FairDiffusion: Enhancing Equity in Latent Diffusion Models via Fair Bayesian Perturbation

Recent progress in generative AI, especially diffusion models, has demonstrated significant utility in text-to-image synthesis. Particularly in healthcare, these models offer immense potential in generating synthetic datasets and training medical students. However, despite these strong performances, it remains uncertain if the image generation quality is consistent across different demographic subgroups. To address this critical concern, we present the first comprehensive study on the fairness of medical text-to-image diffusion models. Our extensive evaluations of the popular Stable Diffusion model reveal significant disparities across gender, race, and ethnicity. To mitigate these biases, we introduce FairDiffusion, an equity-aware latent diffusion model that enhances fairness in both image generation quality as well as the semantic correlation of clinical features. In addition, we also design and curate FairGenMed, the first dataset for studying the fairness of medical generative models. Complementing this effort, we further evaluate FairDiffusion on two widely-used external medical datasets: HAM10000 (dermatoscopic images) and CheXpert (chest X-rays) to demonstrate FairDiffusion's effectiveness in addressing fairness concerns across diverse medical imaging modalities. Together, FairDiffusion and FairGenMed significantly advance research in fair generative learning, promoting equitable benefits of generative AI in healthcare.

Impact of Data Distribution on Fairness Guarantees in Equitable Deep Learning

We present a comprehensive theoretical framework analyzing the relationship between data distributions and fairness guarantees in equitable deep learning. Our work establishes novel theoretical bounds that explicitly account for data distribution heterogeneity across demographic groups, while introducing a formal analysis framework that minimizes expected loss differences across these groups. We derive comprehensive theoretical bounds for fairness errors and convergence rates, and characterize how distributional differences between groups affect the fundamental trade-off between fairness and accuracy. Through extensive experiments on diverse datasets, including FairVision (ophthalmology), CheXpert (chest X-rays), HAM10000 (dermatology), and FairFace (facial recognition), we validate our theoretical findings and demonstrate that differences in feature distributions across demographic groups significantly impact model fairness, with performance disparities particularly pronounced in racial categories. The theoretical bounds we derive crroborate these empirical observations, providing insights into the fundamental limits of achieving fairness in deep learning models when faced with heterogeneous data distributions. This work advances our understanding of fairness in AI-based diagnosis systems and provides a theoretical foundation for developing more equitable algorithms. The code for analysis is publicly available via \url{https://github.com/Harvard-Ophthalmology-AI-Lab/fairness_guarantees}.

TransFair: Transferring Fairness from Ocular Disease Classification to Progression Prediction

The use of artificial intelligence (AI) in automated disease classification significantly reduces healthcare costs and improves the accessibility of services. However, this transformation has given rise to concerns about the fairness of AI, which disproportionately affects certain groups, particularly patients from underprivileged populations. Recently, a number of methods and large-scale datasets have been proposed to address group performance disparities. Although these methods have shown effectiveness in disease classification tasks, they may fall short in ensuring fair prediction of disease progression, mainly because of limited longitudinal data with diverse demographics available for training a robust and equitable prediction model. In this paper, we introduce TransFair to enhance demographic fairness in progression prediction for ocular diseases. TransFair aims to transfer a fairness-enhanced disease classification model to the task of progression prediction with fairness preserved. Specifically, we train a fair EfficientNet, termed FairEN, equipped with a fairness-aware attention mechanism using extensive data for ocular disease classification. Subsequently, this fair classification model is adapted to a fair progression prediction model through knowledge distillation, which aims to minimize the latent feature distances between the classification and progression prediction models. We evaluate FairEN and TransFair for fairness-enhanced ocular disease classification and progression prediction using both two-dimensional (2D) and 3D retinal images. Extensive experiments and comparisons with models with and without considering fairness learning show that TransFair effectively enhances demographic equity in predicting ocular disease progression.

