Daily Papers

Recent work has made significant progress in improving spatial resolution for pixelwise labeling with Fully Convolutional Network (FCN) framework by employing Dilated/Atrous convolution, utilizing multi-scale features and refining boundaries. In this paper, we explore the impact of global contextual information in semantic segmentation by introducing the Context Encoding Module, which captures the semantic context of scenes and selectively highlights class-dependent featuremaps. The proposed Context Encoding Module significantly improves semantic segmentation results with only marginal extra computation cost over FCN. Our approach has achieved new state-of-the-art results 51.7% mIoU on PASCAL-Context, 85.9% mIoU on PASCAL VOC 2012. Our single model achieves a final score of 0.5567 on ADE20K test set, which surpass the winning entry of COCO-Place Challenge in 2017. In addition, we also explore how the Context Encoding Module can improve the feature representation of relatively shallow networks for the image classification on CIFAR-10 dataset. Our 14 layer network has achieved an error rate of 3.45%, which is comparable with state-of-the-art approaches with over 10 times more layers. The source code for the complete system are publicly available.

Most recent semantic segmentation methods adopt a fully-convolutional network (FCN) with an encoder-decoder architecture. The encoder progressively reduces the spatial resolution and learns more abstract/semantic visual concepts with larger receptive fields. Since context modeling is critical for segmentation, the latest efforts have been focused on increasing the receptive field, through either dilated/atrous convolutions or inserting attention modules. However, the encoder-decoder based FCN architecture remains unchanged. In this paper, we aim to provide an alternative perspective by treating semantic segmentation as a sequence-to-sequence prediction task. Specifically, we deploy a pure transformer (ie, without convolution and resolution reduction) to encode an image as a sequence of patches. With the global context modeled in every layer of the transformer, this encoder can be combined with a simple decoder to provide a powerful segmentation model, termed SEgmentation TRansformer (SETR). Extensive experiments show that SETR achieves new state of the art on ADE20K (50.28% mIoU), Pascal Context (55.83% mIoU) and competitive results on Cityscapes. Particularly, we achieve the first position in the highly competitive ADE20K test server leaderboard on the day of submission.

The fully convolutional network (FCN) with an encoder-decoder architecture has been the standard paradigm for semantic segmentation. The encoder-decoder architecture utilizes an encoder to capture multilevel feature maps, which are incorporated into the final prediction by a decoder. As the context is crucial for precise segmentation, tremendous effort has been made to extract such information in an intelligent fashion, including employing dilated/atrous convolutions or inserting attention modules. However, these endeavors are all based on the FCN architecture with ResNet or other backbones, which cannot fully exploit the context from the theoretical concept. By contrast, we introduce the Swin Transformer as the backbone to extract the context information and design a novel decoder of densely connected feature aggregation module (DCFAM) to restore the resolution and produce the segmentation map. The experimental results on two remotely sensed semantic segmentation datasets demonstrate the effectiveness of the proposed scheme.Code is available at https://github.com/WangLibo1995/GeoSeg

Dilated convolution, which expands the receptive field by inserting gaps between its consecutive elements, is widely employed in computer vision. In this study, we propose three strategies to improve individual phases of dilated convolution from the view of spectrum analysis. Departing from the conventional practice of fixing a global dilation rate as a hyperparameter, we introduce Frequency-Adaptive Dilated Convolution (FADC), which dynamically adjusts dilation rates spatially based on local frequency components. Subsequently, we design two plug-in modules to directly enhance effective bandwidth and receptive field size. The Adaptive Kernel (AdaKern) module decomposes convolution weights into low-frequency and high-frequency components, dynamically adjusting the ratio between these components on a per-channel basis. By increasing the high-frequency part of convolution weights, AdaKern captures more high-frequency components, thereby improving effective bandwidth. The Frequency Selection (FreqSelect) module optimally balances high- and low-frequency components in feature representations through spatially variant reweighting. It suppresses high frequencies in the background to encourage FADC to learn a larger dilation, thereby increasing the receptive field for an expanded scope. Extensive experiments on segmentation and object detection consistently validate the efficacy of our approach. The code is publicly available at https://github.com/Linwei-Chen/FADC.

Recent works indicate that convolutional neural networks (CNN) need large receptive fields (RF) to compete with visual transformers and their attention mechanism. In CNNs, RFs can simply be enlarged by increasing the convolution kernel sizes. Yet the number of trainable parameters, which scales quadratically with the kernel's size in the 2D case, rapidly becomes prohibitive, and the training is notoriously difficult. This paper presents a new method to increase the RF size without increasing the number of parameters. The dilated convolution (DC) has already been proposed for the same purpose. DC can be seen as a convolution with a kernel that contains only a few non-zero elements placed on a regular grid. Here we present a new version of the DC in which the spacings between the non-zero elements, or equivalently their positions, are no longer fixed but learnable via backpropagation thanks to an interpolation technique. We call this method "Dilated Convolution with Learnable Spacings" (DCLS) and generalize it to the n-dimensional convolution case. However, our main focus here will be on the 2D case. We first tried our approach on ResNet50: we drop-in replaced the standard convolutions with DCLS ones, which increased the accuracy of ImageNet1k classification at iso-parameters, but at the expense of the throughput. Next, we used the recent ConvNeXt state-of-the-art convolutional architecture and drop-in replaced the depthwise convolutions with DCLS ones. This not only increased the accuracy of ImageNet1k classification but also of typical downstream and robustness tasks, again at iso-parameters but this time with negligible cost on throughput, as ConvNeXt uses separable convolutions. Conversely, classic DC led to poor performance with both ResNet50 and ConvNeXt. The code of the method is available at: https://github.com/K-H-Ismail/Dilated-Convolution-with-Learnable-Spacings-PyTorch.

As a variant of standard convolution, a dilated convolution can control effective receptive fields and handle large scale variance of objects without introducing additional computational costs. To fully explore the potential of dilated convolution, we proposed a new type of dilated convolution (referred to as inception convolution), where the convolution operations have independent dilation patterns among different axes, channels and layers. To develop a practical method for learning complex inception convolution based on the data, a simple but effective search algorithm, referred to as efficient dilation optimization (EDO), is developed. Based on statistical optimization, the EDO method operates in a low-cost manner and is extremely fast when it is applied on large scale datasets. Empirical results validate that our method achieves consistent performance gains for image recognition, object detection, instance segmentation, human detection, and human pose estimation. For instance, by simply replacing the 3x3 standard convolution in the ResNet-50 backbone with inception convolution, we significantly improve the AP of Faster R-CNN from 36.4% to 39.2% on MS COCO.

Computer-aided medical image segmentation has been applied widely in diagnosis and treatment to obtain clinically useful information of shapes and volumes of target organs and tissues. In the past several years, convolutional neural network (CNN) based methods (e.g., U-Net) have dominated this area, but still suffered from inadequate long-range information capturing. Hence, recent work presented computer vision Transformer variants for medical image segmentation tasks and obtained promising performances. Such Transformers model long-range dependency by computing pair-wise patch relations. However, they incur prohibitive computational costs, especially on 3D medical images (e.g., CT and MRI). In this paper, we propose a new method called Dilated Transformer, which conducts self-attention for pair-wise patch relations captured alternately in local and global scopes. Inspired by dilated convolution kernels, we conduct the global self-attention in a dilated manner, enlarging receptive fields without increasing the patches involved and thus reducing computational costs. Based on this design of Dilated Transformer, we construct a U-shaped encoder-decoder hierarchical architecture called D-Former for 3D medical image segmentation. Experiments on the Synapse and ACDC datasets show that our D-Former model, trained from scratch, outperforms various competitive CNN-based or Transformer-based segmentation models at a low computational cost without time-consuming per-training process.

Dilated Convolution with Learnable Spacing (DCLS) is a recent advanced convolution method that allows enlarging the receptive fields (RF) without increasing the number of parameters, like the dilated convolution, yet without imposing a regular grid. DCLS has been shown to outperform the standard and dilated convolutions on several computer vision benchmarks. Here, we show that, in addition, DCLS increases the models' interpretability, defined as the alignment with human visual strategies. To quantify it, we use the Spearman correlation between the models' GradCAM heatmaps and the ClickMe dataset heatmaps, which reflect human visual attention. We took eight reference models - ResNet50, ConvNeXt (T, S and B), CAFormer, ConvFormer, and FastViT (sa 24 and 36) - and drop-in replaced the standard convolution layers with DCLS ones. This improved the interpretability score in seven of them. Moreover, we observed that Grad-CAM generated random heatmaps for two models in our study: CAFormer and ConvFormer models, leading to low interpretability scores. We addressed this issue by introducing Threshold-Grad-CAM, a modification built on top of Grad-CAM that enhanced interpretability across nearly all models. The code and checkpoints to reproduce this study are available at: https://github.com/rabihchamas/DCLS-GradCAM-Eval.

In this work, we revisit atrous convolution, a powerful tool to explicitly adjust filter's field-of-view as well as control the resolution of feature responses computed by Deep Convolutional Neural Networks, in the application of semantic image segmentation. To handle the problem of segmenting objects at multiple scales, we design modules which employ atrous convolution in cascade or in parallel to capture multi-scale context by adopting multiple atrous rates. Furthermore, we propose to augment our previously proposed Atrous Spatial Pyramid Pooling module, which probes convolutional features at multiple scales, with image-level features encoding global context and further boost performance. We also elaborate on implementation details and share our experience on training our system. The proposed `DeepLabv3' system significantly improves over our previous DeepLab versions without DenseCRF post-processing and attains comparable performance with other state-of-art models on the PASCAL VOC 2012 semantic image segmentation benchmark.

Vision transformers (ViTs) have dominated computer vision in recent years. However, ViTs are computationally expensive and not well suited for mobile devices; this led to the prevalence of convolutional neural network (CNN) and ViT-based hybrid models for mobile vision applications. Recently, Vision GNN (ViG) and CNN hybrid models have also been proposed for mobile vision tasks. However, all of these methods remain slower compared to pure CNN-based models. In this work, we propose Multi-Level Dilated Convolutions to devise a purely CNN-based mobile backbone. Using Multi-Level Dilated Convolutions allows for a larger theoretical receptive field than standard convolutions. Different levels of dilation also allow for interactions between the short-range and long-range features in an image. Experiments show that our proposed model outperforms state-of-the-art (SOTA) mobile CNN, ViT, ViG, and hybrid architectures in terms of accuracy and/or speed on image classification, object detection, instance segmentation, and semantic segmentation. Our fastest model, RapidNet-Ti, achieves 76.3\% top-1 accuracy on ImageNet-1K with 0.9 ms inference latency on an iPhone 13 mini NPU, which is faster and more accurate than MobileNetV2x1.4 (74.7\% top-1 with 1.0 ms latency). Our work shows that pure CNN architectures can beat SOTA hybrid and ViT models in terms of accuracy and speed when designed properly.

In this work we address the task of semantic image segmentation with Deep Learning and make three main contributions that are experimentally shown to have substantial practical merit. First, we highlight convolution with upsampled filters, or 'atrous convolution', as a powerful tool in dense prediction tasks. Atrous convolution allows us to explicitly control the resolution at which feature responses are computed within Deep Convolutional Neural Networks. It also allows us to effectively enlarge the field of view of filters to incorporate larger context without increasing the number of parameters or the amount of computation. Second, we propose atrous spatial pyramid pooling (ASPP) to robustly segment objects at multiple scales. ASPP probes an incoming convolutional feature layer with filters at multiple sampling rates and effective fields-of-views, thus capturing objects as well as image context at multiple scales. Third, we improve the localization of object boundaries by combining methods from DCNNs and probabilistic graphical models. The commonly deployed combination of max-pooling and downsampling in DCNNs achieves invariance but has a toll on localization accuracy. We overcome this by combining the responses at the final DCNN layer with a fully connected Conditional Random Field (CRF), which is shown both qualitatively and quantitatively to improve localization performance. Our proposed "DeepLab" system sets the new state-of-art at the PASCAL VOC-2012 semantic image segmentation task, reaching 79.7% mIOU in the test set, and advances the results on three other datasets: PASCAL-Context, PASCAL-Person-Part, and Cityscapes. All of our code is made publicly available online.

Recent advances in deep learning, especially deep convolutional neural networks (CNNs), have led to significant improvement over previous semantic segmentation systems. Here we show how to improve pixel-wise semantic segmentation by manipulating convolution-related operations that are of both theoretical and practical value. First, we design dense upsampling convolution (DUC) to generate pixel-level prediction, which is able to capture and decode more detailed information that is generally missing in bilinear upsampling. Second, we propose a hybrid dilated convolution (HDC) framework in the encoding phase. This framework 1) effectively enlarges the receptive fields (RF) of the network to aggregate global information; 2) alleviates what we call the "gridding issue" caused by the standard dilated convolution operation. We evaluate our approaches thoroughly on the Cityscapes dataset, and achieve a state-of-art result of 80.1% mIOU in the test set at the time of submission. We also have achieved state-of-the-art overall on the KITTI road estimation benchmark and the PASCAL VOC2012 segmentation task. Our source code can be found at https://github.com/TuSimple/TuSimple-DUC .

State-of-the-art models for semantic segmentation are based on adaptations of convolutional networks that had originally been designed for image classification. However, dense prediction and image classification are structurally different. In this work, we develop a new convolutional network module that is specifically designed for dense prediction. The presented module uses dilated convolutions to systematically aggregate multi-scale contextual information without losing resolution. The architecture is based on the fact that dilated convolutions support exponential expansion of the receptive field without loss of resolution or coverage. We show that the presented context module increases the accuracy of state-of-the-art semantic segmentation systems. In addition, we examine the adaptation of image classification networks to dense prediction and show that simplifying the adapted network can increase accuracy.

Music source separation involves a large input field to model a long-term dependence of an audio signal. Previous convolutional neural network (CNN)-based approaches address the large input field modeling using sequentially down- and up-sampling feature maps or dilated convolution. In this paper, we claim the importance of a rapid growth of a receptive field and a simultaneous modeling of multi-resolution data in a single convolution layer, and propose a novel CNN architecture called densely connected dilated DenseNet (D3Net). D3Net involves a novel multi-dilated convolution that has different dilation factors in a single layer to model different resolutions simultaneously. By combining the multi-dilated convolution with DenseNet architecture, D3Net avoids the aliasing problem that exists when we naively incorporate the dilated convolution in DenseNet. Experimental results on MUSDB18 dataset show that D3Net achieves state-of-the-art performance with an average signal to distortion ratio (SDR) of 6.01 dB.

Dilated Convolution with Learnable Spacings (DCLS) is a recently proposed variation of the dilated convolution in which the spacings between the non-zero elements in the kernel, or equivalently their positions, are learnable. Non-integer positions are handled via interpolation. Thanks to this trick, positions have well-defined gradients. The original DCLS used bilinear interpolation, and thus only considered the four nearest pixels. Yet here we show that longer range interpolations, and in particular a Gaussian interpolation, allow improving performance on ImageNet1k classification on two state-of-the-art convolutional architectures (ConvNeXt and Conv\-Former), without increasing the number of parameters. The method code is based on PyTorch and is available at https://github.com/K-H-Ismail/Dilated-Convolution-with-Learnable-Spacings-PyTorch

Diabetic retinopathy (DR) is a leading cause of vision loss in working-age adults. While screening reduces the risk of blindness, traditional imaging is often costly and inaccessible. Artificial intelligence (AI) algorithms present a scalable diagnostic solution, but concerns regarding fairness and generalization persist. This work evaluates the fairness and performance of image-trained models in DR prediction, as well as the impact of disentanglement as a bias mitigation technique, using the diverse mBRSET fundus dataset. Three models, ConvNeXt V2, DINOv2, and Swin V2, were trained on macula images to predict DR and sensitive attributes (SAs) (e.g., age and gender/sex). Fairness was assessed between subgroups of SAs, and disentanglement was applied to reduce bias. All models achieved high DR prediction performance in diagnosing (up to 94% AUROC) and could reasonably predict age and gender/sex (91% and 77% AUROC, respectively). Fairness assessment suggests disparities, such as a 10% AUROC gap between age groups in DINOv2. Disentangling SAs from DR prediction had varying results, depending on the model selected. Disentanglement improved DINOv2 performance (2% AUROC gain), but led to performance drops in ConvNeXt V2 and Swin V2 (7% and 3%, respectively). These findings highlight the complexity of disentangling fine-grained features in fundus imaging and emphasize the importance of fairness in medical imaging AI to ensure equitable and reliable healthcare solutions.

