Jintai Chen

Yuexin Bian, Jintai Chen, Xiaojun Chen et al.

A large number of people suffer from life-threatening cardiac abnormalities, and electrocardiogram (ECG) analysis is beneficial to determining whether an individual is at risk of such abnormalities. Automatic ECG classification methods, especially the deep learning based ones, have been proposed to detect cardiac abnormalities using ECG records, showing good potential to improve clinical diagnosis and help early prevention of cardiovascular diseases. However, the predictions of the known neural networks still do not satisfactorily meet the needs of clinicians, and this phenomenon suggests that some information used in clinical diagnosis may not be well captured and utilized by these methods. In this paper, we introduce some rules into convolutional neural networks, which help present clinical knowledge to deep learning based ECG analysis, in order to improve automated ECG diagnosis performance. Specifically, we propose a Handcrafted-Rule-enhanced Neural Network (called HRNN) for ECG classification with standard 12-lead ECG input, which consists of a rule inference module and a deep learning module. Experiments on two large-scale public ECG datasets show that our new approach considerably outperforms existing state-of-the-art methods. Further, our proposed approach not only can improve the diagnosis performance, but also can assist in detecting mislabelled ECG samples. Our codes are available at https://github.com/alwaysbyx/ecg_processing.

Yanwen Fang, Yuxi Cai, Jintai Chen et al.

More and more evidence has shown that strengthening layer interactions can enhance the representation power of a deep neural network, while self-attention excels at learning interdependencies by retrieving query-activated information. Motivated by this, we devise a cross-layer attention mechanism, called multi-head recurrent layer attention (MRLA), that sends a query representation of the current layer to all previous layers to retrieve query-related information from different levels of receptive fields. A light-weighted version of MRLA is also proposed to reduce the quadratic computation cost. The proposed layer attention mechanism can enrich the representation power of many state-of-the-art vision networks, including CNNs and vision transformers. Its effectiveness has been extensively evaluated in image classification, object detection and instance segmentation tasks, where improvements can be consistently observed. For example, our MRLA can improve 1.6% Top-1 accuracy on ResNet-50, while only introducing 0.16M parameters and 0.07B FLOPs. Surprisingly, it can boost the performances by a large margin of 3-4% box AP and mask AP in dense prediction tasks. Our code is available at https://github.com/joyfang1106/MRLA.

Can Cui, Yunsheng Ma, Xu Cao et al.

With the emergence of Large Language Models (LLMs) and Vision Foundation Models (VFMs), multimodal AI systems benefiting from large models have the potential to equally perceive the real world, make decisions, and control tools as humans. In recent months, LLMs have shown widespread attention in autonomous driving and map systems. Despite its immense potential, there is still a lack of a comprehensive understanding of key challenges, opportunities, and future endeavors to apply in LLM driving systems. In this paper, we present a systematic investigation in this field. We first introduce the background of Multimodal Large Language Models (MLLMs), the multimodal models development using LLMs, and the history of autonomous driving. Then, we overview existing MLLM tools for driving, transportation, and map systems together with existing datasets and benchmarks. Moreover, we summarized the works in The 1st WACV Workshop on Large Language and Vision Models for Autonomous Driving (LLVM-AD), which is the first workshop of its kind regarding LLMs in autonomous driving. To further promote the development of this field, we also discuss several important problems regarding using MLLMs in autonomous driving systems that need to be solved by both academia and industry.

Jinhong Wang, Yi Cheng, Jintai Chen et al.

Ordinal regression refers to classifying object instances into ordinal categories. It has been widely studied in many scenarios, such as medical disease grading, movie rating, etc. Known methods focused only on learning inter-class ordinal relationships, but still incur limitations in distinguishing adjacent categories thus far. In this paper, we propose a simple sequence prediction framework for ordinal regression called Ord2Seq, which, for the first time, transforms each ordinal category label into a special label sequence and thus regards an ordinal regression task as a sequence prediction process. In this way, we decompose an ordinal regression task into a series of recursive binary classification steps, so as to subtly distinguish adjacent categories. Comprehensive experiments show the effectiveness of distinguishing adjacent categories for performance improvement and our new approach exceeds state-of-the-art performances in four different scenarios. Codes are available at https://github.com/wjh892521292/Ord2Seq.

Jintai Chen, Jiahuan Yan, Qiyuan Chen et al.

Data organized in tabular format is ubiquitous in real-world applications, and users often craft tables with biased feature definitions and flexibly set prediction targets of their interests. Thus, a rapid development of a robust, effective, dataset-versatile, user-friendly tabular prediction approach is highly desired. While Gradient Boosting Decision Trees (GBDTs) and existing deep neural networks (DNNs) have been extensively utilized by professional users, they present several challenges for casual users, particularly: (i) the dilemma of model selection due to their different dataset preferences, and (ii) the need for heavy hyperparameter searching, failing which their performances are deemed inadequate. In this paper, we delve into this question: Can we develop a deep learning model that serves as a "sure bet" solution for a wide range of tabular prediction tasks, while also being user-friendly for casual users? We delve into three key drawbacks of deep tabular models, encompassing: (P1) lack of rotational variance property, (P2) large data demand, and (P3) over-smooth solution. We propose ExcelFormer, addressing these challenges through a semi-permeable attention module that effectively constrains the influence of less informative features to break the DNNs' rotational invariance property (for P1), data augmentation approaches tailored for tabular data (for P2), and attentive feedforward network to boost the model fitting capability (for P3). These designs collectively make ExcelFormer a "sure bet" solution for diverse tabular datasets. Extensive and stratified experiments conducted on real-world datasets demonstrate that our model outperforms previous approaches across diverse tabular data prediction tasks, and this framework can be friendly to casual users, offering ease of use without the heavy hyperparameter tuning.

Siyi Qian, Haochao Ying, Renjun Hu et al.

Graph Neural Networks (GNNs) have become widely-used models for semi-supervised learning. However, the robustness of GNNs in the presence of label noise remains a largely under-explored problem. In this paper, we consider an important yet challenging scenario where labels on nodes of graphs are not only noisy but also scarce. In this scenario, the performance of GNNs is prone to degrade due to label noise propagation and insufficient learning. To address these issues, we propose a novel RTGNN (Robust Training of Graph Neural Networks via Noise Governance) framework that achieves better robustness by learning to explicitly govern label noise. More specifically, we introduce self-reinforcement and consistency regularization as supplemental supervision. The self-reinforcement supervision is inspired by the memorization effects of deep neural networks and aims to correct noisy labels. Further, the consistency regularization prevents GNNs from overfitting to noisy labels via mimicry loss in both the inter-view and intra-view perspectives. To leverage such supervisions, we divide labels into clean and noisy types, rectify inaccurate labels, and further generate pseudo-labels on unlabeled nodes. Supervision for nodes with different types of labels is then chosen adaptively. This enables sufficient learning from clean labels while limiting the impact of noisy ones. We conduct extensive experiments to evaluate the effectiveness of our RTGNN framework, and the results validate its consistent superior performance over state-of-the-art methods with two types of label noises and various noise rates.

