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Mar 11

Exploring Multimodal Large Language Models for Radiology Report Error-checking

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.

LLaVA-Med: Training a Large Language-and-Vision Assistant for Biomedicine in One Day

Conversational generative AI has demonstrated remarkable promise for empowering biomedical practitioners, but current investigations focus on unimodal text. Multimodal conversational AI has seen rapid progress by leveraging billions of image-text pairs from the public web, but such general-domain vision-language models still lack sophistication in understanding and conversing about biomedical images. In this paper, we propose a cost-efficient approach for training a vision-language conversational assistant that can answer open-ended research questions of biomedical images. The key idea is to leverage a large-scale, broad-coverage biomedical figure-caption dataset extracted from PubMed Central, use GPT-4 to self-instruct open-ended instruction-following data from the captions, and then fine-tune a large general-domain vision-language model using a novel curriculum learning method. Specifically, the model first learns to align biomedical vocabulary using the figure-caption pairs as is, then learns to master open-ended conversational semantics using GPT-4 generated instruction-following data, broadly mimicking how a layperson gradually acquires biomedical knowledge. This enables us to train a Large Language and Vision Assistant for BioMedicine (LLaVA-Med) in less than 15 hours (with eight A100s). LLaVA-Med exhibits excellent multimodal conversational capability and can follow open-ended instruction to assist with inquiries about a biomedical image. On three standard biomedical visual question answering datasets, LLaVA-Med outperforms previous supervised state-of-the-art on certain metrics. To facilitate biomedical multimodal research, we will release our instruction-following data and the LLaVA-Med model.

LLaVA-UHD: an LMM Perceiving Any Aspect Ratio and High-Resolution Images

Visual encoding constitutes the basis of large multimodal models (LMMs) in understanding the visual world. Conventional LMMs process images in fixed sizes and limited resolutions, while recent explorations in this direction are limited in adaptivity, efficiency, and even correctness. In this work, we first take GPT-4V and LLaVA-1.5 as representative examples and expose systematic flaws rooted in their visual encoding strategy. To address the challenges, we present LLaVA-UHD, a large multimodal model that can efficiently perceive images in any aspect ratio and high resolution. LLaVA-UHD includes three key components: (1) An image modularization strategy that divides native-resolution images into smaller variable-sized slices for efficient and extensible encoding, (2) a compression module that further condenses image tokens from visual encoders, and (3) a spatial schema to organize slice tokens for LLMs. Comprehensive experiments show that LLaVA-UHD outperforms established LMMs trained with 2-3 orders of magnitude more data on 9 benchmarks. Notably, our model built on LLaVA-1.5 336x336 supports 6 times larger (i.e., 672x1088) resolution images using only 94% inference computation, and achieves 6.4 accuracy improvement on TextVQA. Moreover, the model can be efficiently trained in academic settings, within 23 hours on 8 A100 GPUs (vs. 26 hours of LLaVA-1.5). We make the data and code publicly available at https://github.com/thunlp/LLaVA-UHD.

LLaVA Needs More Knowledge: Retrieval Augmented Natural Language Generation with Knowledge Graph for Explaining Thoracic Pathologies

Generating Natural Language Explanations (NLEs) for model predictions on medical images, particularly those depicting thoracic pathologies, remains a critical and challenging task. Existing methodologies often struggle due to general models' insufficient domain-specific medical knowledge and privacy concerns associated with retrieval-based augmentation techniques. To address these issues, we propose a novel Vision-Language framework augmented with a Knowledge Graph (KG)-based datastore, which enhances the model's understanding by incorporating additional domain-specific medical knowledge essential for generating accurate and informative NLEs. Our framework employs a KG-based retrieval mechanism that not only improves the precision of the generated explanations but also preserves data privacy by avoiding direct data retrieval. The KG datastore is designed as a plug-and-play module, allowing for seamless integration with various model architectures. We introduce and evaluate three distinct frameworks within this paradigm: KG-LLaVA, which integrates the pre-trained LLaVA model with KG-RAG; Med-XPT, a custom framework combining MedCLIP, a transformer-based projector, and GPT-2; and Bio-LLaVA, which adapts LLaVA by incorporating the Bio-ViT-L vision model. These frameworks are validated on the MIMIC-NLE dataset, where they achieve state-of-the-art results, underscoring the effectiveness of KG augmentation in generating high-quality NLEs for thoracic pathologies.

MG-LLaVA: Towards Multi-Granularity Visual Instruction Tuning

Multi-modal large language models (MLLMs) have made significant strides in various visual understanding tasks. However, the majority of these models are constrained to process low-resolution images, which limits their effectiveness in perception tasks that necessitate detailed visual information. In our study, we present MG-LLaVA, an innovative MLLM that enhances the model's visual processing capabilities by incorporating a multi-granularity vision flow, which includes low-resolution, high-resolution, and object-centric features. We propose the integration of an additional high-resolution visual encoder to capture fine-grained details, which are then fused with base visual features through a Conv-Gate fusion network. To further refine the model's object recognition abilities, we incorporate object-level features derived from bounding boxes identified by offline detectors. Being trained solely on publicly available multimodal data through instruction tuning, MG-LLaVA demonstrates exceptional perception skills. We instantiate MG-LLaVA with a wide variety of language encoders, ranging from 3.8B to 34B, to evaluate the model's performance comprehensively. Extensive evaluations across multiple benchmarks demonstrate that MG-LLaVA outperforms existing MLLMs of comparable parameter sizes, showcasing its remarkable efficacy. The code will be available at https://github.com/PhoenixZ810/MG-LLaVA.

