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Sep 3

VisionUnite: A Vision-Language Foundation Model for Ophthalmology Enhanced with Clinical Knowledge

The need for improved diagnostic methods in ophthalmology is acute, especially in the underdeveloped regions with limited access to specialists and advanced equipment. Therefore, we introduce VisionUnite, a novel vision-language foundation model for ophthalmology enhanced with clinical knowledge. VisionUnite has been pretrained on an extensive dataset comprising 1.24 million image-text pairs, and further refined using our proposed MMFundus dataset, which includes 296,379 high-quality fundus image-text pairs and 889,137 simulated doctor-patient dialogue instances. Our experiments indicate that VisionUnite outperforms existing generative foundation models such as GPT-4V and Gemini Pro. It also demonstrates diagnostic capabilities comparable to junior ophthalmologists. VisionUnite performs well in various clinical scenarios including open-ended multi-disease diagnosis, clinical explanation, and patient interaction, making it a highly versatile tool for initial ophthalmic disease screening. VisionUnite can also serve as an educational aid for junior ophthalmologists, accelerating their acquisition of knowledge regarding both common and underrepresented ophthalmic conditions. VisionUnite represents a significant advancement in ophthalmology, with broad implications for diagnostics, medical education, and understanding of disease mechanisms. The source code is at https://github.com/HUANGLIZI/VisionUnite.

UniMed-CLIP: Towards a Unified Image-Text Pretraining Paradigm for Diverse Medical Imaging Modalities

Vision-Language Models (VLMs) trained via contrastive learning have achieved notable success in natural image tasks. However, their application in the medical domain remains limited due to the scarcity of openly accessible, large-scale medical image-text datasets. Existing medical VLMs either train on closed-source proprietary or relatively small open-source datasets that do not generalize well. Similarly, most models remain specific to a single or limited number of medical imaging domains, again restricting their applicability to other modalities. To address this gap, we introduce UniMed, a large-scale, open-source multi-modal medical dataset comprising over 5.3 million image-text pairs across six diverse imaging modalities: X-ray, CT, MRI, Ultrasound, Pathology, and Fundus. UniMed is developed using a data-collection framework that leverages Large Language Models (LLMs) to transform modality-specific classification datasets into image-text formats while incorporating existing image-text data from the medical domain, facilitating scalable VLM pretraining. Using UniMed, we trained UniMed-CLIP, a unified VLM for six modalities that significantly outperforms existing generalist VLMs and matches modality-specific medical VLMs, achieving notable gains in zero-shot evaluations. For instance, UniMed-CLIP improves over BiomedCLIP (trained on proprietary data) by an absolute gain of +12.61, averaged over 21 datasets, while using 3x less training data. To facilitate future research, we release UniMed dataset, training codes, and models at https://github.com/mbzuai-oryx/UniMed-CLIP.

A Foundation LAnguage-Image model of the Retina (FLAIR): Encoding expert knowledge in text supervision

Foundation vision-language models are currently transforming computer vision, and are on the rise in medical imaging fueled by their very promising generalization capabilities. However, the initial attempts to transfer this new paradigm to medical imaging have shown less impressive performances than those observed in other domains, due to the significant domain shift and the complex, expert domain knowledge inherent to medical-imaging tasks. Motivated by the need for domain-expert foundation models, we present FLAIR, a pre-trained vision-language model for universal retinal fundus image understanding. To this end, we compiled 37 open-access, mostly categorical fundus imaging datasets from various sources, with up to 97 different target conditions and 284,660 images. We integrate the expert's domain knowledge in the form of descriptive textual prompts, during both pre-training and zero-shot inference, enhancing the less-informative categorical supervision of the data. Such a textual expert's knowledge, which we compiled from the relevant clinical literature and community standards, describes the fine-grained features of the pathologies as well as the hierarchies and dependencies between them. We report comprehensive evaluations, which illustrate the benefit of integrating expert knowledge and the strong generalization capabilities of FLAIR under difficult scenarios with domain shifts or unseen categories. When adapted with a lightweight linear probe, FLAIR outperforms fully-trained, dataset-focused models, more so in the few-shot regimes. Interestingly, FLAIR outperforms by a large margin more generalist, larger-scale image-language models, which emphasizes the potential of embedding experts' domain knowledge and the limitations of generalist models in medical imaging.

ViLLA: Fine-Grained Vision-Language Representation Learning from Real-World Data

Vision-language models (VLMs), such as CLIP and ALIGN, are generally trained on datasets consisting of image-caption pairs obtained from the web. However, real-world multimodal datasets, such as healthcare data, are significantly more complex: each image (e.g. X-ray) is often paired with text (e.g. physician report) that describes many distinct attributes occurring in fine-grained regions of the image. We refer to these samples as exhibiting high pairwise complexity, since each image-text pair can be decomposed into a large number of region-attribute pairings. The extent to which VLMs can capture fine-grained relationships between image regions and textual attributes when trained on such data has not been previously evaluated. The first key contribution of this work is to demonstrate through systematic evaluations that as the pairwise complexity of the training dataset increases, standard VLMs struggle to learn region-attribute relationships, exhibiting performance degradations of up to 37% on retrieval tasks. In order to address this issue, we introduce ViLLA as our second key contribution. ViLLA, which is trained to capture fine-grained region-attribute relationships from complex datasets, involves two components: (a) a lightweight, self-supervised mapping model to decompose image-text samples into region-attribute pairs, and (b) a contrastive VLM to learn representations from generated region-attribute pairs. We demonstrate with experiments across four domains (synthetic, product, medical, and natural images) that ViLLA outperforms comparable VLMs on fine-grained reasoning tasks, such as zero-shot object detection (up to 3.6 AP50 points on COCO and 0.6 mAP points on LVIS) and retrieval (up to 14.2 R-Precision points).

Towards Unifying Medical Vision-and-Language Pre-training via Soft Prompts

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.

Learning the Visualness of Text Using Large Vision-Language Models

Visual text evokes an image in a person's mind, while non-visual text fails to do so. A method to automatically detect visualness in text will unlock the ability to augment text with relevant images, as neural text-to-image generation and retrieval models operate on the implicit assumption that the input text is visual in nature. We curate a dataset of 3,620 English sentences and their visualness scores provided by multiple human annotators. Additionally, we use documents that contain text and visual assets to create a distantly supervised corpus of document text and associated images. We also propose a fine-tuning strategy that adapts large vision-language models like CLIP that assume a one-to-one correspondence between text and image to the task of scoring text visualness from text input alone. Our strategy involves modifying the model's contrastive learning objective to map text identified as non-visual to a common NULL image while matching visual text to their corresponding images in the document. We evaluate the proposed approach on its ability to (i) classify visual and non-visual text accurately, and (ii) attend over words that are identified as visual in psycholinguistic studies. Empirical evaluation indicates that our approach performs better than several heuristics and baseline models for the proposed task. Furthermore, to highlight the importance of modeling the visualness of text, we conduct qualitative analyses of text-to-image generation systems like DALL-E.

REFUGE2 Challenge: A Treasure Trove for Multi-Dimension Analysis and Evaluation in Glaucoma Screening

With the rapid development of artificial intelligence (AI) in medical image processing, deep learning in color fundus photography (CFP) analysis is also evolving. Although there are some open-source, labeled datasets of CFPs in the ophthalmology community, large-scale datasets for screening only have labels of disease categories, and datasets with annotations of fundus structures are usually small in size. In addition, labeling standards are not uniform across datasets, and there is no clear information on the acquisition device. Here we release a multi-annotation, multi-quality, and multi-device color fundus image dataset for glaucoma analysis on an original challenge -- Retinal Fundus Glaucoma Challenge 2nd Edition (REFUGE2). The REFUGE2 dataset contains 2000 color fundus images with annotations of glaucoma classification, optic disc/cup segmentation, as well as fovea localization. Meanwhile, the REFUGE2 challenge sets three sub-tasks of automatic glaucoma diagnosis and fundus structure analysis and provides an online evaluation framework. Based on the characteristics of multi-device and multi-quality data, some methods with strong generalizations are provided in the challenge to make the predictions more robust. This shows that REFUGE2 brings attention to the characteristics of real-world multi-domain data, bridging the gap between scientific research and clinical application.

Learning to Generate Semantic Layouts for Higher Text-Image Correspondence in Text-to-Image Synthesis

Existing text-to-image generation approaches have set high standards for photorealism and text-image correspondence, largely benefiting from web-scale text-image datasets, which can include up to 5~billion pairs. However, text-to-image generation models trained on domain-specific datasets, such as urban scenes, medical images, and faces, still suffer from low text-image correspondence due to the lack of text-image pairs. Additionally, collecting billions of text-image pairs for a specific domain can be time-consuming and costly. Thus, ensuring high text-image correspondence without relying on web-scale text-image datasets remains a challenging task. In this paper, we present a novel approach for enhancing text-image correspondence by leveraging available semantic layouts. Specifically, we propose a Gaussian-categorical diffusion process that simultaneously generates both images and corresponding layout pairs. Our experiments reveal that we can guide text-to-image generation models to be aware of the semantics of different image regions, by training the model to generate semantic labels for each pixel. We demonstrate that our approach achieves higher text-image correspondence compared to existing text-to-image generation approaches in the Multi-Modal CelebA-HQ and the Cityscapes dataset, where text-image pairs are scarce. Codes are available in this https://pmh9960.github.io/research/GCDP

Leveraging Unpaired Data for Vision-Language Generative Models via Cycle Consistency

Current vision-language generative models rely on expansive corpora of paired image-text data to attain optimal performance and generalization capabilities. However, automatically collecting such data (e.g. via large-scale web scraping) leads to low quality and poor image-text correlation, while human annotation is more accurate but requires significant manual effort and expense. We introduce ITIT (InTegrating Image Text): an innovative training paradigm grounded in the concept of cycle consistency which allows vision-language training on unpaired image and text data. ITIT is comprised of a joint image-text encoder with disjoint image and text decoders that enable bidirectional image-to-text and text-to-image generation in a single framework. During training, ITIT leverages a small set of paired image-text data to ensure its output matches the input reasonably well in both directions. Simultaneously, the model is also trained on much larger datasets containing only images or texts. This is achieved by enforcing cycle consistency between the original unpaired samples and the cycle-generated counterparts. For instance, it generates a caption for a given input image and then uses the caption to create an output image, and enforces similarity between the input and output images. Our experiments show that ITIT with unpaired datasets exhibits similar scaling behavior as using high-quality paired data. We demonstrate image generation and captioning performance on par with state-of-the-art text-to-image and image-to-text models with orders of magnitude fewer (only 3M) paired image-text data.

UrFound: Towards Universal Retinal Foundation Models via Knowledge-Guided Masked Modeling

Retinal foundation models aim to learn generalizable representations from diverse retinal images, facilitating label-efficient model adaptation across various ophthalmic tasks. Despite their success, current retinal foundation models are generally restricted to a single imaging modality, such as Color Fundus Photography (CFP) or Optical Coherence Tomography (OCT), limiting their versatility. Moreover, these models may struggle to fully leverage expert annotations and overlook the valuable domain knowledge essential for domain-specific representation learning. To overcome these limitations, we introduce UrFound, a retinal foundation model designed to learn universal representations from both multimodal retinal images and domain knowledge. UrFound is equipped with a modality-agnostic image encoder and accepts either CFP or OCT images as inputs. To integrate domain knowledge into representation learning, we encode expert annotation in text supervision and propose a knowledge-guided masked modeling strategy for model pre-training. It involves reconstructing randomly masked patches of retinal images while predicting masked text tokens conditioned on the corresponding retinal image. This approach aligns multimodal images and textual expert annotations within a unified latent space, facilitating generalizable and domain-specific representation learning. Experimental results demonstrate that UrFound exhibits strong generalization ability and data efficiency when adapting to various tasks in retinal image analysis. By training on ~180k retinal images, UrFound significantly outperforms the state-of-the-art retinal foundation model trained on up to 1.6 million unlabelled images across 8 public retinal datasets. Our code and data are available at https://github.com/yukkai/UrFound.

OLIVES Dataset: Ophthalmic Labels for Investigating Visual Eye Semantics

Clinical diagnosis of the eye is performed over multifarious data modalities including scalar clinical labels, vectorized biomarkers, two-dimensional fundus images, and three-dimensional Optical Coherence Tomography (OCT) scans. Clinical practitioners use all available data modalities for diagnosing and treating eye diseases like Diabetic Retinopathy (DR) or Diabetic Macular Edema (DME). Enabling usage of machine learning algorithms within the ophthalmic medical domain requires research into the relationships and interactions between all relevant data over a treatment period. Existing datasets are limited in that they neither provide data nor consider the explicit relationship modeling between the data modalities. In this paper, we introduce the Ophthalmic Labels for Investigating Visual Eye Semantics (OLIVES) dataset that addresses the above limitation. This is the first OCT and near-IR fundus dataset that includes clinical labels, biomarker labels, disease labels, and time-series patient treatment information from associated clinical trials. The dataset consists of 1268 near-IR fundus images each with at least 49 OCT scans, and 16 biomarkers, along with 4 clinical labels and a disease diagnosis of DR or DME. In total, there are 96 eyes' data averaged over a period of at least two years with each eye treated for an average of 66 weeks and 7 injections. We benchmark the utility of OLIVES dataset for ophthalmic data as well as provide benchmarks and concrete research directions for core and emerging machine learning paradigms within medical image analysis.

Adaptive Multiscale Retinal Diagnosis: A Hybrid Trio-Model Approach for Comprehensive Fundus Multi-Disease Detection Leveraging Transfer Learning and Siamese Networks

WHO has declared that more than 2.2 billion people worldwide are suffering from visual disorders, such as media haze, glaucoma, and drusen. At least 1 billion of these cases could have been either prevented or successfully treated, yet they remain unaddressed due to poverty, a lack of specialists, inaccurate ocular fundus diagnoses by ophthalmologists, or the presence of a rare disease. To address this, the research has developed the Hybrid Trio-Network Model Algorithm for accurately diagnosing 12 distinct common and rare eye diseases. This algorithm utilized the RFMiD dataset of 3,200 fundus images and the Binary Relevance Method to detect diseases separately, ensuring expandability and avoiding incorrect correlations. Each detector, incorporating finely tuned hyperparameters to optimize performance, consisted of three feature components: A classical transfer learning CNN model, a two-stage CNN model, and a Siamese Network. The diagnosis was made using features extracted through this Trio-Model with Ensembled Machine Learning algorithms. The proposed model achieved an average accuracy of 97% and an AUC score of 0.96. Compared to past benchmark studies, an increase of over 10% in the F1-score was observed for most diseases. Furthermore, using the Siamese Network, the model successfully made predictions in diseases like optic disc pallor, which past studies failed to predict due to low confidence. This diagnostic tool presents a stable, adaptive, cost-effective, efficient, accessible, and fast solution for globalizing early detection of both common and rare diseases.

