Zihao Zhao

Honglin Xiong, Sheng Wang, Yitao Zhu et al.

The recent progress of large language models (LLMs), including ChatGPT and GPT-4, in comprehending and responding to human instructions has been remarkable. Nevertheless, these models typically perform better in English and have not been explicitly trained for the medical domain, resulting in suboptimal precision in diagnoses, drug recommendations, and other medical advice. Additionally, training and deploying a dialogue model is still believed to be impossible for hospitals, hindering the promotion of LLMs. To tackle these challenges, we have collected databases of medical dialogues in Chinese with ChatGPT's help and adopted several techniques to train an easy-deploy LLM. Remarkably, we were able to fine-tune the ChatGLM-6B on a single A100 80G in 13 hours, which means having a healthcare-purpose LLM can be very affordable. DoctorGLM is currently an early-stage engineering attempt and contain various mistakes. We are sharing it with the broader community to invite feedback and suggestions to improve its healthcare-focused capabilities: https://github.com/xionghonglin/DoctorGLM.

Chenxiao Fan, Chongming Gao, Wentao Shi et al.

Accurate and safe medication recommendations are critical for effective clinical decision-making, especially in multimorbidity cases. However, existing systems rely on point-wise prediction paradigms that overlook synergistic drug effects and potential adverse drug-drug interactions (DDIs). We propose FLAME, a fine-grained list-wise alignment framework for large language models (LLMs), enabling drug-by-drug generation of drug lists. FLAME formulates recommendation as a sequential decision process, where each step adds or removes a single drug. To provide fine-grained learning signals, we devise step-wise Group Relative Policy Optimization (GRPO) with potential-based reward shaping, which explicitly models DDIs and optimizes the contribution of each drug to the overall prescription. Furthermore, FLAME enhances patient modeling by integrating structured clinical knowledge and collaborative information into the representation space of LLMs. Experiments on benchmark datasets demonstrate that FLAME achieves state-of-the-art performance, delivering superior accuracy, controllable safety-accuracy trade-offs, and strong generalization across diverse clinical scenarios. Our code is available at https://github.com/cxfann/Flame.

Zhengliang Liu, Tianyang Zhong, Yiwei Li et al.

The rise of large language models (LLMs) has marked a pivotal shift in the field of natural language processing (NLP). LLMs have revolutionized a multitude of domains, and they have made a significant impact in the medical field. Large language models are now more abundant than ever, and many of these models exhibit bilingual capabilities, proficient in both English and Chinese. However, a comprehensive evaluation of these models remains to be conducted. This lack of assessment is especially apparent within the context of radiology NLP. This study seeks to bridge this gap by critically evaluating thirty two LLMs in interpreting radiology reports, a crucial component of radiology NLP. Specifically, the ability to derive impressions from radiologic findings is assessed. The outcomes of this evaluation provide key insights into the performance, strengths, and weaknesses of these LLMs, informing their practical applications within the medical domain.

Sheng Wang, Zihao Zhao, Xi Ouyang et al.

Large language models (LLMs) have recently demonstrated their potential in clinical applications, providing valuable medical knowledge and advice. For example, a large dialog LLM like ChatGPT has successfully passed part of the US medical licensing exam. However, LLMs currently have difficulty processing images, making it challenging to interpret information from medical images, which are rich in information that supports clinical decisions. On the other hand, computer-aided diagnosis (CAD) networks for medical images have seen significant success in the medical field by using advanced deep-learning algorithms to support clinical decision-making. This paper presents a method for integrating LLMs into medical-image CAD networks. The proposed framework uses LLMs to enhance the output of multiple CAD networks, such as diagnosis networks, lesion segmentation networks, and report generation networks, by summarizing and reorganizing the information presented in natural language text format. The goal is to merge the strengths of LLMs' medical domain knowledge and logical reasoning with the vision understanding capability of existing medical-image CAD models to create a more user-friendly and understandable system for patients compared to conventional CAD systems. In the future, LLM's medical knowledge can be also used to improve the performance of vision-based medical-image CAD models.

Yuzhu Mao, Zihao Zhao, Meilin Yang et al.

Federated learning (FL) enables edge devices to collaboratively learn a model in a distributed fashion. Many existing researches have focused on improving communication efficiency of high-dimensional models and addressing bias caused by local updates. However, most of FL algorithms are either based on reliable communications or assume fixed and known unreliability characteristics. In practice, networks could suffer from dynamic channel conditions and non-deterministic disruptions, with time-varying and unknown characteristics. To this end, in this paper we propose a sparsity enabled FL framework with both communication efficiency and bias reduction, termed as SAFARI. It makes novel use of a similarity among client models to rectify and compensate for bias that is resulted from unreliable communications. More precisely, sparse learning is implemented on local clients to mitigate communication overhead, while to cope with unreliable communications, a similarity-based compensation method is proposed to provide surrogates for missing model updates. We analyze SAFARI under bounded dissimilarity and with respect to sparse models. It is demonstrated that SAFARI under unreliable communications is guaranteed to converge at the same rate as the standard FedAvg with perfect communications. Implementations and evaluations on CIFAR-10 dataset validate the effectiveness of SAFARI by showing that it can achieve the same convergence speed and accuracy as FedAvg with perfect communications, with up to 80% of the model weights being pruned and a high percentage of client updates missing in each round.

Zihao Zhao, Yuzhu Mao, Zhenpeng Shi et al.

