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Jul 13

Advancing Tabular Stroke Modelling Through a Novel Hybrid Architecture and Feature-Selection Synergy

Brain stroke remains one of the principal causes of death and disability worldwide, yet most tabular-data prediction models still hover below the 95% accuracy threshold, limiting real-world utility. Addressing this gap, the present work develops and validates a completely data-driven and interpretable machine-learning framework designed to predict strokes using ten routinely gathered demographic, lifestyle, and clinical variables sourced from a public cohort of 4,981 records. We employ a detailed exploratory data analysis (EDA) to understand the dataset's structure and distribution, followed by rigorous data preprocessing, including handling missing values, outlier removal, and class imbalance correction using Synthetic Minority Over-sampling Technique (SMOTE). To streamline feature selection, point-biserial correlation and random-forest Gini importance were utilized, and ten varied algorithms-encompassing tree ensembles, boosting, kernel methods, and a multilayer neural network-were optimized using stratified five-fold cross-validation. Their predictions based on probabilities helped us build the proposed model, which included Random Forest, XGBoost, LightGBM, and a support-vector classifier, with logistic regression acting as a meta-learner. The proposed model achieved an accuracy rate of 97.2% and an F1-score of 97.15%, indicating a significant enhancement compared to the leading individual model, LightGBM, which had an accuracy of 91.4%. Our study's findings indicate that rigorous preprocessing, coupled with a diverse hybrid model, can convert low-cost tabular data into a nearly clinical-grade stroke-risk assessment tool.

  • 3 authors
·
May 18, 2025

LightM-UNet: Mamba Assists in Lightweight UNet for Medical Image Segmentation

UNet and its variants have been widely used in medical image segmentation. However, these models, especially those based on Transformer architectures, pose challenges due to their large number of parameters and computational loads, making them unsuitable for mobile health applications. Recently, State Space Models (SSMs), exemplified by Mamba, have emerged as competitive alternatives to CNN and Transformer architectures. Building upon this, we employ Mamba as a lightweight substitute for CNN and Transformer within UNet, aiming at tackling challenges stemming from computational resource limitations in real medical settings. To this end, we introduce the Lightweight Mamba UNet (LightM-UNet) that integrates Mamba and UNet in a lightweight framework. Specifically, LightM-UNet leverages the Residual Vision Mamba Layer in a pure Mamba fashion to extract deep semantic features and model long-range spatial dependencies, with linear computational complexity. Extensive experiments conducted on two real-world 2D/3D datasets demonstrate that LightM-UNet surpasses existing state-of-the-art literature. Notably, when compared to the renowned nnU-Net, LightM-UNet achieves superior segmentation performance while drastically reducing parameter and computation costs by 116x and 21x, respectively. This highlights the potential of Mamba in facilitating model lightweighting. Our code implementation is publicly available at https://github.com/MrBlankness/LightM-UNet.

  • 6 authors
·
Mar 8, 2024

Stage Light is Sequence^2: Multi-Light Control via Imitation Learning

Music-inspired Automatic Stage Lighting Control (ASLC) has gained increasing attention in recent years due to the substantial time and financial costs associated with hiring and training professional lighting engineers. However, existing methods suffer from several notable limitations: the low interpretability of rule-based approaches, the restriction to single-primary-light control in music-to-color-space methods, and the limited transferability of music-to-controlling-parameter frameworks. To address these gaps, we propose SeqLight, a hierarchical deep learning framework that maps music to multi-light Hue-Saturation-Value (HSV) space. Our approach first customizes SkipBART, an end-to-end single primary light generation model, to predict the full light color distribution for each frame, followed by hybrid Imitation Learning (IL) techniques to derive an effective decomposition strategy that distributes the global color distribution among individual lights. Notably, the light decomposition module can be trained under varying venue-specific lighting configurations using only mixed light data and no professional demonstrations, thereby flexibly adapting across diverse venues. In this stage, we formulate the light decomposition task as a Goal-Conditioned Markov Decision Process (GCMDP), construct an expert demonstration set inspired by Hindsight Experience Replay (HER), and introduce a three-phase IL training pipeline, achieving strong generalization capability. To validate our IL solution for the proposed GCMDP, we conduct a series of quantitative analysis and human study. The code and trained models are provided at https://github.com/RS2002/SeqLight .

  • 4 authors
·
May 4

LL-Gaussian: Low-Light Scene Reconstruction and Enhancement via Gaussian Splatting for Novel View Synthesis

Novel view synthesis (NVS) in low-light scenes remains a significant challenge due to degraded inputs characterized by severe noise, low dynamic range (LDR) and unreliable initialization. While recent NeRF-based approaches have shown promising results, most suffer from high computational costs, and some rely on carefully captured or pre-processed data--such as RAW sensor inputs or multi-exposure sequences--which severely limits their practicality. In contrast, 3D Gaussian Splatting (3DGS) enables real-time rendering with competitive visual fidelity; however, existing 3DGS-based methods struggle with low-light sRGB inputs, resulting in unstable Gaussian initialization and ineffective noise suppression. To address these challenges, we propose LL-Gaussian, a novel framework for 3D reconstruction and enhancement from low-light sRGB images, enabling pseudo normal-light novel view synthesis. Our method introduces three key innovations: 1) an end-to-end Low-Light Gaussian Initialization Module (LLGIM) that leverages dense priors from learning-based MVS approach to generate high-quality initial point clouds; 2) a dual-branch Gaussian decomposition model that disentangles intrinsic scene properties (reflectance and illumination) from transient interference, enabling stable and interpretable optimization; 3) an unsupervised optimization strategy guided by both physical constrains and diffusion prior to jointly steer decomposition and enhancement. Additionally, we contribute a challenging dataset collected in extreme low-light environments and demonstrate the effectiveness of LL-Gaussian. Compared to state-of-the-art NeRF-based methods, LL-Gaussian achieves up to 2,000 times faster inference and reduces training time to just 2%, while delivering superior reconstruction and rendering quality.

  • 5 authors
·
Apr 18, 2025

T-MAC: CPU Renaissance via Table Lookup for Low-Bit LLM Deployment on Edge

The deployment of Large Language Models (LLMs) on edge devices is increasingly important to enhance on-device intelligence. Weight quantization is crucial for reducing the memory footprint of LLMs on devices. However, low-bit LLMs necessitate mixed precision matrix multiplication (mpGEMM) of low precision weights and high precision activations during inference. Existing systems, lacking native support for mpGEMM, resort to dequantize weights for high precision computation. Such an indirect way can lead to a significant inference overhead. In this paper, we introduce T-MAC, an innovative lookup table(LUT)-based method designed for efficient low-bit LLM (i.e., weight-quantized LLM) inference on CPUs. T-MAC directly supports mpGEMM without dequantization, while simultaneously eliminating multiplications and reducing additions required. Specifically, T-MAC transforms the traditional data-type-centric multiplication to bit-wise table lookup, and enables a unified and scalable mpGEMM solution. Our LUT-based kernels scale linearly to the weight bit-width. Evaluated on low-bit Llama and BitNet models, T-MAC demonstrates up to 4x increase in throughput and 70% reduction in energy consumption compared to llama.cpp. For BitNet-b1.58-3B, T-MAC delivers a token generation throughput of 30 tokens/s with a single core and 71 tokens/s with eight cores on M2-Ultra, and 11 tokens/s on lower-end devices like Raspberry Pi 5, which significantly exceeds the adult average reading speed. T-MAC with LUT-based computing paradigm, paves the way for the practical deployment of low-bit LLMs on resource-constrained edge devices without compromising computational efficiency. The system is open-sourced at https://github.com/microsoft/T-MAC.

  • 7 authors
·
Jun 25, 2024 1

A Wearable Device Dataset for Mental Health Assessment Using Laser Doppler Flowmetry and Fluorescence Spectroscopy Sensors

In this study, we introduce a novel method to predict mental health by building machine learning models for a non-invasive wearable device equipped with Laser Doppler Flowmetry (LDF) and Fluorescence Spectroscopy (FS) sensors. Besides, we present the corresponding dataset to predict mental health, e.g. depression, anxiety, and stress levels via the DAS-21 questionnaire. To our best knowledge, this is the world's largest and the most generalized dataset ever collected for both LDF and FS studies. The device captures cutaneous blood microcirculation parameters, and wavelet analysis of the LDF signal extracts key rhythmic oscillations. The dataset, collected from 132 volunteers aged 18-94 from 19 countries, explores relationships between physiological features, demographics, lifestyle habits, and health conditions. We employed a variety of machine learning methods to classify stress detection, in which LightGBM is identified as the most effective model for stress detection, achieving a ROC AUC of 0.7168 and a PR AUC of 0.8852. In addition, we also incorporated Explainable Artificial Intelligence (XAI) techniques into our analysis to investigate deeper insights into the model's predictions. Our results suggest that females, younger individuals and those with a higher Body Mass Index (BMI) or heart rate have a greater likelihood of experiencing mental health conditions like stress and anxiety. All related code and data are published online: https://github.com/leduckhai/Wearable_LDF-FS.