Jiahuan Yan, Jintai Chen, Yixuan Wu et al.

Recent development of deep neural networks (DNNs) for tabular learning has largely benefited from the capability of DNNs for automatic feature interaction. However, the heterogeneity nature of tabular features makes such features relatively independent, and developing effective methods to promote tabular feature interaction still remains an open problem. In this paper, we propose a novel Graph Estimator, which automatically estimates the relations among tabular features and builds graphs by assigning edges between related features. Such relation graphs organize independent tabular features into a kind of graph data such that interaction of nodes (tabular features) can be conducted in an orderly fashion. Based on our proposed Graph Estimator, we present a bespoke Transformer network tailored for tabular learning, called T2G-Former, which processes tabular data by performing tabular feature interaction guided by the relation graphs. A specific Cross-level Readout collects salient features predicted by the layers in T2G-Former across different levels, and attains global semantics for final prediction. Comprehensive experiments show that our T2G-Former achieves superior performance among DNNs and is competitive with non-deep Gradient Boosted Decision Tree models.

Jintai Chen, Kuanlun Liao, Kun Wei et al.

Electrocardiogram (ECG) is a widely used non-invasive diagnostic tool for heart diseases. Many studies have devised ECG analysis models (e.g., classifiers) to assist diagnosis. As an upstream task, researches have built generative models to synthesize ECG data, which are beneficial to providing training samples, privacy protection, and annotation reduction. However, previous generative methods for ECG often neither synthesized multi-view data, nor dealt with heart disease conditions. In this paper, we propose a novel disease-aware generative adversarial network for multi-view ECG synthesis called ME-GAN, which attains panoptic electrocardio representations conditioned on heart diseases and projects the representations onto multiple standard views to yield ECG signals. Since ECG manifestations of heart diseases are often localized in specific waveforms, we propose a new "mixup normalization" to inject disease information precisely into suitable locations. In addition, we propose a view discriminator to revert disordered ECG views into a pre-determined order, supervising the generator to obtain ECG representing correct view characteristics. Besides, a new metric, rFID, is presented to assess the quality of the synthesized ECG signals. Comprehensive experiments verify that our ME-GAN performs well on multi-view ECG signal synthesis with trusty morbid manifestations.

Yixuan Wu, Jintai Chen, Jiahuan Yan et al.

Since annotating medical images for segmentation tasks commonly incurs expensive costs, it is highly desirable to design an annotation-efficient method to alleviate the annotation burden. Recently, contrastive learning has exhibited a great potential in learning robust representations to boost downstream tasks with limited labels. In medical imaging scenarios, ready-made meta labels (i.e., specific attribute information of medical images) inherently reveal semantic relationships among images, which have been used to define positive pairs in previous work. However, the multi-perspective semantics revealed by various meta labels are usually incompatible and can incur intractable "semantic contradiction" when combining different meta labels. In this paper, we tackle the issue of "semantic contradiction" in a gradient-guided manner using our proposed Gradient Mitigator method, which systematically unifies multi-perspective meta labels to enable a pre-trained model to attain a better high-level semantic recognition ability. Moreover, we emphasize that the fine-grained discrimination ability is vital for segmentation-oriented pre-training, and develop a novel method called Gradient Filter to dynamically screen pixel pairs with the most discriminating power based on the magnitude of gradients. Comprehensive experiments on four medical image segmentation datasets verify that our new method GCL: (1) learns informative image representations and considerably boosts segmentation performance with limited labels, and (2) shows promising generalizability on out-of-distribution datasets.

Yuxia Geng, Runkai Zhu, Jiaoyan Chen et al.

Disentanglement of visual features of primitives (i.e., attributes and objects) has shown exceptional results in Compositional Zero-shot Learning (CZSL). However, due to the feature divergence of an attribute (resp. object) when combined with different objects (resp. attributes), it is challenging to learn disentangled primitive features that are general across different compositions. To this end, we propose the solution of cross-composition feature disentanglement, which takes multiple primitive-sharing compositions as inputs and constrains the disentangled primitive features to be general across these compositions. More specifically, we leverage a compositional graph to define the overall primitive-sharing relationships between compositions, and build a task-specific architecture upon the recently successful large pre-trained vision-language model (VLM) CLIP, with dual cross-composition disentangling adapters (called L-Adapter and V-Adapter) inserted into CLIP's frozen text and image encoders, respectively. Evaluation on three popular CZSL benchmarks shows that our proposed solution significantly improves the performance of CZSL, and its components have been verified by solid ablation studies. Our code and data are available at:https://github.com/zhurunkai/DCDA.

Weize Liu, Guocong Li, Kai Zhang et al.

Large language models (LLMs) have achieved remarkable advancements in natural language processing. However, the massive scale and computational demands of these models present formidable challenges when considering their practical deployment in resource-constrained environments. While techniques such as chain-of-thought (CoT) distillation have displayed promise in distilling LLMs into small language models (SLMs), there is a risk that distilled SLMs may still inherit flawed reasoning and hallucinations from LLMs. To address these issues, we propose a twofold methodology: First, we introduce a novel method for distilling the self-evaluation capability from LLMs into SLMs, aiming to mitigate the adverse effects of flawed reasoning and hallucinations inherited from LLMs. Second, we advocate for distilling more comprehensive thinking by incorporating multiple distinct CoTs and self-evaluation outputs, to ensure a more thorough and robust knowledge transfer into SLMs. Experiments on three NLP benchmarks demonstrate that our method significantly improves the performance of distilled SLMs, offering a new perspective for developing more effective and efficient SLMs in resource-constrained environments.

Mingze Yin, Hanjing Zhou, Yiheng Zhu et al.

