PaMi-VDPO: Mitigating Video Hallucinations by Prompt-Aware Multi-Instance Video Preference Learning

Direct Preference Optimization (DPO) helps reduce hallucinations in Video Multimodal Large Language Models (VLLMs), but its reliance on offline preference data limits adaptability and fails to capture true video-response misalignment. We propose Video Direct Preference Optimization (VDPO), an online preference learning framework that eliminates the need for preference annotation by leveraging video augmentations to generate rejected samples while keeping responses fixed. However, selecting effective augmentations is non-trivial, as some clips may be semantically identical to the original under specific prompts, leading to false rejections and disrupting alignment. To address this, we introduce Prompt-aware Multi-instance Learning VDPO (PaMi-VDPO), which selects augmentations based on prompt context. Instead of a single rejection, we construct a candidate set of augmented clips and apply a close-to-far selection strategy, initially ensuring all clips are semantically relevant while then prioritizing the most prompt-aware distinct clip. This allows the model to better capture meaningful visual differences, mitigating hallucinations, while avoiding false rejections, and improving alignment. PaMi-VDPOseamlessly integrates into existing VLLMs without additional parameters, GPT-4/human supervision. With only 10k SFT data, it improves the base model by 5.3% on VideoHallucer, surpassing GPT-4o, while maintaining stable performance on general video benchmarks.

MuTri: Multi-view Tri-alignment for OCT to OCTA 3D Image Translation

Optical coherence tomography angiography (OCTA) shows its great importance in imaging microvascular networks by providing accurate 3D imaging of blood vessels, but it relies upon specialized sensors and expensive devices. For this reason, previous works show the potential to translate the readily available 3D Optical Coherence Tomography (OCT) images into 3D OCTA images. However, existing OCTA translation methods directly learn the mapping from the OCT domain to the OCTA domain in continuous and infinite space with guidance from only a single view, i.e., the OCTA project map, resulting in suboptimal results. To this end, we propose the multi-view Tri-alignment framework for OCT to OCTA 3D image translation in discrete and finite space, named MuTri. In the first stage, we pre-train two vector-quantized variational auto-encoder (VQ- VAE) by reconstructing 3D OCT and 3D OCTA data, providing semantic prior for subsequent multi-view guidances. In the second stage, our multi-view tri-alignment facilitates another VQVAE model to learn the mapping from the OCT domain to the OCTA domain in discrete and finite space. Specifically, a contrastive-inspired semantic alignment is proposed to maximize the mutual information with the pre-trained models from OCT and OCTA views, to facilitate codebook learning. Meanwhile, a vessel structure alignment is proposed to minimize the structure discrepancy with the pre-trained models from the OCTA project map view, benefiting from learning the detailed vessel structure information. We also collect the first large-scale dataset, namely, OCTA2024, which contains a pair of OCT and OCTA volumes from 846 subjects.

Neurons: Emulating the Human Visual Cortex Improves Fidelity and Interpretability in fMRI-to-Video Reconstruction

Decoding visual stimuli from neural activity is essential for understanding the human brain. While fMRI methods have successfully reconstructed static images, fMRI-to-video reconstruction faces challenges due to the need for capturing spatiotemporal dynamics like motion and scene transitions. Recent approaches have improved semantic and perceptual alignment but struggle to integrate coarse fMRI data with detailed visual features. Inspired by the hierarchical organization of the visual system, we propose NEURONS, a novel framework that decouples learning into four correlated sub-tasks: key object segmentation, concept recognition, scene description, and blurry video reconstruction. This approach simulates the visual cortex's functional specialization, allowing the model to capture diverse video content. In the inference stage, NEURONS generates robust conditioning signals for a pre-trained text-to-video diffusion model to reconstruct the videos. Extensive experiments demonstrate that NEURONS outperforms state-of-the-art baselines, achieving solid improvements in video consistency (26.6%) and semantic-level accuracy (19.1%). Notably, NEURONS shows a strong functional correlation with the visual cortex, highlighting its potential for brain-computer interfaces and clinical applications. Code and model weights will be available at: https://github.com/xmed-lab/NEURONS.

