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Jun 13

Specialist vision-language models for clinical ophthalmology

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

Specialist or Generalist? Instruction Tuning for Specific NLP Tasks

The potential of large language models (LLMs) to simultaneously perform a wide range of natural language processing (NLP) tasks has been the subject of extensive research. Although instruction tuning has proven to be a data-efficient method for transforming LLMs into such generalist models, their performance still lags behind specialist models trained exclusively for specific tasks. In this paper, we investigate whether incorporating broad-coverage generalist instruction tuning can contribute to building a specialist model. We hypothesize that its efficacy depends on task specificity and skill requirements. Our experiments assess four target tasks with distinct coverage levels, revealing that integrating generalist instruction tuning consistently enhances model performance when the task coverage is broad. The effect is particularly pronounced when the amount of task-specific training data is limited. Further investigation into three target tasks focusing on different capabilities demonstrates that generalist instruction tuning improves understanding and reasoning abilities. However, for tasks requiring factual knowledge, generalist data containing hallucinatory information may negatively affect the model's performance. Overall, our work provides a systematic guide for developing specialist models with general instruction tuning. Our code and other related resources can be found at https://github.com/DavidFanzz/Generalist_or_Specialist.

From Generalist to Specialist: Adapting Vision Language Models via Task-Specific Visual Instruction Tuning

Large vision language models (VLMs) combine large language models with vision encoders, demonstrating promise across various tasks. However, they often underperform in task-specific applications due to domain gaps between pre-training and fine-tuning. We introduce VITask, a novel framework that enhances task-specific adaptability of VLMs by integrating task-specific models (TSMs). VITask employs three key strategies: exemplar prompting (EP), response distribution alignment (RDA), and contrastive response tuning (CRT) to improve the task-specific performance of VLMs by adjusting their response distributions. EP allows TSM features to guide VLMs, while RDA enables VLMs to adapt without TSMs during inference by learning from exemplar-prompted models. CRT further optimizes the ranking of correct image-response pairs, thereby reducing the risk of generating undesired responses. Experiments on 12 medical diagnosis datasets across 9 imaging modalities show that VITask outperforms both vanilla instruction-tuned VLMs and TSMs, showcasing its ability to integrate complementary features from both models effectively. Additionally, VITask offers practical advantages such as flexible TSM integration and robustness to incomplete instructions, making it a versatile and efficient solution for task-specific VLM tuning. Our code are available at https://github.com/baiyang4/VITask.

Platypus: A Generalized Specialist Model for Reading Text in Various Forms

Reading text from images (either natural scenes or documents) has been a long-standing research topic for decades, due to the high technical challenge and wide application range. Previously, individual specialist models are developed to tackle the sub-tasks of text reading (e.g., scene text recognition, handwritten text recognition and mathematical expression recognition). However, such specialist models usually cannot effectively generalize across different sub-tasks. Recently, generalist models (such as GPT-4V), trained on tremendous data in a unified way, have shown enormous potential in reading text in various scenarios, but with the drawbacks of limited accuracy and low efficiency. In this work, we propose Platypus, a generalized specialist model for text reading. Specifically, Platypus combines the best of both worlds: being able to recognize text of various forms with a single unified architecture, while achieving excellent accuracy and high efficiency. To better exploit the advantage of Platypus, we also construct a text reading dataset (called Worms), the images of which are curated from previous datasets and partially re-labeled. Experiments on standard benchmarks demonstrate the effectiveness and superiority of the proposed Platypus model. Model and data will be made publicly available at https://github.com/AlibabaResearch/AdvancedLiterateMachinery/tree/main/OCR/Platypus.

