Yequan Bie

Zhixuan Chen, Yequan Bie, Haibo Jin et al.

Computed tomography (CT) report generation is crucial to assist radiologists in interpreting CT volumes, which can be time-consuming and labor-intensive. Existing methods primarily only consider the global features of the entire volume, making it struggle to focus on specific regions and potentially missing abnormalities. To address this issue, we propose Reg2RG, the first region-guided referring and grounding framework for CT report generation, which enhances diagnostic performance by focusing on anatomical regions within the volume. Specifically, we utilize masks from a universal segmentation module to capture local features for each referring region. A local feature decoupling (LFD) strategy is proposed to preserve the local high-resolution details with little computational overhead. Then the local features are integrated with global features to capture inter-regional relationships within a cohesive context. Moreover, we propose a novel region-report alignment (RRA) training strategy. It leverages the recognition of referring regions to guide the generation of region-specific reports, enhancing the model's referring and grounding capabilities while also improving the report's interpretability. A large language model (LLM) is further employed as the language decoder to generate reports from integrated visual features, facilitating region-level comprehension. Extensive experiments on two large-scale chest CT-report datasets demonstrate the superiority of our method, which outperforms several state-of-the-art methods in terms of both natural language generation and clinical efficacy metrics while preserving promising interpretability. The code is available at https://github.com/zhi-xuan-chen/Reg2RG.

Peng Xie, Yequan Bie, Jianda Mao et al.

Pre-trained vision-language models (VLMs) have showcased remarkable performance in image and natural language understanding, such as image captioning and response generation. As the practical applications of vision-language models become increasingly widespread, their potential safety and robustness issues raise concerns that adversaries may evade the system and cause these models to generate toxic content through malicious attacks. Therefore, evaluating the robustness of open-source VLMs against adversarial attacks has garnered growing attention, with transfer-based attacks as a representative black-box attacking strategy. However, most existing transfer-based attacks neglect the importance of the semantic correlations between vision and text modalities, leading to sub-optimal adversarial example generation and attack performance. To address this issue, we present Chain of Attack (CoA), which iteratively enhances the generation of adversarial examples based on the multi-modal semantic update using a series of intermediate attacking steps, achieving superior adversarial transferability and efficiency. A unified attack success rate computing method is further proposed for automatic evasion evaluation. Extensive experiments conducted under the most realistic and high-stakes scenario, demonstrate that our attacking strategy can effectively mislead models to generate targeted responses using only black-box attacks without any knowledge of the victim models. The comprehensive robustness evaluation in our paper provides insight into the vulnerabilities of VLMs and offers a reference for the safety considerations of future model developments.

Zhixuan Chen, Luyang Luo, Yequan Bie et al.

Medical report generation has achieved remarkable advancements yet has still been faced with several challenges. First, the inherent imbalance in the distribution of normal and abnormal cases may lead models to exhibit a biased focus on normal samples, resulting in unreliable diagnoses. Second, the frequent occurrence of common template sentences in the reports may overwhelm the critical abnormal information. Moreover, existing works focus on 2D chest X-rays, leaving CT report generation underexplored due to the high-dimensional nature of CT images and the limited availability of CT-report pairs. Recently, LLM has shown a great ability to generate reliable answers with appropriate prompts, which shed light on addressing the aforementioned challenges. In this paper, we propose Dia-LLaMA, a framework to adapt the LLaMA2-7B for CT report generation by incorporating diagnostic information as guidance prompts. Considering the high dimension of CT, we leverage a pre-trained ViT3D with perceiver to extract the visual information. To tailor the LLM for report generation and emphasize abnormality, we extract additional diagnostic information by referring to a disease prototype memory bank, which is updated during training to capture common disease representations. Furthermore, we introduce disease-aware attention to enable the model to adjust attention for different diseases. Experiments on the chest CT dataset demonstrated that our proposed method outperformed previous methods and achieved state-of-the-art on both clinical efficacy performance and natural language generation metrics. The code will be made publically available.

Zhixuan Chen, Junlin Hou, Liqi Lin et al.

Pathology image segmentation is crucial in computational pathology for analyzing histological features relevant to cancer diagnosis and prognosis. However, current methods face major challenges in clinical applications due to limited annotated data and restricted category definitions. To address these limitations, we propose PathSegmentor, the first text-prompted segmentation foundation model designed specifically for pathology images. We also introduce PathSeg, the largest and most comprehensive dataset for pathology segmentation, built from 21 public sources and containing 275k image-mask-label triples across 160 diverse categories. With PathSegmentor, users can perform semantic segmentation using natural language prompts, eliminating the need for laborious spatial inputs such as points or boxes. Extensive experiments demonstrate that PathSegmentor outperforms specialized models with higher accuracy and broader applicability, while maintaining a compact architecture. It significantly surpasses existing spatial- and text-prompted models by 0.145 and 0.429 in overall Dice scores, respectively, showing strong robustness in segmenting complex structures and generalizing to external datasets. Moreover, PathSegmentor's outputs enhance the interpretability of diagnostic models through feature importance estimation and imaging biomarker discovery, offering pathologists evidence-based support for clinical decision-making. This work advances the development of explainable AI in precision oncology.

