Robust Polyp Detection and Diagnosis through Compositional Prompt-Guided Diffusion Models

Colorectal cancer (CRC) is a significant global health concern, and early detection through screening plays a critical role in reducing mortality. While deep learning models have shown promise in improving polyp detection, classification, and segmentation, their generalization across diverse clinical environments, particularly with out-of-distribution (OOD) data, remains a challenge. Multi-center datasets like PolypGen have been developed to address these issues, but their collection is costly and time-consuming. Traditional data augmentation techniques provide limited variability, failing to capture the complexity of medical images. Diffusion models have emerged as a promising solution for generating synthetic polyp images, but the image generation process in current models mainly relies on segmentation masks as the condition, limiting their ability to capture the full clinical context. To overcome these limitations, we propose a Progressive Spectrum Diffusion Model (PSDM) that integrates diverse clinical annotations-such as segmentation masks, bounding boxes, and colonoscopy reports-by transforming them into compositional prompts. These prompts are organized into coarse and fine components, allowing the model to capture both broad spatial structures and fine details, generating clinically accurate synthetic images. By augmenting training data with PSDM-generated samples, our model significantly improves polyp detection, classification, and segmentation. For instance, on the PolypGen dataset, PSDM increases the F1 score by 2.12% and the mean average precision by 3.09%, demonstrating superior performance in OOD scenarios and enhanced generalization.

Progressive Local Alignment for Medical Multimodal Pre-training

Local alignment between medical images and text is essential for accurate diagnosis, though it remains challenging due to the absence of natural local pairings and the limitations of rigid region recognition methods. Traditional approaches rely on hard boundaries, which introduce uncertainty, whereas medical imaging demands flexible soft region recognition to handle irregular structures. To overcome these challenges, we propose the Progressive Local Alignment Network (PLAN), which designs a novel contrastive learning-based approach for local alignment to establish meaningful word-pixel relationships and introduces a progressive learning strategy to iteratively refine these relationships, enhancing alignment precision and robustness. By combining these techniques, PLAN effectively improves soft region recognition while suppressing noise interference. Extensive experiments on multiple medical datasets demonstrate that PLAN surpasses state-of-the-art methods in phrase grounding, image-text retrieval, object detection, and zero-shot classification, setting a new benchmark for medical image-text alignment.

C-LoRA: Continual Low-Rank Adaptation for Pre-trained Models

Low-Rank Adaptation (LoRA) is an efficient fine-tuning method that has been extensively applied in areas such as natural language processing and computer vision. Existing LoRA fine-tuning approaches excel in static environments but struggle in dynamic learning due to reliance on multiple adapter modules, increasing overhead and complicating inference. We propose Continual Low-Rank Adaptation (C-LoRA), a novel extension of LoRA for continual learning. C-LoRA uses a learnable routing matrix to dynamically manage parameter updates across tasks, ensuring efficient reuse of learned subspaces while enforcing orthogonality to minimize interference and forgetting. Unlike existing approaches that require separate adapters for each task, C-LoRA enables a integrated approach for task adaptation, achieving both scalability and parameter efficiency in sequential learning scenarios. C-LoRA achieves state-of-the-art accuracy and parameter efficiency on benchmarks while providing theoretical insights into its routing matrix's role in retaining and transferring knowledge, establishing a scalable framework for continual learning.

Unlocking Multimodal Integration in EHRs: A Prompt Learning Framework for Language and Time Series Fusion

Large language models (LLMs) have shown remarkable performance in vision-language tasks, but their application in the medical field remains underexplored, particularly for integrating structured time series data with unstructured clinical notes. In clinical practice, dynamic time series data such as lab test results capture critical temporal patterns, while clinical notes provide rich semantic context. Merging these modalities is challenging due to the inherent differences between continuous signals and discrete text. To bridge this gap, we introduce ProMedTS, a novel self-supervised multimodal framework that employs prompt-guided learning to unify these heterogeneous data types. Our approach leverages lightweight anomaly detection to generate anomaly captions that serve as prompts, guiding the encoding of raw time series data into informative embeddings. These embeddings are aligned with textual representations in a shared latent space, preserving fine-grained temporal nuances alongside semantic insights. Furthermore, our framework incorporates tailored self-supervised objectives to enhance both intra- and inter-modal alignment. We evaluate ProMedTS on disease diagnosis tasks using real-world datasets, and the results demonstrate that our method consistently outperforms state-of-the-art approaches.

