Brian Stephen Wong

Brian Wong, Kaito Tanaka

Automated labeling of chest X-ray reports is essential for enabling downstream tasks such as training image-based diagnostic models, population health studies, and clinical decision support. However, the high variability, complexity, and prevalence of negation and uncertainty in these free-text reports pose significant challenges for traditional Natural Language Processing methods. While large language models (LLMs) demonstrate strong text understanding, their direct application for large-scale, efficient labeling is limited by computational cost and speed. This paper introduces DeBERTa-RAD, a novel two-stage framework that combines the power of state-of-the-art LLM pseudo-labeling with efficient DeBERTa-based knowledge distillation for accurate and fast chest X-ray report labeling. We leverage an advanced LLM to generate high-quality pseudo-labels, including certainty statuses, for a large corpus of reports. Subsequently, a DeBERTa-Base model is trained on this pseudo-labeled data using a tailored knowledge distillation strategy. Evaluated on the expert-annotated MIMIC-500 benchmark, DeBERTa-RAD achieves a state-of-the-art Macro F1 score of 0.9120, significantly outperforming established rule-based systems, fine-tuned transformer models, and direct LLM inference, while maintaining a practical inference speed suitable for high-throughput applications. Our analysis shows particular strength in handling uncertain findings. This work demonstrates a promising path to overcome data annotation bottlenecks and achieve high-performance medical text processing through the strategic combination of LLM capabilities and efficient student models trained via distillation.

Anthony Palladino, Dana Gajewski, Abigail Aronica et al.

We present a novel Automatic Target Recognition (ATR) system using open-vocabulary object detection and classification models. A primary advantage of this approach is that target classes can be defined just before runtime by a non-technical end user, using either a few natural language text descriptions of the target, or a few image exemplars, or both. Nuances in the desired targets can be expressed in natural language, which is useful for unique targets with little or no training data. We also implemented a novel combination of several techniques to improve performance, such as leveraging the additional information in the sequence of overlapping frames to perform tubelet identification (i.e., sequential bounding box matching), bounding box re-scoring, and tubelet linking. Additionally, we developed a technique to visualize the aggregate output of many overlapping frames as a mosaic of the area scanned during the aerial surveillance or reconnaissance, and a kernel density estimate (or heatmap) of the detected targets. We initially applied this ATR system to the use case of detecting and clearing unexploded ordinance on airfield runways and we are currently extending our research to other real-world applications.

Kaito Tanaka, Benjamin Tan, Brian Wong

Vision-Language Models (VLMs) have emerged as key enablers for multimodal tasks, but their reliance on separate visual encoders introduces challenges in efficiency, scalability, and modality alignment. To address these limitations, we propose MUDAIF (Multimodal Unified Decoder with Adaptive Input Fusion), a decoder-only vision-language model that seamlessly integrates visual and textual inputs through a novel Vision-Token Adapter (VTA) and adaptive co-attention mechanism. By eliminating the need for a visual encoder, MUDAIF achieves enhanced efficiency, flexibility, and cross-modal understanding. Trained on a large-scale dataset of 45M image-text pairs, MUDAIF consistently outperforms state-of-the-art methods across multiple benchmarks, including VQA, image captioning, and multimodal reasoning tasks. Extensive analyses and human evaluations demonstrate MUDAIF's robustness, generalization capabilities, and practical usability, establishing it as a new standard in encoder-free vision-language models.