Dimitris Metaxas

CV
h-index56
60papers
7,122citations
Novelty53%
AI Score66

60 Papers

19.8CVJul 22, 2023Code
Pathology-and-genomics Multimodal Transformer for Survival Outcome Prediction

Kexin Ding, Mu Zhou, Dimitris N. Metaxas et al.

Survival outcome assessment is challenging and inherently associated with multiple clinical factors (e.g., imaging and genomics biomarkers) in cancer. Enabling multimodal analytics promises to reveal novel predictive patterns of patient outcomes. In this study, we propose a multimodal transformer (PathOmics) integrating pathology and genomics insights into colon-related cancer survival prediction. We emphasize the unsupervised pretraining to capture the intrinsic interaction between tissue microenvironments in gigapixel whole slide images (WSIs) and a wide range of genomics data (e.g., mRNA-sequence, copy number variant, and methylation). After the multimodal knowledge aggregation in pretraining, our task-specific model finetuning could expand the scope of data utility applicable to both multi- and single-modal data (e.g., image- or genomics-only). We evaluate our approach on both TCGA colon and rectum cancer cohorts, showing that the proposed approach is competitive and outperforms state-of-the-art studies. Finally, our approach is desirable to utilize the limited number of finetuned samples towards data-efficient analytics for survival outcome prediction. The code is available at https://github.com/Cassie07/PathOmics.

19.6LGMar 16, 2023Code
Steering Prototypes with Prompt-tuning for Rehearsal-free Continual Learning

Zhuowei Li, Long Zhao, Zizhao Zhang et al. · deepmind

In the context of continual learning, prototypes-as representative class embeddings-offer advantages in memory conservation and the mitigation of catastrophic forgetting. However, challenges related to semantic drift and prototype interference persist. In this study, we introduce the Contrastive Prototypical Prompt (CPP) approach. Through task-specific prompt-tuning, underpinned by a contrastive learning objective, we effectively address both aforementioned challenges. Our evaluations on four challenging class-incremental benchmarks reveal that CPP achieves a significant 4% to 6% improvement over state-of-the-art methods. Importantly, CPP operates without a rehearsal buffer and narrows the performance divergence between continual and offline joint-learning, suggesting an innovative scheme for Transformer-based continual learning systems.

29.3CVOct 10, 2022
Visual Prompt Tuning for Test-time Domain Adaptation

Yunhe Gao, Xingjian Shi, Yi Zhu et al. · amazon-science

Models should be able to adapt to unseen data during test-time to avoid performance drops caused by inevitable distribution shifts in real-world deployment scenarios. In this work, we tackle the practical yet challenging test-time adaptation (TTA) problem, where a model adapts to the target domain without accessing the source data. We propose a simple recipe called \textit{Data-efficient Prompt Tuning} (DePT) with two key ingredients. First, DePT plugs visual prompts into the vision Transformer and only tunes these source-initialized prompts during adaptation. We find such parameter-efficient finetuning can efficiently adapt the model representation to the target domain without overfitting to the noise in the learning objective. Second, DePT bootstraps the source representation to the target domain by memory bank-based online pseudo-labeling. A hierarchical self-supervised regularization specially designed for prompts is jointly optimized to alleviate error accumulation during self-training. With much fewer tunable parameters, DePT demonstrates not only state-of-the-art performance on major adaptation benchmarks VisDA-C, ImageNet-C, and DomainNet-126, but also superior data efficiency, i.e., adaptation with only 1\% or 10\% data without much performance degradation compared to 100\% data. In addition, DePT is also versatile to be extended to online or multi-source TTA settings.

41.3IVJun 9, 2023
On the Challenges and Perspectives of Foundation Models for Medical Image Analysis

Shaoting Zhang, Dimitris Metaxas

This article discusses the opportunities, applications and future directions of large-scale pre-trained models, i.e., foundation models, for analyzing medical images. Medical foundation models have immense potential in solving a wide range of downstream tasks, as they can help to accelerate the development of accurate and robust models, reduce the large amounts of required labeled data, preserve the privacy and confidentiality of patient data. Specifically, we illustrate the "spectrum" of medical foundation models, ranging from general vision models, modality-specific models, to organ/task-specific models, highlighting their challenges, opportunities and applications. We also discuss how foundation models can be leveraged in downstream medical tasks to enhance the accuracy and efficiency of medical image analysis, leading to more precise diagnosis and treatment decisions.

14.5CVNov 22, 2022Code
CDDSA: Contrastive Domain Disentanglement and Style Augmentation for Generalizable Medical Image Segmentation

Ran Gu, Guotai Wang, Jiangshan Lu et al.

Generalization to previously unseen images with potential domain shifts and different styles is essential for clinically applicable medical image segmentation, and the ability to disentangle domain-specific and domain-invariant features is key for achieving Domain Generalization (DG). However, existing DG methods can hardly achieve effective disentanglement to get high generalizability. To deal with this problem, we propose an efficient Contrastive Domain Disentanglement and Style Augmentation (CDDSA) framework for generalizable medical image segmentation. First, a disentangle network is proposed to decompose an image into a domain-invariant anatomical representation and a domain-specific style code, where the former is sent to a segmentation model that is not affected by the domain shift, and the disentangle network is regularized by a decoder that combines the anatomical and style codes to reconstruct the input image. Second, to achieve better disentanglement, a contrastive loss is proposed to encourage the style codes from the same domain and different domains to be compact and divergent, respectively. Thirdly, to further improve generalizability, we propose a style augmentation method based on the disentanglement representation to synthesize images in various unseen styles with shared anatomical structures. Our method was validated on a public multi-site fundus image dataset for optic cup and disc segmentation and an in-house multi-site Nasopharyngeal Carcinoma Magnetic Resonance Image (NPC-MRI) dataset for nasopharynx Gross Tumor Volume (GTVnx) segmentation. Experimental results showed that the proposed CDDSA achieved remarkable generalizability across different domains, and it outperformed several state-of-the-art methods in domain-generalizable segmentation.

18.7CVJun 4, 2023Code
Training Like a Medical Resident: Context-Prior Learning Toward Universal Medical Image Segmentation

Yunhe Gao, Zhuowei Li, Di Liu et al.

A major focus of clinical imaging workflow is disease diagnosis and management, leading to medical imaging datasets strongly tied to specific clinical objectives. This scenario has led to the prevailing practice of developing task-specific segmentation models, without gaining insights from widespread imaging cohorts. Inspired by the training program of medical radiology residents, we propose a shift towards universal medical image segmentation, a paradigm aiming to build medical image understanding foundation models by leveraging the diversity and commonality across clinical targets, body regions, and imaging modalities. Towards this goal, we develop Hermes, a novel context-prior learning approach to address the challenges of data heterogeneity and annotation differences in medical image segmentation. In a large collection of eleven diverse datasets (2,438 3D images) across five modalities (CT, PET, T1, T2 and cine MRI) and multiple body regions, we demonstrate the merit of the universal paradigm over the traditional paradigm on addressing multiple tasks within a single model. By exploiting the synergy across tasks, Hermes achieves state-of-the-art performance on all testing datasets and shows superior model scalability. Results on two additional datasets reveals Hermes' strong performance for transfer learning, incremental learning, and generalization to downstream tasks. Hermes's learned priors demonstrate an appealing trait to reflect the intricate relations among tasks and modalities, which aligns with the established anatomical and imaging principles in radiology. The code is available: https://github.com/yhygao/universal-medical-image-segmentation.

