Daily Papers

Effective human-AI interaction relies on AI's ability to accurately perceive and interpret human emotions. Current benchmarks for vision and vision-language models are severely limited, offering a narrow emotional spectrum that overlooks nuanced states (e.g., bitterness, intoxication) and fails to distinguish subtle differences between related feelings (e.g., shame vs. embarrassment). Existing datasets also often use uncontrolled imagery with occluded faces and lack demographic diversity, risking significant bias. To address these critical gaps, we introduce EmoNet Face, a comprehensive benchmark suite. EmoNet Face features: (1) A novel 40-category emotion taxonomy, meticulously derived from foundational research to capture finer details of human emotional experiences. (2) Three large-scale, AI-generated datasets (EmoNet HQ, Binary, and Big) with explicit, full-face expressions and controlled demographic balance across ethnicity, age, and gender. (3) Rigorous, multi-expert annotations for training and high-fidelity evaluation. (4) We built EmpathicInsight-Face, a model achieving human-expert-level performance on our benchmark. The publicly released EmoNet Face suite - taxonomy, datasets, and model - provides a robust foundation for developing and evaluating AI systems with a deeper understanding of human emotions.

Empathy is a cognitive and emotional reaction to an observed situation of others. Empathy has recently attracted interest because it has numerous applications in psychology and AI, but it is unclear how different forms of empathy (e.g., self-report vs counterpart other-report, concern vs. distress) interact with other affective phenomena or demographics like gender and age. To better understand this, we created the {\it Empathic Conversations} dataset of annotated negative, empathy-eliciting dialogues in which pairs of participants converse about news articles. People differ in their perception of the empathy of others. These differences are associated with certain characteristics such as personality and demographics. Hence, we collected detailed characterization of the participants' traits, their self-reported empathetic response to news articles, their conversational partner other-report, and turn-by-turn third-party assessments of the level of self-disclosure, emotion, and empathy expressed. This dataset is the first to present empathy in multiple forms along with personal distress, emotion, personality characteristics, and person-level demographic information. We present baseline models for predicting some of these features from conversations.

Empathetic Response Generation (ERG) is one of the key tasks of the affective computing area, which aims to produce emotionally nuanced and compassionate responses to user's queries. However, existing ERG research is predominantly confined to the singleton text modality, limiting its effectiveness since human emotions are inherently conveyed through multiple modalities. To combat this, we introduce an avatar-based Multimodal ERG (MERG) task, entailing rich text, speech, and facial vision information. We first present a large-scale high-quality benchmark dataset, AvaMERG, which extends traditional text ERG by incorporating authentic human speech audio and dynamic talking-face avatar videos, encompassing a diverse range of avatar profiles and broadly covering various topics of real-world scenarios. Further, we deliberately tailor a system, named Empatheia, for MERG. Built upon a Multimodal Large Language Model (MLLM) with multimodal encoder, speech and avatar generators, Empatheia performs end-to-end MERG, with Chain-of-Empathetic reasoning mechanism integrated for enhanced empathy understanding and reasoning. Finally, we devise a list of empathetic-enhanced tuning strategies, strengthening the capabilities of emotional accuracy and content, avatar-profile consistency across modalities. Experimental results on AvaMERG data demonstrate that Empatheia consistently shows superior performance than baseline methods on both textual ERG and MERG. Overall, this work is expected to pioneer the MERG research by introducing a novel benchmark and an end-to-end model, laying a solid foundation for future advancements in multimodal empathetic response generation.

A key trait of daily conversations between individuals is the ability to express empathy towards others, and exploring ways to implement empathy is a crucial step towards human-like dialogue systems. Previous approaches on this topic mainly focus on detecting and utilizing the user's emotion for generating empathetic responses. However, since empathy includes both aspects of affection and cognition, we argue that in addition to identifying the user's emotion, cognitive understanding of the user's situation should also be considered. To this end, we propose a novel approach for empathetic response generation, which leverages commonsense to draw more information about the user's situation and uses this additional information to further enhance the empathy expression in generated responses. We evaluate our approach on EmpatheticDialogues, which is a widely-used benchmark dataset for empathetic response generation. Empirical results demonstrate that our approach outperforms the baseline models in both automatic and human evaluations and can generate more informative and empathetic responses.

