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Jan 8

A slice classification neural network for automated classification of axial PET/CT slices from a multi-centric lymphoma dataset

Automated slice classification is clinically relevant since it can be incorporated into medical image segmentation workflows as a preprocessing step that would flag slices with a higher probability of containing tumors, thereby directing physicians attention to the important slices. In this work, we train a ResNet-18 network to classify axial slices of lymphoma PET/CT images (collected from two institutions) depending on whether the slice intercepted a tumor (positive slice) in the 3D image or if the slice did not (negative slice). Various instances of the network were trained on 2D axial datasets created in different ways: (i) slice-level split and (ii) patient-level split; inputs of different types were used: (i) only PET slices and (ii) concatenated PET and CT slices; and different training strategies were employed: (i) center-aware (CAW) and (ii) center-agnostic (CAG). Model performances were compared using the area under the receiver operating characteristic curve (AUROC) and the area under the precision-recall curve (AUPRC), and various binary classification metrics. We observe and describe a performance overestimation in the case of slice-level split as compared to the patient-level split training. The model trained using patient-level split data with the network input containing only PET slices in the CAG training regime was the best performing/generalizing model on a majority of metrics. Our models were additionally more closely compared using the sensitivity metric on the positive slices from their respective test sets.

  • 8 authors
·
Mar 11, 2024

Concept-Aware Batch Sampling Improves Language-Image Pretraining

What data should a vision-language model be trained on? To answer this question, many data curation efforts center on the quality of a dataset. However, most of these existing methods are (i) offline, i.e. they produce a static dataset from a set of predetermined filtering criteria, and (ii) concept-agnostic, i.e. they use model-based filters which induce additional data biases. In this work, we go beyond such offline, concept-agnostic methods and advocate for more flexible, task-adaptive online concept-based curation. Our first contribution is DataConcept, a collection of 128M web-crawled image-text pairs annotated with fine-grained details about their concept composition. Building on DataConcept, we introduce Concept-Aware Batch Sampling (CABS), a simple yet effective batch sampling framework that flexibly constructs batches on-the-fly based on specific target distributions. We propose two variants: (i) Diversity Maximization (CABS-DM) to curate batches with a broad coverage of available concepts, and (ii) Frequency Maximization (CABS-FM) to curate batches with high object multiplicity. Through extensive evaluations across 28 benchmarks, we demonstrate that our CABS method significantly benefits CLIP/SigLIP model classes and yields highly performant models. Overall, CABS represents a strong open-source alternative to proprietary online data curation algorithms, enabling practitioners to define custom concept distributions that optimize for specific downstream tasks.

bethgelab Bethgelab
·
Nov 25, 2025 2

Task-KV: Task-aware KV Cache Optimization via Semantic Differentiation of Attention Heads

KV cache is a widely used acceleration technique for large language models (LLMs) inference. However, its memory requirement grows rapidly with input length. Previous studies have reduced the size of KV cache by either removing the same number of unimportant tokens for all attention heads or by allocating differentiated KV cache budgets for pre-identified attention heads. However, due to the importance of attention heads varies across different tasks, the pre-identified attention heads fail to adapt effectively to various downstream tasks. To address this issue, we propose Task-KV, a method that leverages the semantic differentiation of attention heads to allocate differentiated KV cache budgets across various tasks. We demonstrate that attention heads far from the semantic center (called heterogeneous heads) make an significant contribution to task outputs and semantic understanding. In contrast, other attention heads play the role of aggregating important information and focusing reasoning. Task-KV allocates full KV cache budget to heterogeneous heads to preserve comprehensive semantic information, while reserving a small number of recent tokens and attention sinks for non-heterogeneous heads. Furthermore, we innovatively introduce middle activations to preserve key contextual information aggregated from non-heterogeneous heads. To dynamically perceive semantic differences among attention heads, we design a semantic separator to distinguish heterogeneous heads from non-heterogeneous ones based on their distances from the semantic center. Experimental results on multiple benchmarks and different model architectures demonstrate that Task-KV significantly outperforms existing baseline methods.

