MMRC: A Large-Scale Benchmark for Understanding Multimodal Large Language Model in Real-World Conversation

Recent multimodal large language models (MLLMs) have demonstrated significant potential in open-ended conversation, generating more accurate and personalized responses. However, their abilities to memorize, recall, and reason in sustained interactions within real-world scenarios remain underexplored. This paper introduces MMRC, a Multi-Modal Real-world Conversation benchmark for evaluating six core open-ended abilities of MLLMs: information extraction, multi-turn reasoning, information update, image management, memory recall, and answer refusal. With data collected from real-world scenarios, MMRC comprises 5,120 conversations and 28,720 corresponding manually labeled questions, posing a significant challenge to existing MLLMs. Evaluations on 20 MLLMs in MMRC indicate an accuracy drop during open-ended interactions. We identify four common failure patterns: long-term memory degradation, inadequacies in updating factual knowledge, accumulated assumption of error propagation, and reluctance to say no. To mitigate these issues, we propose a simple yet effective NOTE-TAKING strategy, which can record key information from the conversation and remind the model during its responses, enhancing conversational capabilities. Experiments across six MLLMs demonstrate significant performance improvements.

Unprejudiced Training Auxiliary Tasks Makes Primary Better: A Multi-Task Learning Perspective

Human beings can leverage knowledge from relative tasks to improve learning on a primary task. Similarly, multi-task learning methods suggest using auxiliary tasks to enhance a neural network's performance on a specific primary task. However, previous methods often select auxiliary tasks carefully but treat them as secondary during training. The weights assigned to auxiliary losses are typically smaller than the primary loss weight, leading to insufficient training on auxiliary tasks and ultimately failing to support the main task effectively. To address this issue, we propose an uncertainty-based impartial learning method that ensures balanced training across all tasks. Additionally, we consider both gradients and uncertainty information during backpropagation to further improve performance on the primary task. Extensive experiments show that our method achieves performance comparable to or better than state-of-the-art approaches. Moreover, our weighting strategy is effective and robust in enhancing the performance of the primary task regardless the noise auxiliary tasks' pseudo labels.

Diffusion-Enhanced Test-time Adaptation with Text and Image Augmentation

Existing test-time prompt tuning (TPT) methods focus on single-modality data, primarily enhancing images and using confidence ratings to filter out inaccurate images. However, while image generation models can produce visually diverse images, single-modality data enhancement techniques still fail to capture the comprehensive knowledge provided by different modalities. Additionally, we note that the performance of TPT-based methods drops significantly when the number of augmented images is limited, which is not unusual given the computational expense of generative augmentation. To address these issues, we introduce IT3A, a novel test-time adaptation method that utilizes a pre-trained generative model for multi-modal augmentation of each test sample from unknown new domains. By combining augmented data from pre-trained vision and language models, we enhance the ability of the model to adapt to unknown new test data. Additionally, to ensure that key semantics are accurately retained when generating various visual and text enhancements, we employ cosine similarity filtering between the logits of the enhanced images and text with the original test data. This process allows us to filter out some spurious augmentation and inadequate combinations. To leverage the diverse enhancements provided by the generation model across different modals, we have replaced prompt tuning with an adapter for greater flexibility in utilizing text templates. Our experiments on the test datasets with distribution shifts and domain gaps show that in a zero-shot setting, IT3A outperforms state-of-the-art test-time prompt tuning methods with a 5.50% increase in accuracy.

Class Balance Matters to Active Class-Incremental Learning

Few-Shot Class-Incremental Learning has shown remarkable efficacy in efficient learning new concepts with limited annotations. Nevertheless, the heuristic few-shot annotations may not always cover the most informative samples, which largely restricts the capability of incremental learner. We aim to start from a pool of large-scale unlabeled data and then annotate the most informative samples for incremental learning. Based on this premise, this paper introduces the Active Class-Incremental Learning (ACIL). The objective of ACIL is to select the most informative samples from the unlabeled pool to effectively train an incremental learner, aiming to maximize the performance of the resulting model. Note that vanilla active learning algorithms suffer from class-imbalanced distribution among annotated samples, which restricts the ability of incremental learning. To achieve both class balance and informativeness in chosen samples, we propose Class-Balanced Selection (CBS) strategy. Specifically, we first cluster the features of all unlabeled images into multiple groups. Then for each cluster, we employ greedy selection strategy to ensure that the Gaussian distribution of the sampled features closely matches the Gaussian distribution of all unlabeled features within the cluster. Our CBS can be plugged and played into those CIL methods which are based on pretrained models with prompts tunning technique. Extensive experiments under ACIL protocol across five diverse datasets demonstrate that CBS outperforms both random selection and other SOTA active learning approaches. Code is publicly available at https://github.com/1170300714/CBS.

