PET2Rep: Towards Vision-Language Model-Drived Automated Radiology Report Generation for Positron Emission Tomography

Positron emission tomography (PET) is a cornerstone of modern oncologic and neurologic imaging, distinguished by its unique ability to illuminate dynamic metabolic processes that transcend the anatomical focus of traditional imaging technologies. Radiology reports are essential for clinical decision making, yet their manual creation is labor-intensive and time-consuming. Recent advancements of vision-language models (VLMs) have shown strong potential in medical applications, presenting a promising avenue for automating report generation. However, existing applications of VLMs in the medical domain have predominantly focused on structural imaging modalities, while the unique characteristics of molecular PET imaging have largely been overlooked. To bridge the gap, we introduce PET2Rep, a large-scale comprehensive benchmark for evaluation of general and medical VLMs for radiology report generation for PET images. PET2Rep stands out as the first dedicated dataset for PET report generation with metabolic information, uniquely capturing whole-body image-report pairs that cover dozens of organs to fill the critical gap in existing benchmarks and mirror real-world clinical comprehensiveness. In addition to widely recognized natural language generation metrics, we introduce a series of clinical efficiency metrics to evaluate the quality of radiotracer uptake pattern description in key organs in generated reports. We conduct a head-to-head comparison of 30 cutting-edge general-purpose and medical-specialized VLMs. The results show that the current state-of-the-art VLMs perform poorly on PET report generation task, falling considerably short of fulfilling practical needs. Moreover, we identify several key insufficiency that need to be addressed to advance the development in medical applications.

BLIP3-o: A Family of Fully Open Unified Multimodal Models-Architecture, Training and Dataset

Unifying image understanding and generation has gained growing attention in recent research on multimodal models. Although design choices for image understanding have been extensively studied, the optimal model architecture and training recipe for a unified framework with image generation remain underexplored. Motivated by the strong potential of autoregressive and diffusion models for high-quality generation and scalability, we conduct a comprehensive study of their use in unified multimodal settings, with emphasis on image representations, modeling objectives, and training strategies. Grounded in these investigations, we introduce a novel approach that employs a diffusion transformer to generate semantically rich CLIP image features, in contrast to conventional VAE-based representations. This design yields both higher training efficiency and improved generative quality. Furthermore, we demonstrate that a sequential pretraining strategy for unified models-first training on image understanding and subsequently on image generation-offers practical advantages by preserving image understanding capability while developing strong image generation ability. Finally, we carefully curate a high-quality instruction-tuning dataset BLIP3o-60k for image generation by prompting GPT-4o with a diverse set of captions covering various scenes, objects, human gestures, and more. Building on our innovative model design, training recipe, and datasets, we develop BLIP3-o, a suite of state-of-the-art unified multimodal models. BLIP3-o achieves superior performance across most of the popular benchmarks spanning both image understanding and generation tasks. To facilitate future research, we fully open-source our models, including code, model weights, training scripts, and pretraining and instruction tuning datasets.

SemiSAM+: Rethinking Semi-Supervised Medical Image Segmentation in the Era of Foundation Models

Deep learning-based medical image segmentation typically requires large amount of labeled data for training, making it less applicable in clinical settings due to high annotation cost. Semi-supervised learning (SSL) has emerged as an appealing strategy due to its less dependence on acquiring abundant annotations from experts compared to fully supervised methods. Beyond existing model-centric advancements of SSL by designing novel regularization strategies, we anticipate a paradigmatic shift due to the emergence of promptable segmentation foundation models with universal segmentation capabilities using positional prompts represented by Segment Anything Model (SAM). In this paper, we present SemiSAM+, a foundation model-driven SSL framework to efficiently learn from limited labeled data for medical image segmentation. SemiSAM+ consists of one or multiple promptable foundation models as generalist models, and a trainable task-specific segmentation model as specialist model. For a given new segmentation task, the training is based on the specialist-generalist collaborative learning procedure, where the trainable specialist model delivers positional prompts to interact with the frozen generalist models to acquire pseudo-labels, and then the generalist model output provides the specialist model with informative and efficient supervision which benefits the automatic segmentation and prompt generation in turn. Extensive experiments on two public datasets and one in-house clinical dataset demonstrate that SemiSAM+ achieves significant performance improvement, especially under extremely limited annotation scenarios, and shows strong efficiency as a plug-and-play strategy that can be easily adapted to different specialist and generalist models.