In this work, we investigate the capability of generating images from pre-trained diffusion models at much higher resolutions than the training image sizes. In addition, the generated images should have arbitrary image aspect ratios. When generating images directly at a higher resolution, 1024 x 1024, with the pre-trained Stable Diffusion using training images of resolution 512 x 512, we observe persistent problems of object repetition and unreasonable object structures. Existing works for higher-resolution generation, such as attention-based and joint-diffusion approaches, cannot well address these issues. As a new perspective, we examine the structural components of the U-Net in diffusion models and identify the crucial cause as the limited perception field of convolutional kernels. Based on this key observation, we propose a simple yet effective re-dilation that can dynamically adjust the convolutional perception field during inference. We further propose the dispersed convolution and noise-damped classifier-free guidance, which can enable ultra-high-resolution image generation (e.g., 4096 x 4096). Notably, our approach does not require any training or optimization. Extensive experiments demonstrate that our approach can address the repetition issue well and achieve state-of-the-art performance on higher-resolution image synthesis, especially in texture details. Our work also suggests that a pre-trained diffusion model trained on low-resolution images can be directly used for high-resolution visual generation without further tuning, which may provide insights for future research on ultra-high-resolution image and video synthesis.

DeepLab is a widely used deep neural network for semantic segmentation, whose success is attributed to its parallel architecture called atrous spatial pyramid pooling (ASPP). ASPP uses multiple atrous convolutions with different atrous rates to extract both local and global information. However, fixed values of atrous rates are used for the ASPP module, which restricts the size of its field of view. In principle, atrous rate should be a hyperparameter to change the field of view size according to the target task or dataset. However, the manipulation of atrous rate is not governed by any guidelines. This study proposes practical guidelines for obtaining an optimal atrous rate. First, an effective receptive field for semantic segmentation is introduced to analyze the inner behavior of segmentation networks. We observed that the use of ASPP module yielded a specific pattern in the effective receptive field, which was traced to reveal the module's underlying mechanism. Accordingly, we derive practical guidelines for obtaining the optimal atrous rate, which should be controlled based on the size of input image. Compared to other values, using the optimal atrous rate consistently improved the segmentation results across multiple datasets, including the STARE, CHASE_DB1, HRF, Cityscapes, and iSAID datasets.

This thesis presents and evaluates the Dilated Convolution with Learnable Spacings (DCLS) method. Through various supervised learning experiments in the fields of computer vision, audio, and speech processing, the DCLS method proves to outperform both standard and advanced convolution techniques. The research is organized into several steps, starting with an analysis of the literature and existing convolution techniques that preceded the development of the DCLS method. We were particularly interested in the methods that are closely related to our own and that remain essential to capture the nuances and uniqueness of our approach. The cornerstone of our study is the introduction and application of the DCLS method to convolutional neural networks (CNNs), as well as to hybrid architectures that rely on both convolutional and visual attention approaches. DCLS is shown to be particularly effective in tasks such as classification, semantic segmentation, and object detection. Initially using bilinear interpolation, the study also explores other interpolation methods, finding that Gaussian interpolation slightly improves performance. The DCLS method is further applied to spiking neural networks (SNNs) to enable synaptic delay learning within a neural network that could eventually be transferred to so-called neuromorphic chips. The results show that the DCLS method stands out as a new state-of-the-art technique in SNN audio classification for certain benchmark tasks in this field. These tasks involve datasets with a high temporal component. In addition, we show that DCLS can significantly improve the accuracy of artificial neural networks for the multi-label audio classification task. We conclude with a discussion of the chosen experimental setup, its limitations, the limitations of our method, and our results.

Self-attention (SA) has become the cornerstone of modern vision backbones for its powerful expressivity over traditional Convolutions (Conv). However, its quadratic complexity remains a critical bottleneck for practical applications. Given that Conv offers linear complexity and strong visual priors, continuing efforts have been made to promote the renaissance of Conv. However, a persistent performance chasm remains, highlighting that these modernizations have not yet captured the intrinsic expressivity that defines SA. In this paper, we re-examine the design of the CNNs, directed by a key question: what principles give SA its edge over Conv? As a result, we reveal two fundamental insights that challenge the long-standing design intuitions in prior research (e.g., Receptive field). The two findings are: (1) Adaptive routing: SA dynamically regulates positional information flow according to semantic content, whereas Conv employs static kernels uniformly across all positions. (2) Lateral inhibition: SA induces score competition among token weighting, effectively suppressing redundancy and sharpening representations, whereas Conv filters lack such inhibitory dynamics and exhibit considerable redundancy. Based on this, we propose Attentive Convolution (ATConv), a principled reformulation of the convolutional operator that intrinsically injects these principles. Interestingly, with only 3times3 kernels, ATConv consistently outperforms various SA mechanisms in fundamental vision tasks. Building on ATConv, we introduce AttNet, a CNN family that can attain 84.4\% ImageNet-1K Top-1 accuracy with only 27M parameters. In diffusion-based image generation, replacing all SA with the proposed 3times 3 ATConv in SiT-XL/2 reduces ImageNet FID by 0.15 in 400k steps with faster sampling. Code is available at: github.com/price112/Attentive-Convolution.

Structured dilated attention has an appealing inference-time efficiency knob: it reduces the FLOPs of the attention and the KV cache size by a factor of the dilation size D, while preserving long-range connectivity. However, we find a persistent failure mode of them -sparsifying a pretrained attention model to a dilated pattern leads to severe accuracy degradation. We introduce RAT+, a dense-pretraining architecture that augments attention with full-sequence recurrence and active recurrence learning. A single RAT+ model is pretrained densely once, then flexibly switched at inference time to dilated attention (optionally with local windows) or hybrid layer/head compositions, requiring only a short 1B-token resolution adaptation rather than retraining separate sparse models. At 1.5B parameters trained on 100B tokens, RAT+ closely matches dense accuracy at D=16 and drops by about 2-3 points at D=64 on commonsense reasoning and LongBench tasks, respectively. Moreover, RAT+ outperforms attention when sparsifying to the top-k block attention. We further scale to 2.6B parameters and 200B tokens and observe the same trend. Code is available at https://github.com/wimh966/rat-plus.

Integrating mathematical morphology operations within deep neural networks has been subject to increasing attention lately. However, replacing standard convolution layers with erosions or dilations is particularly challenging because the min and max operations are not differentiable. Relying on the asymptotic behavior of the counter-harmonic mean, p-convolutional layers were proposed as a possible workaround to this issue since they can perform pseudo-dilation or pseudo-erosion operations (depending on the value of their inner parameter p), and very promising results were reported. In this work, we present two new morphological layers based on the same principle as the p-convolutional layer while circumventing its principal drawbacks, and demonstrate their potential interest in further implementations within deep convolutional neural network architectures.

MEGA is a recent transformer-based architecture, which utilizes a linear recurrent operator whose parallel computation, based on the FFT, scales as O(LlogL), with L being the sequence length. We build upon their approach by replacing the linear recurrence with a special temporal convolutional network which permits larger receptive field size with shallower networks, and reduces the computational complexity to O(L). The resulting model is called TCNCA, a Temporal Convolutional Network with Chunked Attention. We evaluate TCNCA on EnWik8 language modeling, long-range-arena (LRA) sequence classification, as well as a synthetic reasoning benchmark associative recall. On EnWik8, TCNCA outperforms MEGA, reaching a lower loss with 1.37times/1.24times faster forward/backward pass during training. The dilated convolutions used in TCNCA are consistently and significantly faster operations than the FFT-based parallelized recurrence in GPUs, making them a scalable candidate for handling very large sequence lengths: they are up to 7.07times/2.86times faster in the forward/backward pass for sequences up to 131k. Further on LRA, TCNCA achieves, on average, 1.28times speed-up during inference with similar accuracy to what MEGA achieves. On associative recall, we find that even a simplified version of TCNCA, without excessive multiplicative and additive interactions, remains superior or competitive to MEGA on a range of sequence lengths and vocabulary sizes.

Most singer identification methods are processed in the frequency domain, which potentially leads to information loss during the spectral transformation. In this paper, instead of the frequency domain, we propose an end-to-end architecture that addresses this problem in the waveform domain. An encoder based on Multi-scale Dilated Convolution Neural Networks (MDCNN) was introduced to generate wave embedding from the raw audio signal. Specifically, dilated convolution layers are used in the proposed method to enlarge the receptive field, aiming to extract song-level features. Furthermore, skip connection in the backbone network integrates the multi-resolution acoustic features learned by the stack of convolution layers. Then, the obtained wave embedding is passed into the following networks for singer identification. In experiments, the proposed method achieves comparable performance on the benchmark dataset of Artist20, which significantly improves related works.

Deep learning approaches have demonstrated success in modeling analog audio effects. Nevertheless, challenges remain in modeling more complex effects that involve time-varying nonlinear elements, such as dynamic range compressors. Existing neural network approaches for modeling compression either ignore the device parameters, do not attain sufficient accuracy, or otherwise require large noncausal models prohibiting real-time operation. In this work, we propose a modification to temporal convolutional networks (TCNs) enabling greater efficiency without sacrificing performance. By utilizing very sparse convolutional kernels through rapidly growing dilations, our model attains a significant receptive field using fewer layers, reducing computation. Through a detailed evaluation we demonstrate our efficient and causal approach achieves state-of-the-art performance in modeling the analog LA-2A, is capable of real-time operation on CPU, and only requires 10 minutes of training data.

Efficiently capturing the long-range patterns in sequential data sources salient to a given task -- such as classification and generative modeling -- poses a fundamental challenge. Popular approaches in the space tradeoff between the memory burden of brute-force enumeration and comparison, as in transformers, the computational burden of complicated sequential dependencies, as in recurrent neural networks, or the parameter burden of convolutional networks with many or large filters. We instead take inspiration from wavelet-based multiresolution analysis to define a new building block for sequence modeling, which we call a MultiresLayer. The key component of our model is the multiresolution convolution, capturing multiscale trends in the input sequence. Our MultiresConv can be implemented with shared filters across a dilated causal convolution tree. Thus it garners the computational advantages of convolutional networks and the principled theoretical motivation of wavelet decompositions. Our MultiresLayer is straightforward to implement, requires significantly fewer parameters, and maintains at most a O(Nlog N) memory footprint for a length N sequence. Yet, by stacking such layers, our model yields state-of-the-art performance on a number of sequence classification and autoregressive density estimation tasks using CIFAR-10, ListOps, and PTB-XL datasets.

While models derived from Vision Transformers (ViTs) have been phonemically surging, pre-trained models cannot seamlessly adapt to arbitrary resolution images without altering the architecture and configuration, such as sampling the positional encoding, limiting their flexibility for various vision tasks. For instance, the Segment Anything Model (SAM) based on ViT-Huge requires all input images to be resized to 1024times1024. To overcome this limitation, we propose the Multi-Head Self-Attention Convolution (MSA-Conv) that incorporates Self-Attention within generalized convolutions, including standard, dilated, and depthwise ones. Enabling transformers to handle images of varying sizes without retraining or rescaling, the use of MSA-Conv further reduces computational costs compared to global attention in ViT, which grows costly as image size increases. Later, we present the Vision Transformer in Convolution (TiC) as a proof of concept for image classification with MSA-Conv, where two capacity enhancing strategies, namely Multi-Directional Cyclic Shifted Mechanism and Inter-Pooling Mechanism, have been proposed, through establishing long-distance connections between tokens and enlarging the effective receptive field. Extensive experiments have been carried out to validate the overall effectiveness of TiC. Additionally, ablation studies confirm the performance improvement made by MSA-Conv and the two capacity enhancing strategies separately. Note that our proposal aims at studying an alternative to the global attention used in ViT, while MSA-Conv meets our goal by making TiC comparable to state-of-the-art on ImageNet-1K. Code will be released at https://github.com/zs670980918/MSA-Conv.

We propose the use of dilated filters to construct an aggregation module in a multicolumn convolutional neural network for perspective-free counting. Counting is a common problem in computer vision (e.g. traffic on the street or pedestrians in a crowd). Modern approaches to the counting problem involve the production of a density map via regression whose integral is equal to the number of objects in the image. However, objects in the image can occur at different scales (e.g. due to perspective effects) which can make it difficult for a learning agent to learn the proper density map. While the use of multiple columns to extract multiscale information from images has been shown before, our approach aggregates the multiscale information gathered by the multicolumn convolutional neural network to improve performance. Our experiments show that our proposed network outperforms the state-of-the-art on many benchmark datasets, and also that using our aggregation module in combination with a higher number of columns is beneficial for multiscale counting.

Medical image segmentation faces challenges due to variations in anatomical structures. While convolutional neural networks (CNNs) effectively capture local features, they struggle with modeling long-range dependencies. Transformers mitigate this issue with self-attention mechanisms but lack the ability to preserve local contextual information. State-of-the-art models primarily follow an encoder-decoder architecture, achieving notable success. However, two key limitations remain: (1) Shallow layers, which are closer to the input, capture fine-grained details but suffer from information loss as data propagates through deeper layers. (2) Inefficient integration of local details and global context between the encoder and decoder stages. To address these challenges, we propose the MACMD-based decoder, which enhances attention mechanisms and facilitates channel mixing between encoder and decoder stages via skip connections. This design leverages hierarchical dilated convolutions, attention-driven modulation, and a cross channel-mixing module to capture long-range dependencies while preserving local contextual details, essential for precise medical image segmentation. We evaluated our approach using multiple transformer encoders on both binary and multi-organ segmentation tasks. The results demonstrate that our method outperforms state-of-the-art approaches in terms of Dice score and computational efficiency, highlighting its effectiveness in achieving accurate and robust segmentation performance. The code available at https://github.com/lalitmaurya47/MACMD

Self-supervised monocular depth estimation that does not require ground truth for training has attracted attention in recent years. It is of high interest to design lightweight but effective models so that they can be deployed on edge devices. Many existing architectures benefit from using heavier backbones at the expense of model sizes. This paper achieves comparable results with a lightweight architecture. Specifically, the efficient combination of CNNs and Transformers is investigated, and a hybrid architecture called Lite-Mono is presented. A Consecutive Dilated Convolutions (CDC) module and a Local-Global Features Interaction (LGFI) module are proposed. The former is used to extract rich multi-scale local features, and the latter takes advantage of the self-attention mechanism to encode long-range global information into the features. Experiments demonstrate that Lite-Mono outperforms Monodepth2 by a large margin in accuracy, with about 80% fewer trainable parameters.

