Deep unrolling models (DUMs) have shown great poten-tial in sparse-view CT reconstruction by combining itera-tive optimization and deep learning. However, most DUMsinsufficiently account for physical degradation from sparse-view imaging, leading to slow convergence and persistentartifacts. To address this, we propose PAUM, a Physics-Aware Accelerated Unrolling Model explicitly incorporatingCT imaging physics into the iterative reconstruction. PAUMfirst introduces a Dual-Domain Physics-Aware Extrapolation(DDPE) module. By modeling dual-domain degradations, itperforms row-wise extrapolation in the sinogram domain toimprove missing view recovery, and pixel-wise extrapolationin the image domain to address spatially variant degradationfrom incomplete backprojection. This physics-aware extrap-olation aligns optimization dynamics with underlying physi-cal imaging degradation, significantly enhances structural up-dates, thereby accelerating convergence. Subsequently, wedevelop a lightweight Block-Attention Deformable Regu-larization Network (BDRN), leveraging deformable convo-lutions and block-wise attention to model spatially variantand structured artifact physical characteristics. This enablesspatially adaptive regularization on extrapolated results, ef-fectively improving reconstruction quality. Extensive exper-iments demonstrate PAUM achieves over 1dB improvementcompared to SOTA methods, while reducing iteration countby 50%.

Despite significant advancements in automated report generation, the opaqueness of text interpretability continues to cast doubt on the reliability of the content produced. This paper introduces a novel approach to identify specific image features in X-ray images that influence the outputs of report generation models. Specifically, we propose Cyclic Vision-Language Manipulator (CVLM), a module to generate a manipulated X-ray from an original X-ray and its report from a designated report generator. The essence of CVLM is that cycling manipulated X-rays to the report generator produces altered reports aligned with the alterations pre-injected into the reports for X-ray generation, achieving the term ``cyclic manipulation''. This process allows direct comparison between original and manipulated X-rays, clarifying the critical image features driving changes in reports and enabling model users to assess the reliability of the generated texts. Empirical evaluations demonstrate that CVLM can identify more precise and reliable features compared to existing explanation methods, significantly enhancing the transparency and applicability of AI-generated reports.