Jonggwon Park

Jonggwon Park, Seongeun Lee, Junhyun Park et al.

Vision-language models (VLMs) for radiology have emerged as a scalable paradigm by leveraging image-report pairs naturally produced in clinical workflows. However, this pairing reveals a mismatch in scale: each finding occupies only a small region of the image, yet supervision is provided only at the global image-report level. This poses a central challenge: prior approaches spread weight densely across all patches rather than concentrating on the sparse subset relevant to a given query. To address this, we present GLINT (Gated Language-Image alignmeNT), a framework that explicitly models this sparse correspondence. On the alignment side, we introduce Sparsely Gated Alignment, a novel architecture in which a sigmoid gate over a separate gate embedding space activates only the patches relevant to each textual query, enforcing explicit sparsity. On the representation side, we add Dense Feature Regularization, which anchors the trainable encoder's intermediate features to a frozen self-supervised learning (SSL) teacher, preserving the fine-grained patch features that the gate relies on. The same recipe applies to both 2D chest X-ray (CXR) and 3D chest computed tomography (CT), built with DINOv3 and V-JEPA 2.1, respectively. GLINT enables zero-shot classification, grounding, and segmentation from free-text queries, and to our knowledge is the first to demonstrate zero-shot segmentation on 3D CT volumes without mask supervision. Notably, the most pronounced gains arise on zero-shot grounding and segmentation, where sparse, query-specific localization is required, consistent with our design intent. In downstream evaluation, GLINT outperforms both SSL encoders and medical VLMs on classification, report generation, and segmentation.

Jonggwon Park, Soobum Kim, Byungmu Yoon et al.

The rapid evolution of artificial intelligence, especially in large language models (LLMs), has significantly impacted various domains, including healthcare. In chest X-ray (CXR) analysis, previous studies have employed LLMs, but with limitations: either underutilizing the multi-tasking capabilities of LLMs or lacking clinical accuracy. This paper presents M4CXR, a multi-modal LLM designed to enhance CXR interpretation. The model is trained on a visual instruction-following dataset that integrates various task-specific datasets in a conversational format. As a result, the model supports multiple tasks such as medical report generation (MRG), visual grounding, and visual question answering (VQA). M4CXR achieves state-of-the-art clinical accuracy in MRG by employing a chain-of-thought prompting strategy, in which it identifies findings in CXR images and subsequently generates corresponding reports. The model is adaptable to various MRG scenarios depending on the available inputs, such as single-image, multi-image, and multi-study contexts. In addition to MRG, M4CXR performs visual grounding at a level comparable to specialized models and also demonstrates outstanding performance in VQA. Both quantitative and qualitative assessments reveal M4CXR's versatility in MRG, visual grounding, and VQA, while consistently maintaining clinical accuracy.

Jonggwon Park, Byungmu Yoon, Soobum Kim et al.

Recent advancements in multimodal models have significantly improved vision-language (VL) alignment in radiology. However, existing approaches struggle to effectively utilize complex radiology reports for learning and offer limited interpretability through attention probability visualizations. To address these challenges, we introduce $\textbf{RadZero}$, a novel framework for VL alignment in chest X-ray with zero-shot multi-task capability. A key component of our approach is $\textbf{VL-CABS}$ ($\textbf{V}$ision-$\textbf{L}$anguage $\textbf{C}$ross-$\textbf{A}$ttention $\textbf{B}$ased on $\textbf{S}$imilarity), which aligns text embeddings with local image features for interpretable, fine-grained VL reasoning. RadZero leverages large language models to extract concise semantic sentences from radiology reports and employs multi-positive contrastive training to effectively capture relationships between images and multiple relevant textual descriptions. It uses a pre-trained vision encoder with additional trainable Transformer layers, allowing efficient high-resolution image processing. By computing similarity between text embeddings and local image patch features, VL-CABS enables zero-shot inference with similarity probability for classification, and pixel-level VL similarity maps for grounding and segmentation. Experimental results on public chest radiograph benchmarks show that RadZero outperforms state-of-the-art methods in zero-shot classification, grounding, and segmentation. Furthermore, VL similarity map analysis highlights the potential of VL-CABS for improving explainability in VL alignment. Additionally, qualitative evaluation demonstrates RadZero's capability for open-vocabulary semantic segmentation, further validating its effectiveness in medical imaging. Code is available at $\href{https://github.com/deepnoid-ai/RadZero}{https://github.com/deepnoid-ai/RadZero}$.

Kyoyun Choi, Byungmu Yoon, Soobum Kim et al.

Automated radiology report generation (RRG) holds potential to reduce radiologists' workload, especially as recent advancements in large language models (LLMs) enable the development of multimodal models for chest X-ray (CXR) report generation. However, multimodal LLMs (MLLMs) are resource-intensive, requiring vast datasets and substantial computational cost for training. To address these challenges, we propose a retrieval-augmented generation approach that leverages multimodal retrieval and LLMs to generate radiology reports while mitigating hallucinations and reducing computational demands. Our method uses LLMs to extract key phrases from radiology reports, effectively focusing on essential diagnostic information. Through exploring effective training strategies, including image encoder structure search, adding noise to text embeddings, and additional training objectives, we combine complementary pre-trained image encoders and adopt contrastive learning between text and semantic image embeddings. We evaluate our approach on MIMIC-CXR dataset, achieving state-of-the-art results on CheXbert metrics and competitive RadGraph F1 metric alongside MLLMs, without requiring LLM fine-tuning. Our method demonstrates robust generalization for multi-view RRG, making it suitable for comprehensive clinical applications.

Jonggwon Park, Kyoyun Choi, Sungwook Jeon et al.

Chord recognition is an important task since chords are highly abstract and descriptive features of music. For effective chord recognition, it is essential to utilize relevant context in audio sequence. While various machine learning models such as convolutional neural networks (CNNs) and recurrent neural networks (RNNs) have been employed for the task, most of them have limitations in capturing long-term dependency or require training of an additional model. In this work, we utilize a self-attention mechanism for chord recognition to focus on certain regions of chords. Training of the proposed bi-directional Transformer for chord recognition (BTC) consists of a single phase while showing competitive performance. Through an attention map analysis, we have visualized how attention was performed. It turns out that the model was able to divide segments of chords by utilizing adaptive receptive field of the attention mechanism. Furthermore, it was observed that the model was able to effectively capture long-term dependencies, making use of essential information regardless of distance.