Fine-grained Text to Image Synthesis

Fine-grained text to image synthesis involves generating images from texts that belong to different categories. In contrast to general text to image synthesis, in fine-grained synthesis there is high similarity between images of different subclasses, and there may be linguistic discrepancy among texts describing the same image. Recent Generative Adversarial Networks (GAN), such as the Recurrent Affine Transformation (RAT) GAN model, are able to synthesize clear and realistic images from texts. However, GAN models ignore fine-grained level information. In this paper we propose an approach that incorporates an auxiliary classifier in the discriminator and a contrastive learning method to improve the accuracy of fine-grained details in images synthesized by RAT GAN. The auxiliary classifier helps the discriminator classify the class of images, and helps the generator synthesize more accurate fine-grained images. The contrastive learning method minimizes the similarity between images from different subclasses and maximizes the similarity between images from the same subclass. We evaluate on several state-of-the-art methods on the commonly used CUB-200-2011 bird dataset and Oxford-102 flower dataset, and demonstrated superior performance.

Practical Performative Policy Learning with Strategic Agents

This paper studies the performative policy learning problem, where agents adjust their features in response to a released policy to improve their potential outcomes, inducing an endogenous distribution shift. There has been growing interest in training machine learning models in strategic environments, including strategic classification and performative prediction. However, existing approaches often rely on restrictive parametric assumptions: micro-level utility models in strategic classification and macro-level data distribution maps in performative prediction, severely limiting scalability and generalizability. We approach this problem as a complex causal inference task, relaxing parametric assumptions on both micro-level agent behavior and macro-level data distribution. Leveraging bounded rationality, we uncover a practical low-dimensional structure in distribution shifts and construct an effective mediator in the causal path from the deployed model to the shifted data. We then propose a gradient-based policy optimization algorithm with a differentiable classifier as a substitute for the high-dimensional distribution map. Our algorithm efficiently utilizes batch feedback and limited manipulation patterns. Our approach achieves high sample efficiency compared to methods reliant on bandit feedback or zero-order optimization. We also provide theoretical guarantees for algorithmic convergence. Extensive and challenging experiments on high-dimensional settings demonstrate our method's practical efficacy.

Advancing Myopia To Holism: Fully Contrastive Language-Image Pre-training

In rapidly evolving field of vision-language models (VLMs), contrastive language-image pre-training (CLIP) has made significant strides, becoming foundation for various downstream tasks. However, relying on one-to-one (image, text) contrastive paradigm to learn alignment from large-scale messy web data, CLIP faces a serious myopic dilemma, resulting in biases towards monotonous short texts and shallow visual expressivity. To overcome these issues, this paper advances CLIP into one novel holistic paradigm, by updating both diverse data and alignment optimization. To obtain colorful data with low cost, we use image-to-text captioning to generate multi-texts for each image, from multiple perspectives, granularities, and hierarchies. Two gadgets are proposed to encourage textual diversity. To match such (image, multi-texts) pairs, we modify the CLIP image encoder into multi-branch, and propose multi-to-multi contrastive optimization for image-text part-to-part matching. As a result, diverse visual embeddings are learned for each image, bringing good interpretability and generalization. Extensive experiments and ablations across over ten benchmarks indicate that our holistic CLIP significantly outperforms existing myopic CLIP, including image-text retrieval, open-vocabulary classification, and dense visual tasks.

Leveraging Semantic Asymmetry for Precise Gross Tumor Volume Segmentation of Nasopharyngeal Carcinoma in Planning CT

In the radiation therapy of nasopharyngeal carcinoma (NPC), clinicians typically delineate the gross tumor volume (GTV) using non-contrast planning computed tomography to ensure accurate radiation dose delivery. However, the low contrast between tumors and adjacent normal tissues necessitates that radiation oncologists manually delineate the tumors, often relying on diagnostic MRI for guidance. % In this study, we propose a novel approach to directly segment NPC gross tumors on non-contrast planning CT images, circumventing potential registration errors when aligning MRI or MRI-derived tumor masks to planning CT. To address the low contrast issues between tumors and adjacent normal structures in planning CT, we introduce a 3D Semantic Asymmetry Tumor segmentation (SATs) method. Specifically, we posit that a healthy nasopharyngeal region is characteristically bilaterally symmetric, whereas the emergence of nasopharyngeal carcinoma disrupts this symmetry. Then, we propose a Siamese contrastive learning segmentation framework that minimizes the voxel-wise distance between original and flipped areas without tumor and encourages a larger distance between original and flipped areas with tumor. Thus, our approach enhances the sensitivity of features to semantic asymmetries. % Extensive experiments demonstrate that the proposed SATs achieves the leading NPC GTV segmentation performance in both internal and external testing, \emph{e.g.}, with at least 2\% absolute Dice score improvement and 12\% average distance error reduction when compared to other state-of-the-art methods in the external testing.

