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Feb 6

MLICv2: Enhanced Multi-Reference Entropy Modeling for Learned Image Compression

Recent advancements in learned image compression (LIC) have yielded impressive performance gains. Notably, the learned image compression models with multi-reference entropy models (MLIC series) have significantly outperformed existing traditional image codecs such as the Versatile Video Coding (VVC) Intra. In this paper, we present MLICv2 and MLICv2^+, enhanced versions of the MLIC series, featuring improved transform techniques, entropy modeling, and instance adaptability. For better transform, we introduce a simple token mixing transform block inspired by the meta transformer architecture, addressing the performance degradation at high bit-rates observed in previous MLIC series while maintaining computational efficiency. To enhance entropy modeling, we propose a hyperprior-guided global correlation prediction, enabling the capture of global contexts in the initial slice of the latent representation. We also develop a channel reweighting module to dynamically prioritize important channels within each context. Additionally, advanced positional embedding for context modeling and selective compression with guided optimization are investigated. To boost instance adaptability, we employ stochastic Gumbel annealing to iteratively refine the latent representation according to the rate-distortion optimization of a specific input image. This approach further enhances performance without impacting decoding speed. Experimental results demonstrate that our MLICv2 and MLICv2^+ achieve state-of-the-art performance, reducing Bjontegaard-Delta rate (BD-rate) by 16.54%, 21.61%, 16.05% and 20.46%, 24.35%, 19.14% respectively, compared to VTM-17.0 Intra on the Kodak, Tecnick, CLIC Pro Val dataset, respectively.

  • 5 authors
·
Apr 27, 2025

STIV: Scalable Text and Image Conditioned Video Generation

The field of video generation has made remarkable advancements, yet there remains a pressing need for a clear, systematic recipe that can guide the development of robust and scalable models. In this work, we present a comprehensive study that systematically explores the interplay of model architectures, training recipes, and data curation strategies, culminating in a simple and scalable text-image-conditioned video generation method, named STIV. Our framework integrates image condition into a Diffusion Transformer (DiT) through frame replacement, while incorporating text conditioning via a joint image-text conditional classifier-free guidance. This design enables STIV to perform both text-to-video (T2V) and text-image-to-video (TI2V) tasks simultaneously. Additionally, STIV can be easily extended to various applications, such as video prediction, frame interpolation, multi-view generation, and long video generation, etc. With comprehensive ablation studies on T2I, T2V, and TI2V, STIV demonstrate strong performance, despite its simple design. An 8.7B model with 512 resolution achieves 83.1 on VBench T2V, surpassing both leading open and closed-source models like CogVideoX-5B, Pika, Kling, and Gen-3. The same-sized model also achieves a state-of-the-art result of 90.1 on VBench I2V task at 512 resolution. By providing a transparent and extensible recipe for building cutting-edge video generation models, we aim to empower future research and accelerate progress toward more versatile and reliable video generation solutions.

  • 17 authors
·
Dec 10, 2024 2

MedVLSynther: Synthesizing High-Quality Visual Question Answering from Medical Documents with Generator-Verifier LMMs

Large Multimodal Models (LMMs) are increasingly capable of answering medical questions that require joint reasoning over images and text, yet training general medical VQA systems is impeded by the lack of large, openly usable, high-quality corpora. We present MedVLSynther, a rubric-guided generator-verifier framework that synthesizes high-quality multiple-choice VQA items directly from open biomedical literature by conditioning on figures, captions, and in-text references. The generator produces self-contained stems and parallel, mutually exclusive options under a machine-checkable JSON schema; a multi-stage verifier enforces essential gates (self-containment, single correct answer, clinical validity, image-text consistency), awards fine-grained positive points, and penalizes common failure modes before acceptance. Applying this pipeline to PubMed Central yields MedSynVQA: 13,087 audited questions over 14,803 images spanning 13 imaging modalities and 28 anatomical regions. Training open-weight LMMs with reinforcement learning using verifiable rewards improves accuracy across six medical VQA benchmarks, achieving averages of 55.85 (3B) and 58.15 (7B), with up to 77.57 on VQA-RAD and 67.76 on PathVQA, outperforming strong medical LMMs. A Ablations verify that both generation and verification are necessary and that more verified data consistently helps, and a targeted contamination analysis detects no leakage from evaluation suites. By operating entirely on open literature and open-weight models, MedVLSynther offers an auditable, reproducible, and privacy-preserving path to scalable medical VQA training data.

UCSC-VLAA UCSC-VLAA
·
Oct 29, 2025 1

A Hybrid Deep Learning Model for Robust Biometric Authentication from Low-Frame-Rate PPG Signals

Photoplethysmography (PPG) signals, which measure changes in blood volume in the skin using light, have recently gained attention in biometric authentication because of their non-invasive acquisition, inherent liveness detection, and suitability for low-cost wearable devices. However, PPG signal quality is challenged by motion artifacts, illumination changes, and inter-subject physiological variability, making robust feature extraction and classification crucial. This study proposes a lightweight and cost-effective biometric authentication framework based on PPG signals extracted from low-frame-rate fingertip videos. The CFIHSR dataset, comprising PPG recordings from 46 subjects at a sampling rate of 14 Hz, is employed for evaluation. The raw PPG signals undergo a standard preprocessing pipeline involving baseline drift removal, motion artifact suppression using Principal Component Analysis (PCA), bandpass filtering, Fourier-based resampling, and amplitude normalization. To generate robust representations, each one-dimensional PPG segment is converted into a two-dimensional time-frequency scalogram via the Continuous Wavelet Transform (CWT), effectively capturing transient cardiovascular dynamics. We developed a hybrid deep learning model, termed CVT-ConvMixer-LSTM, by combining spatial features from the Convolutional Vision Transformer (CVT) and ConvMixer branches with temporal features from a Long Short-Term Memory network (LSTM). The experimental results on 46 subjects demonstrate an authentication accuracy of 98%, validating the robustness of the model to noise and variability between subjects. Due to its efficiency, scalability, and inherent liveness detection capability, the proposed system is well-suited for real-world mobile and embedded biometric security applications.

  • 2 authors
·
Nov 5, 2025

InternVL3: Exploring Advanced Training and Test-Time Recipes for Open-Source Multimodal Models

We introduce InternVL3, a significant advancement in the InternVL series featuring a native multimodal pre-training paradigm. Rather than adapting a text-only large language model (LLM) into a multimodal large language model (MLLM) that supports visual inputs, InternVL3 jointly acquires multimodal and linguistic capabilities from both diverse multimodal data and pure-text corpora during a single pre-training stage. This unified training paradigm effectively addresses the complexities and alignment challenges commonly encountered in conventional post-hoc training pipelines for MLLMs. To further improve performance and scalability, InternVL3 incorporates variable visual position encoding (V2PE) to support extended multimodal contexts, employs advanced post-training techniques such as supervised fine-tuning (SFT) and mixed preference optimization (MPO), and adopts test-time scaling strategies alongside an optimized training infrastructure. Extensive empirical evaluations demonstrate that InternVL3 delivers superior performance across a wide range of multi-modal tasks. In particular, InternVL3-78B achieves a score of 72.2 on the MMMU benchmark, setting a new state-of-the-art among open-source MLLMs. Its capabilities remain highly competitive with leading proprietary models, including ChatGPT-4o, Claude 3.5 Sonnet, and Gemini 2.5 Pro, while also maintaining strong pure-language proficiency. In pursuit of open-science principles, we will publicly release both the training data and model weights to foster further research and development in next-generation MLLMs.

  • 47 authors
·
Apr 14, 2025 10

AnyV2V: A Plug-and-Play Framework For Any Video-to-Video Editing Tasks

Video-to-video editing involves editing a source video along with additional control (such as text prompts, subjects, or styles) to generate a new video that aligns with the source video and the provided control. Traditional methods have been constrained to certain editing types, limiting their ability to meet the wide range of user demands. In this paper, we introduce AnyV2V, a novel training-free framework designed to simplify video editing into two primary steps: (1) employing an off-the-shelf image editing model (e.g. InstructPix2Pix, InstantID, etc) to modify the first frame, (2) utilizing an existing image-to-video generation model (e.g. I2VGen-XL) for DDIM inversion and feature injection. In the first stage, AnyV2V can plug in any existing image editing tools to support an extensive array of video editing tasks. Beyond the traditional prompt-based editing methods, AnyV2V also can support novel video editing tasks, including reference-based style transfer, subject-driven editing, and identity manipulation, which were unattainable by previous methods. In the second stage, AnyV2V can plug in any existing image-to-video models to perform DDIM inversion and intermediate feature injection to maintain the appearance and motion consistency with the source video. On the prompt-based editing, we show that AnyV2V can outperform the previous best approach by 35\% on prompt alignment, and 25\% on human preference. On the three novel tasks, we show that AnyV2V also achieves a high success rate. We believe AnyV2V will continue to thrive due to its ability to seamlessly integrate the fast-evolving image editing methods. Such compatibility can help AnyV2V to increase its versatility to cater to diverse user demands.

  • 5 authors
·
Mar 21, 2024 1

TED-VITON: Transformer-Empowered Diffusion Models for Virtual Try-On

Recent advancements in Virtual Try-On (VTO) have demonstrated exceptional efficacy in generating realistic images and preserving garment details, largely attributed to the robust generative capabilities of text-to-image (T2I) diffusion backbones. However, the T2I models that underpin these methods have become outdated, thereby limiting the potential for further improvement in VTO. Additionally, current methods face notable challenges in accurately rendering text on garments without distortion and preserving fine-grained details, such as textures and material fidelity. The emergence of Diffusion Transformer (DiT) based T2I models has showcased impressive performance and offers a promising opportunity for advancing VTO. Directly applying existing VTO techniques to transformer-based T2I models is ineffective due to substantial architectural differences, which hinder their ability to fully leverage the models' advanced capabilities for improved text generation. To address these challenges and unlock the full potential of DiT-based T2I models for VTO, we propose TED-VITON, a novel framework that integrates a Garment Semantic (GS) Adapter for enhancing garment-specific features, a Text Preservation Loss to ensure accurate and distortion-free text rendering, and a constraint mechanism to generate prompts by optimizing Large Language Model (LLM). These innovations enable state-of-the-art (SOTA) performance in visual quality and text fidelity, establishing a new benchmark for VTO task.

  • 6 authors
·
Nov 25, 2024

Expert-level validation of AI-generated medical text with scalable language models

With the growing use of language models (LMs) in clinical environments, there is an immediate need to evaluate the accuracy and safety of LM-generated medical text. Currently, such evaluation relies solely on manual physician review. However, detecting errors in LM-generated text is challenging because 1) manual review is costly and 2) expert-composed reference outputs are often unavailable in real-world settings. While the "LM-as-judge" paradigm (a LM evaluating another LM) offers scalable evaluation, even frontier LMs can miss subtle but clinically significant errors. To address these challenges, we propose MedVAL, a self-supervised framework that leverages synthetic data to train evaluator LMs to assess whether LM-generated medical outputs are factually consistent with inputs, without requiring physician labels or reference outputs. To evaluate LM performance, we introduce MedVAL-Bench, a dataset containing 840 outputs annotated by physicians, following a physician-defined taxonomy of risk levels and error categories. Across 6 diverse medical tasks and 10 state-of-the-art LMs spanning open-source, proprietary, and medically adapted models, MedVAL fine-tuning significantly improves (p < 0.001) alignment with physicians on both seen and unseen tasks, increasing average F1 scores from 66% to 83%, with per-sample safety classification scores up to 86%. MedVAL improves the performance of even the best-performing proprietary LM (GPT-4o) by 8%. To support a scalable, risk-aware pathway towards clinical integration, we open-source the 1) codebase ( https://github.com/StanfordMIMI/MedVAL ), 2) MedVAL-Bench ( https://huggingface.co/datasets/stanfordmimi/MedVAL-Bench ), and 3) MedVAL-4B ( https://huggingface.co/stanfordmimi/MedVAL-4B ), the best-performing open-source LM. Our research provides the first evidence of LMs approaching expert-level validation ability for medical text.

