Ya Zhang

Chaoyi Wu, Weixiong Lin, Xiaoman Zhang et al. · harvard

Recently, Large Language Models (LLMs) have showcased remarkable capabilities in natural language understanding. While demonstrating proficiency in everyday conversations and question-answering situations, these models frequently struggle in domains that require precision, such as medical applications, due to their lack of domain-specific knowledge. In this paper, we describe the procedure for building a powerful, open-source language model specifically designed for medicine applications, termed as PMC-LLaMA. Our contributions are threefold: (i) we systematically investigate the process of adapting a general-purpose foundation language model towards medical domain, this involves data-centric knowledge injection through the integration of 4.8M biomedical academic papers and 30K medical textbooks, as well as comprehensive fine-tuning for alignment with domain-specific instructions; (ii) we contribute a large-scale, comprehensive dataset for instruction tuning. This dataset encompasses medical question-answering (QA), rationale for reasoning, and conversational dialogues, comprising a total of 202M tokens; (iii) we conduct thorough ablation studies to demonstrate the effectiveness of each proposed component. While evaluating on various public medical question-answering benchmarks, our lightweight PMCLLaMA, which consists of only 13 billion parameters, exhibits superior performance, even surpassing ChatGPT. All models, codes, datasets can be found in https://github.com/chaoyi-wu/PMC-LLaMA.

Sizhe Wei, Yuxi Wei, Yue Hu et al. · gatech

Collaborative perception can substantially boost each agent's perception ability by facilitating communication among multiple agents. However, temporal asynchrony among agents is inevitable in the real world due to communication delays, interruptions, and clock misalignments. This issue causes information mismatch during multi-agent fusion, seriously shaking the foundation of collaboration. To address this issue, we propose CoBEVFlow, an asynchrony-robust collaborative perception system based on bird's eye view (BEV) flow. The key intuition of CoBEVFlow is to compensate motions to align asynchronous collaboration messages sent by multiple agents. To model the motion in a scene, we propose BEV flow, which is a collection of the motion vector corresponding to each spatial location. Based on BEV flow, asynchronous perceptual features can be reassigned to appropriate positions, mitigating the impact of asynchrony. CoBEVFlow has two advantages: (i) CoBEVFlow can handle asynchronous collaboration messages sent at irregular, continuous time stamps without discretization; and (ii) with BEV flow, CoBEVFlow only transports the original perceptual features, instead of generating new perceptual features, avoiding additional noises. To validate CoBEVFlow's efficacy, we create IRregular V2V(IRV2V), the first synthetic collaborative perception dataset with various temporal asynchronies that simulate different real-world scenarios. Extensive experiments conducted on both IRV2V and the real-world dataset DAIR-V2X show that CoBEVFlow consistently outperforms other baselines and is robust in extremely asynchronous settings. The code is available at https://github.com/MediaBrain-SJTU/CoBEVFlow.

Chaoyi Wu, Jiayu Lei, Qiaoyu Zheng et al. · harvard

Driven by the large foundation models, the development of artificial intelligence has witnessed tremendous progress lately, leading to a surge of general interest from the public. In this study, we aim to assess the performance of OpenAI's newest model, GPT-4V(ision), specifically in the realm of multimodal medical diagnosis. Our evaluation encompasses 17 human body systems, including Central Nervous System, Head and Neck, Cardiac, Chest, Hematology, Hepatobiliary, Gastrointestinal, Urogenital, Gynecology, Obstetrics, Breast, Musculoskeletal, Spine, Vascular, Oncology, Trauma, Pediatrics, with images taken from 8 modalities used in daily clinic routine, e.g., X-ray, Computed Tomography (CT), Magnetic Resonance Imaging (MRI), Positron Emission Tomography (PET), Digital Subtraction Angiography (DSA), Mammography, Ultrasound, and Pathology. We probe the GPT-4V's ability on multiple clinical tasks with or without patent history provided, including imaging modality and anatomy recognition, disease diagnosis, report generation, disease localisation. Our observation shows that, while GPT-4V demonstrates proficiency in distinguishing between medical image modalities and anatomy, it faces significant challenges in disease diagnosis and generating comprehensive reports. These findings underscore that while large multimodal models have made significant advancements in computer vision and natural language processing, it remains far from being used to effectively support real-world medical applications and clinical decision-making. All images used in this report can be found in https://github.com/chaoyi-wu/GPT-4V_Medical_Evaluation.

Weixiong Lin, Ziheng Zhao, Xiaoman Zhang et al. · harvard

Foundation models trained on large-scale dataset gain a recent surge in CV and NLP. In contrast, development in biomedical domain lags far behind due to data scarcity. To address this issue, we build and release PMC-OA, a biomedical dataset with 1.6M image-caption pairs collected from PubMedCentral's OpenAccess subset, which is 8 times larger than before. PMC-OA covers diverse modalities or diseases, with majority of the image-caption samples aligned at finer-grained level, i.e., subfigure and subcaption. While pretraining a CLIP-style model on PMC-OA, our model named PMC-CLIP achieves state-of-the-art results on various downstream tasks, including image-text retrieval on ROCO, MedMNIST image classification, Medical VQA, i.e. +8.1% R@10 on image-text retrieval, +3.9% accuracy on image classification.

Chaoyi Wu, Xiaoman Zhang, Ya Zhang et al. · harvard

In this study, we aim to initiate the development of Radiology Foundation Model, termed as RadFM. We consider the construction of foundational models from three perspectives, namely, dataset construction, model design, and thorough evaluation. Our contribution can be concluded as follows: (i), we construct a large-scale Medical Multi-modal Dataset, MedMD, which consists of 16M 2D and 3D medical scans with high-quality text descriptions or reports across various data formats, modalities, and tasks, covering over 5000 distinct diseases. To the best of our knowledge, this is the first large-scale, high-quality, medical visual-language dataset, with both 2D and 3D scans; (ii), we propose an architecture that enables visually conditioned generative pre-training, i.e., allowing for integration of text input with 2D or 3D medical scans, and generate responses for diverse radiologic tasks. The model was initially pre-trained on MedMD and subsequently fine-tuned on the domain-specific dataset, which is a radiologic cleaned version of MedMD, containing 3M radiologic visual-language pairs, termed as RadMD; (iii), we propose a new evaluation benchmark, RadBench, that comprises five tasks, including modality recognition, disease diagnosis, visual question answering, report generation and rationale diagnosis, aiming to comprehensively assess the capability of foundation models in handling practical clinical problems. We conduct both automatic and human evaluation on RadBench, in both cases, RadFM outperforms existing multi-modal foundation models, that are publicaly accessible, including Openflamingo, MedFlamingo, MedVInT and GPT-4V. Additionally, we also adapt RadFM for different public benchmarks, surpassing existing SOTAs on diverse datasets. All codes, data, and model checkpoint will all be made publicly available to promote further research and development in the field.

Xiaoman Zhang, Chaoyi Wu, Ya Zhang et al. · harvard

While multi-modal foundation models pre-trained on large-scale data have been successful in natural language understanding and vision recognition, their use in medical domains is still limited due to the fine-grained nature of medical tasks and the high demand for domain knowledge. To address this challenge, we propose a novel approach called Knowledge-enhanced Auto Diagnosis (KAD) which leverages existing medical domain knowledge to guide vision-language pre-training using paired chest X-rays and radiology reports. We evaluate KAD on {four} external X-ray datasets and demonstrate that its zero-shot performance is not only comparable to that of fully-supervised models, but also superior to the average of three expert radiologists for three (out of five) pathologies with statistical significance. Moreover, when few-shot annotation is available, KAD outperforms all existing approaches in fine-tuning settings, demonstrating its potential for application in different clinical scenarios.

