Daily Papers

Current image immunization defense techniques against diffusion-based editing embed imperceptible noise into target images to disrupt editing models. However, these methods face scalability challenges, as they require time-consuming optimization for each image separately, taking hours for small batches. To address these challenges, we introduce DiffVax, a scalable, lightweight, and optimization-free framework for image immunization, specifically designed to prevent diffusion-based editing. Our approach enables effective generalization to unseen content, reducing computational costs and cutting immunization time from days to milliseconds, achieving a speedup of 250,000x. This is achieved through a loss term that ensures the failure of editing attempts and the imperceptibility of the perturbations. Extensive qualitative and quantitative results demonstrate that our model is scalable, optimization-free, adaptable to various diffusion-based editing tools, robust against counter-attacks, and, for the first time, effectively protects video content from editing. More details are available in https://diffvax.github.io/ .

We present an approach to mitigating the risks of malicious image editing posed by large diffusion models. The key idea is to immunize images so as to make them resistant to manipulation by these models. This immunization relies on injection of imperceptible adversarial perturbations designed to disrupt the operation of the targeted diffusion models, forcing them to generate unrealistic images. We provide two methods for crafting such perturbations, and then demonstrate their efficacy. Finally, we discuss a policy component necessary to make our approach fully effective and practical -- one that involves the organizations developing diffusion models, rather than individual users, to implement (and support) the immunization process.

Model immunization aims to pre-train models that are difficult to fine-tune on harmful tasks while retaining their utility on other non-harmful tasks. Though prior work has shown empirical evidence for immunizing text-to-image models, the key understanding of when immunization is possible and a precise definition of an immunized model remain unclear. In this work, we propose a framework, based on the condition number of a Hessian matrix, to analyze model immunization for linear models. Building on this framework, we design an algorithm with regularization terms to control the resulting condition numbers after pre-training. Empirical results on linear models and non-linear deep-nets demonstrate the effectiveness of the proposed algorithm on model immunization. The code is available at https://github.com/amberyzheng/model-immunization-cond-num.

RAW files are the initial measurement of scene radiance widely used in most cameras, and the ubiquitously-used RGB images are converted from RAW data through Image Signal Processing (ISP) pipelines. Nowadays, digital images are risky of being nefariously manipulated. Inspired by the fact that innate immunity is the first line of body defense, we propose DRAW, a novel scheme of defending images against manipulation by protecting their sources, i.e., camera-shooted RAWs. Specifically, we design a lightweight Multi-frequency Partial Fusion Network (MPF-Net) friendly to devices with limited computing resources by frequency learning and partial feature fusion. It introduces invisible watermarks as protective signal into the RAW data. The protection capability can not only be transferred into the rendered RGB images regardless of the applied ISP pipeline, but also is resilient to post-processing operations such as blurring or compression. Once the image is manipulated, we can accurately identify the forged areas with a localization network. Extensive experiments on several famous RAW datasets, e.g., RAISE, FiveK and SIDD, indicate the effectiveness of our method. We hope that this technique can be used in future cameras as an option for image protection, which could effectively restrict image manipulation at the source.

AI-generated medical images are gaining growing popularity due to their potential to address the data scarcity challenge in the real world. However, the issue of accurate identification of these synthetic images, particularly when they exhibit remarkable realism with their real copies, remains a concern. To mitigate this challenge, image generators such as DALLE and Imagen, have integrated digital watermarks aimed at facilitating the discernment of synthetic images' authenticity. These watermarks are embedded within the image pixels and are invisible to the human eye while remains their detectability. Nevertheless, a comprehensive investigation into the potential impact of these invisible watermarks on the utility of synthetic medical images has been lacking. In this study, we propose the incorporation of invisible watermarks into synthetic medical images and seek to evaluate their efficacy in the context of downstream classification tasks. Our goal is to pave the way for discussions on the viability of such watermarks in boosting the detectability of synthetic medical images, fortifying ethical standards, and safeguarding against data pollution and potential scams.

Generative AI models often learn and reproduce false information present in their training corpora. This position paper argues that, analogous to biological immunization, where controlled exposure to a weakened pathogen builds immunity, AI models should be fine tuned on small, quarantined sets of explicitly labeled falsehoods as a "vaccine" against misinformation. These curated false examples are periodically injected during finetuning, strengthening the model ability to recognize and reject misleading claims while preserving accuracy on truthful inputs. An illustrative case study shows that immunized models generate substantially less misinformation than baselines. To our knowledge, this is the first training framework that treats fact checked falsehoods themselves as a supervised vaccine, rather than relying on input perturbations or generic human feedback signals, to harden models against future misinformation. We also outline ethical safeguards and governance controls to ensure the safe use of false data. Model immunization offers a proactive paradigm for aligning AI systems with factuality.

Text-conditioned image editing has recently attracted considerable interest. However, most methods are currently either limited to specific editing types (e.g., object overlay, style transfer), or apply to synthetically generated images, or require multiple input images of a common object. In this paper we demonstrate, for the very first time, the ability to apply complex (e.g., non-rigid) text-guided semantic edits to a single real image. For example, we can change the posture and composition of one or multiple objects inside an image, while preserving its original characteristics. Our method can make a standing dog sit down or jump, cause a bird to spread its wings, etc. -- each within its single high-resolution natural image provided by the user. Contrary to previous work, our proposed method requires only a single input image and a target text (the desired edit). It operates on real images, and does not require any additional inputs (such as image masks or additional views of the object). Our method, which we call "Imagic", leverages a pre-trained text-to-image diffusion model for this task. It produces a text embedding that aligns with both the input image and the target text, while fine-tuning the diffusion model to capture the image-specific appearance. We demonstrate the quality and versatility of our method on numerous inputs from various domains, showcasing a plethora of high quality complex semantic image edits, all within a single unified framework.

Recent advancements in generative models have revolutionized the field of artificial intelligence, enabling the creation of highly-realistic and detailed images. In this study, we propose a novel Mask Conditional Text-to-Image Generative Model (MCGM) that leverages the power of conditional diffusion models to generate pictures with specific poses. Our model builds upon the success of the Break-a-scene [1] model in generating new scenes using a single image with multiple subjects and incorporates a mask embedding injection that allows the conditioning of the generation process. By introducing this additional level of control, MCGM offers a flexible and intuitive approach for generating specific poses for one or more subjects learned from a single image, empowering users to influence the output based on their requirements. Through extensive experimentation and evaluation, we demonstrate the effectiveness of our proposed model in generating high-quality images that meet predefined mask conditions and improving the current Break-a-scene generative model.

Ensuring precise multimodal alignment between diffusion-generated images and input prompts has been a long-standing challenge. Earlier works finetune diffusion weight using high-quality preference data, which tends to be limited and difficult to scale up. Recent editing-based methods further refine local regions of generated images but may compromise overall image quality. In this work, we propose Implicit Multimodal Guidance (IMG), a novel re-generation-based multimodal alignment framework that requires no extra data or editing operations. Specifically, given a generated image and its prompt, IMG a) utilizes a multimodal large language model (MLLM) to identify misalignments; b) introduces an Implicit Aligner that manipulates diffusion conditioning features to reduce misalignments and enable re-generation; and c) formulates the re-alignment goal into a trainable objective, namely Iteratively Updated Preference Objective. Extensive qualitative and quantitative evaluations on SDXL, SDXL-DPO, and FLUX show that IMG outperforms existing alignment methods. Furthermore, IMG acts as a flexible plug-and-play adapter, seamlessly enhancing prior finetuning-based alignment methods. Our code will be available at https://github.com/SHI-Labs/IMG-Multimodal-Diffusion-Alignment.

Data augmentation is essential in medical imaging for improving classification accuracy, lesion detection, and organ segmentation under limited data conditions. However, two significant challenges remain. First, a pronounced domain gap between natural photographs and medical images can distort critical disease features. Second, augmentation studies in medical imaging are fragmented and limited to single tasks or architectures, leaving the benefits of advanced mix-based strategies unclear. To address these challenges, we propose a unified evaluation framework with six mix-based augmentation methods integrated with both convolutional and transformer backbones on brain tumour MRI and eye disease fundus datasets. Our contributions are threefold. (1) We introduce MediAug, a comprehensive and reproducible benchmark for advanced data augmentation in medical imaging. (2) We systematically evaluate MixUp, YOCO, CropMix, CutMix, AugMix, and SnapMix with ResNet-50 and ViT-B backbones. (3) We demonstrate through extensive experiments that MixUp yields the greatest improvement on the brain tumor classification task for ResNet-50 with 79.19% accuracy and SnapMix yields the greatest improvement for ViT-B with 99.44% accuracy, and that YOCO yields the greatest improvement on the eye disease classification task for ResNet-50 with 91.60% accuracy and CutMix yields the greatest improvement for ViT-B with 97.94% accuracy. Code will be available at https://github.com/AIGeeksGroup/MediAug.

Disease progression simulation is a crucial area of research that has significant implications for clinical diagnosis, prognosis, and treatment. One major challenge in this field is the lack of continuous medical imaging monitoring of individual patients over time. To address this issue, we develop a novel framework termed Progressive Image Editing (PIE) that enables controlled manipulation of disease-related image features, facilitating precise and realistic disease progression simulation. Specifically, we leverage recent advancements in text-to-image generative models to simulate disease progression accurately and personalize it for each patient. We theoretically analyze the iterative refining process in our framework as a gradient descent with an exponentially decayed learning rate. To validate our framework, we conduct experiments in three medical imaging domains. Our results demonstrate the superiority of PIE over existing methods such as Stable Diffusion Walk and Style-Based Manifold Extrapolation based on CLIP score (Realism) and Disease Classification Confidence (Alignment). Our user study collected feedback from 35 veteran physicians to assess the generated progressions. Remarkably, 76.2% of the feedback agrees with the fidelity of the generated progressions. To our best knowledge, PIE is the first of its kind to generate disease progression images meeting real-world standards. It is a promising tool for medical research and clinical practice, potentially allowing healthcare providers to model disease trajectories over time, predict future treatment responses, and improve patient outcomes.

Customized generative text-to-image models have the ability to produce images that closely resemble a given subject. However, in the context of generating advertising images for e-commerce scenarios, it is crucial that the generated subject's identity aligns perfectly with the product being advertised. In order to address the need for strictly-ID preserved advertising image generation, we have developed a Control-Net based customized image generation pipeline and have taken earring model advertising as an example. Our approach facilitates a seamless interaction between the earrings and the model's face, while ensuring that the identity of the earrings remains intact. Furthermore, to achieve a diverse and controllable display, we have proposed a multi-branch cross-attention architecture, which allows for control over the scale, pose, and appearance of the model, going beyond the limitations of text prompts. Our method manages to achieve fine-grained control of the generated model's face, resulting in controllable and captivating advertising effects.

Chest radiography is an extremely powerful imaging modality, allowing for a detailed inspection of a patient's thorax, but requiring specialized training for proper interpretation. With the advent of high performance general purpose computer vision algorithms, the accurate automated analysis of chest radiographs is becoming increasingly of interest to researchers. However, a key challenge in the development of these techniques is the lack of sufficient data. Here we describe MIMIC-CXR-JPG v2.0.0, a large dataset of 377,110 chest x-rays associated with 227,827 imaging studies sourced from the Beth Israel Deaconess Medical Center between 2011 - 2016. Images are provided with 14 labels derived from two natural language processing tools applied to the corresponding free-text radiology reports. MIMIC-CXR-JPG is derived entirely from the MIMIC-CXR database, and aims to provide a convenient processed version of MIMIC-CXR, as well as to provide a standard reference for data splits and image labels. All images have been de-identified to protect patient privacy. The dataset is made freely available to facilitate and encourage a wide range of research in medical computer vision.

Text-to-image (T2I) models, such as Stable Diffusion, have exhibited remarkable performance in generating high-quality images from text descriptions in recent years. However, text-to-image models may be tricked into generating not-safe-for-work (NSFW) content, particularly in sexual scenarios. Existing countermeasures mostly focus on filtering inappropriate inputs and outputs, or suppressing improper text embeddings, which can block explicit NSFW-related content (e.g., naked or sexy) but may still be vulnerable to adversarial prompts inputs that appear innocent but are ill-intended. In this paper, we present SafeGen, a framework to mitigate unsafe content generation by text-to-image models in a text-agnostic manner. The key idea is to eliminate unsafe visual representations from the model regardless of the text input. In this way, the text-to-image model is resistant to adversarial prompts since unsafe visual representations are obstructed from within. Extensive experiments conducted on four datasets demonstrate SafeGen's effectiveness in mitigating unsafe content generation while preserving the high-fidelity of benign images. SafeGen outperforms eight state-of-the-art baseline methods and achieves 99.1% sexual content removal performance. Furthermore, our constructed benchmark of adversarial prompts provides a basis for future development and evaluation of anti-NSFW-generation methods.

Image safety classifiers play an important role in identifying and mitigating the spread of unsafe images online (e.g., images including violence, hateful rhetoric, etc.). At the same time, with the advent of text-to-image models and increasing concerns about the safety of AI models, developers are increasingly relying on image safety classifiers to safeguard their models. Yet, the performance of current image safety classifiers remains unknown for real-world and AI-generated images. To bridge this research gap, in this work, we propose UnsafeBench, a benchmarking framework that evaluates the effectiveness and robustness of image safety classifiers. First, we curate a large dataset of 10K real-world and AI-generated images that are annotated as safe or unsafe based on a set of 11 unsafe categories of images (sexual, violent, hateful, etc.). Then, we evaluate the effectiveness and robustness of five popular image safety classifiers, as well as three classifiers that are powered by general-purpose visual language models. Our assessment indicates that existing image safety classifiers are not comprehensive and effective enough in mitigating the multifaceted problem of unsafe images. Also, we find that classifiers trained only on real-world images tend to have degraded performance when applied to AI-generated images. Motivated by these findings, we design and implement a comprehensive image moderation tool called PerspectiveVision, which effectively identifies 11 categories of real-world and AI-generated unsafe images. The best PerspectiveVision model achieves an overall F1-Score of 0.810 on six evaluation datasets, which is comparable with closed-source and expensive state-of-the-art models like GPT-4V. UnsafeBench and PerspectiveVision can aid the research community in better understanding the landscape of image safety classification in the era of generative AI.

Deep learning algorithms require extensive data to achieve robust performance. However, data availability is often restricted in the medical domain due to patient privacy concerns. Synthetic data presents a possible solution to these challenges. Recently, image generative models have found increasing use for medical applications but are often designed for singular medical specialties and imaging modalities, thus limiting their broader utility. To address this, we introduce MediSyn: a text-guided, latent diffusion model capable of generating synthetic images from 6 medical specialties and 10 image types. The synthetic images are validated by expert clinicians for alignment with their corresponding text prompts. Furthermore, a direct comparison of the synthetic images against the real images confirms that our model synthesizes novel images and, crucially, may preserve patient privacy. Finally, classifiers trained on a mixture of synthetic and real data achieve similar performance to those trained on twice the amount of real data. Our findings highlight the immense potential for generalist image generative models to accelerate algorithmic research and development in medicine.

