Jiaqing Zhang

Jiaqing Zhang, Jie Lei, Weiying Xie et al.

Accurately and timely detecting multiscale small objects that contain tens of pixels from remote sensing images (RSI) remains challenging. Most of the existing solutions primarily design complex deep neural networks to learn strong feature representations for objects separated from the background, which often results in a heavy computation burden. In this article, we propose an accurate yet fast object detection method for RSI, named SuperYOLO, which fuses multimodal data and performs high-resolution (HR) object detection on multiscale objects by utilizing the assisted super resolution (SR) learning and considering both the detection accuracy and computation cost. First, we utilize a symmetric compact multimodal fusion (MF) to extract supplementary information from various data for improving small object detection in RSI. Furthermore, we design a simple and flexible SR branch to learn HR feature representations that can discriminate small objects from vast backgrounds with low-resolution (LR) input, thus further improving the detection accuracy. Moreover, to avoid introducing additional computation, the SR branch is discarded in the inference stage, and the computation of the network model is reduced due to the LR input. Experimental results show that, on the widely used VEDAI RS dataset, SuperYOLO achieves an accuracy of 75.09% (in terms of mAP50 ), which is more than 10% higher than the SOTA large models, such as YOLOv5l, YOLOv5x, and RS designed YOLOrs. Meanwhile, the parameter size and GFLOPs of SuperYOLO are about 18 times and 3.8 times less than YOLOv5x. Our proposed model shows a favorable accuracy and speed tradeoff compared to the state-of-the-art models. The code will be open-sourced at https://github.com/icey-zhang/SuperYOLO.

Jiaqing Zhang, Jie Lei, Weiying Xie et al.

Considering the computation complexity, we propose a Guided Hybrid Quantization with One-to-one Self-Teaching (GHOST}) framework. More concretely, we first design a structure called guided quantization self-distillation (GQSD), which is an innovative idea for realizing lightweight through the synergy of quantization and distillation. The training process of the quantization model is guided by its full-precision model, which is time-saving and cost-saving without preparing a huge pre-trained model in advance. Second, we put forward a hybrid quantization (HQ) module to obtain the optimal bit width automatically under a constrained condition where a threshold for distribution distance between the center and samples is applied in the weight value search space. Third, in order to improve information transformation, we propose a one-to-one self-teaching (OST) module to give the student network a ability of self-judgment. A switch control machine (SCM) builds a bridge between the student network and teacher network in the same location to help the teacher to reduce wrong guidance and impart vital knowledge to the student. This distillation method allows a model to learn from itself and gain substantial improvement without any additional supervision. Extensive experiments on a multimodal dataset (VEDAI) and single-modality datasets (DOTA, NWPU, and DIOR) show that object detection based on GHOST outperforms the existing detectors. The tiny parameters (<9.7 MB) and Bit-Operations (BOPs) (<2158 G) compared with any remote sensing-based, lightweight or distillation-based algorithms demonstrate the superiority in the lightweight design domain. Our code and model will be released at https://github.com/icey-zhang/GHOST.

Subhash Nerella, Sabyasachi Bandyopadhyay, Jiaqing Zhang et al.

With Artificial Intelligence (AI) increasingly permeating various aspects of society, including healthcare, the adoption of the Transformers neural network architecture is rapidly changing many applications. Transformer is a type of deep learning architecture initially developed to solve general-purpose Natural Language Processing (NLP) tasks and has subsequently been adapted in many fields, including healthcare. In this survey paper, we provide an overview of how this architecture has been adopted to analyze various forms of data, including medical imaging, structured and unstructured Electronic Health Records (EHR), social media, physiological signals, and biomolecular sequences. Those models could help in clinical diagnosis, report generation, data reconstruction, and drug/protein synthesis. We identified relevant studies using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. We also discuss the benefits and limitations of using transformers in healthcare and examine issues such as computational cost, model interpretability, fairness, alignment with human values, ethical implications, and environmental impact.

Weiying Xie, Yusi Zhang, Tianlin Hui et al.

Multimodal object detection offers a promising prospect to facilitate robust detection in various visual conditions. However, existing two-stream backbone networks are challenged by complex fusion and substantial parameter increments. This is primarily due to large data distribution biases of multimodal homogeneous information. In this paper, we propose a novel multimodal object detector, named Low-rank Modal Adaptors (LMA) with a shared backbone. The shared parameters enhance the consistency of homogeneous information, while lightweight modal adaptors focus on modality unique features. Furthermore, we design an adaptive rank allocation strategy to adapt to the varying heterogeneity at different feature levels. When applied to two multimodal object detection datasets, experiments validate the effectiveness of our method. Notably, on DroneVehicle, LMA attains a 10.4% accuracy improvement over the state-of-the-art method with a 149M-parameters reduction. The code is available at https://github.com/zyszxhy/FoRA. Our work was submitted to ACM MM in April 2024, but was rejected. We will continue to refine our work and paper writing next, mainly including proof of theory and multi-task applications of FoRA.

Subhash Nerella, Ziyuan Guan, Scott Siegel et al.