Scaling sequence length has become a critical demand in the era of large language models. However, existing methods struggle with either computational complexity or model expressivity, rendering the maximum sequence length restricted. In this work, we introduce LongNet, a Transformer variant that can scale sequence length to more than 1 billion tokens, without sacrificing the performance on shorter sequences. Specifically, we propose dilated attention, which expands the attentive field exponentially as the distance grows. LongNet has significant advantages: 1) it has a linear computation complexity and a logarithm dependency between tokens; 2) it can be served as a distributed trainer for extremely long sequences; 3) its dilated attention is a drop-in replacement for standard attention, which can be seamlessly integrated with the existing Transformer-based optimization. Experiments results demonstrate that LongNet yields strong performance on both long-sequence modeling and general language tasks. Our work opens up new possibilities for modeling very long sequences, e.g., treating a whole corpus or even the entire Internet as a sequence.

Semantic segmentation is a key technology for autonomous vehicles to understand the surrounding scenes. The appealing performances of contemporary models usually come at the expense of heavy computations and lengthy inference time, which is intolerable for self-driving. Using light-weight architectures (encoder-decoder or two-pathway) or reasoning on low-resolution images, recent methods realize very fast scene parsing, even running at more than 100 FPS on a single 1080Ti GPU. However, there is still a significant gap in performance between these real-time methods and the models based on dilation backbones. To tackle this problem, we proposed a family of efficient backbones specially designed for real-time semantic segmentation. The proposed deep dual-resolution networks (DDRNets) are composed of two deep branches between which multiple bilateral fusions are performed. Additionally, we design a new contextual information extractor named Deep Aggregation Pyramid Pooling Module (DAPPM) to enlarge effective receptive fields and fuse multi-scale context based on low-resolution feature maps. Our method achieves a new state-of-the-art trade-off between accuracy and speed on both Cityscapes and CamVid dataset. In particular, on a single 2080Ti GPU, DDRNet-23-slim yields 77.4% mIoU at 102 FPS on Cityscapes test set and 74.7% mIoU at 230 FPS on CamVid test set. With widely used test augmentation, our method is superior to most state-of-the-art models and requires much less computation. Codes and trained models are available online.

Convolutional Neural Networks have demonstrated superior performance on single image depth estimation in recent years. These works usually use stacked spatial pooling or strided convolution to get high-level information which are common practices in classification task. However, depth estimation is a dense prediction problem and low-resolution feature maps usually generate blurred depth map which is undesirable in application. In order to produce high quality depth map, say clean and accurate, we propose a network consists of a Dense Feature Extractor (DFE) and a Depth Map Generator (DMG). The DFE combines ResNet and dilated convolutions. It extracts multi-scale information from input image while keeping the feature maps dense. As for DMG, we use attention mechanism to fuse multi-scale features produced in DFE. Our Network is trained end-to-end and does not need any post-processing. Hence, it runs fast and can predict depth map in about 15 fps. Experiment results show that our method is competitive with the state-of-the-art in quantitative evaluation, but can preserve better structural details of the scene depth.

Modern approaches for semantic segmentation usually employ dilated convolutions in the backbone to extract high-resolution feature maps, which brings heavy computation complexity and memory footprint. To replace the time and memory consuming dilated convolutions, we propose a novel joint upsampling module named Joint Pyramid Upsampling (JPU) by formulating the task of extracting high-resolution feature maps into a joint upsampling problem. With the proposed JPU, our method reduces the computation complexity by more than three times without performance loss. Experiments show that JPU is superior to other upsampling modules, which can be plugged into many existing approaches to reduce computation complexity and improve performance. By replacing dilated convolutions with the proposed JPU module, our method achieves the state-of-the-art performance in Pascal Context dataset (mIoU of 53.13%) and ADE20K dataset (final score of 0.5584) while running 3 times faster.

The retina is the only part of the human body in which blood vessels can be accessed non-invasively using imaging techniques such as digital fundus images (DFI). The spatial distribution of the retinal microvasculature may change with cardiovascular diseases and thus the eyes may be regarded as a window to our hearts. Computerized segmentation of the retinal arterioles and venules (A/V) is essential for automated microvasculature analysis. Using active learning, we created a new DFI dataset containing 240 crowd-sourced manual A/V segmentations performed by fifteen medical students and reviewed by an ophthalmologist, and developed LUNet, a novel deep learning architecture for high resolution A/V segmentation. LUNet architecture includes a double dilated convolutional block that aims to enhance the receptive field of the model and reduce its parameter count. Furthermore, LUNet has a long tail that operates at high resolution to refine the segmentation. The custom loss function emphasizes the continuity of the blood vessels. LUNet is shown to significantly outperform two state-of-the-art segmentation algorithms on the local test set as well as on four external test sets simulating distribution shifts across ethnicity, comorbidities, and annotators. We make the newly created dataset open access (upon publication).

In this study, we delve into the generation of high-resolution images from pre-trained diffusion models, addressing persistent challenges, such as repetitive patterns and structural distortions, that emerge when models are applied beyond their trained resolutions. To address this issue, we introduce an innovative, training-free approach FouriScale from the perspective of frequency domain analysis. We replace the original convolutional layers in pre-trained diffusion models by incorporating a dilation technique along with a low-pass operation, intending to achieve structural consistency and scale consistency across resolutions, respectively. Further enhanced by a padding-then-crop strategy, our method can flexibly handle text-to-image generation of various aspect ratios. By using the FouriScale as guidance, our method successfully balances the structural integrity and fidelity of generated images, achieving an astonishing capacity of arbitrary-size, high-resolution, and high-quality generation. With its simplicity and compatibility, our method can provide valuable insights for future explorations into the synthesis of ultra-high-resolution images. The code will be released at https://github.com/LeonHLJ/FouriScale.

Look-up table(LUT)-based methods have shown the great efficacy in single image super-resolution (SR) task. However, previous methods ignore the essential reason of restricted receptive field (RF) size in LUT, which is caused by the interaction of space and channel features in vanilla convolution. They can only increase the RF at the cost of linearly increasing LUT size. To enlarge RF with contained LUT sizes, we propose a novel Reconstructed Convolution(RC) module, which decouples channel-wise and spatial calculation. It can be formulated as n^2 1D LUTs to maintain ntimes n receptive field, which is obviously smaller than ntimes nD LUT formulated before. The LUT generated by our RC module reaches less than 1/10000 storage compared with SR-LUT baseline. The proposed Reconstructed Convolution module based LUT method, termed as RCLUT, can enlarge the RF size by 9 times than the state-of-the-art LUT-based SR method and achieve superior performance on five popular benchmark dataset. Moreover, the efficient and robust RC module can be used as a plugin to improve other LUT-based SR methods. The code is available at https://github.com/liuguandu/RC-LUT.

This paper describes an optimized single-stage deep convolutional neural network to detect objects in urban environments, using nothing more than point cloud data. This feature enables our method to work regardless the time of the day and the lighting conditions.The proposed network structure employs dilated convolutions to gradually increase the perceptive field as depth increases, this helps to reduce the computation time by about 30%. The network input consists of five perspective representations of the unorganized point cloud data. The network outputs an objectness map and the bounding box offset values for each point. Our experiments showed that using reflection, range, and the position on each of the three axes helped to improve the location and orientation of the output bounding box. We carried out quantitative evaluations with the help of the KITTI dataset evaluation server. It achieved the fastest processing speed among the other contenders, making it suitable for real-time applications. We implemented and tested it on a real vehicle with a Velodyne HDL-64 mounted on top of it. We achieved execution times as fast as 50 FPS using desktop GPUs, and up to 10 FPS on a single Intel Core i5 CPU. The deploy implementation is open-sourced and it can be found as a feature branch inside the autonomous driving framework Autoware. Code is available at: https://github.com/CPFL/Autoware/tree/feature/cnn_lidar_detection

In this work, we investigate the time series representation learning problem using self-supervised techniques. Contrastive learning is well-known in this area as it is a powerful method for extracting information from the series and generating task-appropriate representations. Despite its proficiency in capturing time series characteristics, these techniques often overlook a critical factor - the inherent noise in this type of data, a consideration usually emphasized in general time series analysis. Moreover, there is a notable absence of attention to developing efficient yet lightweight encoder architectures, with an undue focus on delivering contrastive losses. Our work address these gaps by proposing an innovative training strategy that promotes consistent representation learning, accounting for the presence of noise-prone signals in natural time series. Furthermore, we propose an encoder architecture that incorporates dilated convolution within the Inception block, resulting in a scalable and robust network with a wide receptive field. Experimental findings underscore the effectiveness of our method, consistently outperforming state-of-the-art approaches across various tasks, including forecasting, classification, and abnormality detection. Notably, our method attains the top rank in over two-thirds of the classification UCR datasets, utilizing only 40% of the parameters compared to the second-best approach. Our source code for CoInception framework is accessible at https://github.com/anhduy0911/CoInception.

In recent years, we have witnessed the great advancement of Deep neural networks (DNNs) in image restoration. However, a critical limitation is that they cannot generalize well to real-world degradations with different degrees or types. In this paper, we are the first to propose a novel training strategy for image restoration from the causality perspective, to improve the generalization ability of DNNs for unknown degradations. Our method, termed Distortion Invariant representation Learning (DIL), treats each distortion type and degree as one specific confounder, and learns the distortion-invariant representation by eliminating the harmful confounding effect of each degradation. We derive our DIL with the back-door criterion in causality by modeling the interventions of different distortions from the optimization perspective. Particularly, we introduce counterfactual distortion augmentation to simulate the virtual distortion types and degrees as the confounders. Then, we instantiate the intervention of each distortion with a virtual model updating based on corresponding distorted images, and eliminate them from the meta-learning perspective. Extensive experiments demonstrate the effectiveness of our DIL on the generalization capability for unseen distortion types and degrees. Our code will be available at https://github.com/lixinustc/Causal-IR-DIL.

Conventional Computed Tomography (CT) methods require large numbers of noise-free projections for accurate density reconstructions, limiting their applicability to the more complex class of Cone Beam Geometry CT (CBCT) reconstruction. Recently, deep learning methods have been proposed to overcome these limitations, with methods based on neural fields (NF) showing strong performance, by approximating the reconstructed density through a continuous-in-space coordinate based neural network. Our focus is on improving such methods, however, unlike previous work, which requires training an NF from scratch for each new set of projections, we instead propose to leverage anatomical consistencies over different scans by training a single conditional NF on a dataset of projections. We propose a novel conditioning method where local modulations are modeled per patient as a field over the input domain through a Neural Modulation Field (NMF). The resulting Conditional Cone Beam Neural Tomography (CondCBNT) shows improved performance for both high and low numbers of available projections on noise-free and noisy data.

Advancements in computer-assisted surgical procedures heavily rely on accurate visual data interpretation from camera systems used during surgeries. Traditional open-access datasets focusing on surgical procedures are often limited by their small size, typically consisting of fewer than 100 videos with less than 100K images. To address these constraints, a new dataset called Surg-3M has been compiled using a novel aggregation pipeline that collects high-resolution videos from online sources. Featuring an extensive collection of over 4K surgical videos and more than 3 million high-quality images from multiple procedure types, Surg-3M offers a comprehensive resource surpassing existing alternatives in size and scope, including two novel tasks. To demonstrate the effectiveness of this dataset, we present SurgFM, a self-supervised foundation model pretrained on Surg-3M that achieves impressive results in downstream tasks such as surgical phase recognition, action recognition, and tool presence detection. Combining key components from ConvNeXt, DINO, and an innovative augmented distillation method, SurgFM exhibits exceptional performance compared to specialist architectures across various benchmarks. Our experimental results show that SurgFM outperforms state-of-the-art models in multiple downstream tasks, including significant gains in surgical phase recognition (+8.9pp, +4.7pp, and +3.9pp of Jaccard in AutoLaparo, M2CAI16, and Cholec80), action recognition (+3.1pp of mAP in CholecT50) and tool presence detection (+4.6pp of mAP in Cholec80). Moreover, even when using only half of the data, SurgFM outperforms state-of-the-art models in AutoLaparo and achieves state-of-the-art performance in Cholec80. Both Surg-3M and SurgFM have significant potential to accelerate progress towards developing autonomous robotic surgery systems.

Convolutional networks, transformers, hybrid models, and Mamba-based architectures have demonstrated strong performance across various medical image classification tasks. However, these methods were primarily designed to classify clean images using labeled data. In contrast, real-world clinical data often involve image corruptions that are unique to multi-center studies and stem from variations in imaging equipment across manufacturers. In this paper, we introduce the Medical Vision Transformer (MedViTV2), a novel architecture incorporating Kolmogorov-Arnold Network (KAN) layers into the transformer architecture for the first time, aiming for generalized medical image classification. We have developed an efficient KAN block to reduce computational load while enhancing the accuracy of the original MedViT. Additionally, to counteract the fragility of our MedViT when scaled up, we propose an enhanced Dilated Neighborhood Attention (DiNA), an adaptation of the efficient fused dot-product attention kernel capable of capturing global context and expanding receptive fields to scale the model effectively and addressing feature collapse issues. Moreover, a hierarchical hybrid strategy is introduced to stack our Local Feature Perception and Global Feature Perception blocks in an efficient manner, which balances local and global feature perceptions to boost performance. Extensive experiments on 17 medical image classification datasets and 12 corrupted medical image datasets demonstrate that MedViTV2 achieved state-of-the-art results in 27 out of 29 experiments with reduced computational complexity. MedViTV2 is 44\% more computationally efficient than the previous version and significantly enhances accuracy, achieving improvements of 4.6\% on MedMNIST, 5.8\% on NonMNIST, and 13.4\% on the MedMNIST-C benchmark.

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.

Medical image segmentation plays a crucial role in clinical diagnosis and treatment planning, where accurate boundary delineation is essential for precise lesion localization, organ identification, and quantitative assessment. In recent years, deep learning-based methods have significantly advanced segmentation accuracy. However, two major challenges remain. First, the performance of these methods heavily relies on large-scale annotated datasets, which are often difficult to obtain in medical scenarios due to privacy concerns and high annotation costs. Second, clinically challenging scenarios, such as low contrast in certain imaging modalities and blurry lesion boundaries caused by malignancy, still pose obstacles to precise segmentation. To address these challenges, we propose MedSAM-CA, an architecture-level fine-tuning approach that mitigates reliance on extensive manual annotations by adapting the pretrained foundation model, Medical Segment Anything (MedSAM). MedSAM-CA introduces two key components: the Convolutional Attention-Enhanced Boundary Refinement Network (CBR-Net) and the Attention-Enhanced Feature Fusion Block (Atte-FFB). CBR-Net operates in parallel with the MedSAM encoder to recover boundary information potentially overlooked by long-range attention mechanisms, leveraging hierarchical convolutional processing. Atte-FFB, embedded in the MedSAM decoder, fuses multi-level fine-grained features from skip connections in CBR-Net with global representations upsampled within the decoder to enhance boundary delineation accuracy. Experiments on publicly available datasets covering dermoscopy, CT, and MRI imaging modalities validate the effectiveness of MedSAM-CA. On dermoscopy dataset, MedSAM-CA achieves 94.43% Dice with only 2% of full training data, reaching 97.25% of full-data training performance, demonstrating strong effectiveness in low-resource clinical settings.

Recently, several very effective neural approaches for single-channel speech separation have been presented in the literature. However, due to the size and complexity of these models, their use on low-resource devices, e.g. for hearing aids, and earphones, is still a challenge and established solutions are not available yet. Although approaches based on either pruning or compressing neural models have been proposed, the design of a model architecture suitable for a certain application domain often requires heuristic procedures not easily portable to different low-resource platforms. Given the modular nature of the well-known Conv-Tasnet speech separation architecture, in this paper we consider three parameters that directly control the overall size of the model, namely: the number of residual blocks, the number of repetitions of the separation blocks and the number of channels in the depth-wise convolutions, and experimentally evaluate how they affect the speech separation performance. In particular, experiments carried out on the Libri2Mix show that the number of dilated 1D-Conv blocks is the most critical parameter and that the usage of extra-dilation in the residual blocks allows reducing the performance drop.

