论文检索

Computer Vision · Segmentation

Haijing Liu, Zhiyuan Song, Hefeng Wu, Tao Pu, Keze Wang, Liang Lin

Egocentric Referring Video Object Segmentation (Ego-RVOS) aims to segment the specific object actively involved in a human action, as described by a language query, within first-person videos. This task is critical for understanding egocentric human behavior. However, achieving such segmentation robustly is challenging due to ambiguities inherent in egocentric videos and biases present in training data. Consequently, existing methods often struggle, learning spurious correlations from skewed object-action pairings in datasets and fundamental visual confounding factors of the egocentric perspective, such as rapid motion and frequent occlusions. To address these limitations, we introduce Causal Ego-REferring Segmentation (CERES), a plug-in causal framework that adapts strong, pre-trained RVOS backbones to the egocentric domain. CERES implements dual-modal causal intervention: applying backdoor adjustment principles to counteract language representation biases learned from dataset statistics, and leveraging front-door adjustment concepts to address visual confounding by intelligently integrating semantic visual features with geometric depth information guided by causal principles, creating representations more robust to egocentric distortions. Extensive experiments demonstrate that CERES achieves state-of-the-art performance on Ego-RVOS benchmarks, highlighting the potential of applying causal reasoning to build more reliable models for broader egocentric video understanding.

Applications · Genetics, Cell Biology, etc

Hanqun Cao, Haosen Shi, Chenyu Wang, Sinno Pan, Pheng-Ann Heng

The design of biological sequences is essential for engineering functional biomolecules that contribute to advancements in human health and biotechnology. Recent advances in diffusion models, with their generative power and efficient conditional sampling, have made them a promising approach for sequence generation. To enhance model performance on limited data and enable multi-objective design and optimization, reinforcement learning (RL)-based fine-tuning has shown great potential. However, existing post-sampling and fine-tuning methods either lack stability in discrete optimization when avoiding gradients or incur high computational costs when employing gradient-based approaches, creating significant challenges for achieving both control and stability in the tuning process. To address these limitations, we propose GLID$^2$E, a gradient-free RL-based tuning approach for discrete diffusion models. Our method introduces a clipped likelihood constraint to regulate the exploration space and implements reward shaping to better align the generative process with design objectives, ensuring a more stable and efficient tuning process. By integrating these techniques, GLID$^2$E mitigates training instabilities commonly encountered in RL and diffusion-based frameworks, enabling robust optimization even in challenging biological design tasks. In the DNA sequence and protein sequence design systems, GLID$^2$E achieves competitive performance in function-based design while maintaining computational efficiency and a flexible tuning mechanism.

Yassine ABBAHADDOU, Amine Aboussalah

Generative models such as Generative Adversarial Networks (GANs), Variational Autoencoders (VAEs), and diffusion models often suffer from mode collapse, failing to reproduce the full diversity of their training data. While this problem has been extensively studied in image generation, it remains largely unaddressed for time series. We introduce a formal definition of mode collapse for time series and propose DMD-GEN, a geometry-aware metric that quantifies its severity. DMD-GEN leverages Dynamic Mode Decomposition (DMD) to extract coherent temporal structures and uses Optimal Transport between DMD eigenvectors to measure discrepancies in underlying dynamics. By representing the subspaces spanned by the DMD eigenvectors as point structures on a Grassmann manifold, and comparing them via Wasserstein distances computed from principal angles, DMD-GEN enables a principled geometric comparison between real and generated sequences. The metric is efficient, requiring no additional training, supports mini-batch evaluation, and is easily parallelizable. Beyond quantification, DMD-GEN offers interpretability by revealing which dynamical modes are distorted or missing in the generated data. Experiments on synthetic and real-world datasets using TimeGAN, TimeVAE, and DiffusionTS show that DMD-GEN aligns with existing metrics while providing the first principled framework for detecting and interpreting mode collapse in time series.