Chaoyi Wu, Xiaoman Zhang, Ya Zhang et al. · harvard

In this paper, we consider enhancing medical visual-language pre-training (VLP) with domain-specific knowledge, by exploiting the paired image-text reports from the radiological daily practice. In particular, we make the following contributions: First, unlike existing works that directly process the raw reports, we adopt a novel triplet extraction module to extract the medical-related information, avoiding unnecessary complexity from language grammar and enhancing the supervision signals; Second, we propose a novel triplet encoding module with entity translation by querying a knowledge base, to exploit the rich domain knowledge in medical field, and implicitly build relationships between medical entities in the language embedding space; Third, we propose to use a Transformer-based fusion model for spatially aligning the entity description with visual signals at the image patch level, enabling the ability for medical diagnosis; Fourth, we conduct thorough experiments to validate the effectiveness of our architecture, and benchmark on numerous public benchmarks, e.g., ChestX-ray14, RSNA Pneumonia, SIIM-ACR Pneumothorax, COVIDx CXR-2, COVID Rural, and EdemaSeverity. In both zero-shot and fine-tuning settings, our model has demonstrated strong performance compared with the former methods on disease classification and grounding.

Zhihan Zhou, Jiangchao Yao, Yanfeng Wang et al.

Self-supervised learning has achieved a great success in the representation learning of visual and textual data. However, the current methods are mainly validated on the well-curated datasets, which do not exhibit the real-world long-tailed distribution. Recent attempts to consider self-supervised long-tailed learning are made by rebalancing in the loss perspective or the model perspective, resembling the paradigms in the supervised long-tailed learning. Nevertheless, without the aid of labels, these explorations have not shown the expected significant promise due to the limitation in tail sample discovery or the heuristic structure design. Different from previous works, we explore this direction from an alternative perspective, i.e., the data perspective, and propose a novel Boosted Contrastive Learning (BCL) method. Specifically, BCL leverages the memorization effect of deep neural networks to automatically drive the information discrepancy of the sample views in contrastive learning, which is more efficient to enhance the long-tailed learning in the label-unaware context. Extensive experiments on a range of benchmark datasets demonstrate the effectiveness of BCL over several state-of-the-art methods. Our code is available at https://github.com/MediaBrain-SJTU/BCL.

Yue Hu, Siheng Chen, Xu Chen et al.

Visual relationship detection aims to detect the interactions between objects in an image; however, this task suffers from combinatorial explosion due to the variety of objects and interactions. Since the interactions associated with the same object are dependent, we explore the dependency of interactions to reduce the search space. We explicitly model objects and interactions by an interaction graph and then propose a message-passing-style algorithm to propagate the contextual information. We thus call the proposed method neural message passing (NMP). We further integrate language priors and spatial cues to rule out unrealistic interactions and capture spatial interactions. Experimental results on two benchmark datasets demonstrate the superiority of our proposed method. Our code is available at https://github.com/PhyllisH/NMP.

Ziqing Fan, Yanfeng Wang, Jiangchao Yao et al.

The statistical heterogeneity of the non-independent and identically distributed (non-IID) data in local clients significantly limits the performance of federated learning. Previous attempts like FedProx, SCAFFOLD, MOON, FedNova and FedDyn resort to an optimization perspective, which requires an auxiliary term or re-weights local updates to calibrate the learning bias or the objective inconsistency. However, in addition to previous explorations for improvement in federated averaging, our analysis shows that another critical bottleneck is the poorer optima of client models in more heterogeneous conditions. We thus introduce a data-driven approach called FedSkip to improve the client optima by periodically skipping federated averaging and scattering local models to the cross devices. We provide theoretical analysis of the possible benefit from FedSkip and conduct extensive experiments on a range of datasets to demonstrate that FedSkip achieves much higher accuracy, better aggregation efficiency and competing communication efficiency. Source code is available at: https://github.com/MediaBrain-SJTU/FedSkip.

Yiming Qin, Huangjie Zheng, Jiangchao Yao et al. · apple-ml

Diffusion-based models have shown the merits of generating high-quality visual data while preserving better diversity in recent studies. However, such observation is only justified with curated data distribution, where the data samples are nicely pre-processed to be uniformly distributed in terms of their labels. In practice, a long-tailed data distribution appears more common and how diffusion models perform on such class-imbalanced data remains unknown. In this work, we first investigate this problem and observe significant degradation in both diversity and fidelity when the diffusion model is trained on datasets with class-imbalanced distributions. Especially in tail classes, the generations largely lose diversity and we observe severe mode-collapse issues. To tackle this problem, we set from the hypothesis that the data distribution is not class-balanced, and propose Class-Balancing Diffusion Models (CBDM) that are trained with a distribution adjustment regularizer as a solution. Experiments show that images generated by CBDM exhibit higher diversity and quality in both quantitative and qualitative ways. Our method benchmarked the generation results on CIFAR100/CIFAR100LT dataset and shows outstanding performance on the downstream recognition task.

Zhixin Wang, Xiaoyun Zhang, Ziying Zhang et al. · apple-ml

Blind face restoration usually synthesizes degraded low-quality data with a pre-defined degradation model for training, while more complex cases could happen in the real world. This gap between the assumed and actual degradation hurts the restoration performance where artifacts are often observed in the output. However, it is expensive and infeasible to include every type of degradation to cover real-world cases in the training data. To tackle this robustness issue, we propose Diffusion-based Robust Degradation Remover (DR2) to first transform the degraded image to a coarse but degradation-invariant prediction, then employ an enhancement module to restore the coarse prediction to a high-quality image. By leveraging a well-performing denoising diffusion probabilistic model, our DR2 diffuses input images to a noisy status where various types of degradation give way to Gaussian noise, and then captures semantic information through iterative denoising steps. As a result, DR2 is robust against common degradation (e.g. blur, resize, noise and compression) and compatible with different designs of enhancement modules. Experiments in various settings show that our framework outperforms state-of-the-art methods on heavily degraded synthetic and real-world datasets.

Chaoqin Huang, Qinwei Xu, Yanfeng Wang et al. · cambridge

Recently, anomaly detection and localization in multimedia data have received significant attention among the machine learning community. In real-world applications such as medical diagnosis and industrial defect detection, anomalies only present in a fraction of the images. To extend the reconstruction-based anomaly detection architecture to the localized anomalies, we propose a self-supervised learning approach through random masking and then restoring, named Self-Supervised Masking (SSM) for unsupervised anomaly detection and localization. SSM not only enhances the training of the inpainting network but also leads to great improvement in the efficiency of mask prediction at inference. Through random masking, each image is augmented into a diverse set of training triplets, thus enabling the autoencoder to learn to reconstruct with masks of various sizes and shapes during training. To improve the efficiency and effectiveness of anomaly detection and localization at inference, we propose a novel progressive mask refinement approach that progressively uncovers the normal regions and finally locates the anomalous regions. The proposed SSM method outperforms several state-of-the-arts for both anomaly detection and anomaly localization, achieving 98.3% AUC on Retinal-OCT and 93.9% AUC on MVTec AD, respectively.

