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reBEN: Refined BigEarthNet Dataset for Remote Sensing Image Analysis

This paper presents refined BigEarthNet (reBEN) that is a large-scale, multi-modal remote sensing dataset constructed to support deep learning (DL) studies for remote sensing image analysis. The reBEN dataset consists of 549,488 pairs of Sentinel-1 and Sentinel-2 image patches. To construct reBEN, we initially consider the Sentinel-1 and Sentinel-2 tiles used to construct the BigEarthNet dataset and then divide them into patches of size 1200 m x 1200 m. We apply atmospheric correction to the Sentinel-2 patches using the latest version of the sen2cor tool, resulting in higher-quality patches compared to those present in BigEarthNet. Each patch is then associated with a pixel-level reference map and scene-level multi-labels. This makes reBEN suitable for pixel- and scene-based learning tasks. The labels are derived from the most recent CORINE Land Cover (CLC) map of 2018 by utilizing the 19-class nomenclature as in BigEarthNet. The use of the most recent CLC map results in overcoming the label noise present in BigEarthNet. Furthermore, we introduce a new geographical-based split assignment algorithm that significantly reduces the spatial correlation among the train, validation, and test sets with respect to those present in BigEarthNet. This increases the reliability of the evaluation of DL models. To minimize the DL model training time, we introduce software tools that convert the reBEN dataset into a DL-optimized data format. In our experiments, we show the potential of reBEN for multi-modal multi-label image classification problems by considering several state-of-the-art DL models. The pre-trained model weights, associated code, and complete dataset are available at https://bigearth.net.

SeNMo: A Self-Normalizing Deep Learning Model for Enhanced Multi-Omics Data Analysis in Oncology

Multi-omics research has enhanced our understanding of cancer heterogeneity and progression. Investigating molecular data through multi-omics approaches is crucial for unraveling the complex biological mechanisms underlying cancer, thereby enabling effective diagnosis, treatment, and prevention strategies. However, predicting patient outcomes through integration of all available multi-omics data is an under-study research direction. Here, we present SeNMo (Self-normalizing Network for Multi-omics), a deep neural network trained on multi-omics data across 33 cancer types. SeNMo is efficient in handling multi-omics data characterized by high-width (many features) and low-length (fewer samples) attributes. We trained SeNMo for the task of overall survival using pan-cancer data involving 33 cancer sites from Genomics Data Commons (GDC). The training data includes gene expression, DNA methylation, miRNA expression, DNA mutations, protein expression modalities, and clinical data. We evaluated the model's performance in predicting overall survival using concordance index (C-Index). SeNMo performed consistently well in training regime, with the validation C-Index of 0.76 on GDC's public data. In the testing regime, SeNMo performed with a C-Index of 0.758 on a held-out test set. The model showed an average accuracy of 99.8% on the task of classifying the primary cancer type on the pan-cancer test cohort. SeNMo proved to be a mini-foundation model for multi-omics oncology data because it demonstrated robust performance, and adaptability not only across molecular data types but also on the classification task of predicting the primary cancer type of patients. SeNMo can be further scaled to any cancer site and molecular data type. We believe SeNMo and similar models are poised to transform the oncology landscape, offering hope for more effective, efficient, and patient-centric cancer care.

A Sentinel-2 multi-year, multi-country benchmark dataset for crop classification and segmentation with deep learning

In this work we introduce Sen4AgriNet, a Sentinel-2 based time series multi country benchmark dataset, tailored for agricultural monitoring applications with Machine and Deep Learning. Sen4AgriNet dataset is annotated from farmer declarations collected via the Land Parcel Identification System (LPIS) for harmonizing country wide labels. These declarations have only recently been made available as open data, allowing for the first time the labeling of satellite imagery from ground truth data. We proceed to propose and standardise a new crop type taxonomy across Europe that address Common Agriculture Policy (CAP) needs, based on the Food and Agriculture Organization (FAO) Indicative Crop Classification scheme. Sen4AgriNet is the only multi-country, multi-year dataset that includes all spectral information. It is constructed to cover the period 2016-2020 for Catalonia and France, while it can be extended to include additional countries. Currently, it contains 42.5 million parcels, which makes it significantly larger than other available archives. We extract two sub-datasets to highlight its value for diverse Deep Learning applications; the Object Aggregated Dataset (OAD) and the Patches Assembled Dataset (PAD). OAD capitalizes zonal statistics of each parcel, thus creating a powerful label-to-features instance for classification algorithms. On the other hand, PAD structure generalizes the classification problem to parcel extraction and semantic segmentation and labeling. The PAD and OAD are examined under three different scenarios to showcase and model the effects of spatial and temporal variability across different years and different countries.