Peng Xie, Xingyuan Liu, Tsz Wai Chan et al.

Code-switching (CS) is the alternating use of two or more languages within a conversation or utterance, often influenced by social context and speaker identity. This linguistic phenomenon poses challenges for Automatic Speech Recognition (ASR) systems, which are typically designed for a single language and struggle to handle multilingual inputs. The growing global demand for multilingual applications, including Code-Switching ASR (CSASR), Text-to-Speech (CSTTS), and Cross-Lingual Information Retrieval (CLIR), highlights the inadequacy of existing monolingual datasets. Although some code-switching datasets exist, most are limited to bilingual mixing within homogeneous ethnic groups, leaving a critical need for a large-scale, diverse benchmark akin to ImageNet in computer vision. To bridge this gap, we introduce \textbf{LinguaMaster}, a multi-agent collaboration framework specifically designed for efficient and scalable multilingual data synthesis. Leveraging this framework, we curate \textbf{SwitchLingua}, the first large-scale multilingual and multi-ethnic code-switching dataset, including: (1) 420K CS textual samples across 12 languages, and (2) over 80 hours of audio recordings from 174 speakers representing 18 countries/regions and 63 racial/ethnic backgrounds, based on the textual data. This dataset captures rich linguistic and cultural diversity, offering a foundational resource for advancing multilingual and multicultural research. Furthermore, to address the issue that existing ASR evaluation metrics lack sensitivity to code-switching scenarios, we propose the \textbf{Semantic-Aware Error Rate (SAER)}, a novel evaluation metric that incorporates semantic information, providing a more accurate and context-aware assessment of system performance.

Yuxiang Nie, Sunan He, Yequan Bie et al.

The clinical adoption of artificial intelligence (AI) in medical imaging requires models that are both diagnostically accurate and interpretable to clinicians. While current multimodal biomedical foundation models prioritize performance, their black-box nature hinders explaining the decision-making process in clinically meaningful concepts. Here, we present ConceptCLIP, the first explainable biomedical foundation model that achieves state-of-the-art diagnostic accuracy while delivering human-interpretable explanations across diverse imaging modalities. We curate MedConcept-23M, the largest pre-training dataset comprising 23 million image-text-concept triplets across diverse medical modalities, where clinical concepts are derived from the Unified Medical Language System. Leveraging this dataset, we develop ConceptCLIP through a novel dual-alignment approach that simultaneously learns global image-text representations and fine-grained region-concept associations for precise and interpretable medical image analysis. We curate the most extensive evaluation benchmark for multimodal biomedical foundation models, covering 52 clinical tasks spanning 10 imaging modalities. Extensive experiments demonstrate that ConceptCLIP outperforms existing state-of-the-art multimodal biomedical foundation models. Importantly, ConceptCLIP demonstrates superior diagnostic performance while providing human-understandable explanations validated by clinical experts. As the first precise and interpretable biomedical foundation model, ConceptCLIP represents a critical milestone toward the widespread clinical adoption of AI, thereby advancing trustworthy AI in medicine.

Yequan Bie, Luyang Luo, Zhixuan Chen et al.

Utilizing potent representations of the large vision-language models (VLMs) to accomplish various downstream tasks has attracted increasing attention. Within this research field, soft prompt learning has become a representative approach for efficiently adapting VLMs such as CLIP, to tasks like image classification. However, most existing prompt learning methods learn text tokens that are unexplainable, which cannot satisfy the stringent interpretability requirements of Explainable Artificial Intelligence (XAI) in high-stakes scenarios like healthcare. To address this issue, we propose a novel explainable prompt learning framework that leverages medical knowledge by aligning the semantics of images, learnable prompts, and clinical concept-driven prompts at multiple granularities. Moreover, our framework addresses the lack of valuable concept annotations by eliciting knowledge from large language models and offers both visual and textual explanations for the prompts. Extensive experiments and explainability analyses conducted on various datasets, with and without concept labels, demonstrate that our method simultaneously achieves superior diagnostic performance, flexibility, and interpretability, shedding light on the effectiveness of foundation models in facilitating XAI. The code will be made publically available.

Yequan Bie, Luyang Luo, Hao Chen

Black-box deep learning approaches have showcased significant potential in the realm of medical image analysis. However, the stringent trustworthiness requirements intrinsic to the medical field have catalyzed research into the utilization of Explainable Artificial Intelligence (XAI), with a particular focus on concept-based methods. Existing concept-based methods predominantly apply concept annotations from a single perspective (e.g., global level), neglecting the nuanced semantic relationships between sub-regions and concepts embedded within medical images. This leads to underutilization of the valuable medical information and may cause models to fall short in harmoniously balancing interpretability and performance when employing inherently interpretable architectures such as Concept Bottlenecks. To mitigate these shortcomings, we propose a multi-modal explainable disease diagnosis framework that meticulously aligns medical images and clinical-related concepts semantically at multiple strata, encompassing the image level, token level, and concept level. Moreover, our method allows for model intervention and offers both textual and visual explanations in terms of human-interpretable concepts. Experimental results on three skin image datasets demonstrate that our method, while preserving model interpretability, attains high performance and label efficiency for concept detection and disease diagnosis.