Anchor-based Robust Finetuning of Vision-Language Models

We aim at finetuning a vision-language model without hurting its out-of-distribution (OOD) generalization. We address two types of OOD generalization, i.e., i) domain shift such as natural to sketch images, and ii) zero-shot capability to recognize the category that was not contained in the finetune data. Arguably, the diminished OOD generalization after finetuning stems from the excessively simplified finetuning target, which only provides the class information, such as ``a photo of a [CLASS]''. This is distinct from the process in that CLIP was pretrained, where there is abundant text supervision with rich semantic information. Therefore, we propose to compensate for the finetune process using auxiliary supervision with rich semantic information, which acts as anchors to preserve the OOD generalization. Specifically, two types of anchors are elaborated in our method, including i) text-compensated anchor which uses the images from the finetune set but enriches the text supervision from a pretrained captioner, ii) image-text-pair anchor which is retrieved from the dataset similar to pretraining data of CLIP according to the downstream task, associating with the original CLIP text with rich semantics. Those anchors are utilized as auxiliary semantic information to maintain the original feature space of CLIP, thereby preserving the OOD generalization capabilities. Comprehensive experiments demonstrate that our method achieves in-distribution performance akin to conventional finetuning while attaining new state-of-the-art results on domain shift and zero-shot learning benchmarks.

CycleINR: Cycle Implicit Neural Representation for Arbitrary-Scale Volumetric Super-Resolution of Medical Data

In the realm of medical 3D data, such as CT and MRI images, prevalent anisotropic resolution is characterized by high intra-slice but diminished inter-slice resolution. The lowered resolution between adjacent slices poses challenges, hindering optimal viewing experiences and impeding the development of robust downstream analysis algorithms. Various volumetric super-resolution algorithms aim to surmount these challenges, enhancing inter-slice resolution and overall 3D medical imaging quality. However, existing approaches confront inherent challenges: 1) often tailored to specific upsampling factors, lacking flexibility for diverse clinical scenarios; 2) newly generated slices frequently suffer from over-smoothing, degrading fine details, and leading to inter-slice inconsistency. In response, this study presents CycleINR, a novel enhanced Implicit Neural Representation model for 3D medical data volumetric super-resolution. Leveraging the continuity of the learned implicit function, the CycleINR model can achieve results with arbitrary up-sampling rates, eliminating the need for separate training. Additionally, we enhance the grid sampling in CycleINR with a local attention mechanism and mitigate over-smoothing by integrating cycle-consistent loss. We introduce a new metric, Slice-wise Noise Level Inconsistency (SNLI), to quantitatively assess inter-slice noise level inconsistency. The effectiveness of our approach is demonstrated through image quality evaluations on an in-house dataset and a downstream task analysis on the Medical Segmentation Decathlon liver tumor dataset.

Effective Lymph Nodes Detection in CT Scans Using Location Debiased Query Selection and Contrastive Query Representation in Transformer

Lymph node (LN) assessment is a critical, indispensable yet very challenging task in the routine clinical workflow of radiology and oncology. Accurate LN analysis is essential for cancer diagnosis, staging, and treatment planning. Finding scatteredly distributed, low-contrast clinically relevant LNs in 3D CT is difficult even for experienced physicians under high inter-observer variations. Previous automatic LN detection works typically yield limited recall and high false positives (FPs) due to adjacent anatomies with similar image intensities, shapes, or textures (vessels, muscles, esophagus, etc). In this work, we propose a new LN DEtection TRansformer, named LN-DETR, to achieve more accurate performance. By enhancing the 2D backbone with a multi-scale 2.5D feature fusion to incorporate 3D context explicitly, more importantly, we make two main contributions to improve the representation quality of LN queries. 1) Considering that LN boundaries are often unclear, an IoU prediction head and a location debiased query selection are proposed to select LN queries of higher localization accuracy as the decoder query's initialization. 2) To reduce FPs, query contrastive learning is employed to explicitly reinforce LN queries towards their best-matched ground-truth queries over unmatched query predictions. Trained and tested on 3D CT scans of 1067 patients (with 10,000+ labeled LNs) via combining seven LN datasets from different body parts (neck, chest, and abdomen) and pathologies/cancers, our method significantly improves the performance of previous leading methods by > 4-5% average recall at the same FP rates in both internal and external testing. We further evaluate on the universal lesion detection task using NIH DeepLesion benchmark, and our method achieves the top performance of 88.46% averaged recall across 0.5 to 4 FPs per image, compared with other leading reported results.

