Daily Papers

The need for improved diagnostic methods in ophthalmology is acute, especially in the underdeveloped regions with limited access to specialists and advanced equipment. Therefore, we introduce VisionUnite, a novel vision-language foundation model for ophthalmology enhanced with clinical knowledge. VisionUnite has been pretrained on an extensive dataset comprising 1.24 million image-text pairs, and further refined using our proposed MMFundus dataset, which includes 296,379 high-quality fundus image-text pairs and 889,137 simulated doctor-patient dialogue instances. Our experiments indicate that VisionUnite outperforms existing generative foundation models such as GPT-4V and Gemini Pro. It also demonstrates diagnostic capabilities comparable to junior ophthalmologists. VisionUnite performs well in various clinical scenarios including open-ended multi-disease diagnosis, clinical explanation, and patient interaction, making it a highly versatile tool for initial ophthalmic disease screening. VisionUnite can also serve as an educational aid for junior ophthalmologists, accelerating their acquisition of knowledge regarding both common and underrepresented ophthalmic conditions. VisionUnite represents a significant advancement in ophthalmology, with broad implications for diagnostics, medical education, and understanding of disease mechanisms. The source code is at https://github.com/HUANGLIZI/VisionUnite.

Vision-Language Models (VLMs) trained via contrastive learning have achieved notable success in natural image tasks. However, their application in the medical domain remains limited due to the scarcity of openly accessible, large-scale medical image-text datasets. Existing medical VLMs either train on closed-source proprietary or relatively small open-source datasets that do not generalize well. Similarly, most models remain specific to a single or limited number of medical imaging domains, again restricting their applicability to other modalities. To address this gap, we introduce UniMed, a large-scale, open-source multi-modal medical dataset comprising over 5.3 million image-text pairs across six diverse imaging modalities: X-ray, CT, MRI, Ultrasound, Pathology, and Fundus. UniMed is developed using a data-collection framework that leverages Large Language Models (LLMs) to transform modality-specific classification datasets into image-text formats while incorporating existing image-text data from the medical domain, facilitating scalable VLM pretraining. Using UniMed, we trained UniMed-CLIP, a unified VLM for six modalities that significantly outperforms existing generalist VLMs and matches modality-specific medical VLMs, achieving notable gains in zero-shot evaluations. For instance, UniMed-CLIP improves over BiomedCLIP (trained on proprietary data) by an absolute gain of +12.61, averaged over 21 datasets, while using 3x less training data. To facilitate future research, we release UniMed dataset, training codes, and models at https://github.com/mbzuai-oryx/UniMed-CLIP.

Foundation vision-language models are currently transforming computer vision, and are on the rise in medical imaging fueled by their very promising generalization capabilities. However, the initial attempts to transfer this new paradigm to medical imaging have shown less impressive performances than those observed in other domains, due to the significant domain shift and the complex, expert domain knowledge inherent to medical-imaging tasks. Motivated by the need for domain-expert foundation models, we present FLAIR, a pre-trained vision-language model for universal retinal fundus image understanding. To this end, we compiled 37 open-access, mostly categorical fundus imaging datasets from various sources, with up to 97 different target conditions and 284,660 images. We integrate the expert's domain knowledge in the form of descriptive textual prompts, during both pre-training and zero-shot inference, enhancing the less-informative categorical supervision of the data. Such a textual expert's knowledge, which we compiled from the relevant clinical literature and community standards, describes the fine-grained features of the pathologies as well as the hierarchies and dependencies between them. We report comprehensive evaluations, which illustrate the benefit of integrating expert knowledge and the strong generalization capabilities of FLAIR under difficult scenarios with domain shifts or unseen categories. When adapted with a lightweight linear probe, FLAIR outperforms fully-trained, dataset-focused models, more so in the few-shot regimes. Interestingly, FLAIR outperforms by a large margin more generalist, larger-scale image-language models, which emphasizes the potential of embedding experts' domain knowledge and the limitations of generalist models in medical imaging.

The scarcity of high-quality, labelled retinal imaging data, which presents a significant challenge in the development of machine learning models for ophthalmology, hinders progress in the field. Existing methods for synthesising Colour Fundus Photographs (CFPs) largely rely on predefined disease labels, which restricts their ability to generate images that reflect fine-grained anatomical variations, subtle disease stages, and diverse pathological features beyond coarse class categories. To overcome these challenges, we first introduce an innovative pipeline that creates a large-scale, captioned retinal dataset comprising 1.4 million entries, called RetinaLogos-1400k. Specifically, RetinaLogos-1400k uses the visual language model(VLM) to describe retinal conditions and key structures, such as optic disc configuration, vascular distribution, nerve fibre layers, and pathological features. Building on this dataset, we employ a novel three-step training framework, RetinaLogos, which enables fine-grained semantic control over retinal images and accurately captures different stages of disease progression, subtle anatomical variations, and specific lesion types. Through extensive experiments, our method demonstrates superior performance across multiple datasets, with 62.07% of text-driven synthetic CFPs indistinguishable from real ones by ophthalmologists. Moreover, the synthetic data improves accuracy by 5%-10% in diabetic retinopathy grading and glaucoma detection. Codes are available at https://github.com/uni-medical/retina-text2cfp.

Recent studies extend the autoregression paradigm to text-to-image generation, achieving performance comparable to diffusion models. However, our new PairComp benchmark -- featuring test cases of paired prompts with similar syntax but different fine-grained semantics -- reveals that existing models struggle with fine-grained text-image alignment thus failing to realize precise control over visual tokens. To address this, we propose FocusDiff, which enhances fine-grained text-image semantic alignment by focusing on subtle differences between similar text-image pairs. We construct a new dataset of paired texts and images with similar overall expressions but distinct local semantics, further introducing a novel reinforcement learning algorithm to emphasize such fine-grained semantic differences for desired image generation. Our approach achieves state-of-the-art performance on existing text-to-image benchmarks and significantly outperforms prior methods on PairComp.

Vision-language models (VLMs), such as CLIP and ALIGN, are generally trained on datasets consisting of image-caption pairs obtained from the web. However, real-world multimodal datasets, such as healthcare data, are significantly more complex: each image (e.g. X-ray) is often paired with text (e.g. physician report) that describes many distinct attributes occurring in fine-grained regions of the image. We refer to these samples as exhibiting high pairwise complexity, since each image-text pair can be decomposed into a large number of region-attribute pairings. The extent to which VLMs can capture fine-grained relationships between image regions and textual attributes when trained on such data has not been previously evaluated. The first key contribution of this work is to demonstrate through systematic evaluations that as the pairwise complexity of the training dataset increases, standard VLMs struggle to learn region-attribute relationships, exhibiting performance degradations of up to 37% on retrieval tasks. In order to address this issue, we introduce ViLLA as our second key contribution. ViLLA, which is trained to capture fine-grained region-attribute relationships from complex datasets, involves two components: (a) a lightweight, self-supervised mapping model to decompose image-text samples into region-attribute pairs, and (b) a contrastive VLM to learn representations from generated region-attribute pairs. We demonstrate with experiments across four domains (synthetic, product, medical, and natural images) that ViLLA outperforms comparable VLMs on fine-grained reasoning tasks, such as zero-shot object detection (up to 3.6 AP50 points on COCO and 0.6 mAP points on LVIS) and retrieval (up to 14.2 R-Precision points).

Image descriptions can help visually impaired people to quickly understand the image content. While we made significant progress in automatically describing images and optical character recognition, current approaches are unable to include written text in their descriptions, although text is omnipresent in human environments and frequently critical to understand our surroundings. To study how to comprehend text in the context of an image we collect a novel dataset, TextCaps, with 145k captions for 28k images. Our dataset challenges a model to recognize text, relate it to its visual context, and decide what part of the text to copy or paraphrase, requiring spatial, semantic, and visual reasoning between multiple text tokens and visual entities, such as objects. We study baselines and adapt existing approaches to this new task, which we refer to as image captioning with reading comprehension. Our analysis with automatic and human studies shows that our new TextCaps dataset provides many new technical challenges over previous datasets.

Medical vision-and-language pre-training (Med-VLP) has shown promising improvements on many downstream medical tasks owing to its applicability to extracting generic representations from medical images and texts. Practically, there exist two typical types, i.e., the fusion-encoder type and the dual-encoder type, depending on whether a heavy fusion module is used. The former is superior at multi-modal tasks owing to the sufficient interaction between modalities; the latter is good at uni-modal and cross-modal tasks due to the single-modality encoding ability. To take advantage of these two types, we propose an effective yet straightforward scheme named PTUnifier to unify the two types. We first unify the input format by introducing visual and textual prompts, which serve as a feature bank that stores the most representative images/texts. By doing so, a single model could serve as a foundation model that processes various tasks adopting different input formats (i.e., image-only, text-only, and image-text-pair). Furthermore, we construct a prompt pool (instead of static ones) to improve diversity and scalability. Experimental results show that our approach achieves state-of-the-art results on a broad range of tasks, spanning uni-modal tasks (i.e., image/text classification and text summarization), cross-modal tasks (i.e., image-to-text generation and image-text/text-image retrieval), and multi-modal tasks (i.e., visual question answering), demonstrating the effectiveness of our approach. Note that the adoption of prompts is orthogonal to most existing Med-VLP approaches and could be a beneficial and complementary extension to these approaches.

Multimodal Large Language Models (MLLMs) have shown significant potential in medical image analysis. However, their capabilities in interpreting fundus images, a critical skill for ophthalmology, remain under-evaluated. Existing benchmarks lack fine-grained task divisions and fail to provide modular analysis of its two key modules, i.e., large language model (LLM) and vision encoder (VE). This paper introduces FunBench, a novel visual question answering (VQA) benchmark designed to comprehensively evaluate MLLMs' fundus reading skills. FunBench features a hierarchical task organization across four levels (modality perception, anatomy perception, lesion analysis, and disease diagnosis). It also offers three targeted evaluation modes: linear-probe based VE evaluation, knowledge-prompted LLM evaluation, and holistic evaluation. Experiments on nine open-source MLLMs plus GPT-4o reveal significant deficiencies in fundus reading skills, particularly in basic tasks such as laterality recognition. The results highlight the limitations of current MLLMs and emphasize the need for domain-specific training and improved LLMs and VEs.

Visual text evokes an image in a person's mind, while non-visual text fails to do so. A method to automatically detect visualness in text will unlock the ability to augment text with relevant images, as neural text-to-image generation and retrieval models operate on the implicit assumption that the input text is visual in nature. We curate a dataset of 3,620 English sentences and their visualness scores provided by multiple human annotators. Additionally, we use documents that contain text and visual assets to create a distantly supervised corpus of document text and associated images. We also propose a fine-tuning strategy that adapts large vision-language models like CLIP that assume a one-to-one correspondence between text and image to the task of scoring text visualness from text input alone. Our strategy involves modifying the model's contrastive learning objective to map text identified as non-visual to a common NULL image while matching visual text to their corresponding images in the document. We evaluate the proposed approach on its ability to (i) classify visual and non-visual text accurately, and (ii) attend over words that are identified as visual in psycholinguistic studies. Empirical evaluation indicates that our approach performs better than several heuristics and baseline models for the proposed task. Furthermore, to highlight the importance of modeling the visualness of text, we conduct qualitative analyses of text-to-image generation systems like DALL-E.

With the rapid development of artificial intelligence (AI) in medical image processing, deep learning in color fundus photography (CFP) analysis is also evolving. Although there are some open-source, labeled datasets of CFPs in the ophthalmology community, large-scale datasets for screening only have labels of disease categories, and datasets with annotations of fundus structures are usually small in size. In addition, labeling standards are not uniform across datasets, and there is no clear information on the acquisition device. Here we release a multi-annotation, multi-quality, and multi-device color fundus image dataset for glaucoma analysis on an original challenge -- Retinal Fundus Glaucoma Challenge 2nd Edition (REFUGE2). The REFUGE2 dataset contains 2000 color fundus images with annotations of glaucoma classification, optic disc/cup segmentation, as well as fovea localization. Meanwhile, the REFUGE2 challenge sets three sub-tasks of automatic glaucoma diagnosis and fundus structure analysis and provides an online evaluation framework. Based on the characteristics of multi-device and multi-quality data, some methods with strong generalizations are provided in the challenge to make the predictions more robust. This shows that REFUGE2 brings attention to the characteristics of real-world multi-domain data, bridging the gap between scientific research and clinical application.

Existing text-to-image generation approaches have set high standards for photorealism and text-image correspondence, largely benefiting from web-scale text-image datasets, which can include up to 5~billion pairs. However, text-to-image generation models trained on domain-specific datasets, such as urban scenes, medical images, and faces, still suffer from low text-image correspondence due to the lack of text-image pairs. Additionally, collecting billions of text-image pairs for a specific domain can be time-consuming and costly. Thus, ensuring high text-image correspondence without relying on web-scale text-image datasets remains a challenging task. In this paper, we present a novel approach for enhancing text-image correspondence by leveraging available semantic layouts. Specifically, we propose a Gaussian-categorical diffusion process that simultaneously generates both images and corresponding layout pairs. Our experiments reveal that we can guide text-to-image generation models to be aware of the semantics of different image regions, by training the model to generate semantic labels for each pixel. We demonstrate that our approach achieves higher text-image correspondence compared to existing text-to-image generation approaches in the Multi-Modal CelebA-HQ and the Cityscapes dataset, where text-image pairs are scarce. Codes are available in this https://pmh9960.github.io/research/GCDP

Current vision-language generative models rely on expansive corpora of paired image-text data to attain optimal performance and generalization capabilities. However, automatically collecting such data (e.g. via large-scale web scraping) leads to low quality and poor image-text correlation, while human annotation is more accurate but requires significant manual effort and expense. We introduce ITIT (InTegrating Image Text): an innovative training paradigm grounded in the concept of cycle consistency which allows vision-language training on unpaired image and text data. ITIT is comprised of a joint image-text encoder with disjoint image and text decoders that enable bidirectional image-to-text and text-to-image generation in a single framework. During training, ITIT leverages a small set of paired image-text data to ensure its output matches the input reasonably well in both directions. Simultaneously, the model is also trained on much larger datasets containing only images or texts. This is achieved by enforcing cycle consistency between the original unpaired samples and the cycle-generated counterparts. For instance, it generates a caption for a given input image and then uses the caption to create an output image, and enforces similarity between the input and output images. Our experiments show that ITIT with unpaired datasets exhibits similar scaling behavior as using high-quality paired data. We demonstrate image generation and captioning performance on par with state-of-the-art text-to-image and image-to-text models with orders of magnitude fewer (only 3M) paired image-text data.

Existing vision-text contrastive learning like CLIP aims to match the paired image and caption embeddings while pushing others apart, which improves representation transferability and supports zero-shot prediction. However, medical image-text datasets are orders of magnitude below the general images and captions from the internet. Moreover, previous methods encounter many false negatives, i.e., images and reports from separate patients probably carry the same semantics but are wrongly treated as negatives. In this paper, we decouple images and texts for multimodal contrastive learning thus scaling the usable training data in a combinatorial magnitude with low cost. We also propose to replace the InfoNCE loss with semantic matching loss based on medical knowledge to eliminate false negatives in contrastive learning. We prove that MedCLIP is a simple yet effective framework: it outperforms state-of-the-art methods on zero-shot prediction, supervised classification, and image-text retrieval. Surprisingly, we observe that with only 20K pre-training data, MedCLIP wins over the state-of-the-art method (using around 200K data). Our code is available at https://github.com/RyanWangZf/MedCLIP.

Retinal foundation models aim to learn generalizable representations from diverse retinal images, facilitating label-efficient model adaptation across various ophthalmic tasks. Despite their success, current retinal foundation models are generally restricted to a single imaging modality, such as Color Fundus Photography (CFP) or Optical Coherence Tomography (OCT), limiting their versatility. Moreover, these models may struggle to fully leverage expert annotations and overlook the valuable domain knowledge essential for domain-specific representation learning. To overcome these limitations, we introduce UrFound, a retinal foundation model designed to learn universal representations from both multimodal retinal images and domain knowledge. UrFound is equipped with a modality-agnostic image encoder and accepts either CFP or OCT images as inputs. To integrate domain knowledge into representation learning, we encode expert annotation in text supervision and propose a knowledge-guided masked modeling strategy for model pre-training. It involves reconstructing randomly masked patches of retinal images while predicting masked text tokens conditioned on the corresponding retinal image. This approach aligns multimodal images and textual expert annotations within a unified latent space, facilitating generalizable and domain-specific representation learning. Experimental results demonstrate that UrFound exhibits strong generalization ability and data efficiency when adapting to various tasks in retinal image analysis. By training on ~180k retinal images, UrFound significantly outperforms the state-of-the-art retinal foundation model trained on up to 1.6 million unlabelled images across 8 public retinal datasets. Our code and data are available at https://github.com/yukkai/UrFound.

Clinical diagnosis of the eye is performed over multifarious data modalities including scalar clinical labels, vectorized biomarkers, two-dimensional fundus images, and three-dimensional Optical Coherence Tomography (OCT) scans. Clinical practitioners use all available data modalities for diagnosing and treating eye diseases like Diabetic Retinopathy (DR) or Diabetic Macular Edema (DME). Enabling usage of machine learning algorithms within the ophthalmic medical domain requires research into the relationships and interactions between all relevant data over a treatment period. Existing datasets are limited in that they neither provide data nor consider the explicit relationship modeling between the data modalities. In this paper, we introduce the Ophthalmic Labels for Investigating Visual Eye Semantics (OLIVES) dataset that addresses the above limitation. This is the first OCT and near-IR fundus dataset that includes clinical labels, biomarker labels, disease labels, and time-series patient treatment information from associated clinical trials. The dataset consists of 1268 near-IR fundus images each with at least 49 OCT scans, and 16 biomarkers, along with 4 clinical labels and a disease diagnosis of DR or DME. In total, there are 96 eyes' data averaged over a period of at least two years with each eye treated for an average of 66 weeks and 7 injections. We benchmark the utility of OLIVES dataset for ophthalmic data as well as provide benchmarks and concrete research directions for core and emerging machine learning paradigms within medical image analysis.

Recent advances in text-to-image synthesis have been enabled by exploiting a combination of language and vision through foundation models. These models are pre-trained on tremendous amounts of text-image pairs sourced from the World Wide Web or other large-scale databases. As the demand for high-quality image generation shifts towards ensuring content alignment between text and image, novel evaluation metrics have been developed with the aim of mimicking human judgments. Thus, researchers have started to collect datasets with increasingly complex annotations to study the compositionality of vision-language models and their incorporation as a quality measure of compositional alignment between text and image contents. In this work, we provide a comprehensive overview of existing text-to-image evaluation metrics and propose a new taxonomy for categorizing these metrics. We also review frequently adopted text-image benchmark datasets before discussing techniques to optimize text-to-image synthesis models towards quality and human preferences. Ultimately, we derive guidelines for improving text-to-image evaluation and discuss the open challenges and current limitations.

Vision-language datasets are vital for both text-to-image (T2I) and image-to-text (I2T) research. However, current datasets lack descriptions with fine-grained detail that would allow for richer associations to be learned by models. To fill the gap, we introduce Descriptions of Connected and Contrasting Images (DOCCI), a dataset with long, human-annotated English descriptions for 15k images that were taken, curated and donated by a single researcher intent on capturing key challenges such as spatial relations, counting, text rendering, world knowledge, and more. We instruct human annotators to create comprehensive descriptions for each image; these average 136 words in length and are crafted to clearly distinguish each image from those that are related or similar. Each description is highly compositional and typically encompasses multiple challenges. Through both quantitative and qualitative analyses, we demonstrate that DOCCI serves as an effective training resource for image-to-text generation -- a PaLI 5B model finetuned on DOCCI shows equal or superior results compared to highly-performant larger models like LLaVA-1.5 7B and InstructBLIP 7B. Furthermore, we show that DOCCI is a useful testbed for text-to-image generation, highlighting the limitations of current text-to-image models in capturing long descriptions and fine details.

The rapid development of multimodal large language models (MLLMs), such as GPT-4V, has led to significant advancements. However, these models still face challenges in medical multimodal capabilities due to limitations in the quantity and quality of medical vision-text data, stemming from data privacy concerns and high annotation costs. While pioneering approaches utilize PubMed's large-scale, de-identified medical image-text pairs to address these limitations, they still fall short due to inherent data noise. To tackle this, we refined medical image-text pairs from PubMed and employed MLLMs (GPT-4V) in an 'unblinded' capacity to denoise and reformat the data, resulting in the creation of the PubMedVision dataset with 1.3 million medical VQA samples. Our validation demonstrates that: (1) PubMedVision can significantly enhance the medical multimodal capabilities of current MLLMs, showing significant improvement in benchmarks including the MMMU Health & Medicine track; (2) manual checks by medical experts and empirical results validate the superior data quality of our dataset compared to other data construction methods. Using PubMedVision, we train a 34B medical MLLM HuatuoGPT-Vision, which shows superior performance in medical multimodal scenarios among open-source MLLMs.

Web-crawled image-text pairs are inherently noisy. Prior studies demonstrate that semantically aligning and enriching textual descriptions of these pairs can significantly enhance model training across various vision-language tasks, particularly text-to-image generation. However, large-scale investigations in this area remain predominantly closed-source. Our paper aims to bridge this community effort, leveraging the powerful and open-sourced LLaMA-3, a GPT-4 level LLM. Our recaptioning pipeline is simple: first, we fine-tune a LLaMA-3-8B powered LLaVA-1.5 and then employ it to recaption 1.3 billion images from the DataComp-1B dataset. Our empirical results confirm that this enhanced dataset, Recap-DataComp-1B, offers substantial benefits in training advanced vision-language models. For discriminative models like CLIP, we observe enhanced zero-shot performance in cross-modal retrieval tasks. For generative models like text-to-image Diffusion Transformers, the generated images exhibit a significant improvement in alignment with users' text instructions, especially in following complex queries. Our project page is https://www.haqtu.me/Recap-Datacomp-1B/

Recent text-to-image matching models apply contrastive learning to large corpora of uncurated pairs of images and sentences. While such models can provide a powerful score for matching and subsequent zero-shot tasks, they are not capable of generating caption given an image. In this work, we repurpose such models to generate a descriptive text given an image at inference time, without any further training or tuning steps. This is done by combining the visual-semantic model with a large language model, benefiting from the knowledge in both web-scale models. The resulting captions are much less restrictive than those obtained by supervised captioning methods. Moreover, as a zero-shot learning method, it is extremely flexible and we demonstrate its ability to perform image arithmetic in which the inputs can be either images or text, and the output is a sentence. This enables novel high-level vision capabilities such as comparing two images or solving visual analogy tests. Our code is available at: https://github.com/YoadTew/zero-shot-image-to-text.

Existing image-text modality alignment in Vision Language Models (VLMs) treats each text token equally in an autoregressive manner. Despite being simple and effective, this method results in sub-optimal cross-modal alignment by over-emphasizing the text tokens that are less correlated with or even contradictory with the input images. In this paper, we advocate for assigning distinct contributions for each text token based on its visual correlation. Specifically, we present by contrasting image inputs, the difference in prediction logits on each text token provides strong guidance of visual correlation. We therefore introduce Contrastive ALignment (CAL), a simple yet effective re-weighting strategy that prioritizes training visually correlated tokens. Our experimental results demonstrate that CAL consistently improves different types of VLMs across different resolutions and model sizes on various benchmark datasets. Importantly, our method incurs minimal additional computational overhead, rendering it highly efficient compared to alternative data scaling strategies. Codes are available at https://github.com/foundation-multimodal-models/CAL.

Current Large Multimodal Models (LMMs) empowered visual grounding typically rely on <SEG> tokens as a text prompt to jointly optimize the vision-language model (e.g., LLaVA) and the downstream task-specific model (e.g., SAM). However, we observe that little research has looked into how it works.In this work, we first visualize the similarity maps, which are obtained by computing the semantic similarity between the <SEG> token and the image token embeddings derived from the last hidden layer in both the LLaVA encoder and SAM decoder. Intriguingly, we have found that a striking consistency holds in terms of activation responses in the similarity map, which reveals that what the <SEG> token contributes to is semantic similarity within image-text pairs. Specifically, the <SEG> token, a placeholder expanded in text vocabulary, extensively queries among individual tokenized image patches to match the semantics of an object from text to the paired image, while the Large Language Models (LLMs) are being fine-tuned. Upon the above findings, we present READ, which facilitates LMMs' resilient REAsoning capability of where to attenD under the guidance of highly activated points borrowed from similarity maps. Remarkably, READ features an intuitive design, Similarity as Points module (SasP), which can be seamlessly applied to <SEG>-like paradigms in a plug-and-play fashion. Also, extensive experiments have been conducted on ReasonSeg and RefCOCO(+/g) datasets. To validate whether READ suffers from catastrophic forgetting of previous skills after fine-tuning, we further assess its generation ability on an augmented FP-RefCOCO(+/g) dataset. All codes and models are publicly available at https://github.com/rui-qian/READ.