Proteins govern most biological functions essential for life, but achieving controllable protein discovery and optimization remains challenging. Recently, machine learning-assisted protein editing (MLPE) has shown promise in accelerating optimization cycles and reducing experimental workloads. However, current methods struggle with the vast combinatorial space of potential protein edits and cannot explicitly conduct protein editing using biotext instructions, limiting their interactivity with human feedback. To fill these gaps, we propose a novel method called ProtET for efficient CLIP-informed protein editing through multi-modality learning. Our approach comprises two stages: in the pretraining stage, contrastive learning aligns protein-biotext representations encoded by two large language models (LLMs), respectively. Subsequently, during the protein editing stage, the fused features from editing instruction texts and original protein sequences serve as the final editing condition for generating target protein sequences. Comprehensive experiments demonstrated the superiority of ProtET in editing proteins to enhance human-expected functionality across multiple attribute domains, including enzyme catalytic activity, protein stability and antibody specific binding ability. And ProtET improves the state-of-the-art results by a large margin, leading to significant stability improvements of 16.67% and 16.90%. This capability positions ProtET to advance real-world artificial protein editing, potentially addressing unmet academic, industrial, and clinical needs.

Jiahuan Yan, Jintai Chen, Qianxing Wang et al.

Tabular datasets play a crucial role in various applications. Thus, developing efficient, effective, and widely compatible prediction algorithms for tabular data is important. Currently, two prominent model types, Gradient Boosted Decision Trees (GBDTs) and Deep Neural Networks (DNNs), have demonstrated performance advantages on distinct tabular prediction tasks. However, selecting an effective model for a specific tabular dataset is challenging, often demanding time-consuming hyperparameter tuning. To address this model selection dilemma, this paper proposes a new framework that amalgamates the advantages of both GBDTs and DNNs, resulting in a DNN algorithm that is as efficient as GBDTs and is competitively effective regardless of dataset preferences for GBDTs or DNNs. Our idea is rooted in an observation that deep learning (DL) offers a larger parameter space that can represent a well-performing GBDT model, yet the current back-propagation optimizer struggles to efficiently discover such optimal functionality. On the other hand, during GBDT development, hard tree pruning, entropy-driven feature gate, and model ensemble have proved to be more adaptable to tabular data. By combining these key components, we present a Tree-hybrid simple MLP (T-MLP). In our framework, a tensorized, rapidly trained GBDT feature gate, a DNN architecture pruning approach, as well as a vanilla back-propagation optimizer collaboratively train a randomly initialized MLP model. Comprehensive experiments show that T-MLP is competitive with extensively tuned DNNs and GBDTs in their dominating tabular benchmarks (88 datasets) respectively, all achieved with compact model storage and significantly reduced training duration.

Jiahuan Yan, Haojun Gao, Zhang Kai et al.

Deep learning approaches exhibit promising performances on various text tasks. However, they are still struggling on medical text classification since samples are often extremely imbalanced and scarce. Different from existing mainstream approaches that focus on supplementary semantics with external medical information, this paper aims to rethink the data challenges in medical texts and present a novel framework-agnostic algorithm called Text2Tree that only utilizes internal label hierarchy in training deep learning models. We embed the ICD code tree structure of labels into cascade attention modules for learning hierarchy-aware label representations. Two new learning schemes, Similarity Surrogate Learning (SSL) and Dissimilarity Mixup Learning (DML), are devised to boost text classification by reusing and distinguishing samples of other labels following the label representation hierarchy, respectively. Experiments on authoritative public datasets and real-world medical records show that our approach stably achieves superior performances over classical and advanced imbalanced classification methods.

Yixuan Wu, Bo Zheng, Jintai Chen et al.

As deep learning methods continue to improve medical image segmentation performance, data annotation is still a big bottleneck due to the labor-intensive and time-consuming burden on medical experts, especially for 3D images. To significantly reduce annotation efforts while attaining competitive segmentation accuracy, we propose a self-learning and one-shot learning based framework for 3D medical image segmentation by annotating only one slice of each 3D image. Our approach takes two steps: (1) self-learning of a reconstruction network to learn semantic correspondence among 2D slices within 3D images, and (2) representative selection of single slices for one-shot manual annotation and propagating the annotated data with the well-trained reconstruction network. Extensive experiments verify that our new framework achieves comparable performance with less than 1% annotated data compared with fully supervised methods and generalizes well on several out-of-distribution testing sets.

Qingyuan Zeng, Pengxiang Cai, Zixin Guan et al.

Designing a single molecule that modulates two targets is a promising strategy for polypharmacology, but it remains substantially harder than standard single-target generation because one candidate must satisfy two binding requirements while preserving drug-likeness and synthesizability. Existing dual-target generative methods typically introduce dual-target capability by either retraining the generator or intervening in the diffusion process during sampling. The former can be costly and difficult to stabilize when dual-target supervision is sparse, while the latter may be sensitive to denoising-time target balancing and competing update directions. These limitations motivate a generator-preserving alternative that keeps the pretrained prior intact: can dual-target candidates instead be recovered from the input space of a frozen single-target diffusion model, without modifying its parameters or denoising dynamics? We formulate this task as a constrained multi-objective optimization problem and propose REUSE, a hierarchical evolutionary input-space search framework that combines pair-conditioned exploration with structured multi-stage selection to enforce dual-target affinity, chemical quality, and diversity. Experiments show that, compared with methods that modify the diffusion process, REUSE consistently improves dual-target affinity and balance, achieving a 20.9-percentage-point gain in Dual High Affinity over the strongest prior baseline while maintaining competitive molecular quality.

Jinhong Wang, Jintai Chen, Danny Chen et al.

In clinical practice, medical image segmentation provides useful information on the contours and dimensions of target organs or tissues, facilitating improved diagnosis, analysis, and treatment. In the past few years, convolutional neural networks (CNNs) and Transformers have dominated this area, but they still suffer from either limited receptive fields or costly long-range modeling. Mamba, a State Space Sequence Model (SSM), recently emerged as a promising paradigm for long-range dependency modeling with linear complexity. In this paper, we introduce a Large Kernel Vision Mamba U-shape Network, or LKM-UNet, for medical image segmentation. A distinguishing feature of our LKM-UNet is its utilization of large Mamba kernels, excelling in locally spatial modeling compared to small kernel-based CNNs and Transformers, while maintaining superior efficiency in global modeling compared to self-attention with quadratic complexity. Additionally, we design a novel hierarchical and bidirectional Mamba block to further enhance Mamba's global and neighborhood spatial modeling capability for vision inputs. Comprehensive experiments demonstrate the feasibility and the effectiveness of using large-size Mamba kernels to achieve large receptive fields. Codes are available at https://github.com/wjh892521292/LKM-UNet.

