HC-LLM: Historical-Constrained Large Language Models for Radiology Report Generation

Radiology report generation (RRG) models typically focus on individual exams, often overlooking the integration of historical visual or textual data, which is crucial for patient follow-ups. Traditional methods usually struggle with long sequence dependencies when incorporating historical information, but large language models (LLMs) excel at in-context learning, making them well-suited for analyzing longitudinal medical data. In light of this, we propose a novel Historical-Constrained Large Language Models (HC-LLM) framework for RRG, empowering LLMs with longitudinal report generation capabilities by constraining the consistency and differences between longitudinal images and their corresponding reports. Specifically, our approach extracts both time-shared and time-specific features from longitudinal chest X-rays and diagnostic reports to capture disease progression. Then, we ensure consistent representation by applying intra-modality similarity constraints and aligning various features across modalities with multimodal contrastive and structural constraints. These combined constraints effectively guide the LLMs in generating diagnostic reports that accurately reflect the progression of the disease, achieving state-of-the-art results on the Longitudinal-MIMIC dataset. Notably, our approach performs well even without historical data during testing and can be easily adapted to other multimodal large models, enhancing its versatility.

Artificial Intelligence-Enhanced Couinaud Segmentation for Precision Liver Cancer Therapy

Precision therapy for liver cancer necessitates accurately delineating liver sub-regions to protect healthy tissue while targeting tumors, which is essential for reducing recurrence and improving survival rates. However, the segmentation of hepatic segments, known as Couinaud segmentation, is challenging due to indistinct sub-region boundaries and the need for extensive annotated datasets. This study introduces LiverFormer, a novel Couinaud segmentation model that effectively integrates global context with low-level local features based on a 3D hybrid CNN-Transformer architecture. Additionally, a registration-based data augmentation strategy is equipped to enhance the segmentation performance with limited labeled data. Evaluated on CT images from 123 patients, LiverFormer demonstrated high accuracy and strong concordance with expert annotations across various metrics, allowing for enhanced treatment planning for surgery and radiation therapy. It has great potential to reduces complications and minimizes potential damages to surrounding tissue, leading to improved outcomes for patients undergoing complex liver cancer treatments.

SemiDDM-Weather: A Semi-supervised Learning Framework for All-in-one Adverse Weather Removal

Adverse weather removal aims to restore clear vision under adverse weather conditions. Existing methods are mostly tailored for specific weather types and rely heavily on extensive labeled data. In dealing with these two limitations, this paper presents a pioneering semi-supervised all-in-one adverse weather removal framework built on the teacher-student network with a Denoising Diffusion Model (DDM) as the backbone, termed SemiDDM-Weather. As for the design of DDM backbone in our SemiDDM-Weather, we adopt the SOTA Wavelet Diffusion Model-Wavediff with customized inputs and loss functions, devoted to facilitating the learning of many-to-one mapping distributions for efficient all-in-one adverse weather removal with limited label data. To mitigate the risk of misleading model training due to potentially inaccurate pseudo-labels generated by the teacher network in semi-supervised learning, we introduce quality assessment and content consistency constraints to screen the "optimal" outputs from the teacher network as the pseudo-labels, thus more effectively guiding the student network training with unlabeled data. Experimental results show that on both synthetic and real-world datasets, our SemiDDM-Weather consistently delivers high visual quality and superior adverse weather removal, even when compared to fully supervised competitors. Our code and pre-trained model are available at this repository.

