Yuan Zhong

Shizhan Gong, Yuan Zhong, Wenao Ma et al.

Despite that the segment anything model (SAM) achieved impressive results on general-purpose semantic segmentation with strong generalization ability on daily images, its demonstrated performance on medical image segmentation is less precise and not stable, especially when dealing with tumor segmentation tasks that involve objects of small sizes, irregular shapes, and low contrast. Notably, the original SAM architecture is designed for 2D natural images, therefore would not be able to extract the 3D spatial information from volumetric medical data effectively. In this paper, we propose a novel adaptation method for transferring SAM from 2D to 3D for promptable medical image segmentation. Through a holistically designed scheme for architecture modification, we transfer the SAM to support volumetric inputs while retaining the majority of its pre-trained parameters for reuse. The fine-tuning process is conducted in a parameter-efficient manner, wherein most of the pre-trained parameters remain frozen, and only a few lightweight spatial adapters are introduced and tuned. Regardless of the domain gap between natural and medical data and the disparity in the spatial arrangement between 2D and 3D, the transformer trained on natural images can effectively capture the spatial patterns present in volumetric medical images with only lightweight adaptations. We conduct experiments on four open-source tumor segmentation datasets, and with a single click prompt, our model can outperform domain state-of-the-art medical image segmentation models on 3 out of 4 tasks, specifically by 8.25%, 29.87%, and 10.11% for kidney tumor, pancreas tumor, colon cancer segmentation, and achieve similar performance for liver tumor segmentation. We also compare our adaptation method with existing popular adapters, and observed significant performance improvement on most datasets.

Yuan Zhong, Chenhui Tang, Yumeng Yang et al.

Eye gaze that reveals human observational patterns has increasingly been incorporated into solutions for vision tasks. Despite recent explorations on leveraging gaze to aid deep networks, few studies exploit gaze as an efficient annotation approach for medical image segmentation which typically entails heavy annotating costs. In this paper, we propose to collect dense weak supervision for medical image segmentation with a gaze annotation scheme. To train with gaze, we propose a multi-level framework that trains multiple networks from discriminative human attention, simulated with a set of pseudo-masks derived by applying hierarchical thresholds on gaze heatmaps. Furthermore, to mitigate gaze noise, a cross-level consistency is exploited to regularize overfitting noisy labels, steering models toward clean patterns learned by peer networks. The proposed method is validated on two public medical datasets of polyp and prostate segmentation tasks. We contribute a high-quality gaze dataset entitled GazeMedSeg as an extension to the popular medical segmentation datasets. To the best of our knowledge, this is the first gaze dataset for medical image segmentation. Our experiments demonstrate that gaze annotation outperforms previous label-efficient annotation schemes in terms of both performance and annotation time. Our collected gaze data and code are available at: https://github.com/med-air/GazeMedSeg.

Meirui Jiang, Yuan Zhong, Anjie Le et al.

Despite recent progress in enhancing the privacy of federated learning (FL) via differential privacy (DP), the trade-off of DP between privacy protection and performance is still underexplored for real-world medical scenario. In this paper, we propose to optimize the trade-off under the context of client-level DP, which focuses on privacy during communications. However, FL for medical imaging involves typically much fewer participants (hospitals) than other domains (e.g., mobile devices), thus ensuring clients be differentially private is much more challenging. To tackle this problem, we propose an adaptive intermediary strategy to improve performance without harming privacy. Specifically, we theoretically find splitting clients into sub-clients, which serve as intermediaries between hospitals and the server, can mitigate the noises introduced by DP without harming privacy. Our proposed approach is empirically evaluated on both classification and segmentation tasks using two public datasets, and its effectiveness is demonstrated with significant performance improvements and comprehensive analytical studies. Code is available at: https://github.com/med-air/Client-DP-FL.

Ruinan Jin, Zikang Xu, Yuan Zhong et al.