Eagle: Exploring The Design Space for Multimodal LLMs with Mixture of Encoders

The ability to accurately interpret complex visual information is a crucial topic of multimodal large language models (MLLMs). Recent work indicates that enhanced visual perception significantly reduces hallucinations and improves performance on resolution-sensitive tasks, such as optical character recognition and document analysis. A number of recent MLLMs achieve this goal using a mixture of vision encoders. Despite their success, there is a lack of systematic comparisons and detailed ablation studies addressing critical aspects, such as expert selection and the integration of multiple vision experts. This study provides an extensive exploration of the design space for MLLMs using a mixture of vision encoders and resolutions. Our findings reveal several underlying principles common to various existing strategies, leading to a streamlined yet effective design approach. We discover that simply concatenating visual tokens from a set of complementary vision encoders is as effective as more complex mixing architectures or strategies. We additionally introduce Pre-Alignment to bridge the gap between vision-focused encoders and language tokens, enhancing model coherence. The resulting family of MLLMs, Eagle, surpasses other leading open-source models on major MLLM benchmarks. Models and code: https://github.com/NVlabs/Eagle

FairDomain: Achieving Fairness in Cross-Domain Medical Image Segmentation and Classification

Addressing fairness in artificial intelligence (AI), particularly in medical AI, is crucial for ensuring equitable healthcare outcomes. Recent efforts to enhance fairness have introduced new methodologies and datasets in medical AI. However, the fairness issue under the setting of domain transfer is almost unexplored, while it is common that clinics rely on different imaging technologies (e.g., different retinal imaging modalities) for patient diagnosis. This paper presents FairDomain, a pioneering systemic study into algorithmic fairness under domain shifts, employing state-of-the-art domain adaptation (DA) and generalization (DG) algorithms for both medical segmentation and classification tasks to understand how biases are transferred between different domains. We also introduce a novel plug-and-play fair identity attention (FIA) module that adapts to various DA and DG algorithms to improve fairness by using self-attention to adjust feature importance based on demographic attributes. Additionally, we curate the first fairness-focused dataset with two paired imaging modalities for the same patient cohort on medical segmentation and classification tasks, to rigorously assess fairness in domain-shift scenarios. Excluding the confounding impact of demographic distribution variation between source and target domains will allow clearer quantification of the performance of domain transfer models. Our extensive evaluations reveal that the proposed FIA significantly enhances both model performance accounted for fairness across all domain shift settings (i.e., DA and DG) with respect to different demographics, which outperforms existing methods on both segmentation and classification. The code and data can be accessed at https://ophai.hms.harvard.edu/datasets/harvard-fairdomain20k.

OmniDrive: A Holistic LLM-Agent Framework for Autonomous Driving with 3D Perception, Reasoning and Planning

The advances in multimodal large language models (MLLMs) have led to growing interests in LLM-based autonomous driving agents to leverage their strong reasoning capabilities. However, capitalizing on MLLMs' strong reasoning capabilities for improved planning behavior is challenging since planning requires full 3D situational awareness beyond 2D reasoning. To address this challenge, our work proposes a holistic framework for strong alignment between agent models and 3D driving tasks. Our framework starts with a novel 3D MLLM architecture that uses sparse queries to lift and compress visual representations into 3D before feeding them into an LLM. This query-based representation allows us to jointly encode dynamic objects and static map elements (e.g., traffic lanes), providing a condensed world model for perception-action alignment in 3D. We further propose OmniDrive-nuScenes, a new visual question-answering dataset challenging the true 3D situational awareness of a model with comprehensive visual question-answering (VQA) tasks, including scene description, traffic regulation, 3D grounding, counterfactual reasoning, decision making and planning. Extensive studies show the effectiveness of the proposed architecture as well as the importance of the VQA tasks for reasoning and planning in complex 3D scenes.

Geometry-aware Reconstruction and Fusion-refined Rendering for Generalizable Neural Radiance Fields

Generalizable NeRF aims to synthesize novel views for unseen scenes. Common practices involve constructing variance-based cost volumes for geometry reconstruction and encoding 3D descriptors for decoding novel views. However, existing methods show limited generalization ability in challenging conditions due to inaccurate geometry, sub-optimal descriptors, and decoding strategies. We address these issues point by point. First, we find the variance-based cost volume exhibits failure patterns as the features of pixels corresponding to the same point can be inconsistent across different views due to occlusions or reflections. We introduce an Adaptive Cost Aggregation (ACA) approach to amplify the contribution of consistent pixel pairs and suppress inconsistent ones. Unlike previous methods that solely fuse 2D features into descriptors, our approach introduces a Spatial-View Aggregator (SVA) to incorporate 3D context into descriptors through spatial and inter-view interaction. When decoding the descriptors, we observe the two existing decoding strategies excel in different areas, which are complementary. A Consistency-Aware Fusion (CAF) strategy is proposed to leverage the advantages of both. We incorporate the above ACA, SVA, and CAF into a coarse-to-fine framework, termed Geometry-aware Reconstruction and Fusion-refined Rendering (GeFu). GeFu attains state-of-the-art performance across multiple datasets. Code is available at https://github.com/TQTQliu/GeFu .

