Daily Papers

Electrocardiogram (ECG) serves as the primary non-invasive diagnostic tool for cardiac conditions monitoring, are crucial in assisting clinicians. Recent studies have concentrated on classifying cardiac conditions using ECG data but have overlooked ECG report generation, which is not only time-consuming but also requires clinical expertise. To automate ECG report generation and ensure its versatility, we propose the Multimodal ECG Instruction Tuning (MEIT) framework, the first attempt to tackle ECG report generation with LLMs and multimodal instructions. To facilitate future research, we establish a benchmark to evaluate MEIT with various LLMs backbones across two large-scale ECG datasets. Our approach uniquely aligns the representations of the ECG signal and the report, and we conduct extensive experiments to benchmark MEIT with nine open source LLMs, using more than 800,000 ECG reports. MEIT's results underscore the superior performance of instruction-tuned LLMs, showcasing their proficiency in quality report generation, zero-shot capabilities, and resilience to signal perturbation. These findings emphasize the efficacy of our MEIT framework and its potential for real-world clinical application.

The electrocardiogram (ECG) is an essential non-invasive diagnostic tool for assessing cardiac conditions. Existing automatic interpretation methods suffer from limited generalizability, focusing on a narrow range of cardiac conditions, and typically depend on raw physiological signals, which may not be readily available in resource-limited settings where only printed or digital ECG images are accessible. Recent advancements in multimodal large language models (MLLMs) present promising opportunities for addressing these challenges. However, the application of MLLMs to ECG image interpretation remains challenging due to the lack of instruction tuning datasets and well-established ECG image benchmarks for quantitative evaluation. To address these challenges, we introduce ECGInstruct, a comprehensive ECG image instruction tuning dataset of over one million samples, covering a wide range of ECG-related tasks from diverse data sources. Using ECGInstruct, we develop PULSE, an MLLM tailored for ECG image comprehension. In addition, we curate ECGBench, a new evaluation benchmark covering four key ECG image interpretation tasks across nine different datasets. Our experiments show that PULSE sets a new state-of-the-art, outperforming general MLLMs with an average accuracy improvement of 15% to 30%. This work highlights the potential of PULSE to enhance ECG interpretation in clinical practice.

While recent multimodal large language models (MLLMs) have advanced automated ECG interpretation, they still face two key limitations: (1) insufficient multimodal synergy between time series signals and visual ECG representations, and (2) limited explainability in linking diagnoses to granular waveform evidence. We introduce GEM, the first MLLM unifying ECG time series, 12-lead ECG images and text for grounded and clinician-aligned ECG interpretation. GEM enables feature-grounded analysis, evidence-driven reasoning, and a clinician-like diagnostic process through three core innovations: a dual-encoder framework extracting complementary time series and image features, cross-modal alignment for effective multimodal understanding, and knowledge-guided instruction generation for generating high-granularity grounding data (ECG-Grounding) linking diagnoses to measurable parameters (e.g., QRS/PR Intervals). Additionally, we propose the Grounded ECG Understanding task, a clinically motivated benchmark designed to comprehensively assess the MLLM's capability in grounded ECG understanding. Experimental results on both existing and our proposed benchmarks show GEM significantly improves predictive performance (CSN 7.4% uparrow), explainability (22.7% uparrow), and grounding (24.8% uparrow), making it more suitable for real-world clinical applications. GitHub repository: https://github.com/lanxiang1017/GEM.git

Electrocardiograms (ECGs) are non-invasive diagnostic tools crucial for detecting cardiac arrhythmic diseases in clinical practice. While ECG Self-supervised Learning (eSSL) methods show promise in representation learning from unannotated ECG data, they often overlook the clinical knowledge that can be found in reports. This oversight and the requirement for annotated samples for downstream tasks limit eSSL's versatility. In this work, we address these issues with the Multimodal ECG Representation Learning (MERL}) framework. Through multimodal learning on ECG records and associated reports, MERL is capable of performing zero-shot ECG classification with text prompts, eliminating the need for training data in downstream tasks. At test time, we propose the Clinical Knowledge Enhanced Prompt Engineering (CKEPE) approach, which uses Large Language Models (LLMs) to exploit external expert-verified clinical knowledge databases, generating more descriptive prompts and reducing hallucinations in LLM-generated content to boost zero-shot classification. Based on MERL, we perform the first benchmark across six public ECG datasets, showing the superior performance of MERL compared against eSSL methods. Notably, MERL achieves an average AUC score of 75.2% in zero-shot classification (without training data), 3.2% higher than linear probed eSSL methods with 10\% annotated training data, averaged across all six datasets. Code and models are available at https://github.com/cheliu-computation/MERL

Heart disease remains a significant threat to human health. As a non-invasive diagnostic tool, the electrocardiogram (ECG) is one of the most widely used methods for cardiac screening. However, the scarcity of high-quality ECG data, driven by privacy concerns and limited medical resources, creates a pressing need for effective ECG signal generation. Existing approaches for generating ECG signals typically rely on small training datasets, lack comprehensive evaluation frameworks, and overlook potential applications beyond data augmentation. To address these challenges, we propose DiffuSETS, a novel framework capable of generating ECG signals with high semantic alignment and fidelity. DiffuSETS accepts various modalities of clinical text reports and patient-specific information as inputs, enabling the creation of clinically meaningful ECG signals. Additionally, to address the lack of standardized evaluation in ECG generation, we introduce a comprehensive benchmarking methodology to assess the effectiveness of generative models in this domain. Our model achieve excellent results in tests, proving its superiority in the task of ECG generation. Furthermore, we showcase its potential to mitigate data scarcity while exploring novel applications in cardiology education and medical knowledge discovery, highlighting the broader impact of our work.

In this paper, we introduce a novel Multi-Modal Contrastive Pre-training Framework that synergistically combines X-rays, electrocardiograms (ECGs), and radiology/cardiology reports. Our approach leverages transformers to encode these diverse modalities into a unified representation space, aiming to enhance diagnostic accuracy and facilitate comprehensive patient assessments. We utilize LoRA-Peft to significantly reduce trainable parameters in the LLM and incorporate recent linear attention dropping strategy in the Vision Transformer(ViT) for smoother attention. Furthermore, we provide novel multimodal attention explanations and retrieval for our model. To the best of our knowledge, we are the first to propose an integrated model that combines X-ray, ECG, and Radiology/Cardiology Report with this approach. By utilizing contrastive loss, MoRE effectively aligns modality-specific features into a coherent embedding, which supports various downstream tasks such as zero-shot classification and multimodal retrieval. Employing our proposed methodology, we achieve state-of-the-art (SOTA) on the Mimic-IV, CheXpert, Edema Severity, and PtbXl downstream datasets, surpassing existing multimodal approaches. Our proposed framework shows significant improvements in capturing intricate inter-modal relationships and its robustness in medical diagnosis that establishes a framework for future research in multimodal learning in the healthcare sector.

Large Language Models (LLMs) have shown remarkable adaptability across domains beyond text, specifically electrocardiograms (ECGs). More specifically, there is a growing body of work exploring the task of generating text from a multi-channeled ECG and corresponding textual prompt. Current approaches typically involve pretraining an ECG-specific encoder with a self-supervised learning (SSL) objective and using the features output by the pretrained encoder to finetune a LLM for natural language generation (NLG). However, these methods are limited by 1) inefficiency from two-stage training and 2) interpretability challenges with encoder-generated features. To address these limitations, we introduce ECG-Byte, an adapted byte pair encoding (BPE) tokenizer pipeline for autoregressive language modeling of ECGs. This approach compresses and encodes ECG signals into tokens, enabling end-to-end LLM training by combining ECG and text tokens directly, while being much more interpretable since the ECG tokens can be directly mapped back to the original signal. Using ECG-Byte, we achieve competitive performance in NLG tasks in only half the time and ~48% of the data required by two-stage approaches.

Instruction tuning, a new learning paradigm that fine-tunes pre-trained language models on tasks specified through instructions, has shown promising zero-shot performance on various natural language processing tasks. However, it has yet to be explored for vision and multimodal tasks. In this work, we introduce MUL-TIINSTRUCT, the first multimodal instruction tuning benchmark dataset that consists of 62 diverse multimodal tasks in a unified seq-to-seq format covering 10 broad categories. The tasks are derived from 21 existing open-source datasets and each task is equipped with 5 expert-written instructions. We take OFA as the base pre-trained model for multimodal instruction tuning, and to further improve its zero-shot performance, we explore multiple transfer learning strategies to leverage the large-scale NATURAL INSTRUCTIONS dataset. Experimental results demonstrate strong zero-shot performance on various unseen multimodal tasks and the benefit of transfer learning from a text-only instruction dataset. We also design a new evaluation metric - Sensitivity, to evaluate how sensitive the model is to the variety of instructions. Our results indicate that fine-tuning the model on a diverse set of tasks and instructions leads to a reduced sensitivity to variations in instructions for each task.

Traditional computer vision generally solves each single task independently by a dedicated model with the task instruction implicitly designed in the model architecture, arising two limitations: (1) it leads to task-specific models, which require multiple models for different tasks and restrict the potential synergies from diverse tasks; (2) it leads to a pre-defined and fixed model interface that has limited interactivity and adaptability in following user' task instructions. To address them, Visual Instruction Tuning (VIT) has been intensively studied recently, which finetunes a large vision model with language as task instructions, aiming to learn from a wide range of vision tasks described by language instructions a general-purpose multimodal model that can follow arbitrary instructions and thus solve arbitrary tasks specified by the user. This work aims to provide a systematic review of visual instruction tuning, covering (1) the background that presents computer vision task paradigms and the development of VIT; (2) the foundations of VIT that introduce commonly used network architectures, visual instruction tuning frameworks and objectives, and evaluation setups and tasks; (3) the commonly used datasets in visual instruction tuning and evaluation; (4) the review of existing VIT methods that categorizes them with a taxonomy according to both the studied vision task and the method design and highlights the major contributions, strengths, and shortcomings of them; (5) the comparison and discussion of VIT methods over various instruction-following benchmarks; (6) several challenges, open directions and possible future works in visual instruction tuning research.

Understanding the irregular electrical activity of atrial fibrillation (AFib) has been a key challenge in electrocardiography. For serious cases of AFib, catheter ablations are performed to collect intracardiac electrograms (EGMs). EGMs offer intricately detailed and localized electrical activity of the heart and are an ideal modality for interpretable cardiac studies. Recent advancements in artificial intelligence (AI) has allowed some works to utilize deep learning frameworks to interpret EGMs during AFib. Additionally, language models (LMs) have shown exceptional performance in being able to generalize to unseen domains, especially in healthcare. In this study, we are the first to leverage pretrained LMs for finetuning of EGM interpolation and AFib classification via masked language modeling. We formulate the EGM as a textual sequence and present competitive performances on AFib classification compared against other representations. Lastly, we provide a comprehensive interpretability study to provide a multi-perspective intuition of the model's behavior, which could greatly benefit the clinical use.

The first ACM/IEEE TinyML Design Contest (TDC) held at the 41st International Conference on Computer-Aided Design (ICCAD) in 2022 is a challenging, multi-month, research and development competition. TDC'22 focuses on real-world medical problems that require the innovation and implementation of artificial intelligence/machine learning (AI/ML) algorithms on implantable devices. The challenge problem of TDC'22 is to develop a novel AI/ML-based real-time detection algorithm for life-threatening ventricular arrhythmia over low-power microcontrollers utilized in Implantable Cardioverter-Defibrillators (ICDs). The dataset contains more than 38,000 5-second intracardiac electrograms (IEGMs) segments over 8 different types of rhythm from 90 subjects. The dedicated hardware platform is NUCLEO-L432KC manufactured by STMicroelectronics. TDC'22, which is open to multi-person teams world-wide, attracted more than 150 teams from over 50 organizations. This paper first presents the medical problem, dataset, and evaluation procedure in detail. It further demonstrates and discusses the designs developed by the leading teams as well as representative results. This paper concludes with the direction of improvement for the future TinyML design for health monitoring applications.

Automated interpretation of electrocardiograms (ECG) has garnered significant attention with the advancements in machine learning methodologies. Despite the growing interest, most current studies focus solely on classification or regression tasks, which overlook a crucial aspect of clinical cardio-disease diagnosis: the diagnostic report generated by experienced human clinicians. In this paper, we introduce a novel approach to ECG interpretation, leveraging recent breakthroughs in Large Language Models (LLMs) and Vision-Transformer (ViT) models. Rather than treating ECG diagnosis as a classification or regression task, we propose an alternative method of automatically identifying the most similar clinical cases based on the input ECG data. Also, since interpreting ECG as images is more affordable and accessible, we process ECG as encoded images and adopt a vision-language learning paradigm to jointly learn vision-language alignment between encoded ECG images and ECG diagnosis reports. Encoding ECG into images can result in an efficient ECG retrieval system, which will be highly practical and useful in clinical applications. More importantly, our findings could serve as a crucial resource for providing diagnostic services in underdeveloped regions.

Open-source, multilingual medical large language models (LLMs) have the potential to serve linguistically diverse populations across different regions. Adapting generic LLMs for healthcare often requires continual pretraining, but this approach is computationally expensive and sometimes impractical. Instruction fine-tuning on a specific task may not always guarantee optimal performance due to the lack of broader domain knowledge that the model needs to understand and reason effectively in diverse scenarios. To address these challenges, we introduce two multilingual instruction fine-tuning datasets, MMed-IFT and MMed-IFT-MC, containing over 200k high-quality medical samples in six languages. We propose a two-stage training paradigm: the first stage injects general medical knowledge using MMed-IFT, while the second stage fine-tunes task-specific multiple-choice questions with MMed-IFT-MC. Our method achieves competitive results on both English and multilingual benchmarks, striking a balance between computational efficiency and performance. We plan to make our dataset and model weights public at https://github.com/SpassMed/Med-Llama3 in the future.

In recent years, advances in the large-scale pretraining of language and text-to-image models have revolutionized the field of machine learning. Yet, integrating these two modalities into a single, robust model capable of generating seamless multimodal outputs remains a significant challenge. To address this gap, we present the Joint Autoregressive Mixture (JAM) framework, a modular approach that systematically fuses existing text and image generation models. We also introduce a specialized, data-efficient instruction-tuning strategy, tailored for mixed-modal generation tasks. Our final instruct-tuned model demonstrates unparalleled performance in generating high-quality multimodal outputs and represents the first model explicitly designed for this purpose.

Accurate interpretation of Electrocardiogram (ECG) signals is pivotal for diagnosing cardiovascular diseases. Integrating ECG signals with their accompanying textual reports holds immense potential to enhance clinical diagnostics through the combination of physiological data and qualitative insights. However, this integration faces significant challenges due to inherent modality disparities and the scarcity of labeled data for robust cross-modal learning. To address these obstacles, we propose C-MELT, a novel framework that pre-trains ECG and text data using a contrastive masked auto-encoder architecture. C-MELT uniquely combines the strengths of generative with enhanced discriminative capabilities to achieve robust cross-modal representations. This is accomplished through masked modality modeling, specialized loss functions, and an improved negative sampling strategy tailored for cross-modal alignment. Extensive experiments on five public datasets across diverse downstream tasks demonstrate that C-MELT significantly outperforms existing methods, achieving 15% and 2% increases in linear probing and zero-shot performance over state-of-the-art models, respectively. These results highlight the effectiveness of C-MELT, underscoring its potential to advance automated clinical diagnostics through multi-modal representations.

Recently, Multimodal Large Language Models (MLLMs) that enable Large Language Models (LLMs) to interpret images through visual instruction tuning have achieved significant success. However, existing visual instruction tuning methods only utilize image-language instruction data to align the language and image modalities, lacking a more fine-grained cross-modal alignment. In this paper, we propose Position-enhanced Visual Instruction Tuning (PVIT), which extends the functionality of MLLMs by integrating an additional region-level vision encoder. This integration promotes a more detailed comprehension of images for the MLLM. In addition, to efficiently achieve a fine-grained alignment between the vision modules and the LLM, we design multiple data generation strategies to construct an image-region-language instruction dataset. Finally, we present both quantitative experiments and qualitative analysis that demonstrate the superiority of the proposed model. Code and data will be released at https://github.com/THUNLP-MT/PVIT.

Instruction following is crucial in contemporary LLM. However, when extended to multimodal setting, it often suffers from misalignment between specific textual instruction and targeted local region of an image. To achieve more accurate and nuanced multimodal instruction following, we introduce Instruction-guided Visual Masking (IVM), a new versatile visual grounding model that is compatible with diverse multimodal models, such as LMM and robot model. By constructing visual masks for instruction-irrelevant regions, IVM-enhanced multimodal models can effectively focus on task-relevant image regions to better align with complex instructions. Specifically, we design a visual masking data generation pipeline and create an IVM-Mix-1M dataset with 1 million image-instruction pairs. We further introduce a new learning technique, Discriminator Weighted Supervised Learning (DWSL) for preferential IVM training that prioritizes high-quality data samples. Experimental results on generic multimodal tasks such as VQA and embodied robotic control demonstrate the versatility of IVM, which as a plug-and-play tool, significantly boosts the performance of diverse multimodal models, yielding new state-of-the-art results across challenging multimodal benchmarks. Code is available at https://github.com/2toinf/IVM.

Large Language Models (LLMs) have strong instruction-following capability to interpret and execute tasks as directed by human commands. Multimodal Large Language Models (MLLMs) have inferior instruction-following ability compared to LLMs. However, there is a significant gap in the instruction-following capabilities between the MLLMs and LLMs. In this study, we conduct a pilot experiment, which demonstrates that spatially down-sampling visual tokens significantly enhances the instruction-following capability of MLLMs. This is attributed to the substantial redundancy in visual modality. However, this intuitive method severely impairs the MLLM's multimodal understanding capability. In this paper, we propose Visual-Modality Token Compression (VMTC) and Cross-Modality Attention Inhibition (CMAI) strategies to alleviate this gap between MLLMs and LLMs by inhibiting the influence of irrelevant visual tokens during content generation, increasing the instruction-following ability of the MLLMs while retaining their multimodal understanding capacity. In VMTC module, the primary tokens are retained and the redundant tokens are condensed by token clustering and merging. In CMAI process, we aggregate text-to-image attentions by text-to-text attentions to obtain a text-to-image focus score. Attention inhibition is performed on the text-image token pairs with low scores. Our comprehensive experiments over instruction-following capabilities and VQA-V2, GQA, TextVQA, MME and MMBench five benchmarks, demonstrate that proposed strategy significantly enhances the instruction following capability of MLLMs while preserving the ability to understand and process multimodal inputs.

We present a vision and language model named MultiModal-GPT to conduct multi-round dialogue with humans. MultiModal-GPT can follow various instructions from humans, such as generating a detailed caption, counting the number of interested objects, and answering general questions from users. MultiModal-GPT is parameter-efficiently fine-tuned from OpenFlamingo, with Low-rank Adapter (LoRA) added both in the cross-attention part and the self-attention part of the language model. We first construct instruction templates with vision and language data for multi-modality instruction tuning to make the model understand and follow human instructions. We find the quality of training data is vital for the dialogue performance, where few data containing short answers can lead the model to respond shortly to any instructions. To further enhance the ability to chat with humans of the MultiModal-GPT, we utilize language-only instruction-following data to train the MultiModal-GPT jointly. The joint training of language-only and visual-language instructions with the same instruction template effectively improves dialogue performance. Various demos show the ability of continuous dialogue of MultiModal-GPT with humans. Code and demo are at https://github.com/open-mmlab/Multimodal-GPT

Despite the success of Large Language Models (LLMs) in general image tasks, a gap persists in the medical field for a multimodal large model adept at handling the nuanced diversity of medical images. Addressing this, we propose MedXChat, a unified multimodal large model designed for seamless interactions between medical assistants and users. MedXChat encompasses three key functionalities: CXR(Chest X-ray)-to-Report generation, CXR-based visual question-answering (VQA), and Text-to-CXR synthesis. Our contributions are as follows. Firstly, our model showcases exceptional cross-task adaptability, displaying adeptness across all three defined tasks and outperforming the benchmark models on the MIMIC dataset in medical multimodal applications. Secondly, we introduce an innovative Text-to-CXR synthesis approach that utilizes instruction-following capabilities within the Stable Diffusion (SD) architecture. This technique integrates smoothly with the existing model framework, requiring no extra parameters, thereby maintaining the SD's generative strength while also bestowing upon it the capacity to render fine-grained medical images with high fidelity. Comprehensive experiments validate MedXChat's synergistic enhancement across all tasks. Our instruction data and model will be open-sourced.

With the rapid development of large language models (LLMs) and their integration into large multimodal models (LMMs), there has been impressive progress in zero-shot completion of user-oriented vision-language tasks. However, a gap remains in the domain of chart image understanding due to the distinct abstract components in charts. To address this, we introduce a large-scale MultiModal Chart Instruction (MMC-Instruction) dataset comprising 600k instances supporting diverse tasks and chart types. Leveraging this data, we develop MultiModal Chart Assistant (MMCA), an LMM that achieves state-of-the-art performance on existing chart QA benchmarks. Recognizing the need for a comprehensive evaluation of LMM chart understanding, we also propose a MultiModal Chart Benchmark (MMC-Benchmark), a comprehensive human-annotated benchmark with 9 distinct tasks evaluating reasoning capabilities over charts. Extensive experiments on MMC-Benchmark reveal the limitations of existing LMMs on correctly interpreting charts, even for the most recent GPT-4V model. Our work provides an instruction-tuning methodology and benchmark to advance multimodal understanding of charts.

The ability to provide fine-grained control for generating and editing visual imagery has profound implications for computer vision and its applications. Previous works have explored extending controllability in two directions: instruction tuning with text-based prompts and multi-modal conditioning. However, these works make one or more unnatural assumptions on the number and/or type of modality inputs used to express controllability. We propose InstructAny2Pix, a flexible multi-modal instruction-following system that enables users to edit an input image using instructions involving audio, images, and text. InstructAny2Pix consists of three building blocks that facilitate this capability: a multi-modal encoder that encodes different modalities such as images and audio into a unified latent space, a diffusion model that learns to decode representations in this latent space into images, and a multi-modal LLM that can understand instructions involving multiple images and audio pieces and generate a conditional embedding of the desired output, which can be used by the diffusion decoder. Additionally, to facilitate training efficiency and improve generation quality, we include an additional refinement prior module that enhances the visual quality of LLM outputs. These designs are critical to the performance of our system. We demonstrate that our system can perform a series of novel instruction-guided editing tasks. The code is available at https://github.com/jacklishufan/InstructAny2Pix.git

Multimodal information extraction (MIE) gains significant attention as the popularity of multimedia content increases. However, current MIE methods often resort to using task-specific model structures, which results in limited generalizability across tasks and underutilizes shared knowledge across MIE tasks. To address these issues, we propose UMIE, a unified multimodal information extractor to unify three MIE tasks as a generation problem using instruction tuning, being able to effectively extract both textual and visual mentions. Extensive experiments show that our single UMIE outperforms various state-of-the-art (SoTA) methods across six MIE datasets on three tasks. Furthermore, in-depth analysis demonstrates UMIE's strong generalization in the zero-shot setting, robustness to instruction variants, and interpretability. Our research serves as an initial step towards a unified MIE model and initiates the exploration into both instruction tuning and large language models within the MIE domain. Our code, data, and model are available at https://github.com/ZUCC-AI/UMIE

Sparse Mixture-of-Experts (MoE) is a neural architecture design that can be utilized to add learnable parameters to Large Language Models (LLMs) without increasing inference cost. Instruction tuning is a technique for training LLMs to follow instructions. We advocate combining these two approaches, as we find that MoE models benefit more from instruction tuning than dense models. In particular, we conduct empirical studies across three experimental setups: (i) Direct finetuning on individual downstream tasks devoid of instruction tuning; (ii) Instructiontuning followed by in-context few-shot or zero-shot generalization on downstream tasks; and (iii) Instruction tuning supplemented by further finetuning on individual downstream tasks. In the first scenario, MoE models overall underperform dense models of identical computational capacity. This narrative, however, dramatically changes with the introduction of instruction tuning (second and third scenario), used independently or in conjunction with task-specific finetuning. Our most powerful model, FLAN-MOE-32B, surpasses the performance of FLAN-PALM-62B on four benchmark tasks, while using only a third of the FLOPs. The advancements embodied byFLAN-MOE inspire a reevaluation of the design principles of large-scale, high-performance language models in the framework of task-agnostic learning.

