Duy M. H. Nguyen

Duy M. H. Nguyen, Hoang Nguyen, Nghiem T. Diep et al. · eth-zurich

Obtaining large pre-trained models that can be fine-tuned to new tasks with limited annotated samples has remained an open challenge for medical imaging data. While pre-trained deep networks on ImageNet and vision-language foundation models trained on web-scale data are prevailing approaches, their effectiveness on medical tasks is limited due to the significant domain shift between natural and medical images. To bridge this gap, we introduce LVM-Med, the first family of deep networks trained on large-scale medical datasets. We have collected approximately 1.3 million medical images from 55 publicly available datasets, covering a large number of organs and modalities such as CT, MRI, X-ray, and Ultrasound. We benchmark several state-of-the-art self-supervised algorithms on this dataset and propose a novel self-supervised contrastive learning algorithm using a graph-matching formulation. The proposed approach makes three contributions: (i) it integrates prior pair-wise image similarity metrics based on local and global information; (ii) it captures the structural constraints of feature embeddings through a loss function constructed via a combinatorial graph-matching objective; and (iii) it can be trained efficiently end-to-end using modern gradient-estimation techniques for black-box solvers. We thoroughly evaluate the proposed LVM-Med on 15 downstream medical tasks ranging from segmentation and classification to object detection, and both for the in and out-of-distribution settings. LVM-Med empirically outperforms a number of state-of-the-art supervised, self-supervised, and foundation models. For challenging tasks such as Brain Tumor Classification or Diabetic Retinopathy Grading, LVM-Med improves previous vision-language models trained on 1 billion masks by 6-7% while using only a ResNet-50.

Duy M. H. Nguyen, Hoang Nguyen, Mai T. N. Truong et al. · eth-zurich

Collecting large-scale medical datasets with fully annotated samples for training of deep networks is prohibitively expensive, especially for 3D volume data. Recent breakthroughs in self-supervised learning (SSL) offer the ability to overcome the lack of labeled training samples by learning feature representations from unlabeled data. However, most current SSL techniques in the medical field have been designed for either 2D images or 3D volumes. In practice, this restricts the capability to fully leverage unlabeled data from numerous sources, which may include both 2D and 3D data. Additionally, the use of these pre-trained networks is constrained to downstream tasks with compatible data dimensions. In this paper, we propose a novel framework for unsupervised joint learning on 2D and 3D data modalities. Given a set of 2D images or 2D slices extracted from 3D volumes, we construct an SSL task based on a 2D contrastive clustering problem for distinct classes. The 3D volumes are exploited by computing vectored embedding at each slice and then assembling a holistic feature through deformable self-attention mechanisms in Transformer, allowing incorporating long-range dependencies between slices inside 3D volumes. These holistic features are further utilized to define a novel 3D clustering agreement-based SSL task and masking embedding prediction inspired by pre-trained language models. Experiments on downstream tasks, such as 3D brain segmentation, lung nodule detection, 3D heart structures segmentation, and abnormal chest X-ray detection, demonstrate the effectiveness of our joint 2D and 3D SSL approach. We improve plain 2D Deep-ClusterV2 and SwAV by a significant margin and also surpass various modern 2D and 3D SSL approaches.

Tuan Anh Tran, Duy M. H. Nguyen, Hoai-Chau Tran et al.

Recent advances in 3D point cloud transformers have led to state-of-the-art results in tasks such as semantic segmentation and reconstruction. However, these models typically rely on dense token representations, incurring high computational and memory costs during training and inference. In this work, we present the finding that tokens are remarkably redundant, leading to substantial inefficiency. We introduce gitmerge3D, a globally informed graph token merging method that can reduce the token count by up to 90-95% while maintaining competitive performance. This finding challenges the prevailing assumption that more tokens inherently yield better performance and highlights that many current models are over-tokenized and under-optimized for scalability. We validate our method across multiple 3D vision tasks and show consistent improvements in computational efficiency. This work is the first to assess redundancy in large-scale 3D transformer models, providing insights into the development of more efficient 3D foundation architectures. Our code and checkpoints are publicly available at https://gitmerge3d.github.io

Hasan Md Tusfiqur, Duy M. H. Nguyen, Mai T. N. Truong et al.

