Med3DVLM: An Efficient Vision-Language Model for 3D Medical Image Analysis

Vision-language models (VLMs) have shown promise in 2D medical image analysis, but extending them to 3D remains challenging due to the high computational demands of volumetric data and the difficulty of aligning 3D spatial features with clinical text. We present Med3DVLM, a 3D VLM designed to address these challenges through three key innovations: (1) DCFormer, an efficient encoder that uses decomposed 3D convolutions to capture fine-grained spatial features at scale; (2) SigLIP, a contrastive learning strategy with pairwise sigmoid loss that improves image-text alignment without relying on large negative batches; and (3) a dual-stream MLP-Mixer projector that fuses low- and high-level image features with text embeddings for richer multi-modal representations. We evaluate our model on the M3D dataset, which includes radiology reports and VQA data for 120,084 3D medical images. Results show that Med3DVLM achieves superior performance across multiple benchmarks. For image-text retrieval, it reaches 61.00% R@1 on 2,000 samples, significantly outperforming the current state-of-the-art M3D model (19.10%). For report generation, it achieves a METEOR score of 36.42% (vs. 14.38%). In open-ended visual question answering (VQA), it scores 36.76% METEOR (vs. 33.58%), and in closed-ended VQA, it achieves 79.95% accuracy (vs. 75.78%). These results highlight Med3DVLM's ability to bridge the gap between 3D imaging and language, enabling scalable, multi-task reasoning across clinical applications. Our code is publicly available at https://github.com/mirthAI/Med3DVLM.

Robust Multimodal Survival Prediction with the Latent Differentiation Conditional Variational AutoEncoder

The integrative analysis of histopathological images and genomic data has received increasing attention for survival prediction of human cancers. However, the existing studies always hold the assumption that full modalities are available. As a matter of fact, the cost for collecting genomic data is high, which sometimes makes genomic data unavailable in testing samples. A common way of tackling such incompleteness is to generate the genomic representations from the pathology images. Nevertheless, such strategy still faces the following two challenges: (1) The gigapixel whole slide images (WSIs) are huge and thus hard for representation. (2) It is difficult to generate the genomic embeddings with diverse function categories in a unified generative framework. To address the above challenges, we propose a Conditional Latent Differentiation Variational AutoEncoder (LD-CVAE) for robust multimodal survival prediction, even with missing genomic data. Specifically, a Variational Information Bottleneck Transformer (VIB-Trans) module is proposed to learn compressed pathological representations from the gigapixel WSIs. To generate different functional genomic features, we develop a novel Latent Differentiation Variational AutoEncoder (LD-VAE) to learn the common and specific posteriors for the genomic embeddings with diverse functions. Finally, we use the product-of-experts technique to integrate the genomic common posterior and image posterior for the joint latent distribution estimation in LD-CVAE. We test the effectiveness of our method on five different cancer datasets, and the experimental results demonstrate its superiority in both complete and missing modality scenarios.

DAMM-Diffusion: Learning Divergence-Aware Multi-Modal Diffusion Model for Nanoparticles Distribution Prediction

The prediction of nanoparticles (NPs) distribution is crucial for the diagnosis and treatment of tumors. Recent studies indicate that the heterogeneity of tumor microenvironment (TME) highly affects the distribution of NPs across tumors. Hence, it has become a research hotspot to generate the NPs distribution by the aid of multi-modal TME components. However, the distribution divergence among multi-modal TME components may cause side effects i.e., the best uni-modal model may outperform the joint generative model. To address the above issues, we propose a \textbf{D}ivergence-\textbf{A}ware \textbf{M}ulti-\textbf{M}odal \textbf{Diffusion} model (i.e., \textbf{DAMM-Diffusion}) to adaptively generate the prediction results from uni-modal and multi-modal branches in a unified network. In detail, the uni-modal branch is composed of the U-Net architecture while the multi-modal branch extends it by introducing two novel fusion modules i.e., Multi-Modal Fusion Module (MMFM) and Uncertainty-Aware Fusion Module (UAFM). Specifically, the MMFM is proposed to fuse features from multiple modalities, while the UAFM module is introduced to learn the uncertainty map for cross-attention computation. Following the individual prediction results from each branch, the Divergence-Aware Multi-Modal Predictor (DAMMP) module is proposed to assess the consistency of multi-modal data with the uncertainty map, which determines whether the final prediction results come from multi-modal or uni-modal predictions. We predict the NPs distribution given the TME components of tumor vessels and cell nuclei, and the experimental results show that DAMM-Diffusion can generate the distribution of NPs with higher accuracy than the comparing methods. Additional results on the multi-modal brain image synthesis task further validate the effectiveness of the proposed method.