  • 27 authors
·
Jul 3, 2025

Accelerating Multimodal Large Language Models via Dynamic Visual-Token Exit and the Empirical Findings

The excessive use of visual tokens in existing Multimoal Large Language Models (MLLMs) often exhibits obvious redundancy and brings in prohibitively expensive computation. To gain insights into this problem, we first conduct extensive empirical studies on the attention behaviors of MLLMs, and summarize three main inference stages in MLLMs: (i) Early fusion between tokens is first accomplished quickly. (ii) Intra-modality modeling then comes to play. (iii) Multimodal reasoning} resumes and lasts until the end of inference. In particular, we reveal that visual tokens will stop contributing to reasoning when the text tokens receive enough image information, yielding obvious visual redundancy. Based on these generalized observations, we propose a simple yet effective method to improve the efficiency of MLLMs, termed dynamic visual-token exit (DyVTE). DyVTE uses lightweight hyper-networks to perceive the text token status and decide the removal of all visual tokens after a certain layer, thereby addressing the observed visual redundancy. To validate VTE, we apply it to a set of MLLMs, including LLaVA, VILA, Eagle and InternVL, and conduct extensive experiments on a bunch of benchmarks. The experiment results not only show the effectiveness of our VTE in improving MLLMs' efficiency, but also yield the general modeling patterns of MLLMs, well facilitating the in-depth understanding of MLLMs. Our code is anonymously released at https://github.com/DoubtedSteam/DyVTE.

  • 6 authors
·
Nov 29, 2024

Mono-InternVL: Pushing the Boundaries of Monolithic Multimodal Large Language Models with Endogenous Visual Pre-training

The rapid advancement of Large Language Models (LLMs) has led to an influx of efforts to extend their capabilities to multimodal tasks. Among them, growing attention has been focused on monolithic Multimodal Large Language Models (MLLMs) that integrate visual encoding and language decoding into a single LLM. Despite the structural simplicity and deployment-friendliness, training a monolithic MLLM with promising performance still remains challenging. In particular, the popular approaches adopt continuous pre-training to extend a pre-trained LLM to a monolithic MLLM, which suffers from catastrophic forgetting and leads to performance degeneration. In this paper, we aim to overcome this limitation from the perspective of delta tuning. Specifically, our core idea is to embed visual parameters into a pre-trained LLM, thereby incrementally learning visual knowledge from massive data via delta tuning, i.e., freezing the LLM when optimizing the visual parameters. Based on this principle, we present Mono-InternVL, a novel monolithic MLLM that seamlessly integrates a set of visual experts via a multimodal mixture-of-experts structure. Moreover, we propose an innovative pre-training strategy to maximize the visual capability of Mono-InternVL, namely Endogenous Visual Pre-training (EViP). In particular, EViP is designed as a progressive learning process for visual experts, which aims to fully exploit the visual knowledge from noisy data to high-quality data. To validate our approach, we conduct extensive experiments on 16 benchmarks. Experimental results not only validate the superior performance of Mono-InternVL compared to the state-of-the-art MLLM on 6 multimodal benchmarks, e.g., +113 points over InternVL-1.5 on OCRBench, but also confirm its better deployment efficiency, with first token latency reduced by up to 67%.

  • 7 authors
·
Oct 10, 2024

InternVL3.5: Advancing Open-Source Multimodal Models in Versatility, Reasoning, and Efficiency

We introduce InternVL 3.5, a new family of open-source multimodal models that significantly advances versatility, reasoning capability, and inference efficiency along the InternVL series. A key innovation is the Cascade Reinforcement Learning (Cascade RL) framework, which enhances reasoning through a two-stage process: offline RL for stable convergence and online RL for refined alignment. This coarse-to-fine training strategy leads to substantial improvements on downstream reasoning tasks, e.g., MMMU and MathVista. To optimize efficiency, we propose a Visual Resolution Router (ViR) that dynamically adjusts the resolution of visual tokens without compromising performance. Coupled with ViR, our Decoupled Vision-Language Deployment (DvD) strategy separates the vision encoder and language model across different GPUs, effectively balancing computational load. These contributions collectively enable InternVL3.5 to achieve up to a +16.0\% gain in overall reasoning performance and a 4.05times inference speedup compared to its predecessor, i.e., InternVL3. In addition, InternVL3.5 supports novel capabilities such as GUI interaction and embodied agency. Notably, our largest model, i.e., InternVL3.5-241B-A28B, attains state-of-the-art results among open-source MLLMs across general multimodal, reasoning, text, and agentic tasks -- narrowing the performance gap with leading commercial models like GPT-5. All models and code are publicly released.

  • 61 authors
·
Aug 25, 2025 10

INS-MMBench: A Comprehensive Benchmark for Evaluating LVLMs' Performance in Insurance

Large Vision-Language Models (LVLMs) have demonstrated outstanding performance in various general multimodal applications such as image recognition and visual reasoning, and have also shown promising potential in specialized domains. However, the application potential of LVLMs in the insurance domain-characterized by rich application scenarios and abundant multimodal data-has not been effectively explored. There is no systematic review of multimodal tasks in the insurance domain, nor a benchmark specifically designed to evaluate the capabilities of LVLMs in insurance. This gap hinders the development of LVLMs within the insurance domain. In this paper, we systematically review and distill multimodal tasks for four representative types of insurance: auto insurance, property insurance, health insurance, and agricultural insurance. We propose INS-MMBench, the first comprehensive LVLMs benchmark tailored for the insurance domain. INS-MMBench comprises a total of 2.2K thoroughly designed multiple-choice questions, covering 12 meta-tasks and 22 fundamental tasks. Furthermore, we evaluate multiple representative LVLMs, including closed-source models such as GPT-4o and open-source models like BLIP-2. This evaluation not only validates the effectiveness of our benchmark but also provides an in-depth performance analysis of current LVLMs on various multimodal tasks in the insurance domain. We hope that INS-MMBench will facilitate the further application of LVLMs in the insurance domain and inspire interdisciplinary development. Our dataset and evaluation code are available at https://github.com/FDU-INS/INS-MMBench.

  • 4 authors
·
Jun 13, 2024

Artificial Intelligence-derived Vascular Age from Photoplethysmography: A Novel Digital Biomarker for Cardiovascular Health

With the increasing availability of wearable devices, photoplethysmography (PPG) has emerged as a promising non-invasive tool for monitoring human hemodynamics. We propose a deep learning framework to estimate vascular age (AI-vascular age) from PPG signals, incorporating a distribution-aware loss to address biases caused by imbalanced data. The model was developed using data from the UK Biobank (UKB), with 98,672 participants in the development cohort and 113,559 participants (144,683 data pairs) for clinical evaluation. After adjusting for key confounders, individuals with a vascular age gap (AI-vascular age minus calendar age) exceeding 9 years had a significantly higher risk of major adverse cardiovascular and cerebrovascular events (MACCE) (HR = 2.37, p < 0.005) and secondary outcomes, including diabetes (HR = 2.69, p < 0.005), hypertension (HR = 2.88, p < 0.005), coronary heart disease (HR = 2.20, p < 0.005), heart failure (HR = 2.15, p < 0.005), myocardial infarction (HR = 2.51, p < 0.005), stroke (HR = 2.55, p < 0.005), and all-cause mortality (HR = 2.51, p < 0.005). Conversely, participants with a vascular age gap below -9 years exhibited a significantly lower incidence of these outcomes. We further evaluated the longitudinal applicability of AI-vascular age using serial PPG data from the UKB, demonstrating its value in risk stratification by leveraging AI-vascular age at two distinct time points to predict future MACCE incidence. External validation was performed on a MIMIC-III-derived cohort (n = 2,343), where each one-year increase in vascular age gap was significantly associated with elevated in-hospital mortality risk (OR = 1.02, p < 0.005). In conclusion, our study establishes AI-vascular age as a novel, non-invasive digital biomarker for cardiovascular health assessment.

  • 5 authors
·
Feb 18, 2025

nvBench 2.0: Resolving Ambiguity in Text-to-Visualization through Stepwise Reasoning

Text-to-Visualization (Text2VIS) enables users to create visualizations from natural language queries, making data insights more accessible. However, Text2VIS faces challenges in interpreting ambiguous queries, as users often express their visualization needs in imprecise language. To address this challenge, we introduce nBench 2.0, a new benchmark designed to evaluate Text2VIS systems in scenarios involving ambiguous queries. nvBench 2.0 includes 7,878 natural language queries and 24,076 corresponding visualizations, derived from 780 tables across 153 domains. It is built using a controlled ambiguity-injection pipeline that generates ambiguous queries through a reverse-generation workflow. By starting with unambiguous seed visualizations and selectively injecting ambiguities, the pipeline yields multiple valid interpretations for each query, with each ambiguous query traceable to its corresponding visualization through step-wise reasoning paths. We evaluate various Large Language Models (LLMs) on their ability to perform ambiguous Text2VIS tasks using nBench 2.0. We also propose Step-Text2Vis, an LLM-based model trained on nvBench 2.0, which enhances performance in ambiguous scenarios through step-wise preference optimization. Our results show that Step-Text2Vis outperforms all baselines, setting a new state-of-the-art for ambiguous Text2VIS tasks. Our source code and data are available at https://nvbench2.github.io/

  • 8 authors
·
Mar 17, 2025

VELVET-Med: Vision and Efficient Language Pre-training for Volumetric Imaging Tasks in Medicine

Vision-and-language models (VLMs) have been increasingly explored in the medical domain, particularly following the success of CLIP in general domain. However, unlike the relatively straightforward pairing of 2D images and text, curating large-scale paired data in the medical field for volumetric modalities such as CT scans remains a challenging and time-intensive process. This difficulty often limits the performance on downstream tasks. To address these challenges, we propose a novel vision-language pre-training (VLP) framework, termed as VELVET-Med, specifically designed for limited volumetric data such as 3D CT and associated radiology reports. Instead of relying on large-scale data collection, our method focuses on the development of effective pre-training objectives and model architectures. The key contributions are: 1) We incorporate uni-modal self-supervised learning into VLP framework, which are often underexplored in the existing literature. 2) We propose a novel language encoder, termed as TriBERT, for learning multi-level textual semantics. 3) We devise the hierarchical contrastive learning to capture multi-level vision-language correspondence. Using only 38,875 scan-report pairs, our approach seeks to uncover rich spatial and semantic relationships embedded in volumetric medical images and corresponding clinical narratives, thereby enhancing the generalization ability of the learned encoders. The resulting encoders exhibit strong transferability, achieving state-of-the-art performance across a wide range of downstream tasks, including 3D segmentation, cross-modal retrieval, visual question answering, and report generation.

  • 4 authors
·
Aug 16, 2025

LLMs-in-the-loop Part-1: Expert Small AI Models for Bio-Medical Text Translation

Machine translation is indispensable in healthcare for enabling the global dissemination of medical knowledge across languages. However, complex medical terminology poses unique challenges to achieving adequate translation quality and accuracy. This study introduces a novel "LLMs-in-the-loop" approach to develop supervised neural machine translation models optimized specifically for medical texts. While large language models (LLMs) have demonstrated powerful capabilities, this research shows that small, specialized models trained on high-quality in-domain (mostly synthetic) data can outperform even vastly larger LLMs. Custom parallel corpora in six languages were compiled from scientific articles, synthetically generated clinical documents, and medical texts. Our LLMs-in-the-loop methodology employs synthetic data generation, rigorous evaluation, and agent orchestration to enhance performance. We developed small medical translation models using the MarianMT base model. We introduce a new medical translation test dataset to standardize evaluation in this domain. Assessed using BLEU, METEOR, ROUGE, and BERT scores on this test set, our MarianMT-based models outperform Google Translate, DeepL, and GPT-4-Turbo. Results demonstrate that our LLMs-in-the-loop approach, combined with fine-tuning high-quality, domain-specific data, enables specialized models to outperform general-purpose and some larger systems. This research, part of a broader series on expert small models, paves the way for future healthcare-related AI developments, including deidentification and bio-medical entity extraction models. Our study underscores the potential of tailored neural translation models and the LLMs-in-the-loop methodology to advance the field through improved data generation, evaluation, agent, and modeling techniques.

