Zitao Shuai

Chenwei Wu, David Restrepo, Zitao Shuai et al.

In-context learning (ICL) with Large Vision Models (LVMs) presents a promising avenue in medical image segmentation by reducing the reliance on extensive labeling. However, the ICL performance of LVMs highly depends on the choices of visual prompts and suffers from domain shifts. While existing works leveraging LVMs for medical tasks have focused mainly on model-centric approaches like fine-tuning, we study an orthogonal data-centric perspective on how to select good visual prompts to facilitate generalization to medical domain. In this work, we propose a label-efficient in-context medical segmentation method by introducing a novel Meta-driven Visual Prompt Selection mechanism (MVPS), where a prompt retriever obtained from a meta-learning framework actively selects the optimal images as prompts to promote model performance and generalizability. Evaluated on 8 datasets and 4 tasks across 3 medical imaging modalities, our proposed approach demonstrates consistent gains over existing methods under different scenarios, improving both computational and label efficiency. Finally, we show that MVPS is a flexible, finetuning-free module that could be easily plugged into different backbones and combined with other model-centric approaches.

Zitao Shuai, Chenwei Wu, Zhengxu Tang et al.

Diffusion Transformers (DiTs) have achieved remarkable success in diverse and high-quality text-to-image(T2I) generation. However, how text and image latents individually and jointly contribute to the semantics of generated images, remain largely unexplored. Through our investigation of DiT's latent space, we have uncovered key findings that unlock the potential for zero-shot fine-grained semantic editing: (1) Both the text and image spaces in DiTs are inherently decomposable. (2) These spaces collectively form a disentangled semantic representation space, enabling precise and fine-grained semantic control. (3) Effective image editing requires the combined use of both text and image latent spaces. Leveraging these insights, we propose a simple and effective Extract-Manipulate-Sample (EMS) framework for zero-shot fine-grained image editing. Our approach first utilizes a multi-modal Large Language Model to convert input images and editing targets into text descriptions. We then linearly manipulate text embeddings based on the desired editing degree and employ constrained score distillation sampling to manipulate image embeddings. We quantify the disentanglement degree of the latent space of diffusion models by proposing a new metric. To evaluate fine-grained editing performance, we introduce a comprehensive benchmark incorporating both human annotations, manual evaluation, and automatic metrics. We have conducted extensive experimental results and in-depth analysis to thoroughly uncover the semantic disentanglement properties of the diffusion transformer, as well as the effectiveness of our proposed method. Our annotated benchmark dataset is publicly available at https://anonymous.com/anonymous/EMS-Benchmark, facilitating reproducible research in this domain.

Adnan Shahid, Adrian Kliks, Ahmed Al-Tahmeesschi et al.

This white paper discusses the role of large-scale AI in the telecommunications industry, with a specific focus on the potential of generative AI to revolutionize network functions and user experiences, especially in the context of 6G systems. It highlights the development and deployment of Large Telecom Models (LTMs), which are tailored AI models designed to address the complex challenges faced by modern telecom networks. The paper covers a wide range of topics, from the architecture and deployment strategies of LTMs to their applications in network management, resource allocation, and optimization. It also explores the regulatory, ethical, and standardization considerations for LTMs, offering insights into their future integration into telecom infrastructure. The goal is to provide a comprehensive roadmap for the adoption of LTMs to enhance scalability, performance, and user-centric innovation in telecom networks.

David Restrepo, Chenwei Wu, Zhengxu Tang et al.

Current ophthalmology clinical workflows are plagued by over-referrals, long waits, and complex and heterogeneous medical records. Large language models (LLMs) present a promising solution to automate various procedures such as triaging, preliminary tests like visual acuity assessment, and report summaries. However, LLMs have demonstrated significantly varied performance across different languages in natural language question-answering tasks, potentially exacerbating healthcare disparities in Low and Middle-Income Countries (LMICs). This study introduces the first multilingual ophthalmological question-answering benchmark with manually curated questions parallel across languages, allowing for direct cross-lingual comparisons. Our evaluation of 6 popular LLMs across 7 different languages reveals substantial bias across different languages, highlighting risks for clinical deployment of LLMs in LMICs. Existing debiasing methods such as Translation Chain-of-Thought or Retrieval-augmented generation (RAG) by themselves fall short of closing this performance gap, often failing to improve performance across all languages and lacking specificity for the medical domain. To address this issue, We propose CLARA (Cross-Lingual Reflective Agentic system), a novel inference time de-biasing method leveraging retrieval augmented generation and self-verification. Our approach not only improves performance across all languages but also significantly reduces the multilingual bias gap, facilitating equitable LLM application across the globe.

Hsin-Ling Hsu, Cong-Tinh Dao, Luning Wang et al.