LaRE^2: Latent Reconstruction Error Based Method for Diffusion-Generated Image Detection

The evolution of Diffusion Models has dramatically improved image generation quality, making it increasingly difficult to differentiate between real and generated images. This development, while impressive, also raises significant privacy and security concerns. In response to this, we propose a novel Latent REconstruction error guided feature REfinement method (LaRE^2) for detecting the diffusion-generated images. We come up with the Latent Reconstruction Error (LaRE), the first reconstruction-error based feature in the latent space for generated image detection. LaRE surpasses existing methods in terms of feature extraction efficiency while preserving crucial cues required to differentiate between the real and the fake. To exploit LaRE, we propose an Error-Guided feature REfinement module (EGRE), which can refine the image feature guided by LaRE to enhance the discriminativeness of the feature. Our EGRE utilizes an align-then-refine mechanism, which effectively refines the image feature for generated-image detection from both spatial and channel perspectives. Extensive experiments on the large-scale GenImage benchmark demonstrate the superiority of our LaRE^2, which surpasses the best SoTA method by up to 11.9%/12.1% average ACC/AP across 8 different image generators. LaRE also surpasses existing methods in terms of feature extraction cost, delivering an impressive speed enhancement of 8 times.

Towards a Comprehensive, Efficient and Promptable Anatomic Structure Segmentation Model using 3D Whole-body CT Scans

Segment anything model (SAM) demonstrates strong generalization ability on natural image segmentation. However, its direct adaption in medical image segmentation tasks shows significant performance drops with inferior accuracy and unstable results. It may also requires an excessive number of prompt points to obtain a reasonable accuracy. For segmenting 3D radiological CT or MRI scans, a 2D SAM model has to separately handle hundreds of 2D slices. Although quite a few studies explore adapting SAM into medical image volumes, the efficiency of 2D adaption methods is unsatisfactory and 3D adaptation methods only capable of segmenting specific organs/tumors. In this work, we propose a comprehensive and scalable 3D SAM model for whole-body CT segmentation, named CT-SAM3D. Instead of adapting SAM, we propose a 3D promptable segmentation model using a (nearly) fully labeled CT dataset. To train CT-SAM3D effectively, ensuring the model's accurate responses to higher-dimensional spatial prompts is crucial, and 3D patch-wise training is required due to GPU memory constraints. For this purpose, we propose two key technical developments: 1) a progressively and spatially aligned prompt encoding method to effectively encode click prompts in local 3D space; and 2) a cross-patch prompt learning scheme to capture more 3D spatial context, which is beneficial for reducing the editing workloads when interactively prompting on large organs. CT-SAM3D is trained and validated using a curated dataset of 1204 CT scans containing 107 whole-body anatomies, reporting significantly better quantitative performance against all previous SAM-derived models by a large margin with much fewer click prompts. Our model can handle segmenting unseen organ as well. Code, data, and our 3D interactive segmentation tool with quasi-real-time responses will be made publicly available.

Modality-Agnostic Structural Image Representation Learning for Deformable Multi-Modality Medical Image Registration

Establishing dense anatomical correspondence across distinct imaging modalities is a foundational yet challenging procedure for numerous medical image analysis studies and image-guided radiotherapy. Existing multi-modality image registration algorithms rely on statistical-based similarity measures or local structural image representations. However, the former is sensitive to locally varying noise, while the latter is not discriminative enough to cope with complex anatomical structures in multimodal scans, causing ambiguity in determining the anatomical correspondence across scans with different modalities. In this paper, we propose a modality-agnostic structural representation learning method, which leverages Deep Neighbourhood Self-similarity (DNS) and anatomy-aware contrastive learning to learn discriminative and contrast-invariance deep structural image representations (DSIR) without the need for anatomical delineations or pre-aligned training images. We evaluate our method on multiphase CT, abdomen MR-CT, and brain MR T1w-T2w registration. Comprehensive results demonstrate that our method is superior to the conventional local structural representation and statistical-based similarity measures in terms of discriminability and accuracy.

Model Tailor: Mitigating Catastrophic Forgetting in Multi-modal Large Language Models

Catastrophic forgetting emerges as a critical challenge when fine-tuning multi-modal large language models (MLLMs), where improving performance on unseen tasks often leads to a significant performance drop on the original tasks. This paper presents a comprehensive analysis of catastrophic forgetting in MLLMs and introduces a post-training adjustment method called Model Tailor. Our method primarily preserves the pre-trained parameters while replacing a small number ($\leq$ 10\%) of fine-tuned parameters, maintaining $\sim$ 99\% effectiveness on original tasks versus pre-training, and achieving $\sim$ 97\% on new tasks compared to standard fine-tuning. Specifically, we derive a sparse mask to identify the "model patch", based on a fusion strategy that integrates salience and sensitivity analysis. Subsequently, a compensation mechanism is introduced to "decorate the patch", enhancing the model's performance on both target and original tasks. Additionally, our method is adaptable to multi-task scenarios. Through extensive experiments on InstructBLIP and LLaVA-1.5 in both image captioning and visual question answering tasks, our approach demonstrates significant task adaptability while preserving inherent pre-trained capabilities.

