Automatic medical report generation (MRG), which possesses significant research value as it can aid radiologists in clinical diagnosis and report composition, has garnered increasing attention. Despite recent progress, generating accurate reports remains arduous due to the requirement for precise clinical comprehension and disease diagnosis inference. Furthermore, owing to the limited accessibility of medical data and the imbalanced distribution of diseases, the underrepresentation of rare diseases in training data makes large-scale medical visual language models prone to hallucinations, such as omissions or fabrications, severely undermining diagnostic performance and further intensifying the challenges for MRG in practice. In this study, to effectively mitigate hallucinations in medical report generation, we propose a chain-of-medical-thought approach (CoMT), which intends to imitate the cognitive process of human doctors by decomposing diagnostic procedures. The radiological features with different importance are structured into fine-grained medical thought chains to enhance the inferential ability during diagnosis, thereby alleviating hallucination problems and enhancing the diagnostic accuracy of MRG.

Multimodal Sentiment Analysis (MSA) has attracted widespread research attention recently. Most MSA studies are based on the assumption of modality completeness. However, many inevitable factors in real-world scenarios lead to uncertain missing modalities, which invalidate the fixed multimodal fusion approaches. To this end, we propose a Unified multimodal Missing modality self-Distillation Framework (UMDF) to handle the problem of uncertain missing modalities in MSA. Specifically, a unified self-distillation mechanism in UMDF drives a single network to automatically learn robust inherent representations from the consistent distribution of multimodal data. Moreover, we present a multi-grained crossmodal interaction module to deeply mine the complementary semantics among modalities through coarse- and fine-grained crossmodal attention. Eventually, a dynamic feature integration module is introduced to enhance the beneficial semantics in incomplete modalities while filtering the redundant information therein to obtain a refined and robust multimodal representation. Comprehensive experiments on three datasets demonstrate that our framework significantly improves MSA performance under both uncertain missing-modality and complete-modality testing conditions.

Fine- grained medical action analysis plays a vital role in improving medical skill training efficiency, but it faces the problems of data and algorithm shortage. Cardiopul-monary Resuscitation (CPR) is an essential skill in emer-gency treatment. Currently, the assessment of CPR skills mainly depends on dummies and trainers, leading to high training costs and low efficiency. For the first time, this pa-per constructs a vision-based system to complete error action recognition and skill assessment in CPR. Specifically, we define 13 types of single-error actions and 74 types of composite error actions during external cardiac compres-sion and then develop a video dataset named CPR-Coach. By taking the CPR-Coach as a benchmark, this paper in-vestigates and compares the performance of existing action recognition models based on different data modalities. To solve the unavoidable “Single-class Training & Multi-class Testing” problem, we propose a human-cognition-inspired framework named ImagineNet to improve the model's multi-error recognition performance under restricted supervision. Extensive comparison and actual deployment experiments verify the effectiveness of the framework. We hope this work could bring new inspiration to the computer vision and medical skills training communities simultaneously. The dataset and the code are publicly available on https://github.com/Shunli-Wang/CPR-Coach.

Context-aware emotion recognition (CAER) has recently boosted the practical applications of affective computing techniques in unconstrained environments. Mainstream CAER methods invariably extract ensemble representations from diverse contexts and subject-centred characteristics to perceive the target person's emotional state. Despite advancements, the biggest challenge remains due to context bias interference. The harmful bias forces the models to rely on spurious correlations between background contexts and emotion labels in likelihood estimation, causing severe performance bottlenecks and confounding valuable context priors. In this paper, we propose a counterfactual emotion inference (CLEF) framework to address the above issue. Specifically, we first formulate a generalized causal graph to decouple the causal relationships among the variables in CAER. Following the causal graph, CLEF introduces a non-invasive context branch to capture the adverse direct effect caused by the context bias. During the inference, we eliminate the direct context effect from the total causal effect by comparing factual and counterfactual outcomes, resulting in bias mitigation and robust prediction. As a model-agnostic framework, CLEF can be readily integrated into existing methods, bringing consistent performance gains.

Accurate and robust multimodal multi-task perception is crucial for modern autonomous driving systems. However, current multimodal perception research follows independent paradigms designed for specific perception tasks, leading to a lack of complementary learning among tasks and decreased performance in multi-task learning (MTL) due to joint training. In this paper, we propose MaskBEV, a masked attention-based MTL paradigm that unifies 3D object detection and bird's eye view (BEV) map segmentation. MaskBEV introduces a task-agnostic Transformer decoder to process these diverse tasks, enabling MTL to be completed in a unified decoder without requiring additional design of specific task heads. To fully exploit the complementary information between BEV map segmentation and 3D object detection tasks in BEV space, we propose spatial modulation and scene-level context aggregation strategies. These strategies consider the inherent dependencies between BEV segmentation and 3D detection, naturally boosting MTL performance. Extensive experiments on nuScenes dataset show that compared with previous state-of-the-art MTL methods, MaskBEV achieves 1.3 NDS improvement in 3D object detection and 2.7 mIoU improvement in BEV map segmentation, while also demonstrating slightly leading inference speed.