The widespread adoption of Federated Learning (FL), a privacy-preserving distributed learning methodology, has been impeded by the challenge of high communication overheads, typically arising from the transmission of large-scale models. Existing adaptive quantization methods, designed to mitigate these overheads, operate under the impractical assumption of uniform device participation in every training round. Additionally, these methods are limited in their adaptability due to the necessity of manual quantization level selection and often overlook biases inherent in local devices' data, thereby affecting the robustness of the global model. In response, this paper introduces AQUILA (adaptive quantization in device selection strategy), a novel adaptive framework devised to effectively handle these issues, enhancing the efficiency and robustness of FL. AQUILA integrates a sophisticated device selection method that prioritizes the quality and usefulness of device updates. Utilizing the exact global model stored by devices, it enables a more precise device selection criterion, reduces model deviation, and limits the need for hyperparameter adjustments. Furthermore, AQUILA presents an innovative quantization criterion, optimized to improve communication efficiency while assuring model convergence. Our experiments demonstrate that AQUILA significantly decreases communication costs compared to existing methods, while maintaining comparable model performance across diverse non-homogeneous FL settings, such as Non-IID data and heterogeneous model architectures.

Zihao Zhao, Yang Liu, Wenbo Ding et al.

Existing research has either adapted the Probably Approximately Correct (PAC) Bayesian framework for federated learning (FL) or used information-theoretic PAC-Bayesian bounds while introducing their theorems, but few considering the non-IID challenges in FL. Our work presents the first non-vacuous federated PAC-Bayesian bound tailored for non-IID local data. This bound assumes unique prior knowledge for each client and variable aggregation weights. We also introduce an objective function and an innovative Gibbs-based algorithm for the optimization of the derived bound. The results are validated on real-world datasets.

Lin Teng, Zihao Zhao, Jiawei Huang et al.

Automatic and accurate segmentation of brain MR images throughout the human lifespan into tissue and structure is crucial for understanding brain development and diagnosing diseases. However, challenges arise from the intricate variations in brain appearance due to rapid early brain development, aging, and disorders, compounded by the limited availability of manually-labeled datasets. In response, we present a two-step segmentation framework employing Knowledge-Guided Prompt Learning (KGPL) for brain MRI. Specifically, we first pre-train segmentation models on large-scale datasets with sub-optimal labels, followed by the incorporation of knowledge-driven embeddings learned from image-text alignment into the models. The introduction of knowledge-wise prompts captures semantic relationships between anatomical variability and biological processes, enabling models to learn structural feature embeddings across diverse age groups. Experimental findings demonstrate the superiority and robustness of our proposed method, particularly noticeable when employing Swin UNETR as the backbone. Our approach achieves average DSC values of 95.17% and 94.19% for brain tissue and structure segmentation, respectively. Our code is available at https://github.com/TL9792/KGPL.

Yuzhu Mao, Siqi Ping, Zihao Zhao et al.

Large pre-trained models, such as large language models (LLMs), present significant resource challenges for fine-tuning due to their extensive parameter sizes, especially for applications in mobile systems. To address this, Low-Rank Adaptation (LoRA) has been developed to reduce resource consumption while maintaining satisfactory fine-tuning results. Despite its effectiveness, the original LoRA method faces challenges of suboptimal performance and overfitting. This paper investigates the intrinsic dimension of the matrix updates approximated by the LoRA method and reveals the performance benefits of increasing this intrinsic dimension. By employing regularization and a gradient masking method that encourages higher intrinsic dimension, the proposed method, termed Regularized and Masked LoRA (RM-LoRA), achieves superior generalization performance with the same or lower trainable parameter budget compared to the original LoRA and its latest variants across various open-source vision and language datasets.

Zihao Zhao, Frederik Hauke, Juliana De Castilhos et al.

Clinical AI development has traditionally followed a collaborative paradigm that depends on close interaction between clinicians and specialized AI teams. This paradigm imposes a practical challenge: clinicians must repeatedly communicate and refine their requirements with AI developers before those requirements can be translated into executable model development. This iterative process is time-consuming, and even after repeated discussion, misalignment may still exist because the two sides do not fully share each other's expertise. However, autonomous coding agents may change this paradigm, raising the possibility that clinicians could develop clinical AI models independently through natural-language interaction alone. In this study, we present such an autonomous prototype for clinician-driven clinical AI development. We evaluated the system on five clinical tasks spanning dermoscopic lesion classification, melanoma-versus-nevus triage, wrist-fracture detection (including a weakly supervised variant with only 5% bounding-box annotations), and debiased pneumothorax classification on chest radiographs. Across these settings, the system consistently developed models from clinician requests and achieved promising performance. Notably, in a debiased pneumothorax classification task on chest radiographs, where chest drains can act as a major confounder, the system successfully mitigated shortcut learning and nearly halved the model's reliance on chest drains. These findings provide proof of concept that autonomous coding agents may help shift clinical AI development toward a more clinician-driven paradigm, reducing the communication overhead and dependence on specialized AI developers. Although further validation and robustness assessment are needed, this study suggests a promising path toward making clinical AI development more accessible.

Yitao Zhu, Zhenrong Shen, Zihao Zhao et al.