Multi-Granularity Cross-modal Alignment for Generalized Medical Visual Representation Learning

Learning medical visual representations directly from paired radiology reports has become an emerging topic in representation learning. However, existing medical image-text joint learning methods are limited by instance or local supervision analysis, ignoring disease-level semantic correspondences. In this paper, we present a novel Multi-Granularity Cross-modal Alignment (MGCA) framework for generalized medical visual representation learning by harnessing the naturally exhibited semantic correspondences between medical image and radiology reports at three different levels, i.e., pathological region-level, instance-level, and disease-level. Specifically, we first incorporate the instance-wise alignment module by maximizing the agreement between image-report pairs. Further, for token-wise alignment, we introduce a bidirectional cross-attention strategy to explicitly learn the matching between fine-grained visual tokens and text tokens, followed by contrastive learning to align them. More important, to leverage the high-level inter-subject relationship semantic (e.g., disease) correspondences, we design a novel cross-modal disease-level alignment paradigm to enforce the cross-modal cluster assignment consistency. Extensive experimental results on seven downstream medical image datasets covering image classification, object detection, and semantic segmentation tasks demonstrate the stable and superior performance of our framework.

MMTok: Multimodal Coverage Maximization for Efficient Inference of VLMs

Vision-Language Models (VLMs) demonstrate impressive performance in understanding visual content with language instruction by converting visual input to vision tokens. However, redundancy in vision tokens results in the degenerated inference efficiency of VLMs. While many algorithms have been proposed to reduce the number of vision tokens, most of them apply only unimodal information (i.e., vision/text) for pruning and ignore the inherent multimodal property of vision-language tasks. Moreover, it lacks a generic criterion that can be applied to different modalities. To mitigate this limitation, in this work, we propose to leverage both vision and text tokens to select informative vision tokens by the criterion of coverage. We first formulate the subset selection problem as a maximum coverage problem. Afterward, a subset of vision tokens is optimized to cover the text tokens and the original set of vision tokens, simultaneously. Finally, a VLM agent can be adopted to further improve the quality of text tokens for guiding vision pruning. The proposed method MMTok is extensively evaluated on benchmark datasets with different VLMs. The comparison illustrates that vision and text information are complementary, and combining multimodal information can surpass the unimodal baseline with a clear margin. Moreover, under the maximum coverage criterion on the POPE dataset, our method achieves a 1.87x speedup while maintaining 98.7% of the original performance on LLaVA-NeXT-13B. Furthermore, with only four vision tokens, it still preserves 87.7% of the original performance on LLaVA-1.5-7B. These results highlight the effectiveness of coverage in token selection.

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

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

EvalMuse-40K: A Reliable and Fine-Grained Benchmark with Comprehensive Human Annotations for Text-to-Image Generation Model Evaluation

Recently, Text-to-Image (T2I) generation models have achieved significant advancements. Correspondingly, many automated metrics have emerged to evaluate the image-text alignment capabilities of generative models. However, the performance comparison among these automated metrics is limited by existing small datasets. Additionally, these datasets lack the capacity to assess the performance of automated metrics at a fine-grained level. In this study, we contribute an EvalMuse-40K benchmark, gathering 40K image-text pairs with fine-grained human annotations for image-text alignment-related tasks. In the construction process, we employ various strategies such as balanced prompt sampling and data re-annotation to ensure the diversity and reliability of our benchmark. This allows us to comprehensively evaluate the effectiveness of image-text alignment metrics for T2I models. Meanwhile, we introduce two new methods to evaluate the image-text alignment capabilities of T2I models: FGA-BLIP2 which involves end-to-end fine-tuning of a vision-language model to produce fine-grained image-text alignment scores and PN-VQA which adopts a novel positive-negative VQA manner in VQA models for zero-shot fine-grained evaluation. Both methods achieve impressive performance in image-text alignment evaluations. We also use our methods to rank current AIGC models, in which the results can serve as a reference source for future study and promote the development of T2I generation. The data and code will be made publicly available.

UNIT: Unifying Image and Text Recognition in One Vision Encoder

Currently, vision encoder models like Vision Transformers (ViTs) typically excel at image recognition tasks but cannot simultaneously support text recognition like human visual recognition. To address this limitation, we propose UNIT, a novel training framework aimed at UNifying Image and Text recognition within a single model. Starting with a vision encoder pre-trained with image recognition tasks, UNIT introduces a lightweight language decoder for predicting text outputs and a lightweight vision decoder to prevent catastrophic forgetting of the original image encoding capabilities. The training process comprises two stages: intra-scale pretraining and inter-scale finetuning. During intra-scale pretraining, UNIT learns unified representations from multi-scale inputs, where images and documents are at their commonly used resolution, to enable fundamental recognition capability. In the inter-scale finetuning stage, the model introduces scale-exchanged data, featuring images and documents at resolutions different from the most commonly used ones, to enhance its scale robustness. Notably, UNIT retains the original vision encoder architecture, making it cost-free in terms of inference and deployment. Experiments across multiple benchmarks confirm that our method significantly outperforms existing methods on document-related tasks (e.g., OCR and DocQA) while maintaining the performances on natural images, demonstrating its ability to substantially enhance text recognition without compromising its core image recognition capabilities.

DreamLIP: Language-Image Pre-training with Long Captions

Language-image pre-training largely relies on how precisely and thoroughly a text describes its paired image. In practice, however, the contents of an image can be so rich that well describing them requires lengthy captions (e.g., with 10 sentences), which are usually missing in existing datasets. Consequently, there are currently no clear evidences on whether and how language-image pre-training could benefit from long captions. To figure this out, we first re-caption 30M images with detailed descriptions using a pre-trained Multi-modality Large Language Model (MLLM), and then study the usage of the resulting captions under a contrastive learning framework. We observe that, each sentence within a long caption is very likely to describe the image partially (e.g., an object). Motivated by this, we propose to dynamically sample sub-captions from the text label to construct multiple positive pairs, and introduce a grouping loss to match the embeddings of each sub-caption with its corresponding local image patches in a self-supervised manner. Experimental results on a wide rage of downstream tasks demonstrate the consistent superiority of our method, termed DreamLIP, over previous alternatives, highlighting its fine-grained representational capacity. It is noteworthy that, on the tasks of image-text retrieval and semantic segmentation, our model trained with 30M image-text pairs achieves on par or even better performance than CLIP trained with 400M pairs. Project page is available at https://zyf0619sjtu.github.io/dream-lip.

Eyes Wide Shut? Exploring the Visual Shortcomings of Multimodal LLMs

Is vision good enough for language? Recent advancements in multimodal models primarily stem from the powerful reasoning abilities of large language models (LLMs). However, the visual component typically depends only on the instance-level contrastive language-image pre-training (CLIP). Our research reveals that the visual capabilities in recent multimodal LLMs (MLLMs) still exhibit systematic shortcomings. To understand the roots of these errors, we explore the gap between the visual embedding space of CLIP and vision-only self-supervised learning. We identify ''CLIP-blind pairs'' - images that CLIP perceives as similar despite their clear visual differences. With these pairs, we construct the Multimodal Visual Patterns (MMVP) benchmark. MMVP exposes areas where state-of-the-art systems, including GPT-4V, struggle with straightforward questions across nine basic visual patterns, often providing incorrect answers and hallucinated explanations. We further evaluate various CLIP-based vision-and-language models and found a notable correlation between visual patterns that challenge CLIP models and those problematic for multimodal LLMs. As an initial effort to address these issues, we propose a Mixture of Features (MoF) approach, demonstrating that integrating vision self-supervised learning features with MLLMs can significantly enhance their visual grounding capabilities. Together, our research suggests visual representation learning remains an open challenge, and accurate visual grounding is crucial for future successful multimodal systems.

Symmetrical Visual Contrastive Optimization: Aligning Vision-Language Models with Minimal Contrastive Images

Recent studies have shown that Large Vision-Language Models (VLMs) tend to neglect image content and over-rely on language-model priors, resulting in errors in visually grounded tasks and hallucinations. We hypothesize that this issue arises because existing VLMs are not explicitly trained to generate texts that are accurately grounded in fine-grained image details. To enhance visual feedback during VLM training, we propose S-VCO (Symmetrical Visual Contrastive Optimization), a novel finetuning objective that steers the model toward capturing important visual details and aligning them with corresponding text tokens. To further facilitate this detailed alignment, we introduce MVC, a paired image-text dataset built by automatically filtering and augmenting visual counterfactual data to challenge the model with hard contrastive cases involving Minimal Visual Contrasts. Experiments show that our method consistently improves VLM performance across diverse benchmarks covering various abilities and domains, achieving up to a 22% reduction in hallucinations, and significant gains in vision-centric and general tasks. Notably, these improvements become increasingly pronounced in benchmarks with higher visual dependency. In short, S-VCO offers a significant enhancement of VLM's visually-dependent task performance while retaining or even improving the model's general abilities. We opensource our code at https://s-vco.github.io/

Reasoning to Attend: Try to Understand How <SEG> Token Works

Current Large Multimodal Models (LMMs) empowered visual grounding typically rely on <SEG> tokens as a text prompt to jointly optimize the vision-language model (e.g., LLaVA) and the downstream task-specific model (e.g., SAM). However, we observe that little research has looked into how it works.In this work, we first visualize the similarity maps, which are obtained by computing the semantic similarity between the <SEG> token and the image token embeddings derived from the last hidden layer in both the LLaVA encoder and SAM decoder. Intriguingly, we have found that a striking consistency holds in terms of activation responses in the similarity map, which reveals that what the <SEG> token contributes to is semantic similarity within image-text pairs. Specifically, the <SEG> token, a placeholder expanded in text vocabulary, extensively queries among individual tokenized image patches to match the semantics of an object from text to the paired image, while the Large Language Models (LLMs) are being fine-tuned. Upon the above findings, we present READ, which facilitates LMMs' resilient REAsoning capability of where to attenD under the guidance of highly activated points borrowed from similarity maps. Remarkably, READ features an intuitive design, Similarity as Points module (SasP), which can be seamlessly applied to <SEG>-like paradigms in a plug-and-play fashion. Also, extensive experiments have been conducted on ReasonSeg and RefCOCO(+/g) datasets. To validate whether READ suffers from catastrophic forgetting of previous skills after fine-tuning, we further assess its generation ability on an augmented FP-RefCOCO(+/g) dataset. All codes and models are publicly available at https://github.com/rui-qian/READ.

UNITER: UNiversal Image-TExt Representation Learning

Joint image-text embedding is the bedrock for most Vision-and-Language (V+L) tasks, where multimodality inputs are simultaneously processed for joint visual and textual understanding. In this paper, we introduce UNITER, a UNiversal Image-TExt Representation, learned through large-scale pre-training over four image-text datasets (COCO, Visual Genome, Conceptual Captions, and SBU Captions), which can power heterogeneous downstream V+L tasks with joint multimodal embeddings. We design four pre-training tasks: Masked Language Modeling (MLM), Masked Region Modeling (MRM, with three variants), Image-Text Matching (ITM), and Word-Region Alignment (WRA). Different from previous work that applies joint random masking to both modalities, we use conditional masking on pre-training tasks (i.e., masked language/region modeling is conditioned on full observation of image/text). In addition to ITM for global image-text alignment, we also propose WRA via the use of Optimal Transport (OT) to explicitly encourage fine-grained alignment between words and image regions during pre-training. Comprehensive analysis shows that both conditional masking and OT-based WRA contribute to better pre-training. We also conduct a thorough ablation study to find an optimal combination of pre-training tasks. Extensive experiments show that UNITER achieves new state of the art across six V+L tasks (over nine datasets), including Visual Question Answering, Image-Text Retrieval, Referring Expression Comprehension, Visual Commonsense Reasoning, Visual Entailment, and NLVR^2. Code is available at https://github.com/ChenRocks/UNITER.

Generalizing to Unseen Domains in Diabetic Retinopathy with Disentangled Representations

Diabetic Retinopathy (DR), induced by diabetes, poses a significant risk of visual impairment. Accurate and effective grading of DR aids in the treatment of this condition. Yet existing models experience notable performance degradation on unseen domains due to domain shifts. Previous methods address this issue by simulating domain style through simple visual transformation and mitigating domain noise via learning robust representations. However, domain shifts encompass more than image styles. They overlook biases caused by implicit factors such as ethnicity, age, and diagnostic criteria. In our work, we propose a novel framework where representations of paired data from different domains are decoupled into semantic features and domain noise. The resulting augmented representation comprises original retinal semantics and domain noise from other domains, aiming to generate enhanced representations aligned with real-world clinical needs, incorporating rich information from diverse domains. Subsequently, to improve the robustness of the decoupled representations, class and domain prototypes are employed to interpolate the disentangled representations while data-aware weights are designed to focus on rare classes and domains. Finally, we devise a robust pixel-level semantic alignment loss to align retinal semantics decoupled from features, maintaining a balance between intra-class diversity and dense class features. Experimental results on multiple benchmarks demonstrate the effectiveness of our method on unseen domains. The code implementations are accessible on https://github.com/richard-peng-xia/DECO.

