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Sep 12

Prostate-Specific Foundation Models for Enhanced Detection of Clinically Significant Cancer

Accurate prostate cancer diagnosis remains challenging. Even when using MRI, radiologists exhibit low specificity and significant inter-observer variability, leading to potential delays or inaccuracies in identifying clinically significant cancers. This leads to numerous unnecessary biopsies and risks of missing clinically significant cancers. Here we present prostate vision contrastive network (ProViCNet), prostate organ-specific vision foundation models for Magnetic Resonance Imaging (MRI) and Trans-Rectal Ultrasound imaging (TRUS) for comprehensive cancer detection. ProViCNet was trained and validated using 4,401 patients across six institutions, as a prostate cancer detection model on radiology images relying on patch-level contrastive learning guided by biopsy confirmed radiologist annotations. ProViCNet demonstrated consistent performance across multiple internal and external validation cohorts with area under the receiver operating curve values ranging from 0.875 to 0.966, significantly outperforming radiologists in the reader study (0.907 versus 0.805, p<0.001) for mpMRI, while achieving 0.670 to 0.740 for TRUS. We also integrated ProViCNet with standard PSA to develop a virtual screening test, and we showed that we can maintain the high sensitivity for detecting clinically significant cancers while more than doubling specificity from 15% to 38% (p<0.001), thereby substantially reducing unnecessary biopsies. These findings highlight that ProViCNet's potential for enhancing prostate cancer diagnosis accuracy and reduce unnecessary biopsies, thereby optimizing diagnostic pathways.

Contrastive Vision-Language Alignment Makes Efficient Instruction Learner

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

Revisiting Multimodal Representation in Contrastive Learning: From Patch and Token Embeddings to Finite Discrete Tokens

Contrastive learning-based vision-language pre-training approaches, such as CLIP, have demonstrated great success in many vision-language tasks. These methods achieve cross-modal alignment by encoding a matched image-text pair with similar feature embeddings, which are generated by aggregating information from visual patches and language tokens. However, direct aligning cross-modal information using such representations is challenging, as visual patches and text tokens differ in semantic levels and granularities. To alleviate this issue, we propose a Finite Discrete Tokens (FDT) based multimodal representation. FDT is a set of learnable tokens representing certain visual-semantic concepts. Both images and texts are embedded using shared FDT by first grounding multimodal inputs to FDT space and then aggregating the activated FDT representations. The matched visual and semantic concepts are enforced to be represented by the same set of discrete tokens by a sparse activation constraint. As a result, the granularity gap between the two modalities is reduced. Through both quantitative and qualitative analyses, we demonstrate that using FDT representations in CLIP-style models improves cross-modal alignment and performance in visual recognition and vision-language downstream tasks. Furthermore, we show that our method can learn more comprehensive representations, and the learned FDT capture meaningful cross-modal correspondence, ranging from objects to actions and attributes.

A DeNoising FPN With Transformer R-CNN for Tiny Object Detection

Despite notable advancements in the field of computer vision, the precise detection of tiny objects continues to pose a significant challenge, largely owing to the minuscule pixel representation allocated to these objects in imagery data. This challenge resonates profoundly in the domain of geoscience and remote sensing, where high-fidelity detection of tiny objects can facilitate a myriad of applications ranging from urban planning to environmental monitoring. In this paper, we propose a new framework, namely, DeNoising FPN with Trans R-CNN (DNTR), to improve the performance of tiny object detection. DNTR consists of an easy plug-in design, DeNoising FPN (DN-FPN), and an effective Transformer-based detector, Trans R-CNN. Specifically, feature fusion in the feature pyramid network is important for detecting multiscale objects. However, noisy features may be produced during the fusion process since there is no regularization between the features of different scales. Therefore, we introduce a DN-FPN module that utilizes contrastive learning to suppress noise in each level's features in the top-down path of FPN. Second, based on the two-stage framework, we replace the obsolete R-CNN detector with a novel Trans R-CNN detector to focus on the representation of tiny objects with self-attention. Experimental results manifest that our DNTR outperforms the baselines by at least 17.4% in terms of APvt on the AI-TOD dataset and 9.6% in terms of AP on the VisDrone dataset, respectively. Our code will be available at https://github.com/hoiliu-0801/DNTR.