Surgical tool classification and localization: results and methods from the MICCAI 2022 SurgToolLoc challenge

The ability to automatically detect and track surgical instruments in endoscopic videos can enable transformational interventions. Assessing surgical performance and efficiency, identifying skilled tool use and choreography, and planning operational and logistical aspects of OR resources are just a few of the applications that could benefit. Unfortunately, obtaining the annotations needed to train machine learning models to identify and localize surgical tools is a difficult task. Annotating bounding boxes frame-by-frame is tedious and time-consuming, yet large amounts of data with a wide variety of surgical tools and surgeries must be captured for robust training. Moreover, ongoing annotator training is needed to stay up to date with surgical instrument innovation. In robotic-assisted surgery, however, potentially informative data like timestamps of instrument installation and removal can be programmatically harvested. The ability to rely on tool installation data alone would significantly reduce the workload to train robust tool-tracking models. With this motivation in mind we invited the surgical data science community to participate in the challenge, SurgToolLoc 2022. The goal was to leverage tool presence data as weak labels for machine learning models trained to detect tools and localize them in video frames with bounding boxes. We present the results of this challenge along with many of the team's efforts. We conclude by discussing these results in the broader context of machine learning and surgical data science. The training data used for this challenge consisting of 24,695 video clips with tool presence labels is also being released publicly and can be accessed at https://console.cloud.google.com/storage/browser/isi-surgtoolloc-2022.

Revisiting Referring Expression Comprehension Evaluation in the Era of Large Multimodal Models

Referring expression comprehension (REC) involves localizing a target instance based on a textual description. Recent advancements in REC have been driven by large multimodal models (LMMs) like CogVLM, which achieved 92.44% accuracy on RefCOCO. However, this study questions whether existing benchmarks such as RefCOCO, RefCOCO+, and RefCOCOg, capture LMMs' comprehensive capabilities. We begin with a manual examination of these benchmarks, revealing high labeling error rates: 14% in RefCOCO, 24% in RefCOCO+, and 5% in RefCOCOg, which undermines the authenticity of evaluations. We address this by excluding problematic instances and reevaluating several LMMs capable of handling the REC task, showing significant accuracy improvements, thus highlighting the impact of benchmark noise. In response, we introduce Ref-L4, a comprehensive REC benchmark, specifically designed to evaluate modern REC models. Ref-L4 is distinguished by four key features: 1) a substantial sample size with 45,341 annotations; 2) a diverse range of object categories with 365 distinct types and varying instance scales from 30 to 3,767; 3) lengthy referring expressions averaging 24.2 words; and 4) an extensive vocabulary comprising 22,813 unique words. We evaluate a total of 24 large models on Ref-L4 and provide valuable insights. The cleaned versions of RefCOCO, RefCOCO+, and RefCOCOg, as well as our Ref-L4 benchmark and evaluation code, are available at https://github.com/JierunChen/Ref-L4.

SteloCoder: a Decoder-Only LLM for Multi-Language to Python Code Translation

With the recent focus on Large Language Models (LLMs), both StarCoder (Li et al., 2023) and Code Llama (Rozi\`ere et al., 2023) have demonstrated remarkable performance in code generation. However, there is still a need for improvement in code translation functionality with efficient training techniques. In response to this, we introduce SteloCoder, a decoder-only StarCoder-based LLM designed specifically for multi-programming language-to-Python code translation. In particular, SteloCoder achieves C++, C#, JavaScript, Java, or PHP-to-Python code translation without specifying the input programming language. We modified StarCoder model architecture by incorporating a Mixture-of-Experts (MoE) technique featuring five experts and a gating network for multi-task handling. Experts are obtained by StarCoder fine-tuning. Specifically, we use a Low-Rank Adaptive Method (LoRA) technique, limiting each expert size as only 0.06% of number of StarCoder's parameters. At the same time, to enhance training efficiency in terms of time, we adopt curriculum learning strategy and use self-instruct data for efficient fine-tuning. As a result, each expert takes only 6 hours to train on one single 80Gb A100 HBM. With experiments on XLCoST datasets, SteloCoder achieves an average of 73.76 CodeBLEU score in multi-programming language-to-Python translation, surpassing the top performance from the leaderboard by at least 3.5. This accomplishment is attributed to only 45M extra parameters with StarCoder as the backbone and 32 hours of valid training on one 80GB A100 HBM. The source code is release here: https://github.com/sade-adrien/SteloCoder.