Multimodal Sentiment Analysis (MSA) is an important research area that aims to understand and recognize human sentiment through multiple modalities. The complementary information provided by multimodal fusion promotes better sentiment analysis compared to utilizing only a single modality. Nevertheless, in real-world applications, many unavoidable factors may lead to situations of uncertain modality missing, thus hindering the effectiveness of multimodal modeling and degrading the model’s performance. To this end, we propose a Hierarchical Representation Learning Framework (HRLF) for the MSA task under uncertain missing modalities. Specifically, we propose a fine-grained representation factorization module that sufficiently extracts valuable sentiment information by factorizing modality into sentiment-relevant and modality-specific representations through crossmodal translation and sentiment semantic reconstruction. Moreover, a hierarchical mutual information maximization mechanism is introduced to incrementally maximize the mutual information between multi-scale representations to align and reconstruct the high-level semantics in the representations. Ultimately, we propose a hierarchical adversarial learning mechanism that further aligns and adapts the latent distribution of sentiment-relevant representations to produce robust joint multimodal representations. Comprehensive experiments on three datasets demonstrate that HRLF significantly improves MSA performance under uncertain modality missing cases.

Developing intelligent pediatric consultation systems offers promising prospects for improving diagnostic efficiency, especially in China, where healthcare resources are scarce. Despite recent advances in Large Language Models (LLMs) for Chinese medicine, their performance is sub-optimal in pediatric applications due to inadequate instruction data and vulnerable training procedures. To address the above issues, this paper builds PedCorpus, a high-quality dataset of over 300,000 multi-task instructions from pediatric textbooks, guidelines, and knowledge graph resources to fulfil diverse diagnostic demands. Upon well-designed PedCorpus, we propose PediatricsGPT, the first Chinese pediatric LLM assistant built on a systematic and robust training pipeline. In the continuous pre-training phase, we introduce a hybrid instruction pre-training mechanism to mitigate the internal-injected knowledge inconsistency of LLMs for medical domain adaptation. Immediately, the full-parameter Supervised Fine-Tuning (SFT) is utilized to incorporate the general medical knowledge schema into the models. After that, we devise a direct following preference optimization to enhance the generation of pediatrician-like humanistic responses. In the parameter-efficient secondary SFT phase, a mixture of universal-specific experts strategy is presented to resolve the competency conflict between medical generalist and pediatric expertise mastery. Extensive results based on the metrics, GPT-4, and doctor evaluations on distinct downstream tasks show that PediatricsGPT consistently outperforms previous Chinese medical LLMs. The project and data will be released at https://github.com/ydk122024/PediatricsGPT.

The expensive cost of the medical skill training paradigm hinders the development of medical education, which has attracted widespread attention in the intelligent signal processing community. To address the issue of composite error action recognition in Cardiopulmonary Resuscitation (CPR) training, this letter proposes a multimodal pre-training framework named CPR-CLIP based on prompt engineering. Specifically, we design three prompts to fuse multiple errors naturally on the semantic level and then align linguistic and visual features via the contrastive pre-training loss. Extensive experiments verify the effectiveness of the CPR-CLIP. Ultimately, the CPR-CLIP is encapsulated to an electronic assistant, and four doctors are recruited for evaluation. Nearly four times efficiency improvement is observed in comparative experiments, which demonstrates the practicality of the system. We hope this work brings new insights to the intelligent medical skill training and signal processing communities simultaneously. Code is available onhttps://github.com/Shunli-Wang/CPR-CLIP.

Context-Aware Emotion Recognition (CAER) is a crucial and challenging task that aims to perceive the emotional states of the target person with contextual information. Recent approaches invariably focus on designing sophisticated architectures or mechanisms to extract seemingly meaningful representations from subjects and contexts. However, a long-overlooked issue is that a context bias in existing datasets leads to a significantly unbalanced distribution of emotional states among different context scenarios. Concretely, the harmful bias is a confounder that misleads existing models to learn spurious correlations based on conventional likelihood estimation, significantly limiting the models' performance. To tackle the issue, this paper provides a causality-based perspective to disentangle the models from the impact of such bias, and formulate the causalities among variables in the CAER task via a tailored causal graph. Then, we propose a Contextual Causal Intervention Module (CCIM) based on the backdoor adjustment to de-confound the confounder and exploit the true causal effect for model training. CCIM is plug-in and model-agnostic, which improves diverse state-of-the-art approaches by considerable margins. Extensive experiments on three benchmark datasets demonstrate the effectiveness of our CCIM and the significance of causal insight.