  • 3 authors
·
Jul 16, 2024 9

Mono-InternVL-1.5: Towards Cheaper and Faster Monolithic Multimodal Large Language Models

This paper focuses on monolithic Multimodal Large Language Models (MLLMs), which integrate visual encoding and language decoding into a single model. Existing structures and pre-training strategies for monolithic MLLMs often suffer from unstable optimization and catastrophic forgetting. To address these challenges, our key idea is to embed a new visual parameter space into a pre-trained LLM, enabling stable learning of visual knowledge from noisy data via delta tuning. Based on this principle, we first introduce Mono-InternVL, an advanced monolithic MLLM that incorporates a set of visual experts through a multimodal mixture-of-experts architecture. In addition, we design an innovative Endogenous Visual Pre-training (EViP) for Mono-InternVL to maximize its visual capabilities via progressive learning. Mono-InternVL achieves competitive performance against existing MLLMs but also leads to relatively expensive data cost. Therefore, we further present Mono-InternVL-1.5, a cheaper and stronger monolithic MLLM equipped with an improved EViP (EViP++). EViP++ introduces additional visual attention experts to Mono-InternVL-1.5 and re-organizes the pre-training process in an efficient manner. During inference, it includes a fused CUDA kernel to speed up its MoE operations. With these designs, Mono-InternVL-1.5 significantly reduces training and inference costs, while still maintaining competitive performance with Mono-InternVL. To evaluate our approach, we conduct extensive experiments across 15 benchmarks. Results demonstrate that Mono-InternVL outperforms existing monolithic MLLMs on 12 out of 15 benchmarks, e.g., +114-point improvement over Emu3 on OCRBench. Compared to its modular counterpart, i.e., InternVL-1.5, Mono-InternVL-1.5 achieves similar multimodal performance while reducing first-token latency by up to 69%. Code and models are released at https://github.com/OpenGVLab/Mono-InternVL.

  • 12 authors
·
Jul 16, 2025 1

InfiMed-Foundation: Pioneering Advanced Multimodal Medical Models with Compute-Efficient Pre-Training and Multi-Stage Fine-Tuning

Multimodal large language models (MLLMs) have shown remarkable potential in various domains, yet their application in the medical field is hindered by several challenges. General-purpose MLLMs often lack the specialized knowledge required for medical tasks, leading to uncertain or hallucinatory responses. Knowledge distillation from advanced models struggles to capture domain-specific expertise in radiology and pharmacology. Additionally, the computational cost of continual pretraining with large-scale medical data poses significant efficiency challenges. To address these issues, we propose InfiMed-Foundation-1.7B and InfiMed-Foundation-4B, two medical-specific MLLMs designed to deliver state-of-the-art performance in medical applications. We combined high-quality general-purpose and medical multimodal data and proposed a novel five-dimensional quality assessment framework to curate high-quality multimodal medical datasets. We employ low-to-high image resolution and multimodal sequence packing to enhance training efficiency, enabling the integration of extensive medical data. Furthermore, a three-stage supervised fine-tuning process ensures effective knowledge extraction for complex medical tasks. Evaluated on the MedEvalKit framework, InfiMed-Foundation-1.7B outperforms Qwen2.5VL-3B, while InfiMed-Foundation-4B surpasses HuatuoGPT-V-7B and MedGemma-27B-IT, demonstrating superior performance in medical visual question answering and diagnostic tasks. By addressing key challenges in data quality, training efficiency, and domain-specific knowledge extraction, our work paves the way for more reliable and effective AI-driven solutions in healthcare. InfiMed-Foundation-4B model is available at https://huggingface.co/InfiX-ai/InfiMed-Foundation-4B{InfiMed-Foundation-4B}.

  • 6 authors
·
Sep 26, 2025

GMAI-MMBench: A Comprehensive Multimodal Evaluation Benchmark Towards General Medical AI

Large Vision-Language Models (LVLMs) are capable of handling diverse data types such as imaging, text, and physiological signals, and can be applied in various fields. In the medical field, LVLMs have a high potential to offer substantial assistance for diagnosis and treatment. Before that, it is crucial to develop benchmarks to evaluate LVLMs' effectiveness in various medical applications. Current benchmarks are often built upon specific academic literature, mainly focusing on a single domain, and lacking varying perceptual granularities. Thus, they face specific challenges, including limited clinical relevance, incomplete evaluations, and insufficient guidance for interactive LVLMs. To address these limitations, we developed the GMAI-MMBench, the most comprehensive general medical AI benchmark with well-categorized data structure and multi-perceptual granularity to date. It is constructed from 285 datasets across 39 medical image modalities, 18 clinical-related tasks, 18 departments, and 4 perceptual granularities in a Visual Question Answering (VQA) format. Additionally, we implemented a lexical tree structure that allows users to customize evaluation tasks, accommodating various assessment needs and substantially supporting medical AI research and applications. We evaluated 50 LVLMs, and the results show that even the advanced GPT-4o only achieves an accuracy of 52%, indicating significant room for improvement. Moreover, we identified five key insufficiencies in current cutting-edge LVLMs that need to be addressed to advance the development of better medical applications. We believe that GMAI-MMBench will stimulate the community to build the next generation of LVLMs toward GMAI. Project Page: https://uni-medical.github.io/GMAI-MMBench.github.io/

  • 18 authors
·
Aug 6, 2024 2

PUSA V1.0: Surpassing Wan-I2V with $500 Training Cost by Vectorized Timestep Adaptation

The rapid advancement of video diffusion models has been hindered by fundamental limitations in temporal modeling, particularly the rigid synchronization of frame evolution imposed by conventional scalar timestep variables. While task-specific adaptations and autoregressive models have sought to address these challenges, they remain constrained by computational inefficiency, catastrophic forgetting, or narrow applicability. In this work, we present Pusa, a groundbreaking paradigm that leverages vectorized timestep adaptation (VTA) to enable fine-grained temporal control within a unified video diffusion framework. Besides, VTA is a non-destructive adaptation, which means it fully preserves the capabilities of the base model. By finetuning the SOTA Wan2.1-T2V-14B model with VTA, we achieve unprecedented efficiency -- surpassing the performance of Wan-I2V-14B with leq 1/200 of the training cost (\500 vs. \geq 100,000) and leq 1/2500 of the dataset size (4K vs. geq 10M samples). Pusa not only sets a new standard for image-to-video (I2V) generation, achieving a VBench-I2V total score of 87.32\% (vs. 86.86\% of Wan-I2V-14B), but also unlocks many zero-shot multi-task capabilities such as start-end frames and video extension -- all without task-specific training. Meanwhile, Pusa can still perform text-to-video generation. Mechanistic analyses reveal that our approach preserves the foundation model's generative priors while surgically injecting temporal dynamics, avoiding the combinatorial explosion inherent to vectorized timesteps. This work establishes a scalable, efficient, and versatile paradigm for next-generation video synthesis, democratizing high-fidelity video generation for research and industry alike. Code is open-sourced at https://github.com/Yaofang-Liu/Pusa-VidGen

  • 12 authors
·
Jul 21, 2025 1

Hulu-Med: A Transparent Generalist Model towards Holistic Medical Vision-Language Understanding

Real-world clinical decision-making grapples with integrating information from diverse data modalities, including medical text, 2D/3D images, and video, leading to inefficiencies and potential diagnostic oversights. While generalist vision-language models (VLMs) offer promise, their medical development faces challenges of opaque pipelines, data scarcity, and architectural inflexibility. Here we present Hulu-Med, a transparent medical VLM that unifies understanding across all these modalities. Built upon a unified patch-based vision encoder and an LLM decoder, Hulu-Med was progressively trained on 16.7 million (M) samples to scale from 2D to 3D and video comprehension. The medical-aware token reduction enables efficient training, requiring only 4,000 to 40,000 GPU hours for 7B to 32B parameter variants. Extensive evaluation across 30 benchmarks exhibits state-of-the-art performance, surpassing leading open-source models and competing with proprietary systems in tasks spanning visual question-answering, medical report generation, and complex reasoning in multilingual and rare disease scenarios. By open-sourcing our complete pipeline, we establish that high-performance medical VLM can be achieved transparently, providing a foundational tool for accessible and impactful clinical AI. Code is released on https://github.com/ZJUI-AI4H/Hulu-Med{https://github.com/ZJUI-AI4H/Hulu-Med}.

  • 25 authors
·
Oct 9, 2025

LLaVA-UHD v3: Progressive Visual Compression for Efficient Native-Resolution Encoding in MLLMs

Visual encoding followed by token condensing has become the standard architectural paradigm in multi-modal large language models (MLLMs). Many recent MLLMs increasingly favor global native- resolution visual encoding over slice-based methods. To investigate this trend, we systematically compare their behavior on vision-language understanding and attention patterns, revealing that global encoding enhances overall capability but at the expense of greater computational overhead. To address this issue, we present LLaVA-UHD v3, an MLLM centered upon our proposed Progressive Visual Compression (PVC) method, which can be seamlessly integrated into standard Vision Transformer (ViT) to enable efficient native-resolution encoding. The PVC approach consists of two key modules: (i) refined patch embedding, which supports flexible patch-size scaling for fine-grained visual model- ing, (ii) windowed token compression, hierarchically deployed across ViT layers to progressively aggregate local token representations. Jointly modulated by these two modules, a widely pretrained ViT can be reconfigured into an efficient architecture while largely preserving generality. Evaluated across extensive benchmarks, the transformed ViT, termed ViT-UHD, demonstrates competitive performance with MoonViT while reducing TTFT (time-to-first-token) by 2.4x, when developed within an identical MLLM architecture. Building upon ViT-UHD, LLaVA-UHD v3 also achieves competitive performance to Qwen2-VL, while further reducing TTFT by 1.9x. We will release all code and checkpoints to support future research on efficient MLLMs.

  • 9 authors
·
Nov 26, 2025

High-Throughput Precision Phenotyping of Left Ventricular Hypertrophy with Cardiovascular Deep Learning

Left ventricular hypertrophy (LVH) results from chronic remodeling caused by a broad range of systemic and cardiovascular disease including hypertension, aortic stenosis, hypertrophic cardiomyopathy, and cardiac amyloidosis. Early detection and characterization of LVH can significantly impact patient care but is limited by under-recognition of hypertrophy, measurement error and variability, and difficulty differentiating etiologies of LVH. To overcome this challenge, we present EchoNet-LVH - a deep learning workflow that automatically quantifies ventricular hypertrophy with precision equal to human experts and predicts etiology of LVH. Trained on 28,201 echocardiogram videos, our model accurately measures intraventricular wall thickness (mean absolute error [MAE] 1.4mm, 95% CI 1.2-1.5mm), left ventricular diameter (MAE 2.4mm, 95% CI 2.2-2.6mm), and posterior wall thickness (MAE 1.2mm, 95% CI 1.1-1.3mm) and classifies cardiac amyloidosis (area under the curve of 0.83) and hypertrophic cardiomyopathy (AUC 0.98) from other etiologies of LVH. In external datasets from independent domestic and international healthcare systems, EchoNet-LVH accurately quantified ventricular parameters (R2 of 0.96 and 0.90 respectively) and detected cardiac amyloidosis (AUC 0.79) and hypertrophic cardiomyopathy (AUC 0.89) on the domestic external validation site. Leveraging measurements across multiple heart beats, our model can more accurately identify subtle changes in LV geometry and its causal etiologies. Compared to human experts, EchoNet-LVH is fully automated, allowing for reproducible, precise measurements, and lays the foundation for precision diagnosis of cardiac hypertrophy. As a resource to promote further innovation, we also make publicly available a large dataset of 23,212 annotated echocardiogram videos.

