arXiv subjects

Xiaofan Zhang

Publications and source records attributed to Xiaofan Zhang.

At least 55 records · Page 3Linked to original sources

arXiv2025

SAP-Bench: Benchmarking Multimodal Large Language Models in Surgical Action Planning

Effective evaluation is critical for driving advancements in MLLM research. The surgical action planning (SAP) task, which aims to generate future action sequences from visual inputs, demands precise and sophisticated analytical capabilities. Unlike mathematical reasoning, surgical decision-making operates in life-critical domains and requires meticulous, verifiable processes to ensure reliability and patient safety. This task demands the ability to distinguish between atomic visual actions and coordinate complex, long-horizon procedures, capabilities that are inadequately evaluated by current benchmarks. To address this gap, we introduce SAP-Bench, a large-scale, high-quality dataset designed to enable multimodal large language models (MLLMs) to perform interpretable surgical action planning. Our SAP-Bench benchmark, derived from the cholecystectomy procedures context with the mean duration of 1137.5s, and introduces temporally-grounded surgical action annotations, comprising the 1,226 clinically validated action clips (mean duration: 68.7s) capturing five fundamental surgical actions across 74 procedures. The dataset provides 1,152 strategically sampled current frames, each paired with the corresponding next action as multimodal analysis anchors. We propose the MLLM-SAP framework that leverages MLLMs to generate next action recommendations from the current surgical scene and natural language instructions, enhanced with injected surgical domain knowledge. To assess our dataset's effectiveness and the broader capabilities of current models, we evaluate seven state-of-the-art MLLMs (e.g., OpenAI-o1, GPT-4o, QwenVL2.5-72B, Claude-3.5-Sonnet, GeminiPro2.5, Step-1o, and GLM-4v) and reveal critical gaps in next action prediction performance.

cs.CV↗

arXiv2025

Responses of a Coronal Hole to a Fast Flare-Driven Coronal Wave

Coronal waves, significant solar phenomena, act as diagnostic tools for scientists studying solar atmosphere properties. Here, we present a novel observation detailing how a coronal wave event, associated with an X5.0 class flare, influenced the properties of an adjacent coronal hole through interaction. The coronal wave was observed in both extreme ultraviolet observations from the Atmospheric Imaging Assembly aboard the Solar Dynamics Observatory and Lyman-alpha observations from the Solar Disk Imager aboard the Advanced Space-based Solar Observatory. Utilizing the method of differential emission measure, we found that as the coronal wave passed through, the adjacent coronal hole experienced an increase in temperature from 1.31 to 1.43 MK and a rise in density from $\sim$1.62$\times10^{8}$ to 1.76$\times10^{8}$ cm$^{-3}$ within the rising period of $\sim$7 minutes. Subsequently, after the wave passed, the entire coronal hole transitioned to a new state with a slight temperature increase and a 14$\%$ decrease in density, with more pronounced changes observed at the coronal hole's boundary. Taking into account the impacts of radiative loss and heat conduction, the coronal wave was estimated to provide an average energy of 2.2$\times10^{8}$ erg cm$^{-2}$ to the coronal hole during the short rising period. This study highlights the identification of the coronal wave in both extreme ultraviolet and Lyman-alpha observations, shedding light on the significant energy input, particularly within the coronal hole. These findings provide new insights into better understanding kinematics of fast coronal waves, energy transfer processes open versus closed magnetic topologies, and the possible acceleration of solar winds.