DCFormer: Efficient 3D Vision-Language Modeling with Decomposed Convolutions

Vision-language models (VLMs) align visual and textual representations, enabling high-performance zero-shot classification and image-text retrieval in 2D medical imaging. However, extending VLMs to 3D medical imaging remains computationally challenging. Existing 3D VLMs rely on Vision Transformers (ViTs), which are computationally expensive due to self-attention's quadratic complexity, or 3D convolutions, which demand excessive parameters and FLOPs as kernel size increases. We introduce DCFormer, an efficient 3D medical image encoder that factorizes 3D convolutions into three parallel 1D convolutions along depth, height, and width. This design preserves spatial information while significantly reducing computational cost. Integrated into a CLIP-based vision-language framework, DCFormer is evaluated on CT-RATE, a dataset of 50,188 paired 3D chest CT volumes and radiology reports, for zero-shot multi-abnormality detection across 18 pathologies. Compared to ViT, ConvNeXt, PoolFormer, and TransUNet, DCFormer achieves superior efficiency and accuracy, with DCFormer-Tiny reaching 62.0% accuracy and a 46.3% F1-score while using significantly fewer parameters. These results highlight DCFormer's potential for scalable, clinically deployable 3D medical VLMs. Our codes will be publicly available.

Multi-Class Segmentation of Aortic Branches and Zones in Computed Tomography Angiography: The AortaSeg24 Challenge

Multi-class segmentation of the aorta in computed tomography angiography (CTA) scans is essential for diagnosing and planning complex endovascular treatments for patients with aortic dissections. However, existing methods reduce aortic segmentation to a binary problem, limiting their ability to measure diameters across different branches and zones. Furthermore, no open-source dataset is currently available to support the development of multi-class aortic segmentation methods. To address this gap, we organized the AortaSeg24 MICCAI Challenge, introducing the first dataset of 100 CTA volumes annotated for 23 clinically relevant aortic branches and zones. This dataset was designed to facilitate both model development and validation. The challenge attracted 121 teams worldwide, with participants leveraging state-of-the-art frameworks such as nnU-Net and exploring novel techniques, including cascaded models, data augmentation strategies, and custom loss functions. We evaluated the submitted algorithms using the Dice Similarity Coefficient (DSC) and Normalized Surface Distance (NSD), highlighting the approaches adopted by the top five performing teams. This paper presents the challenge design, dataset details, evaluation metrics, and an in-depth analysis of the top-performing algorithms. The annotated dataset, evaluation code, and implementations of the leading methods are publicly available to support further research. All resources can be accessed at https://aortaseg24.grand-challenge.org.

Scaling Laws in Patchification: An Image Is Worth 50,176 Tokens And More

Since the introduction of Vision Transformer (ViT), patchification has long been regarded as a de facto image tokenization approach for plain visual architectures. By compressing the spatial size of images, this approach can effectively shorten the token sequence and reduce the computational cost of ViT-like plain architectures. In this work, we aim to thoroughly examine the information loss caused by this patchification-based compressive encoding paradigm and how it affects visual understanding. We conduct extensive patch size scaling experiments and excitedly observe an intriguing scaling law in patchification: the models can consistently benefit from decreased patch sizes and attain improved predictive performance, until it reaches the minimum patch size of 1x1, i.e., pixel tokenization. This conclusion is broadly applicable across different vision tasks, various input scales, and diverse architectures such as ViT and the recent Mamba models. Moreover, as a by-product, we discover that with smaller patches, task-specific decoder heads become less critical for dense prediction. In the experiments, we successfully scale up the visual sequence to an exceptional length of 50,176 tokens, achieving a competitive test accuracy of 84.6% with a base-sized model on the ImageNet-1k benchmark. We hope this study can provide insights and theoretical foundations for future works of building non-compressive vision models. Code is available at https://github.com/wangf3014/Patch_Scaling.