MinMo: A Multimodal Large Language Model for Seamless Voice Interaction

Recent advancements in large language models (LLMs) and multimodal speech-text models have laid the groundwork for seamless voice interactions, enabling real-time, natural, and human-like conversations. Previous models for voice interactions are categorized as native and aligned. Native models integrate speech and text processing in one framework but struggle with issues like differing sequence lengths and insufficient pre-training. Aligned models maintain text LLM capabilities but are often limited by small datasets and a narrow focus on speech tasks. In this work, we introduce MinMo, a Multimodal Large Language Model with approximately 8B parameters for seamless voice interaction. We address the main limitations of prior aligned multimodal models. We train MinMo through multiple stages of speech-to-text alignment, text-to-speech alignment, speech-to-speech alignment, and duplex interaction alignment, on 1.4 million hours of diverse speech data and a broad range of speech tasks. After the multi-stage training, MinMo achieves state-of-the-art performance across various benchmarks for voice comprehension and generation while maintaining the capabilities of text LLMs, and also facilitates full-duplex conversation, that is, simultaneous two-way communication between the user and the system. Moreover, we propose a novel and simple voice decoder that outperforms prior models in voice generation. The enhanced instruction-following capabilities of MinMo supports controlling speech generation based on user instructions, with various nuances including emotions, dialects, and speaking rates, and mimicking specific voices. For MinMo, the speech-to-text latency is approximately 100ms, full-duplex latency is approximately 600ms in theory and 800ms in practice. The MinMo project web page is https://funaudiollm.github.io/minmo, and the code and models will be released soon.

Multimodal Clinical Reasoning through Knowledge-augmented Rationale Generation

Clinical rationales play a pivotal role in accurate disease diagnosis; however, many models predominantly use discriminative methods and overlook the importance of generating supportive rationales. Rationale distillation is a process that transfers knowledge from large language models (LLMs) to smaller language models (SLMs), thereby enhancing the latter's ability to break down complex tasks. Despite its benefits, rationale distillation alone is inadequate for addressing domain knowledge limitations in tasks requiring specialized expertise, such as disease diagnosis. Effectively embedding domain knowledge in SLMs poses a significant challenge. While current LLMs are primarily geared toward processing textual data, multimodal LLMs that incorporate time series data, especially electronic health records (EHRs), are still evolving. To tackle these limitations, we introduce ClinRaGen, an SLM optimized for multimodal rationale generation in disease diagnosis. ClinRaGen incorporates a unique knowledge-augmented attention mechanism to merge domain knowledge with time series EHR data, utilizing a stepwise rationale distillation strategy to produce both textual and time series-based clinical rationales. Our evaluations show that ClinRaGen markedly improves the SLM's capability to interpret multimodal EHR data and generate accurate clinical rationales, supporting more reliable disease diagnosis, advancing LLM applications in healthcare, and narrowing the performance divide between LLMs and SLMs.

EndoFinder: Online Image Retrieval for Explainable Colorectal Polyp Diagnosis

Determining the necessity of resecting malignant polyps during colonoscopy screen is crucial for patient outcomes, yet challenging due to the time-consuming and costly nature of histopathology examination. While deep learning-based classification models have shown promise in achieving optical biopsy with endoscopic images, they often suffer from a lack of explainability. To overcome this limitation, we introduce EndoFinder, a content-based image retrieval framework to find the 'digital twin' polyp in the reference database given a newly detected polyp. The clinical semantics of the new polyp can be inferred referring to the matched ones. EndoFinder pioneers a polyp-aware image encoder that is pre-trained on a large polyp dataset in a self-supervised way, merging masked image modeling with contrastive learning. This results in a generic embedding space ready for different downstream clinical tasks based on image retrieval. We validate the framework on polyp re-identification and optical biopsy tasks, with extensive experiments demonstrating that EndoFinder not only achieves explainable diagnostics but also matches the performance of supervised classification models. EndoFinder's reliance on image retrieval has the potential to support diverse downstream decision-making tasks during real-time colonoscopy procedures.

