HSDreport: Heart Sound Diagnosis with Echocardiography Reports

Heart sound auscultation holds significant importance in the diagnosis of congenital heart disease. However, existing methods for Heart Sound Diagnosis (HSD) tasks are predominantly limited to a few fixed categories, framing the HSD task as a rigid classification problem that does not fully align with medical practice and offers only limited information to physicians. Besides, such methods do not utilize echocardiography reports, the gold standard in the diagnosis of related diseases. To tackle this challenge, we introduce HSDreport, a new benchmark for HSD, which mandates the direct utilization of heart sounds obtained from auscultation to predict echocardiography reports. This benchmark aims to merge the convenience of auscultation with the comprehensive nature of echocardiography reports. First, we collect a new dataset for this benchmark, comprising 2,275 heart sound samples along with their corresponding reports. Subsequently, we develop a knowledge-aware query-based transformer to handle this task. The intent is to leverage the capabilities of medically pre-trained models and the internal knowledge of large language models (LLMs) to address the task's inherent complexity and variability, thereby enhancing the robustness and scientific validity of the method. Furthermore, our experimental results indicate that our method significantly outperforms traditional HSD approaches and existing multimodal LLMs in detecting key abnormalities in heart sounds.

AutoRG-Brain: Grounded Report Generation for Brain MRI

Radiologists are tasked with interpreting a large number of images in a daily base, with the responsibility of generating corresponding reports. This demanding workload elevates the risk of human error, potentially leading to treatment delays, increased healthcare costs, revenue loss, and operational inefficiencies. To address these challenges, we initiate a series of work on grounded Automatic Report Generation (AutoRG), starting from the brain MRI interpretation system, which supports the delineation of brain structures, the localization of anomalies, and the generation of well-organized findings. We make contributions from the following aspects, first, on dataset construction, we release a comprehensive dataset encompassing segmentation masks of anomaly regions and manually authored reports, termed as RadGenome-Brain MRI. This data resource is intended to catalyze ongoing research and development in the field of AI-assisted report generation systems. Second, on system design, we propose AutoRG-Brain, the first brain MRI report generation system with pixel-level grounded visual clues. Third, for evaluation, we conduct quantitative assessments and human evaluations of brain structure segmentation, anomaly localization, and report generation tasks to provide evidence of its reliability and accuracy. This system has been integrated into real clinical scenarios, where radiologists were instructed to write reports based on our generated findings and anomaly segmentation masks. The results demonstrate that our system enhances the report-writing skills of junior doctors, aligning their performance more closely with senior doctors, thereby boosting overall productivity.

HPC: Hierarchical Progressive Coding Framework for Volumetric Video

Volumetric video based on Neural Radiance Field (NeRF) holds vast potential for various 3D applications, but its substantial data volume poses significant challenges for compression and transmission. Current NeRF compression lacks the flexibility to adjust video quality and bitrate within a single model for various network and device capacities. To address these issues, we propose HPC, a novel hierarchical progressive volumetric video coding framework achieving variable bitrate using a single model. Specifically, HPC introduces a hierarchical representation with a multi-resolution residual radiance field to reduce temporal redundancy in long-duration sequences while simultaneously generating various levels of detail. Then, we propose an end-to-end progressive learning approach with a multi-rate-distortion loss function to jointly optimize both hierarchical representation and compression. Our HPC trained only once can realize multiple compression levels, while the current methods need to train multiple fixed-bitrate models for different rate-distortion (RD) tradeoffs. Extensive experiments demonstrate that HPC achieves flexible quality levels with variable bitrate by a single model and exhibits competitive RD performance, even outperforming fixed-bitrate models across various datasets.

Reprogramming Distillation for Medical Foundation Models

Medical foundation models pre-trained on large-scale datasets have demonstrated powerful versatile capabilities for various tasks. However, due to the gap between pre-training tasks (or modalities) and downstream tasks (or modalities), the real-world computation and speed constraints, it might not be straightforward to apply medical foundation models in the downstream scenarios. Previous methods, such as parameter efficient fine-tuning (PEFT) methods and knowledge distillation (KD) methods, are unable to simultaneously address the task (or modality) inconsistency and achieve personalized lightweight deployment under diverse real-world demands. To address the above issues, we propose a novel framework called Reprogramming Distillation (RD). On one hand, RD reprograms the original feature space of the foundation model so that it is more relevant to downstream scenarios, aligning tasks and modalities. On the other hand, through a co-training mechanism and a shared classifier, connections are established between the reprogrammed knowledge and the knowledge of student models, ensuring that the reprogrammed feature space can be smoothly mimic by the student model of different structures. Further, to reduce the randomness under different training conditions, we design a Centered Kernel Alignment (CKA) distillation to promote robust knowledge transfer. Empirically, we show that on extensive datasets, RD consistently achieve superior performance compared with previous PEFT and KD methods.

RaTEScore: A Metric for Radiology Report Generation

This paper introduces a novel, entity-aware metric, termed as Radiological Report (Text) Evaluation (RaTEScore), to assess the quality of medical reports generated by AI models. RaTEScore emphasizes crucial medical entities such as diagnostic outcomes and anatomical details, and is robust against complex medical synonyms and sensitive to negation expressions. Technically, we developed a comprehensive medical NER dataset, RaTE-NER, and trained an NER model specifically for this purpose. This model enables the decomposition of complex radiological reports into constituent medical entities. The metric itself is derived by comparing the similarity of entity embeddings, obtained from a language model, based on their types and relevance to clinical significance. Our evaluations demonstrate that RaTEScore aligns more closely with human preference than existing metrics, validated both on established public benchmarks and our newly proposed RaTE-Eval benchmark.