Recent large vision-language models (LVLMs) have been applied to diverse VQA tasks. However, achieving practical performance typically requires task-specific fine-tuning with large numbers of image-text pairs, which are costly to collect. In this work, we study text-centric training, a setting where only textual descriptions are available and no real images are provided, as a paradigm for low-cost data scaling. Unlike images, whose collection is often restricted by privacy constraints and scarcity in niche domains, text is widely available. Moreover, text is easily editable, enabling automatic diversification and expansion with LLMs at minimal human effort. While this offers clear advantages over image collection in terms of scalability and cost, training on raw text without images still yields limited gains on VQA tasks because of the image-text modality gap. To address this issue, we propose a Text-Printed Image (TPI), which generates synthetic images by directly rendering the given textual description on a plain white canvas. This simple rendering projects text into the image modality and can be integrated into arbitrary existing LVLM training pipelines at low cost. Moreover, TPI preserves the semantics of the text, whereas text-to-image models often fail to do. Across four models and seven benchmarks, our systematic experiments show that TPI enables more effective text-centric training than synthetic images generated by a diffusion model. We further explore TPI as a low-cost data-augmentation strategy and demonstrate its practical utility. Overall, our findings highlight the significant potential of text-centric training and, more broadly, chart a path toward fully automated data generation for LVLMs.

Recent advancements in diffusion models revolutionize image generation but pose risks of misuse, such as replicating artworks or generating deepfakes. Existing image protection methods, though effective, struggle to balance protection efficacy, invisibility, and latency, thus limiting practical use. We introduce perturbation pre-training to reduce latency and propose a mixture-of-perturbations approach that dynamically adapts to input images to minimize performance degradation. Our novel training strategy computes protection loss across multiple VAE feature spaces, while adaptive targeted protection at inference enhances robustness and invisibility. Experiments show comparable protection performance with improved invisibility and drastically reduced inference time. The code and demo are available at https://webtoon.github.io/impasto

The rapid advancement of text-to-image generation systems, exemplified by models like Stable Diffusion, Midjourney, Imagen, and DALL-E, has heightened concerns about their potential misuse. In response, companies like Meta and Google have intensified their efforts to implement watermarking techniques on AI-generated images to curb the circulation of potentially misleading visuals. However, in this paper, we argue that current image watermarking methods are fragile and susceptible to being circumvented through visual paraphrase attacks. The proposed visual paraphraser operates in two steps. First, it generates a caption for the given image using KOSMOS-2, one of the latest state-of-the-art image captioning systems. Second, it passes both the original image and the generated caption to an image-to-image diffusion system. During the denoising step of the diffusion pipeline, the system generates a visually similar image that is guided by the text caption. The resulting image is a visual paraphrase and is free of any watermarks. Our empirical findings demonstrate that visual paraphrase attacks can effectively remove watermarks from images. This paper provides a critical assessment, empirically revealing the vulnerability of existing watermarking techniques to visual paraphrase attacks. While we do not propose solutions to this issue, this paper serves as a call to action for the scientific community to prioritize the development of more robust watermarking techniques. Our first-of-its-kind visual paraphrase dataset and accompanying code are publicly available.

Modeling and producing lifelike clothed human images has attracted researchers' attention from different areas for decades, with the complexity from highly articulated and structured content. Rendering algorithms decompose and simulate the imaging process of a camera, while are limited by the accuracy of modeled variables and the efficiency of computation. Generative models can produce impressively vivid human images, however still lacking in controllability and editability. This paper studies photorealism enhancement of rendered images, leveraging generative power from diffusion models on the controlled basis of rendering. We introduce a novel framework to translate rendered images into their realistic counterparts, which consists of two stages: Domain Knowledge Injection (DKI) and Realistic Image Generation (RIG). In DKI, we adopt positive (real) domain finetuning and negative (rendered) domain embedding to inject knowledge into a pretrained Text-to-image (T2I) diffusion model. In RIG, we generate the realistic image corresponding to the input rendered image, with a Texture-preserving Attention Control (TAC) to preserve fine-grained clothing textures, exploiting the decoupled features encoded in the UNet structure. Additionally, we introduce SynFashion dataset, featuring high-quality digital clothing images with diverse textures. Extensive experimental results demonstrate the superiority and effectiveness of our method in rendered-to-real image translation.

Collecting pixel-level labels for medical datasets can be a laborious and expensive process, and enhancing segmentation performance with a scarcity of labeled data is a crucial challenge. This work introduces AugPaint, a data augmentation framework that utilizes inpainting to generate image-label pairs from limited labeled data. AugPaint leverages latent diffusion models, known for their ability to generate high-quality in-domain images with low overhead, and adapts the sampling process for the inpainting task without need for retraining. Specifically, given a pair of image and label mask, we crop the area labeled with the foreground and condition on it during reversed denoising process for every noise level. Masked background area would gradually be filled in, and all generated images are paired with the label mask. This approach ensures the accuracy of match between synthetic images and label masks, setting it apart from existing dataset generation methods. The generated images serve as valuable supervision for training downstream segmentation models, effectively addressing the challenge of limited annotations. We conducted extensive evaluations of our data augmentation method on four public medical image segmentation datasets, including CT, MRI, and skin imaging. Results across all datasets demonstrate that AugPaint outperforms state-of-the-art label-efficient methodologies, significantly improving segmentation performance.

Medical image segmentation has recently demonstrated impressive progress with deep neural networks, yet the heterogeneous modalities and scarcity of mask annotations limit the development of segmentation models on unannotated modalities. This paper investigates a new paradigm for leveraging generative models in medical applications: controllably synthesizing data for unannotated modalities, without requiring registered data pairs. Specifically, we make the following contributions in this paper: (i) we collect and curate a large-scale radiology image-text dataset, MedGen-1M, comprising modality labels, attributes, region, and organ information, along with a subset of organ mask annotations, to support research in controllable medical image generation; (ii) we propose a diffusion-based data engine, termed MRGen, which enables generation conditioned on text prompts and masks, synthesizing MR images for diverse modalities lacking mask annotations, to train segmentation models on unannotated modalities; (iii) we conduct extensive experiments across various modalities, illustrating that our data engine can effectively synthesize training samples and extend MRI segmentation towards unannotated modalities.

This study investigates identity-preserving image synthesis, an intriguing task in image generation that seeks to maintain a subject's identity while adding a personalized, stylistic touch. Traditional methods, such as Textual Inversion and DreamBooth, have made strides in custom image creation, but they come with significant drawbacks. These include the need for extensive resources and time for fine-tuning, as well as the requirement for multiple reference images. To overcome these challenges, our research introduces a novel approach to identity-preserving synthesis, with a particular focus on human images. Our model leverages a direct feed-forward mechanism, circumventing the need for intensive fine-tuning, thereby facilitating quick and efficient image generation. Central to our innovation is a hybrid guidance framework, which combines stylized images, facial images, and textual prompts to guide the image generation process. This unique combination enables our model to produce a variety of applications, such as artistic portraits and identity-blended images. Our experimental results, including both qualitative and quantitative evaluations, demonstrate the superiority of our method over existing baseline models and previous works, particularly in its remarkable efficiency and ability to preserve the subject's identity with high fidelity.

Recent advances in diffusion models have significantly enhanced the quality of image synthesis, yet they have also introduced serious safety concerns, particularly the generation of Not Safe for Work (NSFW) content. Previous research has demonstrated that adversarial prompts can be used to generate NSFW content. However, such adversarial text prompts are often easily detectable by text-based filters, limiting their efficacy. In this paper, we expose a previously overlooked vulnerability: adversarial image attacks targeting Image-to-Image (I2I) diffusion models. We propose AdvI2I, a novel framework that manipulates input images to induce diffusion models to generate NSFW content. By optimizing a generator to craft adversarial images, AdvI2I circumvents existing defense mechanisms, such as Safe Latent Diffusion (SLD), without altering the text prompts. Furthermore, we introduce AdvI2I-Adaptive, an enhanced version that adapts to potential countermeasures and minimizes the resemblance between adversarial images and NSFW concept embeddings, making the attack more resilient against defenses. Through extensive experiments, we demonstrate that both AdvI2I and AdvI2I-Adaptive can effectively bypass current safeguards, highlighting the urgent need for stronger security measures to address the misuse of I2I diffusion models.

Text-to-image models like Stable Diffusion have had a profound impact on daily life by enabling the generation of photorealistic images from textual prompts, fostering creativity, and enhancing visual experiences across various applications. However, these models also pose risks. Previous studies have successfully demonstrated that manipulated prompts can elicit text-to-image models to generate unsafe images, e.g., hateful meme variants. Yet, these studies only unleash the harmful power of text-to-image models in a passive manner. In this work, we focus on the proactive generation of unsafe images using targeted benign prompts via poisoning attacks. We propose two poisoning attacks: a basic attack and a utility-preserving attack. We qualitatively and quantitatively evaluate the proposed attacks using four representative hateful memes and multiple query prompts. Experimental results indicate that text-to-image models are vulnerable to the basic attack even with five poisoning samples. However, the poisoning effect can inadvertently spread to non-targeted prompts, leading to undesirable side effects. Root cause analysis identifies conceptual similarity as an important contributing factor to the side effects. To address this, we introduce the utility-preserving attack as a viable mitigation strategy to maintain the attack stealthiness, while ensuring decent attack performance. Our findings underscore the potential risks of adopting text-to-image models in real-world scenarios, calling for future research and safety measures in this space.

Generating high-resolution, photo-realistic images has been a long-standing goal in machine learning. Recently, Nguyen et al. (2016) showed one interesting way to synthesize novel images by performing gradient ascent in the latent space of a generator network to maximize the activations of one or multiple neurons in a separate classifier network. In this paper we extend this method by introducing an additional prior on the latent code, improving both sample quality and sample diversity, leading to a state-of-the-art generative model that produces high quality images at higher resolutions (227x227) than previous generative models, and does so for all 1000 ImageNet categories. In addition, we provide a unified probabilistic interpretation of related activation maximization methods and call the general class of models "Plug and Play Generative Networks". PPGNs are composed of 1) a generator network G that is capable of drawing a wide range of image types and 2) a replaceable "condition" network C that tells the generator what to draw. We demonstrate the generation of images conditioned on a class (when C is an ImageNet or MIT Places classification network) and also conditioned on a caption (when C is an image captioning network). Our method also improves the state of the art of Multifaceted Feature Visualization, which generates the set of synthetic inputs that activate a neuron in order to better understand how deep neural networks operate. Finally, we show that our model performs reasonably well at the task of image inpainting. While image models are used in this paper, the approach is modality-agnostic and can be applied to many types of data.

Zero-shot medical detection can further improve detection performance without relying on annotated medical images even upon the fine-tuned model, showing great clinical value. Recent studies leverage grounded vision-language models (GLIP) to achieve this by using detailed disease descriptions as prompts for the target disease name during the inference phase. However, these methods typically treat prompts as equivalent context to the target name, making it difficult to assign specific disease knowledge based on visual information, leading to a coarse alignment between images and target descriptions. In this paper, we propose StructuralGLIP, which introduces an auxiliary branch to encode prompts into a latent knowledge bank layer-by-layer, enabling more context-aware and fine-grained alignment. Specifically, in each layer, we select highly similar features from both the image representation and the knowledge bank, forming structural representations that capture nuanced relationships between image patches and target descriptions. These features are then fused across modalities to further enhance detection performance. Extensive experiments demonstrate that StructuralGLIP achieves a +4.1\% AP improvement over prior state-of-the-art methods across seven zero-shot medical detection benchmarks, and consistently improves fine-tuned models by +3.2\% AP on endoscopy image datasets.

Advanced text-to-image models such as DALL-E 2 and Midjourney possess the capacity to generate highly realistic images, raising significant concerns regarding the potential proliferation of unsafe content. This includes adult, violent, or deceptive imagery of political figures. Despite claims of rigorous safety mechanisms implemented in these models to restrict the generation of not-safe-for-work (NSFW) content, we successfully devise and exhibit the first prompt attacks on Midjourney, resulting in the production of abundant photorealistic NSFW images. We reveal the fundamental principles of such prompt attacks and suggest strategically substituting high-risk sections within a suspect prompt to evade closed-source safety measures. Our novel framework, SurrogatePrompt, systematically generates attack prompts, utilizing large language models, image-to-text, and image-to-image modules to automate attack prompt creation at scale. Evaluation results disclose an 88% success rate in bypassing Midjourney's proprietary safety filter with our attack prompts, leading to the generation of counterfeit images depicting political figures in violent scenarios. Both subjective and objective assessments validate that the images generated from our attack prompts present considerable safety hazards.

Multimodal models trained on large natural image-text pair datasets have exhibited astounding abilities in generating high-quality images. Medical imaging data is fundamentally different to natural images, and the language used to succinctly capture relevant details in medical data uses a different, narrow but semantically rich, domain-specific vocabulary. Not surprisingly, multi-modal models trained on natural image-text pairs do not tend to generalize well to the medical domain. Developing generative imaging models faithfully representing medical concepts while providing compositional diversity could mitigate the existing paucity of high-quality, annotated medical imaging datasets. In this work, we develop a strategy to overcome the large natural-medical distributional shift by adapting a pre-trained latent diffusion model on a corpus of publicly available chest x-rays (CXR) and their corresponding radiology (text) reports. We investigate the model's ability to generate high-fidelity, diverse synthetic CXR conditioned on text prompts. We assess the model outputs quantitatively using image quality metrics, and evaluate image quality and text-image alignment by human domain experts. We present evidence that the resulting model (RoentGen) is able to create visually convincing, diverse synthetic CXR images, and that the output can be controlled to a new extent by using free-form text prompts including radiology-specific language. Fine-tuning this model on a fixed training set and using it as a data augmentation method, we measure a 5% improvement of a classifier trained jointly on synthetic and real images, and a 3% improvement when trained on a larger but purely synthetic training set. Finally, we observe that this fine-tuning distills in-domain knowledge in the text-encoder and can improve its representation capabilities of certain diseases like pneumothorax by 25%.

Interactive Medical Image Segmentation (IMIS) has long been constrained by the limited availability of large-scale, diverse, and densely annotated datasets, which hinders model generalization and consistent evaluation across different models. In this paper, we introduce the IMed-361M benchmark dataset, a significant advancement in general IMIS research. First, we collect and standardize over 6.4 million medical images and their corresponding ground truth masks from multiple data sources. Then, leveraging the strong object recognition capabilities of a vision foundational model, we automatically generated dense interactive masks for each image and ensured their quality through rigorous quality control and granularity management. Unlike previous datasets, which are limited by specific modalities or sparse annotations, IMed-361M spans 14 modalities and 204 segmentation targets, totaling 361 million masks-an average of 56 masks per image. Finally, we developed an IMIS baseline network on this dataset that supports high-quality mask generation through interactive inputs, including clicks, bounding boxes, text prompts, and their combinations. We evaluate its performance on medical image segmentation tasks from multiple perspectives, demonstrating superior accuracy and scalability compared to existing interactive segmentation models. To facilitate research on foundational models in medical computer vision, we release the IMed-361M and model at https://github.com/uni-medical/IMIS-Bench.

Accurately predicting immunotherapy response in Non-Small Cell Lung Cancer (NSCLC) remains a critical unmet need. Existing radiomics and deep learning-based predictive models rely primarily on pre-treatment imaging to predict categorical response outcomes, limiting their ability to capture the complex morphological and textural transformations induced by immunotherapy. This study introduces ImmunoDiff, an anatomy-aware diffusion model designed to synthesize post-treatment CT scans from baseline imaging while incorporating clinically relevant constraints. The proposed framework integrates anatomical priors, specifically lobar and vascular structures, to enhance fidelity in CT synthesis. Additionally, we introduce a novel cbi-Adapter, a conditioning module that ensures pairwise-consistent multimodal integration of imaging and clinical data embeddings, to refine the generative process. Additionally, a clinical variable conditioning mechanism is introduced, leveraging demographic data, blood-based biomarkers, and PD-L1 expression to refine the generative process. Evaluations on an in-house NSCLC cohort treated with immune checkpoint inhibitors demonstrate a 21.24% improvement in balanced accuracy for response prediction and a 0.03 increase in c-index for survival prediction. Code will be released soon.