Computer Vision · Image and Video Generation

Uri Gadot, Rinon Gal, Yftah Ziser, Gal Chechik, Shie Mannor

Text-to-image generation has evolved beyond single monolithic models to complex multi-component pipelines that combine various enhancement tools. While these pipelines significantly improve image quality, their effective design requires substantial expertise. Recent approaches automating this process through large language models (LLMs) have shown promise but suffer from two critical limitations: extensive computational requirements from generating images with hundreds of predefined pipelines, and poor generalization beyond memorized training examples. We introduce a novel reinforcement learning-based framework that addresses these inefficiencies. Our approach first trains an ensemble of reward models capable of predicting image quality scores directly from prompt-workflow combinations, eliminating the need for costly image generation during training. We then implement a two-phase training strategy: initial workflow prediction training followed by GRPO-based optimization that guides the model toward higher-performing regions of the workflow space. Additionally, we incorporate a classifier-free guidance based enhancement technique that extrapolates along the path between the initial and GRPO-tuned models, further improving output quality. We validate our approach through a set of comparisons, showing that it can successfully create new flows with greater diversity and lead to superior image quality compared to existing baselines.

Social Aspects · Accountability, Transparency and Interpretability

Landon Butler, Abhineet Agarwal, Justin Kang, Yigit Efe Erginbas, Bin Yu, Kannan Ramchandran

Large Language Models (LLMs) have achieved remarkable performance by capturing complex interactions between input features. To identify these interactions, most existing approaches require enumerating all possible combinations of features up to a given order, causing them to scale poorly with the number of inputs $n$. Recently, Kang et al. (2025) proposed SPEX, an information-theoretic approach that uses interaction sparsity to scale to $n \approx 10^3$ features. SPEX greatly improves upon prior methods but requires tens of thousands of model inferences, which can be prohibitive for large models. In this paper, we observe that LLM feature interactions are often *hierarchical*—higher-order interactions are accompanied by their lower-order subsets—which enables more efficient discovery. To exploit this hierarchy, we propose ProxySPEX, an interaction attribution algorithm that first fits gradient boosted trees to masked LLM outputs and then extracts the important interactions. Experiments across four challenging high-dimensional datasets show that ProxySPEX more faithfully reconstructs LLM outputs by 20\% over marginal attribution approaches while using *$10\times$ fewer inferences* than SPEX. By accounting for interactions, ProxySPEX efficiently identifies the most influential features, providing a scalable approximation of their Shapley values. Further, we apply ProxySPEX to two interpretability tasks. *Data attribution*, where we identify interactions among CIFAR-10 training samples that influence test predictions, and *mechanistic interpretability*, where we uncover interactions between attention heads, both within and across layers, on a question-answering task. The ProxySPEX algorithm is available at .

Deep Learning · Robustness

Zhenglin Lai, Mengyao Liao, Bingzhe Wu, Dong Xu, Zebin Zhao, Zhihang Yuan, Chao Fan, Jianqiang Li

Large language models with Mixture-of-Experts (MoE) architectures achieve efficiency and scalability, yet their routing mechanisms introduce safety alignment challenges insufficiently addressed by techniques developed for dense models. In this work, the MoE-specific safety risk of positional vulnerability—that safety-aligned behaviors rely on specific expert modules—is formalized and systematically analyzed. An analytical framework, SAFEx, is presented to robustly identify, characterize, and validate safety-critical experts via a stability-based expert selection procedure, and to decompose them into two functional groups: the Harmful Content Detection Group (HCDG), which specializes in identifying and recognizing harmful content within user inputs, and the Harmful Response Control Group (HRCG), which specializes in controlling and enforcing model behaviors to generate appropriate safety responses. Expert-level interventions are conducted to probe causality and to test mitigation. Targeted masking of SAFEx-selected experts reveals that safety behavior is highly concentrated. On Qwen3-30B-A3B, configured with 48 MoE-FFN layers and 128 experts per layer under top-8 routing (48×128=6,144 experts in total), disabling 12 selected experts reduces the refusal rate by 22%. In addition, lightweight adaptation is performed using LoRA under three configurations—the HRCG, the union of HCDG and HRCG, and all experts—and the resulting updates are composed through negative weight merging targeted at the HRCG, leading to improved refusal under adversarial prompts without full-model retraining. These results establish positional vulnerability as a distinct MoE-specific safety challenge and provide a practical, compute-efficient pathway for expert-level safety interventions within routed architectures.

