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Wenting Chen

Wenting Chen contributes to research discovery and scholarly infrastructure.

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Published work

7 published item(s)

preprint2026arXiv

Benchmarking Egocentric Clinical Intent Understanding Capability for Medical Multimodal Large Language Models

Medical Multimodal Large Language Models (Med-MLLMs) require egocentric clinical intent understanding for real-world deployment, yet existing benchmarks fail to evaluate this critical capability. To address these challenges, we introduce MedGaze-Bench, the first benchmark leveraging clinician gaze as a Cognitive Cursor to assess intent understanding across surgery, emergency simulation, and diagnostic interpretation. Our benchmark addresses three fundamental challenges: visual homogeneity of anatomical structures, strict temporal-causal dependencies in clinical workflows, and implicit adherence to safety protocols. We propose a Three-Dimensional Clinical Intent Framework evaluating: (1) Spatial Intent: discriminating precise targets amid visual noise, (2) Temporal Intent: inferring causal rationale through retrospective and prospective reasoning, and (3) Standard Intent: verifying protocol compliance through safety checks. Beyond accuracy metrics, we introduce Trap QA mechanisms to stress-test clinical reliability by penalizing hallucinations and cognitive sycophancy. Experiments reveal current MLLMs struggle with egocentric intent due to over-reliance on global features, leading to fabricated observations and uncritical acceptance of invalid instructions.

preprint2026arXiv

MedEinst: Benchmarking the Einstellung Effect in Medical LLMs through Counterfactual Differential Diagnosis

Despite achieving high accuracy on medical benchmarks, LLMs exhibit the Einstellung Effect in clinical diagnosis--relying on statistical shortcuts rather than patient-specific evidence, causing misdiagnosis in atypical cases. Existing benchmarks fail to detect this critical failure mode. We introduce MedEinst, a counterfactual benchmark with 5,383 paired clinical cases across 49 diseases. Each pair contains a control case and a "trap" case with altered discriminative evidence that flips the diagnosis. We measure susceptibility via Bias Trap Rate--probability of misdiagnosing traps despite correctly diagnosing controls. Extensive Evaluation of 17 LLMs shows frontier models achieve high baseline accuracy but severe bias trap rates. Thus, we propose ECR-Agent, aligning LLM reasoning with Evidence-Based Medicine standard via two components: (1) Dynamic Causal Inference (DCI) performs structured reasoning through dual-pathway perception, dynamic causal graph reasoning across three levels (association, intervention, counterfactual), and evidence audit for final diagnosis; (2) Critic-Driven Graph and Memory Evolution (CGME) iteratively refines the system by storing validated reasoning paths in an exemplar base and consolidating disease-specific knowledge into evolving illness graphs. Source code is to be released.

preprint2026arXiv

MMedExpert-R1: Strengthening Multimodal Medical Reasoning via Domain-Specific Adaptation and Clinical Guideline Reinforcement

Medical Vision-Language Models (MedVLMs) excel at perception tasks but struggle with complex clinical reasoning required in real-world scenarios. While reinforcement learning (RL) has been explored to enhance reasoning capabilities, existing approaches face critical mismatches: the scarcity of deep reasoning data, cold-start limits multi-specialty alignment, and standard RL algorithms fail to model clinical reasoning diversity. We propose MMedExpert-R1, a novel reasoning MedVLM that addresses these challenges through domain-specific adaptation and clinical guideline reinforcement. We construct MMedExpert, a high-quality dataset of 10K samples across four specialties with step-by-step reasoning traces. Our Domain-Specific Adaptation (DSA) creates specialty-specific LoRA modules to provide diverse initialization, while Guideline-Based Advantages (GBA) explicitly models different clinical reasoning perspectives to align with real-world diagnostic strategies. Conflict-Aware Capability Integration then merges these specialized experts into a unified agent, ensuring robust multi-specialty alignment. Comprehensive experiments demonstrate state-of-the-art performance, with our 7B model achieving 27.50 on MedXpert-MM and 83.03 on OmniMedVQA, establishing a robust foundation for reliable multimodal medical reasoning systems.

preprint2026arXiv

MotionMERGE: A Multi-granular Framework for Human Motion Editing, Reasoning, Generation, and Explanation