In biomedical imaging analysis, the dichotomy between 2D and 3D data presents a significant challenge. While 3D volumes offer superior real-world applicability, they are less available for each modality and not easy to train in large scale, whereas 2D samples are abundant but less comprehensive. This paper introduces the Cross-D Conv operation, a novel approach that bridges the dimensional gap by learning the phase shifting in the Fourier domain. Our method enables seamless weight transfer between 2D and 3D convolution operations, effectively facilitating cross-dimensional learning. The proposed architecture leverages the abundance of 2D training data to enhance 3D model performance, offering a practical solution to the multimodal data scarcity challenge in 3D medical model pretraining. Experimental validation on the RadImagenet (2D) and multimodal (3D) sets demonstrates that our approach achieves comparable or superior performance in feature quality assessment comparable to conventional methods. The enhanced convolution operation presents new opportunities for developing efficient classification and segmentation models in medical imaging. This work represents an advancement in cross-dimensional and multi-modal medical image analysis, offering a robust framework for utilizing 2D priors in 3D model pretraining or vice versa while maintaining computational efficiency.

Large Vision Language Models (LVLMs) show promise in medical applications, but their inability to faithfully ground responses in visual evidence raises serious concerns about clinical trustworthiness. While visual attribution methods are widely used to explain LVLM predictions, whether these explanations actually reflect the visual evidence underlying the model's decision is largely unverified, since ground-truth annotations for internal model reasoning are typically unavailable. We address this question for chest X-ray (CXR) reasoning by developing a causal evaluation framework that retains only CXR-VQA samples for which the expert-annotated region is verified, via counterfactual editing, to be causally responsible for the model's prediction. Using this framework across 11 attribution methods, six open-source LVLMs, and two output modes (direct answer and step-by-step reasoning), we find that existing attribution methods often fail to identify the evidence used by LVLMs. To address this failure, we propose MedFocus, a concept-based attribution method that localizes clinically meaningful anatomical regions via unbalanced optimal transport and measures their causal effect on model outputs through targeted interventions. MedFocus produces spatial, concept-level, and token-level attributions and substantially outperforms prior methods, taking a step toward more trustworthy attribution for medical LVLMs. Our data and code are available at https://github.com/gzxiong/medfocus/.

Inspired by the long-range modeling ability of ViTs, large-kernel convolutions are widely studied and adopted recently to enlarge the receptive field and improve model performance, like the remarkable work ConvNeXt which employs 7x7 depthwise convolution. Although such depthwise operator only consumes a few FLOPs, it largely harms the model efficiency on powerful computing devices due to the high memory access costs. For example, ConvNeXt-T has similar FLOPs with ResNet-50 but only achieves 60% throughputs when trained on A100 GPUs with full precision. Although reducing the kernel size of ConvNeXt can improve speed, it results in significant performance degradation. It is still unclear how to speed up large-kernel-based CNN models while preserving their performance. To tackle this issue, inspired by Inceptions, we propose to decompose large-kernel depthwise convolution into four parallel branches along channel dimension, i.e. small square kernel, two orthogonal band kernels, and an identity mapping. With this new Inception depthwise convolution, we build a series of networks, namely IncepitonNeXt, which not only enjoy high throughputs but also maintain competitive performance. For instance, InceptionNeXt-T achieves 1.6x higher training throughputs than ConvNeX-T, as well as attains 0.2% top-1 accuracy improvement on ImageNet-1K. We anticipate InceptionNeXt can serve as an economical baseline for future architecture design to reduce carbon footprint. Code is available at https://github.com/sail-sg/inceptionnext.

Federated Learning (FL) facilitates collaborative training of a shared global model without exposing clients' private data. In practical FL systems, clients (e.g., edge servers, smartphones, and wearables) typically have disparate system resources. Conventional FL, however, adopts a one-size-fits-all solution, where a homogeneous large global model is transmitted to and trained on each client, resulting in an overwhelming workload for less capable clients and starvation for other clients. To address this issue, we propose FedConv, a client-friendly FL framework, which minimizes the computation and memory burden on resource-constrained clients by providing heterogeneous customized sub-models. FedConv features a novel learning-on-model paradigm that learns the parameters of the heterogeneous sub-models via convolutional compression. Unlike traditional compression methods, the compressed models in FedConv can be directly trained on clients without decompression. To aggregate the heterogeneous sub-models, we propose transposed convolutional dilation to convert them back to large models with a unified size while retaining personalized information from clients. The compression and dilation processes, transparent to clients, are optimized on the server leveraging a small public dataset. Extensive experiments on six datasets demonstrate that FedConv outperforms state-of-the-art FL systems in terms of model accuracy (by more than 35% on average), computation and communication overhead (with 33% and 25% reduction, respectively).

In the last ten years, Convolutional Neural Networks (CNNs) have formed the basis of deep-learning architectures for most computer vision tasks. However, they are not necessarily optimal. For example, mathematical morphology is known to be better suited to deal with binary images. In this work, we create a morphological neural network that handles binary inputs and outputs. We propose their construction inspired by CNNs to formulate layers adapted to such images by replacing convolutions with erosions and dilations. We give explainable theoretical results on whether or not the resulting learned networks are indeed morphological operators. We present promising experimental results designed to learn basic binary operators, and we have made our code publicly available online.

Automated radiology report generation from 3D computed tomography (CT) volumes is challenging due to extreme sequence lengths, severe class imbalance, and the tendency of large language models (LLMs) to ignore visual tokens in favor of linguistic priors. We present Ker-VLJEPA-3B, a four-phase curriculum learning framework for free-text report generation from thoracic CT volumes. A phased training curriculum progressively adapts a Llama 3.2 3B decoder to ground its output in visual features from a frozen, self-supervised encoder. Our visual backbone (LeJEPA ViT-Large) is trained via self-supervised joint-embedding prediction on unlabeled CTs, without text supervision. Unlike contrastive models (CLIP, BiomedCLIP), this language-free backbone yields modality-pure representations. Vision-language alignment is deferred to the curriculum's bridge and generation phases. This modality-agnostic design can integrate any self-supervised encoder into an LLM without paired text during foundation training. Methodological innovations include: (1) zone-constrained cross-attention compressing slice embeddings into 32 spatially-grounded visual tokens; (2) PCA whitening of anisotropic LLM embeddings; (3) a positive-findings-only strategy eliminating posterior collapse; (4) warm bridge initialization transferring projection weights; and (5) selective cross-attention freezing with elastic weight consolidation to prevent catastrophic forgetting. Evaluated on the CT-RATE benchmark (2,984 validation volumes, 18 classes), Ker-VLJEPA-3B achieves a macro F1 of 0.429, surpassing the state-of-the-art (U-VLM, macro F1 = 0.414) by 3.6%, and reaching 0.448 (+8.2%) with threshold optimization. Ablation studies confirm 56.6% of generation quality derives from patient-specific visual content. Code and weights are available.

Medical image synthesis presents unique challenges due to the inherent complexity and high-resolution details required in clinical contexts. Traditional generative architectures such as Generative Adversarial Networks (GANs) or Variational Auto Encoder (VAEs) have shown great promise for high-resolution image generation but struggle with preserving fine-grained details that are key for accurate diagnosis. To address this issue, we introduce Pixel Perfect MegaMed, the first vision-language foundation model to synthesize images at resolutions of 1024x1024. Our method deploys a multi-scale transformer architecture designed specifically for ultra-high resolution medical image generation, enabling the preservation of both global anatomical context and local image-level details. By leveraging vision-language alignment techniques tailored to medical terminology and imaging modalities, Pixel Perfect MegaMed bridges the gap between textual descriptions and visual representations at unprecedented resolution levels. We apply our model to the CheXpert dataset and demonstrate its ability to generate clinically faithful chest X-rays from text prompts. Beyond visual quality, these high-resolution synthetic images prove valuable for downstream tasks such as classification, showing measurable performance gains when used for data augmentation, particularly in low-data regimes. Our code is accessible through the project website - https://tehraninasab.github.io/pixelperfect-megamed.

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.

Diffusion models have emerged as frontrunners in text-to-image generation for their impressive capabilities. Nonetheless, their fixed image resolution during training often leads to challenges in high-resolution image generation, such as semantic inaccuracies and object replication. This paper introduces MegaFusion, a novel approach that extends existing diffusion-based text-to-image generation models towards efficient higher-resolution generation without additional fine-tuning or extra adaptation. Specifically, we employ an innovative truncate and relay strategy to bridge the denoising processes across different resolutions, allowing for high-resolution image generation in a coarse-to-fine manner. Moreover, by integrating dilated convolutions and noise re-scheduling, we further adapt the model's priors for higher resolution. The versatility and efficacy of MegaFusion make it universally applicable to both latent-space and pixel-space diffusion models, along with other derivative models. Extensive experiments confirm that MegaFusion significantly boosts the capability of existing models to produce images of megapixels and various aspect ratios, while only requiring about 40% of the original computational cost.

Many modern object detectors demonstrate outstanding performances by using the mechanism of looking and thinking twice. In this paper, we explore this mechanism in the backbone design for object detection. At the macro level, we propose Recursive Feature Pyramid, which incorporates extra feedback connections from Feature Pyramid Networks into the bottom-up backbone layers. At the micro level, we propose Switchable Atrous Convolution, which convolves the features with different atrous rates and gathers the results using switch functions. Combining them results in DetectoRS, which significantly improves the performances of object detection. On COCO test-dev, DetectoRS achieves state-of-the-art 55.7% box AP for object detection, 48.5% mask AP for instance segmentation, and 50.0% PQ for panoptic segmentation. The code is made publicly available.

This decade is marked by the introduction of Vision Transformer, a radical paradigm shift in broad computer vision. A similar trend is followed in medical imaging, UNet, one of the most influential architectures, has been redesigned with transformers. Recently, the efficacy of convolutional models in vision is being reinvestigated by seminal works such as ConvNext, which elevates a ResNet to Swin Transformer level. Deriving inspiration from this, we aim to improve a purely convolutional UNet model so that it can be on par with the transformer-based models, e.g, Swin-Unet or UCTransNet. We examined several advantages of the transformer-based UNet models, primarily long-range dependencies and cross-level skip connections. We attempted to emulate them through convolution operations and thus propose, ACC-UNet, a completely convolutional UNet model that brings the best of both worlds, the inherent inductive biases of convnets with the design decisions of transformers. ACC-UNet was evaluated on 5 different medical image segmentation benchmarks and consistently outperformed convnets, transformers, and their hybrids. Notably, ACC-UNet outperforms state-of-the-art models Swin-Unet and UCTransNet by 2.64 pm 2.54% and 0.45 pm 1.61% in terms of dice score, respectively, while using a fraction of their parameters (59.26% and 24.24%). Our codes are available at https://github.com/kiharalab/ACC-UNet.

This investigation reports on the results of convolutional neural networks developed for the recently introduced PathologicAL Myopia (PALM) dataset, which consists of 1200 fundus images. We propose a new Optic Nerve Head (ONH)-based prediction enhancement for the segmentation of atrophy and fovea. Models trained with 400 available training images achieved an AUC of 0.9867 for pathological myopia classification, and a Euclidean distance of 58.27 pixels on the fovea localization task, evaluated on a test set of 400 images. Dice and F1 metrics for semantic segmentation of lesions scored 0.9303 and 0.9869 on optic disc, 0.8001 and 0.9135 on retinal atrophy, and 0.8073 and 0.7059 on retinal detachment, respectively. Our work was acknowledged with an award in the context of the "PathologicAL Myopia detection from retinal images" challenge held during the IEEE International Symposium on Biomedical Imaging (April 2019). Considering that (pathological) myopia cases are often identified as false positives and negatives in classification systems for glaucoma, we envision that the current work could aid in future research to discriminate between glaucomatous and highly-myopic eyes, complemented by the localization and segmentation of landmarks such as fovea, optic disc and atrophy.

Polymicrogyria (PMG) is a disorder of cortical organization mainly seen in children, which can be associated with seizures, developmental delay and motor weakness. PMG is typically diagnosed on magnetic resonance imaging (MRI) but some cases can be challenging to detect even for experienced radiologists. In this study, we create an open pediatric MRI dataset (PPMR) with PMG and controls from the Children's Hospital of Eastern Ontario (CHEO), Ottawa, Canada. The differences between PMG MRIs and control MRIs are subtle and the true distribution of the features of the disease is unknown. This makes automatic detection of cases of potential PMG in MRI difficult. We propose an anomaly detection method based on a novel center-based deep contrastive metric learning loss function (cDCM) which enables the automatic detection of cases of potential PMG. Additionally, based on our proposed loss function, we customize a deep learning model structure that integrates dilated convolution, squeeze-and-excitation blocks and feature fusion for our PPMR dataset. Despite working with a small and imbalanced dataset our method achieves 92.01% recall at 55.04% precision. This will facilitate a computer aided tool for radiologists to select potential PMG MRIs. To the best of our knowledge, this research is the first to apply machine learning techniques to identify PMG from MRI only.

In some medical imaging tasks and other settings where only small parts of the image are informative for the classification task, traditional CNNs can sometimes struggle to generalise. Manually annotated Regions of Interest (ROI) are sometimes used to isolate the most informative parts of the image. However, these are expensive to collect and may vary significantly across annotators. To overcome these issues, we propose a framework that employs saliency maps to obtain soft spatial attention masks that modulate the image features at different scales. We refer to our method as Adversarial Counterfactual Attention (ACAT). ACAT increases the baseline classification accuracy of lesions in brain CT scans from 71.39% to 72.55% and of COVID-19 related findings in lung CT scans from 67.71% to 70.84% and exceeds the performance of competing methods. We investigate the best way to generate the saliency maps employed in our architecture and propose a way to obtain them from adversarially generated counterfactual images. They are able to isolate the area of interest in brain and lung CT scans without using any manual annotations. In the task of localising the lesion location out of 6 possible regions, they obtain a score of 65.05% on brain CT scans, improving the score of 61.29% obtained with the best competing method.

Age-related macular degeneration (AMD) and choroidal neovascularization (CNV)-related conditions are leading causes of vision loss worldwide, with optical coherence tomography (OCT) serving as a cornerstone for early detection and management. However, deploying state-of-the-art deep learning models like ConvNeXtV2-Large in clinical settings is hindered by their computational demands. Therefore, it is desirable to develop efficient models that maintain high diagnostic performance while enabling real-time deployment. In this study, a novel knowledge distillation framework, termed KD-OCT, is proposed to compress a high-performance ConvNeXtV2-Large teacher model, enhanced with advanced augmentations, stochastic weight averaging, and focal loss, into a lightweight EfficientNet-B2 student for classifying normal, drusen, and CNV cases. KD-OCT employs real-time distillation with a combined loss balancing soft teacher knowledge transfer and hard ground-truth supervision. The effectiveness of the proposed method is evaluated on the Noor Eye Hospital (NEH) dataset using patient-level cross-validation. Experimental results demonstrate that KD-OCT outperforms comparable multi-scale or feature-fusion OCT classifiers in efficiency- accuracy balance, achieving near-teacher performance with substantial reductions in model size and inference time. Despite the compression, the student model exceeds most existing frameworks, facilitating edge deployment for AMD screening. Code is available at https://github.com/erfan-nourbakhsh/KD- OCT.

