Expert-level vision-language foundation model for real-world radiology and comprehensive evaluation

Radiology is a vital and complex component of modern clinical workflow and covers many tasks. Recently, vision-language (VL) foundation models in medicine have shown potential in processing multimodal information, offering a unified solution for various radiology tasks. However, existing studies either pre-trained VL models on natural data or did not fully integrate vision-language architecture and pretraining, often neglecting the unique multimodal complexity in radiology images and their textual contexts. Additionally, their practical applicability in real-world scenarios remains underexplored. Here, we present RadFound, a large and open-source vision-language foundation model tailored for radiology, that is trained on the most extensive dataset of over 8.1 million images and 250,000 image-text pairs, covering 19 major organ systems and 10 imaging modalities. To establish expert-level multimodal perception and generation capabilities, RadFound introduces an enhanced vision encoder to capture intra-image local features and inter-image contextual information, and a unified cross-modal learning design tailored to radiology. To fully assess the models' capability, we construct a benchmark, RadVLBench, including radiology interpretation tasks like medical vision-language question-answering, as well as text generation tasks ranging from captioning to report generation. We also propose a human evaluation framework. When evaluated on the real-world benchmark involving three representative modalities, 2D images (chest X-rays), multi-view images (mammograms), and 3D images (thyroid CT scans), RadFound significantly outperforms other VL foundation models on both quantitative metrics and human evaluation. In summary, the development of RadFound represents an advancement in radiology generalists, demonstrating broad applicability potential for integration into clinical workflows.

Decomposing the Neurons: Activation Sparsity via Mixture of Experts for Continual Test Time Adaptation

Continual Test-Time Adaptation (CTTA), which aims to adapt the pre-trained model to ever-evolving target domains, emerges as an important task for vision models. As current vision models appear to be heavily biased towards texture, continuously adapting the model from one domain distribution to another can result in serious catastrophic forgetting. Drawing inspiration from the human visual system's adeptness at processing both shape and texture according to the famous Trichromatic Theory, we explore the integration of a Mixture-of-Activation-Sparsity-Experts (MoASE) as an adapter for the CTTA task. Given the distinct reaction of neurons with low/high activation to domain-specific/agnostic features, MoASE decomposes the neural activation into high-activation and low-activation components with a non-differentiable Spatial Differentiate Dropout (SDD). Based on the decomposition, we devise a multi-gate structure comprising a Domain-Aware Gate (DAG) that utilizes domain information to adaptive combine experts that process the post-SDD sparse activations of different strengths, and the Activation Sparsity Gate (ASG) that adaptively assigned feature selection threshold of the SDD for different experts for more precise feature decomposition. Finally, we introduce a Homeostatic-Proximal (HP) loss to bypass the error accumulation problem when continuously adapting the model. Extensive experiments on four prominent benchmarks substantiate that our methodology achieves state-of-the-art performance in both classification and segmentation CTTA tasks. Our code is now available at https://github.com/RoyZry98/MoASE-Pytorch.

LLM as Dataset Analyst: Subpopulation Structure Discovery with Large Language Model

The distribution of subpopulations is an important property hidden within a dataset. Uncovering and analyzing the subpopulation distribution within datasets provides a comprehensive understanding of the datasets, standing as a powerful tool beneficial to various downstream tasks, including Dataset Subpopulation Organization, Subpopulation Shift, and Slice Discovery. Despite its importance, there has been no work that systematically explores the subpopulation distribution of datasets to our knowledge. To address the limitation and solve all the mentioned tasks in a unified way, we introduce a novel concept of subpopulation structures to represent, analyze, and utilize subpopulation distributions within datasets. To characterize the structures in an interpretable manner, we propose the Subpopulation Structure Discovery with Large Language Models (SSD-LLM) framework, which employs world knowledge and instruction-following capabilities of Large Language Models (LLMs) to linguistically analyze informative image captions and summarize the structures. Furthermore, we propose complete workflows to address downstream tasks, named Task-specific Tuning, showcasing the application of the discovered structure to a spectrum of subpopulation-related tasks, including dataset subpopulation organization, subpopulation shift, and slice discovery. Furthermore, we propose complete workflows to address downstream tasks, named Task-specific Tuning, showcasing the application of the discovered structure to a spectrum of subpopulation-related tasks, including dataset subpopulation organization, subpopulation shift, and slice discovery.