VMT-Adapter: Parameter-Efficient Transfer Learning for Multi-Task Dense Scene Understanding

Large-scale pre-trained models have achieved remarkable success in various computer vision tasks. A standard approach to leverage these models is to fine-tune all model parameters for downstream tasks, which poses challenges in terms of computational and storage costs. Recently, inspired by Natural Language Processing (NLP), parameter-efficient transfer learning has been successfully applied to vision tasks. However, most existing techniques primarily focus on single-task adaptation, and despite limited research on multi-task adaptation, these methods often exhibit suboptimal training and inference efficiency. In this paper, we first propose an once-for-all Vision Multi-Task Adapter (VMT-Adapter), which strikes approximately O(1) training and inference efficiency w.r.t task number. Concretely, VMT-Adapter shares the knowledge from multiple tasks to enhance cross-task interaction while preserves task-specific knowledge via independent knowledge extraction modules. Notably, since task-specific modules require few parameters, VMT-Adapter can handle an arbitrary number of tasks with a negligible increase of trainable parameters. We also propose VMT-Adapter-Lite, which further reduces the trainable parameters by learning shared parameters between down- and up-projections. Extensive experiments on four dense scene understanding tasks demonstrate the superiority of VMT-Adapter(-Lite), achieving a 3.96%(1.34%) relative improvement compared to single-task full fine-tuning, while utilizing merely ~1% (0.36%) trainable parameters of the pre-trained model.

MmAP : Multi-modal Alignment Prompt for Cross-domain Multi-task Learning

Multi-Task Learning (MTL) is designed to train multiple correlated tasks simultaneously, thereby enhancing the performance of individual tasks. Typically, a multi-task network structure consists of a shared backbone and task-specific decoders. However, the complexity of the decoders increases with the number of tasks. To tackle this challenge, we integrate the decoder-free vision-language model CLIP, which exhibits robust zero-shot generalization capability. Recently, parameter-efficient transfer learning methods have been extensively explored with CLIP for adapting to downstream tasks, where prompt tuning showcases strong potential. Nevertheless, these methods solely fine-tune a single modality (text or visual), disrupting the modality structure of CLIP. In this paper, we first propose Multi-modal Alignment Prompt (MmAP) for CLIP, which aligns text and visual modalities during fine-tuning process. Building upon MmAP, we develop an innovative multi-task prompt learning framework. On the one hand, to maximize the complementarity of tasks with high similarity, we utilize a gradient-driven task grouping method that partitions tasks into several disjoint groups and assign a group-shared MmAP to each group. On the other hand, to preserve the unique characteristics of each task, we assign an task-specific MmAP to each task. Comprehensive experiments on two large multi-task learning datasets demonstrate that our method achieves significant performance improvements compared to full fine-tuning while only utilizing approximately 0.09% of trainable parameters.

SAMv2: A Unified Framework for Learning Appearance, Semantic and Cross-Modality Anatomical Embeddings

Identifying anatomical structures (e.g., lesions or landmarks) in medical images plays a fundamental role in medical image analysis. As an exemplar-based landmark detection method, Self-supervised Anatomical eMbedding (SAM) learns a discriminative embedding for each voxel in the image and has shown promising results on various tasks. However, SAM still faces challenges in: (1) differentiating voxels with similar appearance but different semantic meanings (\textit{e.g.}, two adjacent structures without clear borders); (2) matching voxels with similar semantics but markedly different appearance (e.g., the same vessel before and after contrast injection); and (3) cross-modality matching (e.g., CT-MRI registration). To overcome these challenges, we propose SAMv2, which is a unified framework designed to learn appearance, semantic, and cross-modality anatomical embeddings. Specifically, SAMv2 incorporates three key innovations: (1) semantic embedding learning with prototypical contrastive loss; (2) a fixed-point-based matching strategy; and (3) an iterative approach for cross-modality embedding learning. We thoroughly evaluated SAMv2 across three tasks, including one-shot landmark detection, lesion tracking on longitudinal CT scans, and CT-MRI affine/rigid registration with varying field of view. Our results suggest that SAMv2 outperforms SAM and other state-of-the-art methods, offering a robust and versatile approach for landmark based medical image analysis tasks. Code and trained models are available at: https://github.com/alibaba-damo-academy/self-supervised-anatomical-embedding-v2