CXR-LT 2024: A MICCAI challenge on long-tailed, multi-label, and zero-shot disease classification from chest X-ray

The CXR-LT series is a community-driven initiative designed to enhance lung disease classification using chest X-rays (CXR). It tackles challenges in open long-tailed lung disease classification and enhances the measurability of state-of-the-art techniques. The first event, CXR-LT 2023, aimed to achieve these goals by providing high-quality benchmark CXR data for model development and conducting comprehensive evaluations to identify ongoing issues impacting lung disease classification performance. Building on the success of CXR-LT 2023, the CXR-LT 2024 expands the dataset to 377,110 chest X-rays (CXRs) and 45 disease labels, including 19 new rare disease findings. It also introduces a new focus on zero-shot learning to address limitations identified in the previous event. Specifically, CXR-LT 2024 features three tasks: (i) long-tailed classification on a large, noisy test set, (ii) long-tailed classification on a manually annotated "gold standard" subset, and (iii) zero-shot generalization to five previously unseen disease findings. This paper provides an overview of CXR-LT 2024, detailing the data curation process and consolidating state-of-the-art solutions, including the use of multimodal models for rare disease detection, advanced generative approaches to handle noisy labels, and zero-shot learning strategies for unseen diseases. Additionally, the expanded dataset enhances disease coverage to better represent real-world clinical settings, offering a valuable resource for future research. By synthesizing the insights and innovations of participating teams, we aim to advance the development of clinically realistic and generalizable diagnostic models for chest radiography.

IP-CRR: Information Pursuit for Interpretable Classification of Chest Radiology Reports

The development of AI-based methods for analyzing radiology reports could lead to significant advances in medical diagnosis--from improving diagnostic accuracy to enhancing efficiency and reducing workload. However, the lack of interpretability in these methods has hindered their adoption in clinical settings. In this paper, we propose an interpretable-by-design framework for classifying radiology reports. The key idea is to extract a set of most informative queries from a large set of reports and use these queries and their corresponding answers to predict a diagnosis. Thus, the explanation for a prediction is, by construction, the set of selected queries and answers. We use the Information Pursuit framework to select informative queries, the Flan-T5 model to determine if facts are present in the report, and a classifier to predict the disease. Experiments on the MIMIC-CXR dataset demonstrate the effectiveness of the proposed method, highlighting its potential to enhance trust and usability in medical AI.

Nonconvex Linear System Identification with Minimal State Representation

Low-order linear System IDentification (SysID) addresses the challenge of estimating the parameters of a linear dynamical system from finite samples of observations and control inputs with minimal state representation. Traditional approaches often utilize Hankel-rank minimization, which relies on convex relaxations that can require numerous, costly singular value decompositions (SVDs) to optimize. In this work, we propose two nonconvex reformulations to tackle low-order SysID (i) Burer-Monterio (BM) factorization of the Hankel matrix for efficient nuclear norm minimization, and (ii) optimizing directly over system parameters for real, diagonalizable systems with an atomic norm style decomposition. These reformulations circumvent the need for repeated heavy SVD computations, significantly improving computational efficiency. Moreover, we prove that optimizing directly over the system parameters yields lower statistical error rates, and lower sample complexities that do not scale linearly with trajectory length like in Hankel-nuclear norm minimization. Additionally, while our proposed formulations are nonconvex, we provide theoretical guarantees of achieving global optimality in polynomial time. Finally, we demonstrate algorithms that solve these nonconvex programs and validate our theoretical claims on synthetic data.

Mathematics of Continual Learning

Continual learning is an emerging subject in machine learning that aims to solve multiple tasks presented sequentially to the learner without forgetting previously learned tasks. Recently, many deep learning based approaches have been proposed for continual learning, however the mathematical foundations behind existing continual learning methods remain underdeveloped. On the other hand, adaptive filtering is a classic subject in signal processing with a rich history of mathematically principled methods. However, its role in understanding the foundations of continual learning has been underappreciated. In this tutorial, we review the basic principles behind both continual learning and adaptive filtering, and present a comparative analysis that highlights multiple connections between them. These connections allow us to enhance the mathematical foundations of continual learning based on existing results for adaptive filtering, extend adaptive filtering insights using existing continual learning methods, and discuss a few research directions for continual learning suggested by the historical developments in adaptive filtering.

Concept Lancet: Image Editing with Compositional Representation Transplant

Diffusion models are widely used for image editing tasks. Existing editing methods often design a representation manipulation procedure by curating an edit direction in the text embedding or score space. However, such a procedure faces a key challenge: overestimating the edit strength harms visual consistency while underestimating it fails the editing task. Notably, each source image may require a different editing strength, and it is costly to search for an appropriate strength via trial-and-error. To address this challenge, we propose Concept Lancet (CoLan), a zero-shot plug-and-play framework for principled representation manipulation in diffusion-based image editing. At inference time, we decompose the source input in the latent (text embedding or diffusion score) space as a sparse linear combination of the representations of the collected visual concepts. This allows us to accurately estimate the presence of concepts in each image, which informs the edit. Based on the editing task (replace/add/remove), we perform a customized concept transplant process to impose the corresponding editing direction. To sufficiently model the concept space, we curate a conceptual representation dataset, CoLan-150K, which contains diverse descriptions and scenarios of visual terms and phrases for the latent dictionary. Experiments on multiple diffusion-based image editing baselines show that methods equipped with CoLan achieve state-of-the-art performance in editing effectiveness and consistency preservation.

