Yanfeng Wang

Xiaoman Zhang, Chaoyi Wu, Ya Zhang et al. · harvard

While multi-modal foundation models pre-trained on large-scale data have been successful in natural language understanding and vision recognition, their use in medical domains is still limited due to the fine-grained nature of medical tasks and the high demand for domain knowledge. To address this challenge, we propose a novel approach called Knowledge-enhanced Auto Diagnosis (KAD) which leverages existing medical domain knowledge to guide vision-language pre-training using paired chest X-rays and radiology reports. We evaluate KAD on {four} external X-ray datasets and demonstrate that its zero-shot performance is not only comparable to that of fully-supervised models, but also superior to the average of three expert radiologists for three (out of five) pathologies with statistical significance. Moreover, when few-shot annotation is available, KAD outperforms all existing approaches in fine-tuning settings, demonstrating its potential for application in different clinical scenarios.

Pengcheng Qiu, Chaoyi Wu, Xiaoman Zhang et al. · harvard

The development of open-source, multilingual medical language models can benefit a wide, linguistically diverse audience from different regions. To promote this domain, we present contributions from the following: First, we construct a multilingual medical corpus, containing approximately 25.5B tokens encompassing 6 main languages, termed as MMedC, enabling auto-regressive domain adaptation for general LLMs; Second, to monitor the development of multilingual medical LLMs, we propose a multilingual medical multi-choice question-answering benchmark with rationale, termed as MMedBench; Third, we have assessed a number of open-source large language models (LLMs) on our benchmark, along with those further auto-regressive trained on MMedC. Our final model, MMed-Llama 3, with only 8B parameters, achieves superior performance compared to all other open-source models on both MMedBench and English benchmarks, even rivaling GPT-4. In conclusion, in this work, we present a large-scale corpus, a benchmark and a series of models to support the development of multilingual medical LLMs.

Haoning Wu, Shaocheng Shen, Qiang Hu et al.

Diffusion models have emerged as frontrunners in text-to-image generation, but their fixed image resolution during training often leads to challenges in high-resolution image generation, such as semantic deviations and object replication. This paper introduces MegaFusion, a novel approach that extends existing diffusion-based text-to-image models towards efficient higher-resolution generation without additional fine-tuning or adaptation. Specifically, we employ an innovative truncate and relay strategy to bridge the denoising processes across different resolutions, allowing for high-resolution image generation in a coarse-to-fine manner. Moreover, by integrating dilated convolutions and noise re-scheduling, we further adapt the model's priors for higher resolution. The versatility and efficacy of MegaFusion make it universally applicable to both latent-space and pixel-space diffusion models, along with other derivative models. Extensive experiments confirm that MegaFusion significantly boosts the capability of existing models to produce images of megapixels and various aspect ratios, while only requiring about 40% of the original computational cost.

Xiaoman Zhang, Chaoyi Wu, Ziheng Zhao et al. · harvard

Developing generalist foundation model has recently attracted tremendous attention among researchers in the field of AI for Medicine (AI4Medicine). A pivotal insight in developing these models is their reliance on dataset scaling, which emphasizes the requirements on developing open-source medical image datasets that incorporate diverse supervision signals across various imaging modalities. In this paper, we introduce RadGenome-Chest CT, a comprehensive, large-scale, region-guided 3D chest CT interpretation dataset based on CT-RATE. Specifically, we leverage the latest powerful universal segmentation and large language models, to extend the original datasets (over 25,692 non-contrast 3D chest CT volume and reports from 20,000 patients) from the following aspects: (i) organ-level segmentation masks covering 197 categories, which provide intermediate reasoning visual clues for interpretation; (ii) 665 K multi-granularity grounded reports, where each sentence of the report is linked to the corresponding anatomical region of CT volume in the form of a segmentation mask; (iii) 1.3 M grounded VQA pairs, where questions and answers are all linked with reference segmentation masks, enabling models to associate visual evidence with textual explanations. All grounded reports and VQA pairs in the validation set have gone through manual verification to ensure dataset quality. We believe that RadGenome-Chest CT can significantly advance the development of multimodal medical foundation models, by training to generate texts based on given segmentation regions, which is unattainable with previous relevant datasets. We will release all segmentation masks, grounded reports, and VQA pairs to facilitate further research and development in this field.

Yu Wang, Heyang Liu, Yuhao Wang et al.

