Si Yong Yeo

Zhiyuan Yang, Bo Zhang, Yufei Shi et al.

Glaucoma is one of the leading causes of vision impairment. Digital imaging techniques, such as color fundus photography (CFP) and optical coherence tomography (OCT), provide quantitative and noninvasive methods for glaucoma diagnosis. Recently, in the field of computer-aided glaucoma diagnosis, multi-modality methods that integrate the CFP and OCT modalities have achieved greater diagnostic accuracy compared to single-modality methods. However, it remains challenging to extract reliable features due to the high similarity of medical images and the unbalanced multi-modal data distribution. Moreover, existing methods overlook the uncertainty estimation of different modalities, leading to unreliable predictions. To address these challenges, we propose a novel framework, namely ETSCL, which consists of a contrastive feature extraction stage and a decision-level fusion stage. Specifically, the supervised contrastive loss is employed to enhance the discriminative power in the feature extraction process, resulting in more effective features. In addition, we utilize the Frangi vesselness algorithm as a preprocessing step to incorporate vessel information to assist in the prediction. In the decision-level fusion stage, an evidence theory-based multi-modality classifier is employed to combine multi-source information with uncertainty estimation. Extensive experiments demonstrate that our method achieves state-of-the-art performance. The code is available at \url{https://github.com/master-Shix/ETSCL}.

Yufei Shi, Weilong Yan, Gang Xu et al.

Video large language models (ViLLMs) excel in general video understanding, e.g., recognizing activities like talking and eating, but struggle with identity-aware comprehension, such as "Wilson is receiving chemotherapy" or "Tom is discussing with Sarah", limiting their applicability in smart healthcare and smart home environments. To address this limitation, we propose a one-shot learning framework PVChat, the first personalized ViLLM that enables subject-aware question answering (QA) from a single video for each subject. Our approach optimizes a Mixture-of-Heads (MoH) enhanced ViLLM on a synthetically augmented video-QA dataset, leveraging a progressive image-to-video learning strategy. Specifically, we introduce an automated augmentation pipeline that synthesizes identity-preserving positive samples and retrieves hard negatives from existing video corpora, generating a diverse training dataset with four QA types: existence, appearance, action, and location inquiries. To enhance subject-specific learning, we propose a ReLU Routing MoH attention mechanism, alongside two novel objectives: (1) Smooth Proximity Regularization for progressive learning through exponential distance scaling and (2) Head Activation Enhancement for balanced attention routing. Finally, we adopt a two-stage training strategy, transitioning from image pre-training to video fine-tuning, enabling a gradual learning process from static attributes to dynamic representations. We evaluate PVChat on diverse datasets covering medical scenarios, TV series, anime, and real-world footage, demonstrating its superiority in personalized feature understanding after learning from a single video, compared to state-of-the-art ViLLMs.

Ziyang Zhang, Yang Yu, Xulei Yang et al.

Vision-and-language models (VLMs) have been increasingly explored in the medical domain, particularly following the success of CLIP in general domain. However, unlike the relatively straightforward pairing of 2D images and text, curating large-scale paired data in the medical field for volumetric modalities such as CT scans remains a challenging and time-intensive process. This difficulty often limits the performance on downstream tasks. To address these challenges, we propose a novel vision-language pre-training (VLP) framework, termed as \textbf{VELVET-Med}, specifically designed for limited volumetric data such as 3D CT and associated radiology reports. Instead of relying on large-scale data collection, our method focuses on the development of effective pre-training objectives and model architectures. The key contributions are: 1) We incorporate uni-modal self-supervised learning into VLP framework, which are often underexplored in the existing literature. 2) We propose a novel language encoder, termed as \textbf{TriBERT}, for learning multi-level textual semantics. 3) We devise the hierarchical contrastive learning to capture multi-level vision-language correspondence. Using only 38,875 scan-report pairs, our approach seeks to uncover rich spatial and semantic relationships embedded in volumetric medical images and corresponding clinical narratives, thereby enhancing the generalization ability of the learned encoders. The resulting encoders exhibit strong transferability, achieving state-of-the-art performance across a wide range of downstream tasks, including 3D segmentation, cross-modal retrieval, visual question answering, and report generation.

Conghao Xiong, Zhengrui Guo, Zhe Xu et al.

Deep learning has advanced computational pathology but expert annotations remain scarce. Few-shot learning mitigates annotation burdens yet suffers from overfitting and discriminative feature mischaracterization. In addition, the current few-shot multiple instance learning (MIL) approaches leverage pretrained vision-language models to alleviate these issues, but at the cost of complex preprocessing and high computational cost. We propose a Squeeze-and-Recalibrate (SR) block, a drop-in replacement for linear layers in MIL models to address these challenges. The SR block comprises two core components: a pair of low-rank trainable matrices (squeeze pathway, SP) that reduces parameter count and imposes a bottleneck to prevent spurious feature learning, and a frozen random recalibration matrix that preserves geometric structure, diversifies feature directions, and redefines the optimization objective for the SP. We provide theoretical guarantees that the SR block can approximate any linear mapping to arbitrary precision, thereby ensuring that the performance of a standard MIL model serves as a lower bound for its SR-enhanced counterpart. Extensive experiments demonstrate that our SR-MIL models consistently outperform prior methods while requiring significantly fewer parameters and no architectural changes.