  • 18 authors
·
Jun 23, 2021

T-VEC: A Telecom-Specific Vectorization Model with Enhanced Semantic Understanding via Deep Triplet Loss Fine-Tuning

The specialized vocabulary and complex concepts of the telecommunications industry present significant challenges for standard Natural Language Processing models. Generic text embeddings often fail to capture telecom-specific semantics, hindering downstream task performance. We introduce T-VEC (Telecom Vectorization Model), a novel embedding model tailored for the telecom domain through deep fine-tuning. Developed by NetoAI, T-VEC is created by adapting the state-of-the-art gte-Qwen2-1.5B-instruct model using a triplet loss objective on a meticulously curated, large-scale dataset of telecom-specific data. Crucially, this process involved substantial modification of weights across 338 layers of the base model, ensuring deep integration of domain knowledge, far exceeding superficial adaptation techniques. We quantify this deep change via weight difference analysis. A key contribution is the development and open-sourcing (MIT License) of the first dedicated telecom-specific tokenizer, enhancing the handling of industry jargon. T-VEC achieves a leading average MTEB score (0.825) compared to established models and demonstrates vastly superior performance (0.9380 vs. less than 0.07) on our internal telecom-specific triplet evaluation benchmark, indicating an exceptional grasp of domain-specific nuances, visually confirmed by improved embedding separation. This work positions NetoAI at the forefront of telecom AI innovation, providing the community with a powerful, deeply adapted, open-source tool.

  • 3 authors
·
Apr 23, 2025

VIRTUE: Visual-Interactive Text-Image Universal Embedder

Multimodal representation learning models have demonstrated successful operation across complex tasks, and the integration of vision-language models (VLMs) has further enabled embedding models with instruction-following capabilities. However, existing embedding models lack visual-interactive capabilities to specify regions of interest from users (e.g., point, bounding box, mask), which have been explored in generative models to broaden their human-interactive applicability. Equipping embedding models with visual interactions not only would unlock new applications with localized grounding of user intent, which remains unexplored, but also enable the models to learn entity-level information within images to complement their global representations for conventional embedding tasks. In this paper, we propose a novel Visual-InteRactive Text-Image Universal Embedder (VIRTUE) that extends the capabilities of the segmentation model and the vision-language model to the realm of representation learning. In VIRTUE, the segmentation model can process visual prompts that pinpoint specific regions within an image, thereby enabling the embedder to handle complex and ambiguous scenarios more precisely. To evaluate the visual-interaction ability of VIRTUE, we introduce a large-scale Segmentation-and-Scene Caption Retrieval (SCaR) benchmark comprising 1M samples that aims to retrieve the text caption by jointly considering the entity with a specific object and image scene. VIRTUE consistently achieves a state-of-the-art performance with significant improvements across 36 universal MMEB (3.1%-8.5%) and five visual-interactive SCaR (15.2%-20.3%) tasks.

Sony Sony
·
Oct 1, 2025 2

PitVis-2023 Challenge: Workflow Recognition in videos of Endoscopic Pituitary Surgery

The field of computer vision applied to videos of minimally invasive surgery is ever-growing. Workflow recognition pertains to the automated recognition of various aspects of a surgery: including which surgical steps are performed; and which surgical instruments are used. This information can later be used to assist clinicians when learning the surgery; during live surgery; and when writing operation notes. The Pituitary Vision (PitVis) 2023 Challenge tasks the community to step and instrument recognition in videos of endoscopic pituitary surgery. This is a unique task when compared to other minimally invasive surgeries due to the smaller working space, which limits and distorts vision; and higher frequency of instrument and step switching, which requires more precise model predictions. Participants were provided with 25-videos, with results presented at the MICCAI-2023 conference as part of the Endoscopic Vision 2023 Challenge in Vancouver, Canada, on 08-Oct-2023. There were 18-submissions from 9-teams across 6-countries, using a variety of deep learning models. A commonality between the top performing models was incorporating spatio-temporal and multi-task methods, with greater than 50% and 10% macro-F1-score improvement over purely spacial single-task models in step and instrument recognition respectively. The PitVis-2023 Challenge therefore demonstrates state-of-the-art computer vision models in minimally invasive surgery are transferable to a new dataset, with surgery specific techniques used to enhance performance, progressing the field further. Benchmark results are provided in the paper, and the dataset is publicly available at: https://doi.org/10.5522/04/26531686.

  • 32 authors
·
Sep 2, 2024

The Minimum Information about CLinical Artificial Intelligence Checklist for Generative Modeling Research (MI-CLAIM-GEN)

Recent advances in generative models, including large language models (LLMs), vision language models (VLMs), and diffusion models, have accelerated the field of natural language and image processing in medicine and marked a significant paradigm shift in how biomedical models can be developed and deployed. While these models are highly adaptable to new tasks, scaling and evaluating their usage presents new challenges not addressed in previous frameworks. In particular, the ability of these models to produce useful outputs with little to no specialized training data ("zero-" or "few-shot" approaches), as well as the open-ended nature of their outputs, necessitate the development of new guidelines for robust reporting of clinical generative model research. In response to gaps in standards and best practices for the development of clinical AI tools identified by US Executive Order 141103 and several emerging national networks for clinical AI evaluation, we begin to formalize some of these guidelines by building on the original MI-CLAIM checklist. The new checklist, MI-CLAIM-GEN (Table 1), aims to address differences in training, evaluation, interpretability, and reproducibility of new generative models compared to non-generative ("predictive") AI models. This MI-CLAIM-GEN checklist also seeks to clarify cohort selection reporting with unstructured clinical data and adds additional items on alignment with ethical standards for clinical AI research.

  • 18 authors
·
Mar 4, 2024

MedAgentBench: A Realistic Virtual EHR Environment to Benchmark Medical LLM Agents

Recent large language models (LLMs) have demonstrated significant advancements, particularly in their ability to serve as agents thereby surpassing their traditional role as chatbots. These agents can leverage their planning and tool utilization capabilities to address tasks specified at a high level. However, a standardized dataset to benchmark the agent capabilities of LLMs in medical applications is currently lacking, making the evaluation of LLMs on complex tasks in interactive healthcare environments challenging. To address this gap, we introduce MedAgentBench, a broad evaluation suite designed to assess the agent capabilities of large language models within medical records contexts. MedAgentBench encompasses 300 patient-specific clinically-derived tasks from 10 categories written by human physicians, realistic profiles of 100 patients with over 700,000 data elements, a FHIR-compliant interactive environment, and an accompanying codebase. The environment uses the standard APIs and communication infrastructure used in modern EMR systems, so it can be easily migrated into live EMR systems. MedAgentBench presents an unsaturated agent-oriented benchmark that current state-of-the-art LLMs exhibit some ability to succeed at. The best model (Claude 3.5 Sonnet v2) achieves a success rate of 69.67%. However, there is still substantial space for improvement which gives the community a next direction to optimize. Furthermore, there is significant variation in performance across task categories. MedAgentBench establishes this and is publicly available at https://github.com/stanfordmlgroup/MedAgentBench , offering a valuable framework for model developers to track progress and drive continuous improvements in the agent capabilities of large language models within the medical domain.

  • 7 authors
·
Jan 24, 2025

Multi-event Video-Text Retrieval

Video-Text Retrieval (VTR) is a crucial multi-modal task in an era of massive video-text data on the Internet. A plethora of work characterized by using a two-stream Vision-Language model architecture that learns a joint representation of video-text pairs has become a prominent approach for the VTR task. However, these models operate under the assumption of bijective video-text correspondences and neglect a more practical scenario where video content usually encompasses multiple events, while texts like user queries or webpage metadata tend to be specific and correspond to single events. This establishes a gap between the previous training objective and real-world applications, leading to the potential performance degradation of earlier models during inference. In this study, we introduce the Multi-event Video-Text Retrieval (MeVTR) task, addressing scenarios in which each video contains multiple different events, as a niche scenario of the conventional Video-Text Retrieval Task. We present a simple model, Me-Retriever, which incorporates key event video representation and a new MeVTR loss for the MeVTR task. Comprehensive experiments show that this straightforward framework outperforms other models in the Video-to-Text and Text-to-Video tasks, effectively establishing a robust baseline for the MeVTR task. We believe this work serves as a strong foundation for future studies. Code is available at https://github.com/gengyuanmax/MeVTR.

  • 4 authors
·
Aug 22, 2023

InternLM-XComposer2-4KHD: A Pioneering Large Vision-Language Model Handling Resolutions from 336 Pixels to 4K HD

The Large Vision-Language Model (LVLM) field has seen significant advancements, yet its progression has been hindered by challenges in comprehending fine-grained visual content due to limited resolution. Recent efforts have aimed to enhance the high-resolution understanding capabilities of LVLMs, yet they remain capped at approximately 1500 x 1500 pixels and constrained to a relatively narrow resolution range. This paper represents InternLM-XComposer2-4KHD, a groundbreaking exploration into elevating LVLM resolution capabilities up to 4K HD (3840 x 1600) and beyond. Concurrently, considering the ultra-high resolution may not be necessary in all scenarios, it supports a wide range of diverse resolutions from 336 pixels to 4K standard, significantly broadening its scope of applicability. Specifically, this research advances the patch division paradigm by introducing a novel extension: dynamic resolution with automatic patch configuration. It maintains the training image aspect ratios while automatically varying patch counts and configuring layouts based on a pre-trained Vision Transformer (ViT) (336 x 336), leading to dynamic training resolution from 336 pixels to 4K standard. Our research demonstrates that scaling training resolution up to 4K HD leads to consistent performance enhancements without hitting the ceiling of potential improvements. InternLM-XComposer2-4KHD shows superb capability that matches or even surpasses GPT-4V and Gemini Pro in 10 of the 16 benchmarks. The InternLM-XComposer2-4KHD model series with 7B parameters are publicly available at https://github.com/InternLM/InternLM-XComposer.

  • 24 authors
·
Apr 9, 2024 1

BleedOrigin: Dynamic Bleeding Source Localization in Endoscopic Submucosal Dissection via Dual-Stage Detection and Tracking

Intraoperative bleeding during Endoscopic Submucosal Dissection (ESD) poses significant risks, demanding precise, real-time localization and continuous monitoring of the bleeding source for effective hemostatic intervention. In particular, endoscopists have to repeatedly flush to clear blood, allowing only milliseconds to identify bleeding sources, an inefficient process that prolongs operations and elevates patient risks. However, current Artificial Intelligence (AI) methods primarily focus on bleeding region segmentation, overlooking the critical need for accurate bleeding source detection and temporal tracking in the challenging ESD environment, which is marked by frequent visual obstructions and dynamic scene changes. This gap is widened by the lack of specialized datasets, hindering the development of robust AI-assisted guidance systems. To address these challenges, we introduce BleedOrigin-Bench, the first comprehensive ESD bleeding source dataset, featuring 1,771 expert-annotated bleeding sources across 106,222 frames from 44 procedures, supplemented with 39,755 pseudo-labeled frames. This benchmark covers 8 anatomical sites and 6 challenging clinical scenarios. We also present BleedOrigin-Net, a novel dual-stage detection-tracking framework for the bleeding source localization in ESD procedures, addressing the complete workflow from bleeding onset detection to continuous spatial tracking. We compare with widely-used object detection models (YOLOv11/v12), multimodal large language models, and point tracking methods. Extensive evaluation demonstrates state-of-the-art performance, achieving 96.85% frame-level accuracy (pmleq8 frames) for bleeding onset detection, 70.24% pixel-level accuracy (leq100 px) for initial source detection, and 96.11% pixel-level accuracy (leq100 px) for point tracking.

  • 7 authors
·
Jul 20, 2025

Step-Video-T2V Technical Report: The Practice, Challenges, and Future of Video Foundation Model

We present Step-Video-T2V, a state-of-the-art text-to-video pre-trained model with 30B parameters and the ability to generate videos up to 204 frames in length. A deep compression Variational Autoencoder, Video-VAE, is designed for video generation tasks, achieving 16x16 spatial and 8x temporal compression ratios, while maintaining exceptional video reconstruction quality. User prompts are encoded using two bilingual text encoders to handle both English and Chinese. A DiT with 3D full attention is trained using Flow Matching and is employed to denoise input noise into latent frames. A video-based DPO approach, Video-DPO, is applied to reduce artifacts and improve the visual quality of the generated videos. We also detail our training strategies and share key observations and insights. Step-Video-T2V's performance is evaluated on a novel video generation benchmark, Step-Video-T2V-Eval, demonstrating its state-of-the-art text-to-video quality when compared with both open-source and commercial engines. Additionally, we discuss the limitations of current diffusion-based model paradigm and outline future directions for video foundation models. We make both Step-Video-T2V and Step-Video-T2V-Eval available at https://github.com/stepfun-ai/Step-Video-T2V. The online version can be accessed from https://yuewen.cn/videos as well. Our goal is to accelerate the innovation of video foundation models and empower video content creators.