Recent motion-language models unify tasks like comprehension and generation but operate at a coarse granularity, lacking fine-grained understanding and nuanced control over body parts needed for animation or interaction. This stems from fundamental issues in both the model and the data, in which the model can't focus on motion's localized pattern, and the training data lacks fine-grained supervision. To tackle this, we propose MotionMERGE, a unified framework that bridges the granularity gap. First, we pioneer the study of fine-grained languageguided motion control, including detailed understanding and localized editing, by explicitly modeling motion at part and temporal levels within a single LLM, thereby endowing the model with robust priors for precise control. Second, we design ReasoningAware Granularity-Synergy pre-training, a novel strategy that employs joint supervision for cross-granularity alignment, temporal grounding, localized alignment, motion coherency, and motion-grounded chain-of-thought (CoT) reasoning. This equips the model with fine-grained motion-language alignment, crossgranularity synergy, and explicit reasoning ability. Third, we curate MotionFineEdit, a large-scale dataset (837K atomic + 144K complex triplets) with the first fine-grained spatio-temporal corrective instructions and motion-grounded CoT annotations, establishing a new benchmark for fine-grained text-driven motion editing and motion-grounded reasoning. Extensive experiments demonstrate the capability of MotionMERGE for more precise motion generation, understanding, and editing, and compelling zero-shot generalization to other complex motion tasks. This work represents a significant step toward models that interact with motion in finer granularity and human-like reasoning.

preprint2020arXiv

Leveraging Undiagnosed Data for Glaucoma Classification with Teacher-Student Learning

Recently, deep learning has been adopted to the glaucoma classification task with performance comparable to that of human experts. However, a well trained deep learning model demands a large quantity of properly labeled data, which is relatively expensive since the accurate labeling of glaucoma requires years of specialist training. In order to alleviate this problem, we propose a glaucoma classification framework which takes advantage of not only the properly labeled images, but also undiagnosed images without glaucoma labels. To be more specific, the proposed framework is adapted from the teacher-student-learning paradigm. The teacher model encodes the wrapped information of undiagnosed images to a latent feature space, meanwhile the student model learns from the teacher through knowledge transfer to improve the glaucoma classification. For the model training procedure, we propose a novel training strategy that simulates the real-world teaching practice named as 'Learning To Teach with Knowledge Transfer (L2T-KT)', and establish a 'Quiz Pool' as the teacher's optimization target. Experiments show that the proposed framework is able to utilize the undiagnosed data effectively to improve the glaucoma prediction performance.

preprint2020arXiv

TR-GAN: Topology Ranking GAN with Triplet Loss for Retinal Artery/Vein Classification

Retinal artery/vein (A/V) classification lays the foundation for the quantitative analysis of retinal vessels, which is associated with potential risks of various cardiovascular and cerebral diseases. The topological connection relationship, which has been proved effective in improving the A/V classification performance for the conventional graph based method, has not been exploited by the deep learning based method. In this paper, we propose a Topology Ranking Generative Adversarial Network (TR-GAN) to improve the topology connectivity of the segmented arteries and veins, and further to boost the A/V classification performance. A topology ranking discriminator based on ordinal regression is proposed to rank the topological connectivity level of the ground-truth, the generated A/V mask and the intentionally shuffled mask. The ranking loss is further back-propagated to the generator to generate better connected A/V masks. In addition, a topology preserving module with triplet loss is also proposed to extract the high-level topological features and further to narrow the feature distance between the predicted A/V mask and the ground-truth. The proposed framework effectively increases the topological connectivity of the predicted A/V masks and achieves state-of-the-art A/V classification performance on the publicly available AV-DRIVE dataset.

preprint2020arXiv

Translate the Facial Regions You Like Using Region-Wise Normalization

Though GAN (Generative Adversarial Networks) based technique has greatly advanced the performance of image synthesis and face translation, only few works available in literature provide region based style encoding and translation. We propose in this paper a region-wise normalization framework, for region level face translation. While per-region style is encoded using available approach, we build a so called RIN (region-wise normalization) block to individually inject the styles into per-region feature maps and then fuse them for following convolution and upsampling. Both shape and texture of different regions can thus be translated to various target styles. A region matching loss has also been proposed to significantly reduce the inference between regions during the translation process. Extensive experiments on three publicly available datasets, i.e. Morph, RaFD and CelebAMask-HQ, suggest that our approach demonstrate a large improvement over state-of-the-art methods like StarGAN, SEAN and FUNIT. Our approach has further advantages in precise control of the regions to be translated. As a result, region level expression changes and step by step make up can be achieved. The video demo is available at https://youtu.be/ceRqsbzXAfk.