CROME: Cross-Modal Adapters for Efficient Multimodal LLM

Multimodal Large Language Models (MLLMs) demonstrate remarkable image-language capabilities, but their widespread use faces challenges in cost-effective training and adaptation. Existing approaches often necessitate expensive language model retraining and limited adaptability. Additionally, the current focus on zero-shot performance improvements offers insufficient guidance for task-specific tuning. We propose CROME, an efficient vision-language instruction tuning framework. It features a novel gated cross-modal adapter that effectively combines visual and textual representations prior to input into a frozen LLM. This lightweight adapter, trained with minimal parameters, enables efficient cross-modal understanding. Notably, CROME demonstrates superior zero-shot performance on standard visual question answering and instruction-following benchmarks. Moreover, it yields fine-tuning with exceptional parameter efficiency, competing with task-specific specialist state-of-the-art methods. CROME demonstrates the potential of pre-LM alignment for building scalable, adaptable, and parameter-efficient multimodal models.

PIE: Simulating Disease Progression via Progressive Image Editing

Disease progression simulation is a crucial area of research that has significant implications for clinical diagnosis, prognosis, and treatment. One major challenge in this field is the lack of continuous medical imaging monitoring of individual patients over time. To address this issue, we develop a novel framework termed Progressive Image Editing (PIE) that enables controlled manipulation of disease-related image features, facilitating precise and realistic disease progression simulation. Specifically, we leverage recent advancements in text-to-image generative models to simulate disease progression accurately and personalize it for each patient. We theoretically analyze the iterative refining process in our framework as a gradient descent with an exponentially decayed learning rate. To validate our framework, we conduct experiments in three medical imaging domains. Our results demonstrate the superiority of PIE over existing methods such as Stable Diffusion Walk and Style-Based Manifold Extrapolation based on CLIP score (Realism) and Disease Classification Confidence (Alignment). Our user study collected feedback from 35 veteran physicians to assess the generated progressions. Remarkably, 76.2% of the feedback agrees with the fidelity of the generated progressions. To our best knowledge, PIE is the first of its kind to generate disease progression images meeting real-world standards. It is a promising tool for medical research and clinical practice, potentially allowing healthcare providers to model disease trajectories over time, predict future treatment responses, and improve patient outcomes.