Liangqiong Qu

Rui Yan, Liangqiong Qu, Qingyue Wei et al.

The collection and curation of large-scale medical datasets from multiple institutions is essential for training accurate deep learning models, but privacy concerns often hinder data sharing. Federated learning (FL) is a promising solution that enables privacy-preserving collaborative learning among different institutions, but it generally suffers from performance deterioration due to heterogeneous data distributions and a lack of quality labeled data. In this paper, we present a robust and label-efficient self-supervised FL framework for medical image analysis. Our method introduces a novel Transformer-based self-supervised pre-training paradigm that pre-trains models directly on decentralized target task datasets using masked image modeling, to facilitate more robust representation learning on heterogeneous data and effective knowledge transfer to downstream models. Extensive empirical results on simulated and real-world medical imaging non-IID federated datasets show that masked image modeling with Transformers significantly improves the robustness of models against various degrees of data heterogeneity. Notably, under severe data heterogeneity, our method, without relying on any additional pre-training data, achieves an improvement of 5.06%, 1.53% and 4.58% in test accuracy on retinal, dermatology and chest X-ray classification compared to the supervised baseline with ImageNet pre-training. In addition, we show that our federated self-supervised pre-training methods yield models that generalize better to out-of-distribution data and perform more effectively when fine-tuning with limited labeled data, compared to existing FL algorithms. The code is available at https://github.com/rui-yan/SSL-FL.

Siyi Tang, Jared A. Dunnmon, Liangqiong Qu et al. · stanford

Multivariate biosignals are prevalent in many medical domains, such as electroencephalography, polysomnography, and electrocardiography. Modeling spatiotemporal dependencies in multivariate biosignals is challenging due to (1) long-range temporal dependencies and (2) complex spatial correlations between the electrodes. To address these challenges, we propose representing multivariate biosignals as time-dependent graphs and introduce GraphS4mer, a general graph neural network (GNN) architecture that improves performance on biosignal classification tasks by modeling spatiotemporal dependencies in biosignals. Specifically, (1) we leverage the Structured State Space architecture, a state-of-the-art deep sequence model, to capture long-range temporal dependencies in biosignals and (2) we propose a graph structure learning layer in GraphS4mer to learn dynamically evolving graph structures in the data. We evaluate our proposed model on three distinct biosignal classification tasks and show that GraphS4mer consistently improves over existing models, including (1) seizure detection from electroencephalographic signals, outperforming a previous GNN with self-supervised pre-training by 3.1 points in AUROC; (2) sleep staging from polysomnographic signals, a 4.1 points improvement in macro-F1 score compared to existing sleep staging models; and (3) 12-lead electrocardiogram classification, outperforming previous state-of-the-art models by 2.7 points in macro-F1 score.

Ziyue Lin, Jiahe Hou, Hongyu Xia et al.

We propose Decoupled Residual Denoising Diffusion models (DRDD) for unified and data-efficient image-to-image (I2I) translation. While diffusion models have advanced I2I translation in terms of quality and diversity, we uncover a previously under-explored property in diffusion models. Crucially, beyond its conventional role of manifold lifting (i.e., moving data off low-dimensional manifolds), injecting Gaussian noise facilitates domain harmonization by implicitly aligning feature distributions across domains, a property particularly advantageous for unified I2I translation. However, existing diffusion models prematurely erode this harmonization effect, as noise and residuals are simultaneously removed in a single coupled diffusion process. To address this, DRDD decouples the diffusion process into two sequential and independent diffusion stages: (1) a stochastic noise diffusion for domain harmonization and manifold lifting, and (2) a deterministic residual diffusion that learns the core semantic mapping entirely within the fixed-noise domain. This decoupling preserves harmonization and manifold lifting effects throughout the transformation, substantially simplifying the learning of unified mappings across diverse tasks and domains. Notably, the noise diffusion stage is trained exclusively on abundant, unpaired target-domain images, greatly improving data efficiency. Comprehensive theoretical and empirical analysis demonstrates that DRDD is broadly compatible with mainstream diffusion models and consistently delivers robust, unified I2I translation, even under limited paired data. Our code is available at https://github.com/HKU-HealthAI/DRDD.

Jiawei Liu, Qiang Wang, Huijie Fan et al.

We propose residual denoising diffusion models (RDDM), a novel dual diffusion process that decouples the traditional single denoising diffusion process into residual diffusion and noise diffusion. This dual diffusion framework expands the denoising-based diffusion models, initially uninterpretable for image restoration, into a unified and interpretable model for both image generation and restoration by introducing residuals. Specifically, our residual diffusion represents directional diffusion from the target image to the degraded input image and explicitly guides the reverse generation process for image restoration, while noise diffusion represents random perturbations in the diffusion process. The residual prioritizes certainty, while the noise emphasizes diversity, enabling RDDM to effectively unify tasks with varying certainty or diversity requirements, such as image generation and restoration. We demonstrate that our sampling process is consistent with that of DDPM and DDIM through coefficient transformation, and propose a partially path-independent generation process to better understand the reverse process. Notably, our RDDM enables a generic UNet, trained with only an L1 loss and a batch size of 1, to compete with state-of-the-art image restoration methods. We provide code and pre-trained models to encourage further exploration, application, and development of our innovative framework (https://github.com/nachifur/RDDM).