FairCLIP: Harnessing Fairness in Vision-Language Learning

Fairness is a critical concern in deep learning, especially in healthcare, where these models influence diagnoses and treatment decisions. Although fairness has been investigated in the vision-only domain, the fairness of medical vision-language (VL) models remains unexplored due to the scarcity of medical VL datasets for studying fairness. To bridge this research gap, we introduce the first fair vision-language medical dataset Harvard-FairVLMed that provides detailed demographic attributes, ground-truth labels, and clinical notes to facilitate an in-depth examination of fairness within VL foundation models. Using Harvard-FairVLMed, we conduct a comprehensive fairness analysis of two widely-used VL models (CLIP and BLIP2), pre-trained on both natural and medical domains, across four different protected attributes. Our results highlight significant biases in all VL models, with Asian, Male, Non-Hispanic, and Spanish being the preferred subgroups across the protected attributes of race, gender, ethnicity, and language, respectively. In order to alleviate these biases, we propose FairCLIP, an optimal-transport-based approach that achieves a favorable trade-off between performance and fairness by reducing the Sinkhorn distance between the overall sample distribution and the distributions corresponding to each demographic group. As the first VL dataset of its kind, Harvard-FairVLMed holds the potential to catalyze advancements in the development of machine learning models that are both ethically aware and clinically effective. Our dataset and code are available at https://ophai.hms.harvard.edu/datasets/harvard-fairvlmed10k.

3DTopia: Large Text-to-3D Generation Model with Hybrid Diffusion Priors

We present a two-stage text-to-3D generation system, namely 3DTopia, which generates high-quality general 3D assets within 5 minutes using hybrid diffusion priors. The first stage samples from a 3D diffusion prior directly learned from 3D data. Specifically, it is powered by a text-conditioned tri-plane latent diffusion model, which quickly generates coarse 3D samples for fast prototyping. The second stage utilizes 2D diffusion priors to further refine the texture of coarse 3D models from the first stage. The refinement consists of both latent and pixel space optimization for high-quality texture generation. To facilitate the training of the proposed system, we clean and caption the largest open-source 3D dataset, Objaverse, by combining the power of vision language models and large language models. Experiment results are reported qualitatively and quantitatively to show the performance of the proposed system. Our codes and models are available at https://github.com/3DTopia/3DTopia

FairSeg: A Large-scale Medical Image Segmentation Dataset for Fairness Learning with Fair Error-Bound Scaling

Fairness in artificial intelligence models has gained significantly more attention in recent years, especially in the area of medicine, as fairness in medical models is critical to people's well-being and lives. High-quality medical fairness datasets are needed to promote fairness learning research. Existing medical fairness datasets are all for classification tasks, and no fairness datasets are available for medical segmentation, while medical segmentation is an equally important clinical task as classifications, which can provide detailed spatial information on organ abnormalities ready to be assessed by clinicians. In this paper, we propose the first fairness dataset for medical segmentation named FairSeg with 10,000 subject samples. In addition, we propose a fair error-bound scaling approach to reweight the loss function with the upper error-bound in each identity group. We anticipate that the segmentation performance equity can be improved by explicitly tackling the hard cases with high training errors in each identity group. To facilitate fair comparisons, we propose new equity-scaled segmentation performance metrics, such as the equity-scaled Dice coefficient, which is calculated as the overall Dice coefficient divided by one plus the standard deviation of group Dice coefficients. Through comprehensive experiments, we demonstrate that our fair error-bound scaling approach either has superior or comparable fairness performance to the state-of-the-art fairness learning models. The dataset and code are publicly accessible via \url{https://github.com/Harvard-Ophthalmology-AI-Lab/FairSeg}.