OmniEdit: Building Image Editing Generalist Models Through Specialist Supervision

Instruction-guided image editing methods have demonstrated significant potential by training diffusion models on automatically synthesized or manually annotated image editing pairs. However, these methods remain far from practical, real-life applications. We identify three primary challenges contributing to this gap. Firstly, existing models have limited editing skills due to the biased synthesis process. Secondly, these methods are trained with datasets with a high volume of noise and artifacts. This is due to the application of simple filtering methods like CLIP-score. Thirdly, all these datasets are restricted to a single low resolution and fixed aspect ratio, limiting the versatility to handle real-world use cases. In this paper, we present \omniedit, which is an omnipotent editor to handle seven different image editing tasks with any aspect ratio seamlessly. Our contribution is in four folds: (1) \omniedit is trained by utilizing the supervision from seven different specialist models to ensure task coverage. (2) we utilize importance sampling based on the scores provided by large multimodal models (like GPT-4o) instead of CLIP-score to improve the data quality. (3) we propose a new editing architecture called EditNet to greatly boost the editing success rate, (4) we provide images with different aspect ratios to ensure that our model can handle any image in the wild. We have curated a test set containing images of different aspect ratios, accompanied by diverse instructions to cover different tasks. Both automatic evaluation and human evaluations demonstrate that \omniedit can significantly outperform all the existing models. Our code, dataset and model will be available at https://tiger-ai-lab.github.io/OmniEdit/

Agent S2: A Compositional Generalist-Specialist Framework for Computer Use Agents

Computer use agents automate digital tasks by directly interacting with graphical user interfaces (GUIs) on computers and mobile devices, offering significant potential to enhance human productivity by completing an open-ended space of user queries. However, current agents face significant challenges: imprecise grounding of GUI elements, difficulties with long-horizon task planning, and performance bottlenecks from relying on single generalist models for diverse cognitive tasks. To this end, we introduce Agent S2, a novel compositional framework that delegates cognitive responsibilities across various generalist and specialist models. We propose a novel Mixture-of-Grounding technique to achieve precise GUI localization and introduce Proactive Hierarchical Planning, dynamically refining action plans at multiple temporal scales in response to evolving observations. Evaluations demonstrate that Agent S2 establishes new state-of-the-art (SOTA) performance on three prominent computer use benchmarks. Specifically, Agent S2 achieves 18.9% and 32.7% relative improvements over leading baseline agents such as Claude Computer Use and UI-TARS on the OSWorld 15-step and 50-step evaluation. Moreover, Agent S2 generalizes effectively to other operating systems and applications, surpassing previous best methods by 52.8% on WindowsAgentArena and by 16.52% on AndroidWorld relatively. Code available at https://github.com/simular-ai/Agent-S.

Exploring Large Language Models for Specialist-level Oncology Care

Large language models (LLMs) have shown remarkable progress in encoding clinical knowledge and responding to complex medical queries with appropriate clinical reasoning. However, their applicability in subspecialist or complex medical settings remains underexplored. In this work, we probe the performance of AMIE, a research conversational diagnostic AI system, in the subspecialist domain of breast oncology care without specific fine-tuning to this challenging domain. To perform this evaluation, we curated a set of 50 synthetic breast cancer vignettes representing a range of treatment-naive and treatment-refractory cases and mirroring the key information available to a multidisciplinary tumor board for decision-making (openly released with this work). We developed a detailed clinical rubric for evaluating management plans, including axes such as the quality of case summarization, safety of the proposed care plan, and recommendations for chemotherapy, radiotherapy, surgery and hormonal therapy. To improve performance, we enhanced AMIE with the inference-time ability to perform web search retrieval to gather relevant and up-to-date clinical knowledge and refine its responses with a multi-stage self-critique pipeline. We compare response quality of AMIE with internal medicine trainees, oncology fellows, and general oncology attendings under both automated and specialist clinician evaluations. In our evaluations, AMIE outperformed trainees and fellows demonstrating the potential of the system in this challenging and important domain. We further demonstrate through qualitative examples, how systems such as AMIE might facilitate conversational interactions to assist clinicians in their decision making. However, AMIE's performance was overall inferior to attending oncologists suggesting that further research is needed prior to consideration of prospective uses.

RareBench: Can LLMs Serve as Rare Diseases Specialists?

