Daily Papers

How multimodal language models should encode visual input remains up for debate. Most models use a pretrained vision encoder, while some recent recipes train the encoder from scratch with the language model or remove it entirely. Vision encoders bundle together three design choices: a visual prior from upstream pretraining, dedicated vision capacity, and pre-fusion placement of that capacity (i.e., before the multimodal backbone). Because published models also differ in data, architecture, and compute, comparing them cannot isolate the effect of each choice. We disentangle these choices via a controlled framework where we pretrain all models from scratch on common data and compare them on visual question answering and language benchmarks at matched lifetime compute. We find that the visual prior is not necessary; an encoder trained jointly from scratch is on par with a pretrained one, without a separate training stage. What matters instead is dedicated vision capacity: an encoder-free model trails on visual understanding even when its backbone is enlarged by the encoder's parameter count. Yet that capacity need not precede multimodal fusion, as vision-only modules added in-fusion to early backbone layers perform comparably to a pre-fusion encoder and can lower time to first token. These results also hold across backbone sizes, when encoder pretraining is treated as free, and when starting from a pretrained language model. Overall, our findings favor dedicated vision capacity trained jointly with the backbone and placed early within it.

Most vision-language-action (VLA) policies decouple manipulation from cognition by bolting an external action mechanism onto a vision-language model (VLM)--either quantizing actions into discrete tokens whose errors bear no stable correspondence to physical displacements, or delegating continuous trajectory generation to a separate action expert whose gradients compete with or are blocked from updating the VLM backbone. We argue that manipulation and cognition should instead be embodied in the same model, shifting from a decoupled VLA to an Embodied Vision-Language Model (eVLM). We introduce Concertina, an eVLM that places continuous trajectory representation, blockwise generation, and physical-coordinate supervision directly on the computation and parameter path of a shared diffusion VLM backbone. Each control timestep is encoded as one continuous latent action token in the backbone hidden space, and the shared Transformer reconstructs temporally ordered action blocks via the same corrupt-and-reconstruct operator used for multimodal pretraining. Active action projections account for only 0.21% of parameters in the 4.46B model with zero separate action-generator layers, compared with 16.5%-35.1% dedicated action-expert capacity in representative continuous VLAs. Using our proposed Action Interface Audit, we confirm that cross-time trajectory coupling emerges in the middle and late layers of the shared backbone rather than at the action interfaces. On standard benchmarks, Concertina achieves 98.15% average success on regular LIBERO, 85.9% on the 10,030-task LIBERO-Plus benchmark, and 4.142 average completed chain length on CALVIN ABC-D. Code: https://github.com/lose4578/Concertina Hugging Face: https://huggingface.co/collections/Traly/concertina

Clinicians spend a significant amount of time reviewing medical images and transcribing their findings regarding patient diagnosis, referral and treatment in text form. Vision-language models (VLMs), which automatically interpret images and summarize their findings as text, have enormous potential to alleviate clinical workloads and increase patient access to high-quality medical care. While foundational models have stirred considerable interest in the medical community, it is unclear whether their general capabilities translate to real-world clinical utility. In this work, we show that foundation VLMs markedly underperform compared to practicing ophthalmologists on specialist tasks crucial to the care of patients with age-related macular degeneration (AMD). To address this, we initially identified the essential capabilities required for image-based clinical decision-making, and then developed a curriculum to selectively train VLMs in these skills. The resulting model, RetinaVLM, can be instructed to write reports that significantly outperform those written by leading foundation medical VLMs in disease staging (F1 score of 0.63 vs. 0.11) and patient referral (0.67 vs. 0.39), and approaches the diagnostic performance of junior ophthalmologists (who achieve 0.77 and 0.78 on the respective tasks). Furthermore, in a reader study involving two senior ophthalmologists with up to 32 years of experience, RetinaVLM's reports were found to be similarly correct (78.6% vs. 82.1%) and complete (both 78.6%) as reports written by junior ophthalmologists with up to 10 years of experience. These results demonstrate that our curriculum-based approach provides a blueprint for specializing generalist foundation medical VLMs to handle real-world clinical tasks.

Vision-language models offer a promising path toward automating radiology report generation, but applying them to full 3D CT volumes poses substantial computational challenges. Modern foundation vision encoders (VEs) can produce tens of thousands of vision tokens per scan, making the visual sequence passed to the large language model (LLM) a primary computational bottleneck. Vision-to-language projectors can compress this sequence to reduce computation, but may discard clinically relevant detail; conversely, effective compression can accommodate higher-resolution inputs while keeping the downstream token count fixed. How this vision-token budget should be allocated across input field of view, spatial resolution, and vision-to-language projection therefore remains an open design question. We systematically evaluate four heterogeneous VEs (CNN- and ViT-based), five token-reducing projectors at up to 64x compression alongside a non-reducing MLP projector baseline, and five instruction-tuned LLMs (1.7B--4B) on two large-scale CT report datasets (CT-RATE and Merlin). At matched LLM token budgets, anatomy-guided region of interest cropping is the most consistent strategy, improving clinical macro F1 in 19 of 20 settings by +3.7 points on average for the 3D ViT Primus encoder and +1.1 for the slice-based 2D ViT Curia encoder. Increasing input resolution further is strongly projector-dependent: the PerceiverResampler, paired with higher-resolution Curia features, yields the strongest configuration in the resolution study on both datasets. Our best configurations achieve state-of-the-art clinical macro F1 on the test sets, reaching 49.5 on CT-RATE and 49.0 on Merlin. Code and models will be published upon publication.

Optical coherence tomography (OCT) imaging is essential for the diagnosis and treatment of retinal diseases. Although multimodal large language models (MLLMs) have demonstrated considerable potential in medical image analysis, existing benchmarks largely reduce OCT understanding to coarse-grained disease classification or isolated visual question answering, leaving the complete cognitive process from visual perception to clinical reasoning insufficiently evaluated. To address this limitation, we introduce OCT-Bench, a comprehensive benchmark dedicated to OCT image understanding. OCT-Bench comprises 10,076 high-quality multiple-choice questions constructed from 4,137 OCT images across seven public datasets. Following the real-world clinical interpretation workflow, we establish a hierarchical capability taxonomy consisting of 20 fine-grained tasks across three dimensions: Perception, Cognition, and Reasoning. These tasks cover a broad range of capabilities, including imaging attributes, retinal anatomy, lesion characteristics, spatial relationships, disease assessment, therapeutic decision-making, and prognostic management. We systematically evaluate 20 representative MLLMs, including proprietary models, open-source general-purpose models, and medical-domain models. Experimental results demonstrate that current models remain substantially short of reliable OCT understanding. Moreover, neither medical-domain adaptation nor increased model scale consistently improves performance across capability levels. OCT-Bench enables comprehensive and fine-grained evaluation of MLLMs, providing a foundation for identifying capability bottlenecks and advancing clinically grounded OCT understanding.

The prevalence of vision-threatening eye diseases is a significant global burden, with many cases remaining undiagnosed or diagnosed too late for effective treatment. Large vision-language models (LVLMs) have the potential to assist in understanding anatomical information, diagnosing eye diseases, and drafting interpretations and follow-up plans, thereby reducing the burden on clinicians and improving access to eye care. However, limited benchmarks are available to assess LVLMs' performance in ophthalmology-specific applications. In this study, we introduce LMOD, a large-scale multimodal ophthalmology benchmark consisting of 21,993 instances across (1) five ophthalmic imaging modalities: optical coherence tomography, color fundus photographs, scanning laser ophthalmoscopy, lens photographs, and surgical scenes; (2) free-text, demographic, and disease biomarker information; and (3) primary ophthalmology-specific applications such as anatomical information understanding, disease diagnosis, and subgroup analysis. In addition, we benchmarked 13 state-of-the-art LVLM representatives from closed-source, open-source, and medical domains. The results demonstrate a significant performance drop for LVLMs in ophthalmology compared to other domains. Systematic error analysis further identified six major failure modes: misclassification, failure to abstain, inconsistent reasoning, hallucination, assertions without justification, and lack of domain-specific knowledge. In contrast, supervised neural networks specifically trained on these tasks as baselines demonstrated high accuracy. These findings underscore the pressing need for benchmarks in the development and validation of ophthalmology-specific LVLMs.

The need for improved diagnostic methods in ophthalmology is acute, especially in the underdeveloped regions with limited access to specialists and advanced equipment. Therefore, we introduce VisionUnite, a novel vision-language foundation model for ophthalmology enhanced with clinical knowledge. VisionUnite has been pretrained on an extensive dataset comprising 1.24 million image-text pairs, and further refined using our proposed MMFundus dataset, which includes 296,379 high-quality fundus image-text pairs and 889,137 simulated doctor-patient dialogue instances. Our experiments indicate that VisionUnite outperforms existing generative foundation models such as GPT-4V and Gemini Pro. It also demonstrates diagnostic capabilities comparable to junior ophthalmologists. VisionUnite performs well in various clinical scenarios including open-ended multi-disease diagnosis, clinical explanation, and patient interaction, making it a highly versatile tool for initial ophthalmic disease screening. VisionUnite can also serve as an educational aid for junior ophthalmologists, accelerating their acquisition of knowledge regarding both common and underrepresented ophthalmic conditions. VisionUnite represents a significant advancement in ophthalmology, with broad implications for diagnostics, medical education, and understanding of disease mechanisms. The source code is at https://github.com/HUANGLIZI/VisionUnite.

This paper provides a simplification on OpenVision's architecture and loss design for enhancing its training efficiency. Following the prior vision-language pretraining works CapPa and AIMv2, as well as modern multimodal designs like LLaVA, our changes are straightforward: we remove the text encoder (and therefore the contrastive loss), retaining only the captioning loss as a purely generative training signal. We name this new version OpenVision 2. The initial results are promising: despite this simplification, OpenVision 2 competitively matches the original model's performance on a broad set of multimodal benchmarks while substantially cutting both training time and memory consumption. For example, with ViT-L/14, it reduces training time by about 1.5x (from 83h to 57h), and memory usage by about 1.8x (from 24.5GB to 13.8GB, equivalently allowing the maximum batch size to grow from 2k to 8k). This superior training efficiency also allows us to scale far beyond the largest vision encoder used in OpenVision, reaching more than 1 billion parameters. We hold a strong belief that this lightweight, generative-only paradigm is compelling for future vision encoder development in multimodal foundation models.

This paper asks whether current self-supervised learning methods, if sufficiently scaled up, would be able to reach human-level visual object recognition capabilities with the same type and amount of visual experience humans learn from. Previous work on this question only considered the scaling of data size. Here, we consider the simultaneous scaling of data size, model size, and image resolution. We perform a scaling experiment with vision transformers up to 633M parameters in size (ViT-H/14) trained with up to 5K hours of human-like video data (long, continuous, mostly egocentric videos) with image resolutions of up to 476x476 pixels. The efficiency of masked autoencoders (MAEs) as a self-supervised learning algorithm makes it possible to run this scaling experiment on an unassuming academic budget. We find that it is feasible to reach human-level object recognition capacity at sub-human scales of model size, data size, and image size, if these factors are scaled up simultaneously. To give a concrete example, we estimate that a 2.5B parameter ViT model trained with 20K hours (2.3 years) of human-like video data with a spatial resolution of 952x952 pixels should be able to reach roughly human-level accuracy on ImageNet. Human-level competence is thus achievable for a fundamental perceptual capability from human-like perceptual experience (human-like in both amount and type) with extremely generic learning algorithms and architectures and without any substantive inductive biases.

Multimodal Large Language Models (MLLMs) have shown significant potential in medical image analysis. However, their capabilities in interpreting fundus images, a critical skill for ophthalmology, remain under-evaluated. Existing benchmarks lack fine-grained task divisions and fail to provide modular analysis of its two key modules, i.e., large language model (LLM) and vision encoder (VE). This paper introduces FunBench, a novel visual question answering (VQA) benchmark designed to comprehensively evaluate MLLMs' fundus reading skills. FunBench features a hierarchical task organization across four levels (modality perception, anatomy perception, lesion analysis, and disease diagnosis). It also offers three targeted evaluation modes: linear-probe based VE evaluation, knowledge-prompted LLM evaluation, and holistic evaluation. Experiments on nine open-source MLLMs plus GPT-4o reveal significant deficiencies in fundus reading skills, particularly in basic tasks such as laterality recognition. The results highlight the limitations of current MLLMs and emphasize the need for domain-specific training and improved LLMs and VEs.

Progress in AI-based retinal image analysis has advanced with foundation models, yet evaluating their reliability remains challenging. Performance reported on a single dataset does not capture how models behave under dataset shift, across clinical definitions, or for different patient subgroups. This limitation is particularly critical in medical imaging analysis, where robustness, calibration, and fairness are essential for safe deployment. We introduce FOCUS (Foundation Ophthalmic Cross-Dataset Understanding under Shift), a cross-dataset benchmark for evaluating retinal fundus models that considers vision-only encoder models (VM), vision-language dual-encoder models (VLM), and multimodal large language models (MLLM). FOCUS harmonizes binary diabetic retinopathy, referable diabetic retinopathy, and glaucomatous optic neuropathy tasks across ten public datasets spanning diverse geographies, acquisition conditions, and label protocols. The benchmark evaluates models through a unified analysis layer that measures ranking performance, calibration, subgroup disparities, and image-quality robustness. We present a large-scale evaluation covering 532 base configurations and 228 MLLM configurations adapted through supervised fine-tuning with low-rank adaptation (LoRA). Results show that no model family consistently dominates across tasks and datasets: general VM encoders achieve the strongest average ranking performance, medical MLLMs are competitive but variable, and dual encoder VLMs benefit substantially from lightweight adaptation. Fine-tuning improves in-domain performance but exhibits heterogeneous transfer to external datasets, particularly in calibration. These findings demonstrate that retinal model evaluation is inherently multidimensional. FOCUS provides a practical framework and public benchmark to assess generalization, reliability, and robustness beyond single-dataset leaderboards

Vision-language models (VLMs) have shown increasing potential for medical image understanding, yet their capabilities in ophthalmic imaging remain insufficiently characterized. Existing ophthalmic datasets are typically designed for individual diseases or specialized tasks, making it difficult to systematically evaluate whether VLMs can move beyond disease recognition toward comparative reasoning and fine-grained spatial grounding. We introduce EyeVQA, a unified visual question answering benchmark for comprehensive evaluation of ophthalmic VLMs. EyeVQA is constructed from 21 available ophthalmic datasets and contains 20,000 question-answer pairs spanning six disease groups and seven question types: Single-Choice, Multi-Select, Variable-Select, True-False, Ranking, Point Location, and Bounding Box. Gold answers are deterministically derived from source-provided diagnoses, severity grades, clinical findings, segmentation masks, bounding boxes, and anatomical landmarks, enabling reproducible evaluation without relying on model-generated annotations. Notably, 44.5% of the questions require reasoning across multiple images, extending evaluation beyond conventional single-image medical VQA. We benchmark fourteen representative general-purpose, scientific, and medically specialized VLMs under a unified zero-shot protocol. The best-performing model only achieves an overall score of 62.8, while substantial gaps remain in spatial grounding and cross-task generalization. These results highlight the limitations of current VLMs in comprehensive ophthalmic visual understanding and establish EyeVQA as a diagnostic benchmark for developing more reliable and spatially grounded ophthalmic multimodal models. The project page is available at https://github.com/PKUTHM/EyeVQA.

Blindness and low vision limit many people's ability to complete daily tasks, motivating AI assistants that provide useful guidance. Yet, existing benchmarks do not adequately test whether vision models can provide effective everyday assistance. In particular, i) existing benchmarks primarily rely on visual and textual inputs, with limited support for other modalities that are increasingly available in egocentric wearable devices such as gaze, inertial measurements, spatial trajectories, and others; and ii) existing evaluations emphasize scene understanding and question answering, with limited coverage of goal-conditioned guidance for blind and low-vision users across everyday tasks. To bridge this gap, we introduce VISTA (Visually Impaired Scene and Task Annotations), a multimodal egocentric benchmark for goal-oriented assistance for blind and low-vision users. VISTA contains sim1,000 egocentric recordings captured with Project Aria glasses; each recording provides synchronized sensor streams, six of which serve as model inputs, and three different types of annotation, covering ten task categories (TC), from object localization to hazard detection. We evaluate 14 representative vision-language models zero-shot on VISTA and design a lightweight multimodal model baseline that integrates all six modalities. Experimental results show that, although existing models can often describe egocentric scenes, they remain limited in generating goal-directed assistive guidance. VISTA thus provides a benchmark for evaluating multimodal models that could improve everyday accessibility.