astro-ph.SR↗

arXiv2025

MeNTi: Bridging Medical Calculator and LLM Agent with Nested Tool Calling

Integrating tools into Large Language Models (LLMs) has facilitated the widespread application. Despite this, in specialized downstream task contexts, reliance solely on tools is insufficient to fully address the complexities of the real world. This particularly restricts the effective deployment of LLMs in fields such as medicine. In this paper, we focus on the downstream tasks of medical calculators, which use standardized tests to assess an individual's health status. We introduce MeNTi, a universal agent architecture for LLMs. MeNTi integrates a specialized medical toolkit and employs meta-tool and nested calling mechanisms to enhance LLM tool utilization. Specifically, it achieves flexible tool selection and nested tool calling to address practical issues faced in intricate medical scenarios, including calculator selection, slot filling, and unit conversion. To assess the capabilities of LLMs for quantitative assessment throughout the clinical process of calculator scenarios, we introduce CalcQA. This benchmark requires LLMs to use medical calculators to perform calculations and assess patient health status. CalcQA is constructed by professional physicians and includes 100 case-calculator pairs, complemented by a toolkit of 281 medical tools. The experimental results demonstrate significant performance improvements with our framework. This research paves new directions for applying LLMs in demanding scenarios of medicine.

cs.AI↗

arXiv2025

MMXU: A Multi-Modal and Multi-X-ray Understanding Dataset for Disease Progression

Large vision-language models (LVLMs) have shown great promise in medical applications, particularly in visual question answering (MedVQA) and diagnosis from medical images. However, existing datasets and models often fail to consider critical aspects of medical diagnostics, such as the integration of historical records and the analysis of disease progression over time. In this paper, we introduce MMXU (Multimodal and MultiX-ray Understanding), a novel dataset for MedVQA that focuses on identifying changes in specific regions between two patient visits. Unlike previous datasets that primarily address single-image questions, MMXU enables multi-image questions, incorporating both current and historical patient data. We demonstrate the limitations of current LVLMs in identifying disease progression on MMXU-\textit{test}, even those that perform well on traditional benchmarks. To address this, we propose a MedRecord-Augmented Generation (MAG) approach, incorporating both global and regional historical records. Our experiments show that integrating historical records significantly enhances diagnostic accuracy by at least 20\%, bridging the gap between current LVLMs and human expert performance. Additionally, we fine-tune models with MAG on MMXU-\textit{dev}, which demonstrates notable improvements. We hope this work could illuminate the avenue of advancing the use of LVLMs in medical diagnostics by emphasizing the importance of historical context in interpreting medical images. Our dataset is released at github: https://github.com/linjiemu/MMXU.

cs.CV↗

arXiv2025

Surgical Action Planning with Large Language Models

In robot-assisted minimally invasive surgery, we introduce the Surgical Action Planning (SAP) task, which generates future action plans from visual inputs to address the absence of intraoperative predictive planning in current intelligent applications. SAP shows great potential for enhancing intraoperative guidance and automating procedures. However, it faces challenges such as understanding instrument-action relationships and tracking surgical progress. Large Language Models (LLMs) show promise in understanding surgical video content but remain underexplored for predictive decision-making in SAP, as they focus mainly on retrospective analysis. Challenges like data privacy, computational demands, and modality-specific constraints further highlight significant research gaps. To tackle these challenges, we introduce LLM-SAP, a Large Language Models-based Surgical Action Planning framework that predicts future actions and generates text responses by interpreting natural language prompts of surgical goals. The text responses potentially support surgical education, intraoperative decision-making, procedure documentation, and skill analysis. LLM-SAP integrates two novel modules: the Near-History Focus Memory Module (NHF-MM) for modeling historical states and the prompts factory for action planning. We evaluate LLM-SAP on our constructed CholecT50-SAP dataset using models like Qwen2.5 and Qwen2-VL, demonstrating its effectiveness in next-action prediction. Pre-trained LLMs are tested in a zero-shot setting, and supervised fine-tuning (SFT) with LoRA is implemented. Our experiments show that Qwen2.5-72B-SFT surpasses Qwen2.5-72B with a 19.3% higher accuracy.

cs.CL↗

arXiv2025

PathOrchestra: A Comprehensive Foundation Model for Computational Pathology with Over 100 Diverse Clinical-Grade Tasks

