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Feilong Tang

Feilong Tang contributes to research discovery and scholarly infrastructure.

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Published work

5 published item(s)

preprint2026arXiv

DermAgent: A Self-Reflective Agentic System for Dermatological Image Analysis with Multi-Tool Reasoning and Traceable Decision-Making

Dermatological diagnosis requires integrating fine-grained visual perception with expert clinical knowledge. Although Multimodal Large Language Models (MLLMs) facilitate interactive medical image analysis, their application in dermatology is hindered by insufficient domain-specific grounding and hallucinations. To address these issues, we propose DermAgent, a collaborative multi-tool agent that orchestrates seven specialized vision and language modules within a Plan-Execute-Reflect framework. DermAgent delivers stepwise, traceable diagnostic reasoning through three core components. First, it employs complementary visual perception tools for comprehensive morphological description, dermoscopic concept annotation, and disease diagnosis. Second, to overcome the lack of domain prior, a dual-modality retrieval module anchors every prediction in external evidence by cross-referencing 413,210 diagnosed image cases and 3,199 clinical guideline chunks. To further mitigate hallucinations, a deterministic critic module conducts strict post-hoc auditing via confidence, coverage, and conflict gates, automatically detecting inter-source disagreements to trigger targeted self-correction. Extensive experiments on five dermatology benchmarks demonstrate that DermAgent consistently outperforms state-of-the-art MLLMs and medical agent baselines across zero-shot fine-grained disease diagnosis, concept annotation, and clinical captioning tasks, exceeding GPT-4o by 17.6% in skin disease diagnostic accuracy and 3.15% in captioning ROUGE-L. Our code is available at https://github.com/YizeezLiu/DermAgent.

preprint2026arXiv

PsychEthicsBench: Evaluating Large Language Models Against Australian Mental Health Ethics

The increasing integration of large language models (LLMs) into mental health applications necessitates robust frameworks for evaluating professional safety alignment. Current evaluative approaches primarily rely on refusal-based safety signals, which offer limited insight into the nuanced behaviors required in clinical practice. In mental health, clinically inadequate refusals can be perceived as unempathetic and discourage help-seeking. To address this gap, we move beyond refusal-centric metrics and introduce \texttt{PsychEthicsBench}, the first principle-grounded benchmark based on Australian psychology and psychiatry guidelines, designed to evaluate LLMs' ethical knowledge and behavioral responses through multiple-choice and open-ended tasks with fine-grained ethicality annotations. Empirical results across 14 models reveal that refusal rates are poor indicators of ethical behavior, revealing a significant divergence between safety triggers and clinical appropriateness. Notably, we find that domain-specific fine-tuning can degrade ethical robustness, as several specialized models underperform their base backbones in ethical alignment. PsychEthicsBench provides a foundation for systematic, jurisdiction-aware evaluation of LLMs in mental health, encouraging more responsible development in this domain.

preprint2026arXiv

SAM-aware Test-time Adaptation for Universal Medical Image Segmentation

Leveraging the Segment Anything Model (SAM) for medical image segmentation remains challenging due to its limited adaptability across diverse medical domains. Although fine-tuned variants, such as MedSAM, improve performance in scenarios similar to the training modalities or organs, they may lack generalizability to unseen data. To overcome this limitation, we propose SAM-aware Test-time Adaptation (SAM-TTA), a lightweight and flexible framework that preserves SAM's inherent generalization ability while enhancing segmentation accuracy for medical images. SAM-TTA tackles two major challenges: (1) input-level discrepancy caused by channel mismatches between natural and medical images, and (2) semantic-level discrepancy due to different object characteristics in natural versus medical images (e.g., with clear boundaries vs. ambiguous structures). To this end, we introduce two complementary components: a self-adaptive Bezier Curve-based Transformation (SBCT), which maps single-channel medical images into SAM-compatible three-channel images via a few learnable parameters to be optimized at test time; and IoU-guided Multi-scale Adaptation (IMA), which leverages SAM's intrinsic IoU scores to enforce high output confidence, dual-scale prediction consistency, and intermediate feature consistency, to improve semantic-level alignments. Extensive experiments on eight public medical image segmentation tasks, covering six grayscale and two color (endoscopic) tasks, demonstrate that SAM-TTA consistently outperforms state-of-the-art test-time adaptation methods. Notably, on six grayscale datasets, SAM-TTA even surpasses fully fine-tuned models, achieving significant Dice improvements (i.e., average 4.8% and 7.4% gains over MedSAM and SAM-Med2D) and establishing a new paradigm for universal medical image segmentation. Code is available at https://github.com/JianghaoWu/SAM-TTA.

preprint2022arXiv

Deep Meta-learning in Recommendation Systems: A Survey

Deep neural network based recommendation systems have achieved great success as information filtering techniques in recent years. However, since model training from scratch requires sufficient data, deep learning-based recommendation methods still face the bottlenecks of insufficient data and computational inefficiency. Meta-learning, as an emerging paradigm that learns to improve the learning efficiency and generalization ability of algorithms, has shown its strength in tackling the data sparsity issue. Recently, a growing number of studies on deep meta-learning based recommenddation systems have emerged for improving the performance under recommendation scenarios where available data is limited, e.g. user cold-start and item cold-start. Therefore, this survey provides a timely and comprehensive overview of current deep meta-learning based recommendation methods. Specifically, we propose a taxonomy to discuss existing methods according to recommendation scenarios, meta-learning techniques, and meta-knowledge representations, which could provide the design space for meta-learning based recommendation methods. For each recommendation scenario, we further discuss technical details about how existing methods apply meta-learning to improve the generalization ability of recommendation models. Finally, we also point out several limitations in current research and highlight some promising directions for future research in this area.

preprint2022arXiv

Stepwise Feature Fusion: Local Guides Global

Colonoscopy, currently the most efficient and recognized colon polyp detection technology, is necessary for early screening and prevention of colorectal cancer. However, due to the varying size and complex morphological features of colonic polyps as well as the indistinct boundary between polyps and mucosa, accurate segmentation of polyps is still challenging. Deep learning has become popular for accurate polyp segmentation tasks with excellent results. However, due to the structure of polyps image and the varying shapes of polyps, it easy for existing deep learning models to overfitting the current dataset. As a result, the model may not process unseen colonoscopy data. To address this, we propose a new State-Of-The-Art model for medical image segmentation, the SSFormer, which uses a pyramid Transformer encoder to improve the generalization ability of models. Specifically, our proposed Progressive Locality Decoder can be adapted to the pyramid Transformer backbone to emphasize local features and restrict attention dispersion. The SSFormer achieves statet-of-the-art performance in both learning and generalization assessment.