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Mar 14

Bora: Biomedical Generalist Video Generation Model

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.

A Survey of Medical Vision-and-Language Applications and Their Techniques

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.

CLIPSyntel: CLIP and LLM Synergy for Multimodal Question Summarization in Healthcare

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

MedTrinity-25M: A Large-scale Multimodal Dataset with Multigranular Annotations for Medicine

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.

Interpretable Bilingual Multimodal Large Language Model for Diverse Biomedical Tasks

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.

Panda-70M: Captioning 70M Videos with Multiple Cross-Modality Teachers

The quality of the data and annotation upper-bounds the quality of a downstream model. While there exist large text corpora and image-text pairs, high-quality video-text data is much harder to collect. First of all, manual labeling is more time-consuming, as it requires an annotator to watch an entire video. Second, videos have a temporal dimension, consisting of several scenes stacked together, and showing multiple actions. Accordingly, to establish a video dataset with high-quality captions, we propose an automatic approach leveraging multimodal inputs, such as textual video description, subtitles, and individual video frames. Specifically, we curate 3.8M high-resolution videos from the publicly available HD-VILA-100M dataset. We then split them into semantically consistent video clips, and apply multiple cross-modality teacher models to obtain captions for each video. Next, we finetune a retrieval model on a small subset where the best caption of each video is manually selected and then employ the model in the whole dataset to select the best caption as the annotation. In this way, we get 70M videos paired with high-quality text captions. We dub the dataset as Panda-70M. We show the value of the proposed dataset on three downstream tasks: video captioning, video and text retrieval, and text-driven video generation. The models trained on the proposed data score substantially better on the majority of metrics across all the tasks.

MedSumm: A Multimodal Approach to Summarizing Code-Mixed Hindi-English Clinical Queries

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.

MMed-RAG: Versatile Multimodal RAG System for Medical Vision Language Models

Artificial Intelligence (AI) has demonstrated significant potential in healthcare, particularly in disease diagnosis and treatment planning. Recent progress in Medical Large Vision-Language Models (Med-LVLMs) has opened up new possibilities for interactive diagnostic tools. However, these models often suffer from factual hallucination, which can lead to incorrect diagnoses. Fine-tuning and retrieval-augmented generation (RAG) have emerged as methods to address these issues. However, the amount of high-quality data and distribution shifts between training data and deployment data limit the application of fine-tuning methods. Although RAG is lightweight and effective, existing RAG-based approaches are not sufficiently general to different medical domains and can potentially cause misalignment issues, both between modalities and between the model and the ground truth. In this paper, we propose a versatile multimodal RAG system, MMed-RAG, designed to enhance the factuality of Med-LVLMs. Our approach introduces a domain-aware retrieval mechanism, an adaptive retrieved contexts selection method, and a provable RAG-based preference fine-tuning strategy. These innovations make the RAG process sufficiently general and reliable, significantly improving alignment when introducing retrieved contexts. Experimental results across five medical datasets (involving radiology, ophthalmology, pathology) on medical VQA and report generation demonstrate that MMed-RAG can achieve an average improvement of 43.8% in the factual accuracy of Med-LVLMs. Our data and code are available in https://github.com/richard-peng-xia/MMed-RAG.

2.5 Years in Class: A Multimodal Textbook for Vision-Language Pretraining

Compared to image-text pair data, interleaved corpora enable Vision-Language Models (VLMs) to understand the world more naturally like humans. However, such existing datasets are crawled from webpage, facing challenges like low knowledge density, loose image-text relations, and poor logical coherence between images. On the other hand, the internet hosts vast instructional videos (e.g., online geometry courses) that are widely used by humans to learn foundational subjects, yet these valuable resources remain underexplored in VLM training. In this paper, we introduce a high-quality multimodal textbook corpus with richer foundational knowledge for VLM pretraining. It collects over 2.5 years of instructional videos, totaling 22,000 class hours. We first use an LLM-proposed taxonomy to systematically gather instructional videos. Then we progressively extract and refine visual (keyframes), audio (ASR), and textual knowledge (OCR) from the videos, and organize as an image-text interleaved corpus based on temporal order. Compared to its counterparts, our video-centric textbook offers more coherent context, richer knowledge, and better image-text alignment. Experiments demonstrate its superb pretraining performance, particularly in knowledge- and reasoning-intensive tasks like ScienceQA and MathVista. Moreover, VLMs pre-trained on our textbook exhibit outstanding interleaved context awareness, leveraging visual and textual cues in their few-shot context for task solving~Our code are available at \url{https://github.com/DAMO-NLP-SG/multimodal_textbook}.

Frozen in Time: A Joint Video and Image Encoder for End-to-End Retrieval

Our objective in this work is video-text retrieval - in particular a joint embedding that enables efficient text-to-video retrieval. The challenges in this area include the design of the visual architecture and the nature of the training data, in that the available large scale video-text training datasets, such as HowTo100M, are noisy and hence competitive performance is achieved only at scale through large amounts of compute. We address both these challenges in this paper. We propose an end-to-end trainable model that is designed to take advantage of both large-scale image and video captioning datasets. Our model is an adaptation and extension of the recent ViT and Timesformer architectures, and consists of attention in both space and time. The model is flexible and can be trained on both image and video text datasets, either independently or in conjunction. It is trained with a curriculum learning schedule that begins by treating images as 'frozen' snapshots of video, and then gradually learns to attend to increasing temporal context when trained on video datasets. We also provide a new video-text pretraining dataset WebVid-2M, comprised of over two million videos with weak captions scraped from the internet. Despite training on datasets that are an order of magnitude smaller, we show that this approach yields state-of-the-art results on standard downstream video-retrieval benchmarks including MSR-VTT, MSVD, DiDeMo and LSMDC.

Goldfish: Vision-Language Understanding of Arbitrarily Long Videos

Most current LLM-based models for video understanding can process videos within minutes. However, they struggle with lengthy videos due to challenges such as "noise and redundancy", as well as "memory and computation" constraints. In this paper, we present Goldfish, a methodology tailored for comprehending videos of arbitrary lengths. We also introduce the TVQA-long benchmark, specifically designed to evaluate models' capabilities in understanding long videos with questions in both vision and text content. Goldfish approaches these challenges with an efficient retrieval mechanism that initially gathers the top-k video clips relevant to the instruction before proceeding to provide the desired response. This design of the retrieval mechanism enables the Goldfish to efficiently process arbitrarily long video sequences, facilitating its application in contexts such as movies or television series. To facilitate the retrieval process, we developed MiniGPT4-Video that generates detailed descriptions for the video clips. In addressing the scarcity of benchmarks for long video evaluation, we adapted the TVQA short video benchmark for extended content analysis by aggregating questions from entire episodes, thereby shifting the evaluation from partial to full episode comprehension. We attained a 41.78% accuracy rate on the TVQA-long benchmark, surpassing previous methods by 14.94%. Our MiniGPT4-Video also shows exceptional performance in short video comprehension, exceeding existing state-of-the-art methods by 3.23%, 2.03%, 16.5% and 23.59% on the MSVD, MSRVTT, TGIF, and TVQA short video benchmarks, respectively. These results indicate that our models have significant improvements in both long and short-video understanding. Our models and code have been made publicly available at https://vision-cair.github.io/Goldfish_website/

Video-MME: The First-Ever Comprehensive Evaluation Benchmark of Multi-modal LLMs in Video Analysis

In the quest for artificial general intelligence, Multi-modal Large Language Models (MLLMs) have emerged as a focal point in recent advancements. However, the predominant focus remains on developing their capabilities in static image understanding. The potential of MLLMs in processing sequential visual data is still insufficiently explored, highlighting the absence of a comprehensive, high-quality assessment of their performance. In this paper, we introduce Video-MME, the first-ever full-spectrum, Multi-Modal Evaluation benchmark of MLLMs in Video analysis. Our work distinguishes from existing benchmarks through four key features: 1) Diversity in video types, spanning 6 primary visual domains with 30 subfields to ensure broad scenario generalizability; 2) Duration in temporal dimension, encompassing both short-, medium-, and long-term videos, ranging from 11 seconds to 1 hour, for robust contextual dynamics; 3) Breadth in data modalities, integrating multi-modal inputs besides video frames, including subtitles and audios, to unveil the all-round capabilities of MLLMs; 4) Quality in annotations, utilizing rigorous manual labeling by expert annotators to facilitate precise and reliable model assessment. 900 videos with a total of 256 hours are manually selected and annotated by repeatedly viewing all the video content, resulting in 2,700 question-answer pairs. With Video-MME, we extensively evaluate various state-of-the-art MLLMs, including GPT-4 series and Gemini 1.5 Pro, as well as open-source image models like InternVL-Chat-V1.5 and video models like LLaVA-NeXT-Video. Our experiments reveal that Gemini 1.5 Pro is the best-performing commercial model, significantly outperforming the open-source models. Our dataset along with these findings underscores the need for further improvements in handling longer sequences and multi-modal data. Project Page: https://video-mme.github.io

Video-RAG: Visually-aligned Retrieval-Augmented Long Video Comprehension

Existing large video-language models (LVLMs) struggle to comprehend long videos correctly due to limited context. To address this problem, fine-tuning long-context LVLMs and employing GPT-based agents have emerged as promising solutions. However, fine-tuning LVLMs would require extensive high-quality data and substantial GPU resources, while GPT-based agents would rely on proprietary models (e.g., GPT-4o). In this paper, we propose Video Retrieval-Augmented Generation (Video-RAG), a training-free and cost-effective pipeline that employs visually-aligned auxiliary texts to help facilitate cross-modality alignment while providing additional information beyond the visual content. Specifically, we leverage open-source external tools to extract visually-aligned information from pure video data (e.g., audio, optical character, and object detection), and incorporate the extracted information into an existing LVLM as auxiliary texts, alongside video frames and queries, in a plug-and-play manner. Our Video-RAG offers several key advantages: (i) lightweight with low computing overhead due to single-turn retrieval; (ii) easy implementation and compatibility with any LVLM; and (iii) significant, consistent performance gains across long video understanding benchmarks, including Video-MME, MLVU, and LongVideoBench. Notably, our model demonstrates superior performance over proprietary models like Gemini-1.5-Pro and GPT-4o when utilized with a 72B model.

Needle In A Video Haystack: A Scalable Synthetic Framework for Benchmarking Video MLLMs

Video understanding is a crucial next step for multimodal large language models (MLLMs). To probe specific aspects of video understanding ability, existing video benchmarks typically require careful video selection based on the target capability, along with laborious annotation of query-response pairs to match the specific video content. This process is both challenging and resource-intensive. In this paper, we propose VideoNIAH (Video Needle In A Haystack), a benchmark construction framework through synthetic video generation. VideoNIAH decouples test video content from their query-responses by inserting unrelated image/text 'needles' into original videos. It generates annotations solely from these needles, ensuring diversity in video sources and a variety of query-responses. Additionally, by inserting multiple needles, VideoNIAH rigorously evaluates the temporal understanding capabilities of models. We utilized VideoNIAH to compile a video benchmark VNBench, including tasks such as retrieval, ordering, and counting. VNBench can efficiently evaluate the fine-grained understanding ability and spatio-temporal modeling ability of a video model, while also supporting the long-context evaluation. Additionally, we evaluated recent video-centric multimodal large language models (MLLMs), both open-source and proprietary, providing a comprehensive analysis. We found that although proprietary models have significant advantages over open-source models, all existing video models still perform poorly on long-distance dependency tasks. VideoNIAH is a simple yet highly scalable benchmark construction framework, and we believe it will inspire future video benchmark works. The code and data are available at https://github.com/joez17/VideoNIAH.

