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Apr 27

Multicentric thrombus segmentation using an attention-based recurrent network with gradual modality dropout

Detecting and delineating tiny targets in 3D brain scans is a central yet under-addressed challenge in medical imaging.In ischemic stroke, for instance, the culprit thrombus is small, low-contrast, and variably expressed across modalities(e.g., susceptibility-weighted T2 blooming, diffusion restriction on DWI/ADC), while real-world multi-center dataintroduce domain shifts, anisotropy, and frequent missing sequences. We introduce a methodology that couples an attention-based recurrent segmentation network (UpAttLLSTM), a training schedule that progressively increases the difficulty of hetero-modal learning, with gradual modality dropout, UpAttLLSTM aggregates context across slices via recurrent units (2.5D) and uses attention gates to fuse complementary cues across available sequences, making it robust to anisotropy and class imbalance. Gradual modality dropout systematically simulates site heterogeneity,noise, and missing modalities during training, acting as both augmentation and regularization to improve multi-center generalization. On a monocentric cohort, our approach detects thrombi in >90% of cases with a Dice score of 0.65. In a multi-center setting with missing modalities, it achieves-80% detection with a Dice score around 0.35. Beyond stroke, the proposed methodology directly transfers to other small-lesion tasks in 3D medical imaging where targets are scarce, subtle, and modality-dependent

  • 4 authors
·
Mar 31

Watch and Listen: Understanding Audio-Visual-Speech Moments with Multimodal LLM

Humans naturally understand moments in a video by integrating visual and auditory cues. For example, localizing a scene in the video like "A scientist passionately speaks on wildlife conservation as dramatic orchestral music plays, with the audience nodding and applauding" requires simultaneous processing of visual, audio, and speech signals. However, existing models often struggle to effectively fuse and interpret audio information, limiting their capacity for comprehensive video temporal understanding. To address this, we present TriSense, a triple-modality large language model designed for holistic video temporal understanding through the integration of visual, audio, and speech modalities. Central to TriSense is a Query-Based Connector that adaptively reweights modality contributions based on the input query, enabling robust performance under modality dropout and allowing flexible combinations of available inputs. To support TriSense's multimodal capabilities, we introduce TriSense-2M, a high-quality dataset of over 2 million curated samples generated via an automated pipeline powered by fine-tuned LLMs. TriSense-2M includes long-form videos and diverse modality combinations, facilitating broad generalization. Extensive experiments across multiple benchmarks demonstrate the effectiveness of TriSense and its potential to advance multimodal video analysis. Code and dataset will be publicly released.

  • 8 authors
·
May 23, 2025