Peiran Xu, Zeyu Wang, Jieru Mei et al.

Federated learning (FL) is an emerging paradigm in machine learning, where a shared model is collaboratively learned using data from multiple devices to mitigate the risk of data leakage. While recent studies posit that Vision Transformer (ViT) outperforms Convolutional Neural Networks (CNNs) in addressing data heterogeneity in FL, the specific architectural components that underpin this advantage have yet to be elucidated. In this paper, we systematically investigate the impact of different architectural elements, such as activation functions and normalization layers, on the performance within heterogeneous FL. Through rigorous empirical analyses, we are able to offer the first-of-its-kind general guidance on micro-architecture design principles for heterogeneous FL. Intriguingly, our findings indicate that with strategic architectural modifications, pure CNNs can achieve a level of robustness that either matches or even exceeds that of ViTs when handling heterogeneous data clients in FL. Additionally, our approach is compatible with existing FL techniques and delivers state-of-the-art solutions across a broad spectrum of FL benchmarks. The code is publicly available at https://github.com/UCSC-VLAA/FedConv

Shuang Zeng, Pengxin Guo, Shuai Wang et al.

Federated Learning (FL) is a rising approach towards collaborative and privacy-preserving machine learning where large-scale medical datasets remain localized to each client. However, the issue of data heterogeneity among clients often compels local models to diverge, leading to suboptimal global models. To mitigate the impact of data heterogeneity on FL performance, we start with analyzing how FL training influence FL performance by decomposing the global loss into three terms: local loss, distribution shift loss and aggregation loss. Remarkably, our loss decomposition reveals that existing local training-based FL methods attempt to reduce the distribution shift loss, while the global aggregation-based FL methods propose better aggregation strategies to reduce the aggregation loss. Nevertheless, a comprehensive joint effort to minimize all three terms is currently limited in the literature, leading to subpar performance when dealing with data heterogeneity challenges. To fill this gap, we propose a novel FL method based on global loss decomposition, called FedLD, to jointly reduce these three loss terms. Our FedLD involves a margin control regularization in local training to reduce the distribution shift loss, and a principal gradient-based server aggregation strategy to reduce the aggregation loss. Notably, under different levels of data heterogeneity, our strategies achieve better and more robust performance on retinal and chest X-ray classification compared to other FL algorithms. Our code is available at https://github.com/Zeng-Shuang/FedLD.

Chengxin Zheng, Junzhong Ji, Yanzhao Shi et al.

Brain CT report generation is significant to aid physicians in diagnosing cranial diseases. Recent studies concentrate on handling the consistency between visual and textual pathological features to improve the coherence of report. However, there exist some challenges: 1) Redundant visual representing: Massive irrelevant areas in 3D scans distract models from representing salient visual contexts. 2) Shifted semantic representing: Limited medical corpus causes difficulties for models to transfer the learned textual representations to generative layers. This study introduces a Pathological Clue-driven Representation Learning (PCRL) model to build cross-modal representations based on pathological clues and naturally adapt them for accurate report generation. Specifically, we construct pathological clues from perspectives of segmented regions, pathological entities, and report themes, to fully grasp visual pathological patterns and learn cross-modal feature representations. To adapt the representations for the text generation task, we bridge the gap between representation learning and report generation by using a unified large language model (LLM) with task-tailored instructions. These crafted instructions enable the LLM to be flexibly fine-tuned across tasks and smoothly transfer the semantic representation for report generation. Experiments demonstrate that our method outperforms previous methods and achieves SoTA performance. Our code is available at "https://github.com/Chauncey-Jheng/PCRL-MRG".

Yan-Ran, Wang, Liangqiong Qu et al.

Despite its tremendous value for the diagnosis, treatment monitoring and surveillance of children with cancer, whole body staging with positron emission tomography (PET) is time consuming and associated with considerable radiation exposure. 100x (1% of the standard clinical dosage) ultra-low-dose/ultra-fast whole-body PET reconstruction has the potential for cancer imaging with unprecedented speed and improved safety, but it cannot be achieved by the naive use of machine learning techniques. In this study, we utilize the global similarity between baseline and follow-up PET and magnetic resonance (MR) images to develop Masked-LMCTrans, a longitudinal multi-modality co-attentional CNN-Transformer that provides interaction and joint reasoning between serial PET/MRs of the same patient. We mask the tumor area in the referenced baseline PET and reconstruct the follow-up PET scans. In this manner, Masked-LMCTrans reconstructs 100x almost-zero radio-exposure whole-body PET that was not possible before. The technique also opens a new pathway for longitudinal radiology imaging reconstruction, a significantly under-explored area to date. Our model was trained and tested with Stanford PET/MRI scans of pediatric lymphoma patients and evaluated externally on PET/MRI images from Tübingen University. The high image quality of the reconstructed 100x whole-body PET images resulting from the application of Masked-LMCTrans will substantially advance the development of safer imaging approaches and shorter exam-durations for pediatric patients, as well as expand the possibilities for frequent longitudinal monitoring of these patients by PET.

Zhiheng Cheng, Qingyue Wei, Hongru Zhu et al.