The intensive care unit (ICU) is a specialized hospital space where critically ill patients receive intensive care and monitoring. Comprehensive monitoring is imperative in assessing patients conditions, in particular acuity, and ultimately the quality of care. However, the extent of patient monitoring in the ICU is limited due to time constraints and the workload on healthcare providers. Currently, visual assessments for acuity, including fine details such as facial expressions, posture, and mobility, are sporadically captured, or not captured at all. These manual observations are subjective to the individual, prone to documentation errors, and overburden care providers with the additional workload. Artificial Intelligence (AI) enabled systems has the potential to augment the patient visual monitoring and assessment due to their exceptional learning capabilities. Such systems require robust annotated data to train. To this end, we have developed pervasive sensing and data processing system which collects data from multiple modalities depth images, color RGB images, accelerometry, electromyography, sound pressure, and light levels in ICU for developing intelligent monitoring systems for continuous and granular acuity, delirium risk, pain, and mobility assessment. This paper presents the Intelligent Intensive Care Unit (I2CU) system architecture we developed for real-time patient monitoring and visual assessment.

Miguel Contreras, Brandon Silva, Benjamin Shickel et al.

The acuity state of patients in the intensive care unit (ICU) can quickly change from stable to unstable. Early detection of deteriorating conditions can result in providing timely interventions and improved survival rates. In this study, we propose APRICOT-M (Acuity Prediction in Intensive Care Unit-Mamba), a 150k-parameter state space-based neural network to predict acuity state, transitions, and the need for life-sustaining therapies in real-time in ICU patients. The model uses data obtained in the prior four hours in the ICU and patient information obtained at admission to predict the acuity outcomes in the next four hours. We validated APRICOT-M externally on data from hospitals not used in development (75,668 patients from 147 hospitals), temporally on data from a period not used in development (12,927 patients from one hospital from 2018-2019), and prospectively on data collected in real-time (215 patients from one hospital from 2021-2023) using three large datasets: the University of Florida Health (UFH) dataset, the electronic ICU Collaborative Research Database (eICU), and the Medical Information Mart for Intensive Care (MIMIC)-IV. The area under the receiver operating characteristic curve (AUROC) of APRICOT-M for mortality (external 0.94-0.95, temporal 0.97-0.98, prospective 0.96-1.00) and acuity (external 0.95-0.95, temporal 0.97-0.97, prospective 0.96-0.96) shows comparable results to state-of-the-art models. Furthermore, APRICOT-M can predict transitions to instability (external 0.81-0.82, temporal 0.77-0.78, prospective 0.68-0.75) and need for life-sustaining therapies, including mechanical ventilation (external 0.82-0.83, temporal 0.87-0.88, prospective 0.67-0.76), and vasopressors (external 0.81-0.82, temporal 0.73-0.75, prospective 0.66-0.74). This tool allows for real-time acuity monitoring in critically ill patients and can help clinicians make timely interventions.

Jiaqing Zhang, Mingjia Yin, Hao Wang et al.

Recommendation model performance is intrinsically tied to the quality, volume, and relevance of their training data. To address common challenges like data sparsity and cold start, recent researchs have leveraged data from multiple auxiliary domains to enrich information within the target domain. However, inherent domain gaps can degrade the quality of mixed-domain data, leading to negative transfer and diminished model performance. Existing prevailing \emph{model-centric} paradigm -- which relies on complex, customized architectures -- struggles to capture the subtle, non-structural sequence dependencies across domains, leading to poor generalization and high demands on computational resources. To address these shortcomings, we propose \textsc{Taesar}, a \emph{data-centric} framework for \textbf{t}arget-\textbf{a}lign\textbf{e}d \textbf{s}equenti\textbf{a}l \textbf{r}egeneration, which employs a contrastive decoding mechanism to adaptively encode cross-domain context into target-domain sequences. It employs contrastive decoding to encode cross-domain context into target sequences, enabling standard models to learn intricate dependencies without complex fusion architectures. Experiments show \textsc{Taesar} outperforms model-centric solutions and generalizes to various sequential models. By generating enriched datasets, \textsc{Taesar} effectively combines the strengths of data- and model-centric paradigms. The code accompanying this paper is available at~ \textcolor{blue}{https://github.com/USTC-StarTeam/Taesar}.

Sabyasachi Bandyopadhyay, Ahna Cecil, Jessica Sena et al.

Existing Intensive Care Unit (ICU) delirium prediction models do not consider environmental factors despite strong evidence of their influence on delirium. This study reports the first deep-learning based delirium prediction model for ICU patients using only ambient noise and light information. Ambient light and noise intensities were measured from ICU rooms of 102 patients from May 2021 to September 2022 using Thunderboard, ActiGraph sensors and an iPod with AudioTools application. These measurements were divided into daytime (0700 to 1859) and nighttime (1900 to 0659). Deep learning models were trained using this data to predict the incidence of delirium during ICU stay or within 4 days of discharge. Finally, outcome scores were analyzed to evaluate the importance and directionality of every feature. Daytime noise levels were significantly higher than nighttime noise levels. When using only noise features or a combination of noise and light features 1-D convolutional neural networks (CNN) achieved the strongest performance: AUC=0.77, 0.74; Sensitivity=0.60, 0.56; Specificity=0.74, 0.74; Precision=0.46, 0.40 respectively. Using only light features, Long Short-Term Memory (LSTM) networks performed best: AUC=0.80, Sensitivity=0.60, Specificity=0.77, Precision=0.37. Maximum nighttime and minimum daytime noise levels were the strongest positive and negative predictors of delirium respectively. Nighttime light level was a stronger predictor of delirium than daytime light level. Total influence of light features outweighed that of noise features on the second and fourth day of ICU stay. This study shows that ambient light and noise intensities are strong predictors of long-term delirium incidence in the ICU. It reveals that daytime and nighttime environmental factors might influence delirium differently and that the importance of light and noise levels vary over the course of an ICU stay.

