Frontiers in Intelligent Colonoscopy

Colonoscopy is currently one of the most sensitive screening methods for colorectal cancer. This study investigates the frontiers of intelligent colonoscopy techniques and their prospective implications for multimodal medical applications. With this goal, we begin by assessing the current data-centric and model-centric landscapes through four tasks for colonoscopic scene perception, including classification, detection, segmentation, and vision-language understanding. This assessment enables us to identify domain-specific challenges and reveals that multimodal research in colonoscopy remains open for further exploration. To embrace the coming multimodal era, we establish three foundational initiatives: a large-scale multimodal instruction tuning dataset ColonINST, a colonoscopy-designed multimodal language model ColonGPT, and a multimodal benchmark. To facilitate ongoing monitoring of this rapidly evolving field, we provide a public website for the latest updates: https://github.com/ai4colonoscopy/IntelliScope.

Effectiveness Assessment of Recent Large Vision-Language Models

The advent of large vision-language models (LVLMs) represents a noteworthy advancement towards the pursuit of artificial general intelligence. However, the extent of their efficacy across both specialized and general tasks warrants further investigation. This article endeavors to evaluate the competency of popular LVLMs in specialized and general tasks, respectively, aiming to offer a comprehensive comprehension of these innovative methodologies. To gauge their efficacy in specialized tasks, we tailor a comprehensive testbed comprising three distinct scenarios: natural, healthcare, and industrial, encompassing six challenging tasks. These tasks include salient, camouflaged, and transparent object detection, as well as polyp and skin lesion detection, alongside industrial anomaly detection. We examine the performance of three recent open-source LVLMs -- MiniGPT-v2, LLaVA-1.5, and Shikra -- in the realm of visual recognition and localization. Moreover, we conduct empirical investigations utilizing the aforementioned models alongside GPT-4V, assessing their multi-modal understanding capacities in general tasks such as object counting, absurd question answering, affordance reasoning, attribute recognition, and spatial relation reasoning. Our investigations reveal that these models demonstrate limited proficiency not only in specialized tasks but also in general tasks. We delve deeper into this inadequacy and suggest several potential factors, including limited cognition in specialized tasks, object hallucination, text-to-image interference, and decreased robustness in complex problems. We hope this study would provide valuable insights for the future development of LVLMs, augmenting their power in coping with both general and specialized applications.

MAST: Video Polyp Segmentation with a Mixture-Attention Siamese Transformer

Accurate segmentation of polyps from colonoscopy videos is of great significance to polyp treatment and early prevention of colorectal cancer. However, it is challenging due to the difficulties associated with modelling long-range spatio-temporal relationships within a colonoscopy video. In this paper, we address this challenging task with a novel Mixture-Attention Siamese Transformer (MAST), which explicitly models the long-range spatio-temporal relationships with a mixture-attention mechanism for accurate polyp segmentation. Specifically, we first construct a Siamese transformer architecture to jointly encode paired video frames for their feature representations. We then design a mixture-attention module to exploit the intra-frame and inter-frame correlations, enhancing the features with rich spatio-temporal relationships. Finally, the enhanced features are fed to two parallel decoders for predicting the segmentation maps. To the best of our knowledge, our MAST is the first transformer model dedicated to video polyp segmentation. Extensive experiments on the large-scale SUN-SEG benchmark demonstrate the superior performance of MAST in comparison with the cutting-edge competitors. Our code is publicly available at https://github.com/Junqing-Yang/MAST.

Large Model Based Referring Camouflaged Object Detection

Referring camouflaged object detection (Ref-COD) is a recently-proposed problem aiming to segment out specified camouflaged objects matched with a textual or visual reference. This task involves two major challenges: the COD domain-specific perception and multimodal reference-image alignment. Our motivation is to make full use of the semantic intelligence and intrinsic knowledge of recent Multimodal Large Language Models (MLLMs) to decompose this complex task in a human-like way. As language is highly condensed and inductive, linguistic expression is the main media of human knowledge learning, and the transmission of knowledge information follows a multi-level progression from simplicity to complexity. In this paper, we propose a large-model-based Multi-Level Knowledge-Guided multimodal method for Ref-COD termed MLKG, where multi-level knowledge descriptions from MLLM are organized to guide the large vision model of segmentation to perceive the camouflage-targets and camouflage-scene progressively and meanwhile deeply align the textual references with camouflaged photos. To our knowledge, our contributions mainly include: (1) This is the first time that the MLLM knowledge is studied for Ref-COD and COD. (2) We, for the first time, propose decomposing Ref-COD into two main perspectives of perceiving the target and scene by integrating MLLM knowledge, and contribute a multi-level knowledge-guided method. (3) Our method achieves the state-of-the-art on the Ref-COD benchmark outperforming numerous strong competitors. Moreover, thanks to the injected rich knowledge, it demonstrates zero-shot generalization ability on uni-modal COD datasets. We will release our code soon.