Large Language Models (LLMs) have demonstrated significant enhancements in instruction-following abilities through instruction tuning, achieving notable performances across various tasks. Previous research has focused on fine-tuning medical domain-specific LLMs using an extensive array of medical-specific data, incorporating millions of pieces of biomedical literature to augment their medical capabilities. However, existing medical instruction-tuned LLMs have been constrained by the limited scope of tasks and instructions available, restricting the efficacy of instruction tuning and adversely affecting performance in the general domain. In this paper, we fine-tune LLaMA-series models using 52k diverse, machine-generated, medical instruction-following data, MedInstruct-52k, resulting in the model AlpaCare. Comprehensive experimental results on both general and medical-specific domain free-form instruction evaluations showcase AlpaCare's strong medical proficiency and generalizability compared to previous instruction-tuned models in both medical and general domains. We provide public access to our MedInstruct-52k dataset and a clinician-crafted free-form instruction test set, MedInstruct-test, along with our codebase, to foster further research and development. Our project page is available at https://github.com/XZhang97666/AlpaCare.

Instruction tuning is an essential supervised training phase for Large Language Models (LLMs), with the goal of enhancing LLMs' capacity to generalize instruction execution and adapt to user preferences. With the growing incorporation of multi-modal data into LLMs, there is an increasing interest in the performance of vision-language instruction tuning which presents more complex features in comparison to pure text instructions. In this paper, we systematically review the latest vision-language instruction tuning settings and datasets in multi-modal LLMs and summarize the characteristics that high-quality vision-language tuning data should have. We consider these characteristics as the foundational principles for constructing vision-language instruction data and propose a complete construction pipeline consisting of data collection, instruction generation, and quality control modules that incorporate meticulously designed instruction property evaluation indicators. We perform vision-language instruction tuning on three widely used multi-modal LLMs based on the instruction data we constructed and conduct extensive experiments on the corresponding metrics to demonstrate the rationality of the construction principles proposed in this paper. The code and dataset related to this paper have been open-sourced at https://github.com/palchenli/VL-Instruction-Tuning.

Recent Multimodal Large Language Models (MLLMs) have demonstrated significant progress in perceiving and reasoning over multimodal inquiries, ushering in a new research era for foundation models. However, vision-language misalignment in MLLMs has emerged as a critical challenge, where the textual responses generated by these models are not factually aligned with the given text-image inputs. Existing efforts to address vision-language misalignment have focused on developing specialized vision-language connectors or leveraging visual instruction tuning from diverse domains. In this paper, we tackle this issue from a fundamental yet unexplored perspective by revisiting the core architecture of MLLMs. Most MLLMs are typically built on decoder-only LLMs consisting of a causal attention mechanism, which limits the ability of earlier modalities (e.g., images) to incorporate information from later modalities (e.g., text). To address this problem, we propose AKI, a novel MLLM that unlocks causal attention into modality-mutual attention (MMA) to enable image tokens to attend to text tokens. This simple yet effective design allows AKI to achieve superior performance in 12 multimodal understanding benchmarks (+7.2% on average) without introducing additional parameters and increasing training time. Our MMA design is intended to be generic, allowing for application across various modalities, and scalable to accommodate diverse multimodal scenarios. The code is publicly available at https://github.com/sony/aki, and we will release our AKI-4B model to encourage further advancements in MLLMs across various directions.

Instruction tuning represents a prevalent strategy employed by Multimodal Large Language Models (MLLMs) to align with human instructions and adapt to new tasks. Nevertheless, MLLMs encounter the challenge of adapting to users' evolving knowledge and demands. Therefore, how to retain existing skills while acquiring new knowledge needs to be investigated. In this paper, we present a comprehensive benchmark, namely Continual Instruction tuNing (CoIN), to assess existing MLLMs in the sequential instruction tuning paradigm. CoIN comprises 10 commonly used datasets spanning 8 task categories, ensuring a diverse range of instructions and tasks. Besides, the trained model is evaluated from two aspects: Instruction Following and General Knowledge, which assess the alignment with human intention and knowledge preserved for reasoning, respectively. Experiments on CoIN demonstrate that current powerful MLLMs still suffer catastrophic forgetting, and the failure in intention alignment assumes the main responsibility, instead of the knowledge forgetting. To this end, we introduce MoELoRA to MLLMs which is effective to retain the previous instruction alignment. Experimental results consistently illustrate the forgetting decreased from this method on CoIN.

Large language models (LLMs) excel in various tasks but are primarily trained on text data, limiting their application scope. Expanding LLM capabilities to include vision-language understanding is vital, yet training them on multimodal data from scratch is challenging and costly. Existing instruction tuning methods, e.g., LLAVA, often connects a pretrained CLIP vision encoder and LLMs via fully fine-tuning LLMs to bridge the modality gap. However, full fine-tuning is plagued by catastrophic forgetting, i.e., forgetting previous knowledge, and high training costs particularly in the era of increasing tasks and modalities. To solve this issue, we introduce MoExtend, an effective framework designed to streamline the modality adaptation and extension of Mixture-of-Experts (MoE) models. MoExtend seamlessly integrates new experts into pre-trained MoE models, endowing them with novel knowledge without the need to tune pretrained models such as MoE and vision encoders. This approach enables rapid adaptation and extension to new modal data or tasks, effectively addressing the challenge of accommodating new modalities within LLMs. Furthermore, MoExtend avoids tuning pretrained models, thus mitigating the risk of catastrophic forgetting. Experimental results demonstrate the efficacy and efficiency of MoExtend in enhancing the multimodal capabilities of LLMs, contributing to advancements in multimodal AI research. Code: https://github.com/zhongshsh/MoExtend.

The electrocardiogram (ECG) remains a fundamental tool in cardiac diagnostics, yet its interpretation traditionally reliant on the expertise of cardiologists. The emergence of deep learning has heralded a revolutionary era in medical data analysis, particularly in the domain of ECG diagnostics. However, inter-patient variability prohibit the generalibility of ECG-AI model trained on a population dataset, hence degrade the performance of ECG-AI on specific patient or patient group. Many studies have address this challenge using different deep learning technologies. This comprehensive review systematically synthesizes research from a wide range of studies to provide an in-depth examination of cutting-edge deep-learning techniques in personalized ECG diagnosis. The review outlines a rigorous methodology for the selection of pertinent scholarly articles and offers a comprehensive overview of deep learning approaches applied to personalized ECG diagnostics. Moreover, the challenges these methods encounter are investigated, along with future research directions, culminating in insights into how the integration of deep learning can transform personalized ECG diagnosis and enhance cardiac care. By emphasizing both the strengths and limitations of current methodologies, this review underscores the immense potential of deep learning to refine and redefine ECG analysis in clinical practice, paving the way for more accurate, efficient, and personalized cardiac diagnostics.

Multimodal Large Language Models (MLLMs) are widely regarded as crucial in the exploration of Artificial General Intelligence (AGI). The core of MLLMs lies in their capability to achieve cross-modal alignment. To attain this goal, current MLLMs typically follow a two-phase training paradigm: the pre-training phase and the instruction-tuning phase. Despite their success, there are shortcomings in the modeling of alignment capabilities within these models. Firstly, during the pre-training phase, the model usually assumes that all image-text pairs are uniformly aligned, but in fact the degree of alignment between different image-text pairs is inconsistent. Secondly, the instructions currently used for finetuning incorporate a variety of tasks, different tasks's instructions usually require different levels of alignment capabilities, but previous MLLMs overlook these differentiated alignment needs. To tackle these issues, we propose a new multimodal large language model AlignGPT. In the pre-training stage, instead of treating all image-text pairs equally, we assign different levels of alignment capabilities to different image-text pairs. Then, in the instruction-tuning phase, we adaptively combine these different levels of alignment capabilities to meet the dynamic alignment needs of different instructions. Extensive experimental results show that our model achieves competitive performance on 12 benchmarks.

Artificial intelligence (AI) has demonstrated significant potential in ECG analysis and cardiovascular disease assessment. Recently, foundation models have played a remarkable role in advancing medical AI. The development of an ECG foundation model holds the promise of elevating AI-ECG research to new heights. However, building such a model faces several challenges, including insufficient database sample sizes and inadequate generalization across multiple domains. Additionally, there is a notable performance gap between single-lead and multi-lead ECG analyses. We introduced an ECG Foundation Model (ECGFounder), a general-purpose model that leverages real-world ECG annotations from cardiology experts to broaden the diagnostic capabilities of ECG analysis. ECGFounder was trained on over 10 million ECGs with 150 label categories from the Harvard-Emory ECG Database, enabling comprehensive cardiovascular disease diagnosis through ECG analysis. The model is designed to be both an effective out-of-the-box solution, and a to be fine-tunable for downstream tasks, maximizing usability. Importantly, we extended its application to lower rank ECGs, and arbitrary single-lead ECGs in particular. ECGFounder is applicable to supporting various downstream tasks in mobile monitoring scenarios. Experimental results demonstrate that ECGFounder achieves expert-level performance on internal validation sets, with AUROC exceeding 0.95 for eighty diagnoses. It also shows strong classification performance and generalization across various diagnoses on external validation sets. When fine-tuned, ECGFounder outperforms baseline models in demographic analysis, clinical event detection, and cross-modality cardiac rhythm diagnosis. The trained model and data will be publicly released upon publication through the bdsp.io. Our code is available at https://github.com/bdsp-core/ECGFounder

In this work, we build a simple but strong baseline for sounding video generation. Given base diffusion models for audio and video, we integrate them with additional modules into a single model and train it to make the model jointly generate audio and video. To enhance alignment between audio-video pairs, we introduce two novel mechanisms in our model. The first one is timestep adjustment, which provides different timestep information to each base model. It is designed to align how samples are generated along with timesteps across modalities. The second one is a new design of the additional modules, termed Cross-Modal Conditioning as Positional Encoding (CMC-PE). In CMC-PE, cross-modal information is embedded as if it represents temporal position information, and the embeddings are fed into the model like positional encoding. Compared with the popular cross-attention mechanism, CMC-PE provides a better inductive bias for temporal alignment in the generated data. Experimental results validate the effectiveness of the two newly introduced mechanisms and also demonstrate that our method outperforms existing methods.

Visual instruction tuning is the key to building multimodal large language models (MLLMs), which greatly improves the reasoning capabilities of large language models (LLMs) in vision scenario. However, existing MLLMs mostly rely on a mixture of multiple highly diverse visual instruction datasets for training (even more than a million instructions), which may introduce data redundancy. To investigate this issue, we conduct a series of empirical studies, which reveal a significant redundancy within the visual instruction datasets, and show that greatly reducing the amount of several instruction dataset even do not affect the performance. Based on the findings, we propose a new data selection approach TIVE, to eliminate redundancy within visual instruction data. TIVE first estimates the task-level and instance-level value of the visual instructions based on computed gradients. Then, according to the estimated values, TIVE determines the task proportion within the visual instructions, and selects representative instances to compose a smaller visual instruction subset for training. Experiments on LLaVA-1.5 show that our approach using only about 7.5% data can achieve comparable performance as the full-data fine-tuned model across seven benchmarks, even surpassing it on four of the benchmarks. Our code and data will be publicly released.

Existing multimodal conditional image synthesis (MCIS) methods generate images conditioned on any combinations of various modalities that require all of them must be exactly conformed, hindering the synthesis controllability and leaving the potential of cross-modality under-exploited. To this end, we propose to generate images conditioned on the compositions of multimodal control signals, where modalities are imperfectly complementary, i.e., composed multimodal conditional image synthesis (CMCIS). Specifically, we observe two challenging issues of the proposed CMCIS task, i.e., the modality coordination problem and the modality imbalance problem. To tackle these issues, we introduce a Mixture-of-Modality-Tokens Transformer (MMoT) that adaptively fuses fine-grained multimodal control signals, a multimodal balanced training loss to stabilize the optimization of each modality, and a multimodal sampling guidance to balance the strength of each modality control signal. Comprehensive experimental results demonstrate that MMoT achieves superior performance on both unimodal conditional image synthesis (UCIS) and MCIS tasks with high-quality and faithful image synthesis on complex multimodal conditions. The project website is available at https://jabir-zheng.github.io/MMoT.

With the rise of multimodal applications, instruction data has become critical for training multimodal language models capable of understanding complex image-based queries. Existing practices rely on powerful but costly large language models (LLMs) or multimodal language models (MLMs) to produce instruction data. These are often prone to hallucinations, licensing issues and the generation process is often hard to scale and interpret. In this work, we present a programmatic approach that employs scene graphs as symbolic representations of images and human-written programs to systematically synthesize vision-centric instruction data. Our approach ensures the interpretability and controllability of the data generation process and scales efficiently while maintaining factual accuracy. By implementing a suite of 24 single-image, 14 multi-image instruction generators, and a scene graph generation pipeline, we build a scalable, cost-effective system: ProVision which produces diverse question-answer pairs concerning objects, attributes, relations, depth, etc., for any given image. Applied to Visual Genome and DataComp datasets, we generate over 10 million instruction data points, ProVision-10M, and leverage them in both pretraining and instruction tuning stages of MLMs. When adopted in the instruction tuning stage, our single-image instruction data yields up to a 7% improvement on the 2D split and 8% on the 3D split of CVBench, along with a 3% increase in performance on QBench2, RealWorldQA, and MMMU. Our multi-image instruction data leads to an 8% improvement on Mantis-Eval. Incorporation of our data in both pre-training and fine-tuning stages of xGen-MM-4B leads to an averaged improvement of 1.6% across 11 benchmarks.

Large language models (LLMs) have captured significant interest from both academia and industry due to their impressive performance across various textual tasks. However, the potential of LLMs to analyze physiological time-series data remains an emerging research field. Particularly, there is a notable gap in the utilization of LLMs for analyzing wearable biosignals to achieve cuffless blood pressure (BP) measurement, which is critical for the management of cardiovascular diseases. This paper presents the first work to explore the capacity of LLMs to perform cuffless BP estimation based on wearable biosignals. We extracted physiological features from electrocardiogram (ECG) and photoplethysmogram (PPG) signals and designed context-enhanced prompts by combining these features with BP domain knowledge and user information. Subsequently, we adapted LLMs to BP estimation tasks through fine-tuning. To evaluate the proposed approach, we conducted assessments of ten advanced LLMs using a comprehensive public dataset of wearable biosignals from 1,272 participants. The experimental results demonstrate that the optimally fine-tuned LLM significantly surpasses conventional task-specific baselines, achieving an estimation error of 0.00 pm 9.25 mmHg for systolic BP and 1.29 pm 6.37 mmHg for diastolic BP. Notably, the ablation studies highlight the benefits of our context enhancement strategy, leading to an 8.9% reduction in mean absolute error for systolic BP estimation. This paper pioneers the exploration of LLMs for cuffless BP measurement, providing a potential solution to enhance the accuracy of cuffless BP measurement.

While recently Multimodal Large Language Models (MM-LLMs) have made exciting strides, they mostly fall prey to the limitation of only input-side multimodal understanding, without the ability to produce content in multiple modalities. As we humans always perceive the world and communicate with people through various modalities, developing any-to-any MM-LLMs capable of accepting and delivering content in any modality becomes essential to human-level AI. To fill the gap, we present an end-to-end general-purpose any-to-any MM-LLM system, NExT-GPT. We connect an LLM with multimodal adaptors and different diffusion decoders, enabling NExT-GPT to perceive inputs and generate outputs in arbitrary combinations of text, images, videos, and audio. By leveraging the existing well-trained highly-performing encoders and decoders, NExT-GPT is tuned with only a small amount of parameter (1%) of certain projection layers, which not only benefits low-cost training and also facilitates convenient expansion to more potential modalities. Moreover, we introduce a modality-switching instruction tuning (MosIT) and manually curate a high-quality dataset for MosIT, based on which NExT-GPT is empowered with complex cross-modal semantic understanding and content generation. Overall, our research showcases the promising possibility of building an AI agent capable of modeling universal modalities, paving the way for more human-like AI research in the community.

This paper proposes one of the first clinical applications of multimodal large language models (LLMs) as an assistant for radiologists to check errors in their reports. We created an evaluation dataset from two real-world radiology datasets (MIMIC-CXR and IU-Xray), with 1,000 subsampled reports each. A subset of original reports was modified to contain synthetic errors by introducing various type of mistakes. The evaluation contained two difficulty levels: SIMPLE for binary error-checking and COMPLEX for identifying error types. LLaVA (Large Language and Visual Assistant) variant models, including our instruction-tuned model, were used for the evaluation. Additionally, a domain expert evaluation was conducted on a small test set. At the SIMPLE level, the LLaVA v1.5 model outperformed other publicly available models. Instruction tuning significantly enhanced performance by 47.4% and 25.4% on MIMIC-CXR and IU-Xray data, respectively. The model also surpassed the domain experts accuracy in the MIMIC-CXR dataset by 1.67%. Notably, among the subsets (N=21) of the test set where a clinician did not achieve the correct conclusion, the LLaVA ensemble mode correctly identified 71.4% of these cases. This study marks a promising step toward utilizing multi-modal LLMs to enhance diagnostic accuracy in radiology. The ensemble model demonstrated comparable performance to clinicians, even capturing errors overlooked by humans. Nevertheless, future work is needed to improve the model ability to identify the types of inconsistency.

Large Multimodal Models (LMMs) have made significant breakthroughs with the advancement of instruction tuning. However, while existing models can understand images and videos at a holistic level, they still struggle with instance-level understanding that requires a more nuanced comprehension and alignment. Instance-level understanding is crucial, as it focuses on the specific elements that we are most interested in. Excitingly, existing works find that the state-of-the-art LMMs exhibit strong instance understanding capabilities when provided with explicit visual cues. Motivated by this, we introduce an automated annotation pipeline assisted by GPT-4o to extract instance-level information from images and videos through explicit visual prompting for instance guidance. Building upon this pipeline, we proposed Inst-IT, a solution to enhance LMMs in Instance understanding via explicit visual prompt Instruction Tuning. Inst-IT consists of a benchmark to diagnose multimodal instance-level understanding, a large-scale instruction-tuning dataset, and a continuous instruction-tuning training paradigm to effectively enhance spatial-temporal instance understanding capabilities of existing LMMs. Experimental results show that, with the boost of Inst-IT, our models not only achieve outstanding performance on Inst-IT Bench but also demonstrate significant improvements across various generic image and video understanding benchmarks. This highlights that our dataset not only boosts instance-level understanding but also strengthens the overall capabilities of generic image and video comprehension.

Chest X-rays (CXRs) are the most frequently performed imaging test in clinical practice. Recent advances in the development of vision-language foundation models (FMs) give rise to the possibility of performing automated CXR interpretation, which can assist physicians with clinical decision-making and improve patient outcomes. However, developing FMs that can accurately interpret CXRs is challenging due to the (1) limited availability of large-scale vision-language datasets in the medical image domain, (2) lack of vision and language encoders that can capture the complexities of medical data, and (3) absence of evaluation frameworks for benchmarking the abilities of FMs on CXR interpretation. In this work, we address these challenges by first introducing CheXinstruct - a large-scale instruction-tuning dataset curated from 28 publicly-available datasets. We then present CheXagent - an instruction-tuned FM capable of analyzing and summarizing CXRs. To build CheXagent, we design a clinical large language model (LLM) for parsing radiology reports, a vision encoder for representing CXR images, and a network to bridge the vision and language modalities. Finally, we introduce CheXbench - a novel benchmark designed to systematically evaluate FMs across 8 clinically-relevant CXR interpretation tasks. Extensive quantitative evaluations and qualitative reviews with five expert radiologists demonstrate that CheXagent outperforms previously-developed general- and medical-domain FMs on CheXbench tasks. Furthermore, in an effort to improve model transparency, we perform a fairness evaluation across factors of sex, race and age to highlight potential performance disparities. Our project is at https://stanford-aimi.github.io/chexagent.html.

Multimodal large language models acquire their instruction-following capabilities through a two-stage training process: pre-training on image-text pairs and fine-tuning on supervised vision-language instruction data. Recent studies have shown that large language models can achieve satisfactory results even with a limited amount of high-quality instruction-following data. In this paper, we introduce InstructionGPT-4, which is fine-tuned on a small dataset comprising only 200 examples, amounting to approximately 6% of the instruction-following data used in the alignment dataset for MiniGPT-4. We first propose several metrics to access the quality of multimodal instruction data. Based on these metrics, we present a simple and effective data selector to automatically identify and filter low-quality vision-language data. By employing this method, InstructionGPT-4 outperforms the original MiniGPT-4 on various evaluations (e.g., visual question answering, GPT-4 preference). Overall, our findings demonstrate that less but high-quality instruction tuning data is efficient to enable multimodal large language models to generate better output.

Recent Multimodal Large Language Models (MLLMs) exhibit impressive abilities to perceive images and follow open-ended instructions. The capabilities of MLLMs depend on two crucial factors: the model architecture to facilitate the feature alignment of visual modules and large language models; the multimodal instruction tuning datasets for human instruction following. (i) For the model architecture, most existing models introduce an external bridge module to connect vision encoders with language models, which needs an additional feature-alignment pre-training. In this work, we discover that compact pre-trained vision language models can inherently serve as ``out-of-the-box'' bridges between vision and language. Based on this, we propose Muffin framework, which directly employs pre-trained vision-language models to act as providers of visual signals. (ii) For the multimodal instruction tuning datasets, existing methods omit the complementary relationship between different datasets and simply mix datasets from different tasks. Instead, we propose UniMM-Chat dataset which explores the complementarities of datasets to generate 1.1M high-quality and diverse multimodal instructions. We merge information describing the same image from diverse datasets and transforms it into more knowledge-intensive conversation data. Experimental results demonstrate the effectiveness of the Muffin framework and UniMM-Chat dataset. Muffin achieves state-of-the-art performance on a wide range of vision-language tasks, significantly surpassing state-of-the-art models like LLaVA and InstructBLIP. Our model and dataset are all accessible at https://github.com/thunlp/muffin.

Current multimodal language models (MLMs) evaluation and training approaches overlook the influence of instruction format, presenting an elephant-in-the-room problem. Previous research deals with this problem by manually crafting instructions, failing to yield significant insights due to limitations in diversity and scalability. In this work, we propose a programmatic instruction template generator capable of producing over 39B unique template combinations by filling randomly sampled positional synonyms into weighted sampled meta templates, enabling us to comprehensively examine the MLM's performance across diverse instruction templates. Our experiments across eight common MLMs on five benchmark datasets reveal that MLMs have high template sensitivities with at most 29% performance gaps between different templates. We further augment the instruction tuning dataset of LLaVA-1.5 with our template generator and perform instruction tuning on LLaVA-1.5-7B and LLaVA-1.5-13B. Models tuned on our augmented dataset achieve the best overall performance when compared with the same scale MLMs tuned on at most 75 times the scale of our augmented dataset, highlighting the importance of instruction templates in MLM training. The code is available at https://github.com/shijian2001/TemplateMatters .

In the diverse field of medical imaging, automatic segmentation has numerous applications and must handle a wide variety of input domains, such as different types of Computed Tomography (CT) scans and Magnetic Resonance (MR) images. This heterogeneity challenges automatic segmentation algorithms to maintain consistent performance across different modalities due to the requirement for spatially aligned and paired images. Typically, segmentation models are trained using a single modality, which limits their ability to generalize to other types of input data without employing transfer learning techniques. Additionally, leveraging complementary information from different modalities to enhance segmentation precision often necessitates substantial modifications to popular encoder-decoder designs, such as introducing multiple branched encoding or decoding paths for each modality. In this work, we propose a simple Multi-Modal Segmentation (MulModSeg) strategy to enhance medical image segmentation across multiple modalities, specifically CT and MR. It incorporates two key designs: a modality-conditioned text embedding framework via a frozen text encoder that adds modality awareness to existing segmentation frameworks without significant structural modifications or computational overhead, and an alternating training procedure that facilitates the integration of essential features from unpaired CT and MR inputs. Through extensive experiments with both Fully Convolutional Network and Transformer-based backbones, MulModSeg consistently outperforms previous methods in segmenting abdominal multi-organ and cardiac substructures for both CT and MR modalities. The code is available in this {https://github.com/ChengyinLee/MulModSeg_2024{link}}.