Deep Multimodal Fusion for Surgical Feedback Classification

Quantification of real-time informal feedback delivered by an experienced surgeon to a trainee during surgery is important for skill improvements in surgical training. Such feedback in the live operating room is inherently multimodal, consisting of verbal conversations (e.g., questions and answers) as well as non-verbal elements (e.g., through visual cues like pointing to anatomic elements). In this work, we leverage a clinically-validated five-category classification of surgical feedback: "Anatomic", "Technical", "Procedural", "Praise" and "Visual Aid". We then develop a multi-label machine learning model to classify these five categories of surgical feedback from inputs of text, audio, and video modalities. The ultimate goal of our work is to help automate the annotation of real-time contextual surgical feedback at scale. Our automated classification of surgical feedback achieves AUCs ranging from 71.5 to 77.6 with the fusion improving performance by 3.1%. We also show that high-quality manual transcriptions of feedback audio from experts improve AUCs to between 76.5 and 96.2, which demonstrates a clear path toward future improvements. Empirically, we find that the Staged training strategy, with first pre-training each modality separately and then training them jointly, is more effective than training different modalities altogether. We also present intuitive findings on the importance of modalities for different feedback categories. This work offers an important first look at the feasibility of automated classification of real-world live surgical feedback based on text, audio, and video modalities.

MedImageInsight: An Open-Source Embedding Model for General Domain Medical Imaging

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

Text2Node: a Cross-Domain System for Mapping Arbitrary Phrases to a Taxonomy

Electronic health record (EHR) systems are used extensively throughout the healthcare domain. However, data interchangeability between EHR systems is limited due to the use of different coding standards across systems. Existing methods of mapping coding standards based on manual human experts mapping, dictionary mapping, symbolic NLP and classification are unscalable and cannot accommodate large scale EHR datasets. In this work, we present Text2Node, a cross-domain mapping system capable of mapping medical phrases to concepts in a large taxonomy (such as SNOMED CT). The system is designed to generalize from a limited set of training samples and map phrases to elements of the taxonomy that are not covered by training data. As a result, our system is scalable, robust to wording variants between coding systems and can output highly relevant concepts when no exact concept exists in the target taxonomy. Text2Node operates in three main stages: first, the lexicon is mapped to word embeddings; second, the taxonomy is vectorized using node embeddings; and finally, the mapping function is trained to connect the two embedding spaces. We compared multiple algorithms and architectures for each stage of the training, including GloVe and FastText word embeddings, CNN and Bi-LSTM mapping functions, and node2vec for node embeddings. We confirmed the robustness and generalisation properties of Text2Node by mapping ICD-9-CM Diagnosis phrases to SNOMED CT and by zero-shot training at comparable accuracy. This system is a novel methodological contribution to the task of normalizing and linking phrases to a taxonomy, advancing data interchangeability in healthcare. When applied, the system can use electronic health records to generate an embedding that incorporates taxonomical medical knowledge to improve clinical predictive models.

Adaptive Image Quality Assessment via Teaching Large Multimodal Model to Compare

While recent advancements in large multimodal models (LMMs) have significantly improved their abilities in image quality assessment (IQA) relying on absolute quality rating, how to transfer reliable relative quality comparison outputs to continuous perceptual quality scores remains largely unexplored. To address this gap, we introduce Compare2Score-an all-around LMM-based no-reference IQA (NR-IQA) model, which is capable of producing qualitatively comparative responses and effectively translating these discrete comparative levels into a continuous quality score. Specifically, during training, we present to generate scaled-up comparative instructions by comparing images from the same IQA dataset, allowing for more flexible integration of diverse IQA datasets. Utilizing the established large-scale training corpus, we develop a human-like visual quality comparator. During inference, moving beyond binary choices, we propose a soft comparison method that calculates the likelihood of the test image being preferred over multiple predefined anchor images. The quality score is further optimized by maximum a posteriori estimation with the resulting probability matrix. Extensive experiments on nine IQA datasets validate that the Compare2Score effectively bridges text-defined comparative levels during training with converted single image quality score for inference, surpassing state-of-the-art IQA models across diverse scenarios. Moreover, we verify that the probability-matrix-based inference conversion not only improves the rating accuracy of Compare2Score but also zero-shot general-purpose LMMs, suggesting its intrinsic effectiveness.

Small Language Model Makes an Effective Long Text Extractor

Named Entity Recognition (NER) is a fundamental problem in natural language processing (NLP). However, the task of extracting longer entity spans (e.g., awards) from extended texts (e.g., homepages) is barely explored. Current NER methods predominantly fall into two categories: span-based methods and generation-based methods. Span-based methods require the enumeration of all possible token-pair spans, followed by classification on each span, resulting in substantial redundant computations and excessive GPU memory usage. In contrast, generation-based methods involve prompting or fine-tuning large language models (LLMs) to adapt to downstream NER tasks. However, these methods struggle with the accurate generation of longer spans and often incur significant time costs for effective fine-tuning. To address these challenges, this paper introduces a lightweight span-based NER method called SeNER, which incorporates a bidirectional arrow attention mechanism coupled with LogN-Scaling on the [CLS] token to embed long texts effectively, and comprises a novel bidirectional sliding-window plus-shaped attention (BiSPA) mechanism to reduce redundant candidate token-pair spans significantly and model interactions between token-pair spans simultaneously. Extensive experiments demonstrate that our method achieves state-of-the-art extraction accuracy on three long NER datasets and is capable of extracting entities from long texts in a GPU-memory-friendly manner. Code: https://github.com/THUDM/scholar-profiling/tree/main/sener

