Tian Lin

Meng Wang, Tian Lin, Lianyu Wang et al.

Failure to recognize samples from the classes unseen during training is a major limitation of artificial intelligence in the real-world implementation for recognition and classification of retinal anomalies. We established an uncertainty-inspired open-set (UIOS) model, which was trained with fundus images of 9 retinal conditions. Besides assessing the probability of each category, UIOS also calculated an uncertainty score to express its confidence. Our UIOS model with thresholding strategy achieved an F1 score of 99.55%, 97.01% and 91.91% for the internal testing set, external target categories (TC)-JSIEC dataset and TC-unseen testing set, respectively, compared to the F1 score of 92.20%, 80.69% and 64.74% by the standard AI model. Furthermore, UIOS correctly predicted high uncertainty scores, which would prompt the need for a manual check in the datasets of non-target categories retinal diseases, low-quality fundus images, and non-fundus images. UIOS provides a robust method for real-world screening of retinal anomalies.

Ke Zou, Tian Lin, Xuedong Yuan et al.

Multimodality eye disease screening is crucial in ophthalmology as it integrates information from diverse sources to complement their respective performances. However, the existing methods are weak in assessing the reliability of each unimodality, and directly fusing an unreliable modality may cause screening errors. To address this issue, we introduce a novel multimodality evidential fusion pipeline for eye disease screening, EyeMoSt, which provides a measure of confidence for unimodality and elegantly integrates the multimodality information from a multi-distribution fusion perspective. Specifically, our model estimates both local uncertainty for unimodality and global uncertainty for the fusion modality to produce reliable classification results. More importantly, the proposed mixture of Student's $t$ distributions adaptively integrates different modalities to endow the model with heavy-tailed properties, increasing robustness and reliability. Our experimental findings on both public and in-house datasets show that our model is more reliable than current methods. Additionally, EyeMost has the potential ability to serve as a data quality discriminator, enabling reliable decision-making for multimodality eye disease screening.

Ke Zou, Jocelyn Hui Lin Goh, Yukun Zhou et al.

Foundation models (FMs) have shown great promise in medical image analysis by improving generalization across diverse downstream tasks. In ophthalmology, several FMs have recently emerged, but there is still no clear answer to fundamental questions: Which FM performs the best? Are they equally good across different tasks? What if we combine all FMs together? To our knowledge, this is the first study to systematically evaluate both single and fused ophthalmic FMs. To address these questions, we propose FusionFM, a comprehensive evaluation suite, along with two fusion approaches to integrate different ophthalmic FMs. Our framework covers both ophthalmic disease detection (glaucoma, diabetic retinopathy, and age-related macular degeneration) and systemic disease prediction (diabetes and hypertension) based on retinal imaging. We benchmarked four state-of-the-art FMs (RETFound, VisionFM, RetiZero, and DINORET) using standardized datasets from multiple countries and evaluated their performance using AUC and F1 metrics. Our results show that DINORET and RetiZero achieve superior performance in both ophthalmic and systemic disease tasks, with RetiZero exhibiting stronger generalization on external datasets. Regarding fusion strategies, the Gating-based approach provides modest improvements in predicting glaucoma, AMD, and hypertension. Despite these advances, predicting systemic diseases, especially hypertension in external cohort remains challenging. These findings provide an evidence-based evaluation of ophthalmic FMs, highlight the benefits of model fusion, and point to strategies for enhancing their clinical applicability.

Meng Wang, Tian Lin, Qingshan Hou et al.

Artificial intelligence (AI) shows remarkable potential in medical imaging diagnostics, yet most current models require retraining when applied across different clinical settings, limiting their scalability. We introduce GlobeReady, a clinician-friendly AI platform that enables fundus disease diagnosis that operates without retraining, fine-tuning, or the needs for technical expertise. GlobeReady demonstrates high accuracy across imaging modalities: 93.9-98.5% for 11 fundus diseases using color fundus photographs (CPFs) and 87.2-92.7% for 15 fundus diseases using optic coherence tomography (OCT) scans. By leveraging training-free local feature augmentation, GlobeReady platform effectively mitigates domain shifts across centers and populations, achieving accuracies of 88.9-97.4% across five centers on average in China, 86.3-96.9% in Vietnam, and 73.4-91.0% in Singapore, and 90.2-98.9% in the UK. Incorporating a bulit-in confidence-quantifiable diagnostic mechanism further enhances the platform's accuracy to 94.9-99.4% with CFPs and 88.2-96.2% with OCT, while enabling identification of out-of-distribution cases with 86.3% accuracy across 49 common and rare fundus diseases using CFPs, and 90.6% accuracy across 13 diseases using OCT. Clinicians from countries rated GlobeReady highly for usability and clinical relevance (average score 4.6/5). These findings demonstrate GlobeReady's robustness, generalizability and potential to support global ophthalmic care without technical barriers.

