Latent-CURE for Breast Cancer Diagnosis

• URL: http://arxiv.org/abs/2606.29928v1
• Date: Mon, 29 Jun 2026 08:05:16 GMT
• Title: Latent-CURE for Breast Cancer Diagnosis
• Abstract summary: We propose Latent-CURE, a novel diagnostic framework driven by asymmetric weighted chain-of-thought methodology.<n>Unlike traditional approaches, our framework constructs an implicit reasoning trajectory forcing the model to sequentially infer standardized BI-RADS morphological descriptors.
• Score: 16.345145740430457
• License: http://arxiv.org/licenses/nonexclusive-distrib/1.0/
• Abstract: Multimodal Large Models have significantly advanced automated breast ultrasound diagnosis. However, most existing frameworks utilize opaque, end-to-end paradigms prioritizing global statistical correlations over structured clinical reasoning. Consequently, these models remain susceptible to shortcut learning amid extreme real-world epidemiological imbalances, often bypassing rare but decisive malignant indicators for dominant benign patterns. To address this disconnect, we propose Latent-CURE, a novel diagnostic framework driven by asymmetric weighted chain-of-thought methodology grounded in latent space reasoning. Unlike traditional approaches, our framework constructs an implicit reasoning trajectory forcing the model to sequentially infer standardized BI-RADS morphological descriptors before converging on a final diagnosis. Furthermore, to combat the extreme scarcity of critical malignant features, we couple this architecture with a dual-asymmetric optimization strategy. By dynamically adjusting margins and weights, this strategy safeguards high-specificity malignant descriptors from being overshadowed by common benign priors. Comprehensive evaluations demonstrate that our knowledge-injected approach provides transparent clinical evidence while achieving robust, accurate diagnostic performance in imbalanced medical cohorts.

