Daily Papers

Accurate medical classification requires a large number of multi-modal data, and in many cases, different feature types. Previous studies have shown promising results when using multi-modal data, outperforming single-modality models when classifying diseases such as Alzheimer's Disease (AD). However, those models are usually not flexible enough to handle missing modalities. Currently, the most common workaround is discarding samples with missing modalities which leads to considerable data under-utilization. Adding to the fact that labeled medical images are already scarce, the performance of data-driven methods like deep learning can be severely hampered. Therefore, a multi-modal method that can handle missing data in various clinical settings is highly desirable. In this paper, we present Multi-Modal Mixing Transformer (3MAT), a disease classification transformer that not only leverages multi-modal data but also handles missing data scenarios. In this work, we test 3MT for AD and Cognitively normal (CN) classification and mild cognitive impairment (MCI) conversion prediction to progressive MCI (pMCI) or stable MCI (sMCI) using clinical and neuroimaging data. The model uses a novel Cascaded Modality Transformer architecture with cross-attention to incorporate multi-modal information for more informed predictions. We propose a novel modality dropout mechanism to ensure an unprecedented level of modality independence and robustness to handle missing data scenarios. The result is a versatile network that enables the mixing of arbitrary numbers of modalities with different feature types and also ensures full data utilization missing data scenarios. The model is trained and evaluated on the ADNI dataset with the SOTRA performance and further evaluated with the AIBL dataset with missing data.

Disease progression simulation is a crucial area of research that has significant implications for clinical diagnosis, prognosis, and treatment. One major challenge in this field is the lack of continuous medical imaging monitoring of individual patients over time. To address this issue, we develop a novel framework termed Progressive Image Editing (PIE) that enables controlled manipulation of disease-related image features, facilitating precise and realistic disease progression simulation. Specifically, we leverage recent advancements in text-to-image generative models to simulate disease progression accurately and personalize it for each patient. We theoretically analyze the iterative refining process in our framework as a gradient descent with an exponentially decayed learning rate. To validate our framework, we conduct experiments in three medical imaging domains. Our results demonstrate the superiority of PIE over existing methods such as Stable Diffusion Walk and Style-Based Manifold Extrapolation based on CLIP score (Realism) and Disease Classification Confidence (Alignment). Our user study collected feedback from 35 veteran physicians to assess the generated progressions. Remarkably, 76.2% of the feedback agrees with the fidelity of the generated progressions. To our best knowledge, PIE is the first of its kind to generate disease progression images meeting real-world standards. It is a promising tool for medical research and clinical practice, potentially allowing healthcare providers to model disease trajectories over time, predict future treatment responses, and improve patient outcomes.

Early diagnosis of mild cognitive impairment (MCI) and subjective cognitive decline (SCD) utilizing multi-modal magnetic resonance imaging (MRI) is a pivotal area of research. While various regional and connectivity features from functional MRI (fMRI) and diffusion tensor imaging (DTI) have been employed to develop diagnosis models, most studies integrate these features without adequately addressing their alignment and interactions. This limits the potential to fully exploit the synergistic contributions of combined features and modalities. To solve this gap, our study introduces a novel Hierarchical Alignments and Hierarchical Interactions (HA-HI) method for MCI and SCD classification, leveraging the combined strengths of fMRI and DTI. HA-HI efficiently learns significant MCI- or SCD- related regional and connectivity features by aligning various feature types and hierarchically maximizing their interactions. Furthermore, to enhance the interpretability of our approach, we have developed the Synergistic Activation Map (SAM) technique, revealing the critical brain regions and connections that are indicative of MCI/SCD. Comprehensive evaluations on the ADNI dataset and our self-collected data demonstrate that HA-HI outperforms other existing methods in diagnosing MCI and SCD, making it a potentially vital and interpretable tool for early detection. The implementation of this method is publicly accessible at https://github.com/ICI-BCI/Dual-MRI-HA-HI.git.