  • 3 authors
·
Jan 25, 2025

CAPE: A CLIP-Aware Pointing Ensemble of Complementary Heatmap Cues for Embodied Reference Understanding

We address the problem of Embodied Reference Understanding, which involves predicting the object that a person in the scene is referring to through both pointing gesture and language. Accurately identifying the referent requires multimodal understanding: integrating textual instructions, visual pointing, and scene context. However, existing methods often struggle to effectively leverage visual clues for disambiguation. We also observe that, while the referent is often aligned with the head-to-fingertip line, it occasionally aligns more closely with the wrist-to-fingertip line. Therefore, relying on a single line assumption can be overly simplistic and may lead to suboptimal performance. To address this, we propose a dual-model framework, where one model learns from the head-to-fingertip direction and the other from the wrist-to-fingertip direction. We further introduce a Gaussian ray heatmap representation of these lines and use them as input to provide a strong supervisory signal that encourages the model to better attend to pointing cues. To combine the strengths of both models, we present the CLIP-Aware Pointing Ensemble module, which performs a hybrid ensemble based on CLIP features. Additionally, we propose an object center prediction head as an auxiliary task to further enhance referent localization. We validate our approach through extensive experiments and analysis on the benchmark YouRefIt dataset, achieving an improvement of approximately 4 mAP at the 0.25 IoU threshold.

  • 4 authors
·
Jul 29, 2025

UPL-SFDA: Uncertainty-aware Pseudo Label Guided Source-Free Domain Adaptation for Medical Image Segmentation

Domain Adaptation (DA) is important for deep learning-based medical image segmentation models to deal with testing images from a new target domain. As the source-domain data are usually unavailable when a trained model is deployed at a new center, Source-Free Domain Adaptation (SFDA) is appealing for data and annotation-efficient adaptation to the target domain. However, existing SFDA methods have a limited performance due to lack of sufficient supervision with source-domain images unavailable and target-domain images unlabeled. We propose a novel Uncertainty-aware Pseudo Label guided (UPL) SFDA method for medical image segmentation. Specifically, we propose Target Domain Growing (TDG) to enhance the diversity of predictions in the target domain by duplicating the pre-trained model's prediction head multiple times with perturbations. The different predictions in these duplicated heads are used to obtain pseudo labels for unlabeled target-domain images and their uncertainty to identify reliable pseudo labels. We also propose a Twice Forward pass Supervision (TFS) strategy that uses reliable pseudo labels obtained in one forward pass to supervise predictions in the next forward pass. The adaptation is further regularized by a mean prediction-based entropy minimization term that encourages confident and consistent results in different prediction heads. UPL-SFDA was validated with a multi-site heart MRI segmentation dataset, a cross-modality fetal brain segmentation dataset, and a 3D fetal tissue segmentation dataset. It improved the average Dice by 5.54, 5.01 and 6.89 percentage points for the three tasks compared with the baseline, respectively, and outperformed several state-of-the-art SFDA methods.

  • 9 authors
·
Sep 18, 2023

ToDRE: Visual Token Pruning via Diversity and Task Awareness for Efficient Large Vision-Language Models

The representation of visual inputs of large vision-language models (LVLMs) usually involves substantially more tokens than that of textual inputs, leading to significant computational overhead. Several recent studies strive to mitigate this issue by either conducting token compression to prune redundant visual tokens or guiding them to bypass certain computational stages. While most existing work exploits token importance as the redundancy indicator, our study reveals that two largely neglected factors, namely, the diversity of retained visual tokens and their task relevance, often offer more robust criteria in token pruning. To this end, we design ToDRE, a two-stage and training-free token compression framework that achieves superior performance by pruning Tokens based on token Diversity and token-task RElevance. Instead of pruning redundant tokens, ToDRE introduces a greedy k-center algorithm to select and retain a small subset of diverse visual tokens after the vision encoder. Additionally, ToDRE addresses the "information migration" by further eliminating task-irrelevant visual tokens within the decoder of large language model (LLM). Extensive experiments show that ToDRE effectively reduces 90% of visual tokens after vision encoder and adaptively prunes all visual tokens within certain LLM's decoder layers, leading to a 2.6x speed-up in total inference time while maintaining 95.1% of model performance and excellent compatibility with efficient attention operators.

  • 3 authors
·
May 24, 2025

Coordinate Transformer: Achieving Single-stage Multi-person Mesh Recovery from Videos

Multi-person 3D mesh recovery from videos is a critical first step towards automatic perception of group behavior in virtual reality, physical therapy and beyond. However, existing approaches rely on multi-stage paradigms, where the person detection and tracking stages are performed in a multi-person setting, while temporal dynamics are only modeled for one person at a time. Consequently, their performance is severely limited by the lack of inter-person interactions in the spatial-temporal mesh recovery, as well as by detection and tracking defects. To address these challenges, we propose the Coordinate transFormer (CoordFormer) that directly models multi-person spatial-temporal relations and simultaneously performs multi-mesh recovery in an end-to-end manner. Instead of partitioning the feature map into coarse-scale patch-wise tokens, CoordFormer leverages a novel Coordinate-Aware Attention to preserve pixel-level spatial-temporal coordinate information. Additionally, we propose a simple, yet effective Body Center Attention mechanism to fuse position information. Extensive experiments on the 3DPW dataset demonstrate that CoordFormer significantly improves the state-of-the-art, outperforming the previously best results by 4.2%, 8.8% and 4.7% according to the MPJPE, PAMPJPE, and PVE metrics, respectively, while being 40% faster than recent video-based approaches. The released code can be found at https://github.com/Li-Hao-yuan/CoordFormer.