Daixun Li, Weiying Xie, Jiaqing Zhang et al.

High-dimensional images, known for their rich semantic information, are widely applied in remote sensing and other fields. The spatial information in these images reflects the object's texture features, while the spectral information reveals the potential spectral representations across different bands. Currently, the understanding of high-dimensional images remains limited to a single-domain perspective with performance degradation. Motivated by the masking texture effect observed in the human visual system, we present a multi-domain diffusion-driven feature learning network (MDFL) , a scheme to redefine the effective information domain that the model really focuses on. This method employs diffusion-based posterior sampling to explicitly consider joint information interactions between the high-dimensional manifold structures in the spectral, spatial, and frequency domains, thereby eliminating the influence of masking texture effects in visual models. Additionally, we introduce a feature reuse mechanism to gather deep and raw features of high-dimensional data. We demonstrate that MDFL significantly improves the feature extraction performance of high-dimensional data, thereby providing a powerful aid for revealing the intrinsic patterns and structures of such data. The experimental results on three multi-modal remote sensing datasets show that MDFL reaches an average overall accuracy of 98.25%, outperforming various state-of-the-art baseline schemes. The code will be released, contributing to the computer vision community.

Jessica Sena, Mohammad Tahsin Mostafiz, Jiaqing Zhang et al.

Acuity assessments are vital in critical care settings to provide timely interventions and fair resource allocation. Traditional acuity scores rely on manual assessments and documentation of physiological states, which can be time-consuming, intermittent, and difficult to use for healthcare providers. Furthermore, such scores do not incorporate granular information such as patients' mobility level, which can indicate recovery or deterioration in the ICU. We hypothesized that existing acuity scores could be potentially improved by employing Artificial Intelligence (AI) techniques in conjunction with Electronic Health Records (EHR) and wearable sensor data. In this study, we evaluated the impact of integrating mobility data collected from wrist-worn accelerometers with clinical data obtained from EHR for developing an AI-driven acuity assessment score. Accelerometry data were collected from 86 patients wearing accelerometers on their wrists in an academic hospital setting. The data was analyzed using five deep neural network models: VGG, ResNet, MobileNet, SqueezeNet, and a custom Transformer network. These models outperformed a rule-based clinical score (SOFA= Sequential Organ Failure Assessment) used as a baseline, particularly regarding the precision, sensitivity, and F1 score. The results showed that while a model relying solely on accelerometer data achieved limited performance (AUC 0.50, Precision 0.61, and F1-score 0.68), including demographic information with the accelerometer data led to a notable enhancement in performance (AUC 0.69, Precision 0.75, and F1-score 0.67). This work shows that the combination of mobility and patient information can successfully differentiate between stable and unstable states in critically ill patients.

Jiaqing Zhang, Hao Wang, Mingjia Yin et al.

Modern deep recommender models are trained under a continual learning paradigm, relying on massive and continuously growing streaming behavioral logs. In large-scale platforms, retraining models on full historical data for architecture comparison or iteration is prohibitively expensive, severely slowing down model development. This challenge calls for data-efficient approaches that can faithfully approximate full-data training behavior without repeatedly processing the entire evolving data stream. We formulate this problem as \emph{streaming dataset distillation for recommender systems} and propose \textbf{DIET}, a unified framework that maintains a compact distilled dataset which evolves alongside streaming data while preserving training-critical signals. Unlike existing dataset distillation methods that construct a static distilled set, DIET models distilled data as an evolving training memory and updates it in a stage-wise manner to remain aligned with long-term training dynamics. DIET enables effective continual distillation through principled initialization from influential samples and selective updates guided by influence-aware memory addressing within a bi-level optimization framework. Experiments on large-scale recommendation benchmarks demonstrate that DIET compresses training data to as little as \textbf{1-2\%} of the original size while preserving performance trends consistent with full-data training, reducing model iteration cost by up to \textbf{60$\times$}. Moreover, the distilled datasets produced by DIET generalize well across different model architectures, highlighting streaming dataset distillation as a scalable and reusable data foundation for recommender system development.

Jiaqing Zhang, Jie Lei, Weiying Xie et al.

In multimodal land cover classification (MLCC), a common challenge is the redundancy in data distribution, where irrelevant information from multiple modalities can hinder the effective integration of their unique features. To tackle this, we introduce the Multimodal Informative Vit (MIVit), a system with an innovative information aggregate-distributing mechanism. This approach redefines redundancy levels and integrates performance-aware elements into the fused representation, facilitating the learning of semantics in both forward and backward directions. MIVit stands out by significantly reducing redundancy in the empirical distribution of each modality's separate and fused features. It employs oriented attention fusion (OAF) for extracting shallow local features across modalities in horizontal and vertical dimensions, and a Transformer feature extractor for extracting deep global features through long-range attention. We also propose an information aggregation constraint (IAC) based on mutual information, designed to remove redundant information and preserve complementary information within embedded features. Additionally, the information distribution flow (IDF) in MIVit enhances performance-awareness by distributing global classification information across different modalities' feature maps. This architecture also addresses missing modality challenges with lightweight independent modality classifiers, reducing the computational load typically associated with Transformers. Our results show that MIVit's bidirectional aggregate-distributing mechanism between modalities is highly effective, achieving an average overall accuracy of 95.56% across three multimodal datasets. This performance surpasses current state-of-the-art methods in MLCC. The code for MIVit is accessible at https://github.com/icey-zhang/MIViT.

