Daily Papers

Most of the existing chest X-ray datasets include labels from a list of findings without specifying their locations on the radiographs. This limits the development of machine learning algorithms for the detection and localization of chest abnormalities. In this work, we describe a dataset of more than 100,000 chest X-ray scans that were retrospectively collected from two major hospitals in Vietnam. Out of this raw data, we release 18,000 images that were manually annotated by a total of 17 experienced radiologists with 22 local labels of rectangles surrounding abnormalities and 6 global labels of suspected diseases. The released dataset is divided into a training set of 15,000 and a test set of 3,000. Each scan in the training set was independently labeled by 3 radiologists, while each scan in the test set was labeled by the consensus of 5 radiologists. We designed and built a labeling platform for DICOM images to facilitate these annotation procedures. All images are made publicly available (https://www.physionet.org/content/vindr-cxr/1.0.0/) in DICOM format along with the labels of both the training set and the test set.

Magnetic resonance imaging (MRI) is a cornerstone of modern medical imaging. However, long image acquisition times, the need for qualitative expert analysis, and the lack of (and difficulty extracting) quantitative indicators that are sensitive to tissue health have curtailed widespread clinical and research studies. While recent machine learning methods for MRI reconstruction and analysis have shown promise for reducing this burden, these techniques are primarily validated with imperfect image quality metrics, which are discordant with clinically-relevant measures that ultimately hamper clinical deployment and clinician trust. To mitigate this challenge, we present the Stanford Knee MRI with Multi-Task Evaluation (SKM-TEA) dataset, a collection of quantitative knee MRI (qMRI) scans that enables end-to-end, clinically-relevant evaluation of MRI reconstruction and analysis tools. This 1.6TB dataset consists of raw-data measurements of ~25,000 slices (155 patients) of anonymized patient MRI scans, the corresponding scanner-generated DICOM images, manual segmentations of four tissues, and bounding box annotations for sixteen clinically relevant pathologies. We provide a framework for using qMRI parameter maps, along with image reconstructions and dense image labels, for measuring the quality of qMRI biomarker estimates extracted from MRI reconstruction, segmentation, and detection techniques. Finally, we use this framework to benchmark state-of-the-art baselines on this dataset. We hope our SKM-TEA dataset and code can enable a broad spectrum of research for modular image reconstruction and image analysis in a clinically informed manner. Dataset access, code, and benchmarks are available at https://github.com/StanfordMIMI/skm-tea.

Since the release of the original CheXpert paper five years ago, CheXpert has become one of the most widely used and cited clinical AI datasets. The emergence of vision language models has sparked an increase in demands for sharing reports linked to CheXpert images, along with a growing interest among AI fairness researchers in obtaining demographic data. To address this, CheXpert Plus serves as a new collection of radiology data sources, made publicly available to enhance the scaling, performance, robustness, and fairness of models for all subsequent machine learning tasks in the field of radiology. CheXpert Plus is the largest text dataset publicly released in radiology, with a total of 36 million text tokens, including 13 million impression tokens. To the best of our knowledge, it represents the largest text de-identification effort in radiology, with almost 1 million PHI spans anonymized. It is only the second time that a large-scale English paired dataset has been released in radiology, thereby enabling, for the first time, cross-institution training at scale. All reports are paired with high-quality images in DICOM format, along with numerous image and patient metadata covering various clinical and socio-economic groups, as well as many pathology labels and RadGraph annotations. We hope this dataset will boost research for AI models that can further assist radiologists and help improve medical care. Data is available at the following URL: https://stanfordaimi.azurewebsites.net/datasets/5158c524-d3ab-4e02-96e9-6ee9efc110a1 Models are available at the following URL: https://github.com/Stanford-AIMI/chexpert-plus

Distinctive Image Captioning (DIC) -- generating distinctive captions that describe the unique details of a target image -- has received considerable attention over the last few years. A recent DIC method proposes to generate distinctive captions by comparing the target image with a set of semantic-similar reference images, i.e., reference-based DIC (Ref-DIC). It aims to force the generated captions to distinguish between the target image and the reference image. To ensure Ref-DIC models really perceive the unique objects (or attributes) in target images, we propose two new Ref-DIC benchmarks and develop a Transformer-based Ref-DIC baseline TransDIC. The model only extracts visual features from the target image, but also encodes the differences between objects in the target and reference images. Taking one step further, we propose a stronger TransDIC++, which consists of an extra contrastive learning module to make full use of the reference images. This new module is model-agnostic, which can be easily incorporated into various Ref-DIC architectures. Finally, for more trustworthy benchmarking, we propose a new evaluation metric named DisCIDEr for Ref-DIC, which evaluates both the accuracy and distinctiveness of the generated captions. Experimental results demonstrate that our TransDIC++ can generate distinctive captions. Besides, it outperforms several state-of-the-art models on the two new benchmarks over different metrics.

Distinctive Image Captioning (DIC) -- generating distinctive captions that describe the unique details of a target image -- has received considerable attention over the last few years. A recent DIC work proposes to generate distinctive captions by comparing the target image with a set of semantic-similar reference images, i.e., reference-based DIC (Ref-DIC). It aims to make the generated captions can tell apart the target and reference images. Unfortunately, reference images used by existing Ref-DIC works are easy to distinguish: these reference images only resemble the target image at scene-level and have few common objects, such that a Ref-DIC model can trivially generate distinctive captions even without considering the reference images. To ensure Ref-DIC models really perceive the unique objects (or attributes) in target images, we first propose two new Ref-DIC benchmarks. Specifically, we design a two-stage matching mechanism, which strictly controls the similarity between the target and reference images at object-/attribute- level (vs. scene-level). Secondly, to generate distinctive captions, we develop a strong Transformer-based Ref-DIC baseline, dubbed as TransDIC. It not only extracts visual features from the target image, but also encodes the differences between objects in the target and reference images. Finally, for more trustworthy benchmarking, we propose a new evaluation metric named DisCIDEr for Ref-DIC, which evaluates both the accuracy and distinctiveness of the generated captions. Experimental results demonstrate that our TransDIC can generate distinctive captions. Besides, it outperforms several state-of-the-art models on the two new benchmarks over different metrics.

Diffusion Transformer (DiT), a promising diffusion model for visual generation, demonstrates impressive performance but incurs significant computational overhead. Intriguingly, analysis of pre-trained DiT models reveals that global self-attention is often redundant, predominantly capturing local patterns-highlighting the potential for more efficient alternatives. In this paper, we revisit convolution as an alternative building block for constructing efficient and expressive diffusion models. However, naively replacing self-attention with convolution typically results in degraded performance. Our investigations attribute this performance gap to the higher channel redundancy in ConvNets compared to Transformers. To resolve this, we introduce a compact channel attention mechanism that promotes the activation of more diverse channels, thereby enhancing feature diversity. This leads to Diffusion ConvNet (DiCo), a family of diffusion models built entirely from standard ConvNet modules, offering strong generative performance with significant efficiency gains. On class-conditional ImageNet benchmarks, DiCo outperforms previous diffusion models in both image quality and generation speed. Notably, DiCo-XL achieves an FID of 2.05 at 256x256 resolution and 2.53 at 512x512, with a 2.7x and 3.1x speedup over DiT-XL/2, respectively. Furthermore, our largest model, DiCo-H, scaled to 1B parameters, reaches an FID of 1.90 on ImageNet 256x256-without any additional supervision during training. Code: https://github.com/shallowdream204/DiCo.

Breast cancer remains a leading cause of cancer-related mortality worldwide, making early detection and accurate treatment response monitoring critical priorities. We present BreastDCEDL, a curated, deep learning-ready dataset comprising pre-treatment 3D Dynamic Contrast-Enhanced MRI (DCE-MRI) scans from 2,070 breast cancer patients drawn from the I-SPY1, I-SPY2, and Duke cohorts, all sourced from The Cancer Imaging Archive. The raw DICOM imaging data were rigorously converted into standardized 3D NIfTI volumes with preserved signal integrity, accompanied by unified tumor annotations and harmonized clinical metadata including pathologic complete response (pCR), hormone receptor (HR), and HER2 status. Although DCE-MRI provides essential diagnostic information and deep learning offers tremendous potential for analyzing such complex data, progress has been limited by lack of accessible, public, multicenter datasets. BreastDCEDL addresses this gap by enabling development of advanced models, including state-of-the-art transformer architectures that require substantial training data. To demonstrate its capacity for robust modeling, we developed the first transformer-based model for breast DCE-MRI, leveraging Vision Transformer (ViT) architecture trained on RGB-fused images from three contrast phases (pre-contrast, early post-contrast, and late post-contrast). Our ViT model achieved state-of-the-art pCR prediction performance in HR+/HER2- patients (AUC 0.94, accuracy 0.93). BreastDCEDL includes predefined benchmark splits, offering a framework for reproducible research and enabling clinically meaningful modeling in breast cancer imaging.

Neural Radiance Fields and 3D Gaussian Splatting have revolutionized 3D reconstruction and novel-view synthesis task. However, achieving photorealistic rendering from extreme novel viewpoints remains challenging, as artifacts persist across representations. In this work, we introduce Difix3D+, a novel pipeline designed to enhance 3D reconstruction and novel-view synthesis through single-step diffusion models. At the core of our approach is Difix, a single-step image diffusion model trained to enhance and remove artifacts in rendered novel views caused by underconstrained regions of the 3D representation. Difix serves two critical roles in our pipeline. First, it is used during the reconstruction phase to clean up pseudo-training views that are rendered from the reconstruction and then distilled back into 3D. This greatly enhances underconstrained regions and improves the overall 3D representation quality. More importantly, Difix also acts as a neural enhancer during inference, effectively removing residual artifacts arising from imperfect 3D supervision and the limited capacity of current reconstruction models. Difix3D+ is a general solution, a single model compatible with both NeRF and 3DGS representations, and it achieves an average 2times improvement in FID score over baselines while maintaining 3D consistency.

X-ray images play a vital role in the intraoperative processes due to their high resolution and fast imaging speed and greatly promote the subsequent segmentation, registration and reconstruction. However, over-dosed X-rays superimpose potential risks to human health to some extent. Data-driven algorithms from volume scans to X-ray images are restricted by the scarcity of paired X-ray and volume data. Existing methods are mainly realized by modelling the whole X-ray imaging procedure. In this study, we propose a learning-based approach termed CT2X-GAN to synthesize the X-ray images in an end-to-end manner using the content and style disentanglement from three different image domains. Our method decouples the anatomical structure information from CT scans and style information from unpaired real X-ray images/ digital reconstructed radiography (DRR) images via a series of decoupling encoders. Additionally, we introduce a novel consistency regularization term to improve the stylistic resemblance between synthesized X-ray images and real X-ray images. Meanwhile, we also impose a supervised process by computing the similarity of computed real DRR and synthesized DRR images. We further develop a pose attention module to fully strengthen the comprehensive information in the decoupled content code from CT scans, facilitating high-quality multi-view image synthesis in the lower 2D space. Extensive experiments were conducted on the publicly available CTSpine1K dataset and achieved 97.8350, 0.0842 and 3.0938 in terms of FID, KID and defined user-scored X-ray similarity, respectively. In comparison with 3D-aware methods (pi-GAN, EG3D), CT2X-GAN is superior in improving the synthesis quality and realistic to the real X-ray images.

We present a systematic study on a new task called dichotomous image segmentation (DIS) , which aims to segment highly accurate objects from natural images. To this end, we collected the first large-scale DIS dataset, called DIS5K, which contains 5,470 high-resolution (e.g., 2K, 4K or larger) images covering camouflaged, salient, or meticulous objects in various backgrounds. DIS is annotated with extremely fine-grained labels. Besides, we introduce a simple intermediate supervision baseline (IS-Net) using both feature-level and mask-level guidance for DIS model training. IS-Net outperforms various cutting-edge baselines on the proposed DIS5K, making it a general self-learned supervision network that can facilitate future research in DIS. Further, we design a new metric called human correction efforts (HCE) which approximates the number of mouse clicking operations required to correct the false positives and false negatives. HCE is utilized to measure the gap between models and real-world applications and thus can complement existing metrics. Finally, we conduct the largest-scale benchmark, evaluating 16 representative segmentation models, providing a more insightful discussion regarding object complexities, and showing several potential applications (e.g., background removal, art design, 3D reconstruction). Hoping these efforts can open up promising directions for both academic and industries. Project page: https://xuebinqin.github.io/dis/index.html.

Developing advanced medical imaging retrieval systems is challenging due to the varying definitions of `similar images' across different medical contexts. This challenge is compounded by the lack of large-scale, high-quality medical imaging retrieval datasets and benchmarks. In this paper, we propose a novel methodology that leverages dense radiology reports to define image-wise similarity ordering at multiple granularities in a scalable and fully automatic manner. Using this approach, we construct two comprehensive medical imaging retrieval datasets: MIMIC-IR for Chest X-rays and CTRATE-IR for CT scans, providing detailed image-image ranking annotations conditioned on diverse anatomical structures. Furthermore, we develop two retrieval systems, RadIR-CXR and model-ChestCT, which demonstrate superior performance in traditional image-image and image-report retrieval tasks. These systems also enable flexible, effective image retrieval conditioned on specific anatomical structures described in text, achieving state-of-the-art results on 77 out of 78 metrics.

Diffusion Transformers (DiTs) have recently achieved remarkable success in text-guided image generation. In image editing, DiTs project text and image inputs to a joint latent space, from which they decode and synthesize new images. However, it remains largely unexplored how multimodal information collectively forms this joint space and how they guide the semantics of the synthesized images. In this paper, we investigate the latent space of DiT models and uncover two key properties: First, DiT's latent space is inherently semantically disentangled, where different semantic attributes can be controlled by specific editing directions. Second, consistent semantic editing requires utilizing the entire joint latent space, as neither encoded image nor text alone contains enough semantic information. We show that these editing directions can be obtained directly from text prompts, enabling precise semantic control without additional training or mask annotations. Based on these insights, we propose a simple yet effective Encode-Identify-Manipulate (EIM) framework for zero-shot fine-grained image editing. Specifically, we first encode both the given source image and the text prompt that describes the image, to obtain the joint latent embedding. Then, using our proposed Hessian Score Distillation Sampling (HSDS) method, we identify editing directions that control specific target attributes while preserving other image features. These directions are guided by text prompts and used to manipulate the latent embeddings. Moreover, we propose a new metric to quantify the disentanglement degree of the latent space of diffusion models. Extensive experiment results on our new curated benchmark dataset and analysis demonstrate DiT's disentanglement properties and effectiveness of the EIM framework.

The conventional training approach for image captioning involves pre-training a network using teacher forcing and subsequent fine-tuning with Self-Critical Sequence Training to maximize hand-crafted captioning metrics. However, when attempting to optimize modern and higher-quality metrics like CLIP-Score and PAC-Score, this training method often encounters instability and fails to acquire the genuine descriptive capabilities needed to produce fluent and informative captions. In this paper, we propose a new training paradigm termed Direct CLIP-Based Optimization (DiCO). Our approach jointly learns and optimizes a reward model that is distilled from a learnable captioning evaluator with high human correlation. This is done by solving a weighted classification problem directly inside the captioner. At the same time, DiCO prevents divergence from the original model, ensuring that fluency is maintained. DiCO not only exhibits improved stability and enhanced quality in the generated captions but also aligns more closely with human preferences compared to existing methods, especially in modern metrics. Additionally, it maintains competitive performance in traditional metrics. Our source code and trained models are publicly available at https://github.com/aimagelab/DiCO.

