Fine-grained defect severity grading is essential for industrial inspection, yet remains challenging due to the ordinal nature of severity labels, the strong dependence on morphology-related cues, and the train-test discrepancy between clean annotated instances and noisy predicted instances in two-stage pipelines. We propose MAOL, a Morphology-Aware Ordinal Learning framework for fine-grained industrial defect severity grading. MAOL formulates severity grading as an instance-level ordinal learning task, incorporates explicit morphological features to enhance representation learning, introduces class-conditional adaptive ordinal thresholds to model defect-specific grading boundaries, and employs prediction-aware training via localization perturbation to improve robustness to imperfect predicted instances. Extensive experiments under both clean-ROI and predicted-instance settings demonstrate that MAOL consistently outperforms rule-based methods, nominal classification models, and existing ordinal baselines, especially in the predicted-instance setting. The proposed approach ranked third in the IDA 2026 Challenge on Fine-Grained Severity Grading for High-Precision Manufacturing.
Non-invasive prediction of Gleason Grade Group (GGG) in prostate cancer using multiparametric MRI (mpMRI) is clinically vital for reducing unnecessary biopsies. Existing GGG prediction methods face two major limitations. First, they often overlook non-image information critical for GGG prediction, including age, prostate-specific antigen (PSA), and expert priors embedded in radiology reports. Second, they tend to oversimplify GGG as flat categorical labels, failing to account for its intrinsic hierarchy of primary and secondary Gleason patterns. To this end, we propose a novel Knowledge-Driven Ordinal-Aware Learning (KOAL) framework with three synergistic modules. Specifically, the Clinical-Context Modulation (CCM) module uses clinical variables (e.g., age and PSA) to dynamically modulate discriminative image representations. The Knowledge-Guided Prototype Alignment (KGPA) module leverages an LLM to extract group-specific expert knowledge from training radiology reports and clinical guidelines, producing offline semantic anchors describing grade-specific radiological findings without requiring patient-specific reports at inference. Through prototype contrastive alignment, patient-specific mpMRI representations are matched with these anchors to promote pathology-aligned representation learning. The Hierarchical Ordinal-aware Constraints (HOC) module decouples primary and secondary Gleason pattern prediction and maps their probabilistic outputs to GGG via a Differentiable Bio-logic Mapping Layer (DBML), ensuring pathological grading consistency. Experiments on public PI-CAI and in-house datasets demonstrate that KOAL outperforms state-of-the-art methods. Code is available at: https://github.com/Gother-GZ/KOAL.