  • 115 authors
·
Feb 14, 2025 3

Individual Content and Motion Dynamics Preserved Pruning for Video Diffusion Models

The high computational cost and slow inference time are major obstacles to deploying the video diffusion model (VDM) in practical applications. To overcome this, we introduce a new Video Diffusion Model Compression approach using individual content and motion dynamics preserved pruning and consistency loss. First, we empirically observe that deeper VDM layers are crucial for maintaining the quality of motion dynamics e.g., coherence of the entire video, while shallower layers are more focused on individual content e.g., individual frames. Therefore, we prune redundant blocks from the shallower layers while preserving more of the deeper layers, resulting in a lightweight VDM variant called VDMini. Additionally, we propose an Individual Content and Motion Dynamics (ICMD) Consistency Loss to gain comparable generation performance as larger VDM, i.e., the teacher to VDMini i.e., the student. Particularly, we first use the Individual Content Distillation (ICD) Loss to ensure consistency in the features of each generated frame between the teacher and student models. Next, we introduce a Multi-frame Content Adversarial (MCA) Loss to enhance the motion dynamics across the generated video as a whole. This method significantly accelerates inference time while maintaining high-quality video generation. Extensive experiments demonstrate the effectiveness of our VDMini on two important video generation tasks, Text-to-Video (T2V) and Image-to-Video (I2V), where we respectively achieve an average 2.5 times and 1.4 times speed up for the I2V method SF-V and the T2V method T2V-Turbo-v2, while maintaining the quality of the generated videos on two benchmarks, i.e., UCF101 and VBench.

  • 4 authors
·
Nov 27, 2024

Towards Evaluating and Building Versatile Large Language Models for Medicine

In this study, we present MedS-Bench, a comprehensive benchmark designed to evaluate the performance of large language models (LLMs) in clinical contexts. Unlike existing benchmarks that focus on multiple-choice question answering, MedS-Bench spans 11 high-level clinical tasks, including clinical report summarization, treatment recommendations, diagnosis, named entity recognition, and medical concept explanation, among others. We evaluated six leading LLMs, e.g., MEDITRON, Mistral, InternLM 2, Llama 3, GPT-4, and Claude-3.5 using few-shot prompting, and found that even the most sophisticated models struggle with these complex tasks. To address these limitations, we developed MedS-Ins, a large-scale instruction tuning dataset for medicine. MedS-Ins comprises 58 medically oriented language corpora, totaling 13.5 million samples across 122 tasks. To demonstrate the dataset's utility, we conducted a proof-of-concept experiment by performing instruction tuning on a lightweight, open-source medical language model. The resulting model, MMedIns-Llama 3, significantly outperformed existing models across nearly all clinical tasks. To promote further advancements in the application of LLMs to clinical challenges, we have made the MedS-Ins dataset fully accessible and invite the research community to contribute to its expansion.Additionally, we have launched a dynamic leaderboard for MedS-Bench, which we plan to regularly update the test set to track progress and enhance the adaptation of general LLMs to the medical domain. Leaderboard: https://henrychur.github.io/MedS-Bench/. Github: https://github.com/MAGIC-AI4Med/MedS-Ins.

  • 8 authors
·
Aug 22, 2024

DVPT: Dynamic Visual Prompt Tuning of Large Pre-trained Models for Medical Image Analysis

Limited labeled data makes it hard to train models from scratch in medical domain, and an important paradigm is pre-training and then fine-tuning. Large pre-trained models contain rich representations, which can be adapted to downstream medical tasks. However, existing methods either tune all the parameters or the task-specific layers of the pre-trained models, ignoring the input variations of medical images, and thus they are not efficient or effective. In this work, we aim to study parameter-efficient fine-tuning (PEFT) for medical image analysis, and propose a dynamic visual prompt tuning method, named DVPT. It can extract knowledge beneficial to downstream tasks from large models with a few trainable parameters. Firstly, the frozen features are transformed by an lightweight bottleneck layer to learn the domain-specific distribution of downstream medical tasks, and then a few learnable visual prompts are used as dynamic queries and then conduct cross-attention with the transformed features, attempting to acquire sample-specific knowledge that are suitable for each sample. Finally, the features are projected to original feature dimension and aggregated with the frozen features. This DVPT module can be shared between different Transformer layers, further reducing the trainable parameters. To validate DVPT, we conduct extensive experiments with different pre-trained models on medical classification and segmentation tasks. We find such PEFT method can not only efficiently adapt the pre-trained models to the medical domain, but also brings data efficiency with partial labeled data. For example, with 0.5\% extra trainable parameters, our method not only outperforms state-of-the-art PEFT methods, even surpasses the full fine-tuning by more than 2.20\% Kappa score on medical classification task. It can saves up to 60\% labeled data and 99\% storage cost of ViT-B/16.

  • 5 authors
·
Jul 19, 2023

Redefining Temporal Modeling in Video Diffusion: The Vectorized Timestep Approach

Diffusion models have revolutionized image generation, and their extension to video generation has shown promise. However, current video diffusion models~(VDMs) rely on a scalar timestep variable applied at the clip level, which limits their ability to model complex temporal dependencies needed for various tasks like image-to-video generation. To address this limitation, we propose a frame-aware video diffusion model~(FVDM), which introduces a novel vectorized timestep variable~(VTV). Unlike conventional VDMs, our approach allows each frame to follow an independent noise schedule, enhancing the model's capacity to capture fine-grained temporal dependencies. FVDM's flexibility is demonstrated across multiple tasks, including standard video generation, image-to-video generation, video interpolation, and long video synthesis. Through a diverse set of VTV configurations, we achieve superior quality in generated videos, overcoming challenges such as catastrophic forgetting during fine-tuning and limited generalizability in zero-shot methods.Our empirical evaluations show that FVDM outperforms state-of-the-art methods in video generation quality, while also excelling in extended tasks. By addressing fundamental shortcomings in existing VDMs, FVDM sets a new paradigm in video synthesis, offering a robust framework with significant implications for generative modeling and multimedia applications.

  • 8 authors
·
Oct 4, 2024 2

Vision Language Models in Medicine

With the advent of Vision-Language Models (VLMs), medical artificial intelligence (AI) has experienced significant technological progress and paradigm shifts. This survey provides an extensive review of recent advancements in Medical Vision-Language Models (Med-VLMs), which integrate visual and textual data to enhance healthcare outcomes. We discuss the foundational technology behind Med-VLMs, illustrating how general models are adapted for complex medical tasks, and examine their applications in healthcare. The transformative impact of Med-VLMs on clinical practice, education, and patient care is highlighted, alongside challenges such as data scarcity, narrow task generalization, interpretability issues, and ethical concerns like fairness, accountability, and privacy. These limitations are exacerbated by uneven dataset distribution, computational demands, and regulatory hurdles. Rigorous evaluation methods and robust regulatory frameworks are essential for safe integration into healthcare workflows. Future directions include leveraging large-scale, diverse datasets, improving cross-modal generalization, and enhancing interpretability. Innovations like federated learning, lightweight architectures, and Electronic Health Record (EHR) integration are explored as pathways to democratize access and improve clinical relevance. This review aims to provide a comprehensive understanding of Med-VLMs' strengths and limitations, fostering their ethical and balanced adoption in healthcare.

  • 3 authors
·
Feb 24, 2025

ViC-Bench: Benchmarking Visual-Interleaved Chain-of-Thought Capability in MLLMs with Free-Style Intermediate State Representations

Visual-Interleaved Chain-of-Thought (VI-CoT) enables MLLMs to continually update their understanding and decisions based on step-wise intermediate visual states (IVS), much like a human would, which demonstrates impressive success in various tasks, thereby leading to emerged advancements in related benchmarks. Despite promising progress, current benchmarks provide models with relatively fixed IVS, rather than free-style IVS, whch might forcibly distort the original thinking trajectories, failing to evaluate their intrinsic reasoning capabilities. More importantly, existing benchmarks neglect to systematically explore the impact factors that IVS would impart to untamed reasoning performance. To tackle above gaps, we introduce a specialized benchmark termed ViC-Bench, consisting of four representive tasks: maze navigation, jigsaw puzzle, embodied long-horizon planning, and complex counting, where each task has dedicated free-style IVS generation pipeline supporting function calls. To systematically examine VI-CoT capability, we propose a thorough evaluation suite incorporating a progressive three-stage strategy with targeted new metrics. Besides, we establish Incremental Prompting Information Injection (IPII) strategy to ablatively explore the prompting factors for VI-CoT. We extensively conduct evaluations for 18 advanced MLLMs, revealing key insights into their VI-CoT capability. Our proposed benchmark is publicly open at Huggingface.

  • 9 authors
·
May 20, 2025

PVBM: A Python Vasculature Biomarker Toolbox Based On Retinal Blood Vessel Segmentation

Introduction: Blood vessels can be non-invasively visualized from a digital fundus image (DFI). Several studies have shown an association between cardiovascular risk and vascular features obtained from DFI. Recent advances in computer vision and image segmentation enable automatising DFI blood vessel segmentation. There is a need for a resource that can automatically compute digital vasculature biomarkers (VBM) from these segmented DFI. Methods: In this paper, we introduce a Python Vasculature BioMarker toolbox, denoted PVBM. A total of 11 VBMs were implemented. In particular, we introduce new algorithmic methods to estimate tortuosity and branching angles. Using PVBM, and as a proof of usability, we analyze geometric vascular differences between glaucomatous patients and healthy controls. Results: We built a fully automated vasculature biomarker toolbox based on DFI segmentations and provided a proof of usability to characterize the vascular changes in glaucoma. For arterioles and venules, all biomarkers were significant and lower in glaucoma patients compared to healthy controls except for tortuosity, venular singularity length and venular branching angles. Conclusion: We have automated the computation of 11 VBMs from retinal blood vessel segmentation. The PVBM toolbox is made open source under a GNU GPL 3 license and is available on physiozoo.com (following publication).

  • 6 authors
·
Jul 31, 2022

Merlin: A Vision Language Foundation Model for 3D Computed Tomography

Over 85 million computed tomography (CT) scans are performed annually in the US, of which approximately one quarter focus on the abdomen. Given the current radiologist shortage, there is a large impetus to use artificial intelligence to alleviate the burden of interpreting these complex imaging studies. Prior state-of-the-art approaches for automated medical image interpretation leverage vision language models (VLMs). However, current medical VLMs are generally limited to 2D images and short reports, and do not leverage electronic health record (EHR) data for supervision. We introduce Merlin - a 3D VLM that we train using paired CT scans (6+ million images from 15,331 CTs), EHR diagnosis codes (1.8+ million codes), and radiology reports (6+ million tokens). We evaluate Merlin on 6 task types and 752 individual tasks. The non-adapted (off-the-shelf) tasks include zero-shot findings classification (31 findings), phenotype classification (692 phenotypes), and zero-shot cross-modal retrieval (image to findings and image to impressions), while model adapted tasks include 5-year disease prediction (6 diseases), radiology report generation, and 3D semantic segmentation (20 organs). We perform internal validation on a test set of 5,137 CTs, and external validation on 7,000 clinical CTs and on two public CT datasets (VerSe, TotalSegmentator). Beyond these clinically-relevant evaluations, we assess the efficacy of various network architectures and training strategies to depict that Merlin has favorable performance to existing task-specific baselines. We derive data scaling laws to empirically assess training data needs for requisite downstream task performance. Furthermore, unlike conventional VLMs that require hundreds of GPUs for training, we perform all training on a single GPU.