Yankai Jiang, Yujie Zhang, Peng Zhang et al.

Recent reasoning based medical MLLMs have made progress in generating step by step textual reasoning chains. However, they still struggle with complex tasks that necessitate dynamic and iterative focusing on fine-grained visual regions to achieve precise grounding and diagnosis. We introduce Ophiuchus, a versatile, tool-augmented framework that equips an MLLM to (i) decide when additional visual evidence is needed, (ii) determine where to probe and ground within the medical image, and (iii) seamlessly weave the relevant sub-image content back into an interleaved, multimodal chain of thought. In contrast to prior approaches limited by the performance ceiling of specialized tools, Ophiuchus integrates the model's inherent grounding and perception capabilities with external tools, thereby fostering higher-level reasoning. The core of our method is a three-stage training strategy: cold-start training with tool-integrated reasoning data to achieve basic tool selection and adaptation for inspecting key regions; self-reflection fine-tuning to strengthen reflective reasoning and encourage revisiting tool outputs; and Agentic Tool Reinforcement Learning to directly optimize task-specific rewards and emulate expert-like diagnostic behavior. Extensive experiments show that Ophiuchus consistently outperforms both closed-source and open-source SOTA methods across diverse medical benchmarks, including VQA, detection, and reasoning-based segmentation. Our approach illuminates a path toward medical AI agents that can genuinely "think with images" through tool-integrated reasoning. Datasets, codes, and trained models will be released publicly.

Yue Wang, Yuyang Xu, Renjun Hu et al.

Despite the rapid advancements of electrocardiogram (ECG) signal diagnosis and analysis methods through deep learning, two major hurdles still limit their clinical adoption: the lack of versatility in processing ECG signals with diverse configurations, and the inadequate detection of risk signals due to sample imbalances. Addressing these challenges, we introduce VersAtile and Risk-Sensitive cardiac diagnosis (VARS), an innovative approach that employs a graph-based representation to uniformly model heterogeneous ECG signals. VARS stands out by transforming ECG signals into versatile graph structures that capture critical diagnostic features, irrespective of signal diversity in the lead count, sampling frequency, and duration. This graph-centric formulation also enhances diagnostic sensitivity, enabling precise localization and identification of abnormal ECG patterns that often elude standard analysis methods. To facilitate representation transformation, our approach integrates denoising reconstruction with contrastive learning to preserve raw ECG information while highlighting pathognomonic patterns. We rigorously evaluate the efficacy of VARS on three distinct ECG datasets, encompassing a range of structural variations. The results demonstrate that VARS not only consistently surpasses existing state-of-the-art models across all these datasets but also exhibits substantial improvement in identifying risk signals. Additionally, VARS offers interpretability by pinpointing the exact waveforms that lead to specific model outputs, thereby assisting clinicians in making informed decisions. These findings suggest that our VARS will likely emerge as an invaluable tool for comprehensive cardiac health assessment.

Dannong Wang, Jintai Chen, Zhiding Liang et al.

Synthesizable molecular design (also known as synthesizable molecular optimization) is a fundamental problem in drug discovery, and involves designing novel molecular structures to improve their properties according to drug-relevant oracle functions (i.e., objective) while ensuring synthetic feasibility. However, existing methods are mostly based on random search. To address this issue, in this paper, we introduce a novel approach using the reinforcement learning method with quantum-inspired simulated annealing policy neural network to navigate the vast discrete space of chemical structures intelligently. Specifically, we employ a deterministic REINFORCE algorithm using policy neural networks to output transitional probability to guide state transitions and local search using genetic algorithm to refine solutions to a local optimum within each iteration. Our methods are evaluated with the Practical Molecular Optimization (PMO) benchmark framework with a 10K query budget. We further showcase the competitive performance of our method by comparing it against the state-of-the-art genetic algorithms-based method.

Ling Yue, Sixue Xing, Jintai Chen et al.

Clinical trials need to recruit a sufficient number of volunteer patients to demonstrate the statistical power of the treatment (e.g., a new drug) in curing a certain disease. Clinical trial recruitment has a significant impact on trial success. Forecasting whether the recruitment process would be successful before we run the trial would save many resources and time. This paper develops a novel deep & cross network with large language model (LLM)-augmented text feature that learns semantic information from trial eligibility criteria and predicts enrollment success. The proposed method enables interpretability by understanding which sentence/word in eligibility criteria contributes heavily to prediction. We also demonstrate the empirical superiority of the proposed method (0.7002 PR-AUC) over a bunch of well-established machine learning methods. The code and curated dataset are publicly available at https://anonymous.4open.science/r/TrialEnroll-7E12.

Yanwen Fang, Jintai Chen, Peng-Tao Jiang et al.

Multi-person motion prediction is a challenging task, especially for real-world scenarios of highly interacted persons. Most previous works have been devoted to studying the case of weak interactions (e.g., walking together), in which typically forecasting each human pose in isolation can still achieve good performances. This paper focuses on collaborative motion prediction for multiple persons with extreme motions and attempts to explore the relationships between the highly interactive persons' pose trajectories. Specifically, a novel cross-query attention (XQA) module is proposed to bilaterally learn the cross-dependencies between the two pose sequences tailored for this situation. A proxy unit is additionally introduced to bridge the involved persons, which cooperates with our proposed XQA module and subtly controls the bidirectional spatial information flows. These designs are then integrated into a Transformer-based architecture and the resulting model is called Proxy-bridged Game Transformer (PGformer) for multi-person interactive motion prediction. Its effectiveness has been evaluated on the challenging ExPI dataset, which involves highly interactive actions. Our PGformer consistently outperforms the state-of-the-art methods in both short- and long-term predictions by a large margin. Besides, our approach can also be compatible with the weakly interacted CMU-Mocap and MuPoTS-3D datasets and extended to the case of more than 2 individuals with encouraging results.

Jinhong Wang, Tingting Chen, Jintai Chen et al.

Automatic ophthalmic disease diagnosis on fundus images is important in clinical practice. However, due to complex fundus textures and limited annotated data, developing an effective automatic method for this problem is still challenging. In this paper, we present a self-supervised method via polar transformation based progressive contrastive learning, called PoCo, for ophthalmic disease diagnosis. Specifically, we novelly inject the polar transformation into contrastive learning to 1) promote contrastive learning pre-training to be faster and more stable and 2) naturally capture task-free and rotation-related textures, which provides insights into disease recognition on fundus images. Beneficially, simple normal translation-invariant convolution on transformed images can equivalently replace the complex rotation-invariant and sector convolution on raw images. After that, we develop a progressive contrastive learning method to efficiently utilize large unannotated images and a novel progressive hard negative sampling scheme to gradually reduce the negative sample number for efficient training and performance enhancement. Extensive experiments on three public ophthalmic disease datasets show that our PoCo achieves state-of-the-art performance with good generalization ability, validating that our method can reduce annotation efforts and provide reliable diagnosis. Codes are available at \url{https://github.com/wjh892521292/PoCo}.

