Neighbor Does Matter: Density-Aware Contrastive Learning for Medical Semi-supervised Segmentation

In medical image analysis, multi-organ semi-supervised segmentation faces challenges such as insufficient labels and low contrast in soft tissues. To address these issues, existing studies typically employ semi-supervised segmentation techniques using pseudo-labeling and consistency regularization. However, these methods mainly rely on individual data samples for training, ignoring the rich neighborhood information present in the feature space. In this work, we argue that supervisory information can be directly extracted from the geometry of the feature space. Inspired by the density-based clustering hypothesis, we propose using feature density to locate sparse regions within feature clusters. Our goal is to increase intra-class compactness by addressing sparsity issues. To achieve this, we propose a Density-Aware Contrastive Learning (DACL) strategy, pushing anchored features in sparse regions towards cluster centers approximated by high-density positive samples, resulting in more compact clusters. Specifically, our method constructs density-aware neighbor graphs using labeled and unlabeled data samples to estimate feature density and locate sparse regions. We also combine label-guided co-training with density-guided geometric regularization to form complementary supervision for unlabeled data. Experiments on the Multi-Organ Segmentation Challenge dataset demonstrate that our proposed method outperforms state-of-the-art methods, highlighting its efficacy in medical image segmentation tasks.

NebulaFL: Effective Asynchronous Federated Learning for JointCloud Computing

With advancements in AI infrastructure and Trusted Execution Environment (TEE) technology, Federated Learning as a Service (FLaaS) through JointCloud Computing (JCC) is promising to break through the resource constraints caused by heterogeneous edge devices in the traditional Federated Learning (FL) paradigm. Specifically, with the protection from TEE, data owners can achieve efficient model training with high-performance AI services in the cloud. By providing additional FL services, cloud service providers can achieve collaborative learning among data owners. However, FLaaS still faces three challenges, i.e., i) low training performance caused by heterogeneous data among data owners, ii) high communication overhead among different clouds (i.e., data centers), and iii) lack of efficient resource scheduling strategies to balance training time and cost. To address these challenges, this paper presents a novel asynchronous FL approach named NebulaFL for collaborative model training among multiple clouds. To address data heterogeneity issues, NebulaFL adopts a version control-based asynchronous FL training scheme in each data center to balance training time among data owners. To reduce communication overhead, NebulaFL adopts a decentralized model rotation mechanism to achieve effective knowledge sharing among data centers. To balance training time and cost, NebulaFL integrates a reward-guided strategy for data owners selection and resource scheduling. The experimental results demonstrate that, compared to the state-of-the-art FL methods, NebulaFL can achieve up to 5.71\% accuracy improvement. In addition, NebulaFL can reduce up to 50% communication overhead and 61.94% costs under a target accuracy.

An Empirical Study of Vulnerability Detection using Federated Learning

Although Deep Learning (DL) methods becoming increasingly popular in vulnerability detection, their performance is seriously limited by insufficient training data. This is mainly because few existing software organizations can maintain a complete set of high-quality samples for DL-based vulnerability detection. Due to the concerns about privacy leakage, most of them are reluctant to share data, resulting in the data silo problem. Since enables collaboratively model training without data sharing, Federated Learning (FL) has been investigated as a promising means of addressing the data silo problem in DL-based vulnerability detection. However, since existing FL-based vulnerability detection methods focus on specific applications, it is still far unclear i) how well FL adapts to common vulnerability detection tasks and ii) how to design a high-performance FL solution for a specific vulnerability detection task. To answer these two questions, this paper first proposes VulFL, an effective evaluation framework for FL-based vulnerability detection. Then, based on VulFL, this paper conducts a comprehensive study to reveal the underlying capabilities of FL in dealing with different types of CWEs, especially when facing various data heterogeneity scenarios. Our experimental results show that, compared to independent training, FL can significantly improve the detection performance of common AI models on all investigated CWEs, though the performance of FL-based vulnerability detection is limited by heterogeneous data. To highlight the performance differences between different FL solutions for vulnerability detection, we extensively investigate the impacts of different configuration strategies for each framework component of VulFL. Our study sheds light on the potential of FL in vulnerability detection, which can be used to guide the design of FL-based solutions for vulnerability detection.