WHO has declared that more than 2.2 billion people worldwide are suffering from visual disorders, such as media haze, glaucoma, and drusen. At least 1 billion of these cases could have been either prevented or successfully treated, yet they remain unaddressed due to poverty, a lack of specialists, inaccurate ocular fundus diagnoses by ophthalmologists, or the presence of a rare disease. To address this, the research has developed the Hybrid Trio-Network Model Algorithm for accurately diagnosing 12 distinct common and rare eye diseases. This algorithm utilized the RFMiD dataset of 3,200 fundus images and the Binary Relevance Method to detect diseases separately, ensuring expandability and avoiding incorrect correlations. Each detector, incorporating finely tuned hyperparameters to optimize performance, consisted of three feature components: A classical transfer learning CNN model, a two-stage CNN model, and a Siamese Network. The diagnosis was made using features extracted through this Trio-Model with Ensembled Machine Learning algorithms. The proposed model achieved an average accuracy of 97% and an AUC score of 0.96. Compared to past benchmark studies, an increase of over 10% in the F1-score was observed for most diseases. Furthermore, using the Siamese Network, the model successfully made predictions in diseases like optic disc pallor, which past studies failed to predict due to low confidence. This diagnostic tool presents a stable, adaptive, cost-effective, efficient, accessible, and fast solution for globalizing early detection of both common and rare diseases.

Learning medical visual representations directly from paired radiology reports has become an emerging topic in representation learning. However, existing medical image-text joint learning methods are limited by instance or local supervision analysis, ignoring disease-level semantic correspondences. In this paper, we present a novel Multi-Granularity Cross-modal Alignment (MGCA) framework for generalized medical visual representation learning by harnessing the naturally exhibited semantic correspondences between medical image and radiology reports at three different levels, i.e., pathological region-level, instance-level, and disease-level. Specifically, we first incorporate the instance-wise alignment module by maximizing the agreement between image-report pairs. Further, for token-wise alignment, we introduce a bidirectional cross-attention strategy to explicitly learn the matching between fine-grained visual tokens and text tokens, followed by contrastive learning to align them. More important, to leverage the high-level inter-subject relationship semantic (e.g., disease) correspondences, we design a novel cross-modal disease-level alignment paradigm to enforce the cross-modal cluster assignment consistency. Extensive experimental results on seven downstream medical image datasets covering image classification, object detection, and semantic segmentation tasks demonstrate the stable and superior performance of our framework.

Vision-Language Models (VLMs) demonstrate impressive performance in understanding visual content with language instruction by converting visual input to vision tokens. However, redundancy in vision tokens results in the degenerated inference efficiency of VLMs. While many algorithms have been proposed to reduce the number of vision tokens, most of them apply only unimodal information (i.e., vision/text) for pruning and ignore the inherent multimodal property of vision-language tasks. Moreover, it lacks a generic criterion that can be applied to different modalities. To mitigate this limitation, in this work, we propose to leverage both vision and text tokens to select informative vision tokens by the criterion of coverage. We first formulate the subset selection problem as a maximum coverage problem. Afterward, a subset of vision tokens is optimized to cover the text tokens and the original set of vision tokens, simultaneously. Finally, a VLM agent can be adopted to further improve the quality of text tokens for guiding vision pruning. The proposed method MMTok is extensively evaluated on benchmark datasets with different VLMs. The comparison illustrates that vision and text information are complementary, and combining multimodal information can surpass the unimodal baseline with a clear margin. Moreover, under the maximum coverage criterion on the POPE dataset, our method achieves a 1.87x speedup while maintaining 98.7% of the original performance on LLaVA-NeXT-13B. Furthermore, with only four vision tokens, it still preserves 87.7% of the original performance on LLaVA-1.5-7B. These results highlight the effectiveness of coverage in token selection.

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

Despite CLIP being the foundation model in numerous vision-language applications, the CLIP suffers from a severe text spotting bias. Such bias causes CLIP models to `Parrot' the visual text embedded within images while disregarding the authentic visual semantics. We uncover that in the most popular image-text dataset LAION-2B, the captions also densely parrot (spell) the text embedded in images. Our analysis shows that around 50\% of images are embedded with visual text content, and 90\% of their captions more or less parrot the visual text. Based on such observation, we thoroughly inspect the different release d versions of CLIP models and verify that the visual text is the dominant factor in measuring the LAION-style image-text similarity for these models. To examine whether these parrot captions shape the text spotting bias, we train a series of CLIP models with LAION subsets curated by different parrot-caption-oriented criteria. We show that training with parrot captions easily shapes such bias but harms the expected visual-language representation learning in CLIP models. This suggests that it is urgent to revisit either the design of CLIP-like models or the existing image-text dataset curation pipeline built on CLIP score filtering.

Describing images with text is a fundamental problem in vision-language research. Current studies in this domain mostly focus on single image captioning. However, in various real applications (e.g., image editing, difference interpretation, and retrieval), generating relational captions for two images, can also be very useful. This important problem has not been explored mostly due to lack of datasets and effective models. To push forward the research in this direction, we first introduce a new language-guided image editing dataset that contains a large number of real image pairs with corresponding editing instructions. We then propose a new relational speaker model based on an encoder-decoder architecture with static relational attention and sequential multi-head attention. We also extend the model with dynamic relational attention, which calculates visual alignment while decoding. Our models are evaluated on our newly collected and two public datasets consisting of image pairs annotated with relationship sentences. Experimental results, based on both automatic and human evaluation, demonstrate that our model outperforms all baselines and existing methods on all the datasets.

Multimodal large language models (MLLMs) demonstrate significant potential in the field of medical diagnosis. However, they face critical challenges in specialized domains such as ophthalmology, particularly the fragmentation of annotation granularity and inconsistencies in clinical reasoning logic, which hinder precise cross-modal understanding. This paper introduces FundusExpert, an ophthalmology-specific MLLM with integrated positioning-diagnosis reasoning capabilities, along with FundusGen, a dataset constructed through the intelligent Fundus-Engine system. Fundus-Engine automates localization and leverages MLLM-based semantic expansion to integrate global disease classification, local object detection, and fine-grained feature analysis within a single fundus image. Additionally, by constructing a clinically aligned cognitive chain, it guides the model to generate interpretable reasoning paths. FundusExpert, fine-tuned with instruction data from FundusGen, achieves the best performance in ophthalmic question-answering tasks, surpassing the average accuracy of the 40B MedRegA by 26.6%. It also excels in zero-shot report generation tasks, achieving a clinical consistency of 77.0%, significantly outperforming GPT-4o's 47.6%. Furthermore, we reveal a scaling law between data quality and model capability (L propto N^{0.068}), demonstrating that the cognitive alignment annotations in FundusGen enhance data utilization efficiency. By integrating region-level localization with diagnostic reasoning chains, our work develops a scalable, clinically-aligned MLLM and explores a pathway toward bridging the visual-language gap in specific MLLMs. Our project can be found at https://github.com/MeteorElf/FundusExpert.

Recently, Text-to-Image (T2I) generation models have achieved significant advancements. Correspondingly, many automated metrics have emerged to evaluate the image-text alignment capabilities of generative models. However, the performance comparison among these automated metrics is limited by existing small datasets. Additionally, these datasets lack the capacity to assess the performance of automated metrics at a fine-grained level. In this study, we contribute an EvalMuse-40K benchmark, gathering 40K image-text pairs with fine-grained human annotations for image-text alignment-related tasks. In the construction process, we employ various strategies such as balanced prompt sampling and data re-annotation to ensure the diversity and reliability of our benchmark. This allows us to comprehensively evaluate the effectiveness of image-text alignment metrics for T2I models. Meanwhile, we introduce two new methods to evaluate the image-text alignment capabilities of T2I models: FGA-BLIP2 which involves end-to-end fine-tuning of a vision-language model to produce fine-grained image-text alignment scores and PN-VQA which adopts a novel positive-negative VQA manner in VQA models for zero-shot fine-grained evaluation. Both methods achieve impressive performance in image-text alignment evaluations. We also use our methods to rank current AIGC models, in which the results can serve as a reference source for future study and promote the development of T2I generation. The data and code will be made publicly available.

The rapid advancement of large-scale vision-language models has showcased remarkable capabilities across various tasks. However, the lack of extensive and high-quality image-text data in medicine has greatly hindered the development of large-scale medical vision-language models. In this work, we present a diagnosis-guided bootstrapping strategy that exploits both image and label information to construct vision-language datasets. Based on the constructed dataset, we developed MedDr, a generalist foundation model for healthcare capable of handling diverse medical data modalities, including radiology, pathology, dermatology, retinography, and endoscopy. Moreover, during inference, we propose a simple but effective retrieval-augmented medical diagnosis strategy, which enhances the model's generalization ability. Extensive experiments on visual question answering, medical report generation, and medical image diagnosis demonstrate the superiority of our method.

Currently, vision encoder models like Vision Transformers (ViTs) typically excel at image recognition tasks but cannot simultaneously support text recognition like human visual recognition. To address this limitation, we propose UNIT, a novel training framework aimed at UNifying Image and Text recognition within a single model. Starting with a vision encoder pre-trained with image recognition tasks, UNIT introduces a lightweight language decoder for predicting text outputs and a lightweight vision decoder to prevent catastrophic forgetting of the original image encoding capabilities. The training process comprises two stages: intra-scale pretraining and inter-scale finetuning. During intra-scale pretraining, UNIT learns unified representations from multi-scale inputs, where images and documents are at their commonly used resolution, to enable fundamental recognition capability. In the inter-scale finetuning stage, the model introduces scale-exchanged data, featuring images and documents at resolutions different from the most commonly used ones, to enhance its scale robustness. Notably, UNIT retains the original vision encoder architecture, making it cost-free in terms of inference and deployment. Experiments across multiple benchmarks confirm that our method significantly outperforms existing methods on document-related tasks (e.g., OCR and DocQA) while maintaining the performances on natural images, demonstrating its ability to substantially enhance text recognition without compromising its core image recognition capabilities.

Language-image pre-training largely relies on how precisely and thoroughly a text describes its paired image. In practice, however, the contents of an image can be so rich that well describing them requires lengthy captions (e.g., with 10 sentences), which are usually missing in existing datasets. Consequently, there are currently no clear evidences on whether and how language-image pre-training could benefit from long captions. To figure this out, we first re-caption 30M images with detailed descriptions using a pre-trained Multi-modality Large Language Model (MLLM), and then study the usage of the resulting captions under a contrastive learning framework. We observe that, each sentence within a long caption is very likely to describe the image partially (e.g., an object). Motivated by this, we propose to dynamically sample sub-captions from the text label to construct multiple positive pairs, and introduce a grouping loss to match the embeddings of each sub-caption with its corresponding local image patches in a self-supervised manner. Experimental results on a wide rage of downstream tasks demonstrate the consistent superiority of our method, termed DreamLIP, over previous alternatives, highlighting its fine-grained representational capacity. It is noteworthy that, on the tasks of image-text retrieval and semantic segmentation, our model trained with 30M image-text pairs achieves on par or even better performance than CLIP trained with 400M pairs. Project page is available at https://zyf0619sjtu.github.io/dream-lip.

Is vision good enough for language? Recent advancements in multimodal models primarily stem from the powerful reasoning abilities of large language models (LLMs). However, the visual component typically depends only on the instance-level contrastive language-image pre-training (CLIP). Our research reveals that the visual capabilities in recent multimodal LLMs (MLLMs) still exhibit systematic shortcomings. To understand the roots of these errors, we explore the gap between the visual embedding space of CLIP and vision-only self-supervised learning. We identify ''CLIP-blind pairs'' - images that CLIP perceives as similar despite their clear visual differences. With these pairs, we construct the Multimodal Visual Patterns (MMVP) benchmark. MMVP exposes areas where state-of-the-art systems, including GPT-4V, struggle with straightforward questions across nine basic visual patterns, often providing incorrect answers and hallucinated explanations. We further evaluate various CLIP-based vision-and-language models and found a notable correlation between visual patterns that challenge CLIP models and those problematic for multimodal LLMs. As an initial effort to address these issues, we propose a Mixture of Features (MoF) approach, demonstrating that integrating vision self-supervised learning features with MLLMs can significantly enhance their visual grounding capabilities. Together, our research suggests visual representation learning remains an open challenge, and accurate visual grounding is crucial for future successful multimodal systems.

People say, "A picture is worth a thousand words". Then how can we get the rich information out of the image? We argue that by using visual clues to bridge large pretrained vision foundation models and language models, we can do so without any extra cross-modal training. Thanks to the strong zero-shot capability of foundation models, we start by constructing a rich semantic representation of the image (e.g., image tags, object attributes / locations, captions) as a structured textual prompt, called visual clues, using a vision foundation model. Based on visual clues, we use large language model to produce a series of comprehensive descriptions for the visual content, which is then verified by the vision model again to select the candidate that aligns best with the image. We evaluate the quality of generated descriptions by quantitative and qualitative measurement. The results demonstrate the effectiveness of such a structured semantic representation.

Recent studies have shown that Large Vision-Language Models (VLMs) tend to neglect image content and over-rely on language-model priors, resulting in errors in visually grounded tasks and hallucinations. We hypothesize that this issue arises because existing VLMs are not explicitly trained to generate texts that are accurately grounded in fine-grained image details. To enhance visual feedback during VLM training, we propose S-VCO (Symmetrical Visual Contrastive Optimization), a novel finetuning objective that steers the model toward capturing important visual details and aligning them with corresponding text tokens. To further facilitate this detailed alignment, we introduce MVC, a paired image-text dataset built by automatically filtering and augmenting visual counterfactual data to challenge the model with hard contrastive cases involving Minimal Visual Contrasts. Experiments show that our method consistently improves VLM performance across diverse benchmarks covering various abilities and domains, achieving up to a 22% reduction in hallucinations, and significant gains in vision-centric and general tasks. Notably, these improvements become increasingly pronounced in benchmarks with higher visual dependency. In short, S-VCO offers a significant enhancement of VLM's visually-dependent task performance while retaining or even improving the model's general abilities. We opensource our code at https://s-vco.github.io/

Glaucoma is one of the leading causes of irreversible but preventable blindness in working age populations. Color fundus photography (CFP) is the most cost-effective imaging modality to screen for retinal disorders. However, its application to glaucoma has been limited to the computation of a few related biomarkers such as the vertical cup-to-disc ratio. Deep learning approaches, although widely applied for medical image analysis, have not been extensively used for glaucoma assessment due to the limited size of the available data sets. Furthermore, the lack of a standardize benchmark strategy makes difficult to compare existing methods in a uniform way. In order to overcome these issues we set up the Retinal Fundus Glaucoma Challenge, REFUGE (https://refuge.grand-challenge.org), held in conjunction with MICCAI 2018. The challenge consisted of two primary tasks, namely optic disc/cup segmentation and glaucoma classification. As part of REFUGE, we have publicly released a data set of 1200 fundus images with ground truth segmentations and clinical glaucoma labels, currently the largest existing one. We have also built an evaluation framework to ease and ensure fairness in the comparison of different models, encouraging the development of novel techniques in the field. 12 teams qualified and participated in the online challenge. This paper summarizes their methods and analyzes their corresponding results. In particular, we observed that two of the top-ranked teams outperformed two human experts in the glaucoma classification task. Furthermore, the segmentation results were in general consistent with the ground truth annotations, with complementary outcomes that can be further exploited by ensembling the results.

Studies have shown that a dominant class of questions asked by visually impaired users on images of their surroundings involves reading text in the image. But today's VQA models can not read! Our paper takes a first step towards addressing this problem. First, we introduce a new "TextVQA" dataset to facilitate progress on this important problem. Existing datasets either have a small proportion of questions about text (e.g., the VQA dataset) or are too small (e.g., the VizWiz dataset). TextVQA contains 45,336 questions on 28,408 images that require reasoning about text to answer. Second, we introduce a novel model architecture that reads text in the image, reasons about it in the context of the image and the question, and predicts an answer which might be a deduction based on the text and the image or composed of the strings found in the image. Consequently, we call our approach Look, Read, Reason & Answer (LoRRA). We show that LoRRA outperforms existing state-of-the-art VQA models on our TextVQA dataset. We find that the gap between human performance and machine performance is significantly larger on TextVQA than on VQA 2.0, suggesting that TextVQA is well-suited to benchmark progress along directions complementary to VQA 2.0.

Following the impressive development of LLMs, vision-language alignment in LLMs is actively being researched to enable multimodal reasoning and visual IO. This direction of research is particularly relevant to medical imaging because medical image analysis and generation consist of reasoning based on a combination of visual features and prior knowledge. Many recent works have focused on training adapter networks that serve as an information bridge between image processing networks and LLMs; but presumably, in order to achieve maximum reasoning potential of LLMs on visual information as well, visual and language features should be allowed to interact more freely. This is especially important in the medical domain because understanding and generating medical images such as chest X-rays (CXR) require not only accurate visual and language-based reasoning but also a more intimate mapping between the two modalities. Thus, taking inspiration from previous work on the transformer and VQ-GAN combination for bidirectional image and text generation, we build upon this approach and develop a method for instruction-tuning an LLM pre-trained only on text to gain vision-language capabilities for medical images. Specifically, we leverage a pretrained LLM's existing question-answering and instruction-following abilities to teach it to understand visual inputs by instructing it to answer questions about image inputs and, symmetrically, output both text and image responses appropriate to a given query by tuning the LLM with diverse tasks that encompass image-based text-generation and text-based image-generation. We show that our model, LLM-CXR, trained in this approach shows better image-text alignment in both CXR understanding and generation tasks while being smaller in size compared to previously developed models that perform a narrower range of tasks. The code is at https://github.com/hyn2028/llm-cxr.

Joint image-text embedding is the bedrock for most Vision-and-Language (V+L) tasks, where multimodality inputs are simultaneously processed for joint visual and textual understanding. In this paper, we introduce UNITER, a UNiversal Image-TExt Representation, learned through large-scale pre-training over four image-text datasets (COCO, Visual Genome, Conceptual Captions, and SBU Captions), which can power heterogeneous downstream V+L tasks with joint multimodal embeddings. We design four pre-training tasks: Masked Language Modeling (MLM), Masked Region Modeling (MRM, with three variants), Image-Text Matching (ITM), and Word-Region Alignment (WRA). Different from previous work that applies joint random masking to both modalities, we use conditional masking on pre-training tasks (i.e., masked language/region modeling is conditioned on full observation of image/text). In addition to ITM for global image-text alignment, we also propose WRA via the use of Optimal Transport (OT) to explicitly encourage fine-grained alignment between words and image regions during pre-training. Comprehensive analysis shows that both conditional masking and OT-based WRA contribute to better pre-training. We also conduct a thorough ablation study to find an optimal combination of pre-training tasks. Extensive experiments show that UNITER achieves new state of the art across six V+L tasks (over nine datasets), including Visual Question Answering, Image-Text Retrieval, Referring Expression Comprehension, Visual Commonsense Reasoning, Visual Entailment, and NLVR^2. Code is available at https://github.com/ChenRocks/UNITER.

Diabetic Retinopathy (DR), induced by diabetes, poses a significant risk of visual impairment. Accurate and effective grading of DR aids in the treatment of this condition. Yet existing models experience notable performance degradation on unseen domains due to domain shifts. Previous methods address this issue by simulating domain style through simple visual transformation and mitigating domain noise via learning robust representations. However, domain shifts encompass more than image styles. They overlook biases caused by implicit factors such as ethnicity, age, and diagnostic criteria. In our work, we propose a novel framework where representations of paired data from different domains are decoupled into semantic features and domain noise. The resulting augmented representation comprises original retinal semantics and domain noise from other domains, aiming to generate enhanced representations aligned with real-world clinical needs, incorporating rich information from diverse domains. Subsequently, to improve the robustness of the decoupled representations, class and domain prototypes are employed to interpolate the disentangled representations while data-aware weights are designed to focus on rare classes and domains. Finally, we devise a robust pixel-level semantic alignment loss to align retinal semantics decoupled from features, maintaining a balance between intra-class diversity and dense class features. Experimental results on multiple benchmarks demonstrate the effectiveness of our method on unseen domains. The code implementations are accessible on https://github.com/richard-peng-xia/DECO.

Multi-modal information retrieval (MMIR) is a rapidly evolving field, where significant progress, particularly in image-text pairing, has been made through advanced representation learning and cross-modality alignment research. However, current benchmarks for evaluating MMIR performance in image-text pairing within the scientific domain show a notable gap, where chart and table images described in scholarly language usually do not play a significant role. To bridge this gap, we develop a specialised scientific MMIR (SciMMIR) benchmark by leveraging open-access paper collections to extract data relevant to the scientific domain. This benchmark comprises 530K meticulously curated image-text pairs, extracted from figures and tables with detailed captions in scientific documents. We further annotate the image-text pairs with two-level subset-subcategory hierarchy annotations to facilitate a more comprehensive evaluation of the baselines. We conducted zero-shot and fine-tuning evaluations on prominent multi-modal image-captioning and visual language models, such as CLIP and BLIP. Our analysis offers critical insights for MMIR in the scientific domain, including the impact of pre-training and fine-tuning settings and the influence of the visual and textual encoders. All our data and checkpoints are publicly available at https://github.com/Wusiwei0410/SciMMIR.

Despite the longstanding adage "an image is worth a thousand words," creating accurate and hyper-detailed image descriptions for training Vision-Language models remains challenging. Current datasets typically have web-scraped descriptions that are short, low-granularity, and often contain details unrelated to the visual content. As a result, models trained on such data generate descriptions replete with missing information, visual inconsistencies, and hallucinations. To address these issues, we introduce ImageInWords (IIW), a carefully designed human-in-the-loop annotation framework for curating hyper-detailed image descriptions and a new dataset resulting from this process. We validate the framework through evaluations focused on the quality of the dataset and its utility for fine-tuning with considerations for readability, comprehensiveness, specificity, hallucinations, and human-likeness. Our dataset significantly improves across these dimensions compared to recently released datasets (+66%) and GPT-4V outputs (+48%). Furthermore, models fine-tuned with IIW data excel by +31% against prior work along the same human evaluation dimensions. Given our fine-tuned models, we also evaluate text-to-image generation and vision-language reasoning. Our model's descriptions can generate images closest to the original, as judged by both automated and human metrics. We also find our model produces more compositionally rich descriptions, outperforming the best baseline by up to 6% on ARO, SVO-Probes, and Winoground datasets.

The recent surge of foundation models in computer vision and natural language processing opens up perspectives in utilizing multi-modal clinical data to train large models with strong generalizability. Yet pathological image datasets often lack biomedical text annotation and enrichment. Guiding data-efficient image diagnosis from the use of biomedical text knowledge becomes a substantial interest. In this paper, we propose to Connect Image and Text Embeddings (CITE) to enhance pathological image classification. CITE injects text insights gained from language models pre-trained with a broad range of biomedical texts, leading to adapt foundation models towards pathological image understanding. Through extensive experiments on the PatchGastric stomach tumor pathological image dataset, we demonstrate that CITE achieves leading performance compared with various baselines especially when training data is scarce. CITE offers insights into leveraging in-domain text knowledge to reinforce data-efficient pathological image classification. Code is available at https://github.com/Yunkun-Zhang/CITE.

This paper introduces MedTrinity-25M, a comprehensive, large-scale multimodal dataset for medicine, covering over 25 million images across 10 modalities, with multigranular annotations for more than 65 diseases. These enriched annotations encompass both global textual information, such as disease/lesion type, modality, region-specific descriptions, and inter-regional relationships, as well as detailed local annotations for regions of interest (ROIs), including bounding boxes, segmentation masks. Unlike existing approach which is limited by the availability of image-text pairs, we have developed the first automated pipeline that scales up multimodal data by generating multigranular visual and texual annotations (in the form of image-ROI-description triplets) without the need for any paired text descriptions. Specifically, data from over 90 different sources have been collected, preprocessed, and grounded using domain-specific expert models to identify ROIs related to abnormal regions. We then build a comprehensive knowledge base and prompt multimodal large language models to perform retrieval-augmented generation with the identified ROIs as guidance, resulting in multigranular texual descriptions. Compared to existing datasets, MedTrinity-25M provides the most enriched annotations, supporting a comprehensive range of multimodal tasks such as captioning and report generation, as well as vision-centric tasks like classification and segmentation. Pretraining on MedTrinity-25M, our model achieves state-of-the-art performance on VQA-RAD and PathVQA, surpassing both multimodal large language models and other representative SoTA approaches. This dataset can also be utilized to support large-scale pre-training of multimodal medical AI models, contributing to the development of future foundation models in the medical domain.

Image-text retrieval has developed rapidly in recent years. However, it is still a challenge in remote sensing due to visual-semantic imbalance, which leads to incorrect matching of non-semantic visual and textual features. To solve this problem, we propose a novel Direction-Oriented Visual-semantic Embedding Model (DOVE) to mine the relationship between vision and language. Our highlight is to conduct visual and textual representations in latent space, directing them as close as possible to a redundancy-free regional visual representation. Concretely, a Regional-Oriented Attention Module (ROAM) adaptively adjusts the distance between the final visual and textual embeddings in the latent semantic space, oriented by regional visual features. Meanwhile, a lightweight Digging Text Genome Assistant (DTGA) is designed to expand the range of tractable textual representation and enhance global word-level semantic connections using less attention operations. Ultimately, we exploit a global visual-semantic constraint to reduce single visual dependency and serve as an external constraint for the final visual and textual representations. The effectiveness and superiority of our method are verified by extensive experiments including parameter evaluation, quantitative comparison, ablation studies and visual analysis, on two benchmark datasets, RSICD and RSITMD.