Vision-language pre-training for chest X-rays has made significant strides, primarily by utilizing paired radiographs and radiology reports. However, existing approaches often face challenges in encoding medical knowledge effectively. While radiology reports provide insights into the current disease manifestation, medical definitions (as used by contemporary methods) tend to be overly abstract, creating a gap in knowledge. To address this, we propose DeViDe, a novel transformer-based method that leverages radiographic descriptions from the open web. These descriptions outline general visual characteristics of diseases in radiographs, and when combined with abstract definitions and radiology reports, provide a holistic snapshot of knowledge. DeViDe incorporates three key features for knowledge-augmented vision language alignment: First, a large-language model-based augmentation is employed to homogenise medical knowledge from diverse sources. Second, this knowledge is aligned with image information at various levels of granularity. Third, a novel projection layer is proposed to handle the complexity of aligning each image with multiple descriptions arising in a multi-label setting. In zero-shot settings, DeViDe performs comparably to fully supervised models on external datasets and achieves state-of-the-art results on three large-scale datasets. Additionally, fine-tuning DeViDe on four downstream tasks and six segmentation tasks showcases its superior performance across data from diverse distributions.

Chest radiography is an extremely powerful imaging modality, allowing for a detailed inspection of a patient's thorax, but requiring specialized training for proper interpretation. With the advent of high performance general purpose computer vision algorithms, the accurate automated analysis of chest radiographs is becoming increasingly of interest to researchers. However, a key challenge in the development of these techniques is the lack of sufficient data. Here we describe MIMIC-CXR-JPG v2.0.0, a large dataset of 377,110 chest x-rays associated with 227,827 imaging studies sourced from the Beth Israel Deaconess Medical Center between 2011 - 2016. Images are provided with 14 labels derived from two natural language processing tools applied to the corresponding free-text radiology reports. MIMIC-CXR-JPG is derived entirely from the MIMIC-CXR database, and aims to provide a convenient processed version of MIMIC-CXR, as well as to provide a standard reference for data splits and image labels. All images have been de-identified to protect patient privacy. The dataset is made freely available to facilitate and encourage a wide range of research in medical computer vision.

Sparse-view computed tomography (CT) -- using a small number of projections for tomographic reconstruction -- enables much lower radiation dose to patients and accelerated data acquisition. The reconstructed images, however, suffer from strong artifacts, greatly limiting their diagnostic value. Current trends for sparse-view CT turn to the raw data for better information recovery. The resultant dual-domain methods, nonetheless, suffer from secondary artifacts, especially in ultra-sparse view scenarios, and their generalization to other scanners/protocols is greatly limited. A crucial question arises: have the image post-processing methods reached the limit? Our answer is not yet. In this paper, we stick to image post-processing methods due to great flexibility and propose global representation (GloRe) distillation framework for sparse-view CT, termed GloReDi. First, we propose to learn GloRe with Fourier convolution, so each element in GloRe has an image-wide receptive field. Second, unlike methods that only use the full-view images for supervision, we propose to distill GloRe from intermediate-view reconstructed images that are readily available but not explored in previous literature. The success of GloRe distillation is attributed to two key components: representation directional distillation to align the GloRe directions, and band-pass-specific contrastive distillation to gain clinically important details. Extensive experiments demonstrate the superiority of the proposed GloReDi over the state-of-the-art methods, including dual-domain ones. The source code is available at https://github.com/longzilicart/GloReDi.

The chest X-ray is one of the most commonly accessible radiological examinations for screening and diagnosis of many lung diseases. A tremendous number of X-ray imaging studies accompanied by radiological reports are accumulated and stored in many modern hospitals' Picture Archiving and Communication Systems (PACS). On the other side, it is still an open question how this type of hospital-size knowledge database containing invaluable imaging informatics (i.e., loosely labeled) can be used to facilitate the data-hungry deep learning paradigms in building truly large-scale high precision computer-aided diagnosis (CAD) systems. In this paper, we present a new chest X-ray database, namely "ChestX-ray8", which comprises 108,948 frontal-view X-ray images of 32,717 unique patients with the text-mined eight disease image labels (where each image can have multi-labels), from the associated radiological reports using natural language processing. Importantly, we demonstrate that these commonly occurring thoracic diseases can be detected and even spatially-located via a unified weakly-supervised multi-label image classification and disease localization framework, which is validated using our proposed dataset. Although the initial quantitative results are promising as reported, deep convolutional neural network based "reading chest X-rays" (i.e., recognizing and locating the common disease patterns trained with only image-level labels) remains a strenuous task for fully-automated high precision CAD systems. Data download link: https://nihcc.app.box.com/v/ChestXray-NIHCC

Zero-shot medical detection can further improve detection performance without relying on annotated medical images even upon the fine-tuned model, showing great clinical value. Recent studies leverage grounded vision-language models (GLIP) to achieve this by using detailed disease descriptions as prompts for the target disease name during the inference phase. However, these methods typically treat prompts as equivalent context to the target name, making it difficult to assign specific disease knowledge based on visual information, leading to a coarse alignment between images and target descriptions. In this paper, we propose StructuralGLIP, which introduces an auxiliary branch to encode prompts into a latent knowledge bank layer-by-layer, enabling more context-aware and fine-grained alignment. Specifically, in each layer, we select highly similar features from both the image representation and the knowledge bank, forming structural representations that capture nuanced relationships between image patches and target descriptions. These features are then fused across modalities to further enhance detection performance. Extensive experiments demonstrate that StructuralGLIP achieves a +4.1\% AP improvement over prior state-of-the-art methods across seven zero-shot medical detection benchmarks, and consistently improves fine-tuned models by +3.2\% AP on endoscopy image datasets.

How can we verify whether copyrighted content was used to train a large vision-language model (VLM) without direct access to its training data? Motivated by the hypothesis that a VLM is able to recognize images from its training corpus, we propose DIS-CO, a novel approach to infer the inclusion of copyrighted content during the model's development. By repeatedly querying a VLM with specific frames from targeted copyrighted material, DIS-CO extracts the content's identity through free-form text completions. To assess its effectiveness, we introduce MovieTection, a benchmark comprising 14,000 frames paired with detailed captions, drawn from films released both before and after a model's training cutoff. Our results show that DIS-CO significantly improves detection performance, nearly doubling the average AUC of the best prior method on models with logits available. Our findings also highlight a broader concern: all tested models appear to have been exposed to some extent to copyrighted content. Our code and data are available at https://github.com/avduarte333/DIS-CO

Chest X-ray imaging (CXR) is an important diagnostic tool used in hospitals to assess patient conditions and monitor changes over time. Generative models, specifically diffusion-based models, have shown promise in generating realistic synthetic X-rays. However, these models mainly focus on conditional generation using single-time-point data, i.e., typically CXRs taken at a specific time with their corresponding reports, limiting their clinical utility, particularly for capturing temporal changes. To address this limitation, we propose a novel framework, EHRXDiff, which predicts future CXR images by integrating previous CXRs with subsequent medical events, e.g., prescriptions, lab measures, etc. Our framework dynamically tracks and predicts disease progression based on a latent diffusion model, conditioned on the previous CXR image and a history of medical events. We comprehensively evaluate the performance of our framework across three key aspects, including clinical consistency, demographic consistency, and visual realism. We demonstrate that our framework generates high-quality, realistic future images that capture potential temporal changes, suggesting its potential for further development as a clinical simulation tool. This could offer valuable insights for patient monitoring and treatment planning in the medical field.

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%.

In computer vision, Image Difference Captioning (IDC) is crucial for accurately describing variations between closely related images. Traditional IDC methods often rely on specialist models, which restrict their applicability across varied contexts. This paper introduces the OneDiff model, a novel generalist approach that utilizes a robust vision-language model architecture, integrating a siamese image encoder with a Visual Delta Module. This innovative configuration allows for the precise detection and articulation of fine-grained differences between image pairs. OneDiff is trained through a dual-phase strategy, encompassing Coupled Sample Training and multi-task learning across a diverse array of data types, supported by our newly developed DiffCap Dataset. This dataset merges real-world and synthetic data, enhancing the training process and bolstering the model's robustness. Extensive testing on diverse IDC benchmarks, such as Spot-the-Diff, Image-Editing-Request, and Birds-to-Words, shows that OneDiff consistently outperforms existing state-of-the-art models in accuracy and adaptability, achieving improvements of up to 97% CIDEr points in average. By setting a new benchmark in IDC, OneDiff paves the way for more versatile and effective applications in detecting and describing visual differences. The code, models, and data will be made publicly available.

Recent research arXiv:2410.15027 has explored the use of diffusion transformers (DiTs) for task-agnostic image generation by simply concatenating attention tokens across images. However, despite substantial computational resources, the fidelity of the generated images remains suboptimal. In this study, we reevaluate and streamline this framework by hypothesizing that text-to-image DiTs inherently possess in-context generation capabilities, requiring only minimal tuning to activate them. Through diverse task experiments, we qualitatively demonstrate that existing text-to-image DiTs can effectively perform in-context generation without any tuning. Building on this insight, we propose a remarkably simple pipeline to leverage the in-context abilities of DiTs: (1) concatenate images instead of tokens, (2) perform joint captioning of multiple images, and (3) apply task-specific LoRA tuning using small datasets (e.g., 20sim 100 samples) instead of full-parameter tuning with large datasets. We name our models In-Context LoRA (IC-LoRA). This approach requires no modifications to the original DiT models, only changes to the training data. Remarkably, our pipeline generates high-fidelity image sets that better adhere to prompts. While task-specific in terms of tuning data, our framework remains task-agnostic in architecture and pipeline, offering a powerful tool for the community and providing valuable insights for further research on product-level task-agnostic generation systems. We release our code, data, and models at https://github.com/ali-vilab/In-Context-LoRA

Deformable image registration (DIR) is an active research topic in biomedical imaging. There is a growing interest in developing DIR methods based on deep learning (DL). A traditional DL approach to DIR is based on training a convolutional neural network (CNN) to estimate the registration field between two input images. While conceptually simple, this approach comes with a limitation that it exclusively relies on a pre-trained CNN without explicitly enforcing fidelity between the registered image and the reference. We present plug-and-play image registration network (PIRATE) as a new DIR method that addresses this issue by integrating an explicit data-fidelity penalty and a CNN prior. PIRATE pre-trains a CNN denoiser on the registration field and "plugs" it into an iterative method as a regularizer. We additionally present PIRATE+ that fine-tunes the CNN prior in PIRATE using deep equilibrium models (DEQ). PIRATE+ interprets the fixed-point iteration of PIRATE as a network with effectively infinite layers and then trains the resulting network end-to-end, enabling it to learn more task-specific information and boosting its performance. Our numerical results on OASIS and CANDI datasets show that our methods achieve state-of-the-art performance on DIR.

Automated medical image analysis systems often require large amounts of training data with high quality labels, which are difficult and time consuming to generate. This paper introduces Radiology Object in COntext version 2 (ROCOv2), a multimodal dataset consisting of radiological images and associated medical concepts and captions extracted from the PMC Open Access subset. It is an updated version of the ROCO dataset published in 2018, and adds 35,705 new images added to PMC since 2018. It further provides manually curated concepts for imaging modalities with additional anatomical and directional concepts for X-rays. The dataset consists of 79,789 images and has been used, with minor modifications, in the concept detection and caption prediction tasks of ImageCLEFmedical Caption 2023. The dataset is suitable for training image annotation models based on image-caption pairs, or for multi-label image classification using Unified Medical Language System (UMLS) concepts provided with each image. In addition, it can serve for pre-training of medical domain models, and evaluation of deep learning models for multi-task learning.

Dichotomous Image Segmentation (DIS) is a high-precision object segmentation task for high-resolution natural images. The current mainstream methods focus on the optimization of local details but overlook the fundamental challenge of modeling the integrity of objects. We have found that the depth integrity-prior implicit in the the pseudo-depth maps generated by Depth Anything Model v2 and the local detail features of image patches can jointly address the above dilemmas. Based on the above findings, we have designed a novel Patch-Depth Fusion Network (PDFNet) for high-precision dichotomous image segmentation. The core of PDFNet consists of three aspects. Firstly, the object perception is enhanced through multi-modal input fusion. By utilizing the patch fine-grained strategy, coupled with patch selection and enhancement, the sensitivity to details is improved. Secondly, by leveraging the depth integrity-prior distributed in the depth maps, we propose an integrity-prior loss to enhance the uniformity of the segmentation results in the depth maps. Finally, we utilize the features of the shared encoder and, through a simple depth refinement decoder, improve the ability of the shared encoder to capture subtle depth-related information in the images. Experiments on the DIS-5K dataset show that PDFNet significantly outperforms state-of-the-art non-diffusion methods. Due to the incorporation of the depth integrity-prior, PDFNet achieves or even surpassing the performance of the latest diffusion-based methods while using less than 11% of the parameters of diffusion-based methods. The source code at https://github.com/Tennine2077/PDFNet.

Recent state-of-the-art image restoration methods mostly adopt latent diffusion models with U-Net backbones, yet still facing challenges in achieving high-quality restoration due to their limited capabilities. Diffusion transformers (DiTs), like SD3, are emerging as a promising alternative because of their better quality with scalability. In this paper, we introduce DPIR (Dual Prompting Image Restoration), a novel image restoration method that effectivly extracts conditional information of low-quality images from multiple perspectives. Specifically, DPIR consits of two branches: a low-quality image conditioning branch and a dual prompting control branch. The first branch utilizes a lightweight module to incorporate image priors into the DiT with high efficiency. More importantly, we believe that in image restoration, textual description alone cannot fully capture its rich visual characteristics. Therefore, a dual prompting module is designed to provide DiT with additional visual cues, capturing both global context and local appearance. The extracted global-local visual prompts as extra conditional control, alongside textual prompts to form dual prompts, greatly enhance the quality of the restoration. Extensive experimental results demonstrate that DPIR delivers superior image restoration performance.

Chest X-rays (CXRs) are commonly utilized as a low-dose modality for lung screening. Nonetheless, the efficacy of CXRs is somewhat impeded, given that approximately 75% of the lung area overlaps with bone, which in turn hampers the detection and diagnosis of diseases. As a remedial measure, bone suppression techniques have been introduced. The current dual-energy subtraction imaging technique in the clinic requires costly equipment and subjects being exposed to high radiation. To circumvent these issues, deep learning-based image generation algorithms have been proposed. However, existing methods fall short in terms of producing high-quality images and capturing texture details, particularly with pulmonary vessels. To address these issues, this paper proposes a new bone suppression framework, termed BS-Diff, that comprises a conditional diffusion model equipped with a U-Net architecture and a simple enhancement module to incorporate an autoencoder. Our proposed network cannot only generate soft tissue images with a high bone suppression rate but also possesses the capability to capture fine image details. Additionally, we compiled the largest dataset since 2010, including data from 120 patients with high-definition, high-resolution paired CXRs and soft tissue images collected by our affiliated hospital. Extensive experiments, comparative analyses, ablation studies, and clinical evaluations indicate that the proposed BS-Diff outperforms several bone-suppression models across multiple metrics. Our code can be accessed at https://github.com/Benny0323/BS-Diff.