Chaoyi Wu, Pengcheng Qiu, Jinxin Liu et al.

In this study, we present MedS-Bench, a comprehensive benchmark designed to evaluate the performance of large language models (LLMs) in clinical contexts. Unlike existing benchmarks that focus on multiple-choice question answering, MedS-Bench spans 11 high-level clinical tasks, including clinical report summarization, treatment recommendations, diagnosis, named entity recognition, and medical concept explanation, among others. We evaluated six leading LLMs, e.g., MEDITRON, Mistral, InternLM 2, Llama 3, GPT-4, and Claude-3.5 using few-shot prompting, and found that even the most sophisticated models struggle with these complex tasks. To address these limitations, we developed MedS-Ins, a large-scale instruction tuning dataset for medicine. MedS-Ins comprises 58 medically oriented language corpora, totaling 13.5 million samples across 122 tasks. To demonstrate the dataset's utility, we conducted a proof-of-concept experiment by performing instruction tuning on a lightweight, open-source medical language model. The resulting model, MMedIns-Llama 3, significantly outperformed existing models across nearly all clinical tasks. To promote further advancements in the application of LLMs to clinical challenges, we have made the MedS-Ins dataset fully accessible and invite the research community to contribute to its expansion.Additionally, we have launched a dynamic leaderboard for MedS-Bench, which we plan to regularly update the test set to track progress and enhance the adaptation of general LLMs to the medical domain. Leaderboard: https://henrychur.github.io/MedS-Bench/. Github: https://github.com/MAGIC-AI4Med/MedS-Ins.

Aofan Jiang, Chaoqin Huang, Qing Cao et al.

Electrocardiogram (ECG) is a widely used diagnostic tool for detecting heart conditions. Rare cardiac diseases may be underdiagnosed using traditional ECG analysis, considering that no training dataset can exhaust all possible cardiac disorders. This paper proposes using anomaly detection to identify any unhealthy status, with normal ECGs solely for training. However, detecting anomalies in ECG can be challenging due to significant inter-individual differences and anomalies present in both global rhythm and local morphology. To address this challenge, this paper introduces a novel multi-scale cross-restoration framework for ECG anomaly detection and localization that considers both local and global ECG characteristics. The proposed framework employs a two-branch autoencoder to facilitate multi-scale feature learning through a masking and restoration process, with one branch focusing on global features from the entire ECG and the other on local features from heartbeat-level details, mimicking the diagnostic process of cardiologists. Anomalies are identified by their high restoration errors. To evaluate the performance on a large number of individuals, this paper introduces a new challenging benchmark with signal point-level ground truths annotated by experienced cardiologists. The proposed method demonstrates state-of-the-art performance on this benchmark and two other well-known ECG datasets. The benchmark dataset and source code are available at: \url{https://github.com/MediaBrain-SJTU/ECGAD}

Fei Zhang, Tianfei Zhou, Boyang Li et al.

This paper studies the problem of weakly open-vocabulary semantic segmentation (WOVSS), which learns to segment objects of arbitrary classes using mere image-text pairs. Existing works turn to enhance the vanilla vision transformer by introducing explicit grouping recognition, i.e., employing several group tokens/centroids to cluster the image tokens and perform the group-text alignment. Nevertheless, these methods suffer from a granularity inconsistency regarding the usage of group tokens, which are aligned in the all-to-one v.s. one-to-one manners during the training and inference phases, respectively. We argue that this discrepancy arises from the lack of elaborate supervision for each group token. To bridge this granularity gap, this paper explores explicit supervision for the group tokens from the prototypical knowledge. To this end, this paper proposes the non-learnable prototypical regularization (NPR) where non-learnable prototypes are estimated from source features to serve as supervision and enable contrastive matching of the group tokens. This regularization encourages the group tokens to segment objects with less redundancy and capture more comprehensive semantic regions, leading to increased compactness and richness. Based on NPR, we propose the prototypical guidance segmentation network (PGSeg) that incorporates multi-modal regularization by leveraging prototypical sources from both images and texts at different levels, progressively enhancing the segmentation capability with diverse prototypical patterns. Experimental results show that our proposed method achieves state-of-the-art performance on several benchmark datasets. The source code is available at https://github.com/Ferenas/PGSeg.

Chaofan Ma, Yuhuan Yang, Chen Ju et al. · cambridge

Learning from a large corpus of data, pre-trained models have achieved impressive progress nowadays. As popular generative pre-training, diffusion models capture both low-level visual knowledge and high-level semantic relations. In this paper, we propose to exploit such knowledgeable diffusion models for mainstream discriminative tasks, i.e., unsupervised object discovery: saliency segmentation and object localization. However, the challenges exist as there is one structural difference between generative and discriminative models, which limits the direct use. Besides, the lack of explicitly labeled data significantly limits performance in unsupervised settings. To tackle these issues, we introduce DiffusionSeg, one novel synthesis-exploitation framework containing two-stage strategies. To alleviate data insufficiency, we synthesize abundant images, and propose a novel training-free AttentionCut to obtain masks in the first synthesis stage. In the second exploitation stage, to bridge the structural gap, we use the inversion technique, to map the given image back to diffusion features. These features can be directly used by downstream architectures. Extensive experiments and ablation studies demonstrate the superiority of adapting diffusion for unsupervised object discovery.

Tengfei Zhang, Ziheng Zhao, Lisong Dai et al.

Medical imaging artificial intelligence has achieved strong performance in isolated image interpretation, but remains poorly aligned with radiological practice, where diagnosis and follow-up rely on comparison across prior studies and analogous reference cases. Here we formulate radiological comparison as an entity-aware cross-image reasoning problem and introduce a framework that supports both reference-case retrieval and temporal comparative interpretation. We construct MedReCo-DB, a large-scale comparative imaging resource derived from routine image-report pairs, comprising more than 690,000 images from over 160,000 patients across eight institutions, four countries and seven imaging modalities. Reports are decomposed into anatomical structures, abnormal findings and pathological conditions to provide supervision for entity-conditioned retrieval and comparative visual question answering. Using this resource, we develop MedReCo, an entity-aware visual encoder for controllable retrieval of clinically analogous cases, and MedReCo-VLM, a vision--language extension for generative interpretation of interval change. Across internal, external and cross-center evaluations, MedReCo achieved the highest Recall@1 in all 12 internal retrieval settings and improved external retrieval by a mean of 6.0 percentage points. In clinically confusable differential groups, it consistently outperformed the strongest baselines. MedReCo-VLM achieved the best performance across all comparative generation evaluations and improved longitudinal follow-up accuracy by 14.5-46.5 percentage points on chest radiographs and 13.0-27.9 percentage points on CT. These findings suggest that entity-aware comparative reasoning can be learned from routine clinical data at scale and may provide a more clinically aligned foundation for medical imaging AI.

Jinxiang Liu, Chen Ju, Chaofan Ma et al. · cambridge

The goal of the audio-visual segmentation (AVS) task is to segment the sounding objects in the video frames using audio cues. However, current fusion-based methods have the performance limitations due to the small receptive field of convolution and inadequate fusion of audio-visual features. To overcome these issues, we propose a novel \textbf{Au}dio-aware query-enhanced \textbf{TR}ansformer (AuTR) to tackle the task. Unlike existing methods, our approach introduces a multimodal transformer architecture that enables deep fusion and aggregation of audio-visual features. Furthermore, we devise an audio-aware query-enhanced transformer decoder that explicitly helps the model focus on the segmentation of the pinpointed sounding objects based on audio signals, while disregarding silent yet salient objects. Experimental results show that our method outperforms previous methods and demonstrates better generalization ability in multi-sound and open-set scenarios.

