Daily Papers

Recent advancements in mixed-modal generative models have enabled flexible integration of information across image-text content. These models have opened new avenues for developing unified biomedical assistants capable of analyzing biomedical images, answering complex questions about them, and predicting the impact of medical procedures on a patient's health. However, existing resources face challenges such as limited data availability, narrow domain coverage, and restricted sources (e.g., medical papers). To address these gaps, we present MedMax, the first large-scale multimodal biomedical instruction-tuning dataset for mixed-modal foundation models. With 1.47 million instances, MedMax encompasses a diverse range of tasks, including multimodal content generation (interleaved image-text data), biomedical image captioning and generation, visual chatting, and report understanding. These tasks span diverse medical domains such as radiology and histopathology. Subsequently, we fine-tune a mixed-modal foundation model on the MedMax dataset, achieving significant performance improvements: a 26% gain over the Chameleon model and an 18.3% improvement over GPT-4o across 12 downstream biomedical visual question-answering tasks. Additionally, we introduce a unified evaluation suite for biomedical tasks, providing a robust framework to guide the development of next-generation mixed-modal biomedical AI assistants.

Recent advances in large multimodal models (LMMs) suggest that higher image resolution enhances the fine-grained understanding of image details, crucial for tasks such as visual commonsense reasoning and analyzing biomedical images. However, increasing input resolution poses two main challenges: 1) It extends the context length required by the language model, leading to inefficiencies and hitting the model's context limit; 2) It increases the complexity of visual features, necessitating more training data or more complex architecture. We introduce Dragonfly, a new LMM architecture that enhances fine-grained visual understanding and reasoning about image regions to address these challenges. Dragonfly employs two key strategies: multi-resolution visual encoding and zoom-in patch selection. These strategies allow the model to process high-resolution images efficiently while maintaining reasonable context length. Our experiments on eight popular benchmarks demonstrate that Dragonfly achieves competitive or better performance compared to other architectures, highlighting the effectiveness of our design. Additionally, we finetuned Dragonfly on biomedical instructions, achieving state-of-the-art results on multiple biomedical tasks requiring fine-grained visual understanding, including 92.3% accuracy on the Path-VQA dataset (compared to 83.3% for Med-Gemini) and the highest reported results on biomedical image captioning. To support model training, we curated a visual instruction-tuning dataset with 5.5 million image-instruction samples in the general domain and 1.4 million samples in the biomedical domain. We also conducted ablation studies to characterize the impact of various architectural designs and image resolutions, providing insights for future research on visual instruction alignment. The codebase and model are available at https://github.com/togethercomputer/Dragonfly.

Contrastive pretraining on parallel image-text data has attained great success in vision-language processing (VLP), as exemplified by CLIP and related methods. However, prior explorations tend to focus on general domains in the web. Biomedical images and text are rather different, but publicly available datasets are small and skew toward chest X-ray, thus severely limiting progress. In this paper, we conducted by far the largest study on biomedical VLP, using 15 million figure-caption pairs extracted from biomedical research articles in PubMed Central. Our dataset (PMC-15M) is two orders of magnitude larger than existing biomedical image-text datasets such as MIMIC-CXR, and spans a diverse range of biomedical images. The standard CLIP method is suboptimal for the biomedical domain. We propose BiomedCLIP with domain-specific adaptations tailored to biomedical VLP. We conducted extensive experiments and ablation studies on standard biomedical imaging tasks from retrieval to classification to visual question-answering (VQA). BiomedCLIP established new state of the art in a wide range of standard datasets, substantially outperformed prior VLP approaches. Surprisingly, BiomedCLIP even outperformed radiology-specific state-of-the-art models such as BioViL on radiology-specific tasks such as RSNA pneumonia detection, thus highlighting the utility in large-scale pretraining across all biomedical image types. We will release our models at https://aka.ms/biomedclip to facilitate future research in biomedical VLP.

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.

Image captioning is a multimodal problem that has drawn extensive attention in both the natural language processing and computer vision community. In this paper, we present a novel image captioning architecture to better explore semantics available in captions and leverage that to enhance both image representation and caption generation. Our models first construct caption-guided visual relationship graphs that introduce beneficial inductive bias using weakly supervised multi-instance learning. The representation is then enhanced with neighbouring and contextual nodes with their textual and visual features. During generation, the model further incorporates visual relationships using multi-task learning for jointly predicting word and object/predicate tag sequences. We perform extensive experiments on the MSCOCO dataset, showing that the proposed framework significantly outperforms the baselines, resulting in the state-of-the-art performance under a wide range of evaluation metrics.

Biomedical image analysis is fundamental for biomedical discovery in cell biology, pathology, radiology, and many other biomedical domains. Holistic image analysis comprises interdependent subtasks such as segmentation, detection, and recognition of relevant objects. Here, we propose BiomedParse, a biomedical foundation model for imaging parsing that can jointly conduct segmentation, detection, and recognition for 82 object types across 9 imaging modalities. Through joint learning, we can improve accuracy for individual tasks and enable novel applications such as segmenting all relevant objects in an image through a text prompt, rather than requiring users to laboriously specify the bounding box for each object. We leveraged readily available natural-language labels or descriptions accompanying those datasets and use GPT-4 to harmonize the noisy, unstructured text information with established biomedical object ontologies. We created a large dataset comprising over six million triples of image, segmentation mask, and textual description. On image segmentation, we showed that BiomedParse is broadly applicable, outperforming state-of-the-art methods on 102,855 test image-mask-label triples across 9 imaging modalities (everything). On object detection, which aims to locate a specific object of interest, BiomedParse again attained state-of-the-art performance, especially on objects with irregular shapes (everywhere). On object recognition, which aims to identify all objects in a given image along with their semantic types, we showed that BiomedParse can simultaneously segment and label all biomedical objects in an image (all at once). In summary, BiomedParse is an all-in-one tool for biomedical image analysis by jointly solving segmentation, detection, and recognition for all major biomedical image modalities, paving the path for efficient and accurate image-based biomedical discovery.

Scientific figure captioning is a complex task that requires generating contextually appropriate descriptions of visual content. However, existing methods often fall short by utilizing incomplete information, treating the task solely as either an image-to-text or text summarization problem. This limitation hinders the generation of high-quality captions that fully capture the necessary details. Moreover, existing data sourced from arXiv papers contain low-quality captions, posing significant challenges for training large language models (LLMs). In this paper, we introduce a framework called Multi-LLM Collaborative Figure Caption Generation (MLBCAP) to address these challenges by leveraging specialized LLMs for distinct sub-tasks. Our approach unfolds in three key modules: (Quality Assessment) We utilize multimodal LLMs to assess the quality of training data, enabling the filtration of low-quality captions. (Diverse Caption Generation) We then employ a strategy of fine-tuning/prompting multiple LLMs on the captioning task to generate candidate captions. (Judgment) Lastly, we prompt a prominent LLM to select the highest quality caption from the candidates, followed by refining any remaining inaccuracies. Human evaluations demonstrate that informative captions produced by our approach rank better than human-written captions, highlighting its effectiveness. Our code is available at https://github.com/teamreboott/MLBCAP

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.

Generating a description of an image is called image captioning. Image captioning requires to recognize the important objects, their attributes and their relationships in an image. It also needs to generate syntactically and semantically correct sentences. Deep learning-based techniques are capable of handling the complexities and challenges of image captioning. In this survey paper, we aim to present a comprehensive review of existing deep learning-based image captioning techniques. We discuss the foundation of the techniques to analyze their performances, strengths and limitations. We also discuss the datasets and the evaluation metrics popularly used in deep learning based automatic image captioning.

Researchers use figures to communicate rich, complex information in scientific papers. The captions of these figures are critical to conveying effective messages. However, low-quality figure captions commonly occur in scientific articles and may decrease understanding. In this paper, we propose an end-to-end neural framework to automatically generate informative, high-quality captions for scientific figures. To this end, we introduce SCICAP, a large-scale figure-caption dataset based on computer science arXiv papers published between 2010 and 2020. After pre-processing - including figure-type classification, sub-figure identification, text normalization, and caption text selection - SCICAP contained more than two million figures extracted from over 290,000 papers. We then established baseline models that caption graph plots, the dominant (19.2%) figure type. The experimental results showed both opportunities and steep challenges of generating captions for scientific figures.

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.

The task of image captioning demands an algorithm to generate natural language descriptions of visual inputs. Recent advancements have seen a convergence between image captioning research and the development of Large Language Models (LLMs) and Multimodal LLMs -- like GPT-4V and Gemini -- which extend the capabilities of text-only LLMs to multiple modalities. This paper investigates whether Multimodal LLMs can supplant traditional image captioning networks by evaluating their performance on various image description benchmarks. We explore both the zero-shot capabilities of these models and their adaptability to different semantic domains through fine-tuning methods, including prompt learning, prefix tuning, and low-rank adaptation. Our results demonstrate that while Multimodal LLMs achieve impressive zero-shot performance, fine-tuning for specific domains while maintaining their generalization capabilities intact remains challenging. We discuss the implications of these findings for future research in image captioning and the development of more adaptable Multimodal LLMs.

Conversational generative AI has demonstrated remarkable promise for empowering biomedical practitioners, but current investigations focus on unimodal text. Multimodal conversational AI has seen rapid progress by leveraging billions of image-text pairs from the public web, but such general-domain vision-language models still lack sophistication in understanding and conversing about biomedical images. In this paper, we propose a cost-efficient approach for training a vision-language conversational assistant that can answer open-ended research questions of biomedical images. The key idea is to leverage a large-scale, broad-coverage biomedical figure-caption dataset extracted from PubMed Central, use GPT-4 to self-instruct open-ended instruction-following data from the captions, and then fine-tune a large general-domain vision-language model using a novel curriculum learning method. Specifically, the model first learns to align biomedical vocabulary using the figure-caption pairs as is, then learns to master open-ended conversational semantics using GPT-4 generated instruction-following data, broadly mimicking how a layperson gradually acquires biomedical knowledge. This enables us to train a Large Language and Vision Assistant for BioMedicine (LLaVA-Med) in less than 15 hours (with eight A100s). LLaVA-Med exhibits excellent multimodal conversational capability and can follow open-ended instruction to assist with inquiries about a biomedical image. On three standard biomedical visual question answering datasets, LLaVA-Med outperforms previous supervised state-of-the-art on certain metrics. To facilitate biomedical multimodal research, we will release our instruction-following data and the LLaVA-Med model.

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

Humans describe complex scenes with compositionality, using simple text descriptions enriched with links and relationships. While vision-language research has aimed to develop models with compositional understanding capabilities, this is not reflected yet in existing datasets which, for the most part, still use plain text to describe images. In this work, we propose a new annotation strategy, graph-based captioning (GBC) that describes an image using a labelled graph structure, with nodes of various types. The nodes in GBC are created using, in a first stage, object detection and dense captioning tools nested recursively to uncover and describe entity nodes, further linked together in a second stage by highlighting, using new types of nodes, compositions and relations among entities. Since all GBC nodes hold plain text descriptions, GBC retains the flexibility found in natural language, but can also encode hierarchical information in its edges. We demonstrate that GBC can be produced automatically, using off-the-shelf multimodal LLMs and open-vocabulary detection models, by building a new dataset, GBC10M, gathering GBC annotations for about 10M images of the CC12M dataset. We use GBC10M to showcase the wealth of node captions uncovered by GBC, as measured with CLIP training. We show that using GBC nodes' annotations -- notably those stored in composition and relation nodes -- results in significant performance boost on downstream models when compared to other dataset formats. To further explore the opportunities provided by GBC, we also propose a new attention mechanism that can leverage the entire GBC graph, with encouraging experimental results that show the extra benefits of incorporating the graph structure. Our datasets are released at https://huggingface.co/graph-based-captions.

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.

Recent advancements in vision-language models (VLMs), such as CLIP, have demonstrated substantial success in self-supervised representation learning for vision tasks. However, effectively adapting VLMs to downstream applications remains challenging, as their accuracy often depends on time-intensive and expertise-demanding prompt engineering, while full model fine-tuning is costly. This is particularly true for biomedical images, which, unlike natural images, typically suffer from limited annotated datasets, unintuitive image contrasts, and nuanced visual features. Recent prompt learning techniques, such as Context Optimization (CoOp) intend to tackle these issues, but still fall short in generalizability. Meanwhile, explorations in prompt learning for biomedical image analysis are still highly limited. In this work, we propose BiomedCoOp, a novel prompt learning framework that enables efficient adaptation of BiomedCLIP for accurate and highly generalizable few-shot biomedical image classification. Our approach achieves effective prompt context learning by leveraging semantic consistency with average prompt ensembles from Large Language Models (LLMs) and knowledge distillation with a statistics-based prompt selection strategy. We conducted comprehensive validation of our proposed framework on 11 medical datasets across 9 modalities and 10 organs against existing state-of-the-art methods, demonstrating significant improvements in both accuracy and generalizability. The code is publicly available at https://github.com/HealthX-Lab/BiomedCoOp.

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.

Multi-modal data abounds in biomedicine, such as radiology images and reports. Interpreting this data at scale is essential for improving clinical care and accelerating clinical research. Biomedical text with its complex semantics poses additional challenges in vision--language modelling compared to the general domain, and previous work has used insufficiently adapted models that lack domain-specific language understanding. In this paper, we show that principled textual semantic modelling can substantially improve contrastive learning in self-supervised vision--language processing. We release a language model that achieves state-of-the-art results in radiology natural language inference through its improved vocabulary and novel language pretraining objective leveraging semantics and discourse characteristics in radiology reports. Further, we propose a self-supervised joint vision--language approach with a focus on better text modelling. It establishes new state of the art results on a wide range of publicly available benchmarks, in part by leveraging our new domain-specific language model. We release a new dataset with locally-aligned phrase grounding annotations by radiologists to facilitate the study of complex semantic modelling in biomedical vision--language processing. A broad evaluation, including on this new dataset, shows that our contrastive learning approach, aided by textual-semantic modelling, outperforms prior methods in segmentation tasks, despite only using a global-alignment objective.

Image captioning is a fundamental task in vision-language understanding, where the model predicts a textual informative caption to a given input image. In this paper, we present a simple approach to address this task. We use CLIP encoding as a prefix to the caption, by employing a simple mapping network, and then fine-tunes a language model to generate the image captions. The recently proposed CLIP model contains rich semantic features which were trained with textual context, making it best for vision-language perception. Our key idea is that together with a pre-trained language model (GPT2), we obtain a wide understanding of both visual and textual data. Hence, our approach only requires rather quick training to produce a competent captioning model. Without additional annotations or pre-training, it efficiently generates meaningful captions for large-scale and diverse datasets. Surprisingly, our method works well even when only the mapping network is trained, while both CLIP and the language model remain frozen, allowing a lighter architecture with less trainable parameters. Through quantitative evaluation, we demonstrate our model achieves comparable results to state-of-the-art methods on the challenging Conceptual Captions and nocaps datasets, while it is simpler, faster, and lighter. Our code is available in https://github.com/rmokady/CLIP_prefix_caption.

We introduce a versatile flexible-captioning vision-language model (VLM) capable of generating region-specific descriptions of varying lengths. The model, FlexCap, is trained to produce length-conditioned captions for input bounding boxes, and this allows control over the information density of its output, with descriptions ranging from concise object labels to detailed captions. To achieve this we create large-scale training datasets of image region descriptions of varying length, starting from captioned images. This flexible-captioning capability has several valuable applications. First, FlexCap demonstrates superior performance in dense captioning tasks on the Visual Genome dataset. Second, a visual question answering (VQA) system can be built by employing FlexCap to generate localized descriptions as inputs to a large language model. The resulting system achieves state-of-the-art zero-shot performance on a number of VQA datasets. We also demonstrate a localize-then-describe approach with FlexCap can be better at open-ended object detection than a describe-then-localize approach with other VLMs. We highlight a novel characteristic of FlexCap, which is its ability to extract diverse visual information through prefix conditioning. Finally, we qualitatively demonstrate FlexCap's broad applicability in tasks such as image labeling, object attribute recognition, and visual dialog. Project webpage: https://flex-cap.github.io .

