Universal Medical Image Representation Learning with Compositional Decoders
This work addresses the problem of limited flexibility and data constraints in medical imaging models for researchers and practitioners, representing a novel approach rather than an incremental improvement.
The authors tackled the challenge of developing a universal model for medical imaging by introducing UniMed, a decomposed-composed paradigm that supports pixel and semantic tasks, achieving state-of-the-art performance on eight datasets across three tasks with strong zero-shot and 100-shot transferability.
Visual-language models have advanced the development of universal models, yet their application in medical imaging remains constrained by specific functional requirements and the limited data. Current general-purpose models are typically designed with task-specific branches and heads, which restricts the shared feature space and the flexibility of model. To address these challenges, we have developed a decomposed-composed universal medical imaging paradigm (UniMed) that supports tasks at all levels. To this end, we first propose a decomposed decoder that can predict two types of outputs -- pixel and semantic, based on a defined input queue. Additionally, we introduce a composed decoder that unifies the input and output spaces and standardizes task annotations across different levels into a discrete token format. The coupled design of these two components enables the model to flexibly combine tasks and mutual benefits. Moreover, our joint representation learning strategy skilfully leverages large amounts of unlabeled data and unsupervised loss, achieving efficient one-stage pretraining for more robust performance. Experimental results show that UniMed achieves state-of-the-art performance on eight datasets across all three tasks and exhibits strong zero-shot and 100-shot transferability. We will release the code and trained models upon the paper's acceptance.