Vector quantization (VQ) transforms continuous image features into discrete representations, providing compressed, tokenized inputs for generative models. However, VQ-based frameworks suffer from several issues, such as non-smooth latent spaces, weak alignment between representations before and after quantization, and poor coherence between the continuous and discrete domains. These issues lead to unstable codeword learning and underutilized codebooks, ultimately degrading the performance of both reconstruction and downstream generation tasks. To this end, we propose VAEVQ, which comprises three key components: (1) Variational Latent Quantization (VLQ), replacing the AE with a VAE for quantization to leverage its structured and smooth latent space, thereby facilitating more effective codeword activation; (2) Representation Coherence Strategy (RCS), adaptively modulating the alignment strength between pre- and post-quantization features to enhance consistency and prevent overfitting to noise; and (3) Distribution Consistency Regularization (DCR), aligning the entire codebook distribution with the continuous latent distribution to improve utilization. Extensive experiments on two benchmark datasets demonstrate that VAEVQ outperforms state-of-the-art methods.

Cancer survival analysis aims to predict survival outcomes to evaluate the efficacy and prognosis of treatment. Although current approaches have designed diverse cross-modal learning methods to integrate genetic data and pathology images, they are frequently hindered by data redundancy. Pattern representation in high-dimensional genetic data remains a significant hurdle. Pathology data analysis is computationally intensive because of the giga-pixel resolution. Moreover, the heterogeneity of data types poses a barrier to extending multimodal fusion methods. To address the aforementioned issues, we propose a novel LLM-driven Cross-Modality MoE-feature Fusion Network (LCM-Net) with three innovative modules for boosting cancer survival prediction. Specifically, the Genomic Language Alignment (GLA) module integrates genomic features with learnable prompts. Utilizing large language models, it encodes genomic information into concise and semantically relevant representations. Then, we devise the Pathological Feature Refinement (PFR) module to serve as a plug-and-play component that filters out irrelevant regions in pathology images. Finally, we propose a Multimodal Expert Integration (MEI) module to effectively leverage the capabilities of different experts, integrating the processed features from both the genomic and pathological domains. Extensive experiments on five public datasets demonstrate that our approach outperforms state-of-the-art methods, and the ablation study confirms the effectiveness of the proposed modules. Our code is publicly available at https://github.com/script-Yang/LCM-Net.

Consistency learning with feature perturbation is a widely used strategy in semi-supervised medical image segmentation. However, many existing perturbation methods rely on dropout, and thus require a careful manual tuning of the dropout rate, which is a sensitive hyperparameter and often difficult to optimize and may lead to suboptimal regularization. To overcome this limitation, we propose VQ-Seg, the first approach to employ vector quantization (VQ) to discretize the feature space and introduce a novel and controllable Quantized Perturbation Module (QPM) that replaces dropout. Our QPM perturbs discrete representations by shuffling the spatial locations of codebook indices, enabling effective and controllable regularization. To mitigate potential information loss caused by quantization, we design a dual-branch architecture where the post-quantization feature space is shared by both image reconstruction and segmentation tasks. Moreover, we introduce a Post-VQ Feature Adapter (PFA) to incorporate guidance from a foundation model (FM), supplementing the high-level semantic information lost during quantization. Furthermore, we collect a large-scale Lung Cancer (LC) dataset comprising 828 CT scans annotated for central-type lung carcinoma. Extensive experiments on the LC dataset and other public benchmarks demonstrate the effectiveness of our method, which outperforms state-of-the-art approaches. Codes will be released.