ImageInWords: Unlocking Hyper-Detailed Image Descriptions

Despite the longstanding adage "an image is worth a thousand words," creating accurate and hyper-detailed image descriptions for training Vision-Language models remains challenging. Current datasets typically have web-scraped descriptions that are short, low-granularity, and often contain details unrelated to the visual content. As a result, models trained on such data generate descriptions replete with missing information, visual inconsistencies, and hallucinations. To address these issues, we introduce ImageInWords (IIW), a carefully designed human-in-the-loop annotation framework for curating hyper-detailed image descriptions and a new dataset resulting from this process. We validate the framework through evaluations focused on the quality of the dataset and its utility for fine-tuning with considerations for readability, comprehensiveness, specificity, hallucinations, and human-likeness. Our dataset significantly improves across these dimensions compared to recently released datasets (+66%) and GPT-4V outputs (+48%). Furthermore, models fine-tuned with IIW data excel by +31% against prior work along the same human evaluation dimensions. Given our fine-tuned models, we also evaluate text-to-image generation and vision-language reasoning. Our model's descriptions can generate images closest to the original, as judged by both automated and human metrics. We also find our model produces more compositionally rich descriptions, outperforming the best baseline by up to 6% on ARO, SVO-Probes, and Winoground datasets.

MedTrinity-25M: A Large-scale Multimodal Dataset with Multigranular Annotations for Medicine

This paper introduces MedTrinity-25M, a comprehensive, large-scale multimodal dataset for medicine, covering over 25 million images across 10 modalities, with multigranular annotations for more than 65 diseases. These enriched annotations encompass both global textual information, such as disease/lesion type, modality, region-specific descriptions, and inter-regional relationships, as well as detailed local annotations for regions of interest (ROIs), including bounding boxes, segmentation masks. Unlike existing approach which is limited by the availability of image-text pairs, we have developed the first automated pipeline that scales up multimodal data by generating multigranular visual and texual annotations (in the form of image-ROI-description triplets) without the need for any paired text descriptions. Specifically, data from over 90 different sources have been collected, preprocessed, and grounded using domain-specific expert models to identify ROIs related to abnormal regions. We then build a comprehensive knowledge base and prompt multimodal large language models to perform retrieval-augmented generation with the identified ROIs as guidance, resulting in multigranular texual descriptions. Compared to existing datasets, MedTrinity-25M provides the most enriched annotations, supporting a comprehensive range of multimodal tasks such as captioning and report generation, as well as vision-centric tasks like classification and segmentation. Pretraining on MedTrinity-25M, our model achieves state-of-the-art performance on VQA-RAD and PathVQA, surpassing both multimodal large language models and other representative SoTA approaches. This dataset can also be utilized to support large-scale pre-training of multimodal medical AI models, contributing to the development of future foundation models in the medical domain.

LEOPARD : A Vision Language Model For Text-Rich Multi-Image Tasks

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.

LLM-CXR: Instruction-Finetuned LLM for CXR Image Understanding and Generation

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.

Getting it Right: Improving Spatial Consistency in Text-to-Image Models

One of the key shortcomings in current text-to-image (T2I) models is their inability to consistently generate images which faithfully follow the spatial relationships specified in the text prompt. In this paper, we offer a comprehensive investigation of this limitation, while also developing datasets and methods that achieve state-of-the-art performance. First, we find that current vision-language datasets do not represent spatial relationships well enough; to alleviate this bottleneck, we create SPRIGHT, the first spatially-focused, large scale dataset, by re-captioning 6 million images from 4 widely used vision datasets. Through a 3-fold evaluation and analysis pipeline, we find that SPRIGHT largely improves upon existing datasets in capturing spatial relationships. To demonstrate its efficacy, we leverage only ~0.25% of SPRIGHT and achieve a 22% improvement in generating spatially accurate images while also improving the FID and CMMD scores. Secondly, we find that training on images containing a large number of objects results in substantial improvements in spatial consistency. Notably, we attain state-of-the-art on T2I-CompBench with a spatial score of 0.2133, by fine-tuning on <500 images. Finally, through a set of controlled experiments and ablations, we document multiple findings that we believe will enhance the understanding of factors that affect spatial consistency in text-to-image models. We publicly release our dataset and model to foster further research in this area.

Decoder Pre-Training with only Text for Scene Text Recognition

Scene text recognition (STR) pre-training methods have achieved remarkable progress, primarily relying on synthetic datasets. However, the domain gap between synthetic and real images poses a challenge in acquiring feature representations that align well with images on real scenes, thereby limiting the performance of these methods. We note that vision-language models like CLIP, pre-trained on extensive real image-text pairs, effectively align images and text in a unified embedding space, suggesting the potential to derive the representations of real images from text alone. Building upon this premise, we introduce a novel method named Decoder Pre-training with only text for STR (DPTR). DPTR treats text embeddings produced by the CLIP text encoder as pseudo visual embeddings and uses them to pre-train the decoder. An Offline Randomized Perturbation (ORP) strategy is introduced. It enriches the diversity of text embeddings by incorporating natural image embeddings extracted from the CLIP image encoder, effectively directing the decoder to acquire the potential representations of real images. In addition, we introduce a Feature Merge Unit (FMU) that guides the extracted visual embeddings focusing on the character foreground within the text image, thereby enabling the pre-trained decoder to work more efficiently and accurately. Extensive experiments across various STR decoders and language recognition tasks underscore the broad applicability and remarkable performance of DPTR, providing a novel insight for STR pre-training. Code is available at https://github.com/Topdu/OpenOCR

Collaborative Vision-Text Representation Optimizing for Open-Vocabulary Segmentation

Pre-trained vision-language models, e.g. CLIP, have been increasingly used to address the challenging Open-Vocabulary Segmentation (OVS) task, benefiting from their well-aligned vision-text embedding space. Typical solutions involve either freezing CLIP during training to unilaterally maintain its zero-shot capability, or fine-tuning CLIP vision encoder to achieve perceptual sensitivity to local regions. However, few of them incorporate vision-text collaborative optimization. Based on this, we propose the Content-Dependent Transfer to adaptively enhance each text embedding by interacting with the input image, which presents a parameter-efficient way to optimize the text representation. Besides, we additionally introduce a Representation Compensation strategy, reviewing the original CLIP-V representation as compensation to maintain the zero-shot capability of CLIP. In this way, the vision and text representation of CLIP are optimized collaboratively, enhancing the alignment of the vision-text feature space. To the best of our knowledge, we are the first to establish the collaborative vision-text optimizing mechanism within the OVS field. Extensive experiments demonstrate our method achieves superior performance on popular OVS benchmarks. In open-vocabulary semantic segmentation, our method outperforms the previous state-of-the-art approaches by +0.5, +2.3, +3.4, +0.4 and +1.1 mIoU, respectively on A-847, A-150, PC-459, PC-59 and PAS-20. Furthermore, in a panoptic setting on ADE20K, we achieve the performance of 27.1 PQ, 73.5 SQ, and 32.9 RQ. Code will be available at https://github.com/jiaosiyu1999/MAFT-Plus.git .

LAION-5B: An open large-scale dataset for training next generation image-text models

Groundbreaking language-vision architectures like CLIP and DALL-E proved the utility of training on large amounts of noisy image-text data, without relying on expensive accurate labels used in standard vision unimodal supervised learning. The resulting models showed capabilities of strong text-guided image generation and transfer to downstream tasks, while performing remarkably at zero-shot classification with noteworthy out-of-distribution robustness. Since then, large-scale language-vision models like ALIGN, BASIC, GLIDE, Flamingo and Imagen made further improvements. Studying the training and capabilities of such models requires datasets containing billions of image-text pairs. Until now, no datasets of this size have been made openly available for the broader research community. To address this problem and democratize research on large-scale multi-modal models, we present LAION-5B - a dataset consisting of 5.85 billion CLIP-filtered image-text pairs, of which 2.32B contain English language. We show successful replication and fine-tuning of foundational models like CLIP, GLIDE and Stable Diffusion using the dataset, and discuss further experiments enabled with an openly available dataset of this scale. Additionally we provide several nearest neighbor indices, an improved web-interface for dataset exploration and subset generation, and detection scores for watermark, NSFW, and toxic content detection. Announcement page https://laion.ai/laion-5b-a-new-era-of-open-large-scale-multi-modal-datasets/

Align, Reason and Learn: Enhancing Medical Vision-and-Language Pre-training with Knowledge

Medical vision-and-language pre-training (Med-VLP) has received considerable attention owing to its applicability to extracting generic vision-and-language representations from medical images and texts. Most existing methods mainly contain three elements: uni-modal encoders (i.e., a vision encoder and a language encoder), a multi-modal fusion module, and pretext tasks, with few studies considering the importance of medical domain expert knowledge and explicitly exploiting such knowledge to facilitate Med-VLP. Although there exist knowledge-enhanced vision-and-language pre-training (VLP) methods in the general domain, most require off-the-shelf toolkits (e.g., object detectors and scene graph parsers), which are unavailable in the medical domain. In this paper, we propose a systematic and effective approach to enhance Med-VLP by structured medical knowledge from three perspectives. First, considering knowledge can be regarded as the intermediate medium between vision and language, we align the representations of the vision encoder and the language encoder through knowledge. Second, we inject knowledge into the multi-modal fusion model to enable the model to perform reasoning using knowledge as the supplementation of the input image and text. Third, we guide the model to put emphasis on the most critical information in images and texts by designing knowledge-induced pretext tasks. To perform a comprehensive evaluation and facilitate further research, we construct a medical vision-and-language benchmark including three tasks. Experimental results illustrate the effectiveness of our approach, where state-of-the-art performance is achieved on all downstream tasks. Further analyses explore the effects of different components of our approach and various settings of pre-training.

MedImageInsight: An Open-Source Embedding Model for General Domain Medical Imaging

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.

Harmonizing Visual Text Comprehension and Generation

In this work, we present TextHarmony, a unified and versatile multimodal generative model proficient in comprehending and generating visual text. Simultaneously generating images and texts typically results in performance degradation due to the inherent inconsistency between vision and language modalities. To overcome this challenge, existing approaches resort to modality-specific data for supervised fine-tuning, necessitating distinct model instances. We propose Slide-LoRA, which dynamically aggregates modality-specific and modality-agnostic LoRA experts, partially decoupling the multimodal generation space. Slide-LoRA harmonizes the generation of vision and language within a singular model instance, thereby facilitating a more unified generative process. Additionally, we develop a high-quality image caption dataset, DetailedTextCaps-100K, synthesized with a sophisticated closed-source MLLM to enhance visual text generation capabilities further. Comprehensive experiments across various benchmarks demonstrate the effectiveness of the proposed approach. Empowered by Slide-LoRA, TextHarmony achieves comparable performance to modality-specific fine-tuning results with only a 2% increase in parameters and shows an average improvement of 2.5% in visual text comprehension tasks and 4.0% in visual text generation tasks. Our work delineates the viability of an integrated approach to multimodal generation within the visual text domain, setting a foundation for subsequent inquiries.

A Knowledge-enhanced Pathology Vision-language Foundation Model for Cancer Diagnosis

Deep learning has enabled the development of highly robust foundation models for various pathological tasks across diverse diseases and patient cohorts. Among these models, vision-language pre-training, which leverages large-scale paired data to align pathology image and text embedding spaces, and provides a novel zero-shot paradigm for downstream tasks. However, existing models have been primarily data-driven and lack the incorporation of domain-specific knowledge, which limits their performance in cancer diagnosis, especially for rare tumor subtypes. To address this limitation, we establish a Knowledge-enhanced Pathology (KEEP) foundation model that harnesses disease knowledge to facilitate vision-language pre-training. Specifically, we first construct a disease knowledge graph (KG) that covers 11,454 human diseases with 139,143 disease attributes, including synonyms, definitions, and hypernym relations. We then systematically reorganize the millions of publicly available noisy pathology image-text pairs, into 143K well-structured semantic groups linked through the hierarchical relations of the disease KG. To derive more nuanced image and text representations, we propose a novel knowledge-enhanced vision-language pre-training approach that integrates disease knowledge into the alignment within hierarchical semantic groups instead of unstructured image-text pairs. Validated on 18 diverse benchmarks with more than 14,000 whole slide images (WSIs), KEEP achieves state-of-the-art performance in zero-shot cancer diagnostic tasks. Notably, for cancer detection, KEEP demonstrates an average sensitivity of 89.8% at a specificity of 95.0% across 7 cancer types. For cancer subtyping, KEEP achieves a median balanced accuracy of 0.456 in subtyping 30 rare brain cancers, indicating strong generalizability for diagnosing rare tumors.

Text Detection and Recognition in the Wild: A Review

Detection and recognition of text in natural images are two main problems in the field of computer vision that have a wide variety of applications in analysis of sports videos, autonomous driving, industrial automation, to name a few. They face common challenging problems that are factors in how text is represented and affected by several environmental conditions. The current state-of-the-art scene text detection and/or recognition methods have exploited the witnessed advancement in deep learning architectures and reported a superior accuracy on benchmark datasets when tackling multi-resolution and multi-oriented text. However, there are still several remaining challenges affecting text in the wild images that cause existing methods to underperform due to there models are not able to generalize to unseen data and the insufficient labeled data. Thus, unlike previous surveys in this field, the objectives of this survey are as follows: first, offering the reader not only a review on the recent advancement in scene text detection and recognition, but also presenting the results of conducting extensive experiments using a unified evaluation framework that assesses pre-trained models of the selected methods on challenging cases, and applies the same evaluation criteria on these techniques. Second, identifying several existing challenges for detecting or recognizing text in the wild images, namely, in-plane-rotation, multi-oriented and multi-resolution text, perspective distortion, illumination reflection, partial occlusion, complex fonts, and special characters. Finally, the paper also presents insight into the potential research directions in this field to address some of the mentioned challenges that are still encountering scene text detection and recognition techniques.

Contrastive Learning of Medical Visual Representations from Paired Images and Text

Learning visual representations of medical images (e.g., X-rays) is core to medical image understanding but its progress has been held back by the scarcity of human annotations. Existing work commonly relies on fine-tuning weights transferred from ImageNet pretraining, which is suboptimal due to drastically different image characteristics, or rule-based label extraction from the textual report data paired with medical images, which is inaccurate and hard to generalize. Meanwhile, several recent studies show exciting results from unsupervised contrastive learning from natural images, but we find these methods help little on medical images because of their high inter-class similarity. We propose ConVIRT, an alternative unsupervised strategy to learn medical visual representations by exploiting naturally occurring paired descriptive text. Our new method of pretraining medical image encoders with the paired text data via a bidirectional contrastive objective between the two modalities is domain-agnostic, and requires no additional expert input. We test ConVIRT by transferring our pretrained weights to 4 medical image classification tasks and 2 zero-shot retrieval tasks, and show that it leads to image representations that considerably outperform strong baselines in most settings. Notably, in all 4 classification tasks, our method requires only 10\% as much labeled training data as an ImageNet initialized counterpart to achieve better or comparable performance, demonstrating superior data efficiency.

