FedDifRC: Unlocking the Potential of Text-to-Image Diffusion Models in Heterogeneous Federated Learning

Federated learning aims at training models collaboratively across participants while protecting privacy. However, one major challenge for this paradigm is the data heterogeneity issue, where biased data preferences across multiple clients, harming the model's convergence and performance. In this paper, we first introduce powerful diffusion models into the federated learning paradigm and show that diffusion representations are effective steers during federated training. To explore the possibility of using diffusion representations in handling data heterogeneity, we propose a novel diffusion-inspired Federated paradigm with Diffusion Representation Collaboration, termed FedDifRC, leveraging meaningful guidance of diffusion models to mitigate data heterogeneity. The key idea is to construct text-driven diffusion contrasting and noise-driven diffusion regularization, aiming to provide abundant class-related semantic information and consistent convergence signals. On the one hand, we exploit the conditional feedback from the diffusion model for different text prompts to build a text-driven contrastive learning strategy. On the other hand, we introduce a noise-driven consistency regularization to align local instances with diffusion denoising representations, constraining the optimization region in the feature space. In addition, FedDifRC can be extended to a self-supervised scheme without relying on any labeled data. We also provide a theoretical analysis for FedDifRC to ensure convergence under non-convex objectives. The experiments on different scenarios validate the effectiveness of FedDifRC and the efficiency of crucial components.

FedSC: Federated Learning with Semantic-Aware Collaboration

Federated learning (FL) aims to train models collaboratively across clients without sharing data for privacy-preserving. However, one major challenge is the data heterogeneity issue, which refers to the biased labeling preferences at multiple clients. A number of existing FL methods attempt to tackle data heterogeneity locally (e.g., regularizing local models) or globally (e.g., fine-tuning global model), often neglecting inherent semantic information contained in each client. To explore the possibility of using intra-client semantically meaningful knowledge in handling data heterogeneity, in this paper, we propose Federated Learning with Semantic-Aware Collaboration (FedSC) to capture client-specific and class-relevant knowledge across heterogeneous clients. The core idea of FedSC is to construct relational prototypes and consistent prototypes at semantic-level, aiming to provide fruitful class underlying knowledge and stable convergence signals in a prototype-wise collaborative way. On the one hand, FedSC introduces an inter-contrastive learning strategy to bring instance-level embeddings closer to relational prototypes with the same semantics and away from distinct classes. On the other hand, FedSC devises consistent prototypes via a discrepancy aggregation manner, as a regularization penalty to constrain the optimization region of the local model. Moreover, a theoretical analysis for FedSC is provided to ensure a convergence guarantee. Experimental results on various challenging scenarios demonstrate the effectiveness of FedSC and the efficiency of crucial components.

FedSKC: Federated Learning with Non-IID Data via Structural Knowledge Collaboration

With the advancement of edge computing, federated learning (FL) displays a bright promise as a privacy-preserving collaborative learning paradigm. However, one major challenge for FL is the data heterogeneity issue, which refers to the biased labeling preferences among multiple clients, negatively impacting convergence and model performance. Most previous FL methods attempt to tackle the data heterogeneity issue locally or globally, neglecting underlying class-wise structure information contained in each client. In this paper, we first study how data heterogeneity affects the divergence of the model and decompose it into local, global, and sampling drift sub-problems. To explore the potential of using intra-client class-wise structural knowledge in handling these drifts, we thus propose Federated Learning with Structural Knowledge Collaboration (FedSKC). The key idea of FedSKC is to extract and transfer domain preferences from inter-client data distributions, offering diverse class-relevant knowledge and a fair convergent signal. FedSKC comprises three components: i) local contrastive learning, to prevent weight divergence resulting from local training; ii) global discrepancy aggregation, which addresses the parameter deviation between the server and clients; iii) global period review, correcting for the sampling drift introduced by the server randomly selecting devices. We have theoretically analyzed FedSKC under non-convex objectives and empirically validated its superiority through extensive experimental results.