  • 31 authors
·
Jun 10, 2024

Eir: Thai Medical Large Language Models

We present Eir Thai Medical LLM, a large language model with 8 billion parameters, specifically designed to enhance the accuracy of handling medical tasks in the Thai language. This model focuses on providing clear and easy-to-understand answers for both healthcare professionals and patients, thereby improving the efficiency of diagnosis and treatment processes. Human evaluation was conducted to ensure that the model adheres to care standards and provides unbiased answers. To prioritize data security, the model is deployed within the hospital's internal network, ensuring both high security and faster processing speeds. The internal API connection is secured with encryption and strict authentication measures to prevent data leaks and unauthorized access. We evaluated several open-source large language models with 8 billion parameters on four medical benchmarks: MedQA, MedMCQA, PubMedQA, and the medical subset of MMLU. The best-performing baselines were used to develop Eir Thai Medical LLM. Our evaluation employed multiple questioning strategies, including zero-shot, few-shot, chain-of-thought reasoning, and ensemble/self-consistency voting methods. Our model outperformed commercially available Thai-language large language models by more than 10%. In addition, we developed enhanced model testing tailored for clinical use in Thai across 18 clinical tasks, where our model exceeded GPT-4o performance by more than 11%

  • 3 authors
·
Sep 13, 2024

FancyVideo: Towards Dynamic and Consistent Video Generation via Cross-frame Textual Guidance

Synthesizing motion-rich and temporally consistent videos remains a challenge in artificial intelligence, especially when dealing with extended durations. Existing text-to-video (T2V) models commonly employ spatial cross-attention for text control, equivalently guiding different frame generations without frame-specific textual guidance. Thus, the model's capacity to comprehend the temporal logic conveyed in prompts and generate videos with coherent motion is restricted. To tackle this limitation, we introduce FancyVideo, an innovative video generator that improves the existing text-control mechanism with the well-designed Cross-frame Textual Guidance Module (CTGM). Specifically, CTGM incorporates the Temporal Information Injector (TII), Temporal Affinity Refiner (TAR), and Temporal Feature Booster (TFB) at the beginning, middle, and end of cross-attention, respectively, to achieve frame-specific textual guidance. Firstly, TII injects frame-specific information from latent features into text conditions, thereby obtaining cross-frame textual conditions. Then, TAR refines the correlation matrix between cross-frame textual conditions and latent features along the time dimension. Lastly, TFB boosts the temporal consistency of latent features. Extensive experiments comprising both quantitative and qualitative evaluations demonstrate the effectiveness of FancyVideo. Our approach achieves state-of-the-art T2V generation results on the EvalCrafter benchmark and facilitates the synthesis of dynamic and consistent videos. The video show results can be available at https://fancyvideo.github.io/, and we will make our code and model weights publicly available.

  • 7 authors
·
Aug 15, 2024 3

StreamingVLM: Real-Time Understanding for Infinite Video Streams

Vision-language models (VLMs) could power real-time assistants and autonomous agents, but they face a critical challenge: understanding near-infinite video streams without escalating latency and memory usage. Processing entire videos with full attention leads to quadratic computational costs and poor performance on long videos. Meanwhile, simple sliding window methods are also flawed, as they either break coherence or suffer from high latency due to redundant recomputation. In this paper, we introduce StreamingVLM, a model designed for real-time, stable understanding of infinite visual input. Our approach is a unified framework that aligns training with streaming inference. During inference, we maintain a compact KV cache by reusing states of attention sinks, a short window of recent vision tokens, and a long window of recent text tokens. This streaming ability is instilled via a simple supervised fine-tuning (SFT) strategy that applies full attention on short, overlapped video chunks, which effectively mimics the inference-time attention pattern without training on prohibitively long contexts. For evaluation, we build Inf-Streams-Eval, a new benchmark with videos averaging over two hours that requires dense, per-second alignment between frames and text. On Inf-Streams-Eval, StreamingVLM achieves a 66.18% win rate against GPT-4O mini and maintains stable, real-time performance at up to 8 FPS on a single NVIDIA H100. Notably, our SFT strategy also enhances general VQA abilities without any VQA-specific fine-tuning, improving performance on LongVideoBench by +4.30 and OVOBench Realtime by +5.96. Code is available at https://github.com/mit-han-lab/streaming-vlm.

  • 7 authors
·
Oct 10, 2025 3

VARGPT-v1.1: Improve Visual Autoregressive Large Unified Model via Iterative Instruction Tuning and Reinforcement Learning

In this work, we present VARGPT-v1.1, an advanced unified visual autoregressive model that builds upon our previous framework VARGPT. The model preserves the dual paradigm of next-token prediction for visual understanding and next-scale generation for image synthesis. Specifically, VARGPT-v1.1 integrates: (1) a novel training strategy combining iterative visual instruction tuning with reinforcement learning through Direct Preference Optimization (DPO), (2) an expanded training corpus containing 8.3M visual-generative instruction pairs, (3) an upgraded language model backbone using Qwen2, (4) enhanced image generation resolution, and (5) emergent image editing capabilities without architectural modifications. These advancements enable VARGPT-v1.1 to achieve state-of-the-art performance in multimodal understanding and text-to-image instruction-following tasks, demonstrating significant improvements in both comprehension and generation metrics. Notably, through visual instruction tuning, the model acquires image editing functionality while maintaining architectural consistency with its predecessor, revealing the potential for unified visual understanding, generation, and editing. Our findings suggest that well-designed unified visual autoregressive models can effectively adopt flexible training strategies from large language models (LLMs), exhibiting promising scalability. The codebase and model weights are publicly available at https://github.com/VARGPT-family/VARGPT-v1.1.

  • 8 authors
·
Apr 3, 2025 2

MedVSR: Medical Video Super-Resolution with Cross State-Space Propagation

High-resolution (HR) medical videos are vital for accurate diagnosis, yet are hard to acquire due to hardware limitations and physiological constraints. Clinically, the collected low-resolution (LR) medical videos present unique challenges for video super-resolution (VSR) models, including camera shake, noise, and abrupt frame transitions, which result in significant optical flow errors and alignment difficulties. Additionally, tissues and organs exhibit continuous and nuanced structures, but current VSR models are prone to introducing artifacts and distorted features that can mislead doctors. To this end, we propose MedVSR, a tailored framework for medical VSR. It first employs Cross State-Space Propagation (CSSP) to address the imprecise alignment by projecting distant frames as control matrices within state-space models, enabling the selective propagation of consistent and informative features to neighboring frames for effective alignment. Moreover, we design an Inner State-Space Reconstruction (ISSR) module that enhances tissue structures and reduces artifacts with joint long-range spatial feature learning and large-kernel short-range information aggregation. Experiments across four datasets in diverse medical scenarios, including endoscopy and cataract surgeries, show that MedVSR significantly outperforms existing VSR models in reconstruction performance and efficiency. Code released at https://github.com/CUHK-AIM-Group/MedVSR.

  • 5 authors
·
Sep 25, 2025

MPCViT: Searching for Accurate and Efficient MPC-Friendly Vision Transformer with Heterogeneous Attention

Secure multi-party computation (MPC) enables computation directly on encrypted data and protects both data and model privacy in deep learning inference. However, existing neural network architectures, including Vision Transformers (ViTs), are not designed or optimized for MPC and incur significant latency overhead. We observe Softmax accounts for the major latency bottleneck due to a high communication complexity, but can be selectively replaced or linearized without compromising the model accuracy. Hence, in this paper, we propose an MPC-friendly ViT, dubbed MPCViT, to enable accurate yet efficient ViT inference in MPC. Based on a systematic latency and accuracy evaluation of the Softmax attention and other attention variants, we propose a heterogeneous attention optimization space. We also develop a simple yet effective MPC-aware neural architecture search algorithm for fast Pareto optimization. To further boost the inference efficiency, we propose MPCViT+, to jointly optimize the Softmax attention and other network components, including GeLU, matrix multiplication, etc. With extensive experiments, we demonstrate that MPCViT achieves 1.9%, 1.3% and 3.6% higher accuracy with 6.2x, 2.9x and 1.9x latency reduction compared with baseline ViT, MPCFormer and THE-X on the Tiny-ImageNet dataset, respectively. MPCViT+ further achieves a better Pareto front compared with MPCViT. The code and models for evaluation are available at https://github.com/PKU-SEC-Lab/mpcvit.

  • 8 authors
·
Nov 25, 2022

3MDBench: Medical Multimodal Multi-agent Dialogue Benchmark

Large Vision-Language Models (LVLMs) are increasingly being explored for applications in telemedicine, yet their ability to engage with diverse patient behaviors remains underexplored. We introduce 3MDBench (Medical Multimodal Multi-agent Dialogue Benchmark), an open-source evaluation framework designed to assess LLM-driven medical consultations. Unlike existing benchmarks, 3MDBench simulates real-world patient variability by incorporating four temperament-driven Patient Agents and an Assessor Agent that evaluates diagnostic accuracy and dialogue quality. The benchmark integrates textual and image-based patient data across 34 common diagnoses, mirroring real-world telemedicine interactions. Under different diagnostic strategies, we evaluate state-of-the-art LVLMs. Our findings demonstrate that incorporating dialogue improves the F1 score from 50.4 to 54.2 compared to non-dialogue settings, underscoring the value of context-driven, information-seeking questioning. Additionally, we demonstrate that multimodal inputs enhance diagnostic efficiency. Image-supported models outperform text-only counterparts by raising the diagnostic F1 score from 52.8 to 54.2 in a similar dialogue setting. Finally, we suggest an approach that improves the diagnostic F1-score to 70.3 by training the CNN model on the diagnosis prediction task and incorporating its top-3 predictions into the LVLM context. 3MDBench provides a reproducible and extendable evaluation framework for AI-driven medical assistants. It offers insights into how patient temperament, dialogue strategies, and multimodal reasoning influence diagnosis quality. By addressing real-world complexities in telemedicine, our benchmark paves the way for more empathetic, reliable, and context-aware AI-driven healthcare solutions. The source code of our benchmark is publicly available: https://github.com/univanxx/3mdbench

  • 6 authors
·
Mar 26, 2025

OpenTSLM: Time-Series Language Models for Reasoning over Multivariate Medical Text- and Time-Series Data

LLMs have emerged as powerful tools for interpreting multimodal data. In medicine, they hold particular promise for synthesizing large volumes of clinical information into actionable insights and digital health applications. Yet, a major limitation remains their inability to handle time series. To overcome this gap, we present OpenTSLM, a family of Time Series Language Models (TSLMs) created by integrating time series as a native modality to pretrained LLMs, enabling reasoning over multiple time series of any length. We investigate two architectures for OpenTSLM. The first, OpenTSLM-SoftPrompt, models time series implicitly by concatenating learnable time series tokens with text tokens via soft prompting. Although parameter-efficient, we hypothesize that explicit time series modeling scales better and outperforms implicit approaches. We thus introduce OpenTSLM-Flamingo, which integrates time series with text via cross-attention. We benchmark both variants against baselines that treat time series as text tokens or plots, across a suite of text-time-series Chain-of-Thought (CoT) reasoning tasks. We introduce three datasets: HAR-CoT, Sleep-CoT, and ECG-QA-CoT. Across all, OpenTSLM models outperform baselines, reaching 69.9 F1 in sleep staging and 65.4 in HAR, compared to 9.05 and 52.2 for finetuned text-only models. Notably, even 1B-parameter OpenTSLM models surpass GPT-4o (15.47 and 2.95). OpenTSLM-Flamingo matches OpenTSLM-SoftPrompt in performance and outperforms on longer sequences, while maintaining stable memory requirements. By contrast, SoftPrompt grows exponentially in memory with sequence length, requiring around 110 GB compared to 40 GB VRAM when training on ECG-QA with LLaMA-3B. Expert reviews by clinicians find strong reasoning capabilities exhibited by OpenTSLMs on ECG-QA. To facilitate further research, we provide all code, datasets, and models open-source.

PitVQA: Image-grounded Text Embedding LLM for Visual Question Answering in Pituitary Surgery

Visual Question Answering (VQA) within the surgical domain, utilizing Large Language Models (LLMs), offers a distinct opportunity to improve intra-operative decision-making and facilitate intuitive surgeon-AI interaction. However, the development of LLMs for surgical VQA is hindered by the scarcity of diverse and extensive datasets with complex reasoning tasks. Moreover, contextual fusion of the image and text modalities remains an open research challenge due to the inherent differences between these two types of information and the complexity involved in aligning them. This paper introduces PitVQA, a novel dataset specifically designed for VQA in endonasal pituitary surgery and PitVQA-Net, an adaptation of the GPT2 with a novel image-grounded text embedding for surgical VQA. PitVQA comprises 25 procedural videos and a rich collection of question-answer pairs spanning crucial surgical aspects such as phase and step recognition, context understanding, tool detection and localization, and tool-tissue interactions. PitVQA-Net consists of a novel image-grounded text embedding that projects image and text features into a shared embedding space and GPT2 Backbone with an excitation block classification head to generate contextually relevant answers within the complex domain of endonasal pituitary surgery. Our image-grounded text embedding leverages joint embedding, cross-attention and contextual representation to understand the contextual relationship between questions and surgical images. We demonstrate the effectiveness of PitVQA-Net on both the PitVQA and the publicly available EndoVis18-VQA dataset, achieving improvements in balanced accuracy of 8% and 9% over the most recent baselines, respectively. Our code and dataset is available at https://github.com/mobarakol/PitVQA.