Sixue Xing, Xuanye Xia, Kerui Wu et al.

Clinical trial failure remains a central bottleneck in drug development, where minor protocol design flaws can irreversibly compromise outcomes despite promising therapeutics. Although cutting-edge AI methods achieve strong performance in predicting trial success, they are inherently reactive for merely diagnosing risk without offering actionable remedies once failure is anticipated. To fill this gap, this paper proposes ClinicalReTrial, a self-evolving AI agent framework that addresses this gap by casting clinical trial reasoning as an iterative protocol redesign problem. Our method integrates failure diagnosis, safety-aware modification, and candidate evaluation in a closed-loop, reward-driven optimization framework. Serving the outcome prediction model as a simulation environment, ClinicalReTrial enables low-cost evaluation of protocol modifications and provides dense reward signals for continuous self-improvement. To support efficient exploration, the framework maintains hierarchical memory that captures iteration-level feedback within trials and distills transferable redesign patterns across trials. Empirically, ClinicalReTrial improves 83.3% of trial protocols with a mean success probability gain of 5.7%, and retrospective case studies demonstrate strong alignment between the discovered redesign strategies and real-world clinical trial modifications.

Jiahe Chen, Jiaying He, Qiyuan Chen et al.

Large Vision-Language Models (LVLMs) face a tug-of-war between powerful linguistic priors and visual evidence, often leading to ``semantic drift'' -- the progressive detachment from visual input that we identify as the root cause of hallucination. While several existing training-free decoding strategies have achieved considerable success, they still suffer from inherent limitations. Many are computationally prohibitive, requiring multiple forward passes through the entire LVLM, while others rely on indirect, heuristic-based proxies that are unreliable correlates for a direct semantic conflict. We propose \textbf{D}ynamic \textbf{L}ogits \textbf{C}alibration (DLC), a novel training-free framework that is the first to cure semantic drift in a direct, dynamic, and efficient manner. At each decoding step, DLC introduces a real-time visual referee that performs a dual-aspect visual alignment check: (1) it assesses the intrinsic visual relevance of a candidate token and (2) its contextual visual coherence. By dynamically balancing these two checks and evaluating them against an adaptive baseline, DLC surgically modulates the output logits to favor grounded tokens. Extensive experiments show DLC significantly outperforms existing methods in mitigating hallucinations while, crucially, maintaining high inference efficiency by avoiding costly multiple LVLM forward passes. Our work presents a powerful and practical solution for building more reliable and visually-grounded LVLMs. Code will be released on https://github.com/JiaheChen2002/DLC.

Jintai Chen, Kuanlun Liao, Yao Wan et al.

Tabular data are ubiquitous in real world applications. Although many commonly-used neural components (e.g., convolution) and extensible neural networks (e.g., ResNet) have been developed by the machine learning community, few of them were effective for tabular data and few designs were adequately tailored for tabular data structures. In this paper, we propose a novel and flexible neural component for tabular data, called Abstract Layer (AbstLay), which learns to explicitly group correlative input features and generate higher-level features for semantics abstraction. Also, we design a structure re-parameterization method to compress the learned AbstLay, thus reducing the computational complexity by a clear margin in the reference phase. A special basic block is built using AbstLays, and we construct a family of Deep Abstract Networks (DANets) for tabular data classification and regression by stacking such blocks. In DANets, a special shortcut path is introduced to fetch information from raw tabular features, assisting feature interactions across different levels. Comprehensive experiments on seven real-world tabular datasets show that our AbstLay and DANets are effective for tabular data classification and regression, and the computational complexity is superior to competitive methods. Besides, we evaluate the performance gains of DANet as it goes deep, verifying the extendibility of our method. Our code is available at https://github.com/WhatAShot/DANet.

Jiahuan Yan, Bo Zheng, Hongxia Xu et al.

The transferability of deep neural networks (DNNs) has made significant progress in image and language processing. However, due to the heterogeneity among tables, such DNN bonus is still far from being well exploited on tabular data prediction (e.g., regression or classification tasks). Condensing knowledge from diverse domains, language models (LMs) possess the capability to comprehend feature names from various tables, potentially serving as versatile learners in transferring knowledge across distinct tables and diverse prediction tasks, but their discrete text representation space is inherently incompatible with numerical feature values in tables. In this paper, we present TP-BERTa, a specifically pre-trained LM for tabular data prediction. Concretely, a novel relative magnitude tokenization converts scalar numerical feature values to finely discrete, high-dimensional tokens, and an intra-feature attention approach integrates feature values with the corresponding feature names. Comprehensive experiments demonstrate that our pre-trained TP-BERTa leads the performance among tabular DNNs and is competitive with Gradient Boosted Decision Tree models in typical tabular data regime.

Yihao Liu, Xu Cao, Tingting Chen et al.

Healthcare systems worldwide face persistent challenges in efficiency, accessibility, and personalization. Powered by modern AI technologies such as multimodal large language models and world models, Embodied AI (EmAI) represents a transformative frontier, offering enhanced autonomy and the ability to interact with the physical world to address these challenges. As an interdisciplinary and rapidly evolving research domain, "EmAI in healthcare" spans diverse fields such as algorithms, robotics, and biomedicine. This complexity underscores the importance of timely reviews and analyses to track advancements, address challenges, and foster cross-disciplinary collaboration. In this paper, we provide a comprehensive overview of the "brain" of EmAI for healthcare, wherein we introduce foundational AI algorithms for perception, actuation, planning, and memory, and focus on presenting the healthcare applications spanning clinical interventions, daily care & companionship, infrastructure support, and biomedical research. Despite its promise, the development of EmAI for healthcare is hindered by critical challenges such as safety concerns, gaps between simulation platforms and real-world applications, the absence of standardized benchmarks, and uneven progress across interdisciplinary domains. We discuss the technical barriers and explore ethical considerations, offering a forward-looking perspective on the future of EmAI in healthcare. A hierarchical framework of intelligent levels for EmAI systems is also introduced to guide further development. By providing systematic insights, this work aims to inspire innovation and practical applications, paving the way for a new era of intelligent, patient-centered healthcare.