The complexity and variability inherent in high-resolution pathological images present significant challenges in computational pathology. While pathology foundation models leveraging AI have catalyzed transformative advancements, their development demands large-scale datasets, considerable storage capacity, and substantial computational resources. Furthermore, ensuring their clinical applicability and generalizability requires rigorous validation across a broad spectrum of clinical tasks. Here, we present PathOrchestra, a versatile pathology foundation model trained via self-supervised learning on a dataset comprising 300K pathological slides from 20 tissue and organ types across multiple centers. The model was rigorously evaluated on 112 clinical tasks using a combination of 61 private and 51 public datasets. These tasks encompass digital slide preprocessing, pan-cancer classification, lesion identification, multi-cancer subtype classification, biomarker assessment, gene expression prediction, and the generation of structured reports. PathOrchestra demonstrated exceptional performance across 27,755 WSIs and 9,415,729 ROIs, achieving over 0.950 accuracy in 47 tasks, including pan-cancer classification across various organs, lymphoma subtype diagnosis, and bladder cancer screening. Notably, it is the first model to generate structured reports for high-incidence colorectal cancer and diagnostically complex lymphoma-areas that are infrequently addressed by foundational models but hold immense clinical potential. Overall, PathOrchestra exemplifies the feasibility and efficacy of a large-scale, self-supervised pathology foundation model, validated across a broad range of clinical-grade tasks. Its high accuracy and reduced reliance on extensive data annotation underline its potential for clinical integration, offering a pathway toward more efficient and high-quality medical services.

cs.CV↗

arXiv2025

Interactive Segmentation and Report Generation for CT Images

Automated CT report generation plays a crucial role in improving diagnostic accuracy and clinical workflow efficiency. However, existing methods lack interpretability and impede patient-clinician understanding, while their static nature restricts radiologists from dynamically adjusting assessments during image review. Inspired by interactive segmentation techniques, we propose a novel interactive framework for 3D lesion morphology reporting that seamlessly generates segmentation masks with comprehensive attribute descriptions, enabling clinicians to generate detailed lesion profiles for enhanced diagnostic assessment. To our best knowledge, we are the first to integrate the interactive segmentation and structured reports in 3D CT medical images. Experimental results across 15 lesion types demonstrate the effectiveness of our approach in providing a more comprehensive and reliable reporting system for lesion segmentation and capturing. The source code will be made publicly available following paper acceptance.

eess.IV↗

arXiv2025

Unleashing the Potential of Vision-Language Pre-Training for 3D Zero-Shot Lesion Segmentation via Mask-Attribute Alignment

Recent advancements in medical vision-language pre-training models have driven significant progress in zero-shot disease recognition. However, transferring image-level knowledge to pixel-level tasks, such as lesion segmentation in 3D CT scans, remains a critical challenge. Due to the complexity and variability of pathological visual characteristics, existing methods struggle to align fine-grained lesion features not encountered during training with disease-related textual representations. In this paper, we present Malenia, a novel multi-scale lesion-level mask-attribute alignment framework, specifically designed for 3D zero-shot lesion segmentation. Malenia improves the compatibility between mask representations and their associated elemental attributes, explicitly linking the visual features of unseen lesions with the extensible knowledge learned from previously seen ones. Furthermore, we design a Cross-Modal Knowledge Injection module to enhance both visual and textual features with mutually beneficial information, effectively guiding the generation of segmentation results. Comprehensive experiments across three datasets and 12 lesion categories validate the superior performance of Malenia.

cs.CV↗

arXiv2025

MFM-DA: Instance-Aware Adaptor and Hierarchical Alignment for Efficient Domain Adaptation in Medical Foundation Models

Medical Foundation Models (MFMs), trained on large-scale datasets, have demonstrated superior performance across various tasks. However, these models still struggle with domain gaps in practical applications. Specifically, even after fine-tuning on source-domain data, task-adapted foundation models often perform poorly in the target domain. To address this challenge, we propose a few-shot unsupervised domain adaptation (UDA) framework for MFMs, named MFM-DA, which only leverages a limited number of unlabeled target-domain images. Our approach begins by training a Denoising Diffusion Probabilistic Model (DDPM), which is then adapted to the target domain using a proposed dynamic instance-aware adaptor and a distribution direction loss, enabling the DDPM to translate source-domain images into the target domain style. The adapted images are subsequently processed through the MFM, where we introduce a designed channel-spatial alignment Low-Rank Adaptation (LoRA) to ensure effective feature alignment. Extensive experiments on optic cup and disc segmentation tasks demonstrate that MFM-DA outperforms state-of-the-art methods. Our work provides a practical solution to the domain gap issue in real-world MFM deployment. Code will be available at here.

