Tianxing He

Zi Wang, Mingkai Huang, Zhang Shi et al.

Multimodal cardiovascular magnetic resonance (CMR) imaging provides comprehensive and non-invasive insights into cardiovascular disease (CVD) diagnosis and underlying mechanisms. Despite decades of advancements, its widespread clinical adoption remains constrained by prolonged scan times and heterogeneity across medical environments. This underscores the urgent need for a generalist reconstruction foundation model for ultra-fast CMR imaging, one capable of adapting across diverse imaging scenarios and serving as the essential substrate for all downstream analyses. To enable this goal, we curate MMCMR-427K, the largest and most comprehensive multimodal CMR k-space database to date, comprising 427,465 multi-coil k-space data paired with structured metadata across 13 international centers, 12 CMR modalities, 15 scanners, and 17 CVD categories in populations across three continents. Building on this unprecedented resource, we introduce CardioMM, a generalist reconstruction foundation model capable of dynamically adapting to heterogeneous fast CMR imaging scenarios. CardioMM unifies semantic contextual understanding with physics-informed data consistency to deliver robust reconstructions across varied scanners, protocols, and patient presentations. Comprehensive evaluations demonstrate that CardioMM achieves state-of-the-art performance in the internal centers and exhibits strong zero-shot generalization to unseen external settings. Even at imaging acceleration up to 24x, CardioMM reliably preserves key cardiac phenotypes, quantitative myocardial biomarkers, and diagnostic image quality, enabling a substantial increase in CMR examination throughput without compromising clinical integrity. Together, our open-access MMCMR-427K database and CardioMM framework establish a scalable pathway toward high-throughput, high-quality, and clinically accessible cardiovascular imaging.

Minrui Luo, Fuhang Kuang, Yu Wang et al.

Parameter-Efficient Fine-Tuning (PEFT) methods, particularly Low-Rank Adaptation (LoRA), are indispensable for efficiently customizing Large Language Models (LLMs). However, vanilla LoRA suffers from slow convergence speed and knowledge forgetting problems. Recent studies have leveraged the power of designed LoRA initialization, to enhance the fine-tuning efficiency, or to preserve knowledge in the pre-trained LLM. However, none of these works can address the two cases at the same time. To this end, we introduce Subspace-Constrained LoRA (SC-LoRA), a novel LoRA initialization framework engineered to navigate the trade-off between efficient fine-tuning and knowledge preservation. We achieve this by constraining the output of trainable LoRA adapters in a low-rank subspace, where the context information of fine-tuning data is most preserved while the context information of preserved knowledge is least retained, in a balanced way. Such constraint enables the trainable weights to primarily focus on the main features of fine-tuning data while avoiding damaging the preserved knowledge features. We provide theoretical analysis on our method, and conduct extensive experiments including safety preservation and world knowledge preservation, on various downstream tasks. In our experiments, SC-LoRA succeeds in delivering superior fine-tuning performance while markedly diminishing knowledge forgetting, surpassing contemporary LoRA initialization methods.