Cross-Modal Iteration Distillation for Robust IHD Screening: The IDNet Framework and A New Benchmark

Color Fundus Photography (CFP) offers a low-cost and non-invasive route for ischemic heart disease (IHD) screening, but current studies are limited by scarce public benchmarks and ineffective fusion of retinal images with sparse clinical variables. We propose IDNet, a multimodal framework with a Cross-Modal Distillation Aggregator (CDA) that uses learnable queries to sequentially integrate left-eye, right-eye, and clinical features, mitigating the imbalance between high-dimensional visual features and low-dimensional tabular inputs. We also construct a reproducible UK Biobank benchmark with open-source curation and quality-control pipelines, yielding 50,410 images from 25,205 subjects. On this benchmark, IDNet outperforms image-only, clinical-only, and several multimodal baselines, and CDA consistently improves multiple visual encoders as a plug-in fusion module.

SPKLIP: Aligning Spike Video Streams with Natural Language

Spike cameras offer unique sensing capabilities but their sparse, asynchronous output challenges semantic understanding, especially for Spike Video-Language Alignment (Spike-VLA) where models like CLIP underperform due to modality mismatch. We introduce SPKLIP, the first architecture specifically for Spike-VLA. SPKLIP employs a hierarchical spike feature extractor that adaptively models multi-scale temporal dynamics in event streams, and uses spike-text contrastive learning to directly align spike video with language, enabling effective few-shot learning. A full-spiking visual encoder variant, integrating SNN components into our pipeline, demonstrates enhanced energy efficiency. Experiments show state-of-the-art performance on benchmark spike datasets and strong few-shot generalization on a newly contributed real-world dataset. SPKLIP's energy efficiency highlights its potential for neuromorphic deployment, advancing event-based multimodal research. The source code and dataset are available at [link removed for anonymity].