Enhancing Abnormality Grounding for Vision Language Models with Knowledge Descriptions

Visual Language Models (VLMs) have demonstrated impressive capabilities in visual grounding tasks. However, their effectiveness in the medical domain, particularly for abnormality detection and localization within medical images, remains underexplored. A major challenge is the complex and abstract nature of medical terminology, which makes it difficult to directly associate pathological anomaly terms with their corresponding visual features. In this work, we introduce a novel approach to enhance VLM performance in medical abnormality detection and localization by leveraging decomposed medical knowledge. Instead of directly prompting models to recognize specific abnormalities, we focus on breaking down medical concepts into fundamental attributes and common visual patterns. This strategy promotes a stronger alignment between textual descriptions and visual features, improving both the recognition and localization of abnormalities in medical images.We evaluate our method on the 0.23B Florence-2 base model and demonstrate that it achieves comparable performance in abnormality grounding to significantly larger 7B LLaVA-based medical VLMs, despite being trained on only 1.5% of the data used for such models. Experimental results also demonstrate the effectiveness of our approach in both known and previously unseen abnormalities, suggesting its strong generalization capabilities.

UniMed-CLIP: Towards a Unified Image-Text Pretraining Paradigm for Diverse Medical Imaging Modalities

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.

Quilt-1M: One Million Image-Text Pairs for Histopathology

Recent accelerations in multi-modal applications have been made possible with the plethora of image and text data available online. However, the scarcity of analogous data in the medical field, specifically in histopathology, has halted comparable progress. To enable similar representation learning for histopathology, we turn to YouTube, an untapped resource of videos, offering 1,087 hours of valuable educational histopathology videos from expert clinicians. From YouTube, we curate Quilt: a large-scale vision-language dataset consisting of 768,826 image and text pairs. Quilt was automatically curated using a mixture of models, including large language models, handcrafted algorithms, human knowledge databases, and automatic speech recognition. In comparison, the most comprehensive datasets curated for histopathology amass only around 200K samples. We combine Quilt with datasets from other sources, including Twitter, research papers, and the internet in general, to create an even larger dataset: Quilt-1M, with 1M paired image-text samples, marking it as the largest vision-language histopathology dataset to date. We demonstrate the value of Quilt-1M by fine-tuning a pre-trained CLIP model. Our model outperforms state-of-the-art models on both zero-shot and linear probing tasks for classifying new histopathology images across 13 diverse patch-level datasets of 8 different sub-pathologies and cross-modal retrieval tasks.

Medical Phrase Grounding with Region-Phrase Context Contrastive Alignment

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.

Multimodal Language Models for Domain-Specific Procedural Video Summarization

Videos serve as a powerful medium to convey ideas, tell stories, and provide detailed instructions, especially through long-format tutorials. Such tutorials are valuable for learning new skills at one's own pace, yet they can be overwhelming due to their length and dense content. Viewers often seek specific information, like precise measurements or step-by-step execution details, making it essential to extract and summarize key segments efficiently. An intelligent, time-sensitive video assistant capable of summarizing and detecting highlights in long videos is highly sought after. Recent advancements in Multimodal Large Language Models offer promising solutions to develop such an assistant. Our research explores the use of multimodal models to enhance video summarization and step-by-step instruction generation within specific domains. These models need to understand temporal events and relationships among actions across video frames. Our approach focuses on fine-tuning TimeChat to improve its performance in specific domains: cooking and medical procedures. By training the model on domain-specific datasets like Tasty for cooking and MedVidQA for medical procedures, we aim to enhance its ability to generate concise, accurate summaries of instructional videos. We curate and restructure these datasets to create high-quality video-centric instruction data. Our findings indicate that when finetuned on domain-specific procedural data, TimeChat can significantly improve the extraction and summarization of key instructional steps in long-format videos. This research demonstrates the potential of specialized multimodal models to assist with practical tasks by providing personalized, step-by-step guidance tailored to the unique aspects of each domain.

Towards Unifying Medical Vision-and-Language Pre-training via Soft Prompts

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.

NurViD: A Large Expert-Level Video Database for Nursing Procedure Activity Understanding

The application of deep learning to nursing procedure activity understanding has the potential to greatly enhance the quality and safety of nurse-patient interactions. By utilizing the technique, we can facilitate training and education, improve quality control, and enable operational compliance monitoring. However, the development of automatic recognition systems in this field is currently hindered by the scarcity of appropriately labeled datasets. The existing video datasets pose several limitations: 1) these datasets are small-scale in size to support comprehensive investigations of nursing activity; 2) they primarily focus on single procedures, lacking expert-level annotations for various nursing procedures and action steps; and 3) they lack temporally localized annotations, which prevents the effective localization of targeted actions within longer video sequences. To mitigate these limitations, we propose NurViD, a large video dataset with expert-level annotation for nursing procedure activity understanding. NurViD consists of over 1.5k videos totaling 144 hours, making it approximately four times longer than the existing largest nursing activity datasets. Notably, it encompasses 51 distinct nursing procedures and 177 action steps, providing a much more comprehensive coverage compared to existing datasets that primarily focus on limited procedures. To evaluate the efficacy of current deep learning methods on nursing activity understanding, we establish three benchmarks on NurViD: procedure recognition on untrimmed videos, procedure and action recognition on trimmed videos, and action detection. Our benchmark and code will be available at https://github.com/minghu0830/NurViD-benchmark.

Medical mT5: An Open-Source Multilingual Text-to-Text LLM for The Medical Domain

Research on language technology for the development of medical applications is currently a hot topic in Natural Language Understanding and Generation. Thus, a number of large language models (LLMs) have recently been adapted to the medical domain, so that they can be used as a tool for mediating in human-AI interaction. While these LLMs display competitive performance on automated medical texts benchmarks, they have been pre-trained and evaluated with a focus on a single language (English mostly). This is particularly true of text-to-text models, which typically require large amounts of domain-specific pre-training data, often not easily accessible for many languages. In this paper, we address these shortcomings by compiling, to the best of our knowledge, the largest multilingual corpus for the medical domain in four languages, namely English, French, Italian and Spanish. This new corpus has been used to train Medical mT5, the first open-source text-to-text multilingual model for the medical domain. Additionally, we present two new evaluation benchmarks for all four languages with the aim of facilitating multilingual research in this domain. A comprehensive evaluation shows that Medical mT5 outperforms both encoders and similarly sized text-to-text models for the Spanish, French, and Italian benchmarks, while being competitive with current state-of-the-art LLMs in English.

VERIFIED: A Video Corpus Moment Retrieval Benchmark for Fine-Grained Video Understanding

Existing Video Corpus Moment Retrieval (VCMR) is limited to coarse-grained understanding, which hinders precise video moment localization when given fine-grained queries. In this paper, we propose a more challenging fine-grained VCMR benchmark requiring methods to localize the best-matched moment from the corpus with other partially matched candidates. To improve the dataset construction efficiency and guarantee high-quality data annotations, we propose VERIFIED, an automatic VidEo-text annotation pipeline to generate captions with RelIable FInE-grained statics and Dynamics. Specifically, we resort to large language models (LLM) and large multimodal models (LMM) with our proposed Statics and Dynamics Enhanced Captioning modules to generate diverse fine-grained captions for each video. To filter out the inaccurate annotations caused by the LLM hallucination, we propose a Fine-Granularity Aware Noise Evaluator where we fine-tune a video foundation model with disturbed hard-negatives augmented contrastive and matching losses. With VERIFIED, we construct a more challenging fine-grained VCMR benchmark containing Charades-FIG, DiDeMo-FIG, and ActivityNet-FIG which demonstrate a high level of annotation quality. We evaluate several state-of-the-art VCMR models on the proposed dataset, revealing that there is still significant scope for fine-grained video understanding in VCMR. Code and Datasets are in https://github.com/hlchen23/VERIFIED{https://github.com/hlchen23/VERIFIED}.

Towards a Multimodal Large Language Model with Pixel-Level Insight for Biomedicine

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.

VideoEspresso: A Large-Scale Chain-of-Thought Dataset for Fine-Grained Video Reasoning via Core Frame Selection

The advancement of Large Vision Language Models (LVLMs) has significantly improved multimodal understanding, yet challenges remain in video reasoning tasks due to the scarcity of high-quality, large-scale datasets. Existing video question-answering (VideoQA) datasets often rely on costly manual annotations with insufficient granularity or automatic construction methods with redundant frame-by-frame analysis, limiting their scalability and effectiveness for complex reasoning. To address these challenges, we introduce VideoEspresso, a novel dataset that features VideoQA pairs preserving essential spatial details and temporal coherence, along with multimodal annotations of intermediate reasoning steps. Our construction pipeline employs a semantic-aware method to reduce redundancy, followed by generating QA pairs using GPT-4o. We further develop video Chain-of-Thought (CoT) annotations to enrich reasoning processes, guiding GPT-4o in extracting logical relationships from QA pairs and video content. To exploit the potential of high-quality VideoQA pairs, we propose a Hybrid LVLMs Collaboration framework, featuring a Frame Selector and a two-stage instruction fine-tuned reasoning LVLM. This framework adaptively selects core frames and performs CoT reasoning using multimodal evidence. Evaluated on our proposed benchmark with 14 tasks against 9 popular LVLMs, our method outperforms existing baselines on most tasks, demonstrating superior video reasoning capabilities. Our code and dataset will be released at: https://github.com/hshjerry/VideoEspresso

MediConfusion: Can you trust your AI radiologist? Probing the reliability of multimodal medical foundation models

Multimodal Large Language Models (MLLMs) have tremendous potential to improve the accuracy, availability, and cost-effectiveness of healthcare by providing automated solutions or serving as aids to medical professionals. Despite promising first steps in developing medical MLLMs in the past few years, their capabilities and limitations are not well-understood. Recently, many benchmark datasets have been proposed that test the general medical knowledge of such models across a variety of medical areas. However, the systematic failure modes and vulnerabilities of such models are severely underexplored with most medical benchmarks failing to expose the shortcomings of existing models in this safety-critical domain. In this paper, we introduce MediConfusion, a challenging medical Visual Question Answering (VQA) benchmark dataset, that probes the failure modes of medical MLLMs from a vision perspective. We reveal that state-of-the-art models are easily confused by image pairs that are otherwise visually dissimilar and clearly distinct for medical experts. Strikingly, all available models (open-source or proprietary) achieve performance below random guessing on MediConfusion, raising serious concerns about the reliability of existing medical MLLMs for healthcare deployment. We also extract common patterns of model failure that may help the design of a new generation of more trustworthy and reliable MLLMs in healthcare.

An Image Grid Can Be Worth a Video: Zero-shot Video Question Answering Using a VLM

Stimulated by the sophisticated reasoning capabilities of recent Large Language Models (LLMs), a variety of strategies for bridging video modality have been devised. A prominent strategy involves Video Language Models (VideoLMs), which train a learnable interface with video data to connect advanced vision encoders with LLMs. Recently, an alternative strategy has surfaced, employing readily available foundation models, such as VideoLMs and LLMs, across multiple stages for modality bridging. In this study, we introduce a simple yet novel strategy where only a single Vision Language Model (VLM) is utilized. Our starting point is the plain insight that a video comprises a series of images, or frames, interwoven with temporal information. The essence of video comprehension lies in adeptly managing the temporal aspects along with the spatial details of each frame. Initially, we transform a video into a single composite image by arranging multiple frames in a grid layout. The resulting single image is termed as an image grid. This format, while maintaining the appearance of a solitary image, effectively retains temporal information within the grid structure. Therefore, the image grid approach enables direct application of a single high-performance VLM without necessitating any video-data training. Our extensive experimental analysis across ten zero-shot video question answering benchmarks, including five open-ended and five multiple-choice benchmarks, reveals that the proposed Image Grid Vision Language Model (IG-VLM) surpasses the existing methods in nine out of ten benchmarks.

