MultiEYE: Dataset and Benchmark for OCT-Enhanced Retinal Disease Recognition from Fundus Images

Existing multi-modal learning methods on fundus and OCT images mostly require both modalities to be available and strictly paired for training and testing, which appears less practical in clinical scenarios. To expand the scope of clinical applications, we formulate a novel setting, "OCT-enhanced disease recognition from fundus images", that allows for the use of unpaired multi-modal data during the training phase and relies on the widespread fundus photographs for testing. To benchmark this setting, we present the first large multi-modal multi-class dataset for eye disease diagnosis, MultiEYE, and propose an OCT-assisted Conceptual Distillation Approach (OCT-CoDA), which employs semantically rich concepts to extract disease-related knowledge from OCT images and leverage them into the fundus model. Specifically, we regard the image-concept relation as a link to distill useful knowledge from the OCT teacher model to the fundus student model, which considerably improves the diagnostic performance based on fundus images and formulates the cross-modal knowledge transfer into an explainable process. Through extensive experiments on the multi-disease classification task, our proposed OCT-CoDA demonstrates remarkable results and interpretability, showing great potential for clinical application. Our dataset and code are available at https://github.com/xmed-lab/MultiEYE.

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.

A Grouping-based Scheduler for Efficient Channel Utilization under Age of Information Constraints

We consider a status information updating system where a fusion center collects the status information from a large number of sources and each of them has its own age of information (AoI) constraints. A novel grouping-based scheduler is proposed to solve this complex large-scale problem by dividing the sources into different scheduling groups. The problem is then transformed into deriving the optimal grouping scheme. A two-step grouping algorithm (TGA) is proposed: 1) Given AoI constraints, we first identify the sources with harmonic AoI constraints, then design a fast grouping method and an optimal scheduler for these sources. Under harmonic AoI constraints, each constraint is divisible by the smallest one and the sum of reciprocals of the constraints with the same value is divisible by the reciprocal of the smallest one. 2) For the other sources without such a special property, we pack the sources which can be scheduled together with minimum update rates into the same group. Simulations show the channel usage of the proposed TGA is significantly reduced as compared to a recent work and is 0.42% larger than a derived lower bound when the number of sources is large.

Age of Information Guaranteed Scheduling for Asynchronous Status Updates in Collaborative Perception

We consider collaborative perception (CP) systems where a fusion center monitors various regions by multiple sources. The center has different age of information (AoI) constraints for different regions. Multi-view sensing data for a region generated by sources can be fused by the center for a reliable representation of the region. To ensure accurate perception, differences between generation time of asynchronous status updates for CP fusion should not exceed a certain threshold. An algorithm named scheduling for CP with asynchronous status updates (SCPA) is proposed to minimize the number of required channels and subject to AoI constraints with asynchronous status updates. SCPA first identifies a set of sources that can satisfy the constraints with minimum updating rates. It then chooses scheduling intervals and offsets for the sources such that the number of required channels is optimized. According to numerical results, the number of channels required by SCPA can reach only 12% more than a derived lower bound.

Fundus-Enhanced Disease-Aware Distillation Model for Retinal Disease Classification from OCT Images

Optical Coherence Tomography (OCT) is a novel and effective screening tool for ophthalmic examination. Since collecting OCT images is relatively more expensive than fundus photographs, existing methods use multi-modal learning to complement limited OCT data with additional context from fundus images. However, the multi-modal framework requires eye-paired datasets of both modalities, which is impractical for clinical use. To address this problem, we propose a novel fundus-enhanced disease-aware distillation model (FDDM), for retinal disease classification from OCT images. Our framework enhances the OCT model during training by utilizing unpaired fundus images and does not require the use of fundus images during testing, which greatly improves the practicality and efficiency of our method for clinical use. Specifically, we propose a novel class prototype matching to distill disease-related information from the fundus model to the OCT model and a novel class similarity alignment to enforce consistency between disease distribution of both modalities. Experimental results show that our proposed approach outperforms single-modal, multi-modal, and state-of-the-art distillation methods for retinal disease classification. Code is available at https://github.com/xmed-lab/FDDM.