HResFormer: Hybrid Residual Transformer for Volumetric Medical Image Segmentation

Vision Transformer shows great superiority in medical image segmentation due to the ability in learning long-range dependency. For medical image segmentation from 3D data, such as computed tomography (CT), existing methods can be broadly classified into 2D-based and 3D-based methods. One key limitation in 2D-based methods is that the intra-slice information is ignored, while the limitation in 3D-based methods is the high computation cost and memory consumption, resulting in a limited feature representation for inner-slice information. During the clinical examination, radiologists primarily use the axial plane and then routinely review both axial and coronal planes to form a 3D understanding of anatomy. Motivated by this fact, our key insight is to design a hybrid model which can first learn fine-grained inner-slice information and then generate a 3D understanding of anatomy by incorporating 3D information. We present a novel \textbf{H}ybrid \textbf{Res}idual trans\textbf{Former} \textbf{(HResFormer)} for 3D medical image segmentation. Building upon standard 2D and 3D Transformer backbones, HResFormer involves two novel key designs: \textbf{(1)} a \textbf{H}ybrid \textbf{L}ocal-\textbf{G}lobal fusion \textbf{M}odule \textbf{(HLGM)} to effectively and adaptively fuse inner-slice information from 2D Transformer and intra-slice information from 3D volumes for 3D Transformer with local fine-grained and global long-range representation. \textbf{(2)} a residual learning of the hybrid model, which can effectively leverage the inner-slice and intra-slice information for better 3D understanding of anatomy. Experiments show that our HResFormer outperforms prior art on widely-used medical image segmentation benchmarks. This paper sheds light on an important but neglected way to design Transformers for 3D medical image segmentation.

MultiEYE: Dataset and Benchmark for OCT-Enhanced Retinal Disease Recognition from Fundus Images

Existing multi-modal learning methods on fundus and OCT images mostly require both modalities to be available and strictly paired for training and testing, which appears less practical in clinical scenarios. To expand the scope of clinical applications, we formulate a novel setting, "OCT-enhanced disease recognition from fundus images", that allows for the use of unpaired multi-modal data during the training phase and relies on the widespread fundus photographs for testing. To benchmark this setting, we present the first large multi-modal multi-class dataset for eye disease diagnosis, MultiEYE, and propose an OCT-assisted Conceptual Distillation Approach (OCT-CoDA), which employs semantically rich concepts to extract disease-related knowledge from OCT images and leverage them into the fundus model. Specifically, we regard the image-concept relation as a link to distill useful knowledge from the OCT teacher model to the fundus student model, which considerably improves the diagnostic performance based on fundus images and formulates the cross-modal knowledge transfer into an explainable process. Through extensive experiments on the multi-disease classification task, our proposed OCT-CoDA demonstrates remarkable results and interpretability, showing great potential for clinical application. Our dataset and code are available at https://github.com/xmed-lab/MultiEYE.

Touchstone Benchmark: Are We on the Right Way for Evaluating AI Algorithms for Medical Segmentation?

How can we test AI performance? This question seems trivial, but it isn't. Standard benchmarks often have problems such as in-distribution and small-size test sets, oversimplified metrics, unfair comparisons, and short-term outcome pressure. As a consequence, good performance on standard benchmarks does not guarantee success in real-world scenarios. To address these problems, we present Touchstone, a large-scale collaborative segmentation benchmark of 9 types of abdominal organs. This benchmark is based on 5,195 training CT scans from 76 hospitals around the world and 5,903 testing CT scans from 11 additional hospitals. This diverse test set enhances the statistical significance of benchmark results and rigorously evaluates AI algorithms across various out-of-distribution scenarios. We invited 14 inventors of 19 AI algorithms to train their algorithms, while our team, as a third party, independently evaluated these algorithms on three test sets. In addition, we also evaluated pre-existing AI frameworks--which, differing from algorithms, are more flexible and can support different algorithms--including MONAI from NVIDIA, nnU-Net from DKFZ, and numerous other open-source frameworks. We are committed to expanding this benchmark to encourage more innovation of AI algorithms for the medical domain.

Bidirectional Recurrence for Cardiac Motion Tracking with Gaussian Process Latent Coding

Quantitative analysis of cardiac motion is crucial for assessing cardiac function. This analysis typically uses imaging modalities such as MRI and Echocardiograms that capture detailed image sequences throughout the heartbeat cycle. Previous methods predominantly focused on the analysis of image pairs lacking consideration of the motion dynamics and spatial variability. Consequently, these methods often overlook the long-term relationships and regional motion characteristic of cardiac. To overcome these limitations, we introduce the \textbf{GPTrack}, a novel unsupervised framework crafted to fully explore the temporal and spatial dynamics of cardiac motion. The GPTrack enhances motion tracking by employing the sequential Gaussian Process in the latent space and encoding statistics by spatial information at each time stamp, which robustly promotes temporal consistency and spatial variability of cardiac dynamics. Also, we innovatively aggregate sequential information in a bidirectional recursive manner, mimicking the behavior of diffeomorphic registration to better capture consistent long-term relationships of motions across cardiac regions such as the ventricles and atria. Our GPTrack significantly improves the precision of motion tracking in both 3D and 4D medical images while maintaining computational efficiency. The code is available at: https://github.com/xmed-lab/GPTrack