Biomedical imaging datasets are often small and biased, meaning that real-world performance of predictive models can be substantially lower than expected from internal testing. This work proposes using generative image editing to simulate dataset shifts and diagnose failure modes of biomedical vision models; this can be used in advance of deployment to assess readiness, potentially reducing cost and patient harm. Existing editing methods can produce undesirable changes, with spurious correlations learned due to the co-occurrence of disease and treatment interventions, limiting practical applicability. To address this, we train a text-to-image diffusion model on multiple chest X-ray datasets and introduce a new editing method RadEdit that uses multiple masks, if present, to constrain changes and ensure consistency in the edited images. We consider three types of dataset shifts: acquisition shift, manifestation shift, and population shift, and demonstrate that our approach can diagnose failures and quantify model robustness without additional data collection, complementing more qualitative tools for explainable AI.

The integration of neural-network-based systems into clinical practice is limited by challenges related to domain generalization and robustness. The computer vision community established benchmarks such as ImageNet-C as a fundamental prerequisite to measure progress towards those challenges. Similar datasets are largely absent in the medical imaging community which lacks a comprehensive benchmark that spans across imaging modalities and applications. To address this gap, we create and open-source MedMNIST-C, a benchmark dataset based on the MedMNIST+ collection covering 12 datasets and 9 imaging modalities. We simulate task and modality-specific image corruptions of varying severity to comprehensively evaluate the robustness of established algorithms against real-world artifacts and distribution shifts. We further provide quantitative evidence that our simple-to-use artificial corruptions allow for highly performant, lightweight data augmentation to enhance model robustness. Unlike traditional, generic augmentation strategies, our approach leverages domain knowledge, exhibiting significantly higher robustness when compared to widely adopted methods. By introducing MedMNIST-C and open-sourcing the corresponding library allowing for targeted data augmentations, we contribute to the development of increasingly robust methods tailored to the challenges of medical imaging. The code is available at https://github.com/francescodisalvo05/medmnistc-api .

In the realm of public health, vaccination stands as the cornerstone for mitigating disease risks and controlling their proliferation. The recent COVID-19 pandemic has highlighted how vaccines play a crucial role in keeping us safe. However the situation involves a mix of perspectives, with skepticism towards vaccines prevailing for various reasons such as political dynamics, apprehensions about side effects, and more. The paper addresses the challenge of comprehensively understanding and categorizing these diverse concerns expressed in the context of vaccination. Our focus is on developing a robust multi-label classifier capable of assigning specific concern labels to tweets based on the articulated apprehensions towards vaccines. To achieve this, we delve into the application of a diverse set of advanced natural language processing techniques and machine learning algorithms including transformer models like BERT, state of the art GPT 3.5, Classifier Chains & traditional methods like SVM, Random Forest, Naive Bayes. We see that the cutting-edge large language model outperforms all other methods in this context.

We introduce KorMedMCQA-V, a Korean medical licensing-exam-style multimodal multiple-choice question answering benchmark for evaluating vision-language models (VLMs). The dataset consists of 1,534 questions with 2,043 associated images from Korean Medical Licensing Examinations (2012-2023), with about 30% containing multiple images requiring cross-image evidence integration. Images cover clinical modalities including X-ray, computed tomography (CT), electrocardiography (ECG), ultrasound, endoscopy, and other medical visuals. We benchmark over 50 VLMs across proprietary and open-source categories-spanning general-purpose, medical-specialized, and Korean-specialized families-under a unified zero-shot evaluation protocol. The best proprietary model (Gemini-3.0-Pro) achieves 96.9% accuracy, the best open-source model (Qwen3-VL-32B-Thinking) 83.7%, and the best Korean-specialized model (VARCO-VISION-2.0-14B) only 43.2%. We further find that reasoning-oriented model variants gain up to +20 percentage points over instruction-tuned counterparts, medical domain specialization yields inconsistent gains over strong general-purpose baselines, all models degrade on multi-image questions, and performance varies notably across imaging modalities. By complementing the text-only KorMedMCQA benchmark, KorMedMCQA-V forms a unified evaluation suite for Korean medical reasoning across text-only and multimodal conditions. The dataset is available via Hugging Face Datasets: https://huggingface.co/datasets/seongsubae/KorMedMCQA-V.

Text-to-image diffusion models have achieved remarkable success in generating high-quality contents from text prompts. However, their reliance on publicly available data and the growing trend of data sharing for fine-tuning make these models particularly vulnerable to data poisoning attacks. In this work, we introduce the Silent Branding Attack, a novel data poisoning method that manipulates text-to-image diffusion models to generate images containing specific brand logos or symbols without any text triggers. We find that when certain visual patterns are repeatedly in the training data, the model learns to reproduce them naturally in its outputs, even without prompt mentions. Leveraging this, we develop an automated data poisoning algorithm that unobtrusively injects logos into original images, ensuring they blend naturally and remain undetected. Models trained on this poisoned dataset generate images containing logos without degrading image quality or text alignment. We experimentally validate our silent branding attack across two realistic settings on large-scale high-quality image datasets and style personalization datasets, achieving high success rates even without a specific text trigger. Human evaluation and quantitative metrics including logo detection show that our method can stealthily embed logos.

We introduce "ImageDream," an innovative image-prompt, multi-view diffusion model for 3D object generation. ImageDream stands out for its ability to produce 3D models of higher quality compared to existing state-of-the-art, image-conditioned methods. Our approach utilizes a canonical camera coordination for the objects in images, improving visual geometry accuracy. The model is designed with various levels of control at each block inside the diffusion model based on the input image, where global control shapes the overall object layout and local control fine-tunes the image details. The effectiveness of ImageDream is demonstrated through extensive evaluations using a standard prompt list. For more information, visit our project page at https://Image-Dream.github.io.

Ensuring the quality and integrity of medical images is crucial for maintaining diagnostic accuracy in deep learning-based Computer-Aided Diagnosis and Computer-Aided Detection (CAD) systems. Covariate shifts are subtle variations in the data distribution caused by different imaging devices or settings and can severely degrade model performance, similar to the effects of adversarial attacks. Therefore, it is vital to have a lightweight and fast method to assess the quality of these images prior to using CAD models. AdverX-Ray addresses this need by serving as an image-quality assessment layer, designed to detect covariate shifts effectively. This Adversarial Variational Autoencoder prioritizes the discriminator's role, using the suboptimal outputs of the generator as negative samples to fine-tune the discriminator's ability to identify high-frequency artifacts. Images generated by adversarial networks often exhibit severe high-frequency artifacts, guiding the discriminator to focus excessively on these components. This makes the discriminator ideal for this approach. Trained on patches from X-ray images of specific machine models, AdverX-Ray can evaluate whether a scan matches the training distribution, or if a scan from the same machine is captured under different settings. Extensive comparisons with various OOD detection methods show that AdverX-Ray significantly outperforms existing techniques, achieving a 96.2% average AUROC using only 64 random patches from an X-ray. Its lightweight and fast architecture makes it suitable for real-time applications, enhancing the reliability of medical imaging systems. The code and pretrained models are publicly available.

Text-conditioned image generation models have recently achieved astonishing results in image quality and text alignment and are consequently employed in a fast-growing number of applications. Since they are highly data-driven, relying on billion-sized datasets randomly scraped from the internet, they also suffer, as we demonstrate, from degenerated and biased human behavior. In turn, they may even reinforce such biases. To help combat these undesired side effects, we present safe latent diffusion (SLD). Specifically, to measure the inappropriate degeneration due to unfiltered and imbalanced training sets, we establish a novel image generation test bed-inappropriate image prompts (I2P)-containing dedicated, real-world image-to-text prompts covering concepts such as nudity and violence. As our exhaustive empirical evaluation demonstrates, the introduced SLD removes and suppresses inappropriate image parts during the diffusion process, with no additional training required and no adverse effect on overall image quality or text alignment.

Image visual try-on aims at transferring a target clothing image onto a reference person, and has become a hot topic in recent years. Prior arts usually focus on preserving the character of a clothing image (e.g. texture, logo, embroidery) when warping it to arbitrary human pose. However, it remains a big challenge to generate photo-realistic try-on images when large occlusions and human poses are presented in the reference person. To address this issue, we propose a novel visual try-on network, namely Adaptive Content Generating and Preserving Network (ACGPN). In particular, ACGPN first predicts semantic layout of the reference image that will be changed after try-on (e.g. long sleeve shirtrightarrowarm, armrightarrowjacket), and then determines whether its image content needs to be generated or preserved according to the predicted semantic layout, leading to photo-realistic try-on and rich clothing details. ACGPN generally involves three major modules. First, a semantic layout generation module utilizes semantic segmentation of the reference image to progressively predict the desired semantic layout after try-on. Second, a clothes warping module warps clothing images according to the generated semantic layout, where a second-order difference constraint is introduced to stabilize the warping process during training. Third, an inpainting module for content fusion integrates all information (e.g. reference image, semantic layout, warped clothes) to adaptively produce each semantic part of human body. In comparison to the state-of-the-art methods, ACGPN can generate photo-realistic images with much better perceptual quality and richer fine-details.

Image captioning, which generates natural language descriptions of the visual information in an image, is a crucial task in vision-language research. Previous models have typically addressed this task by aligning the generative capabilities of machines with human intelligence through statistical fitting of existing datasets. While effective for normal images, they may struggle to accurately describe those where certain parts of the image are obscured or edited, unlike humans who excel in such cases. These weaknesses they exhibit, including hallucinations and limited interpretability, often hinder performance in scenarios with shifted association patterns. In this paper, we present a generic image captioning framework that employs causal inference to make existing models more capable of interventional tasks, and counterfactually explainable. Our approach includes two variants leveraging either total effect or natural direct effect. Integrating them into the training process enables models to handle counterfactual scenarios, increasing their generalizability. Extensive experiments on various datasets show that our method effectively reduces hallucinations and improves the model's faithfulness to images, demonstrating high portability across both small-scale and large-scale image-to-text models. The code is available at https://github.com/Aman-4-Real/See-or-Guess.

To synthesize high-fidelity samples, diffusion models typically require auxiliary data to guide the generation process. However, it is impractical to procure the painstaking patch-level annotation effort required in specialized domains like histopathology and satellite imagery; it is often performed by domain experts and involves hundreds of millions of patches. Modern-day self-supervised learning (SSL) representations encode rich semantic and visual information. In this paper, we posit that such representations are expressive enough to act as proxies to fine-grained human labels. We introduce a novel approach that trains diffusion models conditioned on embeddings from SSL. Our diffusion models successfully project these features back to high-quality histopathology and remote sensing images. In addition, we construct larger images by assembling spatially consistent patches inferred from SSL embeddings, preserving long-range dependencies. Augmenting real data by generating variations of real images improves downstream classifier accuracy for patch-level and larger, image-scale classification tasks. Our models are effective even on datasets not encountered during training, demonstrating their robustness and generalizability. Generating images from learned embeddings is agnostic to the source of the embeddings. The SSL embeddings used to generate a large image can either be extracted from a reference image, or sampled from an auxiliary model conditioned on any related modality (e.g. class labels, text, genomic data). As proof of concept, we introduce the text-to-large image synthesis paradigm where we successfully synthesize large pathology and satellite images out of text descriptions.

Deep learning models have emerged as a powerful tool for various medical applications. However, their success depends on large, high-quality datasets that are challenging to obtain due to privacy concerns and costly annotation. Generative models, such as diffusion models, offer a potential solution by synthesizing medical images, but their practical adoption is hindered by long inference times. In this paper, we propose the use of an optimal transport flow matching approach to accelerate image generation. By introducing a straighter mapping between the source and target distribution, our method significantly reduces inference time while preserving and further enhancing the quality of the outputs. Furthermore, this approach is highly adaptable, supporting various medical imaging modalities, conditioning mechanisms (such as class labels and masks), and different spatial dimensions, including 2D and 3D. Beyond image generation, it can also be applied to related tasks such as image enhancement. Our results demonstrate the efficiency and versatility of this framework, making it a promising advancement for medical imaging applications. Code with checkpoints and a synthetic dataset (beneficial for classification and segmentation) is now available on: https://github.com/milad1378yz/MOTFM.

Recent diffusion model advancements have enabled high-fidelity images to be generated using text prompts. However, a domain gap exists between generated images and real-world images, which poses a challenge in generating high-quality variations of real-world images. Our investigation uncovers that this domain gap originates from a latents' distribution gap in different diffusion processes. To address this issue, we propose a novel inference pipeline called Real-world Image Variation by ALignment (RIVAL) that utilizes diffusion models to generate image variations from a single image exemplar. Our pipeline enhances the generation quality of image variations by aligning the image generation process to the source image's inversion chain. Specifically, we demonstrate that step-wise latent distribution alignment is essential for generating high-quality variations. To attain this, we design a cross-image self-attention injection for feature interaction and a step-wise distribution normalization to align the latent features. Incorporating these alignment processes into a diffusion model allows RIVAL to generate high-quality image variations without further parameter optimization. Our experimental results demonstrate that our proposed approach outperforms existing methods with respect to semantic-condition similarity and perceptual quality. Furthermore, this generalized inference pipeline can be easily applied to other diffusion-based generation tasks, such as image-conditioned text-to-image generation and example-based image inpainting.

Observational studies of causal effects require adjustment for confounding factors. In the tabular setting, where these factors are well-defined, separate random variables, the effect of confounding is well understood. However, in public policy, ecology, and in medicine, decisions are often made in non-tabular settings, informed by patterns or objects detected in images (e.g., maps, satellite or tomography imagery). Using such imagery for causal inference presents an opportunity because objects in the image may be related to the treatment and outcome of interest. In these cases, we rely on the images to adjust for confounding but observed data do not directly label the existence of the important objects. Motivated by real-world applications, we formalize this challenge, how it can be handled, and what conditions are sufficient to identify and estimate causal effects. We analyze finite-sample performance using simulation experiments, estimating effects using a propensity adjustment algorithm that employs a machine learning model to estimate the image confounding. Our experiments also examine sensitivity to misspecification of the image pattern mechanism. Finally, we use our methodology to estimate the effects of policy interventions on poverty in African communities from satellite imagery.

Text-to-Image (T2I) generation has made significant advancements with diffusion models, yet challenges persist in handling complex instructions, ensuring fine-grained content control, and maintaining deep semantic consistency. Existing T2I models often struggle with tasks like accurate text rendering, precise pose generation, or intricate compositional coherence. Concurrently, Vision-Language Models (LVLMs) have demonstrated powerful capabilities in cross-modal understanding and instruction following. We propose LumiGen, a novel LVLM-enhanced iterative framework designed to elevate T2I model performance, particularly in areas requiring fine-grained control, through a closed-loop, LVLM-driven feedback mechanism. LumiGen comprises an Intelligent Prompt Parsing & Augmentation (IPPA) module for proactive prompt enhancement and an Iterative Visual Feedback & Refinement (IVFR) module, which acts as a "visual critic" to iteratively correct and optimize generated images. Evaluated on the challenging LongBench-T2I Benchmark, LumiGen achieves a superior average score of 3.08, outperforming state-of-the-art baselines. Notably, our framework demonstrates significant improvements in critical dimensions such as text rendering and pose expression, validating the effectiveness of LVLM integration for more controllable and higher-quality image generation.

