Cross-Fundus Transformer for Multi-modal Diabetic Retinopathy Grading with Cataract

Diabetic retinopathy (DR) is a leading cause of blindness worldwide and a common complication of diabetes. As two different imaging tools for DR grading, color fundus photography (CFP) and infrared fundus photography (IFP) are highly-correlated and complementary in clinical applications. To the best of our knowledge, this is the first study that explores a novel multi-modal deep learning framework to fuse the information from CFP and IFP towards more accurate DR grading. Specifically, we construct a dual-stream architecture Cross-Fundus Transformer (CFT) to fuse the ViT-based features of two fundus image modalities. In particular, a meticulously engineered Cross-Fundus Attention (CFA) module is introduced to capture the correspondence between CFP and IFP images. Moreover, we adopt both the single-modality and multi-modality supervisions to maximize the overall performance for DR grading. Extensive experiments on a clinical dataset consisting of 1,713 pairs of multi-modal fundus images demonstrate the superiority of our proposed method. Our code will be released for public access.

CT2C-QA: Multimodal Question Answering over Chinese Text, Table and Chart

Multimodal Question Answering (MMQA) is crucial as it enables comprehensive understanding and accurate responses by integrating insights from diverse data representations such as tables, charts, and text. Most existing researches in MMQA only focus on two modalities such as image-text QA, table-text QA and chart-text QA, and there remains a notable scarcity in studies that investigate the joint analysis of text, tables, and charts. In this paper, we present C$\text{T}^2$C-QA, a pioneering Chinese reasoning-based QA dataset that includes an extensive collection of text, tables, and charts, meticulously compiled from 200 selectively sourced webpages. Our dataset simulates real webpages and serves as a great test for the capability of the model to analyze and reason with multimodal data, because the answer to a question could appear in various modalities, or even potentially not exist at all. Additionally, we present AED (\textbf{A}llocating, \textbf{E}xpert and \textbf{D}esicion), a multi-agent system implemented through collaborative deployment, information interaction, and collective decision-making among different agents. Specifically, the Assignment Agent is in charge of selecting and activating expert agents, including those proficient in text, tables, and charts. The Decision Agent bears the responsibility of delivering the final verdict, drawing upon the analytical insights provided by these expert agents. We execute a comprehensive analysis, comparing AED with various state-of-the-art models in MMQA, including GPT-4. The experimental outcomes demonstrate that current methodologies, including GPT-4, are yet to meet the benchmarks set by our dataset.

A Medical Multimodal Large Language Model for Pediatric Pneumonia

Pediatric pneumonia is the leading cause of death among children under five years worldwide, imposing a substantial burden on affected families. Currently, there are three significant hurdles in diagnosing and treating pediatric pneumonia. Firstly, pediatric pneumonia shares similar symptoms with other respiratory diseases, making rapid and accurate differential diagnosis challenging. Secondly, primary hospitals often lack sufficient medical resources and experienced doctors. Lastly, providing personalized diagnostic reports and treatment recommendations is labor-intensive and time-consuming. To tackle these challenges, we proposed a Medical Multimodal Large Language Model for Pediatric Pneumonia (P2Med-MLLM). It was capable of handling diverse clinical tasks, such as generating free-text radiology reports and medical records within a unified framework. Specifically, P2Med-MLLM can process both pure text and image-text data, trained on an extensive and large-scale dataset (P2Med-MD), including real clinical information from 163,999 outpatient and 8,684 inpatient cases. This dataset comprised 2D chest X-ray images, 3D chest CT images, corresponding radiology reports, and outpatient and inpatient records. We designed a three-stage training strategy to enable P2Med-MLLM to comprehend medical knowledge and follow instructions for various clinical tasks. To rigorously evaluate P2Med-MLLM's performance, we developed P2Med-MBench, a benchmark consisting of 642 meticulously verified samples by pediatric pulmonology specialists, covering six clinical decision-support tasks and a balanced variety of diseases. The automated scoring results demonstrated the superiority of P2Med-MLLM. This work plays a crucial role in assisting primary care doctors with prompt disease diagnosis and treatment planning, reducing severe symptom mortality rates, and optimizing the allocation of medical resources.

ADSNet: Cross-Domain LTV Prediction with an Adaptive Siamese Network in Advertising

Advertising platforms have evolved in estimating Lifetime Value (LTV) to better align with advertisers' true performance metric. However, the sparsity of real-world LTV data presents a significant challenge to LTV predictive model(i.e., pLTV), severely limiting the their capabilities. Therefore, we propose to utilize external data, in addition to the internal data of advertising platform, to expand the size of purchase samples and enhance the LTV prediction model of the advertising platform. To tackle the issue of data distribution shift between internal and external platforms, we introduce an Adaptive Difference Siamese Network (ADSNet), which employs cross-domain transfer learning to prevent negative transfer. Specifically, ADSNet is designed to learn information that is beneficial to the target domain. We introduce a gain evaluation strategy to calculate information gain, aiding the model in learning helpful information for the target domain and providing the ability to reject noisy samples, thus avoiding negative transfer. Additionally, we also design a Domain Adaptation Module as a bridge to connect different domains, reduce the distribution distance between them, and enhance the consistency of representation space distribution. We conduct extensive offline experiments and online A/B tests on a real advertising platform. Our proposed ADSNet method outperforms other methods, improving GINI by 2$\%$. The ablation study highlights the importance of the gain evaluation strategy in negative gain sample rejection and improving model performance. Additionally, ADSNet significantly improves long-tail prediction. The online A/B tests confirm ADSNet's efficacy, increasing online LTV by 3.47$\%$ and GMV by 3.89$\%$.