In-context learning (ICL) involves reasoning from given contextual examples. As more modalities comes, this procedure is becoming more challenging as the interleaved input modalities convolutes the understanding process. This is exemplified by the observation that multimodal models often struggle to effectively extrapolate from contextual examples to perform ICL. To address these challenges, we introduce MultiModal In-conteXt Tuning (M^2IXT), a lightweight module to enhance the ICL capabilities of multimodal unified models. The proposed M^2IXT module perceives an expandable context window to incorporate various labeled examples of multiple modalities (e.g., text, image, and coordinates). It can be prepended to various multimodal unified models (e.g., OFA, Unival, LLaVA) of different architectures and trained via a mixed-tasks strategy to enable rapid few-shot adaption on multiple tasks and datasets. When tuned on as little as 50K multimodal data, M^2IXT can boost the few-shot ICL performance significantly (e.g., 18\% relative increase for OFA), and obtained state-of-the-art results across an array of tasks including visual question answering, image captioning, visual grounding, and visual entailment, while being considerably small in terms of model parameters (e.g., sim20times smaller than Flamingo or MMICL), highlighting the flexibility and effectiveness of M^2IXT as a multimodal in-context learner.

This tutorial note summarizes the presentation on ``Large Multimodal Models: Towards Building and Surpassing Multimodal GPT-4'', a part of CVPR 2023 tutorial on ``Recent Advances in Vision Foundation Models''. The tutorial consists of three parts. We first introduce the background on recent GPT-like large models for vision-and-language modeling to motivate the research in instruction-tuned large multimodal models (LMMs). As a pre-requisite, we describe the basics of instruction-tuning in large language models, which is further extended to the multimodal space. Lastly, we illustrate how to build the minimum prototype of multimodal GPT-4 like models with the open-source resource, and review the recently emerged topics.

Open-source multimodal large language models (MLLMs) have shown significant potential in a broad range of multimodal tasks. However, their reasoning capabilities remain constrained by existing instruction-tuning datasets, which were predominately repurposed from academic datasets such as VQA, AI2D, and ChartQA. These datasets target simplistic tasks, and only provide phrase-level answers without any intermediate rationales. To address these challenges, we introduce a scalable and cost-effective method to construct a large-scale multimodal instruction-tuning dataset with rich intermediate rationales designed to elicit CoT reasoning. Using only open models, we create a dataset containing 12M instruction-response pairs to cover diverse, reasoning-intensive tasks with detailed and faithful rationales. Experiments demonstrate that training MLLMs on this dataset significantly improves reasoning capabilities, achieving state-of-the-art performance on benchmarks such as MathVerse (+8.1%), MMMU-Pro (+7%), and MuirBench (+13.3%). Additionally, the model demonstrates notable improvements of up to 4% on non-reasoning-based benchmarks. Ablation studies further highlight the importance of key components, such as rewriting and self-filtering, in the dataset construction process.

Multimodal Large Language Model (MLLM) recently has been a new rising research hotspot, which uses powerful Large Language Models (LLMs) as a brain to perform multimodal tasks. The surprising emergent capabilities of MLLM, such as writing stories based on images and OCR-free math reasoning, are rare in traditional methods, suggesting a potential path to artificial general intelligence. In this paper, we aim to trace and summarize the recent progress of MLLM. First of all, we present the formulation of MLLM and delineate its related concepts. Then, we discuss the key techniques and applications, including Multimodal Instruction Tuning (M-IT), Multimodal In-Context Learning (M-ICL), Multimodal Chain of Thought (M-CoT), and LLM-Aided Visual Reasoning (LAVR). Finally, we discuss existing challenges and point out promising research directions. In light of the fact that the era of MLLM has only just begun, we will keep updating this survey and hope it can inspire more research. An associated GitHub link collecting the latest papers is available at https://github.com/BradyFU/Awesome-Multimodal-Large-Language-Models.

Multimodal Large Language Models (MLLMs) have recently sparked significant interest, which demonstrates emergent capabilities to serve as a general-purpose model for various vision-language tasks. However, existing methods mainly focus on limited types of instructions with a single image as visual context, which hinders the widespread availability of MLLMs. In this paper, we introduce the I4 benchmark to comprehensively evaluate the instruction following ability on complicated interleaved vision-language instructions, which involve intricate image-text sequential context, covering a diverse range of scenarios (e.g., visually-rich webpages/textbooks, lecture slides, embodied dialogue). Systematic evaluation on our I4 benchmark reveals a common defect of existing methods: the Visual Prompt Generator (VPG) trained on image-captioning alignment objective tends to attend to common foreground information for captioning but struggles to extract specific information required by particular tasks. To address this issue, we propose a generic and lightweight controllable knowledge re-injection module, which utilizes the sophisticated reasoning ability of LLMs to control the VPG to conditionally extract instruction-specific visual information and re-inject it into the LLM. Further, we introduce an annotation-free cross-attention guided counterfactual image training strategy to methodically learn the proposed module by collaborating a cascade of foundation models. Enhanced by the proposed module and training strategy, we present Cheetor, a Transformer-based MLLM that can effectively handle a wide variety of interleaved vision-language instructions and achieves state-of-the-art zero-shot performance across all tasks of I4, without high-quality multimodal instruction tuning data. Cheetor also exhibits competitive performance compared with state-of-the-art instruction tuned models on MME benchmark.

Multimodal Large Language Models (MLLMs) excel in solving text-based mathematical problems, but they struggle with mathematical diagrams since they are primarily trained on natural scene images. For humans, visual aids generally enhance problem-solving, but MLLMs perform worse as information shifts from textual to visual modality. This decline is mainly due to their shortcomings in aligning images and text. To tackle aforementioned challenges, we propose Math-PUMA, a methodology focused on Progressive Upward Multimodal Alignment. This approach is designed to improve the mathematical reasoning skills of MLLMs through a three-stage training process, with the second stage being the critical alignment stage. We first enhance the language model's mathematical reasoning capabilities with extensive set of textual mathematical problems. We then construct a multimodal dataset with varying degrees of textual and visual information, creating data pairs by presenting each problem in at least two forms. By leveraging the Kullback-Leibler (KL) divergence of next-token prediction distributions to align visual and textual modalities, consistent problem-solving abilities are ensured. Finally, we utilize multimodal instruction tuning for MLLMs with high-quality multimodal data. Experimental results on multiple mathematical reasoning benchmarks demonstrate that the MLLMs trained with Math-PUMA surpass most open-source MLLMs. Our approach effectively narrows the performance gap for problems presented in different modalities. The code and data are available at: https://github.com/wwzhuang01/Math-PUMA.

Despite the promising progress in multi-modal tasks, current large multi-modal models (LMM) are prone to hallucinating inconsistent descriptions with respect to the associated image and human instructions. This paper addresses this issue by introducing the first large and diverse visual instruction tuning dataset, named Large-scale Robust Visual (LRV)-Instruction. Our dataset consists of 120k visual instructions generated by GPT4, covering 16 vision-and-language tasks with open-ended instructions and answers. Unlike existing studies that primarily focus on positive instruction samples, we design LRV-Instruction to include both positive and negative instructions for more robust visual instruction tuning. Our negative instructions are designed at two semantic levels: (i) Nonexistent Element Manipulation and (ii) Existent Element Manipulation. To efficiently measure the hallucination generated by LMMs, we propose GPT4-Assisted Visual Instruction Evaluation (GAVIE), a novel approach to evaluate visual instruction tuning without the need for human-annotated groundtruth answers and can adapt to diverse instruction formats. We conduct comprehensive experiments to investigate the hallucination of LMMs. Our results demonstrate that existing LMMs exhibit significant hallucination when presented with our negative instructions, particularly with Existent Element Manipulation instructions. Moreover, by finetuning MiniGPT4 on LRV-Instruction, we successfully mitigate hallucination while improving performance on public datasets using less training data compared to state-of-the-art methods. Additionally, we observed that a balanced ratio of positive and negative instances in the training data leads to a more robust model. Our project link is available at https://fuxiaoliu.github.io/LRV/.

Large language models (LLMs) have recently been extended to the vision-language realm, obtaining impressive general multi-modal capabilities. However, the exploration of multi-modal large language models (MLLMs) for remote sensing (RS) data is still in its infancy, and the performance is not satisfactory. In this work, we introduce SkyEyeGPT, a unified multi-modal large language model specifically designed for RS vision-language understanding. To this end, we meticulously curate an RS multi-modal instruction tuning dataset, including single-task and multi-task conversation instructions. After manual verification, we obtain a high-quality RS instruction-following dataset with 968k samples. Our research demonstrates that with a simple yet effective design, SkyEyeGPT works surprisingly well on considerably different tasks without the need for extra encoding modules. Specifically, after projecting RS visual features to the language domain via an alignment layer, they are fed jointly with task-specific instructions into an LLM-based RS decoder to predict answers for RS open-ended tasks. In addition, we design a two-stage tuning method to enhance instruction-following and multi-turn dialogue ability at different granularities. Experiments on 8 datasets for RS vision-language tasks demonstrate SkyEyeGPT's superiority in image-level and region-level tasks, such as captioning and visual grounding. In particular, SkyEyeGPT exhibits encouraging results compared to GPT-4V in some qualitative tests. The online demo, code, and dataset will be released in https://github.com/ZhanYang-nwpu/SkyEyeGPT.

Instruction tuning has significantly advanced large language models (LLMs) such as ChatGPT, enabling them to align with human instructions across diverse tasks. However, progress in open vision-language models (VLMs) has been limited due to the scarcity of high-quality instruction datasets. To tackle this challenge and promote research in the vision-language field, we introduce the Multi-Modal, Multilingual Instruction Tuning (M^3IT) dataset, designed to optimize VLM alignment with human instructions. Our M^3IT dataset comprises 40 carefully curated datasets, including 2.4 million instances and 400 manually written task instructions, reformatted into a vision-to-text structure. Key tasks are translated into 80 languages with an advanced translation system, ensuring broader accessibility. M^3IT surpasses previous datasets regarding task coverage, instruction number and instance scale. Moreover, we develop Ying-VLM, a VLM model trained on our M^3IT dataset, showcasing its potential to answer complex questions requiring world knowledge, generalize to unseen video tasks, and comprehend unseen instructions in Chinese. To encourage further research, we have open-sourced both the dataset and trained models.

Recent advancements in Large Language Models (LLMs) have drawn increasing attention since the learned embeddings pretrained on large-scale datasets have shown powerful ability in various downstream applications. However, whether the learned knowledge by LLMs can be transferred to clinical cardiology remains unknown. In this work, we aim to bridge this gap by transferring the knowledge of LLMs to clinical Electrocardiography (ECG). We propose an approach for cardiovascular disease diagnosis and automatic ECG diagnosis report generation. We also introduce an additional loss function by Optimal Transport (OT) to align the distribution between ECG and language embedding. The learned embeddings are evaluated on two downstream tasks: (1) automatic ECG diagnosis report generation, and (2) zero-shot cardiovascular disease detection. Our approach is able to generate high-quality cardiac diagnosis reports and also achieves competitive zero-shot classification performance even compared with supervised baselines, which proves the feasibility of transferring knowledge from LLMs to the cardiac domain.

This paper introduces reconstructive visual instruction tuning (ROSS), a family of Large Multimodal Models (LMMs) that exploit vision-centric supervision signals. In contrast to conventional visual instruction tuning approaches that exclusively supervise text outputs, ROSS prompts LMMs to supervise visual outputs via reconstructing input images. By doing so, it capitalizes on the inherent richness and detail present within input images themselves, which are often lost in pure text supervision. However, producing meaningful feedback from natural images is challenging due to the heavy spatial redundancy of visual signals. To address this issue, ROSS employs a denoising objective to reconstruct latent representations of input images, avoiding directly regressing exact raw RGB values. This intrinsic activation design inherently encourages LMMs to maintain image detail, thereby enhancing their fine-grained comprehension capabilities and reducing hallucinations. Empirically, ROSS consistently brings significant improvements across different visual encoders and language models. In comparison with extrinsic assistance state-of-the-art alternatives that aggregate multiple visual experts, ROSS delivers competitive performance with a single SigLIP visual encoder, demonstrating the efficacy of our vision-centric supervision tailored for visual outputs.

Visual Prompt Tuning (VPT) is an effective tuning method for adapting pretrained Vision Transformers (ViTs) to downstream tasks. It leverages extra learnable tokens, known as prompts, which steer the frozen pretrained ViTs. Although VPT has demonstrated its applicability with supervised vision transformers, it often underperforms with self-supervised ones. Through empirical observations, we deduce that the effectiveness of VPT hinges largely on the ViT blocks with which the prompt tokens interact. Specifically, VPT shows improved performance on image classification tasks for MAE and MoCo v3 when the prompt tokens are inserted into later blocks rather than the first block. These observations suggest that there exists an optimal location of blocks for the insertion of prompt tokens. Unfortunately, identifying the optimal blocks for prompts within each self-supervised ViT for diverse future scenarios is a costly process. To mitigate this problem, we propose a simple yet effective method that learns a gate for each ViT block to adjust its intervention into the prompt tokens. With our method, prompt tokens are selectively influenced by blocks that require steering for task adaptation. Our method outperforms VPT variants in FGVC and VTAB image classification and ADE20K semantic segmentation. The code is available at https://github.com/ryongithub/GatedPromptTuning.

Although In-Context Learning (ICL) brings remarkable performance gains to Large Language Models (LLMs), the improvements remain lower than fine-tuning on downstream tasks. This paper introduces Multi-Modal In-Context Tuning (MMICT), a novel multi-modal fine-tuning paradigm that boosts multi-modal fine-tuning by fully leveraging the promising ICL capability of multi-modal LLMs (MM-LLMs). We propose the Multi-Modal Hub (M-Hub), a unified module that captures various multi-modal features according to different inputs and objectives. Based on M-Hub, MMICT enables MM-LLMs to learn from in-context visual-guided textual features and subsequently generate outputs conditioned on the textual-guided visual features. Moreover, leveraging the flexibility of M-Hub, we design a variety of in-context demonstrations. Extensive experiments on a diverse range of downstream multi-modal tasks demonstrate that MMICT significantly outperforms traditional fine-tuning strategy and the vanilla ICT method that directly takes the concatenation of all information from different modalities as input.

Large Language Models (LLMs), particularly those similar to ChatGPT, have significantly influenced the field of Natural Language Processing (NLP). While these models excel in general language tasks, their performance in domain-specific downstream tasks such as biomedical and clinical Named Entity Recognition (NER), Relation Extraction (RE), and Medical Natural Language Inference (NLI) is still evolving. In this context, our study investigates the potential of instruction tuning for biomedical language processing, applying this technique to two general LLMs of substantial scale. We present a comprehensive, instruction-based model trained on a dataset that consists of approximately 200,000 instruction-focused samples. This dataset represents a carefully curated compilation of existing data, meticulously adapted and reformatted to align with the specific requirements of our instruction-based tasks. This initiative represents an important step in utilising such models to achieve results on par with specialised encoder-only models like BioBERT and BioClinicalBERT for various classical biomedical NLP tasks. Our work includes an analysis of the dataset's composition and its impact on model performance, providing insights into the intricacies of instruction tuning. By sharing our codes, models, and the distinctively assembled instruction-based dataset, we seek to encourage ongoing research and development in this area.

Large Language Models (LLMs) excel in understanding human instructions, driving the development of Multimodal LLMs (MLLMs) with instruction tuning. However, acquiring high-quality multimodal instruction tuning data poses a significant challenge. Previous approaches relying on GPT-4 for data generation proved expensive and exhibited unsatisfactory performance for certain tasks. To solve this, we present Genixer, an innovative data generation pipeline producing high-quality multimodal instruction tuning data for various tasks. Genixer collects datasets for ten prevalent multimodal tasks and designs instruction templates to transform these datasets into instruction-tuning data. It then trains pretrained MLLMs to generate task-specific instruction data and proposes an effective data filtering strategy to ensure high quality. To evaluate Genixer, a base MLLM model, Kakapo, is built and achieves SoTA performance in image captioning and visual question answering (VQA) tasks across multiple datasets. Experimental results show that filtered data from Genixer continually improves Kakapo for image captioning and VQA tasks. For the SoTA Shikra MLLM model on the image-region-related tasks, e.g., region caption and detection, Genixer also successfully generates corresponding data and improves its performance. Genixer opens avenues for generating high-quality multimodal instruction data for diverse tasks, enabling innovative applications across domains. The code and models will be released soon.

Finetuning large language models with a variety of instruction-response pairs has enhanced their capability to understand and follow instructions. Current instruction tuning primarily relies on teacher models or human intervention to generate and refine the instructions and responses, which are costly, non-sustainable, and may lack diversity. In this paper, we introduce Mosaic Instruction Tuning (Mosaic-IT), a human/model-free method that can efficiently create rich and diverse augmentations from existing instruction tuning data to enhance the finetuned LLM.Mosaic-IT randomly concatenates multiple instruction data into one and trains the model to produce the corresponding responses with predefined higher-level meta-instructions to strengthen its multi-step instruction-following and format-following skills. Our extensive evaluations demonstrate a superior performance and training efficiency of Mosaic-IT, which achieves consistent performance improvements over various benchmarks and an 80% reduction in training costs compared with original instruction tuning. Our codes and data are available at https://github.com/tianyi-lab/Mosaic-IT.

Multi-modal Large Language Models (MLLMs) are increasingly prominent in the field of artificial intelligence. Visual instruction fine-tuning (IFT) is a vital process for aligning MLLMs' output with user's intentions. High-quality and diversified instruction following data is the key to this fine-tuning process. Recent studies propose to construct visual IFT datasets through a multifaceted approach: transforming existing datasets with rule-based templates, employing GPT-4 for rewriting annotations, and utilizing GPT-4V for visual dataset pseudo-labeling. LLaVA-1.5 adopted similar approach and construct LLaVA-mix-665k, which is one of the simplest, most widely used, yet most effective IFT datasets today. Notably, when properly fine-tuned with this dataset, MLLMs can achieve state-of-the-art performance on several benchmarks. However, we noticed that models trained with this dataset often struggle to follow user instructions properly in multi-round dialog. In addition, tradition caption and VQA evaluation benchmarks, with their closed-form evaluation structure, are not fully equipped to assess the capabilities of modern open-ended generative MLLMs. This problem is not unique to the LLaVA-mix-665k dataset, but may be a potential issue in all IFT datasets constructed from image captioning or VQA sources, though the extent of this issue may vary. We argue that datasets with diverse and high-quality detailed instruction following annotations are essential and adequate for MLLMs IFT. In this work, we establish a new IFT dataset, with images sourced from the COCO dataset along with more diverse instructions. Our experiments show that when fine-tuned with out proposed dataset, MLLMs achieve better performance on open-ended evaluation benchmarks in both single-round and multi-round dialog setting.

Training large foundation models using self-supervised objectives on unlabeled data, followed by fine-tuning on downstream tasks, has emerged as a standard procedure. Unfortunately, the efficacy of this approach is often constrained by both limited fine-tuning compute and scarcity in labeled downstream data. We introduce Multimodal Attention Merging (MAM), an attempt that facilitates direct knowledge transfer from attention matrices of models rooted in high resource modalities, text and images, to those in resource-constrained domains, speech and audio, employing a zero-shot paradigm. MAM reduces the relative Word Error Rate (WER) of an Automatic Speech Recognition (ASR) model by up to 6.70%, and relative classification error of an Audio Event Classification (AEC) model by 10.63%. In cases where some data/compute is available, we present Learnable-MAM, a data-driven approach to merging attention matrices, resulting in a further 2.90% relative reduction in WER for ASR and 18.42% relative reduction in AEC compared to fine-tuning.

In recent years, Multimodal Large Language Models (MLLM) have achieved notable advancements, demonstrating the feasibility of developing an intelligent biomedical assistant. However, current biomedical MLLMs predominantly focus on image-level understanding and restrict interactions to textual commands, thus limiting their capability boundaries and the flexibility of usage. In this paper, we introduce a novel end-to-end multimodal large language model for the biomedical domain, named MedPLIB, which possesses pixel-level understanding. Excitingly, it supports visual question answering (VQA), arbitrary pixel-level prompts (points, bounding boxes, and free-form shapes), and pixel-level grounding. We propose a novel Mixture-of-Experts (MoE) multi-stage training strategy, which divides MoE into separate training phases for a visual-language expert model and a pixel-grounding expert model, followed by fine-tuning using MoE. This strategy effectively coordinates multitask learning while maintaining the computational cost at inference equivalent to that of a single expert model. To advance the research of biomedical MLLMs, we introduce the Medical Complex Vision Question Answering Dataset (MeCoVQA), which comprises an array of 8 modalities for complex medical imaging question answering and image region understanding. Experimental results indicate that MedPLIB has achieved state-of-the-art outcomes across multiple medical visual language tasks. More importantly, in zero-shot evaluations for the pixel grounding task, MedPLIB leads the best small and large models by margins of 19.7 and 15.6 respectively on the mDice metric. The codes, data, and model checkpoints will be made publicly available at https://github.com/ShawnHuang497/MedPLIB.

Instruction tuning large language model (LLM) on image-text pairs has achieved unprecedented vision-language multimodal abilities. However, their vision-language alignments are only built on image-level, the lack of region-level alignment limits their advancements to fine-grained multimodal understanding. In this paper, we propose instruction tuning on region-of-interest. The key design is to reformulate the bounding box as the format of spatial instruction. The interleaved sequences of visual features extracted by the spatial instruction and the language embedding are input to LLM, and trained on the transformed region-text data in instruction tuning format. Our region-level vision-language model, termed as GPT4RoI, brings brand new conversational and interactive experience beyond image-level understanding. (1) Controllability: Users can interact with our model by both language and spatial instructions to flexibly adjust the detail level of the question. (2) Capacities: Our model supports not only single-region spatial instruction but also multi-region. This unlocks more region-level multimodal capacities such as detailed region caption and complex region reasoning. (3) Composition: Any off-the-shelf object detector can be a spatial instruction provider so as to mine informative object attributes from our model, like color, shape, material, action, relation to other objects, etc. The code, data, and demo can be found at https://github.com/jshilong/GPT4RoI.

Recent advancements in Multimodal Large Language Models (MLLMs) underscore the significance of scalable models and data to boost performance, yet this often incurs substantial computational costs. Although the Mixture of Experts (MoE) architecture has been employed to efficiently scale large language and image-text models, these efforts typically involve fewer experts and limited modalities. To address this, our work presents the pioneering attempt to develop a unified MLLM with the MoE architecture, named Uni-MoE that can handle a wide array of modalities. Specifically, it features modality-specific encoders with connectors for a unified multimodal representation. We also implement a sparse MoE architecture within the LLMs to enable efficient training and inference through modality-level data parallelism and expert-level model parallelism. To enhance the multi-expert collaboration and generalization, we present a progressive training strategy: 1) Cross-modality alignment using various connectors with different cross-modality data, 2) Training modality-specific experts with cross-modality instruction data to activate experts' preferences, and 3) Tuning the Uni-MoE framework utilizing Low-Rank Adaptation (LoRA) on mixed multimodal instruction data. We evaluate the instruction-tuned Uni-MoE on a comprehensive set of multimodal datasets. The extensive experimental results demonstrate Uni-MoE's principal advantage of significantly reducing performance bias in handling mixed multimodal datasets, alongside improved multi-expert collaboration and generalization. Our findings highlight the substantial potential of MoE frameworks in advancing MLLMs and the code is available at https://github.com/HITsz-TMG/UMOE-Scaling-Unified-Multimodal-LLMs.

The development of Multimodal Large Language Models (MLLMs) has seen significant advancements. However, the quantity and quality of multimodal instruction data have emerged as significant bottlenecks in their progress. Manually creating multimodal instruction data is both time-consuming and inefficient, posing challenges in producing instructions of high complexity. Moreover, distilling instruction data from black-box commercial models (e.g., GPT-4o, GPT-4V) often results in simplistic instruction data, which constrains performance to that of these models. The challenge of curating diverse and complex instruction data remains substantial. We propose MMEvol, a novel multimodal instruction data evolution framework that combines fine-grained perception evolution, cognitive reasoning evolution, and interaction evolution. This iterative approach breaks through data quality bottlenecks to generate a complex and diverse image-text instruction dataset, thereby empowering MLLMs with enhanced capabilities. Beginning with an initial set of instructions, SEED-163K, we utilize MMEvol to systematically broadens the diversity of instruction types, integrates reasoning steps to enhance cognitive capabilities, and extracts detailed information from images to improve visual understanding and robustness. To comprehensively evaluate the effectiveness of our data, we train LLaVA-NeXT using the evolved data and conduct experiments across 13 vision-language tasks. Compared to the baseline trained with seed data, our approach achieves an average accuracy improvement of 3.1 points and reaches state-of-the-art (SOTA) performance on 9 of these tasks.