In this paper, we introduce PixArt-\Sigma, a Diffusion Transformer model~(DiT) capable of directly generating images at 4K resolution. PixArt-\Sigma represents a significant advancement over its predecessor, PixArt-\alpha, offering images of markedly higher fidelity and improved alignment with text prompts. A key feature of PixArt-\Sigma is its training efficiency. Leveraging the foundational pre-training of PixArt-\alpha, it evolves from the `weaker' baseline to a `stronger' model via incorporating higher quality data, a process we term "weak-to-strong training". The advancements in PixArt-\Sigma are twofold: (1) High-Quality Training Data: PixArt-\Sigma incorporates superior-quality image data, paired with more precise and detailed image captions. (2) Efficient Token Compression: we propose a novel attention module within the DiT framework that compresses both keys and values, significantly improving efficiency and facilitating ultra-high-resolution image generation. Thanks to these improvements, PixArt-\Sigma achieves superior image quality and user prompt adherence capabilities with significantly smaller model size (0.6B parameters) than existing text-to-image diffusion models, such as SDXL (2.6B parameters) and SD Cascade (5.1B parameters). Moreover, PixArt-\Sigma's capability to generate 4K images supports the creation of high-resolution posters and wallpapers, efficiently bolstering the production of high-quality visual content in industries such as film and gaming.

The success of Deep Learning applications critically depends on the quality and scale of the underlying training data. Generative adversarial networks (GANs) can generate arbitrary large datasets, but diversity and fidelity are limited, which has recently been addressed by denoising diffusion probabilistic models (DDPMs) whose superiority has been demonstrated on natural images. In this study, we propose Medfusion, a conditional latent DDPM for medical images. We compare our DDPM-based model against GAN-based models, which constitute the current state-of-the-art in the medical domain. Medfusion was trained and compared with (i) StyleGan-3 on n=101,442 images from the AIROGS challenge dataset to generate fundoscopies with and without glaucoma, (ii) ProGAN on n=191,027 from the CheXpert dataset to generate radiographs with and without cardiomegaly and (iii) wGAN on n=19,557 images from the CRCMS dataset to generate histopathological images with and without microsatellite stability. In the AIROGS, CRMCS, and CheXpert datasets, Medfusion achieved lower (=better) FID than the GANs (11.63 versus 20.43, 30.03 versus 49.26, and 17.28 versus 84.31). Also, fidelity (precision) and diversity (recall) were higher (=better) for Medfusion in all three datasets. Our study shows that DDPM are a superior alternative to GANs for image synthesis in the medical domain.

In spite of recent progress, image diffusion models still produce artifacts. A common solution is to leverage the feedback provided by quality assessment systems or human annotators to optimize the model, where images are generally rated in their entirety. In this work, we believe problem-solving starts with identification, yielding the request that the model should be aware of not just the presence of defects in an image, but their specific locations. Motivated by this, we propose DiffDoctor, a two-stage pipeline to assist image diffusion models in generating fewer artifacts. Concretely, the first stage targets developing a robust artifact detector, for which we collect a dataset of over 1M flawed synthesized images and set up an efficient human-in-the-loop annotation process, incorporating a carefully designed class-balance strategy. The learned artifact detector is then involved in the second stage to optimize the diffusion model by providing pixel-level feedback. Extensive experiments on text-to-image diffusion models demonstrate the effectiveness of our artifact detector as well as the soundness of our diagnose-then-treat design.

Diffusion models have been recognized for their ability to generate images that are not only visually appealing but also of high artistic quality. As a result, Layout-to-Image (L2I) generation has been proposed to leverage region-specific positions and descriptions to enable more precise and controllable generation. However, previous methods primarily focus on UNet-based models (e.g., SD1.5 and SDXL), and limited effort has explored Multimodal Diffusion Transformers (MM-DiTs), which have demonstrated powerful image generation capabilities. Enabling MM-DiT for layout-to-image generation seems straightforward but is challenging due to the complexity of how layout is introduced, integrated, and balanced among multiple modalities. To this end, we explore various network variants to efficiently incorporate layout guidance into MM-DiT, and ultimately present SiamLayout. To Inherit the advantages of MM-DiT, we use a separate set of network weights to process the layout, treating it as equally important as the image and text modalities. Meanwhile, to alleviate the competition among modalities, we decouple the image-layout interaction into a siamese branch alongside the image-text one and fuse them in the later stage. Moreover, we contribute a large-scale layout dataset, named LayoutSAM, which includes 2.7 million image-text pairs and 10.7 million entities. Each entity is annotated with a bounding box and a detailed description. We further construct the LayoutSAM-Eval benchmark as a comprehensive tool for evaluating the L2I generation quality. Finally, we introduce the Layout Designer, which taps into the potential of large language models in layout planning, transforming them into experts in layout generation and optimization. Our code, model, and dataset will be available at https://creatilayout.github.io.

In this paper, we introduce DRR-RATE, a large-scale synthetic chest X-ray dataset derived from the recently released CT-RATE dataset. DRR-RATE comprises of 50,188 frontal Digitally Reconstructed Radiographs (DRRs) from 21,304 unique patients. Each image is paired with a corresponding radiology text report and binary labels for 18 pathology classes. Given the controllable nature of DRR generation, it facilitates the inclusion of lateral view images and images from any desired viewing position. This opens up avenues for research into new and novel multimodal applications involving paired CT, X-ray images from various views, text, and binary labels. We demonstrate the applicability of DRR-RATE alongside existing large-scale chest X-ray resources, notably the CheXpert dataset and CheXnet model. Experiments demonstrate that CheXnet, when trained and tested on the DRR-RATE dataset, achieves sufficient to high AUC scores for the six common pathologies cited in common literature: Atelectasis, Cardiomegaly, Consolidation, Lung Lesion, Lung Opacity, and Pleural Effusion. Additionally, CheXnet trained on the CheXpert dataset can accurately identify several pathologies, even when operating out of distribution. This confirms that the generated DRR images effectively capture the essential pathology features from CT images. The dataset and labels are publicly accessible at https://huggingface.co/datasets/farrell236/DRR-RATE.

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

Image Difference Captioning (IDC) aims to generate natural language descriptions of subtle differences between image pairs, requiring both precise visual change localization and coherent semantic expression. Despite recent advancements, existing datasets often lack breadth and depth, limiting their applicability in complex and dynamic environments: (1) from a breadth perspective, current datasets are constrained to limited variations of objects in specific scenes, and (2) from a depth perspective, prior benchmarks often provide overly simplistic descriptions. To address these challenges, we introduce OmniDiff, a comprehensive dataset comprising 324 diverse scenarios-spanning real-world complex environments and 3D synthetic settings-with fine-grained human annotations averaging 60 words in length and covering 12 distinct change types. Building on this foundation, we propose M^3Diff, a MultiModal large language model enhanced by a plug-and-play Multi-scale Differential Perception (MDP) module. This module improves the model's ability to accurately identify and describe inter-image differences while maintaining the foundational model's generalization capabilities. With the addition of the OmniDiff dataset, M^3Diff achieves state-of-the-art performance across multiple benchmarks, including Spot-the-Diff, IEdit, CLEVR-Change, CLEVR-DC, and OmniDiff, demonstrating significant improvements in cross-scenario difference recognition accuracy compared to existing methods. The dataset, code, and models will be made publicly available to support further research.

Deep neural networks have been extensively applied in the medical domain for various tasks, including image classification, segmentation, and landmark detection. However, their application is often hindered by data scarcity, both in terms of available annotations and images. This study introduces a novel application of denoising diffusion probabilistic models (DDPMs) to the landmark detection task, specifically addressing the challenge of limited annotated data in x-ray imaging. Our key innovation lies in leveraging DDPMs for self-supervised pre-training in landmark detection, a previously unexplored approach in this domain. This method enables accurate landmark detection with minimal annotated training data (as few as 50 images), surpassing both ImageNet supervised pre-training and traditional self-supervised techniques across three popular x-ray benchmark datasets. To our knowledge, this work represents the first application of diffusion models for self-supervised learning in landmark detection, which may offer a valuable pre-training approach in few-shot regimes, for mitigating data scarcity.

Longitudinal multimodal data, including electronic health records (EHR) and sequential chest X-rays (CXRs), is critical for modeling disease progression, yet remains underutilized due to two key challenges: (1) redundancy in consecutive CXR sequences, where static anatomical regions dominate over clinically-meaningful dynamics, and (2) temporal misalignment between sparse, irregular imaging and continuous EHR data. We introduce DiPro, a novel framework that addresses these challenges through region-aware disentanglement and multi-timescale alignment. First, we disentangle static (anatomy) and dynamic (pathology progression) features in sequential CXRs, prioritizing disease-relevant changes. Second, we hierarchically align these static and dynamic CXR features with asynchronous EHR data via local (pairwise interval-level) and global (full-sequence) synchronization to model coherent progression pathways. Extensive experiments on the MIMIC dataset demonstrate that DiPro could effectively extract temporal clinical dynamics and achieve state-of-the-art performance on both disease progression identification and general ICU prediction tasks.

The scarcity of annotations poses a significant challenge in medical image analysis. Large-scale pre-training has emerged as a promising label-efficient solution, owing to the utilization of large-scale data, large models, and advanced pre-training techniques. However, its development in medical images remains underexplored. The primary challenge lies in harnessing large-scale unlabeled data and learning high-level semantics without annotations. We observe that 3D medical images exhibit consistent geometric context, i.e., consistent geometric relations between different organs, which leads to a promising way for learning consistent representations. Motivated by this, we introduce a simple-yet-effective Volume Contrast (VoCo) framework to leverage geometric context priors for self-supervision. Given an input volume, we extract base crops from different regions to construct positive and negative pairs for contrastive learning. Then we predict the contextual position of a random crop by contrasting its similarity to the base crops. In this way, VoCo encodes the inherent geometric context into model representations, facilitating high-level semantic learning without annotations. Specifically, we (1) introduce the largest medical pre-training dataset PreCT-160K; (2) investigate scaling laws and propose guidelines for tailoring different model sizes to various medical tasks; (3) build a benchmark encompassing 48 medical tasks. Extensive experiments highlight the superiority of VoCo. Codes at https://github.com/Luffy03/Large-Scale-Medical.

Text-to-image (T2I) models are well known for their ability to produce highly realistic images, while multimodal large language models (MLLMs) are renowned for their proficiency in understanding and integrating multiple modalities. However, currently there is no straightforward and efficient framework to transfer the multimodal comprehension abilities of MLLMs to T2I models to enable them to understand multimodal inputs. In this paper, we propose the X2I framework, which endows Diffusion Transformer (DiT) models with the capability to comprehend various modalities, including multilingual text, screenshot documents, images, videos, and audio. X2I is trained using merely 100K English corpus with 160 GPU hours. Building on the DiT teacher model, we adopt an innovative distillation method to extract the inference capabilities of the teacher model and design a lightweight AlignNet structure to serve as an intermediate bridge. Compared to the teacher model, X2I shows a decrease in performance degradation of less than 1\% while gaining various multimodal understanding abilities, including multilingual to image, image to image, image-text to image, video to image, audio to image, and utilizing creative fusion to enhance imagery. Furthermore, it is applicable for LoRA training in the context of image-text to image generation, filling a void in the industry in this area. We further design a simple LightControl to enhance the fidelity of instructional image editing. Finally, extensive experiments demonstrate the effectiveness, efficiency, multifunctionality, and transferability of our X2I. The open-source code and checkpoints for X2I can be found at the following link: https://github.com/OPPO-Mente-Lab/X2I.

Computed tomography (CT) serves as an effective tool for lung cancer screening, diagnosis, treatment, and prognosis, providing a rich source of features to quantify temporal and spatial tumor changes. Nonetheless, the diversity of CT scanners and customized acquisition protocols can introduce significant inconsistencies in texture features, even when assessing the same patient. This variability poses a fundamental challenge for subsequent research that relies on consistent image features. Existing CT image standardization models predominantly utilize GAN-based supervised or semi-supervised learning, but their performance remains limited. We present DiffusionCT, an innovative score-based DDPM model that operates in the latent space to transform disparate non-standard distributions into a standardized form. The architecture comprises a U-Net-based encoder-decoder, augmented by a DDPM model integrated at the bottleneck position. First, the encoder-decoder is trained independently, without embedding DDPM, to capture the latent representation of the input data. Second, the latent DDPM model is trained while keeping the encoder-decoder parameters fixed. Finally, the decoder uses the transformed latent representation to generate a standardized CT image, providing a more consistent basis for downstream analysis. Empirical tests on patient CT images indicate notable improvements in image standardization using DiffusionCT. Additionally, the model significantly reduces image noise in SPAD images, further validating the effectiveness of DiffusionCT for advanced imaging tasks.

Purpose: Medical imaging has become increasingly important in diagnosing and treating oncological patients, particularly in radiotherapy. Recent advances in synthetic computed tomography (sCT) generation have increased interest in public challenges to provide data and evaluation metrics for comparing different approaches openly. This paper describes a dataset of brain and pelvis computed tomography (CT) images with rigidly registered CBCT and MRI images to facilitate the development and evaluation of sCT generation for radiotherapy planning. Acquisition and validation methods: The dataset consists of CT, CBCT, and MRI of 540 brains and 540 pelvic radiotherapy patients from three Dutch university medical centers. Subjects' ages ranged from 3 to 93 years, with a mean age of 60. Various scanner models and acquisition settings were used across patients from the three data-providing centers. Details are available in CSV files provided with the datasets. Data format and usage notes: The data is available on Zenodo (https://doi.org/10.5281/zenodo.7260705) under the SynthRAD2023 collection. The images for each subject are available in nifti format. Potential applications: This dataset will enable the evaluation and development of image synthesis algorithms for radiotherapy purposes on a realistic multi-center dataset with varying acquisition protocols. Synthetic CT generation has numerous applications in radiation therapy, including diagnosis, treatment planning, treatment monitoring, and surgical planning.

In recent years, single image super-resolution (SISR) methods using deep convolution neural network (CNN) have achieved impressive results. Thanks to the powerful representation capabilities of the deep networks, numerous previous ways can learn the complex non-linear mapping between low-resolution (LR) image patches and their high-resolution (HR) versions. However, excessive convolutions will limit the application of super-resolution technology in low computing power devices. Besides, super-resolution of any arbitrary scale factor is a critical issue in practical applications, which has not been well solved in the previous approaches. To address these issues, we propose a lightweight information multi-distillation network (IMDN) by constructing the cascaded information multi-distillation blocks (IMDB), which contains distillation and selective fusion parts. Specifically, the distillation module extracts hierarchical features step-by-step, and fusion module aggregates them according to the importance of candidate features, which is evaluated by the proposed contrast-aware channel attention mechanism. To process real images with any sizes, we develop an adaptive cropping strategy (ACS) to super-resolve block-wise image patches using the same well-trained model. Extensive experiments suggest that the proposed method performs favorably against the state-of-the-art SR algorithms in term of visual quality, memory footprint, and inference time. Code is available at https://github.com/Zheng222/IMDN.