As a critical step to achieve human-like chatbots, empathetic response generation has attained increasing interests. Previous attempts are incomplete and not sufficient enough to elicit empathy because they only focus on the initial aspect of empathy to automatically mimic the feelings and thoughts of the user via other-awareness. However, they ignore to maintain and take the own views of the system into account, which is a crucial process to achieve the empathy called self-other awareness. To this end, we propose to generate Empathetic response with explicit Self-Other Awareness (EmpSOA). Specifically, three stages, self-other differentiation, self-other modulation and self-other generation, are devised to clearly maintain, regulate and inject the self-other aware information into the process of empathetic response generation. Both automatic and human evaluations on the benchmark dataset demonstrate the superiority of EmpSOA to generate more empathetic responses.

Stickers, while widely recognized for enhancing empathetic communication in online interactions, remain underexplored in current empathetic dialogue research, notably due to the challenge of a lack of comprehensive datasets. In this paper, we introduce the Agent for STICKERCONV (Agent4SC), which uses collaborative agent interactions to realistically simulate human behavior with sticker usage, thereby enhancing multimodal empathetic communication. Building on this foundation, we develop a multimodal empathetic dialogue dataset, STICKERCONV, comprising 12.9K dialogue sessions, 5.8K unique stickers, and 2K diverse conversational scenarios. This dataset serves as a benchmark for multimodal empathetic generation. To advance further, we propose PErceive and Generate Stickers (PEGS), a multimodal empathetic response generation framework, complemented by a comprehensive set of empathy evaluation metrics based on LLM. Our experiments demonstrate PEGS's effectiveness in generating contextually relevant and emotionally resonant multimodal empathetic responses, contributing to the advancement of more nuanced and engaging empathetic dialogue systems.

Assessing student depression in sensitive environments like special education is challenging. Standardized questionnaires may not fully reflect students' true situations. Furthermore, automated methods often falter with rich student narratives, lacking the crucial, individualized insights stemming from teachers' empathetic connections with students. Existing methods often fail to address this ambiguity or effectively integrate educator understanding. To address these limitations by fostering a synergistic human-AI collaboration, this paper introduces Human Empathy as Encoder (HEAE), a novel, human-centered AI framework for transparent and socially responsible depression severity assessment. Our approach uniquely integrates student narrative text with a teacher-derived, 9-dimensional "Empathy Vector" (EV), its dimensions guided by the PHQ-9 framework,to explicitly translate tacit empathetic insight into a structured AI input enhancing rather than replacing human judgment. Rigorous experiments optimized the multimodal fusion, text representation, and classification architecture, achieving 82.74% accuracy for 7-level severity classification. This work demonstrates a path toward more responsible and ethical affective computing by structurally embedding human empathy

Empathetic conversation is psychologically supposed to be the result of conscious alignment and interaction between the cognition and affection of empathy. However, existing empathetic dialogue models usually consider only the affective aspect or treat cognition and affection in isolation, which limits the capability of empathetic response generation. In this work, we propose the CASE model for empathetic dialogue generation. It first builds upon a commonsense cognition graph and an emotional concept graph and then aligns the user's cognition and affection at both the coarse-grained and fine-grained levels. Through automatic and manual evaluation, we demonstrate that CASE outperforms state-of-the-art baselines of empathetic dialogues and can generate more empathetic and informative responses.

Gaze-referential inference--the ability to infer what others are looking at--is a critical component of a theory of mind that underpins natural human-AI interaction. In a controlled study, we evaluated this skill across 111 Vision Language Models (VLMs) using photos taken with manipulated difficulty and variability, comparing performance with that of human participants (N = 65), and analyzed behaviors using mixed-effects models. We found that 94 of the 111 VLMs failed to do better than random guessing, while humans achieved near-ceiling accuracy. VLMs even respond with each choice almost equally frequently. Are they randomly guessing? Although most VLMs struggle, when we zoom in on five of the top-tier VLMs with above-chance performance, we find that their performance declined with increasing task difficulty but varied only slightly across different prompts and scene objects. These behavioral features cannot be explained by considering them as random guessers. Instead, they likely use a combination of heuristics and guessing such that their performance is subject to the task difficulty but robust to perceptual variations. This suggests that VLMs, lacking gaze inference capability, have yet to become technologies that can naturally interact with humans, but the potential remains.