FedQP: Towards Accurate Federated Learning using Quadratic Programming Guided Mutation

Due to the advantages of privacy-preserving, Federated Learning (FL) is widely used in distributed machine learning systems. However, existing FL methods suffer from low-inference performance caused by data heterogeneity. Specifically, due to heterogeneous data, the optimization directions of different local models vary greatly, making it difficult for the traditional FL method to get a generalized global model that performs well on all clients. As one of the state-of-the-art FL methods, the mutation-based FL method attempts to adopt a stochastic mutation strategy to guide the model training towards a well-generalized area (i.e., flat area in the loss landscape). Specifically, mutation allows the model to shift within the solution space, providing an opportunity to escape areas with poor generalization (i.e., sharp area). However, the stochastic mutation strategy easily results in diverse optimal directions of mutated models, which limits the performance of the existing mutation-based FL method. To achieve higher performance, this paper proposes a novel mutation-based FL approach named FedQP, utilizing a quadratic programming strategy to regulate the mutation directions wisely. By biasing the model mutation towards the direction of gradient update rather than traditional random mutation, FedQP can effectively guide the model to optimize towards a well-generalized area (i.e., flat area). Experiments on multiple well-known datasets show that our quadratic programming-guided mutation strategy effectively improves the inference accuracy of the global model in various heterogeneous data scenarios.

OphCLIP: Hierarchical Retrieval-Augmented Learning for Ophthalmic Surgical Video-Language Pretraining

Surgical practice involves complex visual interpretation, procedural skills, and advanced medical knowledge, making surgical vision-language pretraining (VLP) particularly challenging due to this complexity and the limited availability of annotated data. To address the gap, we propose OphCLIP, a hierarchical retrieval-augmented vision-language pretraining framework specifically designed for ophthalmic surgical workflow understanding. OphCLIP leverages the OphVL dataset we constructed, a large-scale and comprehensive collection of over 375K hierarchically structured video-text pairs with tens of thousands of different combinations of attributes (surgeries, phases/operations/actions, instruments, medications, as well as more advanced aspects like the causes of eye diseases, surgical objectives, and postoperative recovery recommendations, etc). These hierarchical video-text correspondences enable OphCLIP to learn both fine-grained and long-term visual representations by aligning short video clips with detailed narrative descriptions and full videos with structured titles, capturing intricate surgical details and high-level procedural insights, respectively. Our OphCLIP also designs a retrieval-augmented pretraining framework to leverage the underexplored large-scale silent surgical procedure videos, automatically retrieving semantically relevant content to enhance the representation learning of narrative videos. Evaluation across 11 datasets for phase recognition and multi-instrument identification shows OphCLIP's robust generalization and superior performance.

GMAI-VL & GMAI-VL-5.5M: A Large Vision-Language Model and A Comprehensive Multimodal Dataset Towards General Medical AI

Despite significant advancements in general artificial intelligence, such as GPT-4, their effectiveness in the medical domain (general medical AI, GMAI) remains constrained due to the absence of specialized medical knowledge. To address this challenge, we present GMAI-VL-5.5M, a comprehensive multimodal medical dataset created by converting hundreds of specialized medical datasets into meticulously constructed image-text pairs. This dataset features comprehensive task coverage, diverse modalities, and high-quality image-text data. Building upon this multimodal dataset, we propose GMAI-VL, a general medical vision-language model with a progressively three-stage training strategy. This approach significantly enhances the model's ability by integrating visual and textual information, thereby improving its ability to process multimodal data and support accurate diagnosis and clinical decision-making. Experimental evaluations demonstrate that GMAI-VL achieves state-of-the-art results across a wide range of multimodal medical tasks, such as visual question answering and medical image diagnosis. Our contributions include the development of the GMAI-VL-5.5M dataset, the introduction of the GMAI-VL model, and the establishment of new benchmarks in multiple medical domains. Code and dataset will be released at https://github.com/uni-medical/GMAI-VL.