Current Cross-Modality Generation Models (GMs) demonstrate remarkable capabilities in various generative tasks. Given the ubiquity and information richness of vision modality inputs in real-world scenarios, Cross-vision, encompassing Vision-Language Perception (VLP) and Image-to-Image (I2I), tasks have attracted significant attention. Large Vision Language Models (LVLMs) and I2I GMs are employed to handle VLP and I2I tasks, respectively. Previous research indicates that printing typographic words into input images significantly induces LVLMs and I2I GMs to generate disruptive outputs semantically related to those words. Additionally, visual prompts, as a more sophisticated form of typography, are also revealed to pose security risks to various applications of VLP tasks when injected into images. In this paper, we comprehensively investigate the performance impact induced by Typographic Visual Prompt Injection (TVPI) in various LVLMs and I2I GMs. To better observe performance modifications and characteristics of this threat, we also introduce the TVPI Dataset. Through extensive explorations, we deepen the understanding of the underlying causes of the TVPI threat in various GMs and offer valuable insights into its potential origins.

Deep learning has revolutionized medical imaging, but its effectiveness is severely limited by insufficient labeled training data. This paper introduces a novel GAN-based semi-supervised learning framework specifically designed for low labeled-data regimes, evaluated across settings with 5 to 50 labeled samples per class. Our approach integrates three specialized neural networks -- a generator for class-conditioned image translation, a discriminator for authenticity assessment and classification, and a dedicated classifier -- within a three-phase training framework. The method alternates between supervised training on limited labeled data and unsupervised learning that leverages abundant unlabeled images through image-to-image translation rather than generation from noise. We employ ensemble-based pseudo-labeling that combines confidence-weighted predictions from the discriminator and classifier with temporal consistency through exponential moving averaging, enabling reliable label estimation for unlabeled data. Comprehensive evaluation across eleven MedMNIST datasets demonstrates that our approach achieves statistically significant improvements over six state-of-the-art GAN-based semi-supervised methods, with particularly strong performance in the extreme 5-shot setting where the scarcity of labeled data is most challenging. The framework maintains its superiority across all evaluated settings (5, 10, 20, and 50 shots per class). Our approach offers a practical solution for medical imaging applications where annotation costs are prohibitive, enabling robust classification performance even with minimal labeled data. Code is available at https://github.com/GuidoManni/SPARSE.

Vision-language pre-training, i.e., aligning images with paired text, is a powerful paradigm to create encoders that can be directly used for tasks such as classification and retrieval, and for downstream tasks such as segmentation and report generation. In the 3D medical image domain, these capabilities allow vision-language encoders (VLEs) to support radiologists by retrieving patients with similar abnormalities or predicting likelihoods of abnormality. While the methodology holds promise, data availability limits the capabilities of current 3D VLEs. In this paper, we alleviate the lack of data by injecting additional inductive biases: introducing a report generation objective and pairing vision-language pre-training with vision-only pre-training. This allows us to leverage both image-only and paired image-text 3D datasets, increasing the total amount of data to which our model is exposed. Through these additional inductive biases, paired with best practices of the 3D medical imaging domain, we develop the Comprehensive Language-image Pre-training (COLIPRI) encoder family. Our COLIPRI encoders achieve state-of-the-art performance in report generation, classification probing, and zero-shot classification, and remain competitive for semantic segmentation.

Text-to-Image (T2I) models have made remarkable progress in generating images from text prompts, but their output quality and safety still depend heavily on how prompts are phrased. Existing safety methods typically refine prompts using large language models (LLMs), but they overlook the images produced, which can result in unsafe outputs or unnecessary changes to already safe prompts. To address this, we propose an iterative prompt refinement algorithm that uses Vision Language Models (VLMs) to analyze both the input prompts and the generated images. By leveraging visual feedback, our method refines prompts more effectively, improving safety while maintaining user intent and reliability comparable to existing LLM-based approaches. Additionally, we introduce a new dataset labeled with both textual and visual safety signals using off-the-shelf multi-modal LLM, enabling supervised fine-tuning. Experimental results demonstrate that our approach produces safer outputs without compromising alignment with user intent, offering a practical solution for generating safer T2I content. Our code is available at https://github.com/ku-dmlab/IPR. \textcolor{redWARNING: This paper contains examples of harmful or inappropriate images generated by models.

We introduce a novel approach to counter adversarial attacks, namely, image resampling. Image resampling transforms a discrete image into a new one, simulating the process of scene recapturing or rerendering as specified by a geometrical transformation. The underlying rationale behind our idea is that image resampling can alleviate the influence of adversarial perturbations while preserving essential semantic information, thereby conferring an inherent advantage in defending against adversarial attacks. To validate this concept, we present a comprehensive study on leveraging image resampling to defend against adversarial attacks. We have developed basic resampling methods that employ interpolation strategies and coordinate shifting magnitudes. Our analysis reveals that these basic methods can partially mitigate adversarial attacks. However, they come with apparent limitations: the accuracy of clean images noticeably decreases, while the improvement in accuracy on adversarial examples is not substantial. We propose implicit representation-driven image resampling (IRAD) to overcome these limitations. First, we construct an implicit continuous representation that enables us to represent any input image within a continuous coordinate space. Second, we introduce SampleNet, which automatically generates pixel-wise shifts for resampling in response to different inputs. Furthermore, we can extend our approach to the state-of-the-art diffusion-based method, accelerating it with fewer time steps while preserving its defense capability. Extensive experiments demonstrate that our method significantly enhances the adversarial robustness of diverse deep models against various attacks while maintaining high accuracy on clean images.

Medical imaging is critical for diagnostics, but clinical adoption of advanced AI-driven imaging faces challenges due to patient variability, image artifacts, and limited model generalization. While deep learning has transformed image analysis, 3D medical imaging still suffers from data scarcity and inconsistencies due to acquisition protocols, scanner differences, and patient motion. Traditional augmentation uses a single pipeline for all transformations, disregarding the unique traits of each augmentation and struggling with large data volumes. To address these challenges, we propose a Multi-encoder Augmentation-Aware Learning (MEAL) framework that leverages four distinct augmentation variants processed through dedicated encoders. Three fusion strategies such as concatenation (CC), fusion layer (FL), and adaptive controller block (BD) are integrated to build multi-encoder models that combine augmentation-specific features before decoding. MEAL-BD uniquely preserves augmentation-aware representations, enabling robust, protocol-invariant feature learning. As demonstrated in a Computed Tomography (CT)-to-T1-weighted Magnetic Resonance Imaging (MRI) translation study, MEAL-BD consistently achieved the best performance on both unseen- and predefined-test data. On both geometric transformations (like rotations and flips) and non-augmented inputs, MEAL-BD outperformed other competing methods, achieving higher mean peak signal-to-noise ratio (PSNR) and structural similarity index measure (SSIM) scores. These results establish MEAL as a reliable framework for preserving structural fidelity and generalizing across clinically relevant variability. By reframing augmentation as a source of diverse, generalizable features, MEAL supports robust, protocol-invariant learning, advancing clinically reliable medical imaging solutions.

The text-to-image (T2I) personalization diffusion model can generate images of the novel concept based on the user input text caption. However, existing T2I personalized methods either require test-time fine-tuning or fail to generate images that align well with the given text caption. In this work, we propose a new T2I personalization diffusion model, Dense-Face, which can generate face images with a consistent identity as the given reference subject and align well with the text caption. Specifically, we introduce a pose-controllable adapter for the high-fidelity image generation while maintaining the text-based editing ability of the pre-trained stable diffusion (SD). Additionally, we use internal features of the SD UNet to predict dense face annotations, enabling the proposed method to gain domain knowledge in face generation. Empirically, our method achieves state-of-the-art or competitive generation performance in image-text alignment, identity preservation, and pose control.

Existing neural networks for computer vision tasks are vulnerable to adversarial attacks: adding imperceptible perturbations to the input images can fool these methods to make a false prediction on an image that was correctly predicted without the perturbation. Various defense methods have proposed image-to-image mapping methods, either including these perturbations in the training process or removing them in a preprocessing denoising step. In doing so, existing methods often ignore that the natural RGB images in today's datasets are not captured but, in fact, recovered from RAW color filter array captures that are subject to various degradations in the capture. In this work, we exploit this RAW data distribution as an empirical prior for adversarial defense. Specifically, we proposed a model-agnostic adversarial defensive method, which maps the input RGB images to Bayer RAW space and back to output RGB using a learned camera image signal processing (ISP) pipeline to eliminate potential adversarial patterns. The proposed method acts as an off-the-shelf preprocessing module and, unlike model-specific adversarial training methods, does not require adversarial images to train. As a result, the method generalizes to unseen tasks without additional retraining. Experiments on large-scale datasets (e.g., ImageNet, COCO) for different vision tasks (e.g., classification, semantic segmentation, object detection) validate that the method significantly outperforms existing methods across task domains.

Contrastive learning has recently shown immense potential in unsupervised visual representation learning. Existing studies in this track mainly focus on intra-image invariance learning. The learning typically uses rich intra-image transformations to construct positive pairs and then maximizes agreement using a contrastive loss. The merits of inter-image invariance, conversely, remain much less explored. One major obstacle to exploit inter-image invariance is that it is unclear how to reliably construct inter-image positive pairs, and further derive effective supervision from them since no pair annotations are available. In this work, we present a comprehensive empirical study to better understand the role of inter-image invariance learning from three main constituting components: pseudo-label maintenance, sampling strategy, and decision boundary design. To facilitate the study, we introduce a unified and generic framework that supports the integration of unsupervised intra- and inter-image invariance learning. Through carefully-designed comparisons and analysis, multiple valuable observations are revealed: 1) online labels converge faster and perform better than offline labels; 2) semi-hard negative samples are more reliable and unbiased than hard negative samples; 3) a less stringent decision boundary is more favorable for inter-image invariance learning. With all the obtained recipes, our final model, namely InterCLR, shows consistent improvements over state-of-the-art intra-image invariance learning methods on multiple standard benchmarks. We hope this work will provide useful experience for devising effective unsupervised inter-image invariance learning. Code: https://github.com/open-mmlab/mmselfsup.

Recent advancements in medical imaging and artificial intelligence (AI) have greatly enhanced diagnostic capabilities, but the development of effective deep learning (DL) models is still constrained by the lack of high-quality annotated datasets. The traditional manual annotation process by medical experts is time- and resource-intensive, limiting the scalability of these datasets. In this work, we introduce a robust and versatile framework that combines AI and crowdsourcing to improve both the quality and quantity of medical image datasets across different modalities. Our approach utilises a user-friendly online platform that enables a diverse group of crowd annotators to label medical images efficiently. By integrating the MedSAM segmentation AI with this platform, we accelerate the annotation process while maintaining expert-level quality through an algorithm that merges crowd-labelled images. Additionally, we employ pix2pixGAN, a generative AI model, to expand the training dataset with synthetic images that capture realistic morphological features. These methods are combined into a cohesive framework designed to produce an enhanced dataset, which can serve as a universal pre-processing pipeline to boost the training of any medical deep learning segmentation model. Our results demonstrate that this framework significantly improves model performance, especially when training data is limited.

Machine learning models, especially deep neural networks (DNNs), have been shown to be vulnerable against adversarial examples which are carefully crafted samples with a small magnitude of the perturbation. Such adversarial perturbations are usually restricted by bounding their L_p norm such that they are imperceptible, and thus many current defenses can exploit this property to reduce their adversarial impact. In this paper, we instead introduce "unrestricted" perturbations that manipulate semantically meaningful image-based visual descriptors - color and texture - in order to generate effective and photorealistic adversarial examples. We show that these semantically aware perturbations are effective against JPEG compression, feature squeezing and adversarially trained model. We also show that the proposed methods can effectively be applied to both image classification and image captioning tasks on complex datasets such as ImageNet and MSCOCO. In addition, we conduct comprehensive user studies to show that our generated semantic adversarial examples are photorealistic to humans despite large magnitude perturbations when compared to other attacks.

Visual grounding is essential for precise perception and reasoning in multimodal large language models (MLLMs), especially in medical imaging domains. While existing medical visual grounding benchmarks primarily focus on single-image scenarios, real-world clinical applications often involve sequential images, where accurate lesion localization across different modalities and temporal tracking of disease progression (e.g., pre- vs. post-treatment comparison) require fine-grained cross-image semantic alignment and context-aware reasoning. To remedy the underrepresentation of image sequences in existing medical visual grounding benchmarks, we propose MedSG-Bench, the first benchmark tailored for Medical Image Sequences Grounding. It comprises eight VQA-style tasks, formulated into two paradigms of the grounding tasks, including 1) Image Difference Grounding, which focuses on detecting change regions across images, and 2) Image Consistency Grounding, which emphasizes detection of consistent or shared semantics across sequential images. MedSG-Bench covers 76 public datasets, 10 medical imaging modalities, and a wide spectrum of anatomical structures and diseases, totaling 9,630 question-answer pairs. We benchmark both general-purpose MLLMs (e.g., Qwen2.5-VL) and medical-domain specialized MLLMs (e.g., HuatuoGPT-vision), observing that even the advanced models exhibit substantial limitations in medical sequential grounding tasks. To advance this field, we construct MedSG-188K, a large-scale instruction-tuning dataset tailored for sequential visual grounding, and further develop MedSeq-Grounder, an MLLM designed to facilitate future research on fine-grained understanding across medical sequential images. The benchmark, dataset, and model are available at https://huggingface.co/MedSG-Bench

Personalized image generation aims to integrate user-provided concepts into text-to-image models, enabling the generation of customized content based on a given prompt. Recent zero-shot approaches, particularly those leveraging diffusion transformers, incorporate reference image information through multi-modal attention mechanism. This integration allows the generated output to be influenced by both the textual prior from the prompt and the visual prior from the reference image. However, we observe that when the prompt and reference image are misaligned, the generated results exhibit a stronger bias toward the textual prior, leading to a significant loss of reference content. To address this issue, we propose AlignGen, a Cross-Modality Prior Alignment mechanism that enhances personalized image generation by: 1) introducing a learnable token to bridge the gap between the textual and visual priors, 2) incorporating a robust training strategy to ensure proper prior alignment, and 3) employing a selective cross-modal attention mask within the multi-modal attention mechanism to further align the priors. Experimental results demonstrate that AlignGen outperforms existing zero-shot methods and even surpasses popular test-time optimization approaches.

Text-guided image-to-video (TI2V) generation has recently achieved remarkable progress, particularly in maintaining subject consistency and temporal coherence. However, existing methods still struggle to adhere to fine-grained prompt semantics, especially when prompts entail substantial transformations of the input image (e.g., object addition, deletion, or modification), a shortcoming we term semantic negligence. In a pilot study, we find that applying a Gaussian blur to the input image improves semantic adherence. Analyzing attention maps, we observe clearer foreground-background separation. From an energy perspective, this corresponds to a lower-entropy cross-attention distribution. Motivated by this, we introduce AlignVid, a training-free framework with two components: (i) Attention Scaling Modulation (ASM), which directly reweights attention via lightweight Q or K scaling, and (ii) Guidance Scheduling (GS), which applies ASM selectively across transformer blocks and denoising steps to reduce visual quality degradation. This minimal intervention improves prompt adherence while limiting aesthetic degradation. In addition, we introduce OmitI2V to evaluate semantic negligence in TI2V generation, comprising 367 human-annotated samples that span addition, deletion, and modification scenarios. Extensive experiments demonstrate that AlignVid can enhance semantic fidelity.