SegAnyPET: Universal Promptable Segmentation from Positron Emission Tomography Images

Positron Emission Tomography (PET) imaging plays a crucial role in modern medical diagnostics by revealing the metabolic processes within a patient's body, which is essential for quantification of therapy response and monitoring treatment progress. However, the segmentation of PET images presents unique challenges due to their lower contrast and less distinct boundaries compared to other structural medical modalities. Recent developments in segmentation foundation models have shown superior versatility across diverse natural image segmentation tasks. Despite the efforts of medical adaptations, these works primarily focus on structural medical images with detailed physiological structural information and exhibit poor generalization ability when adapted to molecular PET imaging. In this paper, we collect and construct PETS-5k, the largest PET segmentation dataset to date, comprising 5,731 three-dimensional whole-body PET images and encompassing over 1.3M 2D images. Based on the established dataset, we develop SegAnyPET, a modality-specific 3D foundation model for universal promptable segmentation from PET images. To issue the challenge of discrepant annotation quality of PET images, we adopt a cross prompting confident learning (CPCL) strategy with an uncertainty-guided self-rectification process to robustly learn segmentation from high-quality labeled data and low-quality noisy labeled data. Experimental results demonstrate that SegAnyPET can correctly segment seen and unseen targets using only one or a few prompt points, outperforming state-of-the-art foundation models and task-specific fully supervised models with higher accuracy and strong generalization ability for universal segmentation. As the first foundation model for PET images, we believe that SegAnyPET will advance the applications to various downstream tasks for molecular imaging.

ProVision: Programmatically Scaling Vision-centric Instruction Data for Multimodal Language Models

With the rise of multimodal applications, instruction data has become critical for training multimodal language models capable of understanding complex image-based queries. Existing practices rely on powerful but costly large language models (LLMs) or multimodal language models (MLMs) to produce instruction data. These are often prone to hallucinations, licensing issues and the generation process is often hard to scale and interpret. In this work, we present a programmatic approach that employs scene graphs as symbolic representations of images and human-written programs to systematically synthesize vision-centric instruction data. Our approach ensures the interpretability and controllability of the data generation process and scales efficiently while maintaining factual accuracy. By implementing a suite of 24 single-image, 14 multi-image instruction generators, and a scene graph generation pipeline, we build a scalable, cost-effective system: ProVision which produces diverse question-answer pairs concerning objects, attributes, relations, depth, etc., for any given image. Applied to Visual Genome and DataComp datasets, we generate over 10 million instruction data points, ProVision-10M, and leverage them in both pretraining and instruction tuning stages of MLMs. When adopted in the instruction tuning stage, our single-image instruction data yields up to a 7% improvement on the 2D split and 8% on the 3D split of CVBench, along with a 3% increase in performance on QBench2, RealWorldQA, and MMMU. Our multi-image instruction data leads to an 8% improvement on Mantis-Eval. Incorporation of our data in both pre-training and fine-tuning stages of xGen-MM-4B leads to an averaged improvement of 1.6% across 11 benchmarks.

BLIP3-KALE: Knowledge Augmented Large-Scale Dense Captions

We introduce BLIP3-KALE, a dataset of 218 million image-text pairs that bridges the gap between descriptive synthetic captions and factual web-scale alt-text. KALE augments synthetic dense image captions with web-scale alt-text to generate factually grounded image captions. Our two-stage approach leverages large vision-language models and language models to create knowledge-augmented captions, which are then used to train a specialized VLM for scaling up the dataset. We train vision-language models on KALE and demonstrate improvements on vision-language tasks. Our experiments show the utility of KALE for training more capable and knowledgeable multimodal models. We release the KALE dataset at https://huggingface.co/datasets/Salesforce/blip3-kale

xGen-MM-Vid (BLIP-3-Video): You Only Need 32 Tokens to Represent a Video Even in VLMs