Zhihan Zhou, Jiangchao Yao, Feng Hong et al.

Self-supervised learning (SSL) as an effective paradigm of representation learning has achieved tremendous success on various curated datasets in diverse scenarios. Nevertheless, when facing the long-tailed distribution in real-world applications, it is still hard for existing methods to capture transferable and robust representation. Conventional SSL methods, pursuing sample-level uniformity, easily leads to representation learning disparity where head classes dominate the feature regime but tail classes passively collapse. To address this problem, we propose a novel Geometric Harmonization (GH) method to encourage category-level uniformity in representation learning, which is more benign to the minority and almost does not hurt the majority under long-tailed distribution. Specially, GH measures the population statistics of the embedding space on top of self-supervised learning, and then infer an fine-grained instance-wise calibration to constrain the space expansion of head classes and avoid the passive collapse of tail classes. Our proposal does not alter the setting of SSL and can be easily integrated into existing methods in a low-cost manner. Extensive results on a range of benchmark datasets show the effectiveness of GH with high tolerance to the distribution skewness. Our code is available at https://github.com/MediaBrain-SJTU/Geometric-Harmonization.

Zhaoyang Lyu, Jinyi Wang, Yuwei An et al.

Mesh generation is of great value in various applications involving computer graphics and virtual content, yet designing generative models for meshes is challenging due to their irregular data structure and inconsistent topology of meshes in the same category. In this work, we design a novel sparse latent point diffusion model for mesh generation. Our key insight is to regard point clouds as an intermediate representation of meshes, and model the distribution of point clouds instead. While meshes can be generated from point clouds via techniques like Shape as Points (SAP), the challenges of directly generating meshes can be effectively avoided. To boost the efficiency and controllability of our mesh generation method, we propose to further encode point clouds to a set of sparse latent points with point-wise semantic meaningful features, where two DDPMs are trained in the space of sparse latent points to respectively model the distribution of the latent point positions and features at these latent points. We find that sampling in this latent space is faster than directly sampling dense point clouds. Moreover, the sparse latent points also enable us to explicitly control both the overall structures and local details of the generated meshes. Extensive experiments are conducted on the ShapeNet dataset, where our proposed sparse latent point diffusion model achieves superior performance in terms of generation quality and controllability when compared to existing methods.

Chenxin Xu, Maosen Li, Zhenyang Ni et al.

Demystifying the interactions among multiple agents from their past trajectories is fundamental to precise and interpretable trajectory prediction. However, previous works only consider pair-wise interactions with limited relational reasoning. To promote more comprehensive interaction modeling for relational reasoning, we propose GroupNet, a multiscale hypergraph neural network, which is novel in terms of both interaction capturing and representation learning. From the aspect of interaction capturing, we propose a trainable multiscale hypergraph to capture both pair-wise and group-wise interactions at multiple group sizes. From the aspect of interaction representation learning, we propose a three-element format that can be learnt end-to-end and explicitly reason some relational factors including the interaction strength and category. We apply GroupNet into both CVAE-based prediction system and previous state-of-the-art prediction systems for predicting socially plausible trajectories with relational reasoning. To validate the ability of relational reasoning, we experiment with synthetic physics simulations to reflect the ability to capture group behaviors, reason interaction strength and interaction category. To validate the effectiveness of prediction, we conduct extensive experiments on three real-world trajectory prediction datasets, including NBA, SDD and ETH-UCY; and we show that with GroupNet, the CVAE-based prediction system outperforms state-of-the-art methods. We also show that adding GroupNet will further improve the performance of previous state-of-the-art prediction systems.

Chaoyi Wu, Xiaoman Zhang, Yanfeng Wang et al. · harvard

In this paper, we consider the problem of disease diagnosis. Unlike the conventional learning paradigm that treats labels independently, we propose a knowledge-enhanced framework, that enables training visual representation with the guidance of medical domain knowledge. In particular, we make the following contributions: First, to explicitly incorporate experts' knowledge, we propose to learn a neural representation for the medical knowledge graph via contrastive learning, implicitly establishing relations between different medical concepts. Second, while training the visual encoder, we keep the parameters of the knowledge encoder frozen and propose to learn a set of prompt vectors for efficient adaptation. Third, we adopt a Transformer-based disease-query module for cross-model fusion, which naturally enables explainable diagnosis results via cross attention. To validate the effectiveness of our proposed framework, we conduct thorough experiments on three x-ray imaging datasets across different anatomy structures, showing our model is able to exploit the implicit relations between diseases/findings, thus is beneficial to the commonly encountered problem in the medical domain, namely, long-tailed and zero-shot recognition, which conventional methods either struggle or completely fail to realize.

Maosen Li, Siheng Chen, Zijing Zhang et al.

Graph convolutional network based methods that model the body-joints' relations, have recently shown great promise in 3D skeleton-based human motion prediction. However, these methods have two critical issues: first, deep graph convolutions filter features within only limited graph spectrums, losing sufficient information in the full band; second, using a single graph to model the whole body underestimates the diverse patterns on various body-parts. To address the first issue, we propose adaptive graph scattering, which leverages multiple trainable band-pass graph filters to decompose pose features into richer graph spectrum bands. To address the second issue, body-parts are modeled separately to learn diverse dynamics, which enables finer feature extraction along the spatial dimensions. Integrating the above two designs, we propose a novel skeleton-parted graph scattering network (SPGSN). The cores of the model are cascaded multi-part graph scattering blocks (MPGSBs), building adaptive graph scattering on diverse body-parts, as well as fusing the decomposed features based on the inferred spectrum importance and body-part interactions. Extensive experiments have shown that SPGSN outperforms state-of-the-art methods by remarkable margins of 13.8%, 9.3% and 2.7% in terms of 3D mean per joint position error (MPJPE) on Human3.6M, CMU Mocap and 3DPW datasets, respectively.

Mengxi Chen, Linyu Xing, Yu Wang et al. · cambridge

This paper explores the tasks of leveraging auxiliary modalities which are only available at training to enhance multimodal representation learning through cross-modal Knowledge Distillation (KD). The widely adopted mutual information maximization-based objective leads to a short-cut solution of the weak teacher, i.e., achieving the maximum mutual information by simply making the teacher model as weak as the student model. To prevent such a weak solution, we introduce an additional objective term, i.e., the mutual information between the teacher and the auxiliary modality model. Besides, to narrow down the information gap between the student and teacher, we further propose to minimize the conditional entropy of the teacher given the student. Novel training schemes based on contrastive learning and adversarial learning are designed to optimize the mutual information and the conditional entropy, respectively. Experimental results on three popular multimodal benchmark datasets have shown that the proposed method outperforms a range of state-of-the-art approaches for video recognition, video retrieval and emotion classification.

Cheng Liang, Pengcheng Qiu, Ya Zhang et al.

