Jia Guo

Shengzhu Yang, Jiawei Du, Jia Guo et al.

Subtle semantic differences in retinal image and text data present great challenges for pre-training visual-language models. Moreover, false negative samples, i.e., image-text pairs having the same semantics but incorrectly regarded as negatives, disrupt the visual-language pre-training process and affect the model's learning ability. This work aims to develop a retinal foundation model, called ViLReF, by pre-training on a paired dataset comprising 451,956 retinal images and corresponding diagnostic text reports. In our vision-language pre-training strategy, we leverage expert knowledge to facilitate the extraction of labels and propose a novel constraint, the Weighted Similarity Coupling Loss, to adjust the speed of pushing sample pairs further apart dynamically within the feature space. Furthermore, we employ a batch expansion module with dynamic memory queues, maintained by momentum encoders, to supply extra samples and compensate for the vacancies caused by eliminating false negatives. Extensive experiments are conducted on multiple datasets for downstream classification and segmentation tasks. The experimental results demonstrate the powerful zero-shot and transfer learning capabilities of ViLReF, verifying the effectiveness of our pre-training strategy. Our ViLReF model is available at: https://github.com/T6Yang/ViLReF.

Jia Guo, Jiawei Du, Shengzhu Yang et al.

Current retinal foundation models remain constrained by curated research datasets that lack authentic clinical context, and require extensive task-specific optimization for each application, limiting their deployment efficiency in low-resource settings. Here, we show that these barriers can be overcome by building clinical native intelligence directly from real-world medical practice. Our key insight is that large-scale telemedicine programs, where expert centers provide remote consultations across distributed facilities, represent a natural reservoir for learning clinical image interpretation. We present ReVision, a retinal foundation model that learns from the natural alignment between 485,980 color fundus photographs and their corresponding diagnostic reports, accumulated through a decade-long telemedicine program spanning 162 medical institutions across China. Through extensive evaluation across 27 ophthalmic benchmarks, we demonstrate that ReVison enables deployment efficiency with minimal local resources. Without any task-specific training, ReVision achieves zero-shot disease detection with an average AUROC of 0.946 across 12 public benchmarks and 0.952 on 3 independent clinical cohorts. When minimal adaptation is feasible, ReVision matches extensively fine-tuned alternatives while requiring orders of magnitude fewer trainable parameters and labeled examples. The learned representations also transfer effectively to new clinical sites, imaging domains, imaging modalities, and systemic health prediction tasks. In a prospective reader study with 33 ophthalmologists, ReVision's zero-shot assistance improved diagnostic accuracy by 14.8% across all experience levels. These results demonstrate that clinical native intelligence can be directly extracted from clinical archives without any further annotation to build medical AI systems suited to various low-resource settings.

Jiawei Du, Jia Guo, Weihang Zhang et al.

The Vision-Language Foundation model is increasingly investigated in the fields of computer vision and natural language processing, yet its exploration in ophthalmology and broader medical applications remains limited. The challenge is the lack of labeled data for the training of foundation model. To handle this issue, a CLIP-style retinal image foundation model is developed in this paper. Our foundation model, RET-CLIP, is specifically trained on a dataset of 193,865 patients to extract general features of color fundus photographs (CFPs), employing a tripartite optimization strategy to focus on left eye, right eye, and patient level to reflect real-world clinical scenarios. Extensive experiments demonstrate that RET-CLIP outperforms existing benchmarks across eight diverse datasets spanning four critical diagnostic categories: diabetic retinopathy, glaucoma, multiple disease diagnosis, and multi-label classification of multiple diseases, which demonstrate the performance and generality of our foundation model. The sourse code and pre-trained model are available at https://github.com/sStonemason/RET-CLIP.

Jia Guo, Shuai Lu, Weihang Zhang et al.

Recent studies highlighted a practical setting of unsupervised anomaly detection (UAD) that builds a unified model for multi-class images. Despite various advancements addressing this challenging task, the detection performance under the multi-class setting still lags far behind state-of-the-art class-separated models. Our research aims to bridge this substantial performance gap. In this paper, we introduce a minimalistic reconstruction-based anomaly detection framework, namely Dinomaly, which leverages pure Transformer architectures without relying on complex designs, additional modules, or specialized tricks. Given this powerful framework consisted of only Attentions and MLPs, we found four simple components that are essential to multi-class anomaly detection: (1) Foundation Transformers that extracts universal and discriminative features, (2) Noisy Bottleneck where pre-existing Dropouts do all the noise injection tricks, (3) Linear Attention that naturally cannot focus, and (4) Loose Reconstruction that does not force layer-to-layer and point-by-point reconstruction. Extensive experiments are conducted across popular anomaly detection benchmarks including MVTec-AD, VisA, and Real-IAD. Our proposed Dinomaly achieves impressive image-level AUROC of 99.6%, 98.7%, and 89.3% on the three datasets respectively, which is not only superior to state-of-the-art multi-class UAD methods, but also achieves the most advanced class-separated UAD records.

Jia Guo, Haonan Han, Shuai Lu et al.