The advent of foundation models (FMs) in healthcare offers unprecedented opportunities to enhance medical diagnostics through automated classification and segmentation tasks. However, these models also raise significant concerns about their fairness, especially when applied to diverse and underrepresented populations in healthcare applications. Currently, there is a lack of comprehensive benchmarks, standardized pipelines, and easily adaptable libraries to evaluate and understand the fairness performance of FMs in medical imaging, leading to considerable challenges in formulating and implementing solutions that ensure equitable outcomes across diverse patient populations. To fill this gap, we introduce FairMedFM, a fairness benchmark for FM research in medical imaging.FairMedFM integrates with 17 popular medical imaging datasets, encompassing different modalities, dimensionalities, and sensitive attributes. It explores 20 widely used FMs, with various usages such as zero-shot learning, linear probing, parameter-efficient fine-tuning, and prompting in various downstream tasks -- classification and segmentation. Our exhaustive analysis evaluates the fairness performance over different evaluation metrics from multiple perspectives, revealing the existence of bias, varied utility-fairness trade-offs on different FMs, consistent disparities on the same datasets regardless FMs, and limited effectiveness of existing unfairness mitigation methods. Checkout FairMedFM's project page and open-sourced codebase, which supports extendible functionalities and applications as well as inclusive for studies on FMs in medical imaging over the long term.

Yuan Zhong, Suhan Cui, Jiaqi Wang et al.

Health risk prediction is one of the fundamental tasks under predictive modeling in the medical domain, which aims to forecast the potential health risks that patients may face in the future using their historical Electronic Health Records (EHR). Researchers have developed several risk prediction models to handle the unique challenges of EHR data, such as its sequential nature, high dimensionality, and inherent noise. These models have yielded impressive results. Nonetheless, a key issue undermining their effectiveness is data insufficiency. A variety of data generation and augmentation methods have been introduced to mitigate this issue by expanding the size of the training data set through the learning of underlying data distributions. However, the performance of these methods is often limited due to their task-unrelated design. To address these shortcomings, this paper introduces a novel, end-to-end diffusion-based risk prediction model, named MedDiffusion. It enhances risk prediction performance by creating synthetic patient data during training to enlarge sample space. Furthermore, MedDiffusion discerns hidden relationships between patient visits using a step-wise attention mechanism, enabling the model to automatically retain the most vital information for generating high-quality data. Experimental evaluation on four real-world medical datasets demonstrates that MedDiffusion outperforms 14 cutting-edge baselines in terms of PR-AUC, F1, and Cohen's Kappa. We also conduct ablation studies and benchmark our model against GAN-based alternatives to further validate the rationality and adaptability of our model design. Additionally, we analyze generated data to offer fresh insights into the model's interpretability.

Wenlong Deng, Yuan Zhong, Qi Dou et al.

Mitigating the discrimination of machine learning models has gained increasing attention in medical image analysis. However, rare works focus on fair treatments for patients with multiple sensitive demographic ones, which is a crucial yet challenging problem for real-world clinical applications. In this paper, we propose a novel method for fair representation learning with respect to multi-sensitive attributes. We pursue the independence between target and multi-sensitive representations by achieving orthogonality in the representation space. Concretely, we enforce the column space orthogonality by keeping target information on the complement of a low-rank sensitive space. Furthermore, in the row space, we encourage feature dimensions between target and sensitive representations to be orthogonal. The effectiveness of the proposed method is demonstrated with extensive experiments on the CheXpert dataset. To our best knowledge, this is the first work to mitigate unfairness with respect to multiple sensitive attributes in the field of medical imaging.

Yuan Zhong, Jiaxin Cheng, Hefu Ye et al.