Xu Cao, Kaizhao Liang, Kuei-Da Liao et al.

Modeling disease progression is crucial for improving the quality and efficacy of clinical diagnosis and prognosis, but it is often hindered by a lack of longitudinal medical image monitoring for individual patients. To address this challenge, we propose the first Medical Video Generation (MVG) framework that enables controlled manipulation of disease-related image and video features, allowing precise, realistic, and personalized simulations of disease progression. Our approach begins by leveraging large language models (LLMs) to recaption prompt for disease trajectory. Next, a controllable multi-round diffusion model simulates the disease progression state for each patient, creating realistic intermediate disease state sequence. Finally, a diffusion-based video transition generation model interpolates disease progression between these states. We validate our framework across three medical imaging domains: chest X-ray, fundus photography, and skin image. Our results demonstrate that MVG significantly outperforms baseline models in generating coherent and clinically plausible disease trajectories. Two user studies by veteran physicians, provide further validation and insights into the clinical utility of the generated sequences. MVG has the potential to assist healthcare providers in modeling disease trajectories, interpolating missing medical image data, and enhancing medical education through realistic, dynamic visualizations of disease progression.

Ling Yue, Jonathan Li, Sixue Xing et al.

The clinical trial process, a critical phase in drug development, is essential for developing new treatments. The primary goal of interventional clinical trials is to evaluate the safety and efficacy of drug-based treatments for specific diseases. However, these trials are often lengthy, labor-intensive, and expensive. The duration of a clinical trial significantly impacts overall costs, making efficient timeline management crucial for controlling budgets and ensuring the economic feasibility of research. To address this issue, We propose TrialDura, a machine learning-based method that estimates the duration of clinical trials using multimodal data, including disease names, drug molecules, trial phases, and eligibility criteria. Then, we encode them into Bio-BERT embeddings specifically tuned for biomedical contexts to provide a deeper and more relevant semantic understanding of clinical trial data. Finally, the model's hierarchical attention mechanism connects all of the embeddings to capture their interactions and predict clinical trial duration. Our proposed model demonstrated superior performance with a mean absolute error (MAE) of 1.04 years and a root mean square error (RMSE) of 1.39 years compared to the other models, indicating more accurate clinical trial duration prediction. Publicly available code can be found at: https://anonymous.4open.science/r/TrialDura-F196.

Yaojun Hu, Jintai Chen, Lianting Hu et al.

Heart diseases rank among the leading causes of global mortality, demonstrating a crucial need for early diagnosis and intervention. Most traditional electrocardiogram (ECG) based automated diagnosis methods are trained at population level, neglecting the customization of personalized ECGs to enhance individual healthcare management. A potential solution to address this limitation is to employ digital twins to simulate symptoms of diseases in real patients. In this paper, we present an innovative prospective learning approach for personalized heart disease detection, which generates digital twins of healthy individuals' anomalous ECGs and enhances the model sensitivity to the personalized symptoms. In our approach, a vector quantized feature separator is proposed to locate and isolate the disease symptom and normal segments in ECG signals with ECG report guidance. Thus, the ECG digital twins can simulate specific heart diseases used to train a personalized heart disease detection model. Experiments demonstrate that our approach not only excels in generating high-fidelity ECG signals but also improves personalized heart disease detection. Moreover, our approach ensures robust privacy protection, safeguarding patient data in model development.

Jinhong Wang, Yi Cheng, Jintai Chen et al.

Multi-rater annotations commonly occur when medical images are independently annotated by multiple experts (raters). In this paper, we tackle two challenges arisen in multi-rater annotations for medical image segmentation (called ambiguous medical image segmentation): (1) How to train a deep learning model when a group of raters produces a set of diverse but plausible annotations, and (2) how to fine-tune the model efficiently when computation resources are not available for re-training the entire model on a different dataset domain. We propose a multi-rater prompt-based approach to address these two challenges altogether. Specifically, we introduce a series of rater-aware prompts that can be plugged into the U-Net model for uncertainty estimation to handle multi-annotation cases. During the prompt-based fine-tuning process, only 0.3% of learnable parameters are required to be updated comparing to training the entire model. Further, in order to integrate expert consensus and disagreement, we explore different multi-rater incorporation strategies and design a mix-training strategy for comprehensive insight learning. Extensive experiments verify the effectiveness of our new approach for ambiguous medical image segmentation on two public datasets while alleviating the heavy burden of model re-training.

Jiahuan Yan, Jintai Chen, Chaowen Hu et al.

Recent development in large language models (LLMs) has demonstrated impressive domain proficiency on unstructured textual or multi-modal tasks. However, despite with intrinsic world knowledge, their application on structured tabular data prediction still lags behind, primarily due to the numerical insensitivity and modality discrepancy that brings a gap between LLM reasoning and statistical tabular learning. Unlike textual or vision data (e.g., electronic clinical notes or medical imaging data), tabular data is often presented in heterogeneous numerical values (e.g., CBC reports). This ubiquitous data format requires intensive expert annotation, and its numerical nature limits LLMs' capability to effectively transfer untapped domain expertise. In this paper, we propose SERSAL, a general self-prompting method by synergy learning with small models to enhance LLM tabular prediction in an unsupervised manner. Specifically, SERSAL utilizes the LLM's prior outcomes as original soft noisy annotations, which are dynamically leveraged to teach a better small student model. Reversely, the outcomes from the trained small model are used to teach the LLM to further refine its real capability. This process can be repeatedly applied to gradually distill refined knowledge for continuous progress. Comprehensive experiments on widely used medical domain tabular datasets show that, without access to gold labels, applying SERSAL to OpenAI GPT reasoning process attains substantial improvement compared to linguistic prompting methods, which serves as an orthogonal direction for tabular LLM, and increasing prompting bonus is observed as more powerful LLMs appear.

Qiyuan Chen, Jiahe Chen, Hongsen Huang et al.

The paradigm shift from traditional ranked-based search to Generative Search Engines has rendered conventional SEO metrics obsolete, creating an urgent need to understand, measure, and optimize for content influence on synthesized answers. This paper introduces a comprehensive, end-to-end framework for Generative Search Engine Optimization (GSEO) to address this challenge. We make two primary contributions. First, we construct CC-GSEO-Bench, a large-scale, content-centric benchmark, and propose a multi-dimensional evaluation framework that systematically quantifies influence, moving beyond surface-level attribution to assess substantive semantic impact. Second, we design a novel multi-agent system that operationalizes this framework, automating the strategic refinement of content through a collaborative analyze-revise-evaluate workflow. Our empirical analysis using this framework reveals novel insights into the dynamics of content influence, offering actionable strategies for creators and establishing a principled foundation for future GSEO research.