cs.CV↗

arXiv2025

Grounded Knowledge-Enhanced Medical Vision-Language Pre-training for Chest X-Ray

Medical foundation models have the potential to revolutionize healthcare by providing robust and generalized representations of medical data. Medical vision-language pre-training has emerged as a promising approach for learning domain-general representations of medical image and text. Current algorithms that exploit global and local alignment between medical image and text could however be marred by redundant information in medical data. To address this issue, we propose a grounded knowledge-enhanced medical vision-language pre-training (GK-MVLP) framework for chest X-ray. In this framework, medical knowledge was grounded to the appropriate anatomical regions by using a transformer-based grounded knowledge-enhanced module for fine-grained alignment between textural features of medical knowledge and the corresponding anatomical region-level visual features. The performance of GK-MVLP was competitive with or exceeded the state of the art on downstream image understanding tasks (chest X-ray disease classification, disease localization), generative task (report generation), and vision-language understanding task (medical visual question-answering). Our results demonstrate the advantage of incorporating grounding mechanism to remove biases and improve the alignment between chest X-ray image and radiology report.

cs.CV↗

arXiv2025

SSDTrain: An Activation Offloading Framework to SSDs for Faster Large Language Model Training

The growth rate of the GPU memory capacity has not been able to keep up with that of the size of large language models (LLMs), hindering the model training process. In particular, activations -- the intermediate tensors produced during forward propagation and reused in backward propagation -- dominate the GPU memory use. This leads to high training overhead such as high weight update cost due to the small micro-batch size. To address this challenge, we propose SSDTrain, an adaptive activation offloading framework to high-capacity NVMe SSDs. SSDTrain reduces GPU memory usage without impacting performance by fully overlapping data transfers with computation. SSDTrain is compatible with popular deep learning frameworks like PyTorch, Megatron, and DeepSpeed, and it employs techniques such as tensor deduplication and forwarding to further enhance efficiency. We extensively experimented with popular LLMs like GPT, BERT, and T5. Results demonstrate that SSDTrain reduces 47% of the activation peak memory usage. Meanwhile, SSDTrain perfectly overlaps the I/O with the computation and incurs negligible overhead. Compared with keeping activations in GPU memory and layerwise full recomputation, SSDTrain achieves the best memory savings with negligible throughput loss. We further analyze how the reduced activation memory use may be leveraged to increase throughput by increasing micro-batch size and reducing pipeline parallelism bubbles.

cs.DC↗

arXiv2025

Mix-of-Granularity: Optimize the Chunking Granularity for Retrieval-Augmented Generation

Integrating information from various reference databases is a major challenge for Retrieval-Augmented Generation (RAG) systems because each knowledge source adopts a unique data structure and follows different conventions. Retrieving from multiple knowledge sources with one fixed strategy usually leads to under-exploitation of information. To mitigate this drawback, inspired by Mix-of-Expert, we introduce Mix-of-Granularity (MoG), a method that dynamically determines the optimal granularity of a knowledge source based on input queries using a router. The router is efficiently trained with a newly proposed loss function employing soft labels. We further extend MoG to MoG-Graph (MoGG), where reference documents are pre-processed as graphs, enabling the retrieval of distantly situated snippets. Experiments demonstrate that MoG and MoGG effectively predict optimal granularity levels, significantly enhancing the performance of the RAG system in downstream tasks. The code of both MoG and MoGG are released in https://github.com/ZGChung/Mix-of-Granularity.

cs.LG↗

arXiv2025

SyntheT2C: Generating Synthetic Data for Fine-Tuning Large Language Models on the Text2Cypher Task