R2C2-Coder: Enhancing and Benchmarking Real-world Repository-level Code Completion Abilities of Code Large Language Models

Code completion models have made significant progress in recent years. Recently, repository-level code completion has drawn more attention in modern software development, and several baseline methods and benchmarks have been proposed. However, existing repository-level code completion methods often fall short of fully using the extensive context of a project repository, such as the intricacies of relevant files and class hierarchies. Besides, the existing benchmarks usually focus on limited code completion scenarios, which cannot reflect the repository-level code completion abilities well of existing methods. To address these limitations, we propose the R2C2-Coder to enhance and benchmark the real-world repository-level code completion abilities of code Large Language Models, where the R2C2-Coder includes a code prompt construction method R2C2-Enhance and a well-designed benchmark R2C2-Bench. Specifically, first, in R2C2-Enhance, we first construct the candidate retrieval pool and then assemble the completion prompt by retrieving from the retrieval pool for each completion cursor position. Second, based on R2C2 -Enhance, we can construct a more challenging and diverse R2C2-Bench with training, validation and test splits, where a context perturbation strategy is proposed to simulate the real-world repository-level code completion well. Extensive results on multiple benchmarks demonstrate the effectiveness of our R2C2-Coder.

Computer-assisted Pronunciation Training -- Speech synthesis is almost all you need

The research community has long studied computer-assisted pronunciation training (CAPT) methods in non-native speech. Researchers focused on studying various model architectures, such as Bayesian networks and deep learning methods, as well as on the analysis of different representations of the speech signal. Despite significant progress in recent years, existing CAPT methods are not able to detect pronunciation errors with high accuracy (only 60\% precision at 40\%-80\% recall). One of the key problems is the low availability of mispronounced speech that is needed for the reliable training of pronunciation error detection models. If we had a generative model that could mimic non-native speech and produce any amount of training data, then the task of detecting pronunciation errors would be much easier. We present three innovative techniques based on phoneme-to-phoneme (P2P), text-to-speech (T2S), and speech-to-speech (S2S) conversion to generate correctly pronounced and mispronounced synthetic speech. We show that these techniques not only improve the accuracy of three machine learning models for detecting pronunciation errors but also help establish a new state-of-the-art in the field. Earlier studies have used simple speech generation techniques such as P2P conversion, but only as an additional mechanism to improve the accuracy of pronunciation error detection. We, on the other hand, consider speech generation to be the first-class method of detecting pronunciation errors. The effectiveness of these techniques is assessed in the tasks of detecting pronunciation and lexical stress errors. Non-native English speech corpora of German, Italian, and Polish speakers are used in the evaluations. The best proposed S2S technique improves the accuracy of detecting pronunciation errors in AUC metric by 41\% from 0.528 to 0.749 compared to the state-of-the-art approach.

COVID-19 SignSym: a fast adaptation of a general clinical NLP tool to identify and normalize COVID-19 signs and symptoms to OMOP common data model

The COVID-19 pandemic swept across the world rapidly, infecting millions of people. An efficient tool that can accurately recognize important clinical concepts of COVID-19 from free text in electronic health records (EHRs) will be valuable to accelerate COVID-19 clinical research. To this end, this study aims at adapting the existing CLAMP natural language processing tool to quickly build COVID-19 SignSym, which can extract COVID-19 signs/symptoms and their 8 attributes (body location, severity, temporal expression, subject, condition, uncertainty, negation, and course) from clinical text. The extracted information is also mapped to standard concepts in the Observational Medical Outcomes Partnership common data model. A hybrid approach of combining deep learning-based models, curated lexicons, and pattern-based rules was applied to quickly build the COVID-19 SignSym from CLAMP, with optimized performance. Our extensive evaluation using 3 external sites with clinical notes of COVID-19 patients, as well as the online medical dialogues of COVID-19, shows COVID-19 Sign-Sym can achieve high performance across data sources. The workflow used for this study can be generalized to other use cases, where existing clinical natural language processing tools need to be customized for specific information needs within a short time. COVID-19 SignSym is freely accessible to the research community as a downloadable package (https://clamp.uth.edu/covid/nlp.php) and has been used by 16 healthcare organizations to support clinical research of COVID-19.

