Tri-Plane Mamba: Efficiently Adapting Segment Anything Model for 3D Medical Images

General networks for 3D medical image segmentation have recently undergone extensive exploration. Behind the exceptional performance of these networks lies a significant demand for a large volume of pixel-level annotated data, which is time-consuming and labor-intensive. The emergence of the Segment Anything Model (SAM) has enabled this model to achieve superior performance in 2D medical image segmentation tasks via parameter- and data-efficient feature adaptation. However, the introduction of additional depth channels in 3D medical images not only prevents the sharing of 2D pre-trained features but also results in a quadratic increase in the computational cost for adapting SAM. To overcome these challenges, we present the Tri-Plane Mamba (TP-Mamba) adapters tailored for the SAM, featuring two major innovations: 1) multi-scale 3D convolutional adapters, optimized for efficiently processing local depth-level information, 2) a tri-plane mamba module, engineered to capture long-range depth-level representation without significantly increasing computational costs. This approach achieves state-of-the-art performance in 3D CT organ segmentation tasks. Remarkably, this superior performance is maintained even with scarce training data. Specifically using only three CT training samples from the BTCV dataset, it surpasses conventional 3D segmentation networks, attaining a Dice score that is up to 12% higher.

HiRes-LLaVA: Restoring Fragmentation Input in High-Resolution Large Vision-Language Models

High-resolution inputs enable Large Vision-Language Models (LVLMs) to discern finer visual details, enhancing their comprehension capabilities. To reduce the training and computation costs caused by high-resolution input, one promising direction is to use sliding windows to slice the input into uniform patches, each matching the input size of the well-trained vision encoder. Although efficient, this slicing strategy leads to the fragmentation of original input, i.e., the continuity of contextual information and spatial geometry is lost across patches, adversely affecting performance in cross-patch context perception and position-specific tasks. To overcome these shortcomings, we introduce HiRes-LLaVA, a novel framework designed to efficiently process any size of high-resolution input without altering the original contextual and geometric information. HiRes-LLaVA comprises two innovative components: (i) a SliceRestore adapter that reconstructs sliced patches into their original form, efficiently extracting both global and local features via down-up-sampling and convolution layers, and (ii) a Self-Mining Sampler to compresses the vision tokens based on themselves, preserving the original context and positional information while reducing training overhead. To assess the ability of handling context fragmentation, we construct a new benchmark, EntityGrid-QA, consisting of edge-related and position-related tasks. Our comprehensive experiments demonstrate the superiority of HiRes-LLaVA on both existing public benchmarks and on EntityGrid-QA, particularly on document-oriented tasks, establishing new standards for handling high-resolution inputs.

C^2RV: Cross-Regional and Cross-View Learning for Sparse-View CBCT Reconstruction

Cone beam computed tomography (CBCT) is an important imaging technology widely used in medical scenarios, such as diagnosis and preoperative planning. Using fewer projection views to reconstruct CT, also known as sparse-view reconstruction, can reduce ionizing radiation and further benefit interventional radiology. Compared with sparse-view reconstruction for traditional parallel/fan-beam CT, CBCT reconstruction is more challenging due to the increased dimensionality caused by the measurement process based on cone-shaped X-ray beams. As a 2D-to-3D reconstruction problem, although implicit neural representations have been introduced to enable efficient training, only local features are considered and different views are processed equally in previous works, resulting in spatial inconsistency and poor performance on complicated anatomies. To this end, we propose C^2RV by leveraging explicit multi-scale volumetric representations to enable cross-regional learning in the 3D space. Additionally, the scale-view cross-attention module is introduced to adaptively aggregate multi-scale and multi-view features. Extensive experiments demonstrate that our C^2RV achieves consistent and significant improvement over previous state-of-the-art methods on datasets with diverse anatomy.