Text-to-image diffusion models have proven effective for solving many image editing tasks. However, the seemingly straightforward task of seamlessly relocating objects within a scene remains surprisingly challenging. Existing methods addressing this problem often struggle to function reliably in real-world scenarios due to lacking spatial reasoning. In this work, we propose a training-free method, dubbed DiffUHaul, that harnesses the spatial understanding of a localized text-to-image model, for the object dragging task. Blindly manipulating layout inputs of the localized model tends to cause low editing performance due to the intrinsic entanglement of object representation in the model. To this end, we first apply attention masking in each denoising step to make the generation more disentangled across different objects and adopt the self-attention sharing mechanism to preserve the high-level object appearance. Furthermore, we propose a new diffusion anchoring technique: in the early denoising steps, we interpolate the attention features between source and target images to smoothly fuse new layouts with the original appearance; in the later denoising steps, we pass the localized features from the source images to the interpolated images to retain fine-grained object details. To adapt DiffUHaul to real-image editing, we apply a DDPM self-attention bucketing that can better reconstruct real images with the localized model. Finally, we introduce an automated evaluation pipeline for this task and showcase the efficacy of our method. Our results are reinforced through a user preference study.

The proliferation of digital microscopy images, driven by advances in automated whole slide scanning, presents significant opportunities for biomedical research and clinical diagnostics. However, accurately annotating densely packed information in these images remains a major challenge. To address this, we introduce DiffKillR, a novel framework that reframes cell annotation as the combination of archetype matching and image registration tasks. DiffKillR employs two complementary neural networks: one that learns a diffeomorphism-invariant feature space for robust cell matching and another that computes the precise warping field between cells for annotation mapping. Using a small set of annotated archetypes, DiffKillR efficiently propagates annotations across large microscopy images, reducing the need for extensive manual labeling. More importantly, it is suitable for any type of pixel-level annotation. We will discuss the theoretical properties of DiffKillR and validate it on three microscopy tasks, demonstrating its advantages over existing supervised, semi-supervised, and unsupervised methods. The code is available at https://github.com/KrishnaswamyLab/DiffKillR.

Diffusion Transformers (DiT) excel at image and video generation but face computational challenges due to self-attention's quadratic complexity. We propose DiTFastAttn, a novel post-training compression method to alleviate DiT's computational bottleneck. We identify three key redundancies in the attention computation during DiT inference: 1. spatial redundancy, where many attention heads focus on local information; 2. temporal redundancy, with high similarity between neighboring steps' attention outputs; 3. conditional redundancy, where conditional and unconditional inferences exhibit significant similarity. To tackle these redundancies, we propose three techniques: 1. Window Attention with Residual Caching to reduce spatial redundancy; 2. Temporal Similarity Reduction to exploit the similarity between steps; 3. Conditional Redundancy Elimination to skip redundant computations during conditional generation. To demonstrate the effectiveness of DiTFastAttn, we apply it to DiT, PixArt-Sigma for image generation tasks, and OpenSora for video generation tasks. Evaluation results show that for image generation, our method reduces up to 88\% of the FLOPs and achieves up to 1.6x speedup at high resolution generation.

Magnetic Resonance Imaging (MRI), including diffusion MRI (dMRI), serves as a ``microscope'' for anatomical structures and routinely mitigates the influence of low signal-to-noise ratio scans by compromising temporal or spatial resolution. However, these compromises fail to meet clinical demands for both efficiency and precision. Consequently, denoising is a vital preprocessing step, particularly for dMRI, where clean data is unavailable. In this paper, we introduce Di-Fusion, a fully self-supervised denoising method that leverages the latter diffusion steps and an adaptive sampling process. Unlike previous approaches, our single-stage framework achieves efficient and stable training without extra noise model training and offers adaptive and controllable results in the sampling process. Our thorough experiments on real and simulated data demonstrate that Di-Fusion achieves state-of-the-art performance in microstructure modeling, tractography tracking, and other downstream tasks. Code is available at https://github.com/FouierL/Di-Fusion.

This paper addresses an important problem of object addition for images with only text guidance. It is challenging because the new object must be integrated seamlessly into the image with consistent visual context, such as lighting, texture, and spatial location. While existing text-guided image inpainting methods can add objects, they either fail to preserve the background consistency or involve cumbersome human intervention in specifying bounding boxes or user-scribbled masks. To tackle this challenge, we introduce Diffree, a Text-to-Image (T2I) model that facilitates text-guided object addition with only text control. To this end, we curate OABench, an exquisite synthetic dataset by removing objects with advanced image inpainting techniques. OABench comprises 74K real-world tuples of an original image, an inpainted image with the object removed, an object mask, and object descriptions. Trained on OABench using the Stable Diffusion model with an additional mask prediction module, Diffree uniquely predicts the position of the new object and achieves object addition with guidance from only text. Extensive experiments demonstrate that Diffree excels in adding new objects with a high success rate while maintaining background consistency, spatial appropriateness, and object relevance and quality.

Medical report generation from X-ray images is a challenging task, particularly in an unpaired setting where paired image-report data is unavailable for training. To address this challenge, we propose a novel model that leverages the available information in two distinct datasets, one comprising reports and the other consisting of images. The core idea of our model revolves around the notion that combining auto-encoding report generation with multi-modal (report-image) alignment can offer a solution. However, the challenge persists regarding how to achieve this alignment when pair correspondence is absent. Our proposed solution involves the use of auxiliary tasks, particularly contrastive learning and classification, to position related images and reports in close proximity to each other. This approach differs from previous methods that rely on pre-processing steps, such as using external information stored in a knowledge graph. Our model, named MedRAT, surpasses previous state-of-the-art methods, demonstrating the feasibility of generating comprehensive medical reports without the need for paired data or external tools.

Self-supervised learning has emerged as a powerful paradigm for training deep neural networks, particularly in medical imaging where labeled data is scarce. While current approaches typically rely on synthetic augmentations of single images, we propose VET-DINO, a framework that leverages a unique characteristic of medical imaging: the availability of multiple standardized views from the same study. Using a series of clinical veterinary radiographs from the same patient study, we enable models to learn view-invariant anatomical structures and develop an implied 3D understanding from 2D projections. We demonstrate our approach on a dataset of 5 million veterinary radiographs from 668,000 canine studies. Through extensive experimentation, including view synthesis and downstream task performance, we show that learning from real multi-view pairs leads to superior anatomical understanding compared to purely synthetic augmentations. VET-DINO achieves state-of-the-art performance on various veterinary imaging tasks. Our work establishes a new paradigm for self-supervised learning in medical imaging that leverages domain-specific properties rather than merely adapting natural image techniques.

Image registration is the process of bringing different images into a common coordinate system - a technique widely used in various applications of computer vision, such as remote sensing, image retrieval, and, most commonly, medical imaging. Deep learning based techniques have been applied successfully to tackle various complex medical image processing problems, including medical image registration. Over the years, several image registration techniques have been proposed using deep learning. Deformable image registration techniques such as Voxelmorph have been successful in capturing finer changes and providing smoother deformations. However, Voxelmorph, as well as ICNet and FIRE, do not explicitly encode global dependencies (i.e. the overall anatomical view of the supplied image) and, therefore, cannot track large deformations. In order to tackle the aforementioned problems, this paper extends the Voxelmorph approach in three different ways. To improve the performance in case of small as well as large deformations, supervision of the model at different resolutions has been integrated using a multi-scale UNet. To support the network to learn and encode the minute structural co-relations of the given image-pairs, a self-constructing graph network (SCGNet) has been used as the latent of the multi-scale UNet - which can improve the learning process of the model and help the model to generalise better. And finally, to make the deformations inverse-consistent, cycle consistency loss has been employed. On the task of registration of brain MRIs, the proposed method achieved significant improvements over ANTs and VoxelMorph, obtaining a Dice score of 0.8013 \pm 0.0243 for intramodal and 0.6211 \pm 0.0309 for intermodal, while VoxelMorph achieved 0.7747 \pm 0.0260 and 0.6071 \pm 0.0510, respectively

We propose DiffCLIP, a novel vision-language model that extends the differential attention mechanism to CLIP architectures. Differential attention was originally developed for large language models to amplify relevant context while canceling out noisy information. In this work, we integrate this mechanism into CLIP's dual encoder (image and text) framework. With minimal additional parameters, DiffCLIP achieves superior performance on image-text understanding tasks. Across zero-shot classification, retrieval, and robustness benchmarks, DiffCLIP consistently outperforms baseline CLIP models. Notably, these gains come with negligible computational overhead, demonstrating that differential attention can significantly enhance multi-modal representations without sacrificing efficiency. Code can be found at https://github.com/hammoudhasan/DiffCLIP.

Diffusion model (DM) has achieved SOTA performance by modeling the image synthesis process into a sequential application of a denoising network. However, different from image synthesis, image restoration (IR) has a strong constraint to generate results in accordance with ground-truth. Thus, for IR, traditional DMs running massive iterations on a large model to estimate whole images or feature maps is inefficient. To address this issue, we propose an efficient DM for IR (DiffIR), which consists of a compact IR prior extraction network (CPEN), dynamic IR transformer (DIRformer), and denoising network. Specifically, DiffIR has two training stages: pretraining and training DM. In pretraining, we input ground-truth images into CPEN_{S1} to capture a compact IR prior representation (IPR) to guide DIRformer. In the second stage, we train the DM to directly estimate the same IRP as pretrained CPEN_{S1} only using LQ images. We observe that since the IPR is only a compact vector, DiffIR can use fewer iterations than traditional DM to obtain accurate estimations and generate more stable and realistic results. Since the iterations are few, our DiffIR can adopt a joint optimization of CPEN_{S2}, DIRformer, and denoising network, which can further reduce the estimation error influence. We conduct extensive experiments on several IR tasks and achieve SOTA performance while consuming less computational costs. Code is available at https://github.com/Zj-BinXia/DiffIR.

Medical imaging analysis plays a critical role in the diagnosis and treatment of various medical conditions. This paper focuses on chest X-ray images and their corresponding radiological reports. It presents a new model that learns a joint X-ray image & report representation. The model is based on a novel alignment scheme between the visual data and the text, which takes into account both local and global information. Furthermore, the model integrates domain-specific information of two types -- lateral images and the consistent visual structure of chest images. Our representation is shown to benefit three types of retrieval tasks: text-image retrieval, class-based retrieval, and phrase-grounding.

Dichotomous Image Segmentation (DIS) has recently emerged towards high-precision object segmentation from high-resolution natural images. When designing an effective DIS model, the main challenge is how to balance the semantic dispersion of high-resolution targets in the small receptive field and the loss of high-precision details in the large receptive field. Existing methods rely on tedious multiple encoder-decoder streams and stages to gradually complete the global localization and local refinement. Human visual system captures regions of interest by observing them from multiple views. Inspired by it, we model DIS as a multi-view object perception problem and provide a parsimonious multi-view aggregation network (MVANet), which unifies the feature fusion of the distant view and close-up view into a single stream with one encoder-decoder structure. With the help of the proposed multi-view complementary localization and refinement modules, our approach established long-range, profound visual interactions across multiple views, allowing the features of the detailed close-up view to focus on highly slender structures.Experiments on the popular DIS-5K dataset show that our MVANet significantly outperforms state-of-the-art methods in both accuracy and speed. The source code and datasets will be publicly available at https://github.com/qianyu-dlut/MVANet{MVANet}.

Radiology reports are crucial for planning treatment strategies and enhancing doctor-patient communication, yet manually writing these reports is burdensome for radiologists. While automatic report generation offers a solution, existing methods often rely on single-view radiographs, limiting diagnostic accuracy. To address this problem, we propose MCL, a Multi-view enhanced Contrastive Learning method for chest X-ray report generation. Specifically, we first introduce multi-view enhanced contrastive learning for visual representation by maximizing agreements between multi-view radiographs and their corresponding report. Subsequently, to fully exploit patient-specific indications (e.g., patient's symptoms) for report generation, we add a transitional ``bridge" for missing indications to reduce embedding space discrepancies caused by their presence or absence. Additionally, we construct Multi-view CXR and Two-view CXR datasets from public sources to support research on multi-view report generation. Our proposed MCL surpasses recent state-of-the-art methods across multiple datasets, achieving a 5.0% F1 RadGraph improvement on MIMIC-CXR, a 7.3% BLEU-1 improvement on MIMIC-ABN, a 3.1% BLEU-4 improvement on Multi-view CXR, and an 8.2% F1 CheXbert improvement on Two-view CXR.

The diffusion transformer (DiT) architecture has attracted significant attention in image generation, achieving better fidelity, performance, and diversity. However, most existing DiT - based image generation methods focus on global - aware synthesis, and regional prompt control has been less explored. In this paper, we propose a coarse - to - fine generation pipeline for regional prompt - following generation. Specifically, we first utilize the powerful large language model (LLM) to generate both high - level descriptions of the image (such as content, topic, and objects) and low - level descriptions (such as details and style). Then, we explore the influence of cross - attention layers at different depths. We find that deeper layers are always responsible for high - level content control, while shallow layers handle low - level content control. Various prompts are injected into the proposed regional cross - attention control for coarse - to - fine generation. By using the proposed pipeline, we enhance the controllability of DiT - based image generation. Extensive quantitative and qualitative results show that our pipeline can improve the performance of the generated images.

Medical vision-language pre-training shows great potential in learning representative features from massive paired radiographs and reports. However, in computed tomography (CT) scans, the distribution of lesions which contain intricate structures is characterized by spatial sparsity. Besides, the complex and implicit relationships between different pathological descriptions in each sentence of the report and their corresponding sub-regions in radiographs pose additional challenges. In this paper, we propose a Similarity-Driven Cross-Granularity Pre-training (SimCroP) framework on chest CTs, which combines similarity-driven alignment and cross-granularity fusion to improve radiograph interpretation. We first leverage multi-modal masked modeling to optimize the encoder for understanding precise low-level semantics from radiographs. Then, similarity-driven alignment is designed to pre-train the encoder to adaptively select and align the correct patches corresponding to each sentence in reports. The cross-granularity fusion module integrates multimodal information across instance level and word-patch level, which helps the model better capture key pathology structures in sparse radiographs, resulting in improved performance for multi-scale downstream tasks. SimCroP is pre-trained on a large-scale paired CT-reports dataset and validated on image classification and segmentation tasks across five public datasets. Experimental results demonstrate that SimCroP outperforms both cutting-edge medical self-supervised learning methods and medical vision-language pre-training methods. Codes and models are available at https://github.com/ToniChopp/SimCroP.

Despite the progress in automatic detection of radiologic findings from chest X-ray (CXR) images in recent years, a quantitative evaluation of the explainability of these models is hampered by the lack of locally labeled datasets for different findings. With the exception of a few expert-labeled small-scale datasets for specific findings, such as pneumonia and pneumothorax, most of the CXR deep learning models to date are trained on global "weak" labels extracted from text reports, or trained via a joint image and unstructured text learning strategy. Inspired by the Visual Genome effort in the computer vision community, we constructed the first Chest ImaGenome dataset with a scene graph data structure to describe 242,072 images. Local annotations are automatically produced using a joint rule-based natural language processing (NLP) and atlas-based bounding box detection pipeline. Through a radiologist constructed CXR ontology, the annotations for each CXR are connected as an anatomy-centered scene graph, useful for image-level reasoning and multimodal fusion applications. Overall, we provide: i) 1,256 combinations of relation annotations between 29 CXR anatomical locations (objects with bounding box coordinates) and their attributes, structured as a scene graph per image, ii) over 670,000 localized comparison relations (for improved, worsened, or no change) between the anatomical locations across sequential exams, as well as ii) a manually annotated gold standard scene graph dataset from 500 unique patients.