Despite the integration of safety alignment and external filters, text-to-image (T2I) generative models are still susceptible to producing harmful content, such as sexual or violent imagery. This raises serious concerns about unintended exposure and potential misuse. Red teaming, which aims to proactively identify diverse prompts that can elicit unsafe outputs from the T2I system (including the core generative model as well as potential external safety filters and other processing components), is increasingly recognized as an essential method for assessing and improving safety before real-world deployment. Yet, existing automated red teaming approaches often treat prompt discovery as an isolated, prompt-level optimization task, which limits their scalability, diversity, and overall effectiveness. To bridge this gap, in this paper, we propose DREAM, a scalable red teaming framework to automatically uncover diverse problematic prompts from a given T2I system. Unlike most prior works that optimize prompts individually, DREAM directly models the probabilistic distribution of the target system's problematic prompts, which enables explicit optimization over both effectiveness and diversity, and allows efficient large-scale sampling after training. To achieve this without direct access to representative training samples, we draw inspiration from energy-based models and reformulate the objective into simple and tractable objectives. We further introduce GC-SPSA, an efficient optimization algorithm that provide stable gradient estimates through the long and potentially non-differentiable T2I pipeline. The effectiveness of DREAM is validated through extensive experiments, demonstrating that it surpasses 9 state-of-the-art baselines by a notable margin across a broad range of T2I models and safety filters in terms of prompt success rate and diversity.

The causalimages R package enables causal inference with image and image sequence data, providing new tools for integrating novel data sources like satellite and bio-medical imagery into the study of cause and effect. One set of functions enables image-based causal inference analyses. For example, one key function decomposes treatment effect heterogeneity by images using an interpretable Bayesian framework. This allows for determining which types of images or image sequences are most responsive to interventions. A second modeling function allows researchers to control for confounding using images. The package also allows investigators to produce embeddings that serve as vector summaries of the image or video content. Finally, infrastructural functions are also provided, such as tools for writing large-scale image and image sequence data as sequentialized byte strings for more rapid image analysis. causalimages therefore opens new capabilities for causal inference in R, letting researchers use informative imagery in substantive analyses in a fast and accessible manner.

Early tumor detection save lives. Each year, more than 300 million computed tomography (CT) scans are performed worldwide, offering a vast opportunity for effective cancer screening. However, detecting small or early-stage tumors on these CT scans remains challenging, even for experts. Artificial intelligence (AI) models can assist by highlighting suspicious regions, but training such models typically requires extensive tumor masks--detailed, voxel-wise outlines of tumors manually drawn by radiologists. Drawing these masks is costly, requiring years of effort and millions of dollars. In contrast, nearly every CT scan in clinical practice is already accompanied by medical reports describing the tumor's size, number, appearance, and sometimes, pathology results--information that is rich, abundant, and often underutilized for AI training. We introduce R-Super, which trains AI to segment tumors that match their descriptions in medical reports. This approach scales AI training with large collections of readily available medical reports, substantially reducing the need for manually drawn tumor masks. When trained on 101,654 reports, AI models achieved performance comparable to those trained on 723 masks. Combining reports and masks further improved sensitivity by +13% and specificity by +8%, surpassing radiologists in detecting five of the seven tumor types. Notably, R-Super enabled segmentation of tumors in the spleen, gallbladder, prostate, bladder, uterus, and esophagus, for which no public masks or AI models previously existed. This study challenges the long-held belief that large-scale, labor-intensive tumor mask creation is indispensable, establishing a scalable and accessible path toward early detection across diverse tumor types. We plan to release our trained models, code, and dataset at https://github.com/MrGiovanni/R-Super

We introduce CheXGenBench, a rigorous and multifaceted evaluation framework for synthetic chest radiograph generation that simultaneously assesses fidelity, privacy risks, and clinical utility across state-of-the-art text-to-image generative models. Despite rapid advancements in generative AI for real-world imagery, medical domain evaluations have been hindered by methodological inconsistencies, outdated architectural comparisons, and disconnected assessment criteria that rarely address the practical clinical value of synthetic samples. CheXGenBench overcomes these limitations through standardised data partitioning and a unified evaluation protocol comprising over 20 quantitative metrics that systematically analyse generation quality, potential privacy vulnerabilities, and downstream clinical applicability across 11 leading text-to-image architectures. Our results reveal critical inefficiencies in the existing evaluation protocols, particularly in assessing generative fidelity, leading to inconsistent and uninformative comparisons. Our framework establishes a standardised benchmark for the medical AI community, enabling objective and reproducible comparisons while facilitating seamless integration of both existing and future generative models. Additionally, we release a high-quality, synthetic dataset, SynthCheX-75K, comprising 75K radiographs generated by the top-performing model (Sana 0.6B) in our benchmark to support further research in this critical domain. Through CheXGenBench, we establish a new state-of-the-art and release our framework, models, and SynthCheX-75K dataset at https://raman1121.github.io/CheXGenBench/

Large text-to-image models achieved a remarkable leap in the evolution of AI, enabling high-quality and diverse synthesis of images from a given text prompt. However, these models lack the ability to mimic the appearance of subjects in a given reference set and synthesize novel renditions of them in different contexts. In this work, we present a new approach for "personalization" of text-to-image diffusion models (specializing them to users' needs). Given as input just a few images of a subject, we fine-tune a pretrained text-to-image model (Imagen, although our method is not limited to a specific model) such that it learns to bind a unique identifier with that specific subject. Once the subject is embedded in the output domain of the model, the unique identifier can then be used to synthesize fully-novel photorealistic images of the subject contextualized in different scenes. By leveraging the semantic prior embedded in the model with a new autogenous class-specific prior preservation loss, our technique enables synthesizing the subject in diverse scenes, poses, views, and lighting conditions that do not appear in the reference images. We apply our technique to several previously-unassailable tasks, including subject recontextualization, text-guided view synthesis, appearance modification, and artistic rendering (all while preserving the subject's key features). Project page: https://dreambooth.github.io/

Convincing people to get vaccinated against COVID-19 is a key societal challenge in the present times. As a first step towards this goal, many prior works have relied on social media analysis to understand the specific concerns that people have towards these vaccines, such as potential side-effects, ineffectiveness, political factors, and so on. Though there are datasets that broadly classify social media posts into Anti-vax and Pro-Vax labels, there is no dataset (to our knowledge) that labels social media posts according to the specific anti-vaccine concerns mentioned in the posts. In this paper, we have curated CAVES, the first large-scale dataset containing about 10k COVID-19 anti-vaccine tweets labelled into various specific anti-vaccine concerns in a multi-label setting. This is also the first multi-label classification dataset that provides explanations for each of the labels. Additionally, the dataset also provides class-wise summaries of all the tweets. We also perform preliminary experiments on the dataset and show that this is a very challenging dataset for multi-label explainable classification and tweet summarization, as is evident by the moderate scores achieved by some state-of-the-art models. Our dataset and codes are available at: https://github.com/sohampoddar26/caves-data

This paper presents instruct-imagen, a model that tackles heterogeneous image generation tasks and generalizes across unseen tasks. We introduce *multi-modal instruction* for image generation, a task representation articulating a range of generation intents with precision. It uses natural language to amalgamate disparate modalities (e.g., text, edge, style, subject, etc.), such that abundant generation intents can be standardized in a uniform format. We then build instruct-imagen by fine-tuning a pre-trained text-to-image diffusion model with a two-stage framework. First, we adapt the model using the retrieval-augmented training, to enhance model's capabilities to ground its generation on external multimodal context. Subsequently, we fine-tune the adapted model on diverse image generation tasks that requires vision-language understanding (e.g., subject-driven generation, etc.), each paired with a multi-modal instruction encapsulating the task's essence. Human evaluation on various image generation datasets reveals that instruct-imagen matches or surpasses prior task-specific models in-domain and demonstrates promising generalization to unseen and more complex tasks.

Vision-and-language pretraining (VLP) in the medical field utilizes contrastive learning on image-text pairs to achieve effective transfer across tasks. Yet, current VLP approaches with the masked modeling strategy face two challenges when applied to the medical domain. First, current models struggle to accurately reconstruct key pathological features due to the scarcity of medical data. Second, most methods only adopt either paired image-text or image-only data, failing to exploit the combination of both paired and unpaired data. To this end, this paper proposes the MMCLIP (Masked Medical Contrastive Language-Image Pre-Training) framework to enhance pathological learning and feature learning via unpaired data. First, we introduce the attention-masked image modeling (AttMIM) and entity-driven masked language modeling module (EntMLM), which learns to reconstruct pathological visual and textual tokens via multi-modal feature interaction, thus improving medical-enhanced features. The AttMIM module masks a portion of the image features that are highly responsive to textual features. This allows MMCLIP to improve the reconstruction of highly similar image data in medicine efficiency. Second, our MMCLIP capitalizes unpaired data to enhance multimodal learning by introducing disease-kind prompts. The experimental results show that MMCLIP achieves SOTA for zero-shot and fine-tuning classification performance on five datasets. Our code will be available at https://github.com/AIGeeksGroup/MMCLIP.

Recent text-to-image generative models have demonstrated an unparalleled ability to generate diverse and creative imagery guided by a target text prompt. While revolutionary, current state-of-the-art diffusion models may still fail in generating images that fully convey the semantics in the given text prompt. We analyze the publicly available Stable Diffusion model and assess the existence of catastrophic neglect, where the model fails to generate one or more of the subjects from the input prompt. Moreover, we find that in some cases the model also fails to correctly bind attributes (e.g., colors) to their corresponding subjects. To help mitigate these failure cases, we introduce the concept of Generative Semantic Nursing (GSN), where we seek to intervene in the generative process on the fly during inference time to improve the faithfulness of the generated images. Using an attention-based formulation of GSN, dubbed Attend-and-Excite, we guide the model to refine the cross-attention units to attend to all subject tokens in the text prompt and strengthen - or excite - their activations, encouraging the model to generate all subjects described in the text prompt. We compare our approach to alternative approaches and demonstrate that it conveys the desired concepts more faithfully across a range of text prompts.

Artistic Glyph Image Generation (AGIG) differs from current creativity-focused generation models by offering finely controllable deterministic generation. It transfers the style of a reference image to a source while preserving its content. Although advanced and promising, current methods may reveal flaws when scrutinizing synthesized image details, often producing blurred or incorrect textures, posing a significant challenge. Hence, we introduce AnyArtisticGlyph, a diffusion-based, multilingual controllable artistic glyph generation model. It includes a font fusion and embedding module, which generates latent features for detailed structure creation, and a vision-text fusion and embedding module that uses the CLIP model to encode references and blends them with transformation caption embeddings for seamless global image generation. Moreover, we incorporate a coarse-grained feature-level loss to enhance generation accuracy. Experiments show that it produces natural, detailed artistic glyph images with state-of-the-art performance. Our project will be open-sourced on https://github.com/jiean001/AnyArtisticGlyph to advance text generation technology.

Image-to-image translation is a class of vision and graphics problems where the goal is to learn the mapping between an input image and an output image using a training set of aligned image pairs. However, for many tasks, paired training data will not be available. We present an approach for learning to translate an image from a source domain X to a target domain Y in the absence of paired examples. Our goal is to learn a mapping G: X rightarrow Y such that the distribution of images from G(X) is indistinguishable from the distribution Y using an adversarial loss. Because this mapping is highly under-constrained, we couple it with an inverse mapping F: Y rightarrow X and introduce a cycle consistency loss to push F(G(X)) approx X (and vice versa). Qualitative results are presented on several tasks where paired training data does not exist, including collection style transfer, object transfiguration, season transfer, photo enhancement, etc. Quantitative comparisons against several prior methods demonstrate the superiority of our approach.

Pre-training backbone networks on a general annotated dataset (e.g., ImageNet) that comprises numerous manually collected images with category annotations has proven to be indispensable for enhancing the generalization capacity of downstream visual tasks. However, those manually collected images often exhibit bias, which is non-transferable across either categories or domains, thus causing the model's generalization capacity degeneration. To mitigate this problem, we present a low-biased general annotated dataset generation framework (lbGen). Instead of expensive manual collection, we aim at directly generating low-biased images with category annotations. To achieve this goal, we propose to leverage the advantage of a multimodal foundation model (e.g., CLIP), in terms of aligning images in a low-biased semantic space defined by language. Specifically, we develop a bi-level semantic alignment loss, which not only forces all generated images to be consistent with the semantic distribution of all categories belonging to the target dataset in an adversarial learning manner, but also requires each generated image to match the semantic description of its category name. In addition, we further cast an existing image quality scoring model into a quality assurance loss to preserve the quality of the generated image. By leveraging these two loss functions, we can obtain a low-biased image generation model by simply fine-tuning a pre-trained diffusion model using only all category names in the target dataset as input. Experimental results confirm that, compared with the manually labeled dataset or other synthetic datasets, the utilization of our generated low-biased dataset leads to stable generalization capacity enhancement of different backbone networks across various tasks, especially in tasks where the manually labeled samples are scarce.

Adversarial purification using generative models demonstrates strong adversarial defense performance. These methods are classifier and attack-agnostic, making them versatile but often computationally intensive. Recent strides in diffusion and score networks have improved image generation and, by extension, adversarial purification. Another highly efficient class of adversarial defense methods known as adversarial training requires specific knowledge of attack vectors, forcing them to be trained extensively on adversarial examples. To overcome these limitations, we introduce a new framework, namely Language Guided Adversarial Purification (LGAP), utilizing pre-trained diffusion models and caption generators to defend against adversarial attacks. Given an input image, our method first generates a caption, which is then used to guide the adversarial purification process through a diffusion network. Our approach has been evaluated against strong adversarial attacks, proving its effectiveness in enhancing adversarial robustness. Our results indicate that LGAP outperforms most existing adversarial defense techniques without requiring specialized network training. This underscores the generalizability of models trained on large datasets, highlighting a promising direction for further research.

State-of-the-art Text-to-Image models like Stable Diffusion and DALLEcdot2 are revolutionizing how people generate visual content. At the same time, society has serious concerns about how adversaries can exploit such models to generate unsafe images. In this work, we focus on demystifying the generation of unsafe images and hateful memes from Text-to-Image models. We first construct a typology of unsafe images consisting of five categories (sexually explicit, violent, disturbing, hateful, and political). Then, we assess the proportion of unsafe images generated by four advanced Text-to-Image models using four prompt datasets. We find that these models can generate a substantial percentage of unsafe images; across four models and four prompt datasets, 14.56% of all generated images are unsafe. When comparing the four models, we find different risk levels, with Stable Diffusion being the most prone to generating unsafe content (18.92% of all generated images are unsafe). Given Stable Diffusion's tendency to generate more unsafe content, we evaluate its potential to generate hateful meme variants if exploited by an adversary to attack a specific individual or community. We employ three image editing methods, DreamBooth, Textual Inversion, and SDEdit, which are supported by Stable Diffusion. Our evaluation result shows that 24% of the generated images using DreamBooth are hateful meme variants that present the features of the original hateful meme and the target individual/community; these generated images are comparable to hateful meme variants collected from the real world. Overall, our results demonstrate that the danger of large-scale generation of unsafe images is imminent. We discuss several mitigating measures, such as curating training data, regulating prompts, and implementing safety filters, and encourage better safeguard tools to be developed to prevent unsafe generation.

Multi-instance image generation (MIG) remains a significant challenge for modern diffusion models due to key limitations in achieving precise control over object layout and preserving the identity of multiple distinct subjects. To address these limitations, we introduce ContextGen, a novel Diffusion Transformer framework for multi-instance generation that is guided by both layout and reference images. Our approach integrates two key technical contributions: a Contextual Layout Anchoring (CLA) mechanism that incorporates the composite layout image into the generation context to robustly anchor the objects in their desired positions, and Identity Consistency Attention (ICA), an innovative attention mechanism that leverages contextual reference images to ensure the identity consistency of multiple instances. Recognizing the lack of large-scale, hierarchically-structured datasets for this task, we introduce IMIG-100K, the first dataset with detailed layout and identity annotations. Extensive experiments demonstrate that ContextGen sets a new state-of-the-art, outperforming existing methods in control precision, identity fidelity, and overall visual quality.