  • 10 authors
·
Feb 2, 2025

Reducing Annotation Burden in Physical Activity Research Using Vision-Language Models

Introduction: Data from wearable devices collected in free-living settings, and labelled with physical activity behaviours compatible with health research, are essential for both validating existing wearable-based measurement approaches and developing novel machine learning approaches. One common way of obtaining these labels relies on laborious annotation of sequences of images captured by cameras worn by participants through the course of a day. Methods: We compare the performance of three vision language models and two discriminative models on two free-living validation studies with 161 and 111 participants, collected in Oxfordshire, United Kingdom and Sichuan, China, respectively, using the Autographer (OMG Life, defunct) wearable camera. Results: We found that the best open-source vision-language model (VLM) and fine-tuned discriminative model (DM) achieved comparable performance when predicting sedentary behaviour from single images on unseen participants in the Oxfordshire study; median F1-scores: VLM = 0.89 (0.84, 0.92), DM = 0.91 (0.86, 0.95). Performance declined for light (VLM = 0.60 (0.56,0.67), DM = 0.70 (0.63, 0.79)), and moderate-to-vigorous intensity physical activity (VLM = 0.66 (0.53, 0.85); DM = 0.72 (0.58, 0.84)). When applied to the external Sichuan study, performance fell across all intensity categories, with median Cohen's kappa-scores falling from 0.54 (0.49, 0.64) to 0.26 (0.15, 0.37) for the VLM, and from 0.67 (0.60, 0.74) to 0.19 (0.10, 0.30) for the DM. Conclusion: Freely available computer vision models could help annotate sedentary behaviour, typically the most prevalent activity of daily living, from wearable camera images within similar populations to seen data, reducing the annotation burden.

  • 5 authors
·
May 5, 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

Light Schrödinger Bridge

Despite the recent advances in the field of computational Schr\"odinger Bridges (SB), most existing SB solvers are still heavy-weighted and require complex optimization of several neural networks. It turns out that there is no principal solver which plays the role of simple-yet-effective baseline for SB just like, e.g., k-means method in clustering, logistic regression in classification or Sinkhorn algorithm in discrete optimal transport. We address this issue and propose a novel fast and simple SB solver. Our development is a smart combination of two ideas which recently appeared in the field: (a) parameterization of the Schr\"odinger potentials with sum-exp quadratic functions and (b) viewing the log-Schr\"odinger potentials as the energy functions. We show that combined together these ideas yield a lightweight, simulation-free and theoretically justified SB solver with a simple straightforward optimization objective. As a result, it allows solving SB in moderate dimensions in a matter of minutes on CPU without a painful hyperparameter selection. Our light solver resembles the Gaussian mixture model which is widely used for density estimation. Inspired by this similarity, we also prove an important theoretical result showing that our light solver is a universal approximator of SBs. Furthemore, we conduct the analysis of the generalization error of our light solver. The code for our solver can be found at https://github.com/ngushchin/LightSB

  • 3 authors
·
Oct 2, 2023

Lightweight LLM Agent Memory with Small Language Models

Although LLM agents can leverage tools for complex tasks, they still need memory to maintain cross-turn consistency and accumulate reusable information in long-horizon interactions. However, retrieval-based external memory systems incur low online overhead but suffer from unstable accuracy due to limited query construction and candidate filtering. In contrast, many systems use repeated large-model calls for online memory operations, improving accuracy but accumulating latency over long interactions. We propose LightMem, a lightweight memory system for better agent memory driven by Small Language Models (SLMs). LightMem modularizes memory retrieval, writing, and long-term consolidation, and separates online processing from offline consolidation to enable efficient memory invocation under bounded compute. We organize memory into short-term memory (STM) for immediate conversational context, mid-term memory (MTM) for reusable interaction summaries, and long-term memory (LTM) for consolidated knowledge, and uses user identifiers to support independent retrieval and incremental maintenance in multi-user settings. Online, LightMem operates under a fixed retrieval budget and selects memories via a two-stage procedure: vector-based coarse retrieval followed by semantic consistency re-ranking. Offline, it abstracts reusable interaction evidence and incrementally integrates it into LTM. Experiments show consistent gains across model scales, with an average F1 improvement of about 2.5 over A-MEM on LoCoMo, while achieving higher efficiency and low median latency (83 ms for retrieval and 581 ms end-to-end).

  • 12 authors
·
Apr 21

GBT-SAM: Adapting a Foundational Deep Learning Model for Generalizable Brain Tumor Segmentation via Efficient Integration of Multi-Parametric MRI Data

Gliomas are aggressive brain tumors that require accurate imaging-based diagnosis, with segmentation playing a critical role in evaluating morphology and treatment decisions. Manual delineation of gliomas is time-consuming and prone to variability, motivating the use of deep learning to improve consistency and alleviate clinical workload. However, existing methods often fail to fully exploit the information available in multi-parametric MRI (mp-MRI), particularly inter-slice contextual features, and typically require considerable computational resources while lacking robustness across tumor type variations. We present GBT-SAM, a parameter-efficient deep learning framework that adapts the Segment Anything Model (SAM), a large-scale vision model, to volumetric mp-MRI data. GBT-SAM reduces input complexity by selecting fewer than 2.6\% of slices per scan while incorporating all four MRI modalities, preserving essential tumor-related information with minimal cost. Furthermore, our model is trained by a two-step fine-tuning strategy that incorporates a depth-aware module to capture inter-slice correlations and lightweight adaptation layers, resulting in just 6.5M trainable parameters, which is the lowest among SAM-based approaches. GBT-SAM achieves a Dice Score of 93.54 on the BraTS Adult Glioma dataset and demonstrates robust performance on Meningioma, Pediatric Glioma, and Sub-Saharan Glioma datasets. These results highlight GBT-SAM's potential as a computationally efficient and domain-robust framework for brain tumor segmentation using mp-MRI. Our code and models are available at https://github.com/vpulab/med-sam-brain .

  • 5 authors
·
Mar 6, 2025

LMOD: A Large Multimodal Ophthalmology Dataset and Benchmark for Large Vision-Language Models

The prevalence of vision-threatening eye diseases is a significant global burden, with many cases remaining undiagnosed or diagnosed too late for effective treatment. Large vision-language models (LVLMs) have the potential to assist in understanding anatomical information, diagnosing eye diseases, and drafting interpretations and follow-up plans, thereby reducing the burden on clinicians and improving access to eye care. However, limited benchmarks are available to assess LVLMs' performance in ophthalmology-specific applications. In this study, we introduce LMOD, a large-scale multimodal ophthalmology benchmark consisting of 21,993 instances across (1) five ophthalmic imaging modalities: optical coherence tomography, color fundus photographs, scanning laser ophthalmoscopy, lens photographs, and surgical scenes; (2) free-text, demographic, and disease biomarker information; and (3) primary ophthalmology-specific applications such as anatomical information understanding, disease diagnosis, and subgroup analysis. In addition, we benchmarked 13 state-of-the-art LVLM representatives from closed-source, open-source, and medical domains. The results demonstrate a significant performance drop for LVLMs in ophthalmology compared to other domains. Systematic error analysis further identified six major failure modes: misclassification, failure to abstain, inconsistent reasoning, hallucination, assertions without justification, and lack of domain-specific knowledge. In contrast, supervised neural networks specifically trained on these tasks as baselines demonstrated high accuracy. These findings underscore the pressing need for benchmarks in the development and validation of ophthalmology-specific LVLMs.