CardiacNet: Learning to Reconstruct Abnormalities for Cardiac Disease Assessment from Echocardiogram Videos

Echocardiogram video plays a crucial role in analysing cardiac function and diagnosing cardiac diseases. Current deep neural network methods primarily aim to enhance diagnosis accuracy by incorporating prior knowledge, such as segmenting cardiac structures or lesions annotated by human experts. However, diagnosing the inconsistent behaviours of the heart, which exist across both spatial and temporal dimensions, remains extremely challenging. For instance, the analysis of cardiac motion acquires both spatial and temporal information from the heartbeat cycle. To address this issue, we propose a novel reconstruction-based approach named CardiacNet to learn a better representation of local cardiac structures and motion abnormalities through echocardiogram videos. CardiacNet is accompanied by the Consistency Deformation Codebook (CDC) and the Consistency Deformed-Discriminator (CDD) to learn the commonalities across abnormal and normal samples by incorporating cardiac prior knowledge. In addition, we propose benchmark datasets named CardiacNet-PAH and CardiacNet-ASD to evaluate the effectiveness of cardiac disease assessment. In experiments, our CardiacNet can achieve state-of-the-art results in three different cardiac disease assessment tasks on public datasets CAMUS, EchoNet, and our datasets. The code and dataset are available at: https://github.com/xmed-lab/CardiacNet.

Collaborative Knowledge Fusion: A Novel Approach for Multi-task Recommender Systems via LLMs

Owing to the impressive general intelligence of large language models (LLMs), there has been a growing trend to integrate them into recommender systems to gain a more profound insight into human interests and intentions. Existing LLMs-based recommender systems primarily leverage item attributes and user interaction histories in textual format, improving the single task like rating prediction or explainable recommendation. Nevertheless, these approaches overlook the crucial contribution of traditional collaborative signals in discerning users' profound intentions and disregard the interrelatedness among tasks. To address these limitations, we introduce a novel framework known as CKF, specifically developed to boost multi-task recommendations via personalized collaborative knowledge fusion into LLMs. Specifically, our method synergizes traditional collaborative filtering models to produce collaborative embeddings, subsequently employing the meta-network to construct personalized mapping bridges tailored for each user. Upon mapped, the embeddings are incorporated into meticulously designed prompt templates and then fed into an advanced LLM to represent user interests. To investigate the intrinsic relationship among diverse recommendation tasks, we develop Multi-Lora, a new parameter-efficient approach for multi-task optimization, adept at distinctly segregating task-shared and task-specific information. This method forges a connection between LLMs and recommendation scenarios, while simultaneously enriching the supervisory signal through mutual knowledge transfer among various tasks. Extensive experiments and in-depth robustness analyses across four common recommendation tasks on four large public data sets substantiate the effectiveness and superiority of our framework.

Interpretable Bilingual Multimodal Large Language Model for Diverse Biomedical Tasks

Several medical Multimodal Large Languange Models (MLLMs) have been developed to address tasks involving visual images with textual instructions across various medical modalities, achieving impressive results. Most current medical generalist models are region-agnostic, treating the entire image as a holistic representation. However, they struggle to identify which specific regions they are focusing on when generating a sentence.To mimic the behavior of doctors, who typically begin by reviewing the entire image before concentrating on specific regions for a thorough evaluation, we aim to enhance the capability of medical MLLMs in understanding anatomical regions within entire medical scans. To achieve it, we first formulate Region-Centric tasks and construct a large-scale dataset, MedRegInstruct, to incorporate regional information into training. Combining our collected dataset with other medical multimodal corpora for training, we propose a Region-Aware medical MLLM, MedRegA, which is the first bilingual generalist medical AI system to simultaneously handle image-level and region-level medical vision-language tasks across a broad range of modalities. Our MedRegA not only enables three region-centric tasks, but also achieves the best performance for visual question answering, report generation and medical image classification over 8 modalities, showcasing significant versatility. Experiments demonstrate that our model can not only accomplish powerful performance across various medical vision-language tasks in bilingual settings, but also recognize and detect structures in multimodal medical scans, boosting the interpretability and user interactivity of medical MLLMs. Our project page is https://medrega.github.io.