Reinforcement Learning · Deep RL

Xiaoyuan Liu, Tian Liang, Zhiwei He, Jiahao Xu, Wenxuan Wang, Pinjia He, Zhaopeng Tu, Haitao Mi, Dong Yu

Large Language Models (LLMs) show great promise in complex reasoning, with Reinforcement Learning with Verifiable Rewards (RLVR) being a key enhancement strategy. However, a prevalent issue is ``superficial self-reflection'', where models fail to robustly verify their own outputs. We introduce RISE (Reinforcing Reasoning with Self-Verification), a novel online RL framework designed to tackle this. RISE explicitly and simultaneously trains an LLM to improve both its problem-solving and self-verification abilities within a single, integrated RL process. The core mechanism involves leveraging verifiable rewards from an outcome verifier to provide on-the-fly feedback for both solution generation and self-verification tasks. In each iteration, the model generates solutions, then critiques its own on-policy generated solutions, with both trajectories contributing to the policy update. Extensive experiments on diverse mathematical reasoning benchmarks show that RISE consistently improves model's problem-solving accuracy while concurrently fostering strong self-verification skills. Our analyses highlight the advantages of online verification and the benefits of increased verification compute. Additionally, RISE models exhibit more frequent and accurate self-verification behaviors during reasoning. These advantages reinforce RISE as a flexible and effective path towards developing more robust and self-aware reasoners.

Computer Vision · Image and Video Generation

Jiang Lin, Xinyu Chen, Song Wu, Zhiqiu Zhang, Jizhi Zhang, Ye Wang, Qiang Tang, Qian Wang, Jian Yang, Zili Yi

Controlling the spatial and semantic structure of diffusion-generated images remains a challenge. Existing methods like ControlNet rely on handcrafted condition maps and retraining, limiting flexibility and generalization. Inversion-based approaches offer stronger alignment but incur high inference cost due to dual-path denoising. We present \textbf{FreeControl}, a training-free framework for semantic structural control in diffusion models. Unlike prior methods that extract attention across multiple timesteps, FreeControl performs \textit{one-step attention extraction} from a single, optimally chosen timestep and reuses it throughout denoising. This enables efficient structural guidance without inversion or retraining. To further improve quality and stability, we introduce \textit{Latent-Condition Decoupling (LCD)}: a principled separation of the timestep condition and the noised latent used in attention extraction. LCD provides finer control over attention quality and eliminates structural artifacts. FreeControl also supports compositional control via reference images assembled from multiple sources, enabling intuitive scene layout design and stronger prompt alignment. FreeControl introduces a new paradigm for test-time control—enabling structurally and semantically aligned, visually coherent generation directly from raw images, with the flexibility for intuitive compositional design and compatibility with modern diffusion models at ~5\% additional cost.

Computer Vision · Classification and Understanding

Fangming Cui, Zhou Yu, Di Yang, Yuqiang Ren, Liang Xiao, Xinmei Tian

Advancements in direct-integration fine-tuning frameworks have underscored their potential to enhance the performance of labeled scenarios and tasks. To enhance the generalization of different categories in the same dataset, some methods have added visual loss to these frameworks for unlabeled scenarios. However, the performance of these methods through visual loss does not improve significantly in domain generalization and cross-dataset generalization tasks. This may be attributed to the uncoordinated learning of the two-modalities alignment and visual loss. To mitigate this issue of uncoordinated learning, we propose a novel method called Levelling Paradigm (LePa) to improve performance for unlabeled tasks or scenarios. The proposed LePa, designed as a plug-in module, dynamically constrains and coordinates multiple objective functions, thereby improving the generalization of these baseline methods. Comprehensive experiments have shown that our design can effectively address generalized scenarios and tasks.

Computer Vision · Vision Models & Multimodal

Diankun Wu, Fangfu Liu, Yi-Hsin Hung, Yueqi Duan

Recent advancements in Multimodal Large Language Models (MLLMs) have significantly enhanced performance on 2D visual tasks. However, improving their spatial intelligence remains a challenge. Existing 3D MLLMs always rely on additional 3D or 2.5D data to incorporate spatial awareness, restricting their utility in scenarios with only 2D inputs, such as images or videos. In this paper, we present Spatial-MLLM, a novel framework for visual-based spatial reasoning from purely 2D observations. Unlike conventional video MLLMs which rely on CLIP-based visual encoders optimized for semantic understanding, our key insight is to unleash the strong structure prior from the feed-forward visual geometry foundation model. Specifically, we propose a dual-encoder architecture: a pretrained 2D visual encoder to extract semantic features, and a 3D spatial encoder—initialized from the backbone of the visual geometry model—to extract 3D structure features. A connector then integrates both features into unified visual tokens for enhanced spatial understanding. Furthermore, we propose a space-aware frame sampling strategy at inference time, which selects the spatially informative frames of a video sequence, ensuring that even under limited token length, the model focuses on frames critical for spatial reasoning. Beyond architecture improvements, we construct a training dataset from multiple sources and train the model on it using supervised fine-tuning and GRPO. Extensive experiments on various real-world datasets demonstrate that Spatial-MLLM achieves state-of-the-art performance in a wide range of visual-based spatial understanding and reasoning tasks.

