Rethinking Glaucoma Calibration: Voting-Based Binocular and Metadata Integration

Glaucoma is an incurable ophthalmic disease that damages the optic nerve, leads to vision loss, and ranks among the leading causes of blindness worldwide. Diagnosing glaucoma typically involves fundus photography, optical coherence tomography (OCT), and visual field testing. However, the high cost of OCT often leads to reliance on fundus photography and visual field testing, both of which exhibit inherent inter-observer variability. This stems from glaucoma being a multifaceted disease that influenced by various factors. As a result, glaucoma diagnosis is highly subjective, emphasizing the necessity of calibration, which aligns predicted probabilities with actual disease likelihood. Proper calibration is essential to prevent overdiagnosis or misdiagnosis, which are critical concerns for high-risk diseases. Although AI has significantly improved diagnostic accuracy, overconfidence in models have worsen calibration performance. Recent study has begun focusing on calibration for glaucoma. Nevertheless, previous study has not fully considered glaucoma's systemic nature and the high subjectivity in its diagnostic process. To overcome these limitations, we propose V-ViT (Voting-based ViT), a novel framework that enhances calibration by incorporating disease-specific characteristics. V-ViT integrates binocular data and metadata, reflecting the multi-faceted nature of glaucoma diagnosis. Additionally, we introduce a MC dropout-based Voting System to address high subjectivity. Our approach achieves state-of-the-art performance across all metrics, including accuracy, demonstrating that our proposed methods are effective in addressing calibration issues. We validate our method using a custom dataset including binocular data.

Fourier Decomposition for Explicit Representation of 3D Point Cloud Attributes

While 3D point clouds are widely utilized across various vision applications, their irregular and sparse nature make them challenging to handle. In response, numerous encoding approaches have been proposed to capture the rich semantic information of point clouds. Yet, a critical limitation persists: a lack of consideration for colored point clouds which are more capable 3D representations as they contain diverse attributes: color and geometry. While existing methods handle these attributes separately on a per-point basis, this leads to a limited receptive field and restricted ability to capture relationships across multiple points. To address this, we pioneer a point cloud encoding methodology that leverages 3D Fourier decomposition to disentangle color and geometric features while extending the receptive field through spectral-domain operations. Our analysis confirms that this encoding approach effectively separates feature components, where the amplitude uniquely captures color attributes and the phase encodes geometric structure, thereby enabling independent learning and utilization of both attributes. Furthermore, the spectral-domain properties of these components naturally aggregate local features while considering multiple points' information. We validate our point cloud encoding approach on point cloud classification and style transfer tasks, achieving state-of-the-art results on the DensePoint dataset with improvements via a proposed amplitude-based data augmentation strategy.

Pathology-Aware Adaptive Watermarking for Text-Driven Medical Image Synthesis

As recent text-conditioned diffusion models have enabled the generation of high-quality images, concerns over their potential misuse have also grown. This issue is critical in the medical domain, where text-conditioned generated medical images could enable insurance fraud or falsified records, highlighting the urgent need for reliable safeguards against unethical use. While watermarking techniques have emerged as a promising solution in general image domains, their direct application to medical imaging presents significant challenges. A key challenge is preserving fine-grained disease manifestations, as even minor distortions from a watermark may lead to clinical misinterpretation, which compromises diagnostic integrity. To overcome this gap, we present MedSign, a deep learning-based watermarking framework specifically designed for text-to-medical image synthesis, which preserves pathologically significant regions by adaptively adjusting watermark strength. Specifically, we generate a pathology localization map using cross-attention between medical text tokens and the diffusion denoising network, aggregating token-wise attention across layers, heads, and time steps. Leveraging this map, we optimize the LDM decoder to incorporate watermarking during image synthesis, ensuring cohesive integration while minimizing interference in diagnostically critical regions. Experimental results show that our MedSign preserves diagnostic integrity while ensuring watermark robustness, achieving state-of-the-art performance in image quality and detection accuracy on MIMIC-CXR and OIA-ODIR datasets.

