OneFocus: Enabling Real-World X-ray Security Screening with a Unified Vision-Language Model

Conventional vision-language models are largely object-centric, focusing on detecting and describing individual entities. In safety-critical X-ray baggage screening, however, threat often emerges not from a single object but from the functional compatibility of spatially dispersed components, such as batteries, detonators, and explosive charges. We formalize this setting as \emph{compositional threat reasoning}, where risk is modeled as a relational property of grounded regions rather than an independent detection outcome. We introduce \textbf{Falcon}, a multimodal framework that abstracts segmentation-aware region features into a structured safety state capturing component presence, pairwise functional compatibility, and scene-level risk. This structured representation is injected into the language model as an explicit intermediate interface, encouraging relationally consistent and safety-aware reasoning. To evaluate this problem, we present \textbf{Falcon-X}, a benchmark that unifies dense grounding with structured supervision over component completeness and risk inference in cluttered X-ray imagery. Experiments show that while existing multimodal models adapt to appearance, they struggle with compositional safety reasoning. Falcon improves functional grounding and produces more coherent threat assessments, establishing compositional safety reasoning as a distinct evaluation paradigm for multimodal systems.

The evaluation of vision-language models (VLMs) for chest X-ray (CXR) analysis has largely been limited to disease-presence classification without visual grounding. Such evaluations fail to verify the expert-level lesion perception necessary to ensure the clinical reliability of VLMs. To address these limitations, we introduce CheXpercept, a sequential, multi-level perception benchmark that mirrors a radiologist's cognitive workflow across coarse-level detection, fine-level contour evaluation and revision, and semantic-level attribute extraction. To ensure high clinical fidelity at scale, we construct the dataset using a semi-automated generation pipeline paired with a review by six medical experts. CheXpercept contains 10,400 QA items derived from 2,100 CXRs, covering seven clinically critical pulmonary and cardiac lesions. To demonstrate the current landscape of VLM perception, we benchmark 14 general and medical VLMs on CheXpercept. The models achieve adequate performance only at the coarse level, with accuracy degrading precipitously on deeper visual tasks. Notably, medical VLMs show almost no perceptual advantage over their general-domain counterparts, highlighting a systemic flaw in current domain adaptation. The code and dataset will be publicly available.

Prohibited-item detection in X-ray imagery remains challenging due to object superposition, weak texture, and material clutter which obscure both semantic appearance and object boundaries. We propose \textbf{DERA}, a \textbf{D}etached \textbf{E}dge-\textbf{R}esidual \textbf{A}daptation framework for prohibited item detection under X-ray imagery. DERA combines hierarchical visual features with a parallel pixel-difference edge pyramid and learns an object-specific boundary prior from training-time contours of the instance masks. The detached prior gates edge-sensitive features, which are injected into the early visual stages through residual heads. This staged design preserves the foundation detector at the start of adaptation, isolates boundary supervision from semantic feature learning, and restricts the final adaptation stage to only $14.7$K trainable parameters. Evaluated on PIDray, CLCXray, and STCray, DERA improves the baseline by \textbf{3.1}, \textbf{1.6}, and \textbf{2.4} AP points, respectively.