  • 9 authors
·
Oct 2, 2024

Harnessing Lightweight Transformer with Contextual Synergic Enhancement for Efficient 3D Medical Image Segmentation

Transformers have shown remarkable performance in 3D medical image segmentation, but their high computational requirements and need for large amounts of labeled data limit their applicability. To address these challenges, we consider two crucial aspects: model efficiency and data efficiency. Specifically, we propose Light-UNETR, a lightweight transformer designed to achieve model efficiency. Light-UNETR features a Lightweight Dimension Reductive Attention (LIDR) module, which reduces spatial and channel dimensions while capturing both global and local features via multi-branch attention. Additionally, we introduce a Compact Gated Linear Unit (CGLU) to selectively control channel interaction with minimal parameters. Furthermore, we introduce a Contextual Synergic Enhancement (CSE) learning strategy, which aims to boost the data efficiency of Transformers. It first leverages the extrinsic contextual information to support the learning of unlabeled data with Attention-Guided Replacement, then applies Spatial Masking Consistency that utilizes intrinsic contextual information to enhance the spatial context reasoning for unlabeled data. Extensive experiments on various benchmarks demonstrate the superiority of our approach in both performance and efficiency. For example, with only 10% labeled data on the Left Atrial Segmentation dataset, our method surpasses BCP by 1.43% Jaccard while drastically reducing the FLOPs by 90.8% and parameters by 85.8%. Code is released at https://github.com/CUHK-AIM-Group/Light-UNETR.

  • 5 authors
·
Mar 24

GI-GS: Global Illumination Decomposition on Gaussian Splatting for Inverse Rendering

We present GI-GS, a novel inverse rendering framework that leverages 3D Gaussian Splatting (3DGS) and deferred shading to achieve photo-realistic novel view synthesis and relighting. In inverse rendering, accurately modeling the shading processes of objects is essential for achieving high-fidelity results. Therefore, it is critical to incorporate global illumination to account for indirect lighting that reaches an object after multiple bounces across the scene. Previous 3DGS-based methods have attempted to model indirect lighting by characterizing indirect illumination as learnable lighting volumes or additional attributes of each Gaussian, while using baked occlusion to represent shadow effects. These methods, however, fail to accurately model the complex physical interactions between light and objects, making it impossible to construct realistic indirect illumination during relighting. To address this limitation, we propose to calculate indirect lighting using efficient path tracing with deferred shading. In our framework, we first render a G-buffer to capture the detailed geometry and material properties of the scene. Then, we perform physically-based rendering (PBR) only for direct lighting. With the G-buffer and previous rendering results, the indirect lighting can be calculated through a lightweight path tracing. Our method effectively models indirect lighting under any given lighting conditions, thereby achieving better novel view synthesis and relighting. Quantitative and qualitative results show that our GI-GS outperforms existing baselines in both rendering quality and efficiency.

  • 3 authors
·
Oct 3, 2024

Light-T2M: A Lightweight and Fast Model for Text-to-motion Generation

Despite the significant role text-to-motion (T2M) generation plays across various applications, current methods involve a large number of parameters and suffer from slow inference speeds, leading to high usage costs. To address this, we aim to design a lightweight model to reduce usage costs. First, unlike existing works that focus solely on global information modeling, we recognize the importance of local information modeling in the T2M task by reconsidering the intrinsic properties of human motion, leading us to propose a lightweight Local Information Modeling Module. Second, we introduce Mamba to the T2M task, reducing the number of parameters and GPU memory demands, and we have designed a novel Pseudo-bidirectional Scan to replicate the effects of a bidirectional scan without increasing parameter count. Moreover, we propose a novel Adaptive Textual Information Injector that more effectively integrates textual information into the motion during generation. By integrating the aforementioned designs, we propose a lightweight and fast model named Light-T2M. Compared to the state-of-the-art method, MoMask, our Light-T2M model features just 10\% of the parameters (4.48M vs 44.85M) and achieves a 16\% faster inference time (0.152s vs 0.180s), while surpassing MoMask with an FID of 0.040 (vs. 0.045) on HumanML3D dataset and 0.161 (vs. 0.228) on KIT-ML dataset. The code is available at https://github.com/qinghuannn/light-t2m.

  • 4 authors
·
Dec 14, 2024

NeuroVLM-Bench: Evaluation of Vision-Enabled Large Language Models for Clinical Reasoning in Neurological Disorders

Recent advances in multimodal large language models enable new possibilities for image-based decision support. However, their reliability and operational trade-offs in neuroimaging remain insufficiently understood. We present a comprehensive benchmarking study of vision-enabled large language models for 2D neuroimaging using curated MRI and CT datasets covering multiple sclerosis, stroke, brain tumors, other abnormalities, and normal controls. Models are required to generate multiple outputs simultaneously, including diagnosis, diagnosis subtype, imaging modality, specialized sequence, and anatomical plane. Performance is evaluated across four directions: discriminative classification with abstention, calibration, structured-output validity, and computational efficiency. A multi-phase framework ensures fair comparison while controlling for selection bias. Across twenty frontier multimodal models, the results show that technical imaging attributes such as modality and plane are nearly solved, whereas diagnostic reasoning, especially subtype prediction, remains challenging. Tumor classification emerges as the most reliable task, stroke is moderately solvable, while multiple sclerosis and rare abnormalities remain difficult. Few-shot prompting improves performance for several models but increases token usage, latency, and cost. Gemini-2.5-Pro and GPT-5-Chat achieve the strongest overall diagnostic performance, while Gemini-2.5-Flash offers the best efficiency-performance trade-off. Among open-weight architectures, MedGemma-1.5-4B demonstrates the most promising results, as under few-shot prompting, it approaches the zero-shot performance of several proprietary models, while maintaining perfect structured output. These findings provide practical insights into performance, reliability, and efficiency trade-offs, supporting standardized evaluation of multimodal LLMs in neuroimaging.

  • 8 authors
·
Mar 24

LightGaussian: Unbounded 3D Gaussian Compression with 15x Reduction and 200+ FPS

Recent advancements in real-time neural rendering using point-based techniques have paved the way for the widespread adoption of 3D representations. However, foundational approaches like 3D Gaussian Splatting come with a substantial storage overhead caused by growing the SfM points to millions, often demanding gigabyte-level disk space for a single unbounded scene, posing significant scalability challenges and hindering the splatting efficiency. To address this challenge, we introduce LightGaussian, a novel method designed to transform 3D Gaussians into a more efficient and compact format. Drawing inspiration from the concept of Network Pruning, LightGaussian identifies Gaussians that are insignificant in contributing to the scene reconstruction and adopts a pruning and recovery process, effectively reducing redundancy in Gaussian counts while preserving visual effects. Additionally, LightGaussian employs distillation and pseudo-view augmentation to distill spherical harmonics to a lower degree, allowing knowledge transfer to more compact representations while maintaining reflectance. Furthermore, we propose a hybrid scheme, VecTree Quantization, to quantize all attributes, resulting in lower bitwidth representations with minimal accuracy losses. In summary, LightGaussian achieves an averaged compression rate over 15x while boosting the FPS from 139 to 215, enabling an efficient representation of complex scenes on Mip-NeRF 360, Tank and Temple datasets. Project website: https://lightgaussian.github.io/

  • 6 authors
·
Nov 28, 2023

ALPHA: AnomaLous Physiological Health Assessment Using Large Language Models

This study concentrates on evaluating the efficacy of Large Language Models (LLMs) in healthcare, with a specific focus on their application in personal anomalous health monitoring. Our research primarily investigates the capabilities of LLMs in interpreting and analyzing physiological data obtained from FDA-approved devices. We conducted an extensive analysis using anomalous physiological data gathered in a simulated low-air-pressure plateau environment. This allowed us to assess the precision and reliability of LLMs in understanding and evaluating users' health status with notable specificity. Our findings reveal that LLMs exhibit exceptional performance in determining medical indicators, including a Mean Absolute Error (MAE) of less than 1 beat per minute for heart rate and less than 1% for oxygen saturation (SpO2). Furthermore, the Mean Absolute Percentage Error (MAPE) for these evaluations remained below 1%, with the overall accuracy of health assessments surpassing 85%. In image analysis tasks, such as interpreting photoplethysmography (PPG) data, our specially adapted GPT models demonstrated remarkable proficiency, achieving less than 1 bpm error in cycle count and 7.28 MAE for heart rate estimation. This study highlights LLMs' dual role as health data analysis tools and pivotal elements in advanced AI health assistants, offering personalized health insights and recommendations within the future health assistant framework.