ST-Align: A Multimodal Foundation Model for Image-Gene Alignment in Spatial Transcriptomics

Spatial transcriptomics (ST) provides high-resolution pathological images and whole-transcriptomic expression profiles at individual spots across whole-slide scales. This setting makes it an ideal data source to develop multimodal foundation models. Although recent studies attempted to fine-tune visual encoders with trainable gene encoders based on spot-level, the absence of a wider slide perspective and spatial intrinsic relationships limits their ability to capture ST-specific insights effectively. Here, we introduce ST-Align, the first foundation model designed for ST that deeply aligns image-gene pairs by incorporating spatial context, effectively bridging pathological imaging with genomic features. We design a novel pretraining framework with a three-target alignment strategy for ST-Align, enabling (1) multi-scale alignment across image-gene pairs, capturing both spot- and niche-level contexts for a comprehensive perspective, and (2) cross-level alignment of multimodal insights, connecting localized cellular characteristics and broader tissue architecture. Additionally, ST-Align employs specialized encoders tailored to distinct ST contexts, followed by an Attention-Based Fusion Network (ABFN) for enhanced multimodal fusion, effectively merging domain-shared knowledge with ST-specific insights from both pathological and genomic data. We pre-trained ST-Align on 1.3 million spot-niche pairs and evaluated its performance through two downstream tasks across six datasets, demonstrating superior zero-shot and few-shot capabilities. ST-Align highlights the potential for reducing the cost of ST and providing valuable insights into the distinction of critical compositions within human tissue.

OphCLIP: Hierarchical Retrieval-Augmented Learning for Ophthalmic Surgical Video-Language Pretraining

Surgical practice involves complex visual interpretation, procedural skills, and advanced medical knowledge, making surgical vision-language pretraining (VLP) particularly challenging due to this complexity and the limited availability of annotated data. To address the gap, we propose OphCLIP, a hierarchical retrieval-augmented vision-language pretraining framework specifically designed for ophthalmic surgical workflow understanding. OphCLIP leverages the OphVL dataset we constructed, a large-scale and comprehensive collection of over 375K hierarchically structured video-text pairs with tens of thousands of different combinations of attributes (surgeries, phases/operations/actions, instruments, medications, as well as more advanced aspects like the causes of eye diseases, surgical objectives, and postoperative recovery recommendations, etc). These hierarchical video-text correspondences enable OphCLIP to learn both fine-grained and long-term visual representations by aligning short video clips with detailed narrative descriptions and full videos with structured titles, capturing intricate surgical details and high-level procedural insights, respectively. Our OphCLIP also designs a retrieval-augmented pretraining framework to leverage the underexplored large-scale silent surgical procedure videos, automatically retrieving semantically relevant content to enhance the representation learning of narrative videos. Evaluation across 11 datasets for phase recognition and multi-instrument identification shows OphCLIP's robust generalization and superior performance.

SegBook: A Simple Baseline and Cookbook for Volumetric Medical Image Segmentation

Computed Tomography (CT) is one of the most popular modalities for medical imaging. By far, CT images have contributed to the largest publicly available datasets for volumetric medical segmentation tasks, covering full-body anatomical structures. Large amounts of full-body CT images provide the opportunity to pre-train powerful models, e.g., STU-Net pre-trained in a supervised fashion, to segment numerous anatomical structures. However, it remains unclear in which conditions these pre-trained models can be transferred to various downstream medical segmentation tasks, particularly segmenting the other modalities and diverse targets. To address this problem, a large-scale benchmark for comprehensive evaluation is crucial for finding these conditions. Thus, we collected 87 public datasets varying in modality, target, and sample size to evaluate the transfer ability of full-body CT pre-trained models. We then employed a representative model, STU-Net with multiple model scales, to conduct transfer learning across modalities and targets. Our experimental results show that (1) there may be a bottleneck effect concerning the dataset size in fine-tuning, with more improvement on both small- and large-scale datasets than medium-size ones. (2) Models pre-trained on full-body CT demonstrate effective modality transfer, adapting well to other modalities such as MRI. (3) Pre-training on the full-body CT not only supports strong performance in structure detection but also shows efficacy in lesion detection, showcasing adaptability across target tasks. We hope that this large-scale open evaluation of transfer learning can direct future research in volumetric medical image segmentation.