Large language models (LLMs) are increasingly proposed as clinical agents, yet static, single-turn benchmarks cannot capture how a model dynamically delivers care across an encounter: gathering information, planning treatment, and adapting longitudinal management across successive patient states. Medical education has long addressed an analogous challenge through standardized patients (SPs): trained actors who consistently portray clinical cases, enabling realistic practice and objective, scripted assessment. Here we introduce MedSP1000, an SP-derived interactive benchmark for clinical-agent evaluation, including 1,638 SP cases with 24,602 trajectory-level peer-reviewed rubrics. MedSP1000 converts peer-reviewed SP teaching cases into executable scenarios with defined SP case scripts, clinical environment contexts, and human-validated structured rubric. In each simulation evaluation run, a clinical agent interacts in closed loop with a patient agent and an environment controller, and its behaviour is scored throughout the encounter against expert criteria specified in the original materials. Applying MedSP1000 to a range of general-purpose and medically specialized LLMs, we find that performance on static benchmarks does not reliably translate to such educational scenarios. The best-performing model, GPT-5.5, completes only 60.4% of expert-defined rubric items, whereas the strongest medically specialized model reaches 40.0%; increasing test-time compute produces no measurable gain. These results suggest that current LLMs, including agentic systems tuned for medicine, are not yet reliable enough to be safely integrated into actual clinical practice. More broadly, MedSP1000 shows how process-level, SP-style evaluation can reveal clinically relevant failure modes that single-turn benchmarks miss.

Jiayu Lei, Lisong Dai, Haoyun Jiang et al. · harvard

Magnetic resonance imaging~(MRI) have played a crucial role in brain disease diagnosis, with which a range of computer-aided artificial intelligence methods have been proposed. However, the early explorations usually focus on the limited types of brain diseases in one study and train the model on the data in a small scale, yielding the bottleneck of generalization. Towards a more effective and scalable paradigm, we propose a hierarchical knowledge-enhanced pre-training framework for the universal brain MRI diagnosis, termed as UniBrain. Specifically, UniBrain leverages a large-scale dataset of 24,770 imaging-report pairs from routine diagnostics. Different from previous pre-training techniques for the unitary vision or textual feature, or with the brute-force alignment between vision and language information, we leverage the unique characteristic of report information in different granularity to build a hierarchical alignment mechanism, which strengthens the efficiency in feature learning. Our UniBrain is validated on three real world datasets with severe class imbalance and the public BraTS2019 dataset. It not only consistently outperforms all state-of-the-art diagnostic methods by a large margin and provides a superior grounding performance but also shows comparable performance compared to expert radiologists on certain disease types.

Chaoqin Huang, Haoyan Guan, Aofan Jiang et al.

This paper considers few-shot anomaly detection (FSAD), a practical yet under-studied setting for anomaly detection (AD), where only a limited number of normal images are provided for each category at training. So far, existing FSAD studies follow the one-model-per-category learning paradigm used for standard AD, and the inter-category commonality has not been explored. Inspired by how humans detect anomalies, i.e., comparing an image in question to normal images, we here leverage registration, an image alignment task that is inherently generalizable across categories, as the proxy task, to train a category-agnostic anomaly detection model. During testing, the anomalies are identified by comparing the registered features of the test image and its corresponding support (normal) images. As far as we know, this is the first FSAD method that trains a single generalizable model and requires no re-training or parameter fine-tuning for new categories. Experimental results have shown that the proposed method outperforms the state-of-the-art FSAD methods by 3%-8% in AUC on the MVTec and MPDD benchmarks.

Ziyi Li, Qinye Zhou, Xiaoyun Zhang et al.

The goal of this paper is to extract the visual-language correspondence from a pre-trained text-to-image diffusion model, in the form of segmentation map, i.e., simultaneously generating images and segmentation masks for the corresponding visual entities described in the text prompt. We make the following contributions: (i) we pair the existing Stable Diffusion model with a novel grounding module, that can be trained to align the visual and textual embedding space of the diffusion model with only a small number of object categories; (ii) we establish an automatic pipeline for constructing a dataset, that consists of {image, segmentation mask, text prompt} triplets, to train the proposed grounding module; (iii) we evaluate the performance of open-vocabulary grounding on images generated from the text-to-image diffusion model and show that the module can well segment the objects of categories beyond seen ones at training time; (iv) we adopt the augmented diffusion model to build a synthetic semantic segmentation dataset, and show that, training a standard segmentation model on such dataset demonstrates competitive performance on the zero-shot segmentation(ZS3) benchmark, which opens up new opportunities for adopting the powerful diffusion model for discriminative tasks.

Chaofan Ma, Yuhuan Yang, Yanfeng Wang et al.

When trained at a sufficient scale, self-supervised learning has exhibited a notable ability to solve a wide range of visual or language understanding tasks. In this paper, we investigate simple, yet effective approaches for adapting the pre-trained foundation models to the downstream task of interest, namely, open-vocabulary semantic segmentation. To this end, we make the following contributions: (i) we introduce Fusioner, with a lightweight, transformer-based fusion module, that pairs the frozen visual representation with language concept through a handful of image segmentation data. As a consequence, the model gains the capability of zero-shot transfer to segment novel categories; (ii) without loss of generality, we experiment on a broad range of self-supervised models that have been pre-trained with different schemes, e.g. visual-only models (MoCo v3, DINO), language-only models (BERT), visual-language model (CLIP), and show that, the proposed fusion approach is effective to any pair of visual and language models, even those pre-trained on a corpus of uni-modal data; (iii) we conduct thorough ablation studies to analyze the critical components in our proposed Fusioner, while evaluating on standard benchmarks, e.g. PASCAL-5i and COCO-20i , it surpasses existing state-of-the-art models by a large margin, despite only being trained on frozen visual and language features; (iv) to measure the model's robustness on learning visual-language correspondence, we further evaluate on synthetic dataset, named Mosaic-4, where images are constructed by mosaicking the samples from FSS-1000. Fusioner demonstrates superior performance over previous models.

Jinxiang Liu, Chen Ju, Weidi Xie et al.

We present a simple yet effective self-supervised framework for audio-visual representation learning, to localize the sound source in videos. To understand what enables to learn useful representations, we systematically investigate the effects of data augmentations, and reveal that (1) composition of data augmentations plays a critical role, i.e. explicitly encouraging the audio-visual representations to be invariant to various transformations~({\em transformation invariance}); (2) enforcing geometric consistency substantially improves the quality of learned representations, i.e. the detected sound source should follow the same transformation applied on input video frames~({\em transformation equivariance}). Extensive experiments demonstrate that our model significantly outperforms previous methods on two sound localization benchmarks, namely, Flickr-SoundNet and VGG-Sound. Additionally, we also evaluate audio retrieval and cross-modal retrieval tasks. In both cases, our self-supervised models demonstrate superior retrieval performances, even competitive with the supervised approach in audio retrieval. This reveals the proposed framework learns strong multi-modal representations that are beneficial to sound localisation and generalization to further applications. \textit{All codes will be available}.

Chenxin Xu, Yuxi Wei, Bohan Tang et al.