Language, as an information medium created by advanced organisms, has always been a concern of neuroscience regarding how it is represented in the brain. Decoding linguistic representations in the evoked brain has shown groundbreaking achievements, thanks to the rapid improvement of neuroimaging, medical technology, life sciences and artificial intelligence. In this work, we present a taxonomy of brain-to-language decoding of both textual and speech formats. This work integrates two types of research: neuroscience focusing on language understanding and deep learning-based brain decoding. Generating discernible language information from brain activity could not only help those with limited articulation, especially amyotrophic lateral sclerosis (ALS) patients but also open up a new way for the next generation's brain-computer interface (BCI). This article will help brain scientists and deep-learning researchers to gain a bird's eye view of fine-grained language perception, and thus facilitate their further investigation and research of neural process and language decoding.

Pingjie Wang, Hongcheng Liu, Yusheng Liao et al.

Large language models (LLMs) have achieved remarkable success across widespread tasks, yet their application in low-resource domains remains a significant challenge due to data scarcity and the high risk of overfitting. While in-domain data is limited, there exist vast amounts of similar general-domain data, and our initial findings reveal that they could potentially serve as auxiliary supervision for domain enhancement. This observation leads us to our central research question: \textbf{\textit{how to effectively select the most valuable auxiliary data to maximize domain-specific performance}}, particularly when traditional methods are inapplicable due to a lack of large in-domain data pools or validation sets. To address this, we propose \textbf{NTK-Selector}, a principled and efficient framework for selecting general-domain auxiliary data to enhance domain-specific performance via neural tangent kernels (NTK). Our method tackles two challenges of directly applying NTK to LLMs, theoretical assumptions and prohibitive computational cost, by empirically demonstrating a stable NTK-like behavior in LLMs during LoRA fine-tuning and proposing a Jacobian-free approximation method. Extensive experiments across four low-resource domains (medical, financial, legal, and psychological) demonstrate that NTK-Selector consistently improves downstream performance. Specifically, fine-tuning on 1,000 in-domain samples alone only yielded +0.8 points for Llama3-8B-Instruct and +0.9 points for Qwen3-8B. In contrast, enriching with 9,000 auxiliary samples selected by NTK-Selector led to substantial \textbf{gains of +8.7 and +5.1 points}, which corresponds to a \textbf{10.9x and 5.7x improvement} over the domain-only setting.

Yushun Fang, Yuxiang Chen, Shibo Yin et al.

Recent advances in diffusion-based real-world image super-resolution (Real-ISR) have demonstrated remarkable perceptual quality, yet the balance between fidelity and controllability remains a problem: multi-step diffusion-based methods suffer from generative diversity and randomness, resulting in low fidelity, while one-step methods lose control flexibility due to fidelity-specific finetuning. In this paper, we present ODTSR, a one-step diffusion transformer based on Qwen-Image that performs Real-ISR considering fidelity and controllability simultaneously: a newly introduced visual stream receives low-quality images (LQ) with adjustable noise (Control Noise), and the original visual stream receives LQs with consistent noise (Prior Noise), forming the Noise-hybrid Visual Stream (NVS) design. ODTSR further employs Fidelity-aware Adversarial Training (FAA) to enhance controllability and achieve one-step inference. Extensive experiments demonstrate that ODTSR not only achieves state-of-the-art (SOTA) performance on generic Real-ISR, but also enables prompt controllability on challenging scenarios such as real-world scene text image super-resolution (STISR) of Chinese characters without training on specific datasets. Codes are available at https://github.com/RedMediaTech/ODTSR.

Xiechi Zhang, Zetian Ouyang, Linlin Wang et al.

With the proliferation of large language models (LLMs) in the medical domain, there is increasing demand for improved evaluation techniques to assess their capabilities. However, traditional metrics like F1 and ROUGE, which rely on token overlaps to measure quality, significantly overlook the importance of medical terminology. While human evaluation tends to be more reliable, it can be very costly and may as well suffer from inaccuracies due to limits in human expertise and motivation. Although there are some evaluation methods based on LLMs, their usability in the medical field is limited due to their proprietary nature or lack of expertise. To tackle these challenges, we present AutoMedEval, an open-sourced automatic evaluation model with 13B parameters specifically engineered to measure the question-answering proficiency of medical LLMs. The overarching objective of AutoMedEval is to assess the quality of responses produced by diverse models, aspiring to significantly reduce the dependence on human evaluation. Specifically, we propose a hierarchical training method involving curriculum instruction tuning and an iterative knowledge introspection mechanism, enabling AutoMedEval to acquire professional medical assessment capabilities with limited instructional data. Human evaluations indicate that AutoMedEval surpasses other baselines in terms of correlation with human judgments.