The ability to recognize and interpret facial emotions is a critical component of human communication, as it allows individuals to understand and respond to emotions conveyed through facial expressions and vocal tones. The recognition of facial emotions is a complex cognitive process that involves the integration of visual and auditory information, as well as prior knowledge and social cues. It plays a crucial role in social interaction, affective processing, and empathy, and is an important aspect of many real-world applications, including human-computer interaction, virtual assistants, and mental health diagnosis and treatment. The development of accurate and efficient models for facial emotion recognition is therefore of great importance and has the potential to have a significant impact on various fields of study.The field of Facial Emotion Recognition (FER) is of great significance in the areas of computer vision and artificial intelligence, with vast commercial and academic potential in fields such as security, advertising, and entertainment. We propose a FER framework that employs Swin Vision Transformers (SwinT) and squeeze and excitation block (SE) to address vision tasks. The approach uses a transformer model with an attention mechanism, SE, and SAM to improve the efficiency of the model, as transformers often require a large amount of data. Our focus was to create an efficient FER model based on SwinT architecture that can recognize facial emotions using minimal data. We trained our model on a hybrid dataset and evaluated its performance on the AffectNet dataset, achieving an F1-score of 0.5420, which surpassed the winner of the Affective Behavior Analysis in the Wild (ABAW) Competition held at the European Conference on Computer Vision (ECCV) 2022~Kollias.

We explore social perception of human faces in CLIP, a widely used open-source vision-language model. To this end, we compare the similarity in CLIP embeddings between different textual prompts and a set of face images. Our textual prompts are constructed from well-validated social psychology terms denoting social perception. The face images are synthetic and are systematically and independently varied along six dimensions: the legally protected attributes of age, gender, and race, as well as facial expression, lighting, and pose. Independently and systematically manipulating face attributes allows us to study the effect of each on social perception and avoids confounds that can occur in wild-collected data due to uncontrolled systematic correlations between attributes. Thus, our findings are experimental rather than observational. Our main findings are three. First, while CLIP is trained on the widest variety of images and texts, it is able to make fine-grained human-like social judgments on face images. Second, age, gender, and race do systematically impact CLIP's social perception of faces, suggesting an undesirable bias in CLIP vis-a-vis legally protected attributes. Most strikingly, we find a strong pattern of bias concerning the faces of Black women, where CLIP produces extreme values of social perception across different ages and facial expressions. Third, facial expression impacts social perception more than age and lighting as much as age. The last finding predicts that studies that do not control for unprotected visual attributes may reach the wrong conclusions on bias. Our novel method of investigation, which is founded on the social psychology literature and on the experiments involving the manipulation of individual attributes, yields sharper and more reliable observations than previous observational methods and may be applied to study biases in any vision-language model.

Empathy requires perspective-taking: empathetic responses require a person to reason about what another has experienced and communicate that understanding in language. However, most NLP approaches to empathy do not explicitly model this alignment process. Here, we introduce a new approach to recognizing alignment in empathetic speech, grounded in Appraisal Theory. We introduce a new dataset of over 9.2K span-level annotations of different types of appraisals of a person's experience and over 3K empathetic alignments between a speaker's and observer's speech. Through computational experiments, we show that these appraisals and alignments can be accurately recognized. In experiments in over 9.2M Reddit conversations, we find that appraisals capture meaningful groupings of behavior but that most responses have minimal alignment. However, we find that mental health professionals engage with substantially more empathetic alignment.

Technologies for recognizing facial attributes like race, gender, age, and emotion have several applications, such as surveillance, advertising content, sentiment analysis, and the study of demographic trends and social behaviors. Analyzing demographic characteristics based on images and analyzing facial expressions have several challenges due to the complexity of humans' facial attributes. Traditional approaches have employed CNNs and various other deep learning techniques, trained on extensive collections of labeled images. While these methods demonstrated effective performance, there remains potential for further enhancements. In this paper, we propose to utilize vision language models (VLMs) such as generative pre-trained transformer (GPT), GEMINI, large language and vision assistant (LLAVA), PaliGemma, and Microsoft Florence2 to recognize facial attributes such as race, gender, age, and emotion from images with human faces. Various datasets like FairFace, AffectNet, and UTKFace have been utilized to evaluate the solutions. The results show that VLMs are competitive if not superior to traditional techniques. Additionally, we propose "FaceScanPaliGemma"--a fine-tuned PaliGemma model--for race, gender, age, and emotion recognition. The results show an accuracy of 81.1%, 95.8%, 80%, and 59.4% for race, gender, age group, and emotion classification, respectively, outperforming pre-trained version of PaliGemma, other VLMs, and SotA methods. Finally, we propose "FaceScanGPT", which is a GPT-4o model to recognize the above attributes when several individuals are present in the image using a prompt engineered for a person with specific facial and/or physical attributes. The results underscore the superior multitasking capability of FaceScanGPT to detect the individual's attributes like hair cut, clothing color, postures, etc., using only a prompt to drive the detection and recognition tasks.