Recently, diffusion-based image generation methods are credited for their remarkable text-to-image generation capabilities, while still facing challenges in accurately generating multilingual scene text images. To tackle this problem, we propose Diff-Text, which is a training-free scene text generation framework for any language. Our model outputs a photo-realistic image given a text of any language along with a textual description of a scene. The model leverages rendered sketch images as priors, thus arousing the potential multilingual-generation ability of the pre-trained Stable Diffusion. Based on the observation from the influence of the cross-attention map on object placement in generated images, we propose a localized attention constraint into the cross-attention layer to address the unreasonable positioning problem of scene text. Additionally, we introduce contrastive image-level prompts to further refine the position of the textual region and achieve more accurate scene text generation. Experiments demonstrate that our method outperforms the existing method in both the accuracy of text recognition and the naturalness of foreground-background blending.

Accurate medical image segmentation is crucial for precise anatomical delineation. Deep learning models like U-Net have shown great success but depend heavily on large datasets and struggle with domain shifts, complex structures, and limited training samples. Recent studies have explored diffusion models for segmentation by iteratively refining masks. However, these methods still retain the conventional image-to-mask mapping, making them highly sensitive to input data, which hampers stability and generalization. In contrast, we introduce DiffAtlas, a novel generative framework that models both images and masks through diffusion during training, effectively ``GenAI-fying'' atlas-based segmentation. During testing, the model is guided to generate a specific target image-mask pair, from which the corresponding mask is obtained. DiffAtlas retains the robustness of the atlas paradigm while overcoming its scalability and domain-specific limitations. Extensive experiments on CT and MRI across same-domain, cross-modality, varying-domain, and different data-scale settings using the MMWHS and TotalSegmentator datasets demonstrate that our approach outperforms existing methods, particularly in limited-data and zero-shot modality segmentation. Code is available at https://github.com/M3DV/DiffAtlas.

Diffusion Transformers (DiTs) have exhibited robust capabilities in image generation tasks. However, accurate text-guided image editing for multimodal DiTs (MM-DiTs) still poses a significant challenge. Unlike UNet-based structures that could utilize self/cross-attention maps for semantic editing, MM-DiTs inherently lack support for explicit and consistent incorporated text guidance, resulting in semantic misalignment between the edited results and texts. In this study, we disclose the sensitivity of different attention heads to different image semantics within MM-DiTs and introduce HeadRouter, a training-free image editing framework that edits the source image by adaptively routing the text guidance to different attention heads in MM-DiTs. Furthermore, we present a dual-token refinement module to refine text/image token representations for precise semantic guidance and accurate region expression. Experimental results on multiple benchmarks demonstrate HeadRouter's performance in terms of editing fidelity and image quality.

Digitally reconstructed radiographs (DRRs) are simulated 2D X-ray images generated from 3D CT volumes, widely used in preoperative settings but limited in intraoperative applications due to computational bottlenecks, especially for accurate but heavy physics-based Monte Carlo methods. While analytical DRR renderers offer greater efficiency, they overlook anisotropic X-ray image formation phenomena, such as Compton scattering. We present a novel approach that marries realistic physics-inspired X-ray simulation with efficient, differentiable DRR generation using 3D Gaussian splatting (3DGS). Our direction-disentangled 3DGS (DDGS) method separates the radiosity contribution into isotropic and direction-dependent components, approximating complex anisotropic interactions without intricate runtime simulations. Additionally, we adapt the 3DGS initialization to account for tomography data properties, enhancing accuracy and efficiency. Our method outperforms state-of-the-art techniques in image accuracy. Furthermore, our DDGS shows promise for intraoperative applications and inverse problems such as pose registration, delivering superior registration accuracy and runtime performance compared to analytical DRR methods.

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

Multimodal large language models (MLLMs) have recently achieved remarkable progress in radiology by integrating visual perception with natural language understanding. However, they often generate clinically unsupported descriptions, known as medical hallucinations, which pose serious risks in medical applications that demand accuracy and image-grounded outputs. Through empirical analysis, we find that prompt-induced hallucinations remain prevalent in radiology MLLMs, largely due to over-sensitivity to clinical sections. To address this, we introduce Clinical Contrastive Cecoding (CCD), a training-free and retrieval-free inference framework that integrates structured clinical signals from task-specific radiology expert models. CCD introduces a dual-stage contrastive mechanism to refine token-level logits during generation, thereby enhancing clinical fidelity without modifying the base MLLM. Experiments on three datasets and multiple models demonstrate that CCD consistently improves overall performance on radiology report generation (RRG). On the MIMIC-CXR dataset, it yields up to a 17% improvement in RadGraph-F1 when applied to state-of-the-art RRG models. Our approach provides a lightweight and generalisable solution for mitigating medical hallucinations, effectively bridging expert models and MLLMs in radiology.

Diffusion models are widely recognized for generating high-quality and diverse images, but their poor real-time performance has led to numerous acceleration works, primarily focusing on UNet-based structures. With the more successful results achieved by diffusion transformers (DiT), there is still a lack of exploration regarding the impact of DiT structure on generation, as well as the absence of an acceleration framework tailored to the DiT architecture. To tackle these challenges, we conduct an investigation into the correlation between DiT blocks and image generation. Our findings reveal that the front blocks of DiT are associated with the outline of the generated images, while the rear blocks are linked to the details. Based on this insight, we propose an overall training-free inference acceleration framework Delta-DiT: using a designed cache mechanism to accelerate the rear DiT blocks in the early sampling stages and the front DiT blocks in the later stages. Specifically, a DiT-specific cache mechanism called Delta-Cache is proposed, which considers the inputs of the previous sampling image and reduces the bias in the inference. Extensive experiments on PIXART-alpha and DiT-XL demonstrate that the Delta-DiT can achieve a 1.6times speedup on the 20-step generation and even improves performance in most cases. In the scenario of 4-step consistent model generation and the more challenging 1.12times acceleration, our method significantly outperforms existing methods. Our code will be publicly available.

We present Distill CLIP (DCLIP), a fine-tuned variant of the CLIP model that enhances multimodal image-text retrieval while preserving the original model's strong zero-shot classification capabilities. CLIP models are typically constrained by fixed image resolutions and limited context, which can hinder their effectiveness in retrieval tasks that require fine-grained cross-modal understanding. DCLIP addresses these challenges through a meta teacher-student distillation framework, where a cross-modal transformer teacher is fine-tuned to produce enriched embeddings via bidirectional cross-attention between YOLO-extracted image regions and corresponding textual spans. These semantically and spatially aligned global representations guide the training of a lightweight student model using a hybrid loss that combines contrastive learning and cosine similarity objectives. Despite being trained on only ~67,500 samples curated from MSCOCO, Flickr30k, and Conceptual Captions-just a fraction of CLIP's original dataset-DCLIP significantly improves image-text retrieval metrics (Recall@K, MAP), while retaining approximately 94% of CLIP's zero-shot classification performance. These results demonstrate that DCLIP effectively mitigates the trade-off between task specialization and generalization, offering a resource-efficient, domain-adaptive, and detail-sensitive solution for advanced vision-language tasks. Code available at https://anonymous.4open.science/r/DCLIP-B772/README.md.

Medical image classification in radiology faces significant challenges, particularly in generalizing to unseen pathologies. In contrast, CLIP offers a promising solution by leveraging multimodal learning to improve zero-shot classification performance. However, in the medical domain, lesions can be small and might not be well represented in the embedding space. Therefore, in this paper, we explore the potential of visual prompt engineering to enhance the capabilities of Vision Language Models (VLMs) in radiology. Leveraging BiomedCLIP, trained on extensive biomedical image-text pairs, we investigate the impact of embedding visual markers directly within radiological images to guide the model's attention to critical regions. Our evaluation on the JSRT dataset, focusing on lung nodule malignancy classification, demonstrates that incorporating visual prompts x2013 such as arrows, circles, and contours x2013 significantly improves classification metrics including AUROC, AUPRC, F1 score, and accuracy. Moreover, the study provides attention maps, showcasing enhanced model interpretability and focus on clinically relevant areas. These findings underscore the efficacy of visual prompt engineering as a straightforward yet powerful approach to advance VLM performance in medical image analysis.

Our approach, which we call Embeddings for Language/Image-aligned X-Rays, or ELIXR, leverages a language-aligned image encoder combined or grafted onto a fixed LLM, PaLM 2, to perform a broad range of tasks. We train this lightweight adapter architecture using images paired with corresponding free-text radiology reports from the MIMIC-CXR dataset. ELIXR achieved state-of-the-art performance on zero-shot chest X-ray (CXR) classification (mean AUC of 0.850 across 13 findings), data-efficient CXR classification (mean AUCs of 0.893 and 0.898 across five findings (atelectasis, cardiomegaly, consolidation, pleural effusion, and pulmonary edema) for 1% (~2,200 images) and 10% (~22,000 images) training data), and semantic search (0.76 normalized discounted cumulative gain (NDCG) across nineteen queries, including perfect retrieval on twelve of them). Compared to existing data-efficient methods including supervised contrastive learning (SupCon), ELIXR required two orders of magnitude less data to reach similar performance. ELIXR also showed promise on CXR vision-language tasks, demonstrating overall accuracies of 58.7% and 62.5% on visual question answering and report quality assurance tasks, respectively. These results suggest that ELIXR is a robust and versatile approach to CXR AI.

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.

Diffusion Probabilistic Models (DPMs) have recently been employed for image deblurring, formulated as an image-conditioned generation process that maps Gaussian noise to the high-quality image, conditioned on the blurry input. Image-conditioned DPMs (icDPMs) have shown more realistic results than regression-based methods when trained on pairwise in-domain data. However, their robustness in restoring images is unclear when presented with out-of-domain images as they do not impose specific degradation models or intermediate constraints. To this end, we introduce a simple yet effective multiscale structure guidance as an implicit bias that informs the icDPM about the coarse structure of the sharp image at the intermediate layers. This guided formulation leads to a significant improvement of the deblurring results, particularly on unseen domain. The guidance is extracted from the latent space of a regression network trained to predict the clean-sharp target at multiple lower resolutions, thus maintaining the most salient sharp structures. With both the blurry input and multiscale guidance, the icDPM model can better understand the blur and recover the clean image. We evaluate a single-dataset trained model on diverse datasets and demonstrate more robust deblurring results with fewer artifacts on unseen data. Our method outperforms existing baselines, achieving state-of-the-art perceptual quality while keeping competitive distortion metrics.

Generating high-quality labeled image datasets is crucial for training accurate and robust machine learning models in the field of computer vision. However, the process of manually labeling real images is often time-consuming and costly. To address these challenges associated with dataset generation, we introduce "DiffuGen," a simple and adaptable approach that harnesses the power of stable diffusion models to create labeled image datasets efficiently. By leveraging stable diffusion models, our approach not only ensures the quality of generated datasets but also provides a versatile solution for label generation. In this paper, we present the methodology behind DiffuGen, which combines the capabilities of diffusion models with two distinct labeling techniques: unsupervised and supervised. Distinctively, DiffuGen employs prompt templating for adaptable image generation and textual inversion to enhance diffusion model capabilities.

Image customization, a crucial technique for industrial media production, aims to generate content that is consistent with reference images. However, current approaches conventionally separate image customization into position-aware and position-free customization paradigms and lack a universal framework for diverse customization, limiting their applications across various scenarios. To overcome these limitations, we propose IC-Custom, a unified framework that seamlessly integrates position-aware and position-free image customization through in-context learning. IC-Custom concatenates reference images with target images to a polyptych, leveraging DiT's multi-modal attention mechanism for fine-grained token-level interactions. We introduce the In-context Multi-Modal Attention (ICMA) mechanism with learnable task-oriented register tokens and boundary-aware positional embeddings to enable the model to correctly handle different task types and distinguish various inputs in polyptych configurations. To bridge the data gap, we carefully curated a high-quality dataset of 12k identity-consistent samples with 8k from real-world sources and 4k from high-quality synthetic data, avoiding the overly glossy and over-saturated synthetic appearance. IC-Custom supports various industrial applications, including try-on, accessory placement, furniture arrangement, and creative IP customization. Extensive evaluations on our proposed ProductBench and the publicly available DreamBench demonstrate that IC-Custom significantly outperforms community workflows, closed-source models, and state-of-the-art open-source approaches. IC-Custom achieves approximately 73% higher human preference across identity consistency, harmonicity, and text alignment metrics, while training only 0.4% of the original model parameters. Project page: https://liyaowei-stu.github.io/project/IC_Custom

Image-to-image translation aims to learn a mapping between a source and a target domain, enabling tasks such as style transfer, appearance transformation, and domain adaptation. In this work, we explore a diffusion-based framework for image-to-image translation by adapting Diffusion Transformers (DiT), which combine the denoising capabilities of diffusion models with the global modeling power of transformers. To guide the translation process, we condition the model on image embeddings extracted from a pre-trained CLIP encoder, allowing for fine-grained and structurally consistent translations without relying on text or class labels. We incorporate both a CLIP similarity loss to enforce semantic consistency and an LPIPS perceptual loss to enhance visual fidelity during training. We validate our approach on two benchmark datasets: face2comics, which translates real human faces to comic-style illustrations, and edges2shoes, which translates edge maps to realistic shoe images. Experimental results demonstrate that DiT, combined with CLIP-based conditioning and perceptual similarity objectives, achieves high-quality, semantically faithful translations, offering a promising alternative to GAN-based models for paired image-to-image translation tasks.

The superior representation capability of pre-trained vision foundation models (VFMs) has been harnessed for enhancing latent diffusion models (LDMs). These approaches inject the rich semantics from high-dimensional VFM representations (e.g., DINOv3) into LDMs at different phases, resulting in accelerated learning and better generation performance. However, the high-dimensionality of VFM representations may also lead to Information Overload, particularly when the VFM features exceed the size of the original image for decoding. To address this issue while preserving the utility of VFM features, we propose RePack (Representation Packing), a simple yet effective framework for improving Diffusion Transformers (DiTs). RePack transforms the VFM representation into a more compact, decoder-friendly representation by projecting onto low-dimensional manifolds. We find that RePack can effectively filter out non-semantic noise while preserving the core structural information needed for high-fidelity reconstruction. Experimental results show that RePack significantly accelerates DiT convergence and outperforms recent methods that directly inject raw VFM features into the decoder for image reconstruction. On DiT-XL/2, RePack achieves an FID of 3.66 in only 64 epochs, which is 35% faster than the state-of-the-art method. This demonstrates that RePack successfully extracts the core semantics of VFM representations while bypassing their high-dimensionality side effects.