TERD: A Unified Framework for Safeguarding Diffusion Models Against Backdoors

Diffusion models have achieved notable success in image generation, but they remain highly vulnerable to backdoor attacks, which compromise their integrity by producing specific undesirable outputs when presented with a pre-defined trigger. In this paper, we investigate how to protect diffusion models from this dangerous threat. Specifically, we propose TERD, a backdoor defense framework that builds unified modeling for current attacks, which enables us to derive an accessible reversed loss. A trigger reversion strategy is further employed: an initial approximation of the trigger through noise sampled from a prior distribution, followed by refinement through differential multi-step samplers. Additionally, with the reversed trigger, we propose backdoor detection from the noise space, introducing the first backdoor input detection approach for diffusion models and a novel model detection algorithm that calculates the KL divergence between reversed and benign distributions. Extensive evaluations demonstrate that TERD secures a 100% True Positive Rate (TPR) and True Negative Rate (TNR) across datasets of varying resolutions. TERD also demonstrates nice adaptability to other Stochastic Differential Equation (SDE)-based models. Our code is available at https://github.com/PKU-ML/TERD.

Medical Report Generation Is A Multi-label Classification Problem

Medical report generation is a critical task in healthcare that involves the automatic creation of detailed and accurate descriptions from medical images. Traditionally, this task has been approached as a sequence generation problem, relying on vision-and-language techniques to generate coherent and contextually relevant reports. However, in this paper, we propose a novel perspective: rethinking medical report generation as a multi-label classification problem. By framing the task this way, we leverage the radiology nodes from the commonly used knowledge graph, which can be better captured through classification techniques. To verify our argument, we introduce a novel report generation framework based on BLIP integrated with classified key nodes, which allows for effective report generation with accurate classification of multiple key aspects within the medical images. This approach not only simplifies the report generation process but also significantly enhances performance metrics. Our extensive experiments demonstrate that leveraging key nodes can achieve state-of-the-art (SOTA) performance, surpassing existing approaches across two benchmark datasets. The results underscore the potential of re-envisioning traditional tasks with innovative methodologies, paving the way for more efficient and accurate medical report generation.

Image Super-Resolution with Taylor Expansion Approximation and Large Field Reception

Self-similarity techniques are booming in blind super-resolution (SR) due to accurate estimation of the degradation types involved in low-resolution images. However, high-dimensional matrix multiplication within self-similarity computation prohibitively consumes massive computational costs. We find that the high-dimensional attention map is derived from the matrix multiplication between Query and Key, followed by a softmax function. This softmax makes the matrix multiplication between Query and Key inseparable, posing a great challenge in simplifying computational complexity. To address this issue, we first propose a second-order Taylor expansion approximation (STEA) to separate the matrix multiplication of Query and Key, resulting in the complexity reduction from $\mathcal{O}(N^2)$ to $\mathcal{O}(N)$. Then, we design a multi-scale large field reception (MLFR) to compensate for the performance degradation caused by STEA. Finally, we apply these two core designs to laboratory and real-world scenarios by constructing LabNet and RealNet, respectively. Extensive experimental results tested on five synthetic datasets demonstrate that our LabNet sets a new benchmark in qualitative and quantitative evaluations. Tested on the RealWorld38 dataset, our RealNet achieves superior visual quality over existing methods. Ablation studies further verify the contributions of STEA and MLFR towards both LabNet and RealNet frameworks.

Contrastive Learning with Counterfactual Explanations for Radiology Report Generation

Due to the common content of anatomy, radiology images with their corresponding reports exhibit high similarity. Such inherent data bias can predispose automatic report generation models to learn entangled and spurious representations resulting in misdiagnostic reports. To tackle these, we propose a novel \textbf{Co}unter\textbf{F}actual \textbf{E}xplanations-based framework (CoFE) for radiology report generation. Counterfactual explanations serve as a potent tool for understanding how decisions made by algorithms can be changed by asking ``what if'' scenarios. By leveraging this concept, CoFE can learn non-spurious visual representations by contrasting the representations between factual and counterfactual images. Specifically, we derive counterfactual images by swapping a patch between positive and negative samples until a predicted diagnosis shift occurs. Here, positive and negative samples are the most semantically similar but have different diagnosis labels. Additionally, CoFE employs a learnable prompt to efficiently fine-tune the pre-trained large language model, encapsulating both factual and counterfactual content to provide a more generalizable prompt representation. Extensive experiments on two benchmarks demonstrate that leveraging the counterfactual explanations enables CoFE to generate semantically coherent and factually complete reports and outperform in terms of language generation and clinical efficacy metrics.