Image content safety has become a significant challenge with the rise of visual media on online platforms. Meanwhile, in the age of AI-generated content (AIGC), many image generation models are capable of producing harmful content, such as images containing sexual or violent material. Thus, it becomes crucial to identify such unsafe images based on established safety rules. Pre-trained Multimodal Large Language Models (MLLMs) offer potential in this regard, given their strong pattern recognition abilities. Existing approaches typically fine-tune MLLMs with human-labeled datasets, which however brings a series of drawbacks. First, relying on human annotators to label data following intricate and detailed guidelines is both expensive and labor-intensive. Furthermore, users of safety judgment systems may need to frequently update safety rules, making fine-tuning on human-based annotation more challenging. This raises the research question: Can we detect unsafe images by querying MLLMs in a zero-shot setting using a predefined safety constitution (a set of safety rules)? Our research showed that simply querying pre-trained MLLMs does not yield satisfactory results. This lack of effectiveness stems from factors such as the subjectivity of safety rules, the complexity of lengthy constitutions, and the inherent biases in the models. To address these challenges, we propose a MLLM-based method includes objectifying safety rules, assessing the relevance between rules and images, making quick judgments based on debiased token probabilities with logically complete yet simplified precondition chains for safety rules, and conducting more in-depth reasoning with cascaded chain-of-thought processes if necessary. Experiment results demonstrate that our method is highly effective for zero-shot image safety judgment tasks.

Text-to-image (T2I) models have rapidly advanced, enabling the generation of high-quality images from text prompts across various domains. However, these models present notable safety concerns, including the risk of generating harmful, biased, or private content. Current research on assessing T2I safety remains in its early stages. While some efforts have been made to evaluate models on specific safety dimensions, many critical risks remain unexplored. To address this gap, we introduce T2ISafety, a safety benchmark that evaluates T2I models across three key domains: toxicity, fairness, and bias. We build a detailed hierarchy of 12 tasks and 44 categories based on these three domains, and meticulously collect 70K corresponding prompts. Based on this taxonomy and prompt set, we build a large-scale T2I dataset with 68K manually annotated images and train an evaluator capable of detecting critical risks that previous work has failed to identify, including risks that even ultra-large proprietary models like GPTs cannot correctly detect. We evaluate 12 prominent diffusion models on T2ISafety and reveal several concerns including persistent issues with racial fairness, a tendency to generate toxic content, and significant variation in privacy protection across the models, even with defense methods like concept erasing. Data and evaluator are released under https://github.com/adwardlee/t2i_safety.

Generalizing to unseen image domains is a challenging problem primarily due to the lack of diverse training data, inaccessible target data, and the large domain shift that may exist in many real-world settings. As such data augmentation is a critical component of domain generalization methods that seek to address this problem. We present Adversarial Bayesian Augmentation (ABA), a novel algorithm that learns to generate image augmentations in the challenging single-source domain generalization setting. ABA draws on the strengths of adversarial learning and Bayesian neural networks to guide the generation of diverse data augmentations -- these synthesized image domains aid the classifier in generalizing to unseen domains. We demonstrate the strength of ABA on several types of domain shift including style shift, subpopulation shift, and shift in the medical imaging setting. ABA outperforms all previous state-of-the-art methods, including pre-specified augmentations, pixel-based and convolutional-based augmentations.

Benefiting from large-scale pre-trained text-to-image (T2I) generative models, impressive progress has been achieved in customized image generation, which aims to generate user-specified concepts. Existing approaches have extensively focused on single-concept customization and still encounter challenges when it comes to complex scenarios that involve combining multiple concepts. These approaches often require retraining/fine-tuning using a few images, leading to time-consuming training processes and impeding their swift implementation. Furthermore, the reliance on multiple images to represent a singular concept increases the difficulty of customization. To this end, we propose FreeCustom, a novel tuning-free method to generate customized images of multi-concept composition based on reference concepts, using only one image per concept as input. Specifically, we introduce a new multi-reference self-attention (MRSA) mechanism and a weighted mask strategy that enables the generated image to access and focus more on the reference concepts. In addition, MRSA leverages our key finding that input concepts are better preserved when providing images with context interactions. Experiments show that our method's produced images are consistent with the given concepts and better aligned with the input text. Our method outperforms or performs on par with other training-based methods in terms of multi-concept composition and single-concept customization, but is simpler. Codes can be found at https://github.com/aim-uofa/FreeCustom.

Photos serve as a way for humans to record what they experience in their daily lives, and they are often regarded as trustworthy sources of information. However, there is a growing concern that the advancement of artificial intelligence (AI) technology may produce fake photos, which can create confusion and diminish trust in photographs. This study aims to comprehensively evaluate agents for distinguishing state-of-the-art AI-generated visual content. Our study benchmarks both human capability and cutting-edge fake image detection AI algorithms, using a newly collected large-scale fake image dataset Fake2M. In our human perception evaluation, titled HPBench, we discovered that humans struggle significantly to distinguish real photos from AI-generated ones, with a misclassification rate of 38.7%. Along with this, we conduct the model capability of AI-Generated images detection evaluation MPBench and the top-performing model from MPBench achieves a 13% failure rate under the same setting used in the human evaluation. We hope that our study can raise awareness of the potential risks of AI-generated images and facilitate further research to prevent the spread of false information. More information can refer to https://github.com/Inf-imagine/Sentry.

With 3.78 billion social media users worldwide in 2021 (48% of the human population), almost 3 billion images are shared daily. At the same time, a consistent evolution of smartphone cameras has led to a photography explosion with 85% of all new pictures being captured using smartphones. However, lately, there has been an increased discussion of privacy concerns when a person being photographed is unaware of the picture being taken or has reservations about the same being shared. These privacy violations are amplified for people with disabilities, who may find it challenging to raise dissent even if they are aware. Such unauthorized image captures may also be misused to gain sympathy by third-party organizations, leading to a privacy breach. Privacy for people with disabilities has so far received comparatively less attention from the AI community. This motivates us to work towards a solution to generate privacy-conscious cues for raising awareness in smartphone users of any sensitivity in their viewfinder content. To this end, we introduce PrivPAS (A real time Privacy-Preserving AI System) a novel framework to identify sensitive content. Additionally, we curate and annotate a dataset to identify and localize accessibility markers and classify whether an image is sensitive to a featured subject with a disability. We demonstrate that the proposed lightweight architecture, with a memory footprint of a mere 8.49MB, achieves a high mAP of 89.52% on resource-constrained devices. Furthermore, our pipeline, trained on face anonymized data, achieves an F1-score of 73.1%.

Image generation abilities of text-to-image diffusion models have significantly advanced, yielding highly photo-realistic images from descriptive text and increasing the viability of leveraging synthetic images to train computer vision models. To serve as effective training data, generated images must be highly realistic while also sufficiently diverse within the support of the target data distribution. Yet, state-of-the-art conditional image generation models have been primarily optimized for creative applications, prioritizing image realism and prompt adherence over conditional diversity. In this paper, we investigate how to improve the diversity of generated images with the goal of increasing their effectiveness to train downstream image classification models, without fine-tuning the image generation model. We find that conditioning the generation process on an augmented real image and text prompt produces generations that serve as effective synthetic datasets for downstream training. Conditioning on real training images contextualizes the generation process to produce images that are in-domain with the real image distribution, while data augmentations introduce visual diversity that improves the performance of the downstream classifier. We validate augmentation-conditioning on a total of five established long-tail and few-shot image classification benchmarks and show that leveraging augmentations to condition the generation process results in consistent improvements over the state-of-the-art on the long-tailed benchmark and remarkable gains in extreme few-shot regimes of the remaining four benchmarks. These results constitute an important step towards effectively leveraging synthetic data for downstream training.

Automated data labeling techniques are crucial for accelerating the development of deep learning models, particularly in complex medical imaging applications. However, ensuring accuracy and efficiency remains challenging. This paper presents iterative refinement strategies for automated data labeling in facial landmark diagnosis to enhance accuracy and efficiency for deep learning models in medical applications, including dermatology, plastic surgery, and ophthalmology. Leveraging feedback mechanisms and advanced algorithms, our approach iteratively refines initial labels, reducing reliance on manual intervention while improving label quality. Through empirical evaluation and case studies, we demonstrate the effectiveness of our proposed strategies in deep learning tasks across medical imaging domains. Our results highlight the importance of iterative refinement in automated data labeling to enhance the capabilities of deep learning systems in medical imaging applications.

Physical adversarial examples for camera-based computer vision have so far been achieved through visible artifacts -- a sticker on a Stop sign, colorful borders around eyeglasses or a 3D printed object with a colorful texture. An implicit assumption here is that the perturbations must be visible so that a camera can sense them. By contrast, we contribute a procedure to generate, for the first time, physical adversarial examples that are invisible to human eyes. Rather than modifying the victim object with visible artifacts, we modify light that illuminates the object. We demonstrate how an attacker can craft a modulated light signal that adversarially illuminates a scene and causes targeted misclassifications on a state-of-the-art ImageNet deep learning model. Concretely, we exploit the radiometric rolling shutter effect in commodity cameras to create precise striping patterns that appear on images. To human eyes, it appears like the object is illuminated, but the camera creates an image with stripes that will cause ML models to output the attacker-desired classification. We conduct a range of simulation and physical experiments with LEDs, demonstrating targeted attack rates up to 84%.

The progress in generative models, particularly Generative Adversarial Networks (GANs), opened new possibilities for image generation but raised concerns about potential malicious uses, especially in sensitive areas like medical imaging. This study introduces MITS-GAN, a novel approach to prevent tampering in medical images, with a specific focus on CT scans. The approach disrupts the output of the attacker's CT-GAN architecture by introducing finely tuned perturbations that are imperceptible to the human eye. Specifically, the proposed approach involves the introduction of appropriate Gaussian noise to the input as a protective measure against various attacks. Our method aims to enhance tamper resistance, comparing favorably to existing techniques. Experimental results on a CT scan demonstrate MITS-GAN's superior performance, emphasizing its ability to generate tamper-resistant images with negligible artifacts. As image tampering in medical domains poses life-threatening risks, our proactive approach contributes to the responsible and ethical use of generative models. This work provides a foundation for future research in countering cyber threats in medical imaging. Models and codes are publicly available on https://iplab.dmi.unict.it/MITS-GAN-2024/.

Deep neural networks (DNNs) offer significant promise for improving breast cancer diagnosis in medical imaging. However, these models are highly susceptible to adversarial attacks--small, imperceptible changes that can mislead classifiers--raising critical concerns about their reliability and security. Traditional attacks rely on fixed-norm perturbations, misaligning with human perception. In contrast, diffusion-based attacks require pre-trained models, demanding substantial data when these models are unavailable, limiting practical use in data-scarce scenarios. In medical imaging, however, this is often unfeasible due to the limited availability of datasets. Building on recent advancements in learnable prompts, we propose Prompt2Perturb (P2P), a novel language-guided attack method capable of generating meaningful attack examples driven by text instructions. During the prompt learning phase, our approach leverages learnable prompts within the text encoder to create subtle, yet impactful, perturbations that remain imperceptible while guiding the model towards targeted outcomes. In contrast to current prompt learning-based approaches, our P2P stands out by directly updating text embeddings, avoiding the need for retraining diffusion models. Further, we leverage the finding that optimizing only the early reverse diffusion steps boosts efficiency while ensuring that the generated adversarial examples incorporate subtle noise, thus preserving ultrasound image quality without introducing noticeable artifacts. We show that our method outperforms state-of-the-art attack techniques across three breast ultrasound datasets in FID and LPIPS. Moreover, the generated images are both more natural in appearance and more effective compared to existing adversarial attacks. Our code will be publicly available https://github.com/yasamin-med/P2P.

Achieving robust performance and fairness across diverse patient populations remains a challenge in developing clinically deployable deep learning models for diagnostic imaging. Synthetic data generation has emerged as a promising strategy to address limitations in dataset scale and diversity. We introduce RoentGen-v2, a text-to-image diffusion model for chest radiographs that enables fine-grained control over both radiographic findings and patient demographic attributes, including sex, age, and race/ethnicity. RoentGen-v2 is the first model to generate clinically plausible images with demographic conditioning, facilitating the creation of a large, demographically balanced synthetic dataset comprising over 565,000 images. We use this large synthetic dataset to evaluate optimal training pipelines for downstream disease classification models. In contrast to prior work that combines real and synthetic data naively, we propose an improved training strategy that leverages synthetic data for supervised pretraining, followed by fine-tuning on real data. Through extensive evaluation on over 137,000 chest radiographs from five institutions, we demonstrate that synthetic pretraining consistently improves model performance, generalization to out-of-distribution settings, and fairness across demographic subgroups. Across datasets, synthetic pretraining led to a 6.5% accuracy increase in the performance of downstream classification models, compared to a modest 2.7% increase when naively combining real and synthetic data. We observe this performance improvement simultaneously with the reduction of the underdiagnosis fairness gap by 19.3%. These results highlight the potential of synthetic imaging to advance equitable and generalizable medical deep learning under real-world data constraints. We open source our code, trained models, and synthetic dataset at https://github.com/StanfordMIMI/RoentGen-v2 .

Recent advancements in vision-language systems have improved the accuracy of Radiological Visual Question Answering (VQA) Models. However, some challenges remain across each stage of model development: limited expert-labeled images hinders data procurement at scale; the intricate and nuanced patterns of radiological images make modeling inherently difficult; and the lack of evaluation evaluation efforts makes it difficult to identify cases where the model might be ill-conditioned. In this study, we fine-tune a lightweight 3B parameter vision-language model for Radiological VQA, demonstrating that small models, when appropriately tuned with curated data, can achieve robust performance across both open- and closed-ended questions. We propose a cost-effective training pipeline from synthetic question-answer pair generation to multi-stage fine-tuning on specialised radiological domain-targeted datasets (e.g., ROCO v2.0, MedPix v2.0). Our results show that despite operating at a fraction of the scale of state-of-the-art models such as LLaVA-Med, our model achieves promising performance given its small parameter size and the limited scale of training data. We introduce a lightweight saliency-based diagnostic tool that enables domain experts to inspect VQA model performance and identify ill-conditioned failure modes through saliency analysis.

Within the domain of medical analysis, extensive research has explored the potential of mutual learning between Masked Autoencoders(MAEs) and multimodal data. However, the impact of MAEs on intermodality remains a key challenge. We introduce MedFLIP, a Fast Language-Image Pre-training method for Medical analysis. We explore MAEs for zero-shot learning with crossed domains, which enhances the model's ability to learn from limited data, a common scenario in medical diagnostics. We verify that masking an image does not affect inter-modal learning. Furthermore, we propose the SVD loss to enhance the representation learning for characteristics of medical images, aiming to improve classification accuracy by leveraging the structural intricacies of such data. Our theory posits that masking encourages semantic preservation, robust feature extraction, regularization, domain adaptation, and invariance learning. Lastly, we validate using language will improve the zero-shot performance for the medical image analysis. MedFLIP's scaling of the masking process marks an advancement in the field, offering a pathway to rapid and precise medical image analysis without the traditional computational bottlenecks. Through experiments and validation, MedFLIP demonstrates efficient performance improvements, helps for future research and application in medical diagnostics.

We introduce ShieldGemma 2, a 4B parameter image content moderation model built on Gemma 3. This model provides robust safety risk predictions across the following key harm categories: Sexually Explicit, Violence \& Gore, and Dangerous Content for synthetic images (e.g. output of any image generation model) and natural images (e.g. any image input to a Vision-Language Model). We evaluated on both internal and external benchmarks to demonstrate state-of-the-art performance compared to LlavaGuard helff2024llavaguard, GPT-4o mini hurst2024gpt, and the base Gemma 3 model gemma_2025 based on our policies. Additionally, we present a novel adversarial data generation pipeline which enables a controlled, diverse, and robust image generation. ShieldGemma 2 provides an open image moderation tool to advance multimodal safety and responsible AI development.