Recent progress in vision-language modeling for 3D medical imaging has been fueled by large-scale computed tomography (CT) corpora with paired free-text reports, stronger architectures, and powerful pretrained models. This has enabled applications such as automated report generation and text-conditioned 3D image synthesis. Yet, current approaches struggle with high-resolution, long-sequence volumes: contrastive pretraining often yields vision encoders that are misaligned with clinical language, and slice-wise tokenization blurs fine anatomy, reducing diagnostic performance on downstream tasks. We introduce BTB3D (Better Tokens for Better 3D), a causal convolutional encoder-decoder that unifies 2D and 3D training and inference while producing compact, frequency-aware volumetric tokens. A three-stage training curriculum enables (i) local reconstruction, (ii) overlapping-window tiling, and (iii) long-context decoder refinement, during which the model learns from short slice excerpts yet generalizes to scans exceeding 300 slices without additional memory overhead. BTB3D sets a new state-of-the-art on two key tasks: it improves BLEU scores and increases clinical F1 by 40% over CT2Rep, CT-CHAT, and Merlin for report generation; and it reduces FID by 75% and halves FVD compared to GenerateCT and MedSyn for text-to-CT synthesis, producing anatomically consistent 512*512*241 volumes. These results confirm that precise three-dimensional tokenization, rather than larger language backbones alone, is essential for scalable vision-language modeling in 3D medical imaging. The codebase is available at: https://github.com/ibrahimethemhamamci/BTB3D

The word-level lipreading approach typically employs a two-stage framework with separate frontend and backend architectures to model dynamic lip movements. Each component has been extensively studied, and in the backend architecture, temporal convolutional networks (TCNs) have been widely adopted in state-of-the-art methods. Recently, dense skip connections have been introduced in TCNs to mitigate the limited density of the receptive field, thereby improving the modeling of complex temporal representations. However, their performance remains constrained owing to potential information loss regarding the continuous nature of lip movements, caused by blind spots in the receptive field. To address this limitation, we propose TD3Net, a temporal densely connected multi-dilated convolutional network that combines dense skip connections and multi-dilated temporal convolutions as the backend architecture. TD3Net covers a wide and dense receptive field without blind spots by applying different dilation factors to skip-connected features. Experimental results on a word-level lipreading task using two large publicly available datasets, Lip Reading in the Wild (LRW) and LRW-1000, indicate that the proposed method achieves performance comparable to state-of-the-art methods. It achieved higher accuracy with fewer parameters and lower floating-point operations compared to existing TCN-based backend architectures. Moreover, visualization results suggest that our approach effectively utilizes diverse temporal features while preserving temporal continuity, presenting notable advantages in lipreading systems. The code is available at our GitHub repository: https://github.com/Leebh-kor/TD3Net-A-Temporal-Densely-Connected-Multi-dilated-Convolutional-Network-for-Lipreading

Convolution is a broadly useful operation with applications including signal processing, machine learning, probability, optics, polynomial multiplication, and efficient parsing. Usually, however, this operation is understood and implemented in more specialized forms, hiding commonalities and limiting usefulness. This paper formulates convolution in the common algebraic framework of semirings and semimodules and populates that framework with various representation types. One of those types is the grand abstract template and itself generalizes to the free semimodule monad. Other representations serve varied uses and performance trade-offs, with implementations calculated from simple and regular specifications. Of particular interest is Brzozowski's method for regular expression matching. Uncovering the method's essence frees it from syntactic manipulations, while generalizing from boolean to weighted membership (such as multisets and probability distributions) and from sets to n-ary relations. The classic trie data structure then provides an elegant and efficient alternative to syntax. Pleasantly, polynomial arithmetic requires no additional implementation effort, works correctly with a variety of representations, and handles multivariate polynomials and power series with ease. Image convolution also falls out as a special case.

Medical image segmentation is a critical component of clinical workflows, enabling accurate diagnosis, treatment planning, and disease monitoring. However, despite the superior performance of transformer-based models over convolutional architectures, their limited interpretability remains a major obstacle to clinical trust and deployment. Existing explainable artificial intelligence (XAI) techniques, including gradient-based saliency methods and perturbation-based approaches, are often computationally expensive, require numerous forward passes, and frequently produce noisy or anatomically irrelevant explanations. To address these limitations, we propose XAI-CLIP, an ROI-guided perturbation framework that leverages multimodal vision-language model embeddings to localize clinically meaningful anatomical regions and guide the explanation process. By integrating language-informed region localization with medical image segmentation and applying targeted, region-aware perturbations, the proposed method generates clearer, boundary-aware saliency maps while substantially reducing computational overhead. Experiments conducted on the FLARE22 and CHAOS datasets demonstrate that XAI-CLIP achieves up to a 60\% reduction in runtime, a 44.6\% improvement in dice score, and a 96.7\% increase in Intersection-over-Union for occlusion-based explanations compared to conventional perturbation methods. Qualitative results further confirm cleaner and more anatomically consistent attribution maps with fewer artifacts, highlighting that the incorporation of multimodal vision-language representations into perturbation-based XAI frameworks significantly enhances both interpretability and efficiency, thereby enabling transparent and clinically deployable medical image segmentation systems.

Mammalian brains handle complex reasoning tasks in a gestalt manner by integrating information from regions of the brain that are specialised to individual sensory modalities. This allows for improved robustness and better generalisation ability. In contrast, deep neural networks are usually designed to process one particular information stream and susceptible to various types of adversarial perturbations. While many methods exist for detecting and defending against adversarial attacks, they do not generalise across a range of attacks and negatively affect performance on clean, unperturbed data. We developed a fusion model using a combination of background and foreground features extracted in parallel from Places-CNN and Imagenet-CNN. We tested the benefits of the fusion approach on preserving adversarial robustness for human perceivable (e.g., Gaussian blur) and network perceivable (e.g., gradient-based) attacks for CIFAR-10 and MS COCO data sets. For gradient based attacks, our results show that fusion allows for significant improvements in classification without decreasing performance on unperturbed data and without need to perform adversarial retraining. Our fused model revealed improvements for Gaussian blur type perturbations as well. The increase in performance from fusion approach depended on the variability of the image contexts; larger increases were seen for classes of images with larger differences in their contexts. We also demonstrate the effect of regularization to bias the classifier decision in the presence of a known adversary. We propose that this biologically inspired approach to integrate information across multiple modalities provides a new way to improve adversarial robustness that can be complementary to current state of the art approaches.

Longitudinal analysis has great potential to reveal developmental trajectories and monitor disease progression in medical imaging. This process relies on consistent and robust joint 4D segmentation. Traditional techniques are dependent on the similarity of images over time and the use of subject-specific priors to reduce random variation and improve the robustness and sensitivity of the overall longitudinal analysis. This is however slow and computationally intensive as subject-specific templates need to be rebuilt every time. The focus of this work to accelerate this analysis with the use of deep learning. The proposed approach is based on deep CNNs and incorporates semantic segmentation and provides a longitudinal relationship for the same subject. The proposed approach is based on deep CNNs and incorporates semantic segmentation and provides a longitudinal relationship for the same subject. The state of art using 3D patches as inputs to modified Unet provides results around {0.91 pm 0.5} Dice and using multi-view atlas in CNNs provide around the same results. In this work, different models are explored, each offers better accuracy and fast results while increasing the segmentation quality. These methods are evaluated on 135 scans from the EADC-ADNI Harmonized Hippocampus Protocol. Proposed CNN based segmentation approaches demonstrate how 2D segmentation using prior slices can provide similar results to 3D segmentation while maintaining good continuity in the 3D dimension and improved speed. Just using 2D modified sagittal slices provide us a better Dice and longitudinal analysis for a given subject. For the ADNI dataset, using the simple UNet CNN technique gives us {0.84 pm 0.5} and while using modified CNN techniques on the same input yields {0.89 pm 0.5}. Rate of atrophy and RMS error are calculated for several test cases using various methods and analyzed.

Clinical routine and retrospective cohorts commonly include multi-parametric Magnetic Resonance Imaging; however, they are mostly acquired in different anisotropic 2D views due to signal-to-noise-ratio and scan-time constraints. Thus acquired views suffer from poor out-of-plane resolution and affect downstream volumetric image analysis that typically requires isotropic 3D scans. Combining different views of multi-contrast scans into high-resolution isotropic 3D scans is challenging due to the lack of a large training cohort, which calls for a subject-specific framework. This work proposes a novel solution to this problem leveraging Implicit Neural Representations (INR). Our proposed INR jointly learns two different contrasts of complementary views in a continuous spatial function and benefits from exchanging anatomical information between them. Trained within minutes on a single commodity GPU, our model provides realistic super-resolution across different pairs of contrasts in our experiments with three datasets. Using Mutual Information (MI) as a metric, we find that our model converges to an optimum MI amongst sequences, achieving anatomically faithful reconstruction. Code is available at: https://github.com/jqmcginnis/multi_contrast_inr/

In the past five years, the use of generative and foundational AI systems has greatly improved the decoding of brain activity. Visual perception, in particular, can now be decoded from functional Magnetic Resonance Imaging (fMRI) with remarkable fidelity. This neuroimaging technique, however, suffers from a limited temporal resolution (approx0.5 Hz) and thus fundamentally constrains its real-time usage. Here, we propose an alternative approach based on magnetoencephalography (MEG), a neuroimaging device capable of measuring brain activity with high temporal resolution (approx5,000 Hz). For this, we develop an MEG decoding model trained with both contrastive and regression objectives and consisting of three modules: i) pretrained embeddings obtained from the image, ii) an MEG module trained end-to-end and iii) a pretrained image generator. Our results are threefold: Firstly, our MEG decoder shows a 7X improvement of image-retrieval over classic linear decoders. Second, late brain responses to images are best decoded with DINOv2, a recent foundational image model. Third, image retrievals and generations both suggest that high-level visual features can be decoded from MEG signals, although the same approach applied to 7T fMRI also recovers better low-level features. Overall, these results, while preliminary, provide an important step towards the decoding -- in real-time -- of the visual processes continuously unfolding within the human brain.

MRI super-resolution (SR) and denoising tasks are fundamental challenges in the field of deep learning, which have traditionally been treated as distinct tasks with separate paired training data. In this paper, we propose an innovative method that addresses both tasks simultaneously using a single deep learning model, eliminating the need for explicitly paired noisy and clean images during training. Our proposed model is primarily trained for SR, but also exhibits remarkable noise-cleaning capabilities in the super-resolved images. Instead of conventional approaches that introduce frequency-related operations into the generative process, our novel approach involves the use of a GAN model guided by a frequency-informed discriminator. To achieve this, we harness the power of the 3D Discrete Wavelet Transform (DWT) operation as a frequency constraint within the GAN framework for the SR task on magnetic resonance imaging (MRI) data. Specifically, our contributions include: 1) a 3D generator based on residual-in-residual connected blocks; 2) the integration of the 3D DWT with 1times 1 convolution into a DWT+conv unit within a 3D Unet for the discriminator; 3) the use of the trained model for high-quality image SR, accompanied by an intrinsic denoising process. We dub the model "Denoising Induced Super-resolution GAN (DISGAN)" due to its dual effects of SR image generation and simultaneous denoising. Departing from the traditional approach of training SR and denoising tasks as separate models, our proposed DISGAN is trained only on the SR task, but also achieves exceptional performance in denoising. The model is trained on 3D MRI data from dozens of subjects from the Human Connectome Project (HCP) and further evaluated on previously unseen MRI data from subjects with brain tumours and epilepsy to assess its denoising and SR performance.

Electromyogenic (EMG) noise is a major contamination source in EEG data that can impede accurate analysis of brain-specific neural activity. Recent literature on EMG artifact removal has moved beyond traditional linear algorithms in favor of machine learning-based systems. However, existing deep learning-based filtration methods often have large compute footprints and prohibitively long training times. In this study, we present a new machine learning-based system for filtering EMG interference from EEG data using an autoencoder-targeted adversarial transformer (AT-AT). By leveraging the lightweight expressivity of an autoencoder to determine optimal time-series transformer application sites, our AT-AT architecture achieves a >90% model size reduction compared to published artifact removal models. The addition of adversarial training ensures that filtered signals adhere to the fundamental characteristics of EEG data. We trained AT-AT using published neural data from 67 subjects and found that the system was able to achieve comparable test performance to larger models; AT-AT posted a mean reconstructive correlation coefficient above 0.95 at an initial signal-to-noise ratio (SNR) of 2 dB and 0.70 at -7 dB SNR. Further research generalizing these results to broader sample sizes beyond these isolated test cases will be crucial; while outside the scope of this study, we also include results from a real-world deployment of AT-AT in the Appendix.

We show that cascaded diffusion models are capable of generating high fidelity images on the class-conditional ImageNet generation benchmark, without any assistance from auxiliary image classifiers to boost sample quality. A cascaded diffusion model comprises a pipeline of multiple diffusion models that generate images of increasing resolution, beginning with a standard diffusion model at the lowest resolution, followed by one or more super-resolution diffusion models that successively upsample the image and add higher resolution details. We find that the sample quality of a cascading pipeline relies crucially on conditioning augmentation, our proposed method of data augmentation of the lower resolution conditioning inputs to the super-resolution models. Our experiments show that conditioning augmentation prevents compounding error during sampling in a cascaded model, helping us to train cascading pipelines achieving FID scores of 1.48 at 64x64, 3.52 at 128x128 and 4.88 at 256x256 resolutions, outperforming BigGAN-deep, and classification accuracy scores of 63.02% (top-1) and 84.06% (top-5) at 256x256, outperforming VQ-VAE-2.

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

The prevalence of vision-threatening eye diseases is a significant global burden, with many cases remaining undiagnosed or diagnosed too late for effective treatment. Large vision-language models (LVLMs) have the potential to assist in understanding anatomical information, diagnosing eye diseases, and drafting interpretations and follow-up plans, thereby reducing the burden on clinicians and improving access to eye care. However, limited benchmarks are available to assess LVLMs' performance in ophthalmology-specific applications. In this study, we introduce LMOD, a large-scale multimodal ophthalmology benchmark consisting of 21,993 instances across (1) five ophthalmic imaging modalities: optical coherence tomography, color fundus photographs, scanning laser ophthalmoscopy, lens photographs, and surgical scenes; (2) free-text, demographic, and disease biomarker information; and (3) primary ophthalmology-specific applications such as anatomical information understanding, disease diagnosis, and subgroup analysis. In addition, we benchmarked 13 state-of-the-art LVLM representatives from closed-source, open-source, and medical domains. The results demonstrate a significant performance drop for LVLMs in ophthalmology compared to other domains. Systematic error analysis further identified six major failure modes: misclassification, failure to abstain, inconsistent reasoning, hallucination, assertions without justification, and lack of domain-specific knowledge. In contrast, supervised neural networks specifically trained on these tasks as baselines demonstrated high accuracy. These findings underscore the pressing need for benchmarks in the development and validation of ophthalmology-specific LVLMs.

Coronary angiography (CAG) is the gold-standard imaging modality for evaluating coronary artery disease, but its interpretation and subsequent treatment planning rely heavily on expert cardiologists. To enable AI-based decision support, we introduce a two-stage, physician-curated pipeline and a bilingual (Japanese/English) CAG image-report dataset. First, we sample 14,686 frames from 539 exams and annotate them for key-frame detection and left/right laterality; a ConvNeXt-Base CNN trained on this data achieves 0.96 F1 on laterality classification, even on low-contrast frames. Second, we apply the CNN to 243 independent exams, extract 1,114 key frames, and pair each with its pre-procedure report and expert-validated diagnostic and treatment summary, yielding a parallel corpus. We then fine-tune three open-source VLMs (PaliGemma2, Gemma3, and ConceptCLIP-enhanced Gemma3) via LoRA and evaluate them using VLScore and cardiologist review. Although PaliGemma2 w/LoRA attains the highest VLScore, Gemma3 w/LoRA achieves the top clinician rating (mean 7.20/10); we designate this best-performing model as CAG-VLM. These results demonstrate that specialized, fine-tuned VLMs can effectively assist cardiologists in generating clinical reports and treatment recommendations from CAG images.