We present xGen-MM-Vid (BLIP-3-Video): a multimodal language model for videos, particularly designed to efficiently capture temporal information over multiple frames. BLIP-3-Video takes advantage of the 'temporal encoder' in addition to the conventional visual tokenizer, which maps a sequence of tokens over multiple frames into a compact set of visual tokens. This enables BLIP3-Video to use much fewer visual tokens than its competing models (e.g., 32 vs. 4608 tokens). We explore different types of temporal encoders, including learnable spatio-temporal pooling as well as sequential models like Token Turing Machines. We experimentally confirm that BLIP-3-Video obtains video question-answering accuracies comparable to much larger state-of-the-art models (e.g., 34B), while being much smaller (i.e., 4B) and more efficient by using fewer visual tokens. The project website is at https://www.salesforceairesearch.com/opensource/xGen-MM-Vid/index.html

xGen-VideoSyn-1: High-fidelity Text-to-Video Synthesis with Compressed Representations

We present xGen-VideoSyn-1, a text-to-video (T2V) generation model capable of producing realistic scenes from textual descriptions. Building on recent advancements, such as OpenAI's Sora, we explore the latent diffusion model (LDM) architecture and introduce a video variational autoencoder (VidVAE). VidVAE compresses video data both spatially and temporally, significantly reducing the length of visual tokens and the computational demands associated with generating long-sequence videos. To further address the computational costs, we propose a divide-and-merge strategy that maintains temporal consistency across video segments. Our Diffusion Transformer (DiT) model incorporates spatial and temporal self-attention layers, enabling robust generalization across different timeframes and aspect ratios. We have devised a data processing pipeline from the very beginning and collected over 13M high-quality video-text pairs. The pipeline includes multiple steps such as clipping, text detection, motion estimation, aesthetics scoring, and dense captioning based on our in-house video-LLM model. Training the VidVAE and DiT models required approximately 40 and 642 H100 days, respectively. Our model supports over 14-second 720p video generation in an end-to-end way and demonstrates competitive performance against state-of-the-art T2V models.

xGen-MM (BLIP-3): A Family of Open Large Multimodal Models

This report introduces xGen-MM (also known as BLIP-3), a framework for developing Large Multimodal Models (LMMs). The framework comprises meticulously curated datasets, a training recipe, model architectures, and a resulting suite of LMMs. xGen-MM, short for xGen-MultiModal, expands the Salesforce xGen initiative on foundation AI models. Our models undergo rigorous evaluation across a range of tasks, including both single and multi-image benchmarks. Our pre-trained base model exhibits strong in-context learning capabilities and the instruction-tuned model demonstrates competitive performance among open-source LMMs with similar model sizes. In addition, we introduce a safety-tuned model with DPO, aiming to mitigate harmful behaviors such as hallucinations and improve safety. We open-source our models, curated large-scale datasets, and our fine-tuning codebase to facilitate further advancements in LMM research. Associated resources will be available on our project page above.

MINT-1T: Scaling Open-Source Multimodal Data by 10x: A Multimodal Dataset with One Trillion Tokens

Multimodal interleaved datasets featuring free-form interleaved sequences of images and text are crucial for training frontier large multimodal models (LMMs). Despite the rapid progression of open-source LMMs, there remains a pronounced scarcity of large-scale, diverse open-source multimodal interleaved datasets. In response, we introduce MINT-1T, the most extensive and diverse open-source Multimodal INTerleaved dataset to date. MINT-1T comprises one trillion text tokens and three billion images, a 10x scale-up from existing open-source datasets. Additionally, we include previously untapped sources such as PDFs and ArXiv papers. As scaling multimodal interleaved datasets requires substantial engineering effort, sharing the data curation process and releasing the dataset greatly benefits the community. Our experiments show that LMMs trained on MINT-1T rival the performance of models trained on the previous leading dataset, OBELICS. Our data and code will be released at https://github.com/mlfoundations/MINT-1T.