The Segment Anything Model (SAM) has garnered significant attention for its versatile segmentation abilities and intuitive prompt-based interface. However, its application in medical imaging presents challenges, requiring either substantial training costs and extensive medical datasets for full model fine-tuning or high-quality prompts for optimal performance. This paper introduces H-SAM: a prompt-free adaptation of SAM tailored for efficient fine-tuning of medical images via a two-stage hierarchical decoding procedure. In the initial stage, H-SAM employs SAM's original decoder to generate a prior probabilistic mask, guiding a more intricate decoding process in the second stage. Specifically, we propose two key designs: 1) A class-balanced, mask-guided self-attention mechanism addressing the unbalanced label distribution, enhancing image embedding; 2) A learnable mask cross-attention mechanism spatially modulating the interplay among different image regions based on the prior mask. Moreover, the inclusion of a hierarchical pixel decoder in H-SAM enhances its proficiency in capturing fine-grained and localized details. This approach enables SAM to effectively integrate learned medical priors, facilitating enhanced adaptation for medical image segmentation with limited samples. Our H-SAM demonstrates a 4.78% improvement in average Dice compared to existing prompt-free SAM variants for multi-organ segmentation using only 10% of 2D slices. Notably, without using any unlabeled data, H-SAM even outperforms state-of-the-art semi-supervised models relying on extensive unlabeled training data across various medical datasets. Our code is available at https://github.com/Cccccczh404/H-SAM.

Pengxin Guo, Shuang Zeng, Wenhao Chen et al.

Federated Learning (FL) aims to protect data privacy by enabling clients to collectively train machine learning models without sharing their raw data. However, recent studies demonstrate that information exchanged during FL is subject to Gradient Inversion Attacks (GIA) and, consequently, a variety of privacy-preserving methods have been integrated into FL to thwart such attacks, such as Secure Multi-party Computing (SMC), Homomorphic Encryption (HE), and Differential Privacy (DP). Despite their ability to protect data privacy, these approaches inherently involve substantial privacy-utility trade-offs. By revisiting the key to privacy exposure in FL under GIA, which lies in the frequent sharing of model gradients that contain private data, we take a new perspective by designing a novel privacy preserve FL framework that effectively ``breaks the direct connection'' between the shared parameters and the local private data to defend against GIA. Specifically, we propose a Hypernetwork Federated Learning (HyperFL) framework that utilizes hypernetworks to generate the parameters of the local model and only the hypernetwork parameters are uploaded to the server for aggregation. Theoretical analyses demonstrate the convergence rate of the proposed HyperFL, while extensive experimental results show the privacy-preserving capability and comparable performance of HyperFL. Code is available at https://github.com/Pengxin-Guo/HyperFL.

Zhiqi Yu, Zhangquan Chen, Mengting Liu et al.

Reinforcement Learning with Verifiable Rewards (RLVR), particularly GRPO, has become the standard for eliciting LLM reasoning. However, its efficiency in exploration and difficulty adaptation remains an open challenge. In this work, we argue that these bottlenecks stem from an implicit advantage symmetry inherent in Group Relative Advantage Estimation (GRAE). This symmetry induces two critical limitations: (i) at the group level, strict symmetry in weights between correct and incorrect trajectories leaves unsampled action logits unchanged, thereby hindering exploration of novel correct solution. (ii) at the sample level, the algorithm implicitly prioritizes medium-difficulty samples, remaining agnostic to the non-stationary demands of difficulty focus. Through controlled experiments, we reveal that this symmetric property is sub-optimal, yielding two pivotal insights: (i) asymmetrically suppressing the advantages of correct trajectories encourages essential exploration. (ii) learning efficiency is maximized by a curriculum-like transition-prioritizing simpler samples initially before gradually shifting to complex ones. Motivated by these findings, we propose Asymmetric GRAE (A-GRAE), which dynamically modulates exploration incentives and sample-difficulty focus. Experiments across seven benchmarks demonstrate that A-GRAE consistently improves GRPO and its variants across both LLMs and MLLMs.

Yihao Zhen, Qiang Wang, Yu Qiao et al.

A main challenge of Visual-Language Tracking (VLT) is the misalignment between visual inputs and language descriptions caused by target movement. Previous trackers have explored many effective feature modification methods to preserve more aligned features. However, an important yet unexplored factor ultimately hinders their capability, which is the inherent differences in the temporal and spatial scale of information between visual and language inputs. To address this issue, we propose a novel visual-language tracker that enhances the effect of feature modification by \textbf{A}ligning \textbf{T}emporal and \textbf{S}patial scale of different input components, named as \textbf{ATSTrack}. Specifically, we decompose each language description into phrases with different attributes based on their temporal and spatial correspondence with visual inputs, and modify their features in a fine-grained manner. Moreover, we introduce a Visual-Language token that comprises modified linguistic information from the previous frame to guide the model to extract visual features that are more relevant to language description, thereby reducing the impact caused by the differences in spatial scale. Experimental results show that our proposed ATSTrack achieves performance comparable to existing methods. Our code will be released.

Pengxin Guo, Yinong Wang, Wei Li et al.