Demystifying the interactions among multiple agents from their past trajectories is fundamental to precise and interpretable trajectory prediction. However, previous works mainly consider static, pair-wise interactions with limited relational reasoning. To promote more comprehensive interaction modeling and relational reasoning, we propose DynGroupNet, a dynamic-group-aware network, which can i) model time-varying interactions in highly dynamic scenes; ii) capture both pair-wise and group-wise interactions; and iii) reason both interaction strength and category without direct supervision. Based on DynGroupNet, we further design a prediction system to forecast socially plausible trajectories with dynamic relational reasoning. The proposed prediction system leverages the Gaussian mixture model, multiple sampling and prediction refinement to promote prediction diversity, training stability and trajectory smoothness, respectively. Extensive experiments show that: 1)DynGroupNet can capture time-varying group behaviors, infer time-varying interaction category and interaction strength during trajectory prediction without any relation supervision on physical simulation datasets; 2)DynGroupNet outperforms the state-of-the-art trajectory prediction methods by a significant improvement of 22.6%/28.0%, 26.9%/34.9%, 5.1%/13.0% in ADE/FDE on the NBA, NFL Football and SDD datasets and achieve the state-of-the-art performance on the ETH-UCY dataset.

Haolin Li, Shuyang Jiang, Ruipeng Zhang et al.

While large language models hold promise for complex medical applications, their development is hindered by the scarcity of high-quality reasoning data. To address this issue, existing approaches typically distill chain-of-thought reasoning traces from large proprietary models via supervised fine-tuning, then conduct reinforcement learning (RL). These methods exhibit limited improvement on underrepresented domains like rare diseases while incurring substantial costs from generating complex reasoning chains. To efficiently enhance medical reasoning, we propose MedSSR, a Medical Knowledge-enhanced data Synthesis and Semi-supervised Reinforcement learning framework. Our framework first employs rare disease knowledge to synthesize distribution-controllable reasoning questions. We then utilize the policy model itself to generate high-quality pseudo-labels. This enables a two-stage, intrinsic-to-extrinsic training paradigm: self-supervised RL on the pseudo-labeled synthetic data, followed by supervised RL on the human-annotated real data. MedSSR scales model training efficiently without relying on costly trace distillation. Extensive experiments on Qwen and Llama demonstrate that our method outperforms existing methods across ten medical benchmarks, achieving up to +5.93% gain on rare-disease tasks. Our code is available at https://github.com/tdlhl/MedSSR.

Yikun Liu, Jiangchao Yao, Ya Zhang et al.

In this paper, we consider the problem of composed image retrieval (CIR), it aims to train a model that can fuse multi-modal information, e.g., text and images, to accurately retrieve images that match the query, extending the user's expression ability. We make the following contributions: (i) we initiate a scalable pipeline to automatically construct datasets for training CIR model, by simply exploiting a large-scale dataset of image-text pairs, e.g., a subset of LAION-5B; (ii) we introduce a transformer-based adaptive aggregation model, TransAgg, which employs a simple yet efficient fusion mechanism, to adaptively combine information from diverse modalities; (iii) we conduct extensive ablation studies to investigate the usefulness of our proposed data construction procedure, and the effectiveness of core components in TransAgg; (iv) when evaluating on the publicly available benckmarks under the zero-shot scenario, i.e., training on the automatically constructed datasets, then directly conduct inference on target downstream datasets, e.g., CIRR and FashionIQ, our proposed approach either performs on par with or significantly outperforms the existing state-of-the-art (SOTA) models. Project page: https://code-kunkun.github.io/ZS-CIR/

Haolin Li, Yuhang Zhou, Ziheng Zhao et al.

The widespread adoption of large-scale pre-training techniques has significantly advanced the development of medical foundation models, enabling them to serve as versatile tools across a broad range of medical tasks. However, despite their strong generalization capabilities, medical foundation models pre-trained on large-scale datasets tend to suffer from domain gaps between heterogeneous data, leading to suboptimal performance on specific tasks compared to specialist models, as evidenced by previous studies. In this paper, we explore a new perspective called "Knowledge Decomposition" to improve the performance on specific medical tasks, which deconstructs the foundation model into multiple lightweight expert models, each dedicated to a particular anatomical region, with the aim of enhancing specialization and simultaneously reducing resource consumption. To accomplish the above objective, we propose a novel framework named Low-Rank Knowledge Decomposition (LoRKD), which explicitly separates gradients from different tasks by incorporating low-rank expert modules and efficient knowledge separation convolution. The low-rank expert modules resolve gradient conflicts between heterogeneous data from different anatomical regions, providing strong specialization at lower costs. The efficient knowledge separation convolution significantly improves algorithm efficiency by achieving knowledge separation within a single forward propagation. Extensive experimental results on segmentation and classification tasks demonstrate that our decomposed models not only achieve state-of-the-art performance but also exhibit superior transferability on downstream tasks, even surpassing the original foundation models in task-specific evaluations. The code is available at here.

Mind Lab, Song Cao, Vic Cao et al.

Parameter-efficient fine-tuning (PEFT) is usually treated as a cheaper alternative to full fine-tuning. We study a broader role: small trainable adapters as persistent local state on top of strong shared foundation models. In this framing, the base model provides shared competence while adapters carry instance-specific behavior such as preferences, skills, tool habits, and memory-like updates. We organize the problem around three scaling axes: Scale Up, where stronger shared priors make small local updates more useful; Scale Down, where we study how small adapters can be while remaining reliable; and Scale Out, where many persistent adapted instances coexist. MinT provides one infrastructure example for managing adapter identity, revision, provenance, evaluation, and serving residency. Together, the results suggest that PEFT can be a compact substrate for persistent personal models rather than only a budget substitute for full fine-tuning.

Jiayu Lei, Xiaoman Zhang, Chaoyi Wu et al. · harvard

Radiologists are tasked with interpreting a large number of images in a daily base, with the responsibility of generating corresponding reports. This demanding workload elevates the risk of human error, potentially leading to treatment delays, increased healthcare costs, revenue loss, and operational inefficiencies. To address these challenges, we initiate a series of work on grounded Automatic Report Generation (AutoRG), starting from the brain MRI interpretation system, which supports the delineation of brain structures, the localization of anomalies, and the generation of well-organized findings. We make contributions from the following aspects, first, on dataset construction, we release a comprehensive dataset encompassing segmentation masks of anomaly regions and manually authored reports, termed as RadGenome-Brain MRI. This data resource is intended to catalyze ongoing research and development in the field of AI-assisted report generation systems. Second, on system design, we propose AutoRG-Brain, the first brain MRI report generation system with pixel-level grounded visual clues. Third, for evaluation, we conduct quantitative assessments and human evaluations of brain structure segmentation, anomaly localization, and report generation tasks to provide evidence of its reliability and accuracy. This system has been integrated into real clinical scenarios, where radiologists were instructed to write reports based on our generated findings and anomaly segmentation masks. The results demonstrate that our system enhances the report-writing skills of junior doctors, aligning their performance more closely with senior doctors, thereby boosting overall productivity.

Shengchao Hu, Li Shen, Ya Zhang et al.

Transformer, originally devised for natural language processing, has also attested significant success in computer vision. Thanks to its super expressive power, researchers are investigating ways to deploy transformers to reinforcement learning (RL) and the transformer-based models have manifested their potential in representative RL benchmarks. In this paper, we collect and dissect recent advances on transforming RL by transformer (transformer-based RL or TRL), in order to explore its development trajectory and future trend. We group existing developments in two categories: architecture enhancement and trajectory optimization, and examine the main applications of TRL in robotic manipulation, text-based games, navigation and autonomous driving. For architecture enhancement, these methods consider how to apply the powerful transformer structure to RL problems under the traditional RL framework, which model agents and environments much more precisely than deep RL methods, but they are still limited by the inherent defects of traditional RL algorithms, such as bootstrapping and "deadly triad". For trajectory optimization, these methods treat RL problems as sequence modeling and train a joint state-action model over entire trajectories under the behavior cloning framework, which are able to extract policies from static datasets and fully use the long-sequence modeling capability of the transformer. Given these advancements, extensions and challenges in TRL are reviewed and proposals about future direction are discussed. We hope that this survey can provide a detailed introduction to TRL and motivate future research in this rapidly developing field.