6.9LGMar 24, 2022
A Manifold View of Adversarial Risk

Wenjia Zhang, Yikai Zhang, Xiaoling Hu et al.

The adversarial risk of a machine learning model has been widely studied. Most previous works assume that the data lies in the whole ambient space. We propose to take a new angle and take the manifold assumption into consideration. Assuming data lies in a manifold, we investigate two new types of adversarial risk, the normal adversarial risk due to perturbation along normal direction, and the in-manifold adversarial risk due to perturbation within the manifold. We prove that the classic adversarial risk can be bounded from both sides using the normal and in-manifold adversarial risks. We also show with a surprisingly pessimistic case that the standard adversarial risk can be nonzero even when both normal and in-manifold risks are zero. We finalize the paper with empirical studies supporting our theoretical results. Our results suggest the possibility of improving the robustness of a classifier by only focusing on the normal adversarial risk.

13.4IRApr 16
RankFlow: A Multi-Role Collaborative Reranking Workflow Utilizing Large Language Models

Can Jin, Hongwu Peng, Anxiang Zhang et al.

In an Information Retrieval (IR) system, reranking plays a critical role by sorting candidate passages according to their relevance to a specific query. This process demands a nuanced understanding of the variations among passages linked to the query. In this work, we introduce RankFlow, a multi-role reranking workflow that leverages the capabilities of Large Language Models (LLMs) and role specializations to improve reranking performance. RankFlow enlists LLMs to fulfill four distinct roles: the query Rewriter, the pseudo Answerer, the passage Summarizer, and the Reranker. This orchestrated approach enables RankFlow to: (1) accurately interpret queries, (2) draw upon LLMs' extensive pre-existing knowledge, (3) distill passages into concise versions, and (4) assess passages in a comprehensive manner, resulting in notably better reranking results. Our experimental results reveal that RankFlow outperforms existing leading approaches on widely recognized IR benchmarks, such as TREC-DL, BEIR, and NovelEval. Additionally, we investigate the individual contributions of each role in RankFlow.

29.3LGSep 5, 2024
Visual Prompting in Multimodal Large Language Models: A Survey

Junda Wu, Zhehao Zhang, Yu Xia et al.

Multimodal large language models (MLLMs) equip pre-trained large-language models (LLMs) with visual capabilities. While textual prompting in LLMs has been widely studied, visual prompting has emerged for more fine-grained and free-form visual instructions. This paper presents the first comprehensive survey on visual prompting methods in MLLMs, focusing on visual prompting, prompt generation, compositional reasoning, and prompt learning. We categorize existing visual prompts and discuss generative methods for automatic prompt annotations on the images. We also examine visual prompting methods that enable better alignment between visual encoders and backbone LLMs, concerning MLLM's visual grounding, object referring, and compositional reasoning abilities. In addition, we provide a summary of model training and in-context learning methods to improve MLLM's perception and understanding of visual prompts. This paper examines visual prompting methods developed in MLLMs and provides a vision of the future of these methods.

29.9AIApr 14, 2025Code
Two Heads are Better Than One: Test-time Scaling of Multi-agent Collaborative Reasoning

Can Jin, Hongwu Peng, Qixin Zhang et al.

Multi-agent systems (MAS) built on large language models (LLMs) offer a promising path toward solving complex, real-world tasks that single-agent systems often struggle to manage. While recent advancements in test-time scaling (TTS) have significantly improved single-agent performance on challenging reasoning tasks, how to effectively scale collaboration and reasoning in MAS remains an open question. In this work, we introduce an adaptive multi-agent framework designed to enhance collaborative reasoning through both model-level training and system-level coordination. We construct M500, a high-quality dataset containing 500 multi-agent collaborative reasoning traces, and fine-tune Qwen2.5-32B-Instruct on this dataset to produce M1-32B, a model optimized for multi-agent collaboration. To further enable adaptive reasoning, we propose a novel CEO agent that dynamically manages the discussion process, guiding agent collaboration and adjusting reasoning depth for more effective problem-solving. Evaluated in an open-source MAS across a range of tasks-including general understanding, mathematical reasoning, and coding-our system significantly outperforms strong baselines. For instance, M1-32B achieves 12% improvement on GPQA-Diamond, 41% on AIME2024, and 10% on MBPP-Sanitized, matching the performance of state-of-the-art models like DeepSeek-R1 on some tasks. These results highlight the importance of both learned collaboration and adaptive coordination in scaling multi-agent reasoning. Code is available at https://github.com/jincan333/MAS-TTS

18.6CVMay 22, 2024Code
How to Trace Latent Generative Model Generated Images without Artificial Watermark?

Zhenting Wang, Vikash Sehwag, Chen Chen et al. · princeton

Latent generative models (e.g., Stable Diffusion) have become more and more popular, but concerns have arisen regarding potential misuse related to images generated by these models. It is, therefore, necessary to analyze the origin of images by inferring if a particular image was generated by a specific latent generative model. Most existing methods (e.g., image watermark and model fingerprinting) require extra steps during training or generation. These requirements restrict their usage on the generated images without such extra operations, and the extra required operations might compromise the quality of the generated images. In this work, we ask whether it is possible to effectively and efficiently trace the images generated by a specific latent generative model without the aforementioned requirements. To study this problem, we design a latent inversion based method called LatentTracer to trace the generated images of the inspected model by checking if the examined images can be well-reconstructed with an inverted latent input. We leverage gradient based latent inversion and identify a encoder-based initialization critical to the success of our approach. Our experiments on the state-of-the-art latent generative models, such as Stable Diffusion, show that our method can distinguish the images generated by the inspected model and other images with a high accuracy and efficiency. Our findings suggest the intriguing possibility that today's latent generative generated images are naturally watermarked by the decoder used in the source models. Code: https://github.com/ZhentingWang/LatentTracer.

8.4CVNov 11, 2025
Anatomy-VLM: A Fine-grained Vision-Language Model for Medical Interpretation

Difei Gu, Yunhe Gao, Mu Zhou et al.

Accurate disease interpretation from radiology remains challenging due to imaging heterogeneity. Achieving expert-level diagnostic decisions requires integration of subtle image features with clinical knowledge. Yet major vision-language models (VLMs) treat images as holistic entities and overlook fine-grained image details that are vital for disease diagnosis. Clinicians analyze images by utilizing their prior medical knowledge and identify anatomical structures as important region of interests (ROIs). Inspired from this human-centric workflow, we introduce Anatomy-VLM, a fine-grained, vision-language model that incorporates multi-scale information. First, we design a model encoder to localize key anatomical features from entire medical images. Second, these regions are enriched with structured knowledge for contextually-aware interpretation. Finally, the model encoder aligns multi-scale medical information to generate clinically-interpretable disease prediction. Anatomy-VLM achieves outstanding performance on both in- and out-of-distribution datasets. We also validate the performance of Anatomy-VLM on downstream image segmentation tasks, suggesting that its fine-grained alignment captures anatomical and pathology-related knowledge. Furthermore, the Anatomy-VLM's encoder facilitates zero-shot anatomy-wise interpretation, providing its strong expert-level clinical interpretation capabilities.

14.1CVNov 6, 2024Code
DiMSUM: Diffusion Mamba -- A Scalable and Unified Spatial-Frequency Method for Image Generation

Hao Phung, Quan Dao, Trung Dao et al.