LLM pruning has emerged as a promising technology for compressing LLMs, enabling their deployment on resource-limited devices. However, current methodologies typically require access to public calibration samples, which can be challenging to obtain in privacy-sensitive domains. To address this issue, we introduce FedPrLLM, a comprehensive federated pruning framework designed for the privacy-preserving compression of LLMs. In FedPrLLM, each client only needs to calculate a pruning mask matrix based on its local calibration data and share it with the server to prune the global model. This approach allows for collaborative pruning of the global model with the knowledge of each client while maintaining local data privacy. Additionally, we conduct extensive experiments to explore various possibilities within the FedPrLLM framework, including different comparison groups, pruning strategies, and the decision to scale weights. Our extensive evaluation reveals that one-shot pruning with layer comparison and no weight scaling is the optimal choice within the FedPrLLM framework. We hope our work will help guide future efforts in pruning LLMs in privacy-sensitive fields. Our code is available at https://github.com/Pengxin-Guo/FedPrLLM.

Yanzhao Shi, Xiaodan Zhang, Junzhong Ji et al.

Automated 3D CT diagnosis empowers clinicians to make timely, evidence-based decisions by enhancing diagnostic accuracy and workflow efficiency. While multimodal large language models (MLLMs) exhibit promising performance in visual-language understanding, existing methods mainly focus on 2D medical images, which fundamentally limits their ability to capture complex 3D anatomical structures. This limitation often leads to misinterpretation of subtle pathologies and causes diagnostic hallucinations. In this paper, we present Hybrid Spatial Encoding Network (HSENet), a framework that exploits enriched 3D medical visual cues by effective visual perception and projection for accurate and robust vision-language understanding. Specifically, HSENet employs dual-3D vision encoders to perceive both global volumetric contexts and fine-grained anatomical details, which are pre-trained by dual-stage alignment with diagnostic reports. Furthermore, we propose Spatial Packer, an efficient multimodal projector that condenses high-resolution 3D spatial regions into a compact set of informative visual tokens via centroid-based compression. By assigning spatial packers with dual-3D vision encoders, HSENet can seamlessly perceive and transfer hybrid visual representations to LLM's semantic space, facilitating accurate diagnostic text generation. Experimental results demonstrate that our method achieves state-of-the-art performance in 3D language-visual retrieval (39.85% of R@100, +5.96% gain), 3D medical report generation (24.01% of BLEU-4, +8.01% gain), and 3D visual question answering (73.60% of Major Class Accuracy, +1.99% gain), confirming its effectiveness. Our code is available at https://github.com/YanzhaoShi/HSENet.

Shiben Liu, Huijie Fan, Qiang Wang et al.

Lifelong Person Re-identification (LReID) suffers from a key challenge in preserving old knowledge while adapting to new information. The existing solutions include rehearsal-based and rehearsal-free methods to address this challenge. Rehearsal-based approaches rely on knowledge distillation, continuously accumulating forgetting during the distillation process. Rehearsal-free methods insufficiently learn the distribution of each domain, leading to forgetfulness over time. To solve these issues, we propose a novel Distribution-aware Forgetting Compensation (DAFC) model that explores cross-domain shared representation learning and domain-specific distribution integration without using old exemplars or knowledge distillation. We propose a Text-driven Prompt Aggregation (TPA) that utilizes text features to enrich prompt elements and guide the prompt model to learn fine-grained representations for each instance. This can enhance the differentiation of identity information and establish the foundation for domain distribution awareness. Then, Distribution-based Awareness and Integration (DAI) is designed to capture each domain-specific distribution by a dedicated expert network and adaptively consolidate them into a shared region in high-dimensional space. In this manner, DAI can consolidate and enhance cross-domain shared representation learning while alleviating catastrophic forgetting. Furthermore, we develop a Knowledge Consolidation Mechanism (KCM) that comprises instance-level discrimination and cross-domain consistency alignment strategies to facilitate model adaptive learning of new knowledge from the current domain and promote knowledge consolidation learning between acquired domain-specific distributions, respectively. Experimental results show that our DAFC outperforms state-of-the-art methods. Our code is available at https://github.com/LiuShiBen/DAFC.

Xing Xie, Jiawei Liu, Ziyue Lin et al.

We present Autoregressive Representation Alignment (ARRA), a new training framework that unlocks global-coherent text-to-image generation in autoregressive LLMs without architectural modifications. Different from prior works that require complex architectural redesigns, ARRA aligns LLM's hidden states with visual representations from external visual foundational models via a global visual alignment loss and a hybrid token, <HYBNEXT>. This token enforces dual constraints: local next-token prediction and global semantic distillation, enabling LLMs to implicitly learn spatial and contextual coherence while retaining their original autoregressive paradigm. Extensive experiments validate ARRA's plug-and-play versatility. When training T2I LLMs from scratch, ARRA reduces FID by 16.6% (ImageNet), 12.0% (LAION-COCO) for autoregressive LLMs like LlamaGen, without modifying original architecture and inference mechanism. For training from text-generation-only LLMs, ARRA reduces FID by 25.5% (MIMIC-CXR), 8.8% (DeepEyeNet) for advanced LLMs like Chameleon. For domain adaptation, ARRA aligns general-purpose LLMs with specialized models (e.g., BioMedCLIP), achieving an 18.6% FID reduction over direct fine-tuning on medical imaging (MIMIC-CXR). These results demonstrate that training objective redesign, rather than architectural modifications, can resolve cross-modal global coherence challenges. ARRA offers a complementary paradigm for advancing autoregressive models. The code is available at https://github.com/HKU-HealthAI/ARRA.