VideoRAG: Retrieval-Augmented Generation over Video Corpus

Retrieval-Augmented Generation (RAG) is a powerful strategy to address the issue of generating factually incorrect outputs in foundation models by retrieving external knowledge relevant to queries and incorporating it into their generation process. However, existing RAG approaches have primarily focused on textual information, with some recent advancements beginning to consider images, and they largely overlook videos, a rich source of multimodal knowledge capable of representing events, processes, and contextual details more effectively than any other modality. While a few recent studies explore the integration of videos in the response generation process, they either predefine query-associated videos without retrieving them according to queries, or convert videos into the textual descriptions without harnessing their multimodal richness. To tackle these, we introduce VideoRAG, a novel framework that not only dynamically retrieves relevant videos based on their relevance with queries but also utilizes both visual and textual information of videos in the output generation. Further, to operationalize this, our method revolves around the recent advance of Large Video Language Models (LVLMs), which enable the direct processing of video content to represent it for retrieval and seamless integration of the retrieved videos jointly with queries. We experimentally validate the effectiveness of VideoRAG, showcasing that it is superior to relevant baselines.

VideoGPT+: Integrating Image and Video Encoders for Enhanced Video Understanding

Building on the advances of language models, Large Multimodal Models (LMMs) have contributed significant improvements in video understanding. While the current video LMMs utilize advanced Large Language Models (LLMs), they rely on either image or video encoders to process visual inputs, each of which has its own limitations. Image encoders excel at capturing rich spatial details from frame sequences but lack explicit temporal context, which can be important in videos with intricate action sequences. On the other hand, video encoders provide temporal context but are often limited by computational constraints that lead to processing only sparse frames at lower resolutions, resulting in reduced contextual and spatial understanding. To this end, we introduce VideoGPT+, which combines the complementary benefits of the image encoder (for detailed spatial understanding) and the video encoder (for global temporal context modeling). The model processes videos by dividing them into smaller segments and applies an adaptive pooling strategy on features extracted by both image and video encoders. Our architecture showcases improved performance across multiple video benchmarks, including VCGBench, MVBench and Zero-shot question-answering. Further, we develop 112K video-instruction set using a novel semi-automatic annotation pipeline which further improves the model performance. Additionally, to comprehensively evaluate video LMMs, we present VCGBench-Diverse, covering 18 broad video categories such as lifestyle, sports, science, gaming, and surveillance videos. This benchmark with 4,354 question-answer pairs evaluates the generalization of existing LMMs on dense video captioning, spatial and temporal understanding, and complex reasoning, ensuring comprehensive assessment across diverse video types and dynamics. Code: https://github.com/mbzuai-oryx/VideoGPT-plus.

RULE: Reliable Multimodal RAG for Factuality in Medical Vision Language Models

The recent emergence of Medical Large Vision Language Models (Med-LVLMs) has enhanced medical diagnosis. However, current Med-LVLMs frequently encounter factual issues, often generating responses that do not align with established medical facts. Retrieval-Augmented Generation (RAG), which utilizes external knowledge, can improve the factual accuracy of these models but introduces two major challenges. First, limited retrieved contexts might not cover all necessary information, while excessive retrieval can introduce irrelevant and inaccurate references, interfering with the model's generation. Second, in cases where the model originally responds correctly, applying RAG can lead to an over-reliance on retrieved contexts, resulting in incorrect answers. To address these issues, we propose RULE, which consists of two components. First, we introduce a provably effective strategy for controlling factuality risk through the calibrated selection of the number of retrieved contexts. Second, based on samples where over-reliance on retrieved contexts led to errors, we curate a preference dataset to fine-tune the model, balancing its dependence on inherent knowledge and retrieved contexts for generation. We demonstrate the effectiveness of RULE on three medical VQA datasets, achieving an average improvement of 20.8% in factual accuracy. We publicly release our benchmark and code in https://github.com/richard-peng-xia/RULE.

VideoXum: Cross-modal Visual and Textural Summarization of Videos

Video summarization aims to distill the most important information from a source video to produce either an abridged clip or a textual narrative. Traditionally, different methods have been proposed depending on whether the output is a video or text, thus ignoring the correlation between the two semantically related tasks of visual summarization and textual summarization. We propose a new joint video and text summarization task. The goal is to generate both a shortened video clip along with the corresponding textual summary from a long video, collectively referred to as a cross-modal summary. The generated shortened video clip and text narratives should be semantically well aligned. To this end, we first build a large-scale human-annotated dataset -- VideoXum (X refers to different modalities). The dataset is reannotated based on ActivityNet. After we filter out the videos that do not meet the length requirements, 14,001 long videos remain in our new dataset. Each video in our reannotated dataset has human-annotated video summaries and the corresponding narrative summaries. We then design a novel end-to-end model -- VTSUM-BILP to address the challenges of our proposed task. Moreover, we propose a new metric called VT-CLIPScore to help evaluate the semantic consistency of cross-modality summary. The proposed model achieves promising performance on this new task and establishes a benchmark for future research.

Prompt Switch: Efficient CLIP Adaptation for Text-Video Retrieval

In text-video retrieval, recent works have benefited from the powerful learning capabilities of pre-trained text-image foundation models (e.g., CLIP) by adapting them to the video domain. A critical problem for them is how to effectively capture the rich semantics inside the video using the image encoder of CLIP. To tackle this, state-of-the-art methods adopt complex cross-modal modeling techniques to fuse the text information into video frame representations, which, however, incurs severe efficiency issues in large-scale retrieval systems as the video representations must be recomputed online for every text query. In this paper, we discard this problematic cross-modal fusion process and aim to learn semantically-enhanced representations purely from the video, so that the video representations can be computed offline and reused for different texts. Concretely, we first introduce a spatial-temporal "Prompt Cube" into the CLIP image encoder and iteratively switch it within the encoder layers to efficiently incorporate the global video semantics into frame representations. We then propose to apply an auxiliary video captioning objective to train the frame representations, which facilitates the learning of detailed video semantics by providing fine-grained guidance in the semantic space. With a naive temporal fusion strategy (i.e., mean-pooling) on the enhanced frame representations, we obtain state-of-the-art performances on three benchmark datasets, i.e., MSR-VTT, MSVD, and LSMDC.

Merlin: A Vision Language Foundation Model for 3D Computed Tomography

Over 85 million computed tomography (CT) scans are performed annually in the US, of which approximately one quarter focus on the abdomen. Given the current radiologist shortage, there is a large impetus to use artificial intelligence to alleviate the burden of interpreting these complex imaging studies. Prior state-of-the-art approaches for automated medical image interpretation leverage vision language models (VLMs). However, current medical VLMs are generally limited to 2D images and short reports, and do not leverage electronic health record (EHR) data for supervision. We introduce Merlin - a 3D VLM that we train using paired CT scans (6+ million images from 15,331 CTs), EHR diagnosis codes (1.8+ million codes), and radiology reports (6+ million tokens). We evaluate Merlin on 6 task types and 752 individual tasks. The non-adapted (off-the-shelf) tasks include zero-shot findings classification (31 findings), phenotype classification (692 phenotypes), and zero-shot cross-modal retrieval (image to findings and image to impressions), while model adapted tasks include 5-year disease prediction (6 diseases), radiology report generation, and 3D semantic segmentation (20 organs). We perform internal validation on a test set of 5,137 CTs, and external validation on 7,000 clinical CTs and on two public CT datasets (VerSe, TotalSegmentator). Beyond these clinically-relevant evaluations, we assess the efficacy of various network architectures and training strategies to depict that Merlin has favorable performance to existing task-specific baselines. We derive data scaling laws to empirically assess training data needs for requisite downstream task performance. Furthermore, unlike conventional VLMs that require hundreds of GPUs for training, we perform all training on a single GPU.

How far is Language Model from 100% Few-shot Named Entity Recognition in Medical Domain

Recent advancements in language models (LMs) have led to the emergence of powerful models such as Small LMs (e.g., T5) and Large LMs (e.g., GPT-4). These models have demonstrated exceptional capabilities across a wide range of tasks, such as name entity recognition (NER) in the general domain. (We define SLMs as pre-trained models with fewer parameters compared to models like GPT-3/3.5/4, such as T5, BERT, and others.) Nevertheless, their efficacy in the medical section remains uncertain and the performance of medical NER always needs high accuracy because of the particularity of the field. This paper aims to provide a thorough investigation to compare the performance of LMs in medical few-shot NER and answer How far is LMs from 100\% Few-shot NER in Medical Domain, and moreover to explore an effective entity recognizer to help improve the NER performance. Based on our extensive experiments conducted on 16 NER models spanning from 2018 to 2023, our findings clearly indicate that LLMs outperform SLMs in few-shot medical NER tasks, given the presence of suitable examples and appropriate logical frameworks. Despite the overall superiority of LLMs in few-shot medical NER tasks, it is important to note that they still encounter some challenges, such as misidentification, wrong template prediction, etc. Building on previous findings, we introduce a simple and effective method called RT (Retrieving and Thinking), which serves as retrievers, finding relevant examples, and as thinkers, employing a step-by-step reasoning process. Experimental results show that our proposed RT framework significantly outperforms the strong open baselines on the two open medical benchmark datasets

Fine-grained Audible Video Description

We explore a new task for audio-visual-language modeling called fine-grained audible video description (FAVD). It aims to provide detailed textual descriptions for the given audible videos, including the appearance and spatial locations of each object, the actions of moving objects, and the sounds in videos. Existing visual-language modeling tasks often concentrate on visual cues in videos while undervaluing the language and audio modalities. On the other hand, FAVD requires not only audio-visual-language modeling skills but also paragraph-level language generation abilities. We construct the first fine-grained audible video description benchmark (FAVDBench) to facilitate this research. For each video clip, we first provide a one-sentence summary of the video, ie, the caption, followed by 4-6 sentences describing the visual details and 1-2 audio-related descriptions at the end. The descriptions are provided in both English and Chinese. We create two new metrics for this task: an EntityScore to gauge the completeness of entities in the visual descriptions, and an AudioScore to assess the audio descriptions. As a preliminary approach to this task, we propose an audio-visual-language transformer that extends existing video captioning model with an additional audio branch. We combine the masked language modeling and auto-regressive language modeling losses to optimize our model so that it can produce paragraph-level descriptions. We illustrate the efficiency of our model in audio-visual-language modeling by evaluating it against the proposed benchmark using both conventional captioning metrics and our proposed metrics. We further put our benchmark to the test in video generation models, demonstrating that employing fine-grained video descriptions can create more intricate videos than using captions.

