{"_canonicalization":{"envelope_id":"axm_ + sha256(envelope minus {signature, axiom_id, anchors})","envelope_signature":"ed25519(envelope minus {signature, axiom_id})","json":"sort_keys=True, separators=(',',':'), ensure_ascii=False, allow_nan=False, utf-8","leaf_hash":"sha256(0x00 || canonical_json(envelope_full))","seal_signature":"ed25519(seal minus {signature, sig_algorithm})"},"axiom_id":"axm_f549bc09ea436b559a04e2d8bed0cc1c150ef2769676634ce6201a7985141eb2","bitcoin_anchor":{"bitcoin_attestations":[],"calendar_attestations":[],"ots_url":"","stamped_at":"","status":"pending_next_stamp"},"envelope":{"anchors":[{"chain":"crovia.axiom_graph","height":0,"merkle_proof":"spider_vendor_press_v1","root_at_anchor":"spider_vendor_press_v1"}],"axiom_id":"axm_f549bc09ea436b559a04e2d8bed0cc1c150ef2769676634ce6201a7985141eb2","axiom_type":"AX.OBS","body":{"axiom_subtype":"news.vendor_press.v1","category":"news","fingerprint":"9dee1840b8892906d82b09b534e41f5ec336be9430519d8ab273569f16e5da96","published":"Tue, 26 May 2026 00:00:00 -0400","receipt_hash":"9dee1840b8892906d82b09b534e41f5ec336be9430519d8ab273569f16e5da96","schema":"spider.news.vendor_press.v1","spider":"vendor_press","spider_record":{"axiom_subtype":"news.vendor_press.v1","category":"news","decision_hint":"POSITIVE","envelope_target":"AX.OBS","fingerprint":"9dee1840b8892906d82b09b534e41f5ec336be9430519d8ab273569f16e5da96","observed_at":"2026-05-26T04:43:39.018238Z","parent_run_hash":"dca8dedd754ad6a1772113d6b97ee4f4ab9a0afbdeb44aaace5ff2d2446b164b","published":"Tue, 26 May 2026 00:00:00 -0400","runtime_version":"0.1.0","schema":"spider.news.vendor_press.v1","source_status":200,"source_url":"https://export.arxiv.org/rss/cs.AI","spider":"vendor_press","summary_excerpt":"arXiv:2605.21652v2 Announce Type: replace-cross \nAbstract: Vision-Language Models (VLMs) have significantly advanced medical visual question answering, yet their performance in ultrasound remains suboptimal. In clinical practice, sonographers explicitly focus on lesion regions to formulate reports, though diagnostic interpretations sometimes vary due to inherent subjectivity. However, existing VLMs are not explicitly structured to interactively zoom into lesions prior to diagnosis; moreover, they typically treat annotations as unbiased ground truths, failing to account for their inherent subjectivity and ambiguity. In this paper, we propose a framework specifically designed to consider the sonographer's cognitive workflow. We first introduce a structured Zoom-then-Diagnose paradigm, which replicates the interactive search process to enable lesion-focused reasoning. Furthermore, within the Group Relative Policy Optimization (GRPO) framework, we introduce an uncertainty-aware reward deri","title":"Look-Closer-Then-Diagnose: Confidence-Aware Ultrasound VQA via Active Zooming","url":"https://arxiv.org/abs/2605.21652","vendor":"arxiv_cs_ai"},"summary":"arXiv:2605.21652v2 Announce Type: replace-cross \nAbstract: Vision-Language Models (VLMs) have significantly advanced medical visual question answering, yet their performance in ultrasound remains suboptimal. In clinical practice, sonographers explicitly focus on lesion regions to formulate reports, though diagnostic interpretations sometimes vary due to inherent subjectivity. However, existing VLMs are not explicitly structured to interactively zoom into lesions prior to diagnosis; moreover, they typically treat annotations as unbiased ground truths, failing to account for their inherent subjectivity and ambiguity. In this paper, we propose a framework specifically designed to consider the sonographer's cognitive workflow. We first introduce a structured Zoom-then-Diagnose paradigm, which replicates the interactive search process to enable lesion-focused reasoning. Furthermore, within the Group Relative Policy Optimization (GRPO) framework, we introduce an uncertainty-aware reward deri","title":"Look-Closer-Then-Diagnose: Confidence-Aware Ultrasound VQA via Active