  • 7 authors
·
Nov 21, 2023

SELMA3D challenge: Self-supervised learning for 3D light-sheet microscopy image segmentation

Recent innovations in light sheet microscopy, paired with developments in tissue clearing techniques, enable the 3D imaging of large mammalian tissues with cellular resolution. Combined with the progress in large-scale data analysis, driven by deep learning, these innovations empower researchers to rapidly investigate the morphological and functional properties of diverse biological samples. Segmentation, a crucial preliminary step in the analysis process, can be automated using domain-specific deep learning models with expert-level performance. However, these models exhibit high sensitivity to domain shifts, leading to a significant drop in accuracy when applied to data outside their training distribution. To address this limitation, and inspired by the recent success of self-supervised learning in training generalizable models, we organized the SELMA3D Challenge during the MICCAI 2024 conference. SELMA3D provides a vast collection of light-sheet images from cleared mice and human brains, comprising 35 large 3D images-each with over 1000^3 voxels-and 315 annotated small patches for finetuning, preliminary testing and final testing. The dataset encompasses diverse biological structures, including vessel-like and spot-like structures. Five teams participated in all phases of the challenge, and their proposed methods are reviewed in this paper. Quantitative and qualitative results from most participating teams demonstrate that self-supervised learning on large datasets improves segmentation model performance and generalization. We will continue to support and extend SELMA3D as an inaugural MICCAI challenge focused on self-supervised learning for 3D microscopy image segmentation.

  • 17 authors
·
Jan 11, 2025

Unifying Segment Anything in Microscopy with Multimodal Large Language Model

Accurate segmentation of regions of interest in biomedical images holds substantial value in image analysis. Although several foundation models for biomedical segmentation have currently achieved excellent performance on certain datasets, they typically demonstrate sub-optimal performance on unseen domain data. We owe the deficiency to lack of vision-language knowledge before segmentation. Multimodal Large Language Models (MLLMs) bring outstanding understanding and reasoning capabilities to multimodal tasks, which inspires us to leverage MLLMs to inject Vision-Language Knowledge (VLK), thereby enabling vision models to demonstrate superior generalization capabilities on cross-domain datasets. In this paper, we propose using MLLMs to guide SAM in learning microscopy crose-domain data, unifying Segment Anything in Microscopy, named uLLSAM. Specifically, we propose the Vision-Language Semantic Alignment (VLSA) module, which injects VLK into Segment Anything Model (SAM). We find that after SAM receives global VLK prompts, its performance improves significantly, but there are deficiencies in boundary contour perception. Therefore, we further propose Semantic Boundary Regularization (SBR) to prompt SAM. Our method achieves performance improvements of 7.71% in Dice and 12.10% in SA across 9 in-domain microscopy datasets, achieving state-of-the-art performance. Our method also demonstrates improvements of 6.79% in Dice and 10.08% in SA across 10 out-ofdomain datasets, exhibiting strong generalization capabilities. Code is available at https://github.com/ieellee/uLLSAM.

  • 5 authors
·
May 15, 2025 2

Light4GS: Lightweight Compact 4D Gaussian Splatting Generation via Context Model

3D Gaussian Splatting (3DGS) has emerged as an efficient and high-fidelity paradigm for novel view synthesis. To adapt 3DGS for dynamic content, deformable 3DGS incorporates temporally deformable primitives with learnable latent embeddings to capture complex motions. Despite its impressive performance, the high-dimensional embeddings and vast number of primitives lead to substantial storage requirements. In this paper, we introduce a Lightweight 4DGS framework, called Light4GS, that employs significance pruning with a deep context model to provide a lightweight storage-efficient dynamic 3DGS representation. The proposed Light4GS is based on 4DGS that is a typical representation of deformable 3DGS. Specifically, our framework is built upon two core components: (1) a spatio-temporal significance pruning strategy that eliminates over 64\% of the deformable primitives, followed by an entropy-constrained spherical harmonics compression applied to the remainder; and (2) a deep context model that integrates intra- and inter-prediction with hyperprior into a coarse-to-fine context structure to enable efficient multiscale latent embedding compression. Our approach achieves over 120x compression and increases rendering FPS up to 20\% compared to the baseline 4DGS, and also superior to frame-wise state-of-the-art 3DGS compression methods, revealing the effectiveness of our Light4GS in terms of both intra- and inter-prediction methods without sacrificing rendering quality.

  • 7 authors
·
Mar 18, 2025

GAMMA Challenge:Glaucoma grAding from Multi-Modality imAges

Color fundus photography and Optical Coherence Tomography (OCT) are the two most cost-effective tools for glaucoma screening. Both two modalities of images have prominent biomarkers to indicate glaucoma suspected. Clinically, it is often recommended to take both of the screenings for a more accurate and reliable diagnosis. However, although numerous algorithms are proposed based on fundus images or OCT volumes in computer-aided diagnosis, there are still few methods leveraging both of the modalities for the glaucoma assessment. Inspired by the success of Retinal Fundus Glaucoma Challenge (REFUGE) we held previously, we set up the Glaucoma grAding from Multi-Modality imAges (GAMMA) Challenge to encourage the development of fundus \& OCT-based glaucoma grading. The primary task of the challenge is to grade glaucoma from both the 2D fundus images and 3D OCT scanning volumes. As part of GAMMA, we have publicly released a glaucoma annotated dataset with both 2D fundus color photography and 3D OCT volumes, which is the first multi-modality dataset for glaucoma grading. In addition, an evaluation framework is also established to evaluate the performance of the submitted methods. During the challenge, 1272 results were submitted, and finally, top-10 teams were selected to the final stage. We analysis their results and summarize their methods in the paper. Since all these teams submitted their source code in the challenge, a detailed ablation study is also conducted to verify the effectiveness of the particular modules proposed. We find many of the proposed techniques are practical for the clinical diagnosis of glaucoma. As the first in-depth study of fundus \& OCT multi-modality glaucoma grading, we believe the GAMMA Challenge will be an essential starting point for future research.

  • 29 authors
·
Feb 14, 2022

Commonsense-T2I Challenge: Can Text-to-Image Generation Models Understand Commonsense?

We present a novel task and benchmark for evaluating the ability of text-to-image(T2I) generation models to produce images that fit commonsense in real life, which we call Commonsense-T2I. Given two adversarial text prompts containing an identical set of action words with minor differences, such as "a lightbulb without electricity" v.s. "a lightbulb with electricity", we evaluate whether T2I models can conduct visual-commonsense reasoning, e.g. produce images that fit "the lightbulb is unlit" vs. "the lightbulb is lit" correspondingly. Commonsense-T2I presents an adversarial challenge, providing pairwise text prompts along with expected outputs. The dataset is carefully hand-curated by experts and annotated with fine-grained labels, such as commonsense type and likelihood of the expected outputs, to assist analyzing model behavior. We benchmark a variety of state-of-the-art (sota) T2I models and surprisingly find that, there is still a large gap between image synthesis and real life photos--even the DALL-E 3 model could only achieve 48.92% on Commonsense-T2I, and the stable diffusion XL model only achieves 24.92% accuracy. Our experiments show that GPT-enriched prompts cannot solve this challenge, and we include a detailed analysis about possible reasons for such deficiency. We aim for Commonsense-T2I to serve as a high-quality evaluation benchmark for T2I commonsense checking, fostering advancements in real life image generation.

  • 5 authors
·
Jun 11, 2024 1

Constructing Ophthalmic MLLM for Positioning-diagnosis Collaboration Through Clinical Cognitive Chain Reasoning

Multimodal large language models (MLLMs) demonstrate significant potential in the field of medical diagnosis. However, they face critical challenges in specialized domains such as ophthalmology, particularly the fragmentation of annotation granularity and inconsistencies in clinical reasoning logic, which hinder precise cross-modal understanding. This paper introduces FundusExpert, an ophthalmology-specific MLLM with integrated positioning-diagnosis reasoning capabilities, along with FundusGen, a dataset constructed through the intelligent Fundus-Engine system. Fundus-Engine automates localization and leverages MLLM-based semantic expansion to integrate global disease classification, local object detection, and fine-grained feature analysis within a single fundus image. Additionally, by constructing a clinically aligned cognitive chain, it guides the model to generate interpretable reasoning paths. FundusExpert, fine-tuned with instruction data from FundusGen, achieves the best performance in ophthalmic question-answering tasks, surpassing the average accuracy of the 40B MedRegA by 26.6%. It also excels in zero-shot report generation tasks, achieving a clinical consistency of 77.0%, significantly outperforming GPT-4o's 47.6%. Furthermore, we reveal a scaling law between data quality and model capability (L propto N^{0.068}), demonstrating that the cognitive alignment annotations in FundusGen enhance data utilization efficiency. By integrating region-level localization with diagnostic reasoning chains, our work develops a scalable, clinically-aligned MLLM and explores a pathway toward bridging the visual-language gap in specific MLLMs. Our project can be found at https://github.com/MeteorElf/FundusExpert.

