Recent brain decoding studies have made substantial progress in reconstructing externally perceived visual content from neural signals. However, using electroencephalography (EEG) recordings to guide facial expression editing remains largely unexplored and poses a distinct challenge: rather than recovering what a subject sees, it requires identifying facial-action related patterns from noisy EEG signals and grounding them in localized, identity-preserving expression edits. In this paper, we investigate EEG-conditioned facial image editing for fine-grained facial action unit (AU) control and propose MindAU, a unified framework for controlling facial AU edits from EEG signals. MindAU first learns noise-robust and AU-discriminative EEG representations through temporal masked reconstruction and AU classification supervision. It then bridges the modality gap via Dual-Stream Manifold Alignment, aligning EEG features with AU-level text semantics and identity-reduced visual displacement trajectories in the multimodal space of Qwen2.5-VL. Finally, MindAU incorporates EEG-aware Multimodal Rotary Positional Embeddings, landmark-guided reference masking, and AU-aware region supervision into a multimodal diffusion-based editor for high-fidelity identity-preserving editing. We also introduce E-CAFE, a curated benchmark for EEG-Conditioned Action-Unit Facial Editing with paired EEG-face editing samples and standardized evaluation protocols. Extensive experiments demonstrate the effectiveness of MindAU and suggest its potential as a step towards future assistive expression technologies for individuals with facial neuromuscular disorders.
Dominik Winter, Dominik Vonficht, Loïc Le Bescond +6eess.IV cs.AI q-bio.GN
H&E-stained whole-slide images offer cohort-scale availability and rich spatial context but lack molecular specificity, whereas bulk RNA-seq provides transcriptome-wide resolution at high cost with limited archival availability. We show that training a lightweight alignment module atop frozen histopathology and RNA-Seq foundation models enables open-vocabulary molecular prompting -- querying H&E slides with gene-set signatures to predict pathway activity without sequencing or end-to-end retraining. Using contrastive learning on a multi-cancer cohort (N=1,720), we achieve a 25-fold improvement in retrieval over baseline methods. Systematic analysis reveals a graduated predictability spectrum: morphologically grounded programs (cell-cycle programs, immune-related) are most reliably predicted (R^2>0.5), while predicting pathways with no morphological footprint remains challenging as expected. We validate clinical utility on the POSEIDON clinical trial: H&E-predicted squamous cell carcinoma scores recapitulate NSCLC subtype identity and predicted IFN-gamma mirror PD-L1 tumor-cell expression groups. Furthermore, genesets describing immune activation and fibrosis predict known tumor microenvironment archetypes from histology alone. We further validate generalization of our approach across unseen cohorts and demonstrate data-efficient domain adaptation, establishing a slide-native framework for molecular analysis on H&E images.
AI-assisted clinical documentation tools increasingly summarize, standardize, and reformat radiology reports using large language models (LLMs). We present a controlled measurement of the resulting information degradation. Using 450 chest X-ray reports from the Indiana University dataset, we generate synthetic versions via three realistic LLM rewriting tasks: EHR summarization, standardized rewriting, and teaching case preparation. We measure entity erosion (via medical NER), hedging collapse (loss of clinical uncertainty language), and cross-modal alignment degradation (via BiomedCLIP image-text similarity). Our central finding is a dissociation between information loss and cross-modal fidelity. EHR summarization is the most destructive at the content level, eroding 51.4% of clinical entities and 43.7% of hedging language, yet it preserves image-text alignment almost entirely (a 2.5% drop). The two tasks meant to produce cleaner training data, standardized rewriting and teaching case preparation, do the reverse: they preserve more entities (26.8% and 29.3% eroded) but cause 14.9-16.5% alignment drops, six to seven times those of EHR summarization. We term this the slop paradox: rewriting that makes clinical text look cleaner for multimodal training is precisely what pulls it away from the image. Contrary to our pre-specified hypothesis, rare pathologies were not preferentially degraded: across nine rare-versus-common comparisons, no difference survived multiple-comparison correction, and nominal differences ran in the opposite direction (common > rare), so contamination is invisible to condition-specific monitoring. The dominant determinant of degradation is the type of AI rewriting task, not the clinical content. These findings bear on multimodal medical AI dataset construction and the governance of AI-assisted clinical documentation.
Practical non-invasive Brain-Computer Interface (BCI) systems require EEG decoders with strong cross-subject generalization and minimal calibration. However, inter-subject variability and signal non-stationarity often entangle motor semantics with subject-specific noise, limiting subject-independent decoding. Recent multimodal approaches use text as a semantic anchor, yet text provides sparse and static supervision for inherently dynamic motor processes. To address this issue, we propose EVA-Net, a two-stage framework that uses action videos as semantic priors for subject-independent EEG motor decoding. In the first stage, EEG and video features are aligned in a shared space using cross-modal and supervised contrastive objectives to reduce subject-specific variation. In the second stage, video category prototypes and knowledge distillation transfer video-derived priors to an EEG-only classifier without adding inference overhead. Experiments on two public datasets show that EVA-Net achieves strong subject-independent decoding performance, including an 8.66% LOSO accuracy gain on EEGMMI. Ablation results further suggest that video provides a more effective semantic anchor than the text baseline considered in this work.
Digital pathology has fundamentally altered diagnostic workflows by enabling the computational analysis of gigapixel Whole Slide Images (WSIs), yet effectively deciphering their complex tumor microenvironments remains a formidable challenge. Existing Multiple Instance Learning (MIL) frameworks typically treat Whole Slide Images as unstructured bags of patches, discarding critical morphological semantics and spatial geometry. This lack of inductive bias often leads to overfitting on background noise and fails to align visual features with high-level diagnostic knowledge. To overcome these limitations, we propose the Hierarchical Prototype-based Domain Priors (HPDP) framework, a unified multimodal approach for joint histopathology diagnosis and prognosis. HPDP mitigates the data-driven "black box" issue by introducing a Morphologically Anchored Prototype System (MAPS), which anchors learning to interpretable morphological clusters, and a Sinusoidal Positional Encoder (SPE) to explicitly model tissue architecture. Furthermore, we bridge the semantic gap via a Hierarchical Cross-Modal Alignment (HCMA) module, using Large Language Model (LLM)-generated descriptions to contextually refine visual representations. Extensive experiments across seven cancer cohorts demonstrate that HPDP consistently achieves state-of-the-art performance with superior robustness and interpretability.