We introduce a novel state-space architecture for diffusion models, effectively harnessing spatial and frequency information to enhance the inductive bias towards local features in input images for image generation tasks. While state-space networks, including Mamba, a revolutionary advancement in recurrent neural networks, typically scan input sequences from left to right, they face difficulties in designing effective scanning strategies, especially in the processing of image data. Our method demonstrates that integrating wavelet transformation into Mamba enhances the local structure awareness of visual inputs and better captures long-range relations of frequencies by disentangling them into wavelet subbands, representing both low- and high-frequency components. These wavelet-based outputs are then processed and seamlessly fused with the original Mamba outputs through a cross-attention fusion layer, combining both spatial and frequency information to optimize the order awareness of state-space models which is essential for the details and overall quality of image generation. Besides, we introduce a globally-shared transformer to supercharge the performance of Mamba, harnessing its exceptional power to capture global relationships. Through extensive experiments on standard benchmarks, our method demonstrates superior results compared to DiT and DIFFUSSM, achieving faster training convergence and delivering high-quality outputs. The codes and pretrained models are released at https://github.com/VinAIResearch/DiMSUM.git.

17.6LGMay 23, 2024Code
Implicit In-context Learning

Zhuowei Li, Zihao Xu, Ligong Han et al.

In-context Learning (ICL) empowers large language models (LLMs) to swiftly adapt to unseen tasks at inference-time by prefixing a few demonstration examples before queries. Despite its versatility, ICL incurs substantial computational and memory overheads compared to zero-shot learning and is sensitive to the selection and order of demonstration examples. In this work, we introduce Implicit In-context Learning (I2CL), an innovative paradigm that reduces the inference cost of ICL to that of zero-shot learning with minimal information loss. I2CL operates by first generating a condensed vector representation, namely a context vector, extracted from the demonstration examples. It then conducts an inference-time intervention through injecting a linear combination of the context vector and query activations back into the model's residual streams. Empirical evaluation on nine real-world tasks across three model architectures demonstrates that I2CL achieves few-shot level performance at zero-shot inference cost, and it exhibits robustness against variations in demonstration examples. Furthermore, I2CL facilitates a novel representation of task-ids, enhancing task similarity detection and fostering effective transfer learning. We also perform a comprehensive analysis and ablation study on I2CL, offering deeper insights into its internal mechanisms. Code is available at https://github.com/LzVv123456/I2CL.

7.1LGFeb 22, 2025Code
MedForge: Building Medical Foundation Models Like Open Source Software Development

Zheling Tan, Kexin Ding, Jin Gao et al.

Foundational models (FMs) have made significant strides in the healthcare domain. Yet the data silo challenge and privacy concern remain in healthcare systems, hindering safe medical data sharing and collaborative model development among institutions. The collection and curation of scalable clinical datasets increasingly become the bottleneck for training strong FMs. In this study, we propose Medical Foundation Models Merging (MedForge), a cooperative framework enabling a community-driven medical foundation model development, meanwhile preventing the information leakage of raw patient data and mitigating synchronization model development issues across clinical institutions. MedForge offers a bottom-up model construction mechanism by flexibly merging task-specific Low-Rank Adaptation (LoRA) modules, which can adapt to downstream tasks while retaining original model parameters. Through an asynchronous LoRA module integration scheme, the resulting composite model can progressively enhance its comprehensive performance on various clinical tasks. MedForge shows strong performance on multiple clinical datasets (e.g., breast cancer, lung cancer, and colon cancer) collected from different institutions. Our major findings highlight the value of collaborative foundation models in advancing multi-center clinical collaboration effectively and cohesively. Our code is publicly available at https://github.com/TanZheling/MedForge.

3.7CVDec 22, 2024Code
Self-Corrected Flow Distillation for Consistent One-Step and Few-Step Text-to-Image Generation

Quan Dao, Hao Phung, Trung Dao et al.

Flow matching has emerged as a promising framework for training generative models, demonstrating impressive empirical performance while offering relative ease of training compared to diffusion-based models. However, this method still requires numerous function evaluations in the sampling process. To address these limitations, we introduce a self-corrected flow distillation method that effectively integrates consistency models and adversarial training within the flow-matching framework. This work is a pioneer in achieving consistent generation quality in both few-step and one-step sampling. Our extensive experiments validate the effectiveness of our method, yielding superior results both quantitatively and qualitatively on CelebA-HQ and zero-shot benchmarks on the COCO dataset. Our implementation is released at https://github.com/VinAIResearch/SCFlow

10.2CVNov 28, 2025Code
Flow Straighter and Faster: Efficient One-Step Generative Modeling via MeanFlow on Rectified Trajectories

Xinxi Zhang, Shiwei Tan, Quang Nguyen et al.

Flow-based generative models have recently demonstrated strong performance, yet sampling typically relies on expensive numerical integration of ordinary differential equations (ODEs). Rectified Flow enables one-step sampling by learning nearly straight probability paths, but achieving such straightness requires multiple computationally intensive reflow iterations. MeanFlow achieves one-step generation by directly modeling the average velocity over time; however, when trained on highly curved flows, it suffers from slow convergence and noisy supervision. To address these limitations, we propose Rectified MeanFlow, a framework that models the mean velocity field along the rectified trajectory using only a single reflow step. This eliminates the need for perfectly straightened trajectories while enabling efficient training. Furthermore, we introduce a simple yet effective truncation heuristic that aims to reduce residual curvature and further improve performance. Extensive experiments on ImageNet at 64, 256, and 512 resolutions show that Re-MeanFlow consistently outperforms prior one-step flow distillation and Rectified Flow methods in both sample quality and training efficiency. Code is available at https://github.com/Xinxi-Zhang/Re-MeanFlow.

14.1CVJun 8, 2024Code
Aligning Human Knowledge with Visual Concepts Towards Explainable Medical Image Classification

Yunhe Gao, Difei Gu, Mu Zhou et al.

Although explainability is essential in the clinical diagnosis, most deep learning models still function as black boxes without elucidating their decision-making process. In this study, we investigate the explainable model development that can mimic the decision-making process of human experts by fusing the domain knowledge of explicit diagnostic criteria. We introduce a simple yet effective framework, Explicd, towards Explainable language-informed criteria-based diagnosis. Explicd initiates its process by querying domain knowledge from either large language models (LLMs) or human experts to establish diagnostic criteria across various concept axes (e.g., color, shape, texture, or specific patterns of diseases). By leveraging a pretrained vision-language model, Explicd injects these criteria into the embedding space as knowledge anchors, thereby facilitating the learning of corresponding visual concepts within medical images. The final diagnostic outcome is determined based on the similarity scores between the encoded visual concepts and the textual criteria embeddings. Through extensive evaluation of five medical image classification benchmarks, Explicd has demonstrated its inherent explainability and extends to improve classification performance compared to traditional black-box models. Code is available at \url{https://github.com/yhygao/Explicd}.

7.5IVMar 5, 2021Code
Liver Fibrosis and NAS scoring from CT images using self-supervised learning and texture encoding

Ananya Jana, Hui Qu, Carlos D. Minacapelli et al.

Non-alcoholic fatty liver disease (NAFLD) is one of the most common causes of chronic liver diseases (CLD) which can progress to liver cancer. The severity and treatment of NAFLD is determined by NAFLD Activity Scores (NAS)and liver fibrosis stage, which are usually obtained from liver biopsy. However, biopsy is invasive in nature and involves risk of procedural complications. Current methods to predict the fibrosis and NAS scores from noninvasive CT images rely heavily on either a large annotated dataset or transfer learning using pretrained networks. However, the availability of a large annotated dataset cannot be always ensured andthere can be domain shifts when using transfer learning. In this work, we propose a self-supervised learning method to address both problems. As the NAFLD causes changes in the liver texture, we also propose to use texture encoded inputs to improve the performance of the model. Given a relatively small dataset with 30 patients, we employ a self-supervised network which achieves better performance than a network trained via transfer learning. The code is publicly available at https://github.com/ananyajana/fibrosis_code.