  • 2 authors
·
Jul 23, 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

GlucoFM: A Dual-Stream Foundation Model for Continuous Glucose Monitoring

Continuous glucose monitoring (CGM) provides a dense view of daily metabolic physiology, yet existing generic time-series and CGM-specific foundation models often encode glucose traces as entangled single-stream sequences, leaving the distinct temporal structure of glycemic dynamics only implicitly modeled. We present GlucoFM, a lightweight CGM foundation model that aligns irregular recordings to a 24-hour chronological grid, preserves observation masks, and decomposes glucose dynamics into slow physiological state and transient event streams, capturing low-frequency glycemic baselines and short-term deviations that may reflect acute physiological responses or sensor artifacts. GlucoFM is pretrained on 109,066 hours of unlabeled CGM recordings from 477 subjects with two complementary objectives: masked contextual latent prediction over fused daily representations and temporal dynamics prediction over state and event streams. Across four diverse cohorts and seven clinical prediction tasks, GlucoFM achieves the strongest subject-disjoint linear-probing performance among evaluated baselines, improving average PR-AUC by 4.1 points over the best CGM-specific foundation model. Its gains are most pronounced on core metabolic outcomes, leading PR-AUC on all diabetes-risk and β-cell dysfunction tasks and on 3 of 4 insulin-resistance tasks. GlucoFM also achieves the best overall cross-dataset transfer performance and strong few-shot adaptation among evaluated methods, and consistent gains when aggregating multiple days for subject-level prediction, highlighting physiology-aware decomposition as an effective inductive bias for transferable CGM representation learning.

  • 14 authors
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May 28 1

Non-Holomorphic Impact on t-b-τ Yukawa Unification in minimal GMSB

We study and explore the low scale implications of Yukawa unification in the minimal gauge mediated supersymmetry breaking models. We also assume non-zero non-holomorphic terms, with which the YU solutions can be accommodated in the cases with μ> 0. These results can be considered a direct effect from the non-holomorphic terms, but they also lead to testable low scale implications compatible with YU. We observe abundant solutions consistent with the Higgs boson mass. This constraint leads to heavy strongly interacting supersymmetric particles, while the electroweak sector can be realized relatively lighter and they can be probed by several experiments. We find that the chargino can be lighter than 1 TeV and it is degenerate with the lightest neutralino in most of such solutions. Consistent solutions in this region can accommodate charginos as light as about 120 GeV, and they will be tested more likely soon by the analyses over the compressed spectra. These solutions are also be subjected in the lifetime analyses. Our analyses identify such light charginos decaying in about 10^{-2} ns. Probing such points may need a slight improvement in sensitivity of the analyses, and one can expect them to be tested very soon. In the same region, stau is realized to be another light supersymmetric particle, and some of the solutions can be inconsistently lighter. We find that it can weigh as light as about 600 GeV consistently, and it can be tested also soon over its lifetime. We summarize and also exemplify our findings with five benchmark scenarios. Most of the benchmark solutions also reveal that the solutions can be tested in heavy Higgs boson searches, which shape the whole Higgs boson spectrum in models.

  • 3 authors
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May 2

GOBench: Benchmarking Geometric Optics Generation and Understanding of MLLMs

The rapid evolution of Multi-modality Large Language Models (MLLMs) is driving significant advancements in visual understanding and generation. Nevertheless, a comprehensive assessment of their capabilities, concerning the fine-grained physical principles especially in geometric optics, remains underexplored. To address this gap, we introduce GOBench, the first benchmark to systematically evaluate MLLMs' ability across two tasks: 1) Generating Optically Authentic Imagery and 2) Understanding Underlying Optical Phenomena. We curates high-quality prompts of geometric optical scenarios and use MLLMs to construct GOBench-Gen-1k dataset.We then organize subjective experiments to assess the generated imagery based on Optical Authenticity, Aesthetic Quality, and Instruction Fidelity, revealing MLLMs' generation flaws that violate optical principles. For the understanding task, we apply crafted evaluation instructions to test optical understanding ability of eleven prominent MLLMs. The experimental results demonstrate that current models face significant challenges in both optical generation and understanding. The top-performing generative model, GPT-4o-Image, cannot perfectly complete all generation tasks, and the best-performing MLLM model, Gemini-2.5Pro, attains a mere 37.35\% accuracy in optical understanding. Database and codes are publicly available at https://github.com/aiben-ch/GOBench.

  • 9 authors
·
Jun 1, 2025

μ-Bench: A Vision-Language Benchmark for Microscopy Understanding

Recent advances in microscopy have enabled the rapid generation of terabytes of image data in cell biology and biomedical research. Vision-language models (VLMs) offer a promising solution for large-scale biological image analysis, enhancing researchers' efficiency, identifying new image biomarkers, and accelerating hypothesis generation and scientific discovery. However, there is a lack of standardized, diverse, and large-scale vision-language benchmarks to evaluate VLMs' perception and cognition capabilities in biological image understanding. To address this gap, we introduce {\mu}-Bench, an expert-curated benchmark encompassing 22 biomedical tasks across various scientific disciplines (biology, pathology), microscopy modalities (electron, fluorescence, light), scales (subcellular, cellular, tissue), and organisms in both normal and abnormal states. We evaluate state-of-the-art biomedical, pathology, and general VLMs on {\mu}-Bench and find that: i) current models struggle on all categories, even for basic tasks such as distinguishing microscopy modalities; ii) current specialist models fine-tuned on biomedical data often perform worse than generalist models; iii) fine-tuning in specific microscopy domains can cause catastrophic forgetting, eroding prior biomedical knowledge encoded in their base model. iv) weight interpolation between fine-tuned and pre-trained models offers one solution to forgetting and improves general performance across biomedical tasks. We release {\mu}-Bench under a permissive license to accelerate the research and development of microscopy foundation models.

  • 7 authors
·
Jul 1, 2024 1

Graph-Based Captioning: Enhancing Visual Descriptions by Interconnecting Region Captions

Humans describe complex scenes with compositionality, using simple text descriptions enriched with links and relationships. While vision-language research has aimed to develop models with compositional understanding capabilities, this is not reflected yet in existing datasets which, for the most part, still use plain text to describe images. In this work, we propose a new annotation strategy, graph-based captioning (GBC) that describes an image using a labelled graph structure, with nodes of various types. The nodes in GBC are created using, in a first stage, object detection and dense captioning tools nested recursively to uncover and describe entity nodes, further linked together in a second stage by highlighting, using new types of nodes, compositions and relations among entities. Since all GBC nodes hold plain text descriptions, GBC retains the flexibility found in natural language, but can also encode hierarchical information in its edges. We demonstrate that GBC can be produced automatically, using off-the-shelf multimodal LLMs and open-vocabulary detection models, by building a new dataset, GBC10M, gathering GBC annotations for about 10M images of the CC12M dataset. We use GBC10M to showcase the wealth of node captions uncovered by GBC, as measured with CLIP training. We show that using GBC nodes' annotations -- notably those stored in composition and relation nodes -- results in significant performance boost on downstream models when compared to other dataset formats. To further explore the opportunities provided by GBC, we also propose a new attention mechanism that can leverage the entire GBC graph, with encouraging experimental results that show the extra benefits of incorporating the graph structure. Our datasets are released at https://huggingface.co/graph-based-captions.

  • 10 authors
·
Jul 9, 2024 1

Application of NotebookLM, a Large Language Model with Retrieval-Augmented Generation, for Lung Cancer Staging

Purpose: In radiology, large language models (LLMs), including ChatGPT, have recently gained attention, and their utility is being rapidly evaluated. However, concerns have emerged regarding their reliability in clinical applications due to limitations such as hallucinations and insufficient referencing. To address these issues, we focus on the latest technology, retrieval-augmented generation (RAG), which enables LLMs to reference reliable external knowledge (REK). Specifically, this study examines the utility and reliability of a recently released RAG-equipped LLM (RAG-LLM), NotebookLM, for staging lung cancer. Materials and methods: We summarized the current lung cancer staging guideline in Japan and provided this as REK to NotebookLM. We then tasked NotebookLM with staging 100 fictional lung cancer cases based on CT findings and evaluated its accuracy. For comparison, we performed the same task using a gold-standard LLM, GPT-4 Omni (GPT-4o), both with and without the REK. Results: NotebookLM achieved 86% diagnostic accuracy in the lung cancer staging experiment, outperforming GPT-4o, which recorded 39% accuracy with the REK and 25% without it. Moreover, NotebookLM demonstrated 95% accuracy in searching reference locations within the REK. Conclusion: NotebookLM successfully performed lung cancer staging by utilizing the REK, demonstrating superior performance compared to GPT-4o. Additionally, it provided highly accurate reference locations within the REK, allowing radiologists to efficiently evaluate the reliability of NotebookLM's responses and detect possible hallucinations. Overall, this study highlights the potential of NotebookLM, a RAG-LLM, in image diagnosis.