Mingze Yin, Hanjing Zhou, Jialu Wu et al.

Antibodies safeguard our health through their precise and potent binding to specific antigens, demonstrating promising therapeutic efficacy in the treatment of numerous diseases, including COVID-19. Recent advancements in biomedical language models have shown the great potential to interpret complex biological structures and functions. However, existing antibody specific models have a notable limitation that they lack explicit consideration for antibody structural information, despite the fact that both 1D sequence and 3D structure carry unique and complementary insights into antibody behavior and functionality. This paper proposes Sequence-Structure multi-level pre-trained Antibody Language Model (S$^2$ALM), combining holistic sequential and structural information in one unified, generic antibody foundation model. We construct a hierarchical pre-training paradigm incorporated with two customized multi-level training objectives to facilitate the modeling of comprehensive antibody representations. S$^2$ALM's representation space uncovers inherent functional binding mechanisms, biological evolution properties and structural interaction patterns. Pre-trained over 75 million sequences and 11.7 million structures, S$^2$ALM can be adopted for diverse downstream tasks: accurately predicting antigen-antibody binding affinities, precisely distinguishing B cell maturation stages, identifying antibody crucial binding positions, and specifically designing novel coronavirus-binding antibodies. Remarkably, S$^2$ALM outperforms well-established and renowned baselines and sets new state-of-the-art performance across extensive antibody specific understanding and generation tasks. S$^2$ALM's ability to model comprehensive and generalized representations further positions its potential to advance real-world therapeutic antibody development, potentially addressing unmet academic, industrial, and clinical needs.

Yufei Wen, Yuting Zhang, Jingdan Kang et al.

Hyperspectral imaging (HSI) holds great potential for healthcare due to its rich spectral information. However, acquiring HSI data remains costly and technically demanding. Hyperspectral image reconstruction offers a practical solution by recovering HSI data from accessible modalities, such as RGB. While general domain datasets are abundant, the scarcity of human HSI data limits progress in medical applications. To tackle this, we propose SpectralAdapt, a semi-supervised domain adaptation (SSDA) framework that bridges the domain gap between general and human-centered HSI datasets. To fully exploit limited labels and abundant unlabeled data, we enhance spectral reasoning by introducing Spectral Density Masking (SDM), which adaptively masks RGB channels based on their spectral complexity, encouraging recovery of informative regions from complementary cues during consistency training. Furthermore, we introduce Spectral Endmember Representation Alignment (SERA), which derives physically interpretable endmembers from valuable labeled pixels and employs them as domain-invariant anchors to guide unlabeled predictions, with momentum updates ensuring adaptability and stability. These components are seamlessly integrated into SpectralAdapt, a spectral prior-guided framework that effectively mitigates domain shift, spectral degradation, and data scarcity in HSI reconstruction. Experiments on benchmark datasets demonstrate consistent improvements in spectral fidelity, cross-domain generalization, and training stability, highlighting the promise of SSDA as an efficient solution for hyperspectral imaging in healthcare.

Jinhong Wang, Shuo Tong, Jian liu et al.

Visual rating is an essential capability of artificial intelligence (AI) for multi-dimensional quantification of visual content, primarily applied in ordinal regression (OR) tasks such as image quality assessment, facial age estimation, and medical image grading. However, current multi-modal large language models (MLLMs) under-perform in such visual rating ability while also suffering the lack of relevant datasets and benchmarks. In this work, we collect and present STORM, a data collection and benchmark for Stimulating Trustworthy Ordinal Regression Ability of MLLMs for universal visual rating. STORM encompasses 14 ordinal regression datasets across five common visual rating domains, comprising 655K image-level pairs and the corresponding carefully curated VQAs. Importantly, we also propose a coarse-to-fine processing pipeline that dynamically considers label candidates and provides interpretable thoughts, providing MLLMs with a general and trustworthy ordinal thinking paradigm. This benchmark aims to evaluate the all-in-one and zero-shot performance of MLLMs in scenarios requiring understanding of the essential common ordinal relationships of rating labels. Extensive experiments demonstrate the effectiveness of our framework and shed light on better fine-tuning strategies. The STORM dataset, benchmark, and pre-trained models are available on the following webpage to support further research in this area. Datasets and codes are released on the project page: https://storm-bench.github.io/.

Jinhong Wang, Jintai Chen, Jian Liu et al.

Ordinal regression refers to classifying object instances into ordinal categories. Ordinal regression is crucial for applications in various areas like facial age estimation, image aesthetics assessment, and even cancer staging, due to its capability to utilize ordered information effectively. More importantly, it also enhances model interpretation by considering category order, aiding the understanding of data trends and causal relationships. Despite significant recent progress, challenges remain, and further investigation of ordinal regression techniques and applications is essential to guide future research. In this survey, we present a comprehensive examination of advances and applications of ordinal regression. By introducing a systematic taxonomy, we meticulously classify the pertinent techniques and applications into three well-defined categories based on different strategies and objectives: Continuous Space Discretization, Distribution Ordering Learning, and Ambiguous Instance Delving. This categorization enables a structured exploration of diverse insights in ordinal regression problems, providing a framework for a more comprehensive understanding and evaluation of this field and its related applications. To our best knowledge, this is the first systematic survey of ordinal regression, which lays a foundation for future research in this fundamental and generic domain.

Qian Shao, Bang Du, Zepeng Li et al.

Clinical trials remain critical in cardiac drug development but face high failure rates due to efficacy limitations and safety risks, incurring substantial costs. In-silico trial methodologies, particularly generative models simulating drug-induced electrocardiogram (ECG) alterations, offer a potential solution to mitigate these challenges. While existing models show progress in ECG synthesis, their constrained fidelity and inability to characterize individual-specific pharmacological response patterns fundamentally limit clinical translatability. To address these issues, we propose a novel Drug-Aware Diffusion Model (DADM). Specifically, we construct a set of ordinary differential equations to provide external physical knowledge (EPK) of the realistic ECG morphology. The EPK is used to adaptively constrain the morphology of the generated ECGs through a dynamic cross-attention (DCA) mechanism. Furthermore, we propose an extension of ControlNet to incorporate demographic and drug data, simulating individual drug reactions. Compared to the other eight state-of-the-art (SOTA) ECG generative models: 1) Quantitative and expert evaluation demonstrate that DADM generates ECGs with superior fidelity; 2) Comparative results on two real-world databases covering 8 types of drug regimens verify that DADM can more accurately simulate drug-induced changes in ECGs, improving the accuracy by at least 5.79% and recall by 8%. In addition, the ECGs generated by DADM can also enhance model performance in downstream drug-effect classification tasks.