Holistic Autonomous Driving Understanding by Bird's-Eye-View Injected Multi-Modal Large Models

The rise of multimodal large language models (MLLMs) has spurred interest in language-based driving tasks. However, existing research typically focuses on limited tasks and often omits key multi-view and temporal information which is crucial for robust autonomous driving. To bridge these gaps, we introduce NuInstruct, a novel dataset with 91K multi-view video-QA pairs across 17 subtasks, where each task demands holistic information (e.g., temporal, multi-view, and spatial), significantly elevating the challenge level. To obtain NuInstruct, we propose a novel SQL-based method to generate instruction-response pairs automatically, which is inspired by the driving logical progression of humans. We further present BEV-InMLLM, an end-to-end method for efficiently deriving instruction-aware Bird's-Eye-View (BEV) features, language-aligned for large language models. BEV-InMLLM integrates multi-view, spatial awareness, and temporal semantics to enhance MLLMs' capabilities on NuInstruct tasks. Moreover, our proposed BEV injection module is a plug-and-play method for existing MLLMs. Our experiments on NuInstruct demonstrate that BEV-InMLLM significantly outperforms existing MLLMs, e.g. around 9% improvement on various tasks. We plan to release our NuInstruct for future research development.

EtC: Temporal Boundary Expand then Clarify for Weakly Supervised Video Grounding with Multimodal Large Language Model

Early weakly supervised video grounding (WSVG) methods often struggle with incomplete boundary detection due to the absence of temporal boundary annotations. To bridge the gap between video-level and boundary-level annotation, explicit-supervision methods, i.e., generating pseudo-temporal boundaries for training, have achieved great success. However, data augmentations in these methods might disrupt critical temporal information, yielding poor pseudo boundaries. In this paper, we propose a new perspective that maintains the integrity of the original temporal content while introducing more valuable information for expanding the incomplete boundaries. To this end, we propose EtC (Expand then Clarify), first use the additional information to expand the initial incomplete pseudo boundaries, and subsequently refine these expanded ones to achieve precise boundaries. Motivated by video continuity, i.e., visual similarity across adjacent frames, we use powerful multimodal large language models (MLLMs) to annotate each frame within initial pseudo boundaries, yielding more comprehensive descriptions for expanded boundaries. To further clarify the noise of expanded boundaries, we combine mutual learning with a tailored proposal-level contrastive objective to use a learnable approach to harmonize a balance between incomplete yet clean (initial) and comprehensive yet noisy (expanded) boundaries for more precise ones. Experiments demonstrate the superiority of our method on two challenging WSVG datasets.

GraphEcho: Graph-Driven Unsupervised Domain Adaptation for Echocardiogram Video Segmentation

Echocardiogram video segmentation plays an important role in cardiac disease diagnosis. This paper studies the unsupervised domain adaption (UDA) for echocardiogram video segmentation, where the goal is to generalize the model trained on the source domain to other unlabelled target domains. Existing UDA segmentation methods are not suitable for this task because they do not model local information and the cyclical consistency of heartbeat. In this paper, we introduce a newly collected CardiacUDA dataset and a novel GraphEcho method for cardiac structure segmentation. Our GraphEcho comprises two innovative modules, the Spatial-wise Cross-domain Graph Matching (SCGM) and the Temporal Cycle Consistency (TCC) module, which utilize prior knowledge of echocardiogram videos, i.e., consistent cardiac structure across patients and centers and the heartbeat cyclical consistency, respectively. These two modules can better align global and local features from source and target domains, improving UDA segmentation results. Experimental results showed that our GraphEcho outperforms existing state-of-the-art UDA segmentation methods. Our collected dataset and code will be publicly released upon acceptance. This work will lay a new and solid cornerstone for cardiac structure segmentation from echocardiogram videos. Code and dataset are available at: https://github.com/xmed-lab/GraphEcho

GL-Fusion: Global-Local Fusion Network for Multi-view Echocardiogram Video Segmentation

Cardiac structure segmentation from echocardiogram videos plays a crucial role in diagnosing heart disease. The combination of multi-view echocardiogram data is essential to enhance the accuracy and robustness of automated methods. However, due to the visual disparity of the data, deriving cross-view context information remains a challenging task, and unsophisticated fusion strategies can even lower performance. In this study, we propose a novel Gobal-Local fusion (GL-Fusion) network to jointly utilize multi-view information globally and locally that improve the accuracy of echocardiogram analysis. Specifically, a Multi-view Global-based Fusion Module (MGFM) is proposed to extract global context information and to explore the cyclic relationship of different heartbeat cycles in an echocardiogram video. Additionally, a Multi-view Local-based Fusion Module (MLFM) is designed to extract correlations of cardiac structures from different views. Furthermore, we collect a multi-view echocardiogram video dataset (MvEVD) to evaluate our method. Our method achieves an 82.29% average dice score, which demonstrates a 7.83% improvement over the baseline method, and outperforms other existing state-of-the-art methods. To our knowledge, this is the first exploration of a multi-view method for echocardiogram video segmentation. Code available at: https://github.com/xmed-lab/GL-Fusion