The recent years have witnessed a great array of large multimodal models (LMMs) to effectively solve single-image vision language tasks. However, their abilities to solve multi-image visual language tasks is yet to be improved. The existing multi-image LMMs (e.g. OpenFlamingo, Emu, Idefics, etc) mostly gain their multi-image ability through pre-training on hundreds of millions of noisy interleaved image-text data from web, which is neither efficient nor effective. In this paper, we aim at building strong multi-image LMMs via instruction tuning with academic-level resources. Therefore, we meticulously construct Mantis-Instruct containing 721K instances from 14 multi-image datasets. We design Mantis-Instruct to cover different multi-image skills like co-reference, reasoning, comparing, temporal understanding. We combine Mantis-Instruct with several single-image visual-language datasets to train our model Mantis to handle any interleaved image-text inputs. We evaluate the trained Mantis on five multi-image benchmarks and eight single-image benchmarks. Though only requiring academic-level resources (i.e. 36 hours on 16xA100-40G), Mantis-8B can achieve state-of-the-art performance on all the multi-image benchmarks and beats the existing best multi-image LMM Idefics2-8B by an average of 9 absolute points. We observe that Mantis performs equivalently well on the held-in and held-out evaluation benchmarks. We further evaluate Mantis on single-image benchmarks and demonstrate that Mantis can maintain a strong single-image performance on par with CogVLM and Emu2. Our results are particularly encouraging as it shows that low-cost instruction tuning is indeed much more effective than intensive pre-training in terms of building multi-image LMMs.

Instruction-based image editing improves the controllability and flexibility of image manipulation via natural commands without elaborate descriptions or regional masks. However, human instructions are sometimes too brief for current methods to capture and follow. Multimodal large language models (MLLMs) show promising capabilities in cross-modal understanding and visual-aware response generation via LMs. We investigate how MLLMs facilitate edit instructions and present MLLM-Guided Image Editing (MGIE). MGIE learns to derive expressive instructions and provides explicit guidance. The editing model jointly captures this visual imagination and performs manipulation through end-to-end training. We evaluate various aspects of Photoshop-style modification, global photo optimization, and local editing. Extensive experimental results demonstrate that expressive instructions are crucial to instruction-based image editing, and our MGIE can lead to a notable improvement in automatic metrics and human evaluation while maintaining competitive inference efficiency.

Echocardiography (ECHO) is essential for cardiac assessments, but its video quality and interpretation heavily relies on manual expertise, leading to inconsistent results from clinical and portable devices. ECHO video generation offers a solution by improving automated monitoring through synthetic data and generating high-quality videos from routine health data. However, existing models often face high computational costs, slow inference, and rely on complex conditional prompts that require experts' annotations. To address these challenges, we propose ECHOPULSE, an ECG-conditioned ECHO video generation model. ECHOPULSE introduces two key advancements: (1) it accelerates ECHO video generation by leveraging VQ-VAE tokenization and masked visual token modeling for fast decoding, and (2) it conditions on readily accessible ECG signals, which are highly coherent with ECHO videos, bypassing complex conditional prompts. To the best of our knowledge, this is the first work to use time-series prompts like ECG signals for ECHO video generation. ECHOPULSE not only enables controllable synthetic ECHO data generation but also provides updated cardiac function information for disease monitoring and prediction beyond ECG alone. Evaluations on three public and private datasets demonstrate state-of-the-art performance in ECHO video generation across both qualitative and quantitative measures. Additionally, ECHOPULSE can be easily generalized to other modality generation tasks, such as cardiac MRI, fMRI, and 3D CT generation. Demo can seen from https://github.com/levyisthebest/ECHOPulse_Prelease.

Multimodal Large Language Model (MLLM) relies on the powerful LLM to perform multimodal tasks, showing amazing emergent abilities in recent studies, such as writing poems based on an image. However, it is difficult for these case studies to fully reflect the performance of MLLM, lacking a comprehensive evaluation. In this paper, we fill in this blank, presenting the first MLLM Evaluation benchmark MME. It measures both perception and cognition abilities on a total of 14 subtasks. In order to avoid data leakage that may arise from direct use of public datasets for evaluation, the annotations of instruction-answer pairs are all manually designed. The concise instruction design allows us to fairly compare MLLMs, instead of struggling in prompt engineering. Besides, with such an instruction, we can also easily carry out quantitative statistics. A total of 12 advanced MLLMs are comprehensively evaluated on our MME, which not only suggests that existing MLLMs still have a large room for improvement, but also reveals the potential directions for the subsequent model optimization.

We introduce VISUAL EMBEDDED INSTRUCTION (VIM), a new framework designed to evaluate the visual instruction following capability of Multimodal Large Language Models (MLLMs). As illustrated in Figure 2, VIM challenges the MLLMs by embedding the instructions into the visual scenes, demanding strong visual interpretative skills for instruction following. We adapt VIM to various benchmarks, including VQAv2, MME, MM-Vet, and RefCOCO series, compose a VIM bench, and probe diverse MLLMs across three distinct in-context learning settings: Zero Shot, One Shot, and Pair Shot. We observe that there is a significant performance disparity between the open-source MLLMs and GPT-4V, implying that their proficiency in visual instruction comprehension is not up to par. Our results highlight a promising direction for the enhancement of MLLMs capabilities on instruction following. We aim VIM to serve as a useful norm for advancing the state of the art and driving further progress in the field.

The Segment Anything Model (SAM) has achieved remarkable successes in the realm of natural image segmentation, but its deployment in the medical imaging sphere has encountered challenges. Specifically, the model struggles with medical images that feature low contrast, faint boundaries, intricate morphologies, and small-sized objects. To address these challenges and enhance SAM's performance in the medical domain, we introduce a comprehensive modification. Firstly, we incorporate a frozen Convolutional Neural Network (CNN) branch as an image encoder, which synergizes with SAM's original Vision Transformer (ViT) encoder through a novel variational attention fusion module. This integration bolsters the model's capability to capture local spatial information, which is often paramount in medical imagery. Moreover, to further optimize SAM for medical imaging, we introduce feature and position adapters within the ViT branch, refining the encoder's representations. We see that compared to current prompting strategies to fine-tune SAM for ultrasound medical segmentation, the use of text descriptions that serve as text prompts for SAM helps significantly improve the performance. Leveraging ChatGPT's natural language understanding capabilities, we generate prompts that offer contextual information and guidance to SAM, enabling it to better understand the nuances of ultrasound medical images and improve its segmentation accuracy. Our method, in its entirety, represents a significant stride towards making universal image segmentation models more adaptable and efficient in the medical domain.

Visual instruction tuning has recently shown encouraging progress with open-source large multimodal models (LMM) such as LLaVA and MiniGPT-4. However, most existing studies of open-source LMM are performed using models with 13B parameters or smaller. In this paper we present an empirical study of scaling LLaVA up to 33B and 65B/70B, and share our findings from our explorations in image resolution, data mixing and parameter-efficient training methods such as LoRA/QLoRA. These are evaluated by their impact on the multi-modal and language capabilities when completing real-world tasks in the wild. We find that scaling LMM consistently enhances model performance and improves language capabilities, and performance of LoRA/QLoRA tuning of LMM are comparable to the performance of full-model fine-tuning. Additionally, the study highlights the importance of higher image resolutions and mixing multimodal-language data to improve LMM performance, and visual instruction tuning can sometimes improve LMM's pure language capability. We hope that this study makes state-of-the-art LMM research at a larger scale more accessible, thus helping establish stronger baselines for future research. Code and checkpoints will be made public.

Instruction tuning plays a crucial role in shaping the outputs of language models (LMs) to desired styles. In this work, we propose a simple yet effective method, Instruction Modelling (IM), which trains LMs by applying a loss function to the instruction and prompt part rather than solely to the output part. Through experiments across 21 diverse benchmarks, we show that, in many scenarios, IM can effectively improve the LM performance on both NLP tasks (e.g., MMLU, TruthfulQA, and HumanEval) and open-ended generation benchmarks (e.g., MT-Bench and AlpacaEval). Remarkably, in the most advantageous case, IM boosts model performance on AlpacaEval 1.0 by over 100%. We identify two key factors influencing the effectiveness of IM: (1) The ratio between instruction length and output length in the training data; and (2) The number of training examples. We observe that IM is especially beneficial when trained on datasets with lengthy instructions paired with brief outputs, or under the Superficial Alignment Hypothesis (SAH) where a small amount of training examples are used for instruction tuning. Further analysis substantiates our hypothesis that the improvement can be attributed to reduced overfitting to instruction tuning datasets. Our work provides practical guidance for instruction tuning LMs, especially in low-resource scenarios.

Transducer and Attention based Encoder-Decoder (AED) are two widely used frameworks for speech-to-text tasks. They are designed for different purposes and each has its own benefits and drawbacks for speech-to-text tasks. In order to leverage strengths of both modeling methods, we propose a solution by combining Transducer and Attention based Encoder-Decoder (TAED) for speech-to-text tasks. The new method leverages AED's strength in non-monotonic sequence to sequence learning while retaining Transducer's streaming property. In the proposed framework, Transducer and AED share the same speech encoder. The predictor in Transducer is replaced by the decoder in the AED model, and the outputs of the decoder are conditioned on the speech inputs instead of outputs from an unconditioned language model. The proposed solution ensures that the model is optimized by covering all possible read/write scenarios and creates a matched environment for streaming applications. We evaluate the proposed approach on the MuST-C dataset and the findings demonstrate that TAED performs significantly better than Transducer for offline automatic speech recognition (ASR) and speech-to-text translation (ST) tasks. In the streaming case, TAED outperforms Transducer in the ASR task and one ST direction while comparable results are achieved in another translation direction.

Generative models hold promise for revolutionizing medical education, robot-assisted surgery, and data augmentation for medical AI development. Diffusion models can now generate realistic images from text prompts, while recent advancements have demonstrated their ability to create diverse, high-quality videos. However, these models often struggle with generating accurate representations of medical procedures and detailed anatomical structures. This paper introduces Bora, the first spatio-temporal diffusion probabilistic model designed for text-guided biomedical video generation. Bora leverages Transformer architecture and is pre-trained on general-purpose video generation tasks. It is fine-tuned through model alignment and instruction tuning using a newly established medical video corpus, which includes paired text-video data from various biomedical fields. To the best of our knowledge, this is the first attempt to establish such a comprehensive annotated biomedical video dataset. Bora is capable of generating high-quality video data across four distinct biomedical domains, adhering to medical expert standards and demonstrating consistency and diversity. This generalist video generative model holds significant potential for enhancing medical consultation and decision-making, particularly in resource-limited settings. Additionally, Bora could pave the way for immersive medical training and procedure planning. Extensive experiments on distinct medical modalities such as endoscopy, ultrasound, MRI, and cell tracking validate the effectiveness of our model in understanding biomedical instructions and its superior performance across subjects compared to state-of-the-art generation models.

We introduce MIA-Bench, a new benchmark designed to evaluate multimodal large language models (MLLMs) on their ability to strictly adhere to complex instructions. Our benchmark comprises a diverse set of 400 image-prompt pairs, each crafted to challenge the models' compliance with layered instructions in generating accurate responses that satisfy specific requested patterns. Evaluation results from a wide array of state-of-the-art MLLMs reveal significant variations in performance, highlighting areas for improvement in instruction fidelity. Additionally, we create extra training data and explore supervised fine-tuning to enhance the models' ability to strictly follow instructions without compromising performance on other tasks. We hope this benchmark not only serves as a tool for measuring MLLM adherence to instructions, but also guides future developments in MLLM training methods.

Multimodal Continual Instruction Tuning (MCIT) enables Multimodal Large Language Models (MLLMs) to meet continuously emerging requirements without expensive retraining. MCIT faces two major obstacles: catastrophic forgetting (where old knowledge is forgotten) and negative forward transfer (where the performance of future tasks is degraded). Although existing methods have greatly alleviated catastrophic forgetting, they still suffer from negative forward transfer. We discover a large discrepancy in different input embeddings by performing singular value decomposition (SVD) on input embeddings. This discrepancy results in the model learning irrelevant information for old and pre-trained tasks, leading to catastrophic forgetting and negative forward transfer. To address these issues, we propose Prompt Tuning with Positive Forward Transfer (Fwd-Prompt), a prompt-based method that projects the prompt gradient to the residual space to minimize interference between tasks and to the pre-trained subspace for reusing pre-trained knowledge. Our experiments demonstrate that Fwd-Prompt achieves state-of-the-art performance while updating fewer parameters and requiring no old samples. Our research illuminates the potential of continuously adapting MLLMs to new tasks under the instruction tuning paradigm and encourages future studies to explore MCIT.

Objective: To determine if a realistic, but computationally efficient model of the electrocardiogram can be used to pre-train a deep neural network (DNN) with a wide range of morphologies and abnormalities specific to a given condition - T-wave Alternans (TWA) as a result of Post-Traumatic Stress Disorder, or PTSD - and significantly boost performance on a small database of rare individuals. Approach: Using a previously validated artificial ECG model, we generated 180,000 artificial ECGs with or without significant TWA, with varying heart rate, breathing rate, TWA amplitude, and ECG morphology. A DNN, trained on over 70,000 patients to classify 25 different rhythms, was modified the output layer to a binary class (TWA or no-TWA, or equivalently, PTSD or no-PTSD), and transfer learning was performed on the artificial ECG. In a final transfer learning step, the DNN was trained and cross-validated on ECG from 12 PTSD and 24 controls for all combinations of using the three databases. Main results: The best performing approach (AUROC = 0.77, Accuracy = 0.72, F1-score = 0.64) was found by performing both transfer learning steps, using the pre-trained arrhythmia DNN, the artificial data and the real PTSD-related ECG data. Removing the artificial data from training led to the largest drop in performance. Removing the arrhythmia data from training provided a modest, but significant, drop in performance. The final model showed no significant drop in performance on the artificial data, indicating no overfitting. Significance: In healthcare, it is common to only have a small collection of high-quality data and labels, or a larger database with much lower quality (and less relevant) labels. The paradigm presented here, involving model-based performance boosting, provides a solution through transfer learning on a large realistic artificial database, and a partially relevant real database.

Despite significant progress in diffusion-based image generation, subject-driven generation and instruction-based editing remain challenging. Existing methods typically treat them separately, struggling with limited high-quality data and poor generalization. However, both tasks require capturing complex visual variations while maintaining consistency between inputs and outputs. Therefore, we propose MIGE, a unified framework that standardizes task representations using multimodal instructions. It treats subject-driven generation as creation on a blank canvas and instruction-based editing as modification of an existing image, establishing a shared input-output formulation. MIGE introduces a novel multimodal encoder that maps free-form multimodal instructions into a unified vision-language space, integrating visual and semantic features through a feature fusion mechanism.This unification enables joint training of both tasks, providing two key advantages: (1) Cross-Task Enhancement: By leveraging shared visual and semantic representations, joint training improves instruction adherence and visual consistency in both subject-driven generation and instruction-based editing. (2) Generalization: Learning in a unified format facilitates cross-task knowledge transfer, enabling MIGE to generalize to novel compositional tasks, including instruction-based subject-driven editing. Experiments show that MIGE excels in both subject-driven generation and instruction-based editing while setting a state-of-the-art in the new task of instruction-based subject-driven editing. Code and model have been publicly available at https://github.com/Eureka-Maggie/MIGE.

Building general-purpose models that can perceive diverse real-world modalities and solve various tasks is an appealing target in artificial intelligence. In this paper, we present ChatBridge, a novel multimodal language model that leverages the expressive capabilities of language as the catalyst to bridge the gap between various modalities. We show that only language-paired two-modality data is sufficient to connect all modalities. ChatBridge leverages recent large language models (LLM) and extends their zero-shot capabilities to incorporate diverse multimodal inputs. ChatBridge undergoes a two-stage training. The first stage aligns each modality with language, which brings emergent multimodal correlation and collaboration abilities. The second stage instruction-finetunes ChatBridge to align it with user intent with our newly proposed multimodal instruction tuning dataset, named MULTIS, which covers a wide range of 16 multimodal tasks of text, image, video, and audio modalities. We show strong quantitative and qualitative results on zero-shot multimodal tasks covering text, image, video, and audio modalities. All codes, data, and models of ChatBridge will be open-sourced.

Following the impressive development of LLMs, vision-language alignment in LLMs is actively being researched to enable multimodal reasoning and visual IO. This direction of research is particularly relevant to medical imaging because medical image analysis and generation consist of reasoning based on a combination of visual features and prior knowledge. Many recent works have focused on training adapter networks that serve as an information bridge between image processing networks and LLMs; but presumably, in order to achieve maximum reasoning potential of LLMs on visual information as well, visual and language features should be allowed to interact more freely. This is especially important in the medical domain because understanding and generating medical images such as chest X-rays (CXR) require not only accurate visual and language-based reasoning but also a more intimate mapping between the two modalities. Thus, taking inspiration from previous work on the transformer and VQ-GAN combination for bidirectional image and text generation, we build upon this approach and develop a method for instruction-tuning an LLM pre-trained only on text to gain vision-language capabilities for medical images. Specifically, we leverage a pretrained LLM's existing question-answering and instruction-following abilities to teach it to understand visual inputs by instructing it to answer questions about image inputs and, symmetrically, output both text and image responses appropriate to a given query by tuning the LLM with diverse tasks that encompass image-based text-generation and text-based image-generation. We show that our model, LLM-CXR, trained in this approach shows better image-text alignment in both CXR understanding and generation tasks while being smaller in size compared to previously developed models that perform a narrower range of tasks. The code is at https://github.com/hyn2028/llm-cxr.

Learning holistic computational representations in physical, chemical or biological systems requires the ability to process information from different distributions and modalities within the same model. Thus, the demand for multimodal machine learning models has sharply risen for modalities that go beyond vision and language, such as sequences, graphs, time series, or tabular data. While there are many available multimodal fusion and alignment approaches, most of them require end-to-end training, scale quadratically with the number of modalities, cannot handle cases of high modality imbalance in the training set, or are highly topology-specific, making them too restrictive for many biomedical learning tasks. This paper presents Multimodal Lego (MM-Lego), a modular and general-purpose fusion and model merging framework to turn any set of encoders into a competitive multimodal model with no or minimal fine-tuning. We achieve this by introducing a wrapper for unimodal encoders that enforces lightweight dimensionality assumptions between modalities and harmonises their representations by learning features in the frequency domain to enable model merging with little signal interference. We show that MM-Lego 1) can be used as a model merging method which achieves competitive performance with end-to-end fusion models without any fine-tuning, 2) can operate on any unimodal encoder, and 3) is a model fusion method that, with minimal fine-tuning, achieves state-of-the-art results on six benchmarked multimodal biomedical tasks.

Tracking biosignals is crucial for monitoring wellness and preempting the development of severe medical conditions. Today, wearable devices can conveniently record various biosignals, creating the opportunity to monitor health status without disruption to one's daily routine. Despite widespread use of wearable devices and existing digital biomarkers, the absence of curated data with annotated medical labels hinders the development of new biomarkers to measure common health conditions. In fact, medical datasets are usually small in comparison to other domains, which is an obstacle for developing neural network models for biosignals. To address this challenge, we have employed self-supervised learning using the unlabeled sensor data collected under informed consent from the large longitudinal Apple Heart and Movement Study (AHMS) to train foundation models for two common biosignals: photoplethysmography (PPG) and electrocardiogram (ECG) recorded on Apple Watch. We curated PPG and ECG datasets from AHMS that include data from ~141K participants spanning ~3 years. Our self-supervised learning framework includes participant level positive pair selection, stochastic augmentation module and a regularized contrastive loss optimized with momentum training, and generalizes well to both PPG and ECG modalities. We show that the pre-trained foundation models readily encode information regarding participants' demographics and health conditions. To the best of our knowledge, this is the first study that builds foundation models using large-scale PPG and ECG data collected via wearable consumer devices x2013 prior works have commonly used smaller-size datasets collected in clinical and experimental settings. We believe PPG and ECG foundation models can enhance future wearable devices by reducing the reliance on labeled data and hold the potential to help the users improve their health.

Evaluating instruction following capabilities for multimodal, multi-turn dialogue is challenging. With potentially multiple instructions in the input model context, the task is time-consuming for human raters and we show LLM based judges are biased towards answers from the same model. We propose MMMT-IF, an image based multi-turn Q&A evaluation set with added global instructions between questions, constraining the answer format. This challenges models to retrieve instructions dispersed across long dialogues and reason under instruction constraints. All instructions are objectively verifiable through code execution. We introduce the Programmatic Instruction Following (PIF) metric to measure the fraction of the instructions that are correctly followed while performing a reasoning task. The PIF-N-K set of metrics further evaluates robustness by measuring the fraction of samples in a corpus where, for each sample, at least K out of N generated model responses achieve a PIF score of one. The PIF metric aligns with human instruction following ratings, showing 60 percent correlation. Experiments show Gemini 1.5 Pro, GPT-4o, and Claude 3.5 Sonnet, have a PIF metric that drops from 0.81 on average at turn 1 across the models, to 0.64 at turn 20. Across all turns, when each response is repeated 4 times (PIF-4-4), GPT-4o and Gemini successfully follow all instructions only 11% of the time. When all the instructions are also appended to the end of the model input context, the PIF metric improves by 22.3 points on average, showing that the challenge with the task lies not only in following the instructions, but also in retrieving the instructions spread out in the model context. We plan to open source the MMMT-IF dataset and metric computation code.

We propose to improve transformers of a specific modality with irrelevant data from other modalities, e.g., improve an ImageNet model with audio or point cloud datasets. We would like to highlight that the data samples of the target modality are irrelevant to the other modalities, which distinguishes our method from other works utilizing paired (e.g., CLIP) or interleaved data of different modalities. We propose a methodology named Multimodal Pathway - given a target modality and a transformer designed for it, we use an auxiliary transformer trained with data of another modality and construct pathways to connect components of the two models so that data of the target modality can be processed by both models. In this way, we utilize the universal sequence-to-sequence modeling abilities of transformers obtained from two modalities. As a concrete implementation, we use a modality-specific tokenizer and task-specific head as usual but utilize the transformer blocks of the auxiliary model via a proposed method named Cross-Modal Re-parameterization, which exploits the auxiliary weights without any inference costs. On the image, point cloud, video, and audio recognition tasks, we observe significant and consistent performance improvements with irrelevant data from other modalities. The code and models are available at https://github.com/AILab-CVC/M2PT.

Health conditions among patients in intensive care units (ICUs) are monitored via electronic health records (EHRs), composed of numerical time series and lengthy clinical note sequences, both taken at irregular time intervals. Dealing with such irregularity in every modality, and integrating irregularity into multimodal representations to improve medical predictions, is a challenging problem. Our method first addresses irregularity in each single modality by (1) modeling irregular time series by dynamically incorporating hand-crafted imputation embeddings into learned interpolation embeddings via a gating mechanism, and (2) casting a series of clinical note representations as multivariate irregular time series and tackling irregularity via a time attention mechanism. We further integrate irregularity in multimodal fusion with an interleaved attention mechanism across temporal steps. To the best of our knowledge, this is the first work to thoroughly model irregularity in multimodalities for improving medical predictions. Our proposed methods for two medical prediction tasks consistently outperforms state-of-the-art (SOTA) baselines in each single modality and multimodal fusion scenarios. Specifically, we observe relative improvements of 6.5\%, 3.6\%, and 4.3\% in F1 for time series, clinical notes, and multimodal fusion, respectively. These results demonstrate the effectiveness of our methods and the importance of considering irregularity in multimodal EHRs.

Mixture of Experts (MoE) architectures have recently started burgeoning due to their ability to scale model's capacity while maintaining the computational cost affordable. Furthermore, they can be applied to both Transformers and State Space Models, the current state-of-the-art models in numerous fields. While MoE has been mostly investigated for the pre-training stage, its use in parameter-efficient transfer learning settings is under-explored. To narrow this gap, this paper attempts to demystify the use of MoE for parameter-efficient fine-tuning of Audio Spectrogram Transformers to audio and speech downstream tasks. Specifically, we propose Soft Mixture of Adapters (Soft-MoA). It exploits adapters as the experts and, leveraging the recent Soft MoE method, it relies on a soft assignment between the input tokens and experts to keep the computational time limited. Extensive experiments across 4 benchmarks demonstrate that Soft-MoA outperforms the single adapter method and performs on par with the dense MoA counterpart. We finally present ablation studies on key elements of Soft-MoA, showing for example that Soft-MoA achieves better scaling with more experts, as well as ensuring that all experts contribute to the computation of the output tokens, thus dispensing with the expert imbalance issue.

