Younjoon Chung

Zhenyue Qin, Younjoon Chung, Elijah Lee et al.

Vision impairment affects millions globally, and early detection is critical to preventing irreversible vision loss. Ophthalmology workflows require clinicians to integrate medical images, structured clinical data, and free-text notes to determine disease severity and management, which is time-consuming and burdensome. Recent multimodal large language models (MLLMs) show promise, but existing general and medical MLLMs perform poorly in ophthalmology, and few ophthalmology-specific MLLMs are openly available. We present VOLMO (Versatile and Open Large Models for Ophthalmology), a model-agnostic, data-open framework for developing ophthalmology-specific MLLMs. VOLMO includes three stages: ophthalmology knowledge pretraining on 86,965 image-text pairs from 26,569 articles across 82 journals; domain task fine-tuning on 26,929 annotated instances spanning 12 eye conditions for disease screening and severity classification; and multi-step clinical reasoning on 913 patient case reports for assessment, planning, and follow-up care. Using this framework, we trained a compact 2B-parameter MLLM and compared it with strong baselines, including InternVL-2B, LLaVA-Med-7B, MedGemma-4B, MedGemma-27B, and RETFound. We evaluated these models on image description generation, disease screening and staging classification, and assessment-and-management generation, with additional manual review by two healthcare professionals and external validation on three independent cohorts for age-related macular degeneration and diabetic retinopathy. Across settings, VOLMO-2B consistently outperformed baselines, achieving stronger image description performance, an average F1 of 87.4% across 12 eye conditions, and higher scores in external validation.

Ziyao Zeng, Jingcheng Ni, Daniel Wang et al.

Traditional monocular depth estimation suffers from inherent ambiguity and visual nuisances. We demonstrate that language can enhance monocular depth estimation by providing an additional condition (rather than images alone) aligned with plausible 3D scenes, thereby reducing the solution space for depth estimation. This conditional distribution is learned during the text-to-image pre-training of diffusion models. To generate images under various viewpoints and layouts that precisely reflect textual descriptions, the model implicitly models object sizes, shapes, and scales, their spatial relationships, and the overall scene structure. In this paper, Iris, we investigate the benefits of our strategy to integrate text descriptions into training and inference of diffusion-based depth estimation models. We experiment with three different diffusion-based monocular depth estimators (Marigold, Lotus, and E2E-FT) and their variants. By training on HyperSim and Virtual KITTI, and evaluating on NYUv2, KITTI, ETH3D, ScanNet, and DIODE, we find that our strategy improves the overall monocular depth estimation accuracy, especially in small areas. It also improves the model's depth perception of specific regions described in the text. We find that by providing more details in the text, the depth prediction can be iteratively refined. Simultaneously, we find that language can act as a constraint to accelerate the convergence of both training and the inference diffusion trajectory. Code and generated text data will be released upon acceptance.

Patrick Rim, Hyoungseob Park, S. Gangopadhyay et al.

We present ProtoDepth, a novel prototype-based approach for continual learning of unsupervised depth completion, the multimodal 3D reconstruction task of predicting dense depth maps from RGB images and sparse point clouds. The unsupervised learning paradigm is well-suited for continual learning, as ground truth is not needed. However, when training on new non-stationary distributions, depth completion models will catastrophically forget previously learned information. We address forgetting by learning prototype sets that adapt the latent features of a frozen pretrained model to new domains. Since the original weights are not modified, ProtoDepth does not forget when test-time domain identity is known. To extend ProtoDepth to the challenging setting where the test-time domain identity is withheld, we propose to learn domain descriptors that enable the model to select the appropriate prototype set for inference. We evaluate ProtoDepth on benchmark dataset sequences, where we reduce forgetting compared to baselines by 52.2% for indoor and 53.2% for outdoor to achieve the state of the art.

Younjoon Chung, Hyoungseob Park, Patrick Rim et al.

We propose a method for test-time adaptation of pretrained depth completion models. Depth completion models, trained on some ``source'' data, often predict erroneous outputs when transferred to ``target'' data captured in novel environmental conditions due to a covariate shift. The crux of our method lies in quantifying the likelihood of depth predictions belonging to the source data distribution. The challenge is in the lack of access to out-of-distribution (target) data prior to deployment. Hence, rather than making assumptions regarding the target distribution, we utilize adversarial perturbations as a mechanism to explore the data space. This enables us to train an energy model that scores local regions of depth predictions as in- or out-of-distribution. We update the parameters of pretrained depth completion models at test time to minimize energy, effectively aligning test-time predictions to those of the source distribution. We call our method ``Energy-based Test-time Adaptation'', or ETA for short. We evaluate our method across three indoor and three outdoor datasets, where ETA improve over the previous state-of-the-art method by an average of 6.94% for outdoors and 10.23% for indoors. Project Page: https://fuzzythecat.github.io/eta.