Learning control strategies with provable stability guarantees continues to be a challenging problem. In this work, we examine a family of training-time behaviors exhibited by existing neural Lyapunov control methods under specific conditions, which can hinder the synthesis of a provably stable controller. We identify the root cause as the lack of neural network architectural guarantees on the learned Lyapunov function, and propose PolarNet, a network architecture that provably addresses these issues by structurally guarantee to have a single critical point. We provide theoretical guarantee regarding the properness and universality of PolarNet for modeling Lyapunov functions, and show that using it as a drop-in replacement in existing neural Lyapunov control methods can effectively circumvent particular difficulties in training. We conduct a set of numerical experiments to verify that PolarNet consistently maintains a single critical point and, when used as a drop-in replacement in existing neural Lyapunov control methods, successfully avoids training failures caused by the lack of architectural guarantees. The code of this paper is available at https://github.com/23-zy/PolarNet.

Xiaochen Wang, Junyu Luo, Jiaqi Wang et al.

Pretraining has proven to be a powerful technique in natural language processing (NLP), exhibiting remarkable success in various NLP downstream tasks. However, in the medical domain, existing pretrained models on electronic health records (EHR) fail to capture the hierarchical nature of EHR data, limiting their generalization capability across diverse downstream tasks using a single pretrained model. To tackle this challenge, this paper introduces a novel, general, and unified pretraining framework called MEDHMP, specifically designed for hierarchically multimodal EHR data. The effectiveness of the proposed MEDHMP is demonstrated through experimental results on eight downstream tasks spanning three levels. Comparisons against eighteen baselines further highlight the efficacy of our approach.

Zilong Bai, Ruiji Zhang, Linqing Chen et al.

In recent years, large language models(LLMs) have attracted significant attention due to their exceptional performance across a multitude of natural language process tasks, and have been widely applied in various fields. However, the application of large language models in the Intellectual Property (IP) domain is challenging due to the strong need for specialized knowledge, privacy protection, processing of extremely long text in this field. In this technical report, we present for the first time a low-cost, standardized procedure for training IP-oriented LLMs, meeting the unique requirements of the IP domain. Using this standard process, we have trained the PatentGPT series models based on open-source pretrained models. By evaluating them on the open-source IP-oriented benchmark MOZIP, our domain-specific LLMs outperforms GPT-4, indicating the effectiveness of the proposed training procedure and the expertise of the PatentGPT models in the IP domain. Remarkably, our model surpassed GPT-4 on the 2019 China Patent Agent Qualification Examination, scoring 65 and matching human expert levels. Additionally, the PatentGPT model, which utilizes the SMoE architecture, achieves performance comparable to that of GPT-4 in the IP domain and demonstrates a better cost-performance ratio on long-text tasks, potentially serving as an alternative to GPT-4 within the IP domain.

Yuan Zhong, Jingxiang Sun, Liang An et al.

Laboratory mice play a crucial role in biomedical research, yet accurate 3D mouse surface motion reconstruction remains challenging due to their complex non-rigid geometric deformations and textureless appearance. Moreover, the absence of structured 3D datasets severely hinders the progress beyond sparse keypoint tracking. To narrow the gap, we present MoReMouse, the first monocular dense 3D reconstruction network tailored for laboratory mice. To achieve this goal, we highlight three key designs. First, we construct the first high-fidelity dense-view synthetic dataset for mice, by rendering our self-designed realistic Gaussian mouse avatar. Second, MoReMouse adopts a transformer-based feedforward architecture with triplane representation, achieving high-quality 3D surface generation from a single image. Third, we create geodesic-based continuous correspondence embeddings on mouse surface, which serve as strong semantic priors to improve reconstruction stability and surface consistency. Extensive quantitative and qualitative experiments demonstrate that MoReMouse significantly outperforms existing open-source methods in accuracy and robustness. Video results are available at https://zyyw-eric.github.io/MoreMouse-webpage/.

Moein Hasani, Hamidreza Shahidi, Trace Levinson et al.