Large Language Models (LLMs) have showcased impressive capabilities in handling straightforward programming tasks. However, their performance tends to falter when confronted with more challenging programming problems. We observe that conventional models often generate solutions as monolithic code blocks, restricting their effectiveness in tackling intricate questions. To overcome this limitation, we present Modular-of-Thought Coder (MoTCoder). We introduce a pioneering framework for MoT instruction tuning, designed to promote the decomposition of tasks into logical sub-tasks and sub-modules. Our investigations reveal that, through the cultivation and utilization of sub-modules, MoTCoder significantly improves both the modularity and correctness of the generated solutions, leading to substantial relative pass@1 improvements of 12.9% on APPS and 9.43% on CodeContests. Our codes are available at https://github.com/dvlab-research/MoTCoder.

We present MM1.5, a new family of multimodal large language models (MLLMs) designed to enhance capabilities in text-rich image understanding, visual referring and grounding, and multi-image reasoning. Building upon the MM1 architecture, MM1.5 adopts a data-centric approach to model training, systematically exploring the impact of diverse data mixtures across the entire model training lifecycle. This includes high-quality OCR data and synthetic captions for continual pre-training, as well as an optimized visual instruction-tuning data mixture for supervised fine-tuning. Our models range from 1B to 30B parameters, encompassing both dense and mixture-of-experts (MoE) variants, and demonstrate that careful data curation and training strategies can yield strong performance even at small scales (1B and 3B). Additionally, we introduce two specialized variants: MM1.5-Video, designed for video understanding, and MM1.5-UI, tailored for mobile UI understanding. Through extensive empirical studies and ablations, we provide detailed insights into the training processes and decisions that inform our final designs, offering valuable guidance for future research in MLLM development.

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

Generating realistic human motion from given action descriptions has experienced significant advancements because of the emerging requirement of digital humans. While recent works have achieved impressive results in generating motion directly from textual action descriptions, they often support only a single modality of the control signal, which limits their application in the real digital human industry. This paper presents a Motion General-Purpose generaTor (MotionGPT) that can use multimodal control signals, e.g., text and single-frame poses, for generating consecutive human motions by treating multimodal signals as special input tokens in large language models (LLMs). Specifically, we first quantize multimodal control signals into discrete codes and then formulate them in a unified prompt instruction to ask the LLMs to generate the motion answer. Our MotionGPT demonstrates a unified human motion generation model with multimodal control signals by tuning a mere 0.4% of LLM parameters. To the best of our knowledge, MotionGPT is the first method to generate human motion by multimodal control signals, which we hope can shed light on this new direction. Codes shall be released upon acceptance.

Recent advancements in mixed-modal generative models have enabled flexible integration of information across image-text content. These models have opened new avenues for developing unified biomedical assistants capable of analyzing biomedical images, answering complex questions about them, and predicting the impact of medical procedures on a patient's health. However, existing resources face challenges such as limited data availability, narrow domain coverage, and restricted sources (e.g., medical papers). To address these gaps, we present MedMax, the first large-scale multimodal biomedical instruction-tuning dataset for mixed-modal foundation models. With 1.47 million instances, MedMax encompasses a diverse range of tasks, including multimodal content generation (interleaved image-text data), biomedical image captioning and generation, visual chatting, and report understanding. These tasks span diverse medical domains such as radiology and histopathology. Subsequently, we fine-tune a mixed-modal foundation model on the MedMax dataset, achieving significant performance improvements: a 26% gain over the Chameleon model and an 18.3% improvement over GPT-4o across 12 downstream biomedical visual question-answering tasks. Additionally, we introduce a unified evaluation suite for biomedical tasks, providing a robust framework to guide the development of next-generation mixed-modal biomedical AI assistants.

While Multimodal Large Language Models (MLLMs) are widely used for a variety of vision-language tasks, one observation is that they sometimes misinterpret visual inputs or fail to follow textual instructions even in straightforward cases, leading to irrelevant responses, mistakes, and ungrounded claims. This observation is analogous to a phenomenon in neuropsychology known as Agnosia, an inability to correctly process sensory modalities and recognize things (e.g., objects, colors, relations). In our study, we adapt this similar concept to define "agnosia in MLLMs", and our goal is to comprehensively evaluate and mitigate such agnosia in MLLMs. Inspired by the diagnosis and treatment process in neuropsychology, we propose a novel framework EMMA (Evaluation and Mitigation of Multimodal Agnosia). In EMMA, we develop an evaluation module that automatically creates fine-grained and diverse visual question answering examples to assess the extent of agnosia in MLLMs comprehensively. We also develop a mitigation module to reduce agnosia in MLLMs through multimodal instruction tuning on fine-grained conversations. To verify the effectiveness of our framework, we evaluate and analyze agnosia in seven state-of-the-art MLLMs using 9K test samples. The results reveal that most of them exhibit agnosia across various aspects and degrees. We further develop a fine-grained instruction set and tune MLLMs to mitigate agnosia, which led to notable improvement in accuracy.

We present a radiology-specific multimodal model for the task for generating radiological reports from chest X-rays (CXRs). Our work builds on the idea that large language model(s) can be equipped with multimodal capabilities through alignment with pre-trained vision encoders. On natural images, this has been shown to allow multimodal models to gain image understanding and description capabilities. Our proposed model (MAIRA-1) leverages a CXR-specific image encoder in conjunction with a fine-tuned large language model based on Vicuna-7B, and text-based data augmentation, to produce reports with state-of-the-art quality. In particular, MAIRA-1 significantly improves on the radiologist-aligned RadCliQ metric and across all lexical metrics considered. Manual review of model outputs demonstrates promising fluency and accuracy of generated reports while uncovering failure modes not captured by existing evaluation practices. More information and resources can be found on the project website: https://aka.ms/maira.

Despite the effectiveness of vision-language supervised fine-tuning in enhancing the performance of Vision Large Language Models (VLLMs). However, existing visual instruction tuning datasets include the following limitations: (1) Instruction annotation quality: despite existing VLLMs exhibiting strong performance, instructions generated by those advanced VLLMs may still suffer from inaccuracies, such as hallucinations. (2) Instructions and image diversity: the limited range of instruction types and the lack of diversity in image data may impact the model's ability to generate diversified and closer to real-world scenarios outputs. To address these challenges, we construct a high-quality, diverse visual instruction tuning dataset MMInstruct, which consists of 973K instructions from 24 domains. There are four instruction types: Judgement, Multiple-Choice, Long Visual Question Answering and Short Visual Question Answering. To construct MMInstruct, we propose an instruction generation data engine that leverages GPT-4V, GPT-3.5, and manual correction. Our instruction generation engine enables semi-automatic, low-cost, and multi-domain instruction generation at 1/6 the cost of manual construction. Through extensive experiment validation and ablation experiments, we demonstrate that MMInstruct could significantly improve the performance of VLLMs, e.g., the model fine-tuning on MMInstruct achieves new state-of-the-art performance on 10 out of 12 benchmarks. The code and data shall be available at https://github.com/yuecao0119/MMInstruct.

Multimodal foundation models that can holistically process text alongside images, video, audio, and other sensory modalities are increasingly used in a variety of real-world applications. However, it is challenging to characterize and study progress in multimodal foundation models, given the range of possible modeling decisions, tasks, and domains. In this paper, we introduce Holistic Evaluation of Multimodal Models (HEMM) to systematically evaluate the capabilities of multimodal foundation models across a set of 3 dimensions: basic skills, information flow, and real-world use cases. Basic multimodal skills are internal abilities required to solve problems, such as learning interactions across modalities, fine-grained alignment, multi-step reasoning, and the ability to handle external knowledge. Information flow studies how multimodal content changes during a task through querying, translation, editing, and fusion. Use cases span domain-specific challenges introduced in real-world multimedia, affective computing, natural sciences, healthcare, and human-computer interaction applications. Through comprehensive experiments across the 30 tasks in HEMM, we (1) identify key dataset dimensions (e.g., basic skills, information flows, and use cases) that pose challenges to today's models, and (2) distill performance trends regarding how different modeling dimensions (e.g., scale, pre-training data, multimodal alignment, pre-training, and instruction tuning objectives) influence performance. Our conclusions regarding challenging multimodal interactions, use cases, and tasks requiring reasoning and external knowledge, the benefits of data and model scale, and the impacts of instruction tuning yield actionable insights for future work in multimodal foundation models.

A rising interest in the modality extension of foundation language models warrants discussion on the most effective, and efficient, multimodal training approach. This work focuses on neural machine translation (NMT) and proposes a joint multimodal training regime of Speech-LLM to include automatic speech translation (AST). We investigate two different foundation model architectures, decoder-only GPT and encoder-decoder T5, extended with Canary-1B's speech encoder. To handle joint multimodal training, we propose a novel training framework called EMMeTT. EMMeTT improves training efficiency with the following: balanced sampling across languages, datasets, and modalities; efficient sequential data iteration; and a novel 2D bucketing scheme for multimodal data, complemented by a batch size optimizer (OOMptimizer). We show that a multimodal training consistently helps with both architectures. Moreover, SALM-T5 trained with EMMeTT retains the original NMT capability while outperforming AST baselines on four-language subsets of FLORES and FLEURS. The resultant Multimodal Translation Model produces strong text and speech translation results at the same time.

We address a challenging and practical task of labeling questions in speech in real time during telephone calls to emergency medical services in English, which embeds within a broader decision support system for emergency call-takers. We propose a novel multimodal approach to real-time sequence labeling in speech. Our model treats speech and its own textual representation as two separate modalities or views, as it jointly learns from streamed audio and its noisy transcription into text via automatic speech recognition. Our results show significant gains of jointly learning from the two modalities when compared to text or audio only, under adverse noise and limited volume of training data. The results generalize to medical symptoms detection where we observe a similar pattern of improvements with multimodal learning.

The rapid evolution of artificial intelligence, especially in large language models (LLMs), has significantly impacted various domains, including healthcare. In chest X-ray (CXR) analysis, previous studies have employed LLMs, but with limitations: either underutilizing the multi-tasking capabilities of LLMs or lacking clinical accuracy. This paper presents M4CXR, a multi-modal LLM designed to enhance CXR interpretation. The model is trained on a visual instruction-following dataset that integrates various task-specific datasets in a conversational format. As a result, the model supports multiple tasks such as medical report generation (MRG), visual grounding, and visual question answering (VQA). M4CXR achieves state-of-the-art clinical accuracy in MRG by employing a chain-of-thought prompting strategy, in which it identifies findings in CXR images and subsequently generates corresponding reports. The model is adaptable to various MRG scenarios depending on the available inputs, such as single-image, multi-image, and multi-study contexts. In addition to MRG, M4CXR performs visual grounding at a level comparable to specialized models and also demonstrates outstanding performance in VQA. Both quantitative and qualitative assessments reveal M4CXR's versatility in MRG, visual grounding, and VQA, while consistently maintaining clinical accuracy.

In this work, we propose Visual-Predictive Instruction Tuning (VPiT) - a simple and effective extension to visual instruction tuning that enables a pretrained LLM to quickly morph into an unified autoregressive model capable of generating both text and visual tokens. VPiT teaches an LLM to predict discrete text tokens and continuous visual tokens from any input sequence of image and text data curated in an instruction-following format. Our empirical investigation reveals several intriguing properties of VPiT: (1) visual generation ability emerges as a natural byproduct of improved visual understanding, and can be unlocked efficiently with a small amount of generation data; (2) while we find understanding and generation to be mutually beneficial, understanding data contributes to both capabilities more effectively than generation data. Building upon these findings, we train our MetaMorph model and achieve competitive performance on both visual understanding and generation. In visual generation, MetaMorph can leverage the world knowledge and reasoning abilities gained from LLM pretraining, and overcome common failure modes exhibited by other generation models. Our results suggest that LLMs may have strong "prior" vision capabilities that can be efficiently adapted to both visual understanding and generation with a relatively simple instruction tuning process.

Vision-language pre-training and instruction tuning have demonstrated general-purpose capabilities in 2D visual reasoning tasks by aligning visual encoders with state-of-the-art large language models (LLMs). In this paper, we introduce a simple, yet effective, cross-modality framework built atop frozen LLMs that allows the integration of various modalities without extensive modality-specific customization. To facilitate instruction-modality fine-tuning, we collect high-quality instruction tuning data in an automatic and scalable manner, composed of 24K QA samples for audio and 250K QA samples for 3D. Leveraging instruction-aware representations, our model performs comparably with leading-edge counterparts without the need of extensive modality-specific pre-training or customization. Furthermore, our approach demonstrates cross-modal reasoning abilities across two or more input modalities, despite each modality projection being trained individually. To study the model's cross-modal abilities, we contribute a novel Discriminative Cross-modal Reasoning (DisCRn) evaluation task, comprising 9K audio-video QA samples and 28K image-3D QA samples that require the model to reason discriminatively across disparate input modalities.

Instruction tuning has emerged as a promising approach to enhancing large language models in following human instructions. It is shown that increasing the diversity and number of instructions in the training data can consistently enhance generalization performance, which facilitates a recent endeavor to collect various instructions and integrate existing instruction tuning datasets into larger collections. However, different users have their unique ways of expressing instructions, and there often exist variations across different datasets in the instruction styles and formats, i.e., format inconsistency. In this work, we study how format inconsistency may impact the performance of instruction tuning. We propose a framework called "Unified Instruction Tuning" (UIT), which calls OpenAI APIs for automatic format transfer among different instruction tuning datasets. We show that UIT successfully improves the generalization performance on unseen instructions, which highlights the importance of format consistency for instruction tuning. To make the UIT framework more practical, we further propose a novel perplexity-based denoising method to reduce the noise of automatic format transfer. We also train a smaller offline model that achieves comparable format transfer capability than OpenAI APIs to reduce costs in practice.

Multimodal LLMs (MLLMs) have emerged as an extension of Large Language Models (LLMs), enabling the integration of various modalities. However, Any-to-Any MLLMs are limited to generating pairwise modalities 'Text + X' within a single response, such as Text + {Image or Audio or Video}. To address this limitation, we introduce Spider, a novel efficient Any-to-Many Modalities Generation (AMMG) framework, which can generate an arbitrary combination of modalities 'Text + Xs', such as Text + {Image and Audio and Video}. To achieve efficient AMMG, our Spider integrates three core components: a Base Model for basic X-to-X (i.e., Any-to-Any) modality processing, a novel Efficient Decoders-Controller for controlling multimodal Decoders to generate Xs (many-modal) contents, and an Any-to-Many Instruction Template designed for producing Xs signal prompts. To train Spider, we constructed a novel Text-formatted Many-Modal (TMM) dataset, which facilitates the learning of the X-to-Xs (i.e., Any-to-Many) capability necessary for AMMG. Ultimately, the well-trained Spider generates a pseudo X-to-Xs dataset, the first-ever X-to-Xs many-modal dataset, enhancing the potential for AMMG task in future research. Overall, this work not only pushes the boundary of multimodal interaction but also provides rich data support for advancing the field.

Instruction tuning -- tuning large language models on instruction-output pairs -- is a promising technique for making models better adapted to the real world. Yet, the key factors driving the model's capability to understand and follow instructions not seen during training remain under-explored. Our investigation begins with a series of synthetic experiments within the theoretical framework of a Turing-complete algorithm called Markov algorithm, which allows fine-grained control over the instruction-tuning data. Generalization and robustness with respect to the training distribution emerge once a diverse enough set of tasks is provided, even though very few examples are provided for each task. We extend these initial results to a real-world application scenario of code generation and find that a more diverse instruction set, extending beyond code-related tasks, improves the performance of code generation. Our observations suggest that a more diverse semantic space for instruction-tuning sets greatly improves the model's ability to follow instructions and perform tasks.

Instruction finetuning is a popular paradigm to align large language models (LLM) with human intent. Despite its popularity, this idea is less explored in improving the LLMs to align existing foundation models with scientific disciplines, concepts and goals. In this work, we present SciTune as a tuning framework to improve the ability of LLMs to follow scientific multimodal instructions. To test our methodology, we use a human-generated scientific instruction tuning dataset and train a large multimodal model LLaMA-SciTune that connects a vision encoder and LLM for science-focused visual and language understanding. In comparison to the models that are finetuned with machine generated data only, LLaMA-SciTune surpasses human performance on average and in many sub-categories on the ScienceQA benchmark.

Due to the remarkable capabilities of powerful Large Language Models (LLMs) in effectively following instructions, there has been a growing number of assistants in the community to assist humans. Recently, significant progress has been made in the development of Vision Language Models (VLMs), expanding the capabilities of LLMs and enabling them to execute more diverse instructions. However, it is foreseeable that models will likely need to handle tasks involving additional modalities such as speech, video, and others. This poses a particularly prominent challenge of dealing with the complexity of mixed modalities. To address this, we introduce a novel architecture called PILL: Plug Into LLM with adapter expert and attention gate to better decouple these complex modalities and leverage efficient fine-tuning. We introduce two modules: Firstly, utilizing Mixture-of-Modality-Adapter-Expert to independently handle different modalities, enabling better adaptation to downstream tasks while preserving the expressive capability of the original model. Secondly, by introducing Modality-Attention-Gating, which enables adaptive control of the contribution of modality tokens to the overall representation. In addition, we have made improvements to the Adapter to enhance its learning and expressive capabilities. Experimental results demonstrate that our approach exhibits competitive performance compared to other mainstream methods for modality fusion. For researchers interested in our work, we provide free access to the code and models at https://github.com/DsaltYfish/PILL.

Depression has proven to be a significant public health issue, profoundly affecting the psychological well-being of individuals. If it remains undiagnosed, depression can lead to severe health issues, which can manifest physically and even lead to suicide. Generally, Diagnosing depression or any other mental disorder involves conducting semi-structured interviews alongside supplementary questionnaires, including variants of the Patient Health Questionnaire (PHQ) by Clinicians and mental health professionals. This approach places significant reliance on the experience and judgment of trained physicians, making the diagnosis susceptible to personal biases. Given that the underlying mechanisms causing depression are still being actively researched, physicians often face challenges in diagnosing and treating the condition, particularly in its early stages of clinical presentation. Recently, significant strides have been made in Artificial neural computing to solve problems involving text, image, and speech in various domains. Our analysis has aimed to leverage these state-of-the-art (SOTA) models in our experiments to achieve optimal outcomes leveraging multiple modalities. The experiments were performed on the Extended Distress Analysis Interview Corpus Wizard of Oz dataset (E-DAIC) corpus presented in the Audio/Visual Emotion Challenge (AVEC) 2019 Challenge. The proposed solutions demonstrate better results achieved by Proprietary and Open-source Large Language Models (LLMs), which achieved a Root Mean Square Error (RMSE) score of 3.98 on Textual Modality, beating the AVEC 2019 challenge baseline results and current SOTA regression analysis architectures. Additionally, the proposed solution achieved an accuracy of 71.43% in the classification task. The paper also includes a novel audio-visual multi-modal network that predicts PHQ-8 scores with an RMSE of 6.51.

Instruction tuning of the Large Vision-language Models (LVLMs) has revolutionized the development of versatile models with zero-shot generalization across a wide range of downstream vision-language tasks. However, diversity of training tasks of different sources and formats would lead to inevitable task conflicts, where different tasks conflicts for the same set of model parameters, resulting in sub-optimal instruction-following abilities. To address that, we propose the Mixture of Cluster-conditional LoRA Experts (MoCLE), a novel Mixture of Experts (MoE) architecture designed to activate the task-customized model parameters based on the instruction clusters. A separate universal expert is further incorporated to improve the generalization capabilities of MoCLE for novel instructions. Extensive experiments on 10 zero-shot tasks demonstrate the effectiveness of MoCLE.

We present PCA-Bench, a multimodal decision-making benchmark for evaluating the integrated capabilities of Multimodal Large Language Models (MLLMs). Departing from previous benchmarks focusing on simplistic tasks and individual model capability, PCA-Bench introduces three complex scenarios: autonomous driving, domestic robotics, and open-world games. Given task instructions and diverse contexts, the model is required to seamlessly integrate multiple capabilities of Perception, Cognition, and Action in a reasoning chain to make accurate decisions. Moreover, PCA-Bench features error localization capabilities, scrutinizing model inaccuracies in areas such as perception, knowledge, or reasoning. This enhances the reliability of deploying MLLMs. To balance accuracy and efficiency in evaluation, we propose PCA-Eval, an automatic evaluation protocol, and assess 10 prevalent MLLMs. The results reveal significant performance disparities between open-source models and powerful proprietary models like GPT-4 Vision. To address this, we introduce Embodied-Instruction-Evolution (EIE), an automatic framework for synthesizing instruction tuning examples in multimodal embodied environments. EIE generates 7,510 training examples in PCA-Bench and enhances the performance of open-source MLLMs, occasionally surpassing GPT-4 Vision (+3\% in decision accuracy), thereby validating the effectiveness of EIE. Our findings suggest that robust MLLMs like GPT4-Vision show promise for decision-making in embodied agents, opening new avenues for MLLM research.

The Segment Anything Model (SAM) has demonstrated outstanding adaptation to medical image segmentation but still faces three major challenges. Firstly, the huge computational costs of SAM limit its real-world applicability. Secondly, SAM depends on manual annotations (e.g., points, boxes) as prompts, which are laborious and impractical in clinical scenarios. Thirdly, SAM handles all segmentation targets equally, which is suboptimal for diverse medical modalities with inherent heterogeneity. To address these issues, we propose an Efficient Self-Prompting SAM for universal medical image segmentation, named ESP-MedSAM. We devise a Multi-Modal Decoupled Knowledge Distillation (MMDKD) strategy to distil common image knowledge and domain-specific medical knowledge from the foundation model to train a lightweight image encoder and a modality controller. Further, they combine with the additionally introduced Self-Patch Prompt Generator (SPPG) and Query-Decoupled Modality Decoder (QDMD) to construct ESP-MedSAM. Specifically, SPPG aims to generate a set of patch prompts automatically and QDMD leverages a one-to-one strategy to provide an independent decoding channel for every modality. Extensive experiments indicate that ESP-MedSAM outperforms state-of-the-arts in diverse medical imaging segmentation takes, displaying superior zero-shot learning and modality transfer ability. Especially, our framework uses only 31.4% parameters compared to SAM-Base.

Colonoscopy is currently one of the most sensitive screening methods for colorectal cancer. This study investigates the frontiers of intelligent colonoscopy techniques and their prospective implications for multimodal medical applications. With this goal, we begin by assessing the current data-centric and model-centric landscapes through four tasks for colonoscopic scene perception, including classification, detection, segmentation, and vision-language understanding. This assessment enables us to identify domain-specific challenges and reveals that multimodal research in colonoscopy remains open for further exploration. To embrace the coming multimodal era, we establish three foundational initiatives: a large-scale multimodal instruction tuning dataset ColonINST, a colonoscopy-designed multimodal language model ColonGPT, and a multimodal benchmark. To facilitate ongoing monitoring of this rapidly evolving field, we provide a public website for the latest updates: https://github.com/ai4colonoscopy/IntelliScope.

As large language models (LLMs) continue to advance, instruction tuning has become critical for improving their ability to generate accurate and contextually appropriate responses. Although numerous instruction-tuning datasets have been developed to enhance LLM performance, selecting high-quality instruction data from large source datasets typically demands significant human effort. In this work, we introduce IterSelectTune, an efficient, cost-effective iterative training policy for selecting high-quality instruction data with no human involvement and limited reliance on GPT-4. By fine-tuning on approximately 20\% of the source data, our method consistently outperforms models fine-tuned on the full dataset across multiple benchmarks and public test datasets. These results highlight the effectiveness of our approach in enhancing LLM performance while reducing the computational resources required for instruction tuning.

The field has made significant progress in synthesizing realistic human motion driven by various modalities. Yet, the need for different methods to animate various body parts according to different control signals limits the scalability of these techniques in practical scenarios. In this paper, we introduce a cohesive and scalable approach that consolidates multimodal (text, music, speech) and multi-part (hand, torso) human motion generation. Our methodology unfolds in several steps: We begin by quantizing the motions of diverse body parts into separate codebooks tailored to their respective domains. Next, we harness the robust capabilities of pre-trained models to transcode multimodal signals into a shared latent space. We then translate these signals into discrete motion tokens by iteratively predicting subsequent tokens to form a complete sequence. Finally, we reconstruct the continuous actual motion from this tokenized sequence. Our method frames the multimodal motion generation challenge as a token prediction task, drawing from specialized codebooks based on the modality of the control signal. This approach is inherently scalable, allowing for the easy integration of new modalities. Extensive experiments demonstrated the effectiveness of our design, emphasizing its potential for broad application.