Privacy-Preserving Federated Foundation Model for Generalist Ultrasound Artificial Intelligence

Ultrasound imaging is widely used in clinical diagnosis due to its non-invasive nature and real-time capabilities. However, conventional ultrasound diagnostics face several limitations, including high dependence on physician expertise and suboptimal image quality, which complicates interpretation and increases the likelihood of diagnostic errors. Artificial intelligence (AI) has emerged as a promising solution to enhance clinical diagnosis, particularly in detecting abnormalities across various biomedical imaging modalities. Nonetheless, current AI models for ultrasound imaging face critical challenges. First, these models often require large volumes of labeled medical data, raising concerns over patient privacy breaches. Second, most existing models are task-specific, which restricts their broader clinical utility. To overcome these challenges, we present UltraFedFM, an innovative privacy-preserving ultrasound foundation model. UltraFedFM is collaboratively pre-trained using federated learning across 16 distributed medical institutions in 9 countries, leveraging a dataset of over 1 million ultrasound images covering 19 organs and 10 ultrasound modalities. This extensive and diverse data, combined with a secure training framework, enables UltraFedFM to exhibit strong generalization and diagnostic capabilities. It achieves an average area under the receiver operating characteristic curve of 0.927 for disease diagnosis and a dice similarity coefficient of 0.878 for lesion segmentation. Notably, UltraFedFM surpasses the diagnostic accuracy of mid-level ultrasonographers and matches the performance of expert-level sonographers in the joint diagnosis of 8 common systemic diseases. These findings indicate that UltraFedFM can significantly enhance clinical diagnostics while safeguarding patient privacy, marking an advancement in AI-driven ultrasound imaging for future clinical applications.

Document Haystacks: Vision-Language Reasoning Over Piles of 1000+ Documents

Large multimodal models (LMMs) have achieved impressive progress in vision-language understanding, yet they face limitations in real-world applications requiring complex reasoning over a large number of images. Existing benchmarks for multi-image question-answering are limited in scope, each question is paired with only up to 30 images, which does not fully capture the demands of large-scale retrieval tasks encountered in the real-world usages. To reduce these gaps, we introduce two document haystack benchmarks, dubbed DocHaystack and InfoHaystack, designed to evaluate LMM performance on large-scale visual document retrieval and understanding. Additionally, we propose V-RAG, a novel, vision-centric retrieval-augmented generation (RAG) framework that leverages a suite of multimodal vision encoders, each optimized for specific strengths, and a dedicated question-document relevance module. V-RAG sets a new standard, with a 9% and 11% improvement in Recall@1 on the challenging DocHaystack-1000 and InfoHaystack-1000 benchmarks, respectively, compared to the previous best baseline models. Additionally, integrating V-RAG with LMMs enables them to efficiently operate across thousands of images, yielding significant improvements on our DocHaystack and InfoHaystack benchmarks. Our code and datasets are available at https://github.com/Vision-CAIR/dochaystacks

Let Video Teaches You More: Video-to-Image Knowledge Distillation using DEtection TRansformer for Medical Video Lesion Detection

AI-assisted lesion detection models play a crucial role in the early screening of cancer. However, previous image-based models ignore the inter-frame contextual information present in videos. On the other hand, video-based models capture the inter-frame context but are computationally expensive. To mitigate this contradiction, we delve into Video-to-Image knowledge distillation leveraging DEtection TRansformer (V2I-DETR) for the task of medical video lesion detection. V2I-DETR adopts a teacher-student network paradigm. The teacher network aims at extracting temporal contexts from multiple frames and transferring them to the student network, and the student network is an image-based model dedicated to fast prediction in inference. By distilling multi-frame contexts into a single frame, the proposed V2I-DETR combines the advantages of utilizing temporal contexts from video-based models and the inference speed of image-based models. Through extensive experiments, V2I-DETR outperforms previous state-of-the-art methods by a large margin while achieving the real-time inference speed (30 FPS) as the image-based model.