Jiangchao Yao, Bo Han, Zhihan Zhou et al.

Learning with noisy labels has become imperative in the Big Data era, which saves expensive human labors on accurate annotations. Previous noise-transition-based methods have achieved theoretically-grounded performance under the Class-Conditional Noise model (CCN). However, these approaches builds upon an ideal but impractical anchor set available to pre-estimate the noise transition. Even though subsequent works adapt the estimation as a neural layer, the ill-posed stochastic learning of its parameters in back-propagation easily falls into undesired local minimums. We solve this problem by introducing a Latent Class-Conditional Noise model (LCCN) to parameterize the noise transition under a Bayesian framework. By projecting the noise transition into the Dirichlet space, the learning is constrained on a simplex characterized by the complete dataset, instead of some ad-hoc parametric space wrapped by the neural layer. We then deduce a dynamic label regression method for LCCN, whose Gibbs sampler allows us efficiently infer the latent true labels to train the classifier and to model the noise. Our approach safeguards the stable update of the noise transition, which avoids previous arbitrarily tuning from a mini-batch of samples. We further generalize LCCN to different counterparts compatible with open-set noisy labels, semi-supervised learning as well as cross-model training. A range of experiments demonstrate the advantages of LCCN and its variants over the current state-of-the-art methods.

Chaoyi Wu, Feng Chang, Xiao Su et al.

Metastasis on lymph nodes (LNs), the most common way of spread for primary tumor cells, is a sign of increased mortality. However, metastatic LNs are time-consuming and challenging to detect even for professional radiologists due to their small sizes, high sparsity, and ambiguity in appearance. It is desired to leverage recent development in deep learning to automatically detect metastatic LNs. Besides a two-stage detection network, we here introduce an additional branch to leverage information about LN stations, an important reference for radiologists during metastatic LN diagnosis, as supplementary information for metastatic LN detection. The branch targets to solve a closely related task on the LN station level, i.e., classifying whether an LN station contains metastatic LN or not, so as to learn representations for LN stations. Considering that a metastatic LN station is expected to significantly affect the nearby ones, a GCN-based structure is adopted by the branch to model the relationship among different LN stations. At the classification stage of metastatic LN detection, the above learned LN station features, as well as the features reflecting the distance between the LN candidate and the LN stations, are integrated with the LN features. We validate our method on a dataset containing 114 intravenous contrast-enhanced Computed Tomography (CT) images of oral squamous cell carcinoma (OSCC) patients and show that it outperforms several state-of-the-art methods on the mFROC, maxF1, and AUC scores,respectively.

Chen Ju, Zeqian Li, Peisen Zhao et al.

In this paper, we consider the problem of temporal action localization under low-shot (zero-shot & few-shot) scenario, with the goal of detecting and classifying the action instances from arbitrary categories within some untrimmed videos, even not seen at training time. We adopt a Transformer-based two-stage action localization architecture with class-agnostic action proposal, followed by open-vocabulary classification. We make the following contributions. First, to compensate image-text foundation models with temporal motions, we improve category-agnostic action proposal by explicitly aligning embeddings of optical flows, RGB and texts, which has largely been ignored in existing low-shot methods. Second, to improve open-vocabulary action classification, we construct classifiers with strong discriminative power, i.e., avoid lexical ambiguities. To be specific, we propose to prompt the pre-trained CLIP text encoder either with detailed action descriptions (acquired from large-scale language models), or visually-conditioned instance-specific prompt vectors. Third, we conduct thorough experiments and ablation studies on THUMOS14 and ActivityNet1.3, demonstrating the superior performance of our proposed model, outperforming existing state-of-the-art approaches by one significant margin.

Qingyao Xu, Weibo Mao, Jingze Gong et al.

Multi-person motion prediction is a challenging problem due to the dependency of motion on both individual past movements and interactions with other people. Transformer-based methods have shown promising results on this task, but they miss the explicit relation representation between joints, such as skeleton structure and pairwise distance, which is crucial for accurate interaction modeling. In this paper, we propose the Joint-Relation Transformer, which utilizes relation information to enhance interaction modeling and improve future motion prediction. Our relation information contains the relative distance and the intra-/inter-person physical constraints. To fuse relation and joint information, we design a novel joint-relation fusion layer with relation-aware attention to update both features. Additionally, we supervise the relation information by forecasting future distance. Experiments show that our method achieves a 13.4% improvement of 900ms VIM on 3DPW-SoMoF/RC and 17.8%/12.0% improvement of 3s MPJPE on CMU-Mpcap/MuPoTS-3D dataset.

Chaofan Ma, Yuhuan Yang, Chen Ju et al.

Open-vocabulary semantic segmentation is a challenging task that requires segmenting novel object categories at inference time. Recent studies have explored vision-language pre-training to handle this task, but suffer from unrealistic assumptions in practical scenarios, i.e., low-quality textual category names. For example, this paradigm assumes that new textual categories will be accurately and completely provided, and exist in lexicons during pre-training. However, exceptions often happen when encountering ambiguity for brief or incomplete names, new words that are not present in the pre-trained lexicons, and difficult-to-describe categories for users. To address these issues, this work proposes a novel attribute decomposition-aggregation framework, AttrSeg, inspired by human cognition in understanding new concepts. Specifically, in the decomposition stage, we decouple class names into diverse attribute descriptions to complement semantic contexts from multiple perspectives. Two attribute construction strategies are designed: using large language models for common categories, and involving manually labeling for human-invented categories. In the aggregation stage, we group diverse attributes into an integrated global description, to form a discriminative classifier that distinguishes the target object from others. One hierarchical aggregation architecture is further proposed to achieve multi-level aggregations, leveraging the meticulously designed clustering module. The final results are obtained by computing the similarity between aggregated attributes and images embeddings. To evaluate the effectiveness, we annotate three types of datasets with attribute descriptions, and conduct extensive experiments and ablation studies. The results show the superior performance of attribute decomposition-aggregation.

Bohan Tang, Yiqi Zhong, Chenxin Xu et al.

In multi-modal multi-agent trajectory forecasting, two major challenges have not been fully tackled: 1) how to measure the uncertainty brought by the interaction module that causes correlations among the predicted trajectories of multiple agents; 2) how to rank the multiple predictions and select the optimal predicted trajectory. In order to handle these challenges, this work first proposes a novel concept, collaborative uncertainty (CU), which models the uncertainty resulting from interaction modules. Then we build a general CU-aware regression framework with an original permutation-equivariant uncertainty estimator to do both tasks of regression and uncertainty estimation. Further, we apply the proposed framework to current SOTA multi-agent multi-modal forecasting systems as a plugin module, which enables the SOTA systems to 1) estimate the uncertainty in the multi-agent multi-modal trajectory forecasting task; 2) rank the multiple predictions and select the optimal one based on the estimated uncertainty. We conduct extensive experiments on a synthetic dataset and two public large-scale multi-agent trajectory forecasting benchmarks. Experiments show that: 1) on the synthetic dataset, the CU-aware regression framework allows the model to appropriately approximate the ground-truth Laplace distribution; 2) on the multi-agent trajectory forecasting benchmarks, the CU-aware regression framework steadily helps SOTA systems improve their performances. Specially, the proposed framework helps VectorNet improve by 262 cm regarding the Final Displacement Error of the chosen optimal prediction on the nuScenes dataset; 3) for multi-agent multi-modal trajectory forecasting systems, prediction uncertainty is positively correlated with future stochasticity; and 4) the estimated CU values are highly related to the interactive information among agents.