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

Current evaluation protocols for Vision-Language Models (VLMs) in Radiology Report Generation (RRG) rely on report-level metrics that measure lexical overlap or aggregate clinical correctness. However, such metrics do not test whether individual diagnostic statements stem from the actual pathological evidence visible in the image. This allows models to achieve competitive scores by exploiting learned priors or spurious correlations, a failure mode we refer to as vision shortcut. We introduce SHOVIR, a benchmark for evaluating vision shortcut behavior in RRG. SHOVIR extends two spatially annotated chest X-ray datasets, MIMIC-CXR and PadChest-GR, with per-box CheXpert labels, and defines image-level and disease-level occlusion experiments that contrast baseline performance on clean images against localized, region-specific perturbations. Comparing predictions across these conditions isolates two failure modes at the disease-class level: direct shortcuts, where a finding persists after its visual evidence is removed, and contextual shortcuts, where detection degrades once co-occurring pathologies are occluded despite the target region remaining intact. Benchmarking eight state-of-the-art VLMs, we find that shortcut behavior varies substantially across architectures and datasets. Models achieving the highest baseline report quality do not necessarily rank highest in spatial grounding, revealing that clinically fluent generation can coexist with shallow reliance on visual evidence. These findings expose a blind spot in current RRG evaluation and motivate region-aware assessment protocols.

This paper introduces ConvShareViT, a novel deep learning architecture that adapts Vision Transformers (ViTs) to the 4f free-space optical system. ConvShareViT replaces linear layers in multi-head self-attention (MHSA) and Multilayer Perceptrons (MLPs) with a depthwise convolutional layer with shared weights across input channels. Through the development of ConvShareViT, the behaviour of convolutions within MHSA and their effectiveness in learning the attention mechanism were analysed systematically. Experimental results demonstrate that certain configurations, particularly those using valid-padded shared convolutions, can successfully learn attention, achieving comparable attention scores to those obtained with standard ViTs. However, other configurations, such as those using same-padded convolutions, show limitations in attention learning and operate like regular CNNs rather than transformer models. ConvShareViT architectures are specifically optimised for the 4f optical system, which takes advantage of the parallelism and high-resolution capabilities of optical systems. Results demonstrate that ConvShareViT can theoretically achieve up to 3.04 times faster inference than GPU-based systems. This potential acceleration makes ConvShareViT an attractive candidate for future optical deep learning applications and proves that our ViT (ConvShareViT) can be employed using only the convolution operation, via the necessary optimisation of the ViT to balance performance and complexity.

Virtual contrast enhancement (VCE) synthesizes enhanced breast MR images from pre-contrast acquisitions. Modern latent generators offer strong image priors, but their bounded natural-image autoencoders conflict with the non-canonical intensity scale of MRI. We show that the upper bound can alter radiomic fidelity before generation, while scaling source and target independently creates a coordinate inconsistency. We propose Predictive Enhancement Calibration (PEC), which represents each pair in a shared, case-adaptive coordinate during training and predicts its unavailable upper endpoint from the pre-contrast image at inference. We integrate PEC with a pretrained FLUX latent flow transformer via parameter-efficient reference conditioning. Target round trips first isolate representation loss before generation; near-matched conditional models then compare PEC with fixed-wide and separate coordinates under comparable training budgets and backbone settings. On the fixed internal MAMA100 development cohort, PEC improves all eight point estimates in this source-only VCE setting, with paired evidence strongest for MSE and LPIPS.\noindentCode: https://github.com/tanlei0/pec-breast-mri-vce

Convolutional architectures have proven extremely successful for vision tasks. Their hard inductive biases enable sample-efficient learning, but come at the cost of a potentially lower performance ceiling. Vision Transformers (ViTs) rely on more flexible self-attention layers, and have recently outperformed CNNs for image classification. However, they require costly pre-training on large external datasets or distillation from pre-trained convolutional networks. In this paper, we ask the following question: is it possible to combine the strengths of these two architectures while avoiding their respective limitations? To this end, we introduce gated positional self-attention (GPSA), a form of positional self-attention which can be equipped with a ``soft" convolutional inductive bias. We initialise the GPSA layers to mimic the locality of convolutional layers, then give each attention head the freedom to escape locality by adjusting a gating parameter regulating the attention paid to position versus content information. The resulting convolutional-like ViT architecture, ConViT, outperforms the DeiT on ImageNet, while offering a much improved sample efficiency. We further investigate the role of locality in learning by first quantifying how it is encouraged in vanilla self-attention layers, then analysing how it is escaped in GPSA layers. We conclude by presenting various ablations to better understand the success of the ConViT. Our code and models are released publicly at https://github.com/facebookresearch/convit.

Due to the depth degradation effect in residual connections, many efficient Vision Transformers models that rely on stacking layers for information exchange often fail to form sufficient information mixing, leading to unnatural visual perception. To address this issue, in this paper, we propose Aggregated Attention, a biomimetic design-based token mixer that simulates biological foveal vision and continuous eye movement while enabling each token on the feature map to have a global perception. Furthermore, we incorporate learnable tokens that interact with conventional queries and keys, which further diversifies the generation of affinity matrices beyond merely relying on the similarity between queries and keys. Our approach does not rely on stacking for information exchange, thus effectively avoiding depth degradation and achieving natural visual perception. Additionally, we propose Convolutional GLU, a channel mixer that bridges the gap between GLU and SE mechanism, which empowers each token to have channel attention based on its nearest neighbor image features, enhancing local modeling capability and model robustness. We combine aggregated attention and convolutional GLU to create a new visual backbone called TransNeXt. Extensive experiments demonstrate that our TransNeXt achieves state-of-the-art performance across multiple model sizes. At a resolution of 224^2, TransNeXt-Tiny attains an ImageNet accuracy of 84.0%, surpassing ConvNeXt-B with 69% fewer parameters. Our TransNeXt-Base achieves an ImageNet accuracy of 86.2% and an ImageNet-A accuracy of 61.6% at a resolution of 384^2, a COCO object detection mAP of 57.1, and an ADE20K semantic segmentation mIoU of 54.7.

Vision Transformers (ViT), when paired with large-scale pretraining, have shown remarkable performance across various computer vision tasks, primarily due to their weak inductive bias. However, while such weak inductive bias aids in pretraining scalability, this may hinder the effective adaptation of ViTs for visuo-motor control tasks as a result of the absence of control-centric inductive biases. Such absent inductive biases include spatial locality and translation equivariance bias which convolutions naturally offer. To this end, we introduce Convolution Injector (CoIn), an add-on module that injects convolutions which are rich in locality and equivariance biases into a pretrained ViT for effective adaptation in visuo-motor control. We evaluate CoIn with three distinct types of pretrained ViTs (CLIP, MVP, VC-1) across 12 varied control tasks within three separate domains (Adroit, MetaWorld, DMC), and demonstrate that CoIn consistently enhances control task performance across all experimented environments and models, validating the effectiveness of providing pretrained ViTs with control-centric biases.

Deep convolutional networks have become a popular tool for image generation and restoration. Generally, their excellent performance is imputed to their ability to learn realistic image priors from a large number of example images. In this paper, we show that, on the contrary, the structure of a generator network is sufficient to capture a great deal of low-level image statistics prior to any learning. In order to do so, we show that a randomly-initialized neural network can be used as a handcrafted prior with excellent results in standard inverse problems such as denoising, super-resolution, and inpainting. Furthermore, the same prior can be used to invert deep neural representations to diagnose them, and to restore images based on flash-no flash input pairs. Apart from its diverse applications, our approach highlights the inductive bias captured by standard generator network architectures. It also bridges the gap between two very popular families of image restoration methods: learning-based methods using deep convolutional networks and learning-free methods based on handcrafted image priors such as self-similarity. Code and supplementary material are available at https://dmitryulyanov.github.io/deep_image_prior .

Recently, stereo vision based on lightweight RGBD cameras has been widely used in various fields. However, limited by the imaging principles, the commonly used RGB-D cameras based on TOF, structured light, or binocular vision acquire some invalid data inevitably, such as weak reflection, boundary shadows, and artifacts, which may bring adverse impacts to the follow-up work. In this paper, we propose a new model for depth image completion based on the Attention Guided Gated-convolutional Network (AGG-Net), through which more accurate and reliable depth images can be obtained from the raw depth maps and the corresponding RGB images. Our model employs a UNet-like architecture which consists of two parallel branches of depth and color features. In the encoding stage, an Attention Guided Gated-Convolution (AG-GConv) module is proposed to realize the fusion of depth and color features at different scales, which can effectively reduce the negative impacts of invalid depth data on the reconstruction. In the decoding stage, an Attention Guided Skip Connection (AG-SC) module is presented to avoid introducing too many depth-irrelevant features to the reconstruction. The experimental results demonstrate that our method outperforms the state-of-the-art methods on the popular benchmarks NYU-Depth V2, DIML, and SUN RGB-D.

Predicting salient regions in natural images requires the detection of objects that are present in a scene. To develop robust representations for this challenging task, high-level visual features at multiple spatial scales must be extracted and augmented with contextual information. However, existing models aimed at explaining human fixation maps do not incorporate such a mechanism explicitly. Here we propose an approach based on a convolutional neural network pre-trained on a large-scale image classification task. The architecture forms an encoder-decoder structure and includes a module with multiple convolutional layers at different dilation rates to capture multi-scale features in parallel. Moreover, we combine the resulting representations with global scene information for accurately predicting visual saliency. Our model achieves competitive and consistent results across multiple evaluation metrics on two public saliency benchmarks and we demonstrate the effectiveness of the suggested approach on five datasets and selected examples. Compared to state of the art approaches, the network is based on a lightweight image classification backbone and hence presents a suitable choice for applications with limited computational resources, such as (virtual) robotic systems, to estimate human fixations across complex natural scenes.

Although convolutional networks have been the dominant architecture for vision tasks for many years, recent experiments have shown that Transformer-based models, most notably the Vision Transformer (ViT), may exceed their performance in some settings. However, due to the quadratic runtime of the self-attention layers in Transformers, ViTs require the use of patch embeddings, which group together small regions of the image into single input features, in order to be applied to larger image sizes. This raises a question: Is the performance of ViTs due to the inherently-more-powerful Transformer architecture, or is it at least partly due to using patches as the input representation? In this paper, we present some evidence for the latter: specifically, we propose the ConvMixer, an extremely simple model that is similar in spirit to the ViT and the even-more-basic MLP-Mixer in that it operates directly on patches as input, separates the mixing of spatial and channel dimensions, and maintains equal size and resolution throughout the network. In contrast, however, the ConvMixer uses only standard convolutions to achieve the mixing steps. Despite its simplicity, we show that the ConvMixer outperforms the ViT, MLP-Mixer, and some of their variants for similar parameter counts and data set sizes, in addition to outperforming classical vision models such as the ResNet. Our code is available at https://github.com/locuslab/convmixer.

Contemporary diffusion models built upon U-Net or Diffusion Transformer (DiT) architectures have revolutionized image generation through transformer-based attention mechanisms. The prevailing paradigm has commonly employed self-attention with quadratic computational complexity to handle global spatial relationships in complex images, thereby synthesizing high-fidelity images with coherent visual semantics.Contrary to conventional wisdom, our systematic layer-wise analysis reveals an interesting discrepancy: self-attention in pre-trained diffusion models predominantly exhibits localized attention patterns, closely resembling convolutional inductive biases. This suggests that global interactions in self-attention may be less critical than commonly assumed.Driven by this, we propose \(\Delta\)ConvFusion to replace conventional self-attention modules with Pyramid Convolution Blocks (\(\Delta\)ConvBlocks).By distilling attention patterns into localized convolutional operations while keeping other components frozen, \(\Delta\)ConvFusion achieves performance comparable to transformer-based counterparts while reducing computational cost by 6929times and surpassing LinFusion by 5.42times in efficiency--all without compromising generative fidelity.

We present a novel neural network for processing sequences. The ByteNet is a one-dimensional convolutional neural network that is composed of two parts, one to encode the source sequence and the other to decode the target sequence. The two network parts are connected by stacking the decoder on top of the encoder and preserving the temporal resolution of the sequences. To address the differing lengths of the source and the target, we introduce an efficient mechanism by which the decoder is dynamically unfolded over the representation of the encoder. The ByteNet uses dilation in the convolutional layers to increase its receptive field. The resulting network has two core properties: it runs in time that is linear in the length of the sequences and it sidesteps the need for excessive memorization. The ByteNet decoder attains state-of-the-art performance on character-level language modelling and outperforms the previous best results obtained with recurrent networks. The ByteNet also achieves state-of-the-art performance on character-to-character machine translation on the English-to-German WMT translation task, surpassing comparable neural translation models that are based on recurrent networks with attentional pooling and run in quadratic time. We find that the latent alignment structure contained in the representations reflects the expected alignment between the tokens.

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.

Convolutions operate only locally, thus failing to model global interactions. Self-attention is, however, able to learn representations that capture long-range dependencies in sequences. We propose a network architecture for audio super-resolution that combines convolution and self-attention. Attention-based Feature-Wise Linear Modulation (AFiLM) uses self-attention mechanism instead of recurrent neural networks to modulate the activations of the convolutional model. Extensive experiments show that our model outperforms existing approaches on standard benchmarks. Moreover, it allows for more parallelization resulting in significantly faster training.

Recent research in medical image analysis with deep learning almost exclusively focuses on grid- or voxel-based data representations. We challenge this common choice by introducing MedFuncta, a modality-agnostic continuous data representation based on neural fields. We demonstrate how to scale neural fields from single instances to large datasets by exploiting redundancy in medical signals and by applying an efficient meta-learning approach with a context reduction scheme. We further address the spectral bias in commonly used SIREN activations, by introducing an omega_0-schedule, improving reconstruction quality and convergence speed. We validate our proposed approach on a large variety of medical signals of different dimensions and modalities (1D: ECG; 2D: Chest X-ray, Retinal OCT, Fundus Camera, Dermatoscope, Colon Histopathology, Cell Microscopy; 3D: Brain MRI, Lung CT) and successfully demonstrate that we can solve relevant downstream tasks on these representations. We additionally release a large-scale dataset of > 550k annotated neural fields to promote research in this direction.

The ability to recover MRI signal from noise is key to achieve fast acquisition, accurate quantification, and high image quality. Past work has shown convolutional neural networks can be used with abundant and paired low and high-SNR images for training. However, for applications where high-SNR data is difficult to produce at scale (e.g. with aggressive acceleration, high resolution, or low field strength), training a new denoising network using a large quantity of high-SNR images can be infeasible. In this study, we overcome this limitation by improving the generalization of denoising models, enabling application to many settings beyond what appears in the training data. Specifically, we a) develop a training scheme that uses complex MRIs reconstructed in the SNR units (i.e., the images have a fixed noise level, SNR unit training) and augments images with realistic noise based on coil g-factor, and b) develop a novel imaging transformer (imformer) to handle 2D, 2D+T, and 3D MRIs in one model architecture. Through empirical evaluation, we show this combination improves performance compared to CNN models and improves generalization, enabling a denoising model to be used across field-strengths, image contrasts, and anatomy.

