Understanding the Transfer Limits of Vision Foundation Models

Foundation models leverage large-scale pretraining to capture extensive knowledge, demonstrating generalization in a wide range of language tasks. By comparison, vision foundation models (VFMs) often exhibit uneven improvements across downstream tasks, despite substantial computational investment. We postulate that this limitation arises from a mismatch between pretraining objectives and the demands of downstream vision-and-imaging tasks. Pretraining strategies like masked image reconstruction or contrastive learning shape representations for tasks such as recovery of generic visual patterns or global semantic structures, which may not align with the task-specific requirements of downstream applications including segmentation, classification, or image synthesis. To investigate this in a concrete real-world clinical area, we assess two VFMs, a reconstruction-focused MAE-based model (ProFound) and a contrastive-learning-based model (ProViCNet), on five prostate multiparametric MR imaging tasks, examining how such task alignment influences transfer performance, i.e., from pretraining to fine-tuning. Our findings indicate that better alignment between pretraining and downstream tasks, measured by simple divergence metrics such as maximum-mean-discrepancy (MMD) between the same features before and after fine-tuning, correlates with greater performance improvements and faster convergence, emphasizing the importance of designing and analyzing pretraining objectives with downstream applicability in mind.

Dynamic Rebatching for Efficient Early-Exit Inference with DREX

Early-Exit (EE) is a Large Language Model (LLM) architecture that accelerates inference by allowing easier tokens to be generated using only a subset of the model's layers. However, traditional batching frameworks are ill-suited for EE LLMs, as not all requests in a batch may be ready to exit at the same time. Existing solutions either force a uniform decision on the batch, which overlooks EE opportunities, or degrade output quality by forcing premature exits. We propose Dynamic Rebatching, a solution where we dynamically reorganize the batch at each early-exit point. Requests that meet the exit criteria are immediately processed, while those that continue are held in a buffer, re-grouped into a new batch, and forwarded to deeper layers. We introduce DREX, an early-exit inference system that implements Dynamic Rebatching with two key optimizations: 1) a copy-free rebatching buffer that avoids physical data movement, and 2) an EE and SLA-aware scheduler that analytically predicts whether a given rebatching operation will be profitable. DREX also efficiently handles the missing KV cache from skipped layers using memory-efficient state-copying. Our evaluation shows that DREX improves throughput by 2-12% compared to baseline approaches while maintaining output quality. Crucially, DREX completely eliminates involuntary exits, providing a key guarantee for preserving the output quality intended by the EE model.

Learning to Address Intra-segment Misclassification in Retinal Imaging

Accurate multi-class segmentation is a long-standing challenge in medical imaging, especially in scenarios where classes share strong similarity. Segmenting retinal blood vessels in retinal photographs is one such scenario, in which arteries and veins need to be identified and differentiated from each other and from the background. Intra-segment misclassification, i.e. veins classified as arteries or vice versa, frequently occurs when arteries and veins intersect, whereas in binary retinal vessel segmentation, error rates are much lower. We thus propose a new approach that decomposes multi-class segmentation into multiple binary, followed by a binary-to-multi-class fusion network. The network merges representations of artery, vein, and multi-class feature maps, each of which are supervised by expert vessel annotation in adversarial training. A skip-connection based merging process explicitly maintains class-specific gradients to avoid gradient vanishing in deep layers, to favor the discriminative features. The results show that, our model respectively improves F1-score by 4.4\%, 5.1\%, and 4.2\% compared with three state-of-the-art deep learning based methods on DRIVE-AV, LES-AV, and HRF-AV data sets.