Despite recent success in applying large language models (LLMs) to electronic health records (EHR), most systems focus primarily on assessment rather than treatment planning. We identify three critical limitations in current approaches: they generate treatment plans in a single pass rather than following the sequential reasoning process used by clinicians; they rarely incorporate patient-specific historical context; and they fail to effectively distinguish between subjective and objective clinical information. Motivated by the SOAP methodology (Subjective, Objective, Assessment, Plan), we introduce \ours{}, a novel framework that structures LLM reasoning to align with real-life clinician workflows. Our approach employs a two-stage architecture that first generates a clinical assessment based on patient symptoms and objective data, then formulates a structured treatment plan informed by this assessment and enriched with patient-specific information through retrieval-augmented generation. Comprehensive evaluation demonstrates that our method significantly outperforms baseline approaches in both assessment accuracy and treatment plan quality.

Zitao Shuai, Chenwei Wu, Zhengxu Tang et al.

Diffusion Transformers (DiTs) have recently achieved remarkable success in text-guided image generation. In image editing, DiTs project text and image inputs to a joint latent space, from which they decode and synthesize new images. However, it remains largely unexplored how multimodal information collectively forms this joint space and how they guide the semantics of the synthesized images. In this paper, we investigate the latent space of DiT models and uncover two key properties: First, DiT's latent space is inherently semantically disentangled, where different semantic attributes can be controlled by specific editing directions. Second, consistent semantic editing requires utilizing the entire joint latent space, as neither encoded image nor text alone contains enough semantic information. We show that these editing directions can be obtained directly from text prompts, enabling precise semantic control without additional training or mask annotations. Based on these insights, we propose a simple yet effective Encode-Identify-Manipulate (EIM) framework for zero-shot fine-grained image editing. Specifically, we first encode both the given source image and the text prompt that describes the image, to obtain the joint latent embedding. Then, using our proposed Hessian Score Distillation Sampling (HSDS) method, we identify editing directions that control specific target attributes while preserving other image features. These directions are guided by text prompts and used to manipulate the latent embeddings. Moreover, we propose a new metric to quantify the disentanglement degree of the latent space of diffusion models. Extensive experiment results on our new curated benchmark dataset and analysis demonstrate DiT's disentanglement properties and effectiveness of the EIM framework.

Zhengxu Tang, Zizheng Wang, Luning Wang et al.

Text-to-video (T2V) generation models have made significant progress in creating visually appealing videos. However, they struggle with generating coherent sequential narratives that require logical progression through multiple events. Existing T2V benchmarks primarily focus on visual quality metrics but fail to evaluate narrative coherence over extended sequences. To bridge this gap, we present SeqBench, a comprehensive benchmark for evaluating sequential narrative coherence in T2V generation. SeqBench includes a carefully designed dataset of 320 prompts spanning various narrative complexities, with 2,560 human-annotated videos generated from 8 state-of-the-art T2V models. Additionally, we design a Dynamic Temporal Graphs (DTG)-based automatic evaluation metric, which can efficiently capture long-range dependencies and temporal ordering while maintaining computational efficiency. Our DTG-based metric demonstrates a strong correlation with human annotations. Through systematic evaluation using SeqBench, we reveal critical limitations in current T2V models: failure to maintain consistent object states across multi-action sequences, physically implausible results in multi-object scenarios, and difficulties in preserving realistic timing and ordering relationships between sequential actions. SeqBench provides the first systematic framework for evaluating narrative coherence in T2V generation and offers concrete insights for improving sequential reasoning capabilities in future models. Please refer to https://videobench.github.io/SeqBench.github.io/ for more details.

Zitao Shuai, Chenwei Wu, Zhengxu Tang et al.

Vision-language pre-training (VLP) has emerged as an effective scheme for multimodal representation learning, but its reliance on large-scale multimodal data poses significant challenges for medical applications. Federated learning (FL) offers a promising solution to scale up the dataset for medical VLP while preserving data privacy. However, we observe that client data heterogeneity in real-world scenarios could cause models to learn biased cross-modal alignment during local pre-training. This would limit the transferability of the federally learned representation model on downstream tasks. To address this challenge, we propose Federated Distributionally Robust Alignment (FedDRA), a framework for federated VLP that achieves robust vision-language alignment under heterogeneous conditions. Based on client datasets, we construct a distribution family that encompasses potential test-time domains, and apply a distributionally robust framework to optimize the pre-trained model's performance across this distribution space. This approach bridges the gap between pre-training samples and downstream applications. To avoid over-fitting on client-specific information, we use anchor representation from the global model to guide the local training, and adopt a two-stage approach to first tune deeper layers before updating the entire network. Extensive experiments on real-world datasets demonstrate FedDRA's effectiveness in enhancing medical federated VLP under data heterogeneity. Our method also adapts well to various medical pre-training methods.