Jiaqing Zhang, Mingjia Yin, Hao Wang et al.

In the era of data-centric AI, the focus of recommender systems has shifted from model-centric innovations to data-centric approaches. The success of modern AI models is built on large-scale datasets, but this also results in significant training costs. Dataset distillation has emerged as a key solution, condensing large datasets to accelerate model training while preserving model performance. However, condensing discrete and sequentially correlated user-item interactions, particularly with extensive item sets, presents considerable challenges. This paper introduces \textbf{TD3}, a novel \textbf{T}ucker \textbf{D}ecomposition based \textbf{D}ataset \textbf{D}istillation method within a meta-learning framework, designed for sequential recommendation. TD3 distills a fully expressive \emph{synthetic sequence summary} from original data. To efficiently reduce computational complexity and extract refined latent patterns, Tucker decomposition decouples the summary into four factors: \emph{synthetic user latent factor}, \emph{temporal dynamics latent factor}, \emph{shared item latent factor}, and a \emph{relation core} that models their interconnections. Additionally, a surrogate objective in bi-level optimization is proposed to align feature spaces extracted from models trained on both original data and synthetic sequence summary beyond the naïve performance matching approach. In the \emph{inner-loop}, an augmentation technique allows the learner to closely fit the synthetic summary, ensuring an accurate update of it in the \emph{outer-loop}. To accelerate the optimization process and address long dependencies, RaT-BPTT is employed for bi-level optimization. Experiments and analyses on multiple public datasets have confirmed the superiority and cross-architecture generalizability of the proposed designs. Codes are released at https://github.com/USTC-StarTeam/TD3.

Ziqiao Xi, Shuang Liang, Qi Liu et al.

Tool-using LLM agents still struggle in open-world settings with large tool pools, long-horizon objectives, wild constraints, and unreliable tool states. For scalable and realistic training and testing, we introduce an open-world tool-using environment, built on 5,571 format unified tools across 204 commonly used apps. It includes a task creation engine that synthesizes long-horizon, multi-tool workflows with wild constraints, and a state controller that injects interruptions and failures to stress-test robustness. On top of this environment, we develop a tool select-then-execute agent framework with a planner-actor decomposition to separate deliberate reasoning and self-correction from step-wise execution. Comprehensive evaluation of state-of-the-art LLMs reveals the misalignment between tool planning and execution abilities, the constraint following weakness of existing LLMs, and DeepSeek-v3.2's strongest robustness. Finally, we collect 1,170 trajectories from our environment to fine-tune LLMs, achieving superior performance to baselines using 119k samples, indicating the environment's value as both a realistic benchmark and a data engine for tool-using agents. Our code and data will be publicly released.

Jiaqing Zhang, Jie Lei, Weiying Xie et al.

Accurate cloud recognition and warning are crucial for various applications, including in-flight support, weather forecasting, and climate research. However, recent deep learning algorithms have predominantly focused on detecting cloud regions in satellite imagery, with insufficient attention to the specificity required for accurate cloud recognition. This limitation inspired us to develop the novel FY-4A-Himawari-8 (FYH) dataset, which includes nine distinct cloud categories and uses precise domain adaptation methods to align 70,419 image-label pairs in terms of projection, temporal resolution, and spatial resolution, thereby facilitating the training of supervised deep learning networks. Given the complexity and diversity of cloud formations, we have thoroughly analyzed the challenges inherent to cloud recognition tasks, examining the intricate characteristics and distribution of the data. To effectively address these challenges, we designed a Distribution-aware Interactive-Attention Network (DIAnet), which preserves pixel-level details through a high-resolution branch and a parallel multi-resolution cross-branch. We also integrated a distribution-aware loss (DAL) to mitigate the imbalance across cloud categories. An Interactive Attention Module (IAM) further enhances the robustness of feature extraction combined with spatial and channel information. Empirical evaluations on the FYH dataset demonstrate that our method outperforms other cloud recognition networks, achieving superior performance in terms of mean Intersection over Union (mIoU). The code for implementing DIAnet is available at https://github.com/icey-zhang/DIAnet.

Mingxiang Cao, Weiying Xie, Xin Zhang et al.