DETRs with Collaborative Hybrid Assignments Training

In this paper, we provide the observation that too few queries assigned as positive samples in DETR with one-to-one set matching leads to sparse supervision on the encoder's output which considerably hurt the discriminative feature learning of the encoder and vice visa for attention learning in the decoder. To alleviate this, we present a novel collaborative hybrid assignments training scheme, namely Co-DETR, to learn more efficient and effective DETR-based detectors from versatile label assignment manners. This new training scheme can easily enhance the encoder's learning ability in end-to-end detectors by training the multiple parallel auxiliary heads supervised by one-to-many label assignments such as ATSS and Faster RCNN. In addition, we conduct extra customized positive queries by extracting the positive coordinates from these auxiliary heads to improve the training efficiency of positive samples in the decoder. In inference, these auxiliary heads are discarded and thus our method introduces no additional parameters and computational cost to the original detector while requiring no hand-crafted non-maximum suppression (NMS). We conduct extensive experiments to evaluate the effectiveness of the proposed approach on DETR variants, including DAB-DETR, Deformable-DETR, and DINO-Deformable-DETR. The state-of-the-art DINO-Deformable-DETR with Swin-L can be improved from 58.5% to 59.5% AP on COCO val. Surprisingly, incorporated with ViT-L backbone, we achieve 66.0% AP on COCO test-dev and 67.9% AP on LVIS val, outperforming previous methods by clear margins with much fewer model sizes. Codes are available at https://github.com/Sense-X/Co-DETR.

Structural Entities Extraction and Patient Indications Incorporation for Chest X-ray Report Generation

The automated generation of imaging reports proves invaluable in alleviating the workload of radiologists. A clinically applicable reports generation algorithm should demonstrate its effectiveness in producing reports that accurately describe radiology findings and attend to patient-specific indications. In this paper, we introduce a novel method, Structural Entities extraction and patient indications Incorporation (SEI) for chest X-ray report generation. Specifically, we employ a structural entities extraction (SEE) approach to eliminate presentation-style vocabulary in reports and improve the quality of factual entity sequences. This reduces the noise in the following cross-modal alignment module by aligning X-ray images with factual entity sequences in reports, thereby enhancing the precision of cross-modal alignment and further aiding the model in gradient-free retrieval of similar historical cases. Subsequently, we propose a cross-modal fusion network to integrate information from X-ray images, similar historical cases, and patient-specific indications. This process allows the text decoder to attend to discriminative features of X-ray images, assimilate historical diagnostic information from similar cases, and understand the examination intention of patients. This, in turn, assists in triggering the text decoder to produce high-quality reports. Experiments conducted on MIMIC-CXR validate the superiority of SEI over state-of-the-art approaches on both natural language generation and clinical efficacy metrics.

Neural Interactive Keypoint Detection

This work proposes an end-to-end neural interactive keypoint detection framework named Click-Pose, which can significantly reduce more than 10 times labeling costs of 2D keypoint annotation compared with manual-only annotation. Click-Pose explores how user feedback can cooperate with a neural keypoint detector to correct the predicted keypoints in an interactive way for a faster and more effective annotation process. Specifically, we design the pose error modeling strategy that inputs the ground truth pose combined with four typical pose errors into the decoder and trains the model to reconstruct the correct poses, which enhances the self-correction ability of the model. Then, we attach an interactive human-feedback loop that allows receiving users' clicks to correct one or several predicted keypoints and iteratively utilizes the decoder to update all other keypoints with a minimum number of clicks (NoC) for efficient annotation. We validate Click-Pose in in-domain, out-of-domain scenes, and a new task of keypoint adaptation. For annotation, Click-Pose only needs 1.97 and 6.45 NoC@95 (at precision 95%) on COCO and Human-Art, reducing 31.4% and 36.3% efforts than the SOTA model (ViTPose) with manual correction, respectively. Besides, without user clicks, Click-Pose surpasses the previous end-to-end model by 1.4 AP on COCO and 3.0 AP on Human-Art. The code is available at https://github.com/IDEA-Research/Click-Pose.

Robust Change Captioning in Remote Sensing: SECOND-CC Dataset and MModalCC Framework

Remote sensing change captioning (RSICC) aims to describe changes between bitemporal images in natural language. Existing methods often fail under challenges like illumination differences, viewpoint changes, blur effects, leading to inaccuracies, especially in no-change regions. Moreover, the images acquired at different spatial resolutions and have registration errors tend to affect the captions. To address these issues, we introduce SECOND-CC, a novel RSICC dataset featuring high-resolution RGB image pairs, semantic segmentation maps, and diverse real-world scenarios. SECOND-CC which contains 6,041 pairs of bitemporal RS images and 30,205 sentences describing the differences between images. Additionally, we propose MModalCC, a multimodal framework that integrates semantic and visual data using advanced attention mechanisms, including Cross-Modal Cross Attention (CMCA) and Multimodal Gated Cross Attention (MGCA). Detailed ablation studies and attention visualizations further demonstrate its effectiveness and ability to address RSICC challenges. Comprehensive experiments show that MModalCC outperforms state-of-the-art RSICC methods, including RSICCformer, Chg2Cap, and PSNet with +4.6% improvement on BLEU4 score and +9.6% improvement on CIDEr score. We will make our dataset and codebase publicly available to facilitate future research at https://github.com/ChangeCapsInRS/SecondCC

