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Efficient Medical Vision-Language Alignment Through Adapting Masked Vision Models

delete2025-06-02
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PRE
AI
C
Chenyu Lian
周洪宇 cover
周洪宇 (Hong-Yu Zhou)
J
Jing Qin
L
Liansheng Wang
DOI:10.1109/TMI.2025.3575853delete
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Abstract

Abstract

En 中文
Medical vision-language alignment through cross-modal contrastive learning shows promising performance in image-text matching tasks, such as retrieval and zero-shot classification. However, conventional cross-modal contrastive learning (CLIP-based) methods suffer from suboptimal visual representation capabilities, which also limits their effectiveness in vision-language alignment. In contrast, although the models pretrained via multimodal masked modeling struggle with direct cross-modal matching, they excel in visual representation. To address this contradiction, we propose ALTA (ALign Through Adapting), an efficient medical vision-language alignment method that utilizes only about 8% of the trainable parameters and less than 1/5 of the computational consumption required for masked record modeling. ALTA achieves superior performance in vision-language matching tasks like retrieval and zero-shot classification by adapting the pretrained vision model from masked record modeling. Additionally, we integrate temporal-multiview radiograph inputs to enhance the information consistency between radiographs and their corresponding descriptions in reports, further improving the vision-language alignment. Experimental evaluations show that ALTA outperforms the best-performing counterpart by over 4% absolute points in text-to-image accuracy and approximately 6% absolute points in image-to-text retrieval accuracy. The adaptation of vision-language models during efficient alignment also promotes better vision and language understanding. Code is publicly available at <uri xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink">https://github.com/DopamineLcy/ALTA</uri>.
Keywords:
Alignment
efficient adaptation
multi-modal retrieval
radiology
vision-language models

Journal

IEEE Transactions on Medical Imaging cover
IEEE Transactions on Medical Imaging
IF:
9.8
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6.2K
Citations:
3.7W

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xiamen university
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