Image captioning, like many tasks involving vision and language, currently relies on Transformer-based architectures for extracting the semantics in an image and translating it into linguistically coherent descriptions. Although successful, the attention operator only considers a weighted summation of projections of the current input sample, therefore ignoring the relevant semantic information which can come from the joint observation of other samples. In this paper, we devise a network which can perform attention over activations obtained while processing other training samples, through a prototypical memory model. Our memory models the distribution of past keys and values through the definition of prototype vectors which are both discriminative and compact. Experimentally, we assess the performance of the proposed model on the COCO dataset, in comparison with carefully designed baselines and state-of-the-art approaches, and by investigating the role of each of the proposed components. We demonstrate that our proposal can increase the performance of an encoder-decoder Transformer by 3.7 CIDEr points both when training in cross-entropy only and when fine-tuning with self-critical sequence training. Source code and trained models are available at: https://github.com/aimagelab/PMA-Net.

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.

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.

Language-supervised pre-training has proven to be a valuable method for extracting semantically meaningful features from images, serving as a foundational element in multimodal systems within the computer vision and medical imaging domains. However, resulting features are limited by the information contained within the text. This is particularly problematic in medical imaging, where radiologists' written findings focus on specific observations; a challenge compounded by the scarcity of paired imaging-text data due to concerns over leakage of personal health information. In this work, we fundamentally challenge the prevailing reliance on language supervision for learning general purpose biomedical imaging encoders. We introduce RAD-DINO, a biomedical image encoder pre-trained solely on unimodal biomedical imaging data that obtains similar or greater performance than state-of-the-art biomedical language supervised models on a diverse range of benchmarks. Specifically, the quality of learned representations is evaluated on standard imaging tasks (classification and semantic segmentation), and a vision-language alignment task (text report generation from images). To further demonstrate the drawback of language supervision, we show that features from RAD-DINO correlate with other medical records (e.g., sex or age) better than language-supervised models, which are generally not mentioned in radiology reports. Finally, we conduct a series of ablations determining the factors in RAD-DINO's performance; notably, we observe that RAD-DINO's downstream performance scales well with the quantity and diversity of training data, demonstrating that image-only supervision is a scalable approach for training a foundational biomedical image encoder.

Image captioning aims to describe visual content in natural language. As 'a picture is worth a thousand words', there could be various correct descriptions for an image. However, with maximum likelihood estimation as the training objective, the captioning model is penalized whenever its prediction mismatches with the label. For instance, when the model predicts a word expressing richer semantics than the label, it will be penalized and optimized to prefer more concise expressions, referred to as conciseness optimization. In contrast, predictions that are more concise than labels lead to richness optimization. Such conflicting optimization directions could eventually result in the model generating general descriptions. In this work, we introduce Semipermeable MaxImum Likelihood Estimation (SMILE), which allows richness optimization while blocking conciseness optimization, thus encouraging the model to generate longer captions with more details. Extensive experiments on two mainstream image captioning datasets MSCOCO and Flickr30K demonstrate that SMILE significantly enhances the descriptiveness of generated captions. We further provide in-depth investigations to facilitate a better understanding of how SMILE works.

Modern image captioning models are usually trained with text similarity objectives. However, since reference captions in public datasets often describe the most salient common objects, models trained with text similarity objectives tend to ignore specific and detailed aspects of an image that distinguish it from others. Toward more descriptive and distinctive caption generation, we propose using CLIP, a multimodal encoder trained on huge image-text pairs from web, to calculate multimodal similarity and use it as a reward function. We also propose a simple finetuning strategy of the CLIP text encoder to improve grammar that does not require extra text annotation. This completely eliminates the need for reference captions during the reward computation. To comprehensively evaluate descriptive captions, we introduce FineCapEval, a new dataset for caption evaluation with fine-grained criteria: overall, background, object, relations. In our experiments on text-to-image retrieval and FineCapEval, the proposed CLIP-guided model generates more distinctive captions than the CIDEr-optimized model. We also show that our unsupervised grammar finetuning of the CLIP text encoder alleviates the degeneration problem of the naive CLIP reward. Lastly, we show human analysis where the annotators strongly prefer the CLIP reward to the CIDEr and MLE objectives according to various criteria. Code and Data: https://github.com/j-min/CLIP-Caption-Reward

Biomedical visual question answering (VQA) has been widely studied and has demonstrated significant application value and potential in fields such as assistive medical diagnosis. Despite their success, current biomedical VQA models perform multimodal information interaction only at the model level within large language models (LLMs), leading to suboptimal multimodal semantic alignment when dealing with complex tasks. To address this issue, we propose BioD2C: a novel Dual-level Semantic Consistency Constraint Framework for Biomedical VQA, which achieves dual-level semantic interaction alignment at both the model and feature levels, enabling the model to adaptively learn visual features based on the question. Specifically, we firstly integrate textual features into visual features via an image-text fusion mechanism as feature-level semantic interaction, obtaining visual features conditioned on the given text; and then introduce a text-queue-based cross-modal soft semantic loss function to further align the image semantics with the question semantics. Specifically, in this work, we establish a new dataset, BioVGQ, to address inherent biases in prior datasets by filtering manually-altered images and aligning question-answer pairs with multimodal context, and train our model on this dataset. Extensive experimental results demonstrate that BioD2C achieves state-of-the-art (SOTA) performance across multiple downstream datasets, showcasing its robustness, generalizability, and potential to advance biomedical VQA research.

Image captioning is conventionally formulated as the task of generating captions for images that match the distribution of reference image-caption pairs. However, reference captions in standard captioning datasets are short and may not uniquely identify the images they describe. These problems are further exacerbated when models are trained directly on image-alt text pairs collected from the internet. In this work, we show that it is possible to generate more specific captions with minimal changes to the training process. We implement classifier-free guidance for an autoregressive captioning model by fine-tuning it to estimate both conditional and unconditional distributions over captions. The guidance scale applied at decoding controls a trade-off between maximizing p(caption|image) and p(image|caption). Compared to standard greedy decoding, decoding with a guidance scale of 2 substantially improves reference-free metrics such as CLIPScore (0.808 vs. 0.775) and captiontoimage retrieval performance in the CLIP embedding space (recall@1 44.6% vs. 26.5%), but worsens standard reference-based captioning metrics (e.g., CIDEr 78.6 vs 126.1). We further explore the use of language models to guide the decoding process, obtaining small improvements over the Pareto frontier of reference-free vs. reference-based captioning metrics that arises from classifier-free guidance, and substantially improving the quality of captions generated from a model trained only on minimally curated web data.

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.

Image captioning is one of the straightforward tasks that can take advantage of large-scale web-crawled data which provides rich knowledge about the visual world for a captioning model. However, since web-crawled data contains image-text pairs that are aligned at different levels, the inherent noises (e.g., misaligned pairs) make it difficult to learn a precise captioning model. While the filtering strategy can effectively remove noisy data, however, it leads to a decrease in learnable knowledge and sometimes brings about a new problem of data deficiency. To take the best of both worlds, we propose a noise-aware learning framework, which learns rich knowledge from the whole web-crawled data while being less affected by the noises. This is achieved by the proposed quality controllable model, which is learned using alignment levels of the image-text pairs as an additional control signal during training. The alignment-conditioned training allows the model to generate high-quality captions of well-aligned by simply setting the control signal to desired alignment level at inference time. Through in-depth analysis, we show that our controllable captioning model is effective in handling noise. In addition, with two tasks of zero-shot captioning and text-to-image retrieval using generated captions (i.e., self-retrieval), we also demonstrate our model can produce high-quality captions in terms of descriptiveness and distinctiveness. Code is available at https://github.com/kakaobrain/noc.

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.

Neural captioners are typically trained to mimic human-generated references without optimizing for any specific communication goal, leading to problems such as the generation of vague captions. In this paper, we show that fine-tuning an out-of-the-box neural captioner with a self-supervised discriminative communication objective helps to recover a plain, visually descriptive language that is more informative about image contents. Given a target image, the system must learn to produce a description that enables an out-of-the-box text-conditioned image retriever to identify such image among a set of candidates. We experiment with the popular ClipCap captioner, also replicating the main results with BLIP. In terms of similarity to ground-truth human descriptions, the captions emerging from discriminative finetuning lag slightly behind those generated by the non-finetuned model, when the latter is trained and tested on the same caption dataset. However, when the model is used without further tuning to generate captions for out-of-domain datasets, our discriminatively-finetuned captioner generates descriptions that resemble human references more than those produced by the same captioner without finetuning. We further show that, on the Conceptual Captions dataset, discriminatively finetuned captions are more helpful than either vanilla ClipCap captions or ground-truth captions for human annotators tasked with an image discrimination task.

In this report, we introduce NICE (New frontiers for zero-shot Image Captioning Evaluation) project and share the results and outcomes of 2023 challenge. This project is designed to challenge the computer vision community to develop robust image captioning models that advance the state-of-the-art both in terms of accuracy and fairness. Through the challenge, the image captioning models were tested using a new evaluation dataset that includes a large variety of visual concepts from many domains. There was no specific training data provided for the challenge, and therefore the challenge entries were required to adapt to new types of image descriptions that had not been seen during training. This report includes information on the newly proposed NICE dataset, evaluation methods, challenge results, and technical details of top-ranking entries. We expect that the outcomes of the challenge will contribute to the improvement of AI models on various vision-language tasks.

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.

Textual and semantic comprehension of images is essential for generating proper captions. The comprehension requires detection of objects, modeling of relations between them, an assessment of the semantics of the scene and, finally, representing the extracted knowledge in a language space. To achieve rich language capabilities while ensuring good image-language mappings, pretrained language models (LMs) were conditioned on pretrained multi-modal (image-text) models that allow for image inputs. This requires an alignment of the image representation of the multi-modal model with the language representations of a generative LM. However, it is not clear how to best transfer semantics detected by the vision encoder of the multi-modal model to the LM. We introduce two novel ways of constructing a linear mapping that successfully transfers semantics between the embedding spaces of the two pretrained models. The first aligns the embedding space of the multi-modal language encoder with the embedding space of the pretrained LM via token correspondences. The latter leverages additional data that consists of image-text pairs to construct the mapping directly from vision to language space. Using our semantic mappings, we unlock image captioning for LMs without access to gradient information. By using different sources of data we achieve strong captioning performance on MS-COCO and Flickr30k datasets. Even in the face of limited data, our method partly exceeds the performance of other zero-shot and even finetuned competitors. Our ablation studies show that even LMs at a scale of merely 250M parameters can generate decent captions employing our semantic mappings. Our approach makes image captioning more accessible for institutions with restricted computational resources.

Image captioning models are widely used to describe recent and archived pictures with the objective of improving their accessibility and retrieval. Yet, these approaches tend to be inefficient and biased at retrieving people's names. In this work we introduce AstroCaptions, a dataset for the image captioning task. This dataset specifically contains thousands of public fig-ures that are complex to identify for a traditional model. We also propose a novel post-processing method to insert identified people's names inside the caption using explainable AI tools and the grounding capabilities of vi-sion-language models. The results obtained with this method show signifi-cant improvements of captions quality and a potential of reducing halluci-nations. Up to 93.2% of the persons detected can be inserted in the image captions leading to improvements in the BLEU, ROUGE, CIDEr and METEOR scores of each captioning model.

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%.

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

Curation methods for massive vision-language datasets trade off between dataset size and quality. However, even the highest quality of available curated captions are far too short to capture the rich visual detail in an image. To show the value of dense and highly-aligned image-text pairs, we collect the Densely Captioned Images (DCI) dataset, containing 8012 natural images human-annotated with mask-aligned descriptions averaging above 1000 words each. With precise and reliable captions associated with specific parts of an image, we can evaluate vision-language models' (VLMs) understanding of image content with a novel task that matches each caption with its corresponding subcrop. As current models are often limited to 77 text tokens, we also introduce a summarized version (sDCI) in which each caption length is limited. We show that modern techniques that make progress on standard benchmarks do not correspond with significant improvement on our sDCI based benchmark. Lastly, we finetune CLIP using sDCI and show significant improvements over the baseline despite a small training set. By releasing the first human annotated dense image captioning dataset, we hope to enable the development of new benchmarks or fine-tuning recipes for the next generation of VLMs to come.

Modern image captioning system relies heavily on extracting knowledge from images to capture the concept of a static story. In this paper, we propose a textual visual context dataset for captioning, in which the publicly available dataset COCO Captions (Lin et al., 2014) has been extended with information about the scene (such as objects in the image). Since this information has a textual form, it can be used to leverage any NLP task, such as text similarity or semantic relation methods, into captioning systems, either as an end-to-end training strategy or a post-processing based approach.

In recent years, Multimodal Large Language Models (MLLM) have achieved notable advancements, demonstrating the feasibility of developing an intelligent biomedical assistant. However, current biomedical MLLMs predominantly focus on image-level understanding and restrict interactions to textual commands, thus limiting their capability boundaries and the flexibility of usage. In this paper, we introduce a novel end-to-end multimodal large language model for the biomedical domain, named MedPLIB, which possesses pixel-level understanding. Excitingly, it supports visual question answering (VQA), arbitrary pixel-level prompts (points, bounding boxes, and free-form shapes), and pixel-level grounding. We propose a novel Mixture-of-Experts (MoE) multi-stage training strategy, which divides MoE into separate training phases for a visual-language expert model and a pixel-grounding expert model, followed by fine-tuning using MoE. This strategy effectively coordinates multitask learning while maintaining the computational cost at inference equivalent to that of a single expert model. To advance the research of biomedical MLLMs, we introduce the Medical Complex Vision Question Answering Dataset (MeCoVQA), which comprises an array of 8 modalities for complex medical imaging question answering and image region understanding. Experimental results indicate that MedPLIB has achieved state-of-the-art outcomes across multiple medical visual language tasks. More importantly, in zero-shot evaluations for the pixel grounding task, MedPLIB leads the best small and large models by margins of 19.7 and 15.6 respectively on the mDice metric. The codes, data, and model checkpoints will be made publicly available at https://github.com/ShawnHuang497/MedPLIB.

Novel object captioning (NOC) aims to describe images containing objects without observing their ground truth captions during training. Due to the absence of caption annotation, captioning models cannot be directly optimized via sequence-to-sequence training or CIDEr optimization. As a result, we present Paraphrasing-to-Captioning (P2C), a two-stage learning framework for NOC, which would heuristically optimize the output captions via paraphrasing. With P2C, the captioning model first learns paraphrasing from a language model pre-trained on text-only corpus, allowing expansion of the word bank for improving linguistic fluency. To further enforce the output caption sufficiently describing the visual content of the input image, we perform self-paraphrasing for the captioning model with fidelity and adequacy objectives introduced. Since no ground truth captions are available for novel object images during training, our P2C leverages cross-modality (image-text) association modules to ensure the above caption characteristics can be properly preserved. In the experiments, we not only show that our P2C achieves state-of-the-art performances on nocaps and COCO Caption datasets, we also verify the effectiveness and flexibility of our learning framework by replacing language and cross-modality association models for NOC. Implementation details and code are available in the supplementary materials.

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.

Image captioning systems are unable to generate fine-grained captions as they are trained on data that is either noisy (alt-text) or generic (human annotations). This is further exacerbated by maximum likelihood training that encourages generation of frequently occurring phrases. Previous works have tried to address this limitation by fine-tuning captioners with a self-retrieval (SR) reward. However, we find that SR fine-tuning has a tendency to reduce caption faithfulness and even hallucinate. In this work, we circumvent this bottleneck by improving the MLE initialization of the captioning system and designing a curriculum for the SR fine-tuning process. To this extent, we present (1) Visual Caption Boosting, a novel framework to instill fine-grainedness in generic image captioning datasets while remaining anchored in human annotations; and (2) BagCurri, a carefully designed training curriculum that more optimally leverages the contrastive nature of the self-retrieval reward. Jointly, they enable the captioner to describe fine-grained aspects in the image while preserving faithfulness to ground-truth captions. Our approach outperforms previous work by +8.9% on SR against 99 random distractors (RD100) (Dessi et al., 2023); and +7.6% on ImageCoDe. Additionally, existing metrics to evaluate captioning systems fail to reward diversity or evaluate a model's fine-grained understanding ability. Our third contribution addresses this by proposing self-retrieval from the lens of evaluation. We introduce TrueMatch, a benchmark comprising bags of highly similar images that uses SR to assess the captioner's ability to capture subtle visual distinctions. We evaluate and compare several state-of-the-art open-source MLLMs on TrueMatch, and find that our SR approach outperforms them all by a significant margin (e.g. +4.8% - 7.1% over Cambrian) while having 1-2 orders of magnitude fewer parameters.