  • 9 authors
·
May 22, 2024

VARGPT: Unified Understanding and Generation in a Visual Autoregressive Multimodal Large Language Model

We present VARGPT, a novel multimodal large language model (MLLM) that unifies visual understanding and generation within a single autoregressive framework. VARGPT employs a next-token prediction paradigm for visual understanding and a next-scale prediction paradigm for visual autoregressive generation. VARGPT innovatively extends the LLaVA architecture, achieving efficient scale-wise autoregressive visual generation within MLLMs while seamlessly accommodating mixed-modal input and output within a single model framework. Our VARGPT undergoes a three-stage unified training process on specially curated datasets, comprising a pre-training phase and two mixed visual instruction-tuning phases. The unified training strategy are designed to achieve alignment between visual and textual features, enhance instruction following for both understanding and generation, and improve visual generation quality, respectively. Despite its LLAVA-based architecture for multimodel understanding, VARGPT significantly outperforms LLaVA-1.5 across various vision-centric benchmarks, such as visual question-answering and reasoning tasks. Notably, VARGPT naturally supports capabilities in autoregressive visual generation and instruction-to-image synthesis, showcasing its versatility in both visual understanding and generation tasks. Project page is at: https://vargpt-1.github.io/

  • 7 authors
·
Jan 21, 2025

SkinFlow: Efficient Information Transmission for Open Dermatological Diagnosis via Dynamic Visual Encoding and Staged RL

General-purpose Large Vision-Language Models (LVLMs), despite their massive scale, often falter in dermatology due to "diffuse attention" - the inability to disentangle subtle pathological lesions from background noise. In this paper, we challenge the assumption that parameter scaling is the only path to medical precision. We introduce SkinFlow, a framework that treats diagnosis as an optimization of visual information transmission efficiency. Our approach utilizes a Virtual-Width Dynamic Vision Encoder (DVE) to "unfold" complex pathological manifolds without physical parameter expansion, coupled with a two-stage Reinforcement Learning strategy. This strategy sequentially aligns explicit medical descriptions (Stage I) and reconstructs implicit diagnostic textures (Stage II) within a constrained semantic space. Furthermore, we propose a clinically grounded evaluation protocol that prioritizes diagnostic safety and hierarchical relevance over rigid label matching. Empirical results are compelling: our 7B model establishes a new state-of-the-art on the Fitzpatrick17k benchmark, achieving a +12.06% gain in Top-1 accuracy and a +28.57% boost in Top-6 accuracy over the massive general-purpose models (e.g., Qwen3VL-235B and GPT-5.2). These findings demonstrate that optimizing geometric capacity and information flow yields superior diagnostic reasoning compared to raw parameter scaling.

PET2Rep: Towards Vision-Language Model-Drived Automated Radiology Report Generation for Positron Emission Tomography

Positron emission tomography (PET) is a cornerstone of modern oncologic and neurologic imaging, distinguished by its unique ability to illuminate dynamic metabolic processes that transcend the anatomical focus of traditional imaging technologies. Radiology reports are essential for clinical decision making, yet their manual creation is labor-intensive and time-consuming. Recent advancements of vision-language models (VLMs) have shown strong potential in medical applications, presenting a promising avenue for automating report generation. However, existing applications of VLMs in the medical domain have predominantly focused on structural imaging modalities, while the unique characteristics of molecular PET imaging have largely been overlooked. To bridge the gap, we introduce PET2Rep, a large-scale comprehensive benchmark for evaluation of general and medical VLMs for radiology report generation for PET images. PET2Rep stands out as the first dedicated dataset for PET report generation with metabolic information, uniquely capturing whole-body image-report pairs that cover dozens of organs to fill the critical gap in existing benchmarks and mirror real-world clinical comprehensiveness. In addition to widely recognized natural language generation metrics, we introduce a series of clinical efficiency metrics to evaluate the quality of radiotracer uptake pattern description in key organs in generated reports. We conduct a head-to-head comparison of 30 cutting-edge general-purpose and medical-specialized VLMs. The results show that the current state-of-the-art VLMs perform poorly on PET report generation task, falling considerably short of fulfilling practical needs. Moreover, we identify several key insufficiency that need to be addressed to advance the development in medical applications.

  • 15 authors
·
Aug 5, 2025

NurViD: A Large Expert-Level Video Database for Nursing Procedure Activity Understanding

The application of deep learning to nursing procedure activity understanding has the potential to greatly enhance the quality and safety of nurse-patient interactions. By utilizing the technique, we can facilitate training and education, improve quality control, and enable operational compliance monitoring. However, the development of automatic recognition systems in this field is currently hindered by the scarcity of appropriately labeled datasets. The existing video datasets pose several limitations: 1) these datasets are small-scale in size to support comprehensive investigations of nursing activity; 2) they primarily focus on single procedures, lacking expert-level annotations for various nursing procedures and action steps; and 3) they lack temporally localized annotations, which prevents the effective localization of targeted actions within longer video sequences. To mitigate these limitations, we propose NurViD, a large video dataset with expert-level annotation for nursing procedure activity understanding. NurViD consists of over 1.5k videos totaling 144 hours, making it approximately four times longer than the existing largest nursing activity datasets. Notably, it encompasses 51 distinct nursing procedures and 177 action steps, providing a much more comprehensive coverage compared to existing datasets that primarily focus on limited procedures. To evaluate the efficacy of current deep learning methods on nursing activity understanding, we establish three benchmarks on NurViD: procedure recognition on untrimmed videos, procedure and action recognition on trimmed videos, and action detection. Our benchmark and code will be available at https://github.com/minghu0830/NurViD-benchmark.

  • 10 authors
·
Oct 20, 2023

Continuum: Efficient and Robust Multi-Turn LLM Agent Scheduling with KV Cache Time-to-Live

Agentic LLM applications interleave LLM generation requests with tool calls. These tool calls break the continuity of the workflow by creating pauses between LLM requests, bringing many challenges for the serving system, especially under multi-turn scenarios. Each pause potentially causes KV cache eviction and extra waiting time before entering the continuous batch for the following LLM request. Since these pauses happen for each call, this problem becomes increasingly severe as turn number grow for agentic programs. Previous works either fail to incorporate information from the tool call, evicting KV cache that leads to repetitive prefill or loading, or ignore the continuity of a multi-turn program, creating waiting time between turns that increases per-request latency. We present Continuum, a serving system to optimize job completion time for multi-turn agent workloads by combining tool-aware KV cache timeout with program-level scheduling. By predicting tool call durations in agentic workflows, Continuum selectively pins the KV cache in GPU memory with a time-to-live value based on total turn number. When combined with program-level first-come-first-serve, Continuum prevents scheduling bubbles, preserves multi-turn continuity, and optimizes for throughput for complex agentic workflows. By modeling the variability of tool call and agent program continuity, Continuum outperforms state-of-the-art baselines. Our evaluation on real-world agentic workloads (SWE-Bench and BFCL) with Llama-3.1 8B/70B models shows that Continuum significantly improves the average job completion times, and remains performant across different hardware setups and DRAM offloading schemes. Preview code is available at: https://github.com/Hanchenli/vllm-continuum

  • 9 authors
·
Nov 3, 2025

Vector-quantized Image Modeling with Improved VQGAN

Pretraining language models with next-token prediction on massive text corpora has delivered phenomenal zero-shot, few-shot, transfer learning and multi-tasking capabilities on both generative and discriminative language tasks. Motivated by this success, we explore a Vector-quantized Image Modeling (VIM) approach that involves pretraining a Transformer to predict rasterized image tokens autoregressively. The discrete image tokens are encoded from a learned Vision-Transformer-based VQGAN (ViT-VQGAN). We first propose multiple improvements over vanilla VQGAN from architecture to codebook learning, yielding better efficiency and reconstruction fidelity. The improved ViT-VQGAN further improves vector-quantized image modeling tasks, including unconditional, class-conditioned image generation and unsupervised representation learning. When trained on ImageNet at \(256\times256\) resolution, we achieve Inception Score (IS) of 175.1 and Fr'echet Inception Distance (FID) of 4.17, a dramatic improvement over the vanilla VQGAN, which obtains 70.6 and 17.04 for IS and FID, respectively. Based on ViT-VQGAN and unsupervised pretraining, we further evaluate the pretrained Transformer by averaging intermediate features, similar to Image GPT (iGPT). This ImageNet-pretrained VIM-L significantly beats iGPT-L on linear-probe accuracy from 60.3% to 73.2% for a similar model size. VIM-L also outperforms iGPT-XL which is trained with extra web image data and larger model size.

  • 10 authors
·
Oct 9, 2021

NVLM: Open Frontier-Class Multimodal LLMs

We introduce NVLM 1.0, a family of frontier-class multimodal large language models (LLMs) that achieve state-of-the-art results on vision-language tasks, rivaling the leading proprietary models (e.g., GPT-4o) and open-access models (e.g., Llama 3-V 405B and InternVL 2). Remarkably, NVLM 1.0 shows improved text-only performance over its LLM backbone after multimodal training. In terms of model design, we perform a comprehensive comparison between decoder-only multimodal LLMs (e.g., LLaVA) and cross-attention-based models (e.g., Flamingo). Based on the strengths and weaknesses of both approaches, we propose a novel architecture that enhances both training efficiency and multimodal reasoning capabilities. Furthermore, we introduce a 1-D tile-tagging design for tile-based dynamic high-resolution images, which significantly boosts performance on multimodal reasoning and OCR-related tasks. Regarding training data, we meticulously curate and provide detailed information on our multimodal pretraining and supervised fine-tuning datasets. Our findings indicate that dataset quality and task diversity are more important than scale, even during the pretraining phase, across all architectures. Notably, we develop production-grade multimodality for the NVLM-1.0 models, enabling them to excel in vision-language tasks while maintaining and even improving text-only performance compared to their LLM backbones. To achieve this, we craft and integrate a high-quality text-only dataset into multimodal training, alongside a substantial amount of multimodal math and reasoning data, leading to enhanced math and coding capabilities across modalities. To advance research in the field, we are releasing the model weights and will open-source the code for the community: https://nvlm-project.github.io/.

  • 10 authors
·
Sep 17, 2024 2

Unleashing Vecset Diffusion Model for Fast Shape Generation

3D shape generation has greatly flourished through the development of so-called "native" 3D diffusion, particularly through the Vecset Diffusion Model (VDM). While recent advancements have shown promising results in generating high-resolution 3D shapes, VDM still struggles with high-speed generation. Challenges exist because of difficulties not only in accelerating diffusion sampling but also VAE decoding in VDM, areas under-explored in previous works. To address these challenges, we present FlashVDM, a systematic framework for accelerating both VAE and DiT in VDM. For DiT, FlashVDM enables flexible diffusion sampling with as few as 5 inference steps and comparable quality, which is made possible by stabilizing consistency distillation with our newly introduced Progressive Flow Distillation. For VAE, we introduce a lightning vecset decoder equipped with Adaptive KV Selection, Hierarchical Volume Decoding, and Efficient Network Design. By exploiting the locality of the vecset and the sparsity of shape surface in the volume, our decoder drastically lowers FLOPs, minimizing the overall decoding overhead. We apply FlashVDM to Hunyuan3D-2 to obtain Hunyuan3D-2 Turbo. Through systematic evaluation, we show that our model significantly outperforms existing fast 3D generation methods, achieving comparable performance to the state-of-the-art while reducing inference time by over 45x for reconstruction and 32x for generation. Code and models are available at https://github.com/Tencent/FlashVDM.