Contrastive Vision-Language Alignment Makes Efficient Instruction Learner

We study the task of extending the large language model (LLM) into a vision-language instruction-following model. This task is crucial but challenging since the LLM is trained on text modality only, making it hard to effectively digest the visual modality. To address this, existing methods typically train a visual adapter to align the representation between a pre-trained vision transformer (ViT) and the LLM by a generative image captioning loss. However, we find that the generative objective can only produce weak alignment for vision and language, making the aligned vision-language model very hungry for the instruction fine-tuning data. In this paper, we propose CG-VLM that applies both Contrastive and Generative alignment objectives to effectively align the representation of ViT and LLM. Different from image level and sentence level alignment in common contrastive learning settings, CG-VLM aligns the image-patch level features and text-token level embeddings, which, however, is very hard to achieve as no explicit grounding patch-token relation provided in standard image captioning datasets. To address this issue, we propose to maximize the averaged similarity between pooled image-patch features and text-token embeddings. Extensive experiments demonstrate that the proposed CG-VLM produces strong vision-language alignment and is an efficient instruction learner. For example, using only 10% instruction tuning data, we reach 95% performance of state-of-the-art method LLaVA [29] on the zero-shot ScienceQA-Image benchmark.

Aligning Text to Image in Diffusion Models is Easier Than You Think

While recent advancements in generative modeling have significantly improved text-image alignment, some residual misalignment between text and image representations still remains. Although many approaches have attempted to address this issue by fine-tuning models using various reward models, etc., we revisit the challenge from the perspective of representation alignment-an approach that has gained popularity with the success of REPresentation Alignment (REPA). We first argue that conventional text-to-image (T2I) diffusion models, typically trained on paired image and text data (i.e., positive pairs) by minimizing score matching or flow matching losses, is suboptimal from the standpoint of representation alignment. Instead, a better alignment can be achieved through contrastive learning that leverages both positive and negative pairs. To achieve this efficiently even with pretrained models, we introduce a lightweight contrastive fine tuning strategy called SoftREPA that uses soft text tokens. This approach improves alignment with minimal computational overhead by adding fewer than 1M trainable parameters to the pretrained model. Our theoretical analysis demonstrates that our method explicitly increases the mutual information between text and image representations, leading to enhanced semantic consistency. Experimental results across text-to-image generation and text-guided image editing tasks validate the effectiveness of our approach in improving the semantic consistency of T2I generative models.

Specialist vision-language models for clinical ophthalmology

Clinicians spend a significant amount of time reviewing medical images and transcribing their findings regarding patient diagnosis, referral and treatment in text form. Vision-language models (VLMs), which automatically interpret images and summarize their findings as text, have enormous potential to alleviate clinical workloads and increase patient access to high-quality medical care. While foundational models have stirred considerable interest in the medical community, it is unclear whether their general capabilities translate to real-world clinical utility. In this work, we show that foundation VLMs markedly underperform compared to practicing ophthalmologists on specialist tasks crucial to the care of patients with age-related macular degeneration (AMD). To address this, we initially identified the essential capabilities required for image-based clinical decision-making, and then developed a curriculum to selectively train VLMs in these skills. The resulting model, RetinaVLM, can be instructed to write reports that significantly outperform those written by leading foundation medical VLMs in disease staging (F1 score of 0.63 vs. 0.11) and patient referral (0.67 vs. 0.39), and approaches the diagnostic performance of junior ophthalmologists (who achieve 0.77 and 0.78 on the respective tasks). Furthermore, in a reader study involving two senior ophthalmologists with up to 32 years of experience, RetinaVLM's reports were found to be similarly correct (78.6% vs. 82.1%) and complete (both 78.6%) as reports written by junior ophthalmologists with up to 10 years of experience. These results demonstrate that our curriculum-based approach provides a blueprint for specializing generalist foundation medical VLMs to handle real-world clinical tasks.

TextCenGen: Attention-Guided Text-Centric Background Adaptation for Text-to-Image Generation

Text-to-image (T2I) generation has made remarkable progress in producing high-quality images, but a fundamental challenge remains: creating backgrounds that naturally accommodate text placement without compromising image quality. This capability is non-trivial for real-world applications like graphic design, where clear visual hierarchy between content and text is essential. Prior work has primarily focused on arranging layouts within existing static images, leaving unexplored the potential of T2I models for generating text-friendly backgrounds. We present TextCenGen, a training-free dynamic background adaptation in the blank region for text-friendly image generation. Instead of directly reducing attention in text areas, which degrades image quality, we relocate conflicting objects before background optimization. Our method analyzes cross-attention maps to identify conflicting objects overlapping with text regions and uses a force-directed graph approach to guide their relocation, followed by attention excluding constraints to ensure smooth backgrounds. Our method is plug-and-play, requiring no additional training while well balancing both semantic fidelity and visual quality. Evaluated on our proposed text-friendly T2I benchmark of 27,000 images across four seed datasets, TextCenGen outperforms existing methods by achieving 23% lower saliency overlap in text regions while maintaining 98% of the semantic fidelity measured by CLIP score and our proposed Visual-Textual Concordance Metric (VTCM).

Deep Boosting Learning: A Brand-new Cooperative Approach for Image-Text Matching

Image-text matching remains a challenging task due to heterogeneous semantic diversity across modalities and insufficient distance separability within triplets. Different from previous approaches focusing on enhancing multi-modal representations or exploiting cross-modal correspondence for more accurate retrieval, in this paper we aim to leverage the knowledge transfer between peer branches in a boosting manner to seek a more powerful matching model. Specifically, we propose a brand-new Deep Boosting Learning (DBL) algorithm, where an anchor branch is first trained to provide insights into the data properties, with a target branch gaining more advanced knowledge to develop optimal features and distance metrics. Concretely, an anchor branch initially learns the absolute or relative distance between positive and negative pairs, providing a foundational understanding of the particular network and data distribution. Building upon this knowledge, a target branch is concurrently tasked with more adaptive margin constraints to further enlarge the relative distance between matched and unmatched samples. Extensive experiments validate that our DBL can achieve impressive and consistent improvements based on various recent state-of-the-art models in the image-text matching field, and outperform related popular cooperative strategies, e.g., Conventional Distillation, Mutual Learning, and Contrastive Learning. Beyond the above, we confirm that DBL can be seamlessly integrated into their training scenarios and achieve superior performance under the same computational costs, demonstrating the flexibility and broad applicability of our proposed method. Our code is publicly available at: https://github.com/Paranioar/DBL.

Vision Transformers with Self-Distilled Registers

Vision Transformers (ViTs) have emerged as the dominant architecture for visual processing tasks, demonstrating excellent scalability with increased training data and model size. However, recent work has identified the emergence of artifact tokens in ViTs that are incongruous with the local semantics. These anomalous tokens degrade ViT performance in tasks that require fine-grained localization or structural coherence. An effective mitigation of this issue is to the addition of register tokens to ViTs, which implicitly "absorb" the artifact term during training. Given the availability of various large-scale pre-trained ViTs, in this paper we aim at equipping them with such register tokens without the need of re-training them from scratch, which is infeasible considering their size. Specifically, we propose Post Hoc Registers (PH-Reg), an efficient self-distillation method that integrates registers into an existing ViT without requiring additional labeled data and full retraining. PH-Reg initializes both teacher and student networks from the same pre-trained ViT. The teacher remains frozen and unmodified, while the student is augmented with randomly initialized register tokens. By applying test-time augmentation to the teacher's inputs, we generate denoised dense embeddings free of artifacts, which are then used to optimize only a small subset of unlocked student weights. We show that our approach can effectively reduce the number of artifact tokens, improving the segmentation and depth prediction of the student ViT under zero-shot and linear probing.

BUS:Efficient and Effective Vision-language Pre-training with Bottom-Up Patch Summarization

Vision Transformer (ViT) based Vision-Language Pre-training (VLP) models have demonstrated impressive performance in various tasks. However, the lengthy visual token sequences fed into ViT can lead to training inefficiency and ineffectiveness. Existing efforts address the challenge by either bottom-level patch extraction in the ViT backbone or top-level patch abstraction outside, not balancing training efficiency and effectiveness well. Inspired by text summarization in natural language processing, we propose a Bottom-Up Patch Summarization approach named BUS, coordinating bottom-level extraction and top-level abstraction to learn a concise summary of lengthy visual token sequences efficiently. Specifically, We incorporate a Text-Semantics-Aware Patch Selector (TSPS) into the ViT backbone to perform a coarse-grained visual token extraction and then attach a flexible Transformer-based Patch Abstraction Decoder (PAD) upon the backbone for top-level visual abstraction. This bottom-up collaboration enables our BUS to yield high training efficiency while maintaining or even improving effectiveness. We evaluate our approach on various visual-language understanding and generation tasks and show competitive downstream task performance while boosting the training efficiency by 50\%. Additionally, our model achieves state-of-the-art performance on many downstream tasks by increasing input image resolution without increasing computational costs over baselines.

FILIP: Fine-grained Interactive Language-Image Pre-Training

Unsupervised large-scale vision-language pre-training has shown promising advances on various downstream tasks. Existing methods often model the cross-modal interaction either via the similarity of the global feature of each modality which misses sufficient information, or finer-grained interactions using cross/self-attention upon visual and textual tokens. However, cross/self-attention suffers from inferior efficiency in both training and inference. In this paper, we introduce a large-scale Fine-grained Interactive Language-Image Pre-training (FILIP) to achieve finer-level alignment through a cross-modal late interaction mechanism, which uses a token-wise maximum similarity between visual and textual tokens to guide the contrastive objective. FILIP successfully leverages the finer-grained expressiveness between image patches and textual words by modifying only contrastive loss, while simultaneously gaining the ability to pre-compute image and text representations offline at inference, keeping both large-scale training and inference efficient. Furthermore, we construct a new large-scale image-text pair dataset called FILIP300M for pre-training. Experiments show that FILIP achieves state-of-the-art performance on multiple downstream vision-language tasks including zero-shot image classification and image-text retrieval. The visualization on word-patch alignment further shows that FILIP can learn meaningful fine-grained features with promising localization ability.

2.5 Years in Class: A Multimodal Textbook for Vision-Language Pretraining

Compared to image-text pair data, interleaved corpora enable Vision-Language Models (VLMs) to understand the world more naturally like humans. However, such existing datasets are crawled from webpage, facing challenges like low knowledge density, loose image-text relations, and poor logical coherence between images. On the other hand, the internet hosts vast instructional videos (e.g., online geometry courses) that are widely used by humans to learn foundational subjects, yet these valuable resources remain underexplored in VLM training. In this paper, we introduce a high-quality multimodal textbook corpus with richer foundational knowledge for VLM pretraining. It collects over 2.5 years of instructional videos, totaling 22,000 class hours. We first use an LLM-proposed taxonomy to systematically gather instructional videos. Then we progressively extract and refine visual (keyframes), audio (ASR), and textual knowledge (OCR) from the videos, and organize as an image-text interleaved corpus based on temporal order. Compared to its counterparts, our video-centric textbook offers more coherent context, richer knowledge, and better image-text alignment. Experiments demonstrate its superb pretraining performance, particularly in knowledge- and reasoning-intensive tasks like ScienceQA and MathVista. Moreover, VLMs pre-trained on our textbook exhibit outstanding interleaved context awareness, leveraging visual and textual cues in their few-shot context for task solving~Our code are available at \url{https://github.com/DAMO-NLP-SG/multimodal_textbook}.

Scaling Up Visual and Vision-Language Representation Learning With Noisy Text Supervision

Pre-trained representations are becoming crucial for many NLP and perception tasks. While representation learning in NLP has transitioned to training on raw text without human annotations, visual and vision-language representations still rely heavily on curated training datasets that are expensive or require expert knowledge. For vision applications, representations are mostly learned using datasets with explicit class labels such as ImageNet or OpenImages. For vision-language, popular datasets like Conceptual Captions, MSCOCO, or CLIP all involve a non-trivial data collection (and cleaning) process. This costly curation process limits the size of datasets and hence hinders the scaling of trained models. In this paper, we leverage a noisy dataset of over one billion image alt-text pairs, obtained without expensive filtering or post-processing steps in the Conceptual Captions dataset. A simple dual-encoder architecture learns to align visual and language representations of the image and text pairs using a contrastive loss. We show that the scale of our corpus can make up for its noise and leads to state-of-the-art representations even with such a simple learning scheme. Our visual representation achieves strong performance when transferred to classification tasks such as ImageNet and VTAB. The aligned visual and language representations enables zero-shot image classification and also set new state-of-the-art results on Flickr30K and MSCOCO image-text retrieval benchmarks, even when compared with more sophisticated cross-attention models. The representations also enable cross-modality search with complex text and text + image queries.

GIST: Generating Image-Specific Text for Fine-grained Object Classification

Recent vision-language models outperform vision-only models on many image classification tasks. However, because of the absence of paired text/image descriptions, it remains difficult to fine-tune these models for fine-grained image classification. In this work, we propose a method, GIST, for generating image-specific fine-grained text descriptions from image-only datasets, and show that these text descriptions can be used to improve classification. Key parts of our method include 1. prompting a pretrained large language model with domain-specific prompts to generate diverse fine-grained text descriptions for each class and 2. using a pretrained vision-language model to match each image to label-preserving text descriptions that capture relevant visual features in the image. We demonstrate the utility of GIST by fine-tuning vision-language models on the image-and-generated-text pairs to learn an aligned vision-language representation space for improved classification. We evaluate our learned representation space in full-shot and few-shot scenarios across four diverse fine-grained classification datasets, each from a different domain. Our method achieves an average improvement of 4.1% in accuracy over CLIP linear probes and an average of 1.1% improvement in accuracy over the previous state-of-the-art image-text classification method on the full-shot datasets. Our method achieves similar improvements across few-shot regimes. Code is available at https://github.com/emu1729/GIST.

