Auditing Medical Vision-Language Models on Chest Radiographs: Estimating Reference Agreement Across Institutions

Vision-language models return structured chest-radiograph findings through interfaces exposing no confidence score, so a receiving institution cannot read off how far to trust an individual judgment. Whether agreement with an institution's reference standard transfers across sites, findings, prediction directions and question formats is largely unmeasured. We evaluated three generative vision-language models on three institutional chest-radiograph corpora and six findings under two elicitation protocols, comprising more than 345,000 finding-level predictions, and estimated finding-by-direction reference agreement at a receiving institution from a small budget of local labels. Estimation strategies were then stress-tested under repeated strict institution-held-out evaluation. Under evaluation excluding the receiving institution from development entirely, adaptive selection among the seven estimators that design admits did not improve on simple fixed alternatives: it achieved a mean Brier score of 0.1083, against 0.0853 for always using a Beta-Binomial empirical-Bayes estimator and 0.0855 for a target-only logistic model. Those two differ by 0.0003, less than this family's own sensitivity to a change of solver version, and each leads in about half the settings, so no default can be recommended. Their advantage over estimators pooling across institutions was concentrated at one site and not confirmatory once clustered by institution, and a plug-in empirical-Bayes posterior-predictive count interval at a nominal 95% level covered 87.0%, less at the hardest institution. Reference agreement therefore has to be re-evaluated per site and per interface; these results concern agreement with institutional labels, not clinical correctness.

CIMFlow: An Integrated Framework for Systematic Design and Evaluation of Digital CIM Architectures

Digital Compute-in-Memory (CIM) architectures have shown great promise in Deep Neural Network (DNN) acceleration by effectively addressing the "memory wall" bottleneck. However, the development and optimization of digital CIM accelerators are hindered by the lack of comprehensive tools that encompass both software and hardware design spaces. Moreover, existing design and evaluation frameworks often lack support for the capacity constraints inherent in digital CIM architectures. In this paper, we present CIMFlow, an integrated framework that provides an out-of-the-box workflow for implementing and evaluating DNN workloads on digital CIM architectures. CIMFlow bridges the compilation and simulation infrastructures with a flexible instruction set architecture (ISA) design, and addresses the constraints of digital CIM through advanced partitioning and parallelism strategies in the compilation flow. Our evaluation demonstrates that CIMFlow enables systematic prototyping and optimization of digital CIM architectures across diverse configurations, providing researchers and designers with an accessible platform for extensive design space exploration.

DDC-PIM: Efficient Algorithm/Architecture Co-design for Doubling Data Capacity of SRAM-based Processing-In-Memory

Processing-in-memory (PIM), as a novel computing paradigm, provides significant performance benefits from the aspect of effective data movement reduction. SRAM-based PIM has been demonstrated as one of the most promising candidates due to its endurance and compatibility. However, the integration density of SRAM-based PIM is much lower than other non-volatile memory-based ones, due to its inherent 6T structure for storing a single bit. Within comparable area constraints, SRAM-based PIM exhibits notably lower capacity. Thus, aiming to unleash its capacity potential, we propose DDC-PIM, an efficient algorithm/architecture co-design methodology that effectively doubles the equivalent data capacity. At the algorithmic level, we propose a filter-wise complementary correlation (FCC) algorithm to obtain a bitwise complementary pair. At the architecture level, we exploit the intrinsic cross-coupled structure of 6T SRAM to store the bitwise complementary pair in their complementary states ($Q/\overline{Q}$), thereby maximizing the data capacity of each SRAM cell. The dual-broadcast input structure and reconfigurable unit support both depthwise and pointwise convolution, adhering to the requirements of various neural networks. Evaluation results show that DDC-PIM yields about $2.84\times$ speedup on MobileNetV2 and $2.69\times$ on EfficientNet-B0 with negligible accuracy loss compared with PIM baseline implementation. Compared with state-of-the-art SRAM-based PIM macros, DDC-PIM achieves up to $8.41\times$ and $2.75\times$ improvement in weight density and area efficiency, respectively.