The common practice in developing computer-aided diagnosis (CAD) models based on transformer architectures usually involves fine-tuning from ImageNet pre-trained weights. However, with recent advances in large-scale pre-training and the practice of scaling laws, Vision Transformers (ViT) have become much larger and less accessible to medical imaging communities. Additionally, in real-world scenarios, the deployments of multiple CAD models can be troublesome due to problems such as limited storage space and time-consuming model switching. To address these challenges, we propose a new method MeLo (Medical image Low-rank adaptation), which enables the development of a single CAD model for multiple clinical tasks in a lightweight manner. It adopts low-rank adaptation instead of resource-demanding fine-tuning. By fixing the weight of ViT models and only adding small low-rank plug-ins, we achieve competitive results on various diagnosis tasks across different imaging modalities using only a few trainable parameters. Specifically, our proposed method achieves comparable performance to fully fine-tuned ViT models on four distinct medical imaging datasets using about 0.17% trainable parameters. Moreover, MeLo adds only about 0.5MB of storage space and allows for extremely fast model switching in deployment and inference. Our source code and pre-trained weights are available on our website (https://absterzhu.github.io/melo.github.io/).

Chaojie Shen, Jingjun Gu, Zihao Zhao et al.

Accurate Couinaud liver segmentation is critical for preoperative surgical planning and tumor localization.However, existing methods primarily rely on image intensity and spatial location cues, without explicitly modeling vascular topology. As a result, they often produce indistinct boundaries near vessels and show limited generalization under anatomical variability.We propose VasGuideNet, the first Couinaud segmentation framework explicitly guided by vascular topology. Specifically, skeletonized vessels, Euclidean distance transform (EDT)--derived geometry, and k-nearest neighbor (kNN) connectivity are encoded into topology features using Graph Convolutional Networks (GCNs). These features are then injected into a 3D encoder--decoder backbone via a cross-attention fusion module. To further improve inter-class separability and anatomical consistency, we introduce a Structural Contrastive Loss (SCL) with a global memory bank.On Task08_HepaticVessel and our private LASSD dataset, VasGuideNet achieves Dice scores of 83.68% and 76.65% with RVDs of 1.68 and 7.08, respectively. It consistently outperforms representative baselines including UNETR, Swin UNETR, and G-UNETR++, delivering higher Dice/mIoU and lower RVD across datasets, demonstrating its effectiveness for anatomically consistent segmentation. Code is available at https://github.com/Qacket/VasGuideNet.git.

Zihao Zhao, Frederik Hauke, Juliana De Castilhos et al.

The rapid progress of multimodal large language models (MLLMs) has led to increasing interest in agent-based systems. While most prior work in medical imaging concentrates on automating routine clinical workflows, we study an underexplored yet clinically significant setting: distinguishing visually hard-to-separate diseases in a zero-shot setting. We benchmark representative agents on two imaging-only proxy diagnostic tasks, (1) melanoma vs. atypical nevus and (2) pulmonary edema vs. pneumonia, where visual features are highly confounded despite substantial differences in clinical management. We introduce a multi-agent framework based on contrastive adjudication. Experimental results show improved diagnostic performance (an 11-percentage-point gain in accuracy on dermoscopy data) and reduced unsupported claims on qualitative samples, although overall performance remains insufficient for clinical deployment. We acknowledge the inherent uncertainty in human annotations and the absence of clinical context, which further limit the translation to real-world settings. Within this controlled setting, this pilot study provides preliminary insights into zero-shot agent performance in visually confounded scenarios.

Zihao Zhao, Mengen Luo, Wenbo Ding

Distributed machine learning has been widely used in recent years to tackle the large and complex dataset problem. Therewith, the security of distributed learning has also drawn increasing attentions from both academia and industry. In this context, federated learning (FL) was developed as a "secure" distributed learning by maintaining private training data locally and only public model gradients are communicated between. However, to date, a variety of gradient leakage attacks have been proposed for this procedure and prove that it is insecure. For instance, a common drawback of these attacks is shared: they require too much auxiliary information such as model weights, optimizers, and some hyperparameters (e.g., learning rate), which are difficult to obtain in real situations. Moreover, many existing algorithms avoid transmitting model gradients in FL and turn to sending model weights, such as FedAvg, but few people consider its security breach. In this paper, we present two novel frameworks to demonstrate that transmitting model weights is also likely to leak private local data of clients, i.e., (DLM and DLM+), under the FL scenario. In addition, a number of experiments are performed to illustrate the effect and generality of our attack frameworks. At the end of this paper, we also introduce two defenses to the proposed attacks and evaluate their protection effects. Comprehensively, the proposed attack and defense schemes can be applied to the general distributed learning scenario as well, just with some appropriate customization.

Zihao Zhao, Yanhong Wang, Qiaosha Zou et al.

Action recognition is an exciting research avenue for artificial intelligence since it may be a game changer in the emerging industrial fields such as robotic visions and automobiles. However, current deep learning faces major challenges for such applications because of the huge computational cost and the inefficient learning. Hence, we develop a novel brain-inspired Spiking Neural Network (SNN) based system titled Spiking Gating Flow (SGF) for online action learning. The developed system consists of multiple SGF units which assembled in a hierarchical manner. A single SGF unit involves three layers: a feature extraction layer, an event-driven layer and a histogram-based training layer. To demonstrate the developed system capabilities, we employ a standard Dynamic Vision Sensor (DVS) gesture classification as a benchmark. The results indicate that we can achieve 87.5% accuracy which is comparable with Deep Learning (DL), but at smaller training/inference data number ratio 1.5:1. And only a single training epoch is required during the learning process. Meanwhile, to the best of our knowledge, this is the highest accuracy among the non-backpropagation algorithm based SNNs. At last, we conclude the few-shot learning paradigm of the developed network: 1) a hierarchical structure-based network design involves human prior knowledge; 2) SNNs for content based global dynamic feature detection.

Zihao Zhao, Yuxiao Liu, Han Wu et al.

