Recent advancements in large-scale visual-language pre-trained models have led to significant progress in zero-/few-shot anomaly detection within natural image domains. However, the substantial domain divergence between natural and medical images limits the effectiveness of these methodologies in medical anomaly detection. This paper introduces a novel lightweight multi-level adaptation and comparison framework to repurpose the CLIP model for medical anomaly detection. Our approach integrates multiple residual adapters into the pre-trained visual encoder, enabling a stepwise enhancement of visual features across different levels. This multi-level adaptation is guided by multi-level, pixel-wise visual-language feature alignment loss functions, which recalibrate the model's focus from object semantics in natural imagery to anomaly identification in medical images. The adapted features exhibit improved generalization across various medical data types, even in zero-shot scenarios where the model encounters unseen medical modalities and anatomical regions during training. Our experiments on medical anomaly detection benchmarks demonstrate that our method significantly surpasses current state-of-the-art models, with an average AUC improvement of 6.24% and 7.33% for anomaly classification, 2.03% and 2.37% for anomaly segmentation, under the zero-shot and few-shot settings, respectively. Source code is available at: https://github.com/MediaBrain-SJTU/MVFA-AD
Mesh is a fundamental representation of 3D assets in various industrial applications, and is widely supported by professional softwares. However, due to its irregular structure, mesh creation and manipulation is often time-consuming and labor-intensive. In this paper, we propose a highly controllable generative model, GetMesh, for mesh generation and manipulation across different categories. By taking a varying number of points as the latent representation, and re-organizing them as triplane representation, GetMesh generates meshes with rich and sharp details, outperforming both single-category and multi-category counterparts. Moreover, it also enables fine-grained control over the generation process that previous mesh generative models cannot achieve, where changing global/local mesh topologies, adding/removing mesh parts, and combining mesh parts across categories can be intuitively, efficiently, and robustly accomplished by adjusting the number, positions or features of latent points. Project page is https://getmesh.github.io.
Audio-visual segmentation (AVS) aims to segment the sounding objects in video frames. Although great progress has been witnessed, we experimentally reveal that current methods reach marginal performance gain within the use of the unlabeled frames, leading to the underutilization issue. To fully explore the potential of the unlabeled frames for AVS, we explicitly divide them into two categories based on their temporal characteristics, i.e., neighboring frame (NF) and distant frame (DF). NFs, temporally adjacent to the labeled frame, often contain rich motion information that assists in the accurate localization of sounding objects. Contrary to NFs, DFs have long temporal distances from the labeled frame, which share semantic-similar objects with appearance variations. Considering their unique characteristics, we propose a versatile framework that effectively leverages them to tackle AVS. Specifically, for NFs, we exploit the motion cues as the dynamic guidance to improve the objectness localization. Besides, we exploit the semantic cues in DFs by treating them as valid augmentations to the labeled frames, which are then used to enrich data diversity in a self-training manner. Extensive experimental results demonstrate the versatility and superiority of our method, unleashing the power of the abundant unlabeled frames.
Graph neural networks (GNNs) have been widely applied in traffic demand prediction, and transportation modes can be divided into station-based mode and free-floating traffic mode. Existing research in traffic graph construction primarily relies on map matching to construct graphs based on the road network. However, the complexity and inhomogeneity of data distribution in free-floating traffic demand forecasting make road network matching inflexible. To tackle these challenges, this paper introduces a novel graph construction method tailored to free-floating traffic mode. We propose a novel density-based clustering algorithm (HDPC-L) to determine the flexible positioning of nodes in the graph, overcoming the computational bottlenecks of traditional clustering algorithms and enabling effective handling of large-scale datasets. Furthermore, we extract valuable information from ridership data to initialize the edge weights of GNNs. Comprehensive experiments on two real-world datasets, the Shenzhen bike-sharing dataset and the Haikou ride-hailing dataset, show that the method significantly improves the performance of the model. On average, our models show an improvement in accuracy of around 25\% and 19.5\% on the two datasets. Additionally, it significantly enhances computational efficiency, reducing training time by approximately 12% and 32.5% on the two datasets. We make our code available at https://github.com/houjinyan/HDPC-L-ODInit.
In this paper, we aim to develop an open-source, multilingual language model for medicine, that the benefits a wider, linguistically diverse audience from different regions. In general, we present the contribution from the following aspects: first, for multilingual medical-specific adaptation, we construct a new multilingual medical corpus, that contains approximately 25.5B tokens encompassing 6 main languages, termed as MMedC, that enables auto-regressive training for existing general LLMs. second, to monitor the development of multilingual LLMs in medicine, we propose a new multilingual medical multi-choice question-answering benchmark with rationale, termed as MMedBench; third, we have assessed a number of popular, opensource large language models (LLMs) on our benchmark, along with those further auto-regressive trained on MMedC, as a result, our final model, termed as MMedLM 2, with only 7B parameters, achieves superior performance compared to all other open-source models, even rivaling GPT-4 on MMedBench. We will make the resources publicly available, including code, model weights, and datasets.
