Hongkai Zhang

CV
7papers
826citations
Novelty38%
AI Score49

7 Papers

CVMay 28
CardioLens: Revealing the Clinical Reality Gap of MLLMs via Multi-Sequence Cardiac MRI Evaluations

Zixian Su, Hongkai Zhang, Fan Gao et al.

Multimodal Large Language Models (MLLMs) have shown strong performance on public medical benchmarks, yet existing evaluations often remain weak proxies for clinical use, relying on isolated inputs and simplified recognition-style tasks. We introduce CardioLens, a leakage-resistant evaluation testbed for multi-sequence Cardiovascular Magnetic Resonance (CMR), constructed from private hospital archives through a rigorous report-to-QA construction and verification pipeline. CardioLens contains 473,896 slices and 13,494 verified QA pairs across 4D Cine, LGE, perfusion, and T2-weighted imaging, and evaluates three stages of CMR interpretation: image understanding, report generation, and disease diagnosis. Across 24 state-of-the-art MLLMs, CardioLens reveals a substantial clinical reality gap: models perform poorly overall, with performance degrading along the real CMR workflow. Confusion analysis further shows a category-collapse failure mode, where models default to frequent abnormal categories rather than distinguishing clinically distinct findings. To rule out MLLM-compatible input construction as the primary cause, we compare random, clinically motivated, and data-driven slice selection protocols under different slice budgets; performance changes only marginally, typically by about 1%. Explicit reasoning prompts also fail to rescue performance, often making models more conservative rather than improving visual evidence use. These results show that current MLLMs remain far from reliable CMR interpretation, where clinical decisions require integrating distributed evidence across sequences, views, and temporal phases. CardioLens provides a clinically grounded testbed for developing next-generation MLLMs toward real-world clinical deployment.

IVApr 5Code
BAAI Cardiac Agent: An intelligent multimodal agent for automated reasoning and diagnosis of cardiovascular diseases from cardiac magnetic resonance imaging

Taiping Qu, Hongkai Zhang, Lantian Zhang et al.

Cardiac magnetic resonance (CMR) is a cornerstone for diagnosing cardiovascular disease. However, it remains underutilized due to complex, time-consuming interpretation across multi-sequences, phases, quantitative measures that heavily reliant on specialized expertise. Here, we present BAAI Cardiac Agent, a multimodal intelligent system designed for end-to-end CMR interpretation. The agent integrates specialized cardiac expert models to perform automated segmentation of cardiac structures, functional quantification, tissue characterization and disease diagnosis, and generates structured clinical reports within a unified workflow. Evaluated on CMR datasets from two hospitals (2413 patients) spanning 7-types of major cardiovascular diseases, the agent achieved an area under the receiver-operating-characteristic curve exceeding 0.93 internally and 0.81 externally. In the task of estimating left ventricular function indices, the results generated by this system for core parameters such as ejection fraction, stroke volume, and left ventricular mass are highly consistent with clinical reports, with Pearson correlation coefficients all exceeding 0.90. The agent outperformed state-of-the-art models in segmentation and diagnostic tasks, and generated clinical reports showing high concordance with expert radiologists (six readers across three experience levels). By dynamically orchestrating expert models for coordinated multimodal analysis, this agent framework enables accurate, efficient CMR interpretation and highlights its potentials for complex clinical imaging workflows. Code is available at https://github.com/plantain-herb/Cardiac-Agent.

CVJul 16, 2020Code
Appearance-Preserving 3D Convolution for Video-based Person Re-identification

Xinqian Gu, Hong Chang, Bingpeng Ma et al.