Liangqiong Qu, Yuyin Zhou, Paul Pu Liang et al.

Federated learning is an emerging research paradigm enabling collaborative training of machine learning models among different organizations while keeping data private at each institution. Despite recent progress, there remain fundamental challenges such as the lack of convergence and the potential for catastrophic forgetting across real-world heterogeneous devices. In this paper, we demonstrate that self-attention-based architectures (e.g., Transformers) are more robust to distribution shifts and hence improve federated learning over heterogeneous data. Concretely, we conduct the first rigorous empirical investigation of different neural architectures across a range of federated algorithms, real-world benchmarks, and heterogeneous data splits. Our experiments show that simply replacing convolutional networks with Transformers can greatly reduce catastrophic forgetting of previous devices, accelerate convergence, and reach a better global model, especially when dealing with heterogeneous data. We release our code and pretrained models at https://github.com/Liangqiong/ViT-FL-main to encourage future exploration in robust architectures as an alternative to current research efforts on the optimization front.

Weibo Jiang, Weihong Ren, Jiandong Tian et al.

Human-Object Interaction (HOI) detection plays a vital role in scene understanding, which aims to predict the HOI triplet in the form of <human, object, action>. Existing methods mainly extract multi-modal features (e.g., appearance, object semantics, human pose) and then fuse them together to directly predict HOI triplets. However, most of these methods focus on seeking for self-triplet aggregation, but ignore the potential cross-triplet dependencies, resulting in ambiguity of action prediction. In this work, we propose to explore Self- and Cross-Triplet Correlations (SCTC) for HOI detection. Specifically, we regard each triplet proposal as a graph where Human, Object represent nodes and Action indicates edge, to aggregate self-triplet correlation. Also, we try to explore cross-triplet dependencies by jointly considering instance-level, semantic-level, and layout-level relations. Besides, we leverage the CLIP model to assist our SCTC obtain interaction-aware feature by knowledge distillation, which provides useful action clues for HOI detection. Extensive experiments on HICO-DET and V-COCO datasets verify the effectiveness of our proposed SCTC.

Zhicong Wu, Hongbin Xu, Gang Xu et al.

Recent advancements in Generalizable Gaussian Splatting have enabled robust 3D reconstruction from sparse input views by utilizing feed-forward Gaussian Splatting models, achieving superior cross-scene generalization. However, while many methods focus on geometric consistency, they often neglect the potential of text-driven guidance to enhance semantic understanding, which is crucial for accurately reconstructing fine-grained details in complex scenes. To address this limitation, we propose TextSplat--the first text-driven Generalizable Gaussian Splatting framework. By employing a text-guided fusion of diverse semantic cues, our framework learns robust cross-modal feature representations that improve the alignment of geometric and semantic information, producing high-fidelity 3D reconstructions. Specifically, our framework employs three parallel modules to obtain complementary representations: the Diffusion Prior Depth Estimator for accurate depth information, the Semantic Aware Segmentation Network for detailed semantic information, and the Multi-View Interaction Network for refined cross-view features. Then, in the Text-Guided Semantic Fusion Module, these representations are integrated via the text-guided and attention-based feature aggregation mechanism, resulting in enhanced 3D Gaussian parameters enriched with detailed semantic cues. Experimental results on various benchmark datasets demonstrate improved performance compared to existing methods across multiple evaluation metrics, validating the effectiveness of our framework. The code will be publicly available.

Pengxin Guo, Runxi Wang, Shuang Zeng et al.

Federated Learning (FL) has emerged as a promising privacy-preserving collaborative model training paradigm without sharing raw data. However, recent studies have revealed that private information can still be leaked through shared gradient information and attacked by Gradient Inversion Attacks (GIA). While many GIA methods have been proposed, a detailed analysis, evaluation, and summary of these methods are still lacking. Although various survey papers summarize existing privacy attacks in FL, few studies have conducted extensive experiments to unveil the effectiveness of GIA and their associated limiting factors in this context. To fill this gap, we first undertake a systematic review of GIA and categorize existing methods into three types, i.e., \textit{optimization-based} GIA (OP-GIA), \textit{generation-based} GIA (GEN-GIA), and \textit{analytics-based} GIA (ANA-GIA). Then, we comprehensively analyze and evaluate the three types of GIA in FL, providing insights into the factors that influence their performance, practicality, and potential threats. Our findings indicate that OP-GIA is the most practical attack setting despite its unsatisfactory performance, while GEN-GIA has many dependencies and ANA-GIA is easily detectable, making them both impractical. Finally, we offer a three-stage defense pipeline to users when designing FL frameworks and protocols for better privacy protection and share some future research directions from the perspectives of attackers and defenders that we believe should be pursued. We hope that our study can help researchers design more robust FL frameworks to defend against these attacks.

Xing Xie, Jiawei Liu, Huijie Fan et al.