Alzheimer's disease (AD) is a common neurodegenerative disease among the elderly. Early prediction and timely intervention of its prodromal stage, mild cognitive impairment (MCI), can decrease the risk of advancing to AD. Combining information from various modalities can significantly improve predictive accuracy. However, challenges such as missing data and heterogeneity across modalities complicate multimodal learning methods as adding more modalities can worsen these issues. Current multimodal fusion techniques often fail to adapt to the complexity of medical data, hindering the ability to identify relationships between modalities. To address these challenges, we propose an innovative multimodal approach for predicting MCI conversion, focusing specifically on the issues of missing positron emission tomography (PET) data and integrating diverse medical information. The proposed incomplete triple-modal MCI conversion prediction network is tailored for this purpose. Through the missing modal generation module, we synthesize the missing PET data from the magnetic resonance imaging and extract features using specifically designed encoders. We also develop a channel aggregation module and a triple-modal co-attention fusion module to reduce feature redundancy and achieve effective multimodal data fusion. Furthermore, we design a loss function to handle missing modality issues and align cross-modal features. These components collectively harness multimodal data to boost network performance. Experimental results on the ADNI1 and ADNI2 datasets show that our method significantly surpasses existing unimodal and other multimodal models. Our code is available at https://github.com/justinhxy/ITFC.

Generating high-dimensional visual modalities is a computationally intensive task. A common solution is progressive generation, where the outputs are synthesized in a coarse-to-fine spectral autoregressive manner. While diffusion models benefit from the coarse-to-fine nature of denoising, explicit multi-stage architectures are rarely adopted. These architectures have increased the complexity of the overall approach, introducing the need for a custom diffusion formulation, decomposition-dependent stage transitions, add-hoc samplers, or a model cascade. Our contribution, Decomposable Flow Matching (DFM), is a simple and effective framework for the progressive generation of visual media. DFM applies Flow Matching independently at each level of a user-defined multi-scale representation (such as Laplacian pyramid). As shown by our experiments, our approach improves visual quality for both images and videos, featuring superior results compared to prior multistage frameworks. On Imagenet-1k 512px, DFM achieves 35.2% improvements in FDD scores over the base architecture and 26.4% over the best-performing baseline, under the same training compute. When applied to finetuning of large models, such as FLUX, DFM shows faster convergence speed to the training distribution. Crucially, all these advantages are achieved with a single model, architectural simplicity, and minimal modifications to existing training pipelines.

Recent surge in large-scale generative models has spurred the development of vast fields in computer vision. In particular, text-to-image diffusion models have garnered widespread adoption across diverse domain due to their potential for high-fidelity image generation. Nonetheless, existing large-scale diffusion models are confined to generate images of up to 1K resolution, which is far from meeting the demands of contemporary commercial applications. Directly sampling higher-resolution images often yields results marred by artifacts such as object repetition and distorted shapes. Addressing the aforementioned issues typically necessitates training or fine-tuning models on higher resolution datasets. However, this undertaking poses a formidable challenge due to the difficulty in collecting large-scale high-resolution contents and substantial computational resources. While several preceding works have proposed alternatives, they often fail to produce convincing results. In this work, we probe the generative ability of diffusion models at higher resolution beyond its original capability and propose a novel progressive approach that fully utilizes generated low-resolution image to guide the generation of higher resolution image. Our method obviates the need for additional training or fine-tuning which significantly lowers the burden of computational costs. Extensive experiments and results validate the efficiency and efficacy of our method. Project page: https://yhyun225.github.io/DiffuseHigh/

Diffusion models have revolutionized text-to-image generation, but their real-world applications are hampered by the extensive time needed for hundreds of diffusion steps. Although progressive distillation has been proposed to speed up diffusion sampling to 2-8 steps, it still falls short in one-step generation, and necessitates training multiple student models, which is highly parameter-extensive and time-consuming. To overcome these limitations, we introduce High-frequency-Promoting Adaptation (HiPA), a parameter-efficient approach to enable one-step text-to-image diffusion. Grounded in the insight that high-frequency information is essential but highly lacking in one-step diffusion, HiPA focuses on training one-step, low-rank adaptors to specifically enhance the under-represented high-frequency abilities of advanced diffusion models. The learned adaptors empower these diffusion models to generate high-quality images in just a single step. Compared with progressive distillation, HiPA achieves much better performance in one-step text-to-image generation (37.3 rightarrow 23.8 in FID-5k on MS-COCO 2017) and 28.6x training speed-up (108.8 rightarrow 3.8 A100 GPU days), requiring only 0.04% training parameters (7,740 million rightarrow 3.3 million). We also demonstrate HiPA's effectiveness in text-guided image editing, inpainting and super-resolution tasks, where our adapted models consistently deliver high-quality outputs in just one diffusion step. The source code will be released.