Due to the imperfect person detection results and posture changes, temporal appearance misalignment is unavoidable in video-based person re-identification (ReID). In this case, 3D convolution may destroy the appearance representation of person video clips, thus it is harmful to ReID. To address this problem, we propose AppearancePreserving 3D Convolution (AP3D), which is composed of two components: an Appearance-Preserving Module (APM) and a 3D convolution kernel. With APM aligning the adjacent feature maps in pixel level, the following 3D convolution can model temporal information on the premise of maintaining the appearance representation quality. It is easy to combine AP3D with existing 3D ConvNets by simply replacing the original 3D convolution kernels with AP3Ds. Extensive experiments demonstrate the effectiveness of AP3D for video-based ReID and the results on three widely used datasets surpass the state-of-the-arts. Code is available at: https://github.com/guxinqian/AP3D.

CVApr 13, 2020Code
Dynamic R-CNN: Towards High Quality Object Detection via Dynamic Training

Hongkai Zhang, Hong Chang, Bingpeng Ma et al.

Although two-stage object detectors have continuously advanced the state-of-the-art performance in recent years, the training process itself is far from crystal. In this work, we first point out the inconsistency problem between the fixed network settings and the dynamic training procedure, which greatly affects the performance. For example, the fixed label assignment strategy and regression loss function cannot fit the distribution change of proposals and thus are harmful to training high quality detectors. Consequently, we propose Dynamic R-CNN to adjust the label assignment criteria (IoU threshold) and the shape of regression loss function (parameters of SmoothL1 Loss) automatically based on the statistics of proposals during training. This dynamic design makes better use of the training samples and pushes the detector to fit more high quality samples. Specifically, our method improves upon ResNet-50-FPN baseline with 1.9% AP and 5.5% AP$_{90}$ on the MS COCO dataset with no extra overhead. Codes and models are available at https://github.com/hkzhang95/DynamicRCNN.

CVAug 4, 2020
1st Place Solutions of Waymo Open Dataset Challenge 2020 -- 2D Object Detection Track

Zehao Huang, Zehui Chen, Qiaofei Li et al.

In this technical report, we present our solutions of Waymo Open Dataset (WOD) Challenge 2020 - 2D Object Track. We adopt FPN as our basic framework. Cascade RCNN, stacked PAFPN Neck and Double-Head are used for performance improvements. In order to handle the small object detection problem in WOD, we use very large image scales for both training and testing. Using our methods, our team RW-TSDet achieved the 1st place in the 2D Object Detection Track.

CVJul 16, 2019
Cascade RetinaNet: Maintaining Consistency for Single-Stage Object Detection

Hongkai Zhang, Hong Chang, Bingpeng Ma et al.

Recent researches attempt to improve the detection performance by adopting the idea of cascade for single-stage detectors. In this paper, we analyze and discover that inconsistency is the major factor limiting the performance. The refined anchors are associated with the feature extracted from the previous location and the classifier is confused by misaligned classification and localization. Further, we point out two main designing rules for the cascade manner: improving consistency between classification confidence and localization performance, and maintaining feature consistency between different stages. A multistage object detector named Cas-RetinaNet, is then proposed for reducing the misalignments. It consists of sequential stages trained with increasing IoU thresholds for improving the correlation, and a novel Feature Consistency Module for mitigating the feature inconsistency. Experiments show that our proposed Cas-RetinaNet achieves stable performance gains across different models and input scales. Specifically, our method improves RetinaNet from 39.1 AP to 41.1 AP on the challenging MS COCO dataset without any bells or whistles.

CVFeb 19, 2019
WIDER Face and Pedestrian Challenge 2018: Methods and Results

Chen Change Loy, Dahua Lin, Wanli Ouyang et al.

This paper presents a review of the 2018 WIDER Challenge on Face and Pedestrian. The challenge focuses on the problem of precise localization of human faces and bodies, and accurate association of identities. It comprises of three tracks: (i) WIDER Face which aims at soliciting new approaches to advance the state-of-the-art in face detection, (ii) WIDER Pedestrian which aims to find effective and efficient approaches to address the problem of pedestrian detection in unconstrained environments, and (iii) WIDER Person Search which presents an exciting challenge of searching persons across 192 movies. In total, 73 teams made valid submissions to the challenge tracks. We summarize the winning solutions for all three tracks. and present discussions on open problems and potential research directions in these topics.