Conventional unsupervised anomaly detection (UAD) methods build separate models for each object category. Recent studies have proposed to train a unified model for multiple classes, namely model-unified UAD. However, such methods still implement the unified model separately on each class during inference with respective anomaly decision thresholds, which hinders their application when the image categories are entirely unavailable. In this work, we present a simple yet powerful method to address multi-class anomaly detection without any class information, namely \textit{absolute-unified} UAD. We target the crux of prior works in this challenging setting: different objects have mismatched anomaly score distributions. We propose Class-Agnostic Distribution Alignment (CADA) to align the mismatched score distribution of each implicit class without knowing class information, which enables unified anomaly detection for all classes and samples. The essence of CADA is to predict each class's score distribution of normal samples given any image, normal or anomalous, of this class. As a general component, CADA can activate the potential of nearly all UAD methods under absolute-unified setting. Our approach is extensively evaluated under the proposed setting on two popular UAD benchmark datasets, MVTec AD and VisA, where we exceed previous state-of-the-art by a large margin.

Jia Guo, Shuai Lu, Lei Fan et al.

Unsupervised anomaly detection (UAD) has evolved from building specialized single-class models to unified multi-class models, yet existing multi-class models significantly underperform the most advanced one-for-one counterparts. Moreover, the field has fragmented into specialized methods tailored to specific scenarios (multi-class, 3D, few-shot, etc.), creating deployment barriers and highlighting the need for a unified solution. In this paper, we present Dinomaly2, the first unified framework for full-spectrum image UAD, which bridges the performance gap in multi-class models while seamlessly extending across diverse data modalities and task settings. Guided by the "less is more" philosophy, we demonstrate that the orchestration of five simple element achieves superior performance in a standard reconstruction-based framework. This methodological minimalism enables natural extension across diverse tasks without modification, establishing that simplicity is the foundation of true universality. Extensive experiments on 12 UAD benchmarks demonstrate Dinomaly2's full-spectrum superiority across multiple modalities (2D, multi-view, RGB-3D, RGB-IR), task settings (single-class, multi-class, inference-unified multi-class, few-shot) and application domains (industrial, biological, outdoor). For example, our multi-class model achieves unprecedented 99.9% and 99.3% image-level (I-) AUROC on MVTec-AD and VisA respectively. For multi-view and multi-modal inspection, Dinomaly2 demonstrates state-of-the-art performance with minimum adaptations. Moreover, using only 8 normal examples per class, our method surpasses previous full-shot models, achieving 98.7% and 97.4% I-AUROC on MVTec-AD and VisA. The combination of minimalistic design, computational scalability, and universal applicability positions Dinomaly2 as a unified solution for the full spectrum of real-world anomaly detection applications.

Zhuoyao Xin, Christopher Wu, Dong Liu et al.

Image segmentation, real-value prediction, and cross-modal translation are critical challenges in medical imaging. In this study, we propose a versatile multi-task neural network framework, based on an enhanced Transformer U-Net architecture, capable of simultaneously, selectively, and adaptively addressing these medical image tasks. Validation is performed on a public repository of human brain MR and CT images. We decompose the traditional problem of synthesizing CT images into distinct subtasks, which include skull segmentation, Hounsfield unit (HU) value prediction, and image sequential reconstruction. To enhance the framework's versatility in handling multi-modal data, we expand the model with multiple image channels. Comparisons between synthesized CT images derived from T1-weighted and T2-Flair images were conducted, evaluating the model's capability to integrate multi-modal information from both morphological and pixel value perspectives.

Jia Guo, Yuxuan Mu, Dong Xue et al.

Calcaneus is the largest tarsal bone to withstand the daily stresses of weight-bearing. The calcaneal fracture is the most common type in the tarsal bone fractures. After a fracture is suspected, plain radiographs should be taken first. Bohler's Angle (BA) and Critical Angle of Gissane (CAG), measured by four anatomic landmarks in lateral foot radiograph, can guide fracture diagnosis and facilitate operative recovery of the fractured calcaneus. This study aims to develop an analysis system that can automatically locate four anatomic landmarks, measure BA and CAG for fracture assessment, identify fractured calcaneus, and segment fractured regions. For landmark detection, we proposed a coarse-to-fine Rotation-Invariant Regression-Voting (RIRV) landmark detection method based on regressive Multi-Layer Perceptron (MLP) and Scale Invariant Feature Transform (SIFT) patch descriptor, which solves the problem of fickle rotation of calcaneus. By implementing a novel normalization approach, the RIRV method is explicitly rotation-invariance comparing with traditional regressive methods. For fracture identification and segmentation, a convolution neural network (CNN) based on U-Net with auxiliary classification head (U-Net-CH) is designed. The input ROIs of the CNN are normalized by detected landmarks to uniform view, orientation, and scale. The advantage of this approach is the multi-task learning that combines classification and segmentation. Our system can accurately measure BA and CAG with a mean angle error of 3.8 and 6.2 respectively. For fracture identification and fracture region segmentation, our system presents good performance with an F1-score of 96.55%, recall of 94.99%, and segmentation IoU-score of 0.586.