Generative models serve as powerful tools for modeling the real world, with mainstream diffusion models, particularly those based on the latent diffusion model paradigm, achieving remarkable progress across various tasks, such as image and video synthesis. Latent diffusion models are typically trained using Variational Autoencoders (VAEs), interacting with VAE latents rather than the real samples. While this generative paradigm speeds up training and inference, the quality of the generated outputs is limited by the latents' quality. Traditional VAE latents are often seen as spatial compression in pixel space and lack explicit semantic representations, which are essential for modeling the real world. In this paper, we introduce ReaLS (Representation-Aligned Latent Space), which integrates semantic priors to improve generation performance. Extensive experiments show that fundamental DiT and SiT trained on ReaLS can achieve a 15% improvement in FID metric. Furthermore, the enhanced semantic latent space enables more perceptual downstream tasks, such as segmentation and depth estimation.

Accurate medical image segmentation is often hindered by noisy labels in training data, due to the challenges of annotating medical images. Prior research works addressing noisy labels tend to make class-dependent assumptions, overlooking the pixel-dependent nature of most noisy labels. Furthermore, existing methods typically apply fixed thresholds to filter out noisy labels, risking the removal of minority classes and consequently degrading segmentation performance. To bridge these gaps, our proposed framework, Collaborative Learning with Curriculum Selection (CLCS), addresses pixel-dependent noisy labels with class imbalance. CLCS advances the existing works by i) treating noisy labels as pixel-dependent and addressing them through a collaborative learning framework, and ii) employing a curriculum dynamic thresholding approach adapting to model learning progress to select clean data samples to mitigate the class imbalance issue, and iii) applying a noise balance loss to noisy data samples to improve data utilization instead of discarding them outright. Specifically, our CLCS contains two modules: Curriculum Noisy Label Sample Selection (CNS) and Noise Balance Loss (NBL). In the CNS module, we designed a two-branch network with discrepancy loss for collaborative learning so that different feature representations of the same instance could be extracted from distinct views and used to vote the class probabilities of pixels. Besides, a curriculum dynamic threshold is adopted to select clean-label samples through probability voting. In the NBL module, instead of directly dropping the suspiciously noisy labels, we further adopt a robust loss to leverage such instances to boost the performance.

Medical video generation has transformative potential for enhancing surgical understanding and pathology insights through precise and controllable visual representations. However, current models face limitations in controllability and authenticity. To bridge this gap, we propose SurgSora, a motion-controllable surgical video generation framework that uses a single input frame and user-controllable motion cues. SurgSora consists of three key modules: the Dual Semantic Injector (DSI), which extracts object-relevant RGB and depth features from the input frame and integrates them with segmentation cues to capture detailed spatial features of complex anatomical structures; the Decoupled Flow Mapper (DFM), which fuses optical flow with semantic-RGB-D features at multiple scales to enhance temporal understanding and object spatial dynamics; and the Trajectory Controller (TC), which allows users to specify motion directions and estimates sparse optical flow, guiding the video generation process. The fused features are used as conditions for a frozen Stable Diffusion model to produce realistic, temporally coherent surgical videos. Extensive evaluations demonstrate that SurgSora outperforms state-of-the-art methods in controllability and authenticity, showing its potential to advance surgical video generation for medical education, training, and research. See our project page for more results: surgsora.github.io.

Vision-language retrieval aims to search for similar instances in one modality based on queries from another modality. The primary objective is to learn cross-modal matching representations in a latent common space. Actually, the assumption underlying cross-modal matching is modal balance, where each modality contains sufficient information to represent the others. However, noise interference and modality insufficiency often lead to modal imbalance, making it a common phenomenon in practice. The impact of imbalance on retrieval performance remains an open question. In this paper, we first demonstrate that ultimate cross-modal matching is generally sub-optimal for cross-modal retrieval when imbalanced modalities exist. The structure of instances in the common space is inherently influenced when facing imbalanced modalities, posing a challenge to cross-modal similarity measurement. To address this issue, we emphasize the importance of meaningful structure-preserved matching. Accordingly, we propose a simple yet effective method to rebalance cross-modal matching by learning structure-preserved matching representations. Specifically, we design a novel multi-granularity cross-modal matching that incorporates structure-aware distillation alongside the cross-modal matching loss. While the cross-modal matching loss constraints instance-level matching, the structure-aware distillation further regularizes the geometric consistency between learned matching representations and intra-modal representations through the developed relational matching. Extensive experiments on different datasets affirm the superior cross-modal retrieval performance of our approach, simultaneously enhancing single-modal retrieval capabilities compared to the baseline models.

Automated radiology report generation (R2Gen) has advanced significantly, introducing challenges in accurate evaluation due to its complexity. Traditional metrics often fall short by relying on rigid word-matching or focusing only on pathological entities, leading to inconsistencies with human assessments. To bridge this gap, we introduce ER2Score, an automatic evaluation metric designed specifically for R2Gen. Our metric utilizes a reward model, guided by our margin-based reward enforcement loss, along with a tailored training data design that enables customization of evaluation criteria to suit user-defined needs. It not only scores reports according to user-specified criteria but also provides detailed sub-scores, enhancing interpretability and allowing users to adjust the criteria between different aspects of reports. Leveraging GPT-4, we designed an easy-to-use data generation pipeline, enabling us to produce extensive training data based on two distinct scoring systems, each containing reports of varying quality along with corresponding scores. These GPT-generated reports are then paired as accepted and rejected samples through our pairing rule to train an LLM towards our fine-grained reward model, which assigns higher rewards to the report with high quality. Our reward-control loss enables this model to simultaneously output multiple individual rewards corresponding to the number of evaluation criteria, with their summation as our final ER2Score. Our experiments demonstrate ER2Score's heightened correlation with human judgments and superior performance in model selection compared to traditional metrics. Notably, our model provides both an overall score and individual scores for each evaluation item, enhancing interpretability. We also demonstrate its flexible training across various evaluation systems.