Contrastive Language-Image Pre-training (CLIP), a simple yet effective pre-training paradigm, successfully introduces text supervision to vision models. It has shown promising results across various tasks due to its generalizability and interpretability. The use of CLIP has recently gained increasing interest in the medical imaging domain, serving as a pre-training paradigm for image-text alignment, or a critical component in diverse clinical tasks. With the aim of facilitating a deeper understanding of this promising direction, this survey offers an in-depth exploration of the CLIP within the domain of medical imaging, regarding both refined CLIP pre-training and CLIP-driven applications. In this paper, we (1) first start with a brief introduction to the fundamentals of CLIP methodology; (2) then investigate the adaptation of CLIP pre-training in the medical imaging domain, focusing on how to optimize CLIP given characteristics of medical images and reports; (3) further explore practical utilization of CLIP pre-trained models in various tasks, including classification, dense prediction, and cross-modal tasks; and (4) finally discuss existing limitations of CLIP in the context of medical imaging, and propose forward-looking directions to address the demands of medical imaging domain. Studies featuring technical and practical value are both investigated. We expect this survey will provide researchers with a holistic understanding of the CLIP paradigm and its potential implications. The project page of this survey can also be found on https://github.com/zhaozh10/Awesome-CLIP-in-Medical-Imaging.

Zichuan Fu, Xian Wu, Guojing Li et al.

Recent advancements in large language models (LLMs) have catalyzed the rise of reasoning-intensive inference paradigms, where models perform explicit step-by-step reasoning before generating final answers. While such approaches improve answer quality and interpretability, they incur substantial computational overhead due to the prolonged generation sequences. In this paper, we propose Tandem, a novel collaborative framework that synergizes large and small language models (LLMs and SLMs) to achieve high-quality reasoning with significantly reduced computational cost. Specifically, the LLM serves as a strategic coordinator, efficiently generating a compact set of critical reasoning insights. These insights are then used to guide a smaller, more efficient SLM in executing the full reasoning process and delivering the final response. To balance efficiency and reliability, Tandem introduces a cost-aware termination mechanism that adaptively determines when sufficient reasoning guidance has been accumulated, enabling early stopping of the LLM's generation. Experiments on mathematical reasoning and code generation benchmarks demonstrate that Tandem reduces computational costs by approximately 40% compared to standalone LLM reasoning, while achieving superior or competitive performance. Furthermore, the sufficiency classifier trained on one domain transfers effectively to others without retraining. The code is available at: https://github.com/Applied-Machine-Learning-Lab/ACL2026_Tandem.

Zihao Zhao, Zhenpeng Shi, Yang Liu et al.

Federated Learning (FL) is often impeded by communication overhead issues. Prompt tuning, as a potential solution, has been introduced to only adjust a few trainable parameters rather than the whole model. However, current single-modality prompt tuning approaches fail to comprehensively portray local clients' data. To overcome this limitation, we present Twin Prompt Federated learning (TPFL), a pioneering solution that integrates both visual and textual modalities, ensuring a more holistic representation of local clients' data characteristics. Furthermore, in order to tackle the data heterogeneity issues, we introduce the Augmented TPFL (ATPFL) employing the contrastive learning to TPFL, which not only enhances the global knowledge acquisition of client models but also fosters the development of robust, compact models. The effectiveness of TPFL and ATPFL is substantiated by our extensive evaluations, consistently showing superior performance compared to all baselines.

Zihao Zhao, Kai-Chia Mo, Shing-Hei Ho et al.

Differentiable optimization layers enable learning systems to make decisions by solving embedded optimization problems. However, computing gradients via implicit differentiation requires solving a linear system with Hessian terms, which is both compute- and memory-intensive. To address this challenge, we propose a novel algorithm that computes the gradient using only first-order information. The key insight is to rewrite the differentiable optimization as a bilevel optimization problem and leverage recent advances in bilevel methods. Specifically, we introduce an active-set Lagrangian hypergradient oracle that avoids Hessian evaluations and provides finite-time, non-asymptotic approximation guarantees. We show that an approximate hypergradient can be computed using only first-order information in $\tilde{\oo}(1)$ time, leading to an overall complexity of $\tilde{\oo}(δ^{-1}ε^{-3})$ for constrained bilevel optimization, which matches the best known rate for non-smooth non-convex optimization. Furthermore, we release an open-source Python library that can be easily adapted from existing solvers. Our code is available here: https://github.com/guaguakai/FFOLayer.

Jiaming Li, Junlei Wu, Sheng Wang et al.

Widespread clinical deployment of computer-aided diagnosis (CAD) systems is hindered by the challenge of integrating with existing hospital IT infrastructure. Here, we introduce VisionCAD, a vision-based radiological assistance framework that circumvents this barrier by capturing medical images directly from displays using a camera system. The framework operates through an automated pipeline that detects, restores, and analyzes on-screen medical images, transforming camera-captured visual data into diagnostic-quality images suitable for automated analysis and report generation. We validated VisionCAD across diverse medical imaging datasets, demonstrating that our modular architecture can flexibly utilize state-of-the-art diagnostic models for specific tasks. The system achieves diagnostic performance comparable to conventional CAD systems operating on original digital images, with an F1-score degradation typically less than 2\% across classification tasks, while natural language generation metrics for automated reports remain within 1\% of those derived from original images. By requiring only a camera device and standard computing resources, VisionCAD offers an accessible approach for AI-assisted diagnosis, enabling the deployment of diagnostic capabilities in diverse clinical settings without modifications to existing infrastructure.