GMAI-VL & GMAI-VL-5.5M: A Large Vision-Language Model and A Comprehensive Multimodal Dataset Towards General Medical AI

Despite significant advancements in general artificial intelligence, such as GPT-4, their effectiveness in the medical domain (general medical AI, GMAI) remains constrained due to the absence of specialized medical knowledge. To address this challenge, we present GMAI-VL-5.5M, a comprehensive multimodal medical dataset created by converting hundreds of specialized medical datasets into meticulously constructed image-text pairs. This dataset features comprehensive task coverage, diverse modalities, and high-quality image-text data. Building upon this multimodal dataset, we propose GMAI-VL, a general medical vision-language model with a progressively three-stage training strategy. This approach significantly enhances the model's ability by integrating visual and textual information, thereby improving its ability to process multimodal data and support accurate diagnosis and clinical decision-making. Experimental evaluations demonstrate that GMAI-VL achieves state-of-the-art results across a wide range of multimodal medical tasks, such as visual question answering and medical image diagnosis. Our contributions include the development of the GMAI-VL-5.5M dataset, the introduction of the GMAI-VL model, and the establishment of new benchmarks in multiple medical domains. Code and dataset will be released at https://github.com/uni-medical/GMAI-VL.

MC-LLaVA: Multi-Concept Personalized Vision-Language Model

Current vision-language models (VLMs) show exceptional abilities across diverse tasks including visual question answering. To enhance user experience in practical applications, recent studies investigate VLM personalization to understand user-provided concepts. However, existing studies mainly focus on single-concept personalization, neglecting the existence and interplay of multiple concepts, which limits the real-world applicability of personalized VLMs. In this paper, we propose the first multi-concept personalization method named MC-LLaVA along with a high-quality multi-concept personalization dataset. Specifically, MC-LLaVA uses a joint training strategy incorporating multiple concepts in a single training step, allowing VLMs to perform accurately in multi-concept personalization. To reduce the cost of joint training, MC-LLaVA leverages visual token information for concept token initialization, yielding improved concept representation and accelerating joint training. To advance multi-concept personalization research, we further contribute a high-quality dataset. We carefully collect images from various movies that contain multiple characters and manually generate the multi-concept question-answer samples. Our dataset features diverse movie types and question-answer types. We conduct comprehensive qualitative and quantitative experiments to demonstrate that MC-LLaVA can achieve impressive multi-concept personalized responses, paving the way for VLMs to become better user-specific assistants. The code and dataset will be publicly available at https://github.com/arctanxarc/MC-LLaVA.

SlideChat: A Large Vision-Language Assistant for Whole-Slide Pathology Image Understanding

Despite the progress made by multimodal large language models (MLLMs) in computational pathology, they remain limited by a predominant focus on patch-level analysis, missing essential contextual information at the whole-slide level. The lack of large-scale instruction datasets and the gigapixel scale of whole slide images (WSIs) pose significant developmental challenges. In this paper, we present SlideChat, the first vision-language assistant capable of understanding gigapixel whole-slide images, exhibiting excellent multimodal conversational capability and response complex instruction across diverse pathology scenarios. To support its development, we created SlideInstruction, the largest instruction-following dataset for WSIs consisting of 4.2K WSI captions and 176K VQA pairs with multiple categories. Furthermore, we propose SlideBench, a multimodal benchmark that incorporates captioning and VQA tasks to assess SlideChat's capabilities in varied clinical settings such as microscopy, diagnosis. Compared to both general and specialized MLLMs, SlideChat exhibits exceptional capabilities achieving state-of-the-art performance on 18 of 22 tasks. For example, it achieved an overall accuracy of 81.17% on SlideBench-VQA (TCGA), and 54.15% on SlideBench-VQA (BCNB). We will fully release SlideChat, SlideInstruction and SlideBench as open-source resources to facilitate research and development in computational pathology.