Audio-driven emotional 3D face animation aims to generate emotionally expressive talking heads with synchronized lip movements. However, previous research has often overlooked the influence of diverse emotions on facial expressions or proved unsuitable for driving MetaHuman models. In response to this deficiency, we introduce EmoFace, a novel audio-driven methodology for creating facial animations with vivid emotional dynamics. Our approach can generate facial expressions with multiple emotions, and has the ability to generate random yet natural blinks and eye movements, while maintaining accurate lip synchronization. We propose independent speech encoders and emotion encoders to learn the relationship between audio, emotion and corresponding facial controller rigs, and finally map into the sequence of controller values. Additionally, we introduce two post-processing techniques dedicated to enhancing the authenticity of the animation, particularly in blinks and eye movements. Furthermore, recognizing the scarcity of emotional audio-visual data suitable for MetaHuman model manipulation, we contribute an emotional audio-visual dataset and derive control parameters for each frames. Our proposed methodology can be applied in producing dialogues animations of non-playable characters (NPCs) in video games, and driving avatars in virtual reality environments. Our further quantitative and qualitative experiments, as well as an user study comparing with existing researches show that our approach demonstrates superior results in driving 3D facial models. The code and sample data are available at https://github.com/SJTU-Lucy/EmoFace.

Based on the WASSA 2022 Shared Task on Empathy Detection and Emotion Classification, we predict the level of empathic concern and personal distress displayed in essays. For the first stage of this project we implemented a Feed-Forward Neural Network using sentence-level embeddings as features. We experimented with four different embedding models for generating the inputs to the neural network. The subsequent stage builds upon the previous work and we have implemented three types of revisions. The first revision focuses on the enhancements to the model architecture and the training approach. The second revision focuses on handling class imbalance using stratified data sampling. The third revision focuses on leveraging lexical resources, where we apply four different resources to enrich the features associated with the dataset. During the final stage of this project, we have created the final end-to-end system for the primary task using an ensemble of models to revise primary task performance. Additionally, as part of the final stage, these approaches have been adapted to the WASSA 2023 Shared Task on Empathy Emotion and Personality Detection in Interactions, in which the empathic concern, emotion polarity, and emotion intensity in dyadic text conversations are predicted.

Empathy is a complex cognitive ability based on the reasoning of others' affective states. In order to better understand others and express stronger empathy in dialogues, we argue that two issues must be tackled at the same time: (i) identifying which word is the cause for the other's emotion from his or her utterance and (ii) reflecting those specific words in the response generation. However, previous approaches for recognizing emotion cause words in text require sub-utterance level annotations, which can be demanding. Taking inspiration from social cognition, we leverage a generative estimator to infer emotion cause words from utterances with no word-level label. Also, we introduce a novel method based on pragmatics to make dialogue models focus on targeted words in the input during generation. Our method is applicable to any dialogue models with no additional training on the fly. We show our approach improves multiple best-performing dialogue agents on generating more focused empathetic responses in terms of both automatic and human evaluation.

Empathy is fundamental to human interactions, yet it remains unclear whether embodied agents can provide human-like empathetic support. Existing works have studied agents' tasks solving and social interactions abilities, but whether agents can understand empathetic needs and conduct empathetic behaviors remains overlooked. To address this, we introduce EmpathyAgent, the first benchmark to evaluate and enhance agents' empathetic actions across diverse scenarios. EmpathyAgent contains 10,000 multimodal samples with corresponding empathetic task plans and three different challenges. To systematically evaluate the agents' empathetic actions, we propose an empathy-specific evaluation suite that evaluates the agents' empathy process. We benchmark current models and found that exhibiting empathetic actions remains a significant challenge. Meanwhile, we train Llama3-8B using EmpathyAgent and find it can potentially enhance empathetic behavior. By establishing a standard benchmark for evaluating empathetic actions, we hope to advance research in empathetic embodied agents. Our code and data are publicly available at https://github.com/xinyan-cxy/EmpathyAgent.