Large language models (LLMs) and vision language models (VLMs) demonstrate excellent performance on a wide range of tasks by scaling up parameter counts from O(10^9) to O(10^{12}) levels and further beyond. These large scales make it impossible to adapt and deploy fully specialized models given a task of interest. Parameter-efficient fine-tuning (PEFT) emerges as a promising direction to tackle the adaptation and serving challenges for such large models. We categorize PEFT techniques into two types: intrusive and non-intrusive. Intrusive PEFT techniques directly change a model's internal architecture. Though more flexible, they introduce significant complexities for training and serving. Non-intrusive PEFT techniques leave the internal architecture unchanged and only adapt model-external parameters, such as embeddings for input. In this work, we describe AdaLink as a non-intrusive PEFT technique that achieves competitive performance compared to SoTA intrusive PEFT (LoRA) and full model fine-tuning (FT) on various tasks. We evaluate using both text-only and multimodal tasks, with experiments that account for both parameter-count scaling and training regime (with and without instruction tuning).

Multimodal large language models (MLLMs) have recently achieved impressive general-purpose vision-language capabilities through visual instruction tuning. However, current MLLMs primarily focus on image-level or box-level understanding, falling short of achieving fine-grained vision-language alignment at the pixel level. Besides, the lack of mask-based instruction data limits their advancements. In this paper, we propose Osprey, a mask-text instruction tuning approach, to extend MLLMs by incorporating fine-grained mask regions into language instruction, aiming at achieving pixel-wise visual understanding. To achieve this goal, we first meticulously curate a mask-based region-text dataset with 724K samples, and then design a vision-language model by injecting pixel-level representation into LLM. Especially, Osprey adopts a convolutional CLIP backbone as the vision encoder and employs a mask-aware visual extractor to extract precise visual mask features from high resolution input. Experimental results demonstrate Osprey's superiority in various region understanding tasks, showcasing its new capability for pixel-level instruction tuning. In particular, Osprey can be integrated with Segment Anything Model (SAM) seamlessly to obtain multi-granularity semantics. The source code, dataset and demo can be found at https://github.com/CircleRadon/Osprey.

The development of large language models (LLMs) has expanded to multi-modal systems capable of processing text, images, and speech within a unified framework. Training these models demands significantly larger datasets and computational resources compared to text-only LLMs. To address the scaling challenges, we introduce Mixture-of-Transformers (MoT), a sparse multi-modal transformer architecture that significantly reduces pretraining computational costs. MoT decouples non-embedding parameters of the model by modality -- including feed-forward networks, attention matrices, and layer normalization -- enabling modality-specific processing with global self-attention over the full input sequence. We evaluate MoT across multiple settings and model scales. In the Chameleon 7B setting (autoregressive text-and-image generation), MoT matches the dense baseline's performance using only 55.8\% of the FLOPs. When extended to include speech, MoT reaches speech performance comparable to the dense baseline with only 37.2\% of the FLOPs. In the Transfusion setting, where text and image are trained with different objectives, a 7B MoT model matches the image modality performance of the dense baseline with one third of the FLOPs, and a 760M MoT model outperforms a 1.4B dense baseline across key image generation metrics. System profiling further highlights MoT's practical benefits, achieving dense baseline image quality in 47.2\% of the wall-clock time and text quality in 75.6\% of the wall-clock time (measured on AWS p4de.24xlarge instances with NVIDIA A100 GPUs).

Thanks to the emerging of foundation models, the large language and vision models are integrated to acquire the multimodal ability of visual captioning, dialogue, question answering, etc. Although existing multimodal models present impressive performance of visual understanding and reasoning, their limits are still largely under-explored due to the scarcity of high-quality instruction tuning data. To push the limits of multimodal capability, we Sale up Visual Instruction Tuning (SVIT) by constructing a dataset of 3.2 million visual instruction tuning data including 1.6M conversation question-answer (QA) pairs and 1.6M complex reasoning QA pairs and 106K detailed image descriptions. Besides the volume, the proposed dataset is also featured by the high quality and rich diversity, which is generated by prompting GPT-4 with the abundant manual annotations of images. We empirically verify that training multimodal models on SVIT can significantly improve the multimodal performance in terms of visual perception, reasoning and planing.

Mixture of Expert Tuning (MoE-Tuning) has effectively enhanced the performance of general MLLMs with fewer parameters, yet its application in resource-limited medical settings has not been fully explored. To address this gap, we developed MoE-TinyMed, a model tailored for medical applications that significantly lowers parameter demands. In evaluations on the VQA-RAD, SLAKE, and Path-VQA datasets, MoE-TinyMed outperformed LLaVA-Med in all Med-VQA closed settings with just 3.6B parameters. Additionally, a streamlined version with 2B parameters surpassed LLaVA-Med's performance in PathVQA, showcasing its effectiveness in resource-limited healthcare settings.

Heart disease, also known as cardiovascular disease, is a prevalent and critical medical condition characterized by the impairment of the heart and blood vessels, leading to various complications such as coronary artery disease, heart failure, and myocardial infarction. The timely and accurate detection of heart disease is of paramount importance in clinical practice. Early identification of individuals at risk enables proactive interventions, preventive measures, and personalized treatment strategies to mitigate the progression of the disease and reduce adverse outcomes. In recent years, the field of heart disease detection has witnessed notable advancements due to the integration of sophisticated technologies and computational approaches. These include machine learning algorithms, data mining techniques, and predictive modeling frameworks that leverage vast amounts of clinical and physiological data to improve diagnostic accuracy and risk stratification. In this work, we propose to detect heart disease from ECG images using cutting-edge technologies, namely vision transformer models. These models are Google-Vit, Microsoft-Beit, and Swin-Tiny. To the best of our knowledge, this is the initial endeavor concentrating on the detection of heart diseases through image-based ECG data by employing cuttingedge technologies namely, transformer models. To demonstrate the contribution of the proposed framework, the performance of vision transformer models are compared with state-of-the-art studies. Experiment results show that the proposed framework exhibits remarkable classification results.

Multi-modal large language models are regarded as a crucial step towards Artificial General Intelligence (AGI) and have garnered significant interest with the emergence of ChatGPT. However, current speech-language models typically adopt the cascade paradigm, preventing inter-modal knowledge transfer. In this paper, we propose SpeechGPT, a large language model with intrinsic cross-modal conversational abilities, capable of perceiving and generating multi-model content. With discrete speech representations, we first construct SpeechInstruct, a large-scale cross-modal speech instruction dataset. Additionally, we employ a three-stage training strategy that includes modality-adaptation pre-training, cross-modal instruction fine-tuning, and chain-of-modality instruction fine-tuning. The experimental results demonstrate that SpeechGPT has an impressive capacity to follow multi-modal human instructions and highlight the potential of handling multiple modalities with one model. Demos are shown in https://0nutation.github.io/SpeechGPT.github.io/.

This paper introduces Multi-Modal Retrieval-Augmented Generation (M^2RAG), a benchmark designed to evaluate the effectiveness of Multi-modal Large Language Models (MLLMs) in leveraging knowledge from multi-modal retrieval documents. The benchmark comprises four tasks: image captioning, multi-modal question answering, multi-modal fact verification, and image reranking. All tasks are set in an open-domain setting, requiring RAG models to retrieve query-relevant information from a multi-modal document collection and use it as input context for RAG modeling. To enhance the context utilization capabilities of MLLMs, we also introduce Multi-Modal Retrieval-Augmented Instruction Tuning (MM-RAIT), an instruction tuning method that optimizes MLLMs within multi-modal contexts. Our experiments show that MM-RAIT improves the performance of RAG systems by enabling them to effectively learn from multi-modal contexts. All data and code are available at https://github.com/NEUIR/M2RAG.

We present Any-Modality Augmented Language Model (AnyMAL), a unified model that reasons over diverse input modality signals (i.e. text, image, video, audio, IMU motion sensor), and generates textual responses. AnyMAL inherits the powerful text-based reasoning abilities of the state-of-the-art LLMs including LLaMA-2 (70B), and converts modality-specific signals to the joint textual space through a pre-trained aligner module. To further strengthen the multimodal LLM's capabilities, we fine-tune the model with a multimodal instruction set manually collected to cover diverse topics and tasks beyond simple QAs. We conduct comprehensive empirical analysis comprising both human and automatic evaluations, and demonstrate state-of-the-art performance on various multimodal tasks.

This report introduces xGen-MM (also known as BLIP-3), a framework for developing Large Multimodal Models (LMMs). The framework comprises meticulously curated datasets, a training recipe, model architectures, and a resulting suite of LMMs. xGen-MM, short for xGen-MultiModal, expands the Salesforce xGen initiative on foundation AI models. Our models undergo rigorous evaluation across a range of tasks, including both single and multi-image benchmarks. Our pre-trained base model exhibits strong in-context learning capabilities and the instruction-tuned model demonstrates competitive performance among open-source LMMs with similar model sizes. In addition, we introduce a safety-tuned model with DPO, aiming to mitigate harmful behaviors such as hallucinations and improve safety. We open-source our models, curated large-scale datasets, and our fine-tuning codebase to facilitate further advancements in LMM research. Associated resources will be available on our project page above.

Recently, rapid advancements in Multi-Modal In-Context Learning (MM-ICL) have achieved notable success, which is capable of achieving superior performance across various tasks without requiring additional parameter tuning. However, the underlying rules for the effectiveness of MM-ICL remain under-explored. To fill this gap, this work aims to investigate the research question: "What factors affect the performance of MM-ICL?'' To this end, we investigate extensive experiments on the three core steps of MM-ICL including demonstration retrieval, demonstration ordering, and prompt construction using 6 vision large language models and 20 strategies. Our findings highlight (1) the necessity of a multi-modal retriever for demonstration retrieval, (2) the importance of intra-demonstration ordering over inter-demonstration ordering, and (3) the enhancement of task comprehension through introductory instructions in prompts. We hope this study can serve as a foundational guide for optimizing MM-ICL strategies in future research.

Instruction tuning large language models (LLMs) using machine-generated instruction-following data has improved zero-shot capabilities on new tasks, but the idea is less explored in the multimodal field. In this paper, we present the first attempt to use language-only GPT-4 to generate multimodal language-image instruction-following data. By instruction tuning on such generated data, we introduce LLaVA: Large Language and Vision Assistant, an end-to-end trained large multimodal model that connects a vision encoder and LLM for general-purpose visual and language understanding.Our early experiments show that LLaVA demonstrates impressive multimodel chat abilities, sometimes exhibiting the behaviors of multimodal GPT-4 on unseen images/instructions, and yields a 85.1% relative score compared with GPT-4 on a synthetic multimodal instruction-following dataset. When fine-tuned on Science QA, the synergy of LLaVA and GPT-4 achieves a new state-of-the-art accuracy of 92.53%. We make GPT-4 generated visual instruction tuning data, our model and code base publicly available.

The integration of visual encoders and large language models (LLMs) has driven recent progress in multimodal large language models (MLLMs). However, the scarcity of high-quality instruction-tuning data for vision-language tasks remains a challenge. The current leading paradigm, such as LLaVA, relies on language-only GPT-4 to generate data, which requires pre-annotated image captions and detection bounding boxes, suffering from understanding image details. A practical solution to this problem would be to utilize the available multimodal large language models (MLLMs) to generate instruction data for vision-language tasks. However, it's worth noting that the currently accessible MLLMs are not as powerful as their LLM counterparts, as they tend to produce inadequate responses and generate false information. As a solution for addressing the current issue, this paper proposes the Visual Instruction Generation and Correction (VIGC) framework that enables multimodal large language models to generate instruction-tuning data and progressively enhance its quality on-the-fly. Specifically, Visual Instruction Generation (VIG) guides the vision-language model to generate diverse instruction-tuning data. To ensure generation quality, Visual Instruction Correction (VIC) adopts an iterative update mechanism to correct any inaccuracies in data produced by VIG, effectively reducing the risk of hallucination. Leveraging the diverse, high-quality data generated by VIGC, we finetune mainstream models and validate data quality based on various evaluations. Experimental results demonstrate that VIGC not only compensates for the shortcomings of language-only data generation methods, but also effectively enhances the benchmark performance. The models, datasets, and code are available at https://opendatalab.github.io/VIGC.

Multimodal Large Language Models (MLLMs) have tremendous potential to improve the accuracy, availability, and cost-effectiveness of healthcare by providing automated solutions or serving as aids to medical professionals. Despite promising first steps in developing medical MLLMs in the past few years, their capabilities and limitations are not well-understood. Recently, many benchmark datasets have been proposed that test the general medical knowledge of such models across a variety of medical areas. However, the systematic failure modes and vulnerabilities of such models are severely underexplored with most medical benchmarks failing to expose the shortcomings of existing models in this safety-critical domain. In this paper, we introduce MediConfusion, a challenging medical Visual Question Answering (VQA) benchmark dataset, that probes the failure modes of medical MLLMs from a vision perspective. We reveal that state-of-the-art models are easily confused by image pairs that are otherwise visually dissimilar and clearly distinct for medical experts. Strikingly, all available models (open-source or proprietary) achieve performance below random guessing on MediConfusion, raising serious concerns about the reliability of existing medical MLLMs for healthcare deployment. We also extract common patterns of model failure that may help the design of a new generation of more trustworthy and reliable MLLMs in healthcare.

Quantification of real-time informal feedback delivered by an experienced surgeon to a trainee during surgery is important for skill improvements in surgical training. Such feedback in the live operating room is inherently multimodal, consisting of verbal conversations (e.g., questions and answers) as well as non-verbal elements (e.g., through visual cues like pointing to anatomic elements). In this work, we leverage a clinically-validated five-category classification of surgical feedback: "Anatomic", "Technical", "Procedural", "Praise" and "Visual Aid". We then develop a multi-label machine learning model to classify these five categories of surgical feedback from inputs of text, audio, and video modalities. The ultimate goal of our work is to help automate the annotation of real-time contextual surgical feedback at scale. Our automated classification of surgical feedback achieves AUCs ranging from 71.5 to 77.6 with the fusion improving performance by 3.1%. We also show that high-quality manual transcriptions of feedback audio from experts improve AUCs to between 76.5 and 96.2, which demonstrates a clear path toward future improvements. Empirically, we find that the Staged training strategy, with first pre-training each modality separately and then training them jointly, is more effective than training different modalities altogether. We also present intuitive findings on the importance of modalities for different feedback categories. This work offers an important first look at the feasibility of automated classification of real-world live surgical feedback based on text, audio, and video modalities.

The rapid advance of Large Language Models (LLMs) has catalyzed the development of Vision-Language Models (VLMs). Monolithic VLMs, which avoid modality-specific encoders, offer a promising alternative to the compositional ones but face the challenge of inferior performance. Most existing monolithic VLMs require tuning pre-trained LLMs to acquire vision abilities, which may degrade their language capabilities. To address this dilemma, this paper presents a novel high-performance monolithic VLM named HoVLE. We note that LLMs have been shown capable of interpreting images, when image embeddings are aligned with text embeddings. The challenge for current monolithic VLMs actually lies in the lack of a holistic embedding module for both vision and language inputs. Therefore, HoVLE introduces a holistic embedding module that converts visual and textual inputs into a shared space, allowing LLMs to process images in the same way as texts. Furthermore, a multi-stage training strategy is carefully designed to empower the holistic embedding module. It is first trained to distill visual features from a pre-trained vision encoder and text embeddings from the LLM, enabling large-scale training with unpaired random images and text tokens. The whole model further undergoes next-token prediction on multi-modal data to align the embeddings. Finally, an instruction-tuning stage is incorporated. Our experiments show that HoVLE achieves performance close to leading compositional models on various benchmarks, outperforming previous monolithic models by a large margin. Model available at https://huggingface.co/OpenGVLab/HoVLE.

Computer vision researchers are embracing two promising paradigms: Vision Transformers (ViTs) and Multi-task Learning (MTL), which both show great performance but are computation-intensive, given the quadratic complexity of self-attention in ViT and the need to activate an entire large MTL model for one task. M^3ViT is the latest multi-task ViT model that introduces mixture-of-experts (MoE), where only a small portion of subnetworks ("experts") are sparsely and dynamically activated based on the current task. M^3ViT achieves better accuracy and over 80% computation reduction but leaves challenges for efficient deployment on FPGA. Our work, dubbed Edge-MoE, solves the challenges to introduce the first end-to-end FPGA accelerator for multi-task ViT with a collection of architectural innovations, including (1) a novel reordering mechanism for self-attention, which requires only constant bandwidth regardless of the target parallelism; (2) a fast single-pass softmax approximation; (3) an accurate and low-cost GELU approximation; (4) a unified and flexible computing unit that is shared by almost all computational layers to maximally reduce resource usage; and (5) uniquely for M^3ViT, a novel patch reordering method to eliminate memory access overhead. Edge-MoE achieves 2.24x and 4.90x better energy efficiency comparing with GPU and CPU, respectively. A real-time video demonstration is available online, along with our open-source code written using High-Level Synthesis.

Ultra-low bitrate image compression is a challenging and demanding topic. With the development of Large Multimodal Models (LMMs), a Cross Modality Compression (CMC) paradigm of Image-Text-Image has emerged. Compared with traditional codecs, this semantic-level compression can reduce image data size to 0.1\% or even lower, which has strong potential applications. However, CMC has certain defects in consistency with the original image and perceptual quality. To address this problem, we introduce CMC-Bench, a benchmark of the cooperative performance of Image-to-Text (I2T) and Text-to-Image (T2I) models for image compression. This benchmark covers 18,000 and 40,000 images respectively to verify 6 mainstream I2T and 12 T2I models, including 160,000 subjective preference scores annotated by human experts. At ultra-low bitrates, this paper proves that the combination of some I2T and T2I models has surpassed the most advanced visual signal codecs; meanwhile, it highlights where LMMs can be further optimized toward the compression task. We encourage LMM developers to participate in this test to promote the evolution of visual signal codec protocols.

Automatic chart understanding is crucial for content comprehension and document parsing. Multimodal large language models (MLLMs) have demonstrated remarkable capabilities in chart understanding through domain-specific alignment and fine-tuning. However, the application of alignment training within the chart domain is still underexplored. To address this, we propose ChartMoE, which employs the mixture of expert (MoE) architecture to replace the traditional linear projector to bridge the modality gap. Specifically, we train multiple linear connectors through distinct alignment tasks, which are utilized as the foundational initialization parameters for different experts. Additionally, we introduce ChartMoE-Align, a dataset with over 900K chart-table-JSON-code quadruples to conduct three alignment tasks (chart-table/JSON/code). Combined with the vanilla connector, we initialize different experts in four distinct ways and adopt high-quality knowledge learning to further refine the MoE connector and LLM parameters. Extensive experiments demonstrate the effectiveness of the MoE connector and our initialization strategy, e.g., ChartMoE improves the accuracy of the previous state-of-the-art from 80.48% to 84.64% on the ChartQA benchmark.

While Large Language Models (LLMs) excel in world knowledge understanding, adapting them to specific subfields requires precise adjustments. Due to the model's vast scale, traditional global fine-tuning methods for large models can be computationally expensive and impact generalization. To address this challenge, a range of innovative Parameters-Efficient Fine-Tuning (PEFT) methods have emerged and achieved remarkable success in both LLMs and Large Vision-Language Models (LVLMs). In the medical domain, fine-tuning a medical Vision-Language Pretrained (VLP) model is essential for adapting it to specific tasks. Can the fine-tuning methods for large models be transferred to the medical field to enhance transfer learning efficiency? In this paper, we delve into the fine-tuning methods of LLMs and conduct extensive experiments to investigate the impact of fine-tuning methods for large models on the existing multimodal model in the medical domain from the training data level and the model structure level. We show the different impacts of fine-tuning methods for large models on medical VLMs and develop the most efficient ways to fine-tune medical VLP models. We hope this research can guide medical domain researchers in optimizing VLMs' training costs, fostering the broader application of VLMs in healthcare fields. The code and dataset have been released at https://github.com/TIMMY-CHAN/MILE.

Medical vision-and-language pre-training (Med-VLP) has shown promising improvements on many downstream medical tasks owing to its applicability to extracting generic representations from medical images and texts. Practically, there exist two typical types, i.e., the fusion-encoder type and the dual-encoder type, depending on whether a heavy fusion module is used. The former is superior at multi-modal tasks owing to the sufficient interaction between modalities; the latter is good at uni-modal and cross-modal tasks due to the single-modality encoding ability. To take advantage of these two types, we propose an effective yet straightforward scheme named PTUnifier to unify the two types. We first unify the input format by introducing visual and textual prompts, which serve as a feature bank that stores the most representative images/texts. By doing so, a single model could serve as a foundation model that processes various tasks adopting different input formats (i.e., image-only, text-only, and image-text-pair). Furthermore, we construct a prompt pool (instead of static ones) to improve diversity and scalability. Experimental results show that our approach achieves state-of-the-art results on a broad range of tasks, spanning uni-modal tasks (i.e., image/text classification and text summarization), cross-modal tasks (i.e., image-to-text generation and image-text/text-image retrieval), and multi-modal tasks (i.e., visual question answering), demonstrating the effectiveness of our approach. Note that the adoption of prompts is orthogonal to most existing Med-VLP approaches and could be a beneficial and complementary extension to these approaches.

Over the past few years, one of the most notable advancements in AI research has been in foundation models (FMs), headlined by the rise of language models (LMs). As the models' size increases, LMs demonstrate enhancements in measurable aspects and the development of new qualitative features. However, despite researchers' attention and the rapid growth in LM application, the capabilities, limitations, and associated risks still need to be better understood. To address these issues, we introduce an open Multimodal Evaluation of Russian-language Architectures (MERA), a new instruction benchmark for evaluating foundation models oriented towards the Russian language. The benchmark encompasses 21 evaluation tasks for generative models in 11 skill domains and is designed as a black-box test to ensure the exclusion of data leakage. The paper introduces a methodology to evaluate FMs and LMs in zero- and few-shot fixed instruction settings that can be extended to other modalities. We propose an evaluation methodology, an open-source code base for the MERA assessment, and a leaderboard with a submission system. We evaluate open LMs as baselines and find that they are still far behind the human level. We publicly release MERA to guide forthcoming research, anticipate groundbreaking model features, standardize the evaluation procedure, and address potential societal drawbacks.

Multi-task learning (MTL) encapsulates multiple learned tasks in a single model and often lets those tasks learn better jointly. However, when deploying MTL onto those real-world systems that are often resource-constrained or latency-sensitive, two prominent challenges arise: (i) during training, simultaneously optimizing all tasks is often difficult due to gradient conflicts across tasks; (ii) at inference, current MTL regimes have to activate nearly the entire model even to just execute a single task. Yet most real systems demand only one or two tasks at each moment, and switch between tasks as needed: therefore such all tasks activated inference is also highly inefficient and non-scalable. In this paper, we present a model-accelerator co-design framework to enable efficient on-device MTL. Our framework, dubbed M^3ViT, customizes mixture-of-experts (MoE) layers into a vision transformer (ViT) backbone for MTL, and sparsely activates task-specific experts during training. Then at inference with any task of interest, the same design allows for activating only the task-corresponding sparse expert pathway, instead of the full model. Our new model design is further enhanced by hardware-level innovations, in particular, a novel computation reordering scheme tailored for memory-constrained MTL that achieves zero-overhead switching between tasks and can scale to any number of experts. When executing single-task inference, M^{3}ViT achieves higher accuracies than encoder-focused MTL methods, while significantly reducing 88% inference FLOPs. When implemented on a hardware platform of one Xilinx ZCU104 FPGA, our co-design framework reduces the memory requirement by 2.4 times, while achieving energy efficiency up to 9.23 times higher than a comparable FPGA baseline. Code is available at: https://github.com/VITA-Group/M3ViT.

Multimodal Large Language Models (MLLMs) demonstrate remarkable image-language capabilities, but their widespread use faces challenges in cost-effective training and adaptation. Existing approaches often necessitate expensive language model retraining and limited adaptability. Additionally, the current focus on zero-shot performance improvements offers insufficient guidance for task-specific tuning. We propose CROME, an efficient vision-language instruction tuning framework. It features a novel gated cross-modal adapter that effectively combines visual and textual representations prior to input into a frozen LLM. This lightweight adapter, trained with minimal parameters, enables efficient cross-modal understanding. Notably, CROME demonstrates superior zero-shot performance on standard visual question answering and instruction-following benchmarks. Moreover, it yields fine-tuning with exceptional parameter efficiency, competing with task-specific specialist state-of-the-art methods. CROME demonstrates the potential of pre-LM alignment for building scalable, adaptable, and parameter-efficient multimodal models.