Multi-modal fusion holds great promise for integrating information from different modalities. However, due to a lack of consideration for modal consistency, existing multi-modal fusion methods in the field of remote sensing still face challenges of incomplete semantic information and low computational efficiency in their fusion designs. Inspired by the observation that the visual language pre-training model CLIP can effectively extract strong semantic information from visual features, we propose M$^3$amba, a novel end-to-end CLIP-driven Mamba model for multi-modal fusion to address these challenges. Specifically, we introduce CLIP-driven modality-specific adapters in the fusion architecture to avoid the bias of understanding specific domains caused by direct inference, making the original CLIP encoder modality-specific perception. This unified framework enables minimal training to achieve a comprehensive semantic understanding of different modalities, thereby guiding cross-modal feature fusion. To further enhance the consistent association between modality mappings, a multi-modal Mamba fusion architecture with linear complexity and a cross-attention module Cross-SS2D are designed, which fully considers effective and efficient information interaction to achieve complete fusion. Extensive experiments have shown that M$^3$amba has an average performance improvement of at least 5.98\% compared with the state-of-the-art methods in multi-modal hyperspectral image classification tasks in the remote sensing field, while also demonstrating excellent training efficiency, achieving a double improvement in accuracy and efficiency. The code is released at https://github.com/kaka-Cao/M3amba.

Jiaqing Zhang, Mingxiang Cao, Xue Yang et al.

Visual language models like Contrastive Language-Image Pretraining (CLIP) have shown impressive performance in analyzing natural images with language information. However, these models often encounter challenges when applied to specialized domains such as remote sensing due to the limited availability of image-text pairs for training. To tackle this issue, we introduce DiffCLIP, a novel framework that extends CLIP to effectively convey comprehensive language-driven semantic information for accurate classification of high-dimensional multimodal remote sensing images. DiffCLIP is a few-shot learning method that leverages unlabeled images for pretraining. It employs unsupervised mask diffusion learning to capture the distribution of diverse modalities without requiring labels. The modality-shared image encoder maps multimodal data into a unified subspace, extracting shared features with consistent parameters across modalities. A well-trained image encoder further enhances learning by aligning visual representations with class-label text information from CLIP. By integrating these approaches, DiffCLIP significantly boosts CLIP performance using a minimal number of image-text pairs. We evaluate DiffCLIP on widely used high-dimensional multimodal datasets, demonstrating its effectiveness in addressing few-shot annotated classification tasks. DiffCLIP achieves an overall accuracy improvement of 10.65% across three remote sensing datasets compared with CLIP, while utilizing only 2-shot image-text pairs. The code has been released at https://github.com/icey-zhang/DiffCLIP.

Jiaqing Zhang, Sandeep Elluri, Bhanu Cherukuvada et al.

Multimodal large language models (LLMs) are increasingly explored as automated evaluators in clinical settings, yet their scoring behavior on ordinal clinical scales remains poorly understood. We benchmark three frontier LLM families against supervised deep learning models for scoring Clock Drawing Test (CDT) images on two public datasets using the Shulman rubric. While fully fine-tuned Vision Transformers achieve the best calibration (MAE 0.52, within-1 accuracy 91%), zero-shot LLMs remain competitive on tolerance-based agreement (GPT-5 MAE 0.67, within-1 accuracy 92%) despite higher absolute error. However, per-score analysis reveals that all three LLM families exhibit a pronounced central tendency effect (systematic endpoint compression): predictions are systematically compressed toward the middle of the scale, with over-prediction at the low end (score 0 to 1) and under-prediction at the high end (score 5 to 4). This effect disproportionately affects the clinically critical extremes where accurate scoring most impacts screening decisions for cognitive impairment. Targeted ablations show that neither few-shot exemplars spanning the full score range nor removing clinical terminology from the prompt eliminates the effect. Our findings extend the LLM-as-a-judge bias literature from NLP evaluation to clinical assessment, and highlight the need for calibration-aware evaluation and post-hoc calibration before deploying LLM-based raters in high-stakes screening workflows.

Tingjia Shen, Hao Wang, Jiaqing Zhang et al.

Cross-Domain Sequential Recommendation (CDSR) aims to mine and transfer users' sequential preferences across different domains to alleviate the long-standing cold-start issue. Traditional CDSR models capture collaborative information through user and item modeling while overlooking valuable semantic information. Recently, Large Language Model (LLM) has demonstrated powerful semantic reasoning capabilities, motivating us to introduce them to better capture semantic information. However, introducing LLMs to CDSR is non-trivial due to two crucial issues: seamless information integration and domain-specific generation. To this end, we propose a novel framework named URLLM, which aims to improve the CDSR performance by exploring the User Retrieval approach and domain grounding on LLM simultaneously. Specifically, we first present a novel dual-graph sequential model to capture the diverse information, along with an alignment and contrastive learning method to facilitate domain knowledge transfer. Subsequently, a user retrieve-generation model is adopted to seamlessly integrate the structural information into LLM, fully harnessing its emergent inferencing ability. Furthermore, we propose a domain-specific strategy and a refinement module to prevent out-of-domain generation. Extensive experiments on Amazon demonstrated the information integration and domain-specific generation ability of URLLM in comparison to state-of-the-art baselines. Our code is available at https://github.com/TingJShen/URLLM

Jiaqing Zhang, Mingxiang Cao, Weiying Xie et al.