Gaze following and social gaze prediction are fundamental tasks providing insights into human communication behaviors, intent, and social interactions. Most previous approaches addressed these tasks separately, either by designing highly specialized social gaze models that do not generalize to other social gaze tasks or by considering social gaze inference as an ad-hoc post-processing of the gaze following task. Furthermore, the vast majority of gaze following approaches have proposed static models that can handle only one person at a time, therefore failing to take advantage of social interactions and temporal dynamics. In this paper, we address these limitations and introduce a novel framework to jointly predict the gaze target and social gaze label for all people in the scene. The framework comprises of: (i) a temporal, transformer-based architecture that, in addition to image tokens, handles person-specific tokens capturing the gaze information related to each individual; (ii) a new dataset, VSGaze, that unifies annotation types across multiple gaze following and social gaze datasets. We show that our model trained on VSGaze can address all tasks jointly, and achieves state-of-the-art results for multi-person gaze following and social gaze prediction.

The capacity of empathy is crucial to the success of open-domain dialog systems. Due to its nature of multi-dimensionality, there are various factors that relate to empathy expression, such as communication mechanism, dialog act and emotion. However, existing methods for empathetic response generation usually either consider only one empathy factor or ignore the hierarchical relationships between different factors, leading to a weak ability of empathy modeling. In this paper, we propose a multi-factor hierarchical framework, CoMAE, for empathetic response generation, which models the above three key factors of empathy expression in a hierarchical way. We show experimentally that our CoMAE-based model can generate more empathetic responses than previous methods. We also highlight the importance of hierarchical modeling of different factors through both the empirical analysis on a real-life corpus and the extensive experiments. Our codes and used data are available at https://github.com/chujiezheng/CoMAE.

Though tremendous strides have been made in uncontrolled face detection, accurate and efficient face localisation in the wild remains an open challenge. This paper presents a robust single-stage face detector, named RetinaFace, which performs pixel-wise face localisation on various scales of faces by taking advantages of joint extra-supervised and self-supervised multi-task learning. Specifically, We make contributions in the following five aspects: (1) We manually annotate five facial landmarks on the WIDER FACE dataset and observe significant improvement in hard face detection with the assistance of this extra supervision signal. (2) We further add a self-supervised mesh decoder branch for predicting a pixel-wise 3D shape face information in parallel with the existing supervised branches. (3) On the WIDER FACE hard test set, RetinaFace outperforms the state of the art average precision (AP) by 1.1% (achieving AP equal to 91.4%). (4) On the IJB-C test set, RetinaFace enables state of the art methods (ArcFace) to improve their results in face verification (TAR=89.59% for FAR=1e-6). (5) By employing light-weight backbone networks, RetinaFace can run real-time on a single CPU core for a VGA-resolution image. Extra annotations and code have been made available at: https://github.com/deepinsight/insightface/tree/master/RetinaFace.

Ocular biometrics in the visible spectrum have emerged as a prominent modality due to their high accuracy, resistance to spoofing, and non-invasive nature. However, morphing attacks, synthetic biometric traits created by blending features from multiple individuals, threaten biometric system integrity. While extensively studied for near-infrared iris and face biometrics, morphing in visible-spectrum ocular data remains underexplored. Simulating such attacks demands advanced generation models that handle uncontrolled conditions while preserving detailed ocular features like iris boundaries and periocular textures. To address this gap, we introduce DOOMGAN, that encompasses landmark-driven encoding of visible ocular anatomy, attention-guided generation for realistic morph synthesis, and dynamic weighting of multi-faceted losses for optimized convergence. DOOMGAN achieves over 20% higher attack success rates than baseline methods under stringent thresholds, along with 20% better elliptical iris structure generation and 30% improved gaze consistency. We also release the first comprehensive ocular morphing dataset to support further research in this domain.

Empathetic response generation is a desirable aspect of conversational agents, crucial for facilitating engaging and emotionally intelligent multi-turn conversations between humans and machines. Leveraging large language models for this task has shown promising results, yet challenges persist in ensuring both the empathetic quality of the responses and retention of the generalization performance of the models. We propose a novel approach where we construct theory-driven preference datasets based on emotion grounding and use them to align LLMs with preference optimization algorithms to address these challenges. To evaluate empathetic response generation, we employ the EmpatheticDialogues dataset, assessing empathy with the diff-Epitome and BERTscore metrics and with multi-dimensional human evaluation. Additionally, we measure diversity and emotional valence using feature-based methods. We also evaluate the impact of training on the generalization performance using the MMLU benchmark and tasks from the Open LLM Leaderboard. The results show that LLMs can be aligned for empathetic response generation by preference optimization while retaining their general performance and that emotion grounding can guide preference dataset creation. We make all datasets, source code, and models publicly available. https://github.com/justtherightsize/empo