Draw-and-Understand: Leveraging Visual Prompts to Enable MLLMs to Comprehend What You Want

The interaction between humans and artificial intelligence (AI) is a crucial factor that reflects the effectiveness of multimodal large language models (MLLMs). However, current MLLMs primarily focus on image-level comprehension and limit interaction to textual instructions, thereby constraining their flexibility in usage and depth of response. In this paper, we introduce the Draw-and-Understand project: a new model, a multi-domain dataset, and a challenging benchmark for visual prompting. Specifically, we propose SPHINX-V, a new end-to-end trained Multimodal Large Language Model (MLLM) that connects a vision encoder, a visual prompt encoder and an LLM for various visual prompts (points, bounding boxes, and free-form shape) and language understanding. To advance visual prompting research for MLLMs, we introduce MDVP-Data and MDVP-Bench. MDVP-Data features a multi-domain dataset containing 1.6M unique image-visual prompt-text instruction-following samples, including natural images, document images, OCR images, mobile screenshots, web screenshots, and multi-panel images. Furthermore, we present MDVP-Bench, a comprehensive and challenging benchmark to assess a model's capability in understanding visual prompting instructions. Our experiments demonstrate SPHINX-V's impressive multimodal interaction capabilities through visual prompting, revealing significant improvements in detailed pixel-level description and question-answering abilities.

Efficient Deweather Mixture-of-Experts with Uncertainty-aware Feature-wise Linear Modulation

The Mixture-of-Experts (MoE) approach has demonstrated outstanding scalability in multi-task learning including low-level upstream tasks such as concurrent removal of multiple adverse weather effects. However, the conventional MoE architecture with parallel Feed Forward Network (FFN) experts leads to significant parameter and computational overheads that hinder its efficient deployment. In addition, the naive MoE linear router is suboptimal in assigning task-specific features to multiple experts which limits its further scalability. In this work, we propose an efficient MoE architecture with weight sharing across the experts. Inspired by the idea of linear feature modulation (FM), our architecture implicitly instantiates multiple experts via learnable activation modulations on a single shared expert block. The proposed Feature Modulated Expert (FME) serves as a building block for the novel Mixture-of-Feature-Modulation-Experts (MoFME) architecture, which can scale up the number of experts with low overhead. We further propose an Uncertainty-aware Router (UaR) to assign task-specific features to different FM modules with well-calibrated weights. This enables MoFME to effectively learn diverse expert functions for multiple tasks. The conducted experiments on the multi-deweather task show that our MoFME outperforms the baselines in the image restoration quality by 0.1-0.2 dB and achieves SOTA-compatible performance while saving more than 72% of parameters and 39% inference time over the conventional MoE counterpart. Experiments on the downstream segmentation and classification tasks further demonstrate the generalizability of MoFME to real open-world applications.

MoWE: Mixture of Weather Experts for Multiple Adverse Weather Removal

Currently, most adverse weather removal tasks are handled independently, such as deraining, desnowing, and dehazing. However, in autonomous driving scenarios, the type, intensity, and mixing degree of the weather are unknown, so the separated task setting cannot deal with these complex conditions well. Besides, the vision applications in autonomous driving often aim at high-level tasks, but existing weather removal methods neglect the connection between performance on perceptual tasks and signal fidelity. To this end, in upstream task, we propose a novel \textbf{Mixture of Weather Experts(MoWE)} Transformer framework to handle complex weather removal in a perception-aware fashion. We design a \textbf{Weather-aware Router} to make the experts targeted more relevant to weather types while without the need for weather type labels during inference. To handle diverse weather conditions, we propose \textbf{Multi-scale Experts} to fuse information among neighbor tokens. In downstream task, we propose a \textbf{Label-free Perception-aware Metric} to measure whether the outputs of image processing models are suitable for high level perception tasks without the demand for semantic labels. We collect a syntactic dataset \textbf{MAW-Sim} towards autonomous driving scenarios to benchmark the multiple weather removal performance of existing methods. Our MoWE achieves SOTA performance in upstream task on the proposed dataset and two public datasets, i.e. All-Weather and Rain/Fog-Cityscapes, and also have better perceptual results in downstream segmentation task compared to other methods. Our codes and datasets will be released after acceptance.

RandStainNA: Learning Stain-Agnostic Features from Histology Slides by Bridging Stain Augmentation and Normalization

Stain variations often decrease the generalization ability of deep learning based approaches in digital histopathology analysis. Two separate proposals, namely stain normalization (SN) and stain augmentation (SA), have been spotlighted to reduce the generalization error, where the former alleviates the stain shift across different medical centers using template image and the latter enriches the accessible stain styles by the simulation of more stain variations. However, their applications are bounded by the selection of template images and the construction of unrealistic styles. To address the problems, we unify SN and SA with a novel RandStainNA scheme, which constrains variable stain styles in a practicable range to train a stain agnostic deep learning model. The RandStainNA is applicable to stain normalization in a collection of color spaces i.e. HED, HSV, LAB. Additionally, we propose a random color space selection scheme to gain extra performance improvement. We evaluate our method by two diagnostic tasks i.e. tissue subtype classification and nuclei segmentation, with various network backbones. The performance superiority over both SA and SN yields that the proposed RandStainNA can consistently improve the generalization ability, that our models can cope with more incoming clinical datasets with unpredicted stain styles. The codes is available at https://github.com/yiqings/RandStainNA.