Personalized storefronts in large e-commerce marketplaces are often assembled from many independent components: static themes per page section ("placement"), retrieval systems to fetch eligible products per placement, and pointwise rankers to order content. While effective in optimizing for aggregate preferences, this paradigm is rigid and can limit personalization and semantic cohesion across the page. This makes it poorly suited to support dynamic objectives and merchandising requirements over time. To address this, we introduce a cascaded merchandising framework that decomposes storefront construction into two generative tasks: (i) placement-level theme generation and (ii) constrained keyword generation per placement to power product retrieval. Teacher-student fine-tuning is leveraged to improve scalability of this framework under production latency and cost constraints. Fine-tuned model ablations are shown to approach closed-weight LLM performance. We further contribute frameworks for AI-driven content evaluation and quality filtering, enabling safe and automated deployment of dynamic content at scale. Generative output is fused with traditional ranking models to preserve hybrid infrastructure. In online experiments, this framework yields an estimated +2.7% lift in cart adds per page view over a strong baseline.

Xiaokun Zhang, Bo Xu, Youlin Wu et al.

Sequential recommendation is dedicated to offering items of interest for users based on their history behaviors. The attribute-opinion pairs, expressed by users in their reviews for items, provide the potentials to capture user preferences and item characteristics at a fine-grained level. To this end, we propose a novel framework FineRec that explores the attribute-opinion pairs of reviews to finely handle sequential recommendation. Specifically, we utilize a large language model to extract attribute-opinion pairs from reviews. For each attribute, a unique attribute-specific user-opinion-item graph is created, where corresponding opinions serve as the edges linking heterogeneous user and item nodes. To tackle the diversity of opinions, we devise a diversity-aware convolution operation to aggregate information within the graphs, enabling attribute-specific user and item representation learning. Ultimately, we present an interaction-driven fusion mechanism to integrate attribute-specific user/item representations across all attributes for generating recommendations. Extensive experiments conducted on several realworld datasets demonstrate the superiority of our FineRec over existing state-of-the-art methods. Further analysis also verifies the effectiveness of our fine-grained manner in handling the task.

Barış Ata, Wouter van Eekelen, Yuan Zhong

We consider a discrete-time formulation for a class of high-dimensional stochastic joint replenishment problems. First, we approximate the problem by a continuous-time impulse control problem. Exploiting connections among the impulse control problem, backward stochastic differential equations (BSDEs) with jumps, and the stochastic target problem, we develop a novel, simulation-based computational method that relies on deep neural networks to solve the impulse control problem. Based on that solution, we propose an implementable inventory control policy for the original (discrete-time) stochastic joint replenishment problem, and test it against the best available benchmarks in a series of test problems. For the problems studied thus far, our method matches or beats the best benchmark we could find, and it is computationally feasible up to at least 50 dimensions -- that is, 50 stock-keeping units (SKUs).

Jiaqi Wang, Junyu Luo, Muchao Ye et al.

The development of electronic health records (EHR) systems has enabled the collection of a vast amount of digitized patient data. However, utilizing EHR data for predictive modeling presents several challenges due to its unique characteristics. With the advancements in machine learning techniques, deep learning has demonstrated its superiority in various applications, including healthcare. This survey systematically reviews recent advances in deep learning-based predictive models using EHR data. Specifically, we begin by introducing the background of EHR data and providing a mathematical definition of the predictive modeling task. We then categorize and summarize predictive deep models from multiple perspectives. Furthermore, we present benchmarks and toolkits relevant to predictive modeling in healthcare. Finally, we conclude this survey by discussing open challenges and suggesting promising directions for future research.

X. Y. Han, Yuan Zhong

In large-scale AI training, Sparse Mixture-of-Experts (s-MoE) layers enable scaling by activating only a small subset of experts per token. An operational challenge in this design is load balancing: routing tokens to minimize the number of idle experts, which is important for the efficient utilization of (costly) GPUs. We provide a theoretical framework for analyzing the Auxiliary-Loss-Free Load Balancing (ALF-LB) procedure -- proposed by DeepSeek's Wang et al. (2024) -- by casting it as a one-step-per-iteration primal-dual method for an assignment problem. First, in a stylized deterministic setting, our framework yields several insightful structural properties: (i) a monotonic improvement of a Lagrangian objective, (ii) a preference rule that moves tokens from overloaded to underloaded experts, and (iii) an approximate-balancing guarantee. Then, we incorporate the stochastic and dynamic nature of AI training using a generalized online optimization formulation. In the online setting, we derive a strong convexity property of the objective that leads to a logarithmic expected regret bound under certain step-size choices. Additionally, we present real experiments on 1B-parameter DeepSeekMoE models to complement our theoretical findings. Together, these results build a principled framework for analyzing the Auxiliary-Loss-Free Load Balancing of s-MoE in AI models.