In recent years, automated radiology report generation has experienced significant growth. This paper introduces MRScore, an automatic evaluation metric tailored for radiology report generation by leveraging Large Language Models (LLMs). Conventional NLG (natural language generation) metrics like BLEU are inadequate for accurately assessing the generated radiology reports, as systematically demonstrated by our observations within this paper. To address this challenge, we collaborated with radiologists to develop a framework that guides LLMs for radiology report evaluation, ensuring alignment with human analysis. Our framework includes two key components: i) utilizing GPT to generate large amounts of training data, i.e., reports with different qualities, and ii) pairing GPT-generated reports as accepted and rejected samples and training LLMs to produce MRScore as the model reward. Our experiments demonstrate MRScore's higher correlation with human judgments and superior performance in model selection compared to traditional metrics. Our code and datasets will be available on GitHub. Keywords: Radiology Report Generation Evaluation metrics Large Language Models Reward Model.

This work conducts an evaluation of GPT-4V's multimodal capability for medical image analysis, with a focus on three representative tasks of radiology report generation, medical visual question answering, and medical visual grounding. For the evaluation, a set of prompts is designed for each task to induce the corresponding capability of GPT-4V to produce sufficiently good outputs. Three evaluation ways including quantitative analysis, human evaluation, and case study are employed to achieve an in-depth and extensive evaluation. Our evaluation shows that GPT-4V excels in understanding medical images and is able to generate high-quality radiology reports and effectively answer questions about medical images. Meanwhile, it is found that its performance for medical visual grounding needs to be substantially improved. In addition, we observe the discrepancy between the evaluation outcome from quantitative analysis and that from human evaluation. This discrepancy suggests the limitations of conventional metrics in assessing the performance of large language models like GPT-4V and the necessity of developing new metrics for automatic quantitative analysis.

Conventional Federated Domain Adaptation (FDA) approaches usually demand an abundance of assumptions, which makes them significantly less feasible for real-world situations and introduces security hazards. This paper relaxes the assumptions from previous FDAs and studies a more practical scenario named Universal Federated Domain Adaptation (UFDA). It only requires the black-box model and the label set information of each source domain, while the label sets of different source domains could be inconsistent, and the target-domain label set is totally blind. Towards a more effective solution for our newly proposed UFDA scenario, we propose a corresponding methodology called Hot-Learning with Contrastive Label Disambiguation (HCLD). It particularly tackles UFDA's domain shifts and category gaps problems by using one-hot outputs from the black-box models of various source domains. Moreover, to better distinguish the shared and unknown classes, we further present a cluster-level strategy named Mutual-Voting Decision (MVD) to extract robust consensus knowledge across peer classes from both source and target domains. Extensive experiments on three benchmark datasets demonstrate that our method achieves comparable performance for our UFDA scenario with much fewer assumptions, compared to previous methodologies with comprehensive additional assumptions.

While semi-supervised learning (SSL) has yielded promising results, the more realistic SSL scenario remains to be explored, in which the unlabeled data exhibits extremely high recognition difficulty, e.g., fine-grained visual classification in the context of SSL (SS-FGVC). The increased recognition difficulty on fine-grained unlabeled data spells disaster for pseudo-labeling accuracy, resulting in poor performance of the SSL model. To tackle this challenge, we propose Soft Label Selection with Confidence-Aware Clustering based on Class Transition Tracking (SoC) by reconstructing the pseudo-label selection process by jointly optimizing Expansion Objective and Shrinkage Objective, which is based on a soft label manner. Respectively, the former objective encourages soft labels to absorb more candidate classes to ensure the attendance of ground-truth class, while the latter encourages soft labels to reject more noisy classes, which is theoretically proved to be equivalent to entropy minimization. In comparisons with various state-of-the-art methods, our approach demonstrates its superior performance in SS-FGVC. Checkpoints and source code are available at https://github.com/NJUyued/SoC4SS-FGVC.

Recent neural networks based surface reconstruction can be roughly divided into two categories, one warping templates explicitly and the other representing 3D surfaces implicitly. To enjoy the advantages of both, we propose a novel 3D representation, Neural Vector Fields (NVF), which adopts the explicit learning process to manipulate meshes and implicit unsigned distance function (UDF) representation to break the barriers in resolution and topology. This is achieved by directly predicting the displacements from surface queries and modeling shapes as Vector Fields, rather than relying on network differentiation to obtain direction fields as most existing UDF-based methods do. In this way, our approach is capable of encoding both the distance and the direction fields so that the calculation of direction fields is differentiation-free, circumventing the non-trivial surface extraction step. Furthermore, building upon NVFs, we propose to incorporate two types of shape codebooks, \ie, NVFs (Lite or Ultra), to promote cross-category reconstruction through encoding cross-object priors. Moreover, we propose a new regularization based on analyzing the zero-curl property of NVFs, and implement this through the fully differentiable framework of our NVF (ultra). We evaluate both NVFs on four surface reconstruction scenarios, including watertight vs non-watertight shapes, category-agnostic reconstruction vs category-unseen reconstruction, category-specific, and cross-domain reconstruction.