Generalist Large Language Models (LLMs), such as GPT-4, have shown considerable promise in various domains, including medical diagnosis. Rare diseases, affecting approximately 300 million people worldwide, often have unsatisfactory clinical diagnosis rates primarily due to a lack of experienced physicians and the complexity of differentiating among many rare diseases. In this context, recent news such as "ChatGPT correctly diagnosed a 4-year-old's rare disease after 17 doctors failed" underscore LLMs' potential, yet underexplored, role in clinically diagnosing rare diseases. To bridge this research gap, we introduce RareBench, a pioneering benchmark designed to systematically evaluate the capabilities of LLMs on 4 critical dimensions within the realm of rare diseases. Meanwhile, we have compiled the largest open-source dataset on rare disease patients, establishing a benchmark for future studies in this domain. To facilitate differential diagnosis of rare diseases, we develop a dynamic few-shot prompt methodology, leveraging a comprehensive rare disease knowledge graph synthesized from multiple knowledge bases, significantly enhancing LLMs' diagnostic performance. Moreover, we present an exhaustive comparative study of GPT-4's diagnostic capabilities against those of specialist physicians. Our experimental findings underscore the promising potential of integrating LLMs into the clinical diagnostic process for rare diseases. This paves the way for exciting possibilities in future advancements in this field.

Language Versatilists vs. Specialists: An Empirical Revisiting on Multilingual Transfer Ability

Multilingual transfer ability, which reflects how well the models fine-tuned on one source language can be applied to other languages, has been well studied in multilingual pre-trained models (e.g., BLOOM). However, such ability has not been investigated for English-centric models (e.g., LLaMA). To fill this gap, we study the following research questions. First, does multilingual transfer ability exist in English-centric models and how does it compare with multilingual pretrained models? Second, does it only appears when English is the source language for the English-centric model? Third, how does it vary in different tasks? We take multilingual reasoning ability as our focus and conduct extensive experiments across four types of reasoning tasks. We find that the multilingual pretrained model does not always outperform an English-centric model. Furthermore, English appears to be a less suitable source language, and the choice of source language becomes less important when the English-centric model scales up. In addition, different types of tasks exhibit different multilingual transfer abilities. These findings demonstrate that English-centric models not only possess multilingual transfer ability but may even surpass the transferability of multilingual pretrained models if well-trained. By showing the strength and weaknesses, the experiments also provide valuable insights into enhancing multilingual reasoning abilities for the English-centric models.

Balancing Speciality and Versatility: a Coarse to Fine Framework for Supervised Fine-tuning Large Language Model

Aligned Large Language Models (LLMs) showcase remarkable versatility, capable of handling diverse real-world tasks. Meanwhile, aligned LLMs are also expected to exhibit speciality, excelling in specific applications. However, fine-tuning with extra data, a common practice to gain speciality, often leads to catastrophic forgetting (CF) of previously acquired versatility, hindering the model's performance across diverse tasks. In response to this challenge, we propose CoFiTune, a coarse to fine framework in an attempt to strike the balance between speciality and versatility. At the coarse-grained level, an empirical tree-search algorithm is utilized to pinpoint and update specific modules that are crucial for speciality, while keeping other parameters frozen; at the fine-grained level, a soft-masking mechanism regulates the update to the LLMs, mitigating the CF issue without harming speciality. In an overall evaluation of both speciality and versatility, CoFiTune consistently outperforms baseline methods across diverse tasks and model scales. Compared to the full-parameter SFT, CoFiTune leads to about 14% versatility improvement and marginal speciality loss on a 13B model. Lastly, based on further analysis, we provide a speculative insight into the information forwarding process in LLMs, which helps explain the effectiveness of the proposed method. The code is available at https://github.com/rattlesnakey/CoFiTune.