Directly reconstructing 3D CT volume from few-view 2D X-rays using an end-to-end deep learning network is a challenging task, as X-ray images are merely projection views of the 3D CT volume. In this work, we facilitate complex 2D X-ray image to 3D CT mapping by incorporating new view synthesis, and reduce the learning difficulty through view-guided feature alignment. Specifically, we propose a dual-view guided diffusion model (DVG-Diffusion), which couples a real input X-ray view and a synthesized new X-ray view to jointly guide CT reconstruction. First, a novel view parameter-guided encoder captures features from X-rays that are spatially aligned with CT. Next, we concatenate the extracted dual-view features as conditions for the latent diffusion model to learn and refine the CT latent representation. Finally, the CT latent representation is decoded into a CT volume in pixel space. By incorporating view parameter guided encoding and dual-view guided CT reconstruction, our DVG-Diffusion can achieve an effective balance between high fidelity and perceptual quality for CT reconstruction. Experimental results demonstrate our method outperforms state-of-the-art methods. Based on experiments, the comprehensive analysis and discussions for views and reconstruction are also presented.

Xiaodan Zhang, Yanzhao Shi, Junzhong Ji et al.

The automatic generation of brain CT reports has gained widespread attention, given its potential to assist radiologists in diagnosing cranial diseases. However, brain CT scans involve extensive medical entities, such as diverse anatomy regions and lesions, exhibiting highly inconsistent spatial patterns in 3D volumetric space. This leads to biased learning of medical entities in existing methods, resulting in repetitiveness and inaccuracy in generated reports. To this end, we propose a Medical Entity-balanced Prompting Network (MEPNet), which harnesses the large language model (LLM) to fairly interpret various entities for accurate brain CT report generation. By introducing the visual embedding and the learning status of medical entities as enriched clues, our method prompts the LLM to balance the learning of diverse entities, thereby enhancing reports with comprehensive findings. First, to extract visual embedding of entities, we propose Knowledge-driven Joint Attention to explore and distill entity patterns using both explicit and implicit medical knowledge. Then, a Learning Status Scorer is designed to evaluate the learning of entity visual embeddings, resulting in unique learning status for individual entities. Finally, these entity visual embeddings and status are elaborately integrated into multi-modal prompts, to guide the text generation of LLM. This process allows LLM to self-adapt the learning process for biased-fitted entities, thereby covering detailed findings in generated reports. We conduct experiments on two brain CT report generation benchmarks, showing the effectiveness in clinical accuracy and text coherence.

Jiawei Mao, Yuhan Wang, Lifeng Chen et al.

Recent advances in generative medical models are constrained by modality-specific scenarios that hinder the integration of complementary evidence from imaging, pathology, and clinical notes. This fragmentation limits their evolution into foundation models that can learn and reason across the full spectrum of biomedical data. We propose MeDiM, the first medical discrete diffusion model that learns shared distributions across modalities without modality-specific components. MeDiM unifies multiple generative tasks: translating between images and text, and jointly producing image-report pairs across domains in response to prompts. Built on a discrete diffusion framework, MeDiM bridges vision and language representations through a shared probabilistic space. To enable unified and flexible medical generation, we employ a multimodal large language model (MLLM) as the diffusion backbone, leveraging its prior knowledge and cross-modal reasoning. Two key designs are introduced: (1) removing the causal attention mask for bidirectional context, and (2) injecting continuous timestep embeddings for diffusion awareness. Experiments demonstrate high-fidelity medical generation (FID 16.60 on MIMIC-CXR and FID 24.19 on PathGen) and accurate report generation (METEOR 0.2650 and 0.2580). Jointly generated image-report pairs further enhance downstream performance (plus6.43 percent BLEU-1, plus18.57 percent BLEU-2, plus31.58 percent BLEU-3, plus4.80 percent METEOR), showing that MeDiM supports coherent and clinically grounded multimodal outputs.

Hongbo Ma, Fei Shen, Hongbin Xu et al.

The advancement of intelligent agents has revolutionized problem-solving across diverse domains, yet solutions for personalized fashion styling remain underexplored, which holds immense promise for promoting shopping experiences. In this work, we present StyleTailor, the first collaborative agent framework that seamlessly unifies personalized apparel design, shopping recommendation, virtual try-on, and systematic evaluation into a cohesive workflow. To this end, StyleTailor pioneers an iterative visual refinement paradigm driven by multi-level negative feedback, enabling adaptive and precise user alignment. Specifically, our framework features two core agents, i.e., Designer for personalized garment selection and Consultant for virtual try-on, whose outputs are progressively refined via hierarchical vision-language model feedback spanning individual items, complete outfits, and try-on efficacy. Counterexamples are aggregated into negative prompts, forming a closed-loop mechanism that enhances recommendation quality. To assess the performance, we introduce a comprehensive evaluation suite encompassing style consistency, visual quality, face similarity, and artistic appraisal. Extensive experiments demonstrate StyleTailor's superior performance in delivering personalized designs and recommendations, outperforming strong baselines without negative feedback and establishing a new benchmark for intelligent fashion systems.

Weiying Zheng, Ziyue Lin, Pengxin Guo et al.