Multimodal image fusion and object detection are crucial for autonomous driving. While current methods have advanced the fusion of texture details and semantic information, their complex training processes hinder broader applications. Addressing this challenge, we introduce E2E-MFD, a novel end-to-end algorithm for multimodal fusion detection. E2E-MFD streamlines the process, achieving high performance with a single training phase. It employs synchronous joint optimization across components to avoid suboptimal solutions tied to individual tasks. Furthermore, it implements a comprehensive optimization strategy in the gradient matrix for shared parameters, ensuring convergence to an optimal fusion detection configuration. Our extensive testing on multiple public datasets reveals E2E-MFD's superior capabilities, showcasing not only visually appealing image fusion but also impressive detection outcomes, such as a 3.9% and 2.0% mAP50 increase on horizontal object detection dataset M3FD and oriented object detection dataset DroneVehicle, respectively, compared to state-of-the-art approaches. The code is released at https://github.com/icey-zhang/E2E-MFD.

Jiayuan Tian, Jie Lei, Jiaqing Zhang et al.

With recent advancements in aerospace technology, the volume of unlabeled remote sensing image (RSI) data has increased dramatically. Effectively leveraging this data through self-supervised learning (SSL) is vital in the field of remote sensing. However, current methodologies, particularly contrastive learning (CL), a leading SSL method, encounter specific challenges in this domain. Firstly, CL often mistakenly identifies geographically adjacent samples with similar semantic content as negative pairs, leading to confusion during model training. Secondly, as an instance-level discriminative task, it tends to neglect the essential fine-grained features and complex details inherent in unstructured RSIs. To overcome these obstacles, we introduce SwiMDiff, a novel self-supervised pre-training framework designed for RSIs. SwiMDiff employs a scene-wide matching approach that effectively recalibrates labels to recognize data from the same scene as false negatives. This adjustment makes CL more applicable to the nuances of remote sensing. Additionally, SwiMDiff seamlessly integrates CL with a diffusion model. Through the implementation of pixel-level diffusion constraints, we enhance the encoder's ability to capture both the global semantic information and the fine-grained features of the images more comprehensively. Our proposed framework significantly enriches the information available for downstream tasks in remote sensing. Demonstrating exceptional performance in change detection and land-cover classification tasks, SwiMDiff proves its substantial utility and value in the field of remote sensing.

Miguel Contreras, Sumit Kapoor, Jiaqing Zhang et al.

Delirium is an acute confusional state that has been shown to affect up to 31% of patients in the intensive care unit (ICU). Early detection of this condition could lead to more timely interventions and improved health outcomes. While artificial intelligence (AI) models have shown great potential for ICU delirium prediction using structured electronic health records (EHR), most of them have not explored the use of state-of-the-art AI models, have been limited to single hospitals, or have been developed and validated on small cohorts. The use of large language models (LLM), models with hundreds of millions to billions of parameters, with structured EHR data could potentially lead to improved predictive performance. In this study, we propose DeLLiriuM, a novel LLM-based delirium prediction model using EHR data available in the first 24 hours of ICU admission to predict the probability of a patient developing delirium during the rest of their ICU admission. We develop and validate DeLLiriuM on ICU admissions from 104,303 patients pertaining to 195 hospitals across three large databases: the eICU Collaborative Research Database, the Medical Information Mart for Intensive Care (MIMIC)-IV, and the University of Florida Health's Integrated Data Repository. The performance measured by the area under the receiver operating characteristic curve (AUROC) showed that DeLLiriuM outperformed all baselines in two external validation sets, with 0.77 (95% confidence interval 0.76-0.78) and 0.84 (95% confidence interval 0.83-0.85) across 77,543 patients spanning 194 hospitals. To the best of our knowledge, DeLLiriuM is the first LLM-based delirium prediction tool for the ICU based on structured EHR data, outperforming deep learning baselines which employ structured features and can provide helpful information to clinicians for timely interventions.

Shuhan Dong, Yunsong Li, Weiying Xie et al.

Multimodal object detection leverages diverse modal information to enhance the accuracy and robustness of detectors. By learning long-term dependencies, Transformer can effectively integrate multimodal features in the feature extraction stage, which greatly improves the performance of multimodal object detection. However, current methods merely stack Transformer-guided fusion techniques without exploring their capability to extract features at various depth layers of network, thus limiting the improvements in detection performance. In this paper, we introduce an accurate and efficient object detection method named SeaDATE. Initially, we propose a novel dual attention Feature Fusion (DTF) module that, under Transformer's guidance, integrates local and global information through a dual attention mechanism, strengthening the fusion of modal features from orthogonal perspectives using spatial and channel tokens. Meanwhile, our theoretical analysis and empirical validation demonstrate that the Transformer-guided fusion method, treating images as sequences of pixels for fusion, performs better on shallow features' detail information compared to deep semantic information. To address this, we designed a contrastive learning (CL) module aimed at learning features of multimodal samples, remedying the shortcomings of Transformer-guided fusion in extracting deep semantic features, and effectively utilizing cross-modal information. Extensive experiments and ablation studies on the FLIR, LLVIP, and M3FD datasets have proven our method to be effective, achieving state-of-the-art detection performance.

Yidan Liu, Weiying Xie, Kai Jiang et al.