A General-Purpose Multimodal Foundation Model for Dermatology

Diagnosing and treating skin diseases require advanced visual skills across multiple domains and the ability to synthesize information from various imaging modalities. Current deep learning models, while effective at specific tasks such as diagnosing skin cancer from dermoscopic images, fall short in addressing the complex, multimodal demands of clinical practice. Here, we introduce PanDerm, a multimodal dermatology foundation model pretrained through self-supervised learning on a dataset of over 2 million real-world images of skin diseases, sourced from 11 clinical institutions across 4 imaging modalities. We evaluated PanDerm on 28 diverse datasets covering a range of clinical tasks, including skin cancer screening, phenotype assessment and risk stratification, diagnosis of neoplastic and inflammatory skin diseases, skin lesion segmentation, change monitoring, and metastasis prediction and prognosis. PanDerm achieved state-of-the-art performance across all evaluated tasks, often outperforming existing models even when using only 5-10% of labeled data. PanDerm's clinical utility was demonstrated through reader studies in real-world clinical settings across multiple imaging modalities. It outperformed clinicians by 10.2% in early-stage melanoma detection accuracy and enhanced clinicians' multiclass skin cancer diagnostic accuracy by 11% in a collaborative human-AI setting. Additionally, PanDerm demonstrated robust performance across diverse demographic factors, including different body locations, age groups, genders, and skin tones. The strong results in benchmark evaluations and real-world clinical scenarios suggest that PanDerm could enhance the management of skin diseases and serve as a model for developing multimodal foundation models in other medical specialties, potentially accelerating the integration of AI support in healthcare.

Federated Graph Learning with Adaptive Importance-based Sampling

For privacy-preserving graph learning tasks involving distributed graph datasets, federated learning (FL)-based GCN (FedGCN) training is required. A key challenge for FedGCN is scaling to large-scale graphs, which typically incurs high computation and communication costs when dealing with the explosively increasing number of neighbors. Existing graph sampling-enhanced FedGCN training approaches ignore graph structural information or dynamics of optimization, resulting in high variance and inaccurate node embeddings. To address this limitation, we propose the Federated Adaptive Importance-based Sampling (FedAIS) approach. It achieves substantial computational cost saving by focusing the limited resources on training important nodes, while reducing communication overhead via adaptive historical embedding synchronization. The proposed adaptive importance-based sampling method jointly considers the graph structural heterogeneity and the optimization dynamics to achieve optimal trade-off between efficiency and accuracy. Extensive evaluations against five state-of-the-art baselines on five real-world graph datasets show that FedAIS achieves comparable or up to 3.23% higher test accuracy, while saving communication and computation costs by 91.77% and 85.59%.

OphNet: A Large-Scale Video Benchmark for Ophthalmic Surgical Workflow Understanding

Surgical scene perception via videos are critical for advancing robotic surgery, telesurgery, and AI-assisted surgery, particularly in ophthalmology. However, the scarcity of diverse and richly annotated video datasets has hindered the development of intelligent systems for surgical workflow analysis. Existing datasets for surgical workflow analysis, which typically face challenges such as small scale, a lack of diversity in surgery and phase categories, and the absence of time-localized annotations, limit the requirements for action understanding and model generalization validation in complex and diverse real-world surgical scenarios. To address this gap, we introduce OphNet, a large-scale, expert-annotated video benchmark for ophthalmic surgical workflow understanding. OphNet features: 1) A diverse collection of 2,278 surgical videos spanning 66 types of cataract, glaucoma, and corneal surgeries, with detailed annotations for 102 unique surgical phases and 150 granular operations; 2) It offers sequential and hierarchical annotations for each surgery, phase, and operation, enabling comprehensive understanding and improved interpretability; 3) Moreover, OphNet provides time-localized annotations, facilitating temporal localization and prediction tasks within surgical workflows. With approximately 205 hours of surgical videos, OphNet is about 20 times larger than the largest existing surgical workflow analysis benchmark. Our dataset and code have been made available at: \url{https://github.com/minghu0830/OphNet-benchmark}.

Texture Re-scalable Universal Adversarial Perturbation

Universal adversarial perturbation (UAP), also known as image-agnostic perturbation, is a fixed perturbation map that can fool the classifier with high probabilities on arbitrary images, making it more practical for attacking deep models in the real world. Previous UAP methods generate a scale-fixed and texture-fixed perturbation map for all images, which ignores the multi-scale objects in images and usually results in a low fooling ratio. Since the widely used convolution neural networks tend to classify objects according to semantic information stored in local textures, it seems a reasonable and intuitive way to improve the UAP from the perspective of utilizing local contents effectively. In this work, we find that the fooling ratios significantly increase when we add a constraint to encourage a small-scale UAP map and repeat it vertically and horizontally to fill the whole image domain. To this end, we propose texture scale-constrained UAP (TSC-UAP), a simple yet effective UAP enhancement method that automatically generates UAPs with category-specific local textures that can fool deep models more easily. Through a low-cost operation that restricts the texture scale, TSC-UAP achieves a considerable improvement in the fooling ratio and attack transferability for both data-dependent and data-free UAP methods. Experiments conducted on two state-of-the-art UAP methods, eight popular CNN models and four classical datasets show the remarkable performance of TSC-UAP.