Won Jun Kim

Suhyeon Lee, Won Jun Kim, Jinho Chang et al.

Following the impressive development of LLMs, vision-language alignment in LLMs is actively being researched to enable multimodal reasoning and visual IO. This direction of research is particularly relevant to medical imaging because medical image analysis and generation consist of reasoning based on a combination of visual features and prior knowledge. Many recent works have focused on training adapter networks that serve as an information bridge between image processing networks and LLMs; but presumably, in order to achieve maximum reasoning potential of LLMs on visual information as well, visual and language features should be allowed to interact more freely. This is especially important in the medical domain because understanding and generating medical images such as chest X-rays (CXR) require not only accurate visual and language-based reasoning but also a more intimate mapping between the two modalities. Thus, taking inspiration from previous work on the transformer and VQ-GAN combination for bidirectional image and text generation, we build upon this approach and develop a method for instruction-tuning an LLM pre-trained only on text to gain vision-language capabilities for medical images. Specifically, we leverage a pretrained LLM's existing question-answering and instruction-following abilities to teach it to understand visual inputs by instructing it to answer questions about image inputs and, symmetrically, output both text and image responses appropriate to a given query by tuning the LLM with diverse tasks that encompass image-based text-generation and text-based image-generation. We show that our model, LLM-CXR, trained in this approach shows better image-text alignment in both CXR understanding and generation tasks while being smaller in size compared to previously developed models that perform a narrower range of tasks. The code is at https://github.com/hyn2028/llm-cxr.

Won Jun Kim, Hyungjin Chung, Jaemin Kim et al.

Gradient-based methods are a prototypical family of explainability techniques, especially for image-based models. Nonetheless, they have several shortcomings in that they (1) require white-box access to models, (2) are vulnerable to adversarial attacks, and (3) produce attributions that lie off the image manifold, leading to explanations that are not actually faithful to the model and do not align well with human perception. To overcome these challenges, we introduce Derivative-Free Diffusion Manifold-Constrainted Gradients (FreeMCG), a novel method that serves as an improved basis for explainability of a given neural network than the traditional gradient. Specifically, by leveraging ensemble Kalman filters and diffusion models, we derive a derivative-free approximation of the model's gradient projected onto the data manifold, requiring access only to the model's outputs. We demonstrate the effectiveness of FreeMCG by applying it to both counterfactual generation and feature attribution, which have traditionally been treated as distinct tasks. Through comprehensive evaluation on both tasks, counterfactual explanation and feature attribution, we show that our method yields state-of-the-art results while preserving the essential properties expected of XAI tools.