Ickjai Lee

Karma Phuntsho, Abdullah, Kyungmi Lee et al.

Foundation models (FMs) have emerged as a transformative paradigm in medical image analysis, offering the potential to provide generalizable, task-agnostic solutions across a wide range of clinical tasks and imaging modalities. Their capacity to learn transferable representations from large-scale data has the potential to address the limitations of conventional task-specific models. However, adaptation of FMs to real-world clinical practice remains constrained by key challenges, including domain shifts, limited availability of high-quality annotated data, substantial computational demands, and strict privacy requirements. This review presents a comprehensive assessment of strategies for adapting FMs to the specific demands of medical imaging. We examine approaches such as supervised fine-tuning, domain-specific pretraining, parameter-efficient fine-tuning, self-supervised learning, hybrid methods, and multimodal or cross-modal frameworks. For each, we evaluate reported performance gains, clinical applicability, and limitations, while identifying trade-offs and unresolved challenges that prior reviews have often overlooked. Beyond these established techniques, we also highlight emerging directions aimed at addressing current gaps. These include continual learning to enable dynamic deployment, federated and privacy-preserving approaches to safeguard sensitive data, hybrid self-supervised learning to enhance data efficiency, data-centric pipelines that combine synthetic generation with human-in-the-loop validation, and systematic benchmarking to assess robust generalization under real-world clinical variability. By outlining these strategies and associated research gaps, this review provides a roadmap for developing adaptive, trustworthy, and clinically integrated FMs capable of meeting the demands of real-world medical imaging.

Hong-Bin Liu, Ickjai Lee

Spatio-temporal sequence forecasting is one of the fundamental tasks in spatio-temporal data mining. It facilitates many real world applications such as precipitation nowcasting, citywide crowd flow prediction and air pollution forecasting. Recently, a few Seq2Seq based approaches have been proposed, but one of the drawbacks of Seq2Seq models is that, small errors can accumulate quickly along the generated sequence at the inference stage due to the different distributions of training and inference phase. That is because Seq2Seq models minimise single step errors only during training, however the entire sequence has to be generated during the inference phase which generates a discrepancy between training and inference. In this work, we propose a novel curriculum learning based strategy named Temporal Progressive Growing Sampling to effectively bridge the gap between training and inference for spatio-temporal sequence forecasting, by transforming the training process from a fully-supervised manner which utilises all available previous ground-truth values to a less-supervised manner which replaces some of the ground-truth context with generated predictions. To do that we sample the target sequence from midway outputs from intermediate models trained with bigger timescales through a carefully designed decaying strategy. Experimental results demonstrate that our proposed method better models long term dependencies and outperforms baseline approaches on two competitive datasets.