T2Vid: Translating Long Text into Multi-Image is the Catalyst for Video-LLMs

The success of Multimodal Large Language Models (MLLMs) in the image domain has garnered wide attention from the research community. Drawing on previous successful experiences, researchers have recently explored extending the success to the video understanding realms. Apart from training from scratch, an efficient way is to utilize the pre-trained image-LLMs, leading to two mainstream approaches, i.e. zero-shot inference and further fine-tuning with video data. In this work, our study of these approaches harvests an effective data augmentation method. We first make a deeper inspection of the zero-shot inference way and identify two limitations, i.e. limited generalization and lack of temporal understanding capabilities. Thus, we further investigate the fine-tuning approach and find a low learning efficiency when simply using all the video data samples, which can be attributed to a lack of instruction diversity. Aiming at this issue, we develop a method called T2Vid to synthesize video-like samples to enrich the instruction diversity in the training corpus. Integrating these data enables a simple and efficient training scheme, which achieves performance comparable to or even superior to using full video datasets by training with just 15% the sample size. Meanwhile, we find that the proposed scheme can boost the performance of long video understanding without training with long video samples. We hope our study will spark more thinking about using MLLMs for video understanding and curation of high-quality data. The code is released at https://github.com/xjtupanda/T2Vid.

GMAI-VL & GMAI-VL-5.5M: A Large Vision-Language Model and A Comprehensive Multimodal Dataset Towards General Medical AI

Despite significant advancements in general artificial intelligence, such as GPT-4, their effectiveness in the medical domain (general medical AI, GMAI) remains constrained due to the absence of specialized medical knowledge. To address this challenge, we present GMAI-VL-5.5M, a comprehensive multimodal medical dataset created by converting hundreds of specialized medical datasets into meticulously constructed image-text pairs. This dataset features comprehensive task coverage, diverse modalities, and high-quality image-text data. Building upon this multimodal dataset, we propose GMAI-VL, a general medical vision-language model with a progressively three-stage training strategy. This approach significantly enhances the model's ability by integrating visual and textual information, thereby improving its ability to process multimodal data and support accurate diagnosis and clinical decision-making. Experimental evaluations demonstrate that GMAI-VL achieves state-of-the-art results across a wide range of multimodal medical tasks, such as visual question answering and medical image diagnosis. Our contributions include the development of the GMAI-VL-5.5M dataset, the introduction of the GMAI-VL model, and the establishment of new benchmarks in multiple medical domains. Code and dataset will be released at https://github.com/uni-medical/GMAI-VL.

GMAI-MMBench: A Comprehensive Multimodal Evaluation Benchmark Towards General Medical AI

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

Vript: A Video Is Worth Thousands of Words

Advancements in multimodal learning, particularly in video understanding and generation, require high-quality video-text datasets for improved model performance. Vript addresses this issue with a meticulously annotated corpus of 12K high-resolution videos, offering detailed, dense, and script-like captions for over 420K clips. Each clip has a caption of ~145 words, which is over 10x longer than most video-text datasets. Unlike captions only documenting static content in previous datasets, we enhance video captioning to video scripting by documenting not just the content, but also the camera operations, which include the shot types (medium shot, close-up, etc) and camera movements (panning, tilting, etc). By utilizing the Vript, we explore three training paradigms of aligning more text with the video modality rather than clip-caption pairs. This results in Vriptor, a top-performing video captioning model among open-source models, comparable to GPT-4V in performance. Vriptor is also a powerful model capable of end-to-end generation of dense and detailed captions for long videos. Moreover, we introduce Vript-Hard, a benchmark consisting of three video understanding tasks that are more challenging than existing benchmarks: Vript-HAL is the first benchmark evaluating action and object hallucinations in video LLMs, Vript-RR combines reasoning with retrieval resolving question ambiguity in long-video QAs, and Vript-ERO is a new task to evaluate the temporal understanding of events in long videos rather than actions in short videos in previous works. All code, models, and datasets are available in https://github.com/mutonix/Vript.

Tell me what you see: A zero-shot action recognition method based on natural language descriptions

This paper presents a novel approach to Zero-Shot Action Recognition. Recent works have explored the detection and classification of objects to obtain semantic information from videos with remarkable performance. Inspired by them, we propose using video captioning methods to extract semantic information about objects, scenes, humans, and their relationships. To the best of our knowledge, this is the first work to represent both videos and labels with descriptive sentences. More specifically, we represent videos using sentences generated via video captioning methods and classes using sentences extracted from documents acquired through search engines on the Internet. Using these representations, we build a shared semantic space employing BERT-based embedders pre-trained in the paraphrasing task on multiple text datasets. The projection of both visual and semantic information onto this space is straightforward, as they are sentences, enabling classification using the nearest neighbor rule. We demonstrate that representing videos and labels with sentences alleviates the domain adaptation problem. Additionally, we show that word vectors are unsuitable for building the semantic embedding space of our descriptions. Our method outperforms the state-of-the-art performance on the UCF101 dataset by 3.3 p.p. in accuracy under the TruZe protocol and achieves competitive results on both the UCF101 and HMDB51 datasets under the conventional protocol (0/50\% - training/testing split). Our code is available at https://github.com/valterlej/zsarcap.

RoentGen: Vision-Language Foundation Model for Chest X-ray Generation

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%.

VideoLLM Knows When to Speak: Enhancing Time-Sensitive Video Comprehension with Video-Text Duet Interaction Format

Recent researches on video large language models (VideoLLM) predominantly focus on model architectures and training datasets, leaving the interaction format between the user and the model under-explored. In existing works, users often interact with VideoLLMs by using the entire video and a query as input, after which the model generates a response. This interaction format constrains the application of VideoLLMs in scenarios such as live-streaming comprehension where videos do not end and responses are required in a real-time manner, and also results in unsatisfactory performance on time-sensitive tasks that requires localizing video segments. In this paper, we focus on a video-text duet interaction format. This interaction format is characterized by the continuous playback of the video, and both the user and the model can insert their text messages at any position during the video playback. When a text message ends, the video continues to play, akin to the alternative of two performers in a duet. We construct MMDuetIT, a video-text training dataset designed to adapt VideoLLMs to video-text duet interaction format. We also introduce the Multi-Answer Grounded Video Question Answering (MAGQA) task to benchmark the real-time response ability of VideoLLMs. Trained on MMDuetIT, MMDuet demonstrates that adopting the video-text duet interaction format enables the model to achieve significant improvements in various time-sensitive tasks (76% CIDEr on YouCook2 dense video captioning, 90\% mAP on QVHighlights highlight detection and 25% [email protected] on Charades-STA temporal video grounding) with minimal training efforts, and also enable VideoLLMs to reply in a real-time manner as the video plays. Code, data and demo are available at: https://github.com/yellow-binary-tree/MMDuet.

TempCompass: Do Video LLMs Really Understand Videos?

Recently, there is a surge in interest surrounding video large language models (Video LLMs). However, existing benchmarks fail to provide a comprehensive feedback on the temporal perception ability of Video LLMs. On the one hand, most of them are unable to distinguish between different temporal aspects (e.g., speed, direction) and thus cannot reflect the nuanced performance on these specific aspects. On the other hand, they are limited in the diversity of task formats (e.g., only multi-choice QA), which hinders the understanding of how temporal perception performance may vary across different types of tasks. Motivated by these two problems, we propose the TempCompass benchmark, which introduces a diversity of temporal aspects and task formats. To collect high-quality test data, we devise two novel strategies: (1) In video collection, we construct conflicting videos that share the same static content but differ in a specific temporal aspect, which prevents Video LLMs from leveraging single-frame bias or language priors. (2) To collect the task instructions, we propose a paradigm where humans first annotate meta-information for a video and then an LLM generates the instruction. We also design an LLM-based approach to automatically and accurately evaluate the responses from Video LLMs. Based on TempCompass, we comprehensively evaluate 8 state-of-the-art (SOTA) Video LLMs and 3 Image LLMs, and reveal the discerning fact that these models exhibit notably poor temporal perception ability. The data and evaluation code are available at https://github.com/llyx97/TempCompass.

CG-Bench: Clue-grounded Question Answering Benchmark for Long Video Understanding

Most existing video understanding benchmarks for multimodal large language models (MLLMs) focus only on short videos. The limited number of benchmarks for long video understanding often rely solely on multiple-choice questions (MCQs). However, because of the inherent limitation of MCQ-based evaluation and the increasing reasoning ability of MLLMs, models can give the current answer purely by combining short video understanding with elimination, without genuinely understanding the video content. To address this gap, we introduce CG-Bench, a novel benchmark designed for clue-grounded question answering in long videos. CG-Bench emphasizes the model's ability to retrieve relevant clues for questions, enhancing evaluation credibility. It features 1,219 manually curated videos categorized by a granular system with 14 primary categories, 171 secondary categories, and 638 tertiary categories, making it the largest benchmark for long video analysis. The benchmark includes 12,129 QA pairs in three major question types: perception, reasoning, and hallucination. Compensating the drawbacks of pure MCQ-based evaluation, we design two novel clue-based evaluation methods: clue-grounded white box and black box evaluations, to assess whether the model generates answers based on the correct understanding of the video. We evaluate multiple closed-source and open-source MLLMs on CG-Bench. Results indicate that current models significantly underperform in understanding long videos compared to short ones, and a significant gap exists between open-source and commercial models. We hope CG-Bench can advance the development of more trustworthy and capable MLLMs for long video understanding. All annotations and video data are released at https://cg-bench.github.io/leaderboard/.

E-ViLM: Efficient Video-Language Model via Masked Video Modeling with Semantic Vector-Quantized Tokenizer

To build scalable models for challenging real-world tasks, it is important to learn from diverse, multi-modal data in various forms (e.g., videos, text, and images). Among the existing works, a plethora of them have focused on leveraging large but cumbersome cross-modal architectures. Regardless of their effectiveness, larger architectures unavoidably prevent the models from being extended to real-world applications, so building a lightweight VL architecture and an efficient learning schema is of great practical value. In this paper, we propose an Efficient Video-Language Model (dubbed as E-ViLM) and a masked video modeling (MVM) schema, assisted with a semantic vector-quantized tokenizer. In particular, our E-ViLM learns to reconstruct the semantic labels of masked video regions, produced by the pre-trained vector-quantized tokenizer, which discretizes the continuous visual signals into labels. We show that with our simple MVM task and regular VL pre-training modelings, our E-ViLM, despite its compactness, is able to learn expressive representations from Video-Language corpus and generalize well to extensive Video-Language tasks including video question answering, text-to-video retrieval, etc. In particular, our E-ViLM obtains obvious efficiency improvements by reaching competing performances with faster inference speed, i.e., our model reaches 39.3% Top-1 accuracy on the MSRVTT benchmark, retaining 91.4% of the accuracy of state-of-the-art larger VL architecture with only 15% parameters and 94.8% fewer GFLOPs. We also provide extensive ablative studies that validate the effectiveness of our proposed learning schema for E-ViLM.