Zihao Zhao, Christopher Yeh, Lingkai Kong et al.

Decision-focused learning (DFL) integrates predictive modeling and optimization by training predictors to optimize the downstream decision target rather than merely minimizing prediction error. To date, existing DFL methods typically rely on deterministic point predictions, which are often insufficient to capture the intrinsic stochasticity of real-world environments. To address this challenge, we propose the first diffusion-based DFL approach, which trains a diffusion model to represent the distribution of uncertain parameters and optimizes the decision by solving a stochastic optimization with samples drawn from the diffusion model. Our contributions are twofold. First, we formulate diffusion DFL using the reparameterization trick, enabling end-to-end training through diffusion. While effective, it is memory and compute-intensive due to the need to differentiate through the diffusion sampling process. Second, we propose a lightweight score function estimator that uses only several forward diffusion passes and avoids backpropagation through the sampling. This follows from our results that backpropagating through stochastic optimization can be approximated by a weighted score function formulation. We empirically show that our diffusion DFL approach consistently outperforms strong baselines in decision quality. The source code for all experiments is available at the project repository: https://github.com/GT-KOALA/Diffusion_DFL.

Yitao Zhu, Yuan Yin, Zhenrong Shen et al.

The growing complexity and scale of visual model pre-training have made developing and deploying multi-task computer-aided diagnosis (CAD) systems increasingly challenging and resource-intensive. Furthermore, the medical imaging community lacks an open-source CAD platform to enable the rapid creation of efficient and extendable diagnostic models. To address these issues, we propose UniCAD, a unified architecture that leverages the robust capabilities of pre-trained vision foundation models to seamlessly handle both 2D and 3D medical images while requiring only minimal task-specific parameters. UniCAD introduces two key innovations: (1) Efficiency: A low-rank adaptation strategy is employed to adapt a pre-trained visual model to the medical image domain, achieving performance on par with fully fine-tuned counterparts while introducing only 0.17% trainable parameters. (2) Plug-and-Play: A modular architecture that combines a frozen foundation model with multiple plug-and-play experts, enabling diverse tasks and seamless functionality expansion. Building on this unified CAD architecture, we establish an open-source platform where researchers can share and access lightweight CAD experts, fostering a more equitable and efficient research ecosystem. Comprehensive experiments across 12 diverse medical datasets demonstrate that UniCAD consistently outperforms existing methods in both accuracy and deployment efficiency. The source code and project page are available at https://mii-laboratory.github.io/UniCAD/.

Zihao Zhao, Sheng Wang, Jinchen Gu et al.

The integration of Computer-Aided Diagnosis (CAD) with Large Language Models (LLMs) presents a promising frontier in clinical applications, notably in automating diagnostic processes akin to those performed by radiologists and providing consultations similar to a virtual family doctor. Despite the promising potential of this integration, current works face at least two limitations: (1) From the perspective of a radiologist, existing studies typically have a restricted scope of applicable imaging domains, failing to meet the diagnostic needs of different patients. Also, the insufficient diagnostic capability of LLMs further undermine the quality and reliability of the generated medical reports. (2) Current LLMs lack the requisite depth in medical expertise, rendering them less effective as virtual family doctors due to the potential unreliability of the advice provided during patient consultations. To address these limitations, we introduce ChatCAD+, to be universal and reliable. Specifically, it is featured by two main modules: (1) Reliable Report Generation and (2) Reliable Interaction. The Reliable Report Generation module is capable of interpreting medical images from diverse domains and generate high-quality medical reports via our proposed hierarchical in-context learning. Concurrently, the interaction module leverages up-to-date information from reputable medical websites to provide reliable medical advice. Together, these designed modules synergize to closely align with the expertise of human medical professionals, offering enhanced consistency and reliability for interpretation and advice. The source code is available at https://github.com/zhaozh10/ChatCAD.

Zihao Zhao, Yi Jing, Fuli Feng et al.

Medication recommendation systems have gained significant attention in healthcare as a means of providing tailored and effective drug combinations based on patients' clinical information. However, existing approaches often suffer from fairness issues, as recommendations tend to be more accurate for patients with common diseases compared to those with rare conditions. In this paper, we propose a novel model called Robust and Accurate REcommendations for Medication (RAREMed), which leverages the pretrain-finetune learning paradigm to enhance accuracy for rare diseases. RAREMed employs a transformer encoder with a unified input sequence approach to capture complex relationships among disease and procedure codes. Additionally, it introduces two self-supervised pre-training tasks, namely Sequence Matching Prediction (SMP) and Self Reconstruction (SR), to learn specialized medication needs and interrelations among clinical codes. Experimental results on two real-world datasets demonstrate that RAREMed provides accurate drug sets for both rare and common disease patients, thereby mitigating unfairness in medication recommendation systems.

Xiangtian Li, Han Cao, Zhaoyang Zhang et al.

The works of Gatys et al. demonstrated the capability of Convolutional Neural Networks (CNNs) in creating artistic style images. This process of transferring content images in different styles is called Neural Style Transfer (NST). In this paper, we re-implement image-based NST, fast NST, and arbitrary NST. We also explore to utilize ResNet with activation smoothing in NST. Extensive experimental results demonstrate that smoothing transformation can greatly improve the quality of stylization results.

Zihao Zhao, Sheng Wang, Qian Wang et al.