Visual impairment affects the ability of people to live a life like normal people. Such people face challenges in performing activities of daily living, such as reading, writing, traveling and participating in social gatherings. Many traditional approaches are available to help visually impaired people; however, these are limited in obtaining contextually rich environmental information necessary for independent living. In order to overcome this limitation, this paper introduces a novel wearable vision assistance system that has a hat-mounted camera connected to a Raspberry Pi 4 Model B (8GB RAM) with artificial intelligence (AI) technology to deliver real-time feedback to a user through a sound beep mechanism. The key features of this system include a user-friendly procedure for the recognition of new people or objects through a one-click process that allows users to add data on new individuals and objects for later detection, enhancing the accuracy of the recognition over time. The system provides detailed descriptions of objects in the user's environment using a large vision language model (LVLM). In addition, it incorporates a distance sensor that activates a beeping sound using a buzzer as soon as the user is about to collide with an object, helping to ensure safety while navigating their environment. A comprehensive evaluation is carried out to evaluate the proposed AI-based solution against traditional support techniques. Comparative analysis shows that the proposed solution with its innovative combination of hardware and AI (including LVLMs with IoT), is a significant advancement in assistive technology that aims to solve the major issues faced by the community of visually impaired people

Glaucomatous optic neuropathy (GON) is a prevalent ocular disease that can lead to irreversible vision loss if not detected early and treated. The traditional diagnostic approach for GON involves a set of ophthalmic examinations, which are time-consuming and require a visit to an ophthalmologist. Recent deep learning models for automating GON detection from digital fundus images (DFI) have shown promise but often suffer from limited generalizability across different ethnicities, disease groups and examination settings. To address these limitations, we introduce GONet, a robust deep learning model developed using seven independent datasets, including over 119,000 DFIs with gold-standard annotations and from patients of diverse geographic backgrounds. GONet consists of a DINOv2 pre-trained self-supervised vision transformers fine-tuned using a multisource domain strategy. GONet demonstrated high out-of-distribution generalizability, with an AUC of 0.85-0.99 in target domains. GONet performance was similar or superior to state-of-the-art works and was significantly superior to the cup-to-disc ratio, by up to 21.6%. GONet is available at [URL provided on publication]. We also contribute a new dataset consisting of 768 DFI with GON labels as open access.

Fine-grained visual understanding depends on local detail, yet visual encoders face a trade-off between costly full-image high-resolution processing and compact global encoding that can weaken such evidence. Inspired by human active vision, we separate where to look from what to encode. We focus on the latter and introduce FAVE (Foveated Adaptive Visual Encoding), a lightweight variable-resolution ViT that encodes externally selected regions at high acuity while preserving native geometry. We first isolate this encoding problem using oracle ground-truth crops in a controlled small-object regime. On ImageNet objects with a native maximum side of 96 pixels, FAVE improves Top-1 by 9.4 points over a fixed-resolution ViT on the same crop window with 12.7 times lower FLOPs. Increasing global resolution or backbone capacity does not recover the same operating point. We then integrate FAVE as a complementary local branch in FastVLM. Its local tokens are combined with FastVLM's global visual tokens, while the original global pathway and language model remain frozen. With at most 16 additional local tokens, FAVE improves TextVQA by 1.60 points and achieves a 3.3 times controlled TTFT speedup over SmolVLM2-2.2B. On GQA attribute questions, it improves FastVLM-1.5B by 1.31 points, extending the benefit beyond text while narrowing the gap to FastVLM-7B. Together, these results show that selectively allocating high-acuity local capacity provides an efficient complement to broader global representations and model scaling for fine-grained understanding of small objects, text, and attributes.

Visually impaired individuals (VIIs) encounter significant daily challenges due to limited access to visual information. Although Multimodal Large Language Models (MLLMs) have achieved impressive results on general vision and language tasks, their practical utility in real-world blind assistance still remains largely underexplored. To fill this gap, we introduce VIABench, a comprehensive video benchmark specifically designed to evaluate MLLMs in Visually Impaired Assistance scenarios using first-person videos recorded or shared by VIIs themselves. VIABench defines three core tasks, each targeting a distinct requirement in visual assistance. Proactive Reminder: Assesses the model's ability to interpret ongoing video content while proactively anticipating and verbally describing upcoming navigation-critical events; Visual Question Answering (VQA): Evaluates the model's capacity to answer user-posed questions about the environment or objects within the video; Vision-Guided Interaction: Tests context-aware reasoning to accomplish intentional interactions between user and environment. To ensure a robust and fair evaluation, we propose a rigorous benchmarking pipeline that supports both online (real-time) and offline settings. Our experiments demonstrate that current MLLMs still struggle to deliver comprehensive support for VIIs, especially in the Proactive Reminder task, which demands accurate anticipation and real-time responsiveness. We hope VIABench will drive future research toward developing customized MLLMs for real-world assistance, ultimately improving navigation and interaction experiences for visually impaired individuals. Code and data will be released at https://github.com/MCG-NJU/VIABench.

Medical foundation models, pre-trained with large-scale clinical data, demonstrate strong performance in diverse clinically relevant applications. RETFound, trained on nearly one million retinal images, exemplifies this approach in applications with retinal images. However, the emergence of increasingly powerful and multifold larger generalist foundation models such as DINOv2 and DINOv3 raises the question of whether domain-specific pre-training remains essential, and if so, what gap persists. To investigate this, we systematically evaluated the adaptability of DINOv2 and DINOv3 in retinal image applications, compared to two specialist RETFound models, RETFound-MAE and RETFound-DINOv2. We assessed performance on ocular disease detection and systemic disease prediction using two adaptation strategies: fine-tuning and linear probing. Data efficiency and adaptation efficiency were further analysed to characterise trade-offs between predictive performance and computational cost. Our results show that although scaling generalist models yields strong adaptability across diverse tasks, RETFound-DINOv2 consistently outperforms these generalist foundation models in ocular-disease detection and oculomics tasks, demonstrating stronger generalisability and data efficiency. These findings suggest that specialist retinal foundation models remain the most effective choice for clinical applications, while the narrowing gap with generalist foundation models suggests that continued data and model scaling can deliver domain-relevant gains and position them as strong foundations for future medical foundation models.

From a falcon detecting prey to humans recognizing faces, many species exhibit extraordinary abilities in rapid visual localization and classification. These are made possible by a specialized retinal region called the fovea, which provides high acuity at the center of vision while maintaining lower resolution in the periphery. This distinctive spatial organization, preserved along the early visual pathway through retinotopic mapping, is fundamental to biological vision, yet remains largely unexplored in machine learning. Our study investigates how incorporating foveated retinotopy may benefit deep convolutional neural networks (CNNs) in image classification tasks. By implementing a foveated retinotopic transformation in the input layer of standard ResNet models and re-training them, we maintain comparable classification accuracy while enhancing the network's robustness to scale and rotational perturbations. Although this architectural modification introduces increased sensitivity to fixation point shifts, we demonstrate how this apparent limitation becomes advantageous: variations in classification probabilities across different gaze positions serve as effective indicators for object localization. Our findings suggest that foveated retinotopic mapping encodes implicit knowledge about visual object geometry, offering an efficient solution to the visual search problem - a capability crucial for many living species.

OpenAI's CLIP, released in early 2021, have long been the go-to choice of vision encoder for building multimodal foundation models. Although recent alternatives such as SigLIP have begun to challenge this status quo, to our knowledge none are fully open: their training data remains proprietary and/or their training recipes are not released. This paper fills this gap with OpenVision, a fully-open, cost-effective family of vision encoders that match or surpass the performance of OpenAI's CLIP when integrated into multimodal frameworks like LLaVA. OpenVision builds on existing works -- e.g., CLIPS for training framework and Recap-DataComp-1B for training data -- while revealing multiple key insights in enhancing encoder quality and showcasing practical benefits in advancing multimodal models. By releasing vision encoders spanning from 5.9M to 632.1M parameters, OpenVision offers practitioners a flexible trade-off between capacity and efficiency in building multimodal models: larger models deliver enhanced multimodal performance, while smaller versions enable lightweight, edge-ready multimodal deployments.

Deep learning-based vision is characterized by intricate frameworks that often necessitate a profound understanding, presenting a barrier to newcomers and limiting broad adoption. With many researchers grappling with the constraints of smaller datasets, there's a pronounced reliance on pre-trained neural networks, especially for tasks such as image classification. This reliance is further intensified in niche imaging areas where obtaining vast datasets is challenging. Despite the widespread use of transfer learning as a remedy to the small dataset dilemma, a conspicuous absence of tailored auto-ML solutions persists. Addressing these challenges is "Deep Fast Vision", a python library that streamlines the deep learning process. This tool offers a user-friendly experience, enabling results through a simple nested dictionary definition, helping to democratize deep learning for non-experts. Designed for simplicity and scalability, Deep Fast Vision appears as a bridge, connecting the complexities of existing deep learning frameworks with the needs of a diverse user base.

Scaling up the size of vision models has been the de facto standard to obtain more powerful visual representations. In this work, we discuss the point beyond which larger vision models are not necessary. First, we demonstrate the power of Scaling on Scales (S^2), whereby a pre-trained and frozen smaller vision model (e.g., ViT-B or ViT-L), run over multiple image scales, can outperform larger models (e.g., ViT-H or ViT-G) on classification, segmentation, depth estimation, Multimodal LLM (MLLM) benchmarks, and robotic manipulation. Notably, S^2 achieves state-of-the-art performance in detailed understanding of MLLM on the V* benchmark, surpassing models such as GPT-4V. We examine the conditions under which S^2 is a preferred scaling approach compared to scaling on model size. While larger models have the advantage of better generalization on hard examples, we show that features of larger vision models can be well approximated by those of multi-scale smaller models. This suggests most, if not all, of the representations learned by current large pre-trained models can also be obtained from multi-scale smaller models. Our results show that a multi-scale smaller model has comparable learning capacity to a larger model, and pre-training smaller models with S^2 can match or even exceed the advantage of larger models. We release a Python package that can apply S^2 on any vision model with one line of code: https://github.com/bfshi/scaling_on_scales.

Vision-language models (VLMs) adapted to the medical domain have shown strong performance on visual question answering benchmarks, yet their robustness against two critical failure modes, hallucination and sycophancy, remains poorly understood, particularly in combination. We evaluate six VLMs (three general-purpose, three medical-specialist) on three medical VQA datasets and uncover a grounding-sycophancy tradeoff: models with the lowest hallucination propensity are the most sycophantic, while the most pressure-resistant model hallucinates more than all medical-specialist models. To characterize this tradeoff, we propose three metrics: L-VASE, a logit-space reformulation of VASE that avoids its double-normalization; CCS, a confidence-calibrated sycophancy score that penalizes high-confidence capitulation; and Clinical Safety Index (CSI), a unified safety index that combines grounding, autonomy, and calibration via a geometric mean. Across 1,151 test cases, no model achieves a CSI above 0.35, indicating that none of the evaluated 7-8B parameter VLMs is simultaneously well-grounded and robust to social pressure. Our findings suggest that joint evaluation of both properties is necessary before these models can be considered for clinical use. Code is available at https://github.com/UTSA-VIRLab/AgreeOrRight

The rapid advancement of Large Vision-Language Models (VLMs), both general-domain models and those specifically tailored for remote sensing, has demonstrated exceptional perception and reasoning capabilities in Earth observation tasks. However, a benchmark for systematically evaluating their capabilities in this domain is still lacking. To bridge this gap, we propose CHOICE, an extensive benchmark designed to objectively evaluate the hierarchical remote sensing capabilities of VLMs. Focusing on 2 primary capability dimensions essential to remote sensing: perception and reasoning, we further categorize 6 secondary dimensions and 23 leaf tasks to ensure a well-rounded assessment coverage. CHOICE guarantees the quality of all 10,507 problems through a rigorous process of data collection from 50 globally distributed cities, question construction and quality control. The newly curated data and the format of multiple-choice questions with definitive answers allow for an objective and straightforward performance assessment. Our evaluation of 3 proprietary and 21 open-source VLMs highlights their critical limitations within this specialized context. We hope that CHOICE will serve as a valuable resource and offer deeper insights into the challenges and potential of VLMs in the field of remote sensing. We will release CHOICE at https://github.com/ShawnAn-WHU/CHOICE.

With the advent of smartphone indirect ophthalmoscopy, teleophthalmology - the use of specialist ophthalmology assets at a distance from the patient - has experienced a breakthrough, promising enormous benefits especially for healthcare in distant, inaccessible or opthalmologically underserved areas, where specialists are either unavailable or too few in number. However, accurate teleophthalmology requires high-quality ophthalmoscopic imagery. This paper considers three feature families - statistical metrics, gradient-based metrics and wavelet transform coefficient derived indicators - as possible metrics to identify unsharp or blurry images. By using standard machine learning techniques, the suitability of these features for image quality assessment is confirmed, albeit on a rather small data set. With the increased availability and decreasing cost of digital ophthalmoscopy on one hand and the increased prevalence of diabetic retinopathy worldwide on the other, creating tools that can determine whether an image is likely to be diagnostically suitable can play a significant role in accelerating and streamlining the teleophthalmology process. This paper highlights the need for more research in this area, including the compilation of a diverse database of ophthalmoscopic imagery, annotated with quality markers, to train the Point of Acquisition error detection algorithms of the future.

Self-supervised learning (SSL) has enabled Vision Transformers (ViTs) to learn robust representations from large-scale natural image datasets, enhancing their generalization across domains. In retinal imaging, foundation models pretrained on either natural or ophthalmic data have shown promise, but the benefits of in-domain pretraining remain uncertain. To investigate this, we benchmark six SSL-pretrained ViTs on seven digital fundus image (DFI) datasets totaling 70,000 expert-annotated images for the task of moderate-to-late age-related macular degeneration (AMD) identification. Our results show that iBOT pretrained on natural images achieves the highest out-of-distribution generalization, with AUROCs of 0.80-0.97, outperforming domain-specific models, which achieved AUROCs of 0.78-0.96 and a baseline ViT-L with no pretraining, which achieved AUROCs of 0.68-0.91. These findings highlight the value of foundation models in improving AMD identification and challenge the assumption that in-domain pretraining is necessary. Furthermore, we release BRAMD, an open-access dataset (n=587) of DFIs with AMD labels from Brazil.

Artificial intelligence (AI) is vital in ophthalmology, tackling tasks like diagnosis, classification, and visual question answering (VQA). However, existing AI models in this domain often require extensive annotation and are task-specific, limiting their clinical utility. While recent developments have brought about foundation models for ophthalmology, they are limited by the need to train separate weights for each imaging modality, preventing a comprehensive representation of multi-modal features. This highlights the need for versatile foundation models capable of handling various tasks and modalities in ophthalmology. To address this gap, we present EyeFound, a multimodal foundation model for ophthalmic images. Unlike existing models, EyeFound learns generalizable representations from unlabeled multimodal retinal images, enabling efficient model adaptation across multiple applications. Trained on 2.78 million images from 227 hospitals across 11 ophthalmic modalities, EyeFound facilitates generalist representations and diverse multimodal downstream tasks, even for detecting challenging rare diseases. It outperforms previous work RETFound in diagnosing eye diseases, predicting systemic disease incidents, and zero-shot multimodal VQA. EyeFound provides a generalizable solution to improve model performance and lessen the annotation burden on experts, facilitating widespread clinical AI applications for retinal imaging.

The Large Vision-Language Model (LVLM) field has seen significant advancements, yet its progression has been hindered by challenges in comprehending fine-grained visual content due to limited resolution. Recent efforts have aimed to enhance the high-resolution understanding capabilities of LVLMs, yet they remain capped at approximately 1500 x 1500 pixels and constrained to a relatively narrow resolution range. This paper represents InternLM-XComposer2-4KHD, a groundbreaking exploration into elevating LVLM resolution capabilities up to 4K HD (3840 x 1600) and beyond. Concurrently, considering the ultra-high resolution may not be necessary in all scenarios, it supports a wide range of diverse resolutions from 336 pixels to 4K standard, significantly broadening its scope of applicability. Specifically, this research advances the patch division paradigm by introducing a novel extension: dynamic resolution with automatic patch configuration. It maintains the training image aspect ratios while automatically varying patch counts and configuring layouts based on a pre-trained Vision Transformer (ViT) (336 x 336), leading to dynamic training resolution from 336 pixels to 4K standard. Our research demonstrates that scaling training resolution up to 4K HD leads to consistent performance enhancements without hitting the ceiling of potential improvements. InternLM-XComposer2-4KHD shows superb capability that matches or even surpasses GPT-4V and Gemini Pro in 10 of the 16 benchmarks. The InternLM-XComposer2-4KHD model series with 7B parameters are publicly available at https://github.com/InternLM/InternLM-XComposer.