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.

Pretraining general-purpose visual features has become a crucial part of tackling many computer vision tasks. While one can learn such features on the extensively-annotated ImageNet dataset, recent approaches have looked at ways to allow for noisy, fewer, or even no annotations to perform such pretraining. Starting from the observation that captioned images are easily crawlable, we argue that this overlooked source of information can be exploited to supervise the training of visual representations. To do so, motivated by the recent progresses in language models, we introduce {\em image-conditioned masked language modeling} (ICMLM) -- a proxy task to learn visual representations over image-caption pairs. ICMLM consists in predicting masked words in captions by relying on visual cues. To tackle this task, we propose hybrid models, with dedicated visual and textual encoders, and we show that the visual representations learned as a by-product of solving this task transfer well to a variety of target tasks. Our experiments confirm that image captions can be leveraged to inject global and localized semantic information into visual representations. Project website: https://europe.naverlabs.com/icmlm.

This paper presents the formal release of MedMentions, a new manually annotated resource for the recognition of biomedical concepts. What distinguishes MedMentions from other annotated biomedical corpora is its size (over 4,000 abstracts and over 350,000 linked mentions), as well as the size of the concept ontology (over 3 million concepts from UMLS 2017) and its broad coverage of biomedical disciplines. In addition to the full corpus, a sub-corpus of MedMentions is also presented, comprising annotations for a subset of UMLS 2017 targeted towards document retrieval. To encourage research in Biomedical Named Entity Recognition and Linking, data splits for training and testing are included in the release, and a baseline model and its metrics for entity linking are also described.

Image captioning is a crucial task with applications in a wide range of domains, including healthcare and education. Despite extensive research on English image captioning datasets, the availability of such datasets for Vietnamese remains limited, with only two existing datasets. In this study, we introduce KTVIC, a comprehensive Vietnamese Image Captioning dataset focused on the life domain, covering a wide range of daily activities. This dataset comprises 4,327 images and 21,635 Vietnamese captions, serving as a valuable resource for advancing image captioning in the Vietnamese language. We conduct experiments using various deep neural networks as the baselines on our dataset, evaluating them using the standard image captioning metrics, including BLEU, METEOR, CIDEr, and ROUGE. Our findings underscore the effectiveness of the proposed dataset and its potential contributions to the field of image captioning in the Vietnamese context.

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.

Contrastive Language--Image Pre-training (CLIP) has shown remarkable success in learning with cross-modal supervision from extensive amounts of image--text pairs collected online. Thus far, the effectiveness of CLIP has been investigated primarily in general-domain multimodal problems. This work evaluates the effectiveness of CLIP for the task of Medical Visual Question Answering (MedVQA). To this end, we present PubMedCLIP, a fine-tuned version of CLIP for the medical domain based on PubMed articles. Our experiments are conducted on two MedVQA benchmark datasets and investigate two MedVQA methods, MEVF (Mixture of Enhanced Visual Features) and QCR (Question answering via Conditional Reasoning). For each of these, we assess the merits of visual representation learning using PubMedCLIP, the original CLIP, and state-of-the-art MAML (Model-Agnostic Meta-Learning) networks pre-trained only on visual data. We open source the code for our MedVQA pipeline and pre-training PubMedCLIP. CLIP and PubMedCLIP achieve improvements in comparison to MAML's visual encoder. PubMedCLIP achieves the best results with gains in the overall accuracy of up to 3%. Individual examples illustrate the strengths of PubMedCLIP in comparison to the previously widely used MAML networks. Visual representation learning with language supervision in PubMedCLIP leads to noticeable improvements for MedVQA. Our experiments reveal distributional differences in the two MedVQA benchmark datasets that have not been imparted in previous work and cause different back-end visual encoders in PubMedCLIP to exhibit different behavior on these datasets. Moreover, we witness fundamental performance differences of VQA in general versus medical domains.

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.

Information retrieval (IR) is essential in biomedical knowledge acquisition and clinical decision support. While recent progress has shown that language model encoders perform better semantic retrieval, training such models requires abundant query-article annotations that are difficult to obtain in biomedicine. As a result, most biomedical IR systems only conduct lexical matching. In response, we introduce BioCPT, a first-of-its-kind Contrastively Pre-trained Transformer model for zero-shot biomedical IR. To train BioCPT, we collected an unprecedented scale of 255 million user click logs from PubMed. With such data, we use contrastive learning to train a pair of closely-integrated retriever and re-ranker. Experimental results show that BioCPT sets new state-of-the-art performance on five biomedical IR tasks, outperforming various baselines including much larger models such as GPT-3-sized cpt-text-XL. In addition, BioCPT also generates better biomedical article and sentence representations for semantic evaluations. As such, BioCPT can be readily applied to various real-world biomedical IR tasks. BioCPT API and code are publicly available at https://github.com/ncbi/BioCPT.

News Image Captioning aims to create captions from news articles and images, emphasizing the connection between textual context and visual elements. Recognizing the significance of human faces in news images and the face-name co-occurrence pattern in existing datasets, we propose a face-naming module for learning better name embeddings. Apart from names, which can be directly linked to an image area (faces), news image captions mostly contain context information that can only be found in the article. We design a retrieval strategy using CLIP to retrieve sentences that are semantically close to the image, mimicking human thought process of linking articles to images. Furthermore, to tackle the problem of the imbalanced proportion of article context and image context in captions, we introduce a simple yet effective method Contrasting with Language Model backbone (CoLaM) to the training pipeline. We conduct extensive experiments to demonstrate the efficacy of our framework. We out-perform the previous state-of-the-art (without external data) by 7.97/5.80 CIDEr scores on GoodNews/NYTimes800k. Our code is available at https://github.com/tingyu215/VACNIC.

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.

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

Image captioning has long been regarded as a fundamental task in visual understanding. Recently, however, few large vision-language model (LVLM) research discusses model's image captioning performance because of the outdated short-caption benchmarks and unreliable evaluation metrics. In this work, we propose to benchmark detail image caption task by curating high-quality evaluation datasets annotated by human experts, GPT-4V and Gemini-1.5-Pro. We also design a more reliable caption evaluation metric called CAPTURE (CAPtion evaluation by exTracting and coUpling coRE information). CAPTURE extracts visual elements, e.g., objects, attributes and relations from captions, and then matches these elements through three stages, achieving the highest consistency with expert judgements over other rule-based or model-based caption metrics. The proposed benchmark and metric provide reliable evaluation for LVLM's detailed image captioning ability. Guided by this evaluation, we further explore to unleash LVLM's detail caption capabilities by synthesizing high-quality data through a five-stage data construction pipeline. Our pipeline only uses a given LVLM itself and other open-source tools, without any human or GPT-4V annotation in the loop. Experiments show that the proposed data construction strategy significantly improves model-generated detail caption data quality for LVLMs with leading performance, and the data quality can be further improved in a self-looping paradigm. All code and dataset will be publicly available at https://github.com/foundation-multimodal-models/CAPTURE.

There is growing interest in systems that generate captions for scientific figures. However, assessing these systems output poses a significant challenge. Human evaluation requires academic expertise and is costly, while automatic evaluation depends on often low-quality author-written captions. This paper investigates using large language models (LLMs) as a cost-effective, reference-free method for evaluating figure captions. We first constructed SCICAP-EVAL, a human evaluation dataset that contains human judgments for 3,600 scientific figure captions, both original and machine-made, for 600 arXiv figures. We then prompted LLMs like GPT-4 and GPT-3 to score (1-6) each caption based on its potential to aid reader understanding, given relevant context such as figure-mentioning paragraphs. Results show that GPT-4, used as a zero-shot evaluator, outperformed all other models and even surpassed assessments made by Computer Science and Informatics undergraduates, achieving a Kendall correlation score of 0.401 with Ph.D. students rankings

Every day, the human brain processes an immense volume of visual information, relying on intricate neural mechanisms to perceive and interpret these stimuli. Recent breakthroughs in functional magnetic resonance imaging (fMRI) have enabled scientists to extract visual information from human brain activity patterns. In this study, we present an innovative method for decoding brain activity into meaningful images and captions, with a specific focus on brain captioning due to its enhanced flexibility as compared to brain decoding into images. Our approach takes advantage of cutting-edge image captioning models and incorporates a unique image reconstruction pipeline that utilizes latent diffusion models and depth estimation. We utilized the Natural Scenes Dataset, a comprehensive fMRI dataset from eight subjects who viewed images from the COCO dataset. We employed the Generative Image-to-text Transformer (GIT) as our backbone for captioning and propose a new image reconstruction pipeline based on latent diffusion models. The method involves training regularized linear regression models between brain activity and extracted features. Additionally, we incorporated depth maps from the ControlNet model to further guide the reconstruction process. We evaluate our methods using quantitative metrics for both generated captions and images. Our brain captioning approach outperforms existing methods, while our image reconstruction pipeline generates plausible images with improved spatial relationships. In conclusion, we demonstrate significant progress in brain decoding, showcasing the enormous potential of integrating vision and language to better understand human cognition. Our approach provides a flexible platform for future research, with potential applications in various fields, including neural art, style transfer, and portable devices.

This report introduces a solution to the Topic 1 Zero-shot Image Captioning of 2024 NICE : New frontiers for zero-shot Image Captioning Evaluation. In contrast to NICE 2023 datasets, this challenge involves new annotations by humans with significant differences in caption style and content. Therefore, we enhance image captions effectively through retrieval augmentation and caption grading methods. At the data level, we utilize high-quality captions generated by image caption models as training data to address the gap in text styles. At the model level, we employ OFA (a large-scale visual-language pre-training model based on handcrafted templates) to perform the image captioning task. Subsequently, we propose caption-level strategy for the high-quality caption data generated by the image caption models and integrate them with retrieval augmentation strategy into the template to compel the model to generate higher quality, more matching, and semantically enriched captions based on the retrieval augmentation prompts. Our approach achieves a CIDEr score of 234.11.

In this paper, we consider enhancing medical visual-language pre-training (VLP) with domain-specific knowledge, by exploiting the paired image-text reports from the radiological daily practice. In particular, we make the following contributions: First, unlike existing works that directly process the raw reports, we adopt a novel triplet extraction module to extract the medical-related information, avoiding unnecessary complexity from language grammar and enhancing the supervision signals; Second, we propose a novel triplet encoding module with entity translation by querying a knowledge base, to exploit the rich domain knowledge in medical field, and implicitly build relationships between medical entities in the language embedding space; Third, we propose to use a Transformer-based fusion model for spatially aligning the entity description with visual signals at the image patch level, enabling the ability for medical diagnosis; Fourth, we conduct thorough experiments to validate the effectiveness of our architecture, and benchmark on numerous public benchmarks, e.g., ChestX-ray14, RSNA Pneumonia, SIIM-ACR Pneumothorax, COVIDx CXR-2, COVID Rural, and EdemaSeverity. In both zero-shot and fine-tuning settings, our model has demonstrated strong performance compared with the former methods on disease classification and grounding.

Many high-level skills that are required for computer vision tasks, such as parsing questions, comparing and contrasting semantics, and writing descriptions, are also required in other domains such as natural language processing. In this paper, we ask whether it is possible to learn those skills from text data and then transfer them to vision tasks without ever training on visual training data. Key to our approach is exploiting the joint embedding space of contrastively trained vision and language encoders. In practice, there can be systematic differences between embedding spaces for different modalities in contrastive models, and we analyze how these differences affect our approach and study strategies to mitigate this concern. We produce models using only text training data on four representative tasks: image captioning, visual entailment, visual question answering and visual news captioning, and evaluate them on standard benchmarks using images. We find these models perform close to models trained on images, while surpassing prior work for captioning and visual entailment in this text-only setting by over 9 points, and outperforming all prior work on visual news by over 30 points. We also showcase a variety of stylistic image captioning models that are trained using no image data and no human-curated language data, but instead using readily-available text data from books, the web, or language models.

Effectively aligning with human judgment when evaluating machine-generated image captions represents a complex yet intriguing challenge. Existing evaluation metrics like CIDEr or CLIP-Score fall short in this regard as they do not take into account the corresponding image or lack the capability of encoding fine-grained details and penalizing hallucinations. To overcome these issues, in this paper, we propose BRIDGE, a new learnable and reference-free image captioning metric that employs a novel module to map visual features into dense vectors and integrates them into multi-modal pseudo-captions which are built during the evaluation process. This approach results in a multimodal metric that properly incorporates information from the input image without relying on reference captions, bridging the gap between human judgment and machine-generated image captions. Experiments spanning several datasets demonstrate that our proposal achieves state-of-the-art results compared to existing reference-free evaluation scores. Our source code and trained models are publicly available at: https://github.com/aimagelab/bridge-score.

Text-to-image diffusion models achieved a remarkable leap in capabilities over the last few years, enabling high-quality and diverse synthesis of images from a textual prompt. However, even the most advanced models often struggle to precisely follow all of the directions in their prompts. The vast majority of these models are trained on datasets consisting of (image, caption) pairs where the images often come from the web, and the captions are their HTML alternate text. A notable example is the LAION dataset, used by Stable Diffusion and other models. In this work we observe that these captions are often of low quality, and argue that this significantly affects the model's capability to understand nuanced semantics in the textual prompts. We show that by relabeling the corpus with a specialized automatic captioning model and training a text-to-image model on the recaptioned dataset, the model benefits substantially across the board. First, in overall image quality: e.g. FID 14.84 vs. the baseline of 17.87, and 64.3% improvement in faithful image generation according to human evaluation. Second, in semantic alignment, e.g. semantic object accuracy 84.34 vs. 78.90, counting alignment errors 1.32 vs. 1.44 and positional alignment 62.42 vs. 57.60. We analyze various ways to relabel the corpus and provide evidence that this technique, which we call RECAP, both reduces the train-inference discrepancy and provides the model with more information per example, increasing sample efficiency and allowing the model to better understand the relations between captions and images.

In this paper we describe the Microsoft COCO Caption dataset and evaluation server. When completed, the dataset will contain over one and a half million captions describing over 330,000 images. For the training and validation images, five independent human generated captions will be provided. To ensure consistency in evaluation of automatic caption generation algorithms, an evaluation server is used. The evaluation server receives candidate captions and scores them using several popular metrics, including BLEU, METEOR, ROUGE and CIDEr. Instructions for using the evaluation server are provided.

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.

Image Captioning, the task of automatic generation of image captions, has attracted attentions from researchers in many fields of computer science, being computer vision, natural language processing and machine learning in recent years. This paper contributes to research on Image Captioning task in terms of extending dataset to a different language - Vietnamese. So far, there is no existed Image Captioning dataset for Vietnamese language, so this is the foremost fundamental step for developing Vietnamese Image Captioning. In this scope, we first build a dataset which contains manually written captions for images from Microsoft COCO dataset relating to sports played with balls, we called this dataset UIT-ViIC. UIT-ViIC consists of 19,250 Vietnamese captions for 3,850 images. Following that, we evaluate our dataset on deep neural network models and do comparisons with English dataset and two Vietnamese datasets built by different methods. UIT-ViIC is published on our lab website for research purposes.

The massive growth of image-text data through web crawling inherently presents the challenge of variability in data quality. This paper introduces a novel algorithm, rooted in human knowledge, to compress this vast corpus of web-crawled image-text datasets to a compact and high-quality form. Our method unfolds in three major steps. First, we collect an image-text dataset, wherein each image is associated with multiple captions sourced from diverse origins. Then, to systemically capture human preferences regarding the best caption paired with each image, we establish a comprehensive set of both subjective and objective criteria for critically guiding the alignment assessment from labelers. Lastly, we train a reward model on the annotated dataset to internalize the nuanced human understanding of image-text alignment. The resulting reward model thus can act as a human-like referee to filter misaligned/low-quality image-text pairs. Extensive experiments demonstrate that we are able to secure (or even improve) model performance by compressing the image-text datasets up to ~90%. An impressive example is that, by aggressively reducing the total training sample from 130M to 15.5M (e.g., ~9x smaller), our BLIP-B/16 models still consistently show superior performance compared with the full-size-dataset counterpart on image-text retrieval (Flickr30K, COCO) by ~2.5% in Recall@1, and on image-captioning (Nocaps, COCO) by ~10.0% in CIDEr and ~2.7% in SPICE.