  • 13 authors
·
Mar 20, 2025 4

From Generalist to Specialist: Adapting Vision Language Models via Task-Specific Visual Instruction Tuning

Large vision language models (VLMs) combine large language models with vision encoders, demonstrating promise across various tasks. However, they often underperform in task-specific applications due to domain gaps between pre-training and fine-tuning. We introduce VITask, a novel framework that enhances task-specific adaptability of VLMs by integrating task-specific models (TSMs). VITask employs three key strategies: exemplar prompting (EP), response distribution alignment (RDA), and contrastive response tuning (CRT) to improve the task-specific performance of VLMs by adjusting their response distributions. EP allows TSM features to guide VLMs, while RDA enables VLMs to adapt without TSMs during inference by learning from exemplar-prompted models. CRT further optimizes the ranking of correct image-response pairs, thereby reducing the risk of generating undesired responses. Experiments on 12 medical diagnosis datasets across 9 imaging modalities show that VITask outperforms both vanilla instruction-tuned VLMs and TSMs, showcasing its ability to integrate complementary features from both models effectively. Additionally, VITask offers practical advantages such as flexible TSM integration and robustness to incomplete instructions, making it a versatile and efficient solution for task-specific VLM tuning. Our code are available at https://github.com/baiyang4/VITask.

  • 6 authors
·
Oct 8, 2024 2

Can open source large language models be used for tumor documentation in Germany? -- An evaluation on urological doctors' notes

Tumor documentation in Germany is largely done manually, requiring reading patient records and entering data into structured databases. Large language models (LLMs) could potentially enhance this process by improving efficiency and reliability. This evaluation tests eleven different open source LLMs with sizes ranging from 1-70 billion model parameters on three basic tasks of the tumor documentation process: identifying tumor diagnoses, assigning ICD-10 codes, and extracting the date of first diagnosis. For evaluating the LLMs on these tasks, a dataset of annotated text snippets based on anonymized doctors' notes from urology was prepared. Different prompting strategies were used to investigate the effect of the number of examples in few-shot prompting and to explore the capabilities of the LLMs in general. The models Llama 3.1 8B, Mistral 7B, and Mistral NeMo 12 B performed comparably well in the tasks. Models with less extensive training data or having fewer than 7 billion parameters showed notably lower performance, while larger models did not display performance gains. Examples from a different medical domain than urology could also improve the outcome in few-shot prompting, which demonstrates the ability of LLMs to handle tasks needed for tumor documentation. Open source LLMs show a strong potential for automating tumor documentation. Models from 7-12 billion parameters could offer an optimal balance between performance and resource efficiency. With tailored fine-tuning and well-designed prompting, these models might become important tools for clinical documentation in the future. The code for the evaluation is available from https://github.com/stefan-m-lenz/UroLlmEval. We also release the dataset as a new valuable resource that addresses the shortage of authentic and easily accessible benchmarks in German-language medical NLP.

  • 4 authors
·
Jan 21, 2025 1

DH-VTON: Deep Text-Driven Virtual Try-On via Hybrid Attention Learning

Virtual Try-ON (VTON) aims to synthesis specific person images dressed in given garments, which recently receives numerous attention in online shopping scenarios. Currently, the core challenges of the VTON task mainly lie in the fine-grained semantic extraction (i.e.,deep semantics) of the given reference garments during depth estimation and effective texture preservation when the garments are synthesized and warped onto human body. To cope with these issues, we propose DH-VTON, a deep text-driven virtual try-on model featuring a special hybrid attention learning strategy and deep garment semantic preservation module. By standing on the shoulder of a well-built pre-trained paint-by-example (abbr. PBE) approach, we present our DH-VTON pipeline in this work. Specifically, to extract the deep semantics of the garments, we first introduce InternViT-6B as fine-grained feature learner, which can be trained to align with the large-scale intrinsic knowledge with deep text semantics (e.g.,"neckline" or "girdle") to make up for the deficiency of the commonly adopted CLIP encoder. Based on this, to enhance the customized dressing abilities, we further introduce Garment-Feature ControlNet Plus (abbr. GFC+) module and propose to leverage a fresh hybrid attention strategy for training, which can adaptively integrate fine-grained characteristics of the garments into the different layers of the VTON model, so as to achieve multi-scale features preservation effects. Extensive experiments on several representative datasets demonstrate that our method outperforms previous diffusion-based and GAN-based approaches, showing competitive performance in preserving garment details and generating authentic human images.

  • 2 authors
·
Oct 16, 2024

VCMamba: Bridging Convolutions with Multi-Directional Mamba for Efficient Visual Representation

Recent advances in Vision Transformers (ViTs) and State Space Models (SSMs) have challenged the dominance of Convolutional Neural Networks (CNNs) in computer vision. ViTs excel at capturing global context, and SSMs like Mamba offer linear complexity for long sequences, yet they do not capture fine-grained local features as effectively as CNNs. Conversely, CNNs possess strong inductive biases for local features but lack the global reasoning capabilities of transformers and Mamba. To bridge this gap, we introduce VCMamba, a novel vision backbone that integrates the strengths of CNNs and multi-directional Mamba SSMs. VCMamba employs a convolutional stem and a hierarchical structure with convolutional blocks in its early stages to extract rich local features. These convolutional blocks are then processed by later stages incorporating multi-directional Mamba blocks designed to efficiently model long-range dependencies and global context. This hybrid design allows for superior feature representation while maintaining linear complexity with respect to image resolution. We demonstrate VCMamba's effectiveness through extensive experiments on ImageNet-1K classification and ADE20K semantic segmentation. Our VCMamba-B achieves 82.6% top-1 accuracy on ImageNet-1K, surpassing PlainMamba-L3 by 0.3% with 37% fewer parameters, and outperforming Vision GNN-B by 0.3% with 64% fewer parameters. Furthermore, VCMamba-B obtains 47.1 mIoU on ADE20K, exceeding EfficientFormer-L7 by 2.0 mIoU while utilizing 62% fewer parameters. Code is available at https://github.com/Wertyuui345/VCMamba.

  • 3 authors
·
Sep 4, 2025

MedBench v4: A Robust and Scalable Benchmark for Evaluating Chinese Medical Language Models, Multimodal Models, and Intelligent Agents

Recent advances in medical large language models (LLMs), multimodal models, and agents demand evaluation frameworks that reflect real clinical workflows and safety constraints. We present MedBench v4, a nationwide, cloud-based benchmarking infrastructure comprising over 700,000 expert-curated tasks spanning 24 primary and 91 secondary specialties, with dedicated tracks for LLMs, multimodal models, and agents. Items undergo multi-stage refinement and multi-round review by clinicians from more than 500 institutions, and open-ended responses are scored by an LLM-as-a-judge calibrated to human ratings. We evaluate 15 frontier models. Base LLMs reach a mean overall score of 54.1/100 (best: Claude Sonnet 4.5, 62.5/100), but safety and ethics remain low (18.4/100). Multimodal models perform worse overall (mean 47.5/100; best: GPT-5, 54.9/100), with solid perception yet weaker cross-modal reasoning. Agents built on the same backbones substantially improve end-to-end performance (mean 79.8/100), with Claude Sonnet 4.5-based agents achieving up to 85.3/100 overall and 88.9/100 on safety tasks. MedBench v4 thus reveals persisting gaps in multimodal reasoning and safety for base models, while showing that governance-aware agentic orchestration can markedly enhance benchmarked clinical readiness without sacrificing capability. By aligning tasks with Chinese clinical guidelines and regulatory priorities, the platform offers a practical reference for hospitals, developers, and policymakers auditing medical AI.

  • 18 authors
·
Nov 18, 2025

Visual Programming for Text-to-Image Generation and Evaluation

As large language models have demonstrated impressive performance in many domains, recent works have adopted language models (LMs) as controllers of visual modules for vision-and-language tasks. While existing work focuses on equipping LMs with visual understanding, we propose two novel interpretable/explainable visual programming frameworks for text-to-image (T2I) generation and evaluation. First, we introduce VPGen, an interpretable step-by-step T2I generation framework that decomposes T2I generation into three steps: object/count generation, layout generation, and image generation. We employ an LM to handle the first two steps (object/count generation and layout generation), by finetuning it on text-layout pairs. Our step-by-step T2I generation framework provides stronger spatial control than end-to-end models, the dominant approach for this task. Furthermore, we leverage the world knowledge of pretrained LMs, overcoming the limitation of previous layout-guided T2I works that can only handle predefined object classes. We demonstrate that our VPGen has improved control in counts/spatial relations/scales of objects than state-of-the-art T2I generation models. Second, we introduce VPEval, an interpretable and explainable evaluation framework for T2I generation based on visual programming. Unlike previous T2I evaluations with a single scoring model that is accurate in some skills but unreliable in others, VPEval produces evaluation programs that invoke a set of visual modules that are experts in different skills, and also provides visual+textual explanations of the evaluation results. Our analysis shows VPEval provides a more human-correlated evaluation for skill-specific and open-ended prompts than widely used single model-based evaluation. We hope our work encourages future progress on interpretable/explainable generation and evaluation for T2I models. Website: https://vp-t2i.github.io

  • 3 authors
·
May 24, 2023

VLM2Vec: Training Vision-Language Models for Massive Multimodal Embedding Tasks

Embedding models have been crucial in enabling various downstream tasks such as semantic similarity, information retrieval, and clustering. Recently, there has been a surge of interest in developing universal text embedding models that can generalize across tasks (e.g., MTEB). However, progress in learning universal multimodal embedding models has been relatively slow despite their importance. In this work, we aim to explore the potential for building universal embeddings capable of handling a wide range of downstream tasks. Our contributions are twofold: (1) MMEB (Massive Multimodal Embedding Benchmark), which covers 4 meta-tasks (i.e. classification, visual question answering, multimodal retrieval, and visual grounding) and 36 datasets, including 20 training and 16 evaluation datasets, and (2) VLM2Vec (Vision-Language Model -> Vector), a contrastive training framework that converts any state-of-the-art vision-language model into an embedding model via training on MMEB. Unlike previous models such as CLIP and BLIP, VLM2Vec can process any combination of images and text to generate a fixed-dimensional vector based on task instructions. We build a series of VLM2Vec models on Phi-3.5-V and evaluate them on MMEB's evaluation split. Our results show that \model achieves an absolute average improvement of 10% to 20% over existing multimodal embedding models on both in-distribution and out-of-distribution datasets in MMEB.

  • 6 authors
·
Oct 7, 2024 2

DataComp: In search of the next generation of multimodal datasets

Large multimodal datasets have been instrumental in recent breakthroughs such as CLIP, Stable Diffusion, and GPT-4. At the same time, datasets rarely receive the same research attention as model architectures or training algorithms. To address this shortcoming in the machine learning ecosystem, we introduce DataComp, a benchmark where the training code is fixed and researchers innovate by proposing new training sets. We provide a testbed for dataset experiments centered around a new candidate pool of 12.8B image-text pairs from Common Crawl. Participants in our benchmark design new filtering techniques or curate new data sources and then evaluate their new dataset by running our standardized CLIP training code and testing on 38 downstream test sets. Our benchmark consists of multiple scales, with four candidate pool sizes and associated compute budgets ranging from 12.8M to 12.8B samples seen during training. This multi-scale design facilitates the study of scaling trends and makes the benchmark accessible to researchers with varying resources. Our baseline experiments show that the DataComp workflow is a promising way of improving multimodal datasets. We introduce DataComp-1B, a dataset created by applying a simple filtering algorithm to the 12.8B candidate pool. The resulting 1.4B subset enables training a CLIP ViT-L/14 from scratch to 79.2% zero-shot accuracy on ImageNet. Our new ViT-L/14 model outperforms a larger ViT-g/14 trained on LAION-2B by 0.7 percentage points while requiring 9x less training compute. We also outperform OpenAI's CLIP ViT-L/14 by 3.7 percentage points, which is trained with the same compute budget as our model. These gains highlight the potential for improving model performance by carefully curating training sets. We view DataComp-1B as only the first step and hope that DataComp paves the way toward the next generation of multimodal datasets.

  • 34 authors
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Apr 27, 2023