DNT: a Deeply Normalized Transformer that can be trained by Momentum SGD

Transformers have become the de facto backbone of modern deep learning, yet their training typically demands an advanced optimizer with adaptive learning rate like AdamW, rather than a momentum SGDW (mSGDW). Previous works show that it is mainly due to a heavy-tailed distribution of the gradients. In this paper, we introduce a Deeply Normalized Transformer (DNT), which is meticulously engineered to overcome this limitation enabling seamless training with vanilla mSGDW while yielding comparable performance to the Transformers trained via AdamW. To be specific, in DNT, we strategically integrate normalization techniques at proper positions in the Transformers to effectively modulate the Jacobian matrices of each layer, balance the influence of weights, activations, and their interactions, and thus enable the distributions of gradients concentrated. We provide both theoretical justifications of the normalization technique used in our DNT and extensive empirical evaluation on two popular Transformer architectures to validate that: a) DNT outperforms its counterparts (\ie, ViT and GPT), and b) DNT can be effectively trained with vanilla mSGDW.

Are Vision Language Models Ready for Clinical Diagnosis? A 3D Medical Benchmark for Tumor-centric Visual Question Answering

Vision-Language Models (VLMs) have shown promise in various 2D visual tasks, yet their readiness for 3D clinical diagnosis remains unclear due to stringent demands for recognition precision, reasoning ability, and domain knowledge. To systematically evaluate these dimensions, we present DeepTumorVQA, a diagnostic visual question answering (VQA) benchmark targeting abdominal tumors in CT scans. It comprises 9,262 CT volumes (3.7M slices) from 17 public datasets, with 395K expert-level questions spanning four categories: Recognition, Measurement, Visual Reasoning, and Medical Reasoning. DeepTumorVQA introduces unique challenges, including small tumor detection and clinical reasoning across 3D anatomy. Benchmarking four advanced VLMs (RadFM, M3D, Merlin, CT-CHAT), we find current models perform adequately on measurement tasks but struggle with lesion recognition and reasoning, and are still not meeting clinical needs. Two key insights emerge: (1) large-scale multimodal pretraining plays a crucial role in DeepTumorVQA testing performance, making RadFM stand out among all VLMs. (2) Our dataset exposes critical differences in VLM components, where proper image preprocessing and design of vision modules significantly affect 3D perception. To facilitate medical multimodal research, we have released DeepTumorVQA as a rigorous benchmark: https://github.com/Schuture/DeepTumorVQA.