Diabetic Retinopathy (DR) is a leading cause of vision loss in the world, and early DR detection is necessary to prevent vision loss and support an appropriate treatment. In this work, we leverage interactive machine learning and introduce a joint learning framework, termed DRG-Net, to effectively learn both disease grading and multi-lesion segmentation. Our DRG-Net consists of two modules: (i) DRG-AI-System to classify DR Grading, localize lesion areas, and provide visual explanations; (ii) DRG-Expert-Interaction to receive feedback from user-expert and improve the DRG-AI-System. To deal with sparse data, we utilize transfer learning mechanisms to extract invariant feature representations by using Wasserstein distance and adversarial learning-based entropy minimization. Besides, we propose a novel attention strategy at both low- and high-level features to automatically select the most significant lesion information and provide explainable properties. In terms of human interaction, we further develop DRG-Net as a tool that enables expert users to correct the system's predictions, which may then be used to update the system as a whole. Moreover, thanks to the attention mechanism and loss functions constraint between lesion features and classification features, our approach can be robust given a certain level of noise in the feedback of users. We have benchmarked DRG-Net on the two largest DR datasets, i.e., IDRID and FGADR, and compared it to various state-of-the-art deep learning networks. In addition to outperforming other SOTA approaches, DRG-Net is effectively updated using user feedback, even in a weakly-supervised manner.

Duy M. H. Nguyen, An T. Le, Trung Q. Nguyen et al.

Prompt learning methods are gaining increasing attention due to their ability to customize large vision-language models to new domains using pre-trained contextual knowledge and minimal training data. However, existing works typically rely on optimizing unified prompt inputs, often struggling with fine-grained classification tasks due to insufficient discriminative attributes. To tackle this, we consider a new framework based on a dual context of both domain-shared and class-specific contexts, where the latter is generated by Large Language Models (LLMs) such as GPTs. Such dual prompt methods enhance the model's feature representation by joining implicit and explicit factors encoded in LLM knowledge. Moreover, we formulate the Unbalanced Optimal Transport (UOT) theory to quantify the relationships between constructed prompts and visual tokens. Through partial matching, UOT can properly align discrete sets of visual tokens and prompt embeddings under different mass distributions, which is particularly valuable for handling irrelevant or noisy elements, ensuring that the preservation of mass does not restrict transport solutions. Furthermore, UOT's characteristics integrate seamlessly with image augmentation, expanding the training sample pool while maintaining a reasonable distance between perturbed images and prompt inputs. Extensive experiments across few-shot classification and adapter settings substantiate the superiority of our model over current state-of-the-art baselines.

Hoai-Chau Tran, Chi H. Nguyen, Duy M. H. Nguyen et al.

The Segment Anything Model (SAM) achieves strong open-vocabulary segmentation, but its ViT-based image encoders dominate inference latency and memory. Existing activation compression methods, such as token merging, reduce the token length to process, yet introduce non-trivial runtime overhead and encounter catastrophic quality drop under high compression. Other methods applying Sparse Attention focus on attention alone, leaving the MLP fully dense and capping achievable speedup. We propose SparseSAM, a (i) training-free structured sparsification framework that jointly accelerates attention and MLP layers while preserving token identity. SparseSAM introduces (ii) Stripe-Sort Attention, which uses a deterministic Z-order permutation to transform dense attention into static hardware-friendly sparse patterns, eliminating dynamic masking overhead. SparseSAM further introduces a (iii) Residual-Consistency MLP that routes only informative tokens through the MLP while propagating remaining tokens through the residual pathway. Across four segmentation benchmarks, SparseSAM loses only 0.004 mIoU at a 0.4 density and 0.021 mIoU at 0.3, a 2.10x reduction in accuracy loss versus token merging advances, while achieving 2x faster inference and 2.8x memory reduction.

Phuc Minh Nguyen, Chinh D. La, Duy M. H. Nguyen et al.