Automated brain structure segmentation is important to many clinical quantitative analysis and diagnoses. In this work, we introduce MixNet, a 2D semantic-wise deep convolutional neural network to segment brain structure in multi-modality MRI images. The network is composed of our modified deep residual learning units. In the unit, we replace the traditional convolution layer with the dilated convolutional layer, which avoids the use of pooling layers and deconvolutional layers, reducing the number of network parameters. Final predictions are made by aggregating information from multiple scales and modalities. A pyramid pooling module is used to capture spatial information of the anatomical structures at the output end. In addition, we test three architectures (MixNetv1, MixNetv2 and MixNetv3) which fuse the modalities differently to see the effect on the results. Our network achieves the state-of-the-art performance. MixNetv2 was submitted to the MRBrainS challenge at MICCAI 2018 and won the 3rd place in the 3-label task. On the MRBrainS2018 dataset, which includes subjects with a variety of pathologies, the overall DSC (Dice Coefficient) of 84.7% (gray matter), 87.3% (white matter) and 83.4% (cerebrospinal fluid) were obtained with only 7 subjects as training data.

With the goal of recovering high-quality image content from its degraded version, image restoration enjoys numerous applications, such as in surveillance, computational photography, medical imaging, and remote sensing. Recently, convolutional neural networks (CNNs) have achieved dramatic improvements over conventional approaches for image restoration task. Existing CNN-based methods typically operate either on full-resolution or on progressively low-resolution representations. In the former case, spatially precise but contextually less robust results are achieved, while in the latter case, semantically reliable but spatially less accurate outputs are generated. In this paper, we present a novel architecture with the collective goals of maintaining spatially-precise high-resolution representations through the entire network and receiving strong contextual information from the low-resolution representations. The core of our approach is a multi-scale residual block containing several key elements: (a) parallel multi-resolution convolution streams for extracting multi-scale features, (b) information exchange across the multi-resolution streams, (c) spatial and channel attention mechanisms for capturing contextual information, and (d) attention based multi-scale feature aggregation. In a nutshell, our approach learns an enriched set of features that combines contextual information from multiple scales, while simultaneously preserving the high-resolution spatial details. Extensive experiments on five real image benchmark datasets demonstrate that our method, named as MIRNet, achieves state-of-the-art results for a variety of image processing tasks, including image denoising, super-resolution, and image enhancement. The source code and pre-trained models are available at https://github.com/swz30/MIRNet.

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

Existing state-of-the-art disparity estimation works mostly leverage the 4D concatenation volume and construct a very deep 3D convolution neural network (CNN) for disparity regression, which is inefficient due to the high memory consumption and slow inference speed. In this paper, we propose a network named EDNet for efficient disparity estimation. Firstly, we construct a combined volume which incorporates contextual information from the squeezed concatenation volume and feature similarity measurement from the correlation volume. The combined volume can be next aggregated by 2D convolutions which are faster and require less memory than 3D convolutions. Secondly, we propose an attention-based spatial residual module to generate attention-aware residual features. The attention mechanism is applied to provide intuitive spatial evidence about inaccurate regions with the help of error maps at multiple scales and thus improve the residual learning efficiency. Extensive experiments on the Scene Flow and KITTI datasets show that EDNet outperforms the previous 3D CNN based works and achieves state-of-the-art performance with significantly faster speed and less memory consumption.

Convolution has been the core ingredient of modern neural networks, triggering the surge of deep learning in vision. In this work, we rethink the inherent principles of standard convolution for vision tasks, specifically spatial-agnostic and channel-specific. Instead, we present a novel atomic operation for deep neural networks by inverting the aforementioned design principles of convolution, coined as involution. We additionally demystify the recent popular self-attention operator and subsume it into our involution family as an over-complicated instantiation. The proposed involution operator could be leveraged as fundamental bricks to build the new generation of neural networks for visual recognition, powering different deep learning models on several prevalent benchmarks, including ImageNet classification, COCO detection and segmentation, together with Cityscapes segmentation. Our involution-based models improve the performance of convolutional baselines using ResNet-50 by up to 1.6% top-1 accuracy, 2.5% and 2.4% bounding box AP, and 4.7% mean IoU absolutely while compressing the computational cost to 66%, 65%, 72%, and 57% on the above benchmarks, respectively. Code and pre-trained models for all the tasks are available at https://github.com/d-li14/involution.

Transformers are quickly becoming one of the most heavily applied deep learning architectures across modalities, domains, and tasks. In vision, on top of ongoing efforts into plain transformers, hierarchical transformers have also gained significant attention, thanks to their performance and easy integration into existing frameworks. These models typically employ localized attention mechanisms, such as the sliding-window Neighborhood Attention (NA) or Swin Transformer's Shifted Window Self Attention. While effective at reducing self attention's quadratic complexity, local attention weakens two of the most desirable properties of self attention: long range inter-dependency modeling, and global receptive field. In this paper, we introduce Dilated Neighborhood Attention (DiNA), a natural, flexible and efficient extension to NA that can capture more global context and expand receptive fields exponentially at no additional cost. NA's local attention and DiNA's sparse global attention complement each other, and therefore we introduce Dilated Neighborhood Attention Transformer (DiNAT), a new hierarchical vision transformer built upon both. DiNAT variants enjoy significant improvements over strong baselines such as NAT, Swin, and ConvNeXt. Our large model is faster and ahead of its Swin counterpart by 1.6% box AP in COCO object detection, 1.4% mask AP in COCO instance segmentation, and 1.4% mIoU in ADE20K semantic segmentation. Paired with new frameworks, our large variant is the new state of the art panoptic segmentation model on COCO (58.5 PQ) and ADE20K (49.4 PQ), and instance segmentation model on Cityscapes (45.1 AP) and ADE20K (35.4 AP) (no extra data). It also matches the state of the art specialized semantic segmentation models on ADE20K (58.1 mIoU), and ranks second on Cityscapes (84.5 mIoU) (no extra data).

Deep learning-based automatic medical image segmentation plays a critical role in clinical diagnosis and treatment planning but remains challenging in few-shot scenarios due to the scarcity of annotated training data. Recently, self-supervised foundation models such as DINOv3, which were trained on large natural image datasets, have shown strong potential for dense feature extraction that can help with the few-shot learning challenge. Yet, their direct application to medical images is hindered by domain differences. In this work, we propose DINO-AugSeg, a novel framework that leverages DINOv3 features to address the few-shot medical image segmentation challenge. Specifically, we introduce WT-Aug, a wavelet-based feature-level augmentation module that enriches the diversity of DINOv3-extracted features by perturbing frequency components, and CG-Fuse, a contextual information-guided fusion module that exploits cross-attention to integrate semantic-rich low-resolution features with spatially detailed high-resolution features. Extensive experiments on six public benchmarks spanning five imaging modalities, including MRI, CT, ultrasound, endoscopy, and dermoscopy, demonstrate that DINO-AugSeg consistently outperforms existing methods under limited-sample conditions. The results highlight the effectiveness of incorporating wavelet-domain augmentation and contextual fusion for robust feature representation, suggesting DINO-AugSeg as a promising direction for advancing few-shot medical image segmentation. Code and data will be made available on https://github.com/apple1986/DINO-AugSeg.

In this paper, we present a new neural architectural block for the vision domain, named Mixing Regionally and Locally (MRL), developed with the aim of effectively and efficiently mixing the provided input features. We bifurcate the input feature mixing task as mixing at a regional and local scale. To achieve an efficient mix, we exploit the domain-wide receptive field provided by self-attention for regional-scale mixing and convolutional kernels restricted to local scale for local-scale mixing. More specifically, our proposed method mixes regional features associated with local features within a defined region, followed by a local-scale features mix augmented by regional features. Experiments show that this hybridization of self-attention and convolution brings improved capacity, generalization (right inductive bias), and efficiency. Under similar network settings, MRL outperforms or is at par with its counterparts in classification, object detection, and segmentation tasks. We also show that our MRL-based network architecture achieves state-of-the-art performance for H&E histology datasets. We achieved DICE of 0.843, 0.855, and 0.892 for Kumar, CoNSep, and CPM-17 datasets, respectively, while highlighting the versatility offered by the MRL framework by incorporating layers like group convolutions to improve dataset-specific generalization.

Medical image segmentation is a cornerstone of modern clinical diagnostics. While Vision Transformers that leverage shifted window-based self-attention have established new benchmarks in this field, they are often hampered by a critical limitation: their localized attention mechanism struggles to effectively fuse local details with global context. This deficiency is particularly detrimental to challenging tasks such as the segmentation of microtumors and miniature organs, where both fine-grained boundary definition and broad contextual understanding are paramount. To address this gap, we propose HBFormer, a novel Hybrid-Bridge Transformer architecture. The 'Hybrid' design of HBFormer synergizes a classic U-shaped encoder-decoder framework with a powerful Swin Transformer backbone for robust hierarchical feature extraction. The core innovation lies in its 'Bridge' mechanism, a sophisticated nexus for multi-scale feature integration. This bridge is architecturally embodied by our novel Multi-Scale Feature Fusion (MFF) decoder. Departing from conventional symmetric designs, the MFF decoder is engineered to fuse multi-scale features from the encoder with global contextual information. It achieves this through a synergistic combination of channel and spatial attention modules, which are constructed from a series of dilated and depth-wise convolutions. These components work in concert to create a powerful feature bridge that explicitly captures long-range dependencies and refines object boundaries with exceptional precision. Comprehensive experiments on challenging medical image segmentation datasets, including multi-organ, liver tumor, and bladder tumor benchmarks, demonstrate that HBFormer achieves state-of-the-art results, showcasing its outstanding capabilities in microtumor and miniature organ segmentation. Code and models are available at: https://github.com/lzeeorno/HBFormer.

This paper provides a novel 3D medical image segmentation model structure called nnY-Net. This name comes from the fact that our model adds a cross-attention module at the bottom of the U-net structure to form a Y structure. We integrate the advantages of the two latest SOTA models, MedNeXt and SwinUNETR, and use Swin Transformer as the encoder and ConvNeXt as the decoder to innovatively design the Swin-NeXt structure. Our model uses the lowest-level feature map of the encoder as Key and Value and uses patient features such as pathology and treatment information as Query to calculate the attention weights in a Cross Attention module. Moreover, we simplify some pre- and post-processing as well as data enhancement methods in 3D image segmentation based on the dynUnet and nnU-net frameworks. We integrate our proposed Swin-NeXt with Cross-Attention framework into this framework. Last, we construct a DiceFocalCELoss to improve the training efficiency for the uneven data convergence of voxel classification.

In incremental learning, replaying stored samples from previous tasks together with current task samples is one of the most efficient approaches to address catastrophic forgetting. However, unlike incremental classification, image replay has not been successfully applied to incremental object detection (IOD). In this paper, we identify the overlooked problem of foreground shift as the main reason for this. Foreground shift only occurs when replaying images of previous tasks and refers to the fact that their background might contain foreground objects of the current task. To overcome this problem, a novel and efficient Augmented Box Replay (ABR) method is developed that only stores and replays foreground objects and thereby circumvents the foreground shift problem. In addition, we propose an innovative Attentive RoI Distillation loss that uses spatial attention from region-of-interest (RoI) features to constrain current model to focus on the most important information from old model. ABR significantly reduces forgetting of previous classes while maintaining high plasticity in current classes. Moreover, it considerably reduces the storage requirements when compared to standard image replay. Comprehensive experiments on Pascal-VOC and COCO datasets support the state-of-the-art performance of our model.

Despite recent advances in medical vision-language pretraining, existing models still struggle to capture the diagnostic workflow: radiographs are typically treated as context-agnostic images, while radiologists' gaze -- a crucial cue for visual reasoning -- remains largely underexplored by existing methods. These limitations hinder the modeling of disease-specific patterns and weaken cross-modal alignment. To bridge this gap, we introduce CoGaze, a Context- and Gaze-guided vision-language pretraining framework for chest X-rays. We first propose a context-infused vision encoder that models how radiologists integrate clinical context -- including patient history, symptoms, and diagnostic intent -- to guide diagnostic reasoning. We then present a multi-level supervision paradigm that (1) enforces intra- and inter-modal semantic alignment through hybrid-positive contrastive learning, (2) injects diagnostic priors via disease-aware cross-modal representation learning, and (3) leverages radiologists' gaze as probabilistic priors to guide attention toward diagnostically salient regions. Extensive experiments demonstrate that CoGaze consistently outperforms state-of-the-art methods across diverse tasks, achieving up to +2.0% CheXbertF1 and +1.2% BLEU2 for free-text and structured report generation, +23.2% AUROC for zero-shot classification, and +12.2% Precision@1 for image-text retrieval. Code is available at https://github.com/mk-runner/CoGaze.

Ensuring safety in both autonomous driving and advanced driver-assistance systems (ADAS) depends critically on the efficient deployment of traffic sign recognition technology. While current methods show effectiveness, they often compromise between speed and accuracy. To address this issue, we present a novel real-time and efficient road sign detection network, YOLO-TS. This network significantly improves performance by optimizing the receptive fields of multi-scale feature maps to align more closely with the size distribution of traffic signs in various datasets. Moreover, our innovative feature-fusion strategy, leveraging the flexibility of Anchor-Free methods, allows for multi-scale object detection on a high-resolution feature map abundant in contextual information, achieving remarkable enhancements in both accuracy and speed. To mitigate the adverse effects of the grid pattern caused by dilated convolutions on the detection of smaller objects, we have devised a unique module that not only mitigates this grid effect but also widens the receptive field to encompass an extensive range of spatial contextual information, thus boosting the efficiency of information usage. Evaluation on challenging public datasets, TT100K and CCTSDB2021, demonstrates that YOLO-TS surpasses existing state-of-the-art methods in terms of both accuracy and speed. The code for our method will be available.

Deep learning has become the state-of-the-art approach to medical tomographic imaging. A common approach is to feed the result of a simple inversion, for example the backprojection, to a multiscale convolutional neural network (CNN) which computes the final reconstruction. Despite good results on in-distribution test data, this often results in overfitting certain large-scale structures and poor generalization on out-of-distribution (OOD) samples. Moreover, the memory and computational complexity of multiscale CNNs scale unfavorably with image resolution, making them impractical for application at realistic clinical resolutions. In this paper, we introduce Glimpse, a local coordinate-based neural network for computed tomography which reconstructs a pixel value by processing only the measurements associated with the neighborhood of the pixel. Glimpse significantly outperforms successful CNNs on OOD samples, while achieving comparable or better performance on in-distribution test data and maintaining a memory footprint almost independent of image resolution; 5GB memory suffices to train on 1024x1024 images which is orders of magnitude less than CNNs. Glimpse is fully differentiable and can be used plug-and-play in arbitrary deep learning architectures, enabling feats such as correcting miscalibrated projection orientations. Our implementation and Google Colab demo can be accessed at https://github.com/swing-research/Glimpse.

Several recent studies have demonstrated that attention-based networks, such as Vision Transformer (ViT), can outperform Convolutional Neural Networks (CNNs) on several computer vision tasks without using convolutional layers. This naturally leads to the following questions: Can a self-attention layer of ViT express any convolution operation? In this work, we prove that a single ViT layer with image patches as the input can perform any convolution operation constructively, where the multi-head attention mechanism and the relative positional encoding play essential roles. We further provide a lower bound on the number of heads for Vision Transformers to express CNNs. Corresponding with our analysis, experimental results show that the construction in our proof can help inject convolutional bias into Transformers and significantly improve the performance of ViT in low data regimes.