Text-rich images, where text serves as the central visual element guiding the overall understanding, are prevalent in real-world applications, such as presentation slides, scanned documents, and webpage snapshots. Tasks involving multiple text-rich images are especially challenging, as they require not only understanding the content of individual images but reasoning about inter-relationships and logical flows across multiple visual inputs. Despite the importance of these scenarios, current multimodal large language models (MLLMs) struggle to handle such tasks due to two key challenges: (1) the scarcity of high-quality instruction tuning datasets for text-rich multi-image scenarios, and (2) the difficulty in balancing image resolution with visual feature sequence length. To address these challenges, we propose \OurMethod, a MLLM designed specifically for handling vision-language tasks involving multiple text-rich images. First, we curated about one million high-quality multimodal instruction-tuning data, tailored to text-rich, multi-image scenarios. Second, we developed an adaptive high-resolution multi-image encoding module to dynamically optimize the allocation of visual sequence length based on the original aspect ratios and resolutions of the input images. Experiments across a wide range of benchmarks demonstrate our model's superior capabilities in text-rich, multi-image evaluations and competitive performance in general domain evaluations.

The crux of learning vision-language models is to extract semantically aligned information from visual and linguistic data. Existing attempts usually face the problem of coarse alignment, e.g., the vision encoder struggles in localizing an attribute-specified object. In this work, we propose an embarrassingly simple approach to better align image and text features with no need of additional data formats other than image-text pairs. Concretely, given an image and its paired text, we manage to parse objects (e.g., cat) and attributes (e.g., black) from the description, which are highly likely to exist in the image. It is noteworthy that the parsing pipeline is fully automatic and thus enjoys good scalability. With these parsed semantics as supervision signals, we can complement the commonly used image-text contrastive loss with the multi-tag classification loss. Extensive experimental results on a broad suite of semantic segmentation datasets substantiate the average 3.65\% improvement of our framework over existing alternatives. Furthermore, the visualization results indicate that attribute supervision makes vision-language models accurately localize attribute-specified objects. Project page and code can be found at https://qinying-liu.github.io/Tag-Align.

One of the key shortcomings in current text-to-image (T2I) models is their inability to consistently generate images which faithfully follow the spatial relationships specified in the text prompt. In this paper, we offer a comprehensive investigation of this limitation, while also developing datasets and methods that achieve state-of-the-art performance. First, we find that current vision-language datasets do not represent spatial relationships well enough; to alleviate this bottleneck, we create SPRIGHT, the first spatially-focused, large scale dataset, by re-captioning 6 million images from 4 widely used vision datasets. Through a 3-fold evaluation and analysis pipeline, we find that SPRIGHT largely improves upon existing datasets in capturing spatial relationships. To demonstrate its efficacy, we leverage only ~0.25% of SPRIGHT and achieve a 22% improvement in generating spatially accurate images while also improving the FID and CMMD scores. Secondly, we find that training on images containing a large number of objects results in substantial improvements in spatial consistency. Notably, we attain state-of-the-art on T2I-CompBench with a spatial score of 0.2133, by fine-tuning on <500 images. Finally, through a set of controlled experiments and ablations, we document multiple findings that we believe will enhance the understanding of factors that affect spatial consistency in text-to-image models. We publicly release our dataset and model to foster further research in this area.

Although text-to-image (T2I) models have recently thrived as visual generative priors, their reliance on high-quality text-image pairs makes scaling up expensive. We argue that grasping the cross-modality alignment is not a necessity for a sound visual generative prior, whose focus should be on texture modeling. Such a philosophy inspires us to study image-to-image (I2I) generation, where models can learn from in-the-wild images in a self-supervised manner. We first develop a pure vision-based training framework, Lumos, and confirm the feasibility and the scalability of learning I2I models. We then find that, as an upstream task of T2I, our I2I model serves as a more foundational visual prior and achieves on-par or better performance than existing T2I models using only 1/10 text-image pairs for fine-tuning. We further demonstrate the superiority of I2I priors over T2I priors on some text-irrelevant visual generative tasks, like image-to-3D and image-to-video.

Scene text recognition (STR) pre-training methods have achieved remarkable progress, primarily relying on synthetic datasets. However, the domain gap between synthetic and real images poses a challenge in acquiring feature representations that align well with images on real scenes, thereby limiting the performance of these methods. We note that vision-language models like CLIP, pre-trained on extensive real image-text pairs, effectively align images and text in a unified embedding space, suggesting the potential to derive the representations of real images from text alone. Building upon this premise, we introduce a novel method named Decoder Pre-training with only text for STR (DPTR). DPTR treats text embeddings produced by the CLIP text encoder as pseudo visual embeddings and uses them to pre-train the decoder. An Offline Randomized Perturbation (ORP) strategy is introduced. It enriches the diversity of text embeddings by incorporating natural image embeddings extracted from the CLIP image encoder, effectively directing the decoder to acquire the potential representations of real images. In addition, we introduce a Feature Merge Unit (FMU) that guides the extracted visual embeddings focusing on the character foreground within the text image, thereby enabling the pre-trained decoder to work more efficiently and accurately. Extensive experiments across various STR decoders and language recognition tasks underscore the broad applicability and remarkable performance of DPTR, providing a novel insight for STR pre-training. Code is available at https://github.com/Topdu/OpenOCR

Pre-trained vision-language models, e.g. CLIP, have been increasingly used to address the challenging Open-Vocabulary Segmentation (OVS) task, benefiting from their well-aligned vision-text embedding space. Typical solutions involve either freezing CLIP during training to unilaterally maintain its zero-shot capability, or fine-tuning CLIP vision encoder to achieve perceptual sensitivity to local regions. However, few of them incorporate vision-text collaborative optimization. Based on this, we propose the Content-Dependent Transfer to adaptively enhance each text embedding by interacting with the input image, which presents a parameter-efficient way to optimize the text representation. Besides, we additionally introduce a Representation Compensation strategy, reviewing the original CLIP-V representation as compensation to maintain the zero-shot capability of CLIP. In this way, the vision and text representation of CLIP are optimized collaboratively, enhancing the alignment of the vision-text feature space. To the best of our knowledge, we are the first to establish the collaborative vision-text optimizing mechanism within the OVS field. Extensive experiments demonstrate our method achieves superior performance on popular OVS benchmarks. In open-vocabulary semantic segmentation, our method outperforms the previous state-of-the-art approaches by +0.5, +2.3, +3.4, +0.4 and +1.1 mIoU, respectively on A-847, A-150, PC-459, PC-59 and PAS-20. Furthermore, in a panoptic setting on ADE20K, we achieve the performance of 27.1 PQ, 73.5 SQ, and 32.9 RQ. Code will be available at https://github.com/jiaosiyu1999/MAFT-Plus.git .

Groundbreaking language-vision architectures like CLIP and DALL-E proved the utility of training on large amounts of noisy image-text data, without relying on expensive accurate labels used in standard vision unimodal supervised learning. The resulting models showed capabilities of strong text-guided image generation and transfer to downstream tasks, while performing remarkably at zero-shot classification with noteworthy out-of-distribution robustness. Since then, large-scale language-vision models like ALIGN, BASIC, GLIDE, Flamingo and Imagen made further improvements. Studying the training and capabilities of such models requires datasets containing billions of image-text pairs. Until now, no datasets of this size have been made openly available for the broader research community. To address this problem and democratize research on large-scale multi-modal models, we present LAION-5B - a dataset consisting of 5.85 billion CLIP-filtered image-text pairs, of which 2.32B contain English language. We show successful replication and fine-tuning of foundational models like CLIP, GLIDE and Stable Diffusion using the dataset, and discuss further experiments enabled with an openly available dataset of this scale. Additionally we provide several nearest neighbor indices, an improved web-interface for dataset exploration and subset generation, and detection scores for watermark, NSFW, and toxic content detection. Announcement page https://laion.ai/laion-5b-a-new-era-of-open-large-scale-multi-modal-datasets/

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.

Scarcity of large publicly available retinal fundus image datasets for automated glaucoma detection has been the bottleneck for successful application of artificial intelligence towards practical Computer-Aided Diagnosis (CAD). A few small datasets that are available for research community usually suffer from impractical image capturing conditions and stringent inclusion criteria. These shortcomings in already limited choice of existing datasets make it challenging to mature a CAD system so that it can perform in real-world environment. In this paper we present a large publicly available retinal fundus image dataset for glaucoma classification called G1020. The dataset is curated by conforming to standard practices in routine ophthalmology and it is expected to serve as standard benchmark dataset for glaucoma detection. This database consists of 1020 high resolution colour fundus images and provides ground truth annotations for glaucoma diagnosis, optic disc and optic cup segmentation, vertical cup-to-disc ratio, size of neuroretinal rim in inferior, superior, nasal and temporal quadrants, and bounding box location for optic disc. We also report baseline results by conducting extensive experiments for automated glaucoma diagnosis and segmentation of optic disc and optic cup.

Vision-language pretraining has advanced image-text alignment, yet progress in radiology remains constrained by the heterogeneity of clinical reports, including abbreviations, impression-only notes, and stylistic variability. Unlike general-domain settings where more data often leads to better performance, naively scaling to large collections of noisy reports can plateau or even degrade model learning. We ask whether large language model (LLM) encoders can provide robust clinical representations that transfer across diverse styles and better guide image-text alignment. We introduce LLM2VEC4CXR, a domain-adapted LLM encoder for chest X-ray reports, and LLM2CLIP4CXR, a dual-tower framework that couples this encoder with a vision backbone. LLM2VEC4CXR improves clinical text understanding over BERT-based baselines, handles abbreviations and style variation, and achieves strong clinical alignment on report-level metrics. LLM2CLIP4CXR leverages these embeddings to boost retrieval accuracy and clinically oriented scores, with stronger cross-dataset generalization than prior medical CLIP variants. Trained on 1.6M CXR studies from public and private sources with heterogeneous and noisy reports, our models demonstrate that robustness -- not scale alone -- is the key to effective multimodal learning. We release models to support further research in medical image-text representation learning.

Medical vision-and-language pre-training (Med-VLP) has received considerable attention owing to its applicability to extracting generic vision-and-language representations from medical images and texts. Most existing methods mainly contain three elements: uni-modal encoders (i.e., a vision encoder and a language encoder), a multi-modal fusion module, and pretext tasks, with few studies considering the importance of medical domain expert knowledge and explicitly exploiting such knowledge to facilitate Med-VLP. Although there exist knowledge-enhanced vision-and-language pre-training (VLP) methods in the general domain, most require off-the-shelf toolkits (e.g., object detectors and scene graph parsers), which are unavailable in the medical domain. In this paper, we propose a systematic and effective approach to enhance Med-VLP by structured medical knowledge from three perspectives. First, considering knowledge can be regarded as the intermediate medium between vision and language, we align the representations of the vision encoder and the language encoder through knowledge. Second, we inject knowledge into the multi-modal fusion model to enable the model to perform reasoning using knowledge as the supplementation of the input image and text. Third, we guide the model to put emphasis on the most critical information in images and texts by designing knowledge-induced pretext tasks. To perform a comprehensive evaluation and facilitate further research, we construct a medical vision-and-language benchmark including three tasks. Experimental results illustrate the effectiveness of our approach, where state-of-the-art performance is achieved on all downstream tasks. Further analyses explore the effects of different components of our approach and various settings of pre-training.

In this work, we present MedImageInsight, an open-source medical imaging embedding model. MedImageInsight is trained on medical images with associated text and labels across a diverse collection of domains, including X-Ray, CT, MRI, dermoscopy, OCT, fundus photography, ultrasound, histopathology, and mammography. Rigorous evaluations demonstrate MedImageInsight's ability to achieve state-of-the-art (SOTA) or human expert level performance across classification, image-image search, and fine-tuning tasks. Specifically, on public datasets, MedImageInsight achieves SOTA in CT 3D medical image retrieval, as well as SOTA in disease classification and search for chest X-ray, dermatology, and OCT imaging. Furthermore, MedImageInsight achieves human expert performance in bone age estimation (on both public and partner data), as well as AUC above 0.9 in most other domains. When paired with a text decoder, MedImageInsight achieves near SOTA level single image report findings generation with less than 10\% the parameters of other models. Compared to fine-tuning GPT-4o with only MIMIC-CXR data for the same task, MedImageInsight outperforms in clinical metrics, but underperforms on lexical metrics where GPT-4o sets a new SOTA. Importantly for regulatory purposes, MedImageInsight can generate ROC curves, adjust sensitivity and specificity based on clinical need, and provide evidence-based decision support through image-image search (which can also enable retrieval augmented generation). In an independent clinical evaluation of image-image search in chest X-ray, MedImageInsight outperformed every other publicly available foundation model evaluated by large margins (over 6 points AUC), and significantly outperformed other models in terms of AI fairness (across age and gender). We hope releasing MedImageInsight will help enhance collective progress in medical imaging AI research and development.

In this work, we present TextHarmony, a unified and versatile multimodal generative model proficient in comprehending and generating visual text. Simultaneously generating images and texts typically results in performance degradation due to the inherent inconsistency between vision and language modalities. To overcome this challenge, existing approaches resort to modality-specific data for supervised fine-tuning, necessitating distinct model instances. We propose Slide-LoRA, which dynamically aggregates modality-specific and modality-agnostic LoRA experts, partially decoupling the multimodal generation space. Slide-LoRA harmonizes the generation of vision and language within a singular model instance, thereby facilitating a more unified generative process. Additionally, we develop a high-quality image caption dataset, DetailedTextCaps-100K, synthesized with a sophisticated closed-source MLLM to enhance visual text generation capabilities further. Comprehensive experiments across various benchmarks demonstrate the effectiveness of the proposed approach. Empowered by Slide-LoRA, TextHarmony achieves comparable performance to modality-specific fine-tuning results with only a 2% increase in parameters and shows an average improvement of 2.5% in visual text comprehension tasks and 4.0% in visual text generation tasks. Our work delineates the viability of an integrated approach to multimodal generation within the visual text domain, setting a foundation for subsequent inquiries.

This short technical report demonstrates a simple technique that yields state of the art results in medical image-text matching tasks. We analyze the use of OpenAI's CLIP, a general image-text matching model, and observe that CLIP's limited textual input size has negative impact on downstream performance in the medical domain where encoding longer textual contexts is often required. We thus train and release ClipMD, which is trained with a simple sliding window technique to encode textual captions. ClipMD was tested on two medical image-text datasets and compared with other image-text matching models. The results show that ClipMD outperforms other models on both datasets by a large margin. We make our code and pretrained model publicly available.

Large datasets of paired images and text have become increasingly popular for learning generic representations for vision and vision-and-language tasks. Such datasets have been built by querying search engines or collecting HTML alt-text -- since web data is noisy, they require complex filtering pipelines to maintain quality. We explore alternate data sources to collect high quality data with minimal filtering. We introduce RedCaps -- a large-scale dataset of 12M image-text pairs collected from Reddit. Images and captions from Reddit depict and describe a wide variety of objects and scenes. We collect data from a manually curated set of subreddits, which give coarse image labels and allow us to steer the dataset composition without labeling individual instances. We show that captioning models trained on RedCaps produce rich and varied captions preferred by humans, and learn visual representations that transfer to many downstream tasks.

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

The advent of multimodal learning has brought a significant improvement in document AI. Documents are now treated as multimodal entities, incorporating both textual and visual information for downstream analysis. However, works in this space are often focused on the textual aspect, using the visual space as auxiliary information. While some works have explored pure vision based techniques for document image understanding, they require OCR identified text as input during inference, or do not align with text in their learning procedure. Therefore, we present a novel image-text alignment technique specially designed for leveraging the textual information in document images to improve performance on visual tasks. Our document encoder model DoPTA - trained with this technique demonstrates strong performance on a wide range of document image understanding tasks, without requiring OCR during inference. Combined with an auxiliary reconstruction objective, DoPTA consistently outperforms larger models, while using significantly lesser pre-training compute. DoPTA also sets new state-of-the art results on D4LA, and FUNSD, two challenging document visual analysis benchmarks.

Deep learning has enabled the development of highly robust foundation models for various pathological tasks across diverse diseases and patient cohorts. Among these models, vision-language pre-training, which leverages large-scale paired data to align pathology image and text embedding spaces, and provides a novel zero-shot paradigm for downstream tasks. However, existing models have been primarily data-driven and lack the incorporation of domain-specific knowledge, which limits their performance in cancer diagnosis, especially for rare tumor subtypes. To address this limitation, we establish a Knowledge-enhanced Pathology (KEEP) foundation model that harnesses disease knowledge to facilitate vision-language pre-training. Specifically, we first construct a disease knowledge graph (KG) that covers 11,454 human diseases with 139,143 disease attributes, including synonyms, definitions, and hypernym relations. We then systematically reorganize the millions of publicly available noisy pathology image-text pairs, into 143K well-structured semantic groups linked through the hierarchical relations of the disease KG. To derive more nuanced image and text representations, we propose a novel knowledge-enhanced vision-language pre-training approach that integrates disease knowledge into the alignment within hierarchical semantic groups instead of unstructured image-text pairs. Validated on 18 diverse benchmarks with more than 14,000 whole slide images (WSIs), KEEP achieves state-of-the-art performance in zero-shot cancer diagnostic tasks. Notably, for cancer detection, KEEP demonstrates an average sensitivity of 89.8% at a specificity of 95.0% across 7 cancer types. For cancer subtyping, KEEP achieves a median balanced accuracy of 0.456 in subtyping 30 rare brain cancers, indicating strong generalizability for diagnosing rare tumors.

Detection and recognition of text in natural images are two main problems in the field of computer vision that have a wide variety of applications in analysis of sports videos, autonomous driving, industrial automation, to name a few. They face common challenging problems that are factors in how text is represented and affected by several environmental conditions. The current state-of-the-art scene text detection and/or recognition methods have exploited the witnessed advancement in deep learning architectures and reported a superior accuracy on benchmark datasets when tackling multi-resolution and multi-oriented text. However, there are still several remaining challenges affecting text in the wild images that cause existing methods to underperform due to there models are not able to generalize to unseen data and the insufficient labeled data. Thus, unlike previous surveys in this field, the objectives of this survey are as follows: first, offering the reader not only a review on the recent advancement in scene text detection and recognition, but also presenting the results of conducting extensive experiments using a unified evaluation framework that assesses pre-trained models of the selected methods on challenging cases, and applies the same evaluation criteria on these techniques. Second, identifying several existing challenges for detecting or recognizing text in the wild images, namely, in-plane-rotation, multi-oriented and multi-resolution text, perspective distortion, illumination reflection, partial occlusion, complex fonts, and special characters. Finally, the paper also presents insight into the potential research directions in this field to address some of the mentioned challenges that are still encountering scene text detection and recognition techniques.

While an important problem in the vision community is to design algorithms that can automatically caption images, few publicly-available datasets for algorithm development directly address the interests of real users. Observing that people who are blind have relied on (human-based) image captioning services to learn about images they take for nearly a decade, we introduce the first image captioning dataset to represent this real use case. This new dataset, which we call VizWiz-Captions, consists of over 39,000 images originating from people who are blind that are each paired with five captions. We analyze this dataset to (1) characterize the typical captions, (2) characterize the diversity of content found in the images, and (3) compare its content to that found in eight popular vision datasets. We also analyze modern image captioning algorithms to identify what makes this new dataset challenging for the vision community. We publicly-share the dataset with captioning challenge instructions at https://vizwiz.org

Learning visual representations of medical images (e.g., X-rays) is core to medical image understanding but its progress has been held back by the scarcity of human annotations. Existing work commonly relies on fine-tuning weights transferred from ImageNet pretraining, which is suboptimal due to drastically different image characteristics, or rule-based label extraction from the textual report data paired with medical images, which is inaccurate and hard to generalize. Meanwhile, several recent studies show exciting results from unsupervised contrastive learning from natural images, but we find these methods help little on medical images because of their high inter-class similarity. We propose ConVIRT, an alternative unsupervised strategy to learn medical visual representations by exploiting naturally occurring paired descriptive text. Our new method of pretraining medical image encoders with the paired text data via a bidirectional contrastive objective between the two modalities is domain-agnostic, and requires no additional expert input. We test ConVIRT by transferring our pretrained weights to 4 medical image classification tasks and 2 zero-shot retrieval tasks, and show that it leads to image representations that considerably outperform strong baselines in most settings. Notably, in all 4 classification tasks, our method requires only 10\% as much labeled training data as an ImageNet initialized counterpart to achieve better or comparable performance, demonstrating superior data efficiency.

Fundus images are widely used for diagnosing various eye diseases, such as diabetic retinopathy, glaucoma, and age-related macular degeneration. However, manual analysis of fundus images is time-consuming and prone to errors. In this report, we propose a novel method for fundus detection using object detection and machine learning classification techniques. We use a YOLO_V8 to perform object detection on fundus images and locate the regions of interest (ROIs) such as optic disc, optic cup and lesions. We then use machine learning SVM classification algorithms to classify the ROIs into different DR stages based on the presence or absence of pathological signs such as exudates, microaneurysms, and haemorrhages etc. Our method achieves 84% accuracy and efficiency for fundus detection and can be applied for retinal fundus disease triage, especially in remote areas around the world.

Image-Text matching (ITM) is a common task for evaluating the quality of Vision and Language (VL) models. However, existing ITM benchmarks have a significant limitation. They have many missing correspondences, originating from the data construction process itself. For example, a caption is only matched with one image although the caption can be matched with other similar images and vice versa. To correct the massive false negatives, we construct the Extended COCO Validation (ECCV) Caption dataset by supplying the missing associations with machine and human annotators. We employ five state-of-the-art ITM models with diverse properties for our annotation process. Our dataset provides x3.6 positive image-to-caption associations and x8.5 caption-to-image associations compared to the original MS-COCO. We also propose to use an informative ranking-based metric mAP@R, rather than the popular Recall@K (R@K). We re-evaluate the existing 25 VL models on existing and proposed benchmarks. Our findings are that the existing benchmarks, such as COCO 1K R@K, COCO 5K R@K, CxC R@1 are highly correlated with each other, while the rankings change when we shift to the ECCV mAP@R. Lastly, we delve into the effect of the bias introduced by the choice of machine annotator. Source code and dataset are available at https://github.com/naver-ai/eccv-caption

Subject-driven text-to-image diffusion models empower users to tailor the model to new concepts absent in the pre-training dataset using a few sample images. However, prevalent subject-driven models primarily rely on single-concept input images, facing challenges in specifying the target concept when dealing with multi-concept input images. To this end, we introduce a textual localized text-to-image model (Texual Localization) to handle multi-concept input images. During fine-tuning, our method incorporates a novel cross-attention guidance to decompose multiple concepts, establishing distinct connections between the visual representation of the target concept and the identifier token in the text prompt. Experimental results reveal that our method outperforms or performs comparably to the baseline models in terms of image fidelity and image-text alignment on multi-concept input images. In comparison to Custom Diffusion, our method with hard guidance achieves CLIP-I scores that are 7.04%, 8.13% higher and CLIP-T scores that are 2.22%, 5.85% higher in single-concept and multi-concept generation, respectively. Notably, our method generates cross-attention maps consistent with the target concept in the generated images, a capability absent in existing models.

Training text-to-image models with web scale image-text pairs enables the generation of a wide range of visual concepts from text. However, these pre-trained models often face challenges when it comes to generating highly aesthetic images. This creates the need for aesthetic alignment post pre-training. In this paper, we propose quality-tuning to effectively guide a pre-trained model to exclusively generate highly visually appealing images, while maintaining generality across visual concepts. Our key insight is that supervised fine-tuning with a set of surprisingly small but extremely visually appealing images can significantly improve the generation quality. We pre-train a latent diffusion model on 1.1 billion image-text pairs and fine-tune it with only a few thousand carefully selected high-quality images. The resulting model, Emu, achieves a win rate of 82.9% compared with its pre-trained only counterpart. Compared to the state-of-the-art SDXLv1.0, Emu is preferred 68.4% and 71.3% of the time on visual appeal on the standard PartiPrompts and our Open User Input benchmark based on the real-world usage of text-to-image models. In addition, we show that quality-tuning is a generic approach that is also effective for other architectures, including pixel diffusion and masked generative transformer models.

Aligning visual features with language embeddings is a key challenge in vision-language models (VLMs). The performance of such models hinges on having a good connector that maps visual features generated by a vision encoder to a shared embedding space with the LLM while preserving semantic similarity. Existing connectors, such as multilayer perceptrons (MLPs), often produce out-of-distribution or noisy inputs, leading to misalignment between the modalities. In this work, we propose a novel vision-text alignment method, AlignVLM, that maps visual features to a weighted average of LLM text embeddings. Our approach leverages the linguistic priors encoded by the LLM to ensure that visual features are mapped to regions of the space that the LLM can effectively interpret. AlignVLM is particularly effective for document understanding tasks, where scanned document images must be accurately mapped to their textual content. Our extensive experiments show that AlignVLM achieves state-of-the-art performance compared to prior alignment methods. We provide further analysis demonstrating improved vision-text feature alignment and robustness to noise.

We study the task of extending the large language model (LLM) into a vision-language instruction-following model. This task is crucial but challenging since the LLM is trained on text modality only, making it hard to effectively digest the visual modality. To address this, existing methods typically train a visual adapter to align the representation between a pre-trained vision transformer (ViT) and the LLM by a generative image captioning loss. However, we find that the generative objective can only produce weak alignment for vision and language, making the aligned vision-language model very hungry for the instruction fine-tuning data. In this paper, we propose CG-VLM that applies both Contrastive and Generative alignment objectives to effectively align the representation of ViT and LLM. Different from image level and sentence level alignment in common contrastive learning settings, CG-VLM aligns the image-patch level features and text-token level embeddings, which, however, is very hard to achieve as no explicit grounding patch-token relation provided in standard image captioning datasets. To address this issue, we propose to maximize the averaged similarity between pooled image-patch features and text-token embeddings. Extensive experiments demonstrate that the proposed CG-VLM produces strong vision-language alignment and is an efficient instruction learner. For example, using only 10% instruction tuning data, we reach 95% performance of state-of-the-art method LLaVA [29] on the zero-shot ScienceQA-Image benchmark.

