Diff-CXR: Report-to-CXR generation through a disease-knowledge enhanced diffusion model

Text-To-Image (TTI) generation is significant for controlled and diverse image generation with broad potential applications. Although current medical TTI methods have made some progress in report-to-Chest-Xray (CXR) generation, their generation performance may be limited due to the intrinsic characteristics of medical data. In this paper, we propose a novel disease-knowledge enhanced Diffusion-based TTI learning framework, named Diff-CXR, for medical report-to-CXR generation. First, to minimize the negative impacts of noisy data on generation, we devise a Latent Noise Filtering Strategy that gradually learns the general patterns of anomalies and removes them in the latent space. Then, an Adaptive Vision-Aware Textual Learning Strategy is designed to learn concise and important report embeddings in a domain-specific Vision-Language Model, providing textual guidance for Chest-Xray generation. Finally, by incorporating the general disease knowledge into the pretrained TTI model via a delicate control adapter, a disease-knowledge enhanced diffusion model is introduced to achieve realistic and precise report-to-CXR generation. Experimentally, our Diff-CXR outperforms previous SOTA medical TTI methods by 33.4\% / 8.0\% and 23.8\% / 56.4\% in the FID and mAUC score on MIMIC-CXR and IU-Xray, with the lowest computational complexity at 29.641 GFLOPs. Downstream experiments on three thorax disease classification benchmarks and one CXR-report generation benchmark demonstrate that Diff-CXR is effective in improving classical CXR analysis methods. Notably, models trained on the combination of 1\% real data and synthetic data can achieve a competitive mAUC score compared to models trained on all data, presenting promising clinical applications.

When Graph Neural Networks Meet Dynamic Mode Decomposition

Graph Neural Networks (GNNs) have emerged as fundamental tools for a wide range of prediction tasks on graph-structured data. Recent studies have drawn analogies between GNN feature propagation and diffusion processes, which can be interpreted as dynamical systems. In this paper, we delve deeper into this perspective by connecting the dynamics in GNNs to modern Koopman theory and its numerical method, Dynamic Mode Decomposition (DMD). We illustrate how DMD can estimate a low-rank, finite-dimensional linear operator based on multiple states of the system, effectively approximating potential nonlinear interactions between nodes in the graph. This approach allows us to capture complex dynamics within the graph accurately and efficiently. We theoretically establish a connection between the DMD-estimated operator and the original dynamic operator between system states. Building upon this foundation, we introduce a family of DMD-GNN models that effectively leverage the low-rank eigenfunctions provided by the DMD algorithm. We further discuss the potential of enhancing our approach by incorporating domain-specific constraints such as symmetry into the DMD computation, allowing the corresponding GNN models to respect known physical properties of the underlying system. Our work paves the path for applying advanced dynamical system analysis tools via GNNs. We validate our approach through extensive experiments on various learning tasks, including directed graphs, large-scale graphs, long-range interactions, and spatial-temporal graphs. We also empirically verify that our proposed models can serve as powerful encoders for link prediction tasks. The results demonstrate that our DMD-enhanced GNNs achieve state-of-the-art performance, highlighting the effectiveness of integrating DMD into GNN frameworks.

Seed-ASR: Understanding Diverse Speech and Contexts with LLM-based Speech Recognition

Modern automatic speech recognition (ASR) model is required to accurately transcribe diverse speech signals (from different domains, languages, accents, etc) given the specific contextual information in various application scenarios. Classic end-to-end models fused with extra language models perform well, but mainly in data matching scenarios and are gradually approaching a bottleneck. In this work, we introduce Seed-ASR, a large language model (LLM) based speech recognition model. Seed-ASR is developed based on the framework of audio conditioned LLM (AcLLM), leveraging the capabilities of LLMs by inputting continuous speech representations together with contextual information into the LLM. Through stage-wise large-scale training and the elicitation of context-aware capabilities in LLM, Seed-ASR demonstrates significant improvement over end-to-end models on comprehensive evaluation sets, including multiple domains, accents/dialects and languages. Additionally, Seed-ASR can be further deployed to support specific needs in various scenarios without requiring extra language models. Compared to recently released large ASR models, Seed-ASR achieves 10%-40% reduction in word (or character, for Chinese) error rates on Chinese and English public test sets, further demonstrating its powerful performance.