Obtaining large-scale radiology reports can be difficult for medical images due to various reasons, limiting the effectiveness of contrastive pre-training in the medical image domain and underscoring the need for alternative methods. In this paper, we propose eye-tracking as an alternative to text reports, as it allows for the passive collection of gaze signals without disturbing radiologist's routine diagnosis process. By tracking the gaze of radiologists as they read and diagnose medical images, we can understand their visual attention and clinical reasoning. When a radiologist has similar gazes for two medical images, it may indicate semantic similarity for diagnosis, and these images should be treated as positive pairs when pre-training a computer-assisted diagnosis (CAD) network through contrastive learning. Accordingly, we introduce the Medical contrastive Gaze Image Pre-training (McGIP) as a plug-and-play module for contrastive learning frameworks. McGIP uses radiologist's gaze to guide contrastive pre-training. We evaluate our method using two representative types of medical images and two common types of gaze data. The experimental results demonstrate the practicality of McGIP, indicating its high potential for various clinical scenarios and applications.

Wenyi Liu, Rui Wang, Yuanshuai Luo et al.

With the explosive growth of Internet data, users are facing the problem of information overload, which makes it a challenge to efficiently obtain the required resources. Recommendation systems have emerged in this context. By filtering massive amounts of information, they provide users with content that meets their needs, playing a key role in scenarios such as advertising recommendation and product recommendation. However, traditional click-through rate prediction and TOP-K recommendation mechanisms are gradually unable to meet the recommendations needs in modern life scenarios due to high computational complexity, large memory consumption, long feature selection time, and insufficient feature interaction. This paper proposes a recommendations system model based on a separation embedding cross-network. The model uses an embedding neural network layer to transform sparse feature vectors into dense embedding vectors, and can independently perform feature cross operations on different dimensions, thereby improving the accuracy and depth of feature mining. Experimental results show that the model shows stronger adaptability and higher prediction accuracy in processing complex data sets, effectively solving the problems existing in existing models.

Yan Kong, Sheng Wang, Jiangdong Cai et al.

Accurate detection of vulvovaginal candidiasis is critical for women's health, yet its sparse distribution and visually ambiguous characteristics pose significant challenges for accurate identification by pathologists and neural networks alike. Our eye-tracking data reveals that areas garnering sustained attention - yet not marked by experts after deliberation - are often aligned with false positives of neural networks. Leveraging this finding, we introduce Gaze-DETR, a pioneering method that integrates gaze data to enhance neural network precision by diminishing false positives. Gaze-DETR incorporates a universal gaze-guided warm-up protocol applicable across various detection methods and a gaze-guided rectification strategy specifically designed for DETR-based models. Our comprehensive tests confirm that Gaze-DETR surpasses existing leading methods, showcasing remarkable improvements in detection accuracy and generalizability.

Yiyang Zhou, Linjie Li, Shi Qiu et al. · microsoft-research

Existing video benchmarks often resemble image-based benchmarks, with question types like "What actions does the person perform throughout the video?" or "What color is the woman's dress in the video?" For these, models can often answer by scanning just a few key frames, without deep temporal reasoning. This limits our ability to assess whether large vision-language models (LVLMs) can truly think with videos rather than perform superficial frame-level analysis. To address this, we introduce GLIMPSE, a benchmark specifically designed to evaluate whether LVLMs can genuinely think with videos. Unlike prior benchmarks, GLIMPSE emphasizes comprehensive video understanding beyond static image cues. It consists of 3,269 videos and over 4,342 highly visual-centric questions across 11 categories, including Trajectory Analysis, Temporal Reasoning, and Forensics Detection. All questions are carefully crafted by human annotators and require watching the entire video and reasoning over full video context-this is what we mean by thinking with video. These questions cannot be answered by scanning selected frames or relying on text alone. In human evaluations, GLIMPSE achieves 94.82% accuracy, but current LVLMs face significant challenges. Even the best-performing model, GPT-o3, reaches only 66.43%, highlighting that LVLMs still struggle to move beyond surface-level reasoning to truly think with videos.

Krithika Ramesh, Daniel Smolyak, Zihao Zhao et al.

We present SynthTextEval, a toolkit for conducting comprehensive evaluations of synthetic text. The fluency of large language model (LLM) outputs has made synthetic text potentially viable for numerous applications, such as reducing the risks of privacy violations in the development and deployment of AI systems in high-stakes domains. Realizing this potential, however, requires principled consistent evaluations of synthetic data across multiple dimensions: its utility in downstream systems, the fairness of these systems, the risk of privacy leakage, general distributional differences from the source text, and qualitative feedback from domain experts. SynthTextEval allows users to conduct evaluations along all of these dimensions over synthetic data that they upload or generate using the toolkit's generation module. While our toolkit can be run over any data, we highlight its functionality and effectiveness over datasets from two high-stakes domains: healthcare and law. By consolidating and standardizing evaluation metrics, we aim to improve the viability of synthetic text, and in-turn, privacy-preservation in AI development.

Shaobo Liu, Zihao Zhao, Weijie He et al.

Privacy-preserving network anomaly detection has become an essential area of research due to growing concerns over the protection of sensitive data. Traditional anomaly detection models often prioritize accuracy while neglecting the critical aspect of privacy. In this work, we propose a hybrid ensemble model that incorporates privacy-preserving techniques to address both detection accuracy and data protection. Our model combines the strengths of several machine learning algorithms, including K-Nearest Neighbors (KNN), Support Vector Machines (SVM), XGBoost, and Artificial Neural Networks (ANN), to create a robust system capable of identifying network anomalies while ensuring privacy. The proposed approach integrates advanced preprocessing techniques that enhance data quality and address the challenges of small sample sizes and imbalanced datasets. By embedding privacy measures into the model design, our solution offers a significant advancement over existing methods, ensuring both enhanced detection performance and strong privacy safeguards.