  • 8 authors
·
Oct 8, 2024

Individualizing Glioma Radiotherapy Planning by Optimization of Data and Physics-Informed Discrete Loss

Brain tumor growth is unique to each glioma patient and extends beyond what is visible in imaging scans, infiltrating surrounding brain tissue. Understanding these hidden patient-specific progressions is essential for effective therapies. Current treatment plans for brain tumors, such as radiotherapy, typically involve delineating a uniform margin around the visible tumor on pre-treatment scans to target this invisible tumor growth. This "one size fits all" approach is derived from population studies and often fails to account for the nuances of individual patient conditions. We present the GliODIL framework, which infers the full spatial distribution of tumor cell concentration from available multi-modal imaging, leveraging a Fisher-Kolmogorov type physics model to describe tumor growth. This is achieved through the newly introduced method of Optimizing the Discrete Loss (ODIL), where both data and physics-based constraints are softly assimilated into the solution. Our test dataset comprises 152 glioblastoma patients with pre-treatment imaging and post-treatment follow-ups for tumor recurrence monitoring. By blending data-driven techniques with physics-based constraints, GliODIL enhances recurrence prediction in radiotherapy planning, challenging traditional uniform margins and strict adherence to the Fisher-Kolmogorov partial differential equation (PDE) model, which is adapted for complex cases.

  • 10 authors
·
Dec 8, 2023

A Multicenter Benchmark of Multiple Instance Learning Models for Lymphoma Subtyping from HE-stained Whole Slide Images

Timely and accurate lymphoma diagnosis is essential for guiding cancer treatment. Standard diagnostic practice combines hematoxylin and eosin (HE)-stained whole slide images with immunohistochemistry, flow cytometry, and molecular genetic tests to determine lymphoma subtypes, a process requiring costly equipment, skilled personnel, and causing treatment delays. Deep learning methods could assist pathologists by extracting diagnostic information from routinely available HE-stained slides, yet comprehensive benchmarks for lymphoma subtyping on multicenter data are lacking. In this work, we present the first multicenter lymphoma benchmarking dataset covering four common lymphoma subtypes and healthy control tissue. We systematically evaluate five publicly available pathology foundation models (H-optimus-1, H0-mini, Virchow2, UNI2, Titan) combined with attention-based (AB-MIL) and transformer-based (TransMIL) multiple instance learning aggregators across three magnifications (10x, 20x, 40x). On in-distribution test sets, models achieve multiclass balanced accuracies exceeding 80% across all magnifications, with all foundation models performing similarly and both aggregation methods showing comparable results. The magnification study reveals that 40x resolution is sufficient, with no performance gains from higher resolutions or cross-magnification aggregation. However, on out-of-distribution test sets, performance drops substantially to around 60%, highlighting significant generalization challenges. To advance the field, larger multicenter studies covering additional rare lymphoma subtypes are needed. We provide an automated benchmarking pipeline to facilitate such future research.

  • 13 authors
·
Dec 16, 2025

A search for periodic activity in multi-peaked long gamma-ray bursts

A sizeable fraction of gamma-ray burst (GRB) light curves (LCs) features a sequence of peaks, which holds information on the unknown way energy is dissipated into gamma-rays over time. Traditional searches for periodic signals in GRB LCs turned out to be inconclusive, partly because they are challenging as a consequence of the short-lived, coloured-noise, and non-stationary nature of the LCs themselves. Yet, recent claims have revived the issue. We searched for periodic components in GRB LCs through a new approach to GRBs, that avoids most of the issues faced by traditional techniques. We identified peaks through a well tested algorithm and selected GRBs with at least 10 peaks out of 5 GRB catalogues (Swift/BAT, CGRO/BATSE, Fermi/GBM, Insight-HXMT, BeppoSAX/GRBM). Each GRB was simply treated as a discrete point process, whose realisation coincides with the sequence of peak times. We searched for possible periodic recurrences based on the multinomial distribution, after accounting for the clustering of peaks due to the non-stationarity of the GRB signals. The best candidate has a p-value of 3e-4 that there is no periodic recurrence. However, accounting for the multiple trials of 555 searched GRBs, its statistical significance is demoted to 17%. The overall distribution of the p-values obtained for all GRBs is compatible with a uniform distribution in [0,1]. We found no robust evidence for multi-peaked GRBs with periodic recurrences. We can exclude that a sizeable fraction (>~ 0.75) of peaks of each GRB with at least 10 peaks are periodic. While our result does not necessarily clash with claimed periodicities based on Fourier techniques, it constrains the putative recurrent behaviour, which would not manifest itself through the sequence of peaks, but, evidently, in a more elusive way.

  • 13 authors
·
Apr 10, 2025

MedGemma 1.5 Technical Report

We introduce MedGemma 1.5 4B, the latest model in the MedGemma collection. MedGemma 1.5 expands on MedGemma 1 by integrating additional capabilities: high-dimensional medical imaging (CT/MRI volumes and histopathology whole slide images), anatomical localization via bounding boxes, multi-timepoint chest X-ray analysis, and improved medical document understanding (lab reports, electronic health records). We detail the innovations required to enable these modalities within a single architecture, including new training data, long-context 3D volume slicing, and whole-slide pathology sampling. Compared to MedGemma 1 4B, MedGemma 1.5 4B demonstrates significant gains in these new areas, improving 3D MRI condition classification accuracy by 11% and 3D CT condition classification by 3% (absolute improvements). In whole slide pathology imaging, MedGemma 1.5 4B achieves a 47% macro F1 gain. Additionally, it improves anatomical localization with a 35% increase in Intersection over Union on chest X-rays and achieves a 4% macro accuracy for longitudinal (multi-timepoint) chest x-ray analysis. Beyond its improved multimodal performance over MedGemma 1, MedGemma 1.5 improves on text-based clinical knowledge and reasoning, improving by 5% on MedQA accuracy and 22% on EHRQA accuracy. It also achieves an average of 18% macro F1 on 4 different lab report information extraction datasets (EHR Datasets 2, 3, 4, and Mendeley Clinical Laboratory Test Reports). Taken together, MedGemma 1.5 serves as a robust, open resource for the community, designed as an improved foundation on which developers can create the next generation of medical AI systems. Resources and tutorials for building upon MedGemma 1.5 can be found at https://goo.gle/MedGemma.

  • 42 authors
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Apr 5 1

EvidenceMoE: A Physics-Guided Mixture-of-Experts with Evidential Critics for Advancing Fluorescence Light Detection and Ranging in Scattering Media

Fluorescence LiDAR (FLiDAR), a Light Detection and Ranging (LiDAR) technology employed for distance and depth estimation across medical, automotive, and other fields, encounters significant computational challenges in scattering media. The complex nature of the acquired FLiDAR signal, particularly in such environments, makes isolating photon time-of-flight (related to target depth) and intrinsic fluorescence lifetime exceptionally difficult, thus limiting the effectiveness of current analytical and computational methodologies. To overcome this limitation, we present a Physics-Guided Mixture-of-Experts (MoE) framework tailored for specialized modeling of diverse temporal components. In contrast to the conventional MoE approaches our expert models are informed by underlying physics, such as the radiative transport equation governing photon propagation in scattering media. Central to our approach is EvidenceMoE, which integrates Evidence-Based Dirichlet Critics (EDCs). These critic models assess the reliability of each expert's output by providing per-expert quality scores and corrective feedback. A Decider Network then leverages this information to fuse expert predictions into a robust final estimate adaptively. We validate our method using realistically simulated Fluorescence LiDAR (FLiDAR) data for non-invasive cancer cell depth detection generated from photon transport models in tissue. Our framework demonstrates strong performance, achieving a normalized root mean squared error (NRMSE) of 0.030 for depth estimation and 0.074 for fluorescence lifetime.

  • 9 authors
·
May 23, 2025

RareBench: Can LLMs Serve as Rare Diseases Specialists?