Your Large Vision-Language Model Only Needs A Few Attention Heads For Visual Grounding

Visual grounding seeks to localize the image region corresponding to a free-form text description. Recently, the strong multimodal capabilities of Large Vision-Language Models (LVLMs) have driven substantial improvements in visual grounding, though they inevitably require fine-tuning and additional model components to explicitly generate bounding boxes or segmentation masks. However, we discover that a few attention heads in frozen LVLMs demonstrate strong visual grounding capabilities. We refer to these heads, which consistently capture object locations related to text semantics, as localization heads. Using localization heads, we introduce a straightforward and effective training-free visual grounding framework that utilizes text-to-image attention maps from localization heads to identify the target objects. Surprisingly, only three out of thousands of attention heads are sufficient to achieve competitive localization performance compared to existing LVLM-based visual grounding methods that require fine-tuning. Our findings suggest that LVLMs can innately ground objects based on a deep comprehension of the text-image relationship, as they implicitly focus on relevant image regions to generate informative text outputs. All the source codes will be made available to the public.

See What You Are Told: Visual Attention Sink in Large Multimodal Models

Large multimodal models (LMMs) "see" images by leveraging the attention mechanism between text and visual tokens in the transformer decoder. Ideally, these models should focus on key visual information relevant to the text token. However, recent findings indicate that LMMs have an extraordinary tendency to consistently allocate high attention weights to specific visual tokens, even when these tokens are irrelevant to the corresponding text. In this study, we investigate the property behind the appearance of these irrelevant visual tokens and examine their characteristics. Our findings show that this behavior arises due to the massive activation of certain hidden state dimensions, which resembles the attention sink found in language models. Hence, we refer to this phenomenon as the visual attention sink. In particular, our analysis reveals that removing the irrelevant visual sink tokens does not impact model performance, despite receiving high attention weights. Consequently, we recycle the attention to these tokens as surplus resources, redistributing the attention budget to enhance focus on the image. To achieve this, we introduce Visual Attention Redistribution (VAR), a method that redistributes attention in image-centric heads, which we identify as innately focusing on visual information. VAR can be seamlessly applied across different LMMs to improve performance on a wide range of tasks, including general vision-language tasks, visual hallucination tasks, and vision-centric tasks, all without the need for additional training, models, or inference steps. Experimental results demonstrate that VAR enables LMMs to process visual information more effectively by adjusting their internal attention mechanisms, offering a new direction to enhancing the multimodal capabilities of LMMs.

Distilling Spectral Graph for Object-Context Aware Open-Vocabulary Semantic Segmentation

Open-Vocabulary Semantic Segmentation (OVSS) has advanced with recent vision-language models (VLMs), enabling segmentation beyond predefined categories through various learning schemes. Notably, training-free methods offer scalable, easily deployable solutions for handling unseen data, a key goal of OVSS. Yet, a critical issue persists: lack of object-level context consideration when segmenting complex objects in the challenging environment of OVSS based on arbitrary query prompts. This oversight limits models' ability to group semantically consistent elements within object and map them precisely to user-defined arbitrary classes. In this work, we introduce a novel approach that overcomes this limitation by incorporating object-level contextual knowledge within images. Specifically, our model enhances intra-object consistency by distilling spectral-driven features from vision foundation models into the attention mechanism of the visual encoder, enabling semantically coherent components to form a single object mask. Additionally, we refine the text embeddings with zero-shot object presence likelihood to ensure accurate alignment with the specific objects represented in the images. By leveraging object-level contextual knowledge, our proposed approach achieves state-of-the-art performance with strong generalizability across diverse datasets.