Clever Hans Effect Found in Automatic Detection of Alzheimer's Disease through Speech

We uncover an underlying bias present in the audio recordings produced from the picture description task of the Pitt corpus, the largest publicly accessible database for Alzheimer's Disease (AD) detection research. Even by solely utilizing the silent segments of these audio recordings, we achieve nearly 100% accuracy in AD detection. However, employing the same methods to other datasets and preprocessed Pitt recordings results in typical levels (approximately 80%) of AD detection accuracy. These results demonstrate a Clever Hans effect in AD detection on the Pitt corpus. Our findings emphasize the crucial importance of maintaining vigilance regarding inherent biases in datasets utilized for training deep learning models, and highlight the necessity for a better understanding of the models' performance.

QMix: Quality-aware Learning with Mixed Noise for Robust Retinal Disease Diagnosis

Due to the complexity of medical image acquisition and the difficulty of annotation, medical image datasets inevitably contain noise. Noisy data with wrong labels affects the robustness and generalization ability of deep neural networks. Previous noise learning methods mainly considered noise arising from images being mislabeled, i.e. label noise, assuming that all mislabeled images are of high image quality. However, medical images are prone to suffering extreme quality issues, i.e. data noise, where discriminative visual features are missing for disease diagnosis. In this paper, we propose a noise learning framework, termed as QMix, that learns a robust disease diagnosis model under mixed noise. QMix alternates between sample separation and quality-aware semisupervised training in each training epoch. In the sample separation phase, we design a joint uncertainty-loss criterion to effectively separate (1) correctly labeled images; (2) mislabeled images with high quality and (3) mislabeled images with low quality. In the semi-supervised training phase, we train a disease diagnosis model to learn robust feature representation from the separated samples. Specifically, we devise a sample-reweighing loss to mitigate the effect of mislabeled images with low quality during training. Meanwhile, a contrastive enhancement loss is proposed to further distinguish mislabeled images with low quality from correctly labeled images. QMix achieved state-of-the-art disease diagnosis performance on five public retinal image datasets and exhibited substantial improvement on robustness against mixed noise.

Advancing COVID-19 Detection in 3D CT Scans

To make a more accurate diagnosis of COVID-19, we propose a straightforward yet effective model. Firstly, we analyse the characteristics of 3D CT scans and remove the non-lung parts, facilitating the model to focus on lesion-related areas and reducing computational cost. We use ResNeSt50 as the strong feature extractor, initializing it with pretrained weights which have COVID-19-specific prior knowledge. Our model achieves a Macro F1 Score of 0.94 on the validation set of the 4th COV19D Competition Challenge $\mathrm{I}$, surpassing the baseline by 16%. This indicates its effectiveness in distinguishing between COVID-19 and non-COVID-19 cases, making it a robust method for COVID-19 detection.

Domain Adaptation Using Pseudo Labels for COVID-19 Detection

In response to the need for rapid and accurate COVID-19 diagnosis during the global pandemic, we present a two-stage framework that leverages pseudo labels for domain adaptation to enhance the detection of COVID-19 from CT scans. By utilizing annotated data from one domain and non-annotated data from another, the model overcomes the challenge of data scarcity and variability, common in emergent health crises. The innovative approach of generating pseudo labels enables the model to iteratively refine its learning process, thereby improving its accuracy and adaptability across different hospitals and medical centres. Experimental results on COV19-CT-DB database showcase the model's potential to achieve high diagnostic precision, significantly contributing to efficient patient management and alleviating the strain on healthcare systems. Our method achieves 0.92 Macro F1 Score on the validation set of Covid-19 domain adaptation challenge.

Anatomical Structure-Guided Medical Vision-Language Pre-training

Learning medical visual representations through vision-language pre-training has reached remarkable progress. Despite the promising performance, it still faces challenges, i.e., local alignment lacks interpretability and clinical relevance, and the insufficient internal and external representation learning of image-report pairs. To address these issues, we propose an Anatomical Structure-Guided (ASG) framework. Specifically, we parse raw reports into triplets <anatomical region, finding, existence>, and fully utilize each element as supervision to enhance representation learning. For anatomical region, we design an automatic anatomical region-sentence alignment paradigm in collaboration with radiologists, considering them as the minimum semantic units to explore fine-grained local alignment. For finding and existence, we regard them as image tags, applying an image-tag recognition decoder to associate image features with their respective tags within each sample and constructing soft labels for contrastive learning to improve the semantic association of different image-report pairs. We evaluate the proposed ASG framework on two downstream tasks, including five public benchmarks. Experimental results demonstrate that our method outperforms the state-of-the-art methods.

Retrieval-Augmented Egocentric Video Captioning

Understanding human actions from videos of first-person view poses significant challenges. Most prior approaches explore representation learning on egocentric videos only, while overlooking the potential benefit of exploiting existing large-scale third-person videos. In this paper, (1) we develop EgoInstructor, a retrieval-augmented multimodal captioning model that automatically retrieves semantically relevant third-person instructional videos to enhance the video captioning of egocentric videos. (2) For training the cross-view retrieval module, we devise an automatic pipeline to discover ego-exo video pairs from distinct large-scale egocentric and exocentric datasets. (3) We train the cross-view retrieval module with a novel EgoExoNCE loss that pulls egocentric and exocentric video features closer by aligning them to shared text features that describe similar actions. (4) Through extensive experiments, our cross-view retrieval module demonstrates superior performance across seven benchmarks. Regarding egocentric video captioning, EgoInstructor exhibits significant improvements by leveraging third-person videos as references.