Zero-Shot ECG Classification with Multimodal Learning and Test-time Clinical Knowledge Enhancement

Electrocardiograms (ECGs) are non-invasive diagnostic tools crucial for detecting cardiac arrhythmic diseases in clinical practice. While ECG Self-supervised Learning (eSSL) methods show promise in representation learning from unannotated ECG data, they often overlook the clinical knowledge that can be found in reports. This oversight and the requirement for annotated samples for downstream tasks limit eSSL's versatility. In this work, we address these issues with the Multimodal ECG Representation Learning (MERL}) framework. Through multimodal learning on ECG records and associated reports, MERL is capable of performing zero-shot ECG classification with text prompts, eliminating the need for training data in downstream tasks. At test time, we propose the Clinical Knowledge Enhanced Prompt Engineering (CKEPE) approach, which uses Large Language Models (LLMs) to exploit external expert-verified clinical knowledge databases, generating more descriptive prompts and reducing hallucinations in LLM-generated content to boost zero-shot classification. Based on MERL, we perform the first benchmark across six public ECG datasets, showing the superior performance of MERL compared against eSSL methods. Notably, MERL achieves an average AUC score of 75.2% in zero-shot classification (without training data), 3.2% higher than linear probed eSSL methods with 10\% annotated training data, averaged across all six datasets. Code and models are available at https://github.com/cheliu-computation/MERL

Qwen2-Audio Technical Report

We introduce the latest progress of Qwen-Audio, a large-scale audio-language model called Qwen2-Audio, which is capable of accepting various audio signal inputs and performing audio analysis or direct textual responses with regard to speech instructions. In contrast to complex hierarchical tags, we have simplified the pre-training process by utilizing natural language prompts for different data and tasks, and have further expanded the data volume. We have boosted the instruction-following capability of Qwen2-Audio and implemented two distinct audio interaction modes for voice chat and audio analysis. In the voice chat mode, users can freely engage in voice interactions with Qwen2-Audio without text input. In the audio analysis mode, users could provide audio and text instructions for analysis during the interaction. Note that we do not use any system prompts to switch between voice chat and audio analysis modes. Qwen2-Audio is capable of intelligently comprehending the content within audio and following voice commands to respond appropriately. For instance, in an audio segment that simultaneously contains sounds, multi-speaker conversations, and a voice command, Qwen2-Audio can directly understand the command and provide an interpretation and response to the audio. Additionally, DPO has optimized the model's performance in terms of factuality and adherence to desired behavior. According to the evaluation results from AIR-Bench, Qwen2-Audio outperformed previous SOTAs, such as Gemini-1.5-pro, in tests focused on audio-centric instruction-following capabilities. Qwen2-Audio is open-sourced with the aim of fostering the advancement of the multi-modal language community.

CLARA: Clinical Report Auto-completion

Generating clinical reports from raw recordings such as X-rays and electroencephalogram (EEG) is an essential and routine task for doctors. However, it is often time-consuming to write accurate and detailed reports. Most existing methods try to generate the whole reports from the raw input with limited success because 1) generated reports often contain errors that need manual review and correction, 2) it does not save time when doctors want to write additional information into the report, and 3) the generated reports are not customized based on individual doctors' preference. We propose {\it CL}inic{\it A}l {\it R}eport {\it A}uto-completion (CLARA), an interactive method that generates reports in a sentence by sentence fashion based on doctors' anchor words and partially completed sentences. CLARA searches for most relevant sentences from existing reports as the template for the current report. The retrieved sentences are sequentially modified by combining with the input feature representations to create the final report. In our experimental evaluation, CLARA achieved 0.393 CIDEr and 0.248 BLEU-4 on X-ray reports and 0.482 CIDEr and 0.491 BLEU-4 for EEG reports for sentence-level generation, which is up to 35% improvement over the best baseline. Also via our qualitative evaluation, CLARA is shown to produce reports which have a significantly higher level of approval by doctors in a user study (3.74 out of 5 for CLARA vs 2.52 out of 5 for the baseline).