X-ray imaging is a rapid and cost-effective tool for visualizing internal human anatomy. While multi-view X-ray imaging provides complementary information that enhances diagnosis, intervention, and education, acquiring images from multiple angles increases radiation exposure and complicates clinical workflows. To address these challenges, we propose a novel view-conditioned diffusion model for synthesizing multi-view X-ray images from a single view. Unlike prior methods, which are limited in angular range, resolution, and image quality, our approach leverages the Diffusion Transformer to preserve fine details and employs a weak-to-strong training strategy for stable high-resolution image generation. Experimental results demonstrate that our method generates higher-resolution outputs with improved control over viewing angles. This capability has significant implications not only for clinical applications but also for medical education and data extension, enabling the creation of diverse, high-quality datasets for training and analysis. Our code is available at https://github.com/xiechun298/SV-DRR.

In this paper we focus on inserting a given human (specifically, a single image of a person) into a novel scene. Our method, which builds on top of Stable Diffusion, yields natural looking images while being highly controllable with text and pose. To accomplish this we need to train on pairs of images, the first a reference image with the person, the second a "target image" showing the same person (with a different pose and possibly in a different background). Additionally we require a text caption describing the new pose relative to that in the reference image. In this paper we present a novel dataset following this criteria, which we create using pairs of frames from human-centric and action-rich videos and employing a multimodal LLM to automatically summarize the difference in human pose for the text captions. We demonstrate that identity preservation is a more challenging task in scenes "in-the-wild", and especially scenes where there is an interaction between persons and objects. Combining the weak supervision from noisy captions, with robust 2D pose improves the quality of person-object interactions.

Trustworthiness is essential for the precise and interpretable application of artificial intelligence (AI) in medical imaging. Traditionally, precision and interpretability have been addressed as separate tasks, namely medical image analysis and explainable AI, each developing its own models independently. In this study, for the first time, we investigate the development of a unified medical vision-language pre-training model that can achieve both accurate analysis and interpretable understanding of medical images across various modalities. To build the model, we construct MedConcept-23M, a large-scale dataset comprising 23 million medical image-text pairs extracted from 6.2 million scientific articles, enriched with concepts from the Unified Medical Language System (UMLS). Based on MedConcept-23M, we introduce ConceptCLIP, a medical AI model utilizing concept-enhanced contrastive language-image pre-training. The pre-training of ConceptCLIP involves two primary components: image-text alignment learning (IT-Align) and patch-concept alignment learning (PC-Align). This dual alignment strategy enhances the model's capability to associate specific image regions with relevant concepts, thereby improving both the precision of analysis and the interpretability of the AI system. We conducted extensive experiments on 5 diverse types of medical image analysis tasks, spanning 51 subtasks across 10 image modalities, with the broadest range of downstream tasks. The results demonstrate the effectiveness of the proposed vision-language pre-training model. Further explainability analysis across 6 modalities reveals that ConceptCLIP achieves superior performance, underscoring its robust ability to advance explainable AI in medical imaging. These findings highlight ConceptCLIP's capability in promoting trustworthy AI in the field of medicine.

Modern image-to-text systems typically adopt the encoder-decoder framework, which comprises two main components: an image encoder, responsible for extracting image features, and a transformer-based decoder, used for generating captions. Taking inspiration from the analysis of neural networks' robustness against adversarial perturbations, we propose a novel gray-box algorithm for creating adversarial examples in image-to-text models. Unlike image classification tasks that have a finite set of class labels, finding visually similar adversarial examples in an image-to-text task poses greater challenges because the captioning system allows for a virtually infinite space of possible captions. In this paper, we present a gray-box adversarial attack on image-to-text, both untargeted and targeted. We formulate the process of discovering adversarial perturbations as an optimization problem that uses only the image-encoder component, meaning the proposed attack is language-model agnostic. Through experiments conducted on the ViT-GPT2 model, which is the most-used image-to-text model in Hugging Face, and the Flickr30k dataset, we demonstrate that our proposed attack successfully generates visually similar adversarial examples, both with untargeted and targeted captions. Notably, our attack operates in a gray-box manner, requiring no knowledge about the decoder module. We also show that our attacks fool the popular open-source platform Hugging Face.

Text-to-image (T2I) generation aims at producing realistic images corresponding to text descriptions. Generative Adversarial Network (GAN) has proven to be successful in this task. Typical T2I GANs are 2 phase methods that first pretrain an inter-modal representation from aligned image-text pairs and then use GAN to train image generator on that basis. However, such representation ignores the inner-modal semantic correspondence, e.g. the images with same label. The semantic label in priory describes the inherent distribution pattern with underlying cross-image relationships, which is supplement to the text description for understanding the full characteristics of image. In this paper, we propose a framework leveraging both inter- and inner-modal correspondence by label guided supervised contrastive learning. We extend the T2I GANs to two parameter-sharing contrast branches in both pretraining and generation phases. This integration effectively clusters the semantically similar image-text pair representations, thereby fostering the generation of higher-quality images. We demonstrate our framework on four novel T2I GANs by both single-object dataset CUB and multi-object dataset COCO, achieving significant improvements in the Inception Score (IS) and Frechet Inception Distance (FID) metrics of imagegeneration evaluation. Notably, on more complex multi-object COCO, our framework improves FID by 30.1%, 27.3%, 16.2% and 17.1% for AttnGAN, DM-GAN, SSA-GAN and GALIP, respectively. We also validate our superiority by comparing with other label guided T2I GANs. The results affirm the effectiveness and competitiveness of our approach in advancing the state-of-the-art GAN for T2I generation

To generate evidence regarding the safety and efficacy of artificial intelligence (AI) enabled medical devices, AI models need to be evaluated on a diverse population of patient cases, some of which may not be readily available. We propose an evaluation approach for testing medical imaging AI models that relies on in silico imaging pipelines in which stochastic digital models of human anatomy (in object space) with and without pathology are imaged using a digital replica imaging acquisition system to generate realistic synthetic image datasets. Here, we release M-SYNTH, a dataset of cohorts with four breast fibroglandular density distributions imaged at different exposure levels using Monte Carlo x-ray simulations with the publicly available Virtual Imaging Clinical Trial for Regulatory Evaluation (VICTRE) toolkit. We utilize the synthetic dataset to analyze AI model performance and find that model performance decreases with increasing breast density and increases with higher mass density, as expected. As exposure levels decrease, AI model performance drops with the highest performance achieved at exposure levels lower than the nominal recommended dose for the breast type.

Computer vision has long relied on ImageNet and other large datasets of images sampled from the Internet for pretraining models. However, these datasets have ethical and technical shortcomings, such as containing personal information taken without consent, unclear license usage, biases, and, in some cases, even problematic image content. On the other hand, state-of-the-art pretraining is nowadays obtained with unsupervised methods, meaning that labelled datasets such as ImageNet may not be necessary, or perhaps not even optimal, for model pretraining. We thus propose an unlabelled dataset PASS: Pictures without humAns for Self-Supervision. PASS only contains images with CC-BY license and complete attribution metadata, addressing the copyright issue. Most importantly, it contains no images of people at all, and also avoids other types of images that are problematic for data protection or ethics. We show that PASS can be used for pretraining with methods such as MoCo-v2, SwAV and DINO. In the transfer learning setting, it yields similar downstream performances to ImageNet pretraining even on tasks that involve humans, such as human pose estimation. PASS does not make existing datasets obsolete, as for instance it is insufficient for benchmarking. However, it shows that model pretraining is often possible while using safer data, and it also provides the basis for a more robust evaluation of pretraining methods.

Large-scale pre-trained generative models are taking the world by storm, due to their abilities in generating creative content. Meanwhile, safeguards for these generative models are developed, to protect users' rights and safety, most of which are designed for large language models. Existing methods primarily focus on jailbreak and adversarial attacks, which mainly evaluate the model's safety under malicious prompts. Recent work found that manually crafted safe prompts can unintentionally trigger unsafe generations. To further systematically evaluate the safety risks of text-to-image models, we propose a novel Automatic Red-Teaming framework, ART. Our method leverages both vision language model and large language model to establish a connection between unsafe generations and their prompts, thereby more efficiently identifying the model's vulnerabilities. With our comprehensive experiments, we reveal the toxicity of the popular open-source text-to-image models. The experiments also validate the effectiveness, adaptability, and great diversity of ART. Additionally, we introduce three large-scale red-teaming datasets for studying the safety risks associated with text-to-image models. Datasets and models can be found in https://github.com/GuanlinLee/ART.

In the field of personalized image generation, the ability to create images preserving concepts has significantly improved. Creating an image that naturally integrates multiple concepts in a cohesive and visually appealing composition can indeed be challenging. This paper introduces "InstantFamily," an approach that employs a novel masked cross-attention mechanism and a multimodal embedding stack to achieve zero-shot multi-ID image generation. Our method effectively preserves ID as it utilizes global and local features from a pre-trained face recognition model integrated with text conditions. Additionally, our masked cross-attention mechanism enables the precise control of multi-ID and composition in the generated images. We demonstrate the effectiveness of InstantFamily through experiments showing its dominance in generating images with multi-ID, while resolving well-known multi-ID generation problems. Additionally, our model achieves state-of-the-art performance in both single-ID and multi-ID preservation. Furthermore, our model exhibits remarkable scalability with a greater number of ID preservation than it was originally trained with.

Recent advancements in diffusion models have significantly advanced text-to-image generation, yet global text prompts alone remain insufficient for achieving fine-grained control over individual entities within an image. To address this limitation, we present EliGen, a novel framework for Entity-Level controlled Image Generation. We introduce regional attention, a mechanism for diffusion transformers that requires no additional parameters, seamlessly integrating entity prompts and arbitrary-shaped spatial masks. By contributing a high-quality dataset with fine-grained spatial and semantic entity-level annotations, we train EliGen to achieve robust and accurate entity-level manipulation, surpassing existing methods in both positional control precision and image quality. Additionally, we propose an inpainting fusion pipeline, extending EliGen to multi-entity image inpainting tasks. We further demonstrate its flexibility by integrating it with community models such as IP-Adapter and MLLM, unlocking new creative possibilities. The source code, dataset, and model will be released publicly.

Generative AI models can produce high-quality images based on text prompts. The generated images often appear indistinguishable from images generated by conventional optical photography devices or created by human artists (i.e., real images). While the outstanding performance of such generative models is generally well received, security concerns arise. For instance, such image generators could be used to facilitate fraud or scam schemes, generate and spread misinformation, or produce fabricated artworks. In this paper, we present a systematic attempt at understanding and detecting AI-generated images (AI-art) in adversarial scenarios. First, we collect and share a dataset of real images and their corresponding artificial counterparts generated by four popular AI image generators. The dataset, named ARIA, contains over 140K images in five categories: artworks (painting), social media images, news photos, disaster scenes, and anime pictures. This dataset can be used as a foundation to support future research on adversarial AI-art. Next, we present a user study that employs the ARIA dataset to evaluate if real-world users can distinguish with or without reference images. In a benchmarking study, we further evaluate if state-of-the-art open-source and commercial AI image detectors can effectively identify the images in the ARIA dataset. Finally, we present a ResNet-50 classifier and evaluate its accuracy and transferability on the ARIA dataset.

Large Vision-Language Models (LVLMs) have made significant strides in multimodal comprehension, thanks to extensive pre-training and fine-tuning on large-scale visual datasets. However, despite their robust textual safety mechanisms, they remain vulnerable to harmful visual inputs. Existing safeguards-typically relying on pre-filtering or fine-tuning-incur high costs and diminish overall utility. To address this critical vulnerability, we introduce SafeCLIP, a lightweight method that leverages LVLMs inherent multimodal alignment for zero-shot toxic image detection. By projecting CLIPs discarded CLS token into its text space and matching it with toxic descriptors, SafeCLIP detects harmful content without any architectural changes-adding minimal latency and enabling dynamic safety corrections during inference and fine-tuning.Experiments show that SafeCLIP achieves a 66.9% defense success rate with only 3.2% false positive rate and 7.2% overhead. In contrast, state-of-the-art methods achieve 52.9% success but have a 10.7% false positive rate and 210% overhead. Our work demonstrates that leveraging inherent multimodal alignment can yield efficient, low-cost LVLM safety. Code is available at anonymous.4open.science/r/safeclip-2C01.

Recent multimodal image generators such as GPT-4o, Gemini 2.0 Flash, and Gemini 2.5 Pro excel at following complex instructions, editing images and maintaining concept consistency. However, they are still evaluated by disjoint toolkits: text-to-image (T2I) benchmarks that lacks multi-modal conditioning, and customized image generation benchmarks that overlook compositional semantics and common knowledge. We propose MMIG-Bench, a comprehensive Multi-Modal Image Generation Benchmark that unifies these tasks by pairing 4,850 richly annotated text prompts with 1,750 multi-view reference images across 380 subjects, spanning humans, animals, objects, and artistic styles. MMIG-Bench is equipped with a three-level evaluation framework: (1) low-level metrics for visual artifacts and identity preservation of objects; (2) novel Aspect Matching Score (AMS): a VQA-based mid-level metric that delivers fine-grained prompt-image alignment and shows strong correlation with human judgments; and (3) high-level metrics for aesthetics and human preference. Using MMIG-Bench, we benchmark 17 state-of-the-art models, including Gemini 2.5 Pro, FLUX, DreamBooth, and IP-Adapter, and validate our metrics with 32k human ratings, yielding in-depth insights into architecture and data design. We will release the dataset and evaluation code to foster rigorous, unified evaluation and accelerate future innovations in multi-modal image generation.

This paper presents Representation-Conditioned image Generation (RCG), a simple yet effective image generation framework which sets a new benchmark in class-unconditional image generation. RCG does not condition on any human annotations. Instead, it conditions on a self-supervised representation distribution which is mapped from the image distribution using a pre-trained encoder. During generation, RCG samples from such representation distribution using a representation diffusion model (RDM), and employs a pixel generator to craft image pixels conditioned on the sampled representation. Such a design provides substantial guidance during the generative process, resulting in high-quality image generation. Tested on ImageNet 256times256, RCG achieves a Frechet Inception Distance (FID) of 3.31 and an Inception Score (IS) of 253.4. These results not only significantly improve the state-of-the-art of class-unconditional image generation but also rival the current leading methods in class-conditional image generation, bridging the long-standing performance gap between these two tasks. Code is available at https://github.com/LTH14/rcg.

Vaccine hesitancy has been a common concern, probably since vaccines were created and, with the popularisation of social media, people started to express their concerns about vaccines online alongside those posting pro- and anti-vaccine content. Predictably, since the first mentions of a COVID-19 vaccine, social media users posted about their fears and concerns or about their support and belief into the effectiveness of these rapidly developing vaccines. Identifying and understanding the reasons behind public hesitancy towards COVID-19 vaccines is important for policy markers that need to develop actions to better inform the population with the aim of increasing vaccine take-up. In the case of COVID-19, where the fast development of the vaccines was mirrored closely by growth in anti-vaxx disinformation, automatic means of detecting citizen attitudes towards vaccination became necessary. This is an important computational social sciences task that requires data analysis in order to gain in-depth understanding of the phenomena at hand. Annotated data is also necessary for training data-driven models for more nuanced analysis of attitudes towards vaccination. To this end, we created a new collection of over 3,101 tweets annotated with users' attitudes towards COVID-19 vaccination (stance). Besides, we also develop a domain-specific language model (VaxxBERT) that achieves the best predictive performance (73.0 accuracy and 69.3 F1-score) as compared to a robust set of baselines. To the best of our knowledge, these are the first dataset and model that model vaccine hesitancy as a category distinct from pro- and anti-vaccine stance.