FuseCap: Leveraging Large Language Models to Fuse Visual Data into Enriched Image Captions

Image captioning is a central task in computer vision which has experienced substantial progress following the advent of vision-language pre-training techniques. In this paper, we highlight a frequently overlooked limitation of captioning models that often fail to capture semantically significant elements. This drawback can be traced back to the text-image datasets; while their captions typically offer a general depiction of image content, they frequently omit salient details. To mitigate this limitation, we propose FuseCap - a novel method for enriching captions with additional visual information, obtained from vision experts, such as object detectors, attribute recognizers, and Optical Character Recognizers (OCR). Our approach fuses the outputs of such vision experts with the original caption using a large language model (LLM), yielding enriched captions that present a comprehensive image description. We validate the effectiveness of the proposed caption enrichment method through both quantitative and qualitative analysis. Our method is then used to curate the training set of a captioning model based BLIP which surpasses current state-of-the-art approaches in generating accurate and detailed captions while using significantly fewer parameters and training data. As additional contributions, we provide a dataset comprising of 12M image-enriched caption pairs and show that the proposed method largely improves image-text retrieval.

AdaptVision: Dynamic Input Scaling in MLLMs for Versatile Scene Understanding

Over the past few years, the advancement of Multimodal Large Language Models (MLLMs) has captured the wide interest of researchers, leading to numerous innovations to enhance MLLMs' comprehension. In this paper, we present AdaptVision, a multimodal large language model specifically designed to dynamically process input images at varying resolutions. We hypothesize that the requisite number of visual tokens for the model is contingent upon both the resolution and content of the input image. Generally, natural images with a lower information density can be effectively interpreted by the model using fewer visual tokens at reduced resolutions. In contrast, images containing textual content, such as documents with rich text, necessitate a higher number of visual tokens for accurate text interpretation due to their higher information density. Building on this insight, we devise a dynamic image partitioning module that adjusts the number of visual tokens according to the size and aspect ratio of images. This method mitigates distortion effects that arise from resizing images to a uniform resolution and dynamically optimizing the visual tokens input to the LLMs. Our model is capable of processing images with resolutions up to 1008times 1008. Extensive experiments across various datasets demonstrate that our method achieves impressive performance in handling vision-language tasks in both natural and text-related scenes. The source code and dataset are now publicly available at https://github.com/harrytea/AdaptVision.

Noisy-Correspondence Learning for Text-to-Image Person Re-identification

Text-to-image person re-identification (TIReID) is a compelling topic in the cross-modal community, which aims to retrieve the target person based on a textual query. Although numerous TIReID methods have been proposed and achieved promising performance, they implicitly assume the training image-text pairs are correctly aligned, which is not always the case in real-world scenarios. In practice, the image-text pairs inevitably exist under-correlated or even false-correlated, a.k.a noisy correspondence (NC), due to the low quality of the images and annotation errors. To address this problem, we propose a novel Robust Dual Embedding method (RDE) that can learn robust visual-semantic associations even with NC. Specifically, RDE consists of two main components: 1) A Confident Consensus Division (CCD) module that leverages the dual-grained decisions of dual embedding modules to obtain a consensus set of clean training data, which enables the model to learn correct and reliable visual-semantic associations. 2) A Triplet-Alignment Loss (TAL) relaxes the conventional triplet-ranking loss with hardest negatives, which tends to rapidly overfit NC, to a log-exponential upper bound over all negatives, thus preventing the model from overemphasizing false image-text pairs. We conduct extensive experiments on three public benchmarks, namely CUHK-PEDES, ICFG-PEDES, and RSTPReID, to evaluate the performance and robustness of our RDE. Our method achieves state-of-the-art results both with and without synthetic noisy correspondences on all three datasets.

RS5M and GeoRSCLIP: A Large Scale Vision-Language Dataset and A Large Vision-Language Model for Remote Sensing

Pre-trained Vision-Language Models (VLMs) utilizing extensive image-text paired data have demonstrated unprecedented image-text association capabilities, achieving remarkable results across various downstream tasks. A critical challenge is how to make use of existing large-scale pre-trained VLMs, which are trained on common objects, to perform the domain-specific transfer for accomplishing domain-related downstream tasks. A critical challenge is how to make use of existing large-scale pre-trained VLMs, which are trained on common objects, to perform the domain-specific transfer for accomplishing domain-related downstream tasks. In this paper, we propose a new framework that includes the Domain pre-trained Vision-Language Model (DVLM), bridging the gap between the General Vision-Language Model (GVLM) and domain-specific downstream tasks. Moreover, we present an image-text paired dataset in the field of remote sensing (RS), RS5M, which has 5 million RS images with English descriptions. The dataset is obtained from filtering publicly available image-text paired datasets and captioning label-only RS datasets with pre-trained VLM. These constitute the first large-scale RS image-text paired dataset. Additionally, we fine-tuned the CLIP model and tried several Parameter-Efficient Fine-Tuning methods on RS5M to implement the DVLM. Experimental results show that our proposed dataset is highly effective for various tasks, and our model GeoRSCLIP improves upon the baseline or previous state-of-the-art model by 3%sim20% in Zero-shot Classification (ZSC), 3%sim6% in Remote Sensing Cross-Modal Text-Image Retrieval (RSCTIR) and 4%sim5% in Semantic Localization (SeLo) tasks. Dataset and models have been released in: https://github.com/om-ai-lab/RS5M.

Exploring Transfer Learning in Medical Image Segmentation using Vision-Language Models

Medical image segmentation allows quantifying target structure size and shape, aiding in disease diagnosis, prognosis, surgery planning, and comprehension.Building upon recent advancements in foundation Vision-Language Models (VLMs) from natural image-text pairs, several studies have proposed adapting them to Vision-Language Segmentation Models (VLSMs) that allow using language text as an additional input to segmentation models. Introducing auxiliary information via text with human-in-the-loop prompting during inference opens up unique opportunities, such as open vocabulary segmentation and potentially more robust segmentation models against out-of-distribution data. Although transfer learning from natural to medical images has been explored for image-only segmentation models, the joint representation of vision-language in segmentation problems remains underexplored. This study introduces the first systematic study on transferring VLSMs to 2D medical images, using carefully curated 11 datasets encompassing diverse modalities and insightful language prompts and experiments. Our findings demonstrate that although VLSMs show competitive performance compared to image-only models for segmentation after finetuning in limited medical image datasets, not all VLSMs utilize the additional information from language prompts, with image features playing a dominant role. While VLSMs exhibit enhanced performance in handling pooled datasets with diverse modalities and show potential robustness to domain shifts compared to conventional segmentation models, our results suggest that novel approaches are required to enable VLSMs to leverage the various auxiliary information available through language prompts. The code and datasets are available at https://github.com/naamiinepal/medvlsm.

Bridging the Vision-Brain Gap with an Uncertainty-Aware Blur Prior

Can our brain signals faithfully reflect the original visual stimuli, even including high-frequency details? Although human perceptual and cognitive capacities enable us to process and remember visual information, these abilities are constrained by several factors, such as limited attentional resources and the finite capacity of visual memory. When visual stimuli are processed by human visual system into brain signals, some information is inevitably lost, leading to a discrepancy known as the System GAP. Additionally, perceptual and cognitive dynamics, along with technical noise in signal acquisition, degrade the fidelity of brain signals relative to the visual stimuli, known as the Random GAP. When encoded brain representations are directly aligned with the corresponding pretrained image features, the System GAP and Random GAP between paired data challenge the model, requiring it to bridge these gaps. However, in the context of limited paired data, these gaps are difficult for the model to learn, leading to overfitting and poor generalization to new data. To address these GAPs, we propose a simple yet effective approach called the Uncertainty-aware Blur Prior (UBP). It estimates the uncertainty within the paired data, reflecting the mismatch between brain signals and visual stimuli. Based on this uncertainty, UBP dynamically blurs the high-frequency details of the original images, reducing the impact of the mismatch and improving alignment. Our method achieves a top-1 accuracy of 50.9\% and a top-5 accuracy of 79.7\% on the zero-shot brain-to-image retrieval task, surpassing previous state-of-the-art methods by margins of 13.7\% and 9.8\%, respectively. Code is available at https://github.com/HaitaoWuTJU/Uncertainty-aware-Blur-Prior{GitHub}.

Beyond Color and Lines: Zero-Shot Style-Specific Image Variations with Coordinated Semantics

Traditionally, style has been primarily considered in terms of artistic elements such as colors, brushstrokes, and lighting. However, identical semantic subjects, like people, boats, and houses, can vary significantly across different artistic traditions, indicating that style also encompasses the underlying semantics. Therefore, in this study, we propose a zero-shot scheme for image variation with coordinated semantics. Specifically, our scheme transforms the image-to-image problem into an image-to-text-to-image problem. The image-to-text operation employs vision-language models e.g., BLIP) to generate text describing the content of the input image, including the objects and their positions. Subsequently, the input style keyword is elaborated into a detailed description of this style and then merged with the content text using the reasoning capabilities of ChatGPT. Finally, the text-to-image operation utilizes a Diffusion model to generate images based on the text prompt. To enable the Diffusion model to accommodate more styles, we propose a fine-tuning strategy that injects text and style constraints into cross-attention. This ensures that the output image exhibits similar semantics in the desired style. To validate the performance of the proposed scheme, we constructed a benchmark comprising images of various styles and scenes and introduced two novel metrics. Despite its simplicity, our scheme yields highly plausible results in a zero-shot manner, particularly for generating stylized images with high-fidelity semantics.

TS-LLaVA: Constructing Visual Tokens through Thumbnail-and-Sampling for Training-Free Video Large Language Models

Recent advances in multimodal Large Language Models (LLMs) have shown great success in understanding multi-modal contents. For video understanding tasks, training-based video LLMs are difficult to build due to the scarcity of high-quality, curated video-text paired data. In contrast, paired image-text data are much easier to obtain, and there is substantial similarity between images and videos. Consequently, extending image LLMs for video understanding tasks presents an appealing alternative. Developing effective strategies for compressing visual tokens from multiple frames is a promising way to leverage the powerful pre-trained image LLM. In this work, we explore the limitations of the existing compression strategies for building a training-free video LLM. The findings lead to our method TS-LLaVA, which constructs visual tokens through a Thumbnail-and-Sampling strategy. Given a video, we select few equidistant frames from all input frames to construct a Thumbnail image as a detailed visual cue, complemented by Sampled visual tokens from all input frames. Our method establishes the new state-of-the-art performance among training-free video LLMs on various benchmarks. Notably, our 34B model outperforms GPT-4V on the MVBench benchmark, and achieves performance comparable to the 72B training-based video LLM, Video-LLaMA2, on the challenging MLVU benchmark. Code is available at https://github.com/tingyu215/TS-LLaVA.

A Survey of Medical Vision-and-Language Applications and Their Techniques

Medical vision-and-language models (MVLMs) have attracted substantial interest due to their capability to offer a natural language interface for interpreting complex medical data. Their applications are versatile and have the potential to improve diagnostic accuracy and decision-making for individual patients while also contributing to enhanced public health monitoring, disease surveillance, and policy-making through more efficient analysis of large data sets. MVLMS integrate natural language processing with medical images to enable a more comprehensive and contextual understanding of medical images alongside their corresponding textual information. Unlike general vision-and-language models trained on diverse, non-specialized datasets, MVLMs are purpose-built for the medical domain, automatically extracting and interpreting critical information from medical images and textual reports to support clinical decision-making. Popular clinical applications of MVLMs include automated medical report generation, medical visual question answering, medical multimodal segmentation, diagnosis and prognosis and medical image-text retrieval. Here, we provide a comprehensive overview of MVLMs and the various medical tasks to which they have been applied. We conduct a detailed analysis of various vision-and-language model architectures, focusing on their distinct strategies for cross-modal integration/exploitation of medical visual and textual features. We also examine the datasets used for these tasks and compare the performance of different models based on standardized evaluation metrics. Furthermore, we highlight potential challenges and summarize future research trends and directions. The full collection of papers and codes is available at: https://github.com/YtongXie/Medical-Vision-and-Language-Tasks-and-Methodologies-A-Survey.

Mining Fine-Grained Image-Text Alignment for Zero-Shot Captioning via Text-Only Training

Image captioning aims at generating descriptive and meaningful textual descriptions of images, enabling a broad range of vision-language applications. Prior works have demonstrated that harnessing the power of Contrastive Image Language Pre-training (CLIP) offers a promising approach to achieving zero-shot captioning, eliminating the need for expensive caption annotations. However, the widely observed modality gap in the latent space of CLIP harms the performance of zero-shot captioning by breaking the alignment between paired image-text features. To address this issue, we conduct an analysis on the CLIP latent space which leads to two findings. Firstly, we observe that the CLIP's visual feature of image subregions can achieve closer proximity to the paired caption due to the inherent information loss in text descriptions. In addition, we show that the modality gap between a paired image-text can be empirically modeled as a zero-mean Gaussian distribution. Motivated by the findings, we propose a novel zero-shot image captioning framework with text-only training to reduce the modality gap. In particular, we introduce a subregion feature aggregation to leverage local region information, which produces a compact visual representation for matching text representation. Moreover, we incorporate a noise injection and CLIP reranking strategy to boost captioning performance. We also extend our framework to build a zero-shot VQA pipeline, demonstrating its generality. Through extensive experiments on common captioning and VQA datasets such as MSCOCO, Flickr30k and VQAV2, we show that our method achieves remarkable performance improvements. Code is available at https://github.com/Artanic30/MacCap.

MRAG-Bench: Vision-Centric Evaluation for Retrieval-Augmented Multimodal Models

Existing multimodal retrieval benchmarks primarily focus on evaluating whether models can retrieve and utilize external textual knowledge for question answering. However, there are scenarios where retrieving visual information is either more beneficial or easier to access than textual data. In this paper, we introduce a multimodal retrieval-augmented generation benchmark, MRAG-Bench, in which we systematically identify and categorize scenarios where visually augmented knowledge is better than textual knowledge, for instance, more images from varying viewpoints. MRAG-Bench consists of 16,130 images and 1,353 human-annotated multiple-choice questions across 9 distinct scenarios. With MRAG-Bench, we conduct an evaluation of 10 open-source and 4 proprietary large vision-language models (LVLMs). Our results show that all LVLMs exhibit greater improvements when augmented with images compared to textual knowledge, confirming that MRAG-Bench is vision-centric. Additionally, we conduct extensive analysis with MRAG-Bench, which offers valuable insights into retrieval-augmented LVLMs. Notably, the top-performing model, GPT-4o, faces challenges in effectively leveraging retrieved knowledge, achieving only a 5.82% improvement with ground-truth information, in contrast to a 33.16% improvement observed in human participants. These findings highlight the importance of MRAG-Bench in encouraging the community to enhance LVLMs' ability to utilize retrieved visual knowledge more effectively.