While models derived from Vision Transformers (ViTs) have been phonemically surging, pre-trained models cannot seamlessly adapt to arbitrary resolution images without altering the architecture and configuration, such as sampling the positional encoding, limiting their flexibility for various vision tasks. For instance, the Segment Anything Model (SAM) based on ViT-Huge requires all input images to be resized to 1024times1024. To overcome this limitation, we propose the Multi-Head Self-Attention Convolution (MSA-Conv) that incorporates Self-Attention within generalized convolutions, including standard, dilated, and depthwise ones. Enabling transformers to handle images of varying sizes without retraining or rescaling, the use of MSA-Conv further reduces computational costs compared to global attention in ViT, which grows costly as image size increases. Later, we present the Vision Transformer in Convolution (TiC) as a proof of concept for image classification with MSA-Conv, where two capacity enhancing strategies, namely Multi-Directional Cyclic Shifted Mechanism and Inter-Pooling Mechanism, have been proposed, through establishing long-distance connections between tokens and enlarging the effective receptive field. Extensive experiments have been carried out to validate the overall effectiveness of TiC. Additionally, ablation studies confirm the performance improvement made by MSA-Conv and the two capacity enhancing strategies separately. Note that our proposal aims at studying an alternative to the global attention used in ViT, while MSA-Conv meets our goal by making TiC comparable to state-of-the-art on ImageNet-1K. Code will be released at https://github.com/zs670980918/MSA-Conv.

Scaling the input image resolution is essential for enhancing the performance of Vision Language Models (VLMs), particularly in text-rich image understanding tasks. However, popular visual encoders such as ViTs become inefficient at high resolutions due to the large number of tokens and high encoding latency caused by stacked self-attention layers. At different operational resolutions, the vision encoder of a VLM can be optimized along two axes: reducing encoding latency and minimizing the number of visual tokens passed to the LLM, thereby lowering overall latency. Based on a comprehensive efficiency analysis of the interplay between image resolution, vision latency, token count, and LLM size, we introduce FastVLM, a model that achieves an optimized trade-off between latency, model size and accuracy. FastVLM incorporates FastViTHD, a novel hybrid vision encoder designed to output fewer tokens and significantly reduce encoding time for high-resolution images. Unlike previous methods, FastVLM achieves the optimal balance between visual token count and image resolution solely by scaling the input image, eliminating the need for additional token pruning and simplifying the model design. In the LLaVA-1.5 setup, FastVLM achieves 3.2times improvement in time-to-first-token (TTFT) while maintaining similar performance on VLM benchmarks compared to prior works. Compared to LLaVa-OneVision at the highest resolution (1152times1152), FastVLM achieves comparable performance on key benchmarks like SeedBench and MMMU, using the same 0.5B LLM, but with 85times faster TTFT and a vision encoder that is 3.4times smaller.

We apply pre-trained architectures, originally developed for the ImageNet Large Scale Visual Recognition Challenge, for periocular recognition. These architectures have demonstrated significant success in various computer vision tasks beyond the ones for which they were designed. This work builds on our previous study using off-the-shelf Convolutional Neural Network (CNN) and extends it to include the more recently proposed Vision Transformers (ViT). Despite being trained for generic object classification, middle-layer features from CNNs and ViTs are a suitable way to recognize individuals based on periocular images. We also demonstrate that CNNs and ViTs are highly complementary since their combination results in boosted accuracy. In addition, we show that a small portion of these pre-trained models can achieve good accuracy, resulting in thinner models with fewer parameters, suitable for resource-limited environments such as mobiles. This efficiency improves if traditional handcrafted features are added as well.

Large Vision-Language Models (LVLMs) specialized in healthcare are emerging as a promising research direction due to their potential impact in clinical and biomedical applications. However, progress is constrained by the scarcity of high-quality medical multimodal data, concerns about robustness in safety-critical settings, and the narrow and potentially contaminated evaluation benchmarks that limit reliable assessment. To address these issues, the field requires state-of-the-art solutions to be fully open and reproducible systems in which all components can be inspected, evaluated, and improved. This work introduces Aloe-Vision-Data, a large-scale, quality-filtered mixture which integrates both medical and general domains across multimodal and text-only sources, designed for direct use in model fine-tuning. Building on this dataset, we train the Aloe-Vision family of medical LVLMs, openly released with full weights, training recipes and data, in two scales (7B and 72B). Through comprehensive benchmarking, we demonstrate that high quality training mixtures produce balanced LVLMs which yield significant gains over the baseline models without compromising general capabilities, achieving competitive performance with respect to state-of-the-art alternatives. To support reliable evaluation, we introduce CareQA-Vision, a carefully curated vision benchmark derived from MIR and EIR exams, the residency entrance exams for medical and nursing specialists in Spain, offering novel vision questions with low likelihood of contamination. Finally, we show that current LVLMs remain vulnerable to adversarial and misleading inputs, underscoring reliability challenges in clinical contexts.

Large-scale Vision Language Models (LVLMs) are increasingly being applied to a wide range of real-world multimodal applications, involving complex visual and linguistic reasoning. As these models become more integrated into practical use, they are expected to handle complex aspects of human interaction. Among these, color perception is a fundamental yet highly variable aspect of visual understanding. It differs across individuals due to biological factors such as Color Vision Deficiencies (CVDs), as well as differences in culture and language. Despite its importance, perceptual diversity has received limited attention. In our study, we evaluate LVLMs' ability to account for individual level perceptual variation using the Ishihara Test, a widely used method for detecting CVDs. Our results show that LVLMs can explain CVDs in natural language, but they cannot simulate how people with CVDs perceive color in image based tasks. These findings highlight the need for multimodal systems that can account for color perceptual diversity and support broader discussions on perceptual inclusiveness and fairness in multimodal AI.

Visually linking matching cues is a crucial ability in daily life, such as identifying the same person in multiple photos based on their cues, even without knowing who they are. Despite the extensive knowledge that vision-language models (VLMs) possess, it remains largely unexplored whether they are capable of performing this fundamental task. To address this, we introduce VLM^2-Bench, a benchmark designed to assess whether VLMs can Visually Link Matching cues, with 9 subtasks and over 3,000 test cases. Comprehensive evaluation across eight open-source VLMs and GPT-4o, along with further analysis of various language-side and vision-side prompting methods, leads to a total of eight key findings. We identify critical challenges in models' ability to link visual cues, highlighting a significant performance gap where even GPT-4o lags 34.80% behind humans. Based on these insights, we advocate for (i) enhancing core visual capabilities to improve adaptability and reduce reliance on prior knowledge, (ii) establishing clearer principles for integrating language-based reasoning in vision-centric tasks to prevent unnecessary biases, and (iii) shifting vision-text training paradigms toward fostering models' ability to independently structure and infer relationships among visual cues.

A generalist vision encoder must capture semantic, spatial, language-aligned, and action-relevant cues within a unified representation, yet softmax attention underlying today's most capable visual backbones becomes prohibitively expensive at high resolution. A natural attempt to address both challenges is to distill multiple specialist teachers directly into an efficient architecture. We find that directly coupling these objectives degrades representation quality, as the student must simultaneously reconcile heterogeneous capabilities and adapt them to a different token-mixing architecture. We introduce IronViT, built on a simple principle: consolidate capabilities before constraining computation. IronViT first distills complementary specialists into a softmax attention capability bridge, then progressively transfers the consolidated representation to a hybrid softmax-linear attention encoder. A purpose-built data pipeline further curates the distillation corpus for higher information density and broader domain coverage. Across recognition, retrieval, dense prediction, multimodal understanding, and robotic learning, IronViT is competitive with leading specialist and generalist vision encoders. The softmax bridge achieves the strongest aggregate performance in multimodal understanding and robotic learning among the evaluated backbones, while the hybrid encoder retains broad transfer performance with an efficiency advantage that grows with input resolution. Together, these results show that consolidating capabilities before architectural conversion can yield a generalist visual encoder without inheriting the prohibitive high-resolution cost of conventional softmax attention.

his paper tackles a significant challenge faced by Vision Transformers (ViTs): their constrained scalability across different image resolutions. Typically, ViTs experience a performance decline when processing resolutions different from those seen during training. Our work introduces two key innovations to address this issue. Firstly, we propose a novel module for dynamic resolution adjustment, designed with a single Transformer block, specifically to achieve highly efficient incremental token integration. Secondly, we introduce fuzzy positional encoding in the Vision Transformer to provide consistent positional awareness across multiple resolutions, thereby preventing overfitting to any single training resolution. Our resulting model, ViTAR (Vision Transformer with Any Resolution), demonstrates impressive adaptability, achieving 83.3\% top-1 accuracy at a 1120x1120 resolution and 80.4\% accuracy at a 4032x4032 resolution, all while reducing computational costs. ViTAR also shows strong performance in downstream tasks such as instance and semantic segmentation and can easily combined with self-supervised learning techniques like Masked AutoEncoder. Our work provides a cost-effective solution for enhancing the resolution scalability of ViTs, paving the way for more versatile and efficient high-resolution image processing.

Vision disorders significantly impact millions of lives, altering how visual information is processed and perceived. In this work, a computational framework was developed using the BrokenEyes system to simulate five common eye disorders: Age-related macular degeneration, cataract, glaucoma, refractive errors, and diabetic retinopathy and analyze their effects on neural-like feature representations in deep learning models. Leveraging a combination of human and non-human datasets, models trained under normal and disorder-specific conditions revealed critical disruptions in feature maps, particularly for cataract and glaucoma, which align with known neural processing challenges in these conditions. Evaluation metrics such as activation energy and cosine similarity quantified the severity of these distortions, providing insights into the interplay between degraded visual inputs and learned representations.

Current fundus image analysis models are predominantly built for specific tasks relying on individual datasets. The learning process is usually based on data-driven paradigm without prior knowledge, resulting in poor transferability and generalizability. To address this issue, we propose MM-Retinal, a multi-modal dataset that encompasses high-quality image-text pairs collected from professional fundus diagram books. Moreover, enabled by MM-Retinal, we present a novel Knowledge-enhanced foundational pretraining model which incorporates Fundus Image-Text expertise, called KeepFIT. It is designed with image similarity-guided text revision and mixed training strategy to infuse expert knowledge. Our proposed fundus foundation model achieves state-of-the-art performance across six unseen downstream tasks and holds excellent generalization ability in zero-shot and few-shot scenarios. MM-Retinal and KeepFIT are available at https://github.com/lxirich/MM-Retinal.

Diabetic retinopathy (DR) is a leading cause of vision loss in working-age adults. While screening reduces the risk of blindness, traditional imaging is often costly and inaccessible. Artificial intelligence (AI) algorithms present a scalable diagnostic solution, but concerns regarding fairness and generalization persist. This work evaluates the fairness and performance of image-trained models in DR prediction, as well as the impact of disentanglement as a bias mitigation technique, using the diverse mBRSET fundus dataset. Three models, ConvNeXt V2, DINOv2, and Swin V2, were trained on macula images to predict DR and sensitive attributes (SAs) (e.g., age and gender/sex). Fairness was assessed between subgroups of SAs, and disentanglement was applied to reduce bias. All models achieved high DR prediction performance in diagnosing (up to 94% AUROC) and could reasonably predict age and gender/sex (91% and 77% AUROC, respectively). Fairness assessment suggests disparities, such as a 10% AUROC gap between age groups in DINOv2. Disentangling SAs from DR prediction had varying results, depending on the model selected. Disentanglement improved DINOv2 performance (2% AUROC gain), but led to performance drops in ConvNeXt V2 and Swin V2 (7% and 3%, respectively). These findings highlight the complexity of disentangling fine-grained features in fundus imaging and emphasize the importance of fairness in medical imaging AI to ensure equitable and reliable healthcare solutions.

Clinical AI often optimizes predictive performance without engaging how clinicians decide where to look and what to write. We present Co-Annotator, which distills expert gaze and dictation into two guidance components: a gaze-aligned Vision Transformer producing fixation-aligned areas of interest (AOIs), and an ontology-bounded vision-language model (VLM) that pre-fills editable biomarker summaries for retinal optical coherence tomography (OCT). We first collect expert gaze and dictations (US1) to train the models, significantly improving diagnostic accuracy and biomarker generation. We then deploy the system with ophthalmology residents: a controlled resident study (US2) confirmed each modality is safe and independently beneficial, with AOI guidance producing lasting perceptual efficiency gains through post-guidance carryover and VLM guidance more than doubling biomarker documentation breadth. In a combined deployment across two academic institutions (US3), providing both modalities simultaneously produced efficiency gains that substantially exceeded either modality alone: correct diagnoses per minute increased by 40% and comment editing time fell by 67%, without compromising diagnostic accuracy. Notably, neither modality improved efficiency during guidance in US2, which makes the in-guidance efficiency gain under combined guidance in US3 the more striking result. Expert-distilled multimodal guidance can remove two distinct clinical workflow bottlenecks at once (visual search overhead and documentation burden) without compromising the diagnostic accuracy clinicians already achieve.

The advent of large-scale vision foundation models, pre-trained on diverse natural images, has marked a paradigm shift in computer vision. However, how the frontier vision foundation models' efficacies transfer to specialized domains remains such as medical imaging remains an open question. This report investigates whether DINOv3, a state-of-the-art self-supervised vision transformer (ViT) that features strong capability in dense prediction tasks, can directly serve as a powerful, unified encoder for medical vision tasks without domain-specific pre-training. To answer this, we benchmark DINOv3 across common medical vision tasks, including 2D/3D classification and segmentation on a wide range of medical imaging modalities. We systematically analyze its scalability by varying model sizes and input image resolutions. Our findings reveal that DINOv3 shows impressive performance and establishes a formidable new baseline. Remarkably, it can even outperform medical-specific foundation models like BiomedCLIP and CT-Net on several tasks, despite being trained solely on natural images. However, we identify clear limitations: The model's features degrade in scenarios requiring deep domain specialization, such as in Whole-Slide Pathological Images (WSIs), Electron Microscopy (EM), and Positron Emission Tomography (PET). Furthermore, we observe that DINOv3 does not consistently obey scaling law in the medical domain; performance does not reliably increase with larger models or finer feature resolutions, showing diverse scaling behaviors across tasks. Ultimately, our work establishes DINOv3 as a strong baseline, whose powerful visual features can serve as a robust prior for multiple complex medical tasks. This opens promising future directions, such as leveraging its features to enforce multiview consistency in 3D reconstruction.

Deep learning is currently the state-of-the-art for automated detection of referable diabetic retinopathy (DR) from color fundus photographs (CFP). While the general interest is put on improving results through methodological innovations, it is not clear how good these approaches perform compared to standard deep classification models trained with the appropriate settings. In this paper we propose to model a strong baseline for this task based on a simple and standard ResNet-18 architecture. To this end, we built on top of prior art by training the model with a standard preprocessing strategy but using images from several public sources and an empirically calibrated data augmentation setting. To evaluate its performance, we covered multiple clinically relevant perspectives, including image and patient level DR screening, discriminating responses by input quality and DR grade, assessing model uncertainties and analyzing its results in a qualitative manner. With no other methodological innovation than a carefully designed training, our ResNet model achieved an AUC = 0.955 (0.953 - 0.956) on a combined test set of 61007 test images from different public datasets, which is in line or even better than what other more complex deep learning models reported in the literature. Similar AUC values were obtained in 480 images from two separate in-house databases specially prepared for this study, which emphasize its generalization ability. This confirms that standard networks can still be strong baselines for this task if properly trained.

Age-related macular degeneration (AMD) and choroidal neovascularization (CNV)-related conditions are leading causes of vision loss worldwide, with optical coherence tomography (OCT) serving as a cornerstone for early detection and management. However, deploying state-of-the-art deep learning models like ConvNeXtV2-Large in clinical settings is hindered by their computational demands. Therefore, it is desirable to develop efficient models that maintain high diagnostic performance while enabling real-time deployment. In this study, a novel knowledge distillation framework, termed KD-OCT, is proposed to compress a high-performance ConvNeXtV2-Large teacher model, enhanced with advanced augmentations, stochastic weight averaging, and focal loss, into a lightweight EfficientNet-B2 student for classifying normal, drusen, and CNV cases. KD-OCT employs real-time distillation with a combined loss balancing soft teacher knowledge transfer and hard ground-truth supervision. The effectiveness of the proposed method is evaluated on the Noor Eye Hospital (NEH) dataset using patient-level cross-validation. Experimental results demonstrate that KD-OCT outperforms comparable multi-scale or feature-fusion OCT classifiers in efficiency- accuracy balance, achieving near-teacher performance with substantial reductions in model size and inference time. Despite the compression, the student model exceeds most existing frameworks, facilitating edge deployment for AMD screening. Code is available at https://github.com/erfan-nourbakhsh/KD- OCT.