18.1CVFeb 4, 2021Code
CrossNorm and SelfNorm for Generalization under Distribution Shifts

Zhiqiang Tang, Yunhe Gao, Yi Zhu et al.

Traditional normalization techniques (e.g., Batch Normalization and Instance Normalization) generally and simplistically assume that training and test data follow the same distribution. As distribution shifts are inevitable in real-world applications, well-trained models with previous normalization methods can perform badly in new environments. Can we develop new normalization methods to improve generalization robustness under distribution shifts? In this paper, we answer the question by proposing CrossNorm and SelfNorm. CrossNorm exchanges channel-wise mean and variance between feature maps to enlarge training distribution, while SelfNorm uses attention to recalibrate the statistics to bridge gaps between training and test distributions. CrossNorm and SelfNorm can complement each other, though exploring different directions in statistics usage. Extensive experiments on different fields (vision and language), tasks (classification and segmentation), settings (supervised and semi-supervised), and distribution shift types (synthetic and natural) show the effectiveness. Code is available at https://github.com/amazon-research/crossnorm-selfnorm

14.0CVJul 17, 2020Code
OnlineAugment: Online Data Augmentation with Less Domain Knowledge

Zhiqiang Tang, Yunhe Gao, Leonid Karlinsky et al.

Data augmentation is one of the most important tools in training modern deep neural networks. Recently, great advances have been made in searching for optimal augmentation policies in the image classification domain. However, two key points related to data augmentation remain uncovered by the current methods. First is that most if not all modern augmentation search methods are offline and learning policies are isolated from their usage. The learned policies are mostly constant throughout the training process and are not adapted to the current training model state. Second, the policies rely on class-preserving image processing functions. Hence applying current offline methods to new tasks may require domain knowledge to specify such kind of operations. In this work, we offer an orthogonal online data augmentation scheme together with three new augmentation networks, co-trained with the target learning task. It is both more efficient, in the sense that it does not require expensive offline training when entering a new domain, and more adaptive as it adapts to the learner state. Our augmentation networks require less domain knowledge and are easily applicable to new tasks. Extensive experiments demonstrate that the proposed scheme alone performs on par with the state-of-the-art offline data augmentation methods, as well as improving upon the state-of-the-art in combination with those methods. Code is available at https://github.com/zhiqiangdon/online-augment .

12.1IVJan 9, 2020Code
Vertebra-Focused Landmark Detection for Scoliosis Assessment

Jingru Yi, Pengxiang Wu, Qiaoying Huang et al.

Adolescent idiopathic scoliosis (AIS) is a lifetime disease that arises in children. Accurate estimation of Cobb angles of the scoliosis is essential for clinicians to make diagnosis and treatment decisions. The Cobb angles are measured according to the vertebrae landmarks. Existing regression-based methods for the vertebra landmark detection typically suffer from large dense mapping parameters and inaccurate landmark localization. The segmentation-based methods tend to predict connected or corrupted vertebra masks. In this paper, we propose a novel vertebra-focused landmark detection method. Our model first localizes the vertebra centers, based on which it then traces the four corner landmarks of the vertebra through the learned corner offset. In this way, our method is able to keep the order of the landmarks. The comparison results demonstrate the merits of our method in both Cobb angle measurement and landmark detection on low-contrast and ambiguous X-ray images. Code is available at: \url{https://github.com/yijingru/Vertebra-Landmark-Detection}.

10.2CVDec 3, 2025
Stable Signer: Hierarchical Sign Language Generative Model

Sen Fang, Yalin Feng, Hongbin Zhong et al.

Sign Language Production (SLP) is the process of converting the complex input text into a real video. Most previous works focused on the Text2Gloss, Gloss2Pose, Pose2Vid stages, and some concentrated on Prompt2Gloss and Text2Avatar stages. However, this field has made slow progress due to the inaccuracy of text conversion, pose generation, and the rendering of poses into real human videos in these stages, resulting in gradually accumulating errors. Therefore, in this paper, we streamline the traditional redundant structure, simplify and optimize the task objective, and design a new sign language generative model called Stable Signer. It redefines the SLP task as a hierarchical generation end-to-end task that only includes text understanding (Prompt2Gloss, Text2Gloss) and Pose2Vid, and executes text understanding through our proposed new Sign Language Understanding Linker called SLUL, and generates hand gestures through the named SLP-MoE hand gesture rendering expert block to end-to-end generate high-quality and multi-style sign language videos. SLUL is trained using the newly developed Semantic-Aware Gloss Masking Loss (SAGM Loss). Its performance has improved by 48.6% compared to the current SOTA generation methods.

24.3CVDec 31, 2024
MLLM-as-a-Judge for Image Safety without Human Labeling

Zhenting Wang, Shuming Hu, Shiyu Zhao et al.

Image content safety has become a significant challenge with the rise of visual media on online platforms. Meanwhile, in the age of AI-generated content (AIGC), many image generation models are capable of producing harmful content, such as images containing sexual or violent material. Thus, it becomes crucial to identify such unsafe images based on established safety rules. Pre-trained Multimodal Large Language Models (MLLMs) offer potential in this regard, given their strong pattern recognition abilities. Existing approaches typically fine-tune MLLMs with human-labeled datasets, which however brings a series of drawbacks. First, relying on human annotators to label data following intricate and detailed guidelines is both expensive and labor-intensive. Furthermore, users of safety judgment systems may need to frequently update safety rules, making fine-tuning on human-based annotation more challenging. This raises the research question: Can we detect unsafe images by querying MLLMs in a zero-shot setting using a predefined safety constitution (a set of safety rules)? Our research showed that simply querying pre-trained MLLMs does not yield satisfactory results. This lack of effectiveness stems from factors such as the subjectivity of safety rules, the complexity of lengthy constitutions, and the inherent biases in the models. To address these challenges, we propose a MLLM-based method includes objectifying safety rules, assessing the relevance between rules and images, making quick judgments based on debiased token probabilities with logically complete yet simplified precondition chains for safety rules, and conducting more in-depth reasoning with cascaded chain-of-thought processes if necessary. Experiment results demonstrate that our method is highly effective for zero-shot image safety judgment tasks.

19.8CVDec 13, 2024
SnapGen-V: Generating a Five-Second Video within Five Seconds on a Mobile Device

Yushu Wu, Zhixing Zhang, Yanyu Li et al.

We have witnessed the unprecedented success of diffusion-based video generation over the past year. Recently proposed models from the community have wielded the power to generate cinematic and high-resolution videos with smooth motions from arbitrary input prompts. However, as a supertask of image generation, video generation models require more computation and are thus hosted mostly on cloud servers, limiting broader adoption among content creators. In this work, we propose a comprehensive acceleration framework to bring the power of the large-scale video diffusion model to the hands of edge users. From the network architecture scope, we initialize from a compact image backbone and search out the design and arrangement of temporal layers to maximize hardware efficiency. In addition, we propose a dedicated adversarial fine-tuning algorithm for our efficient model and reduce the denoising steps to 4. Our model, with only 0.6B parameters, can generate a 5-second video on an iPhone 16 PM within 5 seconds. Compared to server-side models that take minutes on powerful GPUs to generate a single video, we accelerate the generation by magnitudes while delivering on-par quality.