Generalist Large Language Models (LLMs), such as GPT-4, have shown considerable promise in various domains, including medical diagnosis. Rare diseases, affecting approximately 300 million people worldwide, often have unsatisfactory clinical diagnosis rates primarily due to a lack of experienced physicians and the complexity of differentiating among many rare diseases. In this context, recent news such as "ChatGPT correctly diagnosed a 4-year-old's rare disease after 17 doctors failed" underscore LLMs' potential, yet underexplored, role in clinically diagnosing rare diseases. To bridge this research gap, we introduce RareBench, a pioneering benchmark designed to systematically evaluate the capabilities of LLMs on 4 critical dimensions within the realm of rare diseases. Meanwhile, we have compiled the largest open-source dataset on rare disease patients, establishing a benchmark for future studies in this domain. To facilitate differential diagnosis of rare diseases, we develop a dynamic few-shot prompt methodology, leveraging a comprehensive rare disease knowledge graph synthesized from multiple knowledge bases, significantly enhancing LLMs' diagnostic performance. Moreover, we present an exhaustive comparative study of GPT-4's diagnostic capabilities against those of specialist physicians. Our experimental findings underscore the promising potential of integrating LLMs into the clinical diagnostic process for rare diseases. This paves the way for exciting possibilities in future advancements in this field.

  • 6 authors
·
Feb 9, 2024

Cancer and electromagnetic radiation therapy: Quo Vadis?

In oncology, treating cancer with a beam of photons is a well established therapeutic technique, developed over 100 years, and today over 50% of cancer patients will undergo traditional X-ray radiotherapy. However, ionizing radiation therapy is not the only option, as the high-energy photons delivering their cell-killing radiation energy into cancerous tumor can lead to significant damage to healthy tissues surrounding the tumor, located throughout the beam's path. Therefore, in nowadays, advances in ionizing radiation therapy are competitive to non-ionizing ones, as for example the laser light based therapy, resulting in a synergism that has revolutionized medicine. The use of non-invasive or minimally invasive (e.g. through flexible endoscopes) therapeutic procedures in the management of patients represents a very interesting treatment option. Moreover, as the major breakthrough in cancer management is the individualized patient treatment, new biophotonic techniques, e.g. photo-activated drug carriers, help the improvement of treatment efficacy and/or normal tissue toxicity. Additionally, recent studies support that laser technology progresses could revolutionize cancer proton therapy, by reducing the cost of the needed installations. The aim of this review is to present some laser-based future objectives for cancer radiation therapy, aiming to address the relevant advances in the ionizing and non-ionizing radiation therapy, i.e. protons and heavy ions therapy, as well as photodynamic targeted and molecular therapies.

  • 1 authors
·
Feb 5, 2016

Past-Future Scheduler for LLM Serving under SLA Guarantees

The exploration and application of Large Language Models (LLMs) is thriving. To reduce deployment costs, continuous batching has become an essential feature in current service frameworks. The effectiveness of continuous batching relies on an accurate estimate of the memory requirements of requests. However, due to the diversity in request output lengths, existing frameworks tend to adopt aggressive or conservative schedulers, which often result in significant overestimation or underestimation of memory consumption. Consequently, they suffer from harmful request evictions or prolonged queuing times, failing to achieve satisfactory throughput under strict Service Level Agreement (SLA) guarantees (a.k.a. goodput), across various LLM application scenarios with differing input-output length distributions. To address this issue, we propose a novel Past-Future scheduler that precisely estimates the peak memory resources required by the running batch via considering the historical distribution of request output lengths and calculating memory occupancy at each future time point. It adapts to applications with all types of input-output length distributions, balancing the trade-off between request queuing and harmful evictions, thereby consistently achieving better goodput. Furthermore, to validate the effectiveness of the proposed scheduler, we developed a high-performance LLM serving framework, LightLLM, that implements the Past-Future scheduler. Compared to existing aggressive or conservative schedulers, LightLLM demonstrates superior goodput, achieving up to 2-3times higher goodput than other schedulers under heavy loads. LightLLM is open source to boost the research in such direction (https://github.com/ModelTC/lightllm).

  • 8 authors
·
Jul 14, 2025

Benchmarking Large Language Models on CMExam -- A Comprehensive Chinese Medical Exam Dataset

Recent advancements in large language models (LLMs) have transformed the field of question answering (QA). However, evaluating LLMs in the medical field is challenging due to the lack of standardized and comprehensive datasets. To address this gap, we introduce CMExam, sourced from the Chinese National Medical Licensing Examination. CMExam consists of 60K+ multiple-choice questions for standardized and objective evaluations, as well as solution explanations for model reasoning evaluation in an open-ended manner. For in-depth analyses of LLMs, we invited medical professionals to label five additional question-wise annotations, including disease groups, clinical departments, medical disciplines, areas of competency, and question difficulty levels. Alongside the dataset, we further conducted thorough experiments with representative LLMs and QA algorithms on CMExam. The results show that GPT-4 had the best accuracy of 61.6% and a weighted F1 score of 0.617. These results highlight a great disparity when compared to human accuracy, which stood at 71.6%. For explanation tasks, while LLMs could generate relevant reasoning and demonstrate improved performance after finetuning, they fall short of a desired standard, indicating ample room for improvement. To the best of our knowledge, CMExam is the first Chinese medical exam dataset to provide comprehensive medical annotations. The experiments and findings of LLM evaluation also provide valuable insights into the challenges and potential solutions in developing Chinese medical QA systems and LLM evaluation pipelines. The dataset and relevant code are available at https://github.com/williamliujl/CMExam.

  • 11 authors
·
Jun 5, 2023

BIOMEDICA: An Open Biomedical Image-Caption Archive, Dataset, and Vision-Language Models Derived from Scientific Literature

The development of vision-language models (VLMs) is driven by large-scale and diverse multimodal datasets. However, progress toward generalist biomedical VLMs is limited by the lack of annotated, publicly accessible datasets across biology and medicine. Existing efforts are restricted to narrow domains, missing the full diversity of biomedical knowledge encoded in scientific literature. To address this gap, we introduce BIOMEDICA, a scalable, open-source framework to extract, annotate, and serialize the entirety of the PubMed Central Open Access subset into an easy-to-use, publicly accessible dataset.Our framework produces a comprehensive archive with over 24 million unique image-text pairs from over 6 million articles. Metadata and expert-guided annotations are also provided. We demonstrate the utility and accessibility of our resource by releasing BMCA-CLIP, a suite of CLIP-style models continuously pre-trained on the BIOMEDICA dataset via streaming, eliminating the need to download 27 TB of data locally.On average, our models achieve state-of-the-art performance across 40 tasks - spanning pathology, radiology, ophthalmology, dermatology, surgery, molecular biology, parasitology, and cell biology - excelling in zero-shot classification with a 6.56% average improvement (as high as 29.8% and 17.5% in dermatology and ophthalmology, respectively), and stronger image-text retrieval, all while using 10x less compute. To foster reproducibility and collaboration, we release our codebase and dataset for the broader research community.

  • 16 authors
·
Jan 13, 2025 3

Do Image Editing Models Understand Lighting?

While recent advancements in generative image editing models have achieved stunning visual fidelity, it remains an open question whether these systems possess an intrinsic knowledge of real-world lighting. Existing benchmarks typically evaluate high-level plausibility of perceptual light transport on curated internet imagery, using VLMs or human judgement, or they rely on synthetically generated datasets. In this work, we introduce the 3D-anchored Light Probe (3DLP) benchmark, for which we have captured a new high-fidelity HDR dataset of real-world lighting changes. The dataset consists of 1K image pairs of diverse indoor scenery in which light probes are physically turned on and off. To allow for a granular performance analysis, we annotated specific image regions such as cast shadows or metallic surfaces. With this data, we evaluate a range of state-of-the-art image editing models by measuring how well their light probe edits align with reality. The evaluation uses two new scores to compensate for AI-generated photographic effects, such as adjusted white balance. Our results show that the overall performance of models differs considerably, with differences slightly less pronounced for specular highlights. The best image editing models are remarkably consistent with real-world physics, however, they still leave room for improvement. We observe that image regions that receive less light from the light probe are more prone to errors for all models. Furthermore, building on their success in evaluating macroscopic lighting plausibility, we test VLMs on our task but find that they are unsuitable for pixel-level light transport analysis. We will make the benchmark, together with the real-world dataset, publicly available to encourage future research on this topic.