VideoICL: Confidence-based Iterative In-context Learning for Out-of-Distribution Video Understanding

Recent advancements in video large multimodal models (LMMs) have significantly improved their video understanding and reasoning capabilities. However, their performance drops on out-of-distribution (OOD) tasks that are underrepresented in training data. Traditional methods like fine-tuning on OOD datasets are impractical due to high computational costs. While In-context learning (ICL) with demonstration examples has shown promising generalization performance in language tasks and image-language tasks without fine-tuning, applying ICL to video-language tasks faces challenges due to the limited context length in Video LMMs, as videos require longer token lengths. To address these issues, we propose VideoICL, a novel video in-context learning framework for OOD tasks that introduces a similarity-based relevant example selection strategy and a confidence-based iterative inference approach. This allows to select the most relevant examples and rank them based on similarity, to be used for inference. If the generated response has low confidence, our framework selects new examples and performs inference again, iteratively refining the results until a high-confidence response is obtained. This approach improves OOD video understanding performance by extending effective context length without incurring high costs. The experimental results on multiple benchmarks demonstrate significant performance gains, especially in domain-specific scenarios, laying the groundwork for broader video comprehension applications. Code will be released at https://github.com/KangsanKim07/VideoICL

LSMS: Language-guided Scale-aware MedSegmentor for Medical Image Referring Segmentation

Conventional medical image segmentation methods have been found inadequate in facilitating physicians with the identification of specific lesions for diagnosis and treatment. Given the utility of text as an instructional format, we introduce a novel task termed Medical Image Referring Segmentation (MIRS), which requires segmenting specified lesions in images based on the given language expressions. Due to the varying object scales in medical images, MIRS demands robust vision-language modeling and comprehensive multi-scale interaction for precise localization and segmentation under linguistic guidance. However, existing medical image segmentation methods fall short in meeting these demands, resulting in insufficient segmentation accuracy. In response, we propose an approach named Language-guided Scale-aware MedSegmentor (LSMS), incorporating two appealing designs: (1)~a Scale-aware Vision-Language Attention module that leverages diverse convolutional kernels to acquire rich visual knowledge and interact closely with linguistic features, thereby enhancing lesion localization capability; (2)~a Full-Scale Decoder that globally models multi-modal features across various scales, capturing complementary information between scales to accurately outline lesion boundaries. Addressing the lack of suitable datasets for MIRS, we constructed a vision-language medical dataset called Reference Hepatic Lesion Segmentation (RefHL-Seg). This dataset comprises 2,283 abdominal CT slices from 231 cases, with corresponding textual annotations and segmentation masks for various liver lesions in images. We validated the performance of LSMS for MIRS and conventional medical image segmentation tasks across various datasets. Our LSMS consistently outperforms on all datasets with lower computational costs. The code and datasets will be released.

MMTrail: A Multimodal Trailer Video Dataset with Language and Music Descriptions

Massive multi-modality datasets play a significant role in facilitating the success of large video-language models. However, current video-language datasets primarily provide text descriptions for visual frames, considering audio to be weakly related information. They usually overlook exploring the potential of inherent audio-visual correlation, leading to monotonous annotation within each modality instead of comprehensive and precise descriptions. Such ignorance results in the difficulty of multiple cross-modality studies. To fulfill this gap, we present MMTrail, a large-scale multi-modality video-language dataset incorporating more than 20M trailer clips with visual captions, and 2M high-quality clips with multimodal captions. Trailers preview full-length video works and integrate context, visual frames, and background music. In particular, the trailer has two main advantages: (1) the topics are diverse, and the content characters are of various types, e.g., film, news, and gaming. (2) the corresponding background music is custom-designed, making it more coherent with the visual context. Upon these insights, we propose a systemic captioning framework, achieving various modality annotations with more than 27.1k hours of trailer videos. Here, to ensure the caption retains music perspective while preserving the authority of visual context, we leverage the advanced LLM to merge all annotations adaptively. In this fashion, our MMtrail dataset potentially paves the path for fine-grained large multimodal-language model training. In experiments, we provide evaluation metrics and benchmark results on our dataset, demonstrating the high quality of our annotation and its effectiveness for model training.

A Biomedical Entity Extraction Pipeline for Oncology Health Records in Portuguese

Textual health records of cancer patients are usually protracted and highly unstructured, making it very time-consuming for health professionals to get a complete overview of the patient's therapeutic course. As such limitations can lead to suboptimal and/or inefficient treatment procedures, healthcare providers would greatly benefit from a system that effectively summarizes the information of those records. With the advent of deep neural models, this objective has been partially attained for English clinical texts, however, the research community still lacks an effective solution for languages with limited resources. In this paper, we present the approach we developed to extract procedures, drugs, and diseases from oncology health records written in European Portuguese. This project was conducted in collaboration with the Portuguese Institute for Oncology which, besides holding over 10 years of duly protected medical records, also provided oncologist expertise throughout the development of the project. Since there is no annotated corpus for biomedical entity extraction in Portuguese, we also present the strategy we followed in annotating the corpus for the development of the models. The final models, which combined a neural architecture with entity linking, achieved F_1 scores of 88.6, 95.0, and 55.8 per cent in the mention extraction of procedures, drugs, and diseases, respectively.

E.T. Bench: Towards Open-Ended Event-Level Video-Language Understanding

Recent advances in Video Large Language Models (Video-LLMs) have demonstrated their great potential in general-purpose video understanding. To verify the significance of these models, a number of benchmarks have been proposed to diagnose their capabilities in different scenarios. However, existing benchmarks merely evaluate models through video-level question-answering, lacking fine-grained event-level assessment and task diversity. To fill this gap, we introduce E.T. Bench (Event-Level & Time-Sensitive Video Understanding Benchmark), a large-scale and high-quality benchmark for open-ended event-level video understanding. Categorized within a 3-level task taxonomy, E.T. Bench encompasses 7.3K samples under 12 tasks with 7K videos (251.4h total length) under 8 domains, providing comprehensive evaluations. We extensively evaluated 8 Image-LLMs and 12 Video-LLMs on our benchmark, and the results reveal that state-of-the-art models for coarse-level (video-level) understanding struggle to solve our fine-grained tasks, e.g., grounding event-of-interests within videos, largely due to the short video context length, improper time representations, and lack of multi-event training data. Focusing on these issues, we further propose a strong baseline model, E.T. Chat, together with an instruction-tuning dataset E.T. Instruct 164K tailored for fine-grained event-level understanding. Our simple but effective solution demonstrates superior performance in multiple scenarios.

TWLV-I: Analysis and Insights from Holistic Evaluation on Video Foundation Models

In this work, we discuss evaluating video foundation models in a fair and robust manner. Unlike language or image foundation models, many video foundation models are evaluated with differing parameters (such as sampling rate, number of frames, pretraining steps, etc.), making fair and robust comparisons challenging. Therefore, we present a carefully designed evaluation framework for measuring two core capabilities of video comprehension: appearance and motion understanding. Our findings reveal that existing video foundation models, whether text-supervised like UMT or InternVideo2, or self-supervised like V-JEPA, exhibit limitations in at least one of these capabilities. As an alternative, we introduce TWLV-I, a new video foundation model that constructs robust visual representations for both motion- and appearance-based videos. Based on the average top-1 accuracy of linear probing on five action recognition benchmarks, pretrained only on publicly accessible datasets, our model shows a 4.6%p improvement compared to V-JEPA (ViT-L) and a 7.7%p improvement compared to UMT (ViT-L). Even when compared to much larger models, our model demonstrates a 7.2%p improvement compared to DFN (ViT-H), a 2.7%p improvement compared to V-JEPA~(ViT-H) and a 2.8%p improvement compared to InternVideo2 (ViT-g). We provide embedding vectors obtained by TWLV-I from videos of several commonly used video benchmarks, along with evaluation source code that can directly utilize these embeddings. The code is available on "https://github.com/twelvelabs-io/video-embeddings-evaluation-framework".

HowToCaption: Prompting LLMs to Transform Video Annotations at Scale

Instructional videos are an excellent source for learning multimodal representations by leveraging video-subtitle pairs extracted with automatic speech recognition systems (ASR) from the audio signal in the videos. However, in contrast to human-annotated captions, both speech and subtitles naturally differ from the visual content of the videos and thus provide only noisy supervision for multimodal learning. As a result, large-scale annotation-free web video training data remains sub-optimal for training text-video models. In this work, we propose to leverage the capability of large language models (LLMs) to obtain fine-grained video descriptions aligned with videos. Specifically, we prompt an LLM to create plausible video descriptions based on ASR narrations of the video for a large-scale instructional video dataset. To this end, we introduce a prompting method that is able to take into account a longer text of subtitles, allowing us to capture context beyond a single sentence. To align the captions to the video temporally, we prompt the LLM to generate timestamps for each produced caption based on the subtitles. In this way, we obtain human-style video captions at scale without human supervision. We apply our method to the subtitles of the HowTo100M dataset, creating a new large-scale dataset, HowToCaption. Our evaluation shows that the resulting captions not only significantly improve the performance over many different benchmark datasets for text-video retrieval but also lead to a disentangling of textual narration from the audio, boosting performance in text-video-audio tasks.

Large-Scale Domain-Specific Pretraining for Biomedical Vision-Language Processing

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.

DiffusionRet: Generative Text-Video Retrieval with Diffusion Model

Existing text-video retrieval solutions are, in essence, discriminant models focused on maximizing the conditional likelihood, i.e., p(candidates|query). While straightforward, this de facto paradigm overlooks the underlying data distribution p(query), which makes it challenging to identify out-of-distribution data. To address this limitation, we creatively tackle this task from a generative viewpoint and model the correlation between the text and the video as their joint probability p(candidates,query). This is accomplished through a diffusion-based text-video retrieval framework (DiffusionRet), which models the retrieval task as a process of gradually generating joint distribution from noise. During training, DiffusionRet is optimized from both the generation and discrimination perspectives, with the generator being optimized by generation loss and the feature extractor trained with contrastive loss. In this way, DiffusionRet cleverly leverages the strengths of both generative and discriminative methods. Extensive experiments on five commonly used text-video retrieval benchmarks, including MSRVTT, LSMDC, MSVD, ActivityNet Captions, and DiDeMo, with superior performances, justify the efficacy of our method. More encouragingly, without any modification, DiffusionRet even performs well in out-domain retrieval settings. We believe this work brings fundamental insights into the related fields. Code is available at https://github.com/jpthu17/DiffusionRet.

Text-Video Retrieval with Global-Local Semantic Consistent Learning

Adapting large-scale image-text pre-training models, e.g., CLIP, to the video domain represents the current state-of-the-art for text-video retrieval. The primary approaches involve transferring text-video pairs to a common embedding space and leveraging cross-modal interactions on specific entities for semantic alignment. Though effective, these paradigms entail prohibitive computational costs, leading to inefficient retrieval. To address this, we propose a simple yet effective method, Global-Local Semantic Consistent Learning (GLSCL), which capitalizes on latent shared semantics across modalities for text-video retrieval. Specifically, we introduce a parameter-free global interaction module to explore coarse-grained alignment. Then, we devise a shared local interaction module that employs several learnable queries to capture latent semantic concepts for learning fine-grained alignment. Furthermore, an Inter-Consistency Loss (ICL) is devised to accomplish the concept alignment between the visual query and corresponding textual query, and an Intra-Diversity Loss (IDL) is developed to repulse the distribution within visual (textual) queries to generate more discriminative concepts. Extensive experiments on five widely used benchmarks (i.e., MSR-VTT, MSVD, DiDeMo, LSMDC, and ActivityNet) substantiate the superior effectiveness and efficiency of the proposed method. Remarkably, our method achieves comparable performance with SOTA as well as being nearly 220 times faster in terms of computational cost. Code is available at: https://github.com/zchoi/GLSCL.

Tarsier: Recipes for Training and Evaluating Large Video Description Models

Generating fine-grained video descriptions is a fundamental challenge in video understanding. In this work, we introduce Tarsier, a family of large-scale video-language models designed to generate high-quality video descriptions. Tarsier employs CLIP-ViT to encode frames separately and then uses an LLM to model temporal relationships. Despite its simple architecture, we demonstrate that with a meticulously designed two-stage training procedure, the Tarsier models exhibit substantially stronger video description capabilities than any existing open-source model, showing a +51.4% advantage in human side-by-side evaluation over the strongest model. Additionally, they are comparable to state-of-the-art proprietary models, with a +12.3% advantage against GPT-4V and a -6.7% disadvantage against Gemini 1.5 Pro. Besides video description, Tarsier proves to be a versatile generalist model, achieving new state-of-the-art results across nine public benchmarks, including multi-choice VQA, open-ended VQA, and zero-shot video captioning. Our second contribution is the introduction of a new benchmark for evaluating video description models, consisting of a new challenging dataset featuring videos from diverse sources and varying complexity, along with an automatic method specifically designed to assess the quality of fine-grained video descriptions. We make our models and evaluation benchmark publicly available at https://github.com/bytedance/tarsier.