FocusCLIP: Multimodal Subject-Level Guidance for Zero-Shot Transfer in Human-Centric Tasks

We propose FocusCLIP, integrating subject-level guidance--a specialized mechanism for target-specific supervision--into the CLIP framework for improved zero-shot transfer on human-centric tasks. Our novel contributions enhance CLIP on both the vision and text sides. On the vision side, we incorporate ROI heatmaps emulating human visual attention mechanisms to emphasize subject-relevant image regions. On the text side, we introduce human pose descriptions to provide rich contextual information. For human-centric tasks, FocusCLIP is trained with images from the MPII Human Pose dataset. The proposed approach surpassed CLIP by an average of 8.61% across five previously unseen datasets covering three human-centric tasks. FocusCLIP achieved an average accuracy of 33.65% compared to 25.04% by CLIP. We observed a 3.98% improvement in activity recognition, a 14.78% improvement in age classification, and a 7.06% improvement in emotion recognition. Moreover, using our proposed single-shot LLM prompting strategy, we release a high-quality MPII Pose Descriptions dataset to encourage further research in multimodal learning for human-centric tasks. Furthermore, we also demonstrate the effectiveness of our subject-level supervision on non-human-centric tasks. FocusCLIP shows a 2.47% improvement over CLIP in zero-shot bird classification using the CUB dataset. Our findings emphasize the potential of integrating subject-level guidance with general pretraining methods for enhanced downstream performance.

MoRE: Multi-Modal Contrastive Pre-training with Transformers on X-Rays, ECGs, and Diagnostic Report

In this paper, we introduce a novel Multi-Modal Contrastive Pre-training Framework that synergistically combines X-rays, electrocardiograms (ECGs), and radiology/cardiology reports. Our approach leverages transformers to encode these diverse modalities into a unified representation space, aiming to enhance diagnostic accuracy and facilitate comprehensive patient assessments. We utilize LoRA-Peft to significantly reduce trainable parameters in the LLM and incorporate recent linear attention dropping strategy in the Vision Transformer(ViT) for smoother attention. Furthermore, we provide novel multimodal attention explanations and retrieval for our model. To the best of our knowledge, we are the first to propose an integrated model that combines X-ray, ECG, and Radiology/Cardiology Report with this approach. By utilizing contrastive loss, MoRE effectively aligns modality-specific features into a coherent embedding, which supports various downstream tasks such as zero-shot classification and multimodal retrieval. Employing our proposed methodology, we achieve state-of-the-art (SOTA) on the Mimic-IV, CheXpert, Edema Severity, and PtbXl downstream datasets, surpassing existing multimodal approaches. Our proposed framework shows significant improvements in capturing intricate inter-modal relationships and its robustness in medical diagnosis that establishes a framework for future research in multimodal learning in the healthcare sector.

Development of a Large-scale Dataset of Chest Computed Tomography Reports in Japanese and a High-performance Finding Classification Model

Background: Recent advances in large language models highlight the need for high-quality multilingual medical datasets. While Japan leads globally in CT scanner deployment and utilization, the lack of large-scale Japanese radiology datasets has hindered the development of specialized language models for medical imaging analysis. Objective: To develop a comprehensive Japanese CT report dataset through machine translation and establish a specialized language model for structured finding classification. Additionally, to create a rigorously validated evaluation dataset through expert radiologist review. Methods: We translated the CT-RATE dataset (24,283 CT reports from 21,304 patients) into Japanese using GPT-4o mini. The training dataset consisted of 22,778 machine-translated reports, while the validation dataset included 150 radiologist-revised reports. We developed CT-BERT-JPN based on "tohoku-nlp/bert-base-japanese-v3" architecture for extracting 18 structured findings from Japanese radiology reports. Results: Translation metrics showed strong performance with BLEU scores of 0.731 and 0.690, and ROUGE scores ranging from 0.770 to 0.876 for Findings and from 0.748 to 0.857 for Impression sections. CT-BERT-JPN demonstrated superior performance compared to GPT-4o in 11 out of 18 conditions, including lymphadenopathy (+14.2%), interlobular septal thickening (+10.9%), and atelectasis (+7.4%). The model maintained F1 scores exceeding 0.95 in 14 out of 18 conditions and achieved perfect scores in four conditions. Conclusions: Our study establishes a robust Japanese CT report dataset and demonstrates the effectiveness of a specialized language model for structured finding classification. The hybrid approach of machine translation and expert validation enables the creation of large-scale medical datasets while maintaining high quality.

Multi-Modal Self-Supervised Learning for Surgical Feedback Effectiveness Assessment

During surgical training, real-time feedback from trainers to trainees is important for preventing errors and enhancing long-term skill acquisition. Accurately predicting the effectiveness of this feedback, specifically whether it leads to a change in trainee behavior, is crucial for developing methods for improving surgical training and education. However, relying on human annotations to assess feedback effectiveness is laborious and prone to biases, underscoring the need for an automated, scalable, and objective method. Creating such an automated system poses challenges, as it requires an understanding of both the verbal feedback delivered by the trainer and the visual context of the real-time surgical scene. To address this, we propose a method that integrates information from transcribed verbal feedback and corresponding surgical video to predict feedback effectiveness. Our findings show that both transcribed feedback and surgical video are individually predictive of trainee behavior changes, and their combination achieves an AUROC of 0.70+/-0.02, improving prediction accuracy by up to 6.6%. Additionally, we introduce self-supervised fine-tuning as a strategy for enhancing surgical video representation learning, which is scalable and further enhances prediction performance. Our results demonstrate the potential of multi-modal learning to advance the automated assessment of surgical feedback.