Yuanyuan Peng, Aidi Lin, Meng Wang et al.

Inability to express the confidence level and detect unseen classes has limited the clinical implementation of artificial intelligence in the real-world. We developed a foundation model with uncertainty estimation (FMUE) to detect 11 retinal conditions on optical coherence tomography (OCT). In the internal test set, FMUE achieved a higher F1 score of 96.76% than two state-of-the-art algorithms, RETFound and UIOS, and got further improvement with thresholding strategy to 98.44%. In the external test sets obtained from other OCT devices, FMUE achieved an accuracy of 88.75% and 92.73% before and after thresholding. Our model is superior to two ophthalmologists with a higher F1 score (95.17% vs. 61.93% &71.72%). Besides, our model correctly predicts high uncertainty scores for samples with ambiguous features, of non-target-category diseases, or with low-quality to prompt manual checks and prevent misdiagnosis. FMUE provides a trustworthy method for automatic retinal anomalies detection in the real-world clinical open set environment.

Meng Wang, Tian Lin, Aidi Lin et al.

Previous foundation models for fundus images were pre-trained with limited disease categories and knowledge base. Here we introduce a knowledge-rich vision-language model (RetiZero) that leverages knowledge from more than 400 fundus diseases. For RetiZero's pretraining, we compiled 341,896 fundus images paired with texts, sourced from public datasets, ophthalmic literature, and online resources, encompassing a diverse range of diseases across multiple ethnicities and countries. RetiZero exhibits remarkable performance in several downstream tasks, including zero-shot disease recognition, image-to-image retrieval, AI-assisted clinical diagnosis,few-shot fine-tuning, and internal- and cross-domain disease identification. In zero-shot scenarios, RetiZero achieves Top-5 accuracies of 0.843 for 15 diseases and 0.756 for 52 diseases. For image retrieval, it achieves Top-5 scores of 0.950 and 0.886 for the same sets, respectively. AI-assisted clinical diagnosis results show that RetiZero's Top-3 zero-shot performance surpasses the average of 19 ophthalmologists from Singapore, China, and the United States. RetiZero substantially enhances clinicians' accuracy in diagnosing fundus diseases, in particularly rare ones. These findings underscore the value of integrating the RetiZero into clinical settings, where various fundus diseases are encountered.

Gemini Team, Rohan Anil, Sebastian Borgeaud et al.

This report introduces a new family of multimodal models, Gemini, that exhibit remarkable capabilities across image, audio, video, and text understanding. The Gemini family consists of Ultra, Pro, and Nano sizes, suitable for applications ranging from complex reasoning tasks to on-device memory-constrained use-cases. Evaluation on a broad range of benchmarks shows that our most-capable Gemini Ultra model advances the state of the art in 30 of 32 of these benchmarks - notably being the first model to achieve human-expert performance on the well-studied exam benchmark MMLU, and improving the state of the art in every one of the 20 multimodal benchmarks we examined. We believe that the new capabilities of the Gemini family in cross-modal reasoning and language understanding will enable a wide variety of use cases. We discuss our approach toward post-training and deploying Gemini models responsibly to users through services including Gemini, Gemini Advanced, Google AI Studio, and Cloud Vertex AI.

Yuriy Brun, Tian Lin, Jessie Elise Somerville et al.