On the Compositional Generalization of Multimodal LLMs for Medical Imaging

Multimodal large language models (MLLMs) hold significant potential in the medical field, but their capabilities are often limited by insufficient data in certain medical domains, highlighting the need for understanding what kinds of images can be used by MLLMs for generalization. Current research suggests that multi-task training outperforms single-task as different tasks can benefit each other, but they often overlook the internal relationships within these tasks, providing limited guidance on selecting datasets to enhance specific tasks. To analyze this phenomenon, we attempted to employ compositional generalization (CG)-the ability of models to understand novel combinations by recombining learned elements-as a guiding framework. Since medical images can be precisely defined by Modality, Anatomical area, and Task, naturally providing an environment for exploring CG. Therefore, we assembled 106 medical datasets to create Med-MAT for comprehensive experiments. The experiments confirmed that MLLMs can use CG to understand unseen medical images and identified CG as one of the main drivers of the generalization observed in multi-task training. Additionally, further studies demonstrated that CG effectively supports datasets with limited data and delivers consistent performance across different backbones, highlighting its versatility and broad applicability. Med-MAT is publicly available at https://github.com/FreedomIntelligence/Med-MAT.

Video-CCAM: Enhancing Video-Language Understanding with Causal Cross-Attention Masks for Short and Long Videos

Multi-modal large language models (MLLMs) have demonstrated considerable potential across various downstream tasks that require cross-domain knowledge. MLLMs capable of processing videos, known as Video-MLLMs, have attracted broad interest in video-language understanding. However, videos, especially long videos, contain more visual tokens than images, making them difficult for LLMs to process. Existing works either downsample visual features or extend the LLM context size, risking the loss of high-resolution information or slowing down inference speed. To address these limitations, we apply cross-attention layers in the intermediate projector between the visual encoder and the large language model (LLM). As the naive cross-attention mechanism is insensitive to temporal order, we further introduce causal cross-attention masks (CCAMs) within the cross-attention layers. This Video-MLLM, named Video-CCAM, is trained in a straightforward two-stage fashion: feature alignment and visual instruction tuning. We develop several Video-CCAM models based on LLMs of different sizes (4B, 9B, and 14B). Video-CCAM proves to be a robust Video-MLLM and shows outstanding performance from short videos to long ones. Among standard video benchmarks like MVBench and VideoChatGPT-QA, Video-CCAM shows outstanding performances (1st/2nd/3rd in MVBench and TGIF-QA, 2nd/3rd/4th in MSVD-QA, MSRVTT-QA, and ActivityNet-QA). In benchmarks encompassing long videos, Video-CCAM models can be directly adapted to long video understanding and still achieve exceptional scores despite being trained solely with images and 16-frame videos. Using 96 frames (6times the training number of frames), Video-CCAM models rank 1st/2nd/3rd in VideoVista and 1st/2nd/4th in MLVU among all open-source Video-MLLMs, respectively. The code is publicly available in https://github.com/QQ-MM/Video-CCAM.

VLog: Video-Language Models by Generative Retrieval of Narration Vocabulary

Human daily activities can be concisely narrated as sequences of routine events (e.g., turning off an alarm) in video streams, forming an event vocabulary. Motivated by this, we introduce VLog, a novel video understanding framework that define video narrations as vocabulary, going beyond the typical subword vocabularies in existing generative video-language models. Built on the lightweight language model GPT-2, VLog feature three key innovations: (i) A generative retrieval model, marrying language model's complex reasoning capabilities with contrastive retrieval's efficient similarity search. (ii) A hierarchical vocabulary derived from large-scale video narrations using our narration pair encoding algorithm, enabling efficient indexing of specific events (e.g., cutting a tomato) by identifying broader scenarios (e.g., kitchen) with expressive postfixes (e.g., by the left hand). (iii) A vocabulary update strategy leveraging generative models to extend the vocabulary for novel events encountered during inference. To validate our approach, we introduce VidCap-Eval, a development set requiring concise narrations with reasoning relationships (e.g., before and after). Experiments on EgoSchema, COIN, and HiREST further demonstrate the effectiveness of VLog, highlighting its ability to generate concise, contextually accurate, and efficient narrations, offering a novel perspective on video understanding. Codes are released at https://github.com/showlab/VLog.

VideoUFO: A Million-Scale User-Focused Dataset for Text-to-Video Generation

Text-to-video generative models convert textual prompts into dynamic visual content, offering wide-ranging applications in film production, gaming, and education. However, their real-world performance often falls short of user expectations. One key reason is that these models have not been trained on videos related to some topics users want to create. In this paper, we propose VideoUFO, the first Video dataset specifically curated to align with Users' FOcus in real-world scenarios. Beyond this, our VideoUFO also features: (1) minimal (0.29%) overlap with existing video datasets, and (2) videos searched exclusively via YouTube's official API under the Creative Commons license. These two attributes provide future researchers with greater freedom to broaden their training sources. The VideoUFO comprises over 1.09 million video clips, each paired with both a brief and a detailed caption (description). Specifically, through clustering, we first identify 1,291 user-focused topics from the million-scale real text-to-video prompt dataset, VidProM. Then, we use these topics to retrieve videos from YouTube, split the retrieved videos into clips, and generate both brief and detailed captions for each clip. After verifying the clips with specified topics, we are left with about 1.09 million video clips. Our experiments reveal that (1) current 16 text-to-video models do not achieve consistent performance across all user-focused topics; and (2) a simple model trained on VideoUFO outperforms others on worst-performing topics. The dataset is publicly available at https://huggingface.co/datasets/WenhaoWang/VideoUFO under the CC BY 4.0 License.

From Image to Video, what do we need in multimodal LLMs?

Multimodal Large Language Models (MLLMs) have demonstrated profound capabilities in understanding multimodal information, covering from Image LLMs to the more complex Video LLMs. Numerous studies have illustrated their exceptional cross-modal comprehension. Recently, integrating video foundation models with large language models to build a comprehensive video understanding system has been proposed to overcome the limitations of specific pre-defined vision tasks. However, the current advancements in Video LLMs tend to overlook the foundational contributions of Image LLMs, often opting for more complicated structures and a wide variety of multimodal data for pre-training. This approach significantly increases the costs associated with these methods.In response to these challenges, this work introduces an efficient method that strategically leverages the priors of Image LLMs, facilitating a resource-efficient transition from Image to Video LLMs. We propose RED-VILLM, a Resource-Efficient Development pipeline for Video LLMs from Image LLMs, which utilizes a temporal adaptation plug-and-play structure within the image fusion module of Image LLMs. This adaptation extends their understanding capabilities to include temporal information, enabling the development of Video LLMs that not only surpass baseline performances but also do so with minimal instructional data and training resources. Our approach highlights the potential for a more cost-effective and scalable advancement in multimodal models, effectively building upon the foundational work of Image LLMs.

ShareGPT4Video: Improving Video Understanding and Generation with Better Captions

We present the ShareGPT4Video series, aiming to facilitate the video understanding of large video-language models (LVLMs) and the video generation of text-to-video models (T2VMs) via dense and precise captions. The series comprises: 1) ShareGPT4Video, 40K GPT4V annotated dense captions of videos with various lengths and sources, developed through carefully designed data filtering and annotating strategy. 2) ShareCaptioner-Video, an efficient and capable captioning model for arbitrary videos, with 4.8M high-quality aesthetic videos annotated by it. 3) ShareGPT4Video-8B, a simple yet superb LVLM that reached SOTA performance on three advancing video benchmarks. To achieve this, taking aside the non-scalable costly human annotators, we find using GPT4V to caption video with a naive multi-frame or frame-concatenation input strategy leads to less detailed and sometimes temporal-confused results. We argue the challenge of designing a high-quality video captioning strategy lies in three aspects: 1) Inter-frame precise temporal change understanding. 2) Intra-frame detailed content description. 3) Frame-number scalability for arbitrary-length videos. To this end, we meticulously designed a differential video captioning strategy, which is stable, scalable, and efficient for generating captions for videos with arbitrary resolution, aspect ratios, and length. Based on it, we construct ShareGPT4Video, which contains 40K high-quality videos spanning a wide range of categories, and the resulting captions encompass rich world knowledge, object attributes, camera movements, and crucially, detailed and precise temporal descriptions of events. Based on ShareGPT4Video, we further develop ShareCaptioner-Video, a superior captioner capable of efficiently generating high-quality captions for arbitrary videos...

VidChapters-7M: Video Chapters at Scale

Segmenting long videos into chapters enables users to quickly navigate to the information of their interest. This important topic has been understudied due to the lack of publicly released datasets. To address this issue, we present VidChapters-7M, a dataset of 817K user-chaptered videos including 7M chapters in total. VidChapters-7M is automatically created from videos online in a scalable manner by scraping user-annotated chapters and hence without any additional manual annotation. We introduce the following three tasks based on this data. First, the video chapter generation task consists of temporally segmenting the video and generating a chapter title for each segment. To further dissect the problem, we also define two variants of this task: video chapter generation given ground-truth boundaries, which requires generating a chapter title given an annotated video segment, and video chapter grounding, which requires temporally localizing a chapter given its annotated title. We benchmark both simple baselines and state-of-the-art video-language models for these three tasks. We also show that pretraining on VidChapters-7M transfers well to dense video captioning tasks in both zero-shot and finetuning settings, largely improving the state of the art on the YouCook2 and ViTT benchmarks. Finally, our experiments reveal that downstream performance scales well with the size of the pretraining dataset. Our dataset, code, and models are publicly available at https://antoyang.github.io/vidchapters.html.

VidLA: Video-Language Alignment at Scale

In this paper, we propose VidLA, an approach for video-language alignment at scale. There are two major limitations of previous video-language alignment approaches. First, they do not capture both short-range and long-range temporal dependencies and typically employ complex hierarchical deep network architectures that are hard to integrate with existing pretrained image-text foundation models. To effectively address this limitation, we instead keep the network architecture simple and use a set of data tokens that operate at different temporal resolutions in a hierarchical manner, accounting for the temporally hierarchical nature of videos. By employing a simple two-tower architecture, we are able to initialize our video-language model with pretrained image-text foundation models, thereby boosting the final performance. Second, existing video-language alignment works struggle due to the lack of semantically aligned large-scale training data. To overcome it, we leverage recent LLMs to curate the largest video-language dataset to date with better visual grounding. Furthermore, unlike existing video-text datasets which only contain short clips, our dataset is enriched with video clips of varying durations to aid our temporally hierarchical data tokens in extracting better representations at varying temporal scales. Overall, empirical results show that our proposed approach surpasses state-of-the-art methods on multiple retrieval benchmarks, especially on longer videos, and performs competitively on classification benchmarks.