Recent advancements in diffusion-based text-to-image (T2I) models have enabled the generation of high-quality and photorealistic images from text. However, they often exhibit societal biases related to gender, race, and socioeconomic status, thereby potentially reinforcing harmful stereotypes and shaping public perception in unintended ways. While existing bias mitigation methods demonstrate effectiveness, they often encounter attribute entanglement, where adjustments to attributes relevant to the bias (i.e., target attributes) unintentionally alter attributes unassociated with the bias (i.e., non-target attributes), causing undesirable distribution shifts. To address this challenge, we introduce Entanglement-Free Attention (EFA), a method that accurately incorporates target attributes (e.g., White, Black, and Asian) while preserving non-target attributes (e.g., background) during bias mitigation. At inference time, EFA randomly samples a target attribute with equal probability and adjusts the cross-attention in selected layers to incorporate the sampled attribute, achieving a fair distribution of target attributes. Extensive experiments demonstrate that EFA outperforms existing methods in mitigating bias while preserving non-target attributes, thereby maintaining the original model's output distribution and generative capacity.

The diffusion models are widely used for image and video generation, but their iterative generation process is slow and expansive. While existing distillation approaches have demonstrated the potential for one-step generation in the image domain, they still suffer from significant quality degradation. In this work, we propose Adversarial Post-Training (APT) against real data following diffusion pre-training for one-step video generation. To improve the training stability and quality, we introduce several improvements to the model architecture and training procedures, along with an approximated R1 regularization objective. Empirically, our experiments show that our adversarial post-trained model, Seaweed-APT, can generate 2-second, 1280x720, 24fps videos in real time using a single forward evaluation step. Additionally, our model is capable of generating 1024px images in a single step, achieving quality comparable to state-of-the-art methods.

Chest X-rays (CXRs) are commonly utilized as a low-dose modality for lung screening. Nonetheless, the efficacy of CXRs is somewhat impeded, given that approximately 75% of the lung area overlaps with bone, which in turn hampers the detection and diagnosis of diseases. As a remedial measure, bone suppression techniques have been introduced. The current dual-energy subtraction imaging technique in the clinic requires costly equipment and subjects being exposed to high radiation. To circumvent these issues, deep learning-based image generation algorithms have been proposed. However, existing methods fall short in terms of producing high-quality images and capturing texture details, particularly with pulmonary vessels. To address these issues, this paper proposes a new bone suppression framework, termed BS-Diff, that comprises a conditional diffusion model equipped with a U-Net architecture and a simple enhancement module to incorporate an autoencoder. Our proposed network cannot only generate soft tissue images with a high bone suppression rate but also possesses the capability to capture fine image details. Additionally, we compiled the largest dataset since 2010, including data from 120 patients with high-definition, high-resolution paired CXRs and soft tissue images collected by our affiliated hospital. Extensive experiments, comparative analyses, ablation studies, and clinical evaluations indicate that the proposed BS-Diff outperforms several bone-suppression models across multiple metrics. Our code can be accessed at https://github.com/Benny0323/BS-Diff.

The PI-CAI (Prostate Imaging: Cancer AI) challenge led to expert-level diagnostic algorithms for clinically significant prostate cancer detection. The algorithms receive biparametric MRI scans as input, which consist of T2-weighted and diffusion-weighted scans. These scans can be misaligned due to multiple factors in the scanning process. Image registration can alleviate this issue by predicting the deformation between the sequences. We investigate the effect of image registration on the diagnostic performance of AI-based prostate cancer diagnosis. First, the image registration algorithm, developed in MeVisLab, is analyzed using a dataset with paired lesion annotations. Second, the effect on diagnosis is evaluated by comparing case-level cancer diagnosis performance between using the original dataset, rigidly aligned diffusion-weighted scans, or deformably aligned diffusion-weighted scans. Rigid registration showed no improvement. Deformable registration demonstrated a substantial improvement in lesion overlap (+10% median Dice score) and a positive yet non-significant improvement in diagnostic performance (+0.3% AUROC, p=0.18). Our investigation shows that a substantial improvement in lesion alignment does not directly lead to a significant improvement in diagnostic performance. Qualitative analysis indicated that jointly developing image registration methods and diagnostic AI algorithms could enhance diagnostic accuracy and patient outcomes.

Recent advances in text-to-image (T2I) diffusion models have significantly improved the quality of generated images. However, providing efficient control over individual subjects, particularly the attributes characterizing them, remains a key challenge. While existing methods have introduced mechanisms to modulate attribute expression, they typically provide either detailed, object-specific localization of such a modification or full-scale fine-grained, nuanced control of attributes. No current approach offers both simultaneously, resulting in a gap when trying to achieve precise continuous and subject-specific attribute modulation in image generation. In this work, we demonstrate that token-level directions exist within commonly used CLIP text embeddings that enable fine-grained, subject-specific control of high-level attributes in T2I models. We introduce two methods to identify these directions: a simple, optimization-free technique and a learning-based approach that utilizes the T2I model to characterize semantic concepts more specifically. Our methods allow the augmentation of the prompt text input, enabling fine-grained control over multiple attributes of individual subjects simultaneously, without requiring any modifications to the diffusion model itself. This approach offers a unified solution that fills the gap between global and localized control, providing competitive flexibility and precision in text-guided image generation. Project page: https://compvis.github.io/attribute-control. Code is available at https://github.com/CompVis/attribute-control.

3D generation guided by text-to-image diffusion models enables the creation of visually compelling assets. However previous methods explore generation based on image or text. The boundaries of creativity are limited by what can be expressed through words or the images that can be sourced. We present YouDream, a method to generate high-quality anatomically controllable animals. YouDream is guided using a text-to-image diffusion model controlled by 2D views of a 3D pose prior. Our method generates 3D animals that are not possible to create using previous text-to-3D generative methods. Additionally, our method is capable of preserving anatomic consistency in the generated animals, an area where prior text-to-3D approaches often struggle. Moreover, we design a fully automated pipeline for generating commonly found animals. To circumvent the need for human intervention to create a 3D pose, we propose a multi-agent LLM that adapts poses from a limited library of animal 3D poses to represent the desired animal. A user study conducted on the outcomes of YouDream demonstrates the preference of the animal models generated by our method over others. Turntable results and code are released at https://youdream3d.github.io/

Recent years have witnessed the strong power of large text-to-image diffusion models for the impressive generative capability to create high-fidelity images. However, it is very tricky to generate desired images using only text prompt as it often involves complex prompt engineering. An alternative to text prompt is image prompt, as the saying goes: "an image is worth a thousand words". Although existing methods of direct fine-tuning from pretrained models are effective, they require large computing resources and are not compatible with other base models, text prompt, and structural controls. In this paper, we present IP-Adapter, an effective and lightweight adapter to achieve image prompt capability for the pretrained text-to-image diffusion models. The key design of our IP-Adapter is decoupled cross-attention mechanism that separates cross-attention layers for text features and image features. Despite the simplicity of our method, an IP-Adapter with only 22M parameters can achieve comparable or even better performance to a fully fine-tuned image prompt model. As we freeze the pretrained diffusion model, the proposed IP-Adapter can be generalized not only to other custom models fine-tuned from the same base model, but also to controllable generation using existing controllable tools. With the benefit of the decoupled cross-attention strategy, the image prompt can also work well with the text prompt to achieve multimodal image generation. The project page is available at https://ip-adapter.github.io.

Automated radiology report generation offers an effective solution to alleviate radiologists' workload. However, most existing methods focus primarily on single or fixed-view images to model current disease conditions, which limits diagnostic accuracy and overlooks disease progression. Although some approaches utilize longitudinal data to track disease progression, they still rely on single images to analyze current visits. To address these issues, we propose enhanced contrastive learning with Multi-view Longitudinal data to facilitate chest X-ray Report Generation, named MLRG. Specifically, we introduce a multi-view longitudinal contrastive learning method that integrates spatial information from current multi-view images and temporal information from longitudinal data. This method also utilizes the inherent spatiotemporal information of radiology reports to supervise the pre-training of visual and textual representations. Subsequently, we present a tokenized absence encoding technique to flexibly handle missing patient-specific prior knowledge, allowing the model to produce more accurate radiology reports based on available prior knowledge. Extensive experiments on MIMIC-CXR, MIMIC-ABN, and Two-view CXR datasets demonstrate that our MLRG outperforms recent state-of-the-art methods, achieving a 2.3% BLEU-4 improvement on MIMIC-CXR, a 5.5% F1 score improvement on MIMIC-ABN, and a 2.7% F1 RadGraph improvement on Two-view CXR.

Medical Image Quality Assessment (IQA) serves as the first-mile safety gate for clinical AI, yet existing approaches remain constrained by scalar, score-based metrics and fail to reflect the descriptive, human-like reasoning process central to expert evaluation. To address this gap, we introduce MedQ-Bench, a comprehensive benchmark that establishes a perception-reasoning paradigm for language-based evaluation of medical image quality with Multi-modal Large Language Models (MLLMs). MedQ-Bench defines two complementary tasks: (1) MedQ-Perception, which probes low-level perceptual capability via human-curated questions on fundamental visual attributes; and (2) MedQ-Reasoning, encompassing both no-reference and comparison reasoning tasks, aligning model evaluation with human-like reasoning on image quality. The benchmark spans five imaging modalities and over forty quality attributes, totaling 2,600 perceptual queries and 708 reasoning assessments, covering diverse image sources including authentic clinical acquisitions, images with simulated degradations via physics-based reconstructions, and AI-generated images. To evaluate reasoning ability, we propose a multi-dimensional judging protocol that assesses model outputs along four complementary axes. We further conduct rigorous human-AI alignment validation by comparing LLM-based judgement with radiologists. Our evaluation of 14 state-of-the-art MLLMs demonstrates that models exhibit preliminary but unstable perceptual and reasoning skills, with insufficient accuracy for reliable clinical use. These findings highlight the need for targeted optimization of MLLMs in medical IQA. We hope that MedQ-Bench will catalyze further exploration and unlock the untapped potential of MLLMs for medical image quality evaluation.

In this paper, we present MoMA: an open-vocabulary, training-free personalized image model that boasts flexible zero-shot capabilities. As foundational text-to-image models rapidly evolve, the demand for robust image-to-image translation grows. Addressing this need, MoMA specializes in subject-driven personalized image generation. Utilizing an open-source, Multimodal Large Language Model (MLLM), we train MoMA to serve a dual role as both a feature extractor and a generator. This approach effectively synergizes reference image and text prompt information to produce valuable image features, facilitating an image diffusion model. To better leverage the generated features, we further introduce a novel self-attention shortcut method that efficiently transfers image features to an image diffusion model, improving the resemblance of the target object in generated images. Remarkably, as a tuning-free plug-and-play module, our model requires only a single reference image and outperforms existing methods in generating images with high detail fidelity, enhanced identity-preservation and prompt faithfulness. Our work is open-source, thereby providing universal access to these advancements.

We investigate conditional adversarial networks as a general-purpose solution to image-to-image translation problems. These networks not only learn the mapping from input image to output image, but also learn a loss function to train this mapping. This makes it possible to apply the same generic approach to problems that traditionally would require very different loss formulations. We demonstrate that this approach is effective at synthesizing photos from label maps, reconstructing objects from edge maps, and colorizing images, among other tasks. Indeed, since the release of the pix2pix software associated with this paper, a large number of internet users (many of them artists) have posted their own experiments with our system, further demonstrating its wide applicability and ease of adoption without the need for parameter tweaking. As a community, we no longer hand-engineer our mapping functions, and this work suggests we can achieve reasonable results without hand-engineering our loss functions either.

Score-based generative modeling, informally referred to as diffusion models, continue to grow in popularity across several important domains and tasks. While they provide high-quality and diverse samples from empirical distributions, important questions remain on the reliability and trustworthiness of these sampling procedures for their responsible use in critical scenarios. Conformal prediction is a modern tool to construct finite-sample, distribution-free uncertainty guarantees for any black-box predictor. In this work, we focus on image-to-image regression tasks and we present a generalization of the Risk-Controlling Prediction Sets (RCPS) procedure, that we term K-RCPS, which allows to (i) provide entrywise calibrated intervals for future samples of any diffusion model, and (ii) control a certain notion of risk with respect to a ground truth image with minimal mean interval length. Differently from existing conformal risk control procedures, ours relies on a novel convex optimization approach that allows for multidimensional risk control while provably minimizing the mean interval length. We illustrate our approach on two real-world image denoising problems: on natural images of faces as well as on computed tomography (CT) scans of the abdomen, demonstrating state of the art performance.

Recent advances in generative vision-language models (VLMs) have exciting potential implications for AI in radiology, yet VLMs are also known to produce hallucinations, nonsensical text, and other unwanted behaviors that can waste clinicians' time and cause patient harm. Drawing on recent work on direct preference optimization (DPO), we propose a simple method for modifying the behavior of pretrained VLMs performing radiology report generation by suppressing unwanted types of generations. We apply our method to the prevention of hallucinations of prior exams, addressing a long-established problem behavior in models performing chest X-ray report generation. Across our experiments, we find that DPO fine-tuning achieves a 3.2-4.8x reduction in lines hallucinating prior exams while maintaining model performance on clinical accuracy metrics. Our work is, to the best of our knowledge, the first work to apply DPO to medical VLMs, providing a data- and compute- efficient way to suppress problem behaviors while maintaining overall clinical accuracy.

Recent advances in diffusion models have enhanced multimodal-guided visual generation, enabling customized subject insertion that seamlessly "brushes" user-specified objects into a given image guided by textual prompts. However, existing methods often struggle to insert customized subjects with high fidelity and align results with the user's intent through textual prompts. In this work, we propose "In-Context Brush", a zero-shot framework for customized subject insertion by reformulating the task within the paradigm of in-context learning. Without loss of generality, we formulate the object image and the textual prompts as cross-modal demonstrations, and the target image with the masked region as the query. The goal is to inpaint the target image with the subject aligning textual prompts without model tuning. Building upon a pretrained MMDiT-based inpainting network, we perform test-time enhancement via dual-level latent space manipulation: intra-head "latent feature shifting" within each attention head that dynamically shifts attention outputs to reflect the desired subject semantics and inter-head "attention reweighting" across different heads that amplifies prompt controllability through differential attention prioritization. Extensive experiments and applications demonstrate that our approach achieves superior identity preservation, text alignment, and image quality compared to existing state-of-the-art methods, without requiring dedicated training or additional data collection.

Image enhancement improves visual quality and helps reveal details that are hard to see in the original image. In medical imaging, it can support clinical decision-making, but current models often over-edit. This can distort organs, create false findings, and miss small tumors because these models do not understand anatomy or contrast dynamics. We propose SMILE, an anatomy-aware diffusion model that learns how organs are shaped and how they take up contrast. It enhances only clinically relevant regions while leaving all other areas unchanged. SMILE introduces three key ideas: (1) structure-aware supervision that follows true organ boundaries and contrast patterns; (2) registration-free learning that works directly with unaligned multi-phase CT scans; (3) unified inference that provides fast and consistent enhancement across all contrast phases. Across six external datasets, SMILE outperforms existing methods in image quality (14.2% higher SSIM, 20.6% higher PSNR, 50% better FID) and in clinical usefulness by producing anatomically accurate and diagnostically meaningful images. SMILE also improves cancer detection from non-contrast CT, raising the F1 score by up to 10 percent.