While recent advancements in generative modeling have significantly improved text-image alignment, some residual misalignment between text and image representations still remains. Although many approaches have attempted to address this issue by fine-tuning models using various reward models, etc., we revisit the challenge from the perspective of representation alignment-an approach that has gained popularity with the success of REPresentation Alignment (REPA). We first argue that conventional text-to-image (T2I) diffusion models, typically trained on paired image and text data (i.e., positive pairs) by minimizing score matching or flow matching losses, is suboptimal from the standpoint of representation alignment. Instead, a better alignment can be achieved through contrastive learning that leverages both positive and negative pairs. To achieve this efficiently even with pretrained models, we introduce a lightweight contrastive fine tuning strategy called SoftREPA that uses soft text tokens. This approach improves alignment with minimal computational overhead by adding fewer than 1M trainable parameters to the pretrained model. Our theoretical analysis demonstrates that our method explicitly increases the mutual information between text and image representations, leading to enhanced semantic consistency. Experimental results across text-to-image generation and text-guided image editing tasks validate the effectiveness of our approach in improving the semantic consistency of T2I generative models.

Scene text image super-resolution (STISR) enhances the resolution and quality of low-resolution images. Unlike previous studies that treated scene text images as natural images, recent methods using a text prior (TP), extracted from a pre-trained text recognizer, have shown strong performance. However, two major issues emerge: (1) Explicit categorical priors, like TP, can negatively impact STISR if incorrect. We reveal that these explicit priors are unstable and propose replacing them with Non-CAtegorical Prior (NCAP) using penultimate layer representations. (2) Pre-trained recognizers used to generate TP struggle with low-resolution images. To address this, most studies jointly train the recognizer with the STISR network to bridge the domain gap between low- and high-resolution images, but this can cause an overconfidence phenomenon in the prior modality. We highlight this issue and propose a method to mitigate it by mixing hard and soft labels. Experiments on the TextZoom dataset demonstrate an improvement by 3.5%, while our method significantly enhances generalization performance by 14.8\% across four text recognition datasets. Our method generalizes to all TP-guided STISR networks.

Standard practice in pretraining multimodal models, such as vision-language models, is to rely on pairs of aligned inputs from both modalities, for example, aligned image-text pairs. However, such pairs can be difficult to obtain in low-resource settings and for some modality pairs (e.g., structured tables and images). In this work, we investigate the extent to which we can reduce the reliance on such parallel data, which we term bimodal supervision, and use models that are pretrained on each modality independently. We experiment with a high-performing vision-language model, and analyze the effect of bimodal supervision on three vision-language tasks. We find that on simpler tasks, such as VQAv2 and GQA, one can eliminate bimodal supervision completely, suffering only a minor loss in performance. Conversely, for NLVR2, which requires more complex reasoning, training without bimodal supervision leads to random performance. Nevertheless, using only 5\% of the bimodal data (142K images along with their captions), or leveraging weak supervision in the form of a list of machine-generated labels for each image, leads to only a moderate degradation compared to using 3M image-text pairs: 74\%rightarrowsim70\%. Our code is available at https://github.com/eladsegal/less-bimodal-sup.

Although deep generative models have gained a lot of attention, most of the existing works are designed for unimodal generation. In this paper, we explore a new method for unconditional image-text pair generation. We design Multimodal Cross-Quantization VAE (MXQ-VAE), a novel vector quantizer for joint image-text representations, with which we discover that a joint image-text representation space is effective for semantically consistent image-text pair generation. To learn a multimodal semantic correlation in a quantized space, we combine VQ-VAE with a Transformer encoder and apply an input masking strategy. Specifically, MXQ-VAE accepts a masked image-text pair as input and learns a quantized joint representation space, so that the input can be converted to a unified code sequence, then we perform unconditional image-text pair generation with the code sequence. Extensive experiments show the correlation between the quantized joint space and the multimodal generation capability on synthetic and real-world datasets. In addition, we demonstrate the superiority of our approach in these two aspects over several baselines. The source code is publicly available at: https://github.com/ttumyche/MXQ-VAE.

Current Vision Language Models (VLMs) remain vulnerable to malicious prompts that induce harmful outputs. Existing safety benchmarks for VLMs primarily rely on automated evaluation methods, but these methods struggle to detect implicit harmful content or produce inaccurate evaluations. Therefore, we found that existing benchmarks have low levels of harmfulness, ambiguous data, and limited diversity in image-text pair combinations. To address these issues, we propose the ELITE benchmark, a high-quality safety evaluation benchmark for VLMs, underpinned by our enhanced evaluation method, the ELITE evaluator. The ELITE evaluator explicitly incorporates a toxicity score to accurately assess harmfulness in multimodal contexts, where VLMs often provide specific, convincing, but unharmful descriptions of images. We filter out ambiguous and low-quality image-text pairs from existing benchmarks using the ELITE evaluator and generate diverse combinations of safe and unsafe image-text pairs. Our experiments demonstrate that the ELITE evaluator achieves superior alignment with human evaluations compared to prior automated methods, and the ELITE benchmark offers enhanced benchmark quality and diversity. By introducing ELITE, we pave the way for safer, more robust VLMs, contributing essential tools for evaluating and mitigating safety risks in real-world applications.

We present Contrastive Feature Masking Vision Transformer (CFM-ViT) - an image-text pretraining methodology that achieves simultaneous learning of image- and region-level representation for open-vocabulary object detection (OVD). Our approach combines the masked autoencoder (MAE) objective into the contrastive learning objective to improve the representation for localization tasks. Unlike standard MAE, we perform reconstruction in the joint image-text embedding space, rather than the pixel space as is customary with the classical MAE method, which causes the model to better learn region-level semantics. Moreover, we introduce Positional Embedding Dropout (PED) to address scale variation between image-text pretraining and detection finetuning by randomly dropping out the positional embeddings during pretraining. PED improves detection performance and enables the use of a frozen ViT backbone as a region classifier, preventing the forgetting of open-vocabulary knowledge during detection finetuning. On LVIS open-vocabulary detection benchmark, CFM-ViT achieves a state-of-the-art 33.9 APr, surpassing the best approach by 7.6 points and achieves better zero-shot detection transfer. Finally, CFM-ViT acquires strong image-level representation, outperforming the state of the art on 8 out of 12 metrics on zero-shot image-text retrieval benchmarks.

Clinicians spend a significant amount of time reviewing medical images and transcribing their findings regarding patient diagnosis, referral and treatment in text form. Vision-language models (VLMs), which automatically interpret images and summarize their findings as text, have enormous potential to alleviate clinical workloads and increase patient access to high-quality medical care. While foundational models have stirred considerable interest in the medical community, it is unclear whether their general capabilities translate to real-world clinical utility. In this work, we show that foundation VLMs markedly underperform compared to practicing ophthalmologists on specialist tasks crucial to the care of patients with age-related macular degeneration (AMD). To address this, we initially identified the essential capabilities required for image-based clinical decision-making, and then developed a curriculum to selectively train VLMs in these skills. The resulting model, RetinaVLM, can be instructed to write reports that significantly outperform those written by leading foundation medical VLMs in disease staging (F1 score of 0.63 vs. 0.11) and patient referral (0.67 vs. 0.39), and approaches the diagnostic performance of junior ophthalmologists (who achieve 0.77 and 0.78 on the respective tasks). Furthermore, in a reader study involving two senior ophthalmologists with up to 32 years of experience, RetinaVLM's reports were found to be similarly correct (78.6% vs. 82.1%) and complete (both 78.6%) as reports written by junior ophthalmologists with up to 10 years of experience. These results demonstrate that our curriculum-based approach provides a blueprint for specializing generalist foundation medical VLMs to handle real-world clinical tasks.

This work introduces composed image retrieval to remote sensing. It allows to query a large image archive by image examples alternated by a textual description, enriching the descriptive power over unimodal queries, either visual or textual. Various attributes can be modified by the textual part, such as shape, color, or context. A novel method fusing image-to-image and text-to-image similarity is introduced. We demonstrate that a vision-language model possesses sufficient descriptive power and no further learning step or training data are necessary. We present a new evaluation benchmark focused on color, context, density, existence, quantity, and shape modifications. Our work not only sets the state-of-the-art for this task, but also serves as a foundational step in addressing a gap in the field of remote sensing image retrieval. Code at: https://github.com/billpsomas/rscir

Automatically determining whether a text and a corresponding image are semantically aligned is a significant challenge for vision-language models, with applications in generative text-to-image and image-to-text tasks. In this work, we study methods for automatic text-image alignment evaluation. We first introduce SeeTRUE: a comprehensive evaluation set, spanning multiple datasets from both text-to-image and image-to-text generation tasks, with human judgements for whether a given text-image pair is semantically aligned. We then describe two automatic methods to determine alignment: the first involving a pipeline based on question generation and visual question answering models, and the second employing an end-to-end classification approach by finetuning multimodal pretrained models. Both methods surpass prior approaches in various text-image alignment tasks, with significant improvements in challenging cases that involve complex composition or unnatural images. Finally, we demonstrate how our approaches can localize specific misalignments between an image and a given text, and how they can be used to automatically re-rank candidates in text-to-image generation.

Clinical decision-making relies heavily on understanding relative positions of anatomical structures and anomalies. Therefore, for Vision-Language Models (VLMs) to be applicable in clinical practice, the ability to accurately determine relative positions on medical images is a fundamental prerequisite. Despite its importance, this capability remains highly underexplored. To address this gap, we evaluate the ability of state-of-the-art VLMs, GPT-4o, Llama3.2, Pixtral, and JanusPro, and find that all models fail at this fundamental task. Inspired by successful approaches in computer vision, we investigate whether visual prompts, such as alphanumeric or colored markers placed on anatomical structures, can enhance performance. While these markers provide moderate improvements, results remain significantly lower on medical images compared to observations made on natural images. Our evaluations suggest that, in medical imaging, VLMs rely more on prior anatomical knowledge than on actual image content for answering relative position questions, often leading to incorrect conclusions. To facilitate further research in this area, we introduce the MIRP , Medical Imaging Relative Positioning, benchmark dataset, designed to systematically evaluate the capability to identify relative positions in medical images.

Establishing visual correspondences under large intra-class variations, which is often referred to as semantic correspondence or semantic matching, remains a challenging problem in computer vision. Despite its significance, however, most of the datasets for semantic correspondence are limited to a small amount of image pairs with similar viewpoints and scales. In this paper, we present a new large-scale benchmark dataset of semantically paired images, SPair-71k, which contains 70,958 image pairs with diverse variations in viewpoint and scale. Compared to previous datasets, it is significantly larger in number and contains more accurate and richer annotations. We believe this dataset will provide a reliable testbed to study the problem of semantic correspondence and will help to advance research in this area. We provide the results of recent methods on our new dataset as baselines for further research. Our benchmark is available online at http://cvlab.postech.ac.kr/research/SPair-71k/.

Text-to-image (T2I) generation has made remarkable progress in producing high-quality images, but a fundamental challenge remains: creating backgrounds that naturally accommodate text placement without compromising image quality. This capability is non-trivial for real-world applications like graphic design, where clear visual hierarchy between content and text is essential. Prior work has primarily focused on arranging layouts within existing static images, leaving unexplored the potential of T2I models for generating text-friendly backgrounds. We present TextCenGen, a training-free dynamic background adaptation in the blank region for text-friendly image generation. Instead of directly reducing attention in text areas, which degrades image quality, we relocate conflicting objects before background optimization. Our method analyzes cross-attention maps to identify conflicting objects overlapping with text regions and uses a force-directed graph approach to guide their relocation, followed by attention excluding constraints to ensure smooth backgrounds. Our method is plug-and-play, requiring no additional training while well balancing both semantic fidelity and visual quality. Evaluated on our proposed text-friendly T2I benchmark of 27,000 images across four seed datasets, TextCenGen outperforms existing methods by achieving 23% lower saliency overlap in text regions while maintaining 98% of the semantic fidelity measured by CLIP score and our proposed Visual-Textual Concordance Metric (VTCM).

Image-text matching remains a challenging task due to heterogeneous semantic diversity across modalities and insufficient distance separability within triplets. Different from previous approaches focusing on enhancing multi-modal representations or exploiting cross-modal correspondence for more accurate retrieval, in this paper we aim to leverage the knowledge transfer between peer branches in a boosting manner to seek a more powerful matching model. Specifically, we propose a brand-new Deep Boosting Learning (DBL) algorithm, where an anchor branch is first trained to provide insights into the data properties, with a target branch gaining more advanced knowledge to develop optimal features and distance metrics. Concretely, an anchor branch initially learns the absolute or relative distance between positive and negative pairs, providing a foundational understanding of the particular network and data distribution. Building upon this knowledge, a target branch is concurrently tasked with more adaptive margin constraints to further enlarge the relative distance between matched and unmatched samples. Extensive experiments validate that our DBL can achieve impressive and consistent improvements based on various recent state-of-the-art models in the image-text matching field, and outperform related popular cooperative strategies, e.g., Conventional Distillation, Mutual Learning, and Contrastive Learning. Beyond the above, we confirm that DBL can be seamlessly integrated into their training scenarios and achieve superior performance under the same computational costs, demonstrating the flexibility and broad applicability of our proposed method. Our code is publicly available at: https://github.com/Paranioar/DBL.

Large multimodal language models have demonstrated impressive capabilities in understanding and manipulating images. However, many of these models struggle with comprehending intensive textual contents embedded within the images, primarily due to the limited text recognition and layout understanding ability. To understand the sources of these limitations, we perform an exploratory analysis showing the drawbacks of classical visual encoders on visual text understanding. Hence, we present LLaVA-Read, a multimodal large language model that utilizes dual visual encoders along with a visual text encoder. Our model surpasses existing state-of-the-art models in various text-rich image understanding tasks, showcasing enhanced comprehension of textual content within images. Together, our research suggests visual text understanding remains an open challenge and an efficient visual text encoder is crucial for future successful multimodal systems.

Large multimodal models (LMMs) have demonstrated impressive capabilities in understanding various types of image, including text-rich images. Most existing text-rich image benchmarks are simple extraction-based question answering, and many LMMs now easily achieve high scores. This means that current benchmarks fail to accurately reflect performance of different models, and a natural idea is to build a new benchmark to evaluate their complex reasoning and spatial understanding abilities. In this work, we propose the Multi-Modal Reading (MMR) benchmark in 11 diverse tasks to evaluate LMMs for text-rich image understanding. MMR is the first text-rich image benchmark built on human annotations with the help of language models. By evaluating several state-of-the-art LMMs, including GPT-4o, it reveals the limited capabilities of existing LMMs underscoring the value of our benchmark.

Vision Transformers (ViTs) have emerged as the dominant architecture for visual processing tasks, demonstrating excellent scalability with increased training data and model size. However, recent work has identified the emergence of artifact tokens in ViTs that are incongruous with the local semantics. These anomalous tokens degrade ViT performance in tasks that require fine-grained localization or structural coherence. An effective mitigation of this issue is to the addition of register tokens to ViTs, which implicitly "absorb" the artifact term during training. Given the availability of various large-scale pre-trained ViTs, in this paper we aim at equipping them with such register tokens without the need of re-training them from scratch, which is infeasible considering their size. Specifically, we propose Post Hoc Registers (PH-Reg), an efficient self-distillation method that integrates registers into an existing ViT without requiring additional labeled data and full retraining. PH-Reg initializes both teacher and student networks from the same pre-trained ViT. The teacher remains frozen and unmodified, while the student is augmented with randomly initialized register tokens. By applying test-time augmentation to the teacher's inputs, we generate denoised dense embeddings free of artifacts, which are then used to optimize only a small subset of unlocked student weights. We show that our approach can effectively reduce the number of artifact tokens, improving the segmentation and depth prediction of the student ViT under zero-shot and linear probing.

Given the remarkable success that large visual language models (LVLMs) have achieved in image perception tasks, the endeavor to make LVMLs perceive the world like humans is drawing increasing attention. Current multi-modal benchmarks mainly focus on the objective fact or certain topic related potential knowledge within a image, but overlook the associative relations between multiple images. Therefore, we define a multi-image relation association task, and meticulously curate MMRA benchmark, a Multi-granularity Multi-image Relational Association benchmark, consisted of 1026 samples. In order to systematically and comprehensively evaluate mainstream LVLMs, we establish an associational relation system among images that contain 11 subtasks (e.g, UsageSimilarity, SubEvent, etc.) at two granularity levels (i.e., "image" and "entity") according to the relations in ConceptNet. Our experiments demonstrate that, on our MMRA benchmark, current mainstream LVLMs all have their own advantages and disadvantages across different subtasks. It is worth noting that, at the entity level, the performance of all models is worse than that of them at the image level, indicating that the fine-grained multi-image perception task is still challenging for LVLMs. The tasks related to spatial perception are relatively difficult for LVLMs to handle. Furthermore, we find that LVMLs exhibit a good ability to perceive image details, and the key to enhancing their multi-image association capability is to strengthen the reasoning ability of their language model component. All our codes and data are released at htthttps://github.com/Wusiwei0410/MMRA.

While advancements in Vision Language Models (VLMs) have significantly improved the alignment of visual and textual data, these models primarily focus on aligning images with short descriptive captions. This focus limits their ability to handle complex text interactions, particularly with longer texts such as lengthy captions or documents, which have not been extensively explored yet. In this paper, we introduce Meet At The Embedding (MATE), a novel approach that combines the capabilities of VLMs with Large Language Models (LLMs) to overcome this challenge without the need for additional image-long text pairs. Specifically, we replace the text encoder of the VLM with a pretrained LLM-based encoder that excels in understanding long texts. To bridge the gap between VLM and LLM, MATE incorporates a projection module that is trained in a multi-stage manner. It starts by aligning the embeddings from the VLM text encoder with those from the LLM using extensive text pairs. This module is then employed to seamlessly align image embeddings closely with LLM embeddings. We propose two new cross-modal retrieval benchmarks to assess the task of connecting images with long texts (lengthy captions / documents). Extensive experimental results demonstrate that MATE effectively connects images with long texts, uncovering diverse semantic relationships.

In this paper, we introduce the task of automatically generating text to describe the differences between two similar images. We collect a new dataset by crowd-sourcing difference descriptions for pairs of image frames extracted from video-surveillance footage. Annotators were asked to succinctly describe all the differences in a short paragraph. As a result, our novel dataset provides an opportunity to explore models that align language and vision, and capture visual salience. The dataset may also be a useful benchmark for coherent multi-sentence generation. We perform a firstpass visual analysis that exposes clusters of differing pixels as a proxy for object-level differences. We propose a model that captures visual salience by using a latent variable to align clusters of differing pixels with output sentences. We find that, for both single-sentence generation and as well as multi-sentence generation, the proposed model outperforms the models that use attention alone.

One of the major challenges in training text-to-image generation models is the need of a large number of high-quality image-text pairs. While image samples are often easily accessible, the associated text descriptions typically require careful human captioning, which is particularly time- and cost-consuming. In this paper, we propose the first work to train text-to-image generation models without any text data. Our method leverages the well-aligned multi-modal semantic space of the powerful pre-trained CLIP model: the requirement of text-conditioning is seamlessly alleviated via generating text features from image features. Extensive experiments are conducted to illustrate the effectiveness of the proposed method. We obtain state-of-the-art results in the standard text-to-image generation tasks. Importantly, the proposed language-free model outperforms most existing models trained with full image-text pairs. Furthermore, our method can be applied in fine-tuning pre-trained models, which saves both training time and cost in training text-to-image generation models. Our pre-trained model obtains competitive results in zero-shot text-to-image generation on the MS-COCO dataset, yet with around only 1% of the model size and training data size relative to the recently proposed large DALL-E model.

We introduce EXAMS-V, a new challenging multi-discipline multimodal multilingual exam benchmark for evaluating vision language models. It consists of 20,932 multiple-choice questions across 20 school disciplines covering natural science, social science, and other miscellaneous studies, e.g., religion, fine arts, business, etc. EXAMS-V includes a variety of multimodal features such as text, images, tables, figures, diagrams, maps, scientific symbols, and equations. The questions come in 11 languages from 7 language families. Unlike existing benchmarks, EXAMS-V is uniquely curated by gathering school exam questions from various countries, with a variety of education systems. This distinctive approach calls for intricate reasoning across diverse languages and relies on region-specific knowledge. Solving the problems in the dataset requires advanced perception and joint reasoning over the text and the visual content of the image. Our evaluation results demonstrate that this is a challenging dataset, which is difficult even for advanced vision-text models such as GPT-4V and Gemini; this underscores the inherent complexity of the dataset and its significance as a future benchmark.

Effectively representing medical images, especially retinal images, presents a considerable challenge due to variations in appearance, size, and contextual information of pathological signs called lesions. Precise discrimination of these lesions is crucial for diagnosing vision-threatening issues such as diabetic retinopathy. While visual attention-based neural networks have been introduced to learn spatial context and channel correlations from retinal images, they often fall short in capturing localized lesion context. Addressing this limitation, we propose a novel attention mechanism called Guided Context Gating, an unique approach that integrates Context Formulation, Channel Correlation, and Guided Gating to learn global context, spatial correlations, and localized lesion context. Our qualitative evaluation against existing attention mechanisms emphasize the superiority of Guided Context Gating in terms of explainability. Notably, experiments on the Zenodo-DR-7 dataset reveal a substantial 2.63% accuracy boost over advanced attention mechanisms & an impressive 6.53% improvement over the state-of-the-art Vision Transformer for assessing the severity grade of retinopathy, even with imbalanced and limited training samples for each class.

Vision Transformer (ViT) based Vision-Language Pre-training (VLP) models have demonstrated impressive performance in various tasks. However, the lengthy visual token sequences fed into ViT can lead to training inefficiency and ineffectiveness. Existing efforts address the challenge by either bottom-level patch extraction in the ViT backbone or top-level patch abstraction outside, not balancing training efficiency and effectiveness well. Inspired by text summarization in natural language processing, we propose a Bottom-Up Patch Summarization approach named BUS, coordinating bottom-level extraction and top-level abstraction to learn a concise summary of lengthy visual token sequences efficiently. Specifically, We incorporate a Text-Semantics-Aware Patch Selector (TSPS) into the ViT backbone to perform a coarse-grained visual token extraction and then attach a flexible Transformer-based Patch Abstraction Decoder (PAD) upon the backbone for top-level visual abstraction. This bottom-up collaboration enables our BUS to yield high training efficiency while maintaining or even improving effectiveness. We evaluate our approach on various visual-language understanding and generation tasks and show competitive downstream task performance while boosting the training efficiency by 50\%. Additionally, our model achieves state-of-the-art performance on many downstream tasks by increasing input image resolution without increasing computational costs over baselines.

Recently, vision model pre-training has evolved from relying on manually annotated datasets to leveraging large-scale, web-crawled image-text data. Despite these advances, there is no pre-training method that effectively exploits the interleaved image-text data, which is very prevalent on the Internet. Inspired by the recent success of compression learning in natural language processing, we propose a novel vision model pre-training method called Latent Compression Learning (LCL) for interleaved image-text data. This method performs latent compression learning by maximizing the mutual information between the inputs and outputs of a causal attention model. The training objective can be decomposed into two basic tasks: 1) contrastive learning between visual representation and preceding context, and 2) generating subsequent text based on visual representation. Our experiments demonstrate that our method not only matches the performance of CLIP on paired pre-training datasets (e.g., LAION), but can also leverage interleaved pre-training data (e.g., MMC4) to learn robust visual representation from scratch, showcasing the potential of vision model pre-training with interleaved image-text data. Code is released at https://github.com/OpenGVLab/LCL.

Evaluating image-text alignment while reflecting human preferences across multiple aspects is a significant issue for the development of reliable vision-language applications. It becomes especially crucial in real-world scenarios where multiple valid descriptions exist depending on contexts or user needs. However, research progress is hindered by the lack of comprehensive benchmarks and existing evaluation predictors lacking at least one of these key properties: (1) Alignment with human judgments, (2) Long-sequence processing, (3) Inference efficiency, and (4) Applicability to multi-objective scoring. To address these challenges, we propose a plug-and-play architecture to build a robust predictor, MULTI-TAP (Multi-Objective Task-Aware Predictor), capable of both multi and single-objective scoring. MULTI-TAP can produce a single overall score, utilizing a reward head built on top of a large vision-language model (LVLMs). We show that MULTI-TAP is robust in terms of application to different LVLM architectures, achieving significantly higher performance than existing metrics and even on par with the GPT-4o-based predictor, G-VEval, with a smaller size (7-8B). By training a lightweight ridge regression layer on the frozen hidden states of a pre-trained LVLM, MULTI-TAP can produce fine-grained scores for multiple human-interpretable objectives. MULTI-TAP performs better than VisionREWARD, a high-performing multi-objective reward model, in both performance and efficiency on multi-objective benchmarks and our newly released text-image-to-text dataset, EYE4ALL. Our new dataset, consisting of chosen/rejected human preferences (EYE4ALLPref) and human-annotated fine-grained scores across seven dimensions (EYE4ALLMulti), can serve as a foundation for developing more accessible AI systems by capturing the underlying preferences of users, including blind and low-vision (BLV) individuals.

Unsupervised large-scale vision-language pre-training has shown promising advances on various downstream tasks. Existing methods often model the cross-modal interaction either via the similarity of the global feature of each modality which misses sufficient information, or finer-grained interactions using cross/self-attention upon visual and textual tokens. However, cross/self-attention suffers from inferior efficiency in both training and inference. In this paper, we introduce a large-scale Fine-grained Interactive Language-Image Pre-training (FILIP) to achieve finer-level alignment through a cross-modal late interaction mechanism, which uses a token-wise maximum similarity between visual and textual tokens to guide the contrastive objective. FILIP successfully leverages the finer-grained expressiveness between image patches and textual words by modifying only contrastive loss, while simultaneously gaining the ability to pre-compute image and text representations offline at inference, keeping both large-scale training and inference efficient. Furthermore, we construct a new large-scale image-text pair dataset called FILIP300M for pre-training. Experiments show that FILIP achieves state-of-the-art performance on multiple downstream vision-language tasks including zero-shot image classification and image-text retrieval. The visualization on word-patch alignment further shows that FILIP can learn meaningful fine-grained features with promising localization ability.

This paper addresses text-supervised semantic segmentation, aiming to learn a model capable of segmenting arbitrary visual concepts within images by using only image-text pairs without dense annotations. Existing methods have demonstrated that contrastive learning on image-text pairs effectively aligns visual segments with the meanings of texts. We notice that there is a discrepancy between text alignment and semantic segmentation: A text often consists of multiple semantic concepts, whereas semantic segmentation strives to create semantically homogeneous segments. To address this issue, we propose a novel framework, Image-Text Co-Decomposition (CoDe), where the paired image and text are jointly decomposed into a set of image regions and a set of word segments, respectively, and contrastive learning is developed to enforce region-word alignment. To work with a vision-language model, we present a prompt learning mechanism that derives an extra representation to highlight an image segment or a word segment of interest, with which more effective features can be extracted from that segment. Comprehensive experimental results demonstrate that our method performs favorably against existing text-supervised semantic segmentation methods on six benchmark datasets.

Few images on the Web receive alt-text descriptions that would make them accessible to blind and low vision (BLV) users. Image-based NLG systems have progressed to the point where they can begin to address this persistent societal problem, but these systems will not be fully successful unless we evaluate them on metrics that guide their development correctly. Here, we argue against current referenceless metrics -- those that don't rely on human-generated ground-truth descriptions -- on the grounds that they do not align with the needs of BLV users. The fundamental shortcoming of these metrics is that they do not take context into account, whereas contextual information is highly valued by BLV users. To substantiate these claims, we present a study with BLV participants who rated descriptions along a variety of dimensions. An in-depth analysis reveals that the lack of context-awareness makes current referenceless metrics inadequate for advancing image accessibility. As a proof-of-concept, we provide a contextual version of the referenceless metric CLIPScore which begins to address the disconnect to the BLV data. An accessible HTML version of this paper is available at https://elisakreiss.github.io/contextual-description-evaluation/paper/reflessmetrics.html

Pre-trained representations are becoming crucial for many NLP and perception tasks. While representation learning in NLP has transitioned to training on raw text without human annotations, visual and vision-language representations still rely heavily on curated training datasets that are expensive or require expert knowledge. For vision applications, representations are mostly learned using datasets with explicit class labels such as ImageNet or OpenImages. For vision-language, popular datasets like Conceptual Captions, MSCOCO, or CLIP all involve a non-trivial data collection (and cleaning) process. This costly curation process limits the size of datasets and hence hinders the scaling of trained models. In this paper, we leverage a noisy dataset of over one billion image alt-text pairs, obtained without expensive filtering or post-processing steps in the Conceptual Captions dataset. A simple dual-encoder architecture learns to align visual and language representations of the image and text pairs using a contrastive loss. We show that the scale of our corpus can make up for its noise and leads to state-of-the-art representations even with such a simple learning scheme. Our visual representation achieves strong performance when transferred to classification tasks such as ImageNet and VTAB. The aligned visual and language representations enables zero-shot image classification and also set new state-of-the-art results on Flickr30K and MSCOCO image-text retrieval benchmarks, even when compared with more sophisticated cross-attention models. The representations also enable cross-modality search with complex text and text + image queries.

Recent vision-language models outperform vision-only models on many image classification tasks. However, because of the absence of paired text/image descriptions, it remains difficult to fine-tune these models for fine-grained image classification. In this work, we propose a method, GIST, for generating image-specific fine-grained text descriptions from image-only datasets, and show that these text descriptions can be used to improve classification. Key parts of our method include 1. prompting a pretrained large language model with domain-specific prompts to generate diverse fine-grained text descriptions for each class and 2. using a pretrained vision-language model to match each image to label-preserving text descriptions that capture relevant visual features in the image. We demonstrate the utility of GIST by fine-tuning vision-language models on the image-and-generated-text pairs to learn an aligned vision-language representation space for improved classification. We evaluate our learned representation space in full-shot and few-shot scenarios across four diverse fine-grained classification datasets, each from a different domain. Our method achieves an average improvement of 4.1% in accuracy over CLIP linear probes and an average of 1.1% improvement in accuracy over the previous state-of-the-art image-text classification method on the full-shot datasets. Our method achieves similar improvements across few-shot regimes. Code is available at https://github.com/emu1729/GIST.

Image captioning is a central task in computer vision which has experienced substantial progress following the advent of vision-language pre-training techniques. In this paper, we highlight a frequently overlooked limitation of captioning models that often fail to capture semantically significant elements. This drawback can be traced back to the text-image datasets; while their captions typically offer a general depiction of image content, they frequently omit salient details. To mitigate this limitation, we propose FuseCap - a novel method for enriching captions with additional visual information, obtained from vision experts, such as object detectors, attribute recognizers, and Optical Character Recognizers (OCR). Our approach fuses the outputs of such vision experts with the original caption using a large language model (LLM), yielding enriched captions that present a comprehensive image description. We validate the effectiveness of the proposed caption enrichment method through both quantitative and qualitative analysis. Our method is then used to curate the training set of a captioning model based BLIP which surpasses current state-of-the-art approaches in generating accurate and detailed captions while using significantly fewer parameters and training data. As additional contributions, we provide a dataset comprising of 12M image-enriched caption pairs and show that the proposed method largely improves image-text retrieval.

Generating images with embedded text is crucial for the automatic production of visual and multimodal documents, such as educational materials and advertisements. However, existing diffusion-based text-to-image models often struggle to accurately embed text within images, facing challenges in spelling accuracy, contextual relevance, and visual coherence. Evaluating the ability of such models to embed text within a generated image is complicated due to the lack of comprehensive benchmarks. In this work, we introduce TextInVision, a large-scale, text and prompt complexity driven benchmark designed to evaluate the ability of diffusion models to effectively integrate visual text into images. We crafted a diverse set of prompts and texts that consider various attributes and text characteristics. Additionally, we prepared an image dataset to test Variational Autoencoder (VAE) models across different character representations, highlighting that VAE architectures can also pose challenges in text generation within diffusion frameworks. Through extensive analysis of multiple models, we identify common errors and highlight issues such as spelling inaccuracies and contextual mismatches. By pinpointing the failure points across different prompts and texts, our research lays the foundation for future advancements in AI-generated multimodal content.

Image representations are often evaluated through disjointed, task-specific protocols, leading to a fragmented understanding of model capabilities. For instance, it is unclear whether an image embedding model adept at clustering images is equally good at retrieving relevant images given a piece of text. We introduce the Massive Image Embedding Benchmark (MIEB) to evaluate the performance of image and image-text embedding models across the broadest spectrum to date. MIEB spans 38 languages across 130 individual tasks, which we group into 8 high-level categories. We benchmark 50 models across our benchmark, finding that no single method dominates across all task categories. We reveal hidden capabilities in advanced vision models such as their accurate visual representation of texts, and their yet limited capabilities in interleaved encodings and matching images and texts in the presence of confounders. We also show that the performance of vision encoders on MIEB correlates highly with their performance when used in multimodal large language models. Our code, dataset, and leaderboard are publicly available at https://github.com/embeddings-benchmark/mteb.

Vision-language models (VLMs) discriminatively pre-trained with contrastive image-text matching losses such as P(match|text, image) have been criticized for lacking compositional understanding. This means they might output similar scores even if the original caption is rearranged into a different semantic statement. To address this, we propose to use the {bf V}isual {bf G}enerative {bf P}re-{bf T}raining Score ({bf VisualGPTScore}) of P(text|image), a multimodal generative score that captures the likelihood of a text caption conditioned on an image using an image-conditioned language model. Contrary to the belief that VLMs are mere bag-of-words models, our off-the-shelf VisualGPTScore demonstrates top-tier performance on recently proposed image-text retrieval benchmarks like ARO and Crepe that assess compositional reasoning. Furthermore, we factorize VisualGPTScore into a product of the marginal P(text) and the Pointwise Mutual Information (PMI). This helps to (a) diagnose datasets with strong language bias, and (b) debias results on other benchmarks like Winoground using an information-theoretic framework. VisualGPTScore provides valuable insights and serves as a strong baseline for future evaluation of visio-linguistic compositionality.

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

Over the past few years, the advancement of Multimodal Large Language Models (MLLMs) has captured the wide interest of researchers, leading to numerous innovations to enhance MLLMs' comprehension. In this paper, we present AdaptVision, a multimodal large language model specifically designed to dynamically process input images at varying resolutions. We hypothesize that the requisite number of visual tokens for the model is contingent upon both the resolution and content of the input image. Generally, natural images with a lower information density can be effectively interpreted by the model using fewer visual tokens at reduced resolutions. In contrast, images containing textual content, such as documents with rich text, necessitate a higher number of visual tokens for accurate text interpretation due to their higher information density. Building on this insight, we devise a dynamic image partitioning module that adjusts the number of visual tokens according to the size and aspect ratio of images. This method mitigates distortion effects that arise from resizing images to a uniform resolution and dynamically optimizing the visual tokens input to the LLMs. Our model is capable of processing images with resolutions up to 1008times 1008. Extensive experiments across various datasets demonstrate that our method achieves impressive performance in handling vision-language tasks in both natural and text-related scenes. The source code and dataset are now publicly available at https://github.com/harrytea/AdaptVision.

We present a novel methodology aimed at optimizing the application of frozen large language models (LLMs) for resource-intensive vision-language (VL) pre-training. The current paradigm uses visual features as prompts to guide language models, with a focus on determining the most relevant visual features for corresponding text. Our approach diverges by concentrating on the language component, specifically identifying the optimal prompts to align with visual features. We introduce the Prompt-Transformer (P-Former), a model that predicts these ideal prompts, which is trained exclusively on linguistic data, bypassing the need for image-text pairings. This strategy subtly bifurcates the end-to-end VL training process into an additional, separate stage. Our experiments reveal that our framework significantly enhances the performance of a robust image-to-text baseline (BLIP-2), and effectively narrows the performance gap between models trained with either 4M or 129M image-text pairs. Importantly, our framework is modality-agnostic and flexible in terms of architectural design, as validated by its successful application in a video learning task using varied base modules. The code is available at https://github.com/yiren-jian/BLIText

Recent advancements in text-to-image models, particularly diffusion models, have shown significant promise. However, compositional text-to-image models frequently encounter difficulties in generating high-quality images that accurately align with input texts describing multiple objects, variable attributes, and intricate spatial relationships. To address this limitation, we employ large vision-language models (LVLMs) for multi-dimensional assessment of the alignment between generated images and their corresponding input texts. Utilizing this assessment, we fine-tune the diffusion model to enhance its alignment capabilities. During the inference phase, an initial image is produced using the fine-tuned diffusion model. The LVLM is then employed to pinpoint areas of misalignment in the initial image, which are subsequently corrected using the image editing algorithm until no further misalignments are detected by the LVLM. The resultant image is consequently more closely aligned with the input text. Our experimental results validate that the proposed methodology significantly improves text-image alignment in compositional image generation, particularly with respect to object number, attribute binding, spatial relationships, and aesthetic quality.

Image-text multimodal representation learning aligns data across modalities and enables important medical applications, e.g., image classification, visual grounding, and cross-modal retrieval. In this work, we establish a connection between multimodal representation learning and multiple instance learning. Based on this connection, we propose a generic framework for constructing permutation-invariant score functions with many existing multimodal representation learning approaches as special cases. Furthermore, we use the framework to derive a novel contrastive learning approach and demonstrate that our method achieves state-of-the-art results in several downstream tasks.

Understanding the relationship between figures and text is key to scientific document understanding. Medical figures in particular are quite complex, often consisting of several subfigures (75% of figures in our dataset), with detailed text describing their content. Previous work studying figures in scientific papers focused on classifying figure content rather than understanding how images relate to the text. To address challenges in figure retrieval and figure-to-text alignment, we introduce MedICaT, a dataset of medical images in context. MedICaT consists of 217K images from 131K open access biomedical papers, and includes captions, inline references for 74% of figures, and manually annotated subfigures and subcaptions for a subset of figures. Using MedICaT, we introduce the task of subfigure to subcaption alignment in compound figures and demonstrate the utility of inline references in image-text matching. Our data and code can be accessed at https://github.com/allenai/medicat.

Self-supervised learning in vision-language processing exploits semantic alignment between imaging and text modalities. Prior work in biomedical VLP has mostly relied on the alignment of single image and report pairs even though clinical notes commonly refer to prior images. This does not only introduce poor alignment between the modalities but also a missed opportunity to exploit rich self-supervision through existing temporal content in the data. In this work, we explicitly account for prior images and reports when available during both training and fine-tuning. Our approach, named BioViL-T, uses a CNN-Transformer hybrid multi-image encoder trained jointly with a text model. It is designed to be versatile to arising challenges such as pose variations and missing input images across time. The resulting model excels on downstream tasks both in single- and multi-image setups, achieving state-of-the-art performance on (I) progression classification, (II) phrase grounding, and (III) report generation, whilst offering consistent improvements on disease classification and sentence-similarity tasks. We release a novel multi-modal temporal benchmark dataset, MS-CXR-T, to quantify the quality of vision-language representations in terms of temporal semantics. Our experimental results show the advantages of incorporating prior images and reports to make most use of the data.

Text-to-image person re-identification (TIReID) is a compelling topic in the cross-modal community, which aims to retrieve the target person based on a textual query. Although numerous TIReID methods have been proposed and achieved promising performance, they implicitly assume the training image-text pairs are correctly aligned, which is not always the case in real-world scenarios. In practice, the image-text pairs inevitably exist under-correlated or even false-correlated, a.k.a noisy correspondence (NC), due to the low quality of the images and annotation errors. To address this problem, we propose a novel Robust Dual Embedding method (RDE) that can learn robust visual-semantic associations even with NC. Specifically, RDE consists of two main components: 1) A Confident Consensus Division (CCD) module that leverages the dual-grained decisions of dual embedding modules to obtain a consensus set of clean training data, which enables the model to learn correct and reliable visual-semantic associations. 2) A Triplet-Alignment Loss (TAL) relaxes the conventional triplet-ranking loss with hardest negatives, which tends to rapidly overfit NC, to a log-exponential upper bound over all negatives, thus preventing the model from overemphasizing false image-text pairs. We conduct extensive experiments on three public benchmarks, namely CUHK-PEDES, ICFG-PEDES, and RSTPReID, to evaluate the performance and robustness of our RDE. Our method achieves state-of-the-art results both with and without synthetic noisy correspondences on all three datasets.

Pre-trained Vision-Language Models (VLMs) utilizing extensive image-text paired data have demonstrated unprecedented image-text association capabilities, achieving remarkable results across various downstream tasks. A critical challenge is how to make use of existing large-scale pre-trained VLMs, which are trained on common objects, to perform the domain-specific transfer for accomplishing domain-related downstream tasks. A critical challenge is how to make use of existing large-scale pre-trained VLMs, which are trained on common objects, to perform the domain-specific transfer for accomplishing domain-related downstream tasks. In this paper, we propose a new framework that includes the Domain pre-trained Vision-Language Model (DVLM), bridging the gap between the General Vision-Language Model (GVLM) and domain-specific downstream tasks. Moreover, we present an image-text paired dataset in the field of remote sensing (RS), RS5M, which has 5 million RS images with English descriptions. The dataset is obtained from filtering publicly available image-text paired datasets and captioning label-only RS datasets with pre-trained VLM. These constitute the first large-scale RS image-text paired dataset. Additionally, we fine-tuned the CLIP model and tried several Parameter-Efficient Fine-Tuning methods on RS5M to implement the DVLM. Experimental results show that our proposed dataset is highly effective for various tasks, and our model GeoRSCLIP improves upon the baseline or previous state-of-the-art model by 3%sim20% in Zero-shot Classification (ZSC), 3%sim6% in Remote Sensing Cross-Modal Text-Image Retrieval (RSCTIR) and 4%sim5% in Semantic Localization (SeLo) tasks. Dataset and models have been released in: https://github.com/om-ai-lab/RS5M.

Medical image segmentation allows quantifying target structure size and shape, aiding in disease diagnosis, prognosis, surgery planning, and comprehension.Building upon recent advancements in foundation Vision-Language Models (VLMs) from natural image-text pairs, several studies have proposed adapting them to Vision-Language Segmentation Models (VLSMs) that allow using language text as an additional input to segmentation models. Introducing auxiliary information via text with human-in-the-loop prompting during inference opens up unique opportunities, such as open vocabulary segmentation and potentially more robust segmentation models against out-of-distribution data. Although transfer learning from natural to medical images has been explored for image-only segmentation models, the joint representation of vision-language in segmentation problems remains underexplored. This study introduces the first systematic study on transferring VLSMs to 2D medical images, using carefully curated 11 datasets encompassing diverse modalities and insightful language prompts and experiments. Our findings demonstrate that although VLSMs show competitive performance compared to image-only models for segmentation after finetuning in limited medical image datasets, not all VLSMs utilize the additional information from language prompts, with image features playing a dominant role. While VLSMs exhibit enhanced performance in handling pooled datasets with diverse modalities and show potential robustness to domain shifts compared to conventional segmentation models, our results suggest that novel approaches are required to enable VLSMs to leverage the various auxiliary information available through language prompts. The code and datasets are available at https://github.com/naamiinepal/medvlsm.

Text-to-image generative models excel in creating images from text but struggle with ensuring alignment and consistency between outputs and prompts. This paper introduces TextMatch, a novel framework that leverages multimodal optimization to address image-text discrepancies in text-to-image (T2I) generation and editing. TextMatch employs a scoring strategy powered by large language models (LLMs) and visual question-answering (VQA) models to evaluate semantic consistency between prompts and generated images. By integrating multimodal in-context learning and chain of thought reasoning, our method dynamically refines prompts through iterative optimization. This process ensures that the generated images better capture user intent of, resulting in higher fidelity and relevance. Extensive experiments demonstrate that TextMatch significantly improves text-image consistency across multiple benchmarks, establishing a reliable framework for advancing the capabilities of text-to-image generative models. Our code is available at https://anonymous.4open.science/r/TextMatch-F55C/.

Can our brain signals faithfully reflect the original visual stimuli, even including high-frequency details? Although human perceptual and cognitive capacities enable us to process and remember visual information, these abilities are constrained by several factors, such as limited attentional resources and the finite capacity of visual memory. When visual stimuli are processed by human visual system into brain signals, some information is inevitably lost, leading to a discrepancy known as the System GAP. Additionally, perceptual and cognitive dynamics, along with technical noise in signal acquisition, degrade the fidelity of brain signals relative to the visual stimuli, known as the Random GAP. When encoded brain representations are directly aligned with the corresponding pretrained image features, the System GAP and Random GAP between paired data challenge the model, requiring it to bridge these gaps. However, in the context of limited paired data, these gaps are difficult for the model to learn, leading to overfitting and poor generalization to new data. To address these GAPs, we propose a simple yet effective approach called the Uncertainty-aware Blur Prior (UBP). It estimates the uncertainty within the paired data, reflecting the mismatch between brain signals and visual stimuli. Based on this uncertainty, UBP dynamically blurs the high-frequency details of the original images, reducing the impact of the mismatch and improving alignment. Our method achieves a top-1 accuracy of 50.9\% and a top-5 accuracy of 79.7\% on the zero-shot brain-to-image retrieval task, surpassing previous state-of-the-art methods by margins of 13.7\% and 9.8\%, respectively. Code is available at https://github.com/HaitaoWuTJU/Uncertainty-aware-Blur-Prior{GitHub}.

Vision-and-language models (VLMs) have been increasingly explored in the medical domain, particularly following the success of CLIP in general domain. However, unlike the relatively straightforward pairing of 2D images and text, curating large-scale paired data in the medical field for volumetric modalities such as CT scans remains a challenging and time-intensive process. This difficulty often limits the performance on downstream tasks. To address these challenges, we propose a novel vision-language pre-training (VLP) framework, termed as VELVET-Med, specifically designed for limited volumetric data such as 3D CT and associated radiology reports. Instead of relying on large-scale data collection, our method focuses on the development of effective pre-training objectives and model architectures. The key contributions are: 1) We incorporate uni-modal self-supervised learning into VLP framework, which are often underexplored in the existing literature. 2) We propose a novel language encoder, termed as TriBERT, for learning multi-level textual semantics. 3) We devise the hierarchical contrastive learning to capture multi-level vision-language correspondence. Using only 38,875 scan-report pairs, our approach seeks to uncover rich spatial and semantic relationships embedded in volumetric medical images and corresponding clinical narratives, thereby enhancing the generalization ability of the learned encoders. The resulting encoders exhibit strong transferability, achieving state-of-the-art performance across a wide range of downstream tasks, including 3D segmentation, cross-modal retrieval, visual question answering, and report generation.

This paper introduces a large-scale multimodal and multilingual dataset that aims to facilitate research on grounding words to images in their contextual usage in language. The dataset consists of images selected to unambiguously illustrate concepts expressed in sentences from movie subtitles. The dataset is a valuable resource as (i) the images are aligned to text fragments rather than whole sentences; (ii) multiple images are possible for a text fragment and a sentence; (iii) the sentences are free-form and real-world like; (iv) the parallel texts are multilingual. We set up a fill-in-the-blank game for humans to evaluate the quality of the automatic image selection process of our dataset. We show the utility of the dataset on two automatic tasks: (i) fill-in-the-blank; (ii) lexical translation. Results of the human evaluation and automatic models demonstrate that images can be a useful complement to the textual context. The dataset will benefit research on visual grounding of words especially in the context of free-form sentences, and can be obtained from https://doi.org/10.5281/zenodo.5034604 under a Creative Commons licence.

Traditionally, style has been primarily considered in terms of artistic elements such as colors, brushstrokes, and lighting. However, identical semantic subjects, like people, boats, and houses, can vary significantly across different artistic traditions, indicating that style also encompasses the underlying semantics. Therefore, in this study, we propose a zero-shot scheme for image variation with coordinated semantics. Specifically, our scheme transforms the image-to-image problem into an image-to-text-to-image problem. The image-to-text operation employs vision-language models e.g., BLIP) to generate text describing the content of the input image, including the objects and their positions. Subsequently, the input style keyword is elaborated into a detailed description of this style and then merged with the content text using the reasoning capabilities of ChatGPT. Finally, the text-to-image operation utilizes a Diffusion model to generate images based on the text prompt. To enable the Diffusion model to accommodate more styles, we propose a fine-tuning strategy that injects text and style constraints into cross-attention. This ensures that the output image exhibits similar semantics in the desired style. To validate the performance of the proposed scheme, we constructed a benchmark comprising images of various styles and scenes and introduced two novel metrics. Despite its simplicity, our scheme yields highly plausible results in a zero-shot manner, particularly for generating stylized images with high-fidelity semantics.

Vision-language models (VLMs) excel in semantic tasks but falter at a core human capability: detecting hidden content in optical illusions or AI-generated images through perceptual adjustments like zooming. We introduce HC-Bench, a benchmark of 112 images with hidden text, objects, and illusions, revealing that leading VLMs achieve near-zero accuracy (0-5.36%)-even with explicit prompting. Humans resolve such ambiguities instinctively, yet VLMs fail due to an overreliance on high-level semantics. Strikingly, we propose SemVink (Semantic Visual Thinking) by simply scaling images to low resolutions (32-128 pixels), which unlocks >99% accuracy by eliminating redundant visual noise. This exposes a critical architectural flaw: VLMs prioritize abstract reasoning over low-level visual operations crucial for real-world robustness. Our work urges a shift toward hybrid models integrating multi-scale processing, bridging the gap between computational vision and human cognition for applications in medical imaging, security, and beyond.

Medical vision-and-language models (MVLMs) have attracted substantial interest due to their capability to offer a natural language interface for interpreting complex medical data. Their applications are versatile and have the potential to improve diagnostic accuracy and decision-making for individual patients while also contributing to enhanced public health monitoring, disease surveillance, and policy-making through more efficient analysis of large data sets. MVLMS integrate natural language processing with medical images to enable a more comprehensive and contextual understanding of medical images alongside their corresponding textual information. Unlike general vision-and-language models trained on diverse, non-specialized datasets, MVLMs are purpose-built for the medical domain, automatically extracting and interpreting critical information from medical images and textual reports to support clinical decision-making. Popular clinical applications of MVLMs include automated medical report generation, medical visual question answering, medical multimodal segmentation, diagnosis and prognosis and medical image-text retrieval. Here, we provide a comprehensive overview of MVLMs and the various medical tasks to which they have been applied. We conduct a detailed analysis of various vision-and-language model architectures, focusing on their distinct strategies for cross-modal integration/exploitation of medical visual and textual features. We also examine the datasets used for these tasks and compare the performance of different models based on standardized evaluation metrics. Furthermore, we highlight potential challenges and summarize future research trends and directions. The full collection of papers and codes is available at: https://github.com/YtongXie/Medical-Vision-and-Language-Tasks-and-Methodologies-A-Survey.

Scene text recognition (STR) has been an active research topic in computer vision for years. To tackle this challenging problem, numerous innovative methods have been successively proposed and incorporating linguistic knowledge into STR models has recently become a prominent trend. In this work, we first draw inspiration from the recent progress in Vision Transformer (ViT) to construct a conceptually simple yet powerful vision STR model, which is built upon ViT and outperforms previous state-of-the-art models for scene text recognition, including both pure vision models and language-augmented methods. To integrate linguistic knowledge, we further propose a Multi-Granularity Prediction strategy to inject information from the language modality into the model in an implicit way, i.e. , subword representations (BPE and WordPiece) widely-used in NLP are introduced into the output space, in addition to the conventional character level representation, while no independent language model (LM) is adopted. The resultant algorithm (termed MGP-STR) is able to push the performance envelop of STR to an even higher level. Specifically, it achieves an average recognition accuracy of 93.35% on standard benchmarks. Code is available at https://github.com/AlibabaResearch/AdvancedLiterateMachinery/tree/main/OCR/MGP-STR.

Image captioning aims at generating descriptive and meaningful textual descriptions of images, enabling a broad range of vision-language applications. Prior works have demonstrated that harnessing the power of Contrastive Image Language Pre-training (CLIP) offers a promising approach to achieving zero-shot captioning, eliminating the need for expensive caption annotations. However, the widely observed modality gap in the latent space of CLIP harms the performance of zero-shot captioning by breaking the alignment between paired image-text features. To address this issue, we conduct an analysis on the CLIP latent space which leads to two findings. Firstly, we observe that the CLIP's visual feature of image subregions can achieve closer proximity to the paired caption due to the inherent information loss in text descriptions. In addition, we show that the modality gap between a paired image-text can be empirically modeled as a zero-mean Gaussian distribution. Motivated by the findings, we propose a novel zero-shot image captioning framework with text-only training to reduce the modality gap. In particular, we introduce a subregion feature aggregation to leverage local region information, which produces a compact visual representation for matching text representation. Moreover, we incorporate a noise injection and CLIP reranking strategy to boost captioning performance. We also extend our framework to build a zero-shot VQA pipeline, demonstrating its generality. Through extensive experiments on common captioning and VQA datasets such as MSCOCO, Flickr30k and VQAV2, we show that our method achieves remarkable performance improvements. Code is available at https://github.com/Artanic30/MacCap.

Vision-language representation learning largely benefits from image-text alignment through contrastive losses (e.g., InfoNCE loss). The success of this alignment strategy is attributed to its capability in maximizing the mutual information (MI) between an image and its matched text. However, simply performing cross-modal alignment (CMA) ignores data potential within each modality, which may result in degraded representations. For instance, although CMA-based models are able to map image-text pairs close together in the embedding space, they fail to ensure that similar inputs from the same modality stay close by. This problem can get even worse when the pre-training data is noisy. In this paper, we propose triple contrastive learning (TCL) for vision-language pre-training by leveraging both cross-modal and intra-modal self-supervision. Besides CMA, TCL introduces an intra-modal contrastive objective to provide complementary benefits in representation learning. To take advantage of localized and structural information from image and text input, TCL further maximizes the average MI between local regions of image/text and their global summary. To the best of our knowledge, ours is the first work that takes into account local structure information for multi-modality representation learning. Experimental evaluations show that our approach is competitive and achieves the new state of the art on various common down-stream vision-language tasks such as image-text retrieval and visual question answering.

This study explores the concept of equivariance in vision-language foundation models (VLMs), focusing specifically on the multimodal similarity function that is not only the major training objective but also the core delivery to support downstream tasks. Unlike the existing image-text similarity objective which only categorizes matched pairs as similar and unmatched pairs as dissimilar, equivariance also requires similarity to vary faithfully according to the semantic changes. This allows VLMs to generalize better to nuanced and unseen multimodal compositions. However, modeling equivariance is challenging as the ground truth of semantic change is difficult to collect. For example, given an image-text pair about a dog, it is unclear to what extent the similarity changes when the pixel is changed from dog to cat? To this end, we propose EqSim, a regularization loss that can be efficiently calculated from any two matched training pairs and easily pluggable into existing image-text retrieval fine-tuning. Meanwhile, to further diagnose the equivariance of VLMs, we present a new challenging benchmark EqBen. Compared to the existing evaluation sets, EqBen is the first to focus on "visual-minimal change". Extensive experiments show the lack of equivariance in current VLMs and validate the effectiveness of EqSim. Code is available at https://github.com/Wangt-CN/EqBen.

Color fundus photography and Optical Coherence Tomography (OCT) are the two most cost-effective tools for glaucoma screening. Both two modalities of images have prominent biomarkers to indicate glaucoma suspected. Clinically, it is often recommended to take both of the screenings for a more accurate and reliable diagnosis. However, although numerous algorithms are proposed based on fundus images or OCT volumes in computer-aided diagnosis, there are still few methods leveraging both of the modalities for the glaucoma assessment. Inspired by the success of Retinal Fundus Glaucoma Challenge (REFUGE) we held previously, we set up the Glaucoma grAding from Multi-Modality imAges (GAMMA) Challenge to encourage the development of fundus \& OCT-based glaucoma grading. The primary task of the challenge is to grade glaucoma from both the 2D fundus images and 3D OCT scanning volumes. As part of GAMMA, we have publicly released a glaucoma annotated dataset with both 2D fundus color photography and 3D OCT volumes, which is the first multi-modality dataset for glaucoma grading. In addition, an evaluation framework is also established to evaluate the performance of the submitted methods. During the challenge, 1272 results were submitted, and finally, top-10 teams were selected to the final stage. We analysis their results and summarize their methods in the paper. Since all these teams submitted their source code in the challenge, a detailed ablation study is also conducted to verify the effectiveness of the particular modules proposed. We find many of the proposed techniques are practical for the clinical diagnosis of glaucoma. As the first in-depth study of fundus \& OCT multi-modality glaucoma grading, we believe the GAMMA Challenge will be an essential starting point for future research.

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).

Contrastive learning has emerged as a transformative method for learning effective visual representations through the alignment of image and text embeddings. However, pairwise similarity computation in contrastive loss between image and text pairs poses computational challenges. This paper presents a novel weakly supervised pre-training of vision models on web-scale image-text data. The proposed method reframes pre-training on image-text data as a classification task. Consequently, it eliminates the need for pairwise similarity computations in contrastive loss, achieving a remarkable 2.7times acceleration in training speed compared to contrastive learning on web-scale data. Through extensive experiments spanning diverse vision tasks, including detection and segmentation, we demonstrate that the proposed method maintains high representation quality. Our source code along with pre-trained model weights and training recipes is available at https://github.com/apple/corenet.

Existing multimodal retrieval benchmarks primarily focus on evaluating whether models can retrieve and utilize external textual knowledge for question answering. However, there are scenarios where retrieving visual information is either more beneficial or easier to access than textual data. In this paper, we introduce a multimodal retrieval-augmented generation benchmark, MRAG-Bench, in which we systematically identify and categorize scenarios where visually augmented knowledge is better than textual knowledge, for instance, more images from varying viewpoints. MRAG-Bench consists of 16,130 images and 1,353 human-annotated multiple-choice questions across 9 distinct scenarios. With MRAG-Bench, we conduct an evaluation of 10 open-source and 4 proprietary large vision-language models (LVLMs). Our results show that all LVLMs exhibit greater improvements when augmented with images compared to textual knowledge, confirming that MRAG-Bench is vision-centric. Additionally, we conduct extensive analysis with MRAG-Bench, which offers valuable insights into retrieval-augmented LVLMs. Notably, the top-performing model, GPT-4o, faces challenges in effectively leveraging retrieved knowledge, achieving only a 5.82% improvement with ground-truth information, in contrast to a 33.16% improvement observed in human participants. These findings highlight the importance of MRAG-Bench in encouraging the community to enhance LVLMs' ability to utilize retrieved visual knowledge more effectively.

Detecting objects accurately from a large or open vocabulary necessitates the vision-language alignment on region representations. However, learning such a region-text alignment by obtaining high-quality box annotations with text labels or descriptions is expensive and infeasible. In contrast, collecting image-text pairs is simpler but lacks precise object location information to associate regions with texts. In this paper, we propose a novel approach called Contrastive Language-Image Mosaic (CLIM), which leverages large-scale image-text pairs effectively for aligning region and text representations. CLIM combines multiple images into a mosaicked image and treats each image as a `pseudo region'. The feature of each pseudo region is extracted and trained to be similar to the corresponding text embedding while dissimilar from others by a contrastive loss, enabling the model to learn the region-text alignment without costly box annotations. As a generally applicable approach, CLIM consistently improves different open-vocabulary object detection methods that use caption supervision. Furthermore, CLIM can effectively enhance the region representation of vision-language models, thus providing stronger backbones for open-vocabulary object detectors. Our experimental results demonstrate that CLIM improves different baseline open-vocabulary object detectors by a large margin on both OV-COCO and OV-LVIS benchmarks. The code is available at https://github.com/wusize/CLIM.

Large Language Models (LLMs) have introduced a new era of proficiency in comprehending complex healthcare and biomedical topics. However, there is a noticeable lack of models in languages other than English and models that can interpret multi-modal input, which is crucial for global healthcare accessibility. In response, this study introduces Qilin-Med-VL, the first Chinese large vision-language model designed to integrate the analysis of textual and visual data. Qilin-Med-VL combines a pre-trained Vision Transformer (ViT) with a foundational LLM. It undergoes a thorough two-stage curriculum training process that includes feature alignment and instruction tuning. This method enhances the model's ability to generate medical captions and answer complex medical queries. We also release ChiMed-VL, a dataset consisting of more than 1M image-text pairs. This dataset has been carefully curated to enable detailed and comprehensive interpretation of medical data using various types of images.

Visual text is a crucial component in both document and scene images, conveying rich semantic information and attracting significant attention in the computer vision community. Beyond traditional tasks such as text detection and recognition, visual text processing has witnessed rapid advancements driven by the emergence of foundation models, including text image reconstruction and text image manipulation. Despite significant progress, challenges remain due to the unique properties that differentiate text from general objects. Effectively capturing and leveraging these distinct textual characteristics is essential for developing robust visual text processing models. In this survey, we present a comprehensive, multi-perspective analysis of recent advancements in visual text processing, focusing on two key questions: (1) What textual features are most suitable for different visual text processing tasks? (2) How can these distinctive text features be effectively incorporated into processing frameworks? Furthermore, we introduce VTPBench, a new benchmark that encompasses a broad range of visual text processing datasets. Leveraging the advanced visual quality assessment capabilities of multimodal large language models (MLLMs), we propose VTPScore, a novel evaluation metric designed to ensure fair and reliable evaluation. Our empirical study with more than 20 specific models reveals substantial room for improvement in the current techniques. Our aim is to establish this work as a fundamental resource that fosters future exploration and innovation in the dynamic field of visual text processing. The relevant repository is available at https://github.com/shuyansy/Visual-Text-Processing-survey.

Previous research on retinal vessel segmentation is targeted at a specific image domain, mostly color fundus photography (CFP). In this paper we make a brave attempt to attack a more challenging task of broad-domain retinal vessel segmentation (BD-RVS), which is to develop a unified model applicable to varied domains including CFP, SLO, UWF, OCTA and FFA. To that end, we propose Dual Convoltuional Prompting (DCP) that learns to extract domain-specific features by localized prompting along both position and channel dimensions. DCP is designed as a plug-in module that can effectively turn a R2AU-Net based vessel segmentation network to a unified model, yet without the need of modifying its network structure. For evaluation we build a broad-domain set using five public domain-specific datasets including ROSSA, FIVES, IOSTAR, PRIME-FP20 and VAMPIRE. In order to benchmark BD-RVS on the broad-domain dataset, we re-purpose a number of existing methods originally developed in other contexts, producing eight baseline methods in total. Extensive experiments show the the proposed method compares favorably against the baselines for BD-RVS.

It has recently been discovered that using a pre-trained vision-language model (VLM), e.g., CLIP, to align a whole query image with several finer text descriptions generated by a large language model can significantly enhance zero-shot performance. However, in this paper, we empirically find that the finer descriptions tend to align more effectively with local areas of the query image rather than the whole image, and then we theoretically validate this finding. Thus, we present a method called weighted visual-text cross alignment (WCA). This method begins with a localized visual prompting technique, designed to identify local visual areas within the query image. The local visual areas are then cross-aligned with the finer descriptions by creating a similarity matrix using the pre-trained VLM. To determine how well a query image aligns with each category, we develop a score function based on the weighted similarities in this matrix. Extensive experiments demonstrate that our method significantly improves zero-shot performance across various datasets, achieving results that are even comparable to few-shot learning methods.

Vision-language models (VLMs) have demonstrated remarkable potential in integrating visual and linguistic information, but their performance is often constrained by the need for extensive, high-quality image-text training data. Curation of these image-text pairs is both time-consuming and computationally expensive. To address this challenge, we introduce SVP (Sampling-based Visual Projection), a novel framework that enhances vision-language alignment without relying on manually curated text-image pairs or preference annotation. SVP leverages a small set of manually selected images, self-captioning and a pre-trained grounding model as a feedback mechanism to elicit latent information in VLMs. We evaluate our approach across six key areas: captioning, referring, visual question answering, multitasking, hallucination control, and object recall. Results demonstrate significant improvements, including a 14 % average improvement in captioning tasks, up to 12 % increase in object recall, and significantly reduced hallucinations, while maintaining question-answering capabilities. Using SVP, a small VLM achieves hallucination reductions similar to a model five times larger, while a VLM with initially poor referring capabilities more than doubles its performance, approaching parity with a model twice its size.

The goal of this work is to characterize the representational impact that foveation operations have for machine vision systems, inspired by the foveated human visual system, which has higher acuity at the center of gaze and texture-like encoding in the periphery. To do so, we introduce models consisting of a first-stage fixed image transform followed by a second-stage learnable convolutional neural network, and we varied the first stage component. The primary model has a foveated-textural input stage, which we compare to a model with foveated-blurred input and a model with spatially-uniform blurred input (both matched for perceptual compression), and a final reference model with minimal input-based compression. We find that: 1) the foveated-texture model shows similar scene classification accuracy as the reference model despite its compressed input, with greater i.i.d. generalization than the other models; 2) the foveated-texture model has greater sensitivity to high-spatial frequency information and greater robustness to occlusion, w.r.t the comparison models; 3) both the foveated systems, show a stronger center image-bias relative to the spatially-uniform systems even with a weight sharing constraint. Critically, these results are preserved over different classical CNN architectures throughout their learning dynamics. Altogether, this suggests that foveation with peripheral texture-based computations yields an efficient, distinct, and robust representational format of scene information, and provides symbiotic computational insight into the representational consequences that texture-based peripheral encoding may have for processing in the human visual system, while also potentially inspiring the next generation of computer vision models via spatially-adaptive computation. Code + Data available here: https://github.com/ArturoDeza/EmergentProperties

Image captioning, which generates natural language descriptions of the visual information in an image, is a crucial task in vision-language research. Previous models have typically addressed this task by aligning the generative capabilities of machines with human intelligence through statistical fitting of existing datasets. While effective for normal images, they may struggle to accurately describe those where certain parts of the image are obscured or edited, unlike humans who excel in such cases. These weaknesses they exhibit, including hallucinations and limited interpretability, often hinder performance in scenarios with shifted association patterns. In this paper, we present a generic image captioning framework that employs causal inference to make existing models more capable of interventional tasks, and counterfactually explainable. Our approach includes two variants leveraging either total effect or natural direct effect. Integrating them into the training process enables models to handle counterfactual scenarios, increasing their generalizability. Extensive experiments on various datasets show that our method effectively reduces hallucinations and improves the model's faithfulness to images, demonstrating high portability across both small-scale and large-scale image-to-text models. The code is available at https://github.com/Aman-4-Real/See-or-Guess.

Foundation models, often pre-trained with large-scale data, have achieved paramount success in jump-starting various vision and language applications. Recent advances further enable adapting foundation models in downstream tasks efficiently using only a few training samples, e.g., in-context learning. Yet, the application of such learning paradigms in medical image analysis remains scarce due to the shortage of publicly accessible data and benchmarks. In this paper, we aim at approaches adapting the foundation models for medical image classification and present a novel dataset and benchmark for the evaluation, i.e., examining the overall performance of accommodating the large-scale foundation models downstream on a set of diverse real-world clinical tasks. We collect five sets of medical imaging data from multiple institutes targeting a variety of real-world clinical tasks (22,349 images in total), i.e., thoracic diseases screening in X-rays, pathological lesion tissue screening, lesion detection in endoscopy images, neonatal jaundice evaluation, and diabetic retinopathy grading. Results of multiple baseline methods are demonstrated using the proposed dataset from both accuracy and cost-effective perspectives.

Large-scale pre-training methods of learning cross-modal representations on image-text pairs are becoming popular for vision-language tasks. While existing methods simply concatenate image region features and text features as input to the model to be pre-trained and use self-attention to learn image-text semantic alignments in a brute force manner, in this paper, we propose a new learning method Oscar (Object-Semantics Aligned Pre-training), which uses object tags detected in images as anchor points to significantly ease the learning of alignments. Our method is motivated by the observation that the salient objects in an image can be accurately detected, and are often mentioned in the paired text. We pre-train an Oscar model on the public corpus of 6.5 million text-image pairs, and fine-tune it on downstream tasks, creating new state-of-the-arts on six well-established vision-language understanding and generation tasks.

This tutorial note summarizes the presentation on ``Large Multimodal Models: Towards Building and Surpassing Multimodal GPT-4'', a part of CVPR 2023 tutorial on ``Recent Advances in Vision Foundation Models''. The tutorial consists of three parts. We first introduce the background on recent GPT-like large models for vision-and-language modeling to motivate the research in instruction-tuned large multimodal models (LMMs). As a pre-requisite, we describe the basics of instruction-tuning in large language models, which is further extended to the multimodal space. Lastly, we illustrate how to build the minimum prototype of multimodal GPT-4 like models with the open-source resource, and review the recently emerged topics.

We present Region-aware Open-vocabulary Vision Transformers (RO-ViT) - a contrastive image-text pretraining recipe to bridge the gap between image-level pretraining and open-vocabulary object detection. At the pretraining phase, we propose to randomly crop and resize regions of positional embeddings instead of using the whole image positional embeddings. This better matches the use of positional embeddings at region-level in the detection finetuning phase. In addition, we replace the common softmax cross entropy loss in contrastive learning with focal loss to better learn the informative yet difficult examples. Finally, we leverage recent advances in novel object proposals to improve open-vocabulary detection finetuning. We evaluate our full model on the LVIS and COCO open-vocabulary detection benchmarks and zero-shot transfer. RO-ViT achieves a state-of-the-art 32.1 AP_r on LVIS, surpassing the best existing approach by +5.8 points in addition to competitive zero-shot transfer detection. Surprisingly, RO-ViT improves the image-level representation as well and achieves the state of the art on 9 out of 12 metrics on COCO and Flickr image-text retrieval benchmarks, outperforming competitive approaches with larger models.

Large-scale vision-language pre-training has achieved promising results on downstream tasks. Existing methods highly rely on the assumption that the image-text pairs crawled from the Internet are in perfect one-to-one correspondence. However, in real scenarios, this assumption can be difficult to hold: the text description, obtained by crawling the affiliated metadata of the image, often suffers from the semantic mismatch and the mutual compatibility. To address these issues, we introduce PyramidCLIP, which constructs an input pyramid with different semantic levels for each modality, and aligns visual elements and linguistic elements in the form of hierarchy via peer-level semantics alignment and cross-level relation alignment. Furthermore, we soften the loss of negative samples (unpaired samples) so as to weaken the strict constraint during the pre-training stage, thus mitigating the risk of forcing the model to distinguish compatible negative pairs. Experiments on five downstream tasks demonstrate the effectiveness of the proposed PyramidCLIP. In particular, with the same amount of 15 million pre-training image-text pairs, PyramidCLIP exceeds CLIP on ImageNet zero-shot classification top-1 accuracy by 10.6%/13.2%/10.0% with ResNet50/ViT-B32/ViT-B16 based image encoder respectively. When scaling to larger datasets, PyramidCLIP achieves the state-of-the-art results on several downstream tasks. In particular, the results of PyramidCLIP-ResNet50 trained on 143M image-text pairs surpass that of CLIP using 400M data on ImageNet zero-shot classification task, significantly improving the data efficiency of CLIP.

Developing generative models for interleaved image-text data has both research and practical value. It requires models to understand the interleaved sequences and subsequently generate images and text. However, existing attempts are limited by the issue that the fixed number of visual tokens cannot efficiently capture image details, which is particularly problematic in the multi-image scenarios. To address this, this paper presents MM-Interleaved, an end-to-end generative model for interleaved image-text data. It introduces a multi-scale and multi-image feature synchronizer module, allowing direct access to fine-grained image features in the previous context during the generation process. MM-Interleaved is end-to-end pre-trained on both paired and interleaved image-text corpora. It is further enhanced through a supervised fine-tuning phase, wherein the model improves its ability to follow complex multi-modal instructions. Experiments demonstrate the versatility of MM-Interleaved in recognizing visual details following multi-modal instructions and generating consistent images following both textual and visual conditions. Code and models are available at https://github.com/OpenGVLab/MM-Interleaved.

While recent developments in text-to-image generative models have led to a suite of high-performing methods capable of producing creative imagery from free-form text, there are several limitations. By analyzing the cross-attention representations of these models, we notice two key issues. First, for text prompts that contain multiple concepts, there is a significant amount of pixel-space overlap (i.e., same spatial regions) among pairs of different concepts. This eventually leads to the model being unable to distinguish between the two concepts and one of them being ignored in the final generation. Next, while these models attempt to capture all such concepts during the beginning of denoising (e.g., first few steps) as evidenced by cross-attention maps, this knowledge is not retained by the end of denoising (e.g., last few steps). Such loss of knowledge eventually leads to inaccurate generation outputs. To address these issues, our key innovations include two test-time attention-based loss functions that substantially improve the performance of pretrained baseline text-to-image diffusion models. First, our attention segregation loss reduces the cross-attention overlap between attention maps of different concepts in the text prompt, thereby reducing the confusion/conflict among various concepts and the eventual capture of all concepts in the generated output. Next, our attention retention loss explicitly forces text-to-image diffusion models to retain cross-attention information for all concepts across all denoising time steps, thereby leading to reduced information loss and the preservation of all concepts in the generated output.

State-of-the-art text-to-image models produce visually impressive results but often struggle with precise alignment to text prompts, leading to missing critical elements or unintended blending of distinct concepts. We propose a novel approach that learns a high-success-rate distribution conditioned on a target prompt, ensuring that generated images faithfully reflect the corresponding prompts. Our method explicitly models the signal component during the denoising process, offering fine-grained control that mitigates over-optimization and out-of-distribution artifacts. Moreover, our framework is training-free and seamlessly integrates with both existing diffusion and flow matching architectures. It also supports additional conditioning modalities -- such as bounding boxes -- for enhanced spatial alignment. Extensive experiments demonstrate that our approach outperforms current state-of-the-art methods. The code is available at https://github.com/grimalPaul/gsn-factory.

This paper provides a simplification on OpenVision's architecture and loss design for enhancing its training efficiency. Following the prior vision-language pretraining works CapPa and AIMv2, as well as modern multimodal designs like LLaVA, our changes are straightforward: we remove the text encoder (and therefore the contrastive loss), retaining only the captioning loss as a purely generative training signal. We name this new version OpenVision 2. The initial results are promising: despite this simplification, OpenVision 2 competitively matches the original model's performance on a broad set of multimodal benchmarks while substantially cutting both training time and memory consumption. For example, with ViT-L/14, it reduces training time by about 1.5x (from 83h to 57h), and memory usage by about 1.8x (from 24.5GB to 13.8GB, equivalently allowing the maximum batch size to grow from 2k to 8k). This superior training efficiency also allows us to scale far beyond the largest vision encoder used in OpenVision, reaching more than 1 billion parameters. We hold a strong belief that this lightweight, generative-only paradigm is compelling for future vision encoder development in multimodal foundation models.

The ability to understand visual concepts and replicate and compose these concepts from images is a central goal for computer vision. Recent advances in text-to-image (T2I) models have lead to high definition and realistic image quality generation by learning from large databases of images and their descriptions. However, the evaluation of T2I models has focused on photorealism and limited qualitative measures of visual understanding. To quantify the ability of T2I models in learning and synthesizing novel visual concepts, we introduce ConceptBed, a large-scale dataset that consists of 284 unique visual concepts, 5K unique concept compositions, and 33K composite text prompts. Along with the dataset, we propose an evaluation metric, Concept Confidence Deviation (CCD), that uses the confidence of oracle concept classifiers to measure the alignment between concepts generated by T2I generators and concepts contained in ground truth images. We evaluate visual concepts that are either objects, attributes, or styles, and also evaluate four dimensions of compositionality: counting, attributes, relations, and actions. Our human study shows that CCD is highly correlated with human understanding of concepts. Our results point to a trade-off between learning the concepts and preserving the compositionality which existing approaches struggle to overcome.

In-context vision and language models like Flamingo support arbitrarily interleaved sequences of images and text as input. This format not only enables few-shot learning via interleaving independent supervised (image, text) examples, but also, more complex prompts involving interaction between images, e.g., "What do image A and image B have in common?" To support this interface, pretraining occurs over web corpora that similarly contain interleaved images+text. To date, however, large-scale data of this form have not been publicly available. We release Multimodal C4 (mmc4), an augmentation of the popular text-only c4 corpus with images interleaved. We use a linear assignment algorithm to place images into longer bodies of text using CLIP features, a process that we show outperforms alternatives. mmc4 spans everyday topics like cooking, travel, technology, etc. A manual inspection of a random sample of documents shows that a vast majority (90%) of images are topically relevant, and that linear assignment frequently selects individual sentences specifically well-aligned with each image (78%). After filtering NSFW images, ads, etc., the corpus contains 103M documents containing 585M images interleaved with 43B English tokens.

Text-to-image synthesis has made encouraging progress and attracted lots of public attention recently. However, popular evaluation metrics in this area, like the Inception Score and Fr'echet Inception Distance, incur several issues. First of all, they cannot explicitly assess the perceptual quality of generated images and poorly reflect the semantic alignment of each text-image pair. Also, they are inefficient and need to sample thousands of images to stabilise their evaluation results. In this paper, we propose to evaluate text-to-image generation performance by directly estimating the likelihood of the generated images using a pre-trained likelihood-based text-to-image generative model, i.e., a higher likelihood indicates better perceptual quality and better text-image alignment. To prevent the likelihood of being dominated by the non-crucial part of the generated image, we propose several new designs to develop a credit assignment strategy based on the semantic and perceptual significance of the image patches. In the experiments, we evaluate the proposed metric on multiple popular text-to-image generation models and datasets in accessing both the perceptual quality and the text-image alignment. Moreover, it can successfully assess the generation ability of these models with as few as a hundred samples, making it very efficient in practice.

Vision Transformers (ViTs) take all the image patches as tokens and construct multi-head self-attention (MHSA) among them. Complete leverage of these image tokens brings redundant computations since not all the tokens are attentive in MHSA. Examples include that tokens containing semantically meaningless or distractive image backgrounds do not positively contribute to the ViT predictions. In this work, we propose to reorganize image tokens during the feed-forward process of ViT models, which is integrated into ViT during training. For each forward inference, we identify the attentive image tokens between MHSA and FFN (i.e., feed-forward network) modules, which is guided by the corresponding class token attention. Then, we reorganize image tokens by preserving attentive image tokens and fusing inattentive ones to expedite subsequent MHSA and FFN computations. To this end, our method EViT improves ViTs from two perspectives. First, under the same amount of input image tokens, our method reduces MHSA and FFN computation for efficient inference. For instance, the inference speed of DeiT-S is increased by 50% while its recognition accuracy is decreased by only 0.3% for ImageNet classification. Second, by maintaining the same computational cost, our method empowers ViTs to take more image tokens as input for recognition accuracy improvement, where the image tokens are from higher resolution images. An example is that we improve the recognition accuracy of DeiT-S by 1% for ImageNet classification at the same computational cost of a vanilla DeiT-S. Meanwhile, our method does not introduce more parameters to ViTs. Experiments on the standard benchmarks show the effectiveness of our method. The code is available at https://github.com/youweiliang/evit

Visual instruction tuning has become the predominant technology in eliciting the multimodal task-solving capabilities of large vision-language models (LVLMs). Despite the success, as visual instructions require images as the input, it would leave the gap in inheriting the task-solving capabilities from the backbone LLMs, and make it costly to collect a large-scale dataset. To address it, we propose ViFT, a visual instruction-free fine-tuning framework for LVLMs. In ViFT, we only require the text-only instructions and image caption data during training, to separately learn the task-solving and visual perception abilities. During inference, we extract and combine the representations of the text and image inputs, for fusing the two abilities to fulfill multimodal tasks. Experimental results demonstrate that ViFT can achieve state-of-the-art performance on several visual reasoning and visual instruction following benchmarks, with rather less training data. Our code and data will be publicly released.

Multimodal machine translation (MMT) simultaneously takes the source sentence and a relevant image as input for translation. Since there is no paired image available for the input sentence in most cases, recent studies suggest utilizing powerful text-to-image generation models to provide image inputs. Nevertheless, synthetic images generated by these models often follow different distributions compared to authentic images. Consequently, using authentic images for training and synthetic images for inference can introduce a distribution shift, resulting in performance degradation during inference. To tackle this challenge, in this paper, we feed synthetic and authentic images to the MMT model, respectively. Then we minimize the gap between the synthetic and authentic images by drawing close the input image representations of the Transformer Encoder and the output distributions of the Transformer Decoder. Therefore, we mitigate the distribution disparity introduced by the synthetic images during inference, thereby freeing the authentic images from the inference process.Experimental results show that our approach achieves state-of-the-art performance on the Multi30K En-De and En-Fr datasets, while remaining independent of authentic images during inference.

Vision-language foundation models like CLIP have revolutionized the field of artificial intelligence. Nevertheless, VLM models supporting multi-language, e.g., in both Chinese and English, have lagged due to the relative scarcity of large-scale pretraining datasets. Toward this end, we introduce a comprehensive bilingual (Chinese-English) dataset BM-6B with over 6 billion image-text pairs, aimed at enhancing multimodal foundation models to well understand images in both languages. To handle such a scale of dataset, we propose a novel grouped aggregation approach for image-text contrastive loss computation, which reduces the communication overhead and GPU memory demands significantly, facilitating a 60% increase in training speed. We pretrain a series of bilingual image-text foundation models with an enhanced fine-grained understanding ability on BM-6B, the resulting models, dubbed as M^2-Encoders (pronounced "M-Square"), set new benchmarks in both languages for multimodal retrieval and classification tasks. Notably, Our largest M^2-Encoder-10B model has achieved top-1 accuracies of 88.5% on ImageNet and 80.7% on ImageNet-CN under a zero-shot classification setting, surpassing previously reported SoTA methods by 2.2% and 21.1%, respectively. The M^2-Encoder series represents one of the most comprehensive bilingual image-text foundation models to date, so we are making it available to the research community for further exploration and development.

Recent text-to-image generation methods provide a simple yet exciting conversion capability between text and image domains. While these methods have incrementally improved the generated image fidelity and text relevancy, several pivotal gaps remain unanswered, limiting applicability and quality. We propose a novel text-to-image method that addresses these gaps by (i) enabling a simple control mechanism complementary to text in the form of a scene, (ii) introducing elements that substantially improve the tokenization process by employing domain-specific knowledge over key image regions (faces and salient objects), and (iii) adapting classifier-free guidance for the transformer use case. Our model achieves state-of-the-art FID and human evaluation results, unlocking the ability to generate high fidelity images in a resolution of 512x512 pixels, significantly improving visual quality. Through scene controllability, we introduce several new capabilities: (i) Scene editing, (ii) text editing with anchor scenes, (iii) overcoming out-of-distribution text prompts, and (iv) story illustration generation, as demonstrated in the story we wrote.

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.

Contrastively-trained Vision-Language Models (VLMs) like CLIP have become the de facto approach for discriminative vision-language representation learning. However, these models have limited language understanding, often exhibiting a "bag of words" behavior. At the same time, Large Vision-Language Models (LVLMs), which combine vision encoders with LLMs, have been shown capable of detailed vision-language reasoning, yet their autoregressive nature renders them less suitable for discriminative tasks. In this work, we propose to combine "the best of both worlds": a new training approach for discriminative fine-tuning of LVLMs that results in strong discriminative and compositional capabilities. Essentially, our approach converts a generative LVLM into a discriminative one, unlocking its capability for powerful image-text discrimination combined with enhanced language understanding. Our contributions include: (1) A carefully designed training/optimization framework that utilizes image-text pairs of variable length and granularity for training the model with both contrastive and next-token prediction losses. This is accompanied by ablation studies that justify the necessity of our framework's components. (2) A parameter-efficient adaptation method using a combination of soft prompting and LoRA adapters. (3) Significant improvements over state-of-the-art CLIP-like models of similar size, including standard image-text retrieval benchmarks and notable gains in compositionality.

While existing image-text alignment models reach high quality binary assessments, they fall short of pinpointing the exact source of misalignment. In this paper, we present a method to provide detailed textual and visual explanation of detected misalignments between text-image pairs. We leverage large language models and visual grounding models to automatically construct a training set that holds plausible misaligned captions for a given image and corresponding textual explanations and visual indicators. We also publish a new human curated test set comprising ground-truth textual and visual misalignment annotations. Empirical results show that fine-tuning vision language models on our training set enables them to articulate misalignments and visually indicate them within images, outperforming strong baselines both on the binary alignment classification and the explanation generation tasks. Our method code and human curated test set are available at: https://mismatch-quest.github.io/

In the absence of parallax cues, a learning-based single image depth estimation (SIDE) model relies heavily on shading and contextual cues in the image. While this simplicity is attractive, it is necessary to train such models on large and varied datasets, which are difficult to capture. It has been shown that using embeddings from pre-trained foundational models, such as CLIP, improves zero shot transfer in several applications. Taking inspiration from this, in our paper we explore the use of global image priors generated from a pre-trained ViT model to provide more detailed contextual information. We argue that the embedding vector from a ViT model, pre-trained on a large dataset, captures greater relevant information for SIDE than the usual route of generating pseudo image captions, followed by CLIP based text embeddings. Based on this idea, we propose a new SIDE model using a diffusion backbone which is conditioned on ViT embeddings. Our proposed design establishes a new state-of-the-art (SOTA) for SIDE on NYUv2 dataset, achieving Abs Rel error of 0.059 (14% improvement) compared to 0.069 by the current SOTA (VPD). And on KITTI dataset, achieving Sq Rel error of 0.139 (2% improvement) compared to 0.142 by the current SOTA (GEDepth). For zero-shot transfer with a model trained on NYUv2, we report mean relative improvement of (20%, 23%, 81%, 25%) over NeWCRFs on (Sun-RGBD, iBims1, DIODE, HyperSim) datasets, compared to (16%, 18%, 45%, 9%) by ZoeDepth. The project page is available at https://ecodepth-iitd.github.io

Vision-language models (VLMs) embed aligned image-text pairs into a joint space but often rely on deterministic embeddings, assuming a one-to-one correspondence between images and texts. This oversimplifies real-world relationships, which are inherently many-to-many, with multiple captions describing a single image and vice versa. We introduce Probabilistic Language-Image Pre-training (ProLIP), the first probabilistic VLM pre-trained on a billion-scale image-text dataset using only probabilistic objectives, achieving a strong zero-shot capability (e.g., 74.6% ImageNet zero-shot accuracy with ViT-B/16). ProLIP efficiently estimates uncertainty by an "uncertainty token" without extra parameters. We also introduce a novel inclusion loss that enforces distributional inclusion relationships between image-text pairs and between original and masked inputs. Experiments demonstrate that, by leveraging uncertainty estimates, ProLIP benefits downstream tasks and aligns with intuitive notions of uncertainty, e.g., shorter texts being more uncertain and more general inputs including specific ones. Utilizing text uncertainties, we further improve ImageNet accuracy from 74.6% to 75.8% (under a few-shot setting), supporting the practical advantages of our probabilistic approach. The code is available at https://github.com/naver-ai/prolip

Vision-language pre-training (VLP) methods are blossoming recently, and its crucial goal is to jointly learn visual and textual features via a transformer-based architecture, demonstrating promising improvements on a variety of vision-language tasks. Prior arts usually focus on how to align visual and textual features, but strategies for improving the robustness of model and speeding up model convergence are left insufficiently explored. In this paper, we propose a novel method ViLTA, comprising of two components to further facilitate the model to learn fine-grained representations among image-text pairs. For Masked Language Modeling (MLM), we propose a cross-distillation method to generate soft labels to enhance the robustness of model, which alleviates the problem of treating synonyms of masked words as negative samples in one-hot labels. For Image-Text Matching (ITM), we leverage the current language encoder to synthesize hard negatives based on the context of language input, encouraging the model to learn high-quality representations by increasing the difficulty of the ITM task. By leveraging the above techniques, our ViLTA can achieve better performance on various vision-language tasks. Extensive experiments on benchmark datasets demonstrate that the effectiveness of ViLTA and its promising potential for vision-language pre-training.

Despite the growing scale of medical Vision-Language datasets, the impact of dataset quality on model performance remains under-explored. We introduce Open-PMC, a high-quality medical dataset from PubMed Central, containing 2.2 million image-text pairs, enriched with image modality annotations, subfigures, and summarized in-text references. Notably, the in-text references provide richer medical context, extending beyond the abstract information typically found in captions. Through extensive experiments, we benchmark Open-PMC against larger datasets across retrieval and zero-shot classification tasks. Our results show that dataset quality-not just size-drives significant performance gains. We complement our benchmark with an in-depth analysis of feature representation. Our findings highlight the crucial role of data curation quality in advancing multimodal medical AI. We release Open-PMC, along with the trained models and our codebase.

Multimodal large language models have experienced rapid growth, and numerous different models have emerged. The interpretability of LVLMs remains an under-explored area. Especially when faced with more complex tasks such as chain-of-thought reasoning, its internal mechanisms still resemble a black box that is difficult to decipher. By studying the interaction and information flow between images and text, we noticed that in models such as LLaVA1.5, image tokens that are semantically related to text are more likely to have information flow convergence in the LLM decoding layer, and these image tokens receive higher attention scores. However, those image tokens that are less relevant to the text do not have information flow convergence, and they only get very small attention scores. To efficiently utilize the image information, we propose a new image token reduction method, Simignore, which aims to improve the complex reasoning ability of LVLMs by computing the similarity between image and text embeddings and ignoring image tokens that are irrelevant and unimportant to the text. Through extensive experiments, we demonstrate the effectiveness of our method for complex reasoning tasks. The paper's source code can be accessed from https://github.com/FanshuoZeng/Simignore.

Large Vision-Language Models (LVLMs) are capable of handling diverse data types such as imaging, text, and physiological signals, and can be applied in various fields. In the medical field, LVLMs have a high potential to offer substantial assistance for diagnosis and treatment. Before that, it is crucial to develop benchmarks to evaluate LVLMs' effectiveness in various medical applications. Current benchmarks are often built upon specific academic literature, mainly focusing on a single domain, and lacking varying perceptual granularities. Thus, they face specific challenges, including limited clinical relevance, incomplete evaluations, and insufficient guidance for interactive LVLMs. To address these limitations, we developed the GMAI-MMBench, the most comprehensive general medical AI benchmark with well-categorized data structure and multi-perceptual granularity to date. It is constructed from 285 datasets across 39 medical image modalities, 18 clinical-related tasks, 18 departments, and 4 perceptual granularities in a Visual Question Answering (VQA) format. Additionally, we implemented a lexical tree structure that allows users to customize evaluation tasks, accommodating various assessment needs and substantially supporting medical AI research and applications. We evaluated 50 LVLMs, and the results show that even the advanced GPT-4o only achieves an accuracy of 52%, indicating significant room for improvement. Moreover, we identified five key insufficiencies in current cutting-edge LVLMs that need to be addressed to advance the development of better medical applications. We believe that GMAI-MMBench will stimulate the community to build the next generation of LVLMs toward GMAI. Project Page: https://uni-medical.github.io/GMAI-MMBench.github.io/

In this work, we study the Efficient Multimodal Large Language Model. Redundant vision tokens consume a significant amount of computational memory and resources. Therefore, many previous works compress them in the Vision Projector to reduce the number of vision tokens. However, simply compressing in the Vision Projector can lead to the loss of visual information, especially for tasks that rely on fine-grained spatial relationships, such as OCR and Chart \& Table Understanding. To address this problem, we propose Vision Remember, which is inserted between the LLM decoder layers to allow vision tokens to re-memorize vision features. Specifically, we retain multi-level vision features and resample them with the vision tokens that have interacted with the text token. During the resampling process, each vision token only attends to a local region in vision features, which is referred to as saliency-enhancing local attention. Saliency-enhancing local attention not only improves computational efficiency but also captures more fine-grained contextual information and spatial relationships within the region. Comprehensive experiments on multiple visual understanding benchmarks validate the effectiveness of our method when combined with various Efficient Vision Projectors, showing performance gains without sacrificing efficiency. Based on Vision Remember, LLaVA-VR with only 2B parameters is also superior to previous representative MLLMs such as Tokenpacker-HD-7B and DeepSeek-VL-7B.

Despite the recent success of image-text contrastive models like CLIP and SigLIP, these models often struggle with vision-centric tasks that demand high-fidelity image understanding, such as counting, depth estimation, and fine-grained object recognition. These models, by performing language alignment, tend to prioritize high-level semantics over visual understanding, weakening their image understanding. On the other hand, vision-focused models are great at processing visual information but struggle to understand language, limiting their flexibility for language-driven tasks. In this work, we introduce TULIP, an open-source, drop-in replacement for existing CLIP-like models. Our method leverages generative data augmentation, enhanced image-image and text-text contrastive learning, and image/text reconstruction regularization to learn fine-grained visual features while preserving global semantic alignment. Our approach, scaling to over 1B parameters, outperforms existing state-of-the-art (SOTA) models across multiple benchmarks, establishing a new SOTA zero-shot performance on ImageNet-1K, delivering up to a 2times enhancement over SigLIP on RxRx1 in linear probing for few-shot classification, and improving vision-language models, achieving over 3times higher scores than SigLIP on MMVP. Our code/checkpoints are available at https://tulip-berkeley.github.io

Multimodal models trained on large natural image-text pair datasets have exhibited astounding abilities in generating high-quality images. Medical imaging data is fundamentally different to natural images, and the language used to succinctly capture relevant details in medical data uses a different, narrow but semantically rich, domain-specific vocabulary. Not surprisingly, multi-modal models trained on natural image-text pairs do not tend to generalize well to the medical domain. Developing generative imaging models faithfully representing medical concepts while providing compositional diversity could mitigate the existing paucity of high-quality, annotated medical imaging datasets. In this work, we develop a strategy to overcome the large natural-medical distributional shift by adapting a pre-trained latent diffusion model on a corpus of publicly available chest x-rays (CXR) and their corresponding radiology (text) reports. We investigate the model's ability to generate high-fidelity, diverse synthetic CXR conditioned on text prompts. We assess the model outputs quantitatively using image quality metrics, and evaluate image quality and text-image alignment by human domain experts. We present evidence that the resulting model (RoentGen) is able to create visually convincing, diverse synthetic CXR images, and that the output can be controlled to a new extent by using free-form text prompts including radiology-specific language. Fine-tuning this model on a fixed training set and using it as a data augmentation method, we measure a 5% improvement of a classifier trained jointly on synthetic and real images, and a 3% improvement when trained on a larger but purely synthetic training set. Finally, we observe that this fine-tuning distills in-domain knowledge in the text-encoder and can improve its representation capabilities of certain diseases like pneumothorax by 25%.

Retinal imaging has emerged as a powerful, non-invasive modality for detecting and quantifying biomarkers of systemic diseases-ranging from diabetes and hypertension to Alzheimer's disease and cardiovascular disorders but current insights remain dispersed across platforms and specialties. Recent technological advances in optical coherence tomography (OCT/OCTA) and adaptive optics (AO) now deliver ultra-high-resolution scans (down to 5 {\mu}m ) with superior contrast and spatial integration, allowing early identification of microvascular abnormalities and neurodegenerative changes. At the same time, AI-driven and machine learning (ML) algorithms have revolutionized the analysis of large-scale retinal datasets, increasing sensitivity and specificity; for example, deep learning models achieve > 90 \% sensitivity for diabetic retinopathy and AUC = 0.89 for the prediction of cardiovascular risk from fundus photographs. The proliferation of mobile health technologies and telemedicine platforms further extends access, reduces costs, and facilitates community-based screening and longitudinal monitoring. Despite these breakthroughs, translation into routine practice is hindered by heterogeneous imaging protocols, limited external validation of AI models, and integration challenges within clinical workflows. In this review, we systematically synthesize the latest OCT/OCT and AO developments, AI/ML approaches, and mHealth/Tele-ophthalmology initiatives and quantify their diagnostic performance across disease domains. Finally, we propose a roadmap for multicenter protocol standardization, prospective validation trials, and seamless incorporation of retinal screening into primary and specialty care pathways-paving the way for precision prevention, early intervention, and ongoing treatment of life-threatening systemic diseases.

Existed pre-training methods either focus on single-modal tasks or multi-modal tasks, and cannot effectively adapt to each other. They can only utilize single-modal data (i.e. text or image) or limited multi-modal data (i.e. image-text pairs). In this work, we propose a unified-modal pre-training architecture, namely UNIMO, which can effectively adapt to both single-modal and multi-modal understanding and generation tasks. Large scale of free text corpus and image collections can be utilized to improve the capability of visual and textual understanding, and cross-modal contrastive learning (CMCL) is leveraged to align the textual and visual information into a unified semantic space over a corpus of image-text pairs. As the non-paired single-modal data is very rich, our model can utilize much larger scale of data to learn more generalizable representations. Moreover, the textual knowledge and visual knowledge can enhance each other in the unified semantic space. The experimental results show that UNIMO significantly improves the performance of several single-modal and multi-modal downstream tasks. Our code and pre-trained models are public at the UNIMO project page https://unimo-ptm.github.io/

Learning alignment between language and vision is a fundamental challenge, especially as multimodal data becomes increasingly detailed and complex. Existing methods often rely on collecting human or AI preferences, which can be costly and time-intensive. We propose an alternative approach that leverages cycle consistency as a supervisory signal. Given an image and generated text, we map the text back to image space using a text-to-image model and compute the similarity between the original image and its reconstruction. Analogously, for text-to-image generation, we measure the textual similarity between an input caption and its reconstruction through the cycle. We use the cycle consistency score to rank candidates and construct a preference dataset of 866K comparison pairs. The reward model trained on our dataset outperforms state-of-the-art alignment metrics on detailed captioning, with superior inference-time scalability when used as a verifier for Best-of-N sampling. Furthermore, performing DPO and Diffusion DPO using our dataset enhances performance across a wide range of vision-language tasks and text-to-image generation. Our dataset, model, and code are at https://cyclereward.github.io

In this paper, we introduce ILLUME, a unified multimodal large language model (MLLM) that seamlessly integrates multimodal understanding and generation capabilities within a single large language model through a unified next-token prediction formulation. To address the large dataset size typically required for image-text alignment, we propose to enhance data efficiency through the design of a vision tokenizer that incorporates semantic information and a progressive multi-stage training procedure. This approach reduces the dataset size to just 15M for pretraining -- over four times fewer than what is typically needed -- while achieving competitive or even superior performance with existing unified MLLMs, such as Janus. Additionally, to promote synergistic enhancement between understanding and generation capabilities, which is under-explored in previous works, we introduce a novel self-enhancing multimodal alignment scheme. This scheme supervises the MLLM to self-assess the consistency between text descriptions and self-generated images, facilitating the model to interpret images more accurately and avoid unrealistic and incorrect predictions caused by misalignment in image generation. Based on extensive experiments, our proposed ILLUME stands out and competes with state-of-the-art unified MLLMs and specialized models across various benchmarks for multimodal understanding, generation, and editing.

Large-scale fine-grained image retrieval (FGIR) aims to retrieve images belonging to the same subcategory as a given query by capturing subtle differences in a large-scale setting. Recently, Vision Transformers (ViT) have been employed in FGIR due to their powerful self-attention mechanism for modeling long-range dependencies. However, most Transformer-based methods focus primarily on leveraging self-attention to distinguish fine-grained details, while overlooking the high computational complexity and redundant dependencies inherent to these models, limiting their scalability and effectiveness in large-scale FGIR. In this paper, we propose an Efficient and Effective ViT-based framework, termed EET, which integrates token pruning module with a discriminative transfer strategy to address these limitations. Specifically, we introduce a content-based token pruning scheme to enhance the efficiency of the vanilla ViT, progressively removing background or low-discriminative tokens at different stages by exploiting feature responses and self-attention mechanism. To ensure the resulting efficient ViT retains strong discriminative power, we further present a discriminative transfer strategy comprising both discriminative knowledge transfer and discriminative region guidance. Using a distillation paradigm, these components transfer knowledge from a larger ``teacher'' ViT to a more efficient ``student'' model, guiding the latter to focus on subtle yet crucial regions in a cost-free manner. Extensive experiments on two widely-used fine-grained datasets and four large-scale fine-grained datasets demonstrate the effectiveness of our method. Specifically, EET reduces the inference latency of ViT-Small by 42.7\% and boosts the retrieval performance of 16-bit hash codes by 5.15\% on the challenging NABirds dataset.

The integration of artificial intelligence (AI) with radiology marks a transformative era in medicine. Vision foundation models have been adopted to enhance radiologic imaging analysis. However, the distinct complexities of radiologic 2D and 3D radiologic data pose unique challenges that existing models, pre-trained on general non-medical images, fail to address adequately. To bridge this gap and capitalize on the diagnostic precision required in radiologic imaging, we introduce Radiologic Contrastive Language-Image Pre-training (RadCLIP): a cross-modal vision-language foundational model that harnesses Vision Language Pre-training (VLP) framework to improve radiologic image analysis. Building upon Contrastive Language-Image Pre-training (CLIP), RadCLIP incorporates a slice pooling mechanism tailored for volumetric image analysis and is pre-trained using a large and diverse dataset of radiologic image-text pairs. The RadCLIP was pre-trained to effectively align radiologic images with their corresponding text annotations, creating a robust vision backbone for radiologic images. Extensive experiments demonstrate RadCLIP's superior performance in both uni-modal radiologic image classification and cross-modal image-text matching, highlighting its significant promise for improving diagnostic accuracy and efficiency in clinical settings. Our Key contributions include curating a large dataset with diverse radiologic 2D/3D radiologic image-text pairs, a slice pooling adapter using an attention mechanism for integrating 2D images, and comprehensive evaluations of RadCLIP on various radiologic downstream tasks.

Visual Question Answering (VQA) is a complicated task that requires the capability of simultaneously processing natural language and images. Initially, this task was researched, focusing on methods to help machines understand objects and scene contexts in images. However, some text appearing in the image that carries explicit information about the full content of the image is not mentioned. Along with the continuous development of the AI era, there have been many studies on the reading comprehension ability of VQA models in the world. As a developing country, conditions are still limited, and this task is still open in Vietnam. Therefore, we introduce the first large-scale dataset in Vietnamese specializing in the ability to understand text appearing in images, we call it ViTextVQA (Vietnamese Text-based Visual Question Answering dataset) which contains over 16,000 images and over 50,000 questions with answers. Through meticulous experiments with various state-of-the-art models, we uncover the significance of the order in which tokens in OCR text are processed and selected to formulate answers. This finding helped us significantly improve the performance of the baseline models on the ViTextVQA dataset. Our dataset is available at this https://github.com/minhquan6203/ViTextVQA-Dataset{link} for research purposes.

Image description datasets play a crucial role in the advancement of various applications such as image understanding, text-to-image generation, and text-image retrieval. Currently, image description datasets primarily originate from two sources. One source is the scraping of image-text pairs from the web. Despite their abundance, these descriptions are often of low quality and noisy. Another is through human labeling. Datasets such as COCO are generally very short and lack details. Although detailed image descriptions can be annotated by humans, the high annotation cost limits the feasibility. These limitations underscore the need for more efficient and scalable methods to generate accurate and detailed image descriptions. In this paper, we propose an innovative framework termed Image Textualization (IT), which automatically produces high-quality image descriptions by leveraging existing multi-modal large language models (MLLMs) and multiple vision expert models in a collaborative manner, which maximally convert the visual information into text. To address the current lack of benchmarks for detailed descriptions, we propose several benchmarks for comprehensive evaluation, which verifies the quality of image descriptions created by our framework. Furthermore, we show that LLaVA-7B, benefiting from training on IT-curated descriptions, acquire improved capability to generate richer image descriptions, substantially increasing the length and detail of their output with less hallucination.

Large-scale multi-modal deep learning models have revolutionized domains such as healthcare, highlighting the importance of computational power. However, in resource-constrained regions like Low and Middle-Income Countries (LMICs), limited access to GPUs and data poses significant challenges, often leaving CPUs as the sole resource. To address this, we advocate for leveraging vector embeddings to enable flexible and efficient computational methodologies, democratizing multimodal deep learning across diverse contexts. Our paper investigates the efficiency and effectiveness of using vector embeddings from single-modal foundation models and multi-modal Vision-Language Models (VLMs) for multimodal deep learning in low-resource environments, particularly in healthcare. Additionally, we propose a simple yet effective inference-time method to enhance performance by aligning image-text embeddings. Comparing these approaches with traditional methods, we assess their impact on computational efficiency and model performance using metrics like accuracy, F1-score, inference time, training time, and memory usage across three medical modalities: BRSET (ophthalmology), HAM10000 (dermatology), and SatelliteBench (public health). Our findings show that embeddings reduce computational demands without compromising model performance. Furthermore, our alignment method improves performance in medical tasks. This research promotes sustainable AI practices by optimizing resources in constrained environments, highlighting the potential of embedding-based approaches for efficient multimodal learning. Vector embeddings democratize multimodal deep learning in LMICs, particularly in healthcare, enhancing AI adaptability in varied use cases.

Diffusion models have been widely used for conditional data cross-modal generation tasks such as text-to-image and text-to-video. However, state-of-the-art models still fail to align the generated visual concepts with high-level semantics in a language such as object count, spatial relationship, etc. We approach this problem from a multimodal data fusion perspective and investigate how different fusion strategies can affect vision-language alignment. We discover that compared to the widely used early fusion of conditioning text in a pretrained image feature space, a specially designed intermediate fusion can: (i) boost text-to-image alignment with improved generation quality and (ii) improve training and inference efficiency by reducing low-rank text-to-image attention calculations. We perform experiments using a text-to-image generation task on the MS-COCO dataset. We compare our intermediate fusion mechanism with the classic early fusion mechanism on two common conditioning methods on a U-shaped ViT backbone. Our intermediate fusion model achieves a higher CLIP Score and lower FID, with 20% reduced FLOPs, and 50% increased training speed compared to a strong U-ViT baseline with an early fusion.

Modern Text-to-Image (T2I) generation increasingly relies on token-centric architectures that are trained with self-supervision, yet effectively fusing text with visual tokens remains a challenge. We propose JEPA-T, a unified multimodal framework that encodes images and captions into discrete visual and textual tokens, processed by a joint-embedding predictive Transformer. To enhance fusion, we incorporate cross-attention after the feature predictor for conditional denoising while maintaining a task-agnostic backbone. Additionally, raw texts embeddings are injected prior to the flow matching loss to improve alignment during training. During inference, the same network performs both class-conditional and free-text image generation by iteratively denoising visual tokens conditioned on text. Evaluations on ImageNet-1K demonstrate that JEPA-T achieves strong data efficiency, open-vocabulary generalization, and consistently outperforms non-fusion and late-fusion baselines. Our approach shows that late architectural fusion combined with objective-level alignment offers an effective balance between conditioning strength and backbone generality in token-based T2I.The code is now available: https://github.com/justin-herry/JEPA-T.git

Contrastively-trained Vision-Language Models (VLMs), such as CLIP, have become the standard approach for learning discriminative vision-language representations. However, these models often exhibit shallow language understanding, manifesting bag-of-words behaviour. These limitations are reinforced by their dual-encoder design, which induces a modality gap. Additionally, the reliance on vast web-collected data corpora for training makes the process computationally expensive and introduces significant privacy concerns. To address these limitations, in this work, we challenge the necessity of vision encoders for retrieval tasks by introducing a vision-free, single-encoder retrieval pipeline. Departing from the traditional text-to-image retrieval paradigm, we migrate to a text-to-text paradigm with the assistance of VLLM-generated structured image descriptions. We demonstrate that this paradigm shift has significant advantages, including a substantial reduction of the modality gap, improved compositionality, and better performance on short and long caption queries, all attainable with only a few hours of calibration on two GPUs. Additionally, substituting raw images with textual descriptions introduces a more privacy-friendly alternative for retrieval. To further assess generalisation and address some of the shortcomings of prior compositionality benchmarks, we release two benchmarks derived from Flickr30k and COCO, containing diverse compositional queries made of short captions, which we coin subFlickr and subCOCO. Our vision-free retriever matches and often surpasses traditional multimodal models. Importantly, our approach achieves state-of-the-art zero-shot performance on multiple retrieval and compositionality benchmarks, with models as small as 0.3B parameters. Code is available at: https://github.com/IoannaNti/LexiCLIP

Recent multimodal image generators such as GPT-4o, Gemini 2.0 Flash, and Gemini 2.5 Pro excel at following complex instructions, editing images and maintaining concept consistency. However, they are still evaluated by disjoint toolkits: text-to-image (T2I) benchmarks that lacks multi-modal conditioning, and customized image generation benchmarks that overlook compositional semantics and common knowledge. We propose MMIG-Bench, a comprehensive Multi-Modal Image Generation Benchmark that unifies these tasks by pairing 4,850 richly annotated text prompts with 1,750 multi-view reference images across 380 subjects, spanning humans, animals, objects, and artistic styles. MMIG-Bench is equipped with a three-level evaluation framework: (1) low-level metrics for visual artifacts and identity preservation of objects; (2) novel Aspect Matching Score (AMS): a VQA-based mid-level metric that delivers fine-grained prompt-image alignment and shows strong correlation with human judgments; and (3) high-level metrics for aesthetics and human preference. Using MMIG-Bench, we benchmark 17 state-of-the-art models, including Gemini 2.5 Pro, FLUX, DreamBooth, and IP-Adapter, and validate our metrics with 32k human ratings, yielding in-depth insights into architecture and data design. We will release the dataset and evaluation code to foster rigorous, unified evaluation and accelerate future innovations in multi-modal image generation.

The development of vision-language models (VLMs) is driven by large-scale and diverse multimodal datasets. However, progress toward generalist biomedical VLMs is limited by the lack of annotated, publicly accessible datasets across biology and medicine. Existing efforts are restricted to narrow domains, missing the full diversity of biomedical knowledge encoded in scientific literature. To address this gap, we introduce BIOMEDICA, a scalable, open-source framework to extract, annotate, and serialize the entirety of the PubMed Central Open Access subset into an easy-to-use, publicly accessible dataset.Our framework produces a comprehensive archive with over 24 million unique image-text pairs from over 6 million articles. Metadata and expert-guided annotations are also provided. We demonstrate the utility and accessibility of our resource by releasing BMCA-CLIP, a suite of CLIP-style models continuously pre-trained on the BIOMEDICA dataset via streaming, eliminating the need to download 27 TB of data locally.On average, our models achieve state-of-the-art performance across 40 tasks - spanning pathology, radiology, ophthalmology, dermatology, surgery, molecular biology, parasitology, and cell biology - excelling in zero-shot classification with a 6.56% average improvement (as high as 29.8% and 17.5% in dermatology and ophthalmology, respectively), and stronger image-text retrieval, all while using 10x less compute. To foster reproducibility and collaboration, we release our codebase and dataset for the broader research community.

CLIP has shown impressive results in aligning images and texts at scale. However, its ability to capture detailed visual features remains limited because CLIP matches images and texts at a global level. To address this issue, we propose FLAIR, Fine-grained Language-informed Image Representations, an approach that utilizes long and detailed image descriptions to learn localized image embeddings. By sampling diverse sub-captions that describe fine-grained details about an image, we train our vision-language model to produce not only global embeddings but also text-specific image representations. Our model introduces text-conditioned attention pooling on top of local image tokens to produce fine-grained image representations that excel at retrieving detailed image content. We achieve state-of-the-art performance on both, existing multimodal retrieval benchmarks, as well as, our newly introduced fine-grained retrieval task which evaluates vision-language models' ability to retrieve partial image content. Furthermore, our experiments demonstrate the effectiveness of FLAIR trained on 30M image-text pairs in capturing fine-grained visual information, including zero-shot semantic segmentation, outperforming models trained on billions of pairs. Code is available at https://github.com/ExplainableML/flair .

Large Multimodal Models have demonstrated impressive capabilities in understanding general vision-language tasks. However, due to the limitation of supported input resolution (e.g., 448 x 448) as well as the inexhaustive description of the training image-text pair, these models often encounter challenges when dealing with intricate scene understandings and narratives. Here we address the problem by proposing the Monkey. Our contributions are two-fold: 1) without pretraining from the start, our method can be built upon an existing vision encoder (e.g., vit-BigHuge) to effectively improve the input resolution capacity up to 896 x 1344 pixels; 2) we propose a multi-level description generation method, which automatically provides rich information that can guide model to learn contextual association between scenes and objects. Our extensive testing across more than 16 distinct datasets reveals that Monkey achieves consistently competitive performance over the existing LMMs on fundamental tasks, such as Image Captioning, General Visual Question Answering (VQA), and Document-oriented VQA. Models, interactive demo, and the source code are provided at the following https://github.com/Yuliang-Liu/Monkey.

Large-scale but noisy image-text pair data have paved the way for the success of Contrastive Language-Image Pretraining (CLIP). As the foundation vision encoder, CLIP in turn serves as the cornerstone for most large vision-language models (LVLMs). This interdependence naturally raises an interesting question: Can we reciprocally leverage LVLMs to enhance the quality of image-text pair data, thereby opening the possibility of a self-reinforcing cycle for continuous improvement? In this work, we take a significant step toward this vision by introducing an LVLM-driven data refinement pipeline. Our framework leverages LVLMs to process images and their raw alt-text, generating four complementary textual formulas: long positive descriptions, long negative descriptions, short positive tags, and short negative tags. Applying this pipeline to the curated DFN-Large dataset yields VLM-150M, a refined dataset enriched with multi-grained annotations. Based on this dataset, we further propose a training paradigm that extends conventional contrastive learning by incorporating negative descriptions and short tags as additional supervised signals. The resulting model, namely HQ-CLIP, demonstrates remarkable improvements across diverse benchmarks. Within a comparable training data scale, our approach achieves state-of-the-art performance in zero-shot classification, cross-modal retrieval, and fine-grained visual understanding tasks. In retrieval benchmarks, HQ-CLIP even surpasses standard CLIP models trained on the DFN-2B dataset, which contains 10times more training data than ours. All code, data, and models are available at https://zxwei.site/hqclip.

Interleaved text-and-image generation has been an intriguing research direction, where the models are required to generate both images and text pieces in an arbitrary order. Despite the emerging advancements in interleaved generation, the progress in its evaluation still significantly lags behind. Existing evaluation benchmarks do not support arbitrarily interleaved images and text for both inputs and outputs, and they only cover a limited number of domains and use cases. Also, current works predominantly use similarity-based metrics which fall short in assessing the quality in open-ended scenarios. To this end, we introduce InterleavedBench, the first benchmark carefully curated for the evaluation of interleaved text-and-image generation. InterleavedBench features a rich array of tasks to cover diverse real-world use cases. In addition, we present InterleavedEval, a strong reference-free metric powered by GPT-4o to deliver accurate and explainable evaluation. We carefully define five essential evaluation aspects for InterleavedEval, including text quality, perceptual quality, image coherence, text-image coherence, and helpfulness, to ensure a comprehensive and fine-grained assessment. Through extensive experiments and rigorous human evaluation, we show that our benchmark and metric can effectively evaluate the existing models with a strong correlation with human judgments surpassing previous reference-based metrics. We also provide substantial findings and insights to foster future research in interleaved generation and its evaluation.

How well do text-only Large Language Models (LLMs) grasp the visual world? As LLMs are increasingly used in computer vision, addressing this question becomes both fundamental and pertinent. However, existing studies have primarily focused on limited scenarios, such as their ability to generate visual content or cluster multimodal data. To this end, we propose the Visual Text Representation Benchmark (ViTeRB) to isolate key properties that make language models well-aligned with the visual world. With this, we identify large-scale decoder-based LLMs as ideal candidates for representing text in vision-centric contexts, counter to the current practice of utilizing text encoders. Building on these findings, we propose ShareLock, an ultra-lightweight CLIP-like model. By leveraging precomputable frozen features from strong vision and language models, ShareLock achieves an impressive 51% accuracy on ImageNet despite utilizing just 563k image-caption pairs. Moreover, training requires only 1 GPU hour (or 10 hours including the precomputation of features) - orders of magnitude less than prior methods. Code will be released.

In this work, we address the problem of grounding abnormalities in medical images, where the goal is to localize clinical findings based on textual descriptions. While generalist Vision-Language Models (VLMs) excel in natural grounding tasks, they often struggle in the medical domain due to rare, compositional, and domain-specific terms that are poorly aligned with visual patterns. Specialized medical VLMs address this challenge via large-scale domain pretraining, but at the cost of substantial annotation and computational resources. To overcome these limitations, we propose Knowledge to Sight (K2Sight), a framework that introduces structured semantic supervision by decomposing clinical concepts into interpretable visual attributes, such as shape, density, and anatomical location. These attributes are distilled from domain ontologies and encoded into concise instruction-style prompts, which guide region-text alignment during training. Unlike conventional report-level supervision, our approach explicitly bridges domain knowledge and spatial structure, enabling data-efficient training of compact models. We train compact models with 0.23B and 2B parameters using only 1.5\% of the data required by state-of-the-art medical VLMs. Despite their small size and limited training data, these models achieve performance on par with or better than 7B+ medical VLMs, with up to 9.82\% improvement in mAP_{50}. Code and models: https://lijunrio.github.io/K2Sight/{SOTAPink{https://lijunrio.github.io/K2Sight/}}.

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.

After discovering that Language Models (LMs) can be good in-context few-shot learners, numerous strategies have been proposed to optimize in-context sequence configurations. Recently, researchers in Vision-Language (VL) domains also develop their few-shot learners, while they only use the simplest way, ie., randomly sampling, to configure in-context image-text pairs. In order to explore the effects of varying configurations on VL in-context learning, we devised four strategies for image selection and four for caption assignment to configure in-context image-text pairs for image captioning. Here Image Captioning is used as the case study since it can be seen as the visually-conditioned LM. Our comprehensive experiments yield two counter-intuitive but valuable insights, highlighting the distinct characteristics of VL in-context learning due to multi-modal synergy, as compared to the NLP case. Furthermore, in our exploration of optimal combination strategies, we observed an average performance enhancement of 20.9 of CIDEr scores compared to the baseline. The code is given in https://github.com/yongliang-wu/ExploreCfg.

Personalized text-to-image generation models enable users to create images that depict their individual possessions in diverse scenes, finding applications in various domains. To achieve the personalization capability, existing methods rely on finetuning a text-to-image foundation model on a user's custom dataset, which can be non-trivial for general users, resource-intensive, and time-consuming. Despite attempts to develop finetuning-free methods, their generation quality is much lower compared to their finetuning counterparts. In this paper, we propose Joint-Image Diffusion (\jedi), an effective technique for learning a finetuning-free personalization model. Our key idea is to learn the joint distribution of multiple related text-image pairs that share a common subject. To facilitate learning, we propose a scalable synthetic dataset generation technique. Once trained, our model enables fast and easy personalization at test time by simply using reference images as input during the sampling process. Our approach does not require any expensive optimization process or additional modules and can faithfully preserve the identity represented by any number of reference images. Experimental results show that our model achieves state-of-the-art generation quality, both quantitatively and qualitatively, significantly outperforming both the prior finetuning-based and finetuning-free personalization baselines.

The field of multimodal research focusing on the comprehension and creation of both images and text has witnessed significant strides. This progress is exemplified by the emergence of sophisticated models dedicated to image captioning at scale, such as the notable Flamingo model and text-to-image generative models, with DALL-E serving as a prominent example. An interesting question worth exploring in this domain is whether Flamingo and DALL-E understand each other. To study this question, we propose a reconstruction task where Flamingo generates a description for a given image and DALL-E uses this description as input to synthesize a new image. We argue that these models understand each other if the generated image is similar to the given image. Specifically, we study the relationship between the quality of the image reconstruction and that of the text generation. We find that an optimal description of an image is one that gives rise to a generated image similar to the original one. The finding motivates us to propose a unified framework to finetune the text-to-image and image-to-text models. Concretely, the reconstruction part forms a regularization loss to guide the tuning of the models. Extensive experiments on multiple datasets with different image captioning and image generation models validate our findings and demonstrate the effectiveness of our proposed unified framework. As DALL-E and Flamingo are not publicly available, we use Stable Diffusion and BLIP in the remaining work. Project website: https://dalleflamingo.github.io.

Phrase grounding, i.e., mapping natural language phrases to specific image regions, holds significant potential for disease localization in medical imaging through clinical reports. While current state-of-the-art methods rely on discriminative, self-supervised contrastive models, we demonstrate that generative text-to-image diffusion models, leveraging cross-attention maps, can achieve superior zero-shot phrase grounding performance. Contrary to prior assumptions, we show that fine-tuning diffusion models with a frozen, domain-specific language model, such as CXR-BERT, substantially outperforms domain-agnostic counterparts. This setup achieves remarkable improvements, with mIoU scores doubling those of current discriminative methods. These findings highlight the underexplored potential of generative models for phrase grounding tasks. To further enhance performance, we introduce Bimodal Bias Merging (BBM), a novel post-processing technique that aligns text and image biases to identify regions of high certainty. BBM refines cross-attention maps, achieving even greater localization accuracy. Our results establish generative approaches as a more effective paradigm for phrase grounding in the medical imaging domain, paving the way for more robust and interpretable applications in clinical practice. The source code and model weights are available at https://github.com/Felix-012/generate_to_ground.

Mutual Reinforcement Effect (MRE) is an emerging subfield at the intersection of information extraction and model interpretability. MRE aims to leverage the mutual understanding between tasks of different granularities, enhancing the performance of both coarse-grained and fine-grained tasks through joint modeling. While MRE has been explored and validated in the textual domain, its applicability to visual and multimodal domains remains unexplored. In this work, we extend MRE to the multimodal information extraction domain for the first time. Specifically, we introduce a new task: Multimodal Mutual Reinforcement Effect (M-MRE), and construct a corresponding dataset to support this task. To address the challenges posed by M-MRE, we further propose a Prompt Format Adapter (PFA) that is fully compatible with various Large Vision-Language Models (LVLMs). Experimental results demonstrate that MRE can also be observed in the M-MRE task, a multimodal text-image understanding scenario. This provides strong evidence that MRE facilitates mutual gains across three interrelated tasks, confirming its generalizability beyond the textual domain.

Blind and low vision (BLV) creators use images to communicate with sighted audiences. However, creating or retrieving images is challenging for BLV creators as it is difficult to use authoring tools or assess image search results. Thus, creators limit the types of images they create or recruit sighted collaborators. While text-to-image generation models let creators generate high-fidelity images based on a text description (i.e. prompt), it is difficult to assess the content and quality of generated images. We present GenAssist, a system to make text-to-image generation accessible. Using our interface, creators can verify whether generated image candidates followed the prompt, access additional details in the image not specified in the prompt, and skim a summary of similarities and differences between image candidates. To power the interface, GenAssist uses a large language model to generate visual questions, vision-language models to extract answers, and a large language model to summarize the results. Our study with 12 BLV creators demonstrated that GenAssist enables and simplifies the process of image selection and generation, making visual authoring more accessible to all.

The previous advancements in pathology image understanding primarily involved developing models tailored to specific tasks. Recent studies has demonstrated that the large vision-language model can enhance the performance of various downstream tasks in medical image understanding. In this study, we developed a domain-specific large language-vision assistant (PA-LLaVA) for pathology image understanding. Specifically, (1) we first construct a human pathology image-text dataset by cleaning the public medical image-text data for domain-specific alignment; (2) Using the proposed image-text data, we first train a pathology language-image pretraining (PLIP) model as the specialized visual encoder for pathology image, and then we developed scale-invariant connector to avoid the information loss caused by image scaling; (3) We adopt two-stage learning to train PA-LLaVA, first stage for domain alignment, and second stage for end to end visual question \& answering (VQA) task. In experiments, we evaluate our PA-LLaVA on both supervised and zero-shot VQA datasets, our model achieved the best overall performance among multimodal models of similar scale. The ablation experiments also confirmed the effectiveness of our design. We posit that our PA-LLaVA model and the datasets presented in this work can promote research in field of computational pathology. All codes are available at: https://github.com/ddw2AIGROUP2CQUPT/PA-LLaVA}{https://github.com/ddw2AIGROUP2CQUPT/PA-LLaVA

Vision-Language Models (VLMs) excel in integrating visual and textual information for vision-centric tasks, but their handling of inconsistencies between modalities is underexplored. We investigate VLMs' modality preferences when faced with visual data and varied textual inputs in vision-centered settings. By introducing textual variations to four vision-centric tasks and evaluating ten Vision-Language Models (VLMs), we discover a ``blind faith in text'' phenomenon: VLMs disproportionately trust textual data over visual data when inconsistencies arise, leading to significant performance drops under corrupted text and raising safety concerns. We analyze factors influencing this text bias, including instruction prompts, language model size, text relevance, token order, and the interplay between visual and textual certainty. While certain factors, such as scaling up the language model size, slightly mitigate text bias, others like token order can exacerbate it due to positional biases inherited from language models. To address this issue, we explore supervised fine-tuning with text augmentation and demonstrate its effectiveness in reducing text bias. Additionally, we provide a theoretical analysis suggesting that the blind faith in text phenomenon may stem from an imbalance of pure text and multi-modal data during training. Our findings highlight the need for balanced training and careful consideration of modality interactions in VLMs to enhance their robustness and reliability in handling multi-modal data inconsistencies.

Large Vision-Language Models (LVLMs) have demonstrated remarkable performance across various multimodal tasks by integrating visual perception with language understanding. However, conventional decoding strategies of LVLMs often fail to successfully utilize visual information, leading to visually ungrounded responses. While various approaches have been proposed to address this limitation, they typically require additional training, multi-step inference procedures, or external model dependencies. This paper introduces ReVisiT, a simple yet effective decoding method that references vision tokens to guide the text generation process in LVLMs. Our approach leverages the semantic information embedded within vision tokens by projecting them into the text token distribution space, and dynamically selecting the most relevant vision token at each decoding step through constrained divergence minimization. This selected vision token is then used to refine the output distribution to better incorporate visual semantics. Experiments on three LVLM hallucination benchmarks with two recent LVLMs demonstrate that ReVisiT consistently enhances visual grounding with minimal computational overhead. Moreover, our method achieves competitive or superior results relative to state-of-the-art baselines while reducing computational costs for up to 2times.