Evaluating the quality of automatically generated image descriptions is challenging, requiring metrics that capture various aspects such as grammaticality, coverage, correctness, and truthfulness. While human evaluation offers valuable insights, its cost and time-consuming nature pose limitations. Existing automated metrics like BLEU, ROUGE, METEOR, and CIDEr aim to bridge this gap but often show weak correlations with human judgment. We address this challenge by introducing a novel evaluation framework rooted in a modern large language model (LLM), such as GPT-4 or Gemini, capable of image generation. In our proposed framework, we begin by feeding an input image into a designated image captioning model, chosen for evaluation, to generate a textual description. Using this description, an LLM then creates a new image. By extracting features from both the original and LLM-created images, we measure their similarity using a designated similarity metric. A high similarity score suggests that the image captioning model has accurately generated textual descriptions, while a low similarity score indicates discrepancies, revealing potential shortcomings in the model's performance. Human-annotated reference captions are not required in our proposed evaluation framework, which serves as a valuable tool for evaluating the effectiveness of image captioning models. Its efficacy is confirmed through human evaluation.

Image captioning models tend to describe images in an object-centric way, emphasising visible objects. But image descriptions can also abstract away from objects and describe the type of scene depicted. In this paper, we explore the potential of a state-of-the-art Vision and Language model, VinVL, to caption images at the scene level using (1) a novel dataset which pairs images with both object-centric and scene descriptions. Through (2) an in-depth analysis of the effect of the fine-tuning, we show (3) that a small amount of curated data suffices to generate scene descriptions without losing the capability to identify object-level concepts in the scene; the model acquires a more holistic view of the image compared to when object-centric descriptions are generated. We discuss the parallels between these results and insights from computational and cognitive science research on scene perception.

Massive web datasets play a key role in the success of large vision-language models like CLIP and Flamingo. However, the raw web data is noisy, and existing filtering methods to reduce noise often come at the expense of data diversity. Our work focuses on caption quality as one major source of noise, and studies how generated captions can increase the utility of web-scraped datapoints with nondescript text. Through exploring different mixing strategies for raw and generated captions, we outperform the best filtering method proposed by the DataComp benchmark by 2% on ImageNet and 4% on average across 38 tasks, given a candidate pool of 128M image-text pairs. Our best approach is also 2x better at Flickr and MS-COCO retrieval. We then analyze what makes synthetic captions an effective source of text supervision. In experimenting with different image captioning models, we also demonstrate that the performance of a model on standard image captioning benchmarks (e.g., NoCaps CIDEr) is not a reliable indicator of the utility of the captions it generates for multimodal training. Finally, our experiments with using generated captions at DataComp's large scale (1.28B image-text pairs) offer insights into the limitations of synthetic text, as well as the importance of image curation with increasing training data quantity.

A pre-trained visual-language model, contrastive language-image pre-training (CLIP), successfully accomplishes various downstream tasks with text prompts, such as finding images or localizing regions within the image. Despite CLIP's strong multi-modal data capabilities, it remains limited in specialized environments, such as medical applications. For this purpose, many CLIP variants-i.e., BioMedCLIP, and MedCLIP-SAMv2-have emerged, but false positives related to normal regions persist. Thus, we aim to present a simple yet important goal of reducing false positives in medical anomaly detection. We introduce a Contrastive LAnguage Prompting (CLAP) method that leverages both positive and negative text prompts. This straightforward approach identifies potential lesion regions by visual attention to the positive prompts in the given image. To reduce false positives, we attenuate attention on normal regions using negative prompts. Extensive experiments with the BMAD dataset, including six biomedical benchmarks, demonstrate that CLAP method enhances anomaly detection performance. Our future plans include developing an automated fine prompting method for more practical usage.

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.

Current approaches to learning semantic representations of sentences often use prior word-level knowledge. The current study aims to leverage visual information in order to capture sentence level semantics without the need for word embeddings. We use a multimodal sentence encoder trained on a corpus of images with matching text captions to produce visually grounded sentence embeddings. Deep Neural Networks are trained to map the two modalities to a common embedding space such that for an image the corresponding caption can be retrieved and vice versa. We show that our model achieves results comparable to the current state-of-the-art on two popular image-caption retrieval benchmark data sets: MSCOCO and Flickr8k. We evaluate the semantic content of the resulting sentence embeddings using the data from the Semantic Textual Similarity benchmark task and show that the multimodal embeddings correlate well with human semantic similarity judgements. The system achieves state-of-the-art results on several of these benchmarks, which shows that a system trained solely on multimodal data, without assuming any word representations, is able to capture sentence level semantics. Importantly, this result shows that we do not need prior knowledge of lexical level semantics in order to model sentence level semantics. These findings demonstrate the importance of visual information in semantics.

Motivation: A perennial challenge for biomedical researchers and clinical practitioners is to stay abreast with the rapid growth of publications and medical notes. Natural language processing (NLP) has emerged as a promising direction for taming information overload. In particular, large neural language models facilitate transfer learning by pretraining on unlabeled text, as exemplified by the successes of BERT models in various NLP applications. However, fine-tuning such models for an end task remains challenging, especially with small labeled datasets, which are common in biomedical NLP. Results: We conduct a systematic study on fine-tuning stability in biomedical NLP. We show that finetuning performance may be sensitive to pretraining settings, especially in low-resource domains. Large models have potential to attain better performance, but increasing model size also exacerbates finetuning instability. We thus conduct a comprehensive exploration of techniques for addressing fine-tuning instability. We show that these techniques can substantially improve fine-tuning performance for lowresource biomedical NLP applications. Specifically, freezing lower layers is helpful for standard BERT-BASE models, while layerwise decay is more effective for BERT-LARGE and ELECTRA models. For low-resource text similarity tasks such as BIOSSES, reinitializing the top layer is the optimal strategy. Overall, domainspecific vocabulary and pretraining facilitate more robust models for fine-tuning. Based on these findings, we establish new state of the art on a wide range of biomedical NLP applications. Availability and implementation: To facilitate progress in biomedical NLP, we release our state-of-the-art pretrained and fine-tuned models: https://aka.ms/BLURB.

In the era of modern healthcare, swiftly generating medical question summaries is crucial for informed and timely patient care. Despite the increasing complexity and volume of medical data, existing studies have focused solely on text-based summarization, neglecting the integration of visual information. Recognizing the untapped potential of combining textual queries with visual representations of medical conditions, we introduce the Multimodal Medical Question Summarization (MMQS) Dataset. This dataset, a major contribution to our work, pairs medical queries with visual aids, facilitating a richer and more nuanced understanding of patient needs. We also propose a framework, utilizing the power of Contrastive Language Image Pretraining(CLIP) and Large Language Models(LLMs), consisting of four modules that identify medical disorders, generate relevant context, filter medical concepts, and craft visually aware summaries. Our comprehensive framework harnesses the power of CLIP, a multimodal foundation model, and various general-purpose LLMs, comprising four main modules: the medical disorder identification module, the relevant context generation module, the context filtration module for distilling relevant medical concepts and knowledge, and finally, a general-purpose LLM to generate visually aware medical question summaries. Leveraging our MMQS dataset, we showcase how visual cues from images enhance the generation of medically nuanced summaries. This multimodal approach not only enhances the decision-making process in healthcare but also fosters a more nuanced understanding of patient queries, laying the groundwork for future research in personalized and responsive medical care

Supervised visual captioning models typically require a large scale of images or videos paired with descriptions in a specific language (i.e., the vision-caption pairs) for training. However, collecting and labeling large-scale datasets is time-consuming and expensive for many scenarios and languages. Therefore, sufficient labeled pairs are usually not available. To deal with the label shortage problem, we present a simple yet effective zero-shot approach MultiCapCLIP that can generate visual captions for different scenarios and languages without any labeled vision-caption pairs of downstream datasets. In the training stage, MultiCapCLIP only requires text data for input. Then it conducts two main steps: 1) retrieving concept prompts that preserve the corresponding domain knowledge of new scenarios; 2) auto-encoding the prompts to learn writing styles to output captions in a desired language. In the testing stage, MultiCapCLIP instead takes visual data as input directly to retrieve the concept prompts to generate the final visual descriptions. The extensive experiments on image and video captioning across four benchmarks and four languages (i.e., English, Chinese, German, and French) confirm the effectiveness of our approach. Compared with state-of-the-art zero-shot and weakly-supervised methods, our method achieves 4.8% and 21.5% absolute improvements in terms of BLEU@4 and CIDEr metrics. Our code is available at https://github.com/yangbang18/MultiCapCLIP.

Understanding the functional organization of higher visual cortex is a central focus in neuroscience. Past studies have primarily mapped the visual and semantic selectivity of neural populations using hand-selected stimuli, which may potentially bias results towards pre-existing hypotheses of visual cortex functionality. Moving beyond conventional approaches, we introduce a data-driven method that generates natural language descriptions for images predicted to maximally activate individual voxels of interest. Our method -- Semantic Captioning Using Brain Alignments ("BrainSCUBA") -- builds upon the rich embedding space learned by a contrastive vision-language model and utilizes a pre-trained large language model to generate interpretable captions. We validate our method through fine-grained voxel-level captioning across higher-order visual regions. We further perform text-conditioned image synthesis with the captions, and show that our images are semantically coherent and yield high predicted activations. Finally, to demonstrate how our method enables scientific discovery, we perform exploratory investigations on the distribution of "person" representations in the brain, and discover fine-grained semantic selectivity in body-selective areas. Unlike earlier studies that decode text, our method derives voxel-wise captions of semantic selectivity. Our results show that BrainSCUBA is a promising means for understanding functional preferences in the brain, and provides motivation for further hypothesis-driven investigation of visual cortex.

In this study, we investigate the potential of Large Language Models to complement biomedical knowledge graphs in the training of semantic models for the biomedical and clinical domains. Drawing on the wealth of the UMLS knowledge graph and harnessing cutting-edge Large Language Models, we propose a new state-of-the-art approach for obtaining high-fidelity representations of biomedical concepts and sentences, consisting of three steps: an improved contrastive learning phase, a novel self-distillation phase, and a weight averaging phase. Through rigorous evaluations via the extensive BioLORD testing suite and diverse downstream tasks, we demonstrate consistent and substantial performance improvements over the previous state of the art (e.g. +2pts on MedSTS, +2.5pts on MedNLI-S, +6.1pts on EHR-Rel-B). Besides our new state-of-the-art biomedical model for English, we also distill and release a multilingual model compatible with 50+ languages and finetuned on 7 European languages. Many clinical pipelines can benefit from our latest models. Our new multilingual model enables a range of languages to benefit from our advancements in biomedical semantic representation learning, opening a new avenue for bioinformatics researchers around the world. As a result, we hope to see BioLORD-2023 becoming a precious tool for future biomedical applications.

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.

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.

Developing effective biomedical retrieval models is important for excelling at knowledge-intensive biomedical tasks but still challenging due to the deficiency of sufficient publicly annotated biomedical data and computational resources. We present BMRetriever, a series of dense retrievers for enhancing biomedical retrieval via unsupervised pre-training on large biomedical corpora, followed by instruction fine-tuning on a combination of labeled datasets and synthetic pairs. Experiments on 5 biomedical tasks across 11 datasets verify BMRetriever's efficacy on various biomedical applications. BMRetriever also exhibits strong parameter efficiency, with the 410M variant outperforming baselines up to 11.7 times larger, and the 2B variant matching the performance of models with over 5B parameters. The training data and model checkpoints are released at https://huggingface.co/BMRetriever to ensure transparency, reproducibility, and application to new domains.

Image captioning models are typically trained by treating all samples equally, neglecting to account for mismatched or otherwise difficult data points. In contrast, recent work has shown the effectiveness of training models by scheduling the data using curriculum learning strategies. This paper contributes to this direction by actively curating difficult samples in datasets without increasing the total number of samples. We explore the effect of using three data curation methods within the training process: complete removal of an sample, caption replacement, or image replacement via a text-to-image generation model. Experiments on the Flickr30K and COCO datasets with the BLIP and BEiT-3 models demonstrate that these curation methods do indeed yield improved image captioning models, underscoring their efficacy.

The accelerated adoption of digital pathology and advances in deep learning have enabled the development of powerful models for various pathology tasks across a diverse array of diseases and patient cohorts. However, model training is often difficult due to label scarcity in the medical domain and the model's usage is limited by the specific task and disease for which it is trained. Additionally, most models in histopathology leverage only image data, a stark contrast to how humans teach each other and reason about histopathologic entities. We introduce CONtrastive learning from Captions for Histopathology (CONCH), a visual-language foundation model developed using diverse sources of histopathology images, biomedical text, and notably over 1.17 million image-caption pairs via task-agnostic pretraining. Evaluated on a suite of 13 diverse benchmarks, CONCH can be transferred to a wide range of downstream tasks involving either or both histopathology images and text, achieving state-of-the-art performance on histology image classification, segmentation, captioning, text-to-image and image-to-text retrieval. CONCH represents a substantial leap over concurrent visual-language pretrained systems for histopathology, with the potential to directly facilitate a wide array of machine learning-based workflows requiring minimal or no further supervised fine-tuning.

Foundation models trained on large-scale dataset gain a recent surge in CV and NLP. In contrast, development in biomedical domain lags far behind due to data scarcity. To address this issue, we build and release PMC-OA, a biomedical dataset with 1.6M image-caption pairs collected from PubMedCentral's OpenAccess subset, which is 8 times larger than before. PMC-OA covers diverse modalities or diseases, with majority of the image-caption samples aligned at finer-grained level, i.e., subfigure and subcaption. While pretraining a CLIP-style model on PMC-OA, our model named PMC-CLIP achieves state-of-the-art results on various downstream tasks, including image-text retrieval on ROCO, MedMNIST image classification, Medical VQA, i.e. +8.1% R@10 on image-text retrieval, +3.9% accuracy on image classification.

We introduce a formal information-theoretic framework for image captioning by regarding it as a representation learning task. Our framework defines three key objectives: task sufficiency, minimal redundancy, and human interpretability. Building upon this foundation, we propose a novel Pyramid of Captions (PoCa) method, which constructs caption pyramids by generating localized captions for zoomed-in image patches and integrating them with global caption information using large language models. This approach leverages intuition that the detailed examination of local patches can reduce error risks and address inaccuracies in global captions, either by correcting the hallucination or adding missing details. Based on our theoretical framework, we formalize this intuition and provide formal proof demonstrating the effectiveness of PoCa under certain assumptions. Empirical tests with various image captioning models and large language models show that PoCa consistently yields more informative and semantically aligned captions, maintaining brevity and interpretability.

Natural language plays a critical role in many computer vision applications, such as image captioning, visual question answering, and cross-modal retrieval, to provide fine-grained semantic information. Unfortunately, while human pose is key to human understanding, current 3D human pose datasets lack detailed language descriptions. To address this issue, we have introduced the PoseScript dataset. This dataset pairs more than six thousand 3D human poses from AMASS with rich human-annotated descriptions of the body parts and their spatial relationships. Additionally, to increase the size of the dataset to a scale that is compatible with data-hungry learning algorithms, we have proposed an elaborate captioning process that generates automatic synthetic descriptions in natural language from given 3D keypoints. This process extracts low-level pose information, known as "posecodes", using a set of simple but generic rules on the 3D keypoints. These posecodes are then combined into higher level textual descriptions using syntactic rules. With automatic annotations, the amount of available data significantly scales up (100k), making it possible to effectively pretrain deep models for finetuning on human captions. To showcase the potential of annotated poses, we present three multi-modal learning tasks that utilize the PoseScript dataset. Firstly, we develop a pipeline that maps 3D poses and textual descriptions into a joint embedding space, allowing for cross-modal retrieval of relevant poses from large-scale datasets. Secondly, we establish a baseline for a text-conditioned model generating 3D poses. Thirdly, we present a learned process for generating pose descriptions. These applications demonstrate the versatility and usefulness of annotated poses in various tasks and pave the way for future research in the field.

Medical imaging is critical to the diagnosis and treatment of numerous medical problems, including many forms of cancer. Medical imaging reports distill the findings and observations of radiologists, creating an unstructured textual representation of unstructured medical images. Large-scale use of this text-encoded information requires converting the unstructured text to a structured, semantic representation. We explore the extraction and normalization of anatomical information in radiology reports that is associated with radiological findings. We investigate this extraction and normalization task using a span-based relation extraction model that jointly extracts entities and relations using BERT. This work examines the factors that influence extraction and normalization performance, including the body part/organ system, frequency of occurrence, span length, and span diversity. It discusses approaches for improving performance and creating high-quality semantic representations of radiological phenomena.