DECT-based Space-Squeeze Method for Multi-Class Classification of Metastatic Lymph Nodes in Breast Cancer

Background: Accurate assessment of metastatic burden in axillary lymph nodes is crucial for guiding breast cancer treatment decisions, yet conventional imaging modalities struggle to differentiate metastatic burden levels and capture comprehensive lymph node characteristics. This study leverages dual-energy computed tomography (DECT) to exploit spectral-spatial information for improved multi-class classification. Purpose: To develop a noninvasive DECT-based model classifying sentinel lymph nodes into three categories: no metastasis ($N_0$), low metastatic burden ($N_{+(1-2)}$), and heavy metastatic burden ($N_{+(\geq3)}$), thereby aiding therapeutic planning. Methods: We propose a novel space-squeeze method combining two innovations: (1) a channel-wise attention mechanism to compress and recalibrate spectral-spatial features across 11 energy levels, and (2) virtual class injection to sharpen inter-class boundaries and compact intra-class variations in the representation space. Results: Evaluated on 227 biopsy-confirmed cases, our method achieved an average test AUC of 0.86 (95% CI: 0.80-0.91) across three cross-validation folds, outperforming established CNNs (VGG, ResNet, etc). The channel-wise attention and virtual class components individually improved AUC by 5.01% and 5.87%, respectively, demonstrating complementary benefits. Conclusions: The proposed framework enhances diagnostic AUC by effectively integrating DECT's spectral-spatial data and mitigating class ambiguity, offering a promising tool for noninvasive metastatic burden assessment in clinical practice.

InstructSAM: A Training-Free Framework for Instruction-Oriented Remote Sensing Object Recognition

Language-Guided object recognition in remote sensing imagery is crucial for large-scale mapping and automated data annotation. However, existing open-vocabulary and visual grounding methods rely on explicit category cues, limiting their ability to handle complex or implicit queries that require advanced reasoning. To address this issue, we introduce a new suite of tasks, including Instruction-Oriented Object Counting, Detection, and Segmentation (InstructCDS), covering open-vocabulary, open-ended, and open-subclass scenarios. We further present EarthInstruct, the first InstructCDS benchmark for earth observation. It is constructed from two diverse remote sensing datasets with varying spatial resolutions and annotation rules across 20 categories, necessitating models to interpret dataset-specific instructions. Given the scarcity of semantically rich labeled data in remote sensing, we propose InstructSAM, a training-free framework for instruction-driven object recognition. InstructSAM leverages large vision-language models to interpret user instructions and estimate object counts, employs SAM2 for mask proposal, and formulates mask-label assignment as a binary integer programming problem. By integrating semantic similarity with counting constraints, InstructSAM efficiently assigns categories to predicted masks without relying on confidence thresholds. Experiments demonstrate that InstructSAM matches or surpasses specialized baselines across multiple tasks while maintaining near-constant inference time regardless of object count, reducing output tokens by 89% and overall runtime by over 32% compared to direct generation approaches. We believe the contributions of the proposed tasks, benchmark, and effective approach will advance future research in developing versatile object recognition systems.

Reinforced Correlation Between Vision and Language for Precise Medical AI Assistant

Medical AI assistants support doctors in disease diagnosis, medical image analysis, and report generation. However, they still face significant challenges in clinical use, including limited accuracy with multimodal content and insufficient validation in real-world settings. We propose RCMed, a full-stack AI assistant that improves multimodal alignment in both input and output, enabling precise anatomical delineation, accurate localization, and reliable diagnosis through hierarchical vision-language grounding. A self-reinforcing correlation mechanism allows visual features to inform language context, while language semantics guide pixel-wise attention, forming a closed loop that refines both modalities. This correlation is enhanced by a color region description strategy, translating anatomical structures into semantically rich text to learn shape-location-text relationships across scales. Trained on 20 million image-mask-description triplets, RCMed achieves state-of-the-art precision in contextualizing irregular lesions and subtle anatomical boundaries, excelling in 165 clinical tasks across 9 modalities. It achieved a 23.5% relative improvement in cell segmentation from microscopy images over prior methods. RCMed's strong vision-language alignment enables exceptional generalization, with state-of-the-art performance in external validation across 20 clinically significant cancer types, including novel tasks. This work demonstrates how integrated multimodal models capture fine-grained patterns, enabling human-level interpretation in complex scenarios and advancing human-centric AI healthcare.

FuzzyLight: A Robust Two-Stage Fuzzy Approach for Traffic Signal Control Works in Real Cities

Effective traffic signal control (TSC) is crucial in mitigating urban congestion and reducing emissions. Recently, reinforcement learning (RL) has been the research trend for TSC. However, existing RL algorithms face several real-world challenges that hinder their practical deployment in TSC: (1) Sensor accuracy deteriorates with increased sensor detection range, and data transmission is prone to noise, potentially resulting in unsafe TSC decisions. (2) During the training of online RL, interactions with the environment could be unstable, potentially leading to inappropriate traffic signal phase (TSP) selection and traffic congestion. (3) Most current TSC algorithms focus only on TSP decisions, overlooking the critical aspect of phase duration, affecting safety and efficiency. To overcome these challenges, we propose a robust two-stage fuzzy approach called FuzzyLight, which integrates compressed sensing and RL for TSC deployment. FuzzyLight offers several key contributions: (1) It employs fuzzy logic and compressed sensing to address sensor noise and enhances the efficiency of TSP decisions. (2) It maintains stable performance during training and combines fuzzy logic with RL to generate precise phases. (3) It works in real cities across 22 intersections and demonstrates superior performance in both real-world and simulated environments. Experimental results indicate that FuzzyLight enhances traffic efficiency by 48% compared to expert-designed timings in the real world. Furthermore, it achieves state-of-the-art (SOTA) performance in simulated environments using six real-world datasets with transmission noise. The code and deployment video are available at the URL1

