Recent advancements in multimodal models have significantly improved vision-language (VL) alignment in radiology. However, existing approaches struggle to effectively utilize complex radiology reports for learning and offer limited interpretability through attention probability visualizations. To address these challenges, we introduce $\textbf{RadZero}$, a novel framework for VL alignment in chest X-ray with zero-shot multi-task capability. A key component of our approach is $\textbf{VL-CABS}$ ($\textbf{V}$ision-$\textbf{L}$anguage $\textbf{C}$ross-$\textbf{A}$ttention $\textbf{B}$ased on $\textbf{S}$imilarity), which aligns text embeddings with local image features for interpretable, fine-grained VL reasoning. RadZero leverages large language models to extract concise semantic sentences from radiology reports and employs multi-positive contrastive training to effectively capture relationships between images and multiple relevant textual descriptions. It uses a pre-trained vision encoder with additional trainable Transformer layers, allowing efficient high-resolution image processing. By computing similarity between text embeddings and local image patch features, VL-CABS enables zero-shot inference with similarity probability for classification, and pixel-level VL similarity maps for grounding and segmentation. Experimental results on public chest radiograph benchmarks show that RadZero outperforms state-of-the-art methods in zero-shot classification, grounding, and segmentation. Furthermore, VL similarity map analysis highlights the potential of VL-CABS for improving explainability in VL alignment. Additionally, qualitative evaluation demonstrates RadZero's capability for open-vocabulary semantic segmentation, further validating its effectiveness in medical imaging. Code is available at https://github.com/deepnoid-ai/RadZero.

The rapid evolution of artificial intelligence, especially in large language models (LLMs), has significantly impacted various domains, including healthcare. In chest X-ray (CXR) analysis, previous studies have employed LLMs, but with limitations: either underutilizing the LLMs' capability for multitask learning or lacking clinical accuracy. This article presents M4CXR, a multimodal LLM designed to enhance CXR interpretation. The model is trained on a visual instruction-following dataset that integrates various task-specific datasets in a conversational format. As a result, the model supports multiple tasks such as medical report generation (MRG), visual grounding, and visual question answering (VQA). M4CXR achieves state-of-the-art clinical accuracy in MRG by employing a chain-of-thought (CoT) prompting strategy, in which it identifies findings in CXR images and subsequently generates corresponding reports. The model is adaptable to various MRG scenarios depending on the available inputs, such as single-image, multiimage, and multistudy contexts. In addition to MRG, M4CXR performs visual grounding at a level comparable to specialized models and demonstrates outstanding performance in VQA. Both quantitative and qualitative assessments reveal M4CXR's versatility in MRG, visual grounding, and VQA, while consistently maintaining clinical accuracy.

Recognizing a singing melody from an audio signal in terms of the music notes’ pitch onset and offset, referred to as note-level singing melody transcription, has been studied as a critical task in the field of automatic music transcription. The task is challenging due to the different timbre and vibrato of each vocal and the ambiguity of onset and offset of the human voice compared with other instrumental sounds. This paper proposes a note-level singing melody transcription model using sequence-to-sequence Transformers. The singing melody annotation is expressed as a monophonic melody sequence and used as a decoder sequence. Overlapping decoding is introduced to solve the problem of the context between segments being broken. Applying pitch augmentation and and adding noisy dataset with data cleansing turns out to be effective in preventing overfitting and generalizing the model performance. Ablation studies demonstrate the effects of the proposed techniques in note-level singing melody transcription, both quantitatively and qualitatively. The proposed model outperforms other models in note-level singing melody transcription performance for all the metrics considered. For fundamental frequency metrics, the voice detection performance of the proposed model is comparable to that of a vocal melody extraction model. Finally, subjective human evaluation demonstrates that the results of the proposed models are perceived as more accurate than the results of a previous study.