Foundational Vision Transformers (ViTs) have limited effectiveness in tasks requiring fine-grained spatial understanding, due to their fixed pre-training resolution and inherently coarse patch-level representations. These challenges are especially pronounced in dense prediction scenarios, such as open-vocabulary segmentation with ViT-based vision-language models, where high-resolution inputs are essential for accurate pixel-level reasoning. Existing approaches typically process large-resolution images using a sliding-window strategy at the pre-training resolution. While this improves accuracy through finer strides, it comes at a significant computational cost. We introduce SPAR: Single-Pass Any-Resolution ViT, a resolution-agnostic dense feature extractor designed for efficient high-resolution inference. We distill the spatial reasoning capabilities of a finely-strided, sliding-window teacher into a single-pass student using a feature regression loss, without requiring architectural changes or pixel-level supervision. Applied to open-vocabulary segmentation, SPAR improves single-pass baselines by up to 10.5 mIoU and even surpasses the teacher, demonstrating effectiveness in efficient, high-resolution reasoning. Code: https://github.com/naomikombol/SPAR

Mobility remains a significant challenge for the 2.2 billion people worldwide affected by blindness and low vision (BLV), with 7% of visually impaired individuals experiencing falls at least once a month. While recent advances in Multimodal Large Language Models (MLLMs) offer promising opportunities for BLV assistance, their development has been hindered by limited datasets. This limitation stems from the fact that BLV-aware annotation requires specialized domain knowledge and intensive labor. To address this gap, we introduce GuideDog, a novel accessibility-aware guide dataset containing 22K image-description pairs (including 2K human-annotated pairs) that capture diverse real-world scenes from a pedestrian's viewpoint. Our approach shifts the annotation burden from generation to verification through a collaborative human-AI framework grounded in established accessibility standards, significantly improving efficiency while maintaining high-quality annotations. We also develop GuideDogQA, a subset of 818 samples featuring multiple-choice questions designed to evaluate fine-grained visual perception capabilities, specifically object recognition and relative depth perception. Our experimental results highlight the importance of accurate spatial understanding for effective BLV guidance. GuideDog and GuideDogQA will advance research in MLLM-based assistive technologies for BLV individuals while contributing to broader applications in understanding egocentric scenes for robotics and augmented reality. The code and dataset will be publicly available.

The systemic, metabolic, lifestyle factors have established associations with Alzheimer's Disease (AD) through epidemiologic and AD-specific biomarker studies. Whether colored fundus photography (CFP) contains retinal structural signatures corresponding to these AD-related risk domains remains unclear. To determine whether deep learning (DL) models can predict 12 AD-related risk factors from CFP and to characterize the retinal structures underlying these predictions, thereby assessing whether CFP reflects pathways to AD vulnerability. Using 62,876 CFPs from 44,501 unique participants from the UK Biobank, DL models were trained to predict 12 factors linked to AD incidence: 6 categorical (sex, smoking, sleeplessness, economic status, alcohol use, depression) and 6 continuous (age, age at completing education, BMI, systolic, diastolic blood pressure, HbA1c). Model performance, model saliency, and saliency-derived scores (CAM-Score) were evaluated and compared to retinal morphometry. The scores were also compared between incident-AD cases (average 8.55 years before onset) and matched controls. Performance of DL ranged from AUROC= 0.5654-0.9480 for categorical and R2=-0.0291-0.7620 for continuous factors, outperforming most of the morphometry-machine learning models. Saliency-based score consistently highlighted biologically meaningful regions, particularly the optic nerve head and retinal vasculature. It also aligned with present morphometric variations. Several saliency-based scores differed significantly between incident AD and matched controls, suggesting potential overlap between retinal correlates of risk factors and preclinical AD-associated changes. CFP encodes retinal signatures linked to AD risk factors. Although not diagnostic, DL-derived retinal representations may uncover biologically meaningful risk-related structural changes mirroring the potential AD vulnerability.

High-resolution perception of visual details is crucial for daily tasks. Current vision pre-training, however, is still limited to low resolutions (e.g., 378 x 378 pixels) due to the quadratic cost of processing larger images. We introduce PS3 that scales CLIP-style vision pre-training to 4K resolution with a near-constant cost. Instead of contrastive learning on global image representation, PS3 is pre-trained by selectively processing local regions and contrasting them with local detailed captions, enabling high-resolution representation learning with greatly reduced computational overhead. The pre-trained PS3 is able to both encode the global image at low resolution and selectively process local high-resolution regions based on their saliency or relevance to a text prompt. When applying PS3 to multi-modal LLM (MLLM), the resulting model, named VILA-HD, significantly improves high-resolution visual perception compared to baselines without high-resolution vision pre-training such as AnyRes and S^2 while using up to 4.3x fewer tokens. PS3 also unlocks appealing scaling properties of VILA-HD, including scaling up resolution for free and scaling up test-time compute for better performance. Compared to state of the arts, VILA-HD outperforms previous MLLMs such as NVILA and Qwen2-VL across multiple benchmarks and achieves better efficiency than latest token pruning approaches. Finally, we find current benchmarks do not require 4K-resolution perception, which motivates us to propose 4KPro, a new benchmark of image QA at 4K resolution, on which VILA-HD outperforms all previous MLLMs, including a 14.5% improvement over GPT-4o, and a 3.2% improvement and 2.96x speedup over Qwen2-VL.

Scaling laws have been recently employed to derive compute-optimal model size (number of parameters) for a given compute duration. We advance and refine such methods to infer compute-optimal model shapes, such as width and depth, and successfully implement this in vision transformers. Our shape-optimized vision transformer, SoViT, achieves results competitive with models that exceed twice its size, despite being pre-trained with an equivalent amount of compute. For example, SoViT-400m/14 achieves 90.3% fine-tuning accuracy on ILSRCV2012, surpassing the much larger ViT-g/14 and approaching ViT-G/14 under identical settings, with also less than half the inference cost. We conduct a thorough evaluation across multiple tasks, such as image classification, captioning, VQA and zero-shot transfer, demonstrating the effectiveness of our model across a broad range of domains and identifying limitations. Overall, our findings challenge the prevailing approach of blindly scaling up vision models and pave a path for a more informed scaling.

The ability to accurately interpret complex visual information is a crucial topic of multimodal large language models (MLLMs). Recent work indicates that enhanced visual perception significantly reduces hallucinations and improves performance on resolution-sensitive tasks, such as optical character recognition and document analysis. A number of recent MLLMs achieve this goal using a mixture of vision encoders. Despite their success, there is a lack of systematic comparisons and detailed ablation studies addressing critical aspects, such as expert selection and the integration of multiple vision experts. This study provides an extensive exploration of the design space for MLLMs using a mixture of vision encoders and resolutions. Our findings reveal several underlying principles common to various existing strategies, leading to a streamlined yet effective design approach. We discover that simply concatenating visual tokens from a set of complementary vision encoders is as effective as more complex mixing architectures or strategies. We additionally introduce Pre-Alignment to bridge the gap between vision-focused encoders and language tokens, enhancing model coherence. The resulting family of MLLMs, Eagle, surpasses other leading open-source models on major MLLM benchmarks. Models and code: https://github.com/NVlabs/Eagle

Bionic vision uses neuroprostheses to restore useful vision to people living with incurable blindness. However, a major outstanding challenge is predicting what people 'see' when they use their devices. The limited field of view of current devices necessitates head movements to scan the scene, which is difficult to simulate on a computer screen. In addition, many computational models of bionic vision lack biological realism. To address these challenges, we present VR-SPV, an open-source virtual reality toolbox for simulated prosthetic vision that uses a psychophysically validated computational model to allow sighted participants to 'see through the eyes' of a bionic eye user. To demonstrate its utility, we systematically evaluated how clinically reported visual distortions affect performance in a letter recognition and an immersive obstacle avoidance task. Our results highlight the importance of using an appropriate phosphene model when predicting visual outcomes for bionic vision.

Existing Large Vision-Language Models (LVLMs) exhibit insufficient visual attention, leading to hallucinations. To alleviate this problem, some previous studies adjust and amplify visual attention. These methods present a limitation that boosting attention for all visual tokens inevitably increases attention to task irrelevant tokens. To tackle this challenge, we propose a training free attentional intervention algorithm to enhance the attention of task-relevant tokens based on the argument that task-relevant tokens generally demonstrate high visual-textual similarities. Specifically, the vision-text cross-attention submatrices, which represent visual-textual correlations, are extracted to construct the reweighting matrices to reallocate attention. Besides, to enhance the contribution of visual tokens, we inject visual attention values into the beam search decoding to identify solutions with higher visual attention. Extensive experiments demonstrate that this method significantly reduces hallucinations across mainstream LVLMs, while preserving the accuracy and coherence of generated content.

It is widely agreed that reference-based super-resolution (RefSR) achieves superior results by referring to similar high quality images, compared to single image super-resolution (SISR). Intuitively, the more references, the better performance. However, previous RefSR methods have all focused on single-reference image training, while multiple reference images are often available in testing or practical applications. The root cause of such training-testing mismatch is the absence of publicly available multi-reference SR training datasets, which greatly hinders research efforts on multi-reference super-resolution. To this end, we construct a large-scale, multi-reference super-resolution dataset, named LMR. It contains 112,142 groups of 300x300 training images, which is 10x of the existing largest RefSR dataset. The image size is also much larger. More importantly, each group is equipped with 5 reference images with different similarity levels. Furthermore, we propose a new baseline method for multi-reference super-resolution: MRefSR, including a Multi-Reference Attention Module (MAM) for feature fusion of an arbitrary number of reference images, and a Spatial Aware Filtering Module (SAFM) for the fused feature selection. The proposed MRefSR achieves significant improvements over state-of-the-art approaches on both quantitative and qualitative evaluations. Our code and data would be made available soon.

The scaling of Transformers has driven breakthrough capabilities for language models. At present, the largest large language models (LLMs) contain upwards of 100B parameters. Vision Transformers (ViT) have introduced the same architecture to image and video modelling, but these have not yet been successfully scaled to nearly the same degree; the largest dense ViT contains 4B parameters (Chen et al., 2022). We present a recipe for highly efficient and stable training of a 22B-parameter ViT (ViT-22B) and perform a wide variety of experiments on the resulting model. When evaluated on downstream tasks (often with a lightweight linear model on frozen features), ViT-22B demonstrates increasing performance with scale. We further observe other interesting benefits of scale, including an improved tradeoff between fairness and performance, state-of-the-art alignment to human visual perception in terms of shape/texture bias, and improved robustness. ViT-22B demonstrates the potential for "LLM-like" scaling in vision, and provides key steps towards getting there.

Recent self-supervised learning (SSL) models trained on human-like egocentric visual inputs substantially underperform on image recognition tasks compared to humans. These models train on raw, uniform visual inputs collected from head-mounted cameras. This is different from humans, as the anatomical structure of the retina and visual cortex relatively amplifies the central visual information, i.e. around humans' gaze location. This selective amplification in humans likely aids in forming object-centered visual representations. Here, we investigate whether focusing on central visual information boosts egocentric visual object learning. We simulate 5-months of egocentric visual experience using the large-scale Ego4D dataset and generate gaze locations with a human gaze prediction model. To account for the importance of central vision in humans, we crop the visual area around the gaze location. Finally, we train a time-based SSL model on these modified inputs. Our experiments demonstrate that focusing on central vision leads to better object-centered representations. Our analysis shows that the SSL model leverages the temporal dynamics of the gaze movements to build stronger visual representations. Overall, our work marks a significant step toward bio-inspired learning of visual representations.

Visual encoding followed by token condensing has become the standard architectural paradigm in multi-modal large language models (MLLMs). Many recent MLLMs increasingly favor global native- resolution visual encoding over slice-based methods. To investigate this trend, we systematically compare their behavior on vision-language understanding and attention patterns, revealing that global encoding enhances overall capability but at the expense of greater computational overhead. To address this issue, we present LLaVA-UHD v3, an MLLM centered upon our proposed Progressive Visual Compression (PVC) method, which can be seamlessly integrated into standard Vision Transformer (ViT) to enable efficient native-resolution encoding. The PVC approach consists of two key modules: (i) refined patch embedding, which supports flexible patch-size scaling for fine-grained visual model- ing, (ii) windowed token compression, hierarchically deployed across ViT layers to progressively aggregate local token representations. Jointly modulated by these two modules, a widely pretrained ViT can be reconfigured into an efficient architecture while largely preserving generality. Evaluated across extensive benchmarks, the transformed ViT, termed ViT-UHD, demonstrates competitive performance with MoonViT while reducing TTFT (time-to-first-token) by 2.4x, when developed within an identical MLLM architecture. Building upon ViT-UHD, LLaVA-UHD v3 also achieves competitive performance to Qwen2-VL, while further reducing TTFT by 1.9x. We will release all code and checkpoints to support future research on efficient MLLMs.

Often, the needs and visual abilities differ between the annotator group and the end user group. Generating detailed diagram descriptions for blind and low-vision (BLV) users is one such challenging domain. Sighted annotators could describe visuals with ease, but existing studies have shown that direct generations by them are costly, bias-prone, and somewhat lacking by BLV standards. In this study, we ask sighted individuals to assess -- rather than produce -- diagram descriptions generated by vision-language models (VLM) that have been guided with latent supervision via a multi-pass inference. The sighted assessments prove effective and useful to professional educators who are themselves BLV and teach visually impaired learners. We release Sightation, a collection of diagram description datasets spanning 5k diagrams and 137k samples for completion, preference, retrieval, question answering, and reasoning training purposes and demonstrate their fine-tuning potential in various downstream tasks.

Vision-language models (VLMs) remain unreliable when predictions require fine-grained visual evidence. We identify a previously overlooked cause: spectral response rigidity. Despite substantial frequency variation across images and tasks, pretrained vision encoders exhibit persistent, encoder-specific layerwise spectral profiles that change only marginally under downstream fine-tuning. Since pretrained vision encoders only receive images, they cannot adapt spectral extraction to the evidence required by the current query. We therefore propose HAFI-VLM, which introduces a task-conditioned frequency pathway while preserving the pretrained semantic representation. Hierarchical Adaptive Frequency Injection (HAFI) retrieves complementary low-, mid-, and high-frequency evidence at multiple encoder depths using text-modulated, spatially aligned cross-attention. A Visual Enrichment Layer Adapter further recalibrates shallow LLM attention to effectively utilize the enriched visual tokens. Experiments on LLaVA-1.5 and Qwen2.5-VL demonstrate consistent improvements in general VQA, text-rich understanding, and hallucination robustness, outperforming representation-level enhancement methods and most resolution- or cropping-based approaches without additional high-resolution encoding. Mechanistic analyses show that HAFI restores task-dependent spectral allocation while retaining semantic attention, establishing frequency enrichment as a distinct and effective route for improving VLM perception.

The rise of imaging techniques such as optical coherence tomography (OCT) and advances in deep learning (DL) have enabled clinicians and researchers to streamline retinal disease staging. A popular DL approach is self-supervised learning (SSL), where models learn from vast amounts of unlabeled data, avoiding costly annotation. SSL has allowed the development of foundation models (FMs), large models that can be used for a variety of downstream tasks. However, existing FMs for OCT, trained solely on image data, lack a comprehensive and robust semantic understanding of images, as evidenced by their downstream performance (especially for complex tasks), and thus require supervised fine-tuning (which may be unfeasible) to better adapt to specific applications and populations. To address this, we propose RetFiner, an SSL vision-language refinement scheme that improves the representations of existing FMs and enables their efficient and direct adaptation to specific populations for improved downstream performance. Our method uses a diverse set of training objectives which take advantage of the rich supervisory signal found in textual data. We tested RetFiner on the retinal FMs RETFound, UrFound, and VisionFM, showing significant improvements in linear probing performance on seven highly diverse OCT classification tasks, with an average increase of 5.8, 3.9, and 2.1 percentage points over their baselines, respectively. Our code and model weights are publicly available at https://github.com/ronnief1/RetFiner.

Retinal foundation models aim to learn generalizable representations from diverse retinal images, facilitating label-efficient model adaptation across various ophthalmic tasks. Despite their success, current retinal foundation models are generally restricted to a single imaging modality, such as Color Fundus Photography (CFP) or Optical Coherence Tomography (OCT), limiting their versatility. Moreover, these models may struggle to fully leverage expert annotations and overlook the valuable domain knowledge essential for domain-specific representation learning. To overcome these limitations, we introduce UrFound, a retinal foundation model designed to learn universal representations from both multimodal retinal images and domain knowledge. UrFound is equipped with a modality-agnostic image encoder and accepts either CFP or OCT images as inputs. To integrate domain knowledge into representation learning, we encode expert annotation in text supervision and propose a knowledge-guided masked modeling strategy for model pre-training. It involves reconstructing randomly masked patches of retinal images while predicting masked text tokens conditioned on the corresponding retinal image. This approach aligns multimodal images and textual expert annotations within a unified latent space, facilitating generalizable and domain-specific representation learning. Experimental results demonstrate that UrFound exhibits strong generalization ability and data efficiency when adapting to various tasks in retinal image analysis. By training on ~180k retinal images, UrFound significantly outperforms the state-of-the-art retinal foundation model trained on up to 1.6 million unlabelled images across 8 public retinal datasets. Our code and data are available at https://github.com/yukkai/UrFound.