Unified Low-rank Compression Framework for Click-through Rate Prediction

Deep Click-Through Rate (CTR) prediction models play an important role in modern industrial recommendation scenarios. However, high memory overhead and computational costs limit their deployment in resource-constrained environments. Low-rank approximation is an effective method for computer vision and natural language processing models, but its application in compressing CTR prediction models has been less explored. Due to the limited memory and computing resources, compression of CTR prediction models often confronts three fundamental challenges, i.e., (1). How to reduce the model sizes to adapt to edge devices? (2). How to speed up CTR prediction model inference? (3). How to retain the capabilities of original models after compression? Previous low-rank compression research mostly uses tensor decomposition, which can achieve a high parameter compression ratio, but brings in AUC degradation and additional computing overhead. To address these challenges, we propose a unified low-rank decomposition framework for compressing CTR prediction models. We find that even with the most classic matrix decomposition SVD method, our framework can achieve better performance than the original model. To further improve the effectiveness of our framework, we locally compress the output features instead of compressing the model weights. Our unified low-rank compression framework can be applied to embedding tables and MLP layers in various CTR prediction models. Extensive experiments on two academic datasets and one real industrial benchmark demonstrate that, with 3-5x model size reduction, our compressed models can achieve both faster inference and higher AUC than the uncompressed original models. Our code is at https://github.com/yuhao318/Atomic_Feature_Mimicking.

Wav2Small: Distilling Wav2Vec2 to 72K parameters for Low-Resource Speech emotion recognition

Speech Emotion Recognition (SER) needs high computational resources to overcome the challenge of substantial annotator disagreement. Today SER is shifting towards dimensional annotations of arousal, dominance, and valence (A/D/V). Universal metrics as the L2 distance prove unsuitable for evaluating A/D/V accuracy due to non converging consensus of annotator opinions. However, Concordance Correlation Coefficient (CCC) arose as an alternative metric for A/D/V where a model's output is evaluated to match a whole dataset's CCC rather than L2 distances of individual audios. Recent studies have shown that Wav2Vec2.0 / WavLM architectures outputing a float value for each A/D/V dimension achieve today's State-of-the-art (SOTA) CCC on A/D/V. The Wav2Vec2.0 / WavLM family has high computational footprint, but training tiny models using human annotations has been unsuccessful. In this paper we use a large Transformer SOTA A/D/V model as Teacher/Annotator to train 5 student models: 4 MobileNets and our proposed Wav2Small, using only the Teacher's A/D/V predictions instead of human annotations. We chose MobileNet-V4 / MobileNet-V3 as students, as MobileNet has been designed for fast execution times. We propose Wav2Small an architecture designed for minimal parameter number and RAM consumption. Wav2Small with an .onnx (quantized) of only 60KB is a potential solution for A/D/V on hearing aids, having only 72K parameters vs 3.12M parameters for MobileNet-V4-Small. The Teacher model we construct sets a new SOTA on the MSP Podcast Test-1 dataset with valence CCC=0.676.

Progress Note Understanding -- Assessment and Plan Reasoning: Overview of the 2022 N2C2 Track 3 Shared Task

Daily progress notes are common types in the electronic health record (EHR) where healthcare providers document the patient's daily progress and treatment plans. The EHR is designed to document all the care provided to patients, but it also enables note bloat with extraneous information that distracts from the diagnoses and treatment plans. Applications of natural language processing (NLP) in the EHR is a growing field with the majority of methods in information extraction. Few tasks use NLP methods for downstream diagnostic decision support. We introduced the 2022 National NLP Clinical Challenge (N2C2) Track 3: Progress Note Understanding - Assessment and Plan Reasoning as one step towards a new suite of tasks. The Assessment and Plan Reasoning task focuses on the most critical components of progress notes, Assessment and Plan subsections where health problems and diagnoses are contained. The goal of the task was to develop and evaluate NLP systems that automatically predict causal relations between the overall status of the patient contained in the Assessment section and its relation to each component of the Plan section which contains the diagnoses and treatment plans. The goal of the task was to identify and prioritize diagnoses as the first steps in diagnostic decision support to find the most relevant information in long documents like daily progress notes. We present the results of 2022 n2c2 Track 3 and provide a description of the data, evaluation, participation and system performance.