  • 7 authors
·
Aug 20, 2023

Epistemic-aware Vision-Language Foundation Model for Fetal Ultrasound Interpretation

Recent medical vision-language models have shown promise on tasks such as VQA, report generation, and anomaly detection. However, most are adapted to structured adult imaging and underperform in fetal ultrasound, which poses challenges of multi-view image reasoning, numerous diseases, and image diversity. To bridge this gap, we introduce FetalMind, a medical AI system tailored to fetal ultrasound for both report generation and diagnosis. Guided by clinical workflow, we propose Salient Epistemic Disentanglement (SED), which injects an expert-curated bipartite graph into the model to decouple view-disease associations and to steer preference selection along clinically faithful steps via reinforcement learning. This design mitigates variability across diseases and heterogeneity across views, reducing learning bottlenecks while aligning the model's inference with obstetric practice. To train FetalMind at scale, we curate FetalSigma-1M dataset, the first large-scale fetal ultrasound report corpus, comprising 20K reports from twelve medical centers, addressing the scarcity of domain data. Extensive experiments show that FetalMind outperforms open- and closed-source baselines across all gestational stages, achieving +14% average gains and +61.2% higher accuracy on critical conditions while remaining efficient, stable, and scalable. Project Page: https://hexiao0275.github.io/FetalMind.

  • 10 authors
·
Oct 14, 2025

CATANet: Efficient Content-Aware Token Aggregation for Lightweight Image Super-Resolution

Transformer-based methods have demonstrated impressive performance in low-level visual tasks such as Image Super-Resolution (SR). However, its computational complexity grows quadratically with the spatial resolution. A series of works attempt to alleviate this problem by dividing Low-Resolution images into local windows, axial stripes, or dilated windows. SR typically leverages the redundancy of images for reconstruction, and this redundancy appears not only in local regions but also in long-range regions. However, these methods limit attention computation to content-agnostic local regions, limiting directly the ability of attention to capture long-range dependency. To address these issues, we propose a lightweight Content-Aware Token Aggregation Network (CATANet). Specifically, we propose an efficient Content-Aware Token Aggregation module for aggregating long-range content-similar tokens, which shares token centers across all image tokens and updates them only during the training phase. Then we utilize intra-group self-attention to enable long-range information interaction. Moreover, we design an inter-group cross-attention to further enhance global information interaction. The experimental results show that, compared with the state-of-the-art cluster-based method SPIN, our method achieves superior performance, with a maximum PSNR improvement of 0.33dB and nearly double the inference speed.

  • 4 authors
·
Mar 10, 2025 1

MEDUSA: Multi-scale Encoder-Decoder Self-Attention Deep Neural Network Architecture for Medical Image Analysis

Medical image analysis continues to hold interesting challenges given the subtle characteristics of certain diseases and the significant overlap in appearance between diseases. In this work, we explore the concept of self-attention for tackling such subtleties in and between diseases. To this end, we introduce MEDUSA, a multi-scale encoder-decoder self-attention mechanism tailored for medical image analysis. While self-attention deep convolutional neural network architectures in existing literature center around the notion of multiple isolated lightweight attention mechanisms with limited individual capacities being incorporated at different points in the network architecture, MEDUSA takes a significant departure from this notion by possessing a single, unified self-attention mechanism with significantly higher capacity with multiple attention heads feeding into different scales in the network architecture. To the best of the authors' knowledge, this is the first "single body, multi-scale heads" realization of self-attention and enables explicit global context amongst selective attention at different levels of representational abstractions while still enabling differing local attention context at individual levels of abstractions. With MEDUSA, we obtain state-of-the-art performance on multiple challenging medical image analysis benchmarks including COVIDx, RSNA RICORD, and RSNA Pneumonia Challenge when compared to previous work. Our MEDUSA model is publicly available.

  • 7 authors
·
Oct 12, 2021