The purpose of this study is to present and compare three denoising diffusion probabilistic models (DDPMs) that generate 3D T_1-weighted MRI human brain images. Three DDPMs were trained using 80,675 image volumes from 42,406 subjects spanning 38 publicly available brain MRI datasets. These images had approximately 1 mm isotropic resolution and were manually inspected by three human experts to exclude those with poor quality, field-of-view issues, and excessive pathology. The images were minimally preprocessed to preserve the visual variability of the data. Furthermore, to enable the DDPMs to produce images with natural orientation variations and inhomogeneity, the images were neither registered to a common coordinate system nor bias field corrected. Evaluations included segmentation, Frechet Inception Distance (FID), and qualitative inspection. Regarding results, all three DDPMs generated coherent MR brain volumes. The velocity and flow prediction models achieved lower FIDs than the sample prediction model. However, all three models had higher FIDs compared to real images across multiple cohorts. In a permutation experiment, the generated brain regional volume distributions differed statistically from real data. However, the velocity and flow prediction models had fewer statistically different volume distributions in the thalamus and putamen. In conclusion this work presents and releases the first 3D non-latent diffusion model for brain data without skullstripping or registration. Despite the negative results in statistical testing, the presented DDPMs are capable of generating high-resolution 3D T_1-weighted brain images. All model weights and corresponding inference code are publicly available at https://github.com/piksl-research/medforj .

Compared to single view medical image classification, using multiple views can significantly enhance predictive accuracy as it can account for the complementarity of each view while leveraging correlations between views. Existing multi-view approaches typically employ separate convolutional or transformer branches combined with simplistic feature fusion strategies. However, these approaches inadvertently disregard essential cross-view correlations, leading to suboptimal classification performance, and suffer from challenges with limited receptive field (CNNs) or quadratic computational complexity (transformers). Inspired by state space sequence models, we propose XFMamba, a pure Mamba-based cross-fusion architecture to address the challenge of multi-view medical image classification. XFMamba introduces a novel two-stage fusion strategy, facilitating the learning of single-view features and their cross-view disparity. This mechanism captures spatially long-range dependencies in each view while enhancing seamless information transfer between views. Results on three public datasets, MURA, CheXpert and DDSM, illustrate the effectiveness of our approach across diverse multi-view medical image classification tasks, showing that it outperforms existing convolution-based and transformer-based multi-view methods. Code is available at https://github.com/XZheng0427/XFMamba.

Diffusion models generate high-quality images but require dozens of forward passes. We introduce Distribution Matching Distillation (DMD), a procedure to transform a diffusion model into a one-step image generator with minimal impact on image quality. We enforce the one-step image generator match the diffusion model at distribution level, by minimizing an approximate KL divergence whose gradient can be expressed as the difference between 2 score functions, one of the target distribution and the other of the synthetic distribution being produced by our one-step generator. The score functions are parameterized as two diffusion models trained separately on each distribution. Combined with a simple regression loss matching the large-scale structure of the multi-step diffusion outputs, our method outperforms all published few-step diffusion approaches, reaching 2.62 FID on ImageNet 64x64 and 11.49 FID on zero-shot COCO-30k, comparable to Stable Diffusion but orders of magnitude faster. Utilizing FP16 inference, our model generates images at 20 FPS on modern hardware.

Recent advancements in multi-modal models have significantly improved vision-language alignment in radiology. However, existing approaches struggle to effectively utilize complex radiology reports for learning, rely on low-resolution images, and offer limited interpretability in attention mechanisms. To address these challenges, we introduce RadZero, a novel similarity-based cross-attention framework for vision-language alignment in radiology with zero-shot multi-task capability. RadZero leverages large language models to extract minimal semantic sentences from radiology reports and employs a multi-positive contrastive learning strategy to effectively capture relationships between images and multiple relevant textual descriptions. It also utilizes a pre-trained vision encoder with additional trainable Transformer layers, allowing efficient high-resolution image processing. By computing similarity between text embeddings and local image patch features, RadZero enables zero-shot inference with similarity probability for classification and pixel-level cross-modal similarity maps for grounding and segmentation. Experimental results on public chest radiograph benchmarks show that RadZero outperforms state-of-the-art methods in zero-shot classification, grounding, and segmentation. Furthermore, cross-modal similarity map analysis highlights its potential for improving explainability in vision-language alignment. Additionally, qualitative evaluation demonstrates RadZero's capability for open-vocabulary semantic segmentation, further validating its effectiveness in medical imaging.

Image similarity metrics play an important role in computer vision applications, as they are used in image processing, computer vision and machine learning. Furthermore, those metrics enable tasks such as image retrieval, object recognition and quality assessment, essential in fields like healthcare, astronomy and surveillance. Existing metrics, such as PSNR, MSE, SSIM, ISSM and FSIM, often face limitations in terms of either speed, complexity or sensitivity to small changes in images. To address these challenges, a novel image similarity metric, namely CSIM, that combines real-time while being sensitive to subtle image variations is investigated in this paper. The novel metric uses Gaussian Copula from probability theory to transform an image into vectors of pixel distribution associated to local image patches. These vectors contain, in addition to intensities and pixel positions, information on the dependencies between pixel values, capturing the structural relationships within the image. By leveraging the properties of Copulas, CSIM effectively models the joint distribution of pixel intensities, enabling a more nuanced comparison of image patches making it more sensitive to local changes compared to other metrics. Experimental results demonstrate that CSIM outperforms existing similarity metrics in various image distortion scenarios, including noise, compression artifacts and blur. The metric's ability to detect subtle differences makes it suitable for applications requiring high precision, such as medical imaging, where the detection of minor anomalies can be of a high importance. The results obtained in this work can be reproduced from this Github repository: https://github.com/safouaneelg/copulasimilarity.

Large-scale Text-to-Image (T2I) diffusion models have revolutionized image generation over the last few years. Although owning diverse and high-quality generation capabilities, translating these abilities to fine-grained image editing remains challenging. In this paper, we propose DiffEditor to rectify two weaknesses in existing diffusion-based image editing: (1) in complex scenarios, editing results often lack editing accuracy and exhibit unexpected artifacts; (2) lack of flexibility to harmonize editing operations, e.g., imagine new content. In our solution, we introduce image prompts in fine-grained image editing, cooperating with the text prompt to better describe the editing content. To increase the flexibility while maintaining content consistency, we locally combine stochastic differential equation (SDE) into the ordinary differential equation (ODE) sampling. In addition, we incorporate regional score-based gradient guidance and a time travel strategy into the diffusion sampling, further improving the editing quality. Extensive experiments demonstrate that our method can efficiently achieve state-of-the-art performance on various fine-grained image editing tasks, including editing within a single image (e.g., object moving, resizing, and content dragging) and across images (e.g., appearance replacing and object pasting). Our source code is released at https://github.com/MC-E/DragonDiffusion.

Multimodal large language models (MLLMs) have achieved significant success in the general field of image processing. Their emerging task generalization and freeform conversational capabilities can greatly facilitate medical diagnostic assistance, helping patients better understand their conditions and enhancing doctor-patient trust. Computed Tomography (CT) is a non-invasive imaging technique used to capture the internal mechanisms of a patient's condition and is widely utilized. However, in past research, the complex textural features of this imaging data have made accurate interpretation by algorithms challenging, impeding the performance of general LLMs in diagnostic assistance. To address this, we developed OrthoDoc, a MLLM designed for CT diagnostics. OrthoDoc is trained on 120,000 CT images and diagnostic reports and includes a Retrieval-Augmented Generation (RAG) module capable of effectively mitigating model hallucinations. This module is informed by extensive medical literature, textbooks, and explanatory data. Thus, OrthoDoc not only processes complex CT images but also stores, understands, and reasons over medical knowledge and language. In extensive experiments, OrthoDoc outperforms commercial models led by GPT-4, demonstrating superior diagnostic capabilities and accuracy. Specifically, OrthoDoc significantly surpasses existing models in the diagnosis of common orthopedic conditions such as fractures, arthritis, and tumors. Additionally, OrthoDoc exhibits robust generalization and stability when handling rare and complex cases.

The burgeoning integration of 3D medical imaging into healthcare has led to a substantial increase in the workload of medical professionals. To assist clinicians in their diagnostic processes and alleviate their workload, the development of a robust system for retrieving similar case studies presents a viable solution. While the concept holds great promise, the field of 3D medical text-image retrieval is currently limited by the absence of robust evaluation benchmarks and curated datasets. To remedy this, our study presents a groundbreaking dataset, BIMCV-R (This dataset will be released upon acceptance.), which includes an extensive collection of 8,069 3D CT volumes, encompassing over 2 million slices, paired with their respective radiological reports. Expanding upon the foundational work of our dataset, we craft a retrieval strategy, MedFinder. This approach employs a dual-stream network architecture, harnessing the potential of large language models to advance the field of medical image retrieval beyond existing text-image retrieval solutions. It marks our preliminary step towards developing a system capable of facilitating text-to-image, image-to-text, and keyword-based retrieval tasks.

Transforming two-dimensional (2D) images into three-dimensional (3D) volumes is a well-known yet challenging problem for the computer vision community. In the medical domain, a few previous studies attempted to convert two or more input radiographs into computed tomography (CT) volumes. Following their effort, we introduce a diffusion model-based technology that can rotate the anatomical content of any input radiograph in 3D space, potentially enabling the visualization of the entire anatomical content of the radiograph from any viewpoint in 3D. Similar to previous studies, we used CT volumes to create Digitally Reconstructed Radiographs (DRRs) as the training data for our model. However, we addressed two significant limitations encountered in previous studies: 1. We utilized conditional diffusion models with classifier-free guidance instead of Generative Adversarial Networks (GANs) to achieve higher mode coverage and improved output image quality, with the only trade-off being slower inference time, which is often less critical in medical applications; and 2. We demonstrated that the unreliable output of style transfer deep learning (DL) models, such as Cycle-GAN, to transfer the style of actual radiographs to DRRs could be replaced with a simple yet effective training transformation that randomly changes the pixel intensity histograms of the input and ground-truth imaging data during training. This transformation makes the diffusion model agnostic to any distribution variations of the input data pixel intensity, enabling the reliable training of a DL model on input DRRs and applying the exact same model to conventional radiographs (or DRRs) during inference.

Dense contrastive representation learning (DCRL) has greatly improved the learning efficiency for image-dense prediction tasks, showing its great potential to reduce the large costs of medical image collection and dense annotation. However, the properties of medical images make unreliable correspondence discovery, bringing an open problem of large-scale false positive and negative (FP&N) pairs in DCRL. In this paper, we propose GEoMetric vIsual deNse sImilarity (GEMINI) learning which embeds the homeomorphism prior to DCRL and enables a reliable correspondence discovery for effective dense contrast. We propose a deformable homeomorphism learning (DHL) which models the homeomorphism of medical images and learns to estimate a deformable mapping to predict the pixels' correspondence under topological preservation. It effectively reduces the searching space of pairing and drives an implicit and soft learning of negative pairs via a gradient. We also propose a geometric semantic similarity (GSS) which extracts semantic information in features to measure the alignment degree for the correspondence learning. It will promote the learning efficiency and performance of deformation, constructing positive pairs reliably. We implement two practical variants on two typical representation learning tasks in our experiments. Our promising results on seven datasets which outperform the existing methods show our great superiority. We will release our code on a companion link: https://github.com/YutingHe-list/GEMINI.

Medical image registration is a critical task that estimates the spatial correspondence between pairs of images. However, current traditional and deep-learning-based methods rely on similarity measures to generate a deforming field, which often results in disproportionate volume changes in dissimilar regions, especially in tumor regions. These changes can significantly alter the tumor size and underlying anatomy, which limits the practical use of image registration in clinical diagnosis. To address this issue, we have formulated image registration with tumors as a constraint problem that preserves tumor volumes while maximizing image similarity in other normal regions. Our proposed strategy involves a two-stage process. In the first stage, we use similarity-based registration to identify potential tumor regions by their volume change, generating a soft tumor mask accordingly. In the second stage, we propose a volume-preserving registration with a novel adaptive volume-preserving loss that penalizes the change in size adaptively based on the masks calculated from the previous stage. Our approach balances image similarity and volume preservation in different regions, i.e., normal and tumor regions, by using soft tumor masks to adjust the imposition of volume-preserving loss on each one. This ensures that the tumor volume is preserved during the registration process. We have evaluated our strategy on various datasets and network architectures, demonstrating that our method successfully preserves the tumor volume while achieving comparable registration results with state-of-the-art methods. Our codes is available at: https://dddraxxx.github.io/Volume-Preserving-Registration/.

Diffusion models have shown remarkable performance in image generation in recent years. However, due to a quadratic increase in memory during generating ultra-high-resolution images (e.g. 4096*4096), the resolution of generated images is often limited to 1024*1024. In this work. we propose a unidirectional block attention mechanism that can adaptively adjust the memory overhead during the inference process and handle global dependencies. Building on this module, we adopt the DiT structure for upsampling and develop an infinite super-resolution model capable of upsampling images of various shapes and resolutions. Comprehensive experiments show that our model achieves SOTA performance in generating ultra-high-resolution images in both machine and human evaluation. Compared to commonly used UNet structures, our model can save more than 5x memory when generating 4096*4096 images. The project URL is https://github.com/THUDM/Inf-DiT.

Recent advances in tuning-free personalized image generation based on diffusion models are impressive. However, to improve subject fidelity, existing methods either retrain the diffusion model or infuse it with dense visual embeddings, both of which suffer from poor generalization and efficiency. Also, these methods falter in multi-subject image generation due to the unconstrained cross-attention mechanism. In this paper, we propose MM-Diff, a unified and tuning-free image personalization framework capable of generating high-fidelity images of both single and multiple subjects in seconds. Specifically, to simultaneously enhance text consistency and subject fidelity, MM-Diff employs a vision encoder to transform the input image into CLS and patch embeddings. CLS embeddings are used on the one hand to augment the text embeddings, and on the other hand together with patch embeddings to derive a small number of detail-rich subject embeddings, both of which are efficiently integrated into the diffusion model through the well-designed multimodal cross-attention mechanism. Additionally, MM-Diff introduces cross-attention map constraints during the training phase, ensuring flexible multi-subject image sampling during inference without any predefined inputs (e.g., layout). Extensive experiments demonstrate the superior performance of MM-Diff over other leading methods.

Diffusion models (DMs) have recently been introduced in image deblurring and exhibited promising performance, particularly in terms of details reconstruction. However, the diffusion model requires a large number of inference iterations to recover the clean image from pure Gaussian noise, which consumes massive computational resources. Moreover, the distribution synthesized by the diffusion model is often misaligned with the target results, leading to restrictions in distortion-based metrics. To address the above issues, we propose the Hierarchical Integration Diffusion Model (HI-Diff), for realistic image deblurring. Specifically, we perform the DM in a highly compacted latent space to generate the prior feature for the deblurring process. The deblurring process is implemented by a regression-based method to obtain better distortion accuracy. Meanwhile, the highly compact latent space ensures the efficiency of the DM. Furthermore, we design the hierarchical integration module to fuse the prior into the regression-based model from multiple scales, enabling better generalization in complex blurry scenarios. Comprehensive experiments on synthetic and real-world blur datasets demonstrate that our HI-Diff outperforms state-of-the-art methods. Code and trained models are available at https://github.com/zhengchen1999/HI-Diff.

The task of layout-to-image generation involves synthesizing images based on the captions of objects and their spatial positions. Existing methods still struggle in complex layout generation, where common bad cases include object missing, inconsistent lighting, conflicting view angles, etc. To effectively address these issues, we propose a Hierarchical Controllable (HiCo) diffusion model for layout-to-image generation, featuring object seperable conditioning branch structure. Our key insight is to achieve spatial disentanglement through hierarchical modeling of layouts. We use a multi branch structure to represent hierarchy and aggregate them in fusion module. To evaluate the performance of multi-objective controllable layout generation in natural scenes, we introduce the HiCo-7K benchmark, derived from the GRIT-20M dataset and manually cleaned. https://github.com/360CVGroup/HiCo_T2I.