CLIPVQA:Video Quality Assessment via CLIP

In learning vision-language representations from web-scale data, the contrastive language-image pre-training (CLIP) mechanism has demonstrated a remarkable performance in many vision tasks. However, its application to the widely studied video quality assessment (VQA) task is still an open issue. In this paper, we propose an efficient and effective CLIP-based Transformer method for the VQA problem (CLIPVQA). Specifically, we first design an effective video frame perception paradigm with the goal of extracting the rich spatiotemporal quality and content information among video frames. Then, the spatiotemporal quality features are adequately integrated together using a self-attention mechanism to yield video-level quality representation. To utilize the quality language descriptions of videos for supervision, we develop a CLIP-based encoder for language embedding, which is then fully aggregated with the generated content information via a cross-attention module for producing video-language representation. Finally, the video-level quality and video-language representations are fused together for final video quality prediction, where a vectorized regression loss is employed for efficient end-to-end optimization. Comprehensive experiments are conducted on eight in-the-wild video datasets with diverse resolutions to evaluate the performance of CLIPVQA. The experimental results show that the proposed CLIPVQA achieves new state-of-the-art VQA performance and up to 37% better generalizability than existing benchmark VQA methods. A series of ablation studies are also performed to validate the effectiveness of each module in CLIPVQA.

PID: Prompt-Independent Data Protection Against Latent Diffusion Models

The few-shot fine-tuning of Latent Diffusion Models (LDMs) has enabled them to grasp new concepts from a limited number of images. However, given the vast amount of personal images accessible online, this capability raises critical concerns about civil privacy. While several previous defense methods have been developed to prevent such misuse of LDMs, they typically assume that the textual prompts used by data protectors exactly match those employed by data exploiters. In this paper, we first empirically demonstrate that breaking this assumption, i.e., in cases where discrepancies exist between the textual conditions used by protectors and exploiters, could substantially reduce the effectiveness of these defenses. Furthermore, considering the visual encoder's independence from textual prompts, we delve into the visual encoder and thoroughly investigate how manipulating the visual encoder affects the few-shot fine-tuning process of LDMs. Drawing on these insights, we propose a simple yet effective method called \textbf{Prompt-Independent Defense (PID)} to safeguard privacy against LDMs. We show that PID can act as a strong privacy shield on its own while requiring significantly less computational power. We believe our studies, along with the comprehensive understanding and new defense method, provide a notable advance toward reliable data protection against LDMs.

Teaching with Uncertainty: Unleashing the Potential of Knowledge Distillation in Object Detection

Knowledge distillation (KD) is a widely adopted and effective method for compressing models in object detection tasks. Particularly, feature-based distillation methods have shown remarkable performance. Existing approaches often ignore the uncertainty in the teacher model's knowledge, which stems from data noise and imperfect training. This limits the student model's ability to learn latent knowledge, as it may overly rely on the teacher's imperfect guidance. In this paper, we propose a novel feature-based distillation paradigm with knowledge uncertainty for object detection, termed "Uncertainty Estimation-Discriminative Knowledge Extraction-Knowledge Transfer (UET)", which can seamlessly integrate with existing distillation methods. By leveraging the Monte Carlo dropout technique, we introduce knowledge uncertainty into the training process of the student model, facilitating deeper exploration of latent knowledge. Our method performs effectively during the KD process without requiring intricate structures or extensive computational resources. Extensive experiments validate the effectiveness of our proposed approach across various distillation strategies, detectors, and backbone architectures. Specifically, following our proposed paradigm, the existing FGD method achieves state-of-the-art (SoTA) performance, with ResNet50-based GFL achieving 44.1% mAP on the COCO dataset, surpassing the baselines by 3.9%.