The popularity of multimodal large language models (MLLMs) has triggered a recent surge in research efforts dedicated to evaluating these models. Nevertheless, existing evaluation studies of MLLMs primarily focus on the comprehension and reasoning of unimodal (vision) content, neglecting performance evaluations in the domain of multimodal (vision-language) content understanding. Beyond multimodal reasoning, tasks related to multimodal content comprehension necessitate a profound understanding of multimodal contexts, achieved through the multimodal interaction to obtain a final answer. In this paper, we introduce a comprehensive assessment framework called MM-BigBench, which incorporates a diverse range of metrics to offer an extensive evaluation of the performance of various models and instructions across a wide spectrum of diverse multimodal content comprehension tasks. Consequently, our work complements research on the performance of MLLMs in multimodal comprehension tasks, achieving a more comprehensive and holistic evaluation of MLLMs. To begin, we employ the Best Performance metric to ascertain each model's performance upper bound on different datasets. Subsequently, the Mean Relative Gain metric offers an assessment of the overall performance of various models and instructions, while the Stability metric measures their sensitivity. Furthermore, previous research centers on evaluating models independently or solely assessing instructions, neglecting the adaptability between models and instructions. We propose the Adaptability metric to quantify the adaptability between models and instructions. Our paper evaluates a total of 20 language models (14 MLLMs) on 14 multimodal datasets spanning 6 tasks, with 10 instructions for each task, and derives novel insights. Our code will be released at https://github.com/declare-lab/MM-BigBench.

We propose two novel purpose-built deep learning (DL) models for synthesis of the arterial blood pressure (ABP) waveform in a cuff-less manner, using a single-site photoplethysmography (PPG) signal. We utilize the public UCI dataset on cuff-less blood pressure (CLBP) estimation to train and evaluate our DL models. Firstly, we implement a transformer model that incorporates positional encoding, multi-head attention, layer normalization, and dropout techniques, and synthesizes the ABP waveform with a mean absolute error (MAE) of 14. Secondly, we implement a frequency-domain (FD) learning approach where we first obtain the discrete cosine transform (DCT) coefficients of the PPG and ABP signals corresponding to two cardiac cycles, and then learn a linear/non-linear (L/NL) regression between them. We learn that the FD L/NL regression model outperforms the transformer model by achieving an MAE of 11.87 and 8.01, for diastolic blood pressure (DBP) and systolic blood pressure (SBP), respectively. Our FD L/NL regression model also fulfills the AAMI criterion of utilizing data from more than 85 subjects, and achieves grade B by the BHS criterion.

Recent advancements in large language models (LLMs) and multimodal speech-text models have laid the groundwork for seamless voice interactions, enabling real-time, natural, and human-like conversations. Previous models for voice interactions are categorized as native and aligned. Native models integrate speech and text processing in one framework but struggle with issues like differing sequence lengths and insufficient pre-training. Aligned models maintain text LLM capabilities but are often limited by small datasets and a narrow focus on speech tasks. In this work, we introduce MinMo, a Multimodal Large Language Model with approximately 8B parameters for seamless voice interaction. We address the main limitations of prior aligned multimodal models. We train MinMo through multiple stages of speech-to-text alignment, text-to-speech alignment, speech-to-speech alignment, and duplex interaction alignment, on 1.4 million hours of diverse speech data and a broad range of speech tasks. After the multi-stage training, MinMo achieves state-of-the-art performance across various benchmarks for voice comprehension and generation while maintaining the capabilities of text LLMs, and also facilitates full-duplex conversation, that is, simultaneous two-way communication between the user and the system. Moreover, we propose a novel and simple voice decoder that outperforms prior models in voice generation. The enhanced instruction-following capabilities of MinMo supports controlling speech generation based on user instructions, with various nuances including emotions, dialects, and speaking rates, and mimicking specific voices. For MinMo, the speech-to-text latency is approximately 100ms, full-duplex latency is approximately 600ms in theory and 800ms in practice. The MinMo project web page is https://funaudiollm.github.io/minmo, and the code and models will be released soon.

Instruction tuning -- fine-tuning a large language model (LLM) on pairs of instructions and desired outcomes -- is an approach that enables pre-trained language models to perform real-world tasks and follow human instructions. Its practical success depends on the model learning a broader set of instructions than those it was trained on. Yet the factors that determine model generalization to such unseen tasks are not well understood. %To understand the driving factors of generalization, In this paper, we experiment with string rewrites, a symbolic task that serves as a building block for Turing complete Markov algorithms while allowing experimental control of "inputs" and "instructions". We investigate the trade-off between the number of instructions the model is trained on and the number of training samples provided for each instruction and observe that the diversity of the instruction set determines generalization. Generalization emerges once a diverse enough set of tasks is provided, even though very few examples are provided for each task. Instruction diversity also ensures robustness with respect to non-uniform distributions of instructions in the training set.

We present Emu, a Transformer-based multimodal foundation model, which can seamlessly generate images and texts in multimodal context. This omnivore model can take in any single-modality or multimodal data input indiscriminately (e.g., interleaved image, text and video) through a one-model-for-all autoregressive training process. First, visual signals are encoded into embeddings, and together with text tokens form an interleaved input sequence. Emu is then end-to-end trained with a unified objective of classifying the next text token or regressing the next visual embedding in the multimodal sequence. This versatile multimodality empowers the exploration of diverse pretraining data sources at scale, such as videos with interleaved frames and text, webpages with interleaved images and text, as well as web-scale image-text pairs and video-text pairs. Emu can serve as a generalist multimodal interface for both image-to-text and text-to-image tasks, and supports in-context image and text generation. Across a broad range of zero-shot/few-shot tasks including image captioning, visual question answering, video question answering and text-to-image generation, Emu demonstrates superb performance compared to state-of-the-art large multimodal models. Extended capabilities such as multimodal assistants via instruction tuning are also demonstrated with impressive performance.

Biomedical data is inherently multimodal, consisting of electronic health records, medical imaging, digital pathology, genome sequencing, wearable sensors, and more. The application of artificial intelligence tools to these multifaceted sensing technologies has the potential to revolutionize the prognosis, diagnosis, and management of human health and disease. However, current approaches to biomedical AI typically only train and evaluate with one or a small set of medical modalities and tasks. This limitation hampers the development of comprehensive tools that can leverage the rich interconnected information across many heterogeneous biomedical sensors. To address this challenge, we present MultiMed, a benchmark designed to evaluate and enable large-scale learning across a wide spectrum of medical modalities and tasks. MultiMed consists of 2.56 million samples across ten medical modalities such as medical reports, pathology, genomics, and protein data, and is structured into eleven challenging tasks, including disease prognosis, protein structure prediction, and medical question answering. Using MultiMed, we conduct comprehensive experiments benchmarking state-of-the-art unimodal, multimodal, and multitask models. Our analysis highlights the advantages of training large-scale medical models across many related modalities and tasks. Moreover, MultiMed enables studies of generalization across related medical concepts, robustness to real-world noisy data and distribution shifts, and novel modality combinations to improve prediction performance. MultiMed will be publicly available and regularly updated and welcomes inputs from the community.

Multimodal foundation models, such as Gemini and ChatGPT, have revolutionized human-machine interactions by seamlessly integrating various forms of data. Developing a universal spoken language model that comprehends a wide range of natural language instructions is critical for bridging communication gaps and facilitating more intuitive interactions. However, the absence of a comprehensive evaluation benchmark poses a significant challenge. We present Dynamic-SUPERB Phase-2, an open and evolving benchmark for the comprehensive evaluation of instruction-based universal speech models. Building upon the first generation, this second version incorporates 125 new tasks contributed collaboratively by the global research community, expanding the benchmark to a total of 180 tasks, making it the largest benchmark for speech and audio evaluation. While the first generation of Dynamic-SUPERB was limited to classification tasks, Dynamic-SUPERB Phase-2 broadens its evaluation capabilities by introducing a wide array of novel and diverse tasks, including regression and sequence generation, across speech, music, and environmental audio. Evaluation results indicate that none of the models performed well universally. SALMONN-13B excelled in English ASR, while WavLLM demonstrated high accuracy in emotion recognition, but current models still require further innovations to handle a broader range of tasks. We will soon open-source all task data and the evaluation pipeline.

We present SEED, an elaborate image tokenizer that empowers Large Language Models (LLMs) with the emergent ability to SEE and Draw at the same time. Research on image tokenizers has previously reached an impasse, as frameworks employing quantized visual tokens have lost prominence due to subpar performance and convergence in multimodal comprehension (compared to BLIP-2, etc.) or generation (compared to Stable Diffusion, etc.). Despite the limitations, we remain confident in its natural capacity to unify visual and textual representations, facilitating scalable multimodal training with LLM's original recipe. In this study, we identify two crucial principles for the architecture and training of SEED that effectively ease subsequent alignment with LLMs. (1) Image tokens should be independent of 2D physical patch positions and instead be produced with a 1D causal dependency, exhibiting intrinsic interdependence that aligns with the left-to-right autoregressive prediction mechanism in LLMs. (2) Image tokens should capture high-level semantics consistent with the degree of semantic abstraction in words, and be optimized for both discriminativeness and reconstruction during the tokenizer training phase. As a result, the off-the-shelf LLM is able to perform both image-to-text and text-to-image generation by incorporating our SEED through efficient LoRA tuning. Comprehensive multimodal pretraining and instruction tuning, which may yield improved results, are reserved for future investigation. This version of SEED was trained in 5.7 days using only 64 V100 GPUs and 5M publicly available image-text pairs. Our preliminary study emphasizes the great potential of discrete visual tokens in versatile multimodal LLMs and the importance of proper image tokenizers in broader research.

General-purpose language models that can solve various language-domain tasks have emerged driven by the pre-training and instruction-tuning pipeline. However, building general-purpose vision-language models is challenging due to the increased task discrepancy introduced by the additional visual input. Although vision-language pre-training has been widely studied, vision-language instruction tuning remains relatively less explored. In this paper, we conduct a systematic and comprehensive study on vision-language instruction tuning based on the pre-trained BLIP-2 models. We gather a wide variety of 26 publicly available datasets, transform them into instruction tuning format and categorize them into two clusters for held-in instruction tuning and held-out zero-shot evaluation. Additionally, we introduce instruction-aware visual feature extraction, a crucial method that enables the model to extract informative features tailored to the given instruction. The resulting InstructBLIP models achieve state-of-the-art zero-shot performance across all 13 held-out datasets, substantially outperforming BLIP-2 and the larger Flamingo. Our models also lead to state-of-the-art performance when finetuned on individual downstream tasks (e.g., 90.7% accuracy on ScienceQA IMG). Furthermore, we qualitatively demonstrate the advantages of InstructBLIP over concurrent multimodal models. All InstructBLIP models have been open-sourced at https://github.com/salesforce/LAVIS/tree/main/projects/instructblip.

Instruction tuning has emerged as the key in aligning large language models (LLMs) with specific task instructions, thereby mitigating the discrepancy between the next-token prediction objective and users' actual goals. To reduce the labor and time cost to collect or annotate data by humans, researchers start to explore the use of LLMs to generate instruction-aligned synthetic data. Recent works focus on generating diverse instructions and applying LLM to increase instruction complexity, often neglecting downstream use cases. It remains unclear how to tailor high-quality data to elicit better instruction-following abilities in different target instruction distributions and LLMs. To this end, we introduce CodecLM, a general framework for adaptively generating high-quality synthetic data for LLM alignment with different downstream instruction distributions and LLMs. Drawing on the Encode-Decode principles, we use LLMs as codecs to guide the data generation process. We first encode seed instructions into metadata, which are concise keywords generated on-the-fly to capture the target instruction distribution, and then decode metadata to create tailored instructions. We also introduce Self-Rubrics and Contrastive Filtering during decoding to tailor data-efficient samples. Extensive experiments on four open-domain instruction following benchmarks validate the effectiveness of CodecLM over the current state-of-the-arts.

We propose to synthesize high-quality and synchronized audio, given video and optional text conditions, using a novel multimodal joint training framework MMAudio. In contrast to single-modality training conditioned on (limited) video data only, MMAudio is jointly trained with larger-scale, readily available text-audio data to learn to generate semantically aligned high-quality audio samples. Additionally, we improve audio-visual synchrony with a conditional synchronization module that aligns video conditions with audio latents at the frame level. Trained with a flow matching objective, MMAudio achieves new video-to-audio state-of-the-art among public models in terms of audio quality, semantic alignment, and audio-visual synchronization, while having a low inference time (1.23s to generate an 8s clip) and just 157M parameters. MMAudio also achieves surprisingly competitive performance in text-to-audio generation, showing that joint training does not hinder single-modality performance. Code and demo are available at: https://hkchengrex.github.io/MMAudio

To enhance the performance of large language models (LLMs) in biomedical natural language processing (BioNLP) by introducing a domain-specific instruction dataset and examining its impact when combined with multi-task learning principles. We created the BioInstruct, comprising 25,005 instructions to instruction-tune LLMs(LLaMA 1 & 2, 7B & 13B version). The instructions were created by prompting the GPT-4 language model with three-seed samples randomly drawn from an 80 human curated instructions. We employed Low-Rank Adaptation(LoRA) for parameter-efficient fine-tuning. We then evaluated these instruction-tuned LLMs on several BioNLP tasks, which can be grouped into three major categories: question answering(QA), information extraction(IE), and text generation(GEN). We also examined whether categories(e.g., QA, IE, and generation) of instructions impact model performance. Comparing with LLMs without instruction-tuned, our instruction-tuned LLMs demonstrated marked performance gains: 17.3% in QA, 5.7% in IE, and 96% in Generation tasks. Our 7B-parameter instruction-tuned LLaMA 1 model was competitive or even surpassed other LLMs in the biomedical domain that were also fine-tuned from LLaMA 1 with vast domain-specific data or a variety of tasks. Our results also show that the performance gain is significantly higher when instruction fine-tuning is conducted with closely related tasks. Our findings align with the observations of multi-task learning, suggesting the synergies between two tasks. The BioInstruct dataset serves as a valuable resource and instruction tuned LLMs lead to the best performing BioNLP applications.

We present the Mixture-of-Tunable-Experts (MoTE), a method that extends the Mixture-of-Experts architecture of Large Language Models (LLMs). Without additional training, MoTE enables meaningful and focused behavior changes in LLMs on-the-fly during inference time. By analyzing the digital LLM brain of DeepSeek-R1 using a technique we dub 'functional Token Resonance Imaging' (fTRI) -- inspired by fMRI and using prompts designed to elicit specific behavior (e.g., 'What happened {time}{place}?') -- we empirically identify distinctive experts associated with behaviors like refusal responses. Using MoTE we are able to intervene and control such specific behavior. We switched off the top 10 most refusal-relevant experts (0.07% of R1's 14,848 routed experts), achieving a 52% refusal reduction on sensitive reference prompts without performance degradation on MT-Bench. Random expert deactivation resulted in smaller behavioral shifts with increased noise, whereas forced expert activation led to significantly higher refusal rates. Our approach shares similarities with sparse autoencoders (SAEs) in terms of explainability and steerability. Unlike SAEs, MoTE does not require large training efforts, as within MoEs with a vast number of experts, specialization already emerged naturally during pretraining. Our findings suggest that significant functional mechanisms in Mixture-of-Experts architectures can at least partially be localized in a small number of specific experts, rather than being distributed throughout the model's weights. Expert subgroups can be tuned to trigger significant behavior variations, providing insights into the inner workings of LLMs.

Videos serve as a powerful medium to convey ideas, tell stories, and provide detailed instructions, especially through long-format tutorials. Such tutorials are valuable for learning new skills at one's own pace, yet they can be overwhelming due to their length and dense content. Viewers often seek specific information, like precise measurements or step-by-step execution details, making it essential to extract and summarize key segments efficiently. An intelligent, time-sensitive video assistant capable of summarizing and detecting highlights in long videos is highly sought after. Recent advancements in Multimodal Large Language Models offer promising solutions to develop such an assistant. Our research explores the use of multimodal models to enhance video summarization and step-by-step instruction generation within specific domains. These models need to understand temporal events and relationships among actions across video frames. Our approach focuses on fine-tuning TimeChat to improve its performance in specific domains: cooking and medical procedures. By training the model on domain-specific datasets like Tasty for cooking and MedVidQA for medical procedures, we aim to enhance its ability to generate concise, accurate summaries of instructional videos. We curate and restructure these datasets to create high-quality video-centric instruction data. Our findings indicate that when finetuned on domain-specific procedural data, TimeChat can significantly improve the extraction and summarization of key instructional steps in long-format videos. This research demonstrates the potential of specialized multimodal models to assist with practical tasks by providing personalized, step-by-step guidance tailored to the unique aspects of each domain.

In this work, we present MedImageInsight, an open-source medical imaging embedding model. MedImageInsight is trained on medical images with associated text and labels across a diverse collection of domains, including X-Ray, CT, MRI, dermoscopy, OCT, fundus photography, ultrasound, histopathology, and mammography. Rigorous evaluations demonstrate MedImageInsight's ability to achieve state-of-the-art (SOTA) or human expert level performance across classification, image-image search, and fine-tuning tasks. Specifically, on public datasets, MedImageInsight achieves SOTA in CT 3D medical image retrieval, as well as SOTA in disease classification and search for chest X-ray, dermatology, and OCT imaging. Furthermore, MedImageInsight achieves human expert performance in bone age estimation (on both public and partner data), as well as AUC above 0.9 in most other domains. When paired with a text decoder, MedImageInsight achieves near SOTA level single image report findings generation with less than 10\% the parameters of other models. Compared to fine-tuning GPT-4o with only MIMIC-CXR data for the same task, MedImageInsight outperforms in clinical metrics, but underperforms on lexical metrics where GPT-4o sets a new SOTA. Importantly for regulatory purposes, MedImageInsight can generate ROC curves, adjust sensitivity and specificity based on clinical need, and provide evidence-based decision support through image-image search (which can also enable retrieval augmented generation). In an independent clinical evaluation of image-image search in chest X-ray, MedImageInsight outperformed every other publicly available foundation model evaluated by large margins (over 6 points AUC), and significantly outperformed other models in terms of AI fairness (across age and gender). We hope releasing MedImageInsight will help enhance collective progress in medical imaging AI research and development.

The field of advanced text-to-image generation is witnessing the emergence of unified frameworks that integrate powerful text encoders, such as CLIP and T5, with Diffusion Transformer backbones. Although there have been efforts to control output images with additional conditions, like canny and depth map, a comprehensive framework for arbitrary text-image interleaved control is still lacking. This gap is especially evident when attempting to merge concepts or visual elements from multiple images in the generation process. To mitigate the gap, we conducted preliminary experiments showing that large multimodal models (LMMs) offer an effective shared representation space, where image and text can be well-aligned to serve as a condition for external diffusion models. Based on this discovery, we propose Dream Engine, an efficient and unified framework designed for arbitrary text-image interleaved control in image generation models. Building on powerful text-to-image models like SD3.5, we replace the original text-only encoders by incorporating versatile multimodal information encoders such as QwenVL. Our approach utilizes a two-stage training paradigm, consisting of joint text-image alignment and multimodal interleaved instruction tuning. Our experiments demonstrate that this training method is effective, achieving a 0.69 overall score on the GenEval benchmark, and matching the performance of state-of-the-art text-to-image models like SD3.5 and FLUX.

Despite the recent progress in speech emotion recognition (SER), state-of-the-art systems are unable to achieve improved performance in cross-language settings. In this paper, we propose a Multimodal Dual Attention Transformer (MDAT) model to improve cross-language SER. Our model utilises pre-trained models for multimodal feature extraction and is equipped with a dual attention mechanism including graph attention and co-attention to capture complex dependencies across different modalities and achieve improved cross-language SER results using minimal target language data. In addition, our model also exploits a transformer encoder layer for high-level feature representation to improve emotion classification accuracy. In this way, MDAT performs refinement of feature representation at various stages and provides emotional salient features to the classification layer. This novel approach also ensures the preservation of modality-specific emotional information while enhancing cross-modality and cross-language interactions. We assess our model's performance on four publicly available SER datasets and establish its superior effectiveness compared to recent approaches and baseline models.

Recent AIGC systems possess the capability to generate digital multimedia content based on human language instructions, such as text, image and video. However, when it comes to speech, existing methods related to human instruction-to-speech generation exhibit two limitations. Firstly, they require the division of inputs into content prompt (transcript) and description prompt (style and speaker), instead of directly supporting human instruction. This division is less natural in form and does not align with other AIGC models. Secondly, the practice of utilizing an independent description prompt to model speech style, without considering the transcript content, restricts the ability to control speech at a fine-grained level. To address these limitations, we propose VoxInstruct, a novel unified multilingual codec language modeling framework that extends traditional text-to-speech tasks into a general human instruction-to-speech task. Our approach enhances the expressiveness of human instruction-guided speech generation and aligns the speech generation paradigm with other modalities. To enable the model to automatically extract the content of synthesized speech from raw text instructions, we introduce speech semantic tokens as an intermediate representation for instruction-to-content guidance. We also incorporate multiple Classifier-Free Guidance (CFG) strategies into our codec language model, which strengthens the generated speech following human instructions. Furthermore, our model architecture and training strategies allow for the simultaneous support of combining speech prompt and descriptive human instruction for expressive speech synthesis, which is a first-of-its-kind attempt. Codes, models and demos are at: https://github.com/thuhcsi/VoxInstruct.

This paper describes the architecture of our system developed for Task 3 of SemEval-2024: Multimodal Emotion-Cause Analysis in Conversations. Our project targets the challenges of subtask 2, dedicated to Multimodal Emotion-Cause Pair Extraction with Emotion Category (MECPE-Cat), and constructs a dual-component system tailored to the unique challenges of this task. We divide the task into two subtasks: emotion recognition in conversation (ERC) and emotion-cause pair extraction (ECPE). To address these subtasks, we capitalize on the abilities of Large Language Models (LLMs), which have consistently demonstrated state-of-the-art performance across various natural language processing tasks and domains. Most importantly, we design an approach of emotion-cause-aware instruction-tuning for LLMs, to enhance the perception of the emotions with their corresponding causal rationales. Our method enables us to adeptly navigate the complexities of MECPE-Cat, achieving a weighted average 34.71% F1 score of the task, and securing the 2nd rank on the leaderboard. The code and metadata to reproduce our experiments are all made publicly available.

Generalist vision language models (VLMs) have made significant strides in computer vision, but they fall short in specialized fields like healthcare, where expert knowledge is essential. In traditional computer vision tasks, creative or approximate answers may be acceptable, but in healthcare, precision is paramount.Current large multimodal models like Gemini and GPT-4o are insufficient for medical tasks due to their reliance on memorized internet knowledge rather than the nuanced expertise required in healthcare. VLMs are usually trained in three stages: vision pre-training, vision-language pre-training, and instruction fine-tuning (IFT). IFT has been typically applied using a mixture of generic and healthcare data. In contrast, we propose that for medical VLMs, a fourth stage of specialized IFT is necessary, which focuses on medical data and includes information from domain expert models. Domain expert models developed for medical use are crucial because they are specifically trained for certain clinical tasks, e.g. to detect tumors and classify abnormalities through segmentation and classification, which learn fine-grained features of medical data-features that are often too intricate for a VLM to capture effectively especially in radiology. This paper introduces a new framework, VILA-M3, for medical VLMs that utilizes domain knowledge via expert models. Through our experiments, we show an improved state-of-the-art (SOTA) performance with an average improvement of ~9% over the prior SOTA model Med-Gemini and ~6% over models trained on the specific tasks. Our approach emphasizes the importance of domain expertise in creating precise, reliable VLMs for medical applications.

Parameter-efficient fine-tuning (PEFT) for cross-task generalization consists in pre-training adapters on a multi-task training set before few-shot adaptation to test tasks. Polytropon [Ponti et al., 2023] (Poly) jointly learns an inventory of adapters and a routing function that selects a (variable-size) subset of adapters for each task during both pre-training and few-shot adaptation. In this paper, we investigate the role that adapter routing plays in its success and design new variants based on our findings. First, we build on the intuition that finer-grained routing provides more expressivity. Hence, we propose MHR (Multi-Head Routing), which combines subsets of adapter parameters and outperforms Poly under a comparable parameter budget; by only fine-tuning the routing function and not the adapters (MHR-z), we achieve competitive performance with extreme parameter efficiency. Second, we find that Poly/MHR performance is a result of better multi-task optimization, rather than modular inductive biases that facilitate adapter recombination and local adaptation, as previously hypothesized. In fact, we find that MHR exhibits higher gradient alignment between tasks than any other method. Since this implies that routing is only crucial during multi-task pre-training, we propose MHR-mu, which discards routing and fine-tunes the average of the pre-trained adapters during few-shot adaptation. This establishes MHR-mu as an effective method for single-adapter fine-tuning.