Chest-Diffusion: A Light-Weight Text-to-Image Model for Report-to-CXR Generation

Text-to-image generation has important implications for generation of diverse and controllable images. Several attempts have been made to adapt Stable Diffusion (SD) to the medical domain. However, the large distribution difference between medical reports and natural texts, as well as high computational complexity in common stable diffusion limit the authenticity and feasibility of the generated medical images. To solve above problems, we propose a novel light-weight transformer-based diffusion model learning framework, Chest-Diffusion, for report-to-CXR generation. Chest-Diffusion employs a domain-specific text encoder to obtain accurate and expressive text features to guide image generation, improving the authenticity of the generated images. Meanwhile, we introduce a light-weight transformer architecture as the denoising model, reducing the computational complexity of the diffusion model. Experiments demonstrate that our Chest-Diffusion achieves the lowest FID score 24.456, under the computation budget of 118.918 GFLOPs, which is nearly one-third of the computational complexity of SD.

EEG-MACS: Manifold Attention and Confidence Stratification for EEG-based Cross-Center Brain Disease Diagnosis under Unreliable Annotations

Cross-center data heterogeneity and annotation unreliability significantly challenge the intelligent diagnosis of diseases using brain signals. A notable example is the EEG-based diagnosis of neurodegenerative diseases, which features subtler abnormal neural dynamics typically observed in small-group settings. To advance this area, in this work, we introduce a transferable framework employing Manifold Attention and Confidence Stratification (MACS) to diagnose neurodegenerative disorders based on EEG signals sourced from four centers with unreliable annotations. The MACS framework's effectiveness stems from these features: 1) The Augmentor generates various EEG-represented brain variants to enrich the data space; 2) The Switcher enhances the feature space for trusted samples and reduces overfitting on incorrectly labeled samples; 3) The Encoder uses the Riemannian manifold and Euclidean metrics to capture spatiotemporal variations and dynamic synchronization in EEG; 4) The Projector, equipped with dual heads, monitors consistency across multiple brain variants and ensures diagnostic accuracy; 5) The Stratifier adaptively stratifies learned samples by confidence levels throughout the training process; 6) Forward and backpropagation in MACS are constrained by confidence stratification to stabilize the learning system amid unreliable annotations. Our subject-independent experiments, conducted on both neurocognitive and movement disorders using cross-center corpora, have demonstrated superior performance compared to existing related algorithms. This work not only improves EEG-based diagnostics for cross-center and small-setting brain diseases but also offers insights into extending MACS techniques to other data analyses, tackling data heterogeneity and annotation unreliability in multimedia and multimodal content understanding.

decoupleQ: Towards 2-bit Post-Training Uniform Quantization via decoupling Parameters into Integer and Floating Points

Quantization emerges as one of the most promising compression technologies for deploying efficient large models for various real time application in recent years. Considering that the storage and IO of weights take up the vast majority of the overhead inside a large model, weight only quantization can lead to large gains. However, existing quantization schemes suffer from significant accuracy degradation at very low bits, or require some additional computational overhead when deployed, making it difficult to be applied to large-scale applications in industry. In this paper, we propose decoupleQ, achieving a substantial increase in model accuracy, especially at very low bits. decoupleQ abandons the traditional heuristic quantization paradigm and decouples the model parameters into integer and floating-point parts, thus transforming the quantization problem into a traditional mathematical optimization problem with constraints, which is then solved alternatively by off-the-shelf optimization methods. Quantization via decoupleQ is linear and uniform, making it hardware-friendlier than non-uniform counterpart, and enabling the idea to be migrated to high-bit quantization to enhance its robustness. Our method has achieved well on-line accuracy near fp16/bf16 on the 2-bit quantization of large speech models in ByteDance. The code is available at https://github.com/bytedance/decoupleQ

Narrative Feature or Structured Feature? A Study of Large Language Models to Identify Cancer Patients at Risk of Heart Failure

Cancer treatments are known to introduce cardiotoxicity, negatively impacting outcomes and survivorship. Identifying cancer patients at risk of heart failure (HF) is critical to improving cancer treatment outcomes and safety. This study examined machine learning (ML) models to identify cancer patients at risk of HF using electronic health records (EHRs), including traditional ML, Time-Aware long short-term memory (T-LSTM), and large language models (LLMs) using novel narrative features derived from the structured medical codes. We identified a cancer cohort of 12,806 patients from the University of Florida Health, diagnosed with lung, breast, and colorectal cancers, among which 1,602 individuals developed HF after cancer. The LLM, GatorTron-3.9B, achieved the best F1 scores, outperforming the traditional support vector machines by 39%, the T-LSTM deep learning model by 7%, and a widely used transformer model, BERT, by 5.6%. The analysis shows that the proposed narrative features remarkably increased feature density and improved performance.