19.0CVNov 30, 2024
Accelerating Multimodal Large Language Models by Searching Optimal Vision Token Reduction

Shiyu Zhao, Zhenting Wang, Felix Juefei-Xu et al.

Prevailing Multimodal Large Language Models (MLLMs) encode the input image(s) as vision tokens and feed them into the language backbone, similar to how Large Language Models (LLMs) process the text tokens. However, the number of vision tokens increases quadratically as the image resolutions, leading to huge computational costs. In this paper, we consider improving MLLM's efficiency from two scenarios, (I) Reducing computational cost without degrading the performance. (II) Improving the performance with given budgets. We start with our main finding that the ranking of each vision token sorted by attention scores is similar in each layer except the first layer. Based on it, we assume that the number of essential top vision tokens does not increase along layers. Accordingly, for Scenario I, we propose a greedy search algorithm (G-Search) to find the least number of vision tokens to keep at each layer from the shallow to the deep. Interestingly, G-Search is able to reach the optimal reduction strategy based on our assumption. For Scenario II, based on the reduction strategy from G-Search, we design a parametric sigmoid function (P-Sigmoid) to guide the reduction at each layer of the MLLM, whose parameters are optimized by Bayesian Optimization. Extensive experiments demonstrate that our approach can significantly accelerate those popular MLLMs, e.g. LLaVA, and InternVL2 models, by more than $2 \times$ without performance drops. Our approach also far outperforms other token reduction methods when budgets are limited, achieving a better trade-off between efficiency and effectiveness.

14.4CVFeb 27, 2025
LUCAS: Layered Universal Codec Avatars

Di Liu, Teng Deng, Giljoo Nam et al.

Photorealistic 3D head avatar reconstruction faces critical challenges in modeling dynamic face-hair interactions and achieving cross-identity generalization, particularly during expressions and head movements. We present LUCAS, a novel Universal Prior Model (UPM) for codec avatar modeling that disentangles face and hair through a layered representation. Unlike previous UPMs that treat hair as an integral part of the head, our approach separates the modeling of the hairless head and hair into distinct branches. LUCAS is the first to introduce a mesh-based UPM, facilitating real-time rendering on devices. Our layered representation also improves the anchor geometry for precise and visually appealing Gaussian renderings. Experimental results indicate that LUCAS outperforms existing single-mesh and Gaussian-based avatar models in both quantitative and qualitative assessments, including evaluations on held-out subjects in zero-shot driving scenarios. LUCAS demonstrates superior dynamic performance in managing head pose changes, expression transfer, and hairstyle variations, thereby advancing the state-of-the-art in 3D head avatar reconstruction.

8.4CVJan 6, 2025
Rate-My-LoRA: Efficient and Adaptive Federated Model Tuning for Cardiac MRI Segmentation

Xiaoxiao He, Haizhou Shi, Ligong Han et al.

Cardiovascular disease (CVD) and cardiac dyssynchrony are major public health problems in the United States. Precise cardiac image segmentation is crucial for extracting quantitative measures that help categorize cardiac dyssynchrony. However, achieving high accuracy often depends on centralizing large datasets from different hospitals, which can be challenging due to privacy concerns. To solve this problem, Federated Learning (FL) is proposed to enable decentralized model training on such data without exchanging sensitive information. However, bandwidth limitations and data heterogeneity remain as significant challenges in conventional FL algorithms. In this paper, we propose a novel efficient and adaptive federate learning method for cardiac segmentation that improves model performance while reducing the bandwidth requirement. Our method leverages the low-rank adaptation (LoRA) to regularize model weight update and reduce communication overhead. We also propose a \mymethod{} aggregation technique to address data heterogeneity among clients. This technique adaptively penalizes the aggregated weights from different clients by comparing the validation accuracy in each client, allowing better generalization performance and fast local adaptation. In-client and cross-client evaluations on public cardiac MR datasets demonstrate the superiority of our method over other LoRA-based federate learning approaches.

2.0CVOct 30, 2024Code
Continuous Spatio-Temporal Memory Networks for 4D Cardiac Cine MRI Segmentation

Meng Ye, Bingyu Xin, Leon Axel et al.

Current cardiac cine magnetic resonance image (cMR) studies focus on the end diastole (ED) and end systole (ES) phases, while ignoring the abundant temporal information in the whole image sequence. This is because whole sequence segmentation is currently a tedious process and inaccurate. Conventional whole sequence segmentation approaches first estimate the motion field between frames, which is then used to propagate the mask along the temporal axis. However, the mask propagation results could be prone to error, especially for the basal and apex slices, where through-plane motion leads to significant morphology and structural change during the cardiac cycle. Inspired by recent advances in video object segmentation (VOS), based on spatio-temporal memory (STM) networks, we propose a continuous STM (CSTM) network for semi-supervised whole heart and whole sequence cMR segmentation. Our CSTM network takes full advantage of the spatial, scale, temporal and through-plane continuity prior of the underlying heart anatomy structures, to achieve accurate and fast 4D segmentation. Results of extensive experiments across multiple cMR datasets show that our method can improve the 4D cMR segmentation performance, especially for the hard-to-segment regions.

6.2CVSep 29, 2025
K-Prism: A Knowledge-Guided and Prompt Integrated Universal Medical Image Segmentation Model

Bangwei Guo, Yunhe Gao, Meng Ye et al.

Medical image segmentation is fundamental to clinical decision-making, yet existing models remain fragmented. They are usually trained on single knowledge sources and specific to individual tasks, modalities, or organs. This fragmentation contrasts sharply with clinical practice, where experts seamlessly integrate diverse knowledge: anatomical priors from training, exemplar-based reasoning from reference cases, and iterative refinement through real-time interaction. We present $\textbf{K-Prism}$, a unified segmentation framework that mirrors this clinical flexibility by systematically integrating three knowledge paradigms: (i) $\textit{semantic priors}$ learned from annotated datasets, (ii) $\textit{in-context knowledge}$ from few-shot reference examples, and (iii) $\textit{interactive feedback}$ from user inputs like clicks or scribbles. Our key insight is that these heterogeneous knowledge sources can be encoded into a dual-prompt representation: 1-D sparse prompts defining $\textit{what}$ to segment and 2-D dense prompts indicating $\textit{where}$ to attend, which are then dynamically routed through a Mixture-of-Experts (MoE) decoder. This design enables flexible switching between paradigms and joint training across diverse tasks without architectural modifications. Comprehensive experiments on 18 public datasets spanning diverse modalities (CT, MRI, X-ray, pathology, ultrasound, etc.) demonstrate that K-Prism achieves state-of-the-art performance across semantic, in-context, and interactive segmentation settings. Code will be released upon publication.

3.3CYMay 2, 2025
Aligning Large Language Models with Healthcare Stakeholders: A Pathway to Trustworthy AI Integration

Kexin Ding, Mu Zhou, Akshay Chaudhari et al.

The wide exploration of large language models (LLMs) raises the awareness of alignment between healthcare stakeholder preferences and model outputs. This alignment becomes a crucial foundation to empower the healthcare workflow effectively, safely, and responsibly. Yet the varying behaviors of LLMs may not always match with healthcare stakeholders' knowledge, demands, and values. To enable a human-AI alignment, healthcare stakeholders will need to perform essential roles in guiding and enhancing the performance of LLMs. Human professionals must participate in the entire life cycle of adopting LLM in healthcare, including training data curation, model training, and inference. In this review, we discuss the approaches, tools, and applications of alignments between healthcare stakeholders and LLMs. We demonstrate that LLMs can better follow human values by properly enhancing healthcare knowledge integration, task understanding, and human guidance. We provide outlooks on enhancing the alignment between humans and LLMs to build trustworthy real-world healthcare applications.