Computer Vision · Image and Video Generation

Yuxiang Bao, Huijie Liu, xun gao, Huan Fu, Guoliang Kang

Naive DDIM inversion process usually suffers from a trajectory deviation issue, i.e., the latent trajectory during reconstruction deviates from the one during inversion. To alleviate this issue, previous methods either learn to mitigate the deviation or design cumbersome compensation strategy to reduce the mismatch error, exhibiting substantial time and computation cost. In this work, we present a nearly free-lunch method (named FreeInv) to address the issue more effectively and efficiently. In FreeInv, we randomly transform the latent representation and keep the transformation the same between the corresponding inversion and reconstruction time-step. It is motivated from a statistical perspective that an ensemble of DDIM inversion processes for multiple trajectories yields a smaller trajectory mismatch error on expectation. Moreover, through theoretical analysis and empirical study, we show that FreeInv performs an efficient ensemble of multiple trajectories. FreeInv can be freely integrated into existing inversion-based image and video editing techniques. Especially for inverting video sequences, it brings more significant fidelity and efficiency improvements. Comprehensive quantitative and qualitative evaluation on PIE benchmark and DAVIS dataset shows that FreeInv remarkably outperforms conventional DDIM inversion, and is competitive among previous state-of-the-art inversion methods, with superior computation efficiency.

Theory · Learning Theory

Ling Tang, YueFeng Chen, Hui Xue', Quanshi Zhang

This paper proves a new fingerprinting method to embed the ownership information into a deep neural network (DNN) with theoretically guaranteed robustness to fine-tuning. Specifically, we prove that when the input feature of a convolutional layer only contains low-frequency components, specific frequency components of the convolutional filter will not be changed by gradient descent during the fine-tuning process, where we propose a revised Fourier transform to extract frequency components from the convolutional filter. Additionally, we also prove that these frequency components are equivariant to weight scaling and weight permutations. In this way, we design a fingerprint module to embed the fingerprint information into specific frequency components of convolutional filters. Preliminary experiments demonstrate the effectiveness of our method.

Social Aspects · Everything Else

Benjamin Arnav, Pablo Bernabeu-Perez, Nathan Helm-Burger, Timothy H. Kostolansky, Hannes Whittingham, Mary Phuong

As AI models are deployed with increasing autonomy, it is important to ensure they do not take harmful actions unnoticed. As a potential mitigation, we investigate Chain-of-Thought (CoT) monitoring, wherein a weaker trusted monitor model continuously oversees the intermediate reasoning steps of a more powerful but untrusted model. We compare CoT monitoring to action-only monitoring, where only final outputs are reviewed, in a red-teaming setup where the untrusted model is instructed to pursue harmful side tasks while completing a coding problem. We find that while CoT monitoring is more effective than overseeing only model outputs in scenarios where action-only monitoring fails to reliably identify sabotage, reasoning traces can contain misleading rationalizations that deceive the CoT monitors, reducing performance in obvious sabotage cases. To address this, we introduce a hybrid protocol that independently scores model reasoning and actions, and combines them using a weighted average. Our hybrid monitor consistently outperforms both CoT and action-only monitors across all tested models and tasks, with detection rates twice higher than action-only monitoring for subtle deception scenarios.

Applications · Language, Speech and Dialog

Zuwei Long, Yunhang Shen, Chaoyou Fu, Heting Gao, Lijiang Li, Peixian Chen, Mengdan Zhang, Hang Shao, Jian Li, Jinlong Peng 等

With the growing requirement for natural human-computer interaction, speech-based systems receive increasing attention as speech is one of the most common forms of daily communication. However, the existing speech models still experience high latency when generating the first audio token during streaming, which poses a significant bottleneck for deployment. To address this issue, we propose VITA-Audio, an end-to-end large speech model with fast audio-text token generation. Specifically, we introduce a lightweight Multiple Cross-modal Token Prediction (MCTP) module that efficiently generates multiple audio tokens within a single model forward pass, which not only accelerates the inference but also significantly reduces the latency for generating the first audio in streaming scenarios. In addition, a four-stage progressive training strategy is explored to achieve model acceleration with minimal loss of speech quality. To our knowledge, VITA-Audio is the first multi-modal large language model capable of generating audio output during the first forward pass, enabling real-time conversational capabilities with minimal latency. VITA-Audio is fully reproducible and is trained on open-source data only. Experimental results demonstrate that our model achieves an inference speedup of 3~5x at the 7B parameter scale, but also significantly outperforms open-source models of similar model size on multiple benchmarks for automatic speech recognition (ASR), text-to-speech (TTS), and spoken question answering (SQA) tasks.