Towards a Benchmark for Colorectal Cancer Segmentation in Endorectal Ultrasound Videos: Dataset and Model Development

Endorectal ultrasound (ERUS) is an important imaging modality that provides high reliability for diagnosing the depth and boundary of invasion in colorectal cancer. However, the lack of a large-scale ERUS dataset with high-quality annotations hinders the development of automatic ultrasound diagnostics. In this paper, we collected and annotated the first benchmark dataset that covers diverse ERUS scenarios, i.e. colorectal cancer segmentation, detection, and infiltration depth staging. Our ERUS-10K dataset comprises 77 videos and 10,000 high-resolution annotated frames. Based on this dataset, we further introduce a benchmark model for colorectal cancer segmentation, named the Adaptive Sparse-context TRansformer (ASTR). ASTR is designed based on three considerations: scanning mode discrepancy, temporal information, and low computational complexity. For generalizing to different scanning modes, the adaptive scanning-mode augmentation is proposed to convert between raw sector images and linear scan ones. For mining temporal information, the sparse-context transformer is incorporated to integrate inter-frame local and global features. For reducing computational complexity, the sparse-context block is introduced to extract contextual features from auxiliary frames. Finally, on the benchmark dataset, the proposed ASTR model achieves a 77.6% Dice score in rectal cancer segmentation, largely outperforming previous state-of-the-art methods.

Enhancing Label-efficient Medical Image Segmentation with Text-guided Diffusion Models

Aside from offering state-of-the-art performance in medical image generation, denoising diffusion probabilistic models (DPM) can also serve as a representation learner to capture semantic information and potentially be used as an image representation for downstream tasks, e.g., segmentation. However, these latent semantic representations rely heavily on labor-intensive pixel-level annotations as supervision, limiting the usability of DPM in medical image segmentation. To address this limitation, we propose an enhanced diffusion segmentation model, called TextDiff, that improves semantic representation through inexpensive medical text annotations, thereby explicitly establishing semantic representation and language correspondence for diffusion models. Concretely, TextDiff extracts intermediate activations of the Markov step of the reverse diffusion process in a pretrained diffusion model on large-scale natural images and learns additional expert knowledge by combining them with complementary and readily available diagnostic text information. TextDiff freezes the dual-branch multi-modal structure and mines the latent alignment of semantic features in diffusion models with diagnostic descriptions by only training the cross-attention mechanism and pixel classifier, making it possible to enhance semantic representation with inexpensive text. Extensive experiments on public QaTa-COVID19 and MoNuSeg datasets show that our TextDiff is significantly superior to the state-of-the-art multi-modal segmentation methods with only a few training samples.

CPT: Consistent Proxy Tuning for Black-box Optimization

Black-box tuning has attracted recent attention due to that the structure or inner parameters of advanced proprietary models are not accessible. Proxy-tuning provides a test-time output adjustment for tuning black-box language models. It applies the difference of the output logits before and after tuning a smaller white-box "proxy" model to improve the black-box model. However, this technique serves only as a decoding-time algorithm, leading to an inconsistency between training and testing which potentially limits overall performance. To address this problem, we introduce Consistent Proxy Tuning (CPT), a simple yet effective black-box tuning method. Different from Proxy-tuning, CPT additionally exploits the frozen large black-box model and another frozen small white-box model, ensuring consistency between training-stage optimization objective and test-time proxies. This consistency benefits Proxy-tuning and enhances model performance. Note that our method focuses solely on logit-level computation, which makes it model-agnostic and applicable to any task involving logit classification. Extensive experimental results demonstrate the superiority of our CPT in both black-box tuning of Large Language Models (LLMs) and Vision-Language Models (VLMs) across various datasets. The code is available at https://github.com/chunmeifeng/CPT.