The capacity of Vision transformers (ViTs) to handle variable-sized inputs is often constrained by computational complexity and batch processing limitations. Consequently, ViTs are typically trained on small, fixed-size images obtained through downscaling or cropping. While reducing computational burden, these methods result in significant information loss, negatively affecting tasks like image aesthetic assessment. We introduce Charm, a novel tokenization approach that preserves Composition, High-resolution, Aspect Ratio, and Multi-scale information simultaneously. Charm prioritizes high-resolution details in specific regions while downscaling others, enabling shorter fixed-size input sequences for ViTs while incorporating essential information. Charm is designed to be compatible with pre-trained ViTs and their learned positional embeddings. By providing multiscale input and introducing variety to input tokens, Charm improves ViT performance and generalizability for image aesthetic assessment. We avoid cropping or changing the aspect ratio to further preserve information. Extensive experiments demonstrate significant performance improvements on various image aesthetic and quality assessment datasets (up to 8.1 %) using a lightweight ViT backbone. Code and pre-trained models are available at https://github.com/FBehrad/Charm.

Large vision-language models (LVLMs) have recently achieved rapid progress, sparking numerous studies to evaluate their multi-modal capabilities. However, we dig into current evaluation works and identify two primary issues: 1) Visual content is unnecessary for many samples. The answers can be directly inferred from the questions and options, or the world knowledge embedded in LLMs. This phenomenon is prevalent across current benchmarks. For instance, GeminiPro achieves 42.9% on the MMMU benchmark without any visual input, and outperforms the random choice baseline across six benchmarks over 20% on average. 2) Unintentional data leakage exists in LLM and LVLM training. LLM and LVLM could still answer some visual-necessary questions without visual content, indicating the memorizing of these samples within large-scale training data. For example, Sphinx-X-MoE gets 43.6% on MMMU without accessing images, surpassing its LLM backbone with 17.9%. Both problems lead to misjudgments of actual multi-modal gains and potentially misguide the study of LVLM. To this end, we present MMStar, an elite vision-indispensable multi-modal benchmark comprising 1,500 samples meticulously selected by humans. MMStar benchmarks 6 core capabilities and 18 detailed axes, aiming to evaluate LVLMs' multi-modal capacities with carefully balanced and purified samples. These samples are first roughly selected from current benchmarks with an automated pipeline, human review is then involved to ensure each curated sample exhibits visual dependency, minimal data leakage, and requires advanced multi-modal capabilities. Moreover, two metrics are developed to measure data leakage and actual performance gain in multi-modal training. We evaluate 16 leading LVLMs on MMStar to assess their multi-modal capabilities, and on 7 benchmarks with the proposed metrics to investigate their data leakage and actual multi-modal gain.

Vision-threatening eye diseases pose a major global health burden, with timely diagnosis limited by workforce shortages and restricted access to specialized care. While multimodal large language models (MLLMs) show promise for medical image interpretation, advancing MLLMs for ophthalmology is hindered by the lack of comprehensive benchmark datasets suitable for evaluating generative models. We present a large-scale multimodal ophthalmology benchmark comprising 32,633 instances with multi-granular annotations across 12 common ophthalmic conditions and 5 imaging modalities. The dataset integrates imaging, anatomical structures, demographics, and free-text annotations, supporting anatomical structure recognition, disease screening, disease staging, and demographic prediction for bias evaluation. This work extends our preliminary LMOD benchmark with three major enhancements: (1) nearly 50% dataset expansion with substantial enlargement of color fundus photography; (2) broadened task coverage including binary disease diagnosis, multi-class diagnosis, severity classification with international grading standards, and demographic prediction; and (3) systematic evaluation of 24 state-of-the-art MLLMs. Our evaluations reveal both promise and limitations. Top-performing models achieved ~58% accuracy in disease screening under zero-shot settings, and performance remained suboptimal for challenging tasks like disease staging. We will publicly release the dataset, curation pipeline, and leaderboard to potentially advance ophthalmic AI applications and reduce the global burden of vision-threatening diseases.

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/

Although Vision Transformers (ViTs) have recently advanced computer vision tasks significantly, an important real-world problem was overlooked: adapting to variable input resolutions. Typically, images are resized to a fixed resolution, such as 224x224, for efficiency during training and inference. However, uniform input size conflicts with real-world scenarios where images naturally vary in resolution. Modifying the preset resolution of a model may severely degrade the performance. In this work, we propose to enhance the model adaptability to resolution variation by optimizing the patch embedding. The proposed method, called Multi-Scale Patch Embedding (MSPE), substitutes the standard patch embedding with multiple variable-sized patch kernels and selects the best parameters for different resolutions, eliminating the need to resize the original image. Our method does not require high-cost training or modifications to other parts, making it easy to apply to most ViT models. Experiments in image classification, segmentation, and detection tasks demonstrate the effectiveness of MSPE, yielding superior performance on low-resolution inputs and performing comparably on high-resolution inputs with existing methods.

Large Vision Language Models (LVLMs) have demonstrated remarkable capabilities in understanding and describing visual content, achieving state-of-the-art performance across various vision-language tasks. However, these models frequently exhibit hallucination behavior, where they generate descriptions containing objects or details absent in the input image. Our work investigates this phenomenon by analyzing attention patterns across transformer layers and heads, revealing that hallucinations often stem from progressive degradation of visual grounding in deeper layers. We propose a novel attention modification approach that combines selective token emphasis and head-specific modulation to maintain visual grounding throughout the generation process. Our method introduces two key components: (1) a dual-stream token selection mechanism that identifies and prioritizes both locally informative and spatially significant visual tokens, and (2) an attention head-specific modulation strategy that differentially amplifies visual information processing based on measured visual sensitivity of individual attention heads. Through extensive experimentation on the MSCOCO dataset, we demonstrate that our approach reduces hallucination rates by up to 62.3\% compared to baseline models while maintaining comparable task performance. Our analysis reveals that selectively modulating tokens across attention heads with varying levels of visual sensitivity can significantly improve visual grounding without requiring model retraining.

This investigation reports on the results of convolutional neural networks developed for the recently introduced PathologicAL Myopia (PALM) dataset, which consists of 1200 fundus images. We propose a new Optic Nerve Head (ONH)-based prediction enhancement for the segmentation of atrophy and fovea. Models trained with 400 available training images achieved an AUC of 0.9867 for pathological myopia classification, and a Euclidean distance of 58.27 pixels on the fovea localization task, evaluated on a test set of 400 images. Dice and F1 metrics for semantic segmentation of lesions scored 0.9303 and 0.9869 on optic disc, 0.8001 and 0.9135 on retinal atrophy, and 0.8073 and 0.7059 on retinal detachment, respectively. Our work was acknowledged with an award in the context of the "PathologicAL Myopia detection from retinal images" challenge held during the IEEE International Symposium on Biomedical Imaging (April 2019). Considering that (pathological) myopia cases are often identified as false positives and negatives in classification systems for glaucoma, we envision that the current work could aid in future research to discriminate between glaucomatous and highly-myopic eyes, complemented by the localization and segmentation of landmarks such as fovea, optic disc and atrophy.

Since the introduction of Vision Transformer (ViT), patchification has long been regarded as a de facto image tokenization approach for plain visual architectures. By compressing the spatial size of images, this approach can effectively shorten the token sequence and reduce the computational cost of ViT-like plain architectures. In this work, we aim to thoroughly examine the information loss caused by this patchification-based compressive encoding paradigm and how it affects visual understanding. We conduct extensive patch size scaling experiments and excitedly observe an intriguing scaling law in patchification: the models can consistently benefit from decreased patch sizes and attain improved predictive performance, until it reaches the minimum patch size of 1x1, i.e., pixel tokenization. This conclusion is broadly applicable across different vision tasks, various input scales, and diverse architectures such as ViT and the recent Mamba models. Moreover, as a by-product, we discover that with smaller patches, task-specific decoder heads become less critical for dense prediction. In the experiments, we successfully scale up the visual sequence to an exceptional length of 50,176 tokens, achieving a competitive test accuracy of 84.6% with a base-sized model on the ImageNet-1k benchmark. We hope this study can provide insights and theoretical foundations for future works of building non-compressive vision models. Code is available at https://github.com/wangf3014/Patch_Scaling.

We present ZAYA1-VL-8B, a compact mixture-of-experts vision-language model built upon our in-house language model, ZAYA1-8B. Despite its compact size, ZAYA1-VL achieves performance competitive with leading base models such as Molmo2-4B and InternVL3.5-4B, while surpassing models including Qwen2.5-VL-3B, PLM-3B, and MolmoE-1B across a range of image understanding, reasoning, and counting benchmarks. The architecture incorporates two key innovations: (1) vision-specific LoRA adapters integrated into the LLM to increase modality-specific capacity without increasing the number of experts, and (2) bidirectional attention over image tokens within the LLM to enhance visual understanding. We detail the full training pipeline including data composition at each stage, sequence packing, and the attention masking scheme. The model comprises 9.2B total parameters, with 1.4B active parameters including the vision encoder, and is publicly available at https://huggingface.co/Zyphra/ZAYA1-VL.

Diffusion and flow matching models have unlocked unprecedented capabilities for creative content creation, such as interactive image and streaming video generation. The growing demand for higher resolutions, frame rates, and context lengths, however, makes efficient generation increasingly challenging, as computational complexity grows quadratically with the number of generated tokens. Our work seeks to optimize the efficiency of the generation process in settings where the user's gaze location is known or can be estimated, for example, by using eye tracking. In these settings, we leverage the eccentricity-dependent acuity of human vision: while a user perceives very high-resolution visual information in a small region around their gaze location (the foveal region), the ability to resolve detail quickly degrades in the periphery of the visual field. Our approach starts with a mask modeling the foveated resolution to allocate tokens non-uniformly, assigning higher token density to foveal regions and lower density to peripheral regions. An image or video is generated in a mixed-resolution token setting, yielding results perceptually indistinguishable from full-resolution generation, while drastically reducing the token count and generation time. To this end, we develop a principled mechanism for constructing mixed-resolution tokens directly from high-resolution data, allowing a foveated diffusion model to be post-trained from an existing base model while maintaining content consistency across resolutions. We validate our approach through extensive analysis and a carefully designed user study, demonstrating the efficacy of foveation as a practical and scalable axis for efficient generation.

The goal of this work is to characterize the representational impact that foveation operations have for machine vision systems, inspired by the foveated human visual system, which has higher acuity at the center of gaze and texture-like encoding in the periphery. To do so, we introduce models consisting of a first-stage fixed image transform followed by a second-stage learnable convolutional neural network, and we varied the first stage component. The primary model has a foveated-textural input stage, which we compare to a model with foveated-blurred input and a model with spatially-uniform blurred input (both matched for perceptual compression), and a final reference model with minimal input-based compression. We find that: 1) the foveated-texture model shows similar scene classification accuracy as the reference model despite its compressed input, with greater i.i.d. generalization than the other models; 2) the foveated-texture model has greater sensitivity to high-spatial frequency information and greater robustness to occlusion, w.r.t the comparison models; 3) both the foveated systems, show a stronger center image-bias relative to the spatially-uniform systems even with a weight sharing constraint. Critically, these results are preserved over different classical CNN architectures throughout their learning dynamics. Altogether, this suggests that foveation with peripheral texture-based computations yields an efficient, distinct, and robust representational format of scene information, and provides symbiotic computational insight into the representational consequences that texture-based peripheral encoding may have for processing in the human visual system, while also potentially inspiring the next generation of computer vision models via spatially-adaptive computation. Code + Data available here: https://github.com/ArturoDeza/EmergentProperties

Scaling up model and data size have demonstrated impressive performance improvement over a wide range of tasks. Despite extensive studies on scaling behaviors for general-purpose tasks, medical images exhibit substantial differences from natural data. It remains unclear the key factors in developing medical vision foundation models at scale due to the absence of an extensive understanding of scaling behavior in the medical domain. In this paper, we explored the scaling behavior across model sizes, training algorithms, data sizes, and imaging modalities in developing scalable medical vision foundation models by self-supervised learning. To support scalable pretraining, we introduce BioVFM-21M, a large-scale biomedical image dataset encompassing a wide range of biomedical image modalities and anatomies. We observed that scaling up does provide benefits but varies across tasks. Additional analysis reveals several factors correlated with scaling benefits. Finally, we propose BioVFM, a large-scale medical vision foundation model pretrained on 21 million biomedical images, which outperforms the previous state-of-the-art foundation models across 12 medical benchmarks. Our results highlight that while scaling up is beneficial for pursuing better performance, task characteristics, data diversity, pretraining methods, and computational efficiency remain critical considerations for developing scalable medical foundation models.

Vision-language models (VLMs) achieve strong performance on standard, high-quality datasets, but we still do not fully understand how they perform under real-world image distortions. We present VLM-RobustBench, a benchmark spanning 49 augmentation types across noise, blur, weather, digital, and geometric perturbations, evaluated under graded severities (low/mid/high) and binary transforms, yielding 133 corrupted settings. We evaluate VLMs from four families (Qwen, InternVL, Molmo, Gemma) on two complementary benchmarks: MMBench (visually grounded) and MMMU-Pro (reasoning-oriented). Our results reveal that visual severity is a weak predictor of difficulty: low-severity spatial perturbations often degrade performance more than visually severe photometric corruptions. In particular, low-severity glass_blur reduces MMBench accuracy by about 8 pp on average across models, while the largest drops arise from resampling and geometric distortions (e.g., upsample, elastic_transform), reaching up to 34 pp. Overall, our findings suggest current VLMs are semantically strong but spatially fragile, motivating the definition of novel robustness evaluation protocols and training regimes that emphasize resampling and geometric invariances.

Vision encoders are a critical component of vision-language models, and scaling their capacity effectively improves performance. However, dense scaling increases compute cost and inference latency. Mixture-of-Experts (MoE) architectures offer a compelling alternative, having enabled efficient scaling in LLMs, yet the MoE design space for CLIP-style vision encoders remains underexplored at State-of-the-Art (SOTA) levels. In this work, we systematically study MoE designs for vision encoder scaling and find that fine-grained MoE topologies yield substantial gains over both dense and standard MoE counterparts. We further propose an auxiliary-loss-free balancing variant for better expert utilization, and design a specialized MoE kernel to mitigate inference latency overhead. To enhance video capabilities while preserving image knowledge, we introduce frame-level distillation paired with a novel freezing mechanism. We pretrain a series of Mixture-of-Experts Vision Encoders (MoE-ViE) across a range of sizes, all consistently outperforming their dense counterparts. Our largest model matches the zero-shot performance of a SOTA encoder 1.7x its size at 76% of its latency. When aligned with an LLM, MoE-ViE surpasses all compared encoders on image and video benchmarks, including those with up to 5x more activated parameters. Code is available at https://github.com/facebookresearch/moe_vie.

The feature maps of vision encoders are fundamental to myriad modern AI tasks, ranging from core perception algorithms (e.g. semantic segmentation, object detection, depth perception, etc.) to modern multimodal understanding in vision-language models (VLMs). Currently, in computer vision, the frontier of general purpose vision backbones is Vision Transformers (ViT), typically trained using contrastive loss (e.g. CLIP). A key problem with most off-the-shelf ViTs, particularly CLIP, is that these models are inflexibly low resolution. Most run at 224 times 224px, while the "high-resolution" versions are around 378-448px, but still inflexible. We introduce a novel method to coherently and cheaply upsample the feature maps of low-resolution vision encoders while picking up on fine-grained details that would otherwise be lost due to resolution. We demonstrate the effectiveness of this approach on core perception tasks as well as within agglomerative model training using RADIO as a way of providing richer targets for distillation. Code available at https://github.com/NVlabs/FeatSharp .

We conduct a systematic study of 18 widely used vision-language benchmarks and identify three major issues: 1) many items do not rely on visual cues and therefore fail to effectively measure multimodal understanding; 2) many items are already close to performance saturation for current LVLMs, which limits their discriminative power; 3) a small number of anomalous items affect the reliability of evaluation results. To this end, we propose MMGist, a curated benchmark that covers seven capability dimensions and contains 7,262 items. MMGist is constructed through a three-stage pipeline, which sequentially combines text-ablation filtering, cross-model saturation filtering, and anomaly detection filtering. We conduct extensive experiments on 27 leading LVLMs and compare MMGist with the raw pool of 23,250 items. The results show that MMGist preserves model rankings with high fidelity, with Spearman ρ= 0.98, while reducing evaluation items by 69\% and improving cross-model discrimination by 78\%. Further results indicate that Visual Logic remains a systematic weakness of current LVLMs, while knowledge-intensive dimensions such as Expert Knowledge dimensions remain important factors for distinguishing closed-source models from open-source models. These findings suggest that high-quality evaluation should prioritize visual dependency, discriminative power, and reliability, rather than simply pursuing benchmark scale.