DiffETM: Diffusion Process Enhanced Embedded Topic Model

The embedded topic model (ETM) is a widely used approach that assumes the sampled document-topic distribution conforms to the logistic normal distribution for easier optimization. However, this assumption oversimplifies the real document-topic distribution, limiting the model's performance. In response, we propose a novel method that introduces the diffusion process into the sampling process of document-topic distribution to overcome this limitation and maintain an easy optimization process. We validate our method through extensive experiments on two mainstream datasets, proving its effectiveness in improving topic modeling performance.

Efficient MedSAMs: Segment Anything in Medical Images on Laptop

Promptable segmentation foundation models have emerged as a transformative approach to addressing the diverse needs in medical images, but most existing models require expensive computing, posing a big barrier to their adoption in clinical practice. In this work, we organized the first international competition dedicated to promptable medical image segmentation, featuring a large-scale dataset spanning nine common imaging modalities from over 20 different institutions. The top teams developed lightweight segmentation foundation models and implemented an efficient inference pipeline that substantially reduced computational requirements while maintaining state-of-the-art segmentation accuracy. Moreover, the post-challenge phase advanced the algorithms through the design of performance booster and reproducibility tasks, resulting in improved algorithms and validated reproducibility of the winning solution. Furthermore, the best-performing algorithms have been incorporated into the open-source software with a user-friendly interface to facilitate clinical adoption. The data and code are publicly available to foster the further development of medical image segmentation foundation models and pave the way for impactful real-world applications.

Mask Enhanced Deeply Supervised Prostate Cancer Detection on B-mode Micro-Ultrasound

Prostate cancer is a leading cause of cancer-related deaths among men. The recent development of high frequency, micro-ultrasound imaging offers improved resolution compared to conventional ultrasound and potentially a better ability to differentiate clinically significant cancer from normal tissue. However, the features of prostate cancer remain subtle, with ambiguous borders with normal tissue and large variations in appearance, making it challenging for both machine learning and humans to localize it on micro-ultrasound images. We propose a novel Mask Enhanced Deeply-supervised Micro-US network, termed MedMusNet, to automatically and more accurately segment prostate cancer to be used as potential targets for biopsy procedures. MedMusNet leverages predicted masks of prostate cancer to enforce the learned features layer-wisely within the network, reducing the influence of noise and improving overall consistency across frames. MedMusNet successfully detected 76% of clinically significant cancer with a Dice Similarity Coefficient of 0.365, significantly outperforming the baseline Swin-M2F in specificity and accuracy (Wilcoxon test, Bonferroni correction, p-value<0.05). While the lesion-level and patient-level analyses showed improved performance compared to human experts and different baseline, the improvements did not reach statistical significance, likely on account of the small cohort. We have presented a novel approach to automatically detect and segment clinically significant prostate cancer on B-mode micro-ultrasound images. Our MedMusNet model outperformed other models, surpassing even human experts. These preliminary results suggest the potential for aiding urologists in prostate cancer diagnosis via biopsy and treatment decision-making.

EI-Drive: A Platform for Cooperative Perception with Realistic Communication Models

The growing interest in autonomous driving calls for realistic simulation platforms capable of accurately simulating cooperative perception process in realistic traffic scenarios. Existing studies for cooperative perception often have not accounted for transmission latency and errors in real-world environments. To address this gap, we introduce EI-Drive, an edge-AI based autonomous driving simulation platform that integrates advanced cooperative perception with more realistic communication models. Built on the CARLA framework, EI-Drive features new modules for cooperative perception while taking into account transmission latency and errors, providing a more realistic platform for evaluating cooperative perception algorithms. In particular, the platform enables vehicles to fuse data from multiple sources, improving situational awareness and safety in complex environments. With its modular design, EI-Drive allows for detailed exploration of sensing, perception, planning, and control in various cooperative driving scenarios. Experiments using EI-Drive demonstrate significant improvements in vehicle safety and performance, particularly in scenarios with complex traffic flow and network conditions. All code and documents are accessible on our GitHub page: \url{https://ucd-dare.github.io/eidrive.github.io/}.