Zooming","vendor":"arxiv_cs_ai"},"confidence":{"method":"deterministic"},"decision":"POSITIVE","issued_at":"2026-05-26T04:43:39Z","notes":"Spider vendor_press (news) news.vendor_press.v1","object":{"captured_by":"crovia.spider.vendor_press","primary_source_url":"https://arxiv.org/abs/2605.21652"},"predecessors":[],"schema":"crovia.axiom.v1","signature":"ed25519:6e056dfa60b4b132e487a3d1622cccec1d399b7331e135b6bb2316058e0cd9a7237dd366ea4e9d44a9f93c52371c9c75e18dda4035212812a75f056842def60e","signer":"crovia.substrate","subject":{"observed_at":"2026-05-26T04:43:39Z","source_collector":"spider:vendor_press","target_id":"https://arxiv.org/abs/2605.21652"},"tsa":{"authority":"crovia.substrate.bootstrap","rfc3161_token":"{\"kind\":\"crovia.bootstrap.tsa\",\"source_jsonl\":\"/opt/crovia/spider/data/news/vendor_press_v1.jsonl\",\"source_seal_merkle_root\":\"spider_vendor_press_v1\",\"upgrade_path\":\"Sessione H \\u2014 OpenTimestamps weekly anchor\"}"},"zk_mode":"clear","zk_proof":null},"ledger":{"leaf_hash":"1eb724c2709a719de798891d802639ffa50acc9c0092810239208c65cbfd7326","leaf_index":152044,"ledger_path":"/opt/crovia/substrate/axiom_ledger.jsonl"},"merkle_proof":{"hash_alg":"sha256","leaf_prefix":"0x00","node_prefix":"0x01","odd_leaf_rule":"duplicate_last","path":[{"sibling":"2be03bed69092e26145987e1f9ab3bec5c44bf28ecf06a19707050877ed9cab1","side":"right"},{"sibling":"709d0c9d58a3aa1d57ae44c50e1d943c7b42aa2f9e326134f9903a04a2d0080f","side":"right"},{"sibling":"8c31b505deb7c497c54cdd1db96016ddb8bda4a680763e10767fc17a1dd603c2","side":"left"},{"sibling":"e887a9ca428a784f10dda312b6be3de548303b48542dcd49595535ef00c831e2","side":"left"},{"sibling":"0bfa45118f28065cecddb944a907a624469dfa771dfe8932d84a36b9de184b15","side":"right"},{"sibling":"e00d00757abd1d7c21235eda87312fd78a507bad9b99e44ef00aed09679ae48e","side":"left"},{"sibling":"54ecd916cdbd2e94176c7d608334aecfb97db5681b6acb08e8daa14ac57fec78","side":"left"},{"sibling":"8b0755e3ba26ea95e61e8d0e6362ce6cbe9991903d18e148b0cba214724147ec","side":"left"},{"sibling":"6c8b632bc887ad8683d2d08a66a66babfd1e8e43de4b1b760ed3f3d35d5b02e1","side":"left"},{"sibling":"879666fab72e779ab55d0564eaabd64b00534fd6bba7f18412c7f31f61ffd09f","side":"right"},{"sibling":"f40ccedd90c323817e961adc0a2e2db82b8aabe192b6c9d5a373ff988987b207","side":"right"},{"sibling":"b85ea61ae405eed84392a7b6b1eee5536f5a38d6b04070638e23ec7b71e3443a","side":"right"},{"sibling":"d415e6939aee710631f5062799379b547d2c3e3d9a68f263bbb5a693285ab2ca","side":"left"},{"sibling":"e5893793e3591ed7f5e58ca94ffcfba46bb30f69fb1c25d5ba8ef49eb99f9126","side":"right"},{"sibling":"35ca36cee447f0ef7064a25d55f59357c66901e31427729c4c1d8b14aa8adb6c","side":"left"},{"sibling":"e3eecaf996dbe7229a7bb1d234c97aea97a252c5f7c89f8547b6d091db0f0e40","side":"right"},{"sibling":"55bcbd4da3e20d93931f7e58673f10232e81a5b1514d7396cb4b71e8f95788d0","side":"right"},{"sibling":"d841ad93efda0869e5eb97678f348f03f5caab4353e05ff4bf18f47fb945b822","side":"left"}]},"schema":"crovia.axiom_proof.v1","seal":{"first_collector_run_id":"","first_receipt_hash":"","jsonl_path":"/opt/crovia/substrate/axiom_ledger.jsonl","key_id":"430895f101d38164","last_collector_run_id":"","last_receipt_hash":"","leaf_count":152106,"merkle_root":"ac5182c6f3dd09931f2a689df5f4be36df7b55e55bcf106e195671f5ed55fd8f","public_key_hex":"cf742e26f75669dc673cb5c0786a1ae23ae8ca19c347317192ce40c28a7ff25c","run_id":"hourly_json_retrofit_20260526T053701Z","schema":"crovia.seal.v1","seal_family_version":"crovia-seal-family/1","seal_kind":"substrate_batch","sealed_at":"2026-05-26T05:37:34Z","sig_algorithm":"ed25519","signature":"a401243fbd2c077d29a623c6ef616c78fbd5c8ce1930afa7af7165b2386e5a8cf15d5094983a1c962e71b27b911a3f3ce09c8cfab9393be2ce5ce8ee6513da06","signer_version":"1.1.0"},"trust_root":{"key_id":"430895f101d38164","public_key_hex":"cf742e26f75669dc673cb5c0786a1ae23ae8ca19c347317192ce40c28a7ff25c","signature_algorithm":"ed25519","url":"/registry/canon/TRUST_ROOT.md"},"verifier":{"spec":"/registry/canon/AXIOM_RECEIPT_v1.md","url":"/v/axm_f549bc09ea436b559a04e2d8bed0cc1c150ef2769676634ce6201a7985141eb2"}}