PIORS: Personalized Intelligent Outpatient Reception based on Large Language Model with Multi-Agents Medical Scenario Simulation

In China, receptionist nurses face overwhelming workloads in outpatient settings, limiting their time and attention for each patient and ultimately reducing service quality. In this paper, we present the Personalized Intelligent Outpatient Reception System (PIORS). This system integrates an LLM-based reception nurse and a collaboration between LLM and hospital information system (HIS) into real outpatient reception setting, aiming to deliver personalized, high-quality, and efficient reception services. Additionally, to enhance the performance of LLMs in real-world healthcare scenarios, we propose a medical conversational data generation framework named Service Flow aware Medical Scenario Simulation (SFMSS), aiming to adapt the LLM to the real-world environments and PIORS settings. We evaluate the effectiveness of PIORS and SFMSS through automatic and human assessments involving 15 users and 15 clinical experts. The results demonstrate that PIORS-Nurse outperforms all baselines, including the current state-of-the-art model GPT-4o, and aligns with human preferences and clinical needs. Further details and demo can be found at https://github.com/FudanDISC/PIORS

Interpretable Bilingual Multimodal Large Language Model for Diverse Biomedical Tasks

Several medical Multimodal Large Languange Models (MLLMs) have been developed to address tasks involving visual images with textual instructions across various medical modalities, achieving impressive results. Most current medical generalist models are region-agnostic, treating the entire image as a holistic representation. However, they struggle to identify which specific regions they are focusing on when generating a sentence.To mimic the behavior of doctors, who typically begin by reviewing the entire image before concentrating on specific regions for a thorough evaluation, we aim to enhance the capability of medical MLLMs in understanding anatomical regions within entire medical scans. To achieve it, we first formulate Region-Centric tasks and construct a large-scale dataset, MedRegInstruct, to incorporate regional information into training. Combining our collected dataset with other medical multimodal corpora for training, we propose a Region-Aware medical MLLM, MedRegA, which is the first bilingual generalist medical AI system to simultaneously handle image-level and region-level medical vision-language tasks across a broad range of modalities. Our MedRegA not only enables three region-centric tasks, but also achieves the best performance for visual question answering, report generation and medical image classification over 8 modalities, showcasing significant versatility. Experiments demonstrate that our model can not only accomplish powerful performance across various medical vision-language tasks in bilingual settings, but also recognize and detect structures in multimodal medical scans, boosting the interpretability and user interactivity of medical MLLMs. Our project page is https://medrega.github.io.

Expert-level vision-language foundation model for real-world radiology and comprehensive evaluation

Radiology is a vital and complex component of modern clinical workflow and covers many tasks. Recently, vision-language (VL) foundation models in medicine have shown potential in processing multimodal information, offering a unified solution for various radiology tasks. However, existing studies either pre-trained VL models on natural data or did not fully integrate vision-language architecture and pretraining, often neglecting the unique multimodal complexity in radiology images and their textual contexts. Additionally, their practical applicability in real-world scenarios remains underexplored. Here, we present RadFound, a large and open-source vision-language foundation model tailored for radiology, that is trained on the most extensive dataset of over 8.1 million images and 250,000 image-text pairs, covering 19 major organ systems and 10 imaging modalities. To establish expert-level multimodal perception and generation capabilities, RadFound introduces an enhanced vision encoder to capture intra-image local features and inter-image contextual information, and a unified cross-modal learning design tailored to radiology. To fully assess the models' capability, we construct a benchmark, RadVLBench, including radiology interpretation tasks like medical vision-language question-answering, as well as text generation tasks ranging from captioning to report generation. We also propose a human evaluation framework. When evaluated on the real-world benchmark involving three representative modalities, 2D images (chest X-rays), multi-view images (mammograms), and 3D images (thyroid CT scans), RadFound significantly outperforms other VL foundation models on both quantitative metrics and human evaluation. In summary, the development of RadFound represents an advancement in radiology generalists, demonstrating broad applicability potential for integration into clinical workflows.