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RAD-DINO: Exploring Scalable Medical Image Encoders Beyond Text Supervision

Language-supervised pre-training has proven to be a valuable method for extracting semantically meaningful features from images, serving as a foundational element in multimodal systems within the computer vision and medical imaging domains. However, resulting features are limited by the information contained within the text. This is particularly problematic in medical imaging, where radiologists' written findings focus on specific observations; a challenge compounded by the scarcity of paired imaging-text data due to concerns over leakage of personal health information. In this work, we fundamentally challenge the prevailing reliance on language supervision for learning general purpose biomedical imaging encoders. We introduce RAD-DINO, a biomedical image encoder pre-trained solely on unimodal biomedical imaging data that obtains similar or greater performance than state-of-the-art biomedical language supervised models on a diverse range of benchmarks. Specifically, the quality of learned representations is evaluated on standard imaging tasks (classification and semantic segmentation), and a vision-language alignment task (text report generation from images). To further demonstrate the drawback of language supervision, we show that features from RAD-DINO correlate with other medical records (e.g., sex or age) better than language-supervised models, which are generally not mentioned in radiology reports. Finally, we conduct a series of ablations determining the factors in RAD-DINO's performance; notably, we observe that RAD-DINO's downstream performance scales well with the quantity and diversity of training data, demonstrating that image-only supervision is a scalable approach for training a foundational biomedical image encoder.

OV-DINO: Unified Open-Vocabulary Detection with Language-Aware Selective Fusion

Open-vocabulary detection is a challenging task due to the requirement of detecting objects based on class names, including those not encountered during training. Existing methods have shown strong zero-shot detection capabilities through pre-training on diverse large-scale datasets. However, these approaches still face two primary challenges: (i) how to universally integrate diverse data sources for end-to-end training, and (ii) how to effectively leverage the language-aware capability for region-level cross-modality understanding. To address these challenges, we propose a novel unified open-vocabulary detection method called OV-DINO, which pre-trains on diverse large-scale datasets with language-aware selective fusion in a unified framework. Specifically, we introduce a Unified Data Integration (UniDI) pipeline to enable end-to-end training and eliminate noise from pseudo-label generation by unifying different data sources into detection-centric data. In addition, we propose a Language-Aware Selective Fusion (LASF) module to enable the language-aware ability of the model through a language-aware query selection and fusion process. We evaluate the performance of the proposed OV-DINO on popular open-vocabulary detection benchmark datasets, achieving state-of-the-art results with an AP of 50.6\% on the COCO dataset and 40.0\% on the LVIS dataset in a zero-shot manner, demonstrating its strong generalization ability. Furthermore, the fine-tuned OV-DINO on COCO achieves 58.4\% AP, outperforming many existing methods with the same backbone. The code for OV-DINO will be available at https://github.com/wanghao9610/OV-DINO{https://github.com/wanghao9610/OV-DINO}.