Empathetic response generation is increasingly significant in AI, necessitating nuanced emotional and cognitive understanding coupled with articulate response expression. Current large language models (LLMs) excel in response expression; however, they lack the ability to deeply understand emotional and cognitive nuances, particularly in pinpointing fine-grained emotions and their triggers. Conversely, small-scale empathetic models (SEMs) offer strength in fine-grained emotion detection and detailed emotion cause identification. To harness the complementary strengths of both LLMs and SEMs, we introduce a Hybrid Empathetic Framework (HEF). HEF regards SEMs as flexible plugins to improve LLM's nuanced emotional and cognitive understanding. Regarding emotional understanding, HEF implements a two-stage emotion prediction strategy, encouraging LLMs to prioritize primary emotions emphasized by SEMs, followed by other categories, substantially alleviates the difficulties for LLMs in fine-grained emotion detection. Regarding cognitive understanding, HEF employs an emotion cause perception strategy, prompting LLMs to focus on crucial emotion-eliciting words identified by SEMs, thus boosting LLMs' capabilities in identifying emotion causes. This collaborative approach enables LLMs to discern emotions more precisely and formulate empathetic responses. We validate HEF on the Empathetic-Dialogue dataset, and the findings indicate that our framework enhances the refined understanding of LLMs and their ability to convey empathetic responses.

Large multimodal models (LMMs) now excel on many vision language benchmarks, however, they still struggle with human centered criteria such as fairness, ethics, empathy, and inclusivity, key to aligning with human values. We introduce HumaniBench, a holistic benchmark of 32K real-world image question pairs, annotated via a scalable GPT4o assisted pipeline and exhaustively verified by domain experts. HumaniBench evaluates seven Human Centered AI (HCAI) principles: fairness, ethics, understanding, reasoning, language inclusivity, empathy, and robustness, across seven diverse tasks, including open and closed ended visual question answering (VQA), multilingual QA, visual grounding, empathetic captioning, and robustness tests. Benchmarking 15 state of the art LMMs (open and closed source) reveals that proprietary models generally lead, though robustness and visual grounding remain weak points. Some open-source models also struggle to balance accuracy with adherence to human-aligned principles. HumaniBench is the first benchmark purpose built around HCAI principles. It provides a rigorous testbed for diagnosing alignment gaps and guiding LMMs toward behavior that is both accurate and socially responsible. Dataset, annotation prompts, and evaluation code are available at: https://vectorinstitute.github.io/HumaniBench

Empathetic response generation necessitates the integration of emotional and intentional dynamics to foster meaningful interactions. Existing research either neglects the intricate interplay between emotion and intent, leading to suboptimal controllability of empathy, or resorts to large language models (LLMs), which incur significant computational overhead. In this paper, we introduce ReflectDiffu, a lightweight and comprehensive framework for empathetic response generation. This framework incorporates emotion contagion to augment emotional expressiveness and employs an emotion-reasoning mask to pinpoint critical emotional elements. Additionally, it integrates intent mimicry within reinforcement learning for refinement during diffusion. By harnessing an intent twice reflect the mechanism of Exploring-Sampling-Correcting, ReflectDiffu adeptly translates emotional decision-making into precise intent actions, thereby addressing empathetic response misalignments stemming from emotional misrecognition. Through reflection, the framework maps emotional states to intents, markedly enhancing both response empathy and flexibility. Comprehensive experiments reveal that ReflectDiffu outperforms existing models regarding relevance, controllability, and informativeness, achieving state-of-the-art results in both automatic and human evaluations.

Radiologists rely on eye movements to navigate and interpret medical images. A trained radiologist possesses knowledge about the potential diseases that may be present in the images and, when searching, follows a mental checklist to locate them using their gaze. This is a key observation, yet existing models fail to capture the underlying intent behind each fixation. In this paper, we introduce a deep learning-based approach, RadGazeIntent, designed to model this behavior: having an intention to find something and actively searching for it. Our transformer-based architecture processes both the temporal and spatial dimensions of gaze data, transforming fine-grained fixation features into coarse, meaningful representations of diagnostic intent to interpret radiologists' goals. To capture the nuances of radiologists' varied intention-driven behaviors, we process existing medical eye-tracking datasets to create three intention-labeled subsets: RadSeq (Systematic Sequential Search), RadExplore (Uncertainty-driven Exploration), and RadHybrid (Hybrid Pattern). Experimental results demonstrate RadGazeIntent's ability to predict which findings radiologists are examining at specific moments, outperforming baseline methods across all intention-labeled datasets.

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.