Reinforcement Learning with Verifiable Rewards (RLVR) has emerged as a key method for improving Large Language Models' reasoning capabilities, yet recent evidence suggests it may paradoxically shrink the reasoning boundary rather than expand it. This paper investigates the shrinkage issue of RLVR by analyzing its learning dynamics and reveals two critical phenomena that explain this failure. First, we expose negative interference in RLVR, where learning to solve certain training problems actively reduces the likelihood of correct solutions for others, leading to the decline of Pass@$k$ performance, or the probability of generating a correct solution within $k$ attempts. Second, we uncover the winner-take-all phenomenon: RLVR disproportionately reinforces problems with high likelihood, correct solutions, under the base model, while suppressing other initially low-likelihood ones. Through extensive theoretical and empirical analysis on multiple mathematical reasoning benchmarks, we show that this effect arises from the inherent on-policy sampling in standard RL objectives, causing the model to converge toward narrow solution strategies. Based on these insights, we propose a simple yet effective data curation algorithm that focuses RLVR learning on low-likelihood problems, achieving notable improvement in Pass@$k$ performance. Our code is available at https://github.com/mail-research/SELF-llm-interference.

Duy M. H. Nguyen, Nina Lukashina, Tai Nguyen et al.

A molecule's 2D representation consists of its atoms, their attributes, and the molecule's covalent bonds. A 3D (geometric) representation of a molecule is called a conformer and consists of its atom types and Cartesian coordinates. Every conformer has a potential energy, and the lower this energy, the more likely it occurs in nature. Most existing machine learning methods for molecular property prediction consider either 2D molecular graphs or 3D conformer structure representations in isolation. Inspired by recent work on using ensembles of conformers in conjunction with 2D graph representations, we propose $\mathrm{E}$(3)-invariant molecular conformer aggregation networks. The method integrates a molecule's 2D representation with that of multiple of its conformers. Contrary to prior work, we propose a novel 2D-3D aggregation mechanism based on a differentiable solver for the Fused Gromov-Wasserstein Barycenter problem and the use of an efficient conformer generation method based on distance geometry. We show that the proposed aggregation mechanism is $\mathrm{E}$(3) invariant and propose an efficient GPU implementation. Moreover, we demonstrate that the aggregation mechanism helps to significantly outperform state-of-the-art molecule property prediction methods on established datasets.

Nghiem T. Diep, Huy Nguyen, Chau Nguyen et al.

The LLaMA-Adapter has recently emerged as an efficient fine-tuning technique for LLaMA models, leveraging zero-initialized attention to stabilize training and enhance performance. However, despite its empirical success, the theoretical foundations of zero-initialized attention remain largely unexplored. In this paper, we provide a rigorous theoretical analysis, establishing a connection between zero-initialized attention and mixture-of-expert models. We prove that both linear and non-linear prompts, along with gating functions, can be optimally estimated, with non-linear prompts offering greater flexibility for future applications. Empirically, we validate our findings on the open LLM benchmarks, demonstrating that non-linear prompts outperform linear ones. Notably, even with limited training data, both prompt types consistently surpass vanilla attention, highlighting the robustness and adaptability of zero-initialized attention.

Duy M. H. Nguyen, Hasan Md Tusfiqur Alam, Tai Nguyen et al.

The emergence of artificial intelligence (AI), particularly deep learning (DL), has marked a new era in the realm of ophthalmology, offering transformative potential for the diagnosis and treatment of posterior segment eye diseases. This review explores the cutting-edge applications of DL across a range of ocular conditions, including diabetic retinopathy, glaucoma, age-related macular degeneration, and retinal vessel segmentation. We provide a comprehensive overview of foundational ML techniques and advanced DL architectures, such as CNNs, attention mechanisms, and transformer-based models, highlighting the evolving role of AI in enhancing diagnostic accuracy, optimizing treatment strategies, and improving overall patient care. Additionally, we present key challenges in integrating AI solutions into clinical practice, including ensuring data diversity, improving algorithm transparency, and effectively leveraging multimodal data. This review emphasizes AI's potential to improve disease diagnosis and enhance patient care while stressing the importance of collaborative efforts to overcome these barriers and fully harness AI's impact in advancing eye care.

Khai Le-Duc, Duy M. H. Nguyen, Phuong T. H. Trinh et al.

