Towards a Multimodal Large Language Model with Pixel-Level Insight for Biomedicine

In recent years, Multimodal Large Language Models (MLLM) have achieved notable advancements, demonstrating the feasibility of developing an intelligent biomedical assistant. However, current biomedical MLLMs predominantly focus on image-level understanding and restrict interactions to textual commands, thus limiting their capability boundaries and the flexibility of usage. In this paper, we introduce a novel end-to-end multimodal large language model for the biomedical domain, named MedPLIB, which possesses pixel-level understanding. Excitingly, it supports visual question answering (VQA), arbitrary pixel-level prompts (points, bounding boxes, and free-form shapes), and pixel-level grounding. We propose a novel Mixture-of-Experts (MoE) multi-stage training strategy, which divides MoE into separate training phases for a visual-language expert model and a pixel-grounding expert model, followed by fine-tuning using MoE. This strategy effectively coordinates multitask learning while maintaining the computational cost at inference equivalent to that of a single expert model. To advance the research of biomedical MLLMs, we introduce the Medical Complex Vision Question Answering Dataset (MeCoVQA), which comprises an array of 8 modalities for complex medical imaging question answering and image region understanding. Experimental results indicate that MedPLIB has achieved state-of-the-art outcomes across multiple medical visual language tasks. More importantly, in zero-shot evaluations for the pixel grounding task, MedPLIB leads the best small and large models by margins of 19.7 and 15.6 respectively on the mDice metric. The codes, data, and model checkpoints will be made publicly available at https://github.com/ShawnHuang497/MedPLIB.

A Refer-and-Ground Multimodal Large Language Model for Biomedicine

With the rapid development of multimodal large language models (MLLMs), especially their capabilities in visual chat through refer and ground functionalities, their significance is increasingly recognized. However, the biomedical field currently exhibits a substantial gap in this area, primarily due to the absence of a dedicated refer and ground dataset for biomedical images. To address this challenge, we devised the Med-GRIT-270k dataset. It comprises 270k question-and-answer pairs and spans eight distinct medical imaging modalities. Most importantly, it is the first dedicated to the biomedical domain and integrating refer and ground conversations. The key idea is to sample large-scale biomedical image-mask pairs from medical segmentation datasets and generate instruction datasets from text using chatGPT. Additionally, we introduce a Refer-and-Ground Multimodal Large Language Model for Biomedicine (BiRD) by using this dataset and multi-task instruction learning. Extensive experiments have corroborated the efficacy of the Med-GRIT-270k dataset and the multi-modal, fine-grained interactive capabilities of the BiRD model. This holds significant reference value for the exploration and development of intelligent biomedical assistants.

Textual Inversion and Self-supervised Refinement for Radiology Report Generation

Existing mainstream approaches follow the encoder-decoder paradigm for generating radiology reports. They focus on improving the network structure of encoders and decoders, which leads to two shortcomings: overlooking the modality gap and ignoring report content constraints. In this paper, we proposed Textual Inversion and Self-supervised Refinement (TISR) to address the above two issues. Specifically, textual inversion can project text and image into the same space by representing images as pseudo words to eliminate the cross-modeling gap. Subsequently, self-supervised refinement refines these pseudo words through contrastive loss computation between images and texts, enhancing the fidelity of generated reports to images. Notably, TISR is orthogonal to most existing methods, plug-and-play. We conduct experiments on two widely-used public datasets and achieve significant improvements on various baselines, which demonstrates the effectiveness and generalization of TISR. The code will be available soon.

Cross-Modal Conditioned Reconstruction for Language-guided Medical Image Segmentation

Recent developments underscore the potential of textual information in enhancing learning models for a deeper understanding of medical visual semantics. However, language-guided medical image segmentation still faces a challenging issue. Previous works employ implicit and ambiguous architectures to embed textual information. This leads to segmentation results that are inconsistent with the semantics represented by the language, sometimes even diverging significantly. To this end, we propose a novel cross-modal conditioned Reconstruction for Language-guided Medical Image Segmentation (RecLMIS) to explicitly capture cross-modal interactions, which assumes that well-aligned medical visual features and medical notes can effectively reconstruct each other. We introduce conditioned interaction to adaptively predict patches and words of interest. Subsequently, they are utilized as conditioning factors for mutual reconstruction to align with regions described in the medical notes. Extensive experiments demonstrate the superiority of our RecLMIS, surpassing LViT by 3.74% mIoU on the publicly available MosMedData+ dataset and achieving an average increase of 1.89% mIoU for cross-domain tests on our QATA-CoV19 dataset. Simultaneously, we achieve a relative reduction of 20.2% in parameter count and a 55.5% decrease in computational load. The code will be available at https://github.com/ShashankHuang/RecLMIS.

SegICL: A Universal In-context Learning Framework for Enhanced Segmentation in Medical Imaging

Medical image segmentation models adapting to new tasks in a training-free manner through in-context learning is an exciting advancement. Universal segmentation models aim to generalize across the diverse modality of medical images, yet their effectiveness often diminishes when applied to out-of-distribution (OOD) data modalities and tasks, requiring intricate fine-tuning of model for optimal performance. For addressing this challenge, we introduce SegICL, a novel approach leveraging In-Context Learning (ICL) for image segmentation. Unlike existing methods, SegICL has the capability to employ text-guided segmentation and conduct in-context learning with a small set of image-mask pairs, eliminating the need for training the model from scratch or fine-tuning for OOD tasks (including OOD modality and dataset). Extensive experimental validation of SegICL demonstrates a positive correlation between the number of prompt samples and segmentation performance on OOD modalities and tasks. This indicates that SegICL effectively address new segmentation tasks based on contextual information. Additionally, SegICL also exhibits comparable segmentation performance to mainstream models on OOD and in-distribution tasks. Our code will be released soon.