CLIM: Contrastive Language-Image Mosaic for Region Representation

Detecting objects accurately from a large or open vocabulary necessitates the vision-language alignment on region representations. However, learning such a region-text alignment by obtaining high-quality box annotations with text labels or descriptions is expensive and infeasible. In contrast, collecting image-text pairs is simpler but lacks precise object location information to associate regions with texts. In this paper, we propose a novel approach called Contrastive Language-Image Mosaic (CLIM), which leverages large-scale image-text pairs effectively for aligning region and text representations. CLIM combines multiple images into a mosaicked image and treats each image as a `pseudo region'. The feature of each pseudo region is extracted and trained to be similar to the corresponding text embedding while dissimilar from others by a contrastive loss, enabling the model to learn the region-text alignment without costly box annotations. As a generally applicable approach, CLIM consistently improves different open-vocabulary object detection methods that use caption supervision. Furthermore, CLIM can effectively enhance the region representation of vision-language models, thus providing stronger backbones for open-vocabulary object detectors. Our experimental results demonstrate that CLIM improves different baseline open-vocabulary object detectors by a large margin on both OV-COCO and OV-LVIS benchmarks. The code is available at https://github.com/wusize/CLIM.

Visual Text Processing: A Comprehensive Review and Unified Evaluation

Visual text is a crucial component in both document and scene images, conveying rich semantic information and attracting significant attention in the computer vision community. Beyond traditional tasks such as text detection and recognition, visual text processing has witnessed rapid advancements driven by the emergence of foundation models, including text image reconstruction and text image manipulation. Despite significant progress, challenges remain due to the unique properties that differentiate text from general objects. Effectively capturing and leveraging these distinct textual characteristics is essential for developing robust visual text processing models. In this survey, we present a comprehensive, multi-perspective analysis of recent advancements in visual text processing, focusing on two key questions: (1) What textual features are most suitable for different visual text processing tasks? (2) How can these distinctive text features be effectively incorporated into processing frameworks? Furthermore, we introduce VTPBench, a new benchmark that encompasses a broad range of visual text processing datasets. Leveraging the advanced visual quality assessment capabilities of multimodal large language models (MLLMs), we propose VTPScore, a novel evaluation metric designed to ensure fair and reliable evaluation. Our empirical study with more than 20 specific models reveals substantial room for improvement in the current techniques. Our aim is to establish this work as a fundamental resource that fosters future exploration and innovation in the dynamic field of visual text processing. The relevant repository is available at https://github.com/shuyansy/Visual-Text-Processing-survey.

Emergent Properties of Foveated Perceptual Systems

The goal of this work is to characterize the representational impact that foveation operations have for machine vision systems, inspired by the foveated human visual system, which has higher acuity at the center of gaze and texture-like encoding in the periphery. To do so, we introduce models consisting of a first-stage fixed image transform followed by a second-stage learnable convolutional neural network, and we varied the first stage component. The primary model has a foveated-textural input stage, which we compare to a model with foveated-blurred input and a model with spatially-uniform blurred input (both matched for perceptual compression), and a final reference model with minimal input-based compression. We find that: 1) the foveated-texture model shows similar scene classification accuracy as the reference model despite its compressed input, with greater i.i.d. generalization than the other models; 2) the foveated-texture model has greater sensitivity to high-spatial frequency information and greater robustness to occlusion, w.r.t the comparison models; 3) both the foveated systems, show a stronger center image-bias relative to the spatially-uniform systems even with a weight sharing constraint. Critically, these results are preserved over different classical CNN architectures throughout their learning dynamics. Altogether, this suggests that foveation with peripheral texture-based computations yields an efficient, distinct, and robust representational format of scene information, and provides symbiotic computational insight into the representational consequences that texture-based peripheral encoding may have for processing in the human visual system, while also potentially inspiring the next generation of computer vision models via spatially-adaptive computation. Code + Data available here: https://github.com/ArturoDeza/EmergentProperties

A-STAR: Test-time Attention Segregation and Retention for Text-to-image Synthesis

While recent developments in text-to-image generative models have led to a suite of high-performing methods capable of producing creative imagery from free-form text, there are several limitations. By analyzing the cross-attention representations of these models, we notice two key issues. First, for text prompts that contain multiple concepts, there is a significant amount of pixel-space overlap (i.e., same spatial regions) among pairs of different concepts. This eventually leads to the model being unable to distinguish between the two concepts and one of them being ignored in the final generation. Next, while these models attempt to capture all such concepts during the beginning of denoising (e.g., first few steps) as evidenced by cross-attention maps, this knowledge is not retained by the end of denoising (e.g., last few steps). Such loss of knowledge eventually leads to inaccurate generation outputs. To address these issues, our key innovations include two test-time attention-based loss functions that substantially improve the performance of pretrained baseline text-to-image diffusion models. First, our attention segregation loss reduces the cross-attention overlap between attention maps of different concepts in the text prompt, thereby reducing the confusion/conflict among various concepts and the eventual capture of all concepts in the generated output. Next, our attention retention loss explicitly forces text-to-image diffusion models to retain cross-attention information for all concepts across all denoising time steps, thereby leading to reduced information loss and the preservation of all concepts in the generated output.

Visual Instruction Tuning towards General-Purpose Multimodal Model: A Survey

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.

ArtGPT-4: Artistic Vision-Language Understanding with Adapter-enhanced MiniGPT-4

In recent years, large language models (LLMs) have made significant progress in natural language processing (NLP), with models like ChatGPT and GPT-4 achieving impressive capabilities in various linguistic tasks. However, training models on such a large scale is challenging, and finding datasets that match the model's scale is often difficult. Fine-tuning and training models with fewer parameters using novel methods have emerged as promising approaches to overcome these challenges. One such model is MiniGPT-4, which achieves comparable vision-language understanding to GPT-4 by leveraging novel pre-training models and innovative training strategies. However, the model still faces some challenges in image understanding, particularly in artistic pictures. A novel multimodal model called ArtGPT-4 has been proposed to address these limitations. ArtGPT-4 was trained on image-text pairs using a Tesla A100 device in just 2 hours, using only about 200 GB of data. The model can depict images with an artistic flair and generate visual code, including aesthetically pleasing HTML/CSS web pages. Furthermore, the article proposes novel benchmarks for evaluating the performance of vision-language models. In the subsequent evaluation methods, ArtGPT-4 scored more than 1 point higher than the current state-of-the-art model and was only 0.25 points lower than artists on a 6-point scale. Our code and pre-trained model are available at https://huggingface.co/Tyrannosaurus/ArtGPT-4.

Not All Patches are What You Need: Expediting Vision Transformers via Token Reorganizations

Vision Transformers (ViTs) take all the image patches as tokens and construct multi-head self-attention (MHSA) among them. Complete leverage of these image tokens brings redundant computations since not all the tokens are attentive in MHSA. Examples include that tokens containing semantically meaningless or distractive image backgrounds do not positively contribute to the ViT predictions. In this work, we propose to reorganize image tokens during the feed-forward process of ViT models, which is integrated into ViT during training. For each forward inference, we identify the attentive image tokens between MHSA and FFN (i.e., feed-forward network) modules, which is guided by the corresponding class token attention. Then, we reorganize image tokens by preserving attentive image tokens and fusing inattentive ones to expedite subsequent MHSA and FFN computations. To this end, our method EViT improves ViTs from two perspectives. First, under the same amount of input image tokens, our method reduces MHSA and FFN computation for efficient inference. For instance, the inference speed of DeiT-S is increased by 50% while its recognition accuracy is decreased by only 0.3% for ImageNet classification. Second, by maintaining the same computational cost, our method empowers ViTs to take more image tokens as input for recognition accuracy improvement, where the image tokens are from higher resolution images. An example is that we improve the recognition accuracy of DeiT-S by 1% for ImageNet classification at the same computational cost of a vanilla DeiT-S. Meanwhile, our method does not introduce more parameters to ViTs. Experiments on the standard benchmarks show the effectiveness of our method. The code is available at https://github.com/youweiliang/evit

M2-Encoder: Advancing Bilingual Image-Text Understanding by Large-scale Efficient Pretraining

Vision-language foundation models like CLIP have revolutionized the field of artificial intelligence. Nevertheless, VLM models supporting multi-language, e.g., in both Chinese and English, have lagged due to the relative scarcity of large-scale pretraining datasets. Toward this end, we introduce a comprehensive bilingual (Chinese-English) dataset BM-6B with over 6 billion image-text pairs, aimed at enhancing multimodal foundation models to well understand images in both languages. To handle such a scale of dataset, we propose a novel grouped aggregation approach for image-text contrastive loss computation, which reduces the communication overhead and GPU memory demands significantly, facilitating a 60% increase in training speed. We pretrain a series of bilingual image-text foundation models with an enhanced fine-grained understanding ability on BM-6B, the resulting models, dubbed as M^2-Encoders (pronounced "M-Square"), set new benchmarks in both languages for multimodal retrieval and classification tasks. Notably, Our largest M^2-Encoder-10B model has achieved top-1 accuracies of 88.5% on ImageNet and 80.7% on ImageNet-CN under a zero-shot classification setting, surpassing previously reported SoTA methods by 2.2% and 21.1%, respectively. The M^2-Encoder series represents one of the most comprehensive bilingual image-text foundation models to date, so we are making it available to the research community for further exploration and development.

A ResNet is All You Need? Modeling A Strong Baseline for Detecting Referable Diabetic Retinopathy in Fundus Images

Deep learning is currently the state-of-the-art for automated detection of referable diabetic retinopathy (DR) from color fundus photographs (CFP). While the general interest is put on improving results through methodological innovations, it is not clear how good these approaches perform compared to standard deep classification models trained with the appropriate settings. In this paper we propose to model a strong baseline for this task based on a simple and standard ResNet-18 architecture. To this end, we built on top of prior art by training the model with a standard preprocessing strategy but using images from several public sources and an empirically calibrated data augmentation setting. To evaluate its performance, we covered multiple clinically relevant perspectives, including image and patient level DR screening, discriminating responses by input quality and DR grade, assessing model uncertainties and analyzing its results in a qualitative manner. With no other methodological innovation than a carefully designed training, our ResNet model achieved an AUC = 0.955 (0.953 - 0.956) on a combined test set of 61007 test images from different public datasets, which is in line or even better than what other more complex deep learning models reported in the literature. Similar AUC values were obtained in 480 images from two separate in-house databases specially prepared for this study, which emphasize its generalization ability. This confirms that standard networks can still be strong baselines for this task if properly trained.

ECoDepth: Effective Conditioning of Diffusion Models for Monocular Depth Estimation

In the absence of parallax cues, a learning-based single image depth estimation (SIDE) model relies heavily on shading and contextual cues in the image. While this simplicity is attractive, it is necessary to train such models on large and varied datasets, which are difficult to capture. It has been shown that using embeddings from pre-trained foundational models, such as CLIP, improves zero shot transfer in several applications. Taking inspiration from this, in our paper we explore the use of global image priors generated from a pre-trained ViT model to provide more detailed contextual information. We argue that the embedding vector from a ViT model, pre-trained on a large dataset, captures greater relevant information for SIDE than the usual route of generating pseudo image captions, followed by CLIP based text embeddings. Based on this idea, we propose a new SIDE model using a diffusion backbone which is conditioned on ViT embeddings. Our proposed design establishes a new state-of-the-art (SOTA) for SIDE on NYUv2 dataset, achieving Abs Rel error of 0.059 (14% improvement) compared to 0.069 by the current SOTA (VPD). And on KITTI dataset, achieving Sq Rel error of 0.139 (2% improvement) compared to 0.142 by the current SOTA (GEDepth). For zero-shot transfer with a model trained on NYUv2, we report mean relative improvement of (20%, 23%, 81%, 25%) over NeWCRFs on (Sun-RGBD, iBims1, DIODE, HyperSim) datasets, compared to (16%, 18%, 45%, 9%) by ZoeDepth. The project page is available at https://ecodepth-iitd.github.io

GMAI-MMBench: A Comprehensive Multimodal Evaluation Benchmark Towards General Medical AI

Large Vision-Language Models (LVLMs) are capable of handling diverse data types such as imaging, text, and physiological signals, and can be applied in various fields. In the medical field, LVLMs have a high potential to offer substantial assistance for diagnosis and treatment. Before that, it is crucial to develop benchmarks to evaluate LVLMs' effectiveness in various medical applications. Current benchmarks are often built upon specific academic literature, mainly focusing on a single domain, and lacking varying perceptual granularities. Thus, they face specific challenges, including limited clinical relevance, incomplete evaluations, and insufficient guidance for interactive LVLMs. To address these limitations, we developed the GMAI-MMBench, the most comprehensive general medical AI benchmark with well-categorized data structure and multi-perceptual granularity to date. It is constructed from 285 datasets across 39 medical image modalities, 18 clinical-related tasks, 18 departments, and 4 perceptual granularities in a Visual Question Answering (VQA) format. Additionally, we implemented a lexical tree structure that allows users to customize evaluation tasks, accommodating various assessment needs and substantially supporting medical AI research and applications. We evaluated 50 LVLMs, and the results show that even the advanced GPT-4o only achieves an accuracy of 52%, indicating significant room for improvement. Moreover, we identified five key insufficiencies in current cutting-edge LVLMs that need to be addressed to advance the development of better medical applications. We believe that GMAI-MMBench will stimulate the community to build the next generation of LVLMs toward GMAI. Project Page: https://uni-medical.github.io/GMAI-MMBench.github.io/

RoentGen: Vision-Language Foundation Model for Chest X-ray Generation

Multimodal models trained on large natural image-text pair datasets have exhibited astounding abilities in generating high-quality images. Medical imaging data is fundamentally different to natural images, and the language used to succinctly capture relevant details in medical data uses a different, narrow but semantically rich, domain-specific vocabulary. Not surprisingly, multi-modal models trained on natural image-text pairs do not tend to generalize well to the medical domain. Developing generative imaging models faithfully representing medical concepts while providing compositional diversity could mitigate the existing paucity of high-quality, annotated medical imaging datasets. In this work, we develop a strategy to overcome the large natural-medical distributional shift by adapting a pre-trained latent diffusion model on a corpus of publicly available chest x-rays (CXR) and their corresponding radiology (text) reports. We investigate the model's ability to generate high-fidelity, diverse synthetic CXR conditioned on text prompts. We assess the model outputs quantitatively using image quality metrics, and evaluate image quality and text-image alignment by human domain experts. We present evidence that the resulting model (RoentGen) is able to create visually convincing, diverse synthetic CXR images, and that the output can be controlled to a new extent by using free-form text prompts including radiology-specific language. Fine-tuning this model on a fixed training set and using it as a data augmentation method, we measure a 5% improvement of a classifier trained jointly on synthetic and real images, and a 3% improvement when trained on a larger but purely synthetic training set. Finally, we observe that this fine-tuning distills in-domain knowledge in the text-encoder and can improve its representation capabilities of certain diseases like pneumothorax by 25%.

