Recently, ChatGPT and GPT-4 have emerged and gained immense global attention due to their unparalleled performance in language processing. Despite demonstrating impressive capability in various open-domain tasks, their adequacy in highly specific fields like radiology remains untested. Radiology presents unique linguistic phenomena distinct from open-domain data due to its specificity and complexity. Assessing the performance of large language models (LLMs) in such specific domains is crucial not only for a thorough evaluation of their overall performance but also for providing valuable insights into future model design directions: whether model design should be generic or domain-specific. To this end, in this study, we evaluate the performance of ChatGPT/GPT-4 on a radiology natural language inference (NLI) task and compare it to other models fine-tuned specifically on task-related data samples. We also conduct a comprehensive investigation on ChatGPT/GPT-4’s reasoning ability by introducing varying levels of inference difficulty. Our results show that 1) ChatGPT and GPT-4 outperform other LLMs in the radiology NLI task and 2) other specifically fine-tuned Bert-based models require significant amounts of data samples to achieve comparable performance to ChatGPT/GPT-4. These findings not only demonstrate the feasibility and promise of constructing a generic model capable of addressing various tasks across different domains, but also highlight several key factors crucial for developing a unified model, particularly in a medical context, paving the way for future artificial general intelligence (AGI) systems. We release our code and data to the research community.

Multi-modality learning, exemplified by the language-image pair pre-trained CLIP model, has demonstrated remarkable performance in enhancing zero-shot capabilities and has gained significant attention recently. However, simply applying language-image pre-trained CLIP to medical image analysis encounters substantial domain shifts, resulting in severe performance degradation due to inherent disparities between natural (non-medical) and medical image characteristics. To address this challenge and uphold or even enhance CLIP's zero-shot capability in medical image analysis, we develop a novel approach, Core-Periphery feature alignment for CLIP (CP-CLIP), to model medical images and corresponding clinical text jointly. To achieve this, we design an auxiliary neural network whose structure is organized by the core-periphery (CP) principle. This auxiliary CP network not only aligns medical image and text features into a unified latent space more efficiently but also ensures alignment driven by principles of brain network organization. In this way, our approach effectively mitigates and further enhances CLIP's zero-shot performance in medical image analysis. More importantly, the proposed CP-CLIP exhibits excellent explanatory capability, enabling the automatic identification of critical disease-related regions in clinical analysis. Extensive experiments and evaluation across five public datasets covering different diseases underscore the superiority of our CP-CLIP in zero-shot medical image prediction and critical features detection, showing its promising utility in multimodal feature alignment in current medical applications.

Vision transformer (ViT) and its variants have achieved remarkable success in various tasks. The key characteristic of these ViT models is to adopt different aggregation strategies of spatial patch information within the artificial neural networks (ANNs). However, there is still a key lack of unified representation of different ViT architectures for systematic understanding and assessment of model representation performance. Moreover, how those well-performing ViT ANNs are similar to real biological neural networks (BNNs) is largely unexplored. To answer these fundamental questions, we, for the first time, propose a unified and biologically plausible relational graph representation of ViT models. Specifically, the proposed relational graph representation consists of two key subgraphs: an aggregation graph and an affine graph. The former considers ViT tokens as nodes and describes their spatial interaction, while the latter regards network channels as nodes and reflects the information communication between channels. Using this unified relational graph representation, we found that: 1) model performance was closely related to graph measures; 2) the proposed relational graph representation of ViT has high similarity with real BNNs; and 3) there was a further improvement in model performance when training with a superior model to constrain the aggregation graph.

Visual attention is a fundamental mechanism in the human brain, and it inspires the design of attention mechanisms in deep neural networks. However, most of the visual attention studies adopted eye-tracking data rather than the direct measurement of brain activity to characterize human visual attention. In addition, the adversarial relationship between the attention-related objects and attention-neglected background in the human visual system was not fully exploited. To bridge these gaps, we propose a novel brain-inspired adversarial visual attention network (BI-AVAN) to characterize human visual attention directly from functional brain activity. Our BI-AVAN model imitates the biased competition process between attention-related/neglected objects to identify and locate the visual objects in a movie frame the human brain focuses on in an unsupervised manner. We use independent eye-tracking data as ground truth for validation and experimental results show that our model achieves robust and promising results when inferring meaningful human visual attention and mapping the relationship between brain activities and visual stimuli. Our BI-AVAN model contributes to the emerging field of leveraging the brain's functional architecture to inspire and guide the model design in artificial intelligence (AI), e.g., deep neural networks.