Yuan Zhong, Ruinan Jin, Qi Dou et al.

Vision Language Models (VLMs) have shown promise in automating image diagnosis and interpretation in clinical settings. However, developing specialist medical VLMs requires substantial computational resources and carefully curated datasets, and it remains unclear under which conditions generalist and specialist medical VLMs each perform best. This study highlights the complementary strengths of specialist medical and generalist VLMs. Specialists remain valuable in modality-aligned use cases, but we find that efficiently fine-tuned generalist VLMs can achieve comparable or even superior performance in most tasks, particularly when transferring to unseen or rare OOD medical modalities. These results suggest that generalist VLMs, rather than being constrained by their lack of specialist medical pretraining, may offer a scalable and cost-effective pathway for advancing clinical AI development.

Xiaochen Wang, Zongyu Wu, Yuan Zhong et al.

Graph retrieval-augmented generation (GRAG) places high demands on graph-specific retrievers. However, existing retrievers often rely on language models pretrained on plain text, limiting their effectiveness due to domain misalignment and structure ignorance. To address these challenges, we propose GPR, a graph-based retriever pretrained directly on knowledge graphs. GPR aligns natural language questions with relevant subgraphs through LLM-guided graph augmentation and employs a structure-aware objective to learn fine-grained retrieval strategies. Experiments on two datasets, three LLM backbones, and five baselines show that GPR consistently improves both retrieval quality and downstream generation, demonstrating its effectiveness as a robust retrieval solution for GRAG.

Xiaochen Wang, Yuan Zhong, Lingwei Zhang et al.

Medical deep learning models depend heavily on domain-specific knowledge to perform well on knowledge-intensive clinical tasks. Prior work has primarily leveraged unimodal knowledge graphs, such as the Unified Medical Language System (UMLS), to enhance model performance. However, integrating multimodal medical knowledge graphs remains largely underexplored, mainly due to the lack of resources linking imaging data with clinical concepts. To address this gap, we propose MEDMKG, a Medical Multimodal Knowledge Graph that unifies visual and textual medical information through a multi-stage construction pipeline. MEDMKG fuses the rich multimodal data from MIMIC-CXR with the structured clinical knowledge from UMLS, utilizing both rule-based tools and large language models for accurate concept extraction and relationship modeling. To ensure graph quality and compactness, we introduce Neighbor-aware Filtering (NaF), a novel filtering algorithm tailored for multimodal knowledge graphs. We evaluate MEDMKG across three tasks under two experimental settings, benchmarking twenty-four baseline methods and four state-of-the-art vision-language backbones on six datasets. Results show that MEDMKG not only improves performance in downstream medical tasks but also offers a strong foundation for developing adaptive and robust strategies for multimodal knowledge integration in medical artificial intelligence.

Yuan Zhong, Xiaochen Wang, Jiaqi Wang et al.

Synthesizing electronic health records (EHR) data has become a preferred strategy to address data scarcity, improve data quality, and model fairness in healthcare. However, existing approaches for EHR data generation predominantly rely on state-of-the-art generative techniques like generative adversarial networks, variational autoencoders, and language models. These methods typically replicate input visits, resulting in inadequate modeling of temporal dependencies between visits and overlooking the generation of time information, a crucial element in EHR data. Moreover, their ability to learn visit representations is limited due to simple linear mapping functions, thus compromising generation quality. To address these limitations, we propose a novel EHR data generation model called EHRPD. It is a diffusion-based model designed to predict the next visit based on the current one while also incorporating time interval estimation. To enhance generation quality and diversity, we introduce a novel time-aware visit embedding module and a pioneering predictive denoising diffusion probabilistic model (PDDPM). Additionally, we devise a predictive U-Net (PU-Net) to optimize P-DDPM.We conduct experiments on two public datasets and evaluate EHRPD from fidelity, privacy, and utility perspectives. The experimental results demonstrate the efficacy and utility of the proposed EHRPD in addressing the aforementioned limitations and advancing EHR data generation.