Medical imaging plays a crucial role in diagnosis, with radiology reports serving as vital documentation. Automating report generation has emerged as a critical need to alleviate the workload of radiologists. While machine learning has facilitated report generation for 2D medical imaging, extending this to 3D has been unexplored due to computational complexity and data scarcity. We introduce the first method to generate radiology reports for 3D medical imaging, specifically targeting chest CT volumes. Given the absence of comparable methods, we establish a baseline using an advanced 3D vision encoder in medical imaging to demonstrate our method's effectiveness, which leverages a novel auto-regressive causal transformer. Furthermore, recognizing the benefits of leveraging information from previous visits, we augment CT2Rep with a cross-attention-based multi-modal fusion module and hierarchical memory, enabling the incorporation of longitudinal multimodal data. Access our code at https://github.com/ibrahimethemhamamci/CT2Rep

We propose an adaptive training scheme for unsupervised medical image registration. Existing methods rely on image reconstruction as the primary supervision signal. However, nuisance variables (e.g. noise and covisibility), violation of the Lambertian assumption in physical waves (e.g. ultrasound), and inconsistent image acquisition can all cause a loss of correspondence between medical images. As the unsupervised learning scheme relies on intensity constancy between images to establish correspondence for reconstruction, this introduces spurious error residuals that are not modeled by the typical training objective. To mitigate this, we propose an adaptive framework that re-weights the error residuals with a correspondence scoring map during training, preventing the parametric displacement estimator from drifting away due to noisy gradients, which leads to performance degradation. To illustrate the versatility and effectiveness of our method, we tested our framework on three representative registration architectures across three medical image datasets along with other baselines. Our adaptive framework consistently outperforms other methods both quantitatively and qualitatively. Paired t-tests show that our improvements are statistically significant. Code available at: https://voldemort108x.github.io/AdaCS/.

The rapid advancement of Artificial Intelligence (AI) in biomedical imaging and radiotherapy is hindered by the limited availability of large imaging data repositories. With recent research and improvements in denoising diffusion probabilistic models (DDPM), high quality synthetic medical scans are now possible. Despite this, there is currently no way of generating multiple related images, such as a corresponding ground truth which can be used to train models, so synthetic scans are often manually annotated before use. This research introduces a novel architecture that is able to generate multiple, related PET-CT-tumour mask pairs using paired networks and conditional encoders. Our approach includes innovative, time step-controlled mechanisms and a `noise-seeding' strategy to improve DDPM sampling consistency. While our model requires a modified perceptual loss function to ensure accurate feature alignment we show generation of clearly aligned synthetic images and improvement in segmentation accuracy with generated images.

Data augmentation is essential in medical imaging for improving classification accuracy, lesion detection, and organ segmentation under limited data conditions. However, two significant challenges remain. First, a pronounced domain gap between natural photographs and medical images can distort critical disease features. Second, augmentation studies in medical imaging are fragmented and limited to single tasks or architectures, leaving the benefits of advanced mix-based strategies unclear. To address these challenges, we propose a unified evaluation framework with six mix-based augmentation methods integrated with both convolutional and transformer backbones on brain tumour MRI and eye disease fundus datasets. Our contributions are threefold. (1) We introduce MediAug, a comprehensive and reproducible benchmark for advanced data augmentation in medical imaging. (2) We systematically evaluate MixUp, YOCO, CropMix, CutMix, AugMix, and SnapMix with ResNet-50 and ViT-B backbones. (3) We demonstrate through extensive experiments that MixUp yields the greatest improvement on the brain tumor classification task for ResNet-50 with 79.19% accuracy and SnapMix yields the greatest improvement for ViT-B with 99.44% accuracy, and that YOCO yields the greatest improvement on the eye disease classification task for ResNet-50 with 91.60% accuracy and CutMix yields the greatest improvement for ViT-B with 97.94% accuracy. Code will be available at https://github.com/AIGeeksGroup/MediAug.

X-ray imaging is a rapid and cost-effective tool for visualizing internal human anatomy. While multi-view X-ray imaging provides complementary information that enhances diagnosis, intervention, and education, acquiring images from multiple angles increases radiation exposure and complicates clinical workflows. To address these challenges, we propose a novel view-conditioned diffusion model for synthesizing multi-view X-ray images from a single view. Unlike prior methods, which are limited in angular range, resolution, and image quality, our approach leverages the Diffusion Transformer to preserve fine details and employs a weak-to-strong training strategy for stable high-resolution image generation. Experimental results demonstrate that our method generates higher-resolution outputs with improved control over viewing angles. This capability has significant implications not only for clinical applications but also for medical education and data extension, enabling the creation of diverse, high-quality datasets for training and analysis. Our code is available at https://github.com/xiechun298/SV-DRR.

Medical imaging plays a significant role in clinical practice of medical diagnosis, where the text reports of the images are essential in understanding them and facilitating later treatments. By generating the reports automatically, it is beneficial to help lighten the burden of radiologists and significantly promote clinical automation, which already attracts much attention in applying artificial intelligence to medical domain. Previous studies mainly follow the encoder-decoder paradigm and focus on the aspect of text generation, with few studies considering the importance of cross-modal mappings and explicitly exploit such mappings to facilitate radiology report generation. In this paper, we propose a cross-modal memory networks (CMN) to enhance the encoder-decoder framework for radiology report generation, where a shared memory is designed to record the alignment between images and texts so as to facilitate the interaction and generation across modalities. Experimental results illustrate the effectiveness of our proposed model, where state-of-the-art performance is achieved on two widely used benchmark datasets, i.e., IU X-Ray and MIMIC-CXR. Further analyses also prove that our model is able to better align information from radiology images and texts so as to help generating more accurate reports in terms of clinical indicators.

Automated multi-label chest X-rays (CXR) image classification has achieved substantial progress in clinical diagnosis via utilizing sophisticated deep learning approaches. However, most deep models have high computational demands, which makes them less feasible for compact devices with low computational requirements. To overcome this problem, we propose a knowledge distillation (KD) strategy to create the compact deep learning model for the real-time multi-label CXR image classification. We study different alternatives of CNNs and Transforms as the teacher to distill the knowledge to a smaller student. Then, we employed explainable artificial intelligence (XAI) to provide the visual explanation for the model decision improved by the KD. Our results on three benchmark CXR datasets show that our KD strategy provides the improved performance on the compact student model, thus being the feasible choice for many limited hardware platforms. For instance, when using DenseNet161 as the teacher network, EEEA-Net-C2 achieved an AUC of 83.7%, 87.1%, and 88.7% on the ChestX-ray14, CheXpert, and PadChest datasets, respectively, with fewer parameters of 4.7 million and computational cost of 0.3 billion FLOPS.

Diffusion distillation represents a highly promising direction for achieving faithful text-to-image generation in a few sampling steps. However, despite recent successes, existing distilled models still do not provide the full spectrum of diffusion abilities, such as real image inversion, which enables many precise image manipulation methods. This work aims to enrich distilled text-to-image diffusion models with the ability to effectively encode real images into their latent space. To this end, we introduce invertible Consistency Distillation (iCD), a generalized consistency distillation framework that facilitates both high-quality image synthesis and accurate image encoding in only 3-4 inference steps. Though the inversion problem for text-to-image diffusion models gets exacerbated by high classifier-free guidance scales, we notice that dynamic guidance significantly reduces reconstruction errors without noticeable degradation in generation performance. As a result, we demonstrate that iCD equipped with dynamic guidance may serve as a highly effective tool for zero-shot text-guided image editing, competing with more expensive state-of-the-art alternatives.

Different medical imaging modalities capture diagnostic information at varying spatial resolutions, from coarse global patterns to fine-grained localized structures. However, most existing vision-language frameworks in the medical domain apply a uniform strategy for local feature extraction, overlooking the modality-specific demands. In this work, we present MedMoE, a modular and extensible vision-language processing framework that dynamically adapts visual representation based on the diagnostic context. MedMoE incorporates a Mixture-of-Experts (MoE) module conditioned on the report type, which routes multi-scale image features through specialized expert branches trained to capture modality-specific visual semantics. These experts operate over feature pyramids derived from a Swin Transformer backbone, enabling spatially adaptive attention to clinically relevant regions. This framework produces localized visual representations aligned with textual descriptions, without requiring modality-specific supervision at inference. Empirical results on diverse medical benchmarks demonstrate that MedMoE improves alignment and retrieval performance across imaging modalities, underscoring the value of modality-specialized visual representations in clinical vision-language systems.

Recently, large-scale diffusion models, e.g., Stable diffusion and DallE2, have shown remarkable results on image synthesis. On the other hand, large-scale cross-modal pre-trained models (e.g., CLIP, ALIGN, and FILIP) are competent for various downstream tasks by learning to align vision and language embeddings. In this paper, we explore the possibility of jointly modeling generation and discrimination. Specifically, we propose DiffDis to unify the cross-modal generative and discriminative pretraining into one single framework under the diffusion process. DiffDis first formulates the image-text discriminative problem as a generative diffusion process of the text embedding from the text encoder conditioned on the image. Then, we propose a novel dual-stream network architecture, which fuses the noisy text embedding with the knowledge of latent images from different scales for image-text discriminative learning. Moreover, the generative and discriminative tasks can efficiently share the image-branch network structure in the multi-modality model. Benefiting from diffusion-based unified training, DiffDis achieves both better generation ability and cross-modal semantic alignment in one architecture. Experimental results show that DiffDis outperforms single-task models on both the image generation and the image-text discriminative tasks, e.g., 1.65% improvement on average accuracy of zero-shot classification over 12 datasets and 2.42 improvement on FID of zero-shot image synthesis.

Medical image retrieval is essential for clinical decision-making and translational research, relying on discriminative visual representations. Yet, current methods remain fragmented, relying on separate architectures and training strategies for 2D, 3D, and video-based medical data. This modality-specific design hampers scalability and inhibits the development of unified representations. To enable unified learning, we curate a large-scale hybrid-modality dataset comprising 867,653 medical imaging samples, including 2D X-rays and ultrasounds, RGB endoscopy videos, and 3D CT scans. Leveraging this dataset, we train M3Ret, a unified visual encoder without any modality-specific customization. It successfully learns transferable representations using both generative (MAE) and contrastive (SimDINO) self-supervised learning (SSL) paradigms. Our approach sets a new state-of-the-art in zero-shot image-to-image retrieval across all individual modalities, surpassing strong baselines such as DINOv3 and the text-supervised BMC-CLIP. More remarkably, strong cross-modal alignment emerges without paired data, and the model generalizes to unseen MRI tasks, despite never observing MRI during pretraining, demonstrating the generalizability of purely visual self-supervision to unseen modalities. Comprehensive analyses further validate the scalability of our framework across model and data sizes. These findings deliver a promising signal to the medical imaging community, positioning M3Ret as a step toward foundation models for visual SSL in multimodal medical image understanding.

Sora-like video generation models have achieved remarkable progress with a Multi-Modal Diffusion Transformer MM-DiT architecture. However, the current video generation models predominantly focus on single-prompt, struggling to generate coherent scenes with multiple sequential prompts that better reflect real-world dynamic scenarios. While some pioneering works have explored multi-prompt video generation, they face significant challenges including strict training data requirements, weak prompt following, and unnatural transitions. To address these problems, we propose DiTCtrl, a training-free multi-prompt video generation method under MM-DiT architectures for the first time. Our key idea is to take the multi-prompt video generation task as temporal video editing with smooth transitions. To achieve this goal, we first analyze MM-DiT's attention mechanism, finding that the 3D full attention behaves similarly to that of the cross/self-attention blocks in the UNet-like diffusion models, enabling mask-guided precise semantic control across different prompts with attention sharing for multi-prompt video generation. Based on our careful design, the video generated by DiTCtrl achieves smooth transitions and consistent object motion given multiple sequential prompts without additional training. Besides, we also present MPVBench, a new benchmark specially designed for multi-prompt video generation to evaluate the performance of multi-prompt generation. Extensive experiments demonstrate that our method achieves state-of-the-art performance without additional training.

Text-conditioned image generation models are a prevalent use of AI image synthesis, yet intuitively controlling output guided by an artist remains challenging. Current methods require multiple images and textual prompts for each object to specify them as concepts to generate a single customized image. On the other hand, our work, \verb|DiffMorph|, introduces a novel approach that synthesizes images that mix concepts without the use of textual prompts. Our work integrates a sketch-to-image module to incorporate user sketches as input. \verb|DiffMorph| takes an initial image with conditioning artist-drawn sketches to generate a morphed image. We employ a pre-trained text-to-image diffusion model and fine-tune it to reconstruct each image faithfully. We seamlessly merge images and concepts from sketches into a cohesive composition. The image generation capability of our work is demonstrated through our results and a comparison of these with prompt-based image generation.

Convolutional neural networks (CNNs) have been widely used in efficient image super-resolution. However, for CNN-based methods, performance gains often require deeper networks and larger feature maps, which increase complexity and inference costs. Inspired by LoRA's success in fine-tuning large language models, we explore its application to lightweight models and propose Distillation-Supervised Convolutional Low-Rank Adaptation (DSCLoRA), which improves model performance without increasing architectural complexity or inference costs. Specifically, we integrate ConvLoRA into the efficient SR network SPAN by replacing the SPAB module with the proposed SConvLB module and incorporating ConvLoRA layers into both the pixel shuffle block and its preceding convolutional layer. DSCLoRA leverages low-rank decomposition for parameter updates and employs a spatial feature affinity-based knowledge distillation strategy to transfer second-order statistical information from teacher models (pre-trained SPAN) to student models (ours). This method preserves the core knowledge of lightweight models and facilitates optimal solution discovery under certain conditions. Experiments on benchmark datasets show that DSCLoRA improves PSNR and SSIM over SPAN while maintaining its efficiency and competitive image quality. Notably, DSCLoRA ranked first in the Overall Performance Track of the NTIRE 2025 Efficient Super-Resolution Challenge. Our code and models are made publicly available at https://github.com/Yaozzz666/DSCF-SR.

Current image editing methods primarily utilize DDIM Inversion, employing a two-branch diffusion approach to preserve the attributes and layout of the original image. However, these methods encounter challenges with non-rigid edits, which involve altering the image's layout or structure. Our comprehensive analysis reveals that the high-frequency components of DDIM latent, crucial for retaining the original image's key features and layout, significantly contribute to these limitations. Addressing this, we introduce FlexiEdit, which enhances fidelity to input text prompts by refining DDIM latent, by reducing high-frequency components in targeted editing areas. FlexiEdit comprises two key components: (1) Latent Refinement, which modifies DDIM latent to better accommodate layout adjustments, and (2) Edit Fidelity Enhancement via Re-inversion, aimed at ensuring the edits more accurately reflect the input text prompts. Our approach represents notable progress in image editing, particularly in performing complex non-rigid edits, showcasing its enhanced capability through comparative experiments.

