Teng Zhang

Yiqiang Chen, Teng Zhang, Xinlong Jiang et al.

Heterogeneous federated multi-task learning (HFMTL) is a federated learning technique that combines heterogeneous tasks of different clients to achieve more accurate, comprehensive predictions. In real-world applications, visual and natural language tasks typically require large-scale models to extract high-level abstract features. However, large-scale models cannot be directly applied to existing federated multi-task learning methods. Existing HFML methods also disregard the impact of gradient conflicts on multi-task optimization during the federated aggregation process. In this work, we propose an innovative framework called FedBone, which enables the construction of large-scale models with better generalization from the perspective of server-client split learning and gradient projection. We split the entire model into two components: a large-scale general model (referred to as the general model) on the cloud server and multiple task-specific models (referred to as the client model) on edge clients, solving the problem of insufficient computing power on edge clients. The conflicting gradient projection technique is used to enhance the generalization of the large-scale general model between different tasks. The proposed framework is evaluated on two benchmark datasets and a real ophthalmic dataset. Comprehensive results demonstrate that FedBone efficiently adapts to heterogeneous local tasks of each client and outperforms existing federated learning algorithms in most dense prediction and classification tasks with off-the-shelf computational resources on the client side.

Moxin Zhao, Nan Meng, Jason Pui Yin Cheung et al.

Adolescent Idiopathic Scoliosis (AIS) is a complex three-dimensional spinal deformity, and accurate morphological assessment requires evaluating both coronal and sagittal alignment. While previous research has made significant progress in developing radiation-free methods for coronal plane assessment, reliable and accurate evaluation of sagittal alignment without ionizing radiation remains largely underexplored. To address this gap, we propose LatXGen, a novel generative framework that synthesizes realistic lateral spinal radiographs from posterior Red-Green-Blue and Depth (RGBD) images of unclothed backs. This enables accurate, radiation-free estimation of sagittal spinal alignment. LatXGen tackles two core challenges: (1) inferring sagittal spinal morphology changes from a lateral perspective based on posteroanterior surface geometry, and (2) performing cross-modality translation from RGBD input to the radiographic domain. The framework adopts a dual-stage architecture that progressively estimates lateral spinal structure and synthesizes corresponding radiographs. To enhance anatomical consistency, we introduce an attention-based Fast Fourier Convolution (FFC) module for integrating anatomical features from RGBD images and 3D landmarks, and a Spatial Deformation Network (SDN) to model morphological variations in the lateral view. Additionally, we construct the first large-scale paired dataset for this task, comprising 3,264 RGBD and lateral radiograph pairs. Experimental results demonstrate that LatXGen produces anatomically accurate radiographs and outperforms existing GAN-based methods in both visual fidelity and quantitative metrics. This study offers a promising, radiation-free solution for sagittal spine assessment and advances comprehensive AIS evaluation.

Zhaolong Wu, Pu Luo, Nan Meng et al.

This study presents the first comprehensive evaluation of Multimodal Large Language Models (MLLMs) for Adolescent Idiopathic Scoliosis (AIS) self-management. We constructed a database of approximately 3,000 anteroposterior X-rays with diagnostic texts and evaluated five MLLMs through a `Divide and Conquer' framework consisting of a visual question-answering task, a domain knowledge assessment task, and a patient education counseling assessment task. Our investigation revealed limitations of MLLMs' ability in interpreting complex spinal radiographs and comprehending AIS care knowledge. To address these, we pioneered enhancing MLLMs with spinal keypoint prompting and compiled an AIS knowledge base for retrieval augmented generation (RAG), respectively. Results showed varying effectiveness of visual prompting across different architectures, while RAG substantially improved models' performances on the knowledge assessment task. Our findings indicate current MLLMs are far from capable in realizing personalized assistant in AIS care. The greatest challenge lies in their abilities to obtain accurate detections of spinal deformity locations (best accuracy: 0.55) and directions (best accuracy: 0.13).

Jinge Wu, Zhaolong Wu, Ruizhe Li et al.

The increasing complexity and workload of clinical radiology leads to inevitable oversights and mistakes in their use as diagnostic tools, causing delayed treatments and sometimes life-threatening harm to patients. While large language models (LLMs) have shown remarkable progress in many tasks, their utilities in detecting and correcting errors in radiology reporting are limited. This paper proposes a novel dual-knowledge infusion framework that enhances LLMs' capability for radiology report proofreading through systematic integration of medical expertise. Specifically, the knowledge infusion combines medical knowledge graph distillation (MKGD) with external knowledge retrieval (EXKR), enabling an effective automated approach in tackling mistakes in radiology reporting. By decomposing the complex proofreading task into three specialized stages of detection, localization, and correction, our method mirrors the systematic review process employed by expert radiologists, ensuring both precision and clinical interpretability. To perform a robust, clinically relevant evaluation, a comprehensive benchmark is also proposed using real-world radiology reports with real-world error patterns, including speech recognition confusions, terminology ambiguities, and template-related inconsistencies. Extensive evaluations across multiple LLM architectures demonstrate substantial improvements of our approach: up to 31.56% increase in error detection accuracy and 37.4% reduction in processing time. Human evaluation by radiologists confirms superior clinical relevance and factual consistency compared to existing approaches.

Zhaolong Wu, Abul Hasan, Jinge Wu et al.

This paper describes our submission to the MEDIQA-CORR 2024 shared task for automatically detecting and correcting medical errors in clinical notes. We report results for three methods of few-shot In-Context Learning (ICL) augmented with Chain-of-Thought (CoT) and reason prompts using a large language model (LLM). In the first method, we manually analyse a subset of train and validation dataset to infer three CoT prompts by examining error types in the clinical notes. In the second method, we utilise the training dataset to prompt the LLM to deduce reasons about their correctness or incorrectness. The constructed CoTs and reasons are then augmented with ICL examples to solve the tasks of error detection, span identification, and error correction. Finally, we combine the two methods using a rule-based ensemble method. Across the three sub-tasks, our ensemble method achieves a ranking of 3rd for both sub-task 1 and 2, while securing 7th place in sub-task 3 among all submissions.