PLATYPUS: Progressive Local Surface Estimator for Arbitrary-Scale Point Cloud Upsampling

3D point clouds are increasingly vital for applications like autonomous driving and robotics, yet the raw data captured by sensors often suffer from noise and sparsity, creating challenges for downstream tasks. Consequently, point cloud upsampling becomes essential for improving density and uniformity, with recent approaches showing promise by projecting randomly generated query points onto the underlying surface of sparse point clouds. However, these methods often result in outliers, non-uniformity, and difficulties in handling regions with high curvature and intricate structures. In this work, we address these challenges by introducing the Progressive Local Surface Estimator (PLSE), which more effectively captures local features in complex regions through a curvature-based sampling technique that selectively targets high-curvature areas. Additionally, we incorporate a curriculum learning strategy that leverages the curvature distribution within the point cloud to naturally assess the sample difficulty, enabling curriculum learning on point cloud data for the first time. The experimental results demonstrate that our approach significantly outperforms existing methods, achieving high-quality, dense point clouds with superior accuracy and detail.

Disentangling Disentangled Representations: Towards Improved Latent Units via Diffusion Models

Disentangled representation learning (DRL) aims to break down observed data into core intrinsic factors for a profound understanding of the data. In real-world scenarios, manually defining and labeling these factors are non-trivial, making unsupervised methods attractive. Recently, there have been limited explorations of utilizing diffusion models (DMs), which are already mainstream in generative modeling, for unsupervised DRL. They implement their own inductive bias to ensure that each latent unit input to the DM expresses only one distinct factor. In this context, we design Dynamic Gaussian Anchoring to enforce attribute-separated latent units for more interpretable DRL. This unconventional inductive bias explicitly delineates the decision boundaries between attributes while also promoting the independence among latent units. Additionally, we also propose Skip Dropout technique, which easily modifies the denoising U-Net to be more DRL-friendly, addressing its uncooperative nature with the disentangling feature extractor. Our methods, which carefully consider the latent unit semantics and the distinct DM structure, enhance the practicality of DM-based disentangled representations, demonstrating state-of-the-art disentanglement performance on both synthetic and real data, as well as advantages in downstream tasks.

DragText: Rethinking Text Embedding in Point-based Image Editing

Point-based image editing enables accurate and flexible control through content dragging. However, the role of text embedding in the editing process has not been thoroughly investigated. A significant aspect that remains unexplored is the interaction between text and image embeddings. In this study, we show that during the progressive editing of an input image in a diffusion model, the text embedding remains constant. As the image embedding increasingly diverges from its initial state, the discrepancy between the image and text embeddings presents a significant challenge. Moreover, we found that the text prompt significantly influences the dragging process, particularly in maintaining content integrity and achieving the desired manipulation. To utilize these insights, we propose DragText, which optimizes text embedding in conjunction with the dragging process to pair with the modified image embedding. Simultaneously, we regularize the text optimization process to preserve the integrity of the original text prompt. Our approach can be seamlessly integrated with existing diffusion-based drag methods with only a few lines of code.

Parameter Efficient Fine Tuning for Multi-scanner PET to PET Reconstruction

Reducing scan time in Positron Emission Tomography (PET) imaging while maintaining high-quality images is crucial for minimizing patient discomfort and radiation exposure. Due to the limited size of datasets and distribution discrepancy across scanners in medical imaging, fine-tuning in a parameter-efficient and effective manner is on the rise. Motivated by the potential of Parameter-Efficient Fine-Tuning (PEFT), we aim to address these issues by effectively leveraging PEFT to improve limited data and GPU resource issues in multi-scanner setups. In this paper, we introduce PETITE, Parameter-Efficient Fine-Tuning for MultI-scanner PET to PET REconstruction that uses fewer than 1% of the parameters. To the best of our knowledge, this study is the first to systematically explore the efficacy of diverse PEFT techniques in medical imaging reconstruction tasks via prevalent encoder-decoder-type deep models. This investigation, in particular, brings intriguing insights into PETITE as we show further improvements by treating encoder and decoder separately and mixing different PEFT methods, namely, Mix-PEFT. Using multi-scanner PET datasets comprised of five different scanners, we extensively test the cross-scanner PET scan time reduction performances (i.e., a model pre-trained on one scanner is fine-tuned on a different scanner) of 21 feasible Mix-PEFT combinations to derive optimal PETITE. We show that training with less than 1% parameters using PETITE performs on par with full fine-tuning (i.e., 100% parameter)