Faithful reasoning in medical vision-language models (VLMs) requires not only accurate predictions but also transparent alignment between textual rationales and visual evidence. While Chain-of-Thought (CoT) prompting has shown promise in medical visual question answering (VQA), no large-scale expert-level dataset has captured stepwise reasoning with precise visual grounding. We introduce S-Chain, the first large-scale dataset of 12,000 expert-annotated medical images with bounding boxes and structured visual CoT (SV-CoT), explicitly linking visual regions to reasoning steps. The dataset further supports 16 languages, totaling over 700k VQA pairs for broad multilingual applicability. Using S-Chain, we benchmark state-of-the-art medical VLMs (ExGra-Med, LLaVA-Med) and general-purpose VLMs (Qwen2.5-VL, InternVL2.5), showing that SV-CoT supervision significantly improves interpretability, grounding fidelity, and robustness. Beyond benchmarking, we study its synergy with retrieval-augmented generation, revealing how domain knowledge and visual grounding interact during autoregressive reasoning. Finally, we propose a new mechanism that strengthens the alignment between visual evidence and reasoning, improving both reliability and efficiency. S-Chain establishes a new benchmark for grounded medical reasoning and paves the way toward more trustworthy and explainable medical VLMs.

Duy M. H. Nguyen, Tuan A. Tran, Duong Nguyen et al.

Recent token merging techniques for Vision Transformers (ViTs) provide substantial speedups by reducing the number of tokens processed by self-attention, often without retraining. However, their direct application to the Segment Anything Model (SAM) family is nontrivial: SAM's image encoder mixes windowed and global attention, and its mask decoder relies on dense, prompt-conditioned features for precise boundary prediction. We systematically evaluate representative token-merging methods on SAM and Medical SAM in a strict off-the-shelf setting, and find that existing destination-selection heuristics can erode boundaries and leak prompt information as merge rates increase. We propose \textbf{StructSAM}, a resolution-preserving merge-unmerge framework tailored to SAM. StructSAM computes a lightweight token-energy score from first-order feature gradients, uses grid-based flatness screening to protect boundary and prompt regions, and merges tokens within flat areas toward low-energy destinations with explicit token recovery. We further provide a spectral graph coarsening view showing that score-guided merging yields bounded Laplacian spectral distortion compared to random or window-restricted baselines. Across eight natural and medical benchmarks, StructSAM reduces encoder FLOPs by 25-30\% (up to 40\%+ with prompt-aware merging) with minor drops in mIoU/Dice, consistently outperforming ToMe, PiToMe, ToMeSD, VidToMe, and ALGM at the same compute.

Duc Cao-Dinh, Khai Le-Duc, Anh Dao et al.

3D Visual Grounding (3DVG) involves localizing target objects in 3D point clouds based on natural language. While prior work has made strides using textual descriptions, leveraging spoken language-known as Audio-based 3D Visual Grounding-remains underexplored and challenging. Motivated by advances in automatic speech recognition (ASR) and speech representation learning, we propose Audio-3DVG, a simple yet effective framework that integrates audio and spatial information for enhanced grounding. Rather than treating speech as a monolithic input, we decompose the task into two complementary components. First, we introduce (i) Object Mention Detection, a multi-label classification task that explicitly identifies which objects are referred to in the audio, enabling more structured audio-scene reasoning. Second, we propose an (ii) Audio-Guided Attention module that models the interactions between target candidates and mentioned objects, enhancing discrimination in cluttered 3D environments. To support benchmarking, we (iii) synthesize audio descriptions for standard 3DVG datasets, including ScanRefer, Sr3D, and Nr3D. Experimental results demonstrate that Audio-3DVG not only achieves new state-of-the-art performance in audio-based grounding, but also competes with text-based methods, highlight the promise of integrating spoken language into 3D vision tasks.

Hoang H. Le, Duy M. H. Nguyen, Omair Shahzad Bhatti et al.

Comprehending how humans process visual information in dynamic settings is crucial for psychology and designing user-centered interactions. While mobile eye-tracking systems combining egocentric video and gaze signals can offer valuable insights, manual analysis of these recordings is time-intensive. In this work, we present a novel human-centered learning algorithm designed for automated object recognition within mobile eye-tracking settings. Our approach seamlessly integrates an object detector with a spatial relation-aware inductive message-passing network (I-MPN), harnessing node profile information and capturing object correlations. Such mechanisms enable us to learn embedding functions capable of generalizing to new object angle views, facilitating rapid adaptation and efficient reasoning in dynamic contexts as users navigate their environment. Through experiments conducted on three distinct video sequences, our interactive-based method showcases significant performance improvements over fixed training/testing algorithms, even when trained on considerably smaller annotated samples collected through user feedback. Furthermore, we demonstrate exceptional efficiency in data annotation processes and surpass prior interactive methods that use complete object detectors, combine detectors with convolutional networks, or employ interactive video segmentation.