Vision-Language Models (VLMs) have demonstrated remarkable capabilities in cross-modal understanding and generation by integrating visual and textual information. While instruction tuning and parameter-efficient fine-tuning methods have substantially improved the generalization of VLMs, most existing approaches rely on centralized training, posing challenges for deployment in domains with strict privacy requirements like healthcare. Recent efforts have introduced Federated Learning (FL) into VLM fine-tuning to address these privacy concerns, yet comprehensive benchmarks for evaluating federated fine-tuning strategies, model architectures, and task generalization remain lacking. In this work, we present \textbf{FedVLMBench}, the first systematic benchmark for federated fine-tuning of VLMs. FedVLMBench integrates two mainstream VLM architectures (encoder-based and encoder-free), four fine-tuning strategies, five FL algorithms, six multimodal datasets spanning four cross-domain single-task scenarios and two cross-domain multitask settings, covering four distinct downstream task categories. Through extensive experiments, we uncover key insights into the interplay between VLM architectures, fine-tuning strategies, data heterogeneity, and multi-task federated optimization. Notably, we find that a 2-layer multilayer perceptron (MLP) connector with concurrent connector and LLM tuning emerges as the optimal configuration for encoder-based VLMs in FL. Furthermore, current FL methods exhibit significantly higher sensitivity to data heterogeneity in vision-centric tasks than text-centric ones, across both encoder-free and encoder-based VLM architectures. Our benchmark provides essential tools, datasets, and empirical guidance for the research community, offering a standardized platform to advance privacy-preserving, federated training of multimodal foundation models.

Siyuan Liu, Kim-Han Thung, Liangqiong Qu et al.

Retrospective artifact correction (RAC) improves image quality post acquisition and enhances image usability. Recent machine learning driven techniques for RAC are predominantly based on supervised learning and therefore practical utility can be limited as data with paired artifact-free and artifact-corrupted images are typically insufficient or even non-existent. Here we show that unwanted image artifacts can be disentangled and removed from an image via an RAC neural network learned with unpaired data. This implies that our method does not require matching artifact-corrupted data to be either collected via acquisition or generated via simulation. Experimental results demonstrate that our method is remarkably effective in removing artifacts and retaining anatomical details in images with different contrasts.

Liangqiong Qu, Niranjan Balachandar, Daniel L Rubin

Federated learning enables multiple institutions to collaboratively train machine learning models on their local data in a privacy-preserving way. However, its distributed nature often leads to significant heterogeneity in data distributions across institutions. In this paper, we investigate the deleterious impact of a taxonomy of data heterogeneity regimes on federated learning methods, including quantity skew, label distribution skew, and imaging acquisition skew. We show that the performance degrades with the increasing degrees of data heterogeneity. We present several mitigation strategies to overcome performance drops from data heterogeneity, including weighted average for data quantity skew, weighted loss and batch normalization averaging for label distribution skew. The proposed optimizations to federated learning methods improve their capability of handling heterogeneity across institutions, which provides valuable guidance for the deployment of federated learning in real clinical applications.

Miao Zhang, Liangqiong Qu, Praveer Singh et al.

Federated learning is an emerging research paradigm for enabling collaboratively training deep learning models without sharing patient data. However, the data from different institutions are usually heterogeneous across institutions, which may reduce the performance of models trained using federated learning. In this study, we propose a novel heterogeneity-aware federated learning method, SplitAVG, to overcome the performance drops from data heterogeneity in federated learning. Unlike previous federated methods that require complex heuristic training or hyper parameter tuning, our SplitAVG leverages the simple network split and feature map concatenation strategies to encourage the federated model training an unbiased estimator of the target data distribution. We compare SplitAVG with seven state-of-the-art federated learning methods, using centrally hosted training data as the baseline on a suite of both synthetic and real-world federated datasets. We find that the performance of models trained using all the comparison federated learning methods degraded significantly with the increasing degrees of data heterogeneity. In contrast, SplitAVG method achieves comparable results to the baseline method under all heterogeneous settings, that it achieves 96.2% of the accuracy and 110.4% of the mean absolute error obtained by the baseline in a diabetic retinopathy binary classification dataset and a bone age prediction dataset, respectively, on highly heterogeneous data partitions. We conclude that SplitAVG method can effectively overcome the performance drops from variability in data distributions across institutions. Experimental results also show that SplitAVG can be adapted to different base networks and generalized to various types of medical imaging tasks.

Liangqiong Qu, Niranjan Balachandar, Miao Zhang et al.

Collaborative learning, which enables collaborative and decentralized training of deep neural networks at multiple institutions in a privacy-preserving manner, is rapidly emerging as a valuable technique in healthcare applications. However, its distributed nature often leads to significant heterogeneity in data distributions across institutions. In this paper, we present a novel generative replay strategy to address the challenge of data heterogeneity in collaborative learning methods. Different from traditional methods that directly aggregating the model parameters, we leverage generative adversarial learning to aggregate the knowledge from all the local institutions. Specifically, instead of directly training a model for task performance, we develop a novel dual model architecture: a primary model learns the desired task, and an auxiliary "generative replay model" allows aggregating knowledge from the heterogenous clients. The auxiliary model is then broadcasted to the central sever, to regulate the training of primary model with an unbiased target distribution. Experimental results demonstrate the capability of the proposed method in handling heterogeneous data across institutions. On highly heterogeneous data partitions, our model achieves ~4.88% improvement in the prediction accuracy on a diabetic retinopathy classification dataset, and ~49.8% reduction of mean absolution value on a Bone Age prediction dataset, respectively, compared to the state-of-the art collaborative learning methods.

Sharut Gupta, Praveer Singh, Ken Chang et al.