KDA: A Knowledge-Distilled Attacker for Generating Diverse Prompts to Jailbreak LLMs

Jailbreak attacks exploit specific prompts to bypass LLM safeguards, causing the LLM to generate harmful, inappropriate, and misaligned content. Current jailbreaking methods rely heavily on carefully designed system prompts and numerous queries to achieve a single successful attack, which is costly and impractical for large-scale red-teaming. To address this challenge, we propose to distill the knowledge of an ensemble of SOTA attackers into a single open-source model, called Knowledge-Distilled Attacker (KDA), which is finetuned to automatically generate coherent and diverse attack prompts without the need for meticulous system prompt engineering. Compared to existing attackers, KDA achieves higher attack success rates and greater cost-time efficiency when targeting multiple SOTA open-source and commercial black-box LLMs. Furthermore, we conducted a quantitative diversity analysis of prompts generated by baseline methods and KDA, identifying diverse and ensemble attacks as key factors behind KDA's effectiveness and efficiency.

Computerized Assessment of Motor Imitation for Distinguishing Autism in Video (CAMI-2DNet)

Motor imitation impairments are commonly reported in individuals with autism spectrum conditions (ASCs), suggesting that motor imitation could be used as a phenotype for addressing autism heterogeneity. Traditional methods for assessing motor imitation are subjective, labor-intensive, and require extensive human training. Modern Computerized Assessment of Motor Imitation (CAMI) methods, such as CAMI-3D for motion capture data and CAMI-2D for video data, are less subjective. However, they rely on labor-intensive data normalization and cleaning techniques, and human annotations for algorithm training. To address these challenges, we propose CAMI-2DNet, a scalable and interpretable deep learning-based approach to motor imitation assessment in video data, which eliminates the need for data normalization, cleaning and annotation. CAMI-2DNet uses an encoder-decoder architecture to map a video to a motion encoding that is disentangled from nuisance factors such as body shape and camera views. To learn a disentangled representation, we employ synthetic data generated by motion retargeting of virtual characters through the reshuffling of motion, body shape, and camera views, as well as real participant data. To automatically assess how well an individual imitates an actor, we compute a similarity score between their motion encodings, and use it to discriminate individuals with ASCs from neurotypical (NT) individuals. Our comparative analysis demonstrates that CAMI-2DNet has a strong correlation with human scores while outperforming CAMI-2D in discriminating ASC vs NT children. Moreover, CAMI-2DNet performs comparably to CAMI-3D while offering greater practicality by operating directly on video data and without the need for ad-hoc data normalization and human annotations.

Frequency-Guided Posterior Sampling for Diffusion-Based Image Restoration

Image restoration aims to recover high-quality images from degraded observations. When the degradation process is known, the recovery problem can be formulated as an inverse problem, and in a Bayesian context, the goal is to sample a clean reconstruction given the degraded observation. Recently, modern pretrained diffusion models have been used for image restoration by modifying their sampling procedure to account for the degradation process. However, these methods often rely on certain approximations that can lead to significant errors and compromised sample quality. In this paper, we provide the first rigorous analysis of this approximation error for linear inverse problems under distributional assumptions on the space of natural images, demonstrating cases where previous works can fail dramatically. Motivated by our theoretical insights, we propose a simple modification to existing diffusion-based restoration methods. Our approach introduces a time-varying low-pass filter in the frequency domain of the measurements, progressively incorporating higher frequencies during the restoration process. We develop an adaptive curriculum for this frequency schedule based on the underlying data distribution. Our method significantly improves performance on challenging image restoration tasks including motion deblurring and image dehazing.

A Convex Relaxation Approach to Generalization Analysis for Parallel Positively Homogeneous Networks

We propose a general framework for deriving generalization bounds for parallel positively homogeneous neural networks--a class of neural networks whose input-output map decomposes as the sum of positively homogeneous maps. Examples of such networks include matrix factorization and sensing, single-layer multi-head attention mechanisms, tensor factorization, deep linear and ReLU networks, and more. Our general framework is based on linking the non-convex empirical risk minimization (ERM) problem to a closely related convex optimization problem over prediction functions, which provides a global, achievable lower-bound to the ERM problem. We exploit this convex lower-bound to perform generalization analysis in the convex space while controlling the discrepancy between the convex model and its non-convex counterpart. We apply our general framework to a wide variety of models ranging from low-rank matrix sensing, to structured matrix sensing, two-layer linear networks, two-layer ReLU networks, and single-layer multi-head attention mechanisms, achieving generalization bounds with a sample complexity that scales almost linearly with the network width.

ICL-TSVD: Bridging Theory and Practice in Continual Learning with Pre-trained Models

The goal of continual learning (CL) is to train a model that can solve multiple tasks presented sequentially. Recent CL approaches have achieved strong performance by leveraging large pre-trained models that generalize well to downstream tasks. However, such methods lack theoretical guarantees, making them prone to unexpected failures. Conversely, principled CL approaches often fail to achieve competitive performance. In this work, we bridge this gap between theory and practice by integrating an empirically strong approach (RanPAC) into a principled framework, Ideal Continual Learner (ICL), designed to prevent forgetting. Specifically, we lift pre-trained features into a higher dimensional space and formulate an over-parametrized minimum-norm least-squares problem. We find that the lifted features are highly ill-conditioned, potentially leading to large training errors (numerical instability) and increased generalization errors (double descent). We address these challenges by continually truncating the singular value decomposition (SVD) of the lifted features. Our approach, termed ICL-TSVD, is stable with respect to the choice of hyperparameters, can handle hundreds of tasks, and outperforms state-of-the-art CL methods on multiple datasets. Importantly, our method satisfies a recurrence relation throughout its continual learning process, which allows us to prove it maintains small training and generalization errors by appropriately truncating a fraction of SVD factors. This results in a stable continual learning method with strong empirical performance and theoretical guarantees.