Computer Vision · 3D Rendering & Reconstruction

QiXu, Dongxu Wei, Lingzhe Zhao, Wenpu Li, Zhangchi Huang, Shunping Ji, Peidong Liu

Simultaneous understanding and 3D reconstruction plays an important role in developing end-to-end embodied intelligent systems. To achieve this, recent approaches resort to 2D-to-3D feature alignment paradigm, which leads to limited 3D understanding capability and potential semantic information loss. In light of this, we propose SIU3R, the first alignment-free framework for generalizable simultaneous understanding and 3D reconstruction from unposed images. Specifically, SIU3R bridges reconstruction and understanding tasks via pixel-aligned 3D representation, and unifies multiple understanding tasks into a set of unified learnable queries, enabling native 3D understanding without the need of alignment with 2D models. To encourage collaboration between the two tasks with shared representation, we further conduct in-depth analyses of their mutual benefits, and propose two lightweight modules to facilitate their interaction. Extensive experiments demonstrate that our method achieves state-of-the-art performance not only on the individual tasks of 3D reconstruction and understanding, but also on the task of simultaneous understanding and 3D reconstruction, highlighting the advantages of our alignment-free framework and the effectiveness of the mutual benefit designs.

Social Aspects · Fairness, Equity, Justice and Safety

Yukun Chen, Boheng Li, Yu Yuan, Leyi Qi, Yiming Li, Tianwei Zhang, Zhan Qin, Kui Ren

Knowledge distillation (KD) is a vital technique for deploying deep neural networks (DNNs) on resource-constrained devices by transferring knowledge from large teacher models to lightweight student models. While teacher models from third-party platforms may undergo security verification (e.g., backdoor detection), we uncover a novel and critical threat: distillation-conditional backdoor attacks (DCBAs). DCBA injects dormant and undetectable backdoors into teacher models, which become activated in student models via the KD process, even with clean distillation datasets. While the direct extension of existing methods is ineffective for DCBA, we implement this attack by formulating it as a bilevel optimization problem and proposing a simple yet effective method (i.e., SCAR). Specifically, the inner optimization simulates the KD process by optimizing a surrogate student model, while the outer optimization leverages outputs from this surrogate to optimize the teacher model for implanting the conditional backdoor. Our SCAR addresses this complex optimization utilizing an implicit differentiation algorithm with a pre-optimized trigger injection function. Extensive experiments across diverse datasets, model architectures, and KD techniques validate the effectiveness of our SCAR and its resistance against existing backdoor detection, highlighting a significant yet previously overlooked vulnerability in the KD process. Our code is available at https://github.com/WhitolfChen/SCAR.

Social Aspects · Trustworthy Machine Learning

Boheng Li, Renjie Gu, Junjie Wang, Leyi Qi, Yiming Li, Run Wang, Zhan Qin, Tianwei Zhang

Text-to-image (T2I) diffusion models have achieved impressive image generation quality and are increasingly fine-tuned for personalized applications. However, these models often inherit unsafe behaviors from toxic pretraining data, raising growing safety concerns. While recent safety-driven unlearning methods have made promising progress in suppressing model toxicity, they are found to be fragile to downstream fine-tuning, as we reveal that state-of-the-art methods largely fail to retain their effectiveness even when fine-tuned on entirely benign datasets. To mitigate this problem, in this paper, we propose ResAlign, a safety-driven unlearning framework with enhanced resilience against downstream fine-tuning. By modeling downstream fine-tuning as an implicit optimization problem with a Moreau envelope-based reformulation, ResAlign enables efficient gradient estimation to minimize the recovery of harmful behaviors. Additionally, a meta-learning strategy is proposed to simulate a diverse distribution of fine-tuning scenarios to improve generalization. Extensive experiments across a wide range of datasets, fine-tuning methods, and configurations demonstrate that ResAlign consistently outperforms prior unlearning approaches in retaining safety, while effectively preserving benign generation capability. Our code and pretrained models are publicly available at https://github.com/AntigoneRandy/ResAlign.