PA-LLaVA: A Large Language-Vision Assistant for Human Pathology Image Understanding

The previous advancements in pathology image understanding primarily involved developing models tailored to specific tasks. Recent studies has demonstrated that the large vision-language model can enhance the performance of various downstream tasks in medical image understanding. In this study, we developed a domain-specific large language-vision assistant (PA-LLaVA) for pathology image understanding. Specifically, (1) we first construct a human pathology image-text dataset by cleaning the public medical image-text data for domain-specific alignment; (2) Using the proposed image-text data, we first train a pathology language-image pretraining (PLIP) model as the specialized visual encoder for pathology image, and then we developed scale-invariant connector to avoid the information loss caused by image scaling; (3) We adopt two-stage learning to train PA-LLaVA, first stage for domain alignment, and second stage for end to end visual question \& answering (VQA) task. In experiments, we evaluate our PA-LLaVA on both supervised and zero-shot VQA datasets, our model achieved the best overall performance among multimodal models of similar scale. The ablation experiments also confirmed the effectiveness of our design. We posit that our PA-LLaVA model and the datasets presented in this work can promote research in field of computational pathology. All codes are available at: https://github.com/ddw2AIGROUP2CQUPT/PA-LLaVA}{https://github.com/ddw2AIGROUP2CQUPT/PA-LLaVA

Towards a clinically accessible radiology foundation model: open-access and lightweight, with automated evaluation

The scaling laws and extraordinary performance of large foundation models motivate the development and utilization of such models in biomedicine. However, despite early promising results on some biomedical benchmarks, there are still major challenges that need to be addressed before these models can be used in real-world clinics. Frontier general-domain models such as GPT-4V still have significant performance gaps in multimodal biomedical applications. More importantly, less-acknowledged pragmatic issues, including accessibility, model cost, and tedious manual evaluation make it hard for clinicians to use state-of-the-art large models directly on private patient data. Here, we explore training open-source small multimodal models (SMMs) to bridge competency gaps for unmet clinical needs in radiology. To maximize data efficiency, we adopt a modular approach by incorporating state-of-the-art pre-trained models for image and text modalities, and focusing on training a lightweight adapter to ground each modality to the text embedding space, as exemplified by LLaVA-Med. For training, we assemble a large dataset of over 697 thousand radiology image-text pairs. For evaluation, we propose CheXprompt, a GPT-4-based metric for factuality evaluation, and demonstrate its parity with expert evaluation. For best practice, we conduct a systematic ablation study on various choices in data engineering and multimodal training. The resulting LlaVA-Rad (7B) model attains state-of-the-art results on standard radiology tasks such as report generation and cross-modal retrieval, even outperforming much larger models such as GPT-4V and Med-PaLM M (84B). The inference of LlaVA-Rad is fast and can be performed on a single V100 GPU in private settings, offering a promising state-of-the-art tool for real-world clinical applications.

Dynamic-LLaVA: Efficient Multimodal Large Language Models via Dynamic Vision-language Context Sparsification

Multimodal Large Language Models (MLLMs) have achieved remarkable success in vision understanding, reasoning, and interaction. However, the inference computation and memory increase progressively with the generation of output tokens during decoding, directly affecting the efficacy of MLLMs. Existing methods attempt to reduce the vision context redundancy to achieve efficient MLLMs. Unfortunately, the efficiency benefits of the vision context reduction in the prefill stage gradually diminish during the decoding stage. To address this problem, we proposed a dynamic vision-language context sparsification framework Dynamic-LLaVA, which dynamically reduces the redundancy of vision context in the prefill stage and decreases the memory and computation overhead of the generated language context during decoding. Dynamic-LLaVA designs a tailored sparsification inference scheme for different inference modes, i.e., prefill, decoding with and without KV cache, to achieve efficient inference of MLLMs. In practice, Dynamic-LLaVA can reduce computation consumption by sim75\% in the prefill stage. Meanwhile, throughout the entire generation process of MLLMs, Dynamic-LLaVA reduces the sim50\% computation consumption under decoding without KV cache, while saving sim50\% GPU memory overhead when decoding with KV cache, due to the vision-language context sparsification. Extensive experiments also demonstrate that Dynamic-LLaVA achieves efficient inference for MLLMs with negligible understanding and generation ability degradation or even performance gains compared to the full-context inference baselines. Code is available at https://github.com/Osilly/dynamic_llava .

INF-LLaVA: Dual-perspective Perception for High-Resolution Multimodal Large Language Model

With advancements in data availability and computing resources, Multimodal Large Language Models (MLLMs) have showcased capabilities across various fields. However, the quadratic complexity of the vision encoder in MLLMs constrains the resolution of input images. Most current approaches mitigate this issue by cropping high-resolution images into smaller sub-images, which are then processed independently by the vision encoder. Despite capturing sufficient local details, these sub-images lack global context and fail to interact with one another. To address this limitation, we propose a novel MLLM, INF-LLaVA, designed for effective high-resolution image perception. INF-LLaVA incorporates two innovative components. First, we introduce a Dual-perspective Cropping Module (DCM), which ensures that each sub-image contains continuous details from a local perspective and comprehensive information from a global perspective. Second, we introduce Dual-perspective Enhancement Module (DEM) to enable the mutual enhancement of global and local features, allowing INF-LLaVA to effectively process high-resolution images by simultaneously capturing detailed local information and comprehensive global context. Extensive ablation studies validate the effectiveness of these components, and experiments on a diverse set of benchmarks demonstrate that INF-LLaVA outperforms existing MLLMs. Code and pretrained model are available at https://github.com/WeihuangLin/INF-LLaVA.