An objective validation of polyp and instrument segmentation methods in colonoscopy through Medico 2020 polyp segmentation and MedAI 2021 transparency challenges

Automatic analysis of colonoscopy images has been an active field of research motivated by the importance of early detection of precancerous polyps. However, detecting polyps during the live examination can be challenging due to various factors such as variation of skills and experience among the endoscopists, lack of attentiveness, and fatigue leading to a high polyp miss-rate. Deep learning has emerged as a promising solution to this challenge as it can assist endoscopists in detecting and classifying overlooked polyps and abnormalities in real time. In addition to the algorithm's accuracy, transparency and interpretability are crucial to explaining the whys and hows of the algorithm's prediction. Further, most algorithms are developed in private data, closed source, or proprietary software, and methods lack reproducibility. Therefore, to promote the development of efficient and transparent methods, we have organized the "Medico automatic polyp segmentation (Medico 2020)" and "MedAI: Transparency in Medical Image Segmentation (MedAI 2021)" competitions. We present a comprehensive summary and analyze each contribution, highlight the strength of the best-performing methods, and discuss the possibility of clinical translations of such methods into the clinic. For the transparency task, a multi-disciplinary team, including expert gastroenterologists, accessed each submission and evaluated the team based on open-source practices, failure case analysis, ablation studies, usability and understandability of evaluations to gain a deeper understanding of the models' credibility for clinical deployment. Through the comprehensive analysis of the challenge, we not only highlight the advancements in polyp and surgical instrument segmentation but also encourage qualitative evaluation for building more transparent and understandable AI-based colonoscopy systems.

How Good is Google Bard's Visual Understanding? An Empirical Study on Open Challenges

Google's Bard has emerged as a formidable competitor to OpenAI's ChatGPT in the field of conversational AI. Notably, Bard has recently been updated to handle visual inputs alongside text prompts during conversations. Given Bard's impressive track record in handling textual inputs, we explore its capabilities in understanding and interpreting visual data (images) conditioned by text questions. This exploration holds the potential to unveil new insights and challenges for Bard and other forthcoming multi-modal Generative models, especially in addressing complex computer vision problems that demand accurate visual and language understanding. Specifically, in this study, we focus on 15 diverse task scenarios encompassing regular, camouflaged, medical, under-water and remote sensing data to comprehensively evaluate Bard's performance. Our primary finding indicates that Bard still struggles in these vision scenarios, highlighting the significant gap in vision-based understanding that needs to be bridged in future developments. We expect that this empirical study will prove valuable in advancing future models, leading to enhanced capabilities in comprehending and interpreting fine-grained visual data. Our project is released on https://github.com/htqin/GoogleBard-VisUnderstand

Rethinking Polyp Segmentation from an Out-of-Distribution Perspective

Unlike existing fully-supervised approaches, we rethink colorectal polyp segmentation from an out-of-distribution perspective with a simple but effective self-supervised learning approach. We leverage the ability of masked autoencoders -- self-supervised vision transformers trained on a reconstruction task -- to learn in-distribution representations; here, the distribution of healthy colon images. We then perform out-of-distribution reconstruction and inference, with feature space standardisation to align the latent distribution of the diverse abnormal samples with the statistics of the healthy samples. We generate per-pixel anomaly scores for each image by calculating the difference between the input and reconstructed images and use this signal for out-of-distribution (ie, polyp) segmentation. Experimental results on six benchmarks show that our model has excellent segmentation performance and generalises across datasets. Our code is publicly available at https://github.com/GewelsJI/Polyp-OOD.

SAM Struggles in Concealed Scenes -- Empirical Study on "Segment Anything"

Segmenting anything is a ground-breaking step toward artificial general intelligence, and the Segment Anything Model (SAM) greatly fosters the foundation models for computer vision. We could not be more excited to probe the performance traits of SAM. In particular, exploring situations in which SAM does not perform well is interesting. In this report, we choose three concealed scenes, i.e., camouflaged animals, industrial defects, and medical lesions, to evaluate SAM under unprompted settings. Our main observation is that SAM looks unskilled in concealed scenes.

Advances in Deep Concealed Scene Understanding

Concealed scene understanding (CSU) is a hot computer vision topic aiming to perceive objects with camouflaged properties. The current boom in its advanced techniques and novel applications makes it timely to provide an up-to-date survey to enable researchers to understand the global picture of the CSU field, including both current achievements and major challenges. This paper makes four contributions: (1) For the first time, we present a comprehensive survey of the deep learning techniques oriented at CSU, including a background with its taxonomy, task-unique challenges, and a review of its developments in the deep learning era via surveying existing datasets and deep techniques. (2) For a quantitative comparison of the state-of-the-art, we contribute the largest and latest benchmark for Concealed Object Segmentation (COS). (3) To evaluate the transferability of deep CSU in practical scenarios, we re-organize the largest concealed defect segmentation dataset termed CDS2K with the hard cases from diversified industrial scenarios, on which we construct a comprehensive benchmark. (4) We discuss open problems and potential research directions for this community. Our code and datasets are available at https://github.com/DengPingFan/CSU, which will be updated continuously to watch and summarize the advancements in this rapidly evolving field.

Masked Vision-Language Transformer in Fashion

We present a masked vision-language transformer (MVLT) for fashion-specific multi-modal representation. Technically, we simply utilize vision transformer architecture for replacing the BERT in the pre-training model, making MVLT the first end-to-end framework for the fashion domain. Besides, we designed masked image reconstruction (MIR) for a fine-grained understanding of fashion. MVLT is an extensible and convenient architecture that admits raw multi-modal inputs without extra pre-processing models (e.g., ResNet), implicitly modeling the vision-language alignments. More importantly, MVLT can easily generalize to various matching and generative tasks. Experimental results show obvious improvements in retrieval (rank@5: 17%) and recognition (accuracy: 3%) tasks over the Fashion-Gen 2018 winner Kaleido-BERT. Code is made available at https://github.com/GewelsJI/MVLT.