LLaVA-Ultra: Large Chinese Language and Vision Assistant for Ultrasound

Multimodal Large Language Model (MLLM) has recently garnered attention as a prominent research focus. By harnessing powerful LLM, it facilitates a transition of conversational generative AI from unimodal text to performing multimodal tasks. This boom begins to significantly impact medical field. However, general visual language model (VLM) lacks sophisticated comprehension for medical visual question answering (Med-VQA). Even models specifically tailored for medical domain tend to produce vague answers with weak visual relevance. In this paper, we propose a fine-grained adaptive VLM architecture for Chinese medical visual conversations through parameter-efficient tuning. Specifically, we devise a fusion module with fine-grained vision encoders to achieve enhancement for subtle medical visual semantics. Then we note data redundancy common to medical scenes is ignored in most prior works. In cases of a single text paired with multiple figures, we utilize weighted scoring with knowledge distillation to adaptively screen valid images mirroring text descriptions. For execution, we leverage a large-scale multimodal Chinese ultrasound dataset obtained from the hospital. We create instruction-following data based on text from professional doctors, which ensures effective tuning. With enhanced model and quality data, our Large Chinese Language and Vision Assistant for Ultrasound (LLaVA-Ultra) shows strong capability and robustness to medical scenarios. On three Med-VQA datasets, LLaVA-Ultra surpasses previous state-of-the-art models on various metrics.

Sam-Guided Enhanced Fine-Grained Encoding with Mixed Semantic Learning for Medical Image Captioning

With the development of multimodality and large language models, the deep learning-based technique for medical image captioning holds the potential to offer valuable diagnostic recommendations. However, current generic text and image pre-trained models do not yield satisfactory results when it comes to describing intricate details within medical images. In this paper, we present a novel medical image captioning method guided by the segment anything model (SAM) to enable enhanced encoding with both general and detailed feature extraction. In addition, our approach employs a distinctive pre-training strategy with mixed semantic learning to simultaneously capture both the overall information and finer details within medical images. We demonstrate the effectiveness of this approach, as it outperforms the pre-trained BLIP2 model on various evaluation metrics for generating descriptions of medical images.

Blind Inpainting with Object-aware Discrimination for Artificial Marker Removal

Medical images often contain artificial markers added by doctors, which can negatively affect the accuracy of AI-based diagnosis. To address this issue and recover the missing visual contents, inpainting techniques are highly needed. However, existing inpainting methods require manual mask input, limiting their application scenarios. In this paper, we introduce a novel blind inpainting method that automatically completes visual contents without specifying masks for target areas in an image. Our proposed model includes a mask-free reconstruction network and an object-aware discriminator. The reconstruction network consists of two branches that predict the corrupted regions with artificial markers and simultaneously recover the missing visual contents. The object-aware discriminator relies on the powerful recognition capabilities of the dense object detector to ensure that the markers of reconstructed images cannot be detected in any local regions. As a result, the reconstructed image can be close to the clean one as much as possible. Our proposed method is evaluated on different medical image datasets, covering multiple imaging modalities such as ultrasound (US), magnetic resonance imaging (MRI), and electron microscopy (EM), demonstrating that our method is effective and robust against various unknown missing region patterns.