Model brittleness is a key concern when deploying deep learning models in real-world medical settings. A model that has high performance at one institution may suffer a significant decline in performance when tested at other institutions. While pooling datasets from multiple institutions and retraining may provide a straightforward solution, it is often infeasible and may compromise patient privacy. An alternative approach is to fine-tune the model on subsequent institutions after training on the original institution. Notably, this approach degrades model performance at the original institution, a phenomenon known as catastrophic forgetting. In this paper, we develop an approach to address catastrophic forget-ting based on elastic weight consolidation combined with modulation of batch normalization statistics under two scenarios: first, for expanding the domain from one imaging system's data to another imaging system's, and second, for expanding the domain from a large multi-institutional dataset to another single institution dataset. We show that our approach outperforms several other state-of-the-art approaches and provide theoretical justification for the efficacy of batch normalization modulation. The results of this study are generally applicable to the deployment of any clinical deep learning model which requires domain expansion.

Sharut Gupta, Praveer Singh, Ken Chang et al.

Model brittleness is a primary concern when deploying deep learning models in medical settings owing to inter-institution variations, like patient demographics and intra-institution variation, such as multiple scanner types. While simply training on the combined datasets is fraught with data privacy limitations, fine-tuning the model on subsequent institutions after training it on the original institution results in a decrease in performance on the original dataset, a phenomenon called catastrophic forgetting. In this paper, we investigate trade-off between model refinement and retention of previously learned knowledge and subsequently address catastrophic forgetting for the assessment of mammographic breast density. More specifically, we propose a simple yet effective approach, adapting Elastic weight consolidation (EWC) using the global batch normalization (BN) statistics of the original dataset. The results of this study provide guidance for the deployment of clinical deep learning models where continuous learning is needed for domain expansion.

Holger R. Roth, Ken Chang, Praveer Singh et al.

Building robust deep learning-based models requires large quantities of diverse training data. In this study, we investigate the use of federated learning (FL) to build medical imaging classification models in a real-world collaborative setting. Seven clinical institutions from across the world joined this FL effort to train a model for breast density classification based on Breast Imaging, Reporting & Data System (BI-RADS). We show that despite substantial differences among the datasets from all sites (mammography system, class distribution, and data set size) and without centralizing data, we can successfully train AI models in federation. The results show that models trained using FL perform 6.3% on average better than their counterparts trained on an institute's local data alone. Furthermore, we show a 45.8% relative improvement in the models' generalizability when evaluated on the other participating sites' testing data.

Jiawei Zhang, Jianbo Jiao, Mingliang Chen et al.

3D hand pose tracking/estimation will be very important in the next generation of human-computer interaction. Most of the currently available algorithms rely on low-cost active depth sensors. However, these sensors can be easily interfered by other active sources and require relatively high power consumption. As a result, they are currently not suitable for outdoor environments and mobile devices. This paper aims at tracking/estimating hand poses using passive stereo which avoids these limitations. A benchmark with 18,000 stereo image pairs and 18,000 depth images captured from different scenarios and the ground-truth 3D positions of palm and finger joints (obtained from the manual label) is thus proposed. This paper demonstrates that the performance of the state-of-the art tracking/estimation algorithms can be maintained with most stereo matching algorithms on the proposed benchmark, as long as the hand segmentation is correct. As a result, a novel stereo-based hand segmentation algorithm specially designed for hand tracking/estimation is proposed. The quantitative evaluation demonstrates that the proposed algorithm is suitable for the state-of-the-art hand pose tracking/estimation algorithms and the tracking quality is comparable to the use of active depth sensors under different challenging scenarios.

Liangqiong Qu, Shengfeng He, Jiawei Zhang et al.

Numerous efforts have been made to design different low level saliency cues for the RGBD saliency detection, such as color or depth contrast features, background and color compactness priors. However, how these saliency cues interact with each other and how to incorporate these low level saliency cues effectively to generate a master saliency map remain a challenging problem. In this paper, we design a new convolutional neural network (CNN) to fuse different low level saliency cues into hierarchical features for automatically detecting salient objects in RGBD images. In contrast to the existing works that directly feed raw image pixels to the CNN, the proposed method takes advantage of the knowledge in traditional saliency detection by adopting various meaningful and well-designed saliency feature vectors as input. This can guide the training of CNN towards detecting salient object more effectively due to the reduced learning ambiguity. We then integrate a Laplacian propagation framework with the learned CNN to extract a spatially consistent saliency map by exploiting the intrinsic structure of the input image. Extensive quantitative and qualitative experimental evaluations on three datasets demonstrate that the proposed method consistently outperforms state-of-the-art methods.

Liangqiong Qu, Jiandong Tian, Zhi Han et al.

In this paper, we propose a novel, effective and fast method to obtain a color illumination invariant and shadow-free image from a single outdoor image. Different from state-of-the-art methods for shadow-free image that either need shadow detection or statistical learning, we set up a linear equation set for each pixel value vector based on physically-based shadow invariants, deduce a pixel-wise orthogonal decomposition for its solutions, and then get an illumination invariant vector for each pixel value vector on an image. The illumination invariant vector is the unique particular solution of the linear equation set, which is orthogonal to its free solutions. With this illumination invariant vector and Lab color space, we propose an algorithm to generate a shadow-free image which well preserves the texture and color information of the original image. A series of experiments on a diverse set of outdoor images and the comparisons with the state-of-the-art methods validate our method.