Xiaotang Gai

Jiaxiang Liu, Tianxiang Hu, Yan Zhang et al.

Zero-shot medical image classification is a critical process in real-world scenarios where we have limited access to all possible diseases or large-scale annotated data. It involves computing similarity scores between a query medical image and possible disease categories to determine the diagnostic result. Recent advances in pretrained vision-language models (VLMs) such as CLIP have shown great performance for zero-shot natural image recognition and exhibit benefits in medical applications. However, an explainable zero-shot medical image recognition framework with promising performance is yet under development. In this paper, we propose a novel CLIP-based zero-shot medical image classification framework supplemented with ChatGPT for explainable diagnosis, mimicking the diagnostic process performed by human experts. The key idea is to query large language models (LLMs) with category names to automatically generate additional cues and knowledge, such as disease symptoms or descriptions other than a single category name, to help provide more accurate and explainable diagnosis in CLIP. We further design specific prompts to enhance the quality of generated texts by ChatGPT that describe visual medical features. Extensive results on one private dataset and four public datasets along with detailed analysis demonstrate the effectiveness and explainability of our training-free zero-shot diagnosis pipeline, corroborating the great potential of VLMs and LLMs for medical applications.

Jinbo Xing, Zeyinzi Jiang, Yuxiang Tuo et al.

Recent unified models have made unprecedented progress in both understanding and generation. However, while most of them accept multi-modal inputs, they typically produce only single-modality outputs. This challenge of producing interleaved content is mainly due to training data scarcity and the difficulty of modeling long-range cross-modal context. To address this issue, we decompose interleaved generation into textual planning and visual consistency modeling, and introduce a framework consisting of a planner and a visualizer. The planner produces dense textual descriptions for visual content, while the visualizer synthesizes images accordingly. Under this guidance, we construct large-scale textual-proxy interleaved data (where visual content is represented in text) to train the planner, and curate reference-guided image data to train the visualizer. These designs give rise to Wan-Weaver, which exhibits emergent interleaved generation ability with long-range textual coherence and visual consistency. Meanwhile, the integration of diverse understanding and generation data into planner training enables Wan-Weaver to achieve robust task reasoning and generation proficiency. To assess the model's capability in interleaved generation, we further construct a benchmark that spans a wide range of use cases across multiple dimensions. Extensive experiments demonstrate that, even without access to any real interleaved data, Wan-Weaver achieves superior performance over existing methods.

Zijie Meng, Jin Hao, Xiwei Dai et al.

Diagnosing and managing oral diseases necessitate advanced visual interpretation across diverse imaging modalities and integrated information synthesis. While current AI models excel at isolated tasks, they often fall short in addressing the complex, multimodal requirements of comprehensive clinical dental practice. Here we introduce DentVLM, a multimodal vision-language model engineered for expert-level oral disease diagnosis. DentVLM was developed using a comprehensive, large-scale, bilingual dataset of 110,447 images and 2.46 million visual question-answering (VQA) pairs. The model is capable of interpreting seven 2D oral imaging modalities across 36 diagnostic tasks, significantly outperforming leading proprietary and open-source models by 19.6% higher accuracy for oral diseases and 27.9% for malocclusions. In a clinical study involving 25 dentists, evaluating 1,946 patients and encompassing 3,105 QA pairs, DentVLM surpassed the diagnostic performance of 13 junior dentists on 21 of 36 tasks and exceeded that of 12 senior dentists on 12 of 36 tasks. When integrated into a collaborative workflow, DentVLM elevated junior dentists' performance to senior levels and reduced diagnostic time for all practitioners by 15-22%. Furthermore, DentVLM exhibited promising performance across three practical utility scenarios, including home-based dental health management, hospital-based intelligent diagnosis and multi-agent collaborative interaction. These findings establish DentVLM as a robust clinical decision support tool, poised to enhance primary dental care, mitigate provider-patient imbalances, and democratize access to specialized medical expertise within the field of dentistry.

Xiaotang Gai, Jiaxiang Liu, Yichen Li et al.

Medical Visual Question Answering (Med-VQA) holds significant potential for clinical decision support, yet existing efforts primarily focus on 2D imaging with limited task diversity. This paper presents 3D-RAD, a large-scale dataset designed to advance 3D Med-VQA using radiology CT scans. The 3D-RAD dataset encompasses six diverse VQA tasks: anomaly detection, image observation, medical computation, existence detection, static temporal diagnosis, and longitudinal temporal diagnosis. It supports both open- and closed-ended questions while introducing complex reasoning challenges, including computational tasks and multi-stage temporal analysis, to enable comprehensive benchmarking. Extensive evaluations demonstrate that existing vision-language models (VLMs), especially medical VLMs exhibit limited generalization, particularly in multi-temporal tasks, underscoring the challenges of real-world 3D diagnostic reasoning. To drive future advancements, we release a high-quality training set 3D-RAD-T of 136,195 expert-aligned samples, showing that fine-tuning on this dataset could significantly enhance model performance. Our dataset and code, aiming to catalyze multimodal medical AI research and establish a robust foundation for 3D medical visual understanding, are publicly available at https://github.com/Tang-xiaoxiao/3D-RAD.

Yichen Li, Zhiting Fan, Ruizhe Chen et al.

Large language models (LLMs) are prone to capturing biases from training corpus, leading to potential negative social impacts. Existing prompt-based debiasing methods exhibit instability due to their sensitivity to prompt changes, while fine-tuning-based techniques incur substantial computational overhead and catastrophic forgetting. In this paper, we propose FairSteer, a novel inference-time debiasing framework without requiring customized prompt design or model retraining. Motivated by the linear representation hypothesis, our preliminary investigation demonstrates that fairness-related features can be encoded into separable directions in the hidden activation space. FairSteer operates in three steps: biased activation detection, debiasing steering vector (DSV) computation, and dynamic activation steering. Specifically, it first trains a lightweight linear classifier to detect bias signatures in activations, and then computes DSVs as intervention directions derived from small contrastive prompt pairs. Subsequently, it performs debiasing by adjusting activations with DSVs in the inference stage. Comprehensive evaluation with six LLMs demonstrates the superiority of FairSteer across question-answering, counterfactual input evaluation and open-ended text generation tasks. Code will be released.

Xiaotang Gai, Chenyi Zhou, Jiaxiang Liu et al.

Medical Visual Question Answering (MedVQA), which offers language responses to image-based medical inquiries, represents a challenging task and significant advancement in healthcare. It assists medical experts to swiftly interpret medical images, thereby enabling faster and more accurate diagnoses. However, the model interpretability and transparency of existing MedVQA solutions are often limited, posing challenges in understanding their decision-making processes. To address this issue, we devise a semi-automated annotation process to streamline data preparation and build new benchmark MedVQA datasets R-RAD, R-SLAKE and R-Path. These datasets provide intermediate medical decision-making rationales generated by multimodal large language models and human annotations for question-answering pairs in existing MedVQA datasets, i.e., VQA-RAD, SLAKE and PathVQA. Moreover, we design a novel framework, MedThink, which finetunes lightweight pretrained generative models by incorporating medical decision-making rationales. MedThink includes three distinct strategies to generate decision outcomes and corresponding rationales, thereby clearly showcasing the medical decision-making process during reasoning. Our comprehensive experiments show that our method achieves an accuracy of 83.5% on R-RAD, 86.3% on R-SLAKE and 87.2% on R-Path. These results significantly exceed those of existing state-of-the-art models with comparable parameters. Datasets and code will be released.