Structured data offers a sophisticated mechanism for the organization of information. Existing methodologies for the text-serialization of structured data in the context of large language models fail to adequately address the heterogeneity inherent in key-value structured data. These methods are not ideal and frequently result in larger input sizes and poor adaptability to input changes. In this paper, we introduce DictLLM, an innovative framework designed to improve the modeling of key-value structured data, like medical laboratory reports, for generating medical diagnoses. DictLLM integrates three key components: (1) group positional encoding to maintain permutation invariance, (2) hierarchical attention bias to capture the inherent bias in structured data, and (3) an optimal transport alignment layer that aligns the embedding generated by the dictionary encoder with the LLM, thereby producing a sequence of fixed-length virtual tokens. We carry out experiments using various LLM models on a comprehensive real-world medical laboratory report dataset for automatic diagnosis generation, our findings illustrate that DictLLM significantly outperforms established baseline methods and few-shot GPT-4 implementations in terms of both Rouge-L and Knowledge F1 scores. Furthermore, our evaluation of the framework's scalability and robustness, through a series of experiments, underscores its exceptional capability in accurately modeling the complex key-value data structure of medical dictionary data.
Spinal metastasis is the most common disease in bone metastasis and may cause pain, instability and neurological injuries. Early detection of spinal metastasis is critical for accurate staging and optimal treatment. The diagnosis is usually facilitated with Computed Tomography (CT) scans, which requires considerable efforts from well-trained radiologists. In this paper, we explore a learning-based automatic bone quality classification method for spinal metastasis based on CT images. We simultaneously take the posterolateral spine involvement classification task into account, and employ multi-task learning (MTL) technique to improve the performance. MTL acts as a form of inductive bias which helps the model generalize better on each task by sharing representations between related tasks. Based on the prior knowledge that the mixed type can be viewed as both blastic and lytic, we model the task of bone quality classification as two binary classification sub-tasks, i.e., whether blastic and whether lytic, and leverage a multiple layer perceptron to combine their predictions. In order to make the model more robust and generalize better, self-paced learning is adopted to gradually involve from easy to more complex samples into the training process. The proposed learning-based method is evaluated on a proprietary spinal metastasis CT dataset. At slice level, our method significantly outperforms an 121-layer DenseNet classifier in sensitivities by $+12.54\%$, $+7.23\%$ and $+29.06\%$ for blastic, mixed and lytic lesions, respectively, meanwhile $+12.33\%$, $+23.21\%$ and $+34.25\%$ at vertebrae level.
Vertebral body (VB) segmentation is an important preliminary step towards medical visual diagnosis for spinal diseases. However, most previous works require pixel/voxel-wise strong supervisions, which is expensive, tedious and time-consuming for experts to annotate. In this paper, we propose a Weakly supervised Iterative Spinal Segmentation (WISS) method leveraging only four corner landmark weak labels on a single sagittal slice to achieve automatic volumetric segmentation from CT images for VBs. WISS first segments VBs on an annotated sagittal slice in an iterative self-training manner. This self-training method alternates between training and refining labels in the training set. Then WISS proceeds to segment the whole VBs slice by slice with a slice-propagation method to obtain volumetric segmentations. We evaluate the performance of WISS on a private spinal metastases CT dataset and the public lumbar CT dataset. On the first dataset, WISS achieves distinct improvements with regard to two different backbones. For the second dataset, WISS achieves dice coefficients of $91.7\%$ and $83.7\%$ for mid-sagittal slices and 3D CT volumes, respectively, saving a lot of labeling costs and only sacrificing a little segmentation performance.
In this study, we focus on building up a model that can Segment Anything in medical scenarios, driven by Text prompts, termed as SAT. Our main contributions are three folds: (i) on data construction, we combine multiple knowledge sources to construct a multi-modal medical knowledge tree; Then we build up a large-scale segmentation dataset for training, by collecting over 11K 3D medical image scans from 31 segmentation datasets with careful standardization on both visual scans and label space; (ii) on model training, we formulate a universal segmentation model, that can be prompted by inputting medical terminologies in text form. We present a knowledge-enhanced representation learning framework, and a series of strategies for effectively training on the combination of a large number of datasets; (iii) on model evaluation, we train a SAT-Nano with only 107M parameters, to segment 31 different segmentation datasets with text prompt, resulting in 362 categories. We thoroughly evaluate the model from three aspects: averaged by body regions, averaged by classes, and average by datasets, demonstrating comparable performance to 36 specialist nnUNets, i.e., we train nnUNet models on each dataset/subset, resulting in 36 nnUNets with around 1000M parameters for the 31 datasets. We will release all the codes, and models used in this report, i.e., SAT-Nano. Moreover, we will offer SAT-Ultra in the near future, which is trained with model of larger size, on more diverse datasets. Webpage URL: https://zhaoziheng.github.io/MedUniSeg.
In this study, we aim to investigate the problem of large-scale, large-vocabulary disease classification for radiologic images, which can be formulated as a multi-modal, multi-anatomy, multi-label, long-tailed classification. Our main contributions are three folds: (i), on dataset construction, we build up an academically accessible, large-scale diagnostic dataset that encompasses 5568 disorders linked with 930 unique ICD-10-CM codes, containing 39,026 cases (192,675 scans). (ii), on model design, we present a novel architecture that enables to process arbitrary number of input scans, from various imaging modalities, which is trained with knowledge enhancement to leverage the rich domain knowledge; (iii), on evaluation, we initialize a new benchmark for multi-modal multi-anatomy long-tailed diagnosis. Our method shows superior results on it. Additionally, our final model serves as a pre-trained model, and can be finetuned to benefit diagnosis on various external datasets.