Integrating Large Language Models (LLMs) with existing Knowledge Graph (KG) databases presents a promising avenue for enhancing LLMs' efficacy and mitigating their "hallucinations". Given that most KGs reside in graph databases accessible solely through specialized query languages (e.g., Cypher), it is critical to connect LLMs with KG databases by automating the translation of natural language into Cypher queries (termed as "Text2Cypher" task). Prior efforts tried to bolster LLMs' proficiency in Cypher generation through Supervised Fine-Tuning (SFT). However, these explorations are hindered by the lack of annotated datasets of Query-Cypher pairs, resulting from the labor-intensive and domain-specific nature of such annotation. In this study, we propose SyntheT2C, a methodology for constructing a synthetic Query-Cypher pair dataset, comprising two distinct pipelines: (1) LLM-based prompting and (2) template-filling. SyntheT2C is applied to two medical KG databases, culminating in the creation of a synthetic dataset, MedT2C. Comprehensive experiments demonstrate that the MedT2C dataset effectively enhances the performance of backbone LLMs on Text2Cypher task via SFT. Both the SyntheT2C codebase and the MedT2C dataset are released in https://github.com/ZGChung/SyntheT2C.

cs.AI↗

arXiv2025

O1 Replication Journey -- Part 3: Inference-time Scaling for Medical Reasoning

Building upon our previous investigations of O1 replication (Part 1: Journey Learning [Qin et al., 2024] and Part 2: Distillation [Huang et al., 2024]), this work explores the potential of inference-time scaling in large language models (LLMs) for medical reasoning tasks, ranging from diagnostic decision-making to treatment planning. Through extensive experiments on medical benchmarks of varying complexity (MedQA, Medbullets, and JAMA Clinical Challenges), our investigation reveals several key insights: (1) Increasing inference time does lead to improved performance. With a modest training set of 500 samples, our model yields substantial performance improvements of 6%-11%. (2) Task complexity directly correlates with the required length of reasoning chains, confirming the necessity of extended thought processes for challenging problems. (3) The differential diagnoses generated by our model adhere to the principles of the hypothetico-deductive method, producing a list of potential conditions that may explain a patient's symptoms and systematically narrowing these possibilities by evaluating the evidence. These findings demonstrate the promising synergy between inference-time scaling and journey learning in advancing LLMs' real-world clinical reasoning capabilities.

cs.CL↗

arXiv2024

ShiftAddLLM: Accelerating Pretrained LLMs via Post-Training Multiplication-Less Reparameterization

Large language models (LLMs) have shown impressive performance on language tasks but face challenges when deployed on resource-constrained devices due to their extensive parameters and reliance on dense multiplications, resulting in high memory demands and latency bottlenecks. Shift-and-add reparameterization offers a promising solution by replacing costly multiplications with hardware-friendly primitives in both the attention and multi-layer perceptron (MLP) layers of an LLM. However, current reparameterization techniques require training from scratch or full parameter fine-tuning to restore accuracy, which is resource-intensive for LLMs. To address this, we propose accelerating pretrained LLMs through post-training shift-and-add reparameterization, creating efficient multiplication-free models, dubbed ShiftAddLLM. Specifically, we quantize each weight matrix into binary matrices paired with group-wise scaling factors. The associated multiplications are reparameterized into (1) shifts between activations and scaling factors and (2) queries and adds according to the binary matrices. To reduce accuracy loss, we present a multi-objective optimization method to minimize both weight and output activation reparameterization errors. Additionally, based on varying sensitivity across layers to reparameterization, we develop an automated bit allocation strategy to further reduce memory usage and latency. Experiments on five LLM families and eight tasks consistently validate the effectiveness of ShiftAddLLM, achieving average perplexity improvements of 5.6 and 22.7 points at comparable or lower latency compared to the most competitive quantized LLMs at 3 and 2 bits, respectively, and more than 80% memory and energy reductions over the original LLMs. Codes and models are available at https://github.com/GATECH-EIC/ShiftAddLLM.