Suhan Cui, Jiaqi Wang, Yuan Zhong et al.

The widespread adoption of Electronic Health Record (EHR) systems in healthcare institutes has generated vast amounts of medical data, offering significant opportunities for improving healthcare services through deep learning techniques. However, the complex and diverse modalities and feature structures in real-world EHR data pose great challenges for deep learning model design. To address the multi-modality challenge in EHR data, current approaches primarily rely on hand-crafted model architectures based on intuition and empirical experiences, leading to sub-optimal model architectures and limited performance. Therefore, to automate the process of model design for mining EHR data, we propose a novel neural architecture search (NAS) framework named AutoFM, which can automatically search for the optimal model architectures for encoding diverse input modalities and fusion strategies. We conduct thorough experiments on real-world multi-modal EHR data and prediction tasks, and the results demonstrate that our framework not only achieves significant performance improvement over existing state-of-the-art methods but also discovers meaningful network architectures effectively.

Di Wu, Tongxin Zhang, Yuan Zhong et al.

Preliminary mission design requires an efficient and accurate approximation to the low-thrust rendezvous trajectories, which might be generally three-dimensional and involve multiple revolutions. In this paper, a new shaping method using cubic spline functions is developed for the analytical approximation, which shows advantages in the optimality and computational efficiency. The rendezvous constraints on the boundary states and transfer time are all satisfied analytically, under the assumption that the boundary conditions and segment numbers of cubic spline functions are designated in advance. Two specific shapes are then formulated according to whether they have free optimization parameters. The shape without free parameters provides an efficient and robust estimation, while the other one allows a subsequent optimization for the satisfaction of additional constraints such as the constraint on the thrust magnitude. Applications of the proposed method in combination with the particle swarm optimization algorithm are discussed through two typical interplanetary rendezvous missions, that is, an inclined multi-revolution trajectory from the Earth to asteroid Dionysus and a multi-rendezvous trajectory of sample return. Simulation examples show that the proposed method is superior to existing methods in terms of providing good estimation for the global search and generating suitable initial guess for the subsequent trajectory optimization.

Tigran Ishkhanov, Maxim Naumov, Xianjie Chen et al.

In this paper we develop a novel recommendation model that explicitly incorporates time information. The model relies on an embedding layer and TSL attention-like mechanism with inner products in different vector spaces, that can be thought of as a modification of multi-headed attention. This mechanism allows the model to efficiently treat sequences of user behavior of different length. We study the properties of our state-of-the-art model on statistically designed data set. Also, we show that it outperforms more complex models with longer sequence length on the Taobao User Behavior dataset.

Tao Yu, Zerong Zheng, Yuan Zhong et al.

This paper proposes a new method for live free-viewpoint human performance capture with dynamic details (e.g., cloth wrinkles) using a single RGBD camera. Our main contributions are: (i) a multi-layer representation of garments and body, and (ii) a physics-based performance capture procedure. We first digitize the performer using multi-layer surface representation, which includes the undressed body surface and separate clothing meshes. For performance capture, we perform skeleton tracking, cloth simulation, and iterative depth fitting sequentially for the incoming frame. By incorporating cloth simulation into the performance capture pipeline, we can simulate plausible cloth dynamics and cloth-body interactions even in the occluded regions, which was not possible in previous capture methods. Moreover, by formulating depth fitting as a physical process, our system produces cloth tracking results consistent with the depth observation while still maintaining physical constraints. Results and evaluations show the effectiveness of our method. Our method also enables new types of applications such as cloth retargeting, free-viewpoint video rendering and animations.