Zihao Zhao, Yijiang Li, Yuchen Yang et al.

Machine unlearning--enabling a trained model to forget specific data--is crucial for addressing biased data and adhering to privacy regulations like the General Data Protection Regulation (GDPR)'s "right to be forgotten". Recent works have paid little attention to privacy concerns, leaving the data intended for forgetting vulnerable to membership inference attacks. Moreover, they often come with high computational overhead. In this work, we propose Pseudo-Probability Unlearning (PPU), a novel method that enables models to forget data efficiently and in a privacy-preserving manner. Our method replaces the final-layer output probabilities of the neural network with pseudo-probabilities for the data to be forgotten. These pseudo-probabilities follow either a uniform distribution or align with the model's overall distribution, enhancing privacy and reducing risk of membership inference attacks. Our optimization strategy further refines the predictive probability distributions and updates the model's weights accordingly, ensuring effective forgetting with minimal impact on the model's overall performance. Through comprehensive experiments on multiple benchmarks, our method achieves over 20% improvements in forgetting error compared to the state-of-the-art. Additionally, our method enhances privacy by preventing the forgotten set from being inferred to around random guesses.

Zihao Zhao, Shengting Cao, Muchao Ye

Multi-modal large language models (MLLMs) have demonstrated significant progress in reasoning capabilities and shown promising effectiveness in video anomaly understanding (VAU) tasks. However, existing MLLM-based approaches remain largely focused on surface-level descriptions of anomalies, lacking deep reasoning over abnormal behaviors like explicit self-reflection and self-correction. To address that, we propose Self-Reflection-Enhanced Reasoning for Video Anomaly Understanding (SRVAU-R1), a reflection-aware learning framework that incorporates reflection in MLLM reasoning. Specifically, SRVAU-R1 introduces the first reflection-oriented Chain-of-Thought dataset tailored for VAU, providing structured supervision with initial reasoning, self-reflection, and revised reasoning. Based on that, it includes a novel reflection-aware learning paradigm with supervised fine-tuning and reinforcement fine-tuning to enhance multi-modal reasoning for VAU. Extensive experiments on multiple video anomaly benchmarks demonstrate that SRVAU-R1 consistently outperforms existing methods, achieving significant improvements in both temporal anomaly localization accuracy and reasoning quality.

Zihao Zhao, Anjalie Field

Text anonymization is essential for responsibly developing and deploying AI in high-stakes domains such as healthcare, social services, and law. In this work, we propose a novel methodology for privacy-preserving synthetic text generation that leverages the principles of de-identification and the Hiding In Plain Sight (HIPS) theory. Our approach introduces entity-aware control codes to guide controllable generation using either in-context learning (ICL) or prefix tuning. The ICL variant ensures privacy levels consistent with the underlying de-identification system, while the prefix tuning variant incorporates a custom masking strategy and loss function to support scalable, high-quality generation. Experiments on legal and clinical datasets demonstrate that our method achieves a strong balance between privacy protection and utility, offering a practical and effective solution for synthetic text generation in sensitive domains.

Sihan Yang, Chenhang Cui, Zihao Zhao et al.

The rapid advancements in Large Language Models (LLMs) and Large Visual-Language Models (LVLMs) have opened up new opportunities for integrating visual and linguistic modalities. However, effectively aligning these modalities remains challenging, often leading to hallucinations--where generated outputs are not grounded in the visual input--and raising safety concerns across various domains. Existing alignment methods, such as instruction tuning and preference tuning, often rely on external datasets, human annotations, or complex post-processing, which limit scalability and increase costs. To address these challenges, we propose a novel approach that generates the debiased self-judgment score, a self-evaluation metric created internally by the model without relying on external resources. This enables the model to autonomously improve alignment. Our method enhances both decoding strategies and preference tuning processes, resulting in reduced hallucinations, enhanced safety, and improved overall capability. Empirical results show that our approach significantly outperforms traditional methods, offering a more effective solution for aligning LVLMs.

Zihao Zhao, Xinlong Zhai, Jinyu Yang et al.

Foundation models have achieved great success in natural language processing (NLP) and computer vision (CV). Their success largely stems from the ability to integrate multi-domain knowledge in pre-training and transfer it to target domains. Considering graph data, especially graphs without textual features, is ubiquitous in real-world applications such as social networks and recommendation systems, some researchers have attempted to extend this paradigm to the graph field, aiming to construct graph foundation models. However, unlike CV and NLP, there are huge gaps among the semantics and properties of graphs in different domains, while current works still adopt traditional contrastive pre-training strategies designed in the single-domain scenario, which regard contrastive samples from different domains as equivalent. From experimental investigations, we discovered that inherent domain-specific differences prevent these strategies from effectively absorbing knowledge from different domains to generate informative representations. In this paper, we propose a novel multi-domain pre-training and cross-domain transfer framework, namely MDGCL.In the pre-training stage, we design a contrastive learning strategy to substantially recognize and capture domain differences, and introduce domain tokens to encode domain-level global information. In the downstream stage, we introduce a domain attention mechanism to enable fine-grained domain knowledge transfer. Extensive experiments on five benchmark datasets have demonstrated that our method outperforms state-of-the-art significantly, with the maximum improvement of 19.33\% on accuracy and 19.13\% on Macro-F1 score.

Yitao Zhu, Yuan Yin, Jiaming Li et al.