Blindspots in APIs can cause software engineers to introduce vulnerabilities, but such blindspots are, unfortunately, common. We study the effect APIs with blindspots have on developers in two languages by replicating an 109-developer, 24-Java-API controlled experiment. Our replication applies to Python and involves 129 new developers and 22 new APIs. We find that using APIs with blindspots statistically significantly reduces the developers' ability to correctly reason about the APIs in both languages, but that the effect is more pronounced for Python. Interestingly, for Java, the effect increased with complexity of the code relying on the API, whereas for Python, the opposite was true. Whether the developers considered API uses to be more difficult, less clear, and less familiar did not have an effect on their ability to correctly reason about them. Developers with better long-term memory recall were more likely to correctly reason about APIs with blindspots, but short-term memory, processing speed, episodic memory, and memory span had no effect. Surprisingly, professional experience and expertice did not improve the developers' ability to reason about APIs with blindspots across both languages, with long-term professionals with many years of experience making mistakes as often as relative novices. Finally, personality traits did not significantly affect the Python developers' ability to reason about APIs with blindspots, but less extraverted and more open developers were better at reasoning about Java APIs with blindspots. Overall, our findings suggest that blindspots in APIs are a serious problem across languages, and that experience and education alone do not overcome that problem, suggesting that tools are needed to help developers recognize blindspots in APIs as they write code that uses those APIs.

Honghua Dong, Jiayuan Mao, Tian Lin et al.

We propose the Neural Logic Machine (NLM), a neural-symbolic architecture for both inductive learning and logic reasoning. NLMs exploit the power of both neural networks---as function approximators, and logic programming---as a symbolic processor for objects with properties, relations, logic connectives, and quantifiers. After being trained on small-scale tasks (such as sorting short arrays), NLMs can recover lifted rules, and generalize to large-scale tasks (such as sorting longer arrays). In our experiments, NLMs achieve perfect generalization in a number of tasks, from relational reasoning tasks on the family tree and general graphs, to decision making tasks including sorting arrays, finding shortest paths, and playing the blocks world. Most of these tasks are hard to accomplish for neural networks or inductive logic programming alone.

Shun Liao, Ting Chen, Tian Lin et al.

Computations for the softmax function are significantly expensive when the number of output classes is large. In this paper, we present a novel softmax inference speedup method, Doubly Sparse Softmax (DS-Softmax), that leverages sparse mixture of sparse experts to efficiently retrieve top-k classes. Different from most existing methods that require and approximate a fixed softmax, our method is learning-based and can adapt softmax weights for a better inference speedup. In particular, our method learns a two-level hierarchy which divides entire output class space into several partially overlapping experts. Each expert is sparse and only contains a subset of output classes. To find top-k classes, a sparse mixture enables us to find the most probable expert quickly, and the sparse expert enables us to search within a small-scale softmax. We empirically conduct evaluation on several real-world tasks, including neural machine translation, language modeling and image classification, and demonstrate that significant computation reductions can be achieved at no performance loss.

Wei Chen, Tian Lin, Zihan Tan et al.

In this paper, we address the important issue of uncertainty in the edge influence probability estimates for the well studied influence maximization problem --- the task of finding $k$ seed nodes in a social network to maximize the influence spread. We propose the problem of robust influence maximization, which maximizes the worst-case ratio between the influence spread of the chosen seed set and the optimal seed set, given the uncertainty of the parameter input. We design an algorithm that solves this problem with a solution-dependent bound. We further study uniform sampling and adaptive sampling methods to effectively reduce the uncertainty on parameters and improve the robustness of the influence maximization task. Our empirical results show that parameter uncertainty may greatly affect influence maximization performance and prior studies that learned influence probabilities could lead to poor performance in robust influence maximization due to relatively large uncertainty in parameter estimates, and information cascade based adaptive sampling method may be an effective way to improve the robustness of influence maximization.

Wei Chen, Tian Lin, Cheng Yang

Influence maximization is the task of finding a set of seed nodes in a social network such that the influence spread of these seed nodes based on certain influence diffusion model is maximized. Topic-aware influence diffusion models have been recently proposed to address the issue that influence between a pair of users are often topic-dependent and information, ideas, innovations etc. being propagated in networks (referred collectively as items in this paper) are typically mixtures of topics. In this paper, we focus on the topic-aware influence maximization task. In particular, we study preprocessing methods for these topics to avoid redoing influence maximization for each item from scratch. We explore two preprocessing algorithms with theoretical justifications. Our empirical results on data obtained in a couple of existing studies demonstrate that one of our algorithms stands out as a strong candidate providing microsecond online response time and competitive influence spread, with reasonable preprocessing effort.