The majority of existing hyperspectral anomaly detection (HAD) methods use the low-rank representation (LRR) model to separate the background and anomaly components, where the anomaly component is optimized by handcrafted sparse priors (e.g., $\ell_{2,1}$-norm). However, this may not be ideal since they overlook the spatial structure present in anomalies and make the detection result largely dependent on manually set sparsity. To tackle these problems, we redefine the optimization criterion for the anomaly component in the LRR model with a self-supervised network called self-supervised anomaly prior (SAP). This prior is obtained by the pretext task of self-supervised learning, which is customized to learn the characteristics of hyperspectral anomalies. Specifically, this pretext task is a classification task to distinguish the original hyperspectral image (HSI) and the pseudo-anomaly HSI, where the pseudo-anomaly is generated from the original HSI and designed as a prism with arbitrary polygon bases and arbitrary spectral bands. In addition, a dual-purified strategy is proposed to provide a more refined background representation with an enriched background dictionary, facilitating the separation of anomalies from complex backgrounds. Extensive experiments on various hyperspectral datasets demonstrate that the proposed SAP offers a more accurate and interpretable solution than other advanced HAD methods.

Scott Siegel, Jiaqing Zhang, Sabyasachi Bandyopadhyay et al.

Despite the importance of closely monitoring patients in the Intensive Care Unit (ICU), many aspects are still assessed in a limited manner due to the time constraints imposed on healthcare providers. For example, although excessive visitations during rest hours can potentially exacerbate the risk of circadian rhythm disruption and delirium, it is not captured in the ICU. Likewise, while mobility can be an important indicator of recovery or deterioration in ICU patients, it is only captured sporadically or not captured at all. In the past few years, the computer vision field has found application in many domains by reducing the human burden. Using computer vision systems in the ICU can also potentially enable non-existing assessments or enhance the frequency and accuracy of existing assessments while reducing the staff workload. In this study, we leverage a state-of-the-art noninvasive computer vision system based on depth imaging to characterize ICU visitations and patients' mobility. We then examine the relationship between visitation and several patient outcomes, such as pain, acuity, and delirium. We found an association between deteriorating patient acuity and the incidence of delirium with increased visitations. In contrast, self-reported pain, reported using the Defense and Veteran Pain Rating Scale (DVPRS), was correlated with decreased visitations. Our findings highlight the feasibility and potential of using noninvasive autonomous systems to monitor ICU patients.

Mingxiang Cao, Weiying Xie, Jie Lei et al.

Deep learning has driven significant progress in object detection using Synthetic Aperture Radar (SAR) imagery. Existing methods, while achieving promising results, often struggle to effectively integrate local and global information, particularly direction-aware features. This paper proposes SAR-Net, a novel framework specifically designed for global fusion of direction-aware information in SAR object detection. SAR-Net leverages two key innovations: the Unity Compensation Mechanism (UCM) and the Direction-aware Attention Module (DAM). UCM facilitates the establishment of complementary relationships among features across different scales, enabling efficient global information fusion and transmission. Additionally, DAM, through bidirectional attention polymerization, captures direction-aware information, effectively eliminating background interference. Extensive experiments demonstrate the effectiveness of SAR-Net, achieving state-of-the-art results on aircraft (SAR-AIRcraft-1.0) and ship datasets (SSDD, HRSID), confirming its generalization capability and robustness.

Jiaqing Zhang, Miguel Contreras, Sabyasachi Bandyopadhyay et al.

Estimation of patient acuity in the Intensive Care Unit (ICU) is vital to ensure timely and appropriate interventions. Advances in artificial intelligence (AI) technologies have significantly improved the accuracy of acuity predictions. However, prior studies using machine learning for acuity prediction have predominantly relied on electronic health records (EHR) data, often overlooking other critical aspects of ICU stay, such as patient mobility, environmental factors, and facial cues indicating pain or agitation. To address this gap, we present MANGO: the Multimodal Acuity traNsformer for intelliGent ICU Outcomes, designed to enhance the prediction of patient acuity states, transitions, and the need for life-sustaining therapy. We collected a multimodal dataset ICU-Multimodal, incorporating four key modalities, EHR data, wearable sensor data, video of patient's facial cues, and ambient sensor data, which we utilized to train MANGO. The MANGO model employs a multimodal feature fusion network powered by Transformer masked self-attention method, enabling it to capture and learn complex interactions across these diverse data modalities even when some modalities are absent. Our results demonstrated that integrating multiple modalities significantly improved the model's ability to predict acuity status, transitions, and the need for life-sustaining therapy. The best-performing models achieved an area under the receiver operating characteristic curve (AUROC) of 0.76 (95% CI: 0.72-0.79) for predicting transitions in acuity status and the need for life-sustaining therapy, while 0.82 (95% CI: 0.69-0.89) for acuity status prediction...

Jiaqing Zhang, Miguel Contreras, Jessica Sena et al.

Patient mobility monitoring in intensive care is critical for ensuring timely interventions and improving clinical outcomes. While accelerometry-based sensor data are widely adopted in training artificial intelligence models to estimate patient mobility, existing approaches face two key limitations highlighted in clinical practice: (1) modeling the long-term accelerometer data is challenging due to the high dimensionality, variability, and noise, and (2) the absence of efficient and robust methods for long-term mobility assessment. To overcome these challenges, we introduce MELON, a novel multimodal framework designed to predict 12-hour mobility status in the critical care setting. MELON leverages the power of a dual-branch network architecture, combining the strengths of spectrogram-based visual representations and sequential accelerometer statistical features. MELON effectively captures global and fine-grained mobility patterns by integrating a pre-trained image encoder for rich frequency-domain feature extraction and a Mixture-of-Experts encoder for sequence modeling. We trained and evaluated the MELON model on the multimodal dataset of 126 patients recruited from nine Intensive Care Units at the University of Florida Health Shands Hospital main campus in Gainesville, Florida. Experiments showed that MELON outperforms conventional approaches for 12-hour mobility status estimation with an overall area under the receiver operating characteristic curve (AUROC) of 0.82 (95\%, confidence interval 0.78-0.86). Notably, our experiments also revealed that accelerometer data collected from the wrist provides robust predictive performance compared with data from the ankle, suggesting a single-sensor solution that can reduce patient burden and lower deployment costs...