Related papers

• Concept-Grounded Reasoning with Prompt-Driven Localization for Interpretable Structured Report Generation [66.62662330558906]
  CORAL is a multimodal framework that integrates spatial grounding and concept-level supervision into a unified reasoning process.<n>CORAL employs a prompt-driven medical segmentation model to localize lesions and predicts multi-class clinical attributes through a Concept Bottleneck module.<n>Experiments on BUS-CoT and IU X-ray datasets demonstrate consistent improvements in diagnostic accuracy, concept consistency, and report quality over strong general-purpose and medical MLLMs.
  arXiv  Detail & Related papers  (2026-09-14T10:21:23Z)
• Dementia Etiology Diagnosis via Collaborative Meta Knowledge Enhancement [81.27196033392559]
  We propose a Collaborative Meta Knowledge Enhancement (COME) framework for dementia etiology diagnosis.<n>COME injects multi-center acquisition semantics, source identifiers, and modality indicators as heterogeneity-aware embeddings into a unified Transformer architecture for scale-up training.<n>Our method achieves state-of-the-art in-domain performance with a mean macro-averaged AUC of 85.62% and a 4.29-point gain over the strongest baseline.
  arXiv  Detail & Related papers  (2026-07-24T04:26:47Z)
• Towards Trustworthy Depression Estimation via Disentangled Evidential Learning [50.22167852149165]
  We propose EviDep, an evidential learning framework that jointly quantifies depression severity.<n>EviDep enforces strict information integrity to guarantee robust evidence synthesis.<n>It achieves state-of-the-art predictive accuracy and superior uncertainty calibration, delivering a robust fail-safe mechanism for trustworthy clinical screening.
  arXiv  Detail & Related papers  (2026-04-17T13:27:11Z)
• Clinical Cognition Alignment for Gastrointestinal Diagnosis with Multimodal LLMs [63.535652574541764]
  Multimodal Large Language Models (MLLMs) have demonstrated remarkable potential in medical image analysis.<n>Their application in gastrointestinal endoscopy is currently hindered by two critical limitations.<n>We propose a novel Clinical-Cognitive-Aligned (CogAlign) framework to address these challenges.
  arXiv  Detail & Related papers  (2026-03-21T07:47:37Z)
• MedAD-R1: Eliciting Consistent Reasoning in Interpretible Medical Anomaly Detection via Consistency-Reinforced Policy Optimization [46.65200216642429]
  We introduce MedAD-38K, the first large-scale, multi-modal, and multi-center benchmark for MedAD featuring diagnostic Chain-of-Thought (CoT) annotations alongside structured Visual Question-Answering (VQA) pairs.<n>Our proposed model, MedAD-R1, achieves state-of-the-art (SOTA) performance on the MedAD-38K benchmark, outperforming strong baselines by more than 10%.
  arXiv  Detail & Related papers  (2026-02-01T07:56:10Z)
• ClinNet: Evidential Ordinal Regression with Bilateral Asymmetry and Prototype Memory for Knee Osteoarthritis Grading [3.337151338735509]
  Knee osteoarthritis (KOA) grading based on radiographic images is a critical yet challenging task.<n>In this work, we propose ClinNet, a novel trustworthy framework that addresses KOA grading as evidential ordinal regression problem.
  arXiv  Detail & Related papers  (2026-01-24T05:49:41Z)
• Adaptive Diagnostic Reasoning Framework for Pathology with Multimodal Large Language Models [34.28963665009494]
  We present RECAP-PATH, an interpretable framework that establishes a self-learning paradigm.<n>It shifts off-the-shelf multimodal large language models from passive pattern recognition to evidence-linked diagnostic reasoning.<n>This self-learning approach requires only small labeled sets and no white-box access or weight updates to generate cancer diagnoses.
  arXiv  Detail & Related papers  (2025-11-15T03:06:59Z)
• RAD: Towards Trustworthy Retrieval-Augmented Multi-modal Clinical Diagnosis [56.373297358647655]
  Retrieval-Augmented Diagnosis (RAD) is a novel framework that injects external knowledge into multimodal models directly on downstream tasks.<n>RAD operates through three key mechanisms: retrieval and refinement of disease-centered knowledge from multiple medical sources, a guideline-enhanced contrastive loss transformer, and a dual decoder.
  arXiv  Detail & Related papers  (2025-09-24T10:36:14Z)
• Latent Space Analysis for Melanoma Prevention [5.441932327359051]
  Melanoma represents a critical health risk, underscoring the need for early, interpretable diagnostic tools.<n>This work introduces a novel approach that extends beyond classification, enabling interpretable risk modelling.<n>The proposed method learns a structured latent space that captures semantic relationships among lesions, allowing for a nuanced, continuous assessment of morphological differences.
  arXiv  Detail & Related papers  (2025-06-23T08:49:57Z)
• RadFabric: Agentic AI System with Reasoning Capability for Radiology [61.25593938175618]
  RadFabric is a multi agent, multimodal reasoning framework that unifies visual and textual analysis for comprehensive CXR interpretation.<n>System employs specialized CXR agents for pathology detection, an Anatomical Interpretation Agent to map visual findings to precise anatomical structures, and a Reasoning Agent powered by large multimodal reasoning models to synthesize visual, anatomical, and clinical data into transparent and evidence based diagnoses.
  arXiv  Detail & Related papers  (2025-06-17T03:10:33Z)
• Unified Uncertainty Estimation for Cognitive Diagnosis Models [70.46998436898205]
  We propose a unified uncertainty estimation approach for a wide range of cognitive diagnosis models. We decompose the uncertainty of diagnostic parameters into data aspect and model aspect. Our method is effective and can provide useful insights into the uncertainty of cognitive diagnosis.
  arXiv  Detail & Related papers  (2024-03-09T13:48:20Z)

This list is automatically generated from the titles and abstracts of the papers in this site.

This site does not guarantee the quality of this site (including all information) and is not responsible for any consequences.