Foundation vision-language models are currently transforming computer vision, and are on the rise in medical imaging fueled by their very promising generalization capabilities. However, the initial attempts to transfer this new paradigm to medical imaging have shown less impressive performances than those observed in other domains, due to the significant domain shift and the complex, expert domain knowledge inherent to medical-imaging tasks. Motivated by the need for domain-expert foundation models, we present FLAIR, a pre-trained vision-language model for universal retinal fundus image understanding. To this end, we compiled 37 open-access, mostly categorical fundus imaging datasets from various sources, with up to 97 different target conditions and 284,660 images. We integrate the expert's domain knowledge in the form of descriptive textual prompts, during both pre-training and zero-shot inference, enhancing the less-informative categorical supervision of the data. Such a textual expert's knowledge, which we compiled from the relevant clinical literature and community standards, describes the fine-grained features of the pathologies as well as the hierarchies and dependencies between them. We report comprehensive evaluations, which illustrate the benefit of integrating expert knowledge and the strong generalization capabilities of FLAIR under difficult scenarios with domain shifts or unseen categories. When adapted with a lightweight linear probe, FLAIR outperforms fully-trained, dataset-focused models, more so in the few-shot regimes. Interestingly, FLAIR outperforms by a large margin more generalist, larger-scale image-language models, which emphasizes the potential of embedding experts' domain knowledge and the limitations of generalist models in medical imaging.

Retinal foundation models have significantly advanced retinal image analysis by leveraging self-supervised learning to reduce dependence on labeled data while achieving strong generalization. Many recent approaches enhance retinal image understanding using report supervision, but obtaining clinical reports is often costly and challenging. In contrast, metadata (e.g., age, gender) is widely available and serves as a valuable resource for analyzing disease progression. To effectively incorporate patient-specific information, we propose PRETI, a retinal foundation model that integrates metadata-aware learning with robust self-supervised representation learning. We introduce Learnable Metadata Embedding (LME), which dynamically refines metadata representations. Additionally, we construct patient-level data pairs, associating images from the same individual to improve robustness against non-clinical variations. To further optimize retinal image representation, we propose Retina-Aware Adaptive Masking (RAAM), a strategy that selectively applies masking within the retinal region and dynamically adjusts the masking ratio during training. PRETI captures both global structures and fine-grained pathological details, resulting in superior diagnostic performance. Extensive experiments demonstrate that PRETI achieves state-of-the-art results across diverse diseases and biomarker predictions using in-house and public data, indicating the importance of metadata-guided foundation models in retinal disease analysis. Our code and pretrained model are available at https://github.com/MICV-yonsei/PRETI

Vision Transformers (ViTs) have recently taken computer vision by storm. However, the softmax attention underlying ViTs comes with a quadratic complexity in time and memory, hindering the application of ViTs to high-resolution images. We revisit the attention design and propose a linear attention method to address the limitation, which doesn't sacrifice ViT's core advantage of capturing global representation like existing methods (e.g. local window attention of Swin). We further investigate the key difference between linear attention and softmax attention. Our empirical results suggest that linear attention lacks a fundamental property of concentrating the distribution of the attention matrix. Inspired by this observation, we introduce a local concentration module to enhance linear attention. By incorporating enhanced linear global attention and local window attention, we propose a new ViT architecture, dubbed L^2ViT. Notably, L^2ViT can effectively capture both global interactions and local representations while enjoying linear computational complexity. Extensive experiments demonstrate the strong performance of L^2ViT. On image classification, L^2ViT achieves 84.4% Top-1 accuracy on ImageNet-1K without any extra training data or label. By further pre-training on ImageNet-22k, it attains 87.0% when fine-tuned with resolution 384^2. For downstream tasks, L^2ViT delivers favorable performance as a backbone on object detection as well as semantic segmentation.

Glaucoma is one of the leading causes of irreversible but preventable blindness in working age populations. Color fundus photography (CFP) is the most cost-effective imaging modality to screen for retinal disorders. However, its application to glaucoma has been limited to the computation of a few related biomarkers such as the vertical cup-to-disc ratio. Deep learning approaches, although widely applied for medical image analysis, have not been extensively used for glaucoma assessment due to the limited size of the available data sets. Furthermore, the lack of a standardize benchmark strategy makes difficult to compare existing methods in a uniform way. In order to overcome these issues we set up the Retinal Fundus Glaucoma Challenge, REFUGE (https://refuge.grand-challenge.org), held in conjunction with MICCAI 2018. The challenge consisted of two primary tasks, namely optic disc/cup segmentation and glaucoma classification. As part of REFUGE, we have publicly released a data set of 1200 fundus images with ground truth segmentations and clinical glaucoma labels, currently the largest existing one. We have also built an evaluation framework to ease and ensure fairness in the comparison of different models, encouraging the development of novel techniques in the field. 12 teams qualified and participated in the online challenge. This paper summarizes their methods and analyzes their corresponding results. In particular, we observed that two of the top-ranked teams outperformed two human experts in the glaucoma classification task. Furthermore, the segmentation results were in general consistent with the ground truth annotations, with complementary outcomes that can be further exploited by ensembling the results.

In recent years, multimodal large language models (MLLMs) have shown strong potential in real-world applications. They are developing rapidly due to their remarkable ability to comprehend multimodal information and their inherent powerful cognitive and reasoning capabilities. Among MLLMs, vision language models (VLM) stand out for their ability to understand vision information. However, the scaling trend of VLMs under the current mainstream paradigm has not been extensively studied. Whether we can achieve better performance by training even larger models is still unclear. To address this issue, we conducted experiments on the pretraining stage of MLLMs. We conduct our experiment using different encoder sizes and large language model (LLM) sizes. Our findings indicate that merely increasing the size of encoders does not necessarily enhance the performance of VLMs. Moreover, we analyzed the effects of LLM backbone parameter size and data quality on the pretraining outcomes. Additionally, we explored the differences in scaling laws between LLMs and VLMs.

Active computer vision promises efficient, biologically plausible perception through sequential, localized glimpses, but lacks scalable general-purpose architectures and pretraining pipelines. As a result, Active-Vision Foundation Models (AVFMs) have remained unexplored. We introduce CanViT, the first task- and policy-agnostic AVFM. CanViT uses scene-relative RoPE to bind a retinotopic Vision Transformer backbone and a spatiotopic scene-wide latent workspace, the canvas. Efficient interaction with this high-capacity working memory is supported by Canvas Attention, a novel asymmetric cross-attention mechanism. We decouple thinking (backbone-level) and memory (canvas-level), eliminating canvas-side self-attention and fully-connected layers to achieve low-latency sequential inference and scalability to large scenes. We propose a label-free active vision pretraining scheme, policy-agnostic passive-to-active dense latent distillation: reconstructing scene-wide DINOv3 embeddings from sequences of low-resolution glimpses with randomized locations, zoom levels, and lengths. We pretrain CanViT-B from a random initialization on 13.2 million ImageNet-21k scenes -- an order of magnitude more than previous active models -- and 1 billion random glimpses, in 166 hours on a single H100. On ADE20K segmentation, a frozen CanViT-B achieves 38.5% mIoU in a single low-resolution glimpse, outperforming the best active model's 27.6% with 19.5x fewer inference FLOPs and no fine-tuning, as well as its FLOP- or input-matched DINOv3 teacher. Given additional glimpses, CanViT-B reaches 45.9% ADE20K mIoU. On ImageNet-1k classification, CanViT-B reaches 81.2% top-1 accuracy with frozen teacher probes. CanViT generalizes to longer rollouts, larger scenes, and new policies. Our work closes the wide gap between passive and active vision on semantic segmentation and demonstrates the potential of AVFMs as a new research axis.

Though the success of CLIP-based training recipes in vision-language models, their scalability to more modalities (e.g., 3D, audio, etc.) is limited to large-scale data, which is expensive or even inapplicable for rare modalities. In this paper, we present ViT-Lens that facilitates efficient omni-modal representation learning by perceiving novel modalities with a pretrained ViT and aligning to a pre-defined space. Specifically, the modality-specific lens is tuned to project multimodal signals to the shared embedding space, which are then processed by a strong ViT that carries pre-trained image knowledge. The encoded multimodal representations are optimized toward aligning with the modal-independent space, pre-defined by off-the-shelf foundation models. A well-trained lens with a ViT backbone has the potential to serve as one of these foundation models, supervising the learning of subsequent modalities. ViT-Lens provides a unified solution for representation learning of increasing modalities with two appealing benefits: (i) Exploiting the pretrained ViT across tasks and domains effectively with efficient data regime; (ii) Emergent downstream capabilities of novel modalities are demonstrated due to the modality alignment space. We evaluate ViT-Lens in the context of 3D as an initial verification. In zero-shot 3D classification, ViT-Lens achieves substantial improvements over previous state-of-the-art, showing 52.0% accuracy on Objaverse-LVIS, 87.4% on ModelNet40, and 60.6% on ScanObjectNN. Furthermore, we enable zero-shot 3D question-answering by simply integrating the trained 3D lens into the InstructBLIP model without any adaptation. We will release the results of ViT-Lens on more modalities in the near future.

As reasoning models scale rapidly, the essential role of multimodality in human cognition has come into sharp relief, driving a growing need to probe vision-centric cognitive behaviors. Yet, existing multimodal benchmarks either overemphasize textual reasoning or fall short of systematically capturing vision-centric cognitive behaviors, leaving the cognitive capacity of MLLMs insufficiently assessed. To address this limitation, we introduce MME-CC (Multi-Modal Evaluation benchmark of Cognitive Capacity), a vision-grounded benchmark that organizes 11 representative reasoning tasks into three fundamental categories of visual information: spatial, geometric, and knowledge-based reasoning, and provides fine-grained analyses of MLLMs' cognitive capacity across these dimensions. Based on MME-CC, we conduct extensive experiments over 16 representative MLLMs. Our study reveals that closed-source models currently lead overall (e.g., 42.66 for Gemini-2.5-Pro vs. 30.45 for GLM-4.5V), while spatial and geometric reasoning remain broadly weak (less than or equal to 30%). We further identify common error patterns, including orientation mistakes, fragile cross-view identity persistence, and poor adherence to counterfactual instructions, and observe that Chain-of-Thought typically follows a three-stage process (extract -> reason -> verify) with heavy reliance on visual extraction. We hope this work catalyzes a shift toward treating the cognitive capacity of MLLMs as central to both evaluation and model design.

Vision-Language Models (VLMs) have recently experienced significant advancements. However, challenges persist in the accurate recognition of fine details within high resolution images, which limits performance in multiple tasks. This work introduces Pheye, a novel architecture that efficiently processes high-resolution images while training fewer parameters than similarly sized VLMs. Notably, Pheye achieves a high efficiency while maintaining strong performance, particularly in tasks that demand fine-grained image understanding and/or the handling of scene-text.

Retinal imaging has emerged as a powerful, non-invasive modality for detecting and quantifying biomarkers of systemic diseases-ranging from diabetes and hypertension to Alzheimer's disease and cardiovascular disorders but current insights remain dispersed across platforms and specialties. Recent technological advances in optical coherence tomography (OCT/OCTA) and adaptive optics (AO) now deliver ultra-high-resolution scans (down to 5 {\mu}m ) with superior contrast and spatial integration, allowing early identification of microvascular abnormalities and neurodegenerative changes. At the same time, AI-driven and machine learning (ML) algorithms have revolutionized the analysis of large-scale retinal datasets, increasing sensitivity and specificity; for example, deep learning models achieve > 90 \% sensitivity for diabetic retinopathy and AUC = 0.89 for the prediction of cardiovascular risk from fundus photographs. The proliferation of mobile health technologies and telemedicine platforms further extends access, reduces costs, and facilitates community-based screening and longitudinal monitoring. Despite these breakthroughs, translation into routine practice is hindered by heterogeneous imaging protocols, limited external validation of AI models, and integration challenges within clinical workflows. In this review, we systematically synthesize the latest OCT/OCT and AO developments, AI/ML approaches, and mHealth/Tele-ophthalmology initiatives and quantify their diagnostic performance across disease domains. Finally, we propose a roadmap for multicenter protocol standardization, prospective validation trials, and seamless incorporation of retinal screening into primary and specialty care pathways-paving the way for precision prevention, early intervention, and ongoing treatment of life-threatening systemic diseases.

Large Vision-Language Models (LVLMs) typically learn visual capacity through visual instruction tuning, involving updates to both a projector and their LLM backbones. Drawing inspiration from the concept of visual region in the human brain, we investigate the existence of an analogous visual region within LLMs that functions as a cognitive core, and explore the possibility of efficient training of LVLMs via selective layers tuning. We use Bunny-Llama-3-8B-V for detailed experiments and LLaVA-1.5-7B and LLaVA-1.5-13B for validation across a range of visual and textual tasks. Our findings reveal that selectively updating 25\% of LLMs layers, when sparsely and uniformly distributed, can preserve nearly 99\% of visual performance while maintaining or enhancing textual task results, and also effectively reducing training time. Based on this targeted training approach, we further propose a novel visual region-based pruning paradigm, removing non-critical layers outside the visual region, which can achieve minimal performance loss. This study offers an effective and efficient strategy for LVLM training and inference by activating a layer-wise visual region within LLMs, which is consistently effective across different models and parameter scales.

We present OCTCube-M, a 3D OCT-based multi-modal foundation model for jointly analyzing OCT and en face images. OCTCube-M first developed OCTCube, a 3D foundation model pre-trained on 26,685 3D OCT volumes encompassing 1.62 million 2D OCT images. It then exploits a novel multi-modal contrastive learning framework COEP to integrate other retinal imaging modalities, such as fundus autofluorescence and infrared retinal imaging, into OCTCube, efficiently extending it into multi-modal foundation models. OCTCube achieves best performance on predicting 8 retinal diseases, demonstrating strong generalizability on cross-cohort, cross-device and cross-modality prediction. OCTCube can also predict cross-organ nodule malignancy (CT) and low cardiac ejection fraction as well as systemic diseases, such as diabetes and hypertension, revealing its wide applicability beyond retinal diseases. We further develop OCTCube-IR using COEP with 26,685 OCT and IR image pairs. OCTCube-IR can accurately retrieve between OCT and IR images, allowing joint analysis between 3D and 2D retinal imaging modalities. Finally, we trained a tri-modal foundation model OCTCube-EF from 4 million 2D OCT images and 400K en face retinal images. OCTCube-EF attains the best performance on predicting the growth rate of geographic atrophy (GA) across datasets collected from 6 multi-center global trials conducted in 23 countries. This improvement is statistically equivalent to running a clinical trial with more than double the size of the original study. Our analysis based on another retrospective case study reveals OCTCube-EF's ability to avoid false positive Phase-III results according to its accurate treatment effect estimation on the Phase-II results. In sum, OCTCube-M is a 3D multi-modal foundation model framework that integrates OCT and other retinal imaging modalities revealing substantial diagnostic and prognostic benefits.

Recent breakthroughs in vision-language models (VLMs) start a new page in the vision community. The VLMs provide stronger and more generalizable feature embeddings compared to those from ImageNet-pretrained models, thanks to the training on the large-scale Internet image-text pairs. However, despite the amazing achievement from the VLMs, vanilla Vision Transformers (ViTs) remain the default choice for the image encoder. Although pure transformer proves its effectiveness in the text encoding area, it remains questionable whether it is also the case for image encoding, especially considering that various types of networks are proposed on the ImageNet benchmark, which, unfortunately, are rarely studied in VLMs. Due to small data/model scale, the original conclusions of model design on ImageNet can be limited and biased. In this paper, we aim at building an evaluation protocol of vision models in the vision-language era under the contrastive language-image pretraining (CLIP) framework. We provide a comprehensive way to benchmark different vision models, covering their zero-shot performance and scalability in both model and training data sizes. To this end, we introduce ViTamin, a new vision models tailored for VLMs. ViTamin-L significantly outperforms ViT-L by 2.0% ImageNet zero-shot accuracy, when using the same publicly available DataComp-1B dataset and the same OpenCLIP training scheme. ViTamin-L presents promising results on 60 diverse benchmarks, including classification, retrieval, open-vocabulary detection and segmentation, and large multi-modal models. When further scaling up the model size, our ViTamin-XL with only 436M parameters attains 82.9% ImageNet zero-shot accuracy, surpassing 82.0% achieved by EVA-E that has ten times more parameters (4.4B).

This study reveals an unexpected parallel between instructible vision-language models (VLMs) and human cognitive disorders, specifically constructive apraxia. We tested 25 state-of-the-art VLMs, including GPT-4 Vision, DALL-E 3, and Midjourney v5, on their ability to generate images of the Ponzo illusion, a task that requires basic spatial reasoning and is often used in clinical assessments of constructive apraxia. Remarkably, 24 out of 25 models failed to correctly render two horizontal lines against a perspective background, mirroring the deficits seen in patients with parietal lobe damage. The models consistently misinterpreted spatial instructions, producing tilted or misaligned lines that followed the perspective of the background rather than remaining horizontal. This behavior is strikingly similar to how apraxia patients struggle to copy or construct simple figures despite intact visual perception and motor skills. Our findings suggest that current VLMs, despite their advanced capabilities in other domains, lack fundamental spatial reasoning abilities akin to those impaired in constructive apraxia. This limitation in AI systems provides a novel computational model for studying spatial cognition deficits and highlights a critical area for improvement in VLM architecture and training methodologies.

