Younjoon Chung

Zhenyue Qin, Younjoon Chung, Elijah Lee et al.

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

Hyunjae Kim, Dain Kim, Pan Xiao et al.

Medicine is inherently multimodal, requiring clinicians to synthesize information across diverse data streams. Yet the development of multimodal foundation models is constrained by limited access to large-scale, high-quality clinical data. Although PubMed Central (PMC) offers a complementary source of expert-authored image-text data, existing PMC-derived resources remain limited in fidelity, reproducibility, and clinical validation. We introduce MedPMC, an automated, continuously updatable framework that transforms permissively licensed literature into high-fidelity infrastructure for medical multimodal models. Applied to 6.1 million PMC articles, MedPMC curated 11 million medical image-text pairs. Component evaluations showed strong performance for initial screening (F1 = 93.2), multi-panel figure detection (F1 = 96.5), figure separation (mAP = 89.8), caption separation and alignment (F1 = 81.4; ROUGE-L = 85.3), and medical figure classification (F1 = 96.5). Manual review by five annotators, three with medical training, found 95.3% of MedPMC images medically relevant, versus 19.7% in a prior PMC-derived dataset. Across 26 benchmarks spanning 11 specialties, a MedPMC-trained CLIP-style model improved average zero-shot AUC by 7.1 percentage points over the strongest architecture-matched biomedical CLIP baseline despite using fewer than half as many image-text pairs. As the vision encoder in a multimodal large language model, it improved medical visual question-answering by 1.9 and 16.9 percentage points across two benchmarks. In 10,524 Yale New Haven Health System dermatology photographs, it improved morphology-to-image retrieval Recall@5 by 11.7 percentage points. These findings show that high-fidelity literature curation strengthens medical multimodal foundation models across benchmark and clinical settings. We publicly release the framework, corpus, benchmarks, and pretrained models.

Ziyao Zeng, Jingcheng Ni, Daniel Wang et al.

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

Younjoon Chung, Hyoungseob Park, Patrick Rim et al.

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