have shown strong generalization across diverse imaging tasks, such as disease classification in radiology and tumor grading in histopathology. While recent advances in parameter-efficient finetuning have enabled effective adaptation of FMs to downstream tasks, these approaches are typically designed for a single modality. In contrast, many clinical workflows rely on joint diagnosis from heterogeneous domains, such as radiology and pathology, where fully leveraging the representation capacity of multiple FMs remains an open challenge. To address this gap, we propose Concept Tuning and Fusing (CTF), a parameter-efficient framework that uses clinically grounded concepts as a shared semantic interface to enable cross-modal co-adaptation before fusion. Code/project link: https://github.com/HKU-MedAI/CTF; https://github.com/neuronflow/BraTS-Toolkit