  • 4 authors
·
Jun 24

Hierarchical Contextual Grounding LVLM: Enhancing Fine-Grained Visual-Language Understanding with Robust Grounding

Large Language Models (LLMs) and Vision-Language Large Models (LVLMs) have achieved remarkable progress in natural language processing and multimodal understanding. Despite their impressive generalization capabilities, current LVLMs often exhibit insufficient robustness, proneness to hallucination, and reasoning errors in complex real-world scenarios, particularly when precise image region localization and fine-grained visual reasoning are required. To address these limitations, we propose the Hierarchical Contextual Grounding LVLM (HCG-LVLM), a novel architecture that mimics human coarse-to-fine cognitive processing. HCG-LVLM employs a two-layered approach: a Global Contextual Perception layer for initial broad understanding and a Fine-grained Local Grounding layer. The latter incorporates a Local Detail Enhancement Module to extract high-resolution features and a Semantic Consistency Validator to ensure accurate, hallucination-free visual-language alignment. Through an adaptive fusion mechanism, information from both layers is integrated for robust and precise outputs. Extensive experiments on challenging datasets, including GQA, A-OKVQA for fine-grained VQA, and RefCOCO/+/g for Referring Expression Comprehension, demonstrate that HCG-LVLM consistently outperforms state-of-the-art models such as Flamingo, BLIP-2, and MiniGPT-4. Our model achieves superior accuracy and significantly reduces hallucination, validating the effectiveness of its hierarchical design in enhancing fine-grained visual-language understanding and precise grounding capabilities.

  • 5 authors
·
Aug 23, 2025

Troublemaker Learning for Low-Light Image Enhancement

Low-light image enhancement (LLIE) restores the color and brightness of underexposed images. Supervised methods suffer from high costs in collecting low/normal-light image pairs. Unsupervised methods invest substantial effort in crafting complex loss functions. We address these two challenges through the proposed TroubleMaker Learning (TML) strategy, which employs normal-light images as inputs for training. TML is simple: we first dim the input and then increase its brightness. TML is based on two core components. First, the troublemaker model (TM) constructs pseudo low-light images from normal images to relieve the cost of pairwise data. Second, the predicting model (PM) enhances the brightness of pseudo low-light images. Additionally, we incorporate an enhancing model (EM) to further improve the visual performance of PM outputs. Moreover, in LLIE tasks, characterizing global element correlations is important because more information on the same object can be captured. CNN cannot achieve this well, and self-attention has high time complexity. Accordingly, we propose Global Dynamic Convolution (GDC) with O(n) time complexity, which essentially imitates the partial calculation process of self-attention to formulate elementwise correlations. Based on the GDC module, we build the UGDC model. Extensive quantitative and qualitative experiments demonstrate that UGDC trained with TML can achieve competitive performance against state-of-the-art approaches on public datasets. The code is available at https://github.com/Rainbowman0/TML_LLIE.

  • 8 authors
·
Feb 6, 2024

Navigating Gigapixel Pathology Images with Large Multimodal Models

Despite being widely used to support clinical care, general-purpose large multimodal models (LMMs) have generally shown poor or inconclusive performance in medical image interpretation, particularly in pathology, where gigapixel images are used. However, prior studies have used either low-resolution thumbnails or random patches, which likely underestimated model performance. Here, we ask whether LMMs can be adapted to reason coherently and accurately in the evaluation of such images. In this study, we introduce Gigapixel Image Agent for Navigating Tissue (GIANT), the first framework that allows LMMs to iteratively navigate whole-slide images (WSIs) like a pathologist. Accompanying GIANT, we release MultiPathQA, a new benchmark, which comprises 934 WSI-level questions, encompassing five clinically-relevant tasks ranging from cancer diagnosis to open-ended reasoning. MultiPathQA also includes 128 questions, authored by two professional pathologists, requiring direct slide interpretation. Using MultiPathQA, we show that our simple agentic system substantially outperforms conventional patch- and thumbnail-based baselines, approaching or surpassing the performance of specialized models trained on millions of images. For example, on pathologist-authored questions, GPT-5 with GIANT achieves 62.5% accuracy, outperforming specialist pathology models such as TITAN (43.8%) and SlideChat (37.5%). Our findings reveal the strengths and limitations of current foundation models and ground future development of LMMs for expert reasoning in pathology.

  • 6 authors
·
Nov 24, 2025

FlashDecoding++: Faster Large Language Model Inference on GPUs

As the Large Language Model (LLM) becomes increasingly important in various domains. However, the following challenges still remain unsolved in accelerating LLM inference: (1) Synchronized partial softmax update. The softmax operation requires a synchronized update operation among each partial softmax result, leading to ~20% overheads for the attention computation in LLMs. (2) Under-utilized computation of flat GEMM. The shape of matrices performing GEMM in LLM inference is flat, leading to under-utilized computation and >50% performance loss after padding zeros in previous designs. (3) Performance loss due to static dataflow. Kernel performance in LLM depends on varied input data features, hardware configurations, etc. A single and static dataflow may lead to a 50.25% performance loss for GEMMs of different shapes in LLM inference. We present FlashDecoding++, a fast LLM inference engine supporting mainstream LLMs and hardware back-ends. To tackle the above challenges, FlashDecoding++ creatively proposes: (1) Asynchronized softmax with unified max value. FlashDecoding++ introduces a unified max value technique for different partial softmax computations to avoid synchronization. (2) Flat GEMM optimization with double buffering. FlashDecoding++ points out that flat GEMMs with different shapes face varied bottlenecks. Then, techniques like double buffering are introduced. (3) Heuristic dataflow with hardware resource adaptation. FlashDecoding++ heuristically optimizes dataflow using different hardware resource considering input dynamics. Due to the versatility of optimizations in FlashDecoding++, FlashDecoding++ can achieve up to 4.86x and 2.18x speedup on both NVIDIA and AMD GPUs compared to Hugging Face implementations. FlashDecoding++ also achieves an average speedup of 1.37x compared to state-of-the-art LLM inference engines on mainstream LLMs.

  • 9 authors
·
Nov 2, 2023 3

From Enhancement to Understanding: Build a Generalized Bridge for Low-light Vision via Semantically Consistent Unsupervised Fine-tuning

Low-level enhancement and high-level visual understanding in low-light vision have traditionally been treated separately. Low-light enhancement improves image quality for downstream tasks, but existing methods rely on physical or geometric priors, limiting generalization. Evaluation mainly focuses on visual quality rather than downstream performance. Low-light visual understanding, constrained by scarce labeled data, primarily uses task-specific domain adaptation, which lacks scalability. To address these challenges, we build a generalized bridge between low-light enhancement and low-light understanding, which we term Generalized Enhancement For Understanding (GEFU). This paradigm improves both generalization and scalability. To address the diverse causes of low-light degradation, we leverage pretrained generative diffusion models to optimize images, achieving zero-shot generalization performance. Building on this, we propose Semantically Consistent Unsupervised Fine-tuning (SCUF). Specifically, to overcome text prompt limitations, we introduce an illumination-aware image prompt to explicitly guide image generation and propose a cycle-attention adapter to maximize its semantic potential. To mitigate semantic degradation in unsupervised training, we propose caption and reflectance consistency to learn high-level semantics and image-level spatial semantics. Extensive experiments demonstrate that our proposed method outperforms current state-of-the-art methods in traditional image quality and GEFU tasks including classification, detection, and semantic segmentation.

  • 11 authors
·
Jul 11, 2025

LUT Tensor Core: Lookup Table Enables Efficient Low-Bit LLM Inference Acceleration

As large language model (LLM) inference demands ever-greater resources, there is a rapid growing trend of using low-bit weights to shrink memory usage and boost inference efficiency. However, these low-bit LLMs introduce the need for mixed-precision matrix multiplication (mpGEMM), which is a crucial yet under-explored operation that involves multiplying lower-precision weights with higher-precision activations. Unfortunately, current hardware does not natively support mpGEMM, resulting in indirect and inefficient dequantization-based implementations. To address the mpGEMM requirements in low-bit LLMs, we explored the lookup table (LUT)-based approach for mpGEMM. However, a conventional LUT implementation falls short of its potential. To fully harness the power of LUT-based mpGEMM, we introduce LUT Tensor Core, a software-hardware co-design optimized for low-bit LLM inference. Specifically, we introduce software-based operator fusion and table symmetrization techniques to optimize table precompute and table storage, respectively. Then, LUT Tensor Core proposes the hardware design featuring an elongated tiling shape design to enhance table reuse and a bit-serial design to support various precision combinations in mpGEMM. Moreover, we design an end-to-end compilation stack with new instructions for LUT-based mpGEMM, enabling efficient LLM compilation and optimizations. The evaluation on low-bit LLMs (e.g., BitNet, LLAMA) shows that LUT Tensor Core achieves more than a magnitude of improvements on both compute density and energy efficiency.

  • 11 authors
·
Aug 12, 2024