Decoding specialised feature neurons in LLMs with the final projection layer

Large Language Models (LLMs) typically have billions of parameters and are thus often difficult to interpret in their operation. Such black-box models can pose a significant risk to safety when trusted to make important decisions. The lack of interpretability of LLMs is more related to their sheer size, rather than the complexity of their individual components. The TARS method for knowledge removal (Davies et al 2024) provides strong evidence for the hypothesis that that linear layer weights which act directly on the residual stream may have high correlation with different concepts encoded in the residual stream. Building upon this, we attempt to decode neuron weights directly into token probabilities through the final projection layer of the model (the LM-head). Firstly, we show that with Llama 3.1 8B we can utilise the LM-head to decode specialised feature neurons that respond strongly to certain concepts, with examples such as "dog" and "California". This is then confirmed by demonstrating that these neurons can be clamped to affect the probability of the concept in the output. This extends to the fine-tuned assistant Llama 3.1 8B instruct model, where we find that over 75% of neurons in the up-projection layers have the same top associated token compared to the pretrained model. Finally, we demonstrate that clamping the "dog" neuron leads the instruct model to always discuss dogs when asked about its favourite animal. Through our method, it is possible to map the entirety of Llama 3.1 8B's up-projection neurons in less than 15 minutes with no parallelization.

Once-for-All: Train One Network and Specialize it for Efficient Deployment

We address the challenging problem of efficient inference across many devices and resource constraints, especially on edge devices. Conventional approaches either manually design or use neural architecture search (NAS) to find a specialized neural network and train it from scratch for each case, which is computationally prohibitive (causing CO_2 emission as much as 5 cars' lifetime) thus unscalable. In this work, we propose to train a once-for-all (OFA) network that supports diverse architectural settings by decoupling training and search, to reduce the cost. We can quickly get a specialized sub-network by selecting from the OFA network without additional training. To efficiently train OFA networks, we also propose a novel progressive shrinking algorithm, a generalized pruning method that reduces the model size across many more dimensions than pruning (depth, width, kernel size, and resolution). It can obtain a surprisingly large number of sub-networks (> 10^{19}) that can fit different hardware platforms and latency constraints while maintaining the same level of accuracy as training independently. On diverse edge devices, OFA consistently outperforms state-of-the-art (SOTA) NAS methods (up to 4.0% ImageNet top1 accuracy improvement over MobileNetV3, or same accuracy but 1.5x faster than MobileNetV3, 2.6x faster than EfficientNet w.r.t measured latency) while reducing many orders of magnitude GPU hours and CO_2 emission. In particular, OFA achieves a new SOTA 80.0% ImageNet top-1 accuracy under the mobile setting (<600M MACs). OFA is the winning solution for the 3rd Low Power Computer Vision Challenge (LPCVC), DSP classification track and the 4th LPCVC, both classification track and detection track. Code and 50 pre-trained models (for many devices & many latency constraints) are released at https://github.com/mit-han-lab/once-for-all.

Deep Learning Based Defect Detection for Solder Joints on Industrial X-Ray Circuit Board Images

Quality control is of vital importance during electronics production. As the methods of producing electronic circuits improve, there is an increasing chance of solder defects during assembling the printed circuit board (PCB). Many technologies have been incorporated for inspecting failed soldering, such as X-ray imaging, optical imaging, and thermal imaging. With some advanced algorithms, the new technologies are expected to control the production quality based on the digital images. However, current algorithms sometimes are not accurate enough to meet the quality control. Specialists are needed to do a follow-up checking. For automated X-ray inspection, joint of interest on the X-ray image is located by region of interest (ROI) and inspected by some algorithms. Some incorrect ROIs deteriorate the inspection algorithm. The high dimension of X-ray images and the varying sizes of image dimensions also challenge the inspection algorithms. On the other hand, recent advances on deep learning shed light on image-based tasks and are competitive to human levels. In this paper, deep learning is incorporated in X-ray imaging based quality control during PCB quality inspection. Two artificial intelligence (AI) based models are proposed and compared for joint defect detection. The noised ROI problem and the varying sizes of imaging dimension problem are addressed. The efficacy of the proposed methods are verified through experimenting on a real-world 3D X-ray dataset. By incorporating the proposed methods, specialist inspection workload is largely saved.