Accurate visualization of liver tumors and their surrounding blood vessels is essential for noninvasive diagnosis and prognosis prediction of tumors. In medical image segmentation, there is still a lack of in-depth research on the simultaneous segmentation of liver tumors and peritumoral blood vessels. To this end, we collect the first liver tumor, and vessel segmentation benchmark datasets containing 52 portal vein phase computed tomography images with liver, liver tumor, and vessel annotations. In this case, we propose a 3D U-shaped Cross-Attention Network (UCA-Net) that utilizes a tailored cross-attention mechanism instead of the traditional skip connection to effectively model the encoder and decoder feature. Specifically, the UCA-Net uses a channel-wise cross-attention module to reduce the semantic gap between encoder and decoder and a slice-wise cross-attention module to enhance the contextual semantic learning ability among distinct slices. Experimental results show that the proposed UCA-Net can accurately segment 3D medical images and achieve state-of-the-art performance on the liver tumor and intrahepatic vessel segmentation task.

Although CNN-based and Transformer-based detectors have made impressive improvements in 3D object detection, these two network paradigms suffer from the interference of insufficient receptive field and local detail weakening, which significantly limits the feature extraction performance of the backbone. In this paper, we propose to fuse convolution and transformer, and simultaneously considering the different contributions of non-empty voxels at different positions in 3D space to object detection, it is not consistent with applying standard convolution and transformer directly on voxels. Specifically, we design a novel deformable sparse transformer to perform long-range information interaction on fine-grained local detail semantics aggregated by focal sparse convolution, termed D-Conformer. D-Conformer learns valuable voxels with position-wise in sparse space and can be applied to most voxel-based detectors as a backbone. Extensive experiments demonstrate that our method achieves satisfactory detection results and outperforms state-of-the-art 3D detection methods by a large margin.

Driver distraction has become a significant cause of severe traffic accidents over the past decade. Despite the growing development of vision-driven driver monitoring systems, the lack of comprehensive perception datasets restricts road safety and traffic security. In this paper, we present an AssIstive Driving pErception dataset (AIDE) that considers context information both inside and outside the vehicle in naturalistic scenarios. AIDE facilitates holistic driver monitoring through three distinctive characteristics, including multi-view settings of driver and scene, multi-modal annotations of face, body, posture, and gesture, and four pragmatic task designs for driving understanding. To thoroughly explore AIDE, we provide experimental benchmarks on three kinds of baseline frameworks via extensive methods. Moreover, two fusion strategies are introduced to give new insights into learning effective multi-stream/modal representations. We also systematically investigate the importance and rationality of the key components in AIDE and benchmarks. The project link is https://github.com/ydk122024/AIDE.

We propose a robust and accurate method for reconstructing 3D hand mesh from monocular images. This is a very challenging problem, as hands are often severely occluded by objects. Previous works often have disregarded 2D hand pose information, which contains hand prior knowledge that is strongly correlated with occluded regions. Thus, in this work, we propose a novel 3D hand mesh reconstruction network HandGCAT, that can fully exploit hand prior as compensation information to enhance occluded region features. Specifically, we designed the Knowledge-Guided Graph Convolution (KGC) module and the Cross-Attention Transformer (CAT) module. KGC extracts hand prior information from 2D hand pose by graph convolution. CAT fuses hand prior into occluded regions by considering their high correlation. Extensive experiments on popular datasets with challenging hand-object occlusions, such as HO3D v2, HO3D v3, and DexYCB demonstrate that our HandGCAT reaches state-of-the-art performance. The code is available at https://github.com/heartStrive/HandGCAT.