Qian Shao, Bang Du, Kai Zhang et al.

Deep learning models for pulmonary disease screening from Computed Tomography (CT) scans promise to alleviate the immense workload on radiologists. Still, their high computational cost, stemming from processing entire 3D volumes, remains a major barrier to widespread clinical adoption. Current sub-sampling techniques often compromise diagnostic integrity by introducing artifacts or discarding critical information. To overcome these limitations, we propose an Efficient and Reliable Framework (ERF) that fundamentally improves the practicality of automated CT analysis. Our framework introduces two core innovations: (1) A Cluster-based Sub-Sampling (CSS) method that efficiently selects a compact yet comprehensive subset of CT slices by optimizing for both representativeness and diversity. By integrating an efficient k-Nearest Neighbor (k-NN) search with an iterative refinement process, CSS bypasses the computational bottlenecks of previous methods while preserving vital diagnostic features. (2) A lightweight Hybrid Uncertainty Quantification (HUQ) mechanism, which uniquely assesses both Aleatoric Uncertainty (AU) and Epistemic Uncertainty (EU) with minimal computational overhead. By maximizing the discrepancy between auxiliary classifiers, HUQ provides a robust reliability score, which is crucial for building trust in automated systems operating on partial data. Validated on two public datasets with 2,654 CT volumes across diagnostic tasks for 3 pulmonary diseases, our proposed ERF achieves diagnostic performance comparable to the full-volume analysis (over 90% accuracy and recall) while reducing processing time by more than 60%. This work represents a significant step towards deploying fast, accurate, and trustworthy AI-powered screening tools in time-sensitive clinical settings.

Jintai Chen, Yaojun Hu, Mingchen Cai et al.

Clinical trials are pivotal for developing new medical treatments but typically carry risks such as patient mortality and enrollment failure that waste immense efforts spanning over a decade. Applying artificial intelligence (AI) to predict key events in clinical trials holds great potential for providing insights to guide trial designs. However, complex data collection and question definition requiring medical expertise have hindered the involvement of AI thus far. This paper tackles these challenges by presenting a comprehensive suite of 23 meticulously curated AI-ready datasets covering multi-modal input features and 8 crucial prediction challenges in clinical trial design, encompassing prediction of trial duration, patient dropout rate, serious adverse event, mortality rate, trial approval outcome, trial failure reason, drug dose finding, design of eligibility criteria. Furthermore, we provide basic validation methods for each task to ensure the datasets' usability and reliability. We anticipate that the availability of such open-access datasets will catalyze the development of advanced AI approaches for clinical trial design, ultimately advancing clinical trial research and accelerating medical solution development.

Weize Liu, Yinlong Xu, Hongxia Xu et al.

Recently, large language models (LLMs) have achieved tremendous breakthroughs in the field of NLP, but still lack understanding of their internal neuron activities when processing different languages. We designed a method to convert dense LLMs into fine-grained MoE architectures, and then visually studied the multilingual activation patterns of LLMs through expert activation frequency heatmaps. Through comprehensive experiments on different model families, different model sizes, and different variants, we analyzed the similarities and differences in the internal neuron activation patterns of LLMs when processing different languages. Specifically, we investigated the distribution of high-frequency activated experts, multilingual shared experts, whether multilingual activation patterns are related to language families, and the impact of instruction tuning on activation patterns. We further explored leveraging the discovered differences in expert activation frequencies to guide sparse activation and pruning. Experimental results demonstrated that our method significantly outperformed random expert pruning and even exceeded the performance of unpruned models in some languages. Additionally, we found that configuring different pruning rates for different layers based on activation level differences could achieve better results. Our findings reveal the multilingual processing mechanisms within LLMs and utilize these insights to offer new perspectives for applications such as sparse activation and model pruning.

Yixuan Wu, Kuanlun Liao, Jintai Chen et al.

Computer-aided medical image segmentation has been applied widely in diagnosis and treatment to obtain clinically useful information of shapes and volumes of target organs and tissues. In the past several years, convolutional neural network (CNN) based methods (e.g., U-Net) have dominated this area, but still suffered from inadequate long-range information capturing. Hence, recent work presented computer vision Transformer variants for medical image segmentation tasks and obtained promising performances. Such Transformers model long-range dependency by computing pair-wise patch relations. However, they incur prohibitive computational costs, especially on 3D medical images (e.g., CT and MRI). In this paper, we propose a new method called Dilated Transformer, which conducts self-attention for pair-wise patch relations captured alternately in local and global scopes. Inspired by dilated convolution kernels, we conduct the global self-attention in a dilated manner, enlarging receptive fields without increasing the patches involved and thus reducing computational costs. Based on this design of Dilated Transformer, we construct a U-shaped encoder-decoder hierarchical architecture called D-Former for 3D medical image segmentation. Experiments on the Synapse and ACDC datasets show that our D-Former model, trained from scratch, outperforms various competitive CNN-based or Transformer-based segmentation models at a low computational cost without time-consuming per-training process.

Jintai Chen, Hongyun Yu, Ruiwei Feng et al.

In clinical practice, medical image interpretation often involves multi-labeled classification, since the affected parts of a patient tend to present multiple symptoms or comorbidities. Recently, deep learning based frameworks have attained expert-level performance on medical image interpretation, which can be attributed partially to large amounts of accurate annotations. However, manually annotating massive amounts of medical images is impractical, while automatic annotation is fast but imprecise (possibly introducing corrupted labels). In this work, we propose a new regularization approach, called Flow-Mixup, for multi-labeled medical image classification with corrupted labels. Flow-Mixup guides the models to capture robust features for each abnormality, thus helping handle corrupted labels effectively and making it possible to apply automatic annotation. Specifically, Flow-Mixup decouples the extracted features by adding constraints to the hidden states of the models. Also, Flow-Mixup is more stable and effective comparing to other known regularization methods, as shown by theoretical and empirical analyses. Experiments on two electrocardiogram datasets and a chest X-ray dataset containing corrupted labels verify that Flow-Mixup is effective and insensitive to corrupted labels.