Exploring Training on Heterogeneous Data with Mixture of Low-rank Adapters

Training a unified model to take multiple targets into account is a trend towards artificial general intelligence. However, how to efficiently mitigate the training conflicts among heterogeneous data collected from different domains or tasks remains under-explored. In this study, we explore to leverage Mixture of Low-rank Adapters (MoLA) to mitigate conflicts in heterogeneous data training, which requires to jointly train the multiple low-rank adapters and their shared backbone. Specifically, we introduce two variants of MoLA, namely, MoLA-Grad and MoLA-Router, to respectively handle the target-aware and target-agnostic scenarios during inference. The former uses task identifiers to assign personalized low-rank adapters to each task, disentangling task-specific knowledge towards their adapters, thereby mitigating heterogeneity conflicts. The latter uses a novel Task-wise Decorrelation (TwD) loss to intervene the router to learn oriented weight combinations of adapters to homogeneous tasks, achieving similar effects. We conduct comprehensive experiments to verify the superiority of MoLA over previous state-of-the-art methods and present in-depth analysis on its working mechanism. Source code is available at: https://github.com/MediaBrain-SJTU/MoLA

Few-Shot Anomaly Detection via Category-Agnostic Registration Learning

Most existing anomaly detection methods require a dedicated model for each category. Such a paradigm, despite its promising results, is computationally expensive and inefficient, thereby failing to meet the requirements for real-world applications. Inspired by how humans detect anomalies, by comparing a query image to known normal ones, this paper proposes a novel few-shot anomaly detection (FSAD) framework. Using a training set of normal images from various categories, registration, aiming to align normal images of the same categories, is leveraged as the proxy task for self-supervised category-agnostic representation learning. At test time, an image and its corresponding support set, consisting of a few normal images from the same category, are supplied, and anomalies are identified by comparing the registered features of the test image to its corresponding support image features. Such a setup enables the model to generalize to novel test categories. It is, to our best knowledge, the first FSAD method that requires no model fine-tuning for novel categories: enabling a single model to be applied to all categories. Extensive experiments demonstrate the effectiveness of the proposed method. Particularly, it improves the current state-of-the-art for FSAD by 11.3% and 8.3% on the MVTec and MPDD benchmarks, respectively. The source code is available at https://github.com/Haoyan-Guan/CAReg.

Diversified Batch Selection for Training Acceleration

The remarkable success of modern machine learning models on large datasets often demands extensive training time and resource consumption. To save cost, a prevalent research line, known as online batch selection, explores selecting informative subsets during the training process. Although recent efforts achieve advancements by measuring the impact of each sample on generalization, their reliance on additional reference models inherently limits their practical applications, when there are no such ideal models available. On the other hand, the vanilla reference-model-free methods involve independently scoring and selecting data in a sample-wise manner, which sacrifices the diversity and induces the redundancy. To tackle this dilemma, we propose Diversified Batch Selection (DivBS), which is reference-model-free and can efficiently select diverse and representative samples. Specifically, we define a novel selection objective that measures the group-wise orthogonalized representativeness to combat the redundancy issue of previous sample-wise criteria, and provide a principled selection-efficient realization. Extensive experiments across various tasks demonstrate the significant superiority of DivBS in the performance-speedup trade-off. The code is publicly available.

TAIA: Large Language Models are Out-of-Distribution Data Learners

Fine-tuning on task-specific question-answer pairs is a predominant method for enhancing the performance of instruction-tuned large language models (LLMs) on downstream tasks. However, in certain specialized domains, such as healthcare or harmless content generation, it is nearly impossible to obtain a large volume of high-quality data that matches the downstream distribution. To improve the performance of LLMs in data-scarce domains with domain-mismatched data, we re-evaluated the Transformer architecture and discovered that not all parameter updates during fine-tuning contribute positively to downstream performance. Our analysis reveals that within the self-attention and feed-forward networks, only the fine-tuned attention parameters are particularly beneficial when the training set's distribution does not fully align with the test set. Based on this insight, we propose an effective inference-time intervention method: \uline{T}raining \uline{A}ll parameters but \uline{I}nferring with only \uline{A}ttention (\trainallInfAttn). We empirically validate \trainallInfAttn using two general instruction-tuning datasets and evaluate it on seven downstream tasks involving math, reasoning, and knowledge understanding across LLMs of different parameter sizes and fine-tuning techniques. Our comprehensive experiments demonstrate that \trainallInfAttn achieves superior improvements compared to both the fully fine-tuned model and the base model in most scenarios, with significant performance gains. The high tolerance of \trainallInfAttn to data mismatches makes it resistant to jailbreaking tuning and enhances specialized tasks using general data.

Federated Learning with Bilateral Curation for Partially Class-Disjoint Data

Partially class-disjoint data (PCDD), a common yet under-explored data formation where each client contributes a part of classes (instead of all classes) of samples, severely challenges the performance of federated algorithms. Without full classes, the local objective will contradict the global objective, yielding the angle collapse problem for locally missing classes and the space waste problem for locally existing classes. As far as we know, none of the existing methods can intrinsically mitigate PCDD challenges to achieve holistic improvement in the bilateral views (both global view and local view) of federated learning. To address this dilemma, we are inspired by the strong generalization of simplex Equiangular Tight Frame~(ETF) on the imbalanced data, and propose a novel approach called FedGELA where the classifier is globally fixed as a simplex ETF while locally adapted to the personal distributions. Globally, FedGELA provides fair and equal discrimination for all classes and avoids inaccurate updates of the classifier, while locally it utilizes the space of locally missing classes for locally existing classes. We conduct extensive experiments on a range of datasets to demonstrate that our FedGELA achieves promising performance~(averaged improvement of 3.9% to FedAvg and 1.5% to best baselines) and provide both local and global convergence guarantees. Source code is available at:https://github.com/MediaBrain-SJTU/FedGELA.git.