Video descriptions are crucial for blind and low vision (BLV) users to access visual content. However, current artificial intelligence models for generating descriptions often fall short due to limitations in the quality of human annotations within training datasets, resulting in descriptions that do not fully meet BLV users' needs. To address this gap, we introduce VideoA11y, an approach that leverages multimodal large language models (MLLMs) and video accessibility guidelines to generate descriptions tailored for BLV individuals. Using this method, we have curated VideoA11y-40K, the largest and most comprehensive dataset of 40,000 videos described for BLV users. Rigorous experiments across 15 video categories, involving 347 sighted participants, 40 BLV participants, and seven professional describers, showed that VideoA11y descriptions outperform novice human annotations and are comparable to trained human annotations in clarity, accuracy, objectivity, descriptiveness, and user satisfaction. We evaluated models on VideoA11y-40K using both standard and custom metrics, demonstrating that MLLMs fine-tuned on this dataset produce high-quality accessible descriptions. Code and dataset are available at https://people-robots.github.io/VideoA11y.

Generalist vision language models (VLMs) have made significant strides in computer vision, but they fall short in specialized fields like healthcare, where expert knowledge is essential. In traditional computer vision tasks, creative or approximate answers may be acceptable, but in healthcare, precision is paramount.Current large multimodal models like Gemini and GPT-4o are insufficient for medical tasks due to their reliance on memorized internet knowledge rather than the nuanced expertise required in healthcare. VLMs are usually trained in three stages: vision pre-training, vision-language pre-training, and instruction fine-tuning (IFT). IFT has been typically applied using a mixture of generic and healthcare data. In contrast, we propose that for medical VLMs, a fourth stage of specialized IFT is necessary, which focuses on medical data and includes information from domain expert models. Domain expert models developed for medical use are crucial because they are specifically trained for certain clinical tasks, e.g. to detect tumors and classify abnormalities through segmentation and classification, which learn fine-grained features of medical data-features that are often too intricate for a VLM to capture effectively especially in radiology. This paper introduces a new framework, VILA-M3, for medical VLMs that utilizes domain knowledge via expert models. Through our experiments, we show an improved state-of-the-art (SOTA) performance with an average improvement of ~9% over the prior SOTA model Med-Gemini and ~6% over models trained on the specific tasks. Our approach emphasizes the importance of domain expertise in creating precise, reliable VLMs for medical applications.

Large-scale vision language pre-training has recently shown promise for no-reference image-quality assessment (NR-IQA), yet the relative merits of modern Vision Transformer foundations remain poorly understood. In this work, we present the first systematic evaluation of six prominent pretrained backbones, CLIP, SigLIP2, DINOv2, DINOv3, Perception, and ResNet, for the task of No-Reference Image Quality Assessment (NR-IQA), each finetuned using an identical lightweight MLP head. Our study uncovers two previously overlooked factors: (1) SigLIP2 consistently achieves strong performance; and (2) the choice of activation function plays a surprisingly crucial role, particularly for enhancing the generalization ability of image quality assessment models. Notably, we find that simple sigmoid activations outperform commonly used ReLU and GELU on several benchmarks. Motivated by this finding, we introduce a learnable activation selection mechanism that adaptively determines the nonlinearity for each channel, eliminating the need for manual activation design, and achieving new state-of-the-art SRCC on CLIVE, KADID10K, and AGIQA3K. Extensive ablations confirm the benefits across architectures and regimes, establishing strong, resource-efficient NR-IQA baselines.

Certified patch defenses can guarantee robustness of an image classifier to arbitrary changes within a bounded contiguous region. But, currently, this robustness comes at a cost of degraded standard accuracies and slower inference times. We demonstrate how using vision transformers enables significantly better certified patch robustness that is also more computationally efficient and does not incur a substantial drop in standard accuracy. These improvements stem from the inherent ability of the vision transformer to gracefully handle largely masked images. Our code is available at https://github.com/MadryLab/smoothed-vit.

Vision-Language Models (VLMs) have recently witnessed significant progress in visual comprehension. As the permitting length of image context grows, VLMs can now comprehend a broader range of views and spaces. Current benchmarks provide insightful analysis of VLMs in tasks involving complex visual instructions following, multi-image understanding and spatial reasoning. However, they usually focus on spatially irrelevant images or discrete images captured from varied viewpoints. The compositional characteristic of images captured from a static viewpoint remains underestimated. We term this characteristic as Continuous Space Perception. When observing a scene from a static viewpoint while shifting orientations, it produces a series of spatially continuous images, enabling the reconstruction of the entire space. In this paper, we present CoSpace, a multi-image visual understanding benchmark designed to assess the Continuous Space perception ability for VLMs. CoSpace contains 2,918 images and 1,626 question-answer pairs, covering seven types of tasks. We conduct evaluation across 19 proprietary and open-source VLMs. Results reveal that there exist pitfalls on the continuous space perception ability for most of the evaluated models, including proprietary ones. Interestingly, we find that the main discrepancy between open-source and proprietary models lies not in accuracy but in the consistency of responses. We believe that enhancing the ability of continuous space perception is essential for VLMs to perform effectively in real-world tasks and encourage further research to advance this capability.

Artificial intelligence (AI) has become a fundamental tool for assisting clinicians in analyzing ophthalmic images, such as optical coherence tomography (OCT). However, developing AI models often requires extensive annotation, and existing models tend to underperform on independent, unseen data. Foundation models (FMs), large AI models trained on vast unlabeled datasets, have shown promise in overcoming these challenges. Nonetheless, available FMs for ophthalmology lack extensive validation, especially for segmentation tasks, and focus on a single imaging modality. In this context, we propose MIRAGE, a novel multimodal FM for the analysis of OCT and scanning laser ophthalmoscopy (SLO) images. Additionally, we propose a new evaluation benchmark with OCT/SLO classification and segmentation tasks. The comparison with general and specialized FMs and segmentation methods shows the superiority of MIRAGE in both types of tasks, highlighting its suitability as a basis for the development of robust AI systems for retinal OCT image analysis. Both MIRAGE and the evaluation benchmark are publicly available: https://github.com/j-morano/MIRAGE.

Large language models with vision capabilities (VLMs), e.g., GPT-4o and Gemini 1.5 Pro are powering countless image-text applications and scoring high on many vision-understanding benchmarks. Yet, we find that VLMs fail on 7 visual tasks absurdly easy to humans such as identifying (a) whether two circles overlap; (b) whether two lines intersect; (c) which letter is being circled in a word; and (d) counting the number of circles in a Olympic-like logo. The shockingly poor performance of four state-of-the-art VLMs suggests their vision is, at best, like of a person with myopia seeing fine details as blurry, and at worst, like an intelligent person that is blind making educated guesses. Code is available at: https://vlmsareblind.github.io/

A large-scale labeled dataset is a key factor for the success of supervised deep learning in computer vision. However, a limited number of annotated data is very common, especially in ophthalmic image analysis, since manual annotation is time-consuming and labor-intensive. Self-supervised learning (SSL) methods bring huge opportunities for better utilizing unlabeled data, as they do not need massive annotations. With an attempt to use as many as possible unlabeled ophthalmic images, it is necessary to break the dimension barrier, simultaneously making use of both 2D and 3D images. In this paper, we propose a universal self-supervised Transformer framework, named Uni4Eye, to discover the inherent image property and capture domain-specific feature embedding in ophthalmic images. Uni4Eye can serve as a global feature extractor, which builds its basis on a Masked Image Modeling task with a Vision Transformer (ViT) architecture. We employ a Unified Patch Embedding module to replace the origin patch embedding module in ViT for jointly processing both 2D and 3D input images. Besides, we design a dual-branch multitask decoder module to simultaneously perform two reconstruction tasks on the input image and its gradient map, delivering discriminative representations for better convergence. We evaluate the performance of our pre-trained Uni4Eye encoder by fine-tuning it on six downstream ophthalmic image classification tasks. The superiority of Uni4Eye is successfully established through comparisons to other state-of-the-art SSL pre-training methods.

WHO has declared that more than 2.2 billion people worldwide are suffering from visual disorders, such as media haze, glaucoma, and drusen. At least 1 billion of these cases could have been either prevented or successfully treated, yet they remain unaddressed due to poverty, a lack of specialists, inaccurate ocular fundus diagnoses by ophthalmologists, or the presence of a rare disease. To address this, the research has developed the Hybrid Trio-Network Model Algorithm for accurately diagnosing 12 distinct common and rare eye diseases. This algorithm utilized the RFMiD dataset of 3,200 fundus images and the Binary Relevance Method to detect diseases separately, ensuring expandability and avoiding incorrect correlations. Each detector, incorporating finely tuned hyperparameters to optimize performance, consisted of three feature components: A classical transfer learning CNN model, a two-stage CNN model, and a Siamese Network. The diagnosis was made using features extracted through this Trio-Model with Ensembled Machine Learning algorithms. The proposed model achieved an average accuracy of 97% and an AUC score of 0.96. Compared to past benchmark studies, an increase of over 10% in the F1-score was observed for most diseases. Furthermore, using the Siamese Network, the model successfully made predictions in diseases like optic disc pallor, which past studies failed to predict due to low confidence. This diagnostic tool presents a stable, adaptive, cost-effective, efficient, accessible, and fast solution for globalizing early detection of both common and rare diseases.

Color fundus photography and Optical Coherence Tomography (OCT) are the two most cost-effective tools for glaucoma screening. Both two modalities of images have prominent biomarkers to indicate glaucoma suspected. Clinically, it is often recommended to take both of the screenings for a more accurate and reliable diagnosis. However, although numerous algorithms are proposed based on fundus images or OCT volumes in computer-aided diagnosis, there are still few methods leveraging both of the modalities for the glaucoma assessment. Inspired by the success of Retinal Fundus Glaucoma Challenge (REFUGE) we held previously, we set up the Glaucoma grAding from Multi-Modality imAges (GAMMA) Challenge to encourage the development of fundus \& OCT-based glaucoma grading. The primary task of the challenge is to grade glaucoma from both the 2D fundus images and 3D OCT scanning volumes. As part of GAMMA, we have publicly released a glaucoma annotated dataset with both 2D fundus color photography and 3D OCT volumes, which is the first multi-modality dataset for glaucoma grading. In addition, an evaluation framework is also established to evaluate the performance of the submitted methods. During the challenge, 1272 results were submitted, and finally, top-10 teams were selected to the final stage. We analysis their results and summarize their methods in the paper. Since all these teams submitted their source code in the challenge, a detailed ablation study is also conducted to verify the effectiveness of the particular modules proposed. We find many of the proposed techniques are practical for the clinical diagnosis of glaucoma. As the first in-depth study of fundus \& OCT multi-modality glaucoma grading, we believe the GAMMA Challenge will be an essential starting point for future research.

The emergence of powerful, general-purpose omnimodels capable of processing diverse data modalities has raised a critical question: can these ``jack-of-all-trades'' systems perform on par with highly specialized models in knowledge-intensive domains? This work investigates this question within the high-stakes field of medical image segmentation. We conduct a comparative study analyzing the zero-shot performance of a state-of-the-art omnimodel (Gemini 2.5 Pro, the ``Nano Banana'' model) against domain-specific deep learning models on three distinct tasks: polyp (endoscopy), retinal vessel (fundus), and breast tumor segmentation (ultrasound). Our study focuses on performance at the extremes by curating subsets of the ``easiest'' and ``hardest'' cases based on the specialist models' accuracy. Our findings reveal a nuanced and task-dependent landscape. For polyp and breast tumor segmentation, specialist models excel on easy samples, but the omnimodel demonstrates greater robustness on hard samples where specialists fail catastrophically. Conversely, for the fine-grained task of retinal vessel segmentation, the specialist model maintains superior performance across both easy and hard cases. Intriguingly, qualitative analysis suggests omnimodels may possess higher sensitivity, identifying subtle anatomical features missed by human annotators. Our results indicate that while current omnimodels are not yet a universal replacement for specialists, their unique strengths suggest a potential complementary role with specialist models, particularly in enhancing robustness on challenging edge cases.

We propose glaucoma lesion evaluation and analysis with multimodal imaging (GLEAM), the first publicly available tri-modal glaucoma dataset comprising scanning laser ophthalmoscopy fundus images, circumpapillary OCT images, and visual field pattern deviation maps, annotated with four disease stages, enabling effective exploitation of multimodal complementary information and facilitating accurate diagnosis and treatment across disease stages. To effectively integrate cross-modal information, we propose hierarchical attentive masked modeling (HAMM) for multimodal glaucoma classification. Our framework employs hierarchical attentive encoders and light decoders to focus cross-modal representation learning on the encoder.

Artificial Intelligence (AI) is revolutionizing assistive technologies. It offers innovative solutions to enhance the quality of life for individuals with visual impairments. This review examines the development, applications, and impact of AI-powered tools in key domains, such as computer vision, natural language processing (NLP), and wearable devices. Specific advancements include object recognition for identifying everyday items, scene description for understanding surroundings, and NLP-driven text-to-speech systems for accessing digital information. Assistive technologies like smart glasses, smartphone applications, and AI-enabled navigation aids are discussed, demonstrating their ability to support independent travel, facilitate social interaction, and increase access to education and employment opportunities. The integration of deep learning models, multimodal interfaces, and real-time data processing has transformed the functionality and usability of these tools, fostering inclusivity and empowerment. This article also addresses critical challenges, including ethical considerations, affordability, and adaptability in diverse environments. Future directions highlight the need for interdisciplinary collaboration to refine these technologies, ensuring equitable access and sustainable innovation. By providing a comprehensive overview, this review underscores AI's transformative potential in promoting independence, enhancing accessibility, and fostering social inclusion for visually impaired individuals.

High-resolution image (HRI) understanding aims to process images with a large number of pixels, such as pathological images and agricultural aerial images, both of which can exceed 1 million pixels. Vision Large Language Models (VLMs) can allegedly handle HRIs, however, there is a lack of a comprehensive benchmark for VLMs to evaluate HRI understanding. To address this gap, we introduce HRScene, a novel unified benchmark for HRI understanding with rich scenes. HRScene incorporates 25 real-world datasets and 2 synthetic diagnostic datasets with resolutions ranging from 1,024 times 1,024 to 35,503 times 26,627. HRScene is collected and re-annotated by 10 graduate-level annotators, covering 25 scenarios, ranging from microscopic to radiology images, street views, long-range pictures, and telescope images. It includes HRIs of real-world objects, scanned documents, and composite multi-image. The two diagnostic evaluation datasets are synthesized by combining the target image with the gold answer and distracting images in different orders, assessing how well models utilize regions in HRI. We conduct extensive experiments involving 28 VLMs, including Gemini 2.0 Flash and GPT-4o. Experiments on HRScene show that current VLMs achieve an average accuracy of around 50% on real-world tasks, revealing significant gaps in HRI understanding. Results on synthetic datasets reveal that VLMs struggle to effectively utilize HRI regions, showing significant Regional Divergence and lost-in-middle, shedding light on future research.

Attention mechanism has been widely believed as the key to success of vision transformers (ViTs), since it provides a flexible and powerful way to model spatial relationships. However, is the attention mechanism truly an indispensable part of ViT? Can it be replaced by some other alternatives? To demystify the role of attention mechanism, we simplify it into an extremely simple case: ZERO FLOP and ZERO parameter. Concretely, we revisit the shift operation. It does not contain any parameter or arithmetic calculation. The only operation is to exchange a small portion of the channels between neighboring features. Based on this simple operation, we construct a new backbone network, namely ShiftViT, where the attention layers in ViT are substituted by shift operations. Surprisingly, ShiftViT works quite well in several mainstream tasks, e.g., classification, detection, and segmentation. The performance is on par with or even better than the strong baseline Swin Transformer. These results suggest that the attention mechanism might not be the vital factor that makes ViT successful. It can be even replaced by a zero-parameter operation. We should pay more attentions to the remaining parts of ViT in the future work. Code is available at github.com/microsoft/SPACH.

Current benchmarks for evaluating Vision Language Models (VLMs) often fall short in thoroughly assessing model abilities to understand and process complex visual and textual content. They typically focus on simple tasks that do not require deep reasoning or the integration of multiple data modalities to solve an original problem. To address this gap, we introduce the PARROT-360V Benchmark, a novel and comprehensive benchmark featuring 2487 challenging visual puzzles designed to test VLMs on complex visual reasoning tasks. We evaluated leading models: GPT-4o, Claude-3.5-Sonnet, and Gemini-1.5-Pro, using PARROT-360V to assess their capabilities in combining visual clues with language skills to solve tasks in a manner akin to human problem-solving. Our findings reveal a notable performance gap: state-of-the-art models scored between 28 to 56 percentage on our benchmark, significantly lower than their performance on popular benchmarks. This underscores the limitations of current VLMs in handling complex, multi-step reasoning tasks and highlights the need for more robust evaluation frameworks to advance the field.