The Role of AI in Early Detection of Life-Threatening Diseases: A Retinal Imaging Perspective

Retinal imaging has emerged as a powerful, non-invasive modality for detecting and quantifying biomarkers of systemic diseases-ranging from diabetes and hypertension to Alzheimer's disease and cardiovascular disorders but current insights remain dispersed across platforms and specialties. Recent technological advances in optical coherence tomography (OCT/OCTA) and adaptive optics (AO) now deliver ultra-high-resolution scans (down to 5 {\mu}m ) with superior contrast and spatial integration, allowing early identification of microvascular abnormalities and neurodegenerative changes. At the same time, AI-driven and machine learning (ML) algorithms have revolutionized the analysis of large-scale retinal datasets, increasing sensitivity and specificity; for example, deep learning models achieve > 90 \% sensitivity for diabetic retinopathy and AUC = 0.89 for the prediction of cardiovascular risk from fundus photographs. The proliferation of mobile health technologies and telemedicine platforms further extends access, reduces costs, and facilitates community-based screening and longitudinal monitoring. Despite these breakthroughs, translation into routine practice is hindered by heterogeneous imaging protocols, limited external validation of AI models, and integration challenges within clinical workflows. In this review, we systematically synthesize the latest OCT/OCT and AO developments, AI/ML approaches, and mHealth/Tele-ophthalmology initiatives and quantify their diagnostic performance across disease domains. Finally, we propose a roadmap for multicenter protocol standardization, prospective validation trials, and seamless incorporation of retinal screening into primary and specialty care pathways-paving the way for precision prevention, early intervention, and ongoing treatment of life-threatening systemic diseases.

ILLUME: Illuminating Your LLMs to See, Draw, and Self-Enhance

In this paper, we introduce ILLUME, a unified multimodal large language model (MLLM) that seamlessly integrates multimodal understanding and generation capabilities within a single large language model through a unified next-token prediction formulation. To address the large dataset size typically required for image-text alignment, we propose to enhance data efficiency through the design of a vision tokenizer that incorporates semantic information and a progressive multi-stage training procedure. This approach reduces the dataset size to just 15M for pretraining -- over four times fewer than what is typically needed -- while achieving competitive or even superior performance with existing unified MLLMs, such as Janus. Additionally, to promote synergistic enhancement between understanding and generation capabilities, which is under-explored in previous works, we introduce a novel self-enhancing multimodal alignment scheme. This scheme supervises the MLLM to self-assess the consistency between text descriptions and self-generated images, facilitating the model to interpret images more accurately and avoid unrealistic and incorrect predictions caused by misalignment in image generation. Based on extensive experiments, our proposed ILLUME stands out and competes with state-of-the-art unified MLLMs and specialized models across various benchmarks for multimodal understanding, generation, and editing.

PixArt-α: Fast Training of Diffusion Transformer for Photorealistic Text-to-Image Synthesis

The most advanced text-to-image (T2I) models require significant training costs (e.g., millions of GPU hours), seriously hindering the fundamental innovation for the AIGC community while increasing CO2 emissions. This paper introduces PIXART-alpha, a Transformer-based T2I diffusion model whose image generation quality is competitive with state-of-the-art image generators (e.g., Imagen, SDXL, and even Midjourney), reaching near-commercial application standards. Additionally, it supports high-resolution image synthesis up to 1024px resolution with low training cost, as shown in Figure 1 and 2. To achieve this goal, three core designs are proposed: (1) Training strategy decomposition: We devise three distinct training steps that separately optimize pixel dependency, text-image alignment, and image aesthetic quality; (2) Efficient T2I Transformer: We incorporate cross-attention modules into Diffusion Transformer (DiT) to inject text conditions and streamline the computation-intensive class-condition branch; (3) High-informative data: We emphasize the significance of concept density in text-image pairs and leverage a large Vision-Language model to auto-label dense pseudo-captions to assist text-image alignment learning. As a result, PIXART-alpha's training speed markedly surpasses existing large-scale T2I models, e.g., PIXART-alpha only takes 10.8% of Stable Diffusion v1.5's training time (675 vs. 6,250 A100 GPU days), saving nearly \300,000 (26,000 vs. \320,000) and reducing 90% CO2 emissions. Moreover, compared with a larger SOTA model, RAPHAEL, our training cost is merely 1%. Extensive experiments demonstrate that PIXART-\alpha excels in image quality, artistry, and semantic control. We hope PIXART-\alpha$ will provide new insights to the AIGC community and startups to accelerate building their own high-quality yet low-cost generative models from scratch.

Rethinking Vision Transformer for Large-Scale Fine-Grained Image Retrieval

Large-scale fine-grained image retrieval (FGIR) aims to retrieve images belonging to the same subcategory as a given query by capturing subtle differences in a large-scale setting. Recently, Vision Transformers (ViT) have been employed in FGIR due to their powerful self-attention mechanism for modeling long-range dependencies. However, most Transformer-based methods focus primarily on leveraging self-attention to distinguish fine-grained details, while overlooking the high computational complexity and redundant dependencies inherent to these models, limiting their scalability and effectiveness in large-scale FGIR. In this paper, we propose an Efficient and Effective ViT-based framework, termed EET, which integrates token pruning module with a discriminative transfer strategy to address these limitations. Specifically, we introduce a content-based token pruning scheme to enhance the efficiency of the vanilla ViT, progressively removing background or low-discriminative tokens at different stages by exploiting feature responses and self-attention mechanism. To ensure the resulting efficient ViT retains strong discriminative power, we further present a discriminative transfer strategy comprising both discriminative knowledge transfer and discriminative region guidance. Using a distillation paradigm, these components transfer knowledge from a larger ``teacher'' ViT to a more efficient ``student'' model, guiding the latter to focus on subtle yet crucial regions in a cost-free manner. Extensive experiments on two widely-used fine-grained datasets and four large-scale fine-grained datasets demonstrate the effectiveness of our method. Specifically, EET reduces the inference latency of ViT-Small by 42.7\% and boosts the retrieval performance of 16-bit hash codes by 5.15\% on the challenging NABirds dataset.

RadCLIP: Enhancing Radiologic Image Analysis through Contrastive Language-Image Pre-training

The integration of artificial intelligence (AI) with radiology marks a transformative era in medicine. Vision foundation models have been adopted to enhance radiologic imaging analysis. However, the distinct complexities of radiologic 2D and 3D radiologic data pose unique challenges that existing models, pre-trained on general non-medical images, fail to address adequately. To bridge this gap and capitalize on the diagnostic precision required in radiologic imaging, we introduce Radiologic Contrastive Language-Image Pre-training (RadCLIP): a cross-modal vision-language foundational model that harnesses Vision Language Pre-training (VLP) framework to improve radiologic image analysis. Building upon Contrastive Language-Image Pre-training (CLIP), RadCLIP incorporates a slice pooling mechanism tailored for volumetric image analysis and is pre-trained using a large and diverse dataset of radiologic image-text pairs. The RadCLIP was pre-trained to effectively align radiologic images with their corresponding text annotations, creating a robust vision backbone for radiologic images. Extensive experiments demonstrate RadCLIP's superior performance in both uni-modal radiologic image classification and cross-modal image-text matching, highlighting its significant promise for improving diagnostic accuracy and efficiency in clinical settings. Our Key contributions include curating a large dataset with diverse radiologic 2D/3D radiologic image-text pairs, a slice pooling adapter using an attention mechanism for integrating 2D images, and comprehensive evaluations of RadCLIP on various radiologic downstream tasks.

Image Textualization: An Automatic Framework for Creating Accurate and Detailed Image Descriptions

Image description datasets play a crucial role in the advancement of various applications such as image understanding, text-to-image generation, and text-image retrieval. Currently, image description datasets primarily originate from two sources. One source is the scraping of image-text pairs from the web. Despite their abundance, these descriptions are often of low quality and noisy. Another is through human labeling. Datasets such as COCO are generally very short and lack details. Although detailed image descriptions can be annotated by humans, the high annotation cost limits the feasibility. These limitations underscore the need for more efficient and scalable methods to generate accurate and detailed image descriptions. In this paper, we propose an innovative framework termed Image Textualization (IT), which automatically produces high-quality image descriptions by leveraging existing multi-modal large language models (MLLMs) and multiple vision expert models in a collaborative manner, which maximally convert the visual information into text. To address the current lack of benchmarks for detailed descriptions, we propose several benchmarks for comprehensive evaluation, which verifies the quality of image descriptions created by our framework. Furthermore, we show that LLaVA-7B, benefiting from training on IT-curated descriptions, acquire improved capability to generate richer image descriptions, substantially increasing the length and detail of their output with less hallucination.

Multimodal Deep Learning for Low-Resource Settings: A Vector Embedding Alignment Approach for Healthcare Applications

Large-scale multi-modal deep learning models have revolutionized domains such as healthcare, highlighting the importance of computational power. However, in resource-constrained regions like Low and Middle-Income Countries (LMICs), limited access to GPUs and data poses significant challenges, often leaving CPUs as the sole resource. To address this, we advocate for leveraging vector embeddings to enable flexible and efficient computational methodologies, democratizing multimodal deep learning across diverse contexts. Our paper investigates the efficiency and effectiveness of using vector embeddings from single-modal foundation models and multi-modal Vision-Language Models (VLMs) for multimodal deep learning in low-resource environments, particularly in healthcare. Additionally, we propose a simple yet effective inference-time method to enhance performance by aligning image-text embeddings. Comparing these approaches with traditional methods, we assess their impact on computational efficiency and model performance using metrics like accuracy, F1-score, inference time, training time, and memory usage across three medical modalities: BRSET (ophthalmology), HAM10000 (dermatology), and SatelliteBench (public health). Our findings show that embeddings reduce computational demands without compromising model performance. Furthermore, our alignment method improves performance in medical tasks. This research promotes sustainable AI practices by optimizing resources in constrained environments, highlighting the potential of embedding-based approaches for efficient multimodal learning. Vector embeddings democratize multimodal deep learning in LMICs, particularly in healthcare, enhancing AI adaptability in varied use cases.

MMIG-Bench: Towards Comprehensive and Explainable Evaluation of Multi-Modal Image Generation Models

Recent multimodal image generators such as GPT-4o, Gemini 2.0 Flash, and Gemini 2.5 Pro excel at following complex instructions, editing images and maintaining concept consistency. However, they are still evaluated by disjoint toolkits: text-to-image (T2I) benchmarks that lacks multi-modal conditioning, and customized image generation benchmarks that overlook compositional semantics and common knowledge. We propose MMIG-Bench, a comprehensive Multi-Modal Image Generation Benchmark that unifies these tasks by pairing 4,850 richly annotated text prompts with 1,750 multi-view reference images across 380 subjects, spanning humans, animals, objects, and artistic styles. MMIG-Bench is equipped with a three-level evaluation framework: (1) low-level metrics for visual artifacts and identity preservation of objects; (2) novel Aspect Matching Score (AMS): a VQA-based mid-level metric that delivers fine-grained prompt-image alignment and shows strong correlation with human judgments; and (3) high-level metrics for aesthetics and human preference. Using MMIG-Bench, we benchmark 17 state-of-the-art models, including Gemini 2.5 Pro, FLUX, DreamBooth, and IP-Adapter, and validate our metrics with 32k human ratings, yielding in-depth insights into architecture and data design. We will release the dataset and evaluation code to foster rigorous, unified evaluation and accelerate future innovations in multi-modal image generation.

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

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

Holistic Evaluation for Interleaved Text-and-Image Generation

Interleaved text-and-image generation has been an intriguing research direction, where the models are required to generate both images and text pieces in an arbitrary order. Despite the emerging advancements in interleaved generation, the progress in its evaluation still significantly lags behind. Existing evaluation benchmarks do not support arbitrarily interleaved images and text for both inputs and outputs, and they only cover a limited number of domains and use cases. Also, current works predominantly use similarity-based metrics which fall short in assessing the quality in open-ended scenarios. To this end, we introduce InterleavedBench, the first benchmark carefully curated for the evaluation of interleaved text-and-image generation. InterleavedBench features a rich array of tasks to cover diverse real-world use cases. In addition, we present InterleavedEval, a strong reference-free metric powered by GPT-4o to deliver accurate and explainable evaluation. We carefully define five essential evaluation aspects for InterleavedEval, including text quality, perceptual quality, image coherence, text-image coherence, and helpfulness, to ensure a comprehensive and fine-grained assessment. Through extensive experiments and rigorous human evaluation, we show that our benchmark and metric can effectively evaluate the existing models with a strong correlation with human judgments surpassing previous reference-based metrics. We also provide substantial findings and insights to foster future research in interleaved generation and its evaluation.