We present the Melody Guided Music Generation (MMGen) model, the first novel approach using melody to guide the music generation that, despite a pretty simple method and extremely limited resources, achieves excellent performance. Specifically, we first align the melody with audio waveforms and their associated descriptions using the multimodal alignment module. Subsequently, we condition the diffusion module on the learned melody representations. This allows MMGen to generate music that matches the style of the provided audio while also producing music that reflects the content of the given text description. To address the scarcity of high-quality data, we construct a multi-modal dataset, MusicSet, which includes melody, text, and audio, and will be made publicly available. We conduct extensive experiments which demonstrate the superiority of the proposed model both in terms of experimental metrics and actual performance quality.

High-quality instructions and responses are essential for the zero-shot performance of large language models on interactive natural language tasks. For interactive vision-language tasks involving intricate visual scenes, a large quantity of diverse and creative instruction-response pairs should be imperative to tune vision-language models (VLMs). Nevertheless, the current availability of vision-language instruction-response pairs in terms of quantity, diversity, and creativity remains limited, posing challenges to the generalization of interactive VLMs. Here we present MultI-Modal In-Context Instruction Tuning (MIMIC-IT), a dataset comprising 2.8 million multimodal instruction-response pairs, with 2.2 million unique instructions derived from images and videos. Each pair is accompanied by multi-modal in-context information, forming conversational contexts aimed at empowering VLMs in perception, reasoning, and planning. The instruction-response collection process, dubbed as Syphus, is scaled using an automatic annotation pipeline that combines human expertise with GPT's capabilities. Using the MIMIC-IT dataset, we train a large VLM named Otter. Based on extensive evaluations conducted on vision-language benchmarks, it has been observed that Otter demonstrates remarkable proficiency in multi-modal perception, reasoning, and in-context learning. Human evaluation reveals it effectively aligns with the user's intentions. We release the MIMIC-IT dataset, instruction-response collection pipeline, benchmarks, and the Otter model.

Following the success of Large Language Models (LLMs), Large Multimodal Models (LMMs), such as the Flamingo model and its subsequent competitors, have started to emerge as natural steps towards generalist agents. However, interacting with recent LMMs reveals major limitations that are hardly captured by the current evaluation benchmarks. Indeed, task performances (e.g., VQA accuracy) alone do not provide enough clues to understand their real capabilities, limitations, and to which extent such models are aligned to human expectations. To refine our understanding of those flaws, we deviate from the current evaluation paradigm, and (1) evaluate 10 recent open-source LMMs from 3B up to 80B parameter scale, on 5 different axes; hallucinations, abstention, compositionality, explainability and instruction following. Our evaluation on these axes reveals major flaws in LMMs. While the current go-to solution to align these models is based on training, such as instruction tuning or RLHF, we rather (2) explore the training-free in-context learning (ICL) as a solution, and study how it affects these limitations. Based on our ICL study, (3) we push ICL further and propose new multimodal ICL variants such as; Multitask-ICL, Chain-of-Hindsight-ICL, and Self-Correcting-ICL. Our findings are as follows. (1) Despite their success, LMMs have flaws that remain unsolved with scaling alone. (2) The effect of ICL on LMMs flaws is nuanced; despite its effectiveness for improved explainability, answer abstention, ICL only slightly improves instruction following, does not improve compositional abilities, and actually even amplifies hallucinations. (3) The proposed ICL variants are promising as post-hoc approaches to efficiently tackle some of those flaws. The code is available here: https://github.com/mshukor/EvALign-ICL.

The remarkable multimodal capabilities and interactive experience of GPT-4o underscore their necessity in practical applications, yet open-source models rarely excel in both areas. In this paper, we introduce VITA, the first-ever open-source Multimodal Large Language Model (MLLM) adept at simultaneous processing and analysis of Video, Image, Text, and Audio modalities, and meanwhile has an advanced multimodal interactive experience. Starting from Mixtral 8x7B as a language foundation, we expand its Chinese vocabulary followed by bilingual instruction tuning. We further endow the language model with visual and audio capabilities through two-stage multi-task learning of multimodal alignment and instruction tuning. VITA demonstrates robust foundational capabilities of multilingual, vision, and audio understanding, as evidenced by its strong performance across a range of both unimodal and multimodal benchmarks. Beyond foundational capabilities, we have made considerable progress in enhancing the natural multimodal human-computer interaction experience. To the best of our knowledge, we are the first to exploit non-awakening interaction and audio interrupt in MLLM. VITA is the first step for the open-source community to explore the seamless integration of multimodal understanding and interaction. While there is still lots of work to be done on VITA to get close to close-source counterparts, we hope that its role as a pioneer can serve as a cornerstone for subsequent research. Project Page: https://vita-home.github.io.

Visual instruction tuning refines pre-trained Multimodal Large Language Models (MLLMs) to enhance their real-world task performance. However, the rapid expansion of visual instruction datasets introduces significant data redundancy, leading to excessive computational costs. Existing data selection methods predominantly rely on proxy models or loss-based metrics, both of which impose substantial computational overheads due to the necessity of model inference and backpropagation. To address this challenge, we propose PRISM, a novel training-free approach for efficient multimodal data selection. Unlike existing methods, PRISM eliminates the reliance on proxy models, warm-up pretraining, and gradient-based optimization. Instead, it leverages Pearson correlation analysis to quantify the intrinsic visual encoding properties of MLLMs, computing a task-specific correlation score to identify high-value instances. This not only enbles data-efficient selection,but maintains the original performance. Empirical evaluations across multiple MLLMs demonstrate that PRISM reduces the overall time required for visual instruction tuning and data selection to just 30% of conventional methods, while surpassing fully fine-tuned models across eight multimodal and three language understanding benchmarks, achieving a 101.7% relative improvement in final performance.

Predicting multiple real-world tasks in a single model often requires a particularly diverse feature space. Multimodal (MM) models aim to extract the synergistic predictive potential of multiple data types to create a shared feature space with aligned semantic meaning across inputs of drastically varying sizes (i.e. images, text, sound). Most current MM architectures fuse these representations in parallel, which not only limits their interpretability but also creates a dependency on modality availability. We present MultiModN, a multimodal, modular network that fuses latent representations in a sequence of any number, combination, or type of modality while providing granular real-time predictive feedback on any number or combination of predictive tasks. MultiModN's composable pipeline is interpretable-by-design, as well as innately multi-task and robust to the fundamental issue of biased missingness. We perform four experiments on several benchmark MM datasets across 10 real-world tasks (predicting medical diagnoses, academic performance, and weather), and show that MultiModN's sequential MM fusion does not compromise performance compared with a baseline of parallel fusion. By simulating the challenging bias of missing not-at-random (MNAR), this work shows that, contrary to MultiModN, parallel fusion baselines erroneously learn MNAR and suffer catastrophic failure when faced with different patterns of MNAR at inference. To the best of our knowledge, this is the first inherently MNAR-resistant approach to MM modeling. In conclusion, MultiModN provides granular insights, robustness, and flexibility without compromising performance.

Large Language Models (LLMs) have demonstrated considerable proficiency in general natural language processing (NLP) tasks. Instruction tuning, a successful paradigm, enhances the ability of LLMs to follow natural language instructions and exhibit robust generalization across a wide range of tasks. However, these models often encounter performance limitations across multiple tasks due to constrained model capacity. Expanding this capacity during the instruction tuning phase poses significant challenges. To address this issue, we introduce a novel approach, Parameter-Efficient Sparsity Crafting (PESC), which transitions dense models to sparse models using a Mixture of Experts (MoE) architecture. PESC integrates adapters into the MoE layers of sparse models, differentiating experts without altering the individual weights within these layers. This method significantly reduces computational costs and GPU memory requirements, facilitating model capacity expansion through a minimal increase in parameters via the inserted adapters. Our empirical evaluation demonstrates the effectiveness of the PESC method. Using PESC during instruction tuning, our sparse models, dubbed Camelidae outperform all other opensource sparse models and exhibit superior general capabilities compared to GPT3.5.

An arrhythmia, also known as a dysrhythmia, refers to an irregular heartbeat. There are various types of arrhythmias that can originate from different areas of the heart, resulting in either a rapid, slow, or irregular heartbeat. An electrocardiogram (ECG) is a vital diagnostic tool used to detect heart irregularities and abnormalities, allowing experts to analyze the heart's electrical signals to identify intricate patterns and deviations from the norm. Over the past few decades, numerous studies have been conducted to develop automated methods for classifying heartbeats based on ECG data. In recent years, deep learning has demonstrated exceptional capabilities in tackling various medical challenges, particularly with transformers as a model architecture for sequence processing. By leveraging the transformers, we developed the ECGformer model for the classification of various arrhythmias present in electrocardiogram data. We assessed the suggested approach using the MIT-BIH and PTB datasets. ECG heartbeat arrhythmia classification results show that the proposed method is highly effective.

Generating natural and meaningful responses to communicate with multi-modal human inputs is a fundamental capability of Large Vision-Language Models(LVLMs). While current open-source LVLMs demonstrate promising performance in simplified scenarios such as single-turn single-image input, they fall short in real-world conversation scenarios such as following instructions in a long context history with multi-turn and multi-images. Existing LVLM benchmarks primarily focus on single-choice questions or short-form responses, which do not adequately assess the capabilities of LVLMs in real-world human-AI interaction applications. Therefore, we introduce MMDU, a comprehensive benchmark, and MMDU-45k, a large-scale instruction tuning dataset, designed to evaluate and improve LVLMs' abilities in multi-turn and multi-image conversations. We employ the clustering algorithm to ffnd the relevant images and textual descriptions from the open-source Wikipedia and construct the question-answer pairs by human annotators with the assistance of the GPT-4o model. MMDU has a maximum of 18k image+text tokens, 20 images, and 27 turns, which is at least 5x longer than previous benchmarks and poses challenges to current LVLMs. Our in-depth analysis of 15 representative LVLMs using MMDU reveals that open-source LVLMs lag behind closed-source counterparts due to limited conversational instruction tuning data. We demonstrate that ffne-tuning open-source LVLMs on MMDU-45k signiffcantly address this gap, generating longer and more accurate conversations, and improving scores on MMDU and existing benchmarks (MMStar: +1.1%, MathVista: +1.5%, ChartQA:+1.2%). Our contributions pave the way for bridging the gap between current LVLM models and real-world application demands. This project is available at https://github.com/Liuziyu77/MMDU.

Artificial Intelligence (AI) has demonstrated significant potential in healthcare, particularly in disease diagnosis and treatment planning. Recent progress in Medical Large Vision-Language Models (Med-LVLMs) has opened up new possibilities for interactive diagnostic tools. However, these models often suffer from factual hallucination, which can lead to incorrect diagnoses. Fine-tuning and retrieval-augmented generation (RAG) have emerged as methods to address these issues. However, the amount of high-quality data and distribution shifts between training data and deployment data limit the application of fine-tuning methods. Although RAG is lightweight and effective, existing RAG-based approaches are not sufficiently general to different medical domains and can potentially cause misalignment issues, both between modalities and between the model and the ground truth. In this paper, we propose a versatile multimodal RAG system, MMed-RAG, designed to enhance the factuality of Med-LVLMs. Our approach introduces a domain-aware retrieval mechanism, an adaptive retrieved contexts selection method, and a provable RAG-based preference fine-tuning strategy. These innovations make the RAG process sufficiently general and reliable, significantly improving alignment when introducing retrieved contexts. Experimental results across five medical datasets (involving radiology, ophthalmology, pathology) on medical VQA and report generation demonstrate that MMed-RAG can achieve an average improvement of 43.8% in the factual accuracy of Med-LVLMs. Our data and code are available in https://github.com/richard-peng-xia/MMed-RAG.

Recent developments in Multimodal Large Language Models (MLLMs) have shown rapid progress, moving towards the goal of creating versatile MLLMs that understand inputs from various modalities. However, existing methods typically rely on joint training with paired multimodal instruction data, which is resource-intensive and challenging to extend to new modalities. In this paper, we propose a new paradigm through the model composition of existing MLLMs to create a new model that retains the modal understanding capabilities of each original model. Our basic implementation, NaiveMC, demonstrates the effectiveness of this paradigm by reusing modality encoders and merging LLM parameters. Furthermore, we introduce DAMC to address parameter interference and mismatch issues during the merging process, thereby enhancing the model performance. To facilitate research in this area, we propose MCUB, a benchmark for assessing ability of MLLMs to understand inputs from diverse modalities. Experiments on this benchmark and four other multimodal understanding tasks show significant improvements over baselines, proving that model composition can create a versatile model capable of processing inputs from multiple modalities.

Text-rich images, where text serves as the central visual element guiding the overall understanding, are prevalent in real-world applications, such as presentation slides, scanned documents, and webpage snapshots. Tasks involving multiple text-rich images are especially challenging, as they require not only understanding the content of individual images but reasoning about inter-relationships and logical flows across multiple visual inputs. Despite the importance of these scenarios, current multimodal large language models (MLLMs) struggle to handle such tasks due to two key challenges: (1) the scarcity of high-quality instruction tuning datasets for text-rich multi-image scenarios, and (2) the difficulty in balancing image resolution with visual feature sequence length. To address these challenges, we propose \OurMethod, a MLLM designed specifically for handling vision-language tasks involving multiple text-rich images. First, we curated about one million high-quality multimodal instruction-tuning data, tailored to text-rich, multi-image scenarios. Second, we developed an adaptive high-resolution multi-image encoding module to dynamically optimize the allocation of visual sequence length based on the original aspect ratios and resolutions of the input images. Experiments across a wide range of benchmarks demonstrate our model's superior capabilities in text-rich, multi-image evaluations and competitive performance in general domain evaluations.

Recent advancements in multimodal large language models (MLLMs) have demonstrated significant progress; however, these models exhibit a notable limitation, which we refer to as "face blindness". Specifically, they can engage in general conversations but fail to conduct personalized dialogues targeting at specific individuals. This deficiency hinders the application of MLLMs in personalized settings, such as tailored visual assistants on mobile devices, or domestic robots that need to recognize members of the family. In this paper, we introduce Personalized Visual Instruction Tuning (PVIT), a novel data curation and training framework designed to enable MLLMs to identify target individuals within an image and engage in personalized and coherent dialogues. Our approach involves the development of a sophisticated pipeline that autonomously generates training data containing personalized conversations. This pipeline leverages the capabilities of various visual experts, image generation models, and (multi-modal) large language models. To evaluate the personalized potential of MLLMs, we present a benchmark called P-Bench, which encompasses various question types with different levels of difficulty. The experiments demonstrate a substantial personalized performance enhancement after fine-tuning with our curated dataset.

Diffusion models, such as Stable Diffusion, have made significant strides in visual generation, yet their paradigm remains fundamentally different from autoregressive language models, complicating the development of unified language-vision models. Recent efforts like LlamaGen have attempted autoregressive image generation using discrete VQVAE tokens, but the large number of tokens involved renders this approach inefficient and slow. In this work, we present Meissonic, which elevates non-autoregressive masked image modeling (MIM) text-to-image to a level comparable with state-of-the-art diffusion models like SDXL. By incorporating a comprehensive suite of architectural innovations, advanced positional encoding strategies, and optimized sampling conditions, Meissonic substantially improves MIM's performance and efficiency. Additionally, we leverage high-quality training data, integrate micro-conditions informed by human preference scores, and employ feature compression layers to further enhance image fidelity and resolution. Our model not only matches but often exceeds the performance of existing models like SDXL in generating high-quality, high-resolution images. Extensive experiments validate Meissonic's capabilities, demonstrating its potential as a new standard in text-to-image synthesis. We release a model checkpoint capable of producing 1024 times 1024 resolution images.

We propose EMAGE, a framework to generate full-body human gestures from audio and masked gestures, encompassing facial, local body, hands, and global movements. To achieve this, we first introduce BEAT2 (BEAT-SMPLX-FLAME), a new mesh-level holistic co-speech dataset. BEAT2 combines MoShed SMPLX body with FLAME head parameters and further refines the modeling of head, neck, and finger movements, offering a community-standardized, high-quality 3D motion captured dataset. EMAGE leverages masked body gesture priors during training to boost inference performance. It involves a Masked Audio Gesture Transformer, facilitating joint training on audio-to-gesture generation and masked gesture reconstruction to effectively encode audio and body gesture hints. Encoded body hints from masked gestures are then separately employed to generate facial and body movements. Moreover, EMAGE adaptively merges speech features from the audio's rhythm and content and utilizes four compositional VQ-VAEs to enhance the results' fidelity and diversity. Experiments demonstrate that EMAGE generates holistic gestures with state-of-the-art performance and is flexible in accepting predefined spatial-temporal gesture inputs, generating complete, audio-synchronized results. Our code and dataset are available at https://pantomatrix.github.io/EMAGE/

Instruction Tuning involves finetuning a language model on a collection of instruction-formatted datasets in order to enhance the generalizability of the model to unseen tasks. Studies have shown the importance of balancing different task proportions during finetuning, but finding the right balance remains challenging. Unfortunately, there's currently no systematic method beyond manual tuning or relying on practitioners' intuition. In this paper, we introduce SMART (Submodular data Mixture strAtegy for instRuction Tuning) - a novel data mixture strategy which makes use of a submodular function to assign importance scores to tasks which are then used to determine the mixture weights. Given a fine-tuning budget, SMART redistributes the budget among tasks and selects non-redundant samples from each task. Experimental results demonstrate that SMART significantly outperforms traditional methods such as examples proportional mixing and equal mixing. Furthermore, SMART facilitates the creation of data mixtures based on a few representative subsets of tasks alone and through task pruning analysis, we reveal that in a limited budget setting, allocating budget among a subset of representative tasks yields superior performance compared to distributing the budget among all tasks. The code for reproducing our results is open-sourced at https://github.com/kowndinya-renduchintala/SMART.

In this paper, we introduce MIO, a novel foundation model built on multimodal tokens, capable of understanding and generating speech, text, images, and videos in an end-to-end, autoregressive manner. While the emergence of large language models (LLMs) and multimodal large language models (MM-LLMs) propels advancements in artificial general intelligence through their versatile capabilities, they still lack true any-to-any understanding and generation. Recently, the release of GPT-4o has showcased the remarkable potential of any-to-any LLMs for complex real-world tasks, enabling omnidirectional input and output across images, speech, and text. However, it is closed-source and does not support the generation of multimodal interleaved sequences. To address this gap, we present MIO, which is trained on a mixture of discrete tokens across four modalities using causal multimodal modeling. MIO undergoes a four-stage training process: (1) alignment pre-training, (2) interleaved pre-training, (3) speech-enhanced pre-training, and (4) comprehensive supervised fine-tuning on diverse textual, visual, and speech tasks. Our experimental results indicate that MIO exhibits competitive, and in some cases superior, performance compared to previous dual-modal baselines, any-to-any model baselines, and even modality-specific baselines. Moreover, MIO demonstrates advanced capabilities inherent to its any-to-any feature, such as interleaved video-text generation, chain-of-visual-thought reasoning, visual guideline generation, instructional image editing, etc.

Instruction tuning is an emergent paradigm in NLP wherein natural language instructions are leveraged with language models to induce zero-shot performance on unseen tasks. Instructions have been shown to enable good performance on unseen tasks and datasets in both large and small language models. Dialogue is an especially interesting area to explore instruction tuning because dialogue systems perform multiple kinds of tasks related to language (e.g., natural language understanding and generation, domain-specific interaction), yet instruction tuning has not been systematically explored for dialogue-related tasks. We introduce InstructDial, an instruction tuning framework for dialogue, which consists of a repository of 48 diverse dialogue tasks in a unified text-to-text format created from 59 openly available dialogue datasets. Next, we explore cross-task generalization ability on models tuned on InstructDial across diverse dialogue tasks. Our analysis reveals that InstructDial enables good zero-shot performance on unseen datasets and tasks such as dialogue evaluation and intent detection, and even better performance in a few-shot setting. To ensure that models adhere to instructions, we introduce novel meta-tasks. We establish benchmark zero-shot and few-shot performance of models trained using the proposed framework on multiple dialogue tasks.

We propose MM-REACT, a system paradigm that integrates ChatGPT with a pool of vision experts to achieve multimodal reasoning and action. In this paper, we define and explore a comprehensive list of advanced vision tasks that are intriguing to solve, but may exceed the capabilities of existing vision and vision-language models. To achieve such advanced visual intelligence, MM-REACT introduces a textual prompt design that can represent text descriptions, textualized spatial coordinates, and aligned file names for dense visual signals such as images and videos. MM-REACT's prompt design allows language models to accept, associate, and process multimodal information, thereby facilitating the synergetic combination of ChatGPT and various vision experts. Zero-shot experiments demonstrate MM-REACT's effectiveness in addressing the specified capabilities of interests and its wide application in different scenarios that require advanced visual understanding. Furthermore, we discuss and compare MM-REACT's system paradigm with an alternative approach that extends language models for multimodal scenarios through joint finetuning. Code, demo, video, and visualization are available at https://multimodal-react.github.io/

From the Specific-MLLM, which excels in single-modal tasks, to the Omni-MLLM, which extends the range of general modalities, this evolution aims to achieve understanding and generation of multimodal information. Omni-MLLM treats the features of different modalities as different "foreign languages," enabling cross-modal interaction and understanding within a unified space. To promote the advancement of related research, we have compiled 47 relevant papers to provide the community with a comprehensive introduction to Omni-MLLM. We first explain the four core components of Omni-MLLM for unified modeling and interaction of multiple modalities. Next, we introduce the effective integration achieved through "alignment pretraining" and "instruction fine-tuning," and discuss open-source datasets and testing of interaction capabilities. Finally, we summarize the main challenges facing current Omni-MLLM and outline future directions.

Instruction tuning is a standard technique employed to align large language models to end tasks and user preferences after the initial pretraining phase. Recent research indicates the critical role of data engineering in instruction tuning -- when appropriately selected, only limited data is necessary to achieve superior performance. However, we still lack a principled understanding of what makes good instruction tuning data for alignment, and how we should select data automatically and effectively. In this work, we delve deeply into automatic data selection strategies for alignment. We start with controlled studies to measure data across three dimensions: complexity, quality, and diversity, along which we examine existing methods and introduce novel techniques for enhanced data measurement. Subsequently, we propose a simple strategy to select data samples based on the measurement. We present deita (short for Data-Efficient Instruction Tuning for Alignment), a series of models fine-tuned from LLaMA and Mistral models using data samples automatically selected with our proposed approach. Empirically, deita performs better or on par with the state-of-the-art open-source alignment models with only 6K SFT training data samples -- over 10x less than the data used in the baselines. When further trained with direct preference optimization (DPO), deita-Mistral-7B + DPO trained with 6K SFT and 10K DPO samples achieve 7.55 MT-Bench and 90.06% AlpacaEval scores. We anticipate this work to provide tools on automatic data selection, facilitating data-efficient alignment. We release our models as well as the selected datasets for future researches to effectively align models more efficiently.

Recently, universal waveform generation tasks have been investigated conditioned on various out-of-distribution scenarios. Although GAN-based methods have shown their strength in fast waveform generation, they are vulnerable to train-inference mismatch scenarios such as two-stage text-to-speech. Meanwhile, diffusion-based models have shown their powerful generative performance in other domains; however, they stay out of the limelight due to slow inference speed in waveform generation tasks. Above all, there is no generator architecture that can explicitly disentangle the natural periodic features of high-resolution waveform signals. In this paper, we propose PeriodWave, a novel universal waveform generation model. First, we introduce a period-aware flow matching estimator that can capture the periodic features of the waveform signal when estimating the vector fields. Additionally, we utilize a multi-period estimator that avoids overlaps to capture different periodic features of waveform signals. Although increasing the number of periods can improve the performance significantly, this requires more computational costs. To reduce this issue, we also propose a single period-conditional universal estimator that can feed-forward parallel by period-wise batch inference. Additionally, we utilize discrete wavelet transform to losslessly disentangle the frequency information of waveform signals for high-frequency modeling, and introduce FreeU to reduce the high-frequency noise for waveform generation. The experimental results demonstrated that our model outperforms the previous models both in Mel-spectrogram reconstruction and text-to-speech tasks. All source code will be available at https://github.com/sh-lee-prml/PeriodWave.