A Two-Stage Dual-Path Framework for Text Tampering Detection and Recognition

Document tamper detection has always been an important aspect of tamper detection. Before the advent of deep learning, document tamper detection was difficult. We have made some explorations in the field of text tamper detection based on deep learning. Our Ps tamper detection method includes three steps: feature assistance, audit point positioning, and tamper recognition. It involves hierarchical filtering and graded output (tampered/suspected tampered/untampered). By combining artificial tamper data features, we simulate and augment data samples in various scenarios (cropping with noise addition/replacement, single character/space replacement, smearing/splicing, brightness/contrast adjustment, etc.). The auxiliary features include exif/binary stream keyword retrieval/noise, which are used for branch detection based on the results. Audit point positioning uses detection frameworks and controls thresholds for high and low density detection. Tamper recognition employs a dual-path dual-stream recognition network, with RGB and ELA stream feature extraction. After dimensionality reduction through self-correlation percentile pooling, the fused output is processed through vlad, yielding an accuracy of 0.804, recall of 0.659, and precision of 0.913.

Intelligent Parsing: An Automated Parsing Framework for Extracting Design Semantics from E-commerce Creatives

In the industrial e-commerce landscape, creative designs such as banners and posters are ubiquitous. Extracting structured semantic information from creative e-commerce design materials (manuscripts crafted by designers) to obtain design semantics represents a core challenge in the realm of intelligent design. In this paper, we propose a comprehensive automated framework for intelligently parsing creative materials. This framework comprises material recognition, preprocess, smartname, and label layers. The material recognition layer consolidates various detection and recognition interfaces, covering business aspects including detection of auxiliary areas within creative materials and layer-level detection, alongside label identification. Algorithmically, it encompasses a variety of coarse-to-fine methods such as Cascade RCNN, GFL, and other models. The preprocess layer involves filtering creative layers and grading creative materials. The smartname layer achieves intelligent naming for creative materials, while the label layer covers multi-level tagging for creative materials, enabling tagging at different hierarchical levels. Intelligent parsing constitutes a complete parsing framework that significantly aids downstream processes such as intelligent creation, creative optimization, and material library construction. Within the practical business applications at Suning, it markedly enhances the exposure, circulation, and click-through rates of creative materials, expediting the closed-loop production of creative materials and yielding substantial benefits.

Label-dependent and event-guided interpretable disease risk prediction using EHRs

Electronic health records (EHRs) contain patients' heterogeneous data that are collected from medical providers involved in the patient's care, including medical notes, clinical events, laboratory test results, symptoms, and diagnoses. In the field of modern healthcare, predicting whether patients would experience any risks based on their EHRs has emerged as a promising research area, in which artificial intelligence (AI) plays a key role. To make AI models practically applicable, it is required that the prediction results should be both accurate and interpretable. To achieve this goal, this paper proposed a label-dependent and event-guided risk prediction model (LERP) to predict the presence of multiple disease risks by mainly extracting information from unstructured medical notes. Our model is featured in the following aspects. First, we adopt a label-dependent mechanism that gives greater attention to words from medical notes that are semantically similar to the names of risk labels. Secondly, as the clinical events (e.g., treatments and drugs) can also indicate the health status of patients, our model utilizes the information from events and uses them to generate an event-guided representation of medical notes. Thirdly, both label-dependent and event-guided representations are integrated to make a robust prediction, in which the interpretability is enabled by the attention weights over words from medical notes. To demonstrate the applicability of the proposed method, we apply it to the MIMIC-III dataset, which contains real-world EHRs collected from hospitals. Our method is evaluated in both quantitative and qualitative ways.