Despite the proven significance of hyperspectral images (HSIs) in performing various computer vision tasks, its potential is adversely affected by the low-resolution (LR) property in the spatial domain, resulting from multiple physical factors. Inspired by recent advancements in deep generative models, we propose an HSI Super-resolution (SR) approach with Conditional Diffusion Models (HSR-Diff) that merges a high-resolution (HR) multispectral image (MSI) with the corresponding LR-HSI. HSR-Diff generates an HR-HSI via repeated refinement, in which the HR-HSI is initialized with pure Gaussian noise and iteratively refined. At each iteration, the noise is removed with a Conditional Denoising Transformer (CDF ormer) that is trained on denoising at different noise levels, conditioned on the hierarchical feature maps of HR-MSI and LR-HSI. In addition, a progressive learning strategy is employed to exploit the global information of full-resolution images. Systematic experiments have been conducted on four public datasets, demonstrating that HSR-Diff outperforms state-of-the-art methods.

Medical diagnostic applications require models that can process multimodal medical inputs (images, patient histories, lab results) and generate diverse outputs including both textual reports and visual content (annotations, segmentation masks, and images). Despite this need, existing medical AI systems disrupt this unified process: medical image understanding models interpret images but cannot generate visual outputs, while medical image generation models synthesize images but cannot provide textual explanations. This leads to gaps in data representation, feature integration, and task-level multimodal capabilities. To this end, we propose a multi-level framework that draws inspiration from diagnostic workflows through the Observation-Knowledge-Analysis (OKA) paradigm. Specifically, at the observation level, we construct UniMed-5M, a dataset comprising over 5.6M samples that reformat diverse unimodal data into multimodal pairs for foundational observation. At the knowledge level, we propose Progressive Curriculum Learning that systematically introduces medical multimodal knowledge. At the analysis level, we introduce UniMedVL, the first medical unified multimodal model for the simultaneous analysis of image understanding and generation tasks within a single architecture. UniMedVL achieves superior performance on five medical image understanding benchmarks, while matching specialized models in generation quality across eight medical imaging modalities. Crucially, our unified architecture enables bidirectional knowledge sharing: generation tasks enhance visual understanding features, demonstrating that integrating traditionally separate capabilities within a single medical framework unlocks improvements across diverse medical vision-language tasks. Code is available at https://github.com/uni-medical/UniMedVL.

Multimodal Continual Instruction Tuning (MCIT) enables Multimodal Large Language Models (MLLMs) to meet continuously emerging requirements without expensive retraining. MCIT faces two major obstacles: catastrophic forgetting (where old knowledge is forgotten) and negative forward transfer (where the performance of future tasks is degraded). Although existing methods have greatly alleviated catastrophic forgetting, they still suffer from negative forward transfer. We discover a large discrepancy in different input embeddings by performing singular value decomposition (SVD) on input embeddings. This discrepancy results in the model learning irrelevant information for old and pre-trained tasks, leading to catastrophic forgetting and negative forward transfer. To address these issues, we propose Prompt Tuning with Positive Forward Transfer (Fwd-Prompt), a prompt-based method that projects the prompt gradient to the residual space to minimize interference between tasks and to the pre-trained subspace for reusing pre-trained knowledge. Our experiments demonstrate that Fwd-Prompt achieves state-of-the-art performance while updating fewer parameters and requiring no old samples. Our research illuminates the potential of continuously adapting MLLMs to new tasks under the instruction tuning paradigm and encourages future studies to explore MCIT.

Existing multimodal conditional image synthesis (MCIS) methods generate images conditioned on any combinations of various modalities that require all of them must be exactly conformed, hindering the synthesis controllability and leaving the potential of cross-modality under-exploited. To this end, we propose to generate images conditioned on the compositions of multimodal control signals, where modalities are imperfectly complementary, i.e., composed multimodal conditional image synthesis (CMCIS). Specifically, we observe two challenging issues of the proposed CMCIS task, i.e., the modality coordination problem and the modality imbalance problem. To tackle these issues, we introduce a Mixture-of-Modality-Tokens Transformer (MMoT) that adaptively fuses fine-grained multimodal control signals, a multimodal balanced training loss to stabilize the optimization of each modality, and a multimodal sampling guidance to balance the strength of each modality control signal. Comprehensive experimental results demonstrate that MMoT achieves superior performance on both unimodal conditional image synthesis (UCIS) and MCIS tasks with high-quality and faithful image synthesis on complex multimodal conditions. The project website is available at https://jabir-zheng.github.io/MMoT.