Activating Associative Disease-Aware Vision Token Memory for LLM-Based X-ray Report GenerationXiao Wang, Fuling Wang, Haowen Wang et al.
X-ray image based medical report generation achieves significant progress in recent years with the help of the large language model, however, these models have not fully exploited the effective information in visual image regions, resulting in reports that are linguistically sound but insufficient in describing key diseases. In this paper, we propose a novel associative memory-enhanced X-ray report generation model that effectively mimics the process of professional doctors writing medical reports. It considers both the mining of global and local visual information and associates historical report information to better complete the writing of the current report. Specifically, given an X-ray image, we first utilize a classification model along with its activation maps to accomplish the mining of visual regions highly associated with diseases and the learning of disease query tokens. Then, we employ a visual Hopfield network to establish memory associations for disease-related tokens, and a report Hopfield network to retrieve report memory information. This process facilitates the generation of high-quality reports based on a large language model and achieves state-of-the-art performance on multiple benchmark datasets, including the IU X-ray, MIMIC-CXR, and Chexpert Plus. The source code of this work is released on \url{https://github.com/Event-AHU/Medical_Image_Analysis}.
10.2CVAug 8, 2025
Fourier-VLM: Compressing Vision Tokens in the Frequency Domain for Large Vision-Language ModelsHuanyu Wang, Jushi Kai, Haoli Bai et al.
Vision-Language Models (VLMs) typically replace the predefined image placeholder token (<image>) in textual instructions with visual features from an image encoder, forming the input to a backbone Large Language Model (LLM). However, the large number of vision tokens significantly increases the context length, leading to high computational overhead and inference latency. While previous efforts mitigate this by selecting only important visual features or leveraging learnable queries to reduce token count, they often compromise performance or introduce substantial extra costs. In response, we propose Fourier-VLM, a simple yet efficient method that compresses visual representations in the frequency domain. Our approach is motivated by the observation that vision features output from the vision encoder exhibit concentrated energy in low-frequency components. Leveraging this, we apply a low-pass filter to the vision features using a two-dimensional Discrete Cosine Transform (DCT). Notably, the DCT is efficiently computed via the Fast Fourier Transform (FFT) operator with a time complexity of $\mathcal{O}(n\log n)$, minimizing the extra computational cost while introducing no additional parameters. Extensive experiments across various image-based benchmarks demonstrate that Fourier-VLM achieves competitive performance with strong generalizability across both LLaVA and Qwen-VL architectures. Crucially, it reduce inference FLOPs by up to 83.8% and boots generation speed by 31.2% compared to LLaVA-v1.5, highlighting the superior efficiency and practicality.