Miguel Contreras, Jessica Sena, Andrea Davidson et al.

Acute brain dysfunction (ABD) is a common, severe ICU complication, presenting as delirium or coma and leading to prolonged stays, increased mortality, and cognitive decline. Traditional screening tools like the Glasgow Coma Scale (GCS), Confusion Assessment Method (CAM), and Richmond Agitation-Sedation Scale (RASS) rely on intermittent assessments, causing delays and inconsistencies. In this study, we propose MANDARIN (Mixture-of-Experts Framework for Dynamic Delirium and Coma Prediction in ICU Patients), a 1.5M-parameter mixture-of-experts neural network to predict ABD in real-time among ICU patients. The model integrates temporal and static data from the ICU to predict the brain status in the next 12 to 72 hours, using a multi-branch approach to account for current brain status. The MANDARIN model was trained on data from 92,734 patients (132,997 ICU admissions) from 2 hospitals between 2008-2019 and validated externally on data from 11,719 patients (14,519 ICU admissions) from 15 hospitals and prospectively on data from 304 patients (503 ICU admissions) from one hospital in 2021-2024. Three datasets were used: the University of Florida Health (UFH) dataset, the electronic ICU Collaborative Research Database (eICU), and the Medical Information Mart for Intensive Care (MIMIC)-IV dataset. MANDARIN significantly outperforms the baseline neurological assessment scores (GCS, CAM, and RASS) for delirium prediction in both external (AUROC 75.5% CI: 74.2%-76.8% vs 68.3% CI: 66.9%-69.5%) and prospective (AUROC 82.0% CI: 74.8%-89.2% vs 72.7% CI: 65.5%-81.0%) cohorts, as well as for coma prediction (external AUROC 87.3% CI: 85.9%-89.0% vs 72.8% CI: 70.6%-74.9%, and prospective AUROC 93.4% CI: 88.5%-97.9% vs 67.7% CI: 57.7%-76.8%) with a 12-hour lead time. This tool has the potential to assist clinicians in decision-making by continuously monitoring the brain status of patients in the ICU.

Yuanfang Ren, Andrea E. Davidson, Jiaqing Zhang et al.

Background: Circadian desynchrony characterized by the misalignment between an individual's internal biological rhythms and external environmental cues, significantly affects various physiological processes and health outcomes. Quantifying circadian desynchrony often requires prolonged and frequent monitoring, and currently, an easy tool for this purpose is missing. Additionally, its association with the incidence of delirium has not been clearly explored. Methods: A prospective observational study was carried out in intensive care units (ICU) of a tertiary hospital. Circadian transcriptomics of blood monocytes from 86 individuals were collected on two consecutive days, although a second sample could not be obtained from all participants. Using two public datasets comprised of healthy volunteers, we replicated a model for determining internal circadian time. We developed an approach to quantify circadian desynchrony by comparing internal circadian time and external blood collection time. We applied the model and quantified circadian desynchrony index among ICU patients, and investigated its association with the incidence of delirium. Results: The replicated model for determining internal circadian time achieved comparable high accuracy. The quantified circadian desynchrony index was significantly higher among critically ill ICU patients compared to healthy subjects, with values of 10.03 hours vs 2.50-2.95 hours (p < 0.001). Most ICU patients had a circadian desynchrony index greater than 9 hours. Additionally, the index was lower in patients whose blood samples were drawn after 3pm, with values of 5.00 hours compared to 10.01-10.90 hours in other groups (p < 0.001)...

Sabyasachi Bandyopadhyay, Jiaqing Zhang, Ronald L. Ison et al.

The association between preoperative cognitive status and surgical outcomes is a critical, yet scarcely explored area of research. Linking intraoperative data with postoperative outcomes is a promising and low-cost way of evaluating long-term impacts of surgical interventions. In this study, we evaluated how preoperative cognitive status as measured by the clock drawing test contributed to predicting length of hospital stay, hospital charges, average pain experienced during follow-up, and 1-year mortality over and above intraoperative variables, demographics, preoperative physical status and comorbidities. We expanded our analysis to 6 specific surgical groups where sufficient data was available for cross-validation. The clock drawing images were represented by 10 constructional features discovered by a semi-supervised deep learning algorithm, previously validated to differentiate between dementia and non-dementia patients. Different machine learning models were trained to classify postoperative outcomes in hold-out test sets. The models were compared to their relative performance, time complexity, and interpretability. Shapley Additive Explanations (SHAP) analysis was used to find the most predictive features for classifying different outcomes in different surgical contexts. Relative classification performances achieved by different feature sets showed that the perioperative cognitive dataset which included clock drawing features in addition to intraoperative variables, demographics, and comorbidities served as the best dataset for 12 of 18 possible surgery-outcome combinations...