CVCLJun 2, 2025

Enhancing Biomedical Multi-modal Representation Learning with Multi-scale Pre-training and Perturbed Report Discrimination

arXiv:2506.01902v12 citationsh-index: 24CAI
Originality Incremental advance
AI Analysis

This work addresses the challenge of learning robust multi-modal representations for biomedical applications, though it appears incremental as it builds on existing contrastive learning methods.

The paper tackles the problem of biomedical vision-language models neglecting complex domain-specific semantics in texts by proposing a perturbed report discrimination method with multi-scale pre-training, resulting in outperforming strong baselines on multiple downstream tasks.

Vision-language models pre-trained on large scale of unlabeled biomedical images and associated reports learn generalizable semantic representations. These multi-modal representations can benefit various downstream tasks in the biomedical domain. Contrastive learning is widely used to pre-train vision-language models for general natural images and associated captions. Despite its popularity, we found biomedical texts have complex and domain-specific semantics that are often neglected by common contrastive methods. To address this issue, we propose a novel method, perturbed report discrimination, for pre-train biomedical vision-language models. First, we curate a set of text perturbation methods that keep the same words, but disrupt the semantic structure of the sentence. Next, we apply different types of perturbation to reports, and use the model to distinguish the original report from the perturbed ones given the associated image. Parallel to this, we enhance the sensitivity of our method to higher level of granularity for both modalities by contrasting attention-weighted image sub-regions and sub-words in the image-text pairs. We conduct extensive experiments on multiple downstream tasks, and our method outperforms strong baseline methods. The results demonstrate that our approach learns more semantic meaningful and robust multi-modal representations.

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