Peng Zhang

Xindian Ma, Yidi Lu, Peng Zhang et al.

The integration of visual information into Large Language Models (LLMs) has enabled Multimodal LLMs (MLLMs), but the quadratic memory and computational costs of Transformer architectures remain a bottleneck. Existing KV cache eviction strategies fail to address the heterogeneous attention distributions between visual and text tokens, leading to suboptimal efficiency or degraded performance. In this paper, we propose Hierarchical Adaptive Eviction (HAE), a KV cache eviction framework that optimizes text-visual token interaction in MLLMs by implementing Dual-Attention Pruning during pre-filling (leveraging visual token sparsity and attention variance) and a Dynamic Decoding Eviction Strategy (inspired by OS Recycle Bins) during decoding. HAE minimizes KV cache usage across layers, reduces computational overhead via index broadcasting, and theoretically ensures superior information integrity and lower error bounds compared to greedy strategies, enhancing efficiency in both comprehension and generation tasks. Empirically, HAE reduces KV-Cache memory by 41\% with minimal accuracy loss (0.3\% drop) in image understanding tasks and accelerates story generation inference by 1.5x while maintaining output quality on Phi3.5-Vision-Instruct model.

Peixuan Ge, Tongkun Su, Faqin Lv et al.

Ultrasound (US) report generation is a challenging task due to the variability of US images, operator dependence, and the need for standardized text. Unlike X-ray and CT, US imaging lacks consistent datasets, making automation difficult. In this study, we propose a unified framework for multi-organ and multilingual US report generation, integrating fragment-based multilingual training and leveraging the standardized nature of US reports. By aligning modular text fragments with diverse imaging data and curating a bilingual English-Chinese dataset, the method achieves consistent and clinically accurate text generation across organ sites and languages. Fine-tuning with selective unfreezing of the vision transformer (ViT) further improves text-image alignment. Compared to the previous state-of-the-art KMVE method, our approach achieves relative gains of about 2\% in BLEU scores, approximately 3\% in ROUGE-L, and about 15\% in CIDEr, while significantly reducing errors such as missing or incorrect content. By unifying multi-organ and multi-language report generation into a single, scalable framework, this work demonstrates strong potential for real-world clinical workflows.