Wentao Liu, Chaofan Ma, Yuhuan Yang et al.

The goal of this paper is to interactively refine the automatic segmentation on challenging structures that fall behind human performance, either due to the scarcity of available annotations or the difficulty nature of the problem itself, for example, on segmenting cancer or small organs. Specifically, we propose a novel Transformer-based architecture for Interactive Segmentation (TIS), that treats the refinement task as a procedure for grouping pixels with similar features to those clicks given by the end users. Our proposed architecture is composed of Transformer Decoder variants, which naturally fulfills feature comparison with the attention mechanisms. In contrast to existing approaches, our proposed TIS is not limited to binary segmentations, and allows the user to edit masks for arbitrary number of categories. To validate the proposed approach, we conduct extensive experiments on three challenging datasets and demonstrate superior performance over the existing state-of-the-art methods. The project page is: https://wtliu7.github.io/tis/.

Feng Hong, Jiangchao Yao, Zhihan Zhou et al.

Real-world data usually couples the label ambiguity and heavy imbalance, challenging the algorithmic robustness of partial label learning (PLL) and long-tailed learning (LT). The straightforward combination of LT and PLL, i.e., LT-PLL, suffers from a fundamental dilemma: LT methods build upon a given class distribution that is unavailable in PLL, and the performance of PLL is severely influenced in long-tailed context. We show that even with the auxiliary of an oracle class prior, the state-of-the-art methods underperform due to an adverse fact that the constant rebalancing in LT is harsh to the label disambiguation in PLL. To overcome this challenge, we thus propose a dynamic rebalancing method, termed as RECORDS, without assuming any prior knowledge about the class distribution. Based on a parametric decomposition of the biased output, our method constructs a dynamic adjustment that is benign to the label disambiguation process and theoretically converges to the oracle class prior. Extensive experiments on three benchmark datasets demonstrate the significant gain of RECORDS compared with a range of baselines. The code is publicly available.

Shengchao Hu, Li Shen, Ya Zhang et al.

Offline reinforcement learning (RL) is a challenging task, whose objective is to learn policies from static trajectory data without interacting with the environment. Recently, offline RL has been viewed as a sequence modeling problem, where an agent generates a sequence of subsequent actions based on a set of static transition experiences. However, existing approaches that use transformers to attend to all tokens naively can overlook the dependencies between different tokens and limit long-term dependency learning. In this paper, we propose the Graph Decision Transformer (GDT), a novel offline RL approach that models the input sequence into a causal graph to capture potential dependencies between fundamentally different concepts and facilitate temporal and causal relationship learning. GDT uses a graph transformer to process the graph inputs with relation-enhanced mechanisms, and an optional sequence transformer to handle fine-grained spatial information in visual tasks. Our experiments show that GDT matches or surpasses the performance of state-of-the-art offline RL methods on image-based Atari and OpenAI Gym.

Chaofan Ma, Qisen Xu, Xiangfeng Wang et al.

Interactive segmentation has recently been explored to effectively and efficiently harvest high-quality segmentation masks by iteratively incorporating user hints. While iterative in nature, most existing interactive segmentation methods tend to ignore the dynamics of successive interactions and take each interaction independently. We here propose to model iterative interactive image segmentation with a Markov decision process (MDP) and solve it with reinforcement learning (RL) where each voxel is treated as an agent. Considering the large exploration space for voxel-wise prediction and the dependence among neighboring voxels for the segmentation tasks, multi-agent reinforcement learning is adopted, where the voxel-level policy is shared among agents. Considering that boundary voxels are more important for segmentation, we further introduce a boundary-aware reward, which consists of a global reward in the form of relative cross-entropy gain, to update the policy in a constrained direction, and a boundary reward in the form of relative weight, to emphasize the correctness of boundary predictions. To combine the advantages of different types of interactions, i.e., simple and efficient for point-clicking, and stable and robust for scribbles, we propose a supervoxel-clicking based interaction design. Experimental results on four benchmark datasets have shown that the proposed method significantly outperforms the state-of-the-arts, with the advantage of fewer interactions, higher accuracy, and enhanced robustness.

Chaoqin Huang, Zi Zeng, Aofan Jiang et al.

Rare cardiac anomalies are difficult to detect from electrocardiograms (ECGs) due to their long-tailed distribution with extremely limited case counts and demographic disparities in diagnostic performance. These limitations contribute to delayed recognition and uneven quality of care, creating an urgent need for a generalizable framework that enhances sensitivity while ensuring equity across diverse populations. In this study, we developed an AI-assisted two-stage ECG framework integrating self-supervised anomaly detection with demographic-aware representation learning. The first stage performs self-supervised anomaly detection pretraining by reconstructing masked global and local ECG signals, modeling signal trends, and predicting patient attributes to learn robust ECG representations without diagnostic labels. The pretrained model is then fine-tuned for multi-label ECG classification using asymmetric loss to better handle long-tail cardiac abnormalities, and additionally produces anomaly score maps for localization, with CPU-based optimization enabling practical deployment. Evaluated on a longitudinal cohort of over one million clinical ECGs, our method achieves an AUROC of 94.7% for rare anomalies and reduces the common-rare performance gap by 73%, while maintaining consistent diagnostic accuracy across age and sex groups. In conclusion, the proposed equity-aware AI framework demonstrates strong clinical utility, interpretable anomaly localization, and scalable performance across multiple cohorts, highlighting its potential to mitigate diagnostic disparities and advance equitable anomaly detection in biomedical signals and digital health. Source code is available at https://github.com/MediaBrain-SJTU/Rare-ECG.

Yuhuan Yang, Chaofan Ma, Chen Ju et al.

In semantic segmentation, generalizing a visual system to both seen categories and novel categories at inference time has always been practically valuable yet challenging. To enable such functionality, existing methods mainly rely on either providing several support demonstrations from the visual aspect or characterizing the informative clues from the textual aspect (e.g., the class names). Nevertheless, both two lines neglect the complementary intrinsic of low-level visual and high-level language information, while the explorations that consider visual and textual modalities as a whole to promote predictions are still limited. To close this gap, we propose to encompass textual and visual clues as multi-modal prototypes to allow more comprehensive support for open-world semantic segmentation, and build a novel prototype-based segmentation framework to realize this promise. To be specific, unlike the straightforward combination of bi-modal clues, we decompose the high-level language information as multi-aspect prototypes and aggregate the low-level visual information as more semantic prototypes, on basis of which, a fine-grained complementary fusion makes the multi-modal prototypes more powerful and accurate to promote the prediction. Based on an elastic mask prediction module that permits any number and form of prototype inputs, we are able to solve the zero-shot, few-shot and generalized counterpart tasks in one architecture. Extensive experiments on both PASCAL-$5^i$ and COCO-$20^i$ datasets show the consistent superiority of the proposed method compared with the previous state-of-the-art approaches, and a range of ablation studies thoroughly dissects each component in our framework both quantitatively and qualitatively that verify their effectiveness.