The adoption of visual foundation models has become a common practice in computer-aided diagnosis (CAD). While these foundation models provide a viable solution for creating generalist medical AI, privacy concerns make it difficult to pre-train or continuously update such models across multiple domains and datasets, leading many studies to focus on specialist models. To address this challenge, we propose Med-LEGO, a training-free framework that enables the seamless integration or updating of a generalist CAD model by combining multiple specialist models, similar to assembling LEGO bricks. Med-LEGO enhances LoRA (low-rank adaptation) by incorporating singular value decomposition (SVD) to efficiently capture the domain expertise of each specialist model with minimal additional parameters. By combining these adapted weights through simple operations, Med-LEGO allows for the easy integration or modification of specific diagnostic capabilities without the need for original data or retraining. Finally, the combined model can be further adapted to new diagnostic tasks, making it a versatile generalist model. Our extensive experiments demonstrate that Med-LEGO outperforms existing methods in both cross-domain and in-domain medical tasks while using only 0.18% of full model parameters. These merged models show better convergence and generalization to new tasks, providing an effective path toward generalist medical AI.

Nishchal Sapkota, Yejia Zhang, Zihao Zhao et al.

Osteochondrodysplasia, affecting 2-3% of newborns globally, is a group of bone and cartilage disorders that often result in head malformations, contributing to childhood morbidity and reduced quality of life. Current research on this disease using mouse models faces challenges since it involves accurately segmenting the developing cartilage in 3D micro-CT images of embryonic mice. Tackling this segmentation task with deep learning (DL) methods is laborious due to the big burden of manual image annotation, expensive due to the high acquisition costs of 3D micro-CT images, and difficult due to embryonic cartilage's complex and rapidly changing shapes. While DL approaches have been proposed to automate cartilage segmentation, most such models have limited accuracy and generalizability, especially across data from different embryonic age groups. To address these limitations, we propose novel DL methods that can be adopted by any DL architectures -- including CNNs, Transformers, or hybrid models -- which effectively leverage age and spatial information to enhance model performance. Specifically, we propose two new mechanisms, one conditioned on discrete age categories and the other on continuous image crop locations, to enable an accurate representation of cartilage shape changes across ages and local shape details throughout the cranial region. Extensive experiments on multi-age cartilage segmentation datasets show significant and consistent performance improvements when integrating our conditional modules into popular DL segmentation architectures. On average, we achieve a 1.7% Dice score increase with minimal computational overhead and a 7.5% improvement on unseen data. These results highlight the potential of our approach for developing robust, universal models capable of handling diverse datasets with limited annotated data, a key challenge in DL-based medical image analysis.

Fei Sun, Minghai Qin, Tianyun Zhang et al.

Deep neural networks (DNNs) have been proven to be effective in solving many real-life problems, but its high computation cost prohibits those models from being deployed to edge devices. Pruning, as a method to introduce zeros to model weights, has shown to be an effective method to provide good trade-offs between model accuracy and computation efficiency, and is a widely-used method to generate compressed models. However, the granularity of pruning makes important trade-offs. At the same sparsity level, a coarse-grained structured sparse pattern is more efficient on conventional hardware but results in worse accuracy, while a fine-grained unstructured sparse pattern can achieve better accuracy but is inefficient on existing hardware. On the other hand, some modern processors are equipped with fast on-chip scratchpad memories and gather/scatter engines that perform indirect load and store operations on such memories. In this work, we propose a set of novel sparse patterns, named gather-scatter (GS) patterns, to utilize the scratchpad memories and gather/scatter engines to speed up neural network inferences. Correspondingly, we present a compact sparse format. The proposed set of sparse patterns, along with a novel pruning methodology, address the load imbalance issue and result in models with quality close to unstructured sparse models and computation efficiency close to structured sparse models. Our experiments show that GS patterns consistently make better trade-offs between accuracy and computation efficiency compared to conventional structured sparse patterns. GS patterns can reduce the runtime of the DNN components by two to three times at the same accuracy levels. This is confirmed on three different deep learning tasks and popular models, namely, GNMT for machine translation, ResNet50 for image recognition, and Japser for acoustic speech recognition.

Zihao Zhao, Jiawei Chen, Sheng Zhou et al.

Recommender system usually suffers from severe popularity bias -- the collected interaction data usually exhibits quite imbalanced or even long-tailed distribution over items. Such skewed distribution may result from the users' conformity to the group, which deviates from reflecting users' true preference. Existing efforts for tackling this issue mainly focus on completely eliminating popularity bias. However, we argue that not all popularity bias is evil. Popularity bias not only results from conformity but also item quality, which is usually ignored by existing methods. Some items exhibit higher popularity as they have intrinsic better property. Blindly removing the popularity bias would lose such important signal, and further deteriorate model performance. To sufficiently exploit such important information for recommendation, it is essential to disentangle the benign popularity bias caused by item quality from the harmful popularity bias caused by conformity. Although important, it is quite challenging as we lack an explicit signal to differentiate the two factors of popularity bias. In this paper, we propose to leverage temporal information as the two factors exhibit quite different patterns along the time: item quality revealing item inherent property is stable and static while conformity that depends on items' recent clicks is highly time-sensitive. Correspondingly, we further propose a novel Time-aware DisEntangled framework (TIDE), where a click is generated from three components namely the static item quality, the dynamic conformity effect, as well as the user-item matching score returned by any recommendation model. Lastly, we conduct interventional inference such that the recommendation can benefit from the benign popularity bias while circumvent the harmful one. Extensive experiments on three real-world datasets demonstrated the effectiveness of TIDE.