OpenMEDLab: An Open-source Platform for Multi-modality Foundation Models in Medicine

The emerging trend of advancing generalist artificial intelligence, such as GPTv4 and Gemini, has reshaped the landscape of research (academia and industry) in machine learning and many other research areas. However, domain-specific applications of such foundation models (e.g., in medicine) remain untouched or often at their very early stages. It will require an individual set of transfer learning and model adaptation techniques by further expanding and injecting these models with domain knowledge and data. The development of such technologies could be largely accelerated if the bundle of data, algorithms, and pre-trained foundation models were gathered together and open-sourced in an organized manner. In this work, we present OpenMEDLab, an open-source platform for multi-modality foundation models. It encapsulates not only solutions of pioneering attempts in prompting and fine-tuning large language and vision models for frontline clinical and bioinformatic applications but also building domain-specific foundation models with large-scale multi-modal medical data. Importantly, it opens access to a group of pre-trained foundation models for various medical image modalities, clinical text, protein engineering, etc. Inspiring and competitive results are also demonstrated for each collected approach and model in a variety of benchmarks for downstream tasks. We welcome researchers in the field of medical artificial intelligence to continuously contribute cutting-edge methods and models to OpenMEDLab, which can be accessed via https://github.com/openmedlab.

Design Your Own Universe: A Physics-Informed Agnostic Method for Enhancing Graph Neural Networks

Physics-informed Graph Neural Networks have achieved remarkable performance in learning through graph-structured data by mitigating common GNN challenges such as over-smoothing, over-squashing, and heterophily adaption. Despite these advancements, the development of a simple yet effective paradigm that appropriately integrates previous methods for handling all these challenges is still underway. In this paper, we draw an analogy between the propagation of GNNs and particle systems in physics, proposing a model-agnostic enhancement framework. This framework enriches the graph structure by introducing additional nodes and rewiring connections with both positive and negative weights, guided by node labeling information. We theoretically verify that GNNs enhanced through our approach can effectively circumvent the over-smoothing issue and exhibit robustness against over-squashing. Moreover, we conduct a spectral analysis on the rewired graph to demonstrate that the corresponding GNNs can fit both homophilic and heterophilic graphs. Empirical validations on benchmarks for homophilic, heterophilic graphs, and long-term graph datasets show that GNNs enhanced by our method significantly outperform their original counterparts.

USFM: A Universal Ultrasound Foundation Model Generalized to Tasks and Organs towards Label Efficient Image Analysis

Inadequate generality across different organs and tasks constrains the application of ultrasound (US) image analysis methods in smart healthcare. Building a universal US foundation model holds the potential to address these issues. Nevertheless, the development of such foundational models encounters intrinsic challenges in US analysis, i.e., insufficient databases, low quality, and ineffective features. In this paper, we present a universal US foundation model, named USFM, generalized to diverse tasks and organs towards label efficient US image analysis. First, a large-scale Multi-organ, Multi-center, and Multi-device US database was built, comprehensively containing over two million US images. Organ-balanced sampling was employed for unbiased learning. Then, USFM is self-supervised pre-trained on the sufficient US database. To extract the effective features from low-quality US images, we proposed a spatial-frequency dual masked image modeling method. A productive spatial noise addition-recovery approach was designed to learn meaningful US information robustly, while a novel frequency band-stop masking learning approach was also employed to extract complex, implicit grayscale distribution and textural variations. Extensive experiments were conducted on the various tasks of segmentation, classification, and image enhancement from diverse organs and diseases. Comparisons with representative US image analysis models illustrate the universality and effectiveness of USFM. The label efficiency experiments suggest the USFM obtains robust performance with only 20% annotation, laying the groundwork for the rapid development of US models in clinical practices.