Knowledge to Sight: Reasoning over Visual Attributes via Knowledge Decomposition for Abnormality Grounding

In this work, we address the problem of grounding abnormalities in medical images, where the goal is to localize clinical findings based on textual descriptions. While generalist Vision-Language Models (VLMs) excel in natural grounding tasks, they often struggle in the medical domain due to rare, compositional, and domain-specific terms that are poorly aligned with visual patterns. Specialized medical VLMs address this challenge via large-scale domain pretraining, but at the cost of substantial annotation and computational resources. To overcome these limitations, we propose Knowledge to Sight (K2Sight), a framework that introduces structured semantic supervision by decomposing clinical concepts into interpretable visual attributes, such as shape, density, and anatomical location. These attributes are distilled from domain ontologies and encoded into concise instruction-style prompts, which guide region-text alignment during training. Unlike conventional report-level supervision, our approach explicitly bridges domain knowledge and spatial structure, enabling data-efficient training of compact models. We train compact models with 0.23B and 2B parameters using only 1.5\% of the data required by state-of-the-art medical VLMs. Despite their small size and limited training data, these models achieve performance on par with or better than 7B+ medical VLMs, with up to 9.82\% improvement in mAP_{50}. Code and models: https://lijunrio.github.io/K2Sight/{SOTAPink{https://lijunrio.github.io/K2Sight/}}.

RetFiner: A Vision-Language Refinement Scheme for Retinal Foundation Models

The rise of imaging techniques such as optical coherence tomography (OCT) and advances in deep learning (DL) have enabled clinicians and researchers to streamline retinal disease staging. A popular DL approach is self-supervised learning (SSL), where models learn from vast amounts of unlabeled data, avoiding costly annotation. SSL has allowed the development of foundation models (FMs), large models that can be used for a variety of downstream tasks. However, existing FMs for OCT, trained solely on image data, lack a comprehensive and robust semantic understanding of images, as evidenced by their downstream performance (especially for complex tasks), and thus require supervised fine-tuning (which may be unfeasible) to better adapt to specific applications and populations. To address this, we propose RetFiner, an SSL vision-language refinement scheme that improves the representations of existing FMs and enables their efficient and direct adaptation to specific populations for improved downstream performance. Our method uses a diverse set of training objectives which take advantage of the rich supervisory signal found in textual data. We tested RetFiner on the retinal FMs RETFound, UrFound, and VisionFM, showing significant improvements in linear probing performance on seven highly diverse OCT classification tasks, with an average increase of 5.8, 3.9, and 2.1 percentage points over their baselines, respectively. Our code and model weights are publicly available at https://github.com/ronnief1/RetFiner.

Do DALL-E and Flamingo Understand Each Other?

The field of multimodal research focusing on the comprehension and creation of both images and text has witnessed significant strides. This progress is exemplified by the emergence of sophisticated models dedicated to image captioning at scale, such as the notable Flamingo model and text-to-image generative models, with DALL-E serving as a prominent example. An interesting question worth exploring in this domain is whether Flamingo and DALL-E understand each other. To study this question, we propose a reconstruction task where Flamingo generates a description for a given image and DALL-E uses this description as input to synthesize a new image. We argue that these models understand each other if the generated image is similar to the given image. Specifically, we study the relationship between the quality of the image reconstruction and that of the text generation. We find that an optimal description of an image is one that gives rise to a generated image similar to the original one. The finding motivates us to propose a unified framework to finetune the text-to-image and image-to-text models. Concretely, the reconstruction part forms a regularization loss to guide the tuning of the models. Extensive experiments on multiple datasets with different image captioning and image generation models validate our findings and demonstrate the effectiveness of our proposed unified framework. As DALL-E and Flamingo are not publicly available, we use Stable Diffusion and BLIP in the remaining work. Project website: https://dalleflamingo.github.io.

Generate to Ground: Multimodal Text Conditioning Boosts Phrase Grounding in Medical Vision-Language Models

Phrase grounding, i.e., mapping natural language phrases to specific image regions, holds significant potential for disease localization in medical imaging through clinical reports. While current state-of-the-art methods rely on discriminative, self-supervised contrastive models, we demonstrate that generative text-to-image diffusion models, leveraging cross-attention maps, can achieve superior zero-shot phrase grounding performance. Contrary to prior assumptions, we show that fine-tuning diffusion models with a frozen, domain-specific language model, such as CXR-BERT, substantially outperforms domain-agnostic counterparts. This setup achieves remarkable improvements, with mIoU scores doubling those of current discriminative methods. These findings highlight the underexplored potential of generative models for phrase grounding tasks. To further enhance performance, we introduce Bimodal Bias Merging (BBM), a novel post-processing technique that aligns text and image biases to identify regions of high certainty. BBM refines cross-attention maps, achieving even greater localization accuracy. Our results establish generative approaches as a more effective paradigm for phrase grounding in the medical imaging domain, paving the way for more robust and interpretable applications in clinical practice. The source code and model weights are available at https://github.com/Felix-012/generate_to_ground.

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

I Can't Believe There's No Images! Learning Visual Tasks Using only Language Supervision

Many high-level skills that are required for computer vision tasks, such as parsing questions, comparing and contrasting semantics, and writing descriptions, are also required in other domains such as natural language processing. In this paper, we ask whether it is possible to learn those skills from text data and then transfer them to vision tasks without ever training on visual training data. Key to our approach is exploiting the joint embedding space of contrastively trained vision and language encoders. In practice, there can be systematic differences between embedding spaces for different modalities in contrastive models, and we analyze how these differences affect our approach and study strategies to mitigate this concern. We produce models using only text training data on four representative tasks: image captioning, visual entailment, visual question answering and visual news captioning, and evaluate them on standard benchmarks using images. We find these models perform close to models trained on images, while surpassing prior work for captioning and visual entailment in this text-only setting by over 9 points, and outperforming all prior work on visual news by over 30 points. We also showcase a variety of stylistic image captioning models that are trained using no image data and no human-curated language data, but instead using readily-available text data from books, the web, or language models.

Patch Matters: Training-free Fine-grained Image Caption Enhancement via Local Perception

High-quality image captions play a crucial role in improving the performance of cross-modal applications such as text-to-image generation, text-to-video generation, and text-image retrieval. To generate long-form, high-quality captions, many recent studies have employed multimodal large language models (MLLMs). However, current MLLMs often produce captions that lack fine-grained details or suffer from hallucinations, a challenge that persists in both open-source and closed-source models. Inspired by Feature-Integration theory, which suggests that attention must focus on specific regions to integrate visual information effectively, we propose a divide-then-aggregate strategy. Our method first divides the image into semantic and spatial patches to extract fine-grained details, enhancing the model's local perception of the image. These local details are then hierarchically aggregated to generate a comprehensive global description. To address hallucinations and inconsistencies in the generated captions, we apply a semantic-level filtering process during hierarchical aggregation. This training-free pipeline can be applied to both open-source models (LLaVA-1.5, LLaVA-1.6, Mini-Gemini) and closed-source models (Claude-3.5-Sonnet, GPT-4o, GLM-4V-Plus). Extensive experiments demonstrate that our method generates more detailed, reliable captions, advancing multimodal description generation without requiring model retraining. The source code are available at https://github.com/GeWu-Lab/Patch-Matters

MMGenBench: Fully Automatically Evaluating LMMs from the Text-to-Image Generation Perspective

Large Multimodal Models (LMMs) demonstrate impressive capabilities. However, current benchmarks predominantly focus on image comprehension in specific domains, and these benchmarks are labor-intensive to construct. Moreover, their answers tend to be brief, making it difficult to assess the ability of LMMs to generate detailed descriptions of images. To address these limitations, we propose the MMGenBench-Pipeline, a straightforward and fully automated evaluation pipeline. This involves generating textual descriptions from input images, using these descriptions to create auxiliary images via text-to-image generative models, and then comparing the original and generated images. Furthermore, to ensure the effectiveness of MMGenBench-Pipeline, we design MMGenBench-Test, evaluating LMMs across 13 distinct image patterns, and MMGenBench-Domain, focusing on generative image performance. A thorough evaluation involving over 50 popular LMMs demonstrates the effectiveness and reliability of both the pipeline and benchmark. Our observations indicate that numerous LMMs excelling in existing benchmarks fail to adequately complete the basic tasks related to image understanding and description. This finding highlights the substantial potential for performance improvement in current LMMs and suggests avenues for future model optimization. Concurrently, MMGenBench-Pipeline can efficiently assess the performance of LMMs across diverse domains using only image inputs.

MagicLens: Self-Supervised Image Retrieval with Open-Ended Instructions

Image retrieval, i.e., finding desired images given a reference image, inherently encompasses rich, multi-faceted search intents that are difficult to capture solely using image-based measures. Recent work leverages text instructions to allow users to more freely express their search intents. However, existing work primarily focuses on image pairs that are visually similar and/or can be characterized by a small set of pre-defined relations. The core thesis of this paper is that text instructions can enable retrieving images with richer relations beyond visual similarity. To show this, we introduce MagicLens, a series of self-supervised image retrieval models that support open-ended instructions. MagicLens is built on a key novel insight: image pairs that naturally occur on the same web pages contain a wide range of implicit relations (e.g., inside view of), and we can bring those implicit relations explicit by synthesizing instructions via large multimodal models (LMMs) and large language models (LLMs). Trained on 36.7M (query image, instruction, target image) triplets with rich semantic relations mined from the web, MagicLens achieves comparable or better results on eight benchmarks of various image retrieval tasks than prior state-of-the-art (SOTA) methods. Remarkably, it outperforms previous SOTA but with a 50X smaller model size on multiple benchmarks. Additional human analyses on a 1.4M-image unseen corpus further demonstrate the diversity of search intents supported by MagicLens.

Align before Fuse: Vision and Language Representation Learning with Momentum Distillation

Large-scale vision and language representation learning has shown promising improvements on various vision-language tasks. Most existing methods employ a transformer-based multimodal encoder to jointly model visual tokens (region-based image features) and word tokens. Because the visual tokens and word tokens are unaligned, it is challenging for the multimodal encoder to learn image-text interactions. In this paper, we introduce a contrastive loss to ALign the image and text representations BEfore Fusing (ALBEF) them through cross-modal attention, which enables more grounded vision and language representation learning. Unlike most existing methods, our method does not require bounding box annotations nor high-resolution images. In order to improve learning from noisy web data, we propose momentum distillation, a self-training method which learns from pseudo-targets produced by a momentum model. We provide a theoretical analysis of ALBEF from a mutual information maximization perspective, showing that different training tasks can be interpreted as different ways to generate views for an image-text pair. ALBEF achieves state-of-the-art performance on multiple downstream vision-language tasks. On image-text retrieval, ALBEF outperforms methods that are pre-trained on orders of magnitude larger datasets. On VQA and NLVR^2, ALBEF achieves absolute improvements of 2.37% and 3.84% compared to the state-of-the-art, while enjoying faster inference speed. Code and pre-trained models are available at https://github.com/salesforce/ALBEF/.

MMXU: A Multi-Modal and Multi-X-ray Understanding Dataset for Disease Progression

Large vision-language models (LVLMs) have shown great promise in medical applications, particularly in visual question answering (MedVQA) and diagnosis from medical images. However, existing datasets and models often fail to consider critical aspects of medical diagnostics, such as the integration of historical records and the analysis of disease progression over time. In this paper, we introduce MMXU (Multimodal and MultiX-ray Understanding), a novel dataset for MedVQA that focuses on identifying changes in specific regions between two patient visits. Unlike previous datasets that primarily address single-image questions, MMXU enables multi-image questions, incorporating both current and historical patient data. We demonstrate the limitations of current LVLMs in identifying disease progression on MMXU-test, even those that perform well on traditional benchmarks. To address this, we propose a MedRecord-Augmented Generation (MAG) approach, incorporating both global and regional historical records. Our experiments show that integrating historical records significantly enhances diagnostic accuracy by at least 20\%, bridging the gap between current LVLMs and human expert performance. Additionally, we fine-tune models with MAG on MMXU-dev, which demonstrates notable improvements. We hope this work could illuminate the avenue of advancing the use of LVLMs in medical diagnostics by emphasizing the importance of historical context in interpreting medical images. Our dataset is released at https://github.com/linjiemu/MMXU{https://github.com/linjiemu/MMXU}.

DF-GAN: A Simple and Effective Baseline for Text-to-Image Synthesis

Synthesizing high-quality realistic images from text descriptions is a challenging task. Existing text-to-image Generative Adversarial Networks generally employ a stacked architecture as the backbone yet still remain three flaws. First, the stacked architecture introduces the entanglements between generators of different image scales. Second, existing studies prefer to apply and fix extra networks in adversarial learning for text-image semantic consistency, which limits the supervision capability of these networks. Third, the cross-modal attention-based text-image fusion that widely adopted by previous works is limited on several special image scales because of the computational cost. To these ends, we propose a simpler but more effective Deep Fusion Generative Adversarial Networks (DF-GAN). To be specific, we propose: (i) a novel one-stage text-to-image backbone that directly synthesizes high-resolution images without entanglements between different generators, (ii) a novel Target-Aware Discriminator composed of Matching-Aware Gradient Penalty and One-Way Output, which enhances the text-image semantic consistency without introducing extra networks, (iii) a novel deep text-image fusion block, which deepens the fusion process to make a full fusion between text and visual features. Compared with current state-of-the-art methods, our proposed DF-GAN is simpler but more efficient to synthesize realistic and text-matching images and achieves better performance on widely used datasets.

Vision-Language Models for Vision Tasks: A Survey

Most visual recognition studies rely heavily on crowd-labelled data in deep neural networks (DNNs) training, and they usually train a DNN for each single visual recognition task, leading to a laborious and time-consuming visual recognition paradigm. To address the two challenges, Vision-Language Models (VLMs) have been intensively investigated recently, which learns rich vision-language correlation from web-scale image-text pairs that are almost infinitely available on the Internet and enables zero-shot predictions on various visual recognition tasks with a single VLM. This paper provides a systematic review of visual language models for various visual recognition tasks, including: (1) the background that introduces the development of visual recognition paradigms; (2) the foundations of VLM that summarize the widely-adopted network architectures, pre-training objectives, and downstream tasks; (3) the widely-adopted datasets in VLM pre-training and evaluations; (4) the review and categorization of existing VLM pre-training methods, VLM transfer learning methods, and VLM knowledge distillation methods; (5) the benchmarking, analysis and discussion of the reviewed methods; (6) several research challenges and potential research directions that could be pursued in the future VLM studies for visual recognition. A project associated with this survey has been created at https://github.com/jingyi0000/VLM_survey.