Leveraging Natural Language Processing For Public Health Screening On YouTube: A COVID-19 Case Study

Background: Social media platforms have become a viable source of medical information, with patients and healthcare professionals using them to share health-related information and track diseases. Similarly, YouTube, the largest video-sharing platform in the world contains vlogs where individuals talk about their illnesses. The aim of our study was to investigate the use of Natural Language Processing (NLP) to identify the spoken content of YouTube vlogs related to the diagnosis of Coronavirus disease of 2019 (COVID-19) for public health screening. Methods: COVID-19 videos on YouTube were searched using relevant keywords. A total of 1000 videos being spoken in English were downloaded out of which 791 were classified as vlogs, 192 were non-vlogs, and 17 were deleted by the channel. The videos were converted into a textual format using Microsoft Streams. The textual data was preprocessed using basic and advanced preprocessing methods. A lexicon of 200 words was created which contained words related to COVID-19. The data was analyzed using topic modeling, word clouds, and lexicon matching. Results: The word cloud results revealed discussions about COVID-19 symptoms like "fever", along with generic terms such as "mask" and "isolation". Lexical analysis demonstrated that in 96.46% of videos, patients discussed generic terms, and in 95.45% of videos, people talked about COVID-19 symptoms. LDA Topic Modeling results also generated topics that successfully captured key themes and content related to our investigation of COVID-19 diagnoses in YouTube vlogs. Conclusion: By leveraging NLP techniques on YouTube vlogs public health practitioners can enhance their ability to mitigate the effects of pandemics and effectively respond to public health challenges.

MedMax: Mixed-Modal Instruction Tuning for Training Biomedical Assistants

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.

Capabilities of Gemini Models in Medicine

Excellence in a wide variety of medical applications poses considerable challenges for AI, requiring advanced reasoning, access to up-to-date medical knowledge and understanding of complex multimodal data. Gemini models, with strong general capabilities in multimodal and long-context reasoning, offer exciting possibilities in medicine. Building on these core strengths of Gemini, we introduce Med-Gemini, a family of highly capable multimodal models that are specialized in medicine with the ability to seamlessly use web search, and that can be efficiently tailored to novel modalities using custom encoders. We evaluate Med-Gemini on 14 medical benchmarks, establishing new state-of-the-art (SoTA) performance on 10 of them, and surpass the GPT-4 model family on every benchmark where a direct comparison is viable, often by a wide margin. On the popular MedQA (USMLE) benchmark, our best-performing Med-Gemini model achieves SoTA performance of 91.1% accuracy, using a novel uncertainty-guided search strategy. On 7 multimodal benchmarks including NEJM Image Challenges and MMMU (health & medicine), Med-Gemini improves over GPT-4V by an average relative margin of 44.5%. We demonstrate the effectiveness of Med-Gemini's long-context capabilities through SoTA performance on a needle-in-a-haystack retrieval task from long de-identified health records and medical video question answering, surpassing prior bespoke methods using only in-context learning. Finally, Med-Gemini's performance suggests real-world utility by surpassing human experts on tasks such as medical text summarization, alongside demonstrations of promising potential for multimodal medical dialogue, medical research and education. Taken together, our results offer compelling evidence for Med-Gemini's potential, although further rigorous evaluation will be crucial before real-world deployment in this safety-critical domain.

TS-LLaVA: Constructing Visual Tokens through Thumbnail-and-Sampling for Training-Free Video Large Language Models

Recent advances in multimodal Large Language Models (LLMs) have shown great success in understanding multi-modal contents. For video understanding tasks, training-based video LLMs are difficult to build due to the scarcity of high-quality, curated video-text paired data. In contrast, paired image-text data are much easier to obtain, and there is substantial similarity between images and videos. Consequently, extending image LLMs for video understanding tasks presents an appealing alternative. Developing effective strategies for compressing visual tokens from multiple frames is a promising way to leverage the powerful pre-trained image LLM. In this work, we explore the limitations of the existing compression strategies for building a training-free video LLM. The findings lead to our method TS-LLaVA, which constructs visual tokens through a Thumbnail-and-Sampling strategy. Given a video, we select few equidistant frames from all input frames to construct a Thumbnail image as a detailed visual cue, complemented by Sampled visual tokens from all input frames. Our method establishes the new state-of-the-art performance among training-free video LLMs on various benchmarks. Notably, our 34B model outperforms GPT-4V on the MVBench benchmark, and achieves performance comparable to the 72B training-based video LLM, Video-LLaMA2, on the challenging MLVU benchmark. Code is available at https://github.com/tingyu215/TS-LLaVA.

V2Xum-LLM: Cross-Modal Video Summarization with Temporal Prompt Instruction Tuning

Video summarization aims to create short, accurate, and cohesive summaries of longer videos. Despite the existence of various video summarization datasets, a notable limitation is their limited amount of source videos, which hampers the effective fine-tuning of advanced large vision-language models (VLMs). Additionally, most existing datasets are created for video-to-video summarization, overlooking the contemporary need for multimodal video content summarization. Recent efforts have been made to expand from unimodal to multimodal video summarization, categorizing the task into three sub-tasks based on the summary's modality: video-to-video (V2V), video-to-text (V2T), and a combination of video and text summarization (V2VT). However, the textual summaries in previous multimodal datasets are inadequate. To address these issues, we introduce Instruct-V2Xum, a cross-modal video summarization dataset featuring 30,000 diverse videos sourced from YouTube, with lengths ranging from 40 to 940 seconds and an average summarization ratio of 16.39\%. Each video summary in Instruct-V2Xum is paired with a textual summary that references specific frame indexes, facilitating the generation of aligned video and textual summaries. In addition, we propose a new video summarization framework named V2Xum-LLM. V2Xum-LLM, specifically V2Xum-LLaMA in this study, is the first framework that unifies different video summarization tasks into one large language model's (LLM) text decoder and achieves task-controllable video summarization with temporal prompts and task instructions. Experiments show that V2Xum-LLaMA outperforms strong baseline models on multiple video summarization tasks. Furthermore, we propose an enhanced evaluation metric for V2V and V2VT summarization tasks.

X-Pool: Cross-Modal Language-Video Attention for Text-Video Retrieval

In text-video retrieval, the objective is to learn a cross-modal similarity function between a text and a video that ranks relevant text-video pairs higher than irrelevant pairs. However, videos inherently express a much wider gamut of information than texts. Instead, texts often capture sub-regions of entire videos and are most semantically similar to certain frames within videos. Therefore, for a given text, a retrieval model should focus on the text's most semantically similar video sub-regions to make a more relevant comparison. Yet, most existing works aggregate entire videos without directly considering text. Common text-agnostic aggregations schemes include mean-pooling or self-attention over the frames, but these are likely to encode misleading visual information not described in the given text. To address this, we propose a cross-modal attention model called X-Pool that reasons between a text and the frames of a video. Our core mechanism is a scaled dot product attention for a text to attend to its most semantically similar frames. We then generate an aggregated video representation conditioned on the text's attention weights over the frames. We evaluate our method on three benchmark datasets of MSR-VTT, MSVD and LSMDC, achieving new state-of-the-art results by up to 12% in relative improvement in Recall@1. Our findings thereby highlight the importance of joint text-video reasoning to extract important visual cues according to text. Full code and demo can be found at: https://layer6ai-labs.github.io/xpool/

Accuracy of a Vision-Language Model on Challenging Medical Cases

Background: General-purpose large language models that utilize both text and images have not been evaluated on a diverse array of challenging medical cases. Methods: Using 934 cases from the NEJM Image Challenge published between 2005 and 2023, we evaluated the accuracy of the recently released Generative Pre-trained Transformer 4 with Vision model (GPT-4V) compared to human respondents overall and stratified by question difficulty, image type, and skin tone. We further conducted a physician evaluation of GPT-4V on 69 NEJM clinicopathological conferences (CPCs). Analyses were conducted for models utilizing text alone, images alone, and both text and images. Results: GPT-4V achieved an overall accuracy of 61% (95% CI, 58 to 64%) compared to 49% (95% CI, 49 to 50%) for humans. GPT-4V outperformed humans at all levels of difficulty and disagreement, skin tones, and image types; the exception was radiographic images, where performance was equivalent between GPT-4V and human respondents. Longer, more informative captions were associated with improved performance for GPT-4V but similar performance for human respondents. GPT-4V included the correct diagnosis in its differential for 80% (95% CI, 68 to 88%) of CPCs when using text alone, compared to 58% (95% CI, 45 to 70%) of CPCs when using both images and text. Conclusions: GPT-4V outperformed human respondents on challenging medical cases and was able to synthesize information from both images and text, but performance deteriorated when images were added to highly informative text. Overall, our results suggest that multimodal AI models may be useful in medical diagnostic reasoning but that their accuracy may depend heavily on context.

LLMs-in-the-loop Part-1: Expert Small AI Models for Bio-Medical Text Translation

Machine translation is indispensable in healthcare for enabling the global dissemination of medical knowledge across languages. However, complex medical terminology poses unique challenges to achieving adequate translation quality and accuracy. This study introduces a novel "LLMs-in-the-loop" approach to develop supervised neural machine translation models optimized specifically for medical texts. While large language models (LLMs) have demonstrated powerful capabilities, this research shows that small, specialized models trained on high-quality in-domain (mostly synthetic) data can outperform even vastly larger LLMs. Custom parallel corpora in six languages were compiled from scientific articles, synthetically generated clinical documents, and medical texts. Our LLMs-in-the-loop methodology employs synthetic data generation, rigorous evaluation, and agent orchestration to enhance performance. We developed small medical translation models using the MarianMT base model. We introduce a new medical translation test dataset to standardize evaluation in this domain. Assessed using BLEU, METEOR, ROUGE, and BERT scores on this test set, our MarianMT-based models outperform Google Translate, DeepL, and GPT-4-Turbo. Results demonstrate that our LLMs-in-the-loop approach, combined with fine-tuning high-quality, domain-specific data, enables specialized models to outperform general-purpose and some larger systems. This research, part of a broader series on expert small models, paves the way for future healthcare-related AI developments, including deidentification and bio-medical entity extraction models. Our study underscores the potential of tailored neural translation models and the LLMs-in-the-loop methodology to advance the field through improved data generation, evaluation, agent, and modeling techniques.

VideoVista: A Versatile Benchmark for Video Understanding and Reasoning

Despite significant breakthroughs in video analysis driven by the rapid development of large multimodal models (LMMs), there remains a lack of a versatile evaluation benchmark to comprehensively assess these models' performance in video understanding and reasoning. To address this, we present VideoVista, a video QA benchmark that integrates challenges across diverse content categories, durations, and abilities. Specifically, VideoVista comprises 25,000 questions derived from 3,400 videos spanning 14 categories (e.g., Howto, Film, and Entertainment) with durations ranging from a few seconds to over 10 minutes. Besides, it encompasses 19 types of understanding tasks (e.g., anomaly detection, interaction understanding) and 8 reasoning tasks (e.g., logical reasoning, causal reasoning). To achieve this, we present an automatic data construction framework, leveraging powerful GPT-4o alongside advanced analysis tools (e.g., video splitting, object segmenting, and tracking). We also utilize this framework to construct training data to enhance the capabilities of video-related LMMs (Video-LMMs). Through a comprehensive and quantitative evaluation of cutting-edge models, we reveal that: 1) Video-LMMs face difficulties in fine-grained video tasks involving temporal location, object tracking, and anomaly detection; 2) Video-LMMs present inferior logical and relation reasoning abilities; 3) Open-source Video-LMMs' performance is significantly lower than GPT-4o and Gemini-1.5, lagging by 20 points. This highlights the crucial role VideoVista will play in advancing LMMs that can accurately understand videos and perform precise reasoning.