Image-to-text generation aims to describe images using natural language. Recently, zero-shot image captioning based on pre-trained vision-language models (VLMs) and large language models (LLMs) has made significant progress. However, we have observed and empirically demonstrated that these methods are susceptible to modality bias induced by LLMs and tend to generate descriptions containing objects (entities) that do not actually exist in the image but frequently appear during training (i.e., object hallucination). In this paper, we propose ViECap, a transferable decoding model that leverages entity-aware decoding to generate descriptions in both seen and unseen scenarios. ViECap incorporates entity-aware hard prompts to guide LLMs' attention toward the visual entities present in the image, enabling coherent caption generation across diverse scenes. With entity-aware hard prompts, ViECap is capable of maintaining performance when transferring from in-domain to out-of-domain scenarios. Extensive experiments demonstrate that ViECap sets a new state-of-the-art cross-domain (transferable) captioning and performs competitively in-domain captioning compared to previous VLMs-based zero-shot methods. Our code is available at: https://github.com/FeiElysia/ViECap

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.

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

Pretrained visual-language models have demonstrated impressive zero-shot abilities in image captioning, when accompanied by hand-crafted prompts. Meanwhile, hand-crafted prompts utilize human prior knowledge to guide the model. However, due to the diversity between different domains, such hand-crafted prompt that provide invariant prior knowledge may result in mode collapse for some domains. Some researches attempted to incorporate expert knowledge and instruction datasets, but the results were costly and led to hallucinations. In this paper, we propose an unsupervised prompt learning method to improve Generalization of Image Captioning (GeneIC), which learns a domain-specific prompt vector for the target domain without requiring annotated data. GeneIC aligns visual and language modalities with a pre-trained Contrastive Language-Image Pre-Training (CLIP) model, thus optimizing the domain-specific prompt vector from two aspects: attribute and semantic consistency. Specifically, GeneIC first generates attribute-transferred images with differing attributes, while retaining semantic similarity with original images. Then, GeneIC uses CLIP to measure the similarity between the images and the generated sentences. By exploring the variable and invariant features in the original images and attribute-transferred images, attribute consistency constrains the attribute change direction of both images and sentences to learn domain-specific knowledge. The semantic consistency directly measures the similarity between the generated sentences and images to ensure the accuracy and comprehensiveness of the generated sentences. Consequently, GeneIC only optimizes the prompt vectors, which effectively retains the knowledge in the large model and introduces domain-specific knowledge.

We introduce a radiology-focused visual language model designed to generate radiology reports from chest X-rays. Building on previous findings that large language models (LLMs) can acquire multimodal capabilities when aligned with pretrained vision encoders, we demonstrate similar potential with chest X-ray images. This integration enhances the ability of model to understand and describe chest X-ray images. Our model combines an image encoder with a fine-tuned LLM based on the Vicuna-7B architecture, enabling it to generate different sections of a radiology report with notable accuracy. The training process involves a two-stage approach: (i) initial alignment of chest X-ray features with the LLM (ii) followed by fine-tuning for radiology report generation.

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.

Despite the success of various text generation metrics such as BERTScore, it is still difficult to evaluate the image captions without enough reference captions due to the diversity of the descriptions. In this paper, we introduce a new metric UMIC, an Unreferenced Metric for Image Captioning which does not require reference captions to evaluate image captions. Based on Vision-and-Language BERT, we train UMIC to discriminate negative captions via contrastive learning. Also, we observe critical problems of the previous benchmark dataset (i.e., human annotations) on image captioning metric, and introduce a new collection of human annotations on the generated captions. We validate UMIC on four datasets, including our new dataset, and show that UMIC has a higher correlation than all previous metrics that require multiple references. We release the benchmark dataset and pre-trained models to compute the UMIC.

In recent years, automatic generation of image descriptions (captions), that is, image captioning, has attracted a great deal of attention. In this paper, we particularly consider generating Japanese captions for images. Since most available caption datasets have been constructed for English language, there are few datasets for Japanese. To tackle this problem, we construct a large-scale Japanese image caption dataset based on images from MS-COCO, which is called STAIR Captions. STAIR Captions consists of 820,310 Japanese captions for 164,062 images. In the experiment, we show that a neural network trained using STAIR Captions can generate more natural and better Japanese captions, compared to those generated using English-Japanese machine translation after generating English captions.

We propose Localized Narratives, a new form of multimodal image annotations connecting vision and language. We ask annotators to describe an image with their voice while simultaneously hovering their mouse over the region they are describing. Since the voice and the mouse pointer are synchronized, we can localize every single word in the description. This dense visual grounding takes the form of a mouse trace segment per word and is unique to our data. We annotated 849k images with Localized Narratives: the whole COCO, Flickr30k, and ADE20K datasets, and 671k images of Open Images, all of which we make publicly available. We provide an extensive analysis of these annotations showing they are diverse, accurate, and efficient to produce. We also demonstrate their utility on the application of controlled image captioning.

We propose a method that can generate an unambiguous description (known as a referring expression) of a specific object or region in an image, and which can also comprehend or interpret such an expression to infer which object is being described. We show that our method outperforms previous methods that generate descriptions of objects without taking into account other potentially ambiguous objects in the scene. Our model is inspired by recent successes of deep learning methods for image captioning, but while image captioning is difficult to evaluate, our task allows for easy objective evaluation. We also present a new large-scale dataset for referring expressions, based on MS-COCO. We have released the dataset and a toolbox for visualization and evaluation, see https://github.com/mjhucla/Google_Refexp_toolbox

Image captioning and cross-modal retrieval are examples of tasks that involve the joint analysis of visual and linguistic information. In connection to remote sensing imagery, these tasks can help non-expert users in extracting relevant Earth observation information for a variety of applications. Still, despite some previous efforts, the development and application of vision and language models to the remote sensing domain have been hindered by the relatively small size of the available datasets and models used in previous studies. In this work, we propose RS-CapRet, a Vision and Language method for remote sensing tasks, in particular image captioning and text-image retrieval. We specifically propose to use a highly capable large decoder language model together with image encoders adapted to remote sensing imagery through contrastive language-image pre-training. To bridge together the image encoder and language decoder, we propose training simple linear layers with examples from combining different remote sensing image captioning datasets, keeping the other parameters frozen. RS-CapRet can then generate descriptions for remote sensing images and retrieve images from textual descriptions, achieving SOTA or competitive performance with existing methods. Qualitative results illustrate that RS-CapRet can effectively leverage the pre-trained large language model to describe remote sensing images, retrieve them based on different types of queries, and also show the ability to process interleaved sequences of images and text in a dialogue manner.

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.

Contrastive Language-Image Pretraining (CLIP) models are able to capture the semantic relationship of images and texts and have enabled a wide range of applications, from image retrieval to classification. These models are trained with datasets extracted from web crawls, which are of large quantity but limited quality. This paper explores whether limited amounts higher quality data in a specific domain improve the general performance of CLIP models. To this purpose, we extract text-image data from scientific papers hosted in the arXiv and PubMed Central repositories. Experiments on small-scale CLIP models (ViT B/32) show that model performance increases on average, but only moderately. This result indicates that using the data sources considered in the paper to train large-scale CLIP models is a worthwile research direction.

State-of-The-Art (SoTA) image captioning models often rely on the Microsoft COCO (MS-COCO) dataset for training. This dataset contains annotations provided by human annotators, who typically produce captions averaging around ten tokens. However, this constraint presents a challenge in effectively capturing complex scenes and conveying detailed information. Furthermore, captioning models tend to exhibit bias towards the ``average'' caption, which captures only the more general aspects. What would happen if we were able to automatically generate longer captions, thereby making them more detailed? Would these captions, evaluated by humans, be more or less representative of the image content compared to the original MS-COCO captions? In this paper, we present a novel approach to address previous challenges by showcasing how captions generated from different SoTA models can be effectively fused, resulting in richer captions. Our proposed method leverages existing models from the literature, eliminating the need for additional training. Instead, it utilizes an image-text based metric to rank the captions generated by SoTA models for a given image. Subsequently, the top two captions are fused using a Large Language Model (LLM). Experimental results demonstrate the effectiveness of our approach, as the captions generated by our model exhibit higher consistency with human judgment when evaluated on the MS-COCO test set. By combining the strengths of various SoTA models, our method enhances the quality and appeal of image captions, bridging the gap between automated systems and the rich, informative nature of human-generated descriptions. This advance opens up new possibilities for generating captions that are more suitable for the training of both vision-language and captioning models.

Contrastive language-image pre-training (CLIP) models have demonstrated considerable success across various vision-language tasks, such as text-to-image retrieval, where the model is required to effectively process natural language input to produce an accurate visual output. However, current models still face limitations in dealing with linguistic variations in input queries, such as paraphrases, making it challenging to handle a broad range of user queries in real-world applications. In this study, we introduce a straightforward fine-tuning approach to enhance the representations of CLIP models for paraphrases. Our approach involves a two-step paraphrase generation process, where we automatically create two categories of paraphrases from web-scale image captions by leveraging large language models. Subsequently, we fine-tune the CLIP text encoder using these generated paraphrases while freezing the image encoder. Our resulting model, which we call ParaCLIP, exhibits significant improvements over baseline CLIP models across various tasks, including paraphrased retrieval (with rank similarity scores improved by up to 2.0% and 5.6%), Visual Genome Relation and Attribution, as well as seven semantic textual similarity tasks.

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

Recent advances in microscopy have enabled the rapid generation of terabytes of image data in cell biology and biomedical research. Vision-language models (VLMs) offer a promising solution for large-scale biological image analysis, enhancing researchers' efficiency, identifying new image biomarkers, and accelerating hypothesis generation and scientific discovery. However, there is a lack of standardized, diverse, and large-scale vision-language benchmarks to evaluate VLMs' perception and cognition capabilities in biological image understanding. To address this gap, we introduce {\mu}-Bench, an expert-curated benchmark encompassing 22 biomedical tasks across various scientific disciplines (biology, pathology), microscopy modalities (electron, fluorescence, light), scales (subcellular, cellular, tissue), and organisms in both normal and abnormal states. We evaluate state-of-the-art biomedical, pathology, and general VLMs on {\mu}-Bench and find that: i) current models struggle on all categories, even for basic tasks such as distinguishing microscopy modalities; ii) current specialist models fine-tuned on biomedical data often perform worse than generalist models; iii) fine-tuning in specific microscopy domains can cause catastrophic forgetting, eroding prior biomedical knowledge encoded in their base model. iv) weight interpolation between fine-tuned and pre-trained models offers one solution to forgetting and improves general performance across biomedical tasks. We release {\mu}-Bench under a permissive license to accelerate the research and development of microscopy foundation models.

We present the first approach to automated audio captioning. We employ an encoder-decoder scheme with an alignment model in between. The input to the encoder is a sequence of log mel-band energies calculated from an audio file, while the output is a sequence of words, i.e. a caption. The encoder is a multi-layered, bi-directional gated recurrent unit (GRU) and the decoder a multi-layered GRU with a classification layer connected to the last GRU of the decoder. The classification layer and the alignment model are fully connected layers with shared weights between timesteps. The proposed method is evaluated using data drawn from a commercial sound effects library, ProSound Effects. The resulting captions were rated through metrics utilized in machine translation and image captioning fields. Results from metrics show that the proposed method can predict words appearing in the original caption, but not always correctly ordered.

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.

We propose a simple yet effective image captioning framework that can determine the quality of an image and notify the user of the reasons for any flaws in the image. Our framework first determines the quality of images and then generates captions using only those images that are determined to be of high quality. The user is notified by the flaws feature to retake if image quality is low, and this cycle is repeated until the input image is deemed to be of high quality. As a component of the framework, we trained and evaluated a low-quality image detection model that simultaneously learns difficulty in recognizing images and individual flaws, and we demonstrated that our proposal can explain the reasons for flaws with a sufficient score. We also evaluated a dataset with low-quality images removed by our framework and found improved values for all four common metrics (e.g., BLEU-4, METEOR, ROUGE-L, CIDEr), confirming an improvement in general-purpose image captioning capability. Our framework would assist the visually impaired, who have difficulty judging image quality.

Previous works show that noisy, web-crawled image-text pairs may limit vision-language pretraining like CLIP and propose learning with synthetic captions as a promising alternative. Our work continues this effort, introducing two simple yet effective designs to better leverage richly described synthetic captions. Firstly, by observing a strong inverse effect in learning with synthetic captions -- the short synthetic captions can generally lead to MUCH higher performance than full-length ones -- we therefore fed only partial synthetic captions to the text encoder. Secondly, we incorporate an autoregressive captioner to mimic the recaptioning process -- by conditioning on the paired image input and web-crawled text description, the captioner learns to predict the full-length synthetic caption generated by advanced MLLMs. Experiments show that our framework significantly improves zero-shot performance in cross-modal retrieval tasks, setting new SOTA results on MSCOCO and Flickr30K. Moreover, such trained vision encoders can enhance the visual capability of LLaVA, showing strong improvements on a range of MLLM benchmarks. Our project page is https://ucsc-vlaa.github.io/CLIPS/.

In this paper we present the first model for directly synthesizing fluent, natural-sounding spoken audio captions for images that does not require natural language text as an intermediate representation or source of supervision. Instead, we connect the image captioning module and the speech synthesis module with a set of discrete, sub-word speech units that are discovered with a self-supervised visual grounding task. We conduct experiments on the Flickr8k spoken caption dataset in addition to a novel corpus of spoken audio captions collected for the popular MSCOCO dataset, demonstrating that our generated captions also capture diverse visual semantics of the images they describe. We investigate several different intermediate speech representations, and empirically find that the representation must satisfy several important properties to serve as drop-in replacements for text.

Image captioning has conventionally relied on reference-based automatic evaluations, where machine captions are compared against captions written by humans. This is in contrast to the reference-free manner in which humans assess caption quality. In this paper, we report the surprising empirical finding that CLIP (Radford et al., 2021), a cross-modal model pretrained on 400M image+caption pairs from the web, can be used for robust automatic evaluation of image captioning without the need for references. Experiments spanning several corpora demonstrate that our new reference-free metric, CLIPScore, achieves the highest correlation with human judgements, outperforming existing reference-based metrics like CIDEr and SPICE. Information gain experiments demonstrate that CLIPScore, with its tight focus on image-text compatibility, is complementary to existing reference-based metrics that emphasize text-text similarities. Thus, we also present a reference-augmented version, RefCLIPScore, which achieves even higher correlation. Beyond literal description tasks, several case studies reveal domains where CLIPScore performs well (clip-art images, alt-text rating), but also where it is relatively weaker in comparison to reference-based metrics, e.g., news captions that require richer contextual knowledge.

Image captioning bridges the gap between vision and language by automatically generating natural language descriptions for images. Traditional image captioning methods often overlook the preferences and characteristics of users. Personalized image captioning solves this problem by incorporating user prior knowledge into the model, such as writing styles and preferred vocabularies. Most existing methods emphasize the user context fusion process by memory networks or transformers. However, these methods ignore the distinct domains of each dataset. Therefore, they need to update the entire caption model parameters when meeting new samples, which is time-consuming and calculation-intensive. To address this challenge, we propose a novel personalized image captioning framework that leverages user context to consider personality factors. Additionally, our framework utilizes the prefix-tuning paradigm to extract knowledge from a frozen large language model, reducing the gap between different language domains. Specifically, we employ CLIP to extract the visual features of an image and align the semantic space using a query-guided mapping network. By incorporating the transformer layer, we merge the visual features with the user's contextual prior knowledge to generate informative prefixes. Moreover, we employ GPT-2 as the frozen large language model. With a small number of parameters to be trained, our model performs efficiently and effectively. Our model outperforms existing baseline models on Instagram and YFCC100M datasets across five evaluation metrics, demonstrating its superiority, including twofold improvements in metrics such as BLEU-4 and CIDEr.