24.5AIJun 20, 2024
APEER: Automatic Prompt Engineering Enhances Large Language Model Reranking

Can Jin, Hongwu Peng, Shiyu Zhao et al.

Large Language Models (LLMs) have significantly enhanced Information Retrieval (IR) across various modules, such as reranking. Despite impressive performance, current zero-shot relevance ranking with LLMs heavily relies on human prompt engineering. Existing automatic prompt engineering algorithms primarily focus on language modeling and classification tasks, leaving the domain of IR, particularly reranking, underexplored. Directly applying current prompt engineering algorithms to relevance ranking is challenging due to the integration of query and long passage pairs in the input, where the ranking complexity surpasses classification tasks. To reduce human effort and unlock the potential of prompt optimization in reranking, we introduce a novel automatic prompt engineering algorithm named APEER. APEER iteratively generates refined prompts through feedback and preference optimization. Extensive experiments with four LLMs and ten datasets demonstrate the substantial performance improvement of APEER over existing state-of-the-art (SoTA) manual prompts. Furthermore, we find that the prompts generated by APEER exhibit better transferability across diverse tasks and LLMs.

25.1LGJun 17, 2024Code
BLoB: Bayesian Low-Rank Adaptation by Backpropagation for Large Language Models

Yibin Wang, Haizhou Shi, Ligong Han et al.

Large Language Models (LLMs) often suffer from overconfidence during inference, particularly when adapted to downstream domain-specific tasks with limited data. Previous work addresses this issue by employing approximate Bayesian estimation after the LLMs are trained, enabling them to quantify uncertainty. However, such post-training approaches' performance is severely limited by the parameters learned during training. In this paper, we go beyond post-training Bayesianization and propose Bayesian Low-Rank Adaptation by Backpropagation (BLoB), an algorithm that continuously and jointly adjusts both the mean and covariance of LLM parameters throughout the whole fine-tuning process. Our empirical results verify the effectiveness of BLoB in terms of generalization and uncertainty estimation, when evaluated on both in-distribution and out-of-distribution data.

22.4CVJun 6, 2024Code
SF-V: Single Forward Video Generation Model

Zhixing Zhang, Yanyu Li, Yushu Wu et al.

Diffusion-based video generation models have demonstrated remarkable success in obtaining high-fidelity videos through the iterative denoising process. However, these models require multiple denoising steps during sampling, resulting in high computational costs. In this work, we propose a novel approach to obtain single-step video generation models by leveraging adversarial training to fine-tune pre-trained video diffusion models. We show that, through the adversarial training, the multi-steps video diffusion model, i.e., Stable Video Diffusion (SVD), can be trained to perform single forward pass to synthesize high-quality videos, capturing both temporal and spatial dependencies in the video data. Extensive experiments demonstrate that our method achieves competitive generation quality of synthesized videos with significantly reduced computational overhead for the denoising process (i.e., around $23\times$ speedup compared with SVD and $6\times$ speedup compared with existing works, with even better generation quality), paving the way for real-time video synthesis and editing. More visualization results are made publicly available at https://snap-research.github.io/SF-V.

6.8CVSep 2, 2023
Deep Deformable Models: Learning 3D Shape Abstractions with Part Consistency

Di Liu, Long Zhao, Qilong Zhangli et al.

The task of shape abstraction with semantic part consistency is challenging due to the complex geometries of natural objects. Recent methods learn to represent an object shape using a set of simple primitives to fit the target. \textcolor{black}{However, in these methods, the primitives used do not always correspond to real parts or lack geometric flexibility for semantic interpretation.} In this paper, we investigate salient and efficient primitive descriptors for accurate shape abstractions, and propose \textit{Deep Deformable Models (DDMs)}. DDM employs global deformations and diffeomorphic local deformations. These properties enable DDM to abstract complex object shapes with significantly fewer primitives that offer broader geometry coverage and finer details. DDM is also capable of learning part-level semantic correspondences due to the differentiable and invertible properties of our primitive deformation. Moreover, DDM learning formulation is based on dynamic and kinematic modeling, which enables joint regularization of each sub-transformation during primitive fitting. Extensive experiments on \textit{ShapeNet} demonstrate that DDM outperforms the state-of-the-art in terms of reconstruction and part consistency by a notable margin.

26.7IVFeb 28, 2022Code
A Data-scalable Transformer for Medical Image Segmentation: Architecture, Model Efficiency, and Benchmark

Yunhe Gao, Mu Zhou, Di Liu et al.

Transformers have demonstrated remarkable performance in natural language processing and computer vision. However, existing vision Transformers struggle to learn from limited medical data and are unable to generalize on diverse medical image tasks. To tackle these challenges, we present MedFormer, a data-scalable Transformer designed for generalizable 3D medical image segmentation. Our approach incorporates three key elements: a desirable inductive bias, hierarchical modeling with linear-complexity attention, and multi-scale feature fusion that integrates spatial and semantic information globally. MedFormer can learn across tiny- to large-scale data without pre-training. Comprehensive experiments demonstrate MedFormer's potential as a versatile segmentation backbone, outperforming CNNs and vision Transformers on seven public datasets covering multiple modalities (e.g., CT and MRI) and various medical targets (e.g., healthy organs, diseased tissues, and tumors). We provide public access to our models and evaluation pipeline, offering solid baselines and unbiased comparisons to advance a wide range of downstream clinical applications.

1.4CVFeb 24, 2022Code
Learning Transferable Reward for Query Object Localization with Policy Adaptation

Tingfeng Li, Shaobo Han, Martin Renqiang Min et al.

We propose a reinforcement learning based approach to query object localization, for which an agent is trained to localize objects of interest specified by a small exemplary set. We learn a transferable reward signal formulated using the exemplary set by ordinal metric learning. Our proposed method enables test-time policy adaptation to new environments where the reward signals are not readily available, and outperforms fine-tuning approaches that are limited to annotated images. In addition, the transferable reward allows repurposing the trained agent from one specific class to another class. Experiments on corrupted MNIST, CU-Birds, and COCO datasets demonstrate the effectiveness of our approach.

2.6CVJan 21, 2022Code
Contrastive and Selective Hidden Embeddings for Medical Image Segmentation

Zhuowei Li, Zihao Liu, Zhiqiang Hu et al.

Medical image segmentation has been widely recognized as a pivot procedure for clinical diagnosis, analysis, and treatment planning. However, the laborious and expensive annotation process lags down the speed of further advances. Contrastive learning-based weight pre-training provides an alternative by leveraging unlabeled data to learn a good representation. In this paper, we investigate how contrastive learning benefits the general supervised medical segmentation tasks. To this end, patch-dragsaw contrastive regularization (PDCR) is proposed to perform patch-level tugging and repulsing with the extent controlled by a continuous affinity score. And a new structure dubbed uncertainty-aware feature selection block (UAFS) is designed to perform the feature selection process, which can handle the learning target shift caused by minority features with high uncertainty. By plugging the proposed 2 modules into the existing segmentation architecture, we achieve state-of-the-art results across 8 public datasets from 6 domains. Newly designed modules further decrease the amount of training data to a quarter while achieving comparable, if not better, performances. From this perspective, we take the opposite direction of the original self/un-supervised contrastive learning by further excavating information contained within the label.

32.0IVNov 3, 2021Code
WORD: A large scale dataset, benchmark and clinical applicable study for abdominal organ segmentation from CT image

Xiangde Luo, Wenjun Liao, Jianghong Xiao et al.