Interpreting chest X-rays is inherently challenging due to the overlap between anatomical structures and the subtle presentation of many clinically significant pathologies, making accurate diagnosis time-consuming even for experienced radiologists. Recent radiology-focused foundation models, such as LLaVA-Rad and Maira-2, have positioned multi-modal large language models (MLLMs) at the forefront of automated radiology report generation (RRG). However, despite these advances, current foundation models generate reports in a single forward pass. This decoding strategy diminishes attention to visual tokens and increases reliance on language priors as generation proceeds, which in turn introduces spurious pathology co-occurrences in the generated reports. To mitigate these limitations, we propose Category-Wise Contrastive Decoding (CWCD), a novel and modular framework designed to enhance structured radiology report generation (SRRG). Our approach introduces category-specific parameterization and generates category-wise reports by contrasting normal X-rays with masked X-rays using category-specific visual prompts. Experimental results demonstrate that CWCD consistently outperforms baseline methods across both clinical efficacy and natural language generation metrics. An ablation study further elucidates the contribution of each architectural component to overall performance.

Photoplethysmography (PPG) signals, which measure changes in blood volume in the skin using light, have recently gained attention in biometric authentication because of their non-invasive acquisition, inherent liveness detection, and suitability for low-cost wearable devices. However, PPG signal quality is challenged by motion artifacts, illumination changes, and inter-subject physiological variability, making robust feature extraction and classification crucial. This study proposes a lightweight and cost-effective biometric authentication framework based on PPG signals extracted from low-frame-rate fingertip videos. The CFIHSR dataset, comprising PPG recordings from 46 subjects at a sampling rate of 14 Hz, is employed for evaluation. The raw PPG signals undergo a standard preprocessing pipeline involving baseline drift removal, motion artifact suppression using Principal Component Analysis (PCA), bandpass filtering, Fourier-based resampling, and amplitude normalization. To generate robust representations, each one-dimensional PPG segment is converted into a two-dimensional time-frequency scalogram via the Continuous Wavelet Transform (CWT), effectively capturing transient cardiovascular dynamics. We developed a hybrid deep learning model, termed CVT-ConvMixer-LSTM, by combining spatial features from the Convolutional Vision Transformer (CVT) and ConvMixer branches with temporal features from a Long Short-Term Memory network (LSTM). The experimental results on 46 subjects demonstrate an authentication accuracy of 98%, validating the robustness of the model to noise and variability between subjects. Due to its efficiency, scalability, and inherent liveness detection capability, the proposed system is well-suited for real-world mobile and embedded biometric security applications.

Convolutions (Convs) and multi-head self-attentions (MHSAs) are typically considered alternatives to each other for building vision backbones. Although some works try to integrate both, they apply the two operators simultaneously at the finest pixel granularity. With Convs responsible for per-pixel feature extraction already, the question is whether we still need to include the heavy MHSAs at such a fine-grained level. In fact, this is the root cause of the scalability issue w.r.t. the input resolution for vision transformers. To address this important problem, we propose in this work to use MSHAs and Convs in parallel at different granularity levels instead. Specifically, in each layer, we use two different ways to represent an image: a fine-grained regular grid and a coarse-grained set of semantic slots. We apply different operations to these two representations: Convs to the grid for local features, and MHSAs to the slots for global features. A pair of fully differentiable soft clustering and dispatching modules is introduced to bridge the grid and set representations, thus enabling local-global fusion. Through extensive experiments on various vision tasks, we empirically verify the potential of the proposed integration scheme, named GLMix: by offloading the burden of fine-grained features to light-weight Convs, it is sufficient to use MHSAs in a few (e.g., 64) semantic slots to match the performance of recent state-of-the-art backbones, while being more efficient. Our visualization results also demonstrate that the soft clustering module produces a meaningful semantic grouping effect with only IN1k classification supervision, which may induce better interpretability and inspire new weakly-supervised semantic segmentation approaches. Code will be available at https://github.com/rayleizhu/GLMix.

Spatially variant dynamic convolution provides a principled approach of integrating spatial adaptivity into deep neural networks. However, mainstream designs in medical segmentation commonly generate dynamic kernels through average pooling, which implicitly collapses high-frequency spatial details into a coarse, spatially-compressed representation, leading to over-smoothed predictions that degrade the fidelity of fine-grained clinical structures. To address this limitation, we propose a novel Structure-Guided Dynamic Convolution (SGDC) mechanism, which leverages an explicitly supervised structure-extraction branch to guide the generation of dynamic kernels and gating signals for structure-aware feature modulation. Specifically, the high-fidelity boundary information from this auxiliary branch is fused with semantic features to enable spatially-precise feature modulation. By replacing context aggregation with pixel-wise structural guidance, the proposed design effectively prevents the information loss introduced by average pooling. Experimental results show that SGDC achieves state-of-the-art performance on ISIC 2016, PH2, ISIC 2018, and CoNIC datasets, delivering superior boundary fidelity by reducing the Hausdorff Distance (HD95) by 2.05, and providing consistent IoU gains of 0.99\%-1.49\% over pooling-based baselines. Moreover, the mechanism exhibits strong potential for extension to other fine-grained, structure-sensitive vision tasks, such as small-object detection, offering a principled solution for preserving structural integrity in medical image analysis. To facilitate reproducibility and encourage further research, the implementation code for both our SGE and SGDC modules has been is publicly released at https://github.com/solstice0621/SGDC.

Handling novelty remains a key challenge in visual recognition systems. Existing open-set recognition (OSR) methods rely on the familiarity hypothesis, detecting novelty by the absence of familiar features. We propose a novel attenuation hypothesis: small weights learned during training attenuate features and serve a dual role-differentiating known classes while discarding information useful for distinguishing known from unknown classes. To leverage this overlooked information, we present COSTARR, a novel approach that combines both the requirement of familiar features and the lack of unfamiliar ones. We provide a probabilistic interpretation of the COSTARR score, linking it to the likelihood of correct classification and belonging in a known class. To determine the individual contributions of the pre- and post-attenuated features to COSTARR's performance, we conduct ablation studies that show both pre-attenuated deep features and the underutilized post-attenuated Hadamard product features are essential for improving OSR. Also, we evaluate COSTARR in a large-scale setting using ImageNet2012-1K as known data and NINCO, iNaturalist, OpenImage-O, and other datasets as unknowns, across multiple modern pre-trained architectures (ViTs, ConvNeXts, and ResNet). The experiments demonstrate that COSTARR generalizes effectively across various architectures and significantly outperforms prior state-of-the-art methods by incorporating previously discarded attenuation information, advancing open-set recognition capabilities.

Feature pyramid has been an efficient method to extract features at different scales. Development over this method mainly focuses on aggregating contextual information at different levels while seldom touching the inter-level correlation in the feature pyramid. Early computer vision methods extracted scale-invariant features by locating the feature extrema in both spatial and scale dimension. Inspired by this, a convolution across the pyramid level is proposed in this study, which is termed pyramid convolution and is a modified 3-D convolution. Stacked pyramid convolutions directly extract 3-D (scale and spatial) features and outperforms other meticulously designed feature fusion modules. Based on the viewpoint of 3-D convolution, an integrated batch normalization that collects statistics from the whole feature pyramid is naturally inserted after the pyramid convolution. Furthermore, we also show that the naive pyramid convolution, together with the design of RetinaNet head, actually best applies for extracting features from a Gaussian pyramid, whose properties can hardly be satisfied by a feature pyramid. In order to alleviate this discrepancy, we build a scale-equalizing pyramid convolution (SEPC) that aligns the shared pyramid convolution kernel only at high-level feature maps. Being computationally efficient and compatible with the head design of most single-stage object detectors, the SEPC module brings significant performance improvement (>4AP increase on MS-COCO2017 dataset) in state-of-the-art one-stage object detectors, and a light version of SEPC also has sim3.5AP gain with only around 7% inference time increase. The pyramid convolution also functions well as a stand-alone module in two-stage object detectors and is able to improve the performance by sim2AP. The source code can be found at https://github.com/jshilong/SEPC.

This paper presents innovative enhancements to diffusion models by integrating a novel multi-resolution network and time-dependent layer normalization. Diffusion models have gained prominence for their effectiveness in high-fidelity image generation. While conventional approaches rely on convolutional U-Net architectures, recent Transformer-based designs have demonstrated superior performance and scalability. However, Transformer architectures, which tokenize input data (via "patchification"), face a trade-off between visual fidelity and computational complexity due to the quadratic nature of self-attention operations concerning token length. While larger patch sizes enable attention computation efficiency, they struggle to capture fine-grained visual details, leading to image distortions. To address this challenge, we propose augmenting the Diffusion model with the Multi-Resolution network (DiMR), a framework that refines features across multiple resolutions, progressively enhancing detail from low to high resolution. Additionally, we introduce Time-Dependent Layer Normalization (TD-LN), a parameter-efficient approach that incorporates time-dependent parameters into layer normalization to inject time information and achieve superior performance. Our method's efficacy is demonstrated on the class-conditional ImageNet generation benchmark, where DiMR-XL variants outperform prior diffusion models, setting new state-of-the-art FID scores of 1.70 on ImageNet 256 x 256 and 2.89 on ImageNet 512 x 512. Project page: https://qihao067.github.io/projects/DiMR

Medical Vision-Language Models (Med-VLMs) require reliable reasoning from fine-grained visual evidence, yet existing models can produce plausible clinical answers by relying on language priors or medical templates rather than truly attending to diagnosis-critical regions. On-Policy Distillation (OPD) offers dense token-level supervision on student-generated trajectories and provides a privacy-compatible means of capability transfer without requiring the redistribution of raw patient data. However, standard OPD uniformly distills all tokens, causing sparse evidence-dependent tokens to be diluted by abundant clinical narrative tokens. Inspired by the success of OPD in the large language model community, we propose Med-OPD, to our knowledge the first unified post-training framework that integrates on-policy distillation with medical evidence-aware supervision for Med-VLMs. We introduce Medical Evidence Advantage (MEA), a teacher-grounded counterfactual signal that uses an answer-aware hint to focus teacher scoring on evidence supporting the target diagnosis, and measures each token's dependence on medical visual evidence by comparing teacher likelihoods under the original and evidence-degraded imaging modalities. Based on MEA, Med-OPD redistributes the distillation signal at both the token and trajectory levels, emphasizing diagnosis-critical tokens and evidence-reliant rollouts. Experiments on OmniMedVQA subsets show that Med-OPD consistently outperforms SFT and standard OPD across CT, MRI, Disease Diagnosis, and Lesion Grading. These results demonstrate that evidence-aware distillation can better strengthen medical VLMs' reliance on key visual evidence and improve reliable multimodal medical reasoning. The source code and data is publicly available at: https://github.com/yunhang8658/MedOPD.git

Detecting and delineating tiny targets in 3D brain scans is a central yet under-addressed challenge in medical imaging.In ischemic stroke, for instance, the culprit thrombus is small, low-contrast, and variably expressed across modalities(e.g., susceptibility-weighted T2 blooming, diffusion restriction on DWI/ADC), while real-world multi-center dataintroduce domain shifts, anisotropy, and frequent missing sequences. We introduce a methodology that couples an attention-based recurrent segmentation network (UpAttLLSTM), a training schedule that progressively increases the difficulty of hetero-modal learning, with gradual modality dropout, UpAttLLSTM aggregates context across slices via recurrent units (2.5D) and uses attention gates to fuse complementary cues across available sequences, making it robust to anisotropy and class imbalance. Gradual modality dropout systematically simulates site heterogeneity,noise, and missing modalities during training, acting as both augmentation and regularization to improve multi-center generalization. On a monocentric cohort, our approach detects thrombi in >90% of cases with a Dice score of 0.65. In a multi-center setting with missing modalities, it achieves-80% detection with a Dice score around 0.35. Beyond stroke, the proposed methodology directly transfers to other small-lesion tasks in 3D medical imaging where targets are scarce, subtle, and modality-dependent

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

Medical images are acquired at high resolutions with large fields of view in order to capture fine-grained features necessary for clinical decision-making. Consequently, training deep learning models on medical images can incur large computational costs. In this work, we address the challenge of downsizing medical images in order to improve downstream computational efficiency while preserving clinically-relevant features. We introduce MedVAE, a family of six large-scale 2D and 3D autoencoders capable of encoding medical images as downsized latent representations and decoding latent representations back to high-resolution images. We train MedVAE autoencoders using a novel two-stage training approach with 1,052,730 medical images. Across diverse tasks obtained from 20 medical image datasets, we demonstrate that (1) utilizing MedVAE latent representations in place of high-resolution images when training downstream models can lead to efficiency benefits (up to 70x improvement in throughput) while simultaneously preserving clinically-relevant features and (2) MedVAE can decode latent representations back to high-resolution images with high fidelity. Our work demonstrates that large-scale, generalizable autoencoders can help address critical efficiency challenges in the medical domain. Our code is available at https://github.com/StanfordMIMI/MedVAE.

The resurgence of convolutional neural networks (CNNs) in visual recognition tasks, exemplified by ConvNeXt, has demonstrated their capability to rival transformer-based architectures through advanced training methodologies and ViT-inspired design principles. However, both CNNs and transformers exhibit a simplicity bias, favoring straightforward features over complex structural representations. Furthermore, modern CNNs often integrate MLP-like blocks akin to those in transformers, but these blocks suffer from significant information redundancies, necessitating high expansion ratios to sustain competitive performance. To address these limitations, we propose SpaRTAN, a lightweight architectural design that enhances spatial and channel-wise information processing. SpaRTAN employs kernels with varying receptive fields, controlled by kernel size and dilation factor, to capture discriminative multi-order spatial features effectively. A wave-based channel aggregation module further modulates and reinforces pixel interactions, mitigating channel-wise redundancies. Combining the two modules, the proposed network can efficiently gather and dynamically contextualize discriminative features. Experimental results in ImageNet and COCO demonstrate that SpaRTAN achieves remarkable parameter efficiency while maintaining competitive performance. In particular, on the ImageNet-1k benchmark, SpaRTAN achieves 77. 7% accuracy with only 3.8M parameters and approximately 1.0 GFLOPs, demonstrating its ability to deliver strong performance through an efficient design. On the COCO benchmark, it achieves 50.0% AP, surpassing the previous benchmark by 1.2% with only 21.5M parameters. The code is publicly available at [https://github.com/henry-pay/SpaRTAN].

Purpose: This study introduces the first adaptation of RETFound for joint optic disc (OD) and optic cup (OC) segmentation. RETFound is a well-known foundation model developed for fundus camera and optical coherence tomography images, which has shown promising performance in disease diagnosis. Methods: We propose FunduSegmenter, a model integrating a series of novel modules with RETFound, including a Pre-adapter, a Decoder, a Post-adapter, skip connections with Convolutional Block Attention Module and a Vision Transformer block adapter. The model is evaluated on a proprietary dataset, GoDARTS, and four public datasets, IDRiD, Drishti-GS, RIM-ONE-r3, and REFUGE, through internal verification, external verification and domain generalization experiments. Results: An average Dice similarity coefficient of 90.51% was achieved in internal verification, which outperformed all baselines, some substantially (nnU-Net: 82.91%; DUNet: 89.17%; TransUNet: 87.91%). In all external verification experiments, the average results were about 3% higher than those of the best baseline, and our model was also competitive in domain generalization. Conclusions: This study explored the potential of the latent general representations learned by RETFound for OD and OC segmentation in fundus camera images. Our FunduSegmenter generally outperformed state-of-the-art baseline methods. The proposed modules are general and can be extended to fine-tuning other foundation models. Translational Relevance: The model shows strong stability and generalization on both in-distribution and out-of-distribution data, providing stable OD and OC segmentation. This is an essential step for many automated tasks, from setting the accurate retinal coordinate to biomarker discovery. The code and trained weights are available at: https://github.com/JusticeZzy/FunduSegmenter.