HiLM-D: Towards High-Resolution Understanding in Multimodal Large Language Models for Autonomous Driving

Autonomous driving systems generally employ separate models for different tasks resulting in intricate designs. For the first time, we leverage singular multimodal large language models (MLLMs) to consolidate multiple autonomous driving tasks from videos, i.e., the Risk Object Localization and Intention and Suggestion Prediction (ROLISP) task. ROLISP uses natural language to simultaneously identify and interpret risk objects, understand ego-vehicle intentions, and provide motion suggestions, eliminating the necessity for task-specific architectures. However, lacking high-resolution (HR) information, existing MLLMs often miss small objects (e.g., traffic cones) and overly focus on salient ones (e.g., large trucks) when applied to ROLISP. We propose HiLM-D (Towards High-Resolution Understanding in MLLMs for Autonomous Driving), an efficient method to incorporate HR information into MLLMs for the ROLISP task. Especially, HiLM-D integrates two branches: (i) the low-resolution reasoning branch, can be any MLLMs, processes low-resolution videos to caption risk objects and discern ego-vehicle intentions/suggestions; (ii) the high-resolution perception branch (HR-PB), prominent to HiLM-D,, ingests HR images to enhance detection by capturing vision-specific HR feature maps and prioritizing all potential risks over merely salient objects. Our HR-PB serves as a plug-and-play module, seamlessly fitting into current MLLMs. Experiments on the ROLISP benchmark reveal HiLM-D's notable advantage over leading MLLMs, with improvements of 4.8% in BLEU-4 for captioning and 17.2% in mIoU for detection.

Uniformly Distributed Category Prototype-Guided Vision-Language Framework for Long-Tail Recognition

Recently, large-scale pre-trained vision-language models have presented benefits for alleviating class imbalance in long-tailed recognition. However, the long-tailed data distribution can corrupt the representation space, where the distance between head and tail categories is much larger than the distance between two tail categories. This uneven feature space distribution causes the model to exhibit unclear and inseparable decision boundaries on the uniformly distributed test set, which lowers its performance. To address these challenges, we propose the uniformly category prototype-guided vision-language framework to effectively mitigate feature space bias caused by data imbalance. Especially, we generate a set of category prototypes uniformly distributed on a hypersphere. Category prototype-guided mechanism for image-text matching makes the features of different classes converge to these distinct and uniformly distributed category prototypes, which maintain a uniform distribution in the feature space, and improve class boundaries. Additionally, our proposed irrelevant text filtering and attribute enhancement module allows the model to ignore irrelevant noisy text and focus more on key attribute information, thereby enhancing the robustness of our framework. In the image recognition fine-tuning stage, to address the positive bias problem of the learnable classifier, we design the class feature prototype-guided classifier, which compensates for the performance of tail classes while maintaining the performance of head classes. Our method outperforms previous vision-language methods for long-tailed learning work by a large margin and achieves state-of-the-art performance.

Context-Aware Pseudo-Label Refinement for Source-Free Domain Adaptive Fundus Image Segmentation

In the domain adaptation problem, source data may be unavailable to the target client side due to privacy or intellectual property issues. Source-free unsupervised domain adaptation (SF-UDA) aims at adapting a model trained on the source side to align the target distribution with only the source model and unlabeled target data. The source model usually produces noisy and context-inconsistent pseudo-labels on the target domain, i.e., neighbouring regions that have a similar visual appearance are annotated with different pseudo-labels. This observation motivates us to refine pseudo-labels with context relations. Another observation is that features of the same class tend to form a cluster despite the domain gap, which implies context relations can be readily calculated from feature distances. To this end, we propose a context-aware pseudo-label refinement method for SF-UDA. Specifically, a context-similarity learning module is developed to learn context relations. Next, pseudo-label revision is designed utilizing the learned context relations. Further, we propose calibrating the revised pseudo-labels to compensate for wrong revision caused by inaccurate context relations. Additionally, we adopt a pixel-level and class-level denoising scheme to select reliable pseudo-labels for domain adaptation. Experiments on cross-domain fundus images indicate that our approach yields the state-of-the-art results. Code is available at https://github.com/xmed-lab/CPR.