Since the era of deep learning, convolutional neural networks (CNNs) and vision transformers (ViTs) have been extensively studied and widely used in medical image classification tasks. Unfortunately, CNN's limitations in modeling long-range dependencies result in poor classification performances. In contrast, ViTs are hampered by the quadratic computational complexity of their self-attention mechanism, making them difficult to deploy in real-world settings with limited computational resources. Recent studies have shown that state space models (SSMs) represented by Mamba can effectively model long-range dependencies while maintaining linear computational complexity. Inspired by it, we proposed MedMamba, the first Vision Mamba for generalized medical image classification. Concretely, we introduced a novel hybrid basic block named SS-Conv-SSM, which purely integrates the convolutional layers for extracting local features with the abilities of SSM to capture long-range dependencies, aiming to model medical images from different image modalities efficiently. By employing the grouped convolution strategy and channel-shuffle operation, MedMamba successfully provides fewer model parameters and a lower computational burden for efficient applications without sacrificing accuracy. We thoroughly evaluated MedMamba using 16 datasets containing ten imaging modalities and 411,007 images. Experimental results show that MedMamba demonstrates competitive performance on most tasks compared with the state-of-the-art methods. This work aims to explore the potential of Vision Mamba and establish a new baseline for medical image classification, thereby providing valuable insights for developing more powerful Mamba-based artificial intelligence algorithms and applications in medicine. The source codes and all pre-trained weights of MedMamba are available at https://github.com/YubiaoYue/MedMamba.

Perceptual constancy is the ability to maintain stable perceptions of objects despite changes in sensory input, such as variations in distance, angle, or lighting. This ability is crucial for recognizing visual information in a dynamic world, making it essential for Vision-Language Models (VLMs). However, whether VLMs are currently and theoretically capable of mastering this ability remains underexplored. In this study, we evaluated 33 VLMs using 253 experiments across three domains: color, size, and shape constancy. The experiments included single-image and video adaptations of classic cognitive tasks, along with novel tasks in in-the-wild conditions, to evaluate the models' recognition of object properties under varying conditions. We found significant variability in VLM performance, with models performance in shape constancy clearly dissociated from that of color and size constancy.

We present Ovis2.5, a successor to Ovis2 designed for native-resolution visual perception and strong multimodal reasoning. Ovis2.5 integrates a native-resolution vision transformer that processes images at their native, variable resolutions, avoiding the degradation from fixed-resolution tiling and preserving both fine detail and global layout -- crucial for visually dense content like complex charts. To strengthen reasoning, we train the model to move beyond linear chain-of-thought and perform reflection -- including self-checking and revision. This advanced capability is exposed as an optional "thinking mode" at inference time, allowing users to trade latency for enhanced accuracy on difficult inputs. The model is trained via a comprehensive five-phase curriculum that progressively builds its skills. The process begins with foundational visual and multimodal pretraining, advances through large-scale instruction tuning, and culminates in alignment and reasoning enhancement using DPO and GRPO. To scale these upgrades efficiently, we employ multimodal data packing and hybrid parallelism, yielding a significant end-to-end speedup. We release two open-source models: Ovis2.5-9B and Ovis2.5-2B. The latter continues the "small model, big performance" philosophy of Ovis2, making it ideal for resource-constrained, on-device scenarios. On the OpenCompass multimodal leaderboard, Ovis2.5-9B averages 78.3, marking a substantial improvement over its predecessor, Ovis2-8B, and achieving state-of-the-art results among open-source MLLMs in the sub-40B parameter range; Ovis2.5-2B scores 73.9, establishing SOTA for its size. Beyond aggregate scores, Ovis2.5 achieves leading results on STEM benchmarks, exhibits strong capabilities on grounding and video tasks, and achieves open-source SOTA at its scale for complex chart analysis.

Modern deep-learning super-resolution (SR) techniques process images and videos independently of the underlying content and viewing conditions. However, the sensitivity of the human visual system (HVS) to image details changes depending on the underlying image characteristics, such as spatial frequency, luminance, color, contrast, or motion; as well viewing condition aspects such as ambient lighting and distance to the display. This observation suggests that computational resources spent on up-sampling images/videos may be wasted whenever a viewer cannot resolve the synthesized details i.e the resolution of details exceeds the resolving capability of human vision. Motivated by this observation, we propose a human vision inspired and architecture-agnostic approach for controlling SR techniques to deliver visually optimal results while limiting computational complexity. Its core is an explicit Human Visual Processing Framework (HVPF) that dynamically and locally guides SR methods according to human sensitivity to specific image details and viewing conditions. We demonstrate the application of our framework in combination with network branching to improve the computational efficiency of SR methods. Quantitative and qualitative evaluations, including user studies, demonstrate the effectiveness of our approach in reducing FLOPS by factors of 2times and greater, without sacrificing perceived quality.

Vision Foundation Models (VFMs) have become the cornerstone of modern computer vision, offering robust representations across a wide array of tasks. While recent advances allow these models to handle varying input sizes during training, inference typically remains restricted to a single, fixed scale. This prevalent single-scale paradigm overlooks a fundamental property of visual perception: varying resolutions offer complementary inductive biases, where low-resolution views excel at global semantic recognition and high-resolution views are essential for fine-grained refinement. In this work, we propose Multi-Resolution Fusion (MuRF), a simple yet universally effective strategy to harness this synergy at inference time. Instead of relying on a single view, MuRF constructs a unified representation by processing an image at multiple resolutions through a frozen VFM and fusing the resulting features. The universality of MuRF is its most compelling attribute. It is not tied to a specific architecture, serving instead as a fundamental, training-free enhancement to visual representation. We empirically validate this by applying MuRF to a broad spectrum of critical computer vision tasks across multiple distinct VFM families - primarily DINOv2, but also demonstrating successful generalization to contrastive models like SigLIP2.

High-resolution Vision-Language Models (VLMs) have been widely used in multimodal tasks to enhance accuracy by preserving detailed image information. However, these models often generate excessive visual tokens due to encoding multiple partitions of the input image. Processing these excessive visual tokens is computationally challenging, especially in resource-constrained environments with commodity GPUs. To support high-resolution images while meeting resource constraints, we propose High-Resolution Early Dropping (HiRED), a token-dropping scheme that operates within a fixed token budget before the Large Language Model (LLM) stage. HiRED can be integrated with existing high-resolution VLMs in a plug-and-play manner, as it requires no additional training while still maintaining superior accuracy. We strategically use the vision encoder's attention in the initial layers to assess the visual content of each image partition and allocate the token budget accordingly. Then, using the attention in the final layer, we select the most important visual tokens from each partition within the allocated budget, dropping the rest. Empirically, when applied to LLaVA-Next-7B on NVIDIA TESLA P40 GPU, HiRED with a 20% token budget increases token generation throughput by 4.7, reduces first-token generation latency by 15 seconds, and saves 2.3 GB of GPU memory for a single inference.

Large Vision-Language Models (VLMs) excel at understanding and generating video descriptions but their high memory, computation, and deployment demands hinder practical use particularly for blind and low-vision (BLV) users who depend on detailed, context-aware descriptions. To study the effect of model size on accessibility-focused description quality, we evaluate SmolVLM2 variants with 500M and 2.2B parameters across two diverse datasets: AVCaps (outdoor), and Charades (indoor). In this work, we introduce two novel evaluation frameworks specifically designed for BLV accessibility assessment: the Multi-Context BLV Framework evaluating spatial orientation, social interaction, action events, and ambience contexts; and the Navigational Assistance Framework focusing on mobility-critical information. Additionally, we conduct a systematic evaluation of four different prompt design strategies and deploy both models on a smartphone, evaluating FP32 and INT8 precision variants to assess real-world performance constraints on resource-limited mobile devices.

Large vision-language models (LVLMs) have made substantial progress in integrating large language models (LLMs) with visual inputs, enabling advanced multimodal reasoning. Despite their success, a persistent challenge is hallucination-where generated text fails to accurately reflect visual content-undermining both accuracy and reliability. Existing methods focus on alignment training or decoding refinements but primarily address symptoms at the generation stage without probing the underlying causes. In this work, we investigate the internal mechanisms driving hallucination in LVLMs, with an emphasis on the multi-head attention module. Specifically, we introduce Vision-aware Head Divergence (VHD), a metric that quantifies the sensitivity of attention head outputs to visual context. Based on this, our findings reveal the presence of vision-aware attention heads that are more attuned to visual information; however, the model's overreliance on its prior language patterns is closely related to hallucinations. Building on these insights, we propose Vision-aware Head Reinforcement (VHR), a training-free approach to mitigate hallucination by enhancing the role of vision-aware attention heads. Extensive experiments demonstrate that our method achieves superior performance compared to state-of-the-art approaches in mitigating hallucinations, while maintaining high efficiency with negligible additional time overhead.

Human visual search is serial: the fovea must land on a candidate to confirm it, and those landings form a scanpath. Whether multimodal large language models (MLLMs), given the same foveated input, search as humans do bears on their use as models of human vision and on attention-alignment scores. We compare three general-purpose MLLMs with human eye-movement scanpaths on goal-directed search (COCO-Search18), driving each model fixation by fixation through an identical, human-matched foveated view and assessing it along three axes: the decision of target presence, the efficiency of reaching the target, and the gaze process itself. The axes dissociate. On the decision and on target acquisition the models match or exceed humans, detecting present targets near ceiling and reaching them on the first saccade more often than people do. The gaze process is not human. Under the human-matched condition, all three share one signature: low-entropy, large-amplitude, self-consistent scanpaths that agree with themselves far more closely than two humans agree with each other. That is consistent with a single-pass, non-serial architecture rather than a limit of acuity. Matched retinal input reproduces where humans look but not how the looking unfolds in time, and no degradation regime recovers human-like search at human-like success. The gap sits on a process axis that answer-alignment and saliency metrics do not measure. Because they miss it, such metrics cannot certify human-like vision, and zero-shot models suit outcome and spatial questions but not temporal, process-level ones.

Recently, Vision Transformer (ViT)-based models have exhibited remarkable performance in image super-resolution. However, the quadratic computational complexity of ViTs with respect to spatial resolution severely constrains their efficiency, leading to high latency and massive memory consumption. To alleviate this, various window-based attention mechanisms have been proposed; yet, they inherently compromise the long-range dependency modeling that is the primary advantage of ViTs. To overcome these limitations, we propose the Clustered Unit-level Similarity Transformer (CUST), a novel architecture that efficiently integrates global and local information. Specifically, CUST enables each patch to aggregate and attend to similar patches within a broadened regional scope outside its local window, thereby capturing extensive contextual understanding. Furthermore, it employs overlapping attention windows to capture local dependencies, while explicitly extracting high-frequency details by computing the residual difference between the original features and their downsampled-upsampled counterparts. Comprehensive experiments demonstrate that our proposed model achieves a practical balance between computational efficiency and restoration performance. It achieves a lower memory footprint and faster inference speed compared to recent global context or lightweight models under realistic constraints. Code is available at [https://github.com/jwgdmkj/CUST].

Our research is motivated by the urgent global issue of a large population affected by retinal diseases, which are evenly distributed but underserved by specialized medical expertise, particularly in non-urban areas. Our primary objective is to bridge this healthcare gap by developing a comprehensive diagnostic system capable of accurately predicting retinal diseases solely from fundus images. However, we faced significant challenges due to limited, diverse datasets and imbalanced class distributions. To overcome these issues, we have devised innovative strategies. Our research introduces novel approaches, utilizing hybrid models combining deeper Convolutional Neural Networks (CNNs), Transformer encoders, and ensemble architectures sequentially and in parallel to classify retinal fundus images into 20 disease labels. Our overarching goal is to assess these advanced models' potential in practical applications, with a strong focus on enhancing retinal disease diagnosis accuracy across a broader spectrum of conditions. Importantly, our efforts have surpassed baseline model results, with the C-Tran ensemble model emerging as the leader, achieving a remarkable model score of 0.9166, surpassing the baseline score of 0.9. Additionally, experiments with the IEViT model showcased equally promising outcomes with improved computational efficiency. We've also demonstrated the effectiveness of dynamic patch extraction and the integration of domain knowledge in computer vision tasks. In summary, our research strives to contribute significantly to retinal disease diagnosis, addressing the critical need for accessible healthcare solutions in underserved regions while aiming for comprehensive and accurate disease prediction.

Optical coherence tomography (OCT) and scanning laser ophthalmoscopy (SLO) of the eye has become essential to ophthalmology and the emerging field of oculomics, thus requiring a need for transparent, reproducible, and rapid analysis of this data for clinical research and the wider research community. Here, we introduce OCTolyzer, the first open-source toolkit for retinochoroidal analysis in OCT/SLO data. It features two analysis suites for OCT and SLO data, facilitating deep learning-based anatomical segmentation and feature extraction of the cross-sectional retinal and choroidal layers and en face retinal vessels. We describe OCTolyzer and evaluate the reproducibility of its OCT choroid analysis. At the population level, metrics for choroid region thickness were highly reproducible, with a mean absolute error (MAE)/Pearson correlation for macular volume choroid thickness (CT) of 6.7mum/0.99, macular B-scan CT of 11.6mum/0.99, and peripapillary CT of 5.0mum/0.99. Macular choroid vascular index (CVI) also showed strong reproducibility, with MAE/Pearson for volume CVI yielding 0.0271/0.97 and B-scan CVI 0.0130/0.91. At the eye level, measurement noise for regional and vessel metrics was below 5% and 20% of the population's variability, respectively. Outliers were caused by poor-quality B-scans with thick choroids and invisible choroid-sclera boundary. Processing times on a laptop CPU were under three seconds for macular/peripapillary B-scans and 85 seconds for volume scans. OCTolyzer can convert OCT/SLO data into reproducible and clinically meaningful retinochoroidal features and will improve the standardisation of ocular measurements in OCT/SLO image analysis, requiring no specialised training or proprietary software to be used. OCTolyzer is freely available here: https://github.com/jaburke166/OCTolyzer.

Vision transformer (ViT) expands the success of transformer models from sequential data to images. The model decomposes an image into many smaller patches and arranges them into a sequence. Multi-head self-attentions are then applied to the sequence to learn the attention between patches. Despite many successful interpretations of transformers on sequential data, little effort has been devoted to the interpretation of ViTs, and many questions remain unanswered. For example, among the numerous attention heads, which one is more important? How strong are individual patches attending to their spatial neighbors in different heads? What attention patterns have individual heads learned? In this work, we answer these questions through a visual analytics approach. Specifically, we first identify what heads are more important in ViTs by introducing multiple pruning-based metrics. Then, we profile the spatial distribution of attention strengths between patches inside individual heads, as well as the trend of attention strengths across attention layers. Third, using an autoencoder-based learning solution, we summarize all possible attention patterns that individual heads could learn. Examining the attention strengths and patterns of the important heads, we answer why they are important. Through concrete case studies with experienced deep learning experts on multiple ViTs, we validate the effectiveness of our solution that deepens the understanding of ViTs from head importance, head attention strength, and head attention pattern.

In question-answering scenarios, humans can assess whether the available information is sufficient and seek additional information if necessary, rather than providing a forced answer. In contrast, Vision Language Models (VLMs) typically generate direct, one-shot responses without evaluating the sufficiency of the information. To investigate this gap, we identify a critical and challenging task in the Visual Question Answering (VQA) scenario: can VLMs indicate how to adjust an image when the visual information is insufficient to answer a question? This capability is especially valuable for assisting visually impaired individuals who often need guidance to capture images correctly. To evaluate this capability of current VLMs, we introduce a human-labeled dataset as a benchmark for this task. Additionally, we present an automated framework that generates synthetic training data by simulating ``where to know'' scenarios. Our empirical results show significant performance improvements in mainstream VLMs when fine-tuned with this synthetic data. This study demonstrates the potential to narrow the gap between information assessment and acquisition in VLMs, bringing their performance closer to humans.

Vision Transformers (ViTs) have triggered the most recent and significant breakthroughs in computer vision. Their efficient designs are mostly guided by the indirect metric of computational complexity, i.e., FLOPs, which however has a clear gap with the direct metric such as throughput. Thus, we propose to use the direct speed evaluation on the target platform as the design principle for efficient ViTs. Particularly, we introduce LITv2, a simple and effective ViT which performs favourably against the existing state-of-the-art methods across a spectrum of different model sizes with faster speed. At the core of LITv2 is a novel self-attention mechanism, which we dub HiLo. HiLo is inspired by the insight that high frequencies in an image capture local fine details and low frequencies focus on global structures, whereas a multi-head self-attention layer neglects the characteristic of different frequencies. Therefore, we propose to disentangle the high/low frequency patterns in an attention layer by separating the heads into two groups, where one group encodes high frequencies via self-attention within each local window, and another group encodes low frequencies by performing global attention between the average-pooled low-frequency keys and values from each window and each query position in the input feature map. Benefiting from the efficient design for both groups, we show that HiLo is superior to the existing attention mechanisms by comprehensively benchmarking FLOPs, speed and memory consumption on GPUs and CPUs. For example, HiLo is 1.4x faster than spatial reduction attention and 1.6x faster than local window attention on CPUs. Powered by HiLo, LITv2 serves as a strong backbone for mainstream vision tasks including image classification, dense detection and segmentation. Code is available at https://github.com/ziplab/LITv2.