cs.LG↗

arXiv2024

CAT: Coordinating Anatomical-Textual Prompts for Multi-Organ and Tumor Segmentation

Existing promptable segmentation methods in the medical imaging field primarily consider either textual or visual prompts to segment relevant objects, yet they often fall short when addressing anomalies in medical images, like tumors, which may vary greatly in shape, size, and appearance. Recognizing the complexity of medical scenarios and the limitations of textual or visual prompts, we propose a novel dual-prompt schema that leverages the complementary strengths of visual and textual prompts for segmenting various organs and tumors. Specifically, we introduce CAT, an innovative model that Coordinates Anatomical prompts derived from 3D cropped images with Textual prompts enriched by medical domain knowledge. The model architecture adopts a general query-based design, where prompt queries facilitate segmentation queries for mask prediction. To synergize two types of prompts within a unified framework, we implement a ShareRefiner, which refines both segmentation and prompt queries while disentangling the two types of prompts. Trained on a consortium of 10 public CT datasets, CAT demonstrates superior performance in multiple segmentation tasks. Further validation on a specialized in-house dataset reveals the remarkable capacity of segmenting tumors across multiple cancer stages. This approach confirms that coordinating multimodal prompts is a promising avenue for addressing complex scenarios in the medical domain.

cs.CV↗

arXiv2024

Simultaneous Eruption and Shrinkage of Pre-existing Flare Loops during a Subsequent Solar Eruption

We investigated two consecutive solar eruption events in the solar active region (AR) 12994 at the solar eastern limb on 2022 April 15. We found that the flare loops formed by the first eruption were involved in the second eruption. During the initial stage of the second flare, the middle part of these flare loops (E-loops) erupted outward along with the flux ropes below, while the parts of the flare loops (I-loops1 and I-loops2) on either side of the E-loops first rose and then contracted. Approximately 1 hour after the eruption, the heights of I-loops1 and I-loops2 decreased by 9 Mm and 45 Mm, respectively, compared to before the eruption. Their maximum descent velocities were 30 km/s and 130 km/s, respectively. The differential emission measure (DEM) results indicate that the plasma above I-loops1 and I-loops2 began to be heated about 23 minutes and 44 minutes after the start of the second flare, respectively. Within 20 minutes, the plasma temperature in these regions increased from ~3 MK to 6 MK. We proposed an adiabatic heating mechanism that magnetic energy would be converted into thermal and kinetic energy when the pre-stretched loops contract. Our calculations show that the magnetic energy required to heat the two high-temperature regions are 10^29-10^30 erg, which correspond to a loss of field strength of 2-3 G.

astro-ph.SR↗

arXiv2024

MedLSAM: Localize and Segment Anything Model for 3D CT Images

Recent advancements in foundation models have shown significant potential in medical image analysis. However, there is still a gap in models specifically designed for medical image localization. To address this, we introduce MedLAM, a 3D medical foundation localization model that accurately identifies any anatomical part within the body using only a few template scans. MedLAM employs two self-supervision tasks: unified anatomical mapping (UAM) and multi-scale similarity (MSS) across a comprehensive dataset of 14,012 CT scans. Furthermore, we developed MedLSAM by integrating MedLAM with the Segment Anything Model (SAM). This innovative framework requires extreme point annotations across three directions on several templates to enable MedLAM to locate the target anatomical structure in the image, with SAM performing the segmentation. It significantly reduces the amount of manual annotation required by SAM in 3D medical imaging scenarios. We conducted extensive experiments on two 3D datasets covering 38 distinct organs. Our findings are twofold: 1) MedLAM can directly localize anatomical structures using just a few template scans, achieving performance comparable to fully supervised models; 2) MedLSAM closely matches the performance of SAM and its specialized medical adaptations with manual prompts, while minimizing the need for extensive point annotations across the entire dataset. Moreover, MedLAM has the potential to be seamlessly integrated with future 3D SAM models, paving the way for enhanced segmentation performance. Our code is public at \href{https://github.com/openmedlab/MedLSAM}

cs.CV↗