Robust adversarial reinforcement learning is an effective method to train agents to manage uncertain disturbance and modeling errors in real environments. However, for systems that are sensitive to disturbances or those that are difficult to stabilize, it is easier to learn a powerful adversary than establish a stable control policy. An improper strong adversary can destabilize the system, introduce biases in the sampling process, make the learning process unstable, and even reduce the robustness of the policy. In this study, we consider the problem of ensuring system stability during training in the adversarial reinforcement learning architecture. The dissipative principle of robust H-infinity control is extended to the Markov Decision Process, and robust stability constraints are obtained based on L2 gain performance in the reinforcement learning system. Thus, we propose a dissipation-inequation-constraint-based adversarial reinforcement learning architecture. This architecture ensures the stability of the system during training by imposing constraints on the normal and adversarial agents. Theoretically, this architecture can be applied to a large family of deep reinforcement learning algorithms. Results of experiments in MuJoCo and GymFc environments show that our architecture effectively improves the robustness of the controller against environmental changes and adapts to more powerful adversaries. Results of the flight experiments on a real quadcopter indicate that our method can directly deploy the policy trained in the simulation environment to the real environment, and our controller outperforms the PID controller based on hardware-in-the-loop. Both our theoretical and empirical results provide new and critical outlooks on the adversarial reinforcement learning architecture from a rigorous robust control perspective.

Reliable and stable 6D pose estimation of un-cooperative space objects plays an essential role in on-orbit servicing and debris removal missions. Considering that the pose estimator is sensitive to background interference, this paper proposes a counterfactual analysis framework named CA-SpaceNet to complete robust 6D pose estimation of the space-borne targets under complicated background. Specifically, conventional methods are adopted to extract the features of the whole image in the factual case. In the counterfactual case, a non-existent image without the target but only the background is imagined. Side effect caused by background interference is reduced by counterfactual analysis, which leads to unbiased prediction in final results. In addition, we also carry out low-bit-width quantization for CA-SpaceNet and deploy part of the framework to a Processing-In-Memory (PIM) accelerator on FPGA. Qualitative and quantitative results demonstrate the effectiveness and efficiency of our proposed method. To our best knowledge, this paper applies causal inference and network quantization to the 6D pose estimation of space-borne targets for the first time. The code is available at https://github.com/Shunli-Wang/CA-SpaceNet.

The paper presents an object detection accelerator featuring a processing-in-memory (PIM) architecture on FPGAs. PIM architectures are well known for their energy efficiency and avoidance of the memory wall. In the accelerator, a PIM unit is developed using BRAM and LUT based counters, which also helps to improve the DSP performance density. The overall architecture consists of 64 PIM units and three memory buffers to store inter-layer results. A shrunk and quantized Tiny-YOLO network is mapped to the PIM accelerator, where DRAM access is fully eliminated during inference. The design achieves a throughput of 201.6 GOPs at 100MHz clock rate and correspondingly, a performance density of 0.57 GOPS/DSP.

This paper presents a design strategy of chiplet-based processing-in-memory systems for deep neural network applications. Monolithic silicon chips are area and power limited, failing to catch the recent rapid growth of deep learning algorithms. The paper first demonstrates a straightforward layer-wise method that partitions the workload of a monolithic accelerator to a multi-chiplet pipeline. A quantitative analysis shows that the straightforward separation degrades the overall utilization of computing resources due to the reduced on-chiplet memory size, thus introducing a higher memory wall. A tile interleaving strategy is proposed to overcome such degradation. This strategy can segment one layer to different chiplets which maximizes the computing utilization. To facilitate the strategy, the modification of the chiplet system hardware is also discussed. To validate the proposed strategy, a nine-chiplet processing-in-memory system is evaluated with a custom-designed object detection network. Each chiplet can achieve a peak performance of 204.8GOPS at a 100-MHz rate. The peak performance of the overall system is 1.711TOPS, where no off-chip memory access is needed. By the tile interleaving strategy, the utilization is improved from 53.9 to 92.8

In recent years, assessing action quality from videos has attracted growing attention in computer vision community and human-computer interaction. Most existing approaches usually tackle this problem by directly migrating the model from action recognition tasks, which ignores the intrinsic differences within the feature map such as foreground and background information. To address this issue, we propose a Tube Self-Attention Network (TSA-Net) for action quality assessment (AQA). Specifically, we introduce a single object tracker into AQA and propose the Tube Self-Attention Module (TSA), which can efficiently generate rich spatio-temporal contextual information by adopting sparse feature interactions. The TSA module is embedded in existing video networks to form TSA-Net. Overall, our TSA-Net is with the following merits: 1) High computational efficiency, 2) High flexibility, and 3) The state-of-the-art performance. Extensive experiments are conducted on popular action quality assessment datasets including AQA-7 and MTL-AQA. Besides, a dataset named Fall Recognition in Figure Skating (FR-FS) is proposed to explore the basic action assessment in the figure skating scene. Our TSA-Net achieves the Spearman's Rank Correlation of 0.8476 and 0.9393 on AQA-7 and MTL-AQA, respectively, which are the new state-of-the-art results. The results on FR-FS also verify the effectiveness of the TSA-Net. The code and FR-FS dataset are publicly available at https://github.com/Shunli-Wang/TSA-Net.