Towards Efficient Methods in Medical Question Answering using Knowledge Graph Embeddings

In Natural Language Processing (NLP), Machine Reading Comprehension (MRC) is the task of answering a question based on a given context. To handle questions in the medical domain, modern language models such as BioBERT, SciBERT and even ChatGPT are trained on vast amounts of in-domain medical corpora. However, in-domain pre-training is expensive in terms of time and resources. In this paper, we propose a resource-efficient approach for injecting domain knowledge into a model without relying on such domain-specific pre-training. Knowledge graphs are powerful resources for accessing medical information. Building on existing work, we introduce a method using Multi-Layer Perceptrons (MLPs) for aligning and integrating embeddings extracted from medical knowledge graphs with the embedding spaces of pre-trained language models (LMs). The aligned embeddings are fused with open-domain LMs BERT and RoBERTa that are fine-tuned for two MRC tasks, span detection (COVID-QA) and multiple-choice questions (PubMedQA). We compare our method to prior techniques that rely on a vocabulary overlap for embedding alignment and show how our method circumvents this requirement to deliver better performance. On both datasets, our method allows BERT/RoBERTa to either perform on par (occasionally exceeding) with stronger domain-specific models or show improvements in general over prior techniques. With the proposed approach, we signal an alternative method to in-domain pre-training to achieve domain proficiency.

Multi-event Video-Text Retrieval

Video-Text Retrieval (VTR) is a crucial multi-modal task in an era of massive video-text data on the Internet. A plethora of work characterized by using a two-stream Vision-Language model architecture that learns a joint representation of video-text pairs has become a prominent approach for the VTR task. However, these models operate under the assumption of bijective video-text correspondences and neglect a more practical scenario where video content usually encompasses multiple events, while texts like user queries or webpage metadata tend to be specific and correspond to single events. This establishes a gap between the previous training objective and real-world applications, leading to the potential performance degradation of earlier models during inference. In this study, we introduce the Multi-event Video-Text Retrieval (MeVTR) task, addressing scenarios in which each video contains multiple different events, as a niche scenario of the conventional Video-Text Retrieval Task. We present a simple model, Me-Retriever, which incorporates key event video representation and a new MeVTR loss for the MeVTR task. Comprehensive experiments show that this straightforward framework outperforms other models in the Video-to-Text and Text-to-Video tasks, effectively establishing a robust baseline for the MeVTR task. We believe this work serves as a strong foundation for future studies. Code is available at https://github.com/gengyuanmax/MeVTR.

CINEMA: Coherent Multi-Subject Video Generation via MLLM-Based Guidance

Video generation has witnessed remarkable progress with the advent of deep generative models, particularly diffusion models. While existing methods excel in generating high-quality videos from text prompts or single images, personalized multi-subject video generation remains a largely unexplored challenge. This task involves synthesizing videos that incorporate multiple distinct subjects, each defined by separate reference images, while ensuring temporal and spatial consistency. Current approaches primarily rely on mapping subject images to keywords in text prompts, which introduces ambiguity and limits their ability to model subject relationships effectively. In this paper, we propose CINEMA, a novel framework for coherent multi-subject video generation by leveraging Multimodal Large Language Model (MLLM). Our approach eliminates the need for explicit correspondences between subject images and text entities, mitigating ambiguity and reducing annotation effort. By leveraging MLLM to interpret subject relationships, our method facilitates scalability, enabling the use of large and diverse datasets for training. Furthermore, our framework can be conditioned on varying numbers of subjects, offering greater flexibility in personalized content creation. Through extensive evaluations, we demonstrate that our approach significantly improves subject consistency, and overall video coherence, paving the way for advanced applications in storytelling, interactive media, and personalized video generation.

VideoLLaMB: Long-context Video Understanding with Recurrent Memory Bridges

Recent advancements in large-scale video-language models have shown significant potential for real-time planning and detailed interactions. However, their high computational demands and the scarcity of annotated datasets limit their practicality for academic researchers. In this work, we introduce VideoLLaMB, a novel framework that utilizes temporal memory tokens within bridge layers to allow for the encoding of entire video sequences alongside historical visual data, effectively preserving semantic continuity and enhancing model performance across various tasks. This approach includes recurrent memory tokens and a SceneTilling algorithm, which segments videos into independent semantic units to preserve semantic integrity. Empirically, VideoLLaMB significantly outstrips existing video-language models, demonstrating a 5.5 points improvement over its competitors across three VideoQA benchmarks, and 2.06 points on egocentric planning. Comprehensive results on the MVBench show that VideoLLaMB-7B achieves markedly better results than previous 7B models of same LLM. Remarkably, it maintains robust performance as PLLaVA even as video length increases up to 8 times. Besides, the frame retrieval results on our specialized Needle in a Video Haystack (NIAVH) benchmark, further validate VideoLLaMB's prowess in accurately identifying specific frames within lengthy videos. Our SceneTilling algorithm also enables the generation of streaming video captions directly, without necessitating additional training. In terms of efficiency, VideoLLaMB, trained on 16 frames, supports up to 320 frames on a single Nvidia A100 GPU with linear GPU memory scaling, ensuring both high performance and cost-effectiveness, thereby setting a new foundation for long-form video-language models in both academic and practical applications.

LLM-CXR: Instruction-Finetuned LLM for CXR Image Understanding and Generation

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.

Large language models in healthcare and medical domain: A review

The deployment of large language models (LLMs) within the healthcare sector has sparked both enthusiasm and apprehension. These models exhibit the remarkable capability to provide proficient responses to free-text queries, demonstrating a nuanced understanding of professional medical knowledge. This comprehensive survey delves into the functionalities of existing LLMs designed for healthcare applications, elucidating the trajectory of their development, starting from traditional Pretrained Language Models (PLMs) to the present state of LLMs in healthcare sector. First, we explore the potential of LLMs to amplify the efficiency and effectiveness of diverse healthcare applications, particularly focusing on clinical language understanding tasks. These tasks encompass a wide spectrum, ranging from named entity recognition and relation extraction to natural language inference, multi-modal medical applications, document classification, and question-answering. Additionally, we conduct an extensive comparison of the most recent state-of-the-art LLMs in the healthcare domain, while also assessing the utilization of various open-source LLMs and highlighting their significance in healthcare applications. Furthermore, we present the essential performance metrics employed to evaluate LLMs in the biomedical domain, shedding light on their effectiveness and limitations. Finally, we summarize the prominent challenges and constraints faced by large language models in the healthcare sector, offering a holistic perspective on their potential benefits and shortcomings. This review provides a comprehensive exploration of the current landscape of LLMs in healthcare, addressing their role in transforming medical applications and the areas that warrant further research and development.

Language-Guided Music Recommendation for Video via Prompt Analogies

We propose a method to recommend music for an input video while allowing a user to guide music selection with free-form natural language. A key challenge of this problem setting is that existing music video datasets provide the needed (video, music) training pairs, but lack text descriptions of the music. This work addresses this challenge with the following three contributions. First, we propose a text-synthesis approach that relies on an analogy-based prompting procedure to generate natural language music descriptions from a large-scale language model (BLOOM-176B) given pre-trained music tagger outputs and a small number of human text descriptions. Second, we use these synthesized music descriptions to train a new trimodal model, which fuses text and video input representations to query music samples. For training, we introduce a text dropout regularization mechanism which we show is critical to model performance. Our model design allows for the retrieved music audio to agree with the two input modalities by matching visual style depicted in the video and musical genre, mood, or instrumentation described in the natural language query. Third, to evaluate our approach, we collect a testing dataset for our problem by annotating a subset of 4k clips from the YT8M-MusicVideo dataset with natural language music descriptions which we make publicly available. We show that our approach can match or exceed the performance of prior methods on video-to-music retrieval while significantly improving retrieval accuracy when using text guidance.

GPT4Video: A Unified Multimodal Large Language Model for lnstruction-Followed Understanding and Safety-Aware Generation

While the recent advances in Multimodal Large Language Models (MLLMs) constitute a significant leap forward in the field, these models are predominantly confined to the realm of input-side multimodal comprehension, lacking the capacity for multimodal content generation. To fill this gap, we present GPT4Video, a unified multi-model framework that empowers Large Language Models (LLMs) with the capability of both video understanding and generation. Specifically, we develop an instruction-following-based approach integrated with the stable diffusion generative model, which has demonstrated to effectively and securely handle video generation scenarios. GPT4Video offers the following benefits: 1) It exhibits impressive capabilities in both video understanding and generation scenarios. For example, GPT4Video outperforms Valley by 11.8\% on the Video Question Answering task, and surpasses NExt-GPT by 2.3\% on the Text to Video generation task. 2) it endows the LLM/MLLM with video generation capabilities without requiring additional training parameters and can flexibly interface with a wide range of models to perform video generation. 3) it maintains a safe and healthy conversation not only in output-side but also the input side in an end-to-end manner. Qualitative and qualitative experiments demonstrate that GPT4Video holds the potential to function as a effective, safe and Humanoid-like video assistant that can handle both video understanding and generation scenarios.

VideoAssembler: Identity-Consistent Video Generation with Reference Entities using Diffusion Model

Identity-consistent video generation seeks to synthesize videos that are guided by both textual prompts and reference images of entities. Current approaches typically utilize cross-attention layers to integrate the appearance of the entity, which predominantly captures semantic attributes, resulting in compromised fidelity of entities. Moreover, these methods necessitate iterative fine-tuning for each new entity encountered, thereby limiting their applicability. To address these challenges, we introduce VideoAssembler, a novel end-to-end framework for identity-consistent video generation that can conduct inference directly when encountering new entities. VideoAssembler is adept at producing videos that are not only flexible with respect to the input reference entities but also responsive to textual conditions. Additionally, by modulating the quantity of input images for the entity, VideoAssembler enables the execution of tasks ranging from image-to-video generation to sophisticated video editing. VideoAssembler comprises two principal components: the Reference Entity Pyramid (REP) encoder and the Entity-Prompt Attention Fusion (EPAF) module. The REP encoder is designed to infuse comprehensive appearance details into the denoising stages of the stable diffusion model. Concurrently, the EPAF module is utilized to integrate text-aligned features effectively. Furthermore, to mitigate the challenge of scarce data, we present a methodology for the preprocessing of training data. Our evaluation of the VideoAssembler framework on the UCF-101, MSR-VTT, and DAVIS datasets indicates that it achieves good performances in both quantitative and qualitative analyses (346.84 in FVD and 48.01 in IS on UCF-101). Our project page is at https://gulucaptain.github.io/videoassembler/.

Medical Adaptation of Large Language and Vision-Language Models: Are We Making Progress?

Several recent works seek to develop foundation models specifically for medical applications, adapting general-purpose large language models (LLMs) and vision-language models (VLMs) via continued pretraining on publicly available biomedical corpora. These works typically claim that such domain-adaptive pretraining (DAPT) improves performance on downstream medical tasks, such as answering medical licensing exam questions. In this paper, we compare seven public "medical" LLMs and two VLMs against their corresponding base models, arriving at a different conclusion: all medical VLMs and nearly all medical LLMs fail to consistently improve over their base models in the zero-/few-shot prompting regime for medical question-answering (QA) tasks. For instance, across the tasks and model pairs we consider in the 3-shot setting, medical LLMs only outperform their base models in 12.1% of cases, reach a (statistical) tie in 49.8% of cases, and are significantly worse than their base models in the remaining 38.2% of cases. Our conclusions are based on (i) comparing each medical model head-to-head, directly against the corresponding base model; (ii) optimizing the prompts for each model separately; and (iii) accounting for statistical uncertainty in comparisons. While these basic practices are not consistently adopted in the literature, our ablations show that they substantially impact conclusions. Our findings suggest that state-of-the-art general-domain models may already exhibit strong medical knowledge and reasoning capabilities, and offer recommendations to strengthen the conclusions of future studies.