Whole abdominal organ segmentation is important in diagnosing abdomen lesions, radiotherapy, and follow-up. However, oncologists' delineating all abdominal organs from 3D volumes is time-consuming and very expensive. Deep learning-based medical image segmentation has shown the potential to reduce manual delineation efforts, but it still requires a large-scale fine annotated dataset for training, and there is a lack of large-scale datasets covering the whole abdomen region with accurate and detailed annotations for the whole abdominal organ segmentation. In this work, we establish a new large-scale \textit{W}hole abdominal \textit{OR}gan \textit{D}ataset (\textit{WORD}) for algorithm research and clinical application development. This dataset contains 150 abdominal CT volumes (30495 slices). Each volume has 16 organs with fine pixel-level annotations and scribble-based sparse annotations, which may be the largest dataset with whole abdominal organ annotation. Several state-of-the-art segmentation methods are evaluated on this dataset. And we also invited three experienced oncologists to revise the model predictions to measure the gap between the deep learning method and oncologists. Afterwards, we investigate the inference-efficient learning on the WORD, as the high-resolution image requires large GPU memory and a long inference time in the test stage. We further evaluate the scribble-based annotation-efficient learning on this dataset, as the pixel-wise manual annotation is time-consuming and expensive. The work provided a new benchmark for the abdominal multi-organ segmentation task, and these experiments can serve as the baseline for future research and clinical application development.

16.4IVSep 29, 2021Code
Semi-Supervised Segmentation of Radiation-Induced Pulmonary Fibrosis from Lung CT Scans with Multi-Scale Guided Dense Attention

Guotai Wang, Shuwei Zhai, Giovanni Lasio et al.

Computed Tomography (CT) plays an important role in monitoring radiation-induced Pulmonary Fibrosis (PF), where accurate segmentation of the PF lesions is highly desired for diagnosis and treatment follow-up. However, the task is challenged by ambiguous boundary, irregular shape, various position and size of the lesions, as well as the difficulty in acquiring a large set of annotated volumetric images for training. To overcome these problems, we propose a novel convolutional neural network called PF-Net and incorporate it into a semi-supervised learning framework based on Iterative Confidence-based Refinement And Weighting of pseudo Labels (I-CRAWL). Our PF-Net combines 2D and 3D convolutions to deal with CT volumes with large inter-slice spacing, and uses multi-scale guided dense attention to segment complex PF lesions. For semi-supervised learning, our I-CRAWL employs pixel-level uncertainty-based confidence-aware refinement to improve the accuracy of pseudo labels of unannotated images, and uses image-level uncertainty for confidence-based image weighting to suppress low-quality pseudo labels in an iterative training process. Extensive experiments with CT scans of Rhesus Macaques with radiation-induced PF showed that: 1) PF-Net achieved higher segmentation accuracy than existing 2D, 3D and 2.5D neural networks, and 2) I-CRAWL outperformed state-of-the-art semi-supervised learning methods for the PF lesion segmentation task. Our method has a potential to improve the diagnosis of PF and clinical assessment of side effects of radiotherapy for lung cancers.

1.6LGSep 10, 2021Code
Global and Local Interpretation of black-box Machine Learning models to determine prognostic factors from early COVID-19 data

Ananya Jana, Carlos D. Minacapelli, Vinod Rustgi et al.

The COVID-19 corona virus has claimed 4.1 million lives, as of July 24, 2021. A variety of machine learning models have been applied to related data to predict important factors such as the severity of the disease, infection rate and discover important prognostic factors. Often the usefulness of the findings from the use of these techniques is reduced due to lack of method interpretability. Some recent progress made on the interpretability of machine learning models has the potential to unravel more insights while using conventional machine learning models. In this work, we analyze COVID-19 blood work data with some of the popular machine learning models; then we employ state-of-the-art post-hoc local interpretability techniques(e.g.- SHAP, LIME), and global interpretability techniques(e.g. - symbolic metamodeling) to the trained black-box models to draw interpretable conclusions. In the gamut of machine learning algorithms, regressions remain one of the simplest and most explainable models with clear mathematical formulation. We explore one of the most recent techniques called symbolic metamodeling to find the mathematical expression of the machine learning models for COVID-19. We identify Acute Kidney Injury (AKI), initial Albumin level (ALBI), Aspartate aminotransferase (ASTI), Total Bilirubin initial(TBILI) and D-Dimer initial (DIMER) as major prognostic factors of the disease severity. Our contributions are- (i) uncover the underlying mathematical expression for the black-box models on COVID-19 severity prediction task (ii) we are the first to apply symbolic metamodeling to this task, and (iii) discover important features and feature interactions.

5.2CLSep 1, 2021Code
Stochastic Transformer Networks with Linear Competing Units: Application to end-to-end SL Translation

Andreas Voskou, Konstantinos P. Panousis, Dimitrios Kosmopoulos et al.

Automating sign language translation (SLT) is a challenging real world application. Despite its societal importance, though, research progress in the field remains rather poor. Crucially, existing methods that yield viable performance necessitate the availability of laborious to obtain gloss sequence groundtruth. In this paper, we attenuate this need, by introducing an end-to-end SLT model that does not entail explicit use of glosses; the model only needs text groundtruth. This is in stark contrast to existing end-to-end models that use gloss sequence groundtruth, either in the form of a modality that is recognized at an intermediate model stage, or in the form of a parallel output process, jointly trained with the SLT model. Our approach constitutes a Transformer network with a novel type of layers that combines: (i) local winner-takes-all (LWTA) layers with stochastic winner sampling, instead of conventional ReLU layers, (ii) stochastic weights with posterior distributions estimated via variational inference, and (iii) a weight compression technique at inference time that exploits estimated posterior variance to perform massive, almost lossless compression. We demonstrate that our approach can reach the currently best reported BLEU-4 score on the PHOENIX 2014T benchmark, but without making use of glosses for model training, and with a memory footprint reduced by more than 70%.

6.5CVJul 2, 2021
Hybrid Supervision Learning for Pathology Whole Slide Image Classification

Jiahui Li, Wen Chen, Xiaodi Huang et al.

Weak supervision learning on classification labels has demonstrated high performance in various tasks, while a few pixel-level fine annotations are also affordable. Naturally a question comes to us that whether the combination of pixel-level (e.g., segmentation) and image level (e.g., classification) annotation can introduce further improvement. However in computational pathology this is a difficult task for this reason: High resolution of whole slide images makes it difficult to do end-to-end classification model training, which is challenging to research of weak or hybrid supervision learning in the past. To handle this problem, we propose a hybrid supervision learning framework for this kind of high resolution images with sufficient image-level coarse annotations and a few pixel-level fine labels. This framework, when applied in training patch model, can carefully make use of coarse image-level labels to refine generated pixel-level pseudo labels. Complete strategy is proposed to suppress pixel-level false positives and false negatives. A large hybrid annotated dataset is used to evaluate the effectiveness of hybrid supervision learning. By extracting pixel-level pseudo labels in initially image-level labeled samples, we achieve 5.2% higher specificity than purely training on existing labels while retaining 100% sensitivity, in the task of image-level classification to be positive or negative.