Large language models (LLMs)-based image captioning has the capability of describing objects not explicitly observed in training data; yet novel objects occur frequently, necessitating the requirement of sustaining up-to-date object knowledge for open-world comprehension. Instead of relying on large amounts of data and scaling up network parameters, we introduce a highly effective retrieval-augmented image captioning method that prompts LLMs with object names retrieved from External Visual--name memory (EVCap). We build ever-changing object knowledge memory using objects' visuals and names, enabling us to (i) update the memory at a minimal cost and (ii) effortlessly augment LLMs with retrieved object names utilizing a lightweight and fast-to-train model. Our model, which was trained only on the COCO dataset, can be adapted to out-domain data without additional fine-tuning or retraining. Our comprehensive experiments conducted on various benchmarks and synthetic commonsense-violating data demonstrate that EVCap, comprising solely 3.97M trainable parameters, exhibits superior performance compared to other methods of equivalent model size scale. Notably, it achieves competitive performance against specialist SOTAs with an enormous number of parameters. Our code is available at https://jiaxuan-li.github.io/EVCap.

Current captioning datasets, focus on object-centric captions, describing the visible objects in the image, often ending up stating the obvious (for humans), e.g. "people eating food in a park". Although these datasets are useful to evaluate the ability of Vision & Language models to recognize the visual content, they lack in expressing trivial abstract concepts, e.g. "people having a picnic". Such concepts are licensed by human's personal experience and contribute to forming common sense assumptions. We present the High-Level Dataset; a dataset extending 14997 images of the COCO dataset with 134973 human-annotated (high-level) abstract captions collected along three axes: scenes, actions and rationales. We describe and release such dataset and we show how it can be used to assess models' multimodal grounding of abstract concepts and enrich models' visio-lingusitic representations. Moreover, we describe potential tasks enabled by this dataset involving high- and low-level concepts interactions.

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.

When automatically generating a sentence description for an image or video, it often remains unclear how well the generated caption is grounded, that is whether the model uses the correct image regions to output particular words, or if the model is hallucinating based on priors in the dataset and/or the language model. The most common way of relating image regions with words in caption models is through an attention mechanism over the regions that are used as input to predict the next word. The model must therefore learn to predict the attentional weights without knowing the word it should localize. This is difficult to train without grounding supervision since recurrent models can propagate past information and there is no explicit signal to force the captioning model to properly ground the individual decoded words. In this work, we help the model to achieve this via a novel cyclical training regimen that forces the model to localize each word in the image after the sentence decoder generates it, and then reconstruct the sentence from the localized image region(s) to match the ground-truth. Our proposed framework only requires learning one extra fully-connected layer (the localizer), a layer that can be removed at test time. We show that our model significantly improves grounding accuracy without relying on grounding supervision or introducing extra computation during inference, for both image and video captioning tasks. Code is available at https://github.com/chihyaoma/cyclical-visual-captioning .

The ability to describe images with natural language sentences is the hallmark for image and language understanding. Such a system has wide ranging applications such as annotating images and using natural sentences to search for images.In this project we focus on the task of bidirectional image retrieval: such asystem is capable of retrieving an image based on a sentence (image search) andretrieve sentence based on an image query (image annotation). We present asystem based on a global ranking objective function which uses a combinationof convolutional neural networks (CNN) and multi layer perceptrons (MLP).It takes a pair of image and sentence and processes them in different channels,finally embedding it into a common multimodal vector space. These embeddingsencode abstract semantic information about the two inputs and can be comparedusing traditional information retrieval approaches. For each such pair, the modelreturns a score which is interpretted as a similarity metric. If this score is high,the image and sentence are likely to convey similar meaning, and if the score is low then they are likely not to. The visual input is modeled via deep convolutional neural network. On theother hand we explore three models for the textual module. The first one isbag of words with an MLP. The second one uses n-grams (bigram, trigrams,and a combination of trigram & skip-grams) with an MLP. The third is morespecialized deep network specific for modeling variable length sequences (SSE).We report comparable performance to recent work in the field, even though ouroverall model is simpler. We also show that the training time choice of how wecan generate our negative samples has a significant impact on performance, and can be used to specialize the bi-directional system in one particular task.

In the domain of vision-language integration, generating detailed image captions poses a significant challenge due to the lack of a curated and rich dataset. This study introduces PixLore, a novel method that leverages Querying Transformers through the fine-tuning of the BLIP-2 model using the LoRa method on a standard commercial GPU. Our approach, which involves training on a carefully assembled dataset from state-of-the-art Computer Vision models combined and augmented by ChatGPT, addresses the question of whether intricate image understanding can be achieved with an ensemble of smaller-scale models. Comparative evaluations against major models such as GPT-4 and Google Bard demonstrate that PixLore-2.7B, despite having considerably fewer parameters, is rated higher than the existing State-of-the-Art models in over half of the assessments. This research not only presents a groundbreaking approach but also highlights the importance of well-curated datasets in enhancing the performance of smaller models.

Image-to-text tasks, such as open-ended image captioning and controllable image description, have received extensive attention for decades. Here, we further advance this line of work by presenting Visual Spatial Description (VSD), a new perspective for image-to-text toward spatial semantics. Given an image and two objects inside it, VSD aims to produce one description focusing on the spatial perspective between the two objects. Accordingly, we manually annotate a dataset to facilitate the investigation of the newly-introduced task and build several benchmark encoder-decoder models by using VL-BART and VL-T5 as backbones. In addition, we investigate pipeline and joint end-to-end architectures for incorporating visual spatial relationship classification (VSRC) information into our model. Finally, we conduct experiments on our benchmark dataset to evaluate all our models. Results show that our models are impressive, providing accurate and human-like spatial-oriented text descriptions. Meanwhile, VSRC has great potential for VSD, and the joint end-to-end architecture is the better choice for their integration. We make the dataset and codes public for research purposes.

We present Pix2Cap-COCO, the first panoptic pixel-level caption dataset designed to advance fine-grained visual understanding. To achieve this, we carefully design an automated annotation pipeline that prompts GPT-4V to generate pixel-aligned, instance-specific captions for individual objects within images, enabling models to learn more granular relationships between objects and their contexts. This approach results in 167,254 detailed captions, with an average of 22.94 words per caption. Building on Pix2Cap-COCO, we introduce a novel task, panoptic segmentation-captioning, which challenges models to recognize instances in an image and provide detailed descriptions for each simultaneously. To benchmark this task, we design a robust baseline based on X-Decoder. The experimental results demonstrate that Pix2Cap-COCO is a particularly challenging dataset, as it requires models to excel in both fine-grained visual understanding and detailed language generation. Furthermore, we leverage Pix2Cap-COCO for Supervised Fine-Tuning (SFT) on large multimodal models (LMMs) to enhance their performance. For example, training with Pix2Cap-COCO significantly improves the performance of GPT4RoI, yielding gains in CIDEr +1.4%, ROUGE +0.4%, and SPICE +0.5% on Visual Genome dataset, and strengthens its region understanding ability on the ViP-BENCH, with an overall improvement of +5.1%, including notable increases in recognition accuracy +11.2% and language generation quality +22.2%.

We introduce BLIP3-KALE, a dataset of 218 million image-text pairs that bridges the gap between descriptive synthetic captions and factual web-scale alt-text. KALE augments synthetic dense image captions with web-scale alt-text to generate factually grounded image captions. Our two-stage approach leverages large vision-language models and language models to create knowledge-augmented captions, which are then used to train a specialized VLM for scaling up the dataset. We train vision-language models on KALE and demonstrate improvements on vision-language tasks. Our experiments show the utility of KALE for training more capable and knowledgeable multimodal models. We release the KALE dataset at https://huggingface.co/datasets/Salesforce/blip3-kale

Several medical Multimodal Large Languange Models (MLLMs) have been developed to address tasks involving visual images with textual instructions across various medical modalities, achieving impressive results. Most current medical generalist models are region-agnostic, treating the entire image as a holistic representation. However, they struggle to identify which specific regions they are focusing on when generating a sentence. To mimic the behavior of doctors, who typically begin by reviewing the entire image before concentrating on specific regions for a thorough evaluation, we aim to enhance the capability of medical MLLMs in understanding anatomical regions within entire medical scans. To achieve it, we first formulate Region-Centric tasks and construct a large-scale dataset, MedRegInstruct, to incorporate regional information into training. Combining our collected dataset with other medical multimodal corpora for training, we propose a Region-Aware medical MLLM, MedRegA, which is the first bilingual generalist medical AI system to simultaneously handle image-level and region-level medical vision-language tasks across a broad range of modalities. Our MedRegA not only enables three region-centric tasks, but also achieves the best performance for visual question answering, report generation and medical image classification over 8 modalities, showcasing significant versatility. Experiments demonstrate that our model can not only accomplish powerful performance across various medical vision-language tasks in bilingual settings, but also recognize and detect structures in multimodal medical scans, boosting the interpretability and user interactivity of medical MLLMs. Our project page is https://medrega.github.io.

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.

In the healthcare domain, summarizing medical questions posed by patients is critical for improving doctor-patient interactions and medical decision-making. Although medical data has grown in complexity and quantity, the current body of research in this domain has primarily concentrated on text-based methods, overlooking the integration of visual cues. Also prior works in the area of medical question summarisation have been limited to the English language. This work introduces the task of multimodal medical question summarization for codemixed input in a low-resource setting. To address this gap, we introduce the Multimodal Medical Codemixed Question Summarization MMCQS dataset, which combines Hindi-English codemixed medical queries with visual aids. This integration enriches the representation of a patient's medical condition, providing a more comprehensive perspective. We also propose a framework named MedSumm that leverages the power of LLMs and VLMs for this task. By utilizing our MMCQS dataset, we demonstrate the value of integrating visual information from images to improve the creation of medically detailed summaries. This multimodal strategy not only improves healthcare decision-making but also promotes a deeper comprehension of patient queries, paving the way for future exploration in personalized and responsive medical care. Our dataset, code, and pre-trained models will be made publicly available.

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.

Sequence modeling plays a vital role across various domains, with recurrent neural networks being historically the predominant method of performing these tasks. However, the emergence of transformers has altered this paradigm due to their superior performance. Built upon these advances, transformers have conjoined CNNs as two leading foundational models for learning visual representations. However, transformers are hindered by the O(N^2) complexity of their attention mechanisms, while CNNs lack global receptive fields and dynamic weight allocation. State Space Models (SSMs), specifically the \textbf{Mamba} model with selection mechanisms and hardware-aware architecture, have garnered immense interest lately in sequential modeling and visual representation learning, challenging the dominance of transformers by providing infinite context lengths and offering substantial efficiency maintaining linear complexity in the input sequence. Capitalizing on the advances in computer vision, medical imaging has heralded a new epoch with Mamba models. Intending to help researchers navigate the surge, this survey seeks to offer an encyclopedic review of Mamba models in medical imaging. Specifically, we start with a comprehensive theoretical review forming the basis of SSMs, including Mamba architecture and its alternatives for sequence modeling paradigms in this context. Next, we offer a structured classification of Mamba models in the medical field and introduce a diverse categorization scheme based on their application, imaging modalities, and targeted organs. Finally, we summarize key challenges, discuss different future research directions of the SSMs in the medical domain, and propose several directions to fulfill the demands of this field. In addition, we have compiled the studies discussed in this paper along with their open-source implementations on our GitHub repository.

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.

Contrastive learning based vision-language joint pre-training has emerged as a successful representation learning strategy. In this paper, we present a prototype representation learning framework incorporating both global and local alignment between medical images and reports. In contrast to standard global multi-modality alignment methods, we employ a local alignment module for fine-grained representation. Furthermore, a cross-modality conditional reconstruction module is designed to interchange information across modalities in the training phase by reconstructing masked images and reports. For reconstructing long reports, a sentence-wise prototype memory bank is constructed, enabling the network to focus on low-level localized visual and high-level clinical linguistic features. Additionally, a non-auto-regressive generation paradigm is proposed for reconstructing non-sequential reports. Experimental results on five downstream tasks, including supervised classification, zero-shot classification, image-to-text retrieval, semantic segmentation, and object detection, show the proposed method outperforms other state-of-the-art methods across multiple datasets and under different dataset size settings. The code is available at https://github.com/QtacierP/PRIOR.

The rapid advancement of text-to-image generation systems, exemplified by models like Stable Diffusion, Midjourney, Imagen, and DALL-E, has heightened concerns about their potential misuse. In response, companies like Meta and Google have intensified their efforts to implement watermarking techniques on AI-generated images to curb the circulation of potentially misleading visuals. However, in this paper, we argue that current image watermarking methods are fragile and susceptible to being circumvented through visual paraphrase attacks. The proposed visual paraphraser operates in two steps. First, it generates a caption for the given image using KOSMOS-2, one of the latest state-of-the-art image captioning systems. Second, it passes both the original image and the generated caption to an image-to-image diffusion system. During the denoising step of the diffusion pipeline, the system generates a visually similar image that is guided by the text caption. The resulting image is a visual paraphrase and is free of any watermarks. Our empirical findings demonstrate that visual paraphrase attacks can effectively remove watermarks from images. This paper provides a critical assessment, empirically revealing the vulnerability of existing watermarking techniques to visual paraphrase attacks. While we do not propose solutions to this issue, this paper serves as a call to action for the scientific community to prioritize the development of more robust watermarking techniques. Our first-of-its-kind visual paraphrase dataset and accompanying code are publicly available.

This paper focuses on creating synthetic data to improve the quality of image captions. Existing works typically have two shortcomings. First, they caption images from scratch, ignoring existing alt-text metadata, and second, lack transparency if the captioners' training data (e.g. GPT) is unknown. In this paper, we study a principled approach Altogether based on the key idea to edit and re-align existing alt-texts associated with the images. To generate training data, we perform human annotation where annotators start with the existing alt-text and re-align it to the image content in multiple rounds, consequently constructing captions with rich visual concepts. This differs from prior work that carries out human annotation as a one-time description task solely based on images and annotator knowledge. We train a captioner on this data that generalizes the process of re-aligning alt-texts at scale. Our results show our Altogether approach leads to richer image captions that also improve text-to-image generation and zero-shot image classification tasks.

We address the challenge of representing long captions in vision-language models, such as CLIP. By design these models are limited by fixed, absolute positional encodings, restricting inputs to a maximum of 77 tokens and hindering performance on tasks requiring longer descriptions. Although recent work has attempted to overcome this limit, their proposed approaches struggle to model token relationships over longer distances and simply extend to a fixed new token length. Instead, we propose a generalizable method, named TULIP, able to upgrade the token length to any length for CLIP-like models. We do so by improving the architecture with relative position encodings, followed by a training procedure that (i) distills the original CLIP text encoder into an encoder with relative position encodings and (ii) enhances the model for aligning longer captions with images. By effectively encoding captions longer than the default 77 tokens, our model outperforms baselines on cross-modal tasks such as retrieval and text-to-image generation.

Research in massively multilingual image captioning has been severely hampered by a lack of high-quality evaluation datasets. In this paper we present the Crossmodal-3600 dataset (XM3600 in short), a geographically diverse set of 3600 images annotated with human-generated reference captions in 36 languages. The images were selected from across the world, covering regions where the 36 languages are spoken, and annotated with captions that achieve consistency in terms of style across all languages, while avoiding annotation artifacts due to direct translation. We apply this benchmark to model selection for massively multilingual image captioning models, and show superior correlation results with human evaluations when using XM3600 as golden references for automatic metrics.

This work introduces BioLORD, a new pre-training strategy for producing meaningful representations for clinical sentences and biomedical concepts. State-of-the-art methodologies operate by maximizing the similarity in representation of names referring to the same concept, and preventing collapse through contrastive learning. However, because biomedical names are not always self-explanatory, it sometimes results in non-semantic representations. BioLORD overcomes this issue by grounding its concept representations using definitions, as well as short descriptions derived from a multi-relational knowledge graph consisting of biomedical ontologies. Thanks to this grounding, our model produces more semantic concept representations that match more closely the hierarchical structure of ontologies. BioLORD establishes a new state of the art for text similarity on both clinical sentences (MedSTS) and biomedical concepts (MayoSRS).