Duy M. H. Nguyen, Roberto Henschel, Bodo Rosenhahn et al.

Multi-Camera Multi-Object Tracking is currently drawing attention in the computer vision field due to its superior performance in real-world applications such as video surveillance in crowded scenes or in wide spaces. In this work, we propose a mathematically elegant multi-camera multiple object tracking approach based on a spatial-temporal lifted multicut formulation. Our model utilizes state-of-the-art tracklets produced by single-camera trackers as proposals. As these tracklets may contain ID-Switch errors, we refine them through a novel pre-clustering obtained from 3D geometry projections. As a result, we derive a better tracking graph without ID switches and more precise affinity costs for the data association phase. Tracklets are then matched to multi-camera trajectories by solving a global lifted multicut formulation that incorporates short and long-range temporal interactions on tracklets located in the same camera as well as inter-camera ones. Experimental results on the WildTrack dataset yield near-perfect performance, outperforming state-of-the-art trackers on Campus while being on par on the PETS-09 dataset.

Duy M. H. Nguyen, Truong T. N. Mai, Ngoc T. T. Than et al.

This paper investigates the problem of domain adaptation for diabetic retinopathy (DR) grading. We learn invariant target-domain features by defining a novel self-supervised task based on retinal vessel image reconstructions, inspired by medical domain knowledge. Then, a benchmark of current state-of-the-art unsupervised domain adaptation methods on the DR problem is provided. It can be shown that our approach outperforms existing domain adaption strategies. Furthermore, when utilizing entire training data in the target domain, we are able to compete with several state-of-the-art approaches in final classification accuracy just by applying standard network architectures and using image-level labels.

Duy M. H. Nguyen, Thu T. Nguyen, Huong Vu et al.

Existing skin attributes detection methods usually initialize with a pre-trained Imagenet network and then fine-tune on a medical target task. However, we argue that such approaches are suboptimal because medical datasets are largely different from ImageNet and often contain limited training samples. In this work, we propose \emph{Task Agnostic Transfer Learning (TATL)}, a novel framework motivated by dermatologists' behaviors in the skincare context. TATL learns an attribute-agnostic segmenter that detects lesion skin regions and then transfers this knowledge to a set of attribute-specific classifiers to detect each particular attribute. Since TATL's attribute-agnostic segmenter only detects skin attribute regions, it enjoys ample data from all attributes, allows transferring knowledge among features, and compensates for the lack of training data from rare attributes. We conduct extensive experiments to evaluate the proposed TATL transfer learning mechanism with various neural network architectures on two popular skin attributes detection benchmarks. The empirical results show that TATL not only works well with multiple architectures but also can achieve state-of-the-art performances while enjoying minimal model and computational complexities. We also provide theoretical insights and explanations for why our transfer learning framework performs well in practice.

Duy M. H. Nguyen, Duy M. Nguyen, Huong Vu et al.

Until now, Coronavirus SARS-CoV-2 has caused more than 850,000 deaths and infected more than 27 million individuals in over 120 countries. Besides principal polymerase chain reaction (PCR) tests, automatically identifying positive samples based on computed tomography (CT) scans can present a promising option in the early diagnosis of COVID-19. Recently, there have been increasing efforts to utilize deep networks for COVID-19 diagnosis based on CT scans. While these approaches mostly focus on introducing novel architectures, transfer learning techniques, or construction large scale data, we propose a novel strategy to improve the performance of several baselines by leveraging multiple useful information sources relevant to doctors' judgments. Specifically, infected regions and heat maps extracted from learned networks are integrated with the global image via an attention mechanism during the learning process. This procedure not only makes our system more robust to noise but also guides the network focusing on local lesion areas. Extensive experiments illustrate the superior performance of our approach compared to recent baselines. Furthermore, our learned network guidance presents an explainable feature to doctors as we can understand the connection between input and output in a grey-box model.