28.2CVJul 2, 2021Code
UTNet: A Hybrid Transformer Architecture for Medical Image Segmentation

Yunhe Gao, Mu Zhou, Dimitris Metaxas

Transformer architecture has emerged to be successful in a number of natural language processing tasks. However, its applications to medical vision remain largely unexplored. In this study, we present UTNet, a simple yet powerful hybrid Transformer architecture that integrates self-attention into a convolutional neural network for enhancing medical image segmentation. UTNet applies self-attention modules in both encoder and decoder for capturing long-range dependency at different scales with minimal overhead. To this end, we propose an efficient self-attention mechanism along with relative position encoding that reduces the complexity of self-attention operation significantly from $O(n^2)$ to approximate $O(n)$. A new self-attention decoder is also proposed to recover fine-grained details from the skipped connections in the encoder. Our approach addresses the dilemma that Transformer requires huge amounts of data to learn vision inductive bias. Our hybrid layer design allows the initialization of Transformer into convolutional networks without a need of pre-training. We have evaluated UTNet on the multi-label, multi-vendor cardiac magnetic resonance imaging cohort. UTNet demonstrates superior segmentation performance and robustness against the state-of-the-art approaches, holding the promise to generalize well on other medical image segmentations.

9.4CVApr 12, 2021Code
SCPM-Net: An Anchor-free 3D Lung Nodule Detection Network using Sphere Representation and Center Points Matching

Xiangde Luo, Tao Song, Guotai Wang et al.

Lung nodule detection from 3D Computed Tomography scans plays a vital role in efficient lung cancer screening. Despite the SOTA performance obtained by recent anchor-based detectors using CNNs for this task, they require predetermined anchor parameters such as the size, number, and aspect ratio of anchors, and have limited robustness when dealing with lung nodules with a massive variety of sizes. To overcome these problems, we propose a 3D sphere representation-based center-points matching detection network that is anchor-free and automatically predicts the position, radius, and offset of nodules without the manual design of nodule/anchor parameters. The SCPM-Net consists of two novel components: sphere representation and center points matching. First, to match the nodule annotation in clinical practice, we replace the commonly used bounding box with our proposed bounding sphere to represent nodules with the centroid, radius, and local offset in 3D space. A compatible sphere-based intersection over-union loss function is introduced to train the lung nodule detection network stably and efficiently. Second, we empower the network anchor-free by designing a positive center-points selection and matching process, which naturally discards pre-determined anchor boxes. An online hard example mining and re-focal loss subsequently enable the CPM process to be more robust, resulting in more accurate point assignment and mitigation of class imbalance. In addition, to better capture spatial information and 3D context for the detection, we propose to fuse multi-level spatial coordinate maps with the feature extractor and combine them with 3D squeeze-and-excitation attention modules. Experimental results on the LUNA16 dataset showed that our proposed framework achieves superior performance compared with existing anchor-based and anchor-free methods for lung nodule detection.

8.0CVMar 30, 2021Code
Enabling Data Diversity: Efficient Automatic Augmentation via Regularized Adversarial Training

Yunhe Gao, Zhiqiang Tang, Mu Zhou et al.

Data augmentation has proved extremely useful by increasing training data variance to alleviate overfitting and improve deep neural networks' generalization performance. In medical image analysis, a well-designed augmentation policy usually requires much expert knowledge and is difficult to generalize to multiple tasks due to the vast discrepancies among pixel intensities, image appearances, and object shapes in different medical tasks. To automate medical data augmentation, we propose a regularized adversarial training framework via two min-max objectives and three differentiable augmentation models covering affine transformation, deformation, and appearance changes. Our method is more automatic and efficient than previous automatic augmentation methods, which still rely on pre-defined operations with human-specified ranges and costly bi-level optimization. Extensive experiments demonstrated that our approach, with less training overhead, achieves superior performance over state-of-the-art auto-augmentation methods on both tasks of 2D skin cancer classification and 3D organs-at-risk segmentation.

6.3MLFeb 11, 2021
Variational Bayesian Sequence-to-Sequence Networks for Memory-Efficient Sign Language Translation

Harris Partaourides, Andreas Voskou, Dimitrios Kosmopoulos et al.

Memory-efficient continuous Sign Language Translation is a significant challenge for the development of assisted technologies with real-time applicability for the deaf. In this work, we introduce a paradigm of designing recurrent deep networks whereby the output of the recurrent layer is derived from appropriate arguments from nonparametric statistics. A novel variational Bayesian sequence-to-sequence network architecture is proposed that consists of a) a full Gaussian posterior distribution for data-driven memory compression and b) a nonparametric Indian Buffet Process prior for regularization applied on the Gated Recurrent Unit non-gate weights. We dub our approach Stick-Breaking Recurrent network and show that it can achieve a substantial weight compression without diminishing modeling performance.

9.9LGFeb 9, 2021Code
Training Federated GANs with Theoretical Guarantees: A Universal Aggregation Approach

Yikai Zhang, Hui Qu, Qi Chang et al.

Recently, Generative Adversarial Networks (GANs) have demonstrated their potential in federated learning, i.e., learning a centralized model from data privately hosted by multiple sites. A federatedGAN jointly trains a centralized generator and multiple private discriminators hosted at different sites. A major theoretical challenge for the federated GAN is the heterogeneity of the local data distributions. Traditional approaches cannot guarantee to learn the target distribution, which isa mixture of the highly different local distributions. This paper tackles this theoretical challenge, and for the first time, provides a provably correct framework for federated GAN. We propose a new approach called Universal Aggregation, which simulates a centralized discriminator via carefully aggregating the mixture of all private discriminators. We prove that a generator trained with this simulated centralized discriminator can learn the desired target distribution. Through synthetic and real datasets, we show that our method can learn the mixture of largely different distributions where existing federated GAN methods fail.

5.0LGDec 15, 2020
Multi-modal AsynDGAN: Learn From Distributed Medical Image Data without Sharing Private Information

Qi Chang, Zhennan Yan, Lohendran Baskaran et al.

As deep learning technologies advance, increasingly more data is necessary to generate general and robust models for various tasks. In the medical domain, however, large-scale and multi-parties data training and analyses are infeasible due to the privacy and data security concerns. In this paper, we propose an extendable and elastic learning framework to preserve privacy and security while enabling collaborative learning with efficient communication. The proposed framework is named distributed Asynchronized Discriminator Generative Adversarial Networks (AsynDGAN), which consists of a centralized generator and multiple distributed discriminators. The advantages of our proposed framework are five-fold: 1) the central generator could learn the real data distribution from multiple datasets implicitly without sharing the image data; 2) the framework is applicable for single-modality or multi-modality data; 3) the learned generator can be used to synthesize samples for down-stream learning tasks to achieve close-to-real performance as using actual samples collected from multiple data centers; 4) the synthetic samples can also be used to augment data or complete missing modalities for one single data center; 5) the learning process is more efficient and requires lower bandwidth than other distributed deep learning methods.

25.9CVNov 19, 2020Code
Error-Bounded Correction of Noisy Labels

Songzhu Zheng, Pengxiang Wu, Aman Goswami et al.

To collect large scale annotated data, it is inevitable to introduce label noise, i.e., incorrect class labels. To be robust against label noise, many successful methods rely on the noisy classifiers (i.e., models trained on the noisy training data) to determine whether a label is trustworthy. However, it remains unknown why this heuristic works well in practice. In this paper, we provide the first theoretical explanation for these methods. We prove that the prediction of a noisy classifier can indeed be a good indicator of whether the label of a training data is clean. Based on the theoretical result, we propose a novel algorithm that corrects the labels based on the noisy classifier prediction. The corrected labels are consistent with the true Bayesian optimal classifier with high probability. We incorporate our label correction algorithm into the training of deep neural networks and train models that achieve superior testing performance on multiple public datasets.