Diffusion models have been used extensively for high quality image and video generation tasks. In this paper, we propose a novel conditional diffusion model with spatial attention and latent embedding (cDAL) for medical image segmentation. In cDAL, a convolutional neural network (CNN) based discriminator is used at every time-step of the diffusion process to distinguish between the generated labels and the real ones. A spatial attention map is computed based on the features learned by the discriminator to help cDAL generate more accurate segmentation of discriminative regions in an input image. Additionally, we incorporated a random latent embedding into each layer of our model to significantly reduce the number of training and sampling time-steps, thereby making it much faster than other diffusion models for image segmentation. We applied cDAL on 3 publicly available medical image segmentation datasets (MoNuSeg, Chest X-ray and Hippocampus) and observed significant qualitative and quantitative improvements with higher Dice scores and mIoU over the state-of-the-art algorithms. The source code is publicly available at https://github.com/Hejrati/cDAL/.

Image registration is fundamental in medical imaging, enabling precise alignment of anatomical structures for diagnosis, treatment planning, image-guided treatment or longitudinal monitoring. This work introduces IMPACT (Image Metric with Pretrained model-Agnostic Comparison for Transmodality registration), a generic semantic similarity metric designed for seamless integration into diverse image registration frameworks (such as Elastix and Voxelmorph). It compares deep learning-based features extracted from medical images without requiring task-specific training, ensuring broad applicability across various modalities. By leveraging the features of the large-scale pretrained TotalSegmentator models and the ability to integrate Segment Anything Model (SAM) and other large-scale segmentation networks, this approach offers significant advantages. It provides robust, scalable, and efficient solutions for multimodal image registration. The IMPACT loss was evaluated on five challenging registration tasks involving thoracic CT/CBCT, and pelvic MR/CT datasets. Quantitative metrics, such as Target Registration Error and Dice Similarity Coefficient, demonstrated significant improvements in anatomical alignment compared to baseline methods. Qualitative analyses further confirmed the increased robustness of the proposed metric in the face of noise, artifacts, and modality variations. IMPACT's versatility and efficiency make it a valuable tool for advancing registration performance in clinical and research applications, addressing critical challenges in multimodal medical imaging.

Ensuring the quality and integrity of medical images is crucial for maintaining diagnostic accuracy in deep learning-based Computer-Aided Diagnosis and Computer-Aided Detection (CAD) systems. Covariate shifts are subtle variations in the data distribution caused by different imaging devices or settings and can severely degrade model performance, similar to the effects of adversarial attacks. Therefore, it is vital to have a lightweight and fast method to assess the quality of these images prior to using CAD models. AdverX-Ray addresses this need by serving as an image-quality assessment layer, designed to detect covariate shifts effectively. This Adversarial Variational Autoencoder prioritizes the discriminator's role, using the suboptimal outputs of the generator as negative samples to fine-tune the discriminator's ability to identify high-frequency artifacts. Images generated by adversarial networks often exhibit severe high-frequency artifacts, guiding the discriminator to focus excessively on these components. This makes the discriminator ideal for this approach. Trained on patches from X-ray images of specific machine models, AdverX-Ray can evaluate whether a scan matches the training distribution, or if a scan from the same machine is captured under different settings. Extensive comparisons with various OOD detection methods show that AdverX-Ray significantly outperforms existing techniques, achieving a 96.2% average AUROC using only 64 random patches from an X-ray. Its lightweight and fast architecture makes it suitable for real-time applications, enhancing the reliability of medical imaging systems. The code and pretrained models are publicly available.

Omnidirectional images (ODIs) are commonly used in real-world visual tasks, and high-resolution ODIs help improve the performance of related visual tasks. Most existing super-resolution methods for ODIs use end-to-end learning strategies, resulting in inferior realness of generated images and a lack of effective out-of-domain generalization capabilities in training methods. Image generation methods represented by diffusion model provide strong priors for visual tasks and have been proven to be effectively applied to image restoration tasks. Leveraging the image priors of the Stable Diffusion (SD) model, we achieve omnidirectional image super-resolution with both fidelity and realness, dubbed as OmniSSR. Firstly, we transform the equirectangular projection (ERP) images into tangent projection (TP) images, whose distribution approximates the planar image domain. Then, we use SD to iteratively sample initial high-resolution results. At each denoising iteration, we further correct and update the initial results using the proposed Octadecaplex Tangent Information Interaction (OTII) and Gradient Decomposition (GD) technique to ensure better consistency. Finally, the TP images are transformed back to obtain the final high-resolution results. Our method is zero-shot, requiring no training or fine-tuning. Experiments of our method on two benchmark datasets demonstrate the effectiveness of our proposed method.

In this paper, we study how to synthesize a dynamic reference from an external dictionary to perform conditional coding of the input image in the latent domain and how to learn the conditional latent synthesis and coding modules in an end-to-end manner. Our approach begins by constructing a universal image feature dictionary using a multi-stage approach involving modified spatial pyramid pooling, dimension reduction, and multi-scale feature clustering. For each input image, we learn to synthesize a conditioning latent by selecting and synthesizing relevant features from the dictionary, which significantly enhances the model's capability in capturing and exploring image source correlation. This conditional latent synthesis involves a correlation-based feature matching and alignment strategy, comprising a Conditional Latent Matching (CLM) module and a Conditional Latent Synthesis (CLS) module. The synthesized latent is then used to guide the encoding process, allowing for more efficient compression by exploiting the correlation between the input image and the reference dictionary. According to our theoretical analysis, the proposed conditional latent coding (CLC) method is robust to perturbations in the external dictionary samples and the selected conditioning latent, with an error bound that scales logarithmically with the dictionary size, ensuring stability even with large and diverse dictionaries. Experimental results on benchmark datasets show that our new method improves the coding performance by a large margin (up to 1.2 dB) with a very small overhead of approximately 0.5\% bits per pixel. Our code is publicly available at https://github.com/ydchen0806/CLC.

Despite recent advances in UNet-based image editing, methods for shape-aware object editing in high-resolution images are still lacking. Compared to UNet, Diffusion Transformers (DiT) demonstrate superior capabilities to effectively capture the long-range dependencies among patches, leading to higher-quality image generation. In this paper, we propose DiT4Edit, the first Diffusion Transformer-based image editing framework. Specifically, DiT4Edit uses the DPM-Solver inversion algorithm to obtain the inverted latents, reducing the number of steps compared to the DDIM inversion algorithm commonly used in UNet-based frameworks. Additionally, we design unified attention control and patches merging, tailored for transformer computation streams. This integration allows our framework to generate higher-quality edited images faster. Our design leverages the advantages of DiT, enabling it to surpass UNet structures in image editing, especially in high-resolution and arbitrary-size images. Extensive experiments demonstrate the strong performance of DiT4Edit across various editing scenarios, highlighting the potential of Diffusion Transformers in supporting image editing.

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.

Visual preference alignment involves training Large Vision-Language Models (LVLMs) to predict human preferences between visual inputs. This is typically achieved by using labeled datasets of chosen/rejected pairs and employing optimization algorithms like direct preference optimization (DPO). Existing visual alignment methods, primarily designed for single-image scenarios, struggle to effectively handle the complexity of multi-image tasks due to the scarcity of diverse training data and the high cost of annotating chosen/rejected pairs. We present Multi-Image Augmented Direct Preference Optimization (MIA-DPO), a visual preference alignment approach that effectively handles multi-image inputs. MIA-DPO mitigates the scarcity of diverse multi-image training data by extending single-image data with unrelated images arranged in grid collages or pic-in-pic formats, significantly reducing the costs associated with multi-image data annotations. Our observation reveals that attention values of LVLMs vary considerably across different images. We use attention values to identify and filter out rejected responses the model may have mistakenly focused on. Our attention-aware selection for constructing the chosen/rejected pairs without relying on (i) human annotation, (ii) extra data, and (iii) external models or APIs. MIA-DPO is compatible with various architectures and outperforms existing methods on five multi-image benchmarks, achieving an average performance boost of 3.0% on LLaVA-v1.5 and 4.3% on the recent InternLM-XC2.5. Moreover, MIA-DPO has a minimal effect on the model's ability to understand single images.

AI-generated medical images are gaining growing popularity due to their potential to address the data scarcity challenge in the real world. However, the issue of accurate identification of these synthetic images, particularly when they exhibit remarkable realism with their real copies, remains a concern. To mitigate this challenge, image generators such as DALLE and Imagen, have integrated digital watermarks aimed at facilitating the discernment of synthetic images' authenticity. These watermarks are embedded within the image pixels and are invisible to the human eye while remains their detectability. Nevertheless, a comprehensive investigation into the potential impact of these invisible watermarks on the utility of synthetic medical images has been lacking. In this study, we propose the incorporation of invisible watermarks into synthetic medical images and seek to evaluate their efficacy in the context of downstream classification tasks. Our goal is to pave the way for discussions on the viability of such watermarks in boosting the detectability of synthetic medical images, fortifying ethical standards, and safeguarding against data pollution and potential scams.

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.

High dynamic range (HDR) imaging aims to retrieve information from multiple low-dynamic range inputs to generate realistic output. The essence is to leverage the contextual information, including both dynamic and static semantics, for better image generation. Existing methods often focus on the spatial misalignment across input frames caused by the foreground and/or camera motion. However, there is no research on jointly leveraging the dynamic and static context in a simultaneous manner. To delve into this problem, we propose a novel alignment-free network with a Semantics Consistent Transformer (SCTNet) with both spatial and channel attention modules in the network. The spatial attention aims to deal with the intra-image correlation to model the dynamic motion, while the channel attention enables the inter-image intertwining to enhance the semantic consistency across frames. Aside from this, we introduce a novel realistic HDR dataset with more variations in foreground objects, environmental factors, and larger motions. Extensive comparisons on both conventional datasets and ours validate the effectiveness of our method, achieving the best trade-off on the performance and the computational cost.

Existing unsupervised low-light image enhancement methods lack enough effectiveness and generalization in practical applications. We suppose this is because of the absence of explicit supervision and the inherent gap between real-world scenarios and the training data domain. In this paper, we develop Diffusion-based domain calibration to realize more robust and effective unsupervised Low-Light Enhancement, called DiffLLE. Since the diffusion model performs impressive denoising capability and has been trained on massive clean images, we adopt it to bridge the gap between the real low-light domain and training degradation domain, while providing efficient priors of real-world content for unsupervised models. Specifically, we adopt a naive unsupervised enhancement algorithm to realize preliminary restoration and design two zero-shot plug-and-play modules based on diffusion model to improve generalization and effectiveness. The Diffusion-guided Degradation Calibration (DDC) module narrows the gap between real-world and training low-light degradation through diffusion-based domain calibration and a lightness enhancement curve, which makes the enhancement model perform robustly even in sophisticated wild degradation. Due to the limited enhancement effect of the unsupervised model, we further develop the Fine-grained Target domain Distillation (FTD) module to find a more visual-friendly solution space. It exploits the priors of the pre-trained diffusion model to generate pseudo-references, which shrinks the preliminary restored results from a coarse normal-light domain to a finer high-quality clean field, addressing the lack of strong explicit supervision for unsupervised methods. Benefiting from these, our approach even outperforms some supervised methods by using only a simple unsupervised baseline. Extensive experiments demonstrate the superior effectiveness of the proposed DiffLLE.

Despite the ever-increasing interest in applying deep learning (DL) models to medical imaging, the typical scarcity and imbalance of medical datasets can severely impact the performance of DL models. The generation of synthetic data that might be freely shared without compromising patient privacy is a well-known technique for addressing these difficulties. Inpainting algorithms are a subset of DL generative models that can alter one or more regions of an input image while matching its surrounding context and, in certain cases, non-imaging input conditions. Although the majority of inpainting techniques for medical imaging data use generative adversarial networks (GANs), the performance of these algorithms is frequently suboptimal due to their limited output variety, a problem that is already well-known for GANs. Denoising diffusion probabilistic models (DDPMs) are a recently introduced family of generative networks that can generate results of comparable quality to GANs, but with diverse outputs. In this paper, we describe a DDPM to execute multiple inpainting tasks on 2D axial slices of brain MRI with various sequences, and present proof-of-concept examples of its performance in a variety of evaluation scenarios. Our model and a public online interface to try our tool are available at: https://github.com/Mayo-Radiology-Informatics-Lab/MBTI

In this paper, we introduce the Diff-Instruct* (DI*), an image data-free approach for building one-step text-to-image generative models that align with human preference while maintaining the ability to generate highly realistic images. We frame human preference alignment as online reinforcement learning using human feedback (RLHF), where the goal is to maximize the reward function while regularizing the generator distribution to remain close to a reference diffusion process. Unlike traditional RLHF approaches, which rely on the KL divergence for regularization, we introduce a novel score-based divergence regularization, which leads to significantly better performances. Although the direct calculation of this preference alignment objective remains intractable, we demonstrate that we can efficiently compute its gradient by deriving an equivalent yet tractable loss function. Remarkably, we used Diff-Instruct* to train a Stable Diffusion-XL-based 1-step model, the 2.6B DI*-SDXL-1step text-to-image model, which can generate images of a resolution of 1024x1024 with only 1 generation step. DI*-SDXL-1step model uses only 1.88% inference time and 29.30% GPU memory cost to outperform 12B FLUX-dev-50step significantly in PickScore, ImageReward, and CLIPScore on Parti prompt benchmark and HPSv2.1 on Human Preference Score benchmark, establishing a new state-of-the-art benchmark of human-preferred 1-step text-to-image generative models. Besides the strong quantitative performances, extensive qualitative comparisons also confirm the advantages of DI* in terms of maintaining diversity, improving image layouts, and enhancing aesthetic colors. We have released our industry-ready model on the homepage: https://github.com/pkulwj1994/diff_instruct_star.

Medical imaging often contains critical fine-grained features, such as tumors or hemorrhages, crucial for diagnosis yet potentially too subtle for detection with conventional methods. In this paper, we introduce DIA, dissolving is amplifying. DIA is a fine-grained anomaly detection framework for medical images. First, we introduce dissolving transformations. We employ diffusion with a generative diffusion model as a dedicated feature-aware denoiser. Applying diffusion to medical images in a certain manner can remove or diminish fine-grained discriminative features. Second, we introduce an amplifying framework based on contrastive learning to learn a semantically meaningful representation of medical images in a self-supervised manner, with a focus on fine-grained features. The amplifying framework contrasts additional pairs of images with and without dissolving transformations applied and thereby emphasizes the dissolved fine-grained features. DIA significantly improves the medical anomaly detection performance with around 18.40\% AUC boost against the baseline method and achieves an overall SOTA against other benchmark methods. Our code is available at https://github.com/shijianjian/DIA.git.

Training Large Multimodality Models (LMMs) relies on descriptive image caption that connects image and language. Existing methods either distill the caption from the LMM models or construct the captions from the internet images or by human. We propose to leverage off-the-shelf visual specialists, which were trained from annotated images initially not for image captioning, for enhancing the image caption. Our approach, named DCE, explores object low-level and fine-grained attributes (e.g., depth, emotion and fine-grained categories) and object relations (e.g., relative location and human-object-interaction (HOI)), and combine the attributes into the descriptive caption. Experiments demonstrate that such visual specialists are able to improve the performance for visual understanding tasks as well as reasoning that benefits from more accurate visual understanding. We will release the source code and the pipeline so that other visual specialists are easily combined into the pipeline. The complete source code of DCE pipeline and datasets will be available at https://github.com/syp2ysy/DCE.