Computer Vision · Vision Models & Multimodal

Zhenyu Yang, Kairui Zhang, Yuhang Hu, Bing Wang, Shengsheng Qian, Bin Wen, Fan Yang, Tingting Gao, Weiming Dong, Changsheng Xu

Despite significant progress in Video Large Language Models (Video-LLMs) for offline video understanding, existing online Video-LLMs typically struggle to simultaneously process continuous frame-by-frame inputs and determine optimal response timing, often compromising real-time responsiveness and narrative coherence. To address these limitations, we introduce LiveStar, a pioneering live streaming assistant that achieves always-on proactive responses through adaptive streaming decoding. Specifically, LiveStar incorporates: (1) a training strategy enabling incremental video-language alignment for variable-length video streams, preserving temporal consistency across dynamically evolving frame sequences; (2) a response-silence decoding framework that determines optimal proactive response timing via a single forward pass verification; (3) memory-aware acceleration via peak-end memory compression for online inference on 10+ minute videos, combined with streaming key-value cache to achieve 1.53× faster inference. We also construct an OmniStar dataset, a comprehensive dataset for training and benchmarking that encompasses 15 diverse real-world scenarios and 5 evaluation tasks for online video understanding. Extensive experiments across three benchmarks demonstrate LiveStar's state-of-the-art performance, achieving an average 19.5\% improvement in semantic correctness with 18.1\% reduced timing difference compared to existing online Video-LLMs, while improving FPS by 12.0\% across all five OmniStar tasks. Our model and dataset can be accessed at https://github.com/yzy-bupt/LiveStar.

Applications · Time Series

Zenan Ying, Zhi Zheng, huijun hou, Tong Xu, Qi Liu, Jinke Wang, Wei Chen

Multivariate time series (MTS) classification has attracted increasing attention across various domains. Existing methods either decompose MTS into separate univariate series, ignoring inter-variable dependencies, or jointly model all variables, which may lead to over-smoothing and loss of semantic structure. These limitations become particularly pronounced when dealing with complex and heterogeneous variable types. To address these challenges, we propose SwinGroupNet (SGN), which explores a novel perspective for constructing variable interaction and temporal dependency. Specifically, SGN processes multi-scale time series using (1) Variable Group Embedding (VGE), which partitions variables into groups and performs independent group-wise embedding; (2) Multi-Scale Group Window Mixing (MGWM), which reconstructs variable interactions by modeling both intra-group and inter-group dependencies while extracting multi-scale temporal features; and (3) Periodic Window Shifting and Merging (PWSM), which exploits inherent periodic patterns to enable hierarchical temporal interaction and feature aggregation. Extensive experiments on diverse benchmark datasets from multiple domains demonstrate that SGN consistently achieves state-of-the-art performance, with an average improvement of 4.2% over existing methods. We release the source code at https://anonymous.4open.science/r/SGN.

Computer Vision · Vision Models & Multimodal

Jonggwon Park, Byungmu Yoon, Soobum Kim, Kyoyun Choi

Recent advancements in multimodal models have significantly improved vision-language (VL) alignment in radiology. However, existing approaches struggle to effectively utilize complex radiology reports for learning and offer limited interpretability through attention probability visualizations. To address these challenges, we introduce $\textbf{RadZero}$, a novel framework for VL alignment in chest X-ray with zero-shot multi-task capability. A key component of our approach is $\textbf{VL-CABS}$ ($\textbf{V}$ision-$\textbf{L}$anguage $\textbf{C}$ross-$\textbf{A}$ttention $\textbf{B}$ased on $\textbf{S}$imilarity), which aligns text embeddings with local image features for interpretable, fine-grained VL reasoning. RadZero leverages large language models to extract concise semantic sentences from radiology reports and employs multi-positive contrastive training to effectively capture relationships between images and multiple relevant textual descriptions. It uses a pre-trained vision encoder with additional trainable Transformer layers, allowing efficient high-resolution image processing. By computing similarity between text embeddings and local image patch features, VL-CABS enables zero-shot inference with similarity probability for classification, and pixel-level VL similarity maps for grounding and segmentation. Experimental results on public chest radiograph benchmarks show that RadZero outperforms state-of-the-art methods in zero-shot classification, grounding, and segmentation. Furthermore, VL similarity map analysis highlights the potential of VL-CABS for improving explainability in VL alignment. Additionally, qualitative evaluation demonstrates RadZero's capability for open-vocabulary semantic segmentation, further validating its effectiveness in medical imaging. Code is available at https://github.com/deepnoid-ai/RadZero.