Biomedical text mining is becoming increasingly important as the number of biomedical documents rapidly grows. With the progress in natural language processing (NLP), extracting valuable information from biomedical literature has gained popularity among researchers, and deep learning has boosted the development of effective biomedical text mining models. However, directly applying the advancements in NLP to biomedical text mining often yields unsatisfactory results due to a word distribution shift from general domain corpora to biomedical corpora. In this article, we investigate how the recently introduced pre-trained language model BERT can be adapted for biomedical corpora. We introduce BioBERT (Bidirectional Encoder Representations from Transformers for Biomedical Text Mining), which is a domain-specific language representation model pre-trained on large-scale biomedical corpora. With almost the same architecture across tasks, BioBERT largely outperforms BERT and previous state-of-the-art models in a variety of biomedical text mining tasks when pre-trained on biomedical corpora. While BERT obtains performance comparable to that of previous state-of-the-art models, BioBERT significantly outperforms them on the following three representative biomedical text mining tasks: biomedical named entity recognition (0.62% F1 score improvement), biomedical relation extraction (2.80% F1 score improvement) and biomedical question answering (12.24% MRR improvement). Our analysis results show that pre-training BERT on biomedical corpora helps it to understand complex biomedical texts. We make the pre-trained weights of BioBERT freely available at https://github.com/naver/biobert-pretrained, and the source code for fine-tuning BioBERT available at https://github.com/dmis-lab/biobert.

Recent advances in multi-modal algorithms have driven and been driven by the increasing availability of large image-text datasets, leading to significant strides in various fields, including computational pathology. However, in most existing medical image-text datasets, the text typically provides high-level summaries that may not sufficiently describe sub-tile regions within a large pathology image. For example, an image might cover an extensive tissue area containing cancerous and healthy regions, but the accompanying text might only specify that this image is a cancer slide, lacking the nuanced details needed for in-depth analysis. In this study, we introduce STimage-1K4M, a novel dataset designed to bridge this gap by providing genomic features for sub-tile images. STimage-1K4M contains 1,149 images derived from spatial transcriptomics data, which captures gene expression information at the level of individual spatial spots within a pathology image. Specifically, each image in the dataset is broken down into smaller sub-image tiles, with each tile paired with 15,000-30,000 dimensional gene expressions. With 4,293,195 pairs of sub-tile images and gene expressions, STimage-1K4M offers unprecedented granularity, paving the way for a wide range of advanced research in multi-modal data analysis an innovative applications in computational pathology, and beyond.

The creation of high-quality human-labeled image-caption datasets presents a significant bottleneck in the development of Visual-Language Models (VLMs). We propose a novel approach that leverages the strengths of Large Language Models (LLMs) and image generation models to create synthetic image-text pairs for efficient and effective VLM training. Our method employs pretraining a text-to-image model to synthesize image embeddings starting from captions generated by an LLM. These synthetic pairs are then used to train a VLM. Extensive experiments demonstrate that the VLM trained with synthetic data exhibits comparable performance on image captioning, while requiring a fraction of the data used by models trained solely on human-annotated data. In particular, we outperform the baseline by 17% through augmentation with a synthetic dataset. Furthermore, we show that synthesizing in the image embedding space is 25% faster than in the pixel space. This research introduces a promising technique for generating large-scale, customizable image datasets, leading to enhanced VLM performance and wider applicability across various domains, all with improved data efficiency and resource utilization.

When describing an image, reading text in the visual scene is crucial to understand the key information. Recent work explores the TextCaps task, i.e. image captioning with reading Optical Character Recognition (OCR) tokens, which requires models to read text and cover them in generated captions. Existing approaches fail to generate accurate descriptions because of their (1) poor reading ability; (2) inability to choose the crucial words among all extracted OCR tokens; (3) repetition of words in predicted captions. To this end, we propose a Confidence-aware Non-repetitive Multimodal Transformers (CNMT) to tackle the above challenges. Our CNMT consists of a reading, a reasoning and a generation modules, in which Reading Module employs better OCR systems to enhance text reading ability and a confidence embedding to select the most noteworthy tokens. To address the issue of word redundancy in captions, our Generation Module includes a repetition mask to avoid predicting repeated word in captions. Our model outperforms state-of-the-art models on TextCaps dataset, improving from 81.0 to 93.0 in CIDEr. Our source code is publicly available.

Memes are a widely popular tool for web users to express their thoughts using visual metaphors. Understanding memes requires recognizing and interpreting visual metaphors with respect to the text inside or around the meme, often while employing background knowledge and reasoning abilities. We present the task of meme captioning and release a new dataset, MemeCap. Our dataset contains 6.3K memes along with the title of the post containing the meme, the meme captions, the literal image caption, and the visual metaphors. Despite the recent success of vision and language (VL) models on tasks such as image captioning and visual question answering, our extensive experiments using state-of-the-art VL models show that they still struggle with visual metaphors, and perform substantially worse than humans.

Controllable image captioning is an emerging multimodal topic that aims to describe the image with natural language following human purpose, e.g., looking at the specified regions or telling in a particular text style. State-of-the-art methods are trained on annotated pairs of input controls and output captions. However, the scarcity of such well-annotated multimodal data largely limits their usability and scalability for interactive AI systems. Leveraging unimodal instruction-following foundation models is a promising alternative that benefits from broader sources of data. In this paper, we present Caption AnyThing (CAT), a foundation model augmented image captioning framework supporting a wide range of multimodel controls: 1) visual controls, including points, boxes, and trajectories; 2) language controls, such as sentiment, length, language, and factuality. Powered by Segment Anything Model (SAM) and ChatGPT, we unify the visual and language prompts into a modularized framework, enabling the flexible combination between different controls. Extensive case studies demonstrate the user intention alignment capabilities of our framework, shedding light on effective user interaction modeling in vision-language applications. Our code is publicly available at https://github.com/ttengwang/Caption-Anything.

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.

In recent decades, chemistry publications and patents have increased rapidly. A significant portion of key information is embedded in molecular structure figures, complicating large-scale literature searches and limiting the application of large language models in fields such as biology, chemistry, and pharmaceuticals. The automatic extraction of precise chemical structures is of critical importance. However, the presence of numerous Markush structures in real-world documents, along with variations in molecular image quality, drawing styles, and noise, significantly limits the performance of existing optical chemical structure recognition (OCSR) methods. We present MolParser, a novel end-to-end OCSR method that efficiently and accurately recognizes chemical structures from real-world documents, including difficult Markush structure. We use a extended SMILES encoding rule to annotate our training dataset. Under this rule, we build MolParser-7M, the largest annotated molecular image dataset to our knowledge. While utilizing a large amount of synthetic data, we employed active learning methods to incorporate substantial in-the-wild data, specifically samples cropped from real patents and scientific literature, into the training process. We trained an end-to-end molecular image captioning model, MolParser, using a curriculum learning approach. MolParser significantly outperforms classical and learning-based methods across most scenarios, with potential for broader downstream applications. The dataset is publicly available.

Recent advances in retrieval-augmented models for image captioning highlight the benefit of retrieving related captions for efficient, lightweight models with strong domain-transfer capabilities. While these models demonstrate the success of retrieval augmentation, retrieval models are still far from perfect in practice: the retrieved information can sometimes mislead the model, resulting in incorrect generation and worse performance. In this paper, we analyze the robustness of a retrieval-augmented captioning model SmallCap. Our analysis shows that the model is sensitive to tokens that appear in the majority of the retrieved captions, and the input attribution shows that those tokens are likely copied into the generated output. Given these findings, we propose to train the model by sampling retrieved captions from more diverse sets. This decreases the chance that the model learns to copy majority tokens, and improves both in-domain and cross-domain performance.

Large multimodal models demonstrate remarkable generalist ability to perform diverse multimodal tasks in a zero-shot manner. Large-scale web-based image-text pairs contribute fundamentally to this success, but suffer from excessive noise. Recent studies use alternative captions synthesized by captioning models and have achieved notable benchmark performance. However, our experiments reveal significant Scalability Deficiency and World Knowledge Loss issues in models trained with synthetic captions, which have been largely obscured by their initial benchmark success. Upon closer examination, we identify the root cause as the overly-simplified language structure and lack of knowledge details in existing synthetic captions. To provide higher-quality and more scalable multimodal pretraining data, we propose CapsFusion, an advanced framework that leverages large language models to consolidate and refine information from both web-based image-text pairs and synthetic captions. Extensive experiments show that CapsFusion captions exhibit remarkable all-round superiority over existing captions in terms of model performance (e.g., 18.8 and 18.3 improvements in CIDEr score on COCO and NoCaps), sample efficiency (requiring 11-16 times less computation than baselines), world knowledge depth, and scalability. These effectiveness, efficiency and scalability advantages position CapsFusion as a promising candidate for future scaling of LMM training.

As opposed to general English, many concepts in biomedical terminology have been designed in recent history by biomedical professionals with the goal of being precise and concise. This is often achieved by concatenating meaningful biomedical morphemes to create new semantic units. Nevertheless, most modern biomedical language models (LMs) are pre-trained using standard domain-specific tokenizers derived from large scale biomedical corpus statistics without explicitly leveraging the agglutinating nature of biomedical language. In this work, we first find that standard open-domain and biomedical tokenizers are largely unable to segment biomedical terms into meaningful components. Therefore, we hypothesize that using a tokenizer which segments biomedical terminology more accurately would enable biomedical LMs to improve their performance on downstream biomedical NLP tasks, especially ones which involve biomedical terms directly such as named entity recognition (NER) and entity linking. Surprisingly, we find that pre-training a biomedical LM using a more accurate biomedical tokenizer does not improve the entity representation quality of a language model as measured by several intrinsic and extrinsic measures such as masked language modeling prediction (MLM) accuracy as well as NER and entity linking performance. These quantitative findings, along with a case study which explores entity representation quality more directly, suggest that the biomedical pre-training process is quite robust to instances of sub-optimal tokenization.

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.

Pretraining large neural language models, such as BERT, has led to impressive gains on many natural language processing (NLP) tasks. However, most pretraining efforts focus on general domain corpora, such as newswire and Web. A prevailing assumption is that even domain-specific pretraining can benefit by starting from general-domain language models. In this paper, we challenge this assumption by showing that for domains with abundant unlabeled text, such as biomedicine, pretraining language models from scratch results in substantial gains over continual pretraining of general-domain language models. To facilitate this investigation, we compile a comprehensive biomedical NLP benchmark from publicly-available datasets. Our experiments show that domain-specific pretraining serves as a solid foundation for a wide range of biomedical NLP tasks, leading to new state-of-the-art results across the board. Further, in conducting a thorough evaluation of modeling choices, both for pretraining and task-specific fine-tuning, we discover that some common practices are unnecessary with BERT models, such as using complex tagging schemes in named entity recognition (NER). To help accelerate research in biomedical NLP, we have released our state-of-the-art pretrained and task-specific models for the community, and created a leaderboard featuring our BLURB benchmark (short for Biomedical Language Understanding & Reasoning Benchmark) at https://aka.ms/BLURB.

Neural sequence models are widely used to model time-series data. Equally ubiquitous is the usage of beam search (BS) as an approximate inference algorithm to decode output sequences from these models. BS explores the search space in a greedy left-right fashion retaining only the top-B candidates - resulting in sequences that differ only slightly from each other. Producing lists of nearly identical sequences is not only computationally wasteful but also typically fails to capture the inherent ambiguity of complex AI tasks. To overcome this problem, we propose Diverse Beam Search (DBS), an alternative to BS that decodes a list of diverse outputs by optimizing for a diversity-augmented objective. We observe that our method finds better top-1 solutions by controlling for the exploration and exploitation of the search space - implying that DBS is a better search algorithm. Moreover, these gains are achieved with minimal computational or memory over- head as compared to beam search. To demonstrate the broad applicability of our method, we present results on image captioning, machine translation and visual question generation using both standard quantitative metrics and qualitative human studies. Further, we study the role of diversity for image-grounded language generation tasks as the complexity of the image changes. We observe that our method consistently outperforms BS and previously proposed techniques for diverse decoding from neural sequence models.

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).

Medical phrase grounding (MPG) aims to locate the most relevant region in a medical image, given a phrase query describing certain medical findings, which is an important task for medical image analysis and radiological diagnosis. However, existing visual grounding methods rely on general visual features for identifying objects in natural images and are not capable of capturing the subtle and specialized features of medical findings, leading to sub-optimal performance in MPG. In this paper, we propose MedRPG, an end-to-end approach for MPG. MedRPG is built on a lightweight vision-language transformer encoder and directly predicts the box coordinates of mentioned medical findings, which can be trained with limited medical data, making it a valuable tool in medical image analysis. To enable MedRPG to locate nuanced medical findings with better region-phrase correspondences, we further propose Tri-attention Context contrastive alignment (TaCo). TaCo seeks context alignment to pull both the features and attention outputs of relevant region-phrase pairs close together while pushing those of irrelevant regions far away. This ensures that the final box prediction depends more on its finding-specific regions and phrases. Experimental results on three MPG datasets demonstrate that our MedRPG outperforms state-of-the-art visual grounding approaches by a large margin. Additionally, the proposed TaCo strategy is effective in enhancing finding localization ability and reducing spurious region-phrase correlations.

This paper presents medBERTde, a pre-trained German BERT model specifically designed for the German medical domain. The model has been trained on a large corpus of 4.7 Million German medical documents and has been shown to achieve new state-of-the-art performance on eight different medical benchmarks covering a wide range of disciplines and medical document types. In addition to evaluating the overall performance of the model, this paper also conducts a more in-depth analysis of its capabilities. We investigate the impact of data deduplication on the model's performance, as well as the potential benefits of using more efficient tokenization methods. Our results indicate that domain-specific models such as medBERTde are particularly useful for longer texts, and that deduplication of training data does not necessarily lead to improved performance. Furthermore, we found that efficient tokenization plays only a minor role in improving model performance, and attribute most of the improved performance to the large amount of training data. To encourage further research, the pre-trained model weights and new benchmarks based on radiological data are made publicly available for use by the scientific community.

We perform a comprehensive benchmarking of contrastive frameworks for learning multimodal representations in the medical domain. Through this study, we aim to answer the following research questions: (i) How transferable are general-domain representations to the medical domain? (ii) Is multimodal contrastive training sufficient, or does it benefit from unimodal training as well? (iii) What is the impact of feature granularity on the effectiveness of multimodal medical representation learning? To answer these questions, we investigate eight contrastive learning approaches under identical training setups, and train them on 2.8 million image-text pairs from four datasets, and evaluate them on 25 downstream tasks, including classification (zero-shot and linear probing), image-to-text and text-to-image retrieval, and visual question-answering. Our findings suggest a positive answer to the first question, a negative answer to the second question, and the benefit of learning fine-grained features. Finally, we make our code publicly available.

We introduce SynCLR, a novel approach for learning visual representations exclusively from synthetic images and synthetic captions, without any real data. We synthesize a large dataset of image captions using LLMs, then use an off-the-shelf text-to-image model to generate multiple images corresponding to each synthetic caption. We perform visual representation learning on these synthetic images via contrastive learning, treating images sharing the same caption as positive pairs. The resulting representations transfer well to many downstream tasks, competing favorably with other general-purpose visual representation learners such as CLIP and DINO v2 in image classification tasks. Furthermore, in dense prediction tasks such as semantic segmentation, SynCLR outperforms previous self-supervised methods by a significant margin, e.g., improving over MAE and iBOT by 6.2 and 4.3 mIoU on ADE20k for ViT-B/16.

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.

We introduce a new dataset for joint reasoning about natural language and images, with a focus on semantic diversity, compositionality, and visual reasoning challenges. The data contains 107,292 examples of English sentences paired with web photographs. The task is to determine whether a natural language caption is true about a pair of photographs. We crowdsource the data using sets of visually rich images and a compare-and-contrast task to elicit linguistically diverse language. Qualitative analysis shows the data requires compositional joint reasoning, including about quantities, comparisons, and relations. Evaluation using state-of-the-art visual reasoning methods shows the data presents a strong challenge.

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.

Recent advancements in multimodal models highlight the value of rewritten captions for improving performance, yet key challenges remain. For example, while synthetic captions often provide superior quality and image-text alignment, it is not clear whether they can fully replace AltTexts: the role of synthetic captions and their interaction with original web-crawled AltTexts in pre-training is still not well understood. Moreover, different multimodal foundation models may have unique preferences for specific caption formats, but efforts to identify the optimal captions for each model remain limited. In this work, we propose a novel, controllable, and scalable captioning pipeline designed to generate diverse caption formats tailored to various multimodal models. By examining Short Synthetic Captions (SSC) towards Dense Synthetic Captions (DSC+) as case studies, we systematically explore their effects and interactions with AltTexts across models such as CLIP, multimodal LLMs, and diffusion models. Our findings reveal that a hybrid approach that keeps both synthetic captions and AltTexts can outperform the use of synthetic captions alone, improving both alignment and performance, with each model demonstrating preferences for particular caption formats. This comprehensive analysis provides valuable insights into optimizing captioning strategies, thereby advancing the pre-training of multimodal foundation models.

Knowledge-based visual question answering (VQA) involves questions that require world knowledge beyond the image to yield the correct answer. Large language models (LMs) like GPT-3 are particularly helpful for this task because of their strong knowledge retrieval and reasoning capabilities. To enable LM to understand images, prior work uses a captioning model to convert images into text. However, when summarizing an image in a single caption sentence, which visual entities to describe are often underspecified. Generic image captions often miss visual details essential for the LM to answer visual questions correctly. To address this challenge, we propose PromptCap (Prompt-guided image Captioning), a captioning model designed to serve as a better connector between images and black-box LMs. Different from generic captions, PromptCap takes a natural-language prompt to control the visual entities to describe in the generated caption. The prompt contains a question that the caption should aid in answering. To avoid extra annotation, PromptCap is trained by examples synthesized with GPT-3 and existing datasets. We demonstrate PromptCap's effectiveness on an existing pipeline in which GPT-3 is prompted with image captions to carry out VQA. PromptCap outperforms generic captions by a large margin and achieves state-of-the-art accuracy on knowledge-based VQA tasks (60.4% on OK-VQA and 59.6% on A-OKVQA). Zero-shot results on WebQA show that PromptCap generalizes well to unseen domains.

In this work, we present an unsupervised method for enhancing an image captioning model (in our case, BLIP2) using reinforcement learning and vision-language models like CLIP and BLIP2-ITM as reward models. The RL-tuned model is able to generate longer and more comprehensive descriptions. Our model reaches impressive 0.90 R@1 CLIP Recall score on MS-COCO Carpathy Test Split. Weights are available at https://huggingface.co/sashakunitsyn/vlrm-blip2-opt-2.7b.

Composed image retrieval (CIR) is the task of retrieving specific images by using a query that involves both a reference image and a relative caption. Most existing CIR models adopt the late-fusion strategy to combine visual and language features. Besides, several approaches have also been suggested to generate a pseudo-word token from the reference image, which is further integrated into the relative caption for CIR. However, these pseudo-word-based prompting methods have limitations when target image encompasses complex changes on reference image, e.g., object removal and attribute modification. In this work, we demonstrate that learning an appropriate sentence-level prompt for the relative caption (SPRC) is sufficient for achieving effective composed image retrieval. Instead of relying on pseudo-word-based prompts, we propose to leverage pretrained V-L models, e.g., BLIP-2, to generate sentence-level prompts. By concatenating the learned sentence-level prompt with the relative caption, one can readily use existing text-based image retrieval models to enhance CIR performance. Furthermore, we introduce both image-text contrastive loss and text prompt alignment loss to enforce the learning of suitable sentence-level prompts. Experiments show that our proposed method performs favorably against the state-of-the-art CIR methods on the Fashion-IQ and CIRR datasets. The source code and pretrained model are publicly available at https://github.com/chunmeifeng/SPRC

Generative models hold promise for revolutionizing medical education, robot-assisted surgery, and data augmentation for medical AI development. Diffusion models can now generate realistic images from text prompts, while recent advancements have demonstrated their ability to create diverse, high-quality videos. However, these models often struggle with generating accurate representations of medical procedures and detailed anatomical structures. This paper introduces Bora, the first spatio-temporal diffusion probabilistic model designed for text-guided biomedical video generation. Bora leverages Transformer architecture and is pre-trained on general-purpose video generation tasks. It is fine-tuned through model alignment and instruction tuning using a newly established medical video corpus, which includes paired text-video data from various biomedical fields. To the best of our knowledge, this is the first attempt to establish such a comprehensive annotated biomedical video dataset. Bora is capable of generating high-quality video data across four distinct biomedical domains, adhering to medical expert standards and demonstrating consistency and diversity. This generalist video generative model holds significant potential for enhancing medical consultation and decision-making, particularly in resource-limited settings. Additionally, Bora could pave the way for immersive medical training and procedure planning. Extensive experiments on distinct medical modalities such as endoscopy, ultrasound, MRI, and cell tracking validate the effectiveness of our model in understanding biomedical instructions and its superior performance across subjects compared to state-of-the-art generation models.

How well can Multimodal Large Language Models (MLLMs) understand composite images? Composite images (CIs) are synthetic visuals created by merging multiple visual elements, such as charts, posters, or screenshots, rather than being captured directly by a camera. While CIs are prevalent in real-world applications, recent MLLM developments have primarily focused on interpreting natural images (NIs). Our research reveals that current MLLMs face significant challenges in accurately understanding CIs, often struggling to extract information or perform complex reasoning based on these images. We find that existing training data for CIs are mostly formatted for question-answer tasks (e.g., in datasets like ChartQA and ScienceQA), while high-quality image-caption datasets, critical for robust vision-language alignment, are only available for NIs. To bridge this gap, we introduce Composite Captions (CompCap), a flexible framework that leverages Large Language Models (LLMs) and automation tools to synthesize CIs with accurate and detailed captions. Using CompCap, we curate CompCap-118K, a dataset containing 118K image-caption pairs across six CI types. We validate the effectiveness of CompCap-118K by supervised fine-tuning MLLMs of three sizes: xGen-MM-inst.-4B and LLaVA-NeXT-Vicuna-7B/13B. Empirical results show that CompCap-118K significantly enhances MLLMs' understanding of CIs, yielding average gains of 1.7%, 2.0%, and 2.9% across eleven benchmarks, respectively.

Image captioning models typically follow an encoder-decoder architecture which uses abstract image feature vectors as input to the encoder. One of the most successful algorithms uses feature vectors extracted from the region proposals obtained from an object detector. In this work we introduce the Object Relation Transformer, that builds upon this approach by explicitly incorporating information about the spatial relationship between input detected objects through geometric attention. Quantitative and qualitative results demonstrate the importance of such geometric attention for image captioning, leading to improvements on all common captioning metrics on the MS-COCO dataset.

The advent of large Vision-Language Models (VLMs) has significantly advanced multimodal tasks, enabling more sophisticated and accurate reasoning across various applications, including image and video captioning, visual question answering, and cross-modal retrieval. Despite their superior capabilities, VLMs struggle with fine-grained image regional composition information perception. Specifically, they have difficulty accurately aligning the segmentation masks with the corresponding semantics and precisely describing the compositional aspects of the referred regions. However, compositionality - the ability to understand and generate novel combinations of known visual and textual components - is critical for facilitating coherent reasoning and understanding across modalities by VLMs. To address this issue, we propose FINECAPTION, a novel VLM that can recognize arbitrary masks as referential inputs and process high-resolution images for compositional image captioning at different granularity levels. To support this endeavor, we introduce COMPOSITIONCAP, a new dataset for multi-grained region compositional image captioning, which introduces the task of compositional attribute-aware regional image captioning. Empirical results demonstrate the effectiveness of our proposed model compared to other state-of-the-art VLMs. Additionally, we analyze the capabilities of current VLMs in recognizing various visual prompts for compositional region image captioning, highlighting areas for improvement in VLM design and training.

Vision Language Models (VLMs) like CLIP have attracted substantial attention in pathology, serving as backbones for applications such as zero-shot image classification and Whole Slide Image (WSI) analysis. Additionally, they can function as vision encoders when combined with large language models (LLMs) to support broader capabilities. Current efforts to train pathology VLMs rely on pathology image-text pairs from platforms like PubMed, YouTube, and Twitter, which provide limited, unscalable data with generally suboptimal image quality. In this work, we leverage large-scale WSI datasets like TCGA to extract numerous high-quality image patches. We then train a large multimodal model to generate captions for these images, creating PathGen-1.6M, a dataset containing 1.6 million high-quality image-caption pairs. Our approach involves multiple agent models collaborating to extract representative WSI patches, generating and refining captions to obtain high-quality image-text pairs. Extensive experiments show that integrating these generated pairs with existing datasets to train a pathology-specific CLIP model, PathGen-CLIP, significantly enhances its ability to analyze pathological images, with substantial improvements across nine pathology-related zero-shot image classification tasks and three whole-slide image tasks. Furthermore, we construct 200K instruction-tuning data based on PathGen-1.6M and integrate PathGen-CLIP with the Vicuna LLM to create more powerful multimodal models through instruction tuning. Overall, we provide a scalable pathway for high-quality data generation in pathology, paving the way for next-generation general pathology models.

Medical visual question answering (VQA) is a challenging multimodal task, where Vision-Language Pre-training (VLP) models can effectively improve the generalization performance. However, most methods in the medical field treat VQA as an answer classification task which is difficult to transfer to practical application scenarios. Additionally, due to the privacy of medical images and the expensive annotation process, large-scale medical image-text pairs datasets for pretraining are severely lacking. In this paper, we propose a large-scale MultI-task Self-Supervised learning based framework (MISS) for medical VQA tasks. Unlike existing methods, we treat medical VQA as a generative task. We unify the text encoder and multimodal encoder and align image-text features through multi-task learning. Furthermore, we propose a Transfer-and-Caption method that extends the feature space of single-modal image datasets using large language models (LLMs), enabling those traditional medical vision field task data to be applied to VLP. Experiments show that our method achieves excellent results with fewer multimodal datasets and demonstrates the advantages of generative VQA models. The code and model weights will be released upon the paper's acceptance.

Biomedical literature often uses complex language and inaccessible professional terminologies. That is why simplification plays an important role in improving public health literacy. Applying Natural Language Processing (NLP) models to automate such tasks allows for quick and direct accessibility for lay readers. In this work, we investigate the ability of state-of-the-art large language models (LLMs) on the task of biomedical abstract simplification, using the publicly available dataset for plain language adaptation of biomedical abstracts (PLABA). The methods applied include domain fine-tuning and prompt-based learning (PBL) on: 1) Encoder-decoder models (T5, SciFive, and BART), 2) Decoder-only GPT models (GPT-3.5 and GPT-4) from OpenAI and BioGPT, and 3) Control-token mechanisms on BART-based models. We used a range of automatic evaluation metrics, including BLEU, ROUGE, SARI, and BERTscore, and also conducted human evaluations. BART-Large with Control Token (BART-L-w-CT) mechanisms reported the highest SARI score of 46.54 and T5-base reported the highest BERTscore 72.62. In human evaluation, BART-L-w-CTs achieved a better simplicity score over T5-Base (2.9 vs. 2.2), while T5-Base achieved a better meaning preservation score over BART-L-w-CTs (3.1 vs. 2.6). We also categorised the system outputs with examples, hoping this will shed some light for future research on this task. Our code, fine-tuned models, and data splits are available at https://github.com/HECTA-UoM/PLABA-MU

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.

Language models pre-trained on biomedical corpora, such as BioBERT, have recently shown promising results on downstream biomedical tasks. Many existing pre-trained models, on the other hand, are resource-intensive and computationally heavy owing to factors such as embedding size, hidden dimension, and number of layers. The natural language processing (NLP) community has developed numerous strategies to compress these models utilising techniques such as pruning, quantisation, and knowledge distillation, resulting in models that are considerably faster, smaller, and subsequently easier to use in practice. By the same token, in this paper we introduce six lightweight models, namely, BioDistilBERT, BioTinyBERT, BioMobileBERT, DistilBioBERT, TinyBioBERT, and CompactBioBERT which are obtained either by knowledge distillation from a biomedical teacher or continual learning on the Pubmed dataset via the Masked Language Modelling (MLM) objective. We evaluate all of our models on three biomedical tasks and compare them with BioBERT-v1.1 to create efficient lightweight models that perform on par with their larger counterparts. All the models will be publicly available on our Huggingface profile at https://huggingface.co/nlpie and the codes used to run the experiments will be available at https://github.com/nlpie-research/Compact-Biomedical-Transformers.

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

Is it possible to develop an "AI Pathologist" to pass the board-certified examination of the American Board of Pathology? To achieve this goal, the first step is to create a visual question answering (VQA) dataset where the AI agent is presented with a pathology image together with a question and is asked to give the correct answer. Our work makes the first attempt to build such a dataset. Different from creating general-domain VQA datasets where the images are widely accessible and there are many crowdsourcing workers available and capable of generating question-answer pairs, developing a medical VQA dataset is much more challenging. First, due to privacy concerns, pathology images are usually not publicly available. Second, only well-trained pathologists can understand pathology images, but they barely have time to help create datasets for AI research. To address these challenges, we resort to pathology textbooks and online digital libraries. We develop a semi-automated pipeline to extract pathology images and captions from textbooks and generate question-answer pairs from captions using natural language processing. We collect 32,799 open-ended questions from 4,998 pathology images where each question is manually checked to ensure correctness. To our best knowledge, this is the first dataset for pathology VQA. Our dataset will be released publicly to promote research in medical VQA.

Images of the natural world, collected by a variety of cameras, from drones to individual phones, are increasingly abundant sources of biological information. There is an explosion of computational methods and tools, particularly computer vision, for extracting biologically relevant information from images for science and conservation. Yet most of these are bespoke approaches designed for a specific task and are not easily adaptable or extendable to new questions, contexts, and datasets. A vision model for general organismal biology questions on images is of timely need. To approach this, we curate and release TreeOfLife-10M, the largest and most diverse ML-ready dataset of biology images. We then develop BioCLIP, a foundation model for the tree of life, leveraging the unique properties of biology captured by TreeOfLife-10M, namely the abundance and variety of images of plants, animals, and fungi, together with the availability of rich structured biological knowledge. We rigorously benchmark our approach on diverse fine-grained biology classification tasks, and find that BioCLIP consistently and substantially outperforms existing baselines (by 17% to 20% absolute). Intrinsic evaluation reveals that BioCLIP has learned a hierarchical representation conforming to the tree of life, shedding light on its strong generalizability. Our code, models and data will be made available at https://github.com/Imageomics/bioclip.

The extent to which text-only language models (LMs) learn to represent features of the non-linguistic world is an open question. Prior work has shown that pretrained LMs can be taught to caption images when a vision model's parameters are optimized to encode images in the language space. We test a stronger hypothesis: that the conceptual representations learned by frozen text-only models and vision-only models are similar enough that this can be achieved with a linear map. We show that the image representations from vision models can be transferred as continuous prompts to frozen LMs by training only a single linear projection. Using these to prompt the LM achieves competitive performance on captioning and visual question answering tasks compared to models that tune both the image encoder and text decoder (such as the MAGMA model). We compare three image encoders with increasing amounts of linguistic supervision seen during pretraining: BEIT (no linguistic information), NF-ResNET (lexical category information), and CLIP (full natural language descriptions). We find that all three encoders perform equally well at transferring visual property information to the language model (e.g., whether an animal is large or small), but that image encoders pretrained with linguistic supervision more saliently encode category information (e.g., distinguishing hippo vs. elephant) and thus perform significantly better on benchmark language-and-vision tasks. Our results indicate that LMs encode conceptual information structurally similarly to vision-based models, even those that are solely trained on images. Code is available here: https://github.com/jmerullo/limber

Using language models (LMs) pre-trained in a self-supervised setting on large corpora and then fine-tuning for a downstream task has helped to deal with the problem of limited label data for supervised learning tasks such as Named Entity Recognition (NER). Recent research in biomedical language processing has offered a number of biomedical LMs pre-trained using different methods and techniques that advance results on many BioNLP tasks, including NER. However, there is still a lack of a comprehensive comparison of pre-training approaches that would work more optimally in the biomedical domain. This paper aims to investigate different pre-training methods, such as pre-training the biomedical LM from scratch and pre-training it in a continued fashion. We compare existing methods with our proposed pre-training method of initializing weights for new tokens by distilling existing weights from the BERT model inside the context where the tokens were found. The method helps to speed up the pre-training stage and improve performance on NER. In addition, we compare how masking rate, corruption strategy, and masking strategies impact the performance of the biomedical LM. Finally, using the insights from our experiments, we introduce a new biomedical LM (BIOptimus), which is pre-